NATIONAL LIBRARY OF MEDICINE
        Bethesda, Maryland

             Gift of

  The National Center for Homeopathy
 
 
»
S3V 
* 
 
CATARRHAL  DISEASES
OF THE
\mml  mi  fyesptratorg  fjfpit;
G.N. BRIGHAM. M.D.
Crand Rapids, Mich.
     NEW YORK:
A. L. Chatteeton Publishing Co.
        1881. 
 
INTRODUCTION.
  The  importance  and frequency of  ca-
tarrhal  and pulmonary  affections in our
climate, and the yet inadequate means and
knowledge for curing them are good rea-
sons for the  appearance of the  following
pages.   And if they shall, in any manner,
make clearer the indications of the  classes
of agents already brought to notice  in our
Materia Medica for the cure of these affec-
tions, or shall add new ones to the list, their
object  will be  attained.   Even  should  a
hint be given  whereby danger may be
warded off or  postponed, outside of reme-
dies, the author feels that his labor will not
be altogether lost. 
 
                PART I.

   ETIOLOGY ANT) PATHOLOGY.


               CLIMATE.
  There  are, no doubt,  advantages  in  cli-
mate ;  for observation teaches us that, in
climates of little variability of temperature,
there are not as many cases of catarrhal and
pulmonary difficulties, and  the  mortality
from lung and throat diseases is much less.
  An important point  with a patient will be
to become acclimated. I have seen persons
who have been housed up  so* closely that
they could not stir without taking cold, in-
deed, would have a cold  all the time, even
when  housed.   Such persons have been
cured by free use of cold water to the face
and neck and going bravely out into the
open air.   I once cured  a man in this way
who was  thought to be going into consump-
tion.
  There is no doubt that persons who are
subject to congestions  of the throat  and
lungs, in  our northern latitudes, will be im-
proved by seeking a less variable  climate.
  Persons residing in  hilly districts, with a 
G
ETIOLOGY AND  PATHOLOGY.
dry atmosphere, may improve by removing
to a valley, and those living among the low
lands by removing to the hills, and this,
too, when the intervening distance is slight.
  For  all practical purposes we may con-
sider the climate east of  the Rocky Moun-
tains the same (excepting, perhaps, some
islands on the Florida coast), and subject
to extreme changes.   Michigan is modified
somewhat by her lakes, but her humidity
about offsets the equability, a fact especially
noticeable in nasal and throat difficulties.
Mortality b}T consumption in the  State men-
tioned  is at rather a lower per cent, than
the average of other States east of the great
divide.   The Pacific coast is milder  and
more favorable  to pulmonary diseases, es-
pecially the southern portion of  California.
  Too  much cannot  be said in  discounte-
nancing  all systems of medication  which
tend to irritate the mucous membranes by
the positiveness of their effects, such as ca-
tarrh snuffs and many of the escharotics
used in the nasal douche.   By  such treat-
ment catarrhal affections become more and
more confirmed;  the mucous  membrane
becomes thickened ;  delicate membranes,
not involved in the primary disease, are as-
sailed; and we have, in consequence, a dru<j 
ETIOLOGY AND PATHOLOGY.
7
dixeave, often attended with loss of smell,
loss  of  hearing^ and, later, throat catarrh,
traveling down upon the lungs.
  Unless a drug has  a specific curative ac-
tion, it should never be used; and, if it has,
there is no need of escharotic effects, or even
such intensified effects as provoke irritabil-
ity and congestions of these mucous mem-
branes.

      SYMPTOMS OF  CATARRH.
  Catarrh is a term applied  to that condi-
tion of the secreting glands of the mucous
membranes which increases or diminishes
the quantity of mucus, or changes the qual-
ity from health.
  The membranes attacked at first become
dry, more sensitive from  the congested  con-
dition  of the  capillaries; and, if  in  the
nasal passages, sensations  of heat, pres-
sure, itching, and, perhaps, sneezing  fol-
low.  This  is the first stage.    Next, a free
discharge of an acrid fluid, thin in its char-
acter, excoriating  the delicate membranes
of the nostrils and, perhaps, lips, as it flows
over these surfaces.   Finally  the fluid  be-
comes thicker,  less excoriating, and, in  the
end, changes to an opaque yellowish  dis-
charge, which runs to a longer or shorter 
8         ETIOLOGY AND PATHOLOGY.

termination,  according to  circumstances.
Headache  and a  general feeling  of  dis-
quietude attend  these attacks.   Perhaps
considerable prostration and fever.  This is
the ordinary  course of a cold or  influenza.
Not usually dangerous unless it runs into a
chronic catarrh, associated with some  dys-
crasia of the system, or ends  in follicular ul-
ceration, or allies itself with pneumonia.
  Perhaps catarrh of the stomach and bow-
els and catarrh of the mucous membranes
of  the vagina and uterus, more frequently
than we think, are the result of a metastasis
of catarrhs of the nasal and respiratory or-
gans, and  might,  legitimately  enough, be
followed from this trunk downward, as in-
verted branches of a tree ;  but this will be
foreign to the present treatise.   The origin
of acute catarrh, if we except infection, in a
vast majority of cases, is to be referred to a
sudden cooling of the skin, determining the
blood  from  the outer surface to the  inner
surface of  the enveloping structure of the
body,  creating irritation, congestion  and
inflammation.  This is done by sitting at a
window or  by a door where  there  is  a
draught,by wetting the feet or walking bare-
foot upon a cold floor, by getting heated and
then allowing too sudden cooling, as  after 
ETIOLOGY AND PATHOLOGY.
<)
severe exercise,  etc.  Sometimes  the ex-
tremes are such in the temperature of our
climate that only the most vigorous will find
themselves able to avoid a cold without the
greatest precaution, especially those of rheu-
matoid constitutions, and where there is
scrofula  or a  syphilitic taint.  As catarrhs
are constantly provoking into activity these
latent morbific agents, there  is a need of
careful  study  of constitutional conditions,
while we  seek, by medicinal agents, to ar-
rest these attacks which keep a perpetual
menace upon life.
  Catarrhs engrafted upon these dyscrasias
greatly swell the  list of our consumptives
and dyspeptics, as well as those who, sooner
or  later, break  down with  genito-urinarv
diseases.
  The especial study which  enables one to
make a clear diagnosis of these constitu-
tional conditions must be learned elsewhere;
also the pathology, in the  main,  of catarrh
itself.  We  may say  in passing that the
rhinoscope shows the turbinated bones pos-
teriorly to be swollen and gray,  or reddish
gray,  while  the septum is  intensely red, or
grayish red, and thickened in all severe at-
tacks  of  catarrh.  Often the  septum and
turbinated bones touch. 
10
ETIOLOGY AND PATHOLOGY.
  The openings of the Eustachian tubes are
often narrowed by swelling; from the vel-
lum palati are seen  vascular branches, of
considerable  size,  while  the  tonsils  are
darkly reddened  and more or less swollen.
From this beginning we have the disease
going through all stages, from thin fluent
coryza to thick muco-purulent fluxes; con-
gestion, inflammation and ulceration.  Un-
der the influence of a continued catarrh  the
mucous  membranes  first  become   hyper-
trophied, and then grow spongy, not unfre-
quently being the seat of ulcers.
  One of the most obvious indications of a
chronic catarrh is the nasal speech.  We all
know how  disagreeable  it is to be obliged
to listen  for any length of time to any one
who is troubled with it.
  Usually  the  face  is  sallow  and  dingy,
and  it makes one look older than one really
is.   The  odor is often very marked and  to
the afflicted exceedingly embarrassing. The
more severe forms of chronic catarrh  are
really our cases of ozena, more  recent  re-
search showing that there is  no necrosis of
bone in these  cases, which is the origin of
the fetor, but  that it* is simply mucus un-
dergoing the putrefactive process.
  The secretion, says Carl Michel, who has 
ETIOLOGY AND PATHOLOGY.
11
examined the nasal passages with the spec-
ulum under both the sun and calcium light,
comes from  the " side cavities of the nasal
cavity."  Probably the cavities of the sphe-
noid bone  and the septum are the  seat of
this  catarrh, for  says Michel :  '' Repeat-
edly I saw, in cases of ozena, a yellow  plug
hanging out of the  opening of  the sphe-
noidal cavity on the leftside."
  It is not our purpose  to go into any ex-
tended  pathological  discussion  upon the
diseases of the  nasal  passages or the lower
respiratory  tract,  and   we shall bring up
only such points as seem to have a definite
relation  to getting at the  totality  of the
symptoms.   Yet we  advise a careful study
of structure, aided  by  the  speculum, and
there are a number of treatises written on
this subject.
  It is more  than probable that in a major-
ity  of cases, ozena has  its root  in  scrofu-
lous dyscrasia, and should  be studied not
only as a local disease, but, as in scrofula,
constitutionally.  In  some cases  of females
we have found the menstrual molime offen-
sive also, where there has been ozena, and
scrofula has been traced  in the genealogical
tree.   Such  cases  have  been best  helped
with calcarea iodum  and sepia.  It would 
12
ETIOLOGY AND PATHOLOGY.
be well to inquire if there were any connec-
tion  between the ozena and derangements
of the female reproductive system, though
ozena is by no means confined to that sex.
  Metastasis  is  not  an infrequent  occur-
rence in catarrhal affections  any more than
in rheumatism.
  We do not think we give a wider  range
of inquiry in these  suggestions than  the
successful treatment  of  our catarrhs  de-
mands; nor shall we be likely to overesti-
mate the influence of the morbid affections
of the mucous membranes upon the health
and  well-being   of  society.  Pulmonary
catarrh,  to  which  so  many succumb  in
middle, and  especially advanced life, usu-
ally  has  its  origin  in  a  nasal  catarrh
neglected or badly treated.  Or if we class-
ify topographical and  further add  to our
nomenclature, we would add also laryngeal
phthisis.  Some authors have made a distinc-
tion  between chronic bronchitis and pul-
monary catarrh.   But we are inclined to
think that it is  a distinction arising more
from the time elapsing after the cold, and
from constitutional peculiarities, than aught
else.  A cold is the commencement of both
if we choose to designate them by different
names. Sometimes, as the pulmonary symp- 
ETIOLOGY AND PATHOLOGY.
13
toms  became  developed, the  nasal symp-
toms  have disappeared, wholly or  in part.
If the disease localizes on the trachea and
does  not extend to the bronchia, it is  the
same.   True, the  tracheal cough  maybe
the more dry and troublesome, especially in
the morning, because the air has been pass-
ing over  the  secretions and evaporation
has gone on to a greater extent.
  Catarrh, then, may  be  found wherever
the mucous membrane is  found,  and Ave
may find it changing its seat of action from
one locality to another, just as rheumatism
or skin diseases shift  from one locality to
another, keeping pretty constantly to  the
same  kind of structure.  Skin diseases very
often  affect  a  lodgment upon the mucous
membranes, as, structurally, they are alike.
And this will be found one source of our
catarrhs.  To track the course of a catarrh
let us summarize a little.  Beginning with
the anterior nares we are led directly to the
nasal  fossa, two  irregular chambers occu-
pying the  space between  the base of  the
brain and the roof of the mouth.   These
chambers  are divided by a vertical partition
called  the  septum;  and the membrane is
expanded  and supported  from lamella of
bone, with two sides free, which are curved 
14
ETIOLOGY AND PATHOLOGY.
and  twisted in shape, and  are  known to
anatomists as the turbinated bones.  "They
have been mentioned  previously.   At the
upper part of these fossa the mucous mem-
brane is thickened and becomes more vas-
cular, and receives from the olfactory nerve
filaments endowing  it with the function of
smell.   This portion is called the olfactory
membrane.   The balance of the membrane
lining  the nasal cavities  is  called Schnei-
derian membrane, and differs from the above
only in being less thick and vascular.   In
these chambers occur, usually, the first im-
pressions of a catarrh.   Traveling back we
find  a  continuous passage called the Eus-
tachian tube, leading  into the  chambers of
the ear. This tube and these.chambers are
also  lined with mucous membrane, and are
not infrequently the seat of  catarrhal inva-
sions, especially when the nasal  catarrh or
pharyngo-nasal catarrh has been  neglected.
Again, if  we follow from the nasal fossa
downward, we find two passages  leading to
the pharynx, which are  known to anatom-
ists as  the posterior nares.  These passages
are usually early involved in the catarrhal
attack, and not infrequently  the pharyn-
geal cavity itself.  The membrane lining all
these cavities, as  seen by the  speculum, is 
ETIOLOGY AND PATHOLOGY.       15
congested, red and infrarned, when invade 1
by a catarrh, the  epithelium being  thrown
off  and  the membrane proper is  swollen
and  thickened,  and  the  mucus   follicles
stimulated to undue activity; or, if strangu-
lated by pressure, may appear dry and of a
dark purplish hue. Of course the condition
and  appearance of the mucous  membrane
changes as the disease goes on, and with the
mucus secretion we have pus-globules, and
on the ulcerous surfaces  are formed  scabs
and  sanious secretions, all indicating deeper
lesions and  graver  complications,  till we
pass from a  simple catarrh to an intractable
ozena.   Or if the disease travel to the Eus-
tachian tube, that becomes blocked  by mu-
cus hardening and adhering, perhaps also
narrowed by the swelling of  the mucous
membrane, impairing the hearing,  or even
graver lesions may occur in the auditory
chambers, terminating in permanent  deaf-
ness.   Many of our  aurists  affirm  that
chronic nasal and pharyngeal troubles are
the starting  point of a large per cent, of the
affections of the  ear.   From the naso-
pharyngeal  catarrh we have the larynx en-
grafted, and then, by continuity of surface,
our  catarrh  travels to the trachea, and
bronchia,  and at last into the  air  cells, 
16
ETIOLOGY AND PATHOLOGY.
being the parent of both laryngeal phthisis,
as it is often called, and of pulmonary con-
sumption.  Differing, of course, in pathol-
ogy from tubercular phthisis or syphilitic
phthisis, though often aggravating  and
hastening both.
  The pathology of the larynx has become
now well understood  from the use of the
mirror;  the simplest departure from the
normal conditions of the mucous membrane
is hyperemia  or congestion.   This occurs
from slight irritation and is always present
in our catarrhal  attacks, if of any consider-
able gravity.   It may be produced by long
continued effort  at speaking or singing in
the open air.  The throats of singers  and
stump speakers are frequently affected with
hyperemia.  The larynx, examined after a
catarrhal attack, exhibits redness, tumefac-
tion,  increased and  changed  secretion of
the follicles.   The redness is of all shades,
from pale rose to deep red, appearing as a
network of injected vessels rather unequally
distributed over the  mucous membrane.
The laryngoscope has  shown  the  fact that
portions of the larynx may be affected with
catarrhal inflammation while  other  parts
remain  comparatively  free.    Researches
from the mirror promise to show a fruitful 
          ETIOLOGY AND PATHOLOGY.        17

field of investigation in catarrhal diseases.
The progress of  the catarrh with this  in-
strument can be carefully watched, and it
greatly helps in making out a correct diag-
nosis, also places at the hands of the physi-
cian very  important objective  symptoms.
By the aid of the mirror and a careful col-
lection of clinical cases, it is to be hoped
that the time is not distant when we shall
be able to treat catarrhal cases with as bril-
liant  results  as  homoeopathy has won in
other fields of therapeutics. 
18       THERAPEUTICAL INDICATIONS.
               PART II.

THERAPEUTICAL INDICATIONS

   IN ACUTE NASAL AND PULMONARY
              CATARRHS.
  The treatment of acute catarrh, like that
of all other diseases, should be carried out by
meeting  in  the  strictest sense the law of
similars, and will require a careful differen-
tiation  of remedies, bearing both on  the
constitution  and temperament of the per-
son, as well as the local and general symp-
toms.  The more important remedies and
their indications  we  shall attempt to pre-
sent.
              ACONITE.
  Coryza, with violent sneezing, thirst, fever
and restlessness, coming on from dry cold
air  or winds, accompanied with  headache,
roaring in the ears, and perhaps lachryma-
tion, or the headache  may be from sup-
pressed coryza.   Patient usually feels better
in the open air, and is worse from talking.
Hoarseness, difficulty of swallowing, hunt-
ings and prickings in the throat and  EusfavJitan 
         THERAPEUTICAL INDICATIONS.        19

tube* may attend the severer forms of the
attack.
             ALLIUM CEPA.

  A very valuable remedy in acute catarrh.
  The nasal discharge is thin and watery,
drops from the tip of the nose.  Usually at-
tended with sneezing and smarting of the
eyes, which is worse on coming into a warm
room.   Must take a long breath and  then
sneezes correspondingly.   Has also an even-
ing aggravation.  Discharge is acrid  and
excoriates  particularly the upj>er lip, which
becomes red and tender, but tears are not
acrid as in  euthrasia.  Not unfrequently
there is associated roughness aud rawness
of the fauces and trachea, which  provokes
a dry hoarse cough, which stems to start be-
hind the pom um Ad ami, wit ere there is much
tickling.  The cough gives a peculiar split-
ting sensation, as though the trachea would he
rent asunder, and this makes  the patient
wince and crouch from pain.   I do not know-
that any other remedy has this symptom.
In differentiating we find Cepa excoriates
the upper lip, Mercurius the ahe and  col-
li m me  of the  nose,  while Arum excoriates
both nostrils and  upper lip. the  left nostril
more commonly. 
2)       THERAPEUTICAL INDICATIONS.
        ARGENTUM NITRICUM.
   Constant chilliness with lachrymation and
sneezing accompanies  the  coryza of Arg.
nit., while above the eyes, in the superciliary
arch,  are  more or less acute pains.  The
nose  itches,  and  patients are inclined to
take a recumbent position,  as  much debility
is felt, especially in the legs.   Symptoms are
inclined to be paroxysmal, increasing and de-
creasing somewhat rapidly (Stannum has  a
slower crescendo).   Adapted to catarrhs
where there is soreness  and  redness of the
throat, tonsils  and uvula, or where the eyes
or head  are  involved.  Patients  who are
subject to swollen lids (Kali Carb.), iveak
sight  and  flow  of mucus from the  vessels
about  the canthi, have hemicrania and vertigo.
The  sense of smell is blunted, small  ulcers
appear in the nares, with discharge of pur-
ulent matter  and accompanied with itch-
ing of the nostrils; sometimes the corneals
ulcerated.  Phlegm  in the  larynx  causes
rattling till it is hawked or coughed  up in
lumps.  Trachea is sore from coughing. In-
creasing the jntch of the voice causes coughing.
Adapted to such cases as  begin with a dry
catarrh, which "grows moist and is followed
by a  ratthng cough,  profuse sweating and
thick, yellow  expectoration.   Eyes are hoi- 
THERAPEUTICAL INDICATIONS.        21
low, face  has a  sickly look, and attended
with restless, sleepless nights.  Skin is often
of a leaden color, especially about the face,
bluish or ashen,  and persons  have an  old
look.  It is  as  valuable in chronic as in
acute catarrh.
   Aggravations:  From sour  things, coffee,
after drinking, at night and in  wet weather.
   Craves sweet things and strong cheese,
   A decided remedy for hydrogenoid con-
stitutions.
          ARSENICUM ALBUM.
   The most characteristic  symptom is  the
discharge of a burning mucus from the right
nostril.   (Arum   has it from the left.)   The
discharge at first is usually watery.  There
is a  sense of stoppage at the bridge of  the
nose. Patient sneezes on going into cold air.
(Cepa warm air.)  The aggravations are at
night, or  after midnight;  all pains  are  ag-
gravated from cold air, except the headache,
which is better.   Aggravations from damp-
ness, cold food and a cold room. Ameliorat-
ed by warmth.  Pains are accompanied by
restlessness, anguish  and  desire to change
place.  Thirst, which is appeased with small
draughts of water,  which satisfies only for a lit-
tle.    Sensations,   burning  and sweating.
Later, discharges become offensive.  It has 
22       THERAPEUTICAL INDICATIONS.
the symptom of being more from partaking
of cold food, while Phos. and Baryta Carb.
are better.
   The cases to which Arsenicum is  best
adapted are those catarrhs based upon ma-
larial miasm,  and in such subjects as are
poorly nourished from faults of assimilation,
Patients are subject to chilliness, love to cling
to the fire, and have an appetite  for  sour
things, stimulants and milk.   The catarrh
in the second stage is accompanied with
dryness of the nasal cavities.  Patient has
the sense  of an  offensive  smell before the
nose, or the smell of sulphur and pitch alter-
nately.  Tendency to  oedema about the
eyes (Arg. Nit., Kali Carb.) and pujfiness of
the nose; complexion pale and waxy; dis-
charges  corrosive in  all stages.  Coughs
when going into cold air,  because  of a sen-
sation as  if sulphur had been  inhaled as
from a match.   Has to sit up in bed when
c >ugh commences.  Coughs  worse  from
midnight to morning.

        ARSENICUM IODATUM.
   Corrosive, watery, irritating coryza which
denudes the nostrils and lijis  (Arum),  often
accompanied with chills and fever; comply
cations of the Eustachian tubes and  otor- 
          THERAPEUTICAL INDICATIONS.        23

rhoea a frequent accompaniment.  Adapted
to epidemic influenza  and summer catarrh,
or  "Hay Fever;" to malarial localities;  to
weak and tuberculous constitutions with defec-
tive assimilation;  enlarged glands and tonsils;
pale and inclined to puffiness of the lids.   A
burning sensation in the throat and nose, quite
characteristic.   Shudderings and dislike of
cold, and amelioration by warmth as in Ar-
sen. Alb.  support the  associating group.
It closely resembles, in several leading indi-
cations,  Arum Triphyllum, but its aggrava-
tions  are at night, while Arum  has the
morning aggravation, nor has Arum the
Arsenicum thirst.
                 CLINICAL.
  H. B., boy, £et. 16, dark hair and dark complex-
ion,  fleshy, but  small for his age; had suffered
with citarrh almost constantly  for  four years.
Sometimes both nostrils were closed, and he was
compelled to breathe  through his mouth; eyes
were weak and watery; tyelids puffy; had always
Heed in a nudaruil region, and suffered more or less
from the usual chills and fever every year.  The
nasal discharge was nearly always jelly-like, but
sometimes watery; very copious in tlie morning and
after avals, but at other  times much less;  color,
grayish white. Tonsils much enlarged and fauces in
a state  of sub-acute inflammation.  Iodide of Arse-
nic 3, gr. ii three times a day for  a week, then
once a day for another week, then one dose a week
for three months cured the whole trouble.—Morse. 
24       THERAPEUTICAL INDICATIONS.

         ARUM TRIPHYLLUM.
  Arum is  adapted to a, fluent, acrid coryza
which excoriates  the nostrils and  the  skin
of the upper lip.  Nose is stopped up by the
secretions, compeUing the patient to breathe
through the mouth : the left nostril is more
seriously affected.
  Drowsiness and an inclination to sneeze
accompanies the Arum catarrh, and  from
the outer cauthi tears flow upon the cheeks.
The eyelids are heavy and headache attends
this group   of  symptoms.   The  mucous
membranes of the nostrils have  a tendency
to ulcerate, and blood stains appear on the
nasal plugs at a later stage (phos.).  Symp-
toms  are worse in  the  mornings except
sneezing which is worse  nights.   Its im-
pression  is  more  intense  than Cepa  (to
which it corresponds in an  excoriation  of
the upper lip), thickening the membranes
of the posterior nares and pharynx so as to
cause drinks to pass up through the nose,
and yet sometimes blocking the nostrils so
there is no passage even of air.  Hence  it is
well adapted to diphtheritic  deposits in the
nares.  The cough comes from mucus in the
trachea,which causes tickling and much spit-
ting. Hoarsebeforetalkingbut better afterwards.
Much pain in the larynx a leading symptom. 
THERAPEUTICAL INDICATIONS.       2o
              BELLADONNA.
   Frequent  sneezing  followed by  fluent
 coryza from one nostril only; coryza with of-
 fensive smell  when  blowing  the  nose  as
 of herring pickle; suppressed  catarrh with
 maddening headache; dryness of nose; head-
 ache; pain in the eyes and dislike to light and
 noise, frequent accompaniments. Pulsating
 carotids and tender lymphatics, a remedy
 for colds from  cutting the hair;  cough causes
 pain in chest  as  if chest was sore; coughs in
 long  paroxysms ;  coughing causes much
 pain at  pit of stomach.   Cough seems  to
 strike there.
                BRYONIA,
   Fluent  coryza,  beginning  with  violent
 sneezing and accompanied by stitching head-
 ache on stooping.   Catarrh extends to chest
 with stitches in shoulders and through the
 waUs of  the chest.  Stiffness  of neck  and
 pain in the nape, worse from motion; sweats
from the least exertion;  among our best re-
 medies when   a cold threatens to involve the
 bronchial passages, and extend to the air-cells.
 Cough worse on coming from the cold air  in-
 to a warm  room, and after eating or drink-
 ing ; gagging  with coughing;  other accom-
 paniments are desire to lie down and j-emain
 quiet,  as in  Arg.  Nit.:  bitter  taste in the 
26        THERAPEUTICAL INDICATIONS.

mouth, and of food.   Drinks large draughts
of water, but at long intervals; business runs
in the mind.   Storms and east-winds aggra-
vate Bryonia symptoms, which gives us an
indication for complaints brought on from
e ist-winds. It is characteristic of the Bryonia
cough that the patient often presses  with the
hand on the sternum as if he  needed  to sup-
port the chest during the paroxysm.   Pains
relieved by pressure; irritable disposition.
                 CLINICAL.
  J. B., aet. 42, housekeeper, has been suffering with
a severe cold for four weeks.  Her lungs and throat
were suffering  simultaneouly.   For  the  last two
weeks she has had a constant roaring in the ears and
dullness of hearing. Cough is severe, expectora-
tion glairy mucus; and she has  headache  increased
by motion and  coughing.  Urine scanty and high
colored.  The  drumhead   of both  ears looked
dull  and congested.  Ears  inflated with  air, gave
Bryonia 30 every two hours. In two days patient
had much  improved.   Treatment continued with
complete cure.—T. P. Wilson.
  H. D., Infant.  Has had a  cough for three
weeks; losing  flesh for two weeks,  and is very
thin; coughs after eating, drinking and from getting
angry. Worse in the confined air. Cough lasts for a
long time.   Child is of irritable  temper.
  Bryonia  2,000 Jennichen cured promptly.—E.
W. Berrtdge.
  C.  H., aet. 25, took  a severe cold  from being
out in an Eastern storm. Feels sore all over as if 
          THERAPEUTICAL INDICATIONS.        27

he had been pounded.  Bursting headache, which
is worse from stooping, coughing, or even walk-
ing.  Pain  and soreness behind the  sternum,
which makes him  want to liold his hand there when
coughing.  Cough is  a  shaking, irritating cough,
aggramtedhy going into a icarm room, and by eating
and drinking.  Cough is dry, and sometimes seems
to come from the stomach.  Easily out of humor,
and only easy in the open air.
  Bryonia 200 cured promptly.—G. N. B.

         CARBO VEGETABILIS.
  Frequent sneezing  and  tickling in the
nose;  ineffectual attempts  at sneezing, with
sensations of crawling in the nose.   Coi'yza
with hoarseness  and rareness  in  the  chest;
itching in trachea and  chest;  irorse  when
coughing.   Inclined  to epistaxis; oppressive
headache  over  the eyes.    Aggravations
from 4 to 6 P.  M.  Cough hoarse, hollow
and spasmodic,  worse going into  cold air
(Arsen.), after eating  and  drinking (Bry.),
vomits after eating.  Soreness of chest and
Iteat of body when coughing.
                 CLINICAL.
  A lady caught cold 14 days ago; has coughed for
a week. Cough is worse by day and in the open
air and during supper.  Cough is continuous, dry
and hard, with soreness of the chest and heat of
the hody when coughing; sensation at  night as if
there was mucus in the throat choking her when
she coughs; the choking is relieved tchen sitting up or 
28       THERAPEUTICAL INDICATIONS.
on moving.  There is itching in the throat, extend-
ing into the chest; worse when coughing.  Carb.
Yeg.—E. W Berridge.

             CHAMOMILLA.
  Corresponds to  dry heat and stopped up
sensation in the nose.   Sensation of  crawl-
ing and inclination to sneeze.  Feeling  as
if coryza would appear;  almost uninterrupt-
ed tickling in the larynx.  Coryza is fluent,
watery, and later, viscid.  Sense  of smell is
acute; rawness and scraping in the larynx;
mucus  that  only  detaches  after   much
hawking (Calc. Carb.); hoarseness with dry-
ness of the eyelids.   Paroxysms of coughing
about midnight with  suffocative   sensations.
Worse in dry  weather  (Dulc. damp.); from
drinking cold water and in cold air; suitable
for children, especially if one cheek be flushed
and the other pale; face sweats easily.  Ac-
companiments: Peevishness, ill humor and
dissatisfied with everything.   Worse in  the
evening.   Child wants to be carried;  cannot
bear to be  spoken to.   (Compare Cina.)

      DROSERA  ROTUNDIFOLIA.

   Profuse fluent coryza in the morning with
hoarseness;  voice   husky,  hollow,  toneless,
requiring much exertion to speak.  "Worse at 
THERAPEUTICAL INDICATIONS.        29
2 A.  M.   Behhing  attends  the  coughing,
(Bry.)

              DULCAMARA.

  Dry coryza renewed by the slightest expo-
sure, better during motion and worse during
rest, as to most of its symptoms; worse after
getting wet.  Cold brought on from a change
of hot to cold, of summer to autumn.   Coryza
worse in the open air and at night, better in
warm room.   Accompaniments: Dry,  hot
skin, limbs numb and cold, stiff and pain-
ful  muscles, especially about neck and back;
sweat offensive, constant sneezing and buz-"
zing  in  the  ears  and earache, urticaria.
Adapted to nasal catarrhs and influenzas of
the fall.   Catarrhal fever with dull hearing
and throat affections, which are made worse
by wet weather and cold winds; also  to  tor-
pid, phlegmatic  and  scrofulous constitu-
tions,  who take  cold when the  weather
changes to a lower temperature.
                CLINICAL.
  W. A. B., aat. 18.  Nose cold, nostrils  so  filled
that he cannot breathe through  them.   Constant
sneezing, profuse watery discharge from the nos-
trils worse in the open air and better in the closed room.
Always worse in the evening.  The eyes are some-
times swelled, sometimes the nose alternately. Cannot 
30        THERAPEUTICAL INDICATIONS.

be around new mown hay.  Dulcamara 200 cured
promptly.—C. W. Boyce.
  A. B., aet. 40.  Took a severe influenza by riding
in cold west winds after a change from a much
higher temperature  to  a  lower.  Severe coryza
which  was  always aggravated  on going from a
warm room into cold open air.  Sneezing in the
open air, and muscles about the neck and should-
ers sore and  stiff.  Toothache which was relieved
by hot applications, but only so long as applied.
Buzzing in the ears with dullness  of hearing.
Subsequently, a dry, hoarse cough,  brought on
from taking a deep inspiration, worse by lying
down, and relieved when out of doors.  Dulcama-
ra 6th cured.—G. N. B.

     EUPATORIUM PERFOLIATUM.

   Coryza with severe bone pains, heat on top
of head and buzzing in the ears, has a sim-
ilimum in Eupatorium influenza.  There is
much prostration, weak  pulse,  and   the
bones are sore, feeling as if broken.   It cor-
responds to hoarseness  in  the  morning
when getting up, so  that there is difficulty
in talking, throat is dry and sore, patient is
very restless, can't keep still (Rhus.), yet is
not  relieved by motion as in Rhus.  Aggra-
vations from 7 to 9 A. M., or in early morn-
ing.
   Adapted  to old people, and in this corres-
ponds with Arsenicum; a good remedy for 
THERAPEUTICAL INDICATIONS.
31
inebriates, in  which  it is an  analogue of
Nux Vomica.   To persons  subject to ma-
larial influences.  Attacks often ushered in
by extreme thirst.   Head and eye symptoms
prominent.

              EUPHRASIA.

  Fluent  coryza, with scalding tears and
sensitiveness to light; earache and ringing
in the ears; eyelids swollen (Arg. Nit., Ars.,
Mer.)  and conjunctiva injected;  pain in
the  forehead  and stitching  pressure  in the
eyes.   Pain over the bridge of the nose, from
the right to the left.   Worse while lying  down;
in the evening and during  the night, from
smoke of tobacco.    Cough  with  severe
coryza; eyes affected, and difficult expecto-
ration; better  from eating, from vomiting
mucus, from out of door air. (Nat. Sul.) (Re-
verse of Ars., Cham., Carbo Veg., and Lach.)
Cheeks excoriated from tears, but nasal dis-
charges bland.   (Opp. of Cepa.)

            CELSEMINUM.
  Has a catarrh with violent paroxysms of
sneezing  in the morning, with tingling  in the
nose.  Thin excoriating discharge from the
nostrils; or right nostril obstructed from the
drying secretions (Arum left).  Edges of 
32       THERAPEUTICAL indications.
 right nostril red and sore; feeling as  if hot
 water was passing over the membranes of left
 nostril which seems to come from the throat.
 Root of nose feels as if swollen; pains extend
from neck  to  clavicle; roaring in the ears;
 pain/rom the throat into the middle ear ivith
 deafness.  Eyes sensitive to light, tonsils in-
 flamed ;  Hering   says  mostly  the  right.
 Payne gives' an epidemic which began in
 the left and worked to  right.   Fauces dry,
 burning and sore;  rawness and soreness of
 chest; bronchial  catarrh; subject to  chilli-
 ness and feels  best by the fire.  (Arsen. and
 Carbo. Yeg.)  Chill runs up  the back from
 the sacrum to'the base of the brain  (running
up and down the spine; Eup. Per.); may
begin in the hands (Sulph.)   Fever without
thirst; wants to  lie  and rest (Argen. Nit.,
Bry.) Sensation of falling, in children, as in
borax.  Aggravations: every day at the same
hour; worse from change of weather; south-
east  winds  and  damp  weather.   To  be
thought of in  catarrh involving the Eusta-
chian tubes;  also  suitable  to  catarrh  in
spring and  summer weather,  and to  some
epidemic types of  the  disease,  attended
with vascular  excitement, supervening upon
chilliness; when the mucous membranes  of
the nose, ears and  eyes are  affected, and 
          therapeutical indications.         33

the discharge is  bland and watery, never  to
purulent discharges.
   Right side most affected, as in Lycopodi-
um.
                 CLINICAL.
  In the epidemic of influenza prevailing in 1868,
Dr. Wm. E. Payne found Gelseminum the remedy
for the following symptoms: Soreness at the throat,
felt at the upper part of the left tonsil, extending
thence across to the soft palate,along the left nostril.
attended with the sensation, at every inspiration, as if a
stream of scaldiny water rushed along the nasal pas-
sage of that side, the opposite nostril at the same
time being stopped ; and continuous  accumula-
tion of irritating mucus about the throat, with
hard, painful cough, and all the symptoms aggra-
vated at night.
               HYDRASTIS.
   Cold sets in with aching of limbs.   Ex-
coriating watery coryza with burning in the
nose, and  affecting,  as does Gelseminum,
the  right nostril  most.  Discharge profuse
out of doors but scanty in  the  house; throat
and chest raw; dull frontal  headache (Bry-
onia  stitching); sense  of  fullness  over the
eyes; otorrhoea  and  roaring in the  ears.
The air feels cold when breathing it.   Constant
inclination to blow the  nose.    Secretion more
from the posterior nares than the nostrils; be-
comes  thick and tenacious and  troubles
about  dropping  down  into  the  throat. 
34       therapeutical indications.
Much hawking required to clear the throat.
Hydrastis acts  especiaUy upon the mucous
membranes, increasing their secretion,which
is tenacious, ropy and often corrosive.  Slug-
gishness  of the bowels, a gone feeling at the
stomach,  are   frequent   accompaniments;
among our best remedies for gastric catarrh.
The nasal catarrh to which it  best  corre-
sponds is where there is a continual dropping
into the posterior nares.   Has been used  in
scrofulous  ozena and ulcers in the  throat
after Mercury.   Goneness or faint ness at the
stomach, is a noticeable symptom.

         KALI  BICHROMICUM.

  Corresponds to shooting pains from root
of nose to external  angle-of the eye, along left
orbital arch; pains  begin  in the morning and
increase till noon; Coryza fluent and excori-
ates nose and  upper lip.   (Arsen., Arum.)
Pressure and tightness at root of the nose,
which is worse  in the evening and in the open
air.  Sense of  constriction  in pericranium
occurring in paroxysms.  Sneezes on going
into the open air and in the morning.  Fore-
head sweats when the face is dry.  Expector-
ates tough mucus, which detaches with such diffi-
culty as to cause retching. (Dros.,Bry.)  The
secretions  become so tenacious that  they 
          therapeutical indications.        35

pull out into long thread-like strings.  Ag-
gravations at :> A. M.  Suitable to catarrhs
which  prominently  affect the throat and
stomach, having a ropy tenacious secretion.
To colds which are  worse in  the summer
and to fat light-haired people.  The catarrh
usually begins with  a profuse mucous dis-
charge,  which  at first  is  clear  as  water
(Cepa); later the discharge  is thick, tough
mucus, which finally fills the  nose with
hard elastic  plugs.   Nostrils are often  ex-
coriated as well as the upper lip.   A valua-
ble  remedy  in  both acute  and chronic
catarrh.  In ozena it has proved serviceable
where there  is ulcerated nostrils and corro-
sion  of the  septum.   Spot on the right  la-
chrymal bone  swollen and throbbing.  Re-
spiratory symptoms  are  hawking of thick
mucus  in  the morning;  cough excited  by
tickling in the larynx, or at the bronchial di-
visions; accompanied  with oppression at  the
epigastrium.  Cough is worse when undressing
(Puis.); on taking a deep inspiration (Sticta.,
Dulc.,Rumex.); from the least morsel of food
or  drink  in  the  morning;  better in bed
(Dulc. worse).  Sputa usually tough, viscid
and ropy; but frequently passes into a puru-
lent, or muco-purulent,   character.  In ca-
tarrhs involving  nearly the  whole respira- 
36         therapeutical indications.

tory tract as well as the ears and  stomach,
it is often found the best indicated remedy,
it having a wide range of application.

                  CLINICAL.
  Mrs. C,  set. 28, had  taken a cold in the early
autumn; symptoms in January are feeling in back
as if broken after  walking; getting better by silting.
Violent cough worse in the night, lying on the back and
on the right side; better by lying on the left side.
Pain through the  apex of left lung to the shoulder
blade; also through base of right lung to shoulder
blade.   Cough worse from change to cold  air, and
coughs always after the least mouthful of food.  Ex-
pectoration thick, yellow, stringy  and offensive.
Sweats profusely, which is worse about the head.
  Kali bichromicum gave prompt relief.—H.  N.
Martin.
  Mr. W. D., aged 33, light complexion, blue eyes,
healthy family except some catarrhal affections,
school teacher by occupation, has suffered since he
was 20 years of age with a nasal catarrh which at
times has been most annoying. Takes cold easily,
when the discharge  during acute stage excoriates
nares and upper  labium, each attack only  aggra-
vating the  chronic  difficulty.   The affection is
principally confined  to posterior  nares, and  ex-
amination  of the fauces reveals  posterior wall of
pharynx dry and  covered with an adherent secre-
tion, to detach which sometimes  requires  mechan-
ical means.  Blows hard plugs or  flakes  of dried
mucus from nose, but most of the discharge comes
up by hawking, particularly in morning after eat-
ing, when it takes him about an hour to get cleared 
therapeutical indications.
37
out for the day.  The discharge is green, broxcn or
bloody and very offensive at first, but latterly has
complete loss <>f smell.  The nasal bones sore to touch
on  hard  pressure, with a painful sensation of
tightness at root of nose.  During acute  attacks a
sensation of a hair or string lodged high up in the
nose, sometimes in right, sometimes in left nors-
tril,  produces  great sneezing  in the  morning.
Kali bich. 30 percent, trit'n (Smith) completely re-
lieved  in six  weeks.  Was ordered  to  bathe
head, neck, chest and arms every morning, wiping
hair dry, and never to wet the hair for toilet pur-
poses, which is a most prolific source of  catarrhal
affections in both sexes.—H. C. Allen.

                LACHESIS.
  This is a remedy peculiarly adapted to
malignant catarrh.   Throat and fauces  are
inclined to swell and throw off plastic exu-
dations; glands become enlarged about the
neck, and even  the kidneys become so in-
volved as to eliminate albumen  in place of
the normal urinary products.  Sometimes
the attacks begin with a vesicular eruption
about the nose like Rhus Tox., accompanied
by  lachrymation  and coryza, which  has
been inaugurated with a headache,  and this
passes off with no  graver  symptoms than a
Rhus or Mercurius catarrh, which it some-
what resembles in objective symptoms, but
the  subjective   symptom of  wanting  to 
38        THEEAPEUTICAL INDICATIONS.
creep  up  to the  fire and lie down  will
distinguish Lach.   The highest value  may
be placed upon it for controlling that form
of infectious catarrh which begins with an
attack upon the left side, throwing out plas-
tic exudations upon the left tonsil, and along
the pharynx toward the right.
  For catarrhs not infectious which appear
in the spring, with much sensitiveness of the
throat, it is often the similimum.   For a ca-
tarrh  where  the  mucous membranes are
swollen, look blue, and  parts very tender,
and where the nose is filled with scabs and
bloody pus oozbs from the nostrils, Lachesis
is indicated.   The neck is  often  so tender
it will not bear contact.  Pressure produces
coughing, which is violent and long contin-
ued.  Patient coughs worse after sleep, after
eating, and  may  have to  leave  the table.
Worse after  sleep  is  very  characteristic.
Perspiration strong, smelling like garlic.

                CLINICAL.
  Chas. M.,Eet. 8, hasbeen sick 5 days. Constant de-
lirium, which changes rapidly from one subject to an-
other; talks, sings or whistles constantly; makes
odd motions with right arm as if reaching for some
object; throat is filled with membrane of a  dark
color,  which was developed from left to right; has not
slept for 72 hours, but during the last 12 hours has 
               THERAPEUTICAL INDICATIONS.        39

     occasionally fallen  into  a light sleep,  which is
     followed by aggravation of all symptoms.  Urine high-
     colored an 1 strong; body  covered with bluish
     rash eruption, which is round and  elevated. Pre-
     scribed Lachesis 4, cured in a few days.—Goodno.
       Dr. Guernsey gives left side attack as character-
     istic of Lach.
•       T. J., set. 10, been sick 4 days; drowsy,  with liv-
     id huj of face; delirious mutterings, especially  at
     night. Slow, difficult  speech  and  open mouth;
     tongue trembles when protruded, tip red; tonsils
     and  pharynx swollen,  most on left  side, where
     heavy, grayish  membrane  spreads toward the
     right side, fully two-thirds the distance. Left paro-
     tid badly swollen, and difficulty of swallowing so
     great seems as if suffocation would follow; urine
     scanty and dark; bloody purulent  discharge from
     the nose, and alae swollen.
       Lxchesis 200, with convalescence  in a  week.—
     (i. N. B.
                    MERCURIUS.

        For nasal affections Merc. cor. is usually
     preferred also  for internal  affections of the
     ear.
        Corresponds  to fluent coryza with much
     sneezing.  Mucus excoriates the alse and
     column* nasi (Gels, right side, Cepa upper
     lip).  Worse from damp weather (Dul.); in
     the   night; aggravated  by  both  cold and
     warm air, especially from (jetting warm in bed;
     inclined to perspiration wldch does not relieve.
      Head feels full  as if it  woidd burst, or as 
40        THERAPEUTICAL INDICATIONS.

if growing  larger  and larger.   (Arg.  nit.
head feels very large.)   Sensations of heat
and  chilliness   alternate.   Lachrymation
profuse,  burning  and  excoriating.   Ob-
structions of the ears, which are momentarily
better after sivallowing  or  blowing  the nose.
Fluency, especially if it involves  the salivary
glands,  will be  a guiding symptom;  violent
cough if one attempt to speak. Perspiration
sometimes is sour; distinguished from Calc.
carb. by being more  sudden and general.
Parotids   frequently  tender and swollen.
Grums have a white line; breath fetid.

                 CLINICAL.
  W. M., set. 8;  subject for years to earache by
spells.  Now for  the  last week or  two constant
pain with  spells  of aggravations.  Examination
shows catarrhal  affection of both ears, and in addi-
tion a neuralgic affection.  Drumheads of both ears
slightly injected and thickened.  The Eustachian
tubes partially  closed.  Hearing reduced  to less
than one-half its usual strength. Inflated the ears
with air.and ordered Mercurius cor. 30, every three
hours.   Aggravations were nightly, which  was
taken as a leading indication for the  Merc.
  Case reported in  one week, much improved;
night pains not returning.  Treatment continued,
and patient was dismissed cured after a few weeks.
—T. P. Wilson.
  B. B., set. 8 years, of scrofulous diathesis, light
complexion; had suffered from  ozena  about ten 
THERAPEUTICAL INDICATIONS.
41
 months; was very much emaciated, and presented
 the following symptoms:
  Swelling and redness of the nose, scabs on nos-
 trils, nose stopped up; loss  of smell and taste;
 discharge  from nose like glue; tonsils excessively
 swollen; symptoms worse in the open air, but es-
 pecially aggravated at night.  Gave  Merc,  cor.,
 which  effected  a rapid  recovery.—De Forest
 Hunt.
               MEZEREUM.
   Indications are ineffectual attempts at sneez-
 ing.   Dryness  of the nose, and dullness of
 the function of smelling.  Sore  pain in the
 chest.  Ears feel as if air was pouring into
 them,  with desire to bore finger  into orifice;
 excoriations and soreness of the upper lip.
 (Cepa.)   Left sided prosopalgia.  Cough worse
from sundown  to 12 o'clock, or  aggravated
 by eating or drinking anything  hot, also by
 washing  in  cold  room.  Coughs till food is
 vomited.   Chilliness of single parts as if cold
 water were applied.

        NATRUM SULPHURICUM.
   Muddled  feeling in the  head;  eyes weak
 and watery; burning  lachrymation;  worse
 when near the fire. (Apis.)   (Reverse of Ars.,
 Lach.)   Sharp  pain  in  right   ear,  worse
 going  from   cold   air  into  warm  room;
 itching   of   nose  which  induces  rubbing. 
42
THERAPEUTICAL INDICATIONS.
Nose  stopped  up,  or fluent coryza  with
sneezing.   Short-breathed if coughs while
standing.   Has  to sit up and hold chest with
both  hands.  (Bry.)  Aggravated   by  wet
weather; going into  damp places  (Dulc.);
going  from  cold  into  warm  air (Bry.)
Suitable to hydrogenoid and sycotic consti-
tutions.
             NUX VOMICA.
  Patient is over-sensitive to all kinds  of
impressions, noise, smells, light,  etc.  Lia-
ble to take cold in the head from dry winds
and  from  a  draught.   Scalp sensitive, and
feels better when warmly covered.  Fluent
coryza by day, and dry coryza at night;  belter
in cold air, and worse  in warm room.  Feels
creeping chills, even when sitting by the fire.
Chilliness after drinking; wants to keep cov-
ered in fever stage.
  Concomitants:  Headache; expulsion  of
bloody mucus from the  nose, scalp sensi-
tive;  confused  mind;  photophobia.  Nux
has proved valuable in frontal headache with
constipation, especially if catarrhal.  In  ca-
tarrh of infants.  Patient is irritable and
often wakes at 3 A.  M.,  and is  troubled
about going to sleep afterwards.
   Frontal cavities more  often the  seat  of
the catarrh.   Cough is induced by motion; 
THERAPEUTICAL INDICATIONS.       43
reading; forced expiration, etc.; appears in
the evening, or at night after going to bed,
and prevents sleep.  The cough is short, dry,
and fatiguing,  and  accompanied by head-
ache or tenderness and soreness in the epigas-
trium, and in this resembles  Sanguinaria.
But it  is  a  thin cough, coming apparently
from the larynx, and not the chest.   Cough
ameliorated by warm drinks, aggravated by
cold, by eating.  Coughs that  come from
spinal irritation find a  remedy in Nux.  par
excellence.  Cough worse from mental ex-
ertion.

             PULSATILLA.

  A remedy suited to catarrh with stupefy-
ing headache, humming in the head, creep-
ing chills, more noticeable when lying quiet
or  sitting in the cool air;  better when walk-
ing in the open air and worse in a warm room.
Disposition  is  peevish  and   changeable;
roaring in the ears not unusual.
  Nasal symptoms are:  fluid or dry coryza;
nostrils sore with loss of smell; alternate
stoppage and running of the  nose (Nat. and
Merc); pressure at the root of the nose.   Dis-
turbances of the stomach very apt to be as-
sociated with Puis, catarrh, sometimes con-
stipation.   Coryza much worse every even- 
44        THEKAPEUTICAL INDICATIONS.

ing;  cough loose,  and though feverish, no
thirst.
   Coryza ends in a yellow or greenish dis-
charge.   Suitable for colds taken from cut-
ting the hair (Bell.); to persons of a mild dis-
position;  light complexion, and blue eyes and
inclined to tears; and when symptoms are ever
changing.   Colds from 'getting head or feet
wet (Calc. carb.)   Some of  its provings in-
dicate a periodical action culminating with
the season  of spring (Lach.)  Patients dis-
like fat food and milk.

                 CLINICAL.

  Patient fair-haired,  blue-eyed girl of eighteen,
of sensitive, lachrymose  disposition,  tardy and
scanty menstruation,  ushered  in with agonizing
abdominal  pains.  Had an  offensive  yellowish-
green discharge from the nose of several  years'
standing.
  Menstrual troubles and ozena completely cured
with Pulsatilla 6 after a severe aggravation.—TV.
P. WESSELH03FT.
  E. C, set. 13; light hair and complexion; had
measles something over two years ago, followed by
a catarrh, which I find with following symptoms:
  Copious discharge from the nose of a yellow or
greenish mucus.   A loose cough,  and  after every
attack from new cold, a slight discharge from one
or both ears. Child is of a mild disposition with
weak digestion, and fatty food disagrees.  Puis. 3
gtt. 1 morning and night for  one  week.  Improve- 
          THERAPEUTICAL INDICATIONS.        45

ment; dose only at night  for another week; then
once a week.  Cough and aural discharges cease at
the end  of  six weeks.  Nasal discharge though
much better, not cured. Sul 6th, a few doses, com-
pleted cure.—Mokse.
  A girl eighteen years old, frail,  gentle,  has suf-
fered for six  months from a yellow, pus-like, very
fetid discharge from the nose, which was swollen,
although no boils or ulceration could be  detected
internally or externally.   Violent itching  of the
nose at night; loss of appetite; bitter taste of the food
taken; eructations after eating; foggy condition of
the mind as if she were drunk; better in the open air;
menses scanty, pale, followed by increased leucorrhcm;
cannot go to sleep until late.  Cured in ten  days  by
Pulsatilla 9.—Stapf in Arch. I., 2, 27.

            RHODODENDRON.
   May be given for pains in the head which
are worse in cold and wet weather. For thin
fluid and profuse discharges from the  nose
in persons subject to rheumatism.   Heat in  the
face in  the morning, on rising accompanied
with violent sneezing.   For a cough which is
dry and exhausting, with rough throat and
oppression of  the lungs; worse morning
and  evening.  Adapted to  the  rheumatic
diathesis,  and when symptoms are brought
on by damp, cold weather, and are intensified
by  getting  wet, or  aggravated  by  thunder
sto7'ms.  Symptoms are  intermittent,  com-
ing  on from two to twelve days. 
46
THERAPEUTICAL INDICATIONS.
        RHUS TOXICODENDRON.
   Given for bad effects from severe wetting
 in  rain, when  heated.  Acute catarrh  when
 the nasal, laryngeal, tracheal and bronchial
 passages  are  stuffed up; teorse at sunset,
 when sneezing and a tickling cough sets in
 which lasts till midnight (Mezereum), then
 an amelioration which  lasts tiU morning.
 Colds accompanied with vesicular eruptions
 (Lach.)  about  the nose  and mouth.  Colds
 which afflict rheumatic persons.  Pains are
 aggravated by rest;  before a storm; in  damp
 weather.  Desire for  cold drinks,  oysters,
 cold milk (Phos.)
            RUMEX CRISPUS.
   Pain in eyes as from dryness;  dull  pains
 on right side of head, in occiput, in forehead;
 violent sneezing and  painful irritation  of
 the nostrils.  Dry sensation which extends
 even to posterior nares.  Nose  obstructed
 or running fluently with sneezing; symp-
 toms have a  nightly aggravation.   Later,
 yellow  mucus discharged largely  through
 posterior  nares  (Hydrastis.)   Heat  in  the
face.   Sudden change of voice with cough.
 Constant desire to hawk,  in some  cases
 blows the  nose a good deal; hoarseness
 which is worse  evenings.  Hoarse, barking 
THERAPEUTICAL INDICATIONS.        47
cough, coming on in the night at 11 o'clock
P. M.,  or at 2 or  5 A.  M., in children;
worse from the slightest inhalation of cold air;
uants to cover the head with bedclothes to make
the air wanner.   Nat. Mur. , Cough worse
from inhalation  of  cold air.   Nux Yom.
Wants to cover head, but  neither has the
complete symptom.
   Rumex is  indicated for that form  of ca-
tarrh which affects chiefly the upper part  of
the air passages; throat feels excoriated; sen-
sation oi & lump in the  throat (Iod. Merc);
not  relieved  by  haivking  or swallowing;  it
descends when swallowing,  but  immediately
returns.  Yellow mucus is discharged from
the  posterior nares. Itching deep in the ears.
Suggests its  value in catarrh of  the Eusta-
chian  tube.   We have found  Rumex ap-
plicable to such catarrhal coughs as annoy
children at night, constantly waking them
out  of sleep.  Coughing worse from  chang-
ing rooms, from pressing  on throat pit, and
from inhaling the  night  air.  Rumex pa-
tients are worse from cold changes of the
weather, from raw winds and from  damp-
ness. There is often a feeling of excoriation
behind the sternum.
   More symptoms are felt about  the left
chest than  the right, when  catarrh extends 
48         THERAPEUTICAL INDICATIONS.

downward.   Its  most pronounced  action
is  to excite  the  mucous membranes  of the
larynx and trachea, when there is  kept up a
tickling sensation provoking a cough.

                  CLINICAL.
  Mrs. A., set.  45,  contracted a cold in the head,
throat and lungs; cough  hard, dry and very explo-
sive; provoked by tickling in the throat and  by a
deep inspiration when inhaling cold air; worse on ly-
ing down; cough causes pain in the  head and is at-
tended with  involuntary micturition.   After  trying
other remedies Kumex cured promptly in the 30th
dilution.—C. S. Shelton.
  F. C, aet. 35; dark complexion; has been cough-
ing for several months; is losing flesh and growing
weak in consequence.   The cough is dry,  hard
and  explosive,  and worse  nights when attempting to
keep in bed.   Has to raise up to cough but dislikes
the cold air, which seems to make him cough worse.
Deep inhalations provoke coughing; voice  changes
suddenly when  coughing, becoming hoarse and weak.
There is much tickling in the  larynx, which seems to
provoke frequent paroxysms of coughing.  Coughs so
violently at night that he becomes  drenched  with
sweat.  Eumex 200 cured the case promptly.—G.
N. B.
  E. K. B., ast. 2 years.  A severe cold is followed
by attacks of  coughing  beginning at 11 P. M.
every night.  Cough is incessant, dry and fa-
tiguing; is aggravated by cold air and relieved by
hot air; wants to be covered very close; cough be-
comes hoarse and barking if paroxysms long con-
tinue.   Eumex 200.—G. X. B. 
THERAPEUTICAL INDICATIONS.        49
              SAMBUCUS.
  Excellent for snuffles  in children; nose
dry and  obstructed so that child can only
breathe with mouth wide open.  Cough is
hollow7 and dry or attended with large quan-
tities of  mucus, which keeps up a  rattling
sound from the chest.  Child awakens at 11
P. M. nearly suffocated.   Spasm passes off
to return sooner or later.

      SANCUINARIA CANADENSIS.
  Sanguinaiia catarrh usually  begins with
manifestation of  symptoms upon the right
side.   It  has headache  on   right side
which begins in  the morning;  increases
through the day;  eyes feel as if  pressed out.
Distension of veins in temples;  sore when
touched.   Copious lachrymation; tears hot.
Throat feels swollen; swallowing  painful;
burning in the throat after eating sweet things;
belter from inspiring cold  air.   (Rumex and
Nat. Mur.  wrorse.)  Rose cold and asthmatic
complaints cured  or relieved by  Sang.;
odors  aggravate the symptoms;  adapted
to dry coughs with tickling in  the throat or
pit  of the stomach;  when there is smart-
ing and  soreness in the chest; often accom-
panying  Sang, symptoms  we have an  un-
comfortable  pricking sensation of warmth 
50       THERAPEUTICAL INDICATIONS.
spreading  over the whole body.   Head symp-
toms fly to the stomach.   Among  our  best
remedies for  catarrhal affections  afflicting
persons subject to  sick headaches; or  per-
sons having  torpid  livers,  or diarrhoeas
that follow a cold.   It has been  used for
both dry and fluent catarrh; but the cough
is  dry; for croupal  attacks, tonsilitis, etc.,
following a cold; and deep-seated bronchial
complications simulating pneumonia. Its af-
finity is  especially the  respiratory  tract
with bronchial climaxis.   For  harrassing
dry coughs, with  tickling in the throat and
smarting   of  the  lungs,  especially if the
smarting be on the left side,  I have found
Sanguinaria one  of the best  of remedies.
Few remedies in our  hands  have proved
equal to Sanguinaria for bronchial  catarrhal
coughs.  Passing  flatus up  and  down  or
from the vagina is a frequent symptom  in
Sang.  I  have emphasized  smarting  and
soreness in left lung because  clinical  ex-
perience justifies it.   Provers  have given a
majority of symptoms upon the right  side,
among w7hich  are stinging,  burning  and
stitching pains, and I do not doubt but that
in Sanguinaria we have a remedy covering
this class of  sj'mptoms occurring in any
part of the respiratory tract,   I have given 
          THEBAPEUTICAL INDICATIONS.        51

it for eoiKjhs occurring in sleep; coughs wak-
ing one from  sleep and compelling sitting up
in bed:  coughs with  tickling which came
from throat jut; and coughs with tickling in
the  stomach;  coughs  with tickling in the
throat pit provoking incessant paroxysms of
coughing with burning and smarting in the
lungs, and have been highly  gratified with
its effects.
                 CLINICAL.
  C. B.,  at. 3.  Seized with  a  severe influenza
which was epidemic awhile since.  Has violent
tough with burning sensation behind upper part
of sternum; mirch thirst for cold water, the water
being ejected from the stomach after being down
ten or  fifteen  minutes.   Fauces dark  red, not
swollen;  little or no  fever.  Phos. 200, two doses.
No improvement at evening; but in addition now
complains of headache so severe as to almost make
him crazy; the seat of pain being right temple and a
little above the right eye, which feels like bursting;
upper lid somewhat swollen; eye looks a  little in-
flamed and pain is aggravated by light and relieved
in open air.  Sanguinaria 3d relieved him prompt-
ly. —G. F. Matthes.
  A. L. YV., aet. 60 years.  Tall and spare.  Subject
to frequent catarrhal attacks with pharyngeal ir-
ritation,  and dryness  of the throat.  Dry cough,
worse nights, often awakening him from  sleep.
Cough is very continuous and severe when once
commenced  and  without  expectoration for the
most part, even when of a fortnight's continuance. 
52         THERAPEUTICAL INDICATIONS.

Smarting  behind the sternum and  tickling are
usually an accompaniment.   Sometimes cough
seems  to come from the stomach.  Fluid coryza
alternates with stoppage of the nose.   Sang. 3d
cured completely in a little while.—G. N. B.
  Several years ago I  contracted a severe cold  by
riding in the dampness of an August night, which
declared itself more particularly  upon the lower
respiratory tract.  I felt the usual prostration  at-
tending a severe catarrhal  attack.  Was  feverish
and had considerable headache at the beginning,
more upon the right side  and  in  forehead  on
right side.   Cough  was  dry and  exceedingly an-
noying; a  continuous tickling sensation in the
throat pit.  The cough was  deep and almost  spas-
modic at times, creating a burning soreness in the
upper portion of left lung nearly under the third
intercostal  space.   Soreness was felt from the
slightest percussion on the chest-walls.   Inspira-
tion of cold air aggravated  the cough.  I seemed
to steadily get worse until  I fixed a  few drops of
the tincture of Sanguinaria  in a little hot syrup,
taking a teaspoonful at a dose once in half an hour
at first and then at longer intervals.  Cure was
prompt and complete in three  or four days,  al-
though my catarrh had been of four or five weeks'
standing.   This was before I had become familiar
with homoeopathy, and the prescription was made
by chance rather than  through any knowledge of
the pathogenesis of the drug.—G. N. B.

                  SENECA.

  Its action is analogous to  Rumex crisp.
Dryness is its characteristic feature. Hoarse- 
THERAPEUTICAL INDICATIONS.
53
 ness  comes  on suddenly  when using the
 voice.   Complete aphonia from severe cold.
 Its action seems to be chiefly on the larynx,
 which is expressed in a dry  cough,  aggra-
 vated  by cold air, by motion, and particu-
 larly by walking. Aggravated by motion, as
 in Bryonia, but better in warm air, as in Ru-
 mex, are differentiating  points for studying
 the remedy.  The kind  of  cough produced
 by Senega differs from that of any other
 remedy  in some of the above  symptoms
 and their associations.   The value  of the
 symptom, cough brought  on by walking,
 ranks very high and, too, the remedy has an
 excellent clinical record for aphonia.

               SPICELIA.
   Fluent coryza  with  dry  heat  and no
 thirst ; discharge  through  the  posterior
 nares  constant and  abundant, choking pa-
 tient at night and preventing sleep. Accom-
paniments: headaches, hoarseness, lachry-
 mation, anxiety about the  heart.  Particu-
larly adapted to persons of  a  rheumatic di-
 athesis and subject to palpitations. To persons
 subject to nervous headaches aggravated by
thinking and by noise  (Nux.); headache
is  Avorse from stooping (Bry.); head often
feels as if a band confined  the skull; feels 
54       THERAPEUTICAL INDICATIONS.
as if too large (Arg. nit., Merc.)  Ameliora-
tion from eating.   Night cough suffocative
from quantity of mucus; a cough provoked
by worms is relieved by Spigelia. The dysp-
n-ei attending cough or palpitations worse
when bending forward.  Adapted to catarrhs
associated with heart affections,  neuralgias,
and disturbances  from  parasites.   Fever
shows itself in the morning at the same hour
with a chill,  which spreads from the chest;
provoked by  the  least movement  into
changeable  sensation  of heat alternating
with a sweat, or some parts hot  and  others
sweating.  Symptoms are  often suddenly
intense;  accompanied with sensitiveness to
touch,  and  chilliness when  touched.   Its
sphere is the rheumatic diathesis par excel-
lence.
               SQUILL A.
   Will find an applicability where there is
morning coryza, fluent and corrosive; hu-
mid eruptions about  the nose,  which itch
and sting;  eyes  water, and in  children
sneezing  often accompanies the  cough.
Dry cough, or short rattling cou >h, which
disturbs  sleep (Rumex.)   Among  our  best
remedies for a catarrh, which attends mea-
sles; when  chest  symptoms  are attended
with so much dyspnoea that only a sip at a 
THERAPEUTICAL INDICATIONS.        55
time  of water can be taken, to quench a
strong thirst for something very cold.

         STICTA PULMONARIA.
  General feeling of dullness and malaise
attends this remedy.   Headache before the
catarrhal discharge sets in; stuffed feeling
at the root of the nose.  Burning  of eyelids
and soreness oftxills; worse when turning the
eyes  or closing the  lids.   Mild nasal dis-
charge,  with  conjunctivitis from a cold.
Constant desire to blow the  nose, which is
void  of  mucus.  Feels well in the morning
but much worse in the afternoon;  better in
the open air.
  Loss   of  smell  with  the dry coryza.
Heavy pressure at the  root of the nose, and
sense of  distension.  Right  nostril feels
worse, and is troubled with a tingling sen-
sation.   Secretions, if  they occur,  dry rap-
idly, forming scabs hard to dislodge.
  Cough is worse nights;  can neither sleep
or lie down.  Adapted to a severe influen-
za.   Cough provoked by the air passing  to
the  lungs; at  inspiration;  as in Kali  bi.,
Rumex  and Dulcamara.   It has  a most
wearing, racking,  night cough,  which will
not let one lie down.   Lilienthal  gives  the
symptom—feels as  if she  wanted  to  fly 
56       THERAPEUTICAL INDICATIONS.

away;  feels  as if the  leg was  floating
through the air.
  The above remedies,  carefully differenti-
ated in their indications, will meet nearly
or quite  all cases of acute  catarrh, what-
ever the grade of severity.
  And the arrest of an  acute catarrh is of
the first  importance, as a  progressive ca-
tarrh is the root of a greater portion of our
chronic pulmonary complaints,diseases of the
ears, eyes, and largely of our female vaginal
and  uterine diseases, to say nothing of the
chronic catarrhs of the stomach and intestin-
al tract.  Learning then to treat successfully
acute catarrh, is learning to save the com-
munity much  of the poor health and mor-
tality that now grows out of our changeable
climate, and the constant exposure which
disturbs  the  equilibrium  of life's  forces.
And as acute catarrh is much more readily
cured  than chronic, thorough  and  full
treatment should be given the former. 
THERAPEUTICAL INDICATIONS.        57
               PART III.

THERAPEUTICAL  INDICATIONS
   IN NASAL AND BRONCHIAL CHRONIC
              CATARRHS.
          ACTEA RACEMOSA.
  The catarrh to which Actea seems adapt-
ed is a dry coryza, with an evening aggra-
vation.  Pharynx is  dry,  attended with a
frequent inclination to swallow.
  Every inhalation of air  seems to give a
cold sensation, penetrating into the skull and
upon the brain.  The head  is very sensitive
to cold  air (Nux vom., Rumex.)  There is
singing  in one  or both  ears, and noises
seem  loud and  unpleasant upon the tym-
panum.  Headache, from  suppressed uter-
ine leucorrhcea, or arrest of menstrual flow,
which ends in catarrh of the nose, throat, or
bronchial mucous membranes, is cured  by
Actea.   One  coughs  at every attempt  to
speak (Merc.)  A dry spot in the throat seems
to cause the cough.  Cough is dry, short, in-
cessant  all the  evening.  Very  sensitive
to cold air (Calc.,Dul.)  Catarrhs originat- 
5l-'       THERAPEUTICAL INDICATIONS.
ing in a rheumatoid, or hysterical class of
patients, find an appropriate remedy in Ac-
tea racemosa.
               ALUMINA.

  Alumina  is  adapted  to  old  catarrhs,
where the  nasal  mucous membranes and
those lining the p<tssages to the ear are brok-
en  down  by ulcerations, especially persons
afflicted with tetter or scrofula.
  Accompanying symptoms  are: scurfs in
the  nose;  stoppage of  the nose with thick
yellow mucus; the  plugs of   mucus are
sometimes greenish  yellow, portions  being-
dry  and  hard.   Septum is  swollen;  is
painful to the touch, also the root;  redness
about the nose.   Sound of bells in the ear,
and  roaring as of waterfalls.  Dryness of
throat, especially  on waking  from sleep.
Voice  is husky, thick; mucus  accumulates
in the posterior  nares,  which  annoys by
dropping into the  throat (Hydrastis).   Sen-
sation of tightly  adhering phlegm, which
cannot be  raised  by hawking (Iod.  mer.,
Rumex.)   Talking or singing make's one
cough (Bry., Phos., Mer.)  Aggravated af-
ter dinner, and by salt, pepper and vinegar;
from cold air out of  doors; and inclined to
periodical attacks  on alternate  days.   Fre- 
          THERAPEUTICAL INDICATIONS.        •")'••

quent accompaniments are constipation, ap-
petite for cloves, pew-da, chalk, charcoal and
other indigestible  things and  a  chlorotic
habit.  Alumina patients iake cold on the
slightest  exposure, yet  feel  better in  the
open air; coughs a long time before  expecto-
rating.   In  its effects it tends to  arrest
the action of the mucous follicles, especially
the rectum, hence best adapted to dry ca-
tarrh;  scurfy sore  nostrils, or where there
are plugs of mucus blocking the Eustach-
ian tubes,  with snapping in the ears  on
chewing  or  swallowing,  and dullness  of
hearing associated with atony of the bowels.

                 CLINICAL.

  Mr. S. W., a?t. 37, of very spare habit,  dark com-
plexion, very active, animated but amiable dispo-
sition, has  to  exert his voice much every  day
teaching singing. " Constitutional cough "for more
th.m three years.  Two attacks of lung fever with-
in three years.  Talking and singing make him
cough, but coughs more particularly and habitual-
ly about six in the morning. After severe  dry
cough there is a little expectoration; coughs some
at night; shortness of breath while  walking; hoarse-
ness and  tension of upper  part  of the  chest.
Alumina 2c. cured case.
  Miss L. P., aet. 17,  dark complexion, excitable
temperament  and of phthisical family, had cough
for three weeks; particularly violent in  the morn- 
60        THERAPEUTICAL INDICATIONS.

ing; raises a little after coughing a long time; has
also a cough in the evening, painless.  Alum. lm.
Fincke, two doses cured.—C. Wesselhceft.
  A lady, set. 33, had for 14 years a peculiar cough
from an irritation in the throat as of a loose piece
of skin; difficult  expectoration  of putrid tasting
mucus; shooting  pains in spleen; symptoms ag-
gravated by cold  air out  of doors, and from  get-
ting tired  by talking.  She is  better in warm at-
mosphere.   Pepper, wine, salt and vinegar set her
coughing ; cannot  lie on  the right  side on ac-
count of her cough;  riding gives her piin in the
chest.   Alumina 200c cured her after trying other
remedies to no purpose.—Bonninghausen.
   M. B., printer,  aet. 20,  chronic catarrh for five
years.   Trouble came on gradually, the discharge
being offensive, thick, yellowish mucus, or green-
ish scales.  Root of nose sore and painful to the
touch, and sometimes severe frontal headache, with
darting pains  over the eyes; rush  of blood to the
head  and vertigo.  Obstinate  constipation,  even
soft stools being  passed  with difficulty.  Alumi-
na effected a cure in six months.—Morse.
   A girl, twelve years old, has had a thick, yellow,
offensive  discharge from  the posterior nares,
worse in the morning;  the use of tepid water caus-
es  the  discharge of large, solid, yellowish-green
pieces of  dried matter.  The nose is entirely ob-
structed,  there is epistaxis, loss  of the sense of
smell, headache involving the frontal region, and
the region about  the root  of  the  nose, cachectic
and sickly color of the countenance; hard and dry
stools;  emaciation  and herpetic eruption on the
hands. Cured by Alumina, 30th  and 15th,  in re- 
therapeutical indications.        61
peated doses and continued for several months.—
(Knorre in Allg. Horn. Zeifg. V. 21.)
       AMMONIUM MURIATICUM.
   Indicated when there is external swelling
of the left  nostril, as in Arum, which is sen-
sitive to the touch  and filled with a bloody
crust; constant itching of the nose, wTith an
inclination to blow it (Hyd.)   It feels as if
obstructed with a large body; loss of smell.
Itching  also  of the ears (Rumex.) with fluid
discharge  of ear wax.   Humming, roaring
and obtuseness of hearing; chilly on awak-
ing from  sleep; heat and  chilliness alter-
nate.  It  excites and gives  activity to  the
mucous follicles and corresponds most to a
flowing  catarrh.  Coughs from  tickling in
the throat; worse from lying on side—better
from lying on  back; spitting of  blood, with
itching  in the   throat;  rawness  of throat
which provokes hawking, when small lumps
of  mucus  are  raised.   Sensation as if the
blood was in a state of constant ebullition.
Sweats  from slight  motion.   Is especially
adapted to bloated persons with lax fibre,
and inclined to adipose; lymphatic  tem-
peraments with scanty growth of hair.
         ANTIMONIUM CRUDUM.
   Indicated  when  a catarrh  is contracted
after bathing;  symptoms are:  roaring in the 
62       THERAPEUTICAL indications.

ears, as if caused by something lying before
the tympanum; boring  into the ears with
the fingers does not relieve it.  Stoppage
of nose;  sore, cracked and crusty  nostrils.
Coughing shakes the whole body, sometimes
causing  the urine to  escape.   Morning
cough seeming to come from  the  stomach
and abdomen; the first attacks are severe
and grow less and less till  they end in little
ineffectual  hacking.   Looking at  the fire
increases the cough (Nat., Sulph. from sit-
ting by the fire).  (Gels, and Arsen. better.)
Worse in the hot sun and when  coming from
cold air into a warm room (Bry.)  Attacks
liable to  partake of a periodical character,
coming once in five  or six weeks  or at
twelve weeks.  Better in  winter, worse in
summer.   Expectorates a good deal when
clearing the throat.  Gastric symptoms of-
ten predominate.  Once  cured  a  case of
cough with  accompanying  symptoms of
gagging, vomiting and diarrhoea, which had
caused great weakness  and emaciation and
threatened   to  completely break  patient
down; had phthisical symptoms associated.
Diarrhoea very watery and  food undigested;
cough violent,  shaking whole body,  and
gagging from mucus in the throat, or per-
haps from concussion of stomach and bow-
els. 
THERAPEUTICAL INDICATIONS.       63
        ARSENICUM IODATUM.
  This  remedy, though given  under the
head of acute catarrh, is even more impor-
tant in  some cases of chronic catarrh.   It
corresponds to  the same pale-delicate com-
plexion as Arsenicum Album,  the  same
fault of assimilation, with tendency to oede-
ma; and covers more  completely the tuber-
cular diathesis.   . Hence in  catarrhs based
upon a tubercular habit it is  among the
first remedies to be thought of; in ozena and
in otorrhea with acrid discharges accompa-
nied with a burning sensation it is the reme-
dy to begin with  and often  completes  the
cure.   Corrosiveness,  fcetor  and  burning-
are guiding indications.  Ameliorations  by
warmth and aggravation by cold and damp-
ness are characteristic.  It is often useful
in malarial complications  as well as in the
tubercular.
              ASAFCETIDA.
   With this  remedy most pains are accom-
panied with  numbness. The cesophagus is
a point to which we may look for consider-
able sympathetic  action.   Often a lump is
felt here or soreness preceded by a burning
sensation.  It  is the similimum of catarrhs
that have gone on in  scrofulous  constitu-
 tions till  we have tension  over  the bones of 
G4       THERAPEUTICAL INDICATIONS.
                      /
the nose, with a sense of numbness, and when
the bones  invaded are accompanied  with
swelling and inflammation and a feeling as
if the nose would burst.  The stench is bad
as in ozena. From the ears there is often a
thin discharge, purulent and offensive, as
well as from the nose. The cough to which
Asafcetida corresponds is irritating and dry.
Coughs on gaping; short, hoarse, ringing-
cough  excited  by tickling in the trachea.
Hot sensations in the chest or abdomen, a fre-
quent  accompaniment.  Pains  are aggra-
vated from being kept in-doors (Nat., Sul),
better  in the open air.  Pulsations at the
epigastrium often accompany  Asafcetida
symptoms.  It differs from Aurum in that
its  symptoms  are  better in  the  open air
while Aurum symptoms are better in-doors.
The mental symptoms are not fixed and of
a despondent  character, but unsteady and
fickle.  Guernsey says the remedy suggests
itself where there appears to be a condition
of hyper-sensitiveness.

                AURUM.
  In syphilitic catarrhs following the abuse
of Mercury, and in those which appear only
in winter, we have no better remedy than
Aurum.  The  mental symptoms are  cruite 
THERAPEUTICAL INDICATIONS.        65
characteristic:   Mental   depression;  pa-
tients  are disgusted with  themselves, and
feel as if they  were unfit for society, be-
cause of the disagreeable  odor of the nasal
secretions, which others must notice.  As
this medicine produces such a loathing  of
life, so the more depressed the mind symp-
toms  the  more indicated  the  remedy.
Noticeable  symptoms  are: Nose red ai:d
swollen, knobby tip; feeling of soreness  in
the nose if touched;  itches, burn s and smarts.
Ozena  with  fetid discharges and  frontal
headache; crusts in the nose. Agglutinated,
ulcerated and painful nostrils. Putrid sa\ell
when  blowing the nose, or loss of  smell.
Obstinate otoirhcea; annoying  dryness  in
the  ears with  deafness; affections of the
palate and  nasal bones, particularly  if re-
sulting from syphilis.
  In cases with nightly bone pains? driving
one almost  to despair.    Caries  of  mastoid
process.   Voice,  nasal,  husky; persistent
dry catarrh on the chest early in the morn-
ing when  waking; raises a little phlegm
after rising, but with difficulty. Over-sensi-
tive  to pain; when  he  thinks of pains  he
imagines he has  them.   Very sensitive to
cold (Alumina, Baryta).   Adapted to per-
sons of sanguine temperament, light  hair; 
 66         THERAPEUTICAL INDICATIONS.

to scrofulous patients; but here the Muriate
of Gold is to be preferred.
                  CLINICAL.
  Maiden lady of about 30 years; auburn hair and
of rather light complexion; blue eyes, and freckles
easily; of scrofulous habit as goitre has appeared
in family not remote.  Has  an ozena which has
troubled her for a  number of years.  Voice is na-
sal  and nose feels obstructed,  though air passes
through the passages freely; power of smell very
obtuse,  almost wanting,  except  the unpleasant
odor she detects when  blowing  the nose.  Dis-
charge exceedingly fetid and more in the nature
of crusts than fluent.  Is melancholy and has lit-
tle confidence in herself.  Thinks herself disgust-
ing and that others  do not  want  her society; is
weary of life and easily  fatigued;  contradiction
excites her opposition, which she is not slow to ex-
press.  Aurum 200, an occasional dose, removed the
secretion of scurfs, all of the unpleasant  odor, and
greatly  improved  the general health  in a few
weeks.   Voice was much improved though not
quite free from a nasal tone.—G. N. B.
  A man, thirty-eight years old, has suffered for a
long time from burning in the nose and in the facial
bones; the nose is collapsed, the septum destroyed,
the gums full of ulcers and inflamed; cannot take
fluids,  because they  are immediately discharged
through the nose; his speech is not intelligible;
all the symptoms are worse at night;  cannot  sleep
at all.  Two doses  of Aurum  6th,  one grain  each,
were followed by the discharge of two  pieces of
bone and a  cure in  three weeks.—(Eupprich in
Allg. Horn. Zeitg. XXIX., 144.) 
           THERAPEUTICAL INDICATIONS.         67

  Man, aet. 46, with syphilitic  caries and ozena,
had  been  under  homoeopathic treatment three
years without benefit.  Talked of committing sui-
cide and  did actually  attempt it.  Aur. met. 30
cured in about two months.—Hoyne.

  S., aged  19, has  had chronic catarrh for many
months, and received but little benefit from former
treatment.   The  patient is  unable to  breathe
through the  nose  at  night and sleeps with the
mouth open; smell lost; nose  is  full  of ulcers;
nose is quite  sensitive to touch. No signs of syph-
ilis, and no syphilitic history. Aur. met.  30 cured
in a few weeks.—Hoyne.

  B. T., aged eleven  years; light  complexion ; a
bright, active, amiable girl; has had nasal catarrh
from infancy. When first brought  to me,  she  pre-
sented the following symptoms: The nostrils were
filled with large, yellow, thick, soft scabs; occasion-
al, and at times profuse discharge of thick, yellow
matter; sensitiveness  of the nose to touch.  For a
year past there has been a thick, creamy discharge
from the  right ear, not  constant,  with  hardness
of hearing.  Her breath, the nasal  discharge, and,
at times, the  discharge from the ear were exceeding-
ly offensive, sufficiently so to make  the presence of
the  child in  a  room almost unbearable.   The
gums were thickened, sore near the teeth and bled
easily.  Excessive  fetor was the prominent symp-
tom of the case;  the patient herself seemed wholly
unconscious of it.  After the use  of Sulphur and of
Pulsatilla, each given for some weeks, she received
Aurum Muriaticum 12th and  was  permanently
cured in about three months.—H. B. Arndt. 
68
THERAPEUTICAL INDICATIONS.
          BARYTA CARBONICA.
   Indications: tormenting dryness  of  the
 nose and scurfs under the  nose.   Scabs
 from behind the base of the uvula in the
 posterior nares;  upper lip  and  nose is
 swoUen  in children with prominent abdo-
 mens.  Inclined to  horripulations; chilly
 when undressing.  Head  very  sensitive to
 cold (Alum., Calc, Rumex).  Cervical glands
 swell.  Coughs from eating warm food; bet-
 ter from  cold diet (Phos.)  Coughs in  the
 presence of strangers; enlarged tonsils; worse
 from slightest cold;  worse swallowing  sol-
 ids.   Tickling in  right  ear  and roaring
 like  the sea.   Mental symptoms: difficult to
fix attention; afraid of being criticised and
 will  not  look up; grief  over triiies; think-
 ing of one's complaints makes them  worse.
 (Aurum.)   Adapted to  fat  persons,  old
 people and children with glandular enlarge-
 ments and  large  abdomens, weak  minds
 and bodies.
                CLINICAL.
  A lady,  set. 24, for three days heard,  about sun-
 set, a ticking in the right ear with roaring like the
 sea at each inspiration.  Cured with Baryta  c. —
 Berridge.
            BORAX VENETA.
   Well  adapted to constitutions  of little
 children.   Dry  crusts  in the nose, which 
THERAPEUTICAL INDICATIONS.       69
re-form if removed.   Discharge of much
greenish, thick mucus from the nose. Hack-
ing and violent cough with a little expecto-
ration of a mouldy taste and smell; short
breathed; has a stitch when she succeeds in
speaking; stitching pains in the right thora-
cic walls when coughing or yawning; cold
water affords relief.  Fear from a downward
motion; starts at sudden noises.

        CALCAREA CARBONICA.
   No remedy ranks higher in cases of de-
fective assimilation.  It reaches profoundly
in its influence and tends to eradicate con-
stitutional  taint.    In the very  common
forms of assimilation,  derangements classi-
fied as rachitis, scrofula and tuberculosis,
it is the first remedy to be thought of.   Pa-
tients are very  susceptible to external in-
fluences, such  as  currents of air, cold, heat,
noise and excitement.   There is tendency to
enlargement of the glands (Baryta); to adi-
posis; and  to profuse  sweating  (Sil.)  To
children and females it is especially adapt-
ed.   Calcarea is also  adapted to  pus-like
secretions of the aural and nasal passages in
persons who are troubled  with damp feet,
are sensitive to every draught of air and have
irritable glands, weak  digestion, and prom- 
70       THERAPEUTICAL INDICATIONS.
inent veins.   The  nose is apt to  be dry at
night, but moist during the  day; but dry-
ness unattended with moisture in a catarrh
is not an infrequent  condition.  Noises are
heard in the ears  when swallowing; crack-
ing sounds when  chewing; face feels  swol-
len;  teeth are sensitive to cold air;  stitches
felt in the throat when talking or swallow-
ing; neck is stiff and pains extend to should-
ers on motion.   Patient suffers because of
dryness of throat  and dryness in posterior
nasal cavities;  snuffs a good deal.   Feels
better in warm air (Alum., Arsen., Baryt.,
Dul.)  (Reverse,  Asafcet., Bry., Nat.  Mur.)
Cough is provoked by  irritation as if  feath-
er-down was in the larynx; also by playing
on the piano and by eating;  cough creates
shock in the head (Bry.); may provoke vom-
iting.  (Bry.,  Dros.,  Mez.)   It  is dry at
first, especially at night; terminates  often
with  a profuse saltish  expectoration, or it
may be the mucus will have a sweetish taste.
Cough apt to be  provoked  from inhaling
cold air and comes  on with each  inspira-
tion  (Nat. Mur.,  Rumex).    Chronic and
painful hoarseness is often associated with
the Calcarea catarrh.   Constitutional symp-
toms: Age  and  temperament  are to be
studied as thoroughly  as the special indica- 
          THERAPEUTICAL INDICATIONS.        71

tions.   Sweating about  the  head and feet;
sweats  from slight  exercise; fatigue  from
walking;  out of breath from going upstairs;
shuddering  as the  evening  approaches;
craving for  eggs; milk disagrees;  cannot
tolerate a  draught; are symptoms to look
for, one or all, in patients  of the Calcarea
constitution  and more or less of them will
be associated with  catarrhs to which  Cal-
carea  is  applicable.   No  remedy will be
more frequently needed in irritations and
subacute inflammations of the mucous mem-
branes.   Even in catarrhs which run on into
structural degradation simulating phthisis,
it has  proved to be  the curative remedy,
and the question may be raised if it will not
sometimes arrest phthisis.  A good remedy
in scrofulous ozena.

                 CLINICAL.
  Dr.  Guernsey  says, in  cases where abscesses
form in the lungs of young persons who are threat-
ened with consumption, he gives Cal. carb. lm.
after the pus is discharged, aud a complete cure is
the result.   The  expectoration  has often a putrid
odor.
  Mrs.  T.,  set. about fifty-three, a widow lady,
with sanguine nervous temperament and auburn
hair; has had sixteen children,  nine only of whom
are living.   Has  had a bronchial disease of rive
years'  standing, which began with catarrh in the 
72        THERAPEUTICAL INDICATIONS.
head which  extended into the  bronchia.   Se-
vere anorexia; lives principally on milk and is able
to take barely enough to support nature. Keeps her
bed, being too  feeble to be  on her feet.  Has al-
so arthritic rheumatism to add to the wretched-
ness caused  by her wasting  bronchial consump-
tion.  Attempting to sit up a little after being two
months in bed, she experienced chilliness in the
back, with sore throat in the evening, without thirst
and with subsequent fever. Suffered with most in-
tense heat, shortness of breath.  Heat comes with dis-
tressing flushes; sleeplessness, in addition to her
ordinary cough.  Cured by  Cal. c. 200c—J. H.
P. Frost.

  Miss M. P., aet. about 19, of a scrofulous diathe-
sis; short and inclined to adiposis; auburn  hair
and blue eyes; skin rather  white  and bordering
on the waxy appearance.  Nose is swollen, partic-
ularly at the bridge; alas thickened, and voice un-
natural from nasal obstructions.   Feeling of dry-
ness and  obstruction at the  root and a very un-
pleasant odor,  as  in ozena.  Sometimes blows
scabs from  the nostrils.    Has something of  a
cough, which  is dry and occurs mostly at night.
Sense  of  smell  is  much  impaired.  Takes  cold
easily; worse in cold weather.  Had been treated
for a long time by an allopathic  physician who
had used the nasal douche medicated  with differ-
ent agents, but is  rather worse than before.  Has
done nothing for herself for the last  six months,
being quite  too much discouraged.  Gave Cal. c.
200c. Commences to improve at once and contin-
ues till her health seems restored, without any
other remedy.  Nasal  odor,  nasal twang, cough 
           THERAPEUTICAL INDICATIONS.         73

leaving as the complexion changed from the waxy
hue to that of freshness and renewed signs of vi-
tality.  This patient's disease might properly  be
classed as a case of scrofulous ozena with tubercu-
lar tendencies.—G. N. B.
  A laborer, aet. 38 years, of a strong constitution,
who had frequently suffered from "itch " and was
intemperate,   had for  many  years  been afflicted
with a cough, expectorating mucus and  pus, was
taken with violent pains in the right side about
lower and floating ribs. Pain extended over whole
right hypochondrium  and back to edge of scap-
ula; pain is paroxysmal, being acute when patient
breathes or  coughs.   Chronic  symptoms  aggra-
vated.  Gave  Ac, Bry. and Nux to remove acute
symptoms; but cough and purulent expectoration
became imminent.  Patient perspired prof usely dur-
ing the night,  and countenance looked worn  and
haggard; chest was covered with an eruption  of
painful pustules.  Gave Sulphur.   Eruption came
out nearly all over the body, while cough and ex-
pectoration became aggravated.   Prescribed Cal-
carea.   Immediately, the  whole  system began  to
rally  with  abatement  of disease.   Cough, night
sweats,  purulent expectoration and eruption grad-
ually disappeared, and  patient returned to work
and was well  a year afterward -s.—Hitchman.
  Miss M. C, set. 12, of a scrofulous habit; freckles
on the face and is growing fast.   Phthisis on fath-
er's side.  Has been troubled with  nasal catarrh
for two  or three years.  Nose is  dry and looks a
little puffy at the bridge; keeps up almost  a  con-
stant effort to clear the posterior nares by a snuff-
ing process or drawing the air down  with  an ex- 
74       THERAPEUTICAL INDICATIONS.
plosive sound, but brings nothing away.  Takes
cold easily and then her nasal troubles are worse.
Cal. c occasionally for a few weeks, effected a cure.
—G. N. B.
              CAUSTICUM.
  Indications are, dry coryza with stoppage
of nose; blows blood from the nose in the
morning.   Hears with difficulty;  roaring
and  whizzing in  left .ear; sounds re-echo
in the ears; purulent discharge from the
ears.   Inclination to rub  the eyes, which
seems to  relieve  a  pressure.    Vertigo;
weakness of memory.   Hollow cough with
pain  in the right  chest;  rawness  of the
throat; cough  wTorse   at  expiration  (in-
spiration, Cal., Nat. mur., Rumex, Stic.); from
drinking  coffee ;  on  waking from sleep
(Lach.); from breathing cold air (Rumex);
from  sundown  to  midnight  (Mezereum);
sensation as if'he  could not cough  low
enough.   Cough is relieved  by  drinking
cold  water, but aggravated by eating;  ac-
companied  by  tickling  and choking  in
throat pit.  Involuntary  urination  some-
times attends the  cough.  Aphonia.  Has
been given by us successfully for laryngeal
phthisis where  there was a  heavy, thick,
cream-like sputa; half purulent, with irrita-
bility and unsatisfied disposition,  even to 
          THERAPEUTICAL INDICATIONS.       75

 threatening suicide.  Patient said:  ' I will
 drown  myself, rather than  spit myself to
 death."  " I know no remedy better for ca-
 tarrhal aphonia," says Hughes; for weakness
 of  voice from  over-exertion  it promises
 very much.   A  smarting  sensation  as in
 Sanguinaria frequently  attends  the fit of
 coughing, or  great  raicness  of throat  and
 chest.
  The mucous membranes of the throat and
 kidneys  are  points to  which  Causticum
 shows an affinity.  Dunham  says " Caust-
 icum hoarseness comes on, or is much worse,
 from  5 P.  M.  to  midnight, accompanied
 with a dry, teasing  cough, while Phosphor-
 us  is  more  constant,  with soreness  and
 dryness of the larynx, and with weight be-
 hind sternum and on the chest.
  " Carbo Veg. has hoarseness, with ulcera-
 tive soreness  in  the  larynx and a burn-
 ing  pain  in the  lungs   after  a  hard
 cough, while the hoarseness of PulsatiUa is
 very capricious,  coming and  going without
 apparently adequate organic cause."

                CLINICAL.

  C. S., set. 30, took cold three weeks ago, and loss
of hearing followed; worse  in  left ear; roaring,
whizzing in left ear; roaring when walking, and 
76
THERAPEUTICAL INDICATIONS.
voices and steps re-echo in the ears.   Caust. 200c.
cured.—H. C. Houghton.
  M. N., set. 35.  Two years ago took cold, which
left her with diminished hearing and  constant
whizzing, as if steam were escaping; more recent-
ly, dull  pain in both ears; cough with soreness
and general stiffness.  Her own  voice re-echoes
through her head.  Caust. 30  and 200c. cured.—
H. C. Houghton.
  Lady, <et. 19.  Coughed for  nearly two weeks;
cough *worse at night and in a warm room; better
in the open air; better by drinking cold water;
excited  by tickling in the throat and from sensa-
tion of choking;  cough brought on also by eating;
smarting in chest while coughing and subsequent-
ly.   Caust. 6,000 Jennichen, cured all the symp-
toms except coughing in a warm room, which was
cured by Bryonia.—E. W. Berrtdge.
  Cough coming on after coldness and after getting
warm are  given by Jahr. Better in the open air
is rather exceptional, especially if cold air.
  Mrs.  M. C, set. about 60.  Bronchial consump-
tion, which has been aggravated  by an  attack of
acute catarrh.  Countenance has a sallow, sickly
look, with a pale earthy hue.   Somewhat inclined
to pimples about the nose. Is hoarse and troubled
with i  violent hollow-sounding cough; at times
dry, but more generally with a free expectoration
of thick,  creamy-colored  mucus, coming off in
firmly   adhering masses, heavy and  purulent.
Ameliorated by drinking a little cold water.
  Cough worse  after midnight and through fore-
noon.   Worse from talking and from coldness or
chilliness  of person,  being  easily impressed by 
          THERAPEUTICAL INDICATIONS.         77

change of temperature; perhaps cough is quite as
much aggravated from getting warm again after
being cold.  Has a  nasal tone, and  been a long
time troubled with  nasal catarrh, which  has dried
very much since the laryngeal attack.  She is
vexed at  her condition  and very  irritable, de-
claring that she will not spit herself to death, if
she has to take her own life.  Sad, complaining as
if half beside herself.
  Gave Causticum 6th, a grain once in four hours;
relief next day.   Continue one to two doses a day
for a week, with  steady improvement.   In eight
weeks discontinued treatment as patient was so
well.  Six years later  died of the disease in Allo-
pathic hands, though  she  had been quite well for
five years.—G. N. B.

         CISTUS CANADENSIS.
  Class  of patients  to which Cistusis adapt-
ed are very sensitive to  cold air.   Indicated
in chronic  nasal catarrh with  left side of
nose inflamed  and  swollen (Aurum); tip of
nose painful  (Sepia);  sneezing  morning
and evening.   Cold feeling in nose;  air feels
cold as inhaled in larynx and trachea.   In-
ner swelling of the ears  and bad  smelling
discharges from the meatus.
  Glands swell up  quickly below the ears,
looking red, following  a  chilly attack. Cof-
fee and fruit bring  on a diarrhoea.   Coughs
from stitches in  the  throat.   Adapted  to
persons  suffering from ophthalmia and otit- 
78       THERAPEUTICAL INDICATIONS.
is, with tetter on the face and ears.   Itches
all over the body without eruption.

              GRAPHITES.

  Graphites is indicated when persons  are
inclined to be fleshy; suited to persons of a
venous, lymphatic  temperament,  and  to
persons subject to chronic eruptions on  the
skin like herpes.  Complaints are aggravat-
ed by use of water  and  by exercise  in  the
open air to begin with, but improve  after a
little.  Takes cold if exposed  to a draught
of air.   Constipation  and menstrual trou-
bles are frequent  accompaniments; feels
worse after  menses; aversion to salt meat
and fish.  Nasal symptoms are: Dryness of
the nostrils, or alternate flowing and dry-
ness; stoppage from tough, badly  smelling
mucus; dry scabs with sore or cracked and
ulcerated nostrils, and stoppage of  the Eus-
tachian tubes.  Mucus accumulates in  the
posterior nares and Eustachian tubes, creat-
ing a  sensation which causes one to con-
stantly make the attempt to clear the throat.
Catarrh affects the middle ear accompanied
with roaring; detonations, which improve the
hearing; on swallowing hears a crackling-
sound; crackling   sound  when  sneezino- 
          THERAPEUTICAL INDICATIONS.        79

 (Baryta)  (blowing  the  nose  helps one).
 One's own words  reverberate  in  the  ears
 (Caust.)   Suffocative   sensations  when
 asleep, which causes him to  jump out of
 bed with a craving desire for something to
 eat.  Coughs when taking a deep inspira-
 tion (Dul., Nat. mur.)   (Caust. from expira-
 tion);  sputa tastes salt.   Aural symptoms
 worse at the full moon.   In persons afflict-
 ed with ozena  where the discharge is more
 offensive during  menstruation,  and   who
 take cold easily, especially if there be an
 eruption about the anus  and  genitals, Dr.
 H. N.  Martin gives this remedy.
                 CLINICAL.
  J.  D.,  set. 32.  Literary gentleman, with  light
 hair arid dark  complexion; constantly  increasing
 catarrhal trouble of the nose for nearly three years.
 Ears often feel as though they were filled  with
 water ;  constant  desire to  clear the throat and
 nose; great dryness of the  nose, alternating  with
 fluent  coryza;  discharge copious and almost wat-
 ery after meals; fauces and pharynx in a state of
 sub-acute inflammation; the Eustachian tube of
 one or both ears often becomes  obstructed, pro-
 ducing roaring in the  head, followed by detona-
tion, after which there is  improvement in the
hearing.  Tendency  to oozy, gummy eruptions
and general unhealthiness  of the skin.  Injuries
 easily suppurate.
  Graphites 6,  gtt. i., morning and  night for one 
80
THERAPEUTICAL INDICATIONS.
week.  Decided  improvement.  Continued at in-
tervals, and cured in a few weeks.—Morse.
           HEPAR SULPHUR.
  In persons who have used  Cinchona or
Mercury too freely,  or who have had at any
time an itch suppressed with unguents, the
first remedy to think of when attacked by a
catarrh  is Hepar.  It is well suited to light
complexioned and scrofulous people affected
by dry,  cold winds, and to such as are  af-
flicted with suppuration'.from slight wounds;
to swelling of the glands about the neck,  or
moist tetter on the head, or about the extrem-
ities.  Nasal symptoms are: Acute sense of
smell; itching  in the nostrils; boring ach-
ing at the root of nose from 7- to  12 A. Jf.;
dorsum of the nose sore and tender to  the
touch;  swelling of the nose  with cough;
coryza  and hoarseness; possibly  aphonia;
scalp sore  and tender (Bry., Chin.)  In the
ear crackling sounds are heard when blow-
ing  the nose; deafness and purulent dis-
charges.   Adapted to laryngeo-tracheal ca-
tarrhs  and  chronic bronchial  affections.'
Cough worse by eating or drinking anything
cold, or if  any part of  the body  gets cold;
is worse from  crying or talking;  frequently
sneezes after coughing.  Patient is chilled by
the least draught of air, which causes a new 
           THERAPEUTICAL INDICATIONS.        81

 attack  (Calc.  Carb.)   Hepar  affects  pro-
 foundly the respiratory tract and the skin.
   Perspires easily and without relief (Mer.)
                  CLINICAL.
   Mrs. J., a lady,  set. about 37, dark  complexion
 and fine physique, took a severe cold while attend-
 ing the musical festival in Cincinnati, which in-
 duced a most violent and persistent cough day and
 night. Cough worse at night,  and so violently ag-
 gravated  on assuming the recumbent position that
 she had to sit upright for many nights in succes-
 sion,  to obtain even partial relief.  Cough was dry
 and spasmodic; worse morning and evening. The
 least exposure of any part  of  the body brought a
 paroxysm at once,  so much so that she dreaded to
 dress and undress.  Hepar sul. 200c, ten powders,
 one every  morning, effected  prompt and  com-
 plete relief.—H. C. Allen.
   A boy,  thirteen years old, has had an exceeding-
 ly fetid nasal discharge for about a year;  the nose
 is red and  swelled, both internally and external-
 ly; scabs in the nostrils;  loss of the sense of smell.
 The eyes are inflamed; lids red; excoriated; burn-
 ing;  sore  as  if  bruised;  photophobia.  Hepar
 sulph. 4th,  one  dose   each day,  cured.   Im-
 provement  commenced within a week.—Charge
 in Allg. Rom. Z-itg. XXXVII.,  93.
                  IODINE.
   Is adapted  to  scrofulous persons with a
low,  cachectic condition.   Emaciation  and
induration of the  glands  are frequent ac-
companiments.   Loses flesh while eating heart- 
82       THERAPEUTICAL INDICATIONS.
ily.  Gets anxioms  and worried if  he does
not eat often.  Is adapted to that  kind of
catarrh which begins in the throat  and ex-
tends back into the Eustachian  tubes,  produc-
ing deafness; and for dry coryza, wdrich be-
comes fluent on going  into  the open air;
Fincke gives, nose  running a clear  and
continuous stream.    For  loss  of  smell,
when nose is painful, swollen  and discharg-
ing  fetid  secretions.   Ozena.     Iodine
cough is dry and usually comes on in the
morning, with burning and stitches  in the
chest.   For fibrinous exudations one of our
best remedies.   Motion, as in Bryonia, ag-
gravates the pains.
                CLINICAL.
  Willie W.,  set.  8.  Chronic  catarrh,  with en-
largement of the tonsils and palate.  Much yel-
lowish discharge from the nose; frequent sneezing
and occasionally bleeding of the nose on blowing
it; scraping and burning in the throat; almost
constant sensation of dryness in the throat; noth-
ing except sweets tasted naturally; ravenous appe-
tite most of the time.  Iodine 30 cured  in a few
weeks.—Hoyne.
          [KALI CARBONICUM.
   Suitable to  anaemic  persons; to  those
with lax fibre  and inclined to obesity; to
low  grades of vitality from  loss  of fluids, 
          THERAPEUTICAL INDICATIONS.       83

and to old people; to p302jle with dark hair
(Sep.) Kali patients usually have a cachectic
look, often a puffy  swelling over the upper
eyelids, especially in the morning (Arg. nit.,
Arsen., Kali  hyd. Mercurius oedema of eye-
lids); are apt to be sleepy while eating; are
irritable, disturbed  by noise and easily star-
tled  if touched;  inclined to vertigo  (Arg.
nit.), and troubled  with stitching pains.
  Nasal symptoms are: Dull smell from ca-
tarrh; stitches in  the eyes while reading or
sewing; eyelids red; obstructions  in the na-
sal chambers, which make it impossible to
breathe through the nostrils when' in a warm
room; going off when walking out of doors;
yellow green discharges from one  nostril,
not affecting the  other; foul smelling crusts
in nostrils; burning and redness of nostrils,
especially mornings; stinging pains in nos-
tril; inclined to nose-bleed,  when washing the
face mornings (Bry., mornings, Carbo veg.,
any time of day).  Troubled with much mu-
cus in fauces, which has  to be removed  by
constant hawking.  Dry coryza with hoarse-
ness and  loss of voice.  Laryngeo-tracheal
symptoms are:  Dyspnoea from drinking
and from motion; arrest of breathing wakes
him at night from sleep; feels as if there
was  no  air.  Sensation of pain in chest 
 84        THERAPEUTICAL INDICATIONS.

 when  swallowing  solids, stopping  food.
 Cough with gagging  (Bry., Dros., Spig.),
 throwing off the ingesta  and  sour phlegm;
 with stitching pains suddenly coming and
 going; difficult, dry cough, from  3 to 4  A.
 31.; better after breakfast.   A frequent ac-
 companiment: internal heat  and external
 chilliness, and chilliness after eating.

                 CLINICAL.
  Miss  G. P.,  set.  20.  A blonde; troubled with
 much mucus in fauces, which she is  constantly
 obliged to remove by hawking; is troubled  with
 sharp stitches in the eyes while reading or sewing.
  Cured by Kali carb.—C. Wesselhceft.
  B. D., a girl of 6  years, and good constitution,
 passed through an attack  of  measles in January,
 which was followed by a severe, short, dry, tough
 cough with fever; great thirst, total loss of appe-
 tite; white tongue;  continual headache; stitches
 and  pressing  in  the  chest;  burning heat and
 sleeplessness.  As shortness of breath, hoarseness,
 and some rattling accompanied, we feared croup
 and  gave  Phos., then Ehus, and subsequently,
 Sulph.   Little amelioration except less fever.  Eat-
ing and drinking increases the cough, so that it
 sometimes lasts for quarter  of an hour.  Pulse
small and irregular; skin always dry;  dry stool;
pale face.  Kali carb., two doses in the evening,
reduced the cough after an hour, and child recov-
 ered without more medicine.—Dr.  Schelling.
  B. H., set. 35.  Had a cough for several weeks of
a hard, dry nature, expectorating whitish mucus 
           therapeutical indications.         85

occasionally, and  occasionally  more yellow and
tinged with blood.  Has sharp,  stitching pains in
right lower third of the chest.   Pulse small and
irregular; skin dry and hot.  Kali carb. 200c.—G.
N. B.
  U. S., 21 years old; blonde, of weakly constitu-
tion, has suffered from pustular eruption; cured
by  Calc, Lycop.  and  Sul.   Present  symptoms:
Pointed,  grayish yellow complexion; dull eyes
which are glued in the morning; swelling of the
nose, which is hard and  red from the tip to the
root—tip  red  and  prominent; ulcerated nostrils,
covered with yellow brown crusts, with burning
veins; dry lips, mouth and throat.   When swal-
lowing, especially if  it  be solids, has pressing,
tensive pains at a point in chest,  with  sensation of
a hard body preventing  food  from reaching the
stomach.  Simultaneously, burning stitching pain
in the back, where there  is tenderness, causing
patient to shriek when  even   lightly touched.
Vertigo in the morning and pressing pain in fore-
head and  vertex.
  Kali carb. 200, successfully controlled case.—I.
Shelling.
  J. S., 15 years old.  Has  fever which lasts from
morning  till  noon, beginning   with chilliness.
The peculiarity of these febrile symptoms consists
in the headache with stitches, and pressure in fore-
head and eyes; pain deep in the eyes, with photo-
phobia and lachrymation; the pain is first pressing,
then stitching, so as to bring tears to the eyes
with sparks; after half an hour dimness and mirsts
before the eyes; the upper lids  are swollen; the
face red,  hot; headache rouses him out nf sleep in 
86         THERAPEUTICAL INDICATIONS.

the morning, and increases till 9 A. M., and is ag-
gravated by  anything taken into the  stomach.
Coughing and sneezing renders the headache al-
most unbearable.  Kali  carb. cured  promptly.—
Shelling.

  Mrs. W.,  aged about 40, mother of two children;
fair, delicate skin, light brown hair, blue eyes and
highly sensitive nervous organization; has  suf-
fered for years with attacks of acute coryza, affect-
ing principally the anterior  nares.  The  attacks
oceur usually during changeable weather in spring
and autumn.   During the severity of the acute
stage there is incessant sneezing and fluent coryza,
the discharge being  acrid, and excoriates nares
and upper, sometimes external nose, for some dis-
tance around; the burning pain is almost unbear-
able.   This is succeeded  after  a  few days by  a
painful dryness;  nose  sore and  anterior nares
crusty, with invariable bleeding on attempting to
remove the crusts; the external and internal  nose is
now red, and breathing  through the nose is al-
most impossible, on   account  of the  burning,
stinging pain.  Throat not much affected, but can
date the severity of attacks to a severe attack of
diphtheria.  If an acute attack occurs at or before
menses, the menstrual fluid assumes the same ac-
rid, excoriating character, and usually has an ex-
coriating leucorrhcea'if it occurs at any other time.
  Kali  carb. 30 cent,  trit'n (Smith), gave prompt
relief.   A second attack,  of a milder character, in
the following spring,  was more promptly relieved
by  Kali c, 19 m., since which  time (three years)
she has been free  from this troublesome semi-
annual visitor. 
         THERAPEUTICAL INDICATIONS.        87

  Arum T. was the only other remedy, or my sec-
ond choice.—H. C. Allen.

         KALI HYDRIODICUM.

  Is well adapted to  colds in the head and
may be used in acute catarrh when the dis-
charge  is  thin and copious, accompanied
with scalding sensations; but the discharge
does not excoriate; usually with this group
chills and heat alternate, while there is front-
al pressure and headache ; but its most val-
uable use  will be found  in chronic catarrh.
This remedy resembles  the  preceding one
and Iodine, and  will be worthy of study
when either are indicated but do not accom-
plish what is expected.  In  catarrh with a
syphilitic  or  mercurial  basis it should be
preferred.   It has oedema  of the  eyelids
like Ai'sen., Arg. nit. and Kali carb., and may
have iritis  or  choroiditis as a complication
of catarrh.  Nose is red and swollen, with
a tight feeling at  the root, and headache.
Choking spells from  oedema of the  larynx
(Brom., Iodum) ; pain in both eyes from op-
pn'ssed  breathing; hoarseness  and rough
feeling in the  trachea, forcing  one to  keep
hawking are characteristic indications.   Ca-
tarrh of the frontal sinuses when in  scrofu-
lous or  mercurialized constitutions, finds in 
88        THERAPEUTICAL INDICATIONS.

Kali hyd. a most appropriate remedy. Has
been found a good remedy for hepatitis fol-
lowing neglected colds. It has several symp-
toms analogous  to Aurum, with  which it
may be  compared.   In  the  treatment  of
ozena the Iodide of Potassa, Iodide of Au-
rum and Proto. Iodide  of  Mercury have
each held high rank,  which tends to  show
the value of Iodine and its compounds in the
graver lesions of the  nasal tissues soft and
solid.  All  the  preparations of  Kali  are
marked  by flushes of heat  (Lach.,  Sang.,
Sep., Sul.)   Majority of symptoms appear
during  rest and  are  better  from  motion
(Reverse of Iodine).
                 CLINICAL.
  A. D. In consequence of a neglected cold, pneu-
monia followed with hepatization of right lung.
Bry., Sul., Khus., Tox., Phos. and Bromine being
tried to no advantage, Kali. hyd. was given, when
resolution commenced and proceeded rapidly to
completion.  The most striking symptom, abund-
ant expectoration of white froth resembling soap-
suds.—W. E. Payne.
  M. V., set. about 16  ; nervous lymphatic temper-
ament.  Catarrhal affection of the bronchial mu-
cous channels, especially the larger, with a chronic
cough, which sounds hollow and dry ; cough con-
tinues day and night,  but much worse towards
evening.   Expectoration is of a ropy, viscid char-
acter, scanty in quantity, accompanied with burn- 
          THERAPEUTICAL INDICATIONS.     •    8'. I

ing and tiekling in trachea, and heat in the chest.
Respiration  difficult,  quick and anxious; much
feverishness and emaciation.  Sometimes stitches
deep in the chest  while walking.  Kali hyd., 30,
with prompt curative results.—G. N. B.
  During  an epidemic of  diphtheria in Grand
Bapids, was called to see P. B. V.; light complex-
ion; male, aged five years.   Found the following
symptoms as sequelas of diphtheria.   Face  pale
and colorless, eyes sunken, surrounded  by blue
rings ;  rather idiotic expression of countenance ;
oedema of the eyelids ; vision dim and foggy.  Deep
hollow cough, with whitish expectoration ; occasion-
al tearing pains in the limbs ;  swelling of the
glands of the neck ; loss of  appetite ; great  pros-
tration ;  body  limp ; sleeplessness ;   constant
thirst ; copious micturition.   Aggravation of symp-
toms at night.  I saw this patient about six weeks
after an acute attack of diphtheria.   His case had
been pronounced hopeless by several physicians.
Gave Kali iod., of which a few doses cured.   Sev-
eral months  after treating   the above case, was
called in consultation to see G. J. B., a male child
of same age.  The symptoms were identical.  Pre-
scribed Kali.  iod. with same result.—DeForest
Hunt.
               KREOSOTUM.
   Kreosote corresponds  to that condition of
the mucous membranes which secretes an
acrid,  excoriating,  offensive  matter ; symp-
toms are.aggravated by cold bathing (Sul.)
and in cold weather.  It has a good record
for chronic  catarrh in old people ; for often- 
90       THERAPEUTICAL INDICATIONS.
sive smell before the nose on waking in the
morning,  which destroys the appetite.  The
Kreosote  cough  is  spasmodic, fatiguing,
with a crawling sensation  low in larynx, as
if mucus was there which  could not be dis-
lodged.  Lupus upon the . left side of nose
and epithelial cancer on the  ala nasi  upon
the right side have been somewhat success-
fully  treated  by  Kreosotum.   Numbness
and pulsations are somewhat characteristic
of Kreo.  It seems best adapted  to  those
cases where there is profound prostration
of the vegetative sphere, and breaking down
of structure accompanied -with factor.  Chil-
liness, as in Pulsatilla, is a prominent symp-
tom.   Has worked well  for cases bottomed
on a syphilitic taint, and wdien there is sup-
pressed influenza, or a metastasis  of  nasal
catarrh to the stomach  or interior mem-
branes. The fact that scales are thrown off
from  the  mucous membranes suggests its
adaptability to ozena.    Many  symptoms
better after sleep  (Reverse of Lach.)

        LITHIUM CARBONICUM.
  The catarrh to  which  Lithium corre-
spond?, is that where the nose is internally
dry, the obstruction being worse in the morn-
ing and forenoon.   Discharge starts a  little 
THERAPEUTICAL INDICATIONS.       91
in the evening, yet the stimulus of the open
air frequently  provokes  dropping  of thin
mucus.    Earache,  extending  to  the  left
side of the throat or back  into  the neck,
sometimes accompanies the nasal symptoms.
In more acute  cases the nose looks rtd and
sw7ells about  the  right  nostril.   There is
confusion of the head ; pressure in the fore-
head and headache,  which is ameliorated
by eating.   Coughs by quick,  violent shocks,
with no expectoration.
  The air inspired feels cold,  even in the
lungs.
  Cough starts at a small spot, posteriorly
and inferiorly in  the throat, from  irritation
or  tickling.  Suitable  to persons with  a
rough skin,  dry, itching and burning,  and
with tetter or milk crusts.

             LYCOPODIUM.
  This remedy is also adapted to  the  dry
form of catarrh.  Suitable to persons who
are apt to  take  cold,  and hive  derange-
ments of  the  alimentary  tract.  Patient is
troubled with flatulency, and though hungry
when sitting down to a meal, can eat but lit-
tle,  because  he  is filled  so quickly; food
sours.   Troubled with cold  feet  and in-
clined to emaciate, especially  in the  upper 
92       THERAPEUTICAL INDICATIONS.
part of the body.  Aggravations 4 P. Al-
and evening.   Fond of sweet things.  Its
sphere of action is chiefly upon the vegeta-
tive system, affecting the three great tracts
of the mucous  membranes and the skin.
And with the catarrhal  symptoms of the
respiratory tract, we may  look for compli-
cations of the kidneys, alimentary tract and
the cutaneous surfaces.  The production of
flatus is among the most uniform symptoms.
Nasal  symptoms  are:  Acute smell; pain in
temples,   pressing  inward; vertigo  from
heat; frontal headache (Nuxvom.); poster-
ior nares dry;  scurf in nose followed by ac-
rid discharge,  or discharge of  elastic plugs
somewhat  periodically.   Complexion usu-
ally  sallow.   Cough  is dry,  seeming to
come from the stomach, which  is painful,
usually provoked by tickling in the larynx,
worse  from lying  on  left side;  eating or
drinking  cold things;  from being in the
wind, or in a warm room (Bry. Dul.)  Voice
hoarse, feeble and husky, with a dry feeling
in the trachea.  Disturbed by heat of room
(Nat., Sulph.)   Sense of general  uneasiness
aud want of the open air.  Fan-like motion
of aire.  Disease moves from right to  left as
well as the pains.  A very important reme-
dy in bronchial catarrhs, which threaten to 
           THERAPEUTICAL INDICATIONS.         93

run on into ulcerative action and  simulate
phthisis.  Especially adapted to persons of
attenuated muscle  and keen intellect, who
are subject to pulmonary and hepatic affec-
tions.
   We have  found it  an  excellent remedy
when catarrh affects  most particularly the
right  side passages and tonsil; even when
there has  been plastic exudation, with a ten-
dency to epithelial degeneration.
                 CLINICAL.
  A child, set. 7, had an  attack of throat disease
causing a grayish membrane to form on the right
tonsil and pharyngeal mucous membrane, which
went on extending to the left.  Nose was so stop-
ped that she could not breathe through the nos-
trils.  Coryza is excoriating.  All symptoms worse
at about 4 P. M.
  Lycopodium cured.—W. C. Goodno.
  Miss L. S., set. 22.  Was  attacked with pain  in
throat and stiffness of neck, mostly on right side.
Much difficulty in swallowing;  even empty deglu-
tition is painful. Inspection of fauces showed the
right tonsil to be swollen and covered with a thin
grayish colored deposit forming into membrane.
  Fauces are of a  purplish color, shining  and
swollen.  Progress of symptoms fromrighl to left.
  Lycopodium, 200c, arrested  disease  promptly.
—G. N. B.
  D. F. H. was attacked with malignant and infec-
tious catarrh.   Symptoms being high fever, with
a hard, full pulse, of 100 to 108; terrible pain  in 
94
TL^ivArjLUJ.iUAlj INDICATIONS.
small of the back and in the head, more particu-
larly  the  left temple, and  going back  into the
spine; neck stiff and  sore,  more on the  left side
behind, and on the right in front; right tonsil is
greatly swollen, and a mass of dark mucus adheres
to the centre, which seems fissured;  fauces badly
swollen, and purplish, as if capillary circulation
was arrested; painful  deglutition; empty degluti-
tion more painful  than when  swallowing either
fluids  or  solids.  Urine has a heavy sediment,
rather reddish in appearance. A physician attend-
ed two children in one house about ten  days be-
fore  his attack, the  disease being diagnosed as
diphtheria; both died.
  Gave Lycopodium.  Disease was   pretty well
controlled by the 200th, fever abating and only a
slight  progress of  membraneous exudation  and
cedema following after a few doses.  Still the stiff
neck and difficulty of swallowing continued, as did
also the pain in back, till the 10 m. dilution was
given, when the whole case yielded as by magic.
  This symptom of  right to  left above as well as
below, seems likely to become  a very important
symptom.   I have cured many  similar cases with
the same remedy, always with the 200c, or over.—
G. N. B.
  W. K., a boy get.  14, thin  and weak;  but little
muscular development; mind active and of a sensi-
tive nature.   Mother died of consumption.  Has a
hard, dry cough, which is making him so feeble he
can but with difficulty stand. Coughs all day and
night, even when asleep; very violently in the
morning;  respirations very rapid  and  a quick
pulse; voracious appetite.  As  yet the  lungs do
not seem to be infiltrated with tubercle. 
          THERAPEUTICAL INDICATIONS.        95

  Lycopodium,  200c,  cured  promptly.-P.  P.
Wells.
  A girl set.  15, has always  been delicate; had
pleurisy three years ago;  has also had sores on legs,
for which she was given Silicea at the dispensary,
and which healed them,  but has been worse since.
Father and one  sister are said to have died with
phthisis.  Symptoms:  Sharp  pains  shooting into
right hypochondrium of years standing;  pain also
shooting  to  heart.  Cough with  yellow sputa,
sometimes causing a  shooting pain  from  upper
part of middle chest to back; inclined to  shiver,
which lasts but a short time and passes off gradu-
ally; likes to be  near the fire; clammy sweat and
feeling of coldness; feels faint when undressing;
is worse between' 4 and  5 P. M.  Fan-like action
of the alae nasi, most noticeable when she is worse.
Lycopodium cured.—Berridge.

      MERCURIUS PROTO. IODIDE.
  The form of  catarrh in which we have
found the  Pro to.- Iodide of Mercury best
adapted is where it is engrafted  on a scrof-
ulous or syphilitic taint.   The  septum nares
is sore and the edges of the nostrils inclined
to be covered with crusts.  Plugs form  in
the nose, and  when discharged  are  tinged
ivith blood.  Pus-globules are seen when the
plug has  lately been  detached from an ul-
cerated surface.   Aching pains in the bones
of the nose, and face is a frequent accompa-
niment.   Frequently ulcers are  seen form- 
96        THERAPEUTICAL INDICATIONS.

ing  about the margin of  the cornea ; per-
haps allied with swollen alae.  Tonsils  and
fauces inclined to  inflammation ; possibly a
foetid discharge of mucus from the salivary
glands.   Or in the  earlier stages throat is
dry, which occasions frequently empty deg-
lutition.   Sensitive to cold, damp air,  and
worse in the spring (Lach., Nat. mur., Puis.)

                 CLINICAL.

B. C, set.  5 years,  dark hair  and black eyes ;
mother  died of tubercular phthisis.   Has been
troubled with nasal  catarrh for two years ; thick,
hard  plugs form in nostrils,  particularly   the
right, which so blocks the passage that he has to
breathe through the  mouth.   Scales come off with
the  plugs, leaving  the mucous membrane  sore
where pus-globules are seen on ulcerated surfaces,
Voice has a thick,  broken sound and much of the
nasal twang. Alae are swollen, as is also the bridge
of the nose.  Conjunctiva from the inner canthus
of right side is throwing out red  vessels, which
creep up to the edge of the cornea, where a small
ulcer is seen, formed recently from an aggravation
of troubles, the result of a  cold.  Upper lip is
somewhat swollen.  Glands of the neck slightly
swollen also.
  Gave Mer. proto. iod.; cure was rapid, and when
from exposure, six  months later,  symptoms par-
tially returned, a few doses was sufficient to arrest
the disease, which has not returned, three years
having elapsed.—G.  N. B. 
THERAPEUTICAL INDICATIONS.        97
         NATRUM CARBONICUM.
   Patients  to  whom Natrum is adapted
 are very  sensitive to taking  cold ; worse
 from  the  least draught of air (Calc. carb.,
 Hepar.) and from change of clothing ; milk
 usually disagrees (Puis.)  Both  taste and
 smell are impaired ; better on alternate days.
 Nose discharges a green or yellowish-green
 mucus, mostly in the day time ;  nose ob-
 structed nights.  Sometimes only one nos-
 tril is  affected, which is filled with a hard
 foetid clot.   Voice has a nasal twang.  Ul-
 cers form high up in the nostrils with stitch-
 es in the forehead and about  the  eyes, and
 also stitches in the ears.   Eoughness of the
 throat and larynx accompanied with a pain-
 ful cough.   Larynx seems to be the focus of
 irritation. Cough worse on entering a warm
 room  (Bry., Dul., Lycop.)   Patients are
 sensitive to noise.   Catarrhs with deafness
 are often benefited with Nat.  carb.   It fol-
 lows Sepia well.
                CLINICAL.
  A lady, 40 years old,  a teacher of music, got a
 thorough wetting at a vocal party, and since then
 her skin, which  formerly perspired easily, has
 been perfectly dry ; her chief trouble, however,
 was  a chronic  coryza, with a profuse  discharge,
and a disagreeable influence on her voice.  Cured
by Xat. carb.—Hirsch. 
98
THERAPEUTICAL INDICATIONS.
  A girl, 16 years old, of lymphatic habit, pale, and
dark under the eyes ; scanty postponing menstru-
ation ;  has suffered for several years from coryza,
with a eopious  discharge of thick mucus during
the day and obstruction of nose at night; speech
has a disegreeable nasal twang ; there is also a re-
sistent  swelling of the middle lobe of the thyroid
gland.  Nat.  carb. 6  cured her in four weeks of
the catarrh and in a month after she was well of
all her  complaints.—Htrsch.
        NATRUM MURIATICUM.
   In persons affected with  malarial poison
or suffering from the continued use of qui-
nine,  and also  with  chlorosis, Nat. mur.
often becomes the remedy.   There  is a low
state of animal heat accompanied with in-
clinations to shiver from slight variations in
temperature,  and a liability to  take  cold;
much  headache;  numb sensations ; com-
plexion is yellowish and  the appetite craves
salt, and burning in the stomach frequently
follows eating.   Patients inclined to palpi-
tations of the heart.  Constipation with dif-
ficult expulsion of stool, from dryness and
constriction, is  often associated with catar-
rhal troubles.   Natrum catarrh  is generally
worse  in the  summer.   Nose runs  one day
and is dry the next.   Other symptoms are:
Loss of smell; posterior nares dry;  alee red,
hot, swollen and sore;   scabs in the  nose' 
          THERAPEUTICAL INDICATIONS.        99

formed from the inflamed al;e; inflammation
of the left side, which is  sore to the touch,
and swollen. One side becomes insensible to
feeling; dryness alternates with discharges,
which are clear mucus.  Loss of taste, hard-
ness of hearing,  often  accompany the ca-
tarrh; shortness of breath on walking, and a
cough which comes on when getting warm
in bed.  Worse from inspiration  if air be
drawn deep down upon lungs (Caust.);  from
rapid motion when drinking, and from emp-
ty deglutition.  Aggravation at  10 A. M.
Adapted  to scorbutic constitutions.
                CLINICAL.
  Mrs. P., aged 45.   Chronic catarrh of 20 years'
standing.  Loss of  smell and taste; of late  has a
great longing for very salt food; likes codfish and
salt meats; almost entire loss of smell  and  taste;
much hawking of mucus from the  throat in the
morning.  Nat. mur., 200, cured in two months.—
Hoyne.
              NITRIC ACID.
   Nitric acid has been found serviceable to
catarrhal affections of the nose with yellow
foetid discharges and to  ozena  with  ulcers.
Especially is it adapted to such cases as are
complicated with Mercurial poisoning, and
also for syphilitic complications. The gums
are often white (Mer.) and  the  throat  sore. 
100       THERAPEUTICAL INDICATIONS.

Eustachian  tubes  are  obstructed, or we have
purulent otorrhoea; gets choked so one has
to leave the table when eating; eyelids are
swollen and livid; nausea with heat in the
throat. Coughs up a sputa in the morning,
tasting bitter, sour, or offensive,  followed
by greenish white  casts as if from  the air
cells.  Soreness  of the larynx.  Concomit-
ants  are:  Strong  urine;   ulcers  in  the
mouth and fissures  of the anus;  nausea
and  gastric trouble, relieved by motion or
riding  in a carriage.
   Its action is most pronounced on the mu-
cous membrane at the outlets  of  the body.

                 CLINICAL.
  G.----, aged 34 years; sandy complexion, blue
eyes, excitable,  scrofulous diathesis; has led an
intemperate, dissolute life, and has been under
treatment for syphilis for a number of years.   He
desired treatment for ozena, which he  says has
troubled him for several years. Symptoms: Offen-
sive  yellow  discharge from the  nose; redness of
the nose, and excessive sensitiveness of the parts to
the touch; extensive and deep ulceration of the na-
sal mucous membrane and of the soft  parts, with
extensive destruction of the  septum; much dry-
ness; heat;  redness in the posterior throat, which
is covered with a dirty, grayish slime, and is ulcer-
ated in spots; sticking pains in the nose and throat;
constipation, with sticking in the sternum.  Great
emaciation  and weakness; restlessness at night; 
           THERAPEUTICAL INDICATIONS.        101

peevishness; irritability; despondency.  Both the
history of  the case  and its  symptomatic expres-
sions pointed  to Acidum  nitricum, which was
given in the 3d dec. attenuation.  The habits of
the patient, for a long time,  seemed to destroy all
hope of accomplishing a cure, or of giving  mate-
rial relief.  He remained under treatment nearly a
year and was at last discharged cured, having tak-
en the one  remedy, in the lower attenuations, dur-
ing the entire course of treatment.   He reformed,
and so far (two years and a half) since his discharge
from treatment, he has enjoyed good health.- H.
R. Arndt.
  Mrs.  C.  E. H,  set.  45.  Slender and delicate,
with brown hair, blue  eyes  and  sallow complex-
ion; inclined to looseness of the bowels; to erup-
tions about the outlets  of  the body; excoriating
leucorrhcea and ulcerations  in mouth, pea-sized
in shape, and  provoking some ptyalism; nose is
sore, with yellow,  corroding nasal  discharge;
green casts from the  nose  in the morning;  is
badly troubled about getting  choked at the table
from the smallest pieces of meat;  throat is tender
and  sore, with prickings as  if from a  splinter;
some cough, at times of a dry, barking nature, with
voice getting weak from long talking.   Nitric acid
cured her.—G. N. B.
  Mr. L , ;ut.  30.  Dark hair; light complexion;
strong, hardy constitution; applied to me for the
treatment of a most troublesome catarrh.  A year
before  he had contracted a specific ulcer, which,
after a time, healed, but was followed by constitu-
tional  symptoms—painless swelling and indura-
tion of the  glands; ulceration of the tonsils.  The 
102       THERAPEUTICAL INDICATIONS.
discharge from the nose was foetid, salty in taste,
and frequently copious.  Upper  portion of the
nasal fossae and post-nasal cavity most affected.
Mouth aphthous.   Nitric  acid cured  in the  2d
dilution.—Morse.
             PETROLEUM.
  For catarrh with dry throat,  with sting-
ing pains in the throat, going back into the
ear when si call'owing, or pain in the nape of
the   neck, petroleum  has  proved  a  good
remedy.   Dr. Muller regards it favorably in
chronic otorrhcea with a foetid discharge.
  The nasal symptoms  are: Swelling of the
nose and pain at the bridge  and  root, ac-
con^anied with purulent discharge.  There
is a disagreeable sensation of dryness in all
of the head passages, causing whizzing and
roaring  in  the  ears, and deafness; to  be
thought of in  catarrh  of  the  Eustachian
tubes.   There is dryness of the  larynx  and
hoarseness of the voice also.  Cough comes
deep from  the  chest,  with  stitches under
the sternum (Phos. in left chest).   Suitable
to bronchial catarrhs  with herpes on the
chest,                   •
  Ailments are  made  worse  by  thunder
storms  (Rhodo.)   Accompaniments:  Fre-
quent urination;  thirst for beer; hunger  af-
ter stool, and aversion to meat  and cooked 
THERAPEUTICAL INDICATIONS.      103
food.  Heat  in the soles of the feet and
palms of the hand.   (Sulph., Sang.)  Foetid
sweat in  the  axilla?;  upon the feet (Sili-
cia); and red eruptions which burn like fire.
Patients are irritable and easily angered,
as in Brj'onia.

             PHOSPHORUS.
  This remedy has  great adaptability to pa-
tients who  are worse when going out on
windy days;  are  unfavorably affected by
cold weather; to slender  women and  per-
sons disposed to stoop; and when wounds
are disposed to bleed much, or when streaks
of blood tinge mucous discharges. Even epis-
taxis in  influenzas becomes a good indica-
tion.
  Dunham gives vertigo under every variety
of conditions as a symptom of Phos.
  Patients are usually worse in the morn-
ing; are subject to  neuralgic  jiains  and
headaches, which are worse from stooping
(Bry., Nux.)   They are over sensitive to ex-
ternal impressions, such as odors, light, noise
\and the touch  (Aurum).
   Among the accompanying symptoms are:
Sleepiness after dinner;  perhaps  through
the  day; stool  long and  narrow and  diffi-
cult to expel; wants cold food, or very cold 
 104       THERAPEUTICAL INDICATIONS.

 drinks; ice-cream or cold milk highly rel-
 ished. Catarrhal symptoms are: Suppressed
 or very acute smell;  coryza;  inflammation
 of the nasal mucous membranes; sensation
 of fullness in the nose, more especially in the
 left  nostril, which is full of loose mucus;
 noises in the ear; mistiness before the eyes;
 burning and dryness about  the  throat and
 irritated  uvula; aphonia; evening hoarse-
 ness, which is persistent, with  a soreness
 behind the sternum, and rawness and sense
 of weight on the chest;  right hypochondri-
 um sensitive in some catarrhs.
   Carbo veg. has soreness in the larynx and
 a burning pain in  the  lungs,  mostly after
 coughing.  Causticum hoarseness comes on
 or is worse at 5 P. M.  to  midnight,  with
 teasing cough.  In  Phos. patient cannot
 talk  on account  of pain.   Cough produces
 such sticking  pain  in  epigastrium  one
 presses hand on it to relieve.  Has a tick-
 ling  cough,worse evenings, but expectorates
 mostly in the mornings.
   Capillary bronchitis with long coughing
 spells,  which  are  very fatiguing.    The
 whole   body  trembles   while   coughing
 Cough is  aggravated by excitement, eating
 and  drinking;  change  of weather,  going
into  open  air (Alum., Rhus, Sul.),  (reverse 
           THERAPEUTICAL INDICATIONS.       105

 of Bry., Dul., Nat.  c. Lyeop.); lying on left
 side.   Catarrh patients are inclined to ema-
 ciate.
   Adapted  to   phthisical    constitutions.
 Some forms of epidemic influenzas.

                  CLINICAL.

  G. P., ret. 40.  28 years ago took cold by expos-
 ure to wet and cold. Result, a sore throat, and later,
 rusty expectoration, but has  had none of the latter
 for years.   Still a hacking cough has kept up with
 sputa like whitish jelly.   Is hoarse after every bad
 spell, and a taste of oysters  in the mouth; throat
 worse by swallowing solids;  cough comes on from
 talking.  Phos. cured.—J. C. Morgan.
  An epidemic of influenza occurred in New Eng-
 land a few years ago,  characterized by the follow-
 ing symptoms: Rawness and scraping in the phar-
 ynx, worse  toward evening; fluent coryza with
 great dullness of the  head and sleepiness;  worse
 during the  day, and  after meals; inclination to
 epistaxis;  frequent alternation of fluent and dry
 catarrh; raw  feeling in  larynx with hoarseness;
 sensitiveness about the right hypochondrium; the
 cough was  excited by tickling  in the  chest and
 larynx, and aggravated by talking or laughing, and
 in children by crying; also by lying on the left
 side; there was some  expectoration  in  the morn-
 ing and during the day,  while cough was usually
 dry in the evening and through the night.
  Dr. James B. Bell, of Augusta, Me., and others
in New England, found Phosphorus to be the rem-
edy for this epidemie. 
106       THERAPEUTICAL INDICATIONS.

  J. C, set. 40.  Dark hair and dark eyes; tall and
slim,  a teacher by profession, and a bachelor.
  Has  suffered for a  considerable period  with
hoarseness and an irritating cough.  An  examin-
ation revealed the fact  that for several years he had
been a great sufferer from nasal catarrh.   The dis-
charge was thick and yellow and often discolored
with blood,  and in blowing  the nose there was
frequently slight  hemorrhage.  He  was always
worse from walking in the open air, particularly if
the weather  was windy, and was sure to  come in
after such exercise  with frontal  headache  and a
feeling of swelling about the nose.  Cough excited
by reading aloud, laughing or singing, and seemed
to be produced  by tickling in the throat pit.
  Phosphorus 3, gtt. ii., morning and night for a
week; the 6th attenuation gtt. i. every night for a
fortnight.   Improvement began at once.—Morse.
  The following case is, perhaps, hardly catarrhal
in any particular sense, and yet it  well illustrates
Phosphorus, in  its action  upon the lungs, in neg-
lected  pneumonia, or  catarrhal pneumonia and
some characteristics:
  Miss Green, aged about 13 years.   Of a sanguine
temperament, light hair, and slender build. She
was taken eight weeks previously with pneumonia,
affecting chiefly the right lung.   Was treated  by
two allopathic  physicians, till  they  advised the
father  of  the young lady  that  she was in quick
consumption ahd near her end.
  When I saw her she was troubled with dyspnoea
to such an extent that she was obliged to be raised
very high in the bed  and  kept  turned half over
upon the right side.  She panted for breath,  respir- 
           THERAPEUTICAL INDICATIONS.        107

ations  being fifty per  minute; wanted the  air;
cough was dry and terribly fatiguing.  Pulse 150-
160 per minute.  Lately had been troubled with
night sweats.  Upper third of right lung was ut-
terly impervious to air, and very  dull on percus-
sion.   The intense fever, the  dry,  exhausting
cough and dyspnoea,  the panting for air, the prob-
able psoric taint, and previous use of crude drugs,
led me to select for her Sulphur, and then there
were several Phosphorus symptoms, such as could
not lie on left side, and hepatization.  Gave  her
one dose of Sulphur, 200, and put her upon Phos-
phorus.  Expectoration of purulent  and muco-
purulent matters began in thirty-six hours and
were  most  abundant.  Abatement  of  many of
the symptoms followed, but a severe hectic flush
remained for ten days or  more.  Soon, however,
she rallied, and a complete-cure followed, though
she was supported by a few doses  of Pulsatilla,
selected chiefly because of her age and peevishness.
—G. N. B.

  S. P., set. about 22.  German by birth; had a fit
of sickness  four months ago, which has left him
with a dry, harassing cough, from which he gets
no relief, although he has already been in the hands
of two or three physicians of the homoeopathic  fra-
ternity. Disease seemed to have been of the nature
of a severe influenza, which extended to air cells,
and, perhaps, vesicle walls, though it could not be
learned that any distinctive indications of pneu-
monia  had existed.   Patient stooped  and was
bent forward at the shoulders as if the upper por-
tion of the lungs did not fill.  Pulse was  140  per
minute, weak and excitable, with  a  good deal of 
108       THERAPEUTICAL INDICATIONS.

hectic.  Had much trouble in lying  on left side.
Cough  aggravated by winds and from talking, at
which time he seemed very short of breath, and
especially was he short of breath during his par-
oxysms of  coughing.  Coughed after  eating or
drinking.   Sometimes  pains in the  epigastrium
were felt, which were relieved by pressing the
hand upon the scrobiculum.  Patient was now
getting very thin,  and  all  the  time growing
weaker.
  Phosphorus once a day was followed with prompt
improvement.  Medicine given at longer intervals,
at end of week, for six  weeks.  Discharged cured.
—G. N. B.
                 SEPIA.
  To persons with dark  hair who  have sal-
low complexions Sepia seems well suited.
  Yellow spots on the forehead, or butter-
nut-colored spots about the root of the nose,
I have found very common  in Sepia cases.
I have found exceptions  to this rule for
black  hair, as blondes  have  been  helped
with it.  It is especially adapted to women,
and is more pronounced in its action on the
genital system than elsewhere.   Hence in
catarrhs  associated  with uterine  derange-
ments, it is among the first remedies to be
thought  of.   Dark brown  offensive urine is
very suggestive. In  cases where there is loss
of smell or foetid odor coming from the na-
sal passages  it is  a valuable remedy,  if in 
THERAPEUTICAL INDICATIONS.      109
 harmony with the Sepia type of constitu-
 tion.  Large lumps of yellow-green mucus
 are sometimes blown  from the nose, and
 perhaps crusts tinged with blood may come
 with them (Phos.)   Nose is inflamed and
 swollen; tip painful (Cistus), red and sensi-
 tive, Rhus; often covered with an eruption;
 (red and scurfy, Nit. acid.)
   Catarrh  sometimes involves  the   aural
 passages, which discharge a thin offensrve
 matter.   A class of cases seem to be amen-
 able to Sepia when there is ulceration high
 up in the nasal fossa?, accompanied with
' loss  of  smell.  Sepia  coughs are usually
 dry, hard, only expectorating in the morning
 on rising; there is, however, much desire
 to clear the throat, which seems to be filled
 with phlegm, which will  not detach; cough
 seems to come from the stomach, frequently
 attended with nausea.  Aggravated by cold,
 wet weather and by acids.  A milder  form
 of cough  is  accompanied  with coryza and
 sneezing before getting out of bed; contin-
 ues generally till 9 A. M.  Sepia patients
 are troubled with flushes of heat in the face
 and are nervous and  excitable.
                CLINICAL.
  Miss L. B., ret.  28.  Auburn hair, blue eyes;
 once of fair complexion though not florid; mother 
 110        THERAPEUTICAL INDICATIONS.

 died of consumption.  Has had catarrh for a num-
 ber of years.  Blows from the nose greenish offen-
 sive mucus, usually  in form of crusts; at times
 little is discharged from the nose, yet an offen-
 sive  odor is  before the nose; offensive  breath,
 which makes her  dislike going  into company;
 voice thick and has nasal sound; extreme dullness
 of smell; begins to look old and wrinkled; com-
 plexion growing dingy,  particularly about fore-
 head and root of nose; indifference  to those she
 loves best;  great irritability,  changing to apparent
 indifference;  suspicious  of  being slighted; aver-
 sion to work; menses offensive; palpitations from
 a little  exercise; very fond  of books, and  reads
 much.
   Sepia, 200, has cured case.—G.  N. B.

   J. T. H.,  infant,  one year old.   Has had attacks
 of bronchial cough with fever, tonsils swollen  at
 times and also a rash-like eruption;  has  a cough
 for weeks, which is constant whenever the child is
 laid down;  it is particularly  violent at night and
 accompanied with spasms of the  diaphragm and
larynx,  as in whooping-cough.   Sepia, 200, cured
at once.—C. Wesselhosft.

  Miss M. J. H., set.  28.  Dark brunette; sisters
have died of consumption; a cough has  afflicted
her for six years: has also been troubled with a red
papular eruption on the  face, characterized by
burning, itching and  smarting; worse in wet and
cold weather.   Cough is dry and hard and attend-
ed with only a little expectoration  in the morning;
has a  constant  desire to  clear the throat, which
feels as  if  filled with phlegm; she  is not  able 
          THERAPEUTICAL INDICATIONS.        Ill

to raise; nausea during and alter cough; cough
seems to come from the stomach.
  Sepia, 200c, cured the cough and nearly cured
the eruption.—C. Wesselhgeft.
  Mrs. P., aet. 28.   Black hair and eyes; sad, de-
spondent, irritable,  especially mornings; sensa-
tions  of  coldness  and  burning alternate  on
the vertex;  urine  deposits a  clayey sediment;
bearing down pains  as if  something  would pro-
trude;  coughs in  the morning; cough  dry,
hawking,  and no expectoration; empty, gone feel-
ing at pit of stomach, of long standing.  Aggrava-
tion of all the symptoms in the morning.  Sepia
cured in three months.—Dr. Goodno.
  Ozena of 13 years' standing.  Formation of scabs
which were exceedingly offensive; at times so large
that they had to be  emitted through the mouth,
which caused vomiting.   Very foetid discharge
from the left nostril; violent beating frontal head-
ache.   Belladonna relieved the headache  some-
what; the secretions became greenish and less dry.
Sepia cured permanently  in six weeks.—Fnytag
in Corresp., Bl. I.

                  SILECIA.

   Is  suitable to the scrofulous diathesis and
anainic constitutions, where there is imper-
fect assimilation  (cal. c);  also  to persons
with lax muscles, a fine skin, pale face and
light  complexion ; especially to such mor-
bid conditions as have reached the stage of
disintegration manifested in purulent secre-
tions.   It has been found serviceable in ca- 
112      THERAPEUTICAL INDICATIONS.

tarrhs of the nasal passages where the chief
local  symptom was chronic dryness;  this
often occurs from  an  arrest  of foot-sweat,
which is a leading symptom of Silecia, (cal.
c.)   Another variety is a catarrh with ex-
coriated membranes covered  with crusts ;
also when there are ulcers high up in nose ;
great sensitiveness of sores to contact.   Nose
is sometimes cold.  Sometimes there is in-
tolerable itching  of the tip.   Tip and sep-
tum  narium  tender.   Ulceration of  the
Schneiderian membrane and otorrhoea,  with
thin corrosive or curdy discharges.   The
pale cachectic look will usually accompany
these cases.   The chronic catarrh of Silecia
is usually worse  in the morning and the
voice is husky with a sensation  of rough-
ness in the larynx (Phos.)   Cough is deep,
exhausting,  dry  in  the early stage  with
soreness in  the chest (Phos., Sang.),  but a
loose cough with a tendency to purulent
expectoration is  the  more   proper   Sile-
cia cough.   Cough is  provoked  by speak-
ing, by cold drinks, and relieved  by warm,
but cold food agrees.  Most symptoms are
aggravated by cold and relieved by warmth;
chilly from motion.  Among the  most sug-
gestive symptoms is a sensation as if a hair
was lying on tip of tongue ; patients have 
THERAPEUTICAL INDICATIONS.       113
a low condition  of animal heat, not getting
warm  even by  exercise,  night sweats  or
sweating of the head, face and feet, the last
having an unpleasant odor ; suited to com-
plaints that appear at the new moon, with
lymphatic  swellings ;  hunger, but cannot
get food down.  It may be compared  with
Calc.    The perspiration  on  the head  is
more general in Silecia than  Calc, and if
covered lightly soon becomes warm. Sweats
more often towards morning.

               STANNUM.
  Stannum is appropriate to nasal catarrh
where there is a stuffed  oppressive feeling
high up in the passages, and where there is
soreness and redness of either nostril spread-
ing up on  the outside.   There is acuteness of
smell (Ly , Sil.)  Cartilages of the ear apt to
be sore, also nightly agglutination of the eye
lids.   Several pains  of  Stannum  increase
and decrease gradually.  (Increase till noon,
Kali, b.)  Patient very hungry ;  can hardly
eat enough.   Troubled with a sinking,  all
gone feeling  (Ign., Sep., Sul.)   The gone-
ness is felt quite as much  under the stern-
um.  Much weakness felt about the chest
from coughing  ; reading or talking  aloud
produces great  exhaustion.  It has proved 
114       THERAPEUTICAL INDICATIONS,
curative in diseases of  the  larynx where
there  was  aphonia,  accompanied  with a
short, hacking cough with a sense of weak-
ness under the sternum.  Asthma following
a cold  ; attacks begin at 4 or  5 A. M.;  in-
crease  and decrease slowly.   When cough
has three concussive paroxysms caused  by
mucus in the chest; Stannum coughs are pro-
voked by talking, singing, laughing (Alum.,
Bry., Phos.), and  by lying on the right side
(reverse of Phos.), and by drinking anything
warm  (Baryt,  Kali,  c, Mez.)   There is
usually a  large  accumulation of  mucus,
sometimes enormous, which  appears like
the white  of an egg, or comes  off in yellow,
distinct masses or greenish yellow. Phthis-
is mucosa.   McFarland says  : " Stannum
is the most homoeopathic remedy to laryn-
geal phthisis, with a constant, short, irritat-
ing, hacking cough."  The great  weakness
under  sternum and  the gradual ascension
and descension of the paroxysm of cough-
ing and dyspnoea are leading characteristics.
Profuse sweating usually accompanies  the
catarrh when it reaches the  stage where
the  deep  structures of  the  mucous mem-
branes begin to break down.  Its value is
more especially seen in bronchial catarrhs. 
           THERAPEUTICAL INDICATIONS.        115

                  CLINICAL. -
  A gentleman, ;et. 38, called on me in March for
medical attendance.   Found patient inherited  a
predisposition to consumption ; he looked  pale
and emaciated, breathed short and coughed badly.
Cough at times dry and then again expectorated a
greenish, yellow, sweetish-tasting  mass, coming
up more especially evening and morning ; dimin-
ished resonance  and tubular breathing ; sharp
pains in the head, chiefly  in the  forehead,  with
knitting of the brows ; worse after a paroxysm of
coughing.   Appetite good, even better than when
well, but is not benefited by food ; quite thirsty ;
eating followed by pain  in the epigastrium and
stomach.  Constant inclination to stool with little
evacuation.  Coldness and heaviness of each hand,
and cold feet, the latter swollen ;  hectic flushes.
March 14th, Stannum was prescribed and diet reg-
ulated.  Amelioration of the cough and sense of
weakness ;  the latter had been marked, but other
symptoms were aggravated, night sweats inoreased,
appetite and sleep left him, and he was plunged in-
to an abyss of despair. Yet  in a few days all these
untoward symptoms had  become ameliorated and
ease went on to convalescence and health.—Hitch-
man.
  Mucous Phthisis, or Pulmonary Consumption.
—Mrs.  P.,  set. 40.  Of a scrofulous  habit;  has
been working hard most of her life up to this time.
Has borne four children who have arrived at ma-
turity, but  a son is a cripple from scrofulous affec-
tion  of the lower limbs; is flat-chested but wide
enough across the  shoulders;  high,  prominent
scalpulae; sanguine, bilious temperament.   Pre- 
  11(5        THERAPEUTICAL INDICATIONS.

  vious to her lung trouble had enlargement of the
  cervicle glands, which was discussed by the appli-
  cation of the tincture of Iodine.   When called to
  see her found she had been  coughing and expec-
  torating for months and was now given over by
  her physicians, as in an incurable phthisis. Physi-
  cal signs showed a large cavity in the right lung be-
  tween the second and third rib, with extensive sur-
 rounding dullness, heavy rales, and a decided egoph-
 ony.  Sputa was muco-purulent; mucus, however,
 being largely in excess, for I  never saw such quan-
 tities expectorated before by any one.  I should say
 that very nearly  a quart was expectorated every
 twenty-four hours; night  sweats; pulse was 1(50,
 a rapidity which hardly corresponded to the heat
 of the fever stage.  It was difficult for her to talk,
 on account of weakness of the chest.  It might be
 said she was hardly as  much  emaciated  as one
 would expect.
  I gave her Calc. carb., with slight arrest  of the
 irritability,  as shown by pulse falling to 123, and
 a diminution of sputa, about  one-fourth.  That
 was gained  at once, but  no further  improvement
 followed for four weeks, when three powders of the
 3d trituration of Stannum were given, with almost
 astonishing  results  in  the   next  six  days.
 Pulse  dropped to 90 per minute; expectoration
 was almost entirely under arrest without any un-
 toward symptoms, and patient expressed herself as
 about well.  She was given no more than half a
 dozen powders  afterwards, and  at  intervals of a
week  apart.  Her  recovery was quite complete.
The most noticeable points in this case are the
quantity  of expectorated  matter, the weakness of 
          THERAPEUTICAL INDICATIONS.       117

the chest, and the rapidity of the pulse, which
was also small in impulse; perspiration was musty
and the tendency of the sputa was to  rope, that
which was purulent showing as a border, having a
greenish tinge, losing itself in that which was spit
off as masses of mucus.  Copious expectoration is
a characteristic of Stannum.—G. N. B.

                SULPHUR.
  This remed}r has a powerful action on the
mucous membranes as  well as  the skin.
For that condition called psoric dyscrasia it
has been considered the  remedy par excel-
lence.  But is not defective elimination more
exactly what we  wish to express by  this
psora ?  Many catarrhs are planted in  this
carbonaceous ground and are only burned
out at the roots by Sulphur;  siine of them
end in Phthisis  Pulmonalis if not  radically
cured; for when the  follicular glands are
loaded with  worn  out debris we are not at a
great remove from a phthisis.
  The catarrhs to  which Sulphur is best
adapted are usually associated with some
svmptoms showing the  great emunctories of
the skin and  alimentary tract  at  fault.
Eruptions, diarrlneas or constipations are
accompaniments or have a remote  relation.
  We will  group  a few  symptoms charac-
teristic  of Sulphur:  Flashes of heat,  which 
•  118      THERAPEUTICAL INDICATIONS.
pass  off with  a  sense  of  weakness and
slight perspiration.   Heat in the face, and
rush of blood  to  the  head.  Feels  very
faint about 11  A. M. and must eat.  Soles
of the feet burn at night and  compel keep-
ing uncovered.  Heat  on the top of the
head.  Morning diarrhoea, driving one out
of bed.  Constipation with dry cough and
emaciation,  the  stomach  ejecting  food;
much cardialgia.  Catarrhal symptoms get
worse and worse with a bad morning cough,
or cough is suppressed or accompanied with
a suffocative feeling, relieved only  by hav-
ing the doors and windows open.  Dislikes
the bath.   The nasal  symptoms  are less
prominent than the tracheal and bronchial.
Yet for catarrh of  the nose, where the pass-
ages are inclined to itch and throw off* a
scab, and  when there is otalgia on the left
side, which gets  better  by  covering  the
head, Sulphur has proved a  good  remedy.
Hardness of hearing and noises, or  a sen-
sation of wind rushing out of the ear, is an
indication.  Voice sounds  are sharp, and
pitched on  a  high key.   The   catarrhal
cough is usually dry, or the sputa comes up
in  small  quantities after  much labor in
coughing.  Occasionally we  have found it
serviceable when there was a free secretion 
           THERAPEUTICAL INDICATIONS.       110

of roping slightly purulent matter in phthis-
ical habits.  Judging from our own exper-
ience, its most valuable place will be found
in seeking to arrest those cases  which tend
to ally the constitutional taints,  and run on
into an incurable form of pulmonary dis-
ease.
                 CLINICAL.
  Catarrh with a Tubercular  Diathesis.—Mrs.
Kent, set. about 28.  Of a sanguine, nervous tem-
perament, sandy hair and blue eyes.  Is much
troubled with  irritation  about  the throat and
bronchial passages, which occasions a dry, provok-
ing cough, as if there were down or dust in the air
passages.  Voice inclined to hoarseness, and much
of the time has a raw feeling about the chest; up-
per portion of left lung sensitive to percussion
and slightly dull;  has a stinging sort of pain pass-
ing from about the third rib on left side, through
to the scapula, which occasions soreness.  Con-
sumption has shown itself in  the family.  Sul-
phur secured a complete cure.—G. N. B.
  Dr.  Carr  reports a case cured  by Sulphur
(though something more than a pure catarrhal at-
tack) which gives  many characteristic indications
as well  as a fine verification of the pathogenesis.
Bronchial catarrh and pneumonia—adult, male.
Pulse IIS, thready and jerky; dingy, sallow face,
with dark, almost purple cheeks; breath hurried
and gasping, with sharp, sticking pains in lower
left lung, which was  to some extent hepatized;
great rattling in bronchi;  lies on back with head
raised high; can lie  on left side but  not on right; 
120       therapeutical indications.

great thirst; tongue coated yellow in the middle
with bright red tip; fan-like  motion  of nostrils
(Lycopodium); delirious and stupid; gets weaker
all the time; faint spells, must have plenty of air;
chilly and hot flashes; feet get  so hot must put
them out of bed; drowsy and stupid all day, and
restless, wakeful and  delirious all night; twitch-
ing of hands and feet;  cough hard and dry, with
occruonal bloody sputa; greitly emaciated.  Sul-
phur cured promptly.
  Maj. A.  B. W.  Catarrhal hoarseness with cough
of long standing,   Hoarseness severe every win-
ter for several seasons.   Coughs  and gags,  more
particularly in the morning.  Worse in damp and
cold weather;  feels a little tenderness at the throat
pit. at times hawks up pieces of hard mucus, but
what he raises usually comes with much difficulty
and expectorates mostly in the morning.  Patient
is of the sanguine,  bilious temperament;  tall and
well-built; aet. about 55 years.
  Cave Sul. with curative response  at once.—G.
N.  B.
  Catarrh of the Bronchia and Stomach,  Based
upon a Tubercular Diathesis.—N. P., aet. about 33.
Dry, harassing cough for six months; worse morn-
ings :  expectorates only a little tough, glairy mucus,
or more often, coughs till retching occurs, when  a
sour, cold mucus is thrown from the stomach, and
a little tough mucus also is  coughed up from  the
air passages; has lost all appetite; food sours, and
almost a  constant  gastralgia follows;  patient has
an  inveterate constipation;  a  haggard and  worn
countenance; night sweats;and is quite emaciated.
Very despondent,  as family friends  have largely 
           therapeutical indications.       121

died  of consumption:  Mother,  three  sisters,
grandfather, uncles and aunts.  Believes himself
incurable and by reason of his failing strength and
family history.   Prognosis was exceedingly unfav-
orable as I myself thought.  After trying Nux for
constipation and gastric symptoms to no purpose,
I gave Sulphur,  one powder,  not to  be  repeated
under six  days.  Constipation was  immediately
overcome;  gastric symptoms  and cough also im-
proved.  Such was  the change that when 1 saw
patient three weeks later, my surprise was great.
He needed only three or four doses more, which
were given at intervals to effect  a radical cure.--
(i. N. B. 
122
REPERTORY.
    PART IV.

REPERTORY.
                   COUGH.

Abdomen, comes from—antimon. c.
Better, air, in open—asaf., bry., euphr.
Better, back, from lying on—ammon. muriat.
Better, bed, after getting warm in—kali bichrom.
Better, bedclothes, on covering head with—phos.,
  rumex.
Better, breakfast, after—kali c.
Better, drinks, after warm—nux v., sil.
Better, drinks, after cold—borax, caust.
Better, drinking, after—iod.
Better, eating, after—euph.,  iod.
Better, lying down,  on—euph.
Better, warm room, in—al., ars., bar.  c, carbo. v.,
  cham., dul., lach., mer.
Brought on by, air, going into open—alum., ars.,
  phos., rhus, senega., sul.
Brought on by, air, cold, inhalation of—cal., dul.,
  phos., rumex, sang.
Brought on by, drink, the least amount of—kali b.
Brought on by exhaling—caust., nux.
Brought on by, fire, looking at—antimon. c.
Brought on by food, least morsel of—kali b.
Brought on by gaping—asafcet.
Brought on by hot sun—antimon. c.
Brought on by increasing pitch of voice—arg. nit.
Brought on by, inspiration, taking a deep—cal; c,
  dul., graph., nat.  niur.
Brought on by, speaking, every attempt at—aetata,
  bry., mer.
Brought on by tickling in throat—actaea, cal. c,
  kali b., kali  c,  nat. mur., phos., rhus, rumex,
  sang., sil., sul., stic.
Brought on by tickling in stomach—sang.
Brought on by uncovering even a hand—rhus. 
REPERTORY.               123
Brought on by warmth in bed—nat. mur., puis.
Brought on by warm food—bry.. kali c, mez.
Body, heat of,  when coughing—carbo v.
Chest, has to hold, when coughing—bry., euph.,
  nat. sul.
Chest, soreness, when coughing— carbo. veg.
Cold,  on any  part  becoming,  as a limb—hep.
  sulph.
Days only—euph.
Days, on alternate—lycop.
Day and night—kali c.
Epigastrium, has to press on—phos.
Epigastrium, soreness of—nux. v.
Expectoration, purulent—arg.  n., kreo., kali c,
  lye, sil.. stan., sul.
Expectoration, tough and draws out  in threads —
  kali bi.
Flatus, with passage of and belching  of wind—
Headache,  with, as if torn—sul.
Headache,  with bursting—nat. mur.
Headache, with splitting—phos., sticta.
Hollow—carbo  v., caust., phos., sil.
Hoarseness, with—caust., hep. s., phos., sil., sul.
Itching in chest and trachea—carbo. v.
Irritation, with, as of sulphur fumes—lycop., puis.
Irritation, sudden, can scarcely get breath—sepia,
  euph.
Midnight, from sundown to—caust., mez., rhus.
Morning, every, before rising, with, coryza—sepia.
Night and day—kali c.
Pain, with, from sternum to spine—kali b.
Retching, with, and vomiting—arg. n., bry., calc.
  c, dros.. mez., sepia., sulphur.
Pise, must, when lying—lith. c.
Shakes the whole body—antimon. c.
Skin, with sensation of being torn, loose  and sore
  — calc, c.
Sleep, in—sang., sepia.
Soreness, with, from left apex of lung to shoulder
  blade—sulph.
Speak, not allowing one to audibly —mer. v.
Spring,  coming  on  in  each—gel.,  lach.,  puis.,
  rhodo. 
124                REPERTORY-.
 Stitches, with, in chest—borax, bry., kali c. stan.,
   sulph.
 Stitches in scrobiculum—ammon. c.
 Sundown, from,  to midnight—caust., mez., rhus.
 Table, causes her to leave- lachesis.
 Throat, sensation of loose  skin  hanging in--al ,
   kali c.
 Urine, with, escape of  antimon. c, caust., kreo.,
   nat. mur., phos., puis.
 Violent in quick shocks—lith. c.
 Vomiting, with,  and retching —arg. n., bry., calc.
   c, dros., mez., sepia, sulph.
 Worse after midnight—ars.
 Worse at 3 or 4 A. M. —kali c.
 Worse at 4 to 8 P. M.—lycop.
 Worse, air, in the open—alum., ars., phos.. rhus.,
   eenega.
 Worse, cold air, from—ars.,  baryt., carb. v., eham.,
   hep., senega.
 Worse, drinks, after  cold—carbo v., chain., hep.,
   ly., nux. v., io.
 Worse, drinks, after  warm -baryt.,  kali  c ,  mez.,
   stan.
 Worse, drinking, after—arg. nit., ars., bry., lycop.,
   phos., silli.
 Worse, eating, after—bry., carb. v., kali b., kali c,
   lach., lye, mez., phos.
 Worse, eating, after,  cold food—hep., lye.
 Worse, left side, from lying on—baryt., lye, phos.,
   sepia.
 Worse, lying  down,  on—ars., bry.,  carb. v., dul.,
   nat. mur., sul., sticta, rhus., rumex.
 Worse, motion, from—ars.,  bry., dros., lach., nat.
   mur., nux.  v.,  phos., sil.,  stan.
 Worse, right side, when lying on—stannum.
 Worse, room, when persons enter—phos.
 Worse, room, on changing—rumex.
 Worse, singing, on—al., hep , mer. v., phos , rhus.,
  stan.
 Worse, side, from turning on—am., mur., kali c
  lye
Worse, sleep, on—alum., caust., lach., lye.
Worse, summer, in- cep., nat. mur. 
REPERTORY.
125
 Worse, strangers, in presence of—baryta c.
 Worse, talking, on—al., hep., mer. v., phos., rhus.,
   stan.
 Worse, thunderstorms, from—petrol., rhod.
 Worse, undressing, when—kali hi.
 Worse, walking—senega.
 Worse, warm room, on entering—bry., dule, lye,
   nat., carb.
 Worse, weather, wet -arg. nit., cal., dul., nat. s.
 Worse, wind, from—bry., lye, phos.

             NASAL  SYMPTOMS.

 Nose,  blow, constant  inclination  to—am., mur.
   hydras., stie
 Nose,  bursting, sensation of—asafeet.
 Nose,  cold—sil.
 Nose,  coryza,  better  in  cold  air—asafeet.  cepa,
   euph., kali e, nux. v., puis., rhodo.
 Nose,  coryza, better in warm  air—ars., ars.  iod.,
   hydras., kreo.
 Nose,  coryza, blood-tinged—mer., iod.. phos.
 Nose,  coryza,  burning -ars.,  ars.  iod.,  hydras.
   mez.
 Nose,  coryza, choking child at night-spig.
 Nose,coryza copious—arum.,ars.,bry.,cepa.,chain.,
   kali  hydras., kali hyd.
 Nose, coryza daytime only—nat. c., nux. v.
 Nose, coryza discharge, fetid—iod.,  kali b.
 Nose, coryza discharge, fluent and dry alternately
   —graph., nat., nat. mur., phos., sil.
 Nose, coryza dry—baryt., carbo v.. dul., lith.  e,
   ly.. sil., stie
 Nose, coryza,  excoriating—arum, ars., cepa,  hy
   dras., iod., kali b., lycop., nit. ae, kali hyd.
 Nose, coryza fluent in the  open air—iod.
 Nose, coryza, indoors, scanty—hydras., iod., sul.
 Nose, coryza, motion lessened by—dul.
 Nose, coryza offensive—asafeet., aur., cal. e,graph.
   iod., kreo.  nit. ae
 Nose,  coryza, on alternate days—nat. carb., nat.
   mur.
Nose, coryza, out of doors  but dry indoors—sul. 
126
REPERTORY.
Nose, coryza, out of doors profuse—hvdras., kali
  hyd.
Nose, coryza, spring—cepa, gel., lach.
Nose, coryza, summer—cepa, gel., kali b.
Nose, coryza, worse in cold air—ars., hydras., kali
  b., kali hyd., lith., carb.
Nose, coryza, worse in least draught—nat., carb.
Nose, coryza, worse in warm air—asafeet., bry., cepa,
  kali e, ly., nux, puis., sul.
Nose, coryza, worse in warm  or cold—mer.
Nose, itching in nostril—hep.
Painful to touch—bel., hep. s., mere
Pains over the bridge—euph., kali hyd., ly.
Pain, root, in—alum., kali hyd., pet.
Redness of—alum., cal., graph., kali e, kali hyd.,
  lach., lith., nat. e, rhus., sul.
Root sore and painful to touch—alum.
Septum  sore—hydras., iod. mer., pro., iod., mez.,
  sang.
Smell, acute—aur., bel., cal., cham., graph.,  hep.,
  lye, nux, phos., sep., sil.
Smell as of burnt root—graph.
Smell as of clay or chalk—cal. e
Smell, fetid—ars., aux., bel., cal. e, kreo., nit., ae,
  nux. v., phos., sep.
Smell as of herrings—bel.
Smell as of pitch—ars.
Smell as of  sour things—alum.
Smell as of sweat—aur.
Smell as of substances burning—aur., graph., nux
  v., sul.
Smell as of sulphur—ars., cal. e,  naph., nux v.
Smell, thinks herself disgusting to others—aur.
Sneezing, constant inclination to—arum., dul.
Sneezing,  frequent inclination  to—carbo,  bry.,
  caust., cham., mere
Sneezing, frequent inclination, with dry coryza—
  cal., mez.
Sneezing, ineffectual attempts at—carbo v., nat.
  mur.
Sneezing on coming into a warm room—cepa, bry.
Sneezing on going into the open air—ars., dul.,
  kali bi. 
REPERTORY.               127
Sneezing on rising in the morning—gel., rhodo.
Sneezing, spasmodic—rhus. tox., rumex.
Sneezing, violent—kali hyd., nat. c.
Sneezing, with headache—hydrastis, kali e
Stoppage and dryness of after foot sweat—sil.
Stoppage of at bridge—ars., kali b.,  sticta, sul.
Stoppage with  fetid, purulent  mucus—cal. e,
  graph., pet.
Swollen—ars., asafeet.,  baryt.  e, cal.  e, graph.,
  hep., iod., kali e, lith. e, lye, nit.  ae,  sepia.,
  sul.
Tip, itching of—caust.,  sil., spig.
Tip, red—aur., kali e, nit. ae, rhus tox.
Tip, swollen—alum, arum., aurum., bry., cist.,
  rhus tox.
Tip, swollen and painful—bel., bry., rhus tox.
Water, sensation of hot, in left nostril—gel., sul. 
c* 
 
 
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