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Ki^^feS.ii'^.^,.  '^-V-'' e:*_ -.
 
 
HOMCEOPATHIC S* flf
"DOMESTIC MEDICINE.
     BY



J. LAU RI E, M. D
e LATEST AMERICAN}
BY ^

Op
i v/1—
;- < :* -.■ _i
*   A. GERALD HULL, M. Df
       NEW-YORK:


WILLIAM RADDE, 322 BROADWAY.



         18 49. 


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            {
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                ENTERED                    •
  According to the Act of Congress, in the year 1844, by
           WILLIAM RADDE,
In the Clerk's Office of the District Court for the Southern
            District of New-York.
H. Ladwig _ Co., Flinten, 72 Vwey-Street, N. T.
* 
      PREFACE
TO THE AMERICAN EDITION.
  The first  American edition  of this  exellent
little treatise is wholly exhausted, and notwith-
standing the recent  publication  of two  other
Works of the kind, the demand for more copies
is strong.
  In this Edition,  the Editor  has  added articles
on Dysentery and  Headache, to  his former paper
on " Convulsions of Young Children,,'> compiled
from Hahnemann,  Hering, Jahr,  and  others of the
best authorities of our school.
  In  reference  to the important  questions  of
Doses, Repetition, Time of Administration, Suc-
cession and Change  of remedies, the  editor is
only able  to furnish the following very general
hints;  still even  these appeared  to him neces-
sary.

  If pellets are used, it is better to dissolve them
in  water, because they are weaker or shorter in 
•
 IV                PREFACE.

 their action in this form, and can with safety be
 repeated  more  frequently  than when  given dry.
 Some five or six pellets may be dissolved in a
 tumbler of water,  of which solution a tablespoon-
 ful is a  sufficient dose for a grown person, a
 tea-spoon for a child from four  years of age to
 the period of puberty, and a teaspoon for all chil-
 dren  under four years.  To make quite sure of
 the efficacy  of the  solution, it is very necessary
 to secure  pure water  and  a clean spoon  and
 tumbler.
   If  the  water of the  wells in the vicinity con-
 tain lime  or other chemical re-agents, rain water
 recently fallen, or distilled water, should be ob-
 tained ; and if  these are not to be had, the pel-
 lets must be administered dry.
 Remedies are given in acute diseases  at  inter-
 vals of from twelve hours to fractions of an hour,
 according to the rapidity with which the symptoms
 change  in character or  intensity.  For example,
 in  Asiatic Cholera, which runs rapidly from stage
 to  stage, and in a few hours reduces the strength
 and flesh from full health to complete  asphyxia,
 Hahnemann recommends in the worst cases that
 camphor spirits be  repeated every five minutes,
 till an  arrest of the principal symptoms be ef-
fected.  This shortest of all intervals holds as a
 rule only in a very few instances, in addition to
that cited,  of which we may name the near ap- 
PREFACE.                 Y
proach  of an epileptic fit, also puerperal and in-
fantile convulsions.
   In general it may be said that, in acute febrile
and inflammatory affections,  the solution may be
used as often as every four or six hours in adults,
and every two or three hours in young children.
If the pellets are used dry, two or three may be
given  at  a dose, and these at intervals of one-
third more time.
   There is not  so much difference between the
power of the original tinctures and the first three
or four dilutions,  as would be supposed by those
who have not attended to this question practically.
Every physician knows that drugs do not produce
their  specific effects in proportion to the quanti-
ties exhibited :  i. e., forty drops of opium tincture
will not produce twice as  long nor twice as pro-
found a  sleep  as twenty drops ;  forty grains  of
calomel will not produce ten times as many green
stools as four grains ;  nay, in either  case,  it is
exceedingly seldom  that the  larger dose produces
perceptibly any more of the specific effects named
than the smaller.
   The same may be said  of the relation between
tinctures and their dilutions—at least it so appears
to us, after many years of observation ; and  ac-
cordingly, in many forms  of disease, we use one
or two drops of tincture,   or of a low dilution,  to
the tumbler  full of water, dividing this into as
               1* 
VI
PREFACE.
many doses and repeating them as above indica-
ted with respect  to pellet solutions.   The  lower
dilutions from  the tinctures, may be used in the
same manner.
   The dry forms (powder, triturations) are to be
given in all cases dry on the tongue, and in gene-
ral,  these require  longer intervals  between the
doses.  The dose  of  the  trituration  should  be
about one or two grains ; i.e., about as much as
will lie on a third or half of a common penknife
blade ; the smaller quantity for children and such
as  are  very  delicate  of constitution, and the
larger for adults  of a robust character.
   Much  research   has   been expended  in our
school respecting the time of day at which reme-
dies should be  given, and much more as to the
order in which those which  are nearly equally in-
dicated should  follow each other in the cure ; but
there is not  space in, a work of this character  to
give the results  which  have been achieved, and
we can only earnestly recommend those who are
at a distance from expert physicians, to examine
for themselves what has been written  on these
subjects by Bcenninghausen, Rummeland Hering.
Among these  results may be cited the following,
viz., mercury  and nux vomica should not be given
in the morning hours ; in cases where these seem
necessary  in  those hours,  the  allied remedies
should be chosen instead of them, as for example, 
PREFACE.
VII
aconite or antimon. crud. or bryonia for mercury,
and antim. tartar, or ignalia or pulsaiilla or coffea
for nux vomica ; i.e., some remedy should be pre-
ferred to these for exhibition in the fore-part of the
day whose exacerbations do not occur at the same
hours.   Also it  may be stated, that of the  allied
remedies  those  should be chosen to follow each
other which are of opposite chemical constitu-
tions, as an acid and an alkali, an electro-positive
and an electro-negative, etc.   Thus nitric or mu-
riatic or  phosphoric  acids will be more  useful
after opium than aconite or belladonna or conium ;
the  greater similarity being of course, however,
in  all  cases, the controlling moment  as  to the
order  of  succession.  We  do not deny the effi-
cacy of the  higher dilutions by any means, but
we regard their application as belonging strictly
to the  higher  walks of the school, as  more diffi-
cult acts of art, and therefore we recommend  to
physicians and laymen but imperfectly acquainted
with the Materia Medica, the use of the lower di-
lutions and tinctures in  preference.
   Finally, when the lower dilutions are used, we
recommend  the continuance  of  one  remedy,
where  we  are  sure it is the rightly chosen one,
until  some sensible change of symptoms takes
place ; as, for example, in a case of dysentery in
which  mercury should  be indicated,  we would
continue its use from day to day till the character 
VIII               PREFACE.
of the evacuation is  thoroughly changed ;  ap-
plying in the morning hours, perhaps, aconite or
colocynth or ipecac, but ever recurring to the
mercury  in  the afternoon and evening till  that
remedy  has done its appropriate  Homoeopathic
and lasting work.  Much is lost in our school by
changing remedies too frequently ; it is better to
change the dilution or form of a well chosen reme-
dy than to go from one remedy to another, so long
as the principal sufferings remain unsubdued.
   In cases of doubt, as to which of two or three
remedies named  in this book in any given case,
ought to be applied, we  recommend  a resort to
Jahr's Manual of Homoeopathic Practice.  Turn
to the Clinical Chapter  (always  in vol. 2 which
precedes the tabular exposition of the  effects of
the medicines upon the part affected  in the case,
and find the  disease under which the patient is
labouring ; this chapter alone  will often contain
the desired  information.  But if it do  not, the
table following the clinical chapter must be stud-
ied ;  and if this do not suffice to determine the
choice satisfactorily, the notices of the remedies in
question contained in the 1st volume may be read.
   This  process  will  be as far as the domestic
prescriber can go, and,  for the class  of cases
which should be treated in domestic practice, it
will be generally found sufficient.
                                 A. G.  H. 
PREFACE.
   In presenting this little  work to  the  public, the
 Author may be allowed to state, as briefly as possible,
 the motives which have led him to the undertaking.
   Of these, the principal are,  the present paucity of
 Homoeopathic Practitioners ; the refutation, by a plain
 statement  of the  treatment  of acute  disease, of the
 too  prevalent  idea,  that Homoeopathy  is  available
 only in Chronic affections ;  and  the  hope  that this
 work may, under proper restrictions, prove of service
 in cases of ordinary derangement, or  where  the  ad-
 vice of a Homoeopathic physician is unattainable ; and
 by  assisting in the  selection  of the  proper remedy,
 save many from having recourse to Allopathic modes
 of relief, such as aperients, &c, which are  so calcu-
 lated to undermine the  strongest constitutions, and
 convert trifling affections into permanent maladies.
  From  the first mentioned motive, (the present want
of Homoeopathic practitioners,) the Author has found
himself compelled  to include  many acute diseases,
which  fall more  particularly within the province of
the physician;  in so doing,  he has given a range  of
treatment that will meet a great variety of cases, and 
X.                   PREFACE.
in almost all, so far obviate  immediate danger,  and
place the malady in such a position,  as to give time,
when imperatively necessary, for  seeking  suitable
advice.
  In cases that require prompt and decided measures,
8uch as  "  Convulsions," " Croup," &c, the treatment
has been pretty fully gone into.  In  others,  such as
" Inflammation of the Brain and Lungs,"  the  course
to be pursued to ward off all  immediate danger,  has
been briefly, but it is to be hoped, clearly pointed  out.
Other acute or dangerous maladies, such  as  " Puer-
peral Fever,"   " Phlegmasia,  Alba  Dolens," (puer-
peral tumid leg), Epilepsy, Cancer,  &c,  have been
either slightly glanced at, or wholly omitted ; con-
vinced,  that to do justice to their several  treatments,
would carry the work far beyond its intended limits
and  purpose,  and that an imperfect sketch would be
rather productive of injury than benefit.
  In many instances,  Domestic Medicines do consi-
derably  more harm than good,  by inducing individuals
to rely  too  fully  upon their  own resources,  and to
omit having recourse  to  those who have made the
diseases of  mankind  their peculiar study ; but  still
greater  injury  results from an  ill regulated perusal of
elaborately written medical works,  which  require the
previous education of the physician fully  to compre-
hend, and his  practical experience  properly to apply.
   To the Student,  still at the threshold of our  science,
to the Allopathist, willing by fair experiment to put
the system to  the test, it is hoped that this little work
may prove peculiarly valuable.
   It may be here remarked, that the beautiful simpli-
city and harmonious uniformity of the Homoeopathic 
;   1
   I                      PREFACE.                 XI
   j
   I  system, conjoined with its invariable rule of adminis-
   i  tering only one medicinal substance at a time, have
  /  misled many into the idea that it is so much easier of
 J   practice than the old system,  as scarcely to require
 \   the qualification of a medical education ; acting upon
  I   these  false premises, many amateurs,  after having
  >  studied a  few  of the  leading medicines,  although
   j  wholly destitute of other physiological or pathological
  J  knowledge, imagine themselves qualified to prescribe
  t  for every variety of ailments,  and their presumption
  '  is generally in exact ratio with their ignorance.  No
     doubt, from  the  inherent excellence of the system,
j     some of those zealous individuals have cured diseases
     that have defied the Allopathic mode ;  but generally,
j     from the absence  of a medical education,  and of a
     perfect knowledge of the Materia Medico,  by a cir-
     cuitous route ;  whereas  the  practised  mind  of the
     physician,  frequently detecting the  nature of the dis-
     ease, by the administration  of  a specific remedy, di-
     rects the vital energies into  their proper channel, and
    by so doing, saves the patient from a course  of need-
    less suffering.
;      If such be the  case in Chronic, how much more so
    in Acute diseases ;  such,  it  is evident, no individual,
r    not fully  competent, should take upon  himself the
i   serious responsibility of treating, unless coerced by an
 I   imperious necessity, and then with the closest atten-
\   tion to, and most  minute observance of the symptoms.
i     Under such conditions, the Author hopes that this
    work may prove useful; and when the symptoms are
   perfectly in accordance with  those given under the
   different  medicines, the administration  of the latter
   will be always marked with decided benefit. 
XII                 PREFACE.

   In conclusion, it may be observed, that from the un-
fair impressions of the science, that have been so in-
dustriously propagated, Homoeopathy has been too fre-
quently treated as a species of charlatanism, to which
people resort only  when  every other mode  of  pro-
mised relief has utterly failed.  After enduring  with
patience  a long and ineffectual treatment under the
old system,  they feel disappointed, if Homoeopathy
does not  work an immediate cure ;  nay,  in acute dis-
eases,  when  danger appears to threaten, some indi-
viduals fall back upon Allopathic measures,  and undo
all that  the Homceopathist  has  effected;  perhaps
again seeking his assistance, when the mischief has
been rendered  irremediable  by their own  fatuity.
Others, who  have  seen members  of  their  families
(whose diseases were beyond the power of medicine),
die during  Homoeopathic  treatment, reproach  the
science with failure ; whereas, their minds would
have felt perfectly satisfied, had  such a misfortune
occurred  under the  old system;  forgetting that,  in
many instances, the patient only sought Homoeopathy
as a last  resource,  in cases where  the affection  was
of its own nature incurable, or bad been rendered  so
by a long course of improper treatment.
   What  Homoeopathy stands upon, is the simple fact
of success  in thousands  of cases, in  which every
other mode has signally failed—upon  the   firm and
irrefragable basis of  a multitude  of  unimpeachable
and incontrovertible proofs.
                                      J.  L. 
INDEX.
INTRODUCTION.         PagC
Regimen,    ...   17
Clothing and Habits,   .   19
Administration and Repeti-
  tion of the Medicines,   21
Of the Medicaments,   .   23
Psora and Anti-psorics,    23

   INDEX  TO  PART I

Acidity  of  the  stomach,
  (see Indigestion),     .   54
Bilious Complaints,    .   53
Boils,                 .130
Bowels, Inflammation of,   72
Bowels,  Looseness  of, (see
  Diarrhoea),          .   74
Brain, Inflammation of,   104
Bruises,  ....  I40
Burns,   ....  141
Catarrh, Cold,    .     .   88
Chicken Pox,    .     .   39
Chilblains,   .    .     .130
Cholera Morbus, .     .   80
Cholera Asiatic,  .     .   83
Cold in the Head,         92
Colic,    ....   69
Constipation, Costiveness,  64
Corns,       .    .     .132
Cough, (see Catarrh),  .   88
Cramps  in  the Stomach,
  (see Indigestion),     .   54
Croup,.....94
Diarrhoea,   ...   74
Dysentery,   ...   76
Dyspepsia,   ...   54
Ear ache,             .126
Erysipelas,            .  128
Eyes, Acute Inflammation
  of,     ....  123
Eyes, Affections of, (see In-
  digestion), ...   54
Face,Pale, Sallow, or Flush-
  ed, (see Indigestion),    54
Flatulence, (see ibid),    F4
Gout,    ....  133
Headache,            .  108
Headache, Dyspeptic, (see
  Indigestion),    .     .   54
Heartburn,   .         .   54
Hemorrhoids,'         .   67
	Page
Hiccough, (see Indiges-	
tion), .	54
Hoarseness, (see	Ca-
tarrh),	. 88
Hooping Cough,	. 98
Hydrophobia,	. 143
Indigestion, or Dyspepsia, 54	
Influenza,	93
Jaundice,	. 84
Liver Complaint, .	. £9
Liver, Acute Inflammation	
of,	60
Liver, Chromic Inflamma-	
tion of,	. 63
Lumbago,	. 130
Lungs, Inflammation of, 102	
Measles,	. 30
Miliary Fever,	. 40
Nettle Rash, .	. 42
Piles,	67
Protrusion of the	Intes-
tine,	. 68
Quinsy,' ^ee	Sore
Throat),	. 48
Rheumatism, .	. 135
Scalds, (see Burns;,	. 141
Scarlet Fever,	. 25
Sea Sickness,	. 142
Small Pox, .	33
Sore Throat, .	. 48
Sprains, .	. 140
Tongue, Foul, (see Indiges-	
tion), .	. 54
Toothache,	44
Water in the Head,	. 107
Whitlow,	. 132
Worms, .	95
Wounds,	. 140
INDEX TO PART II.
Treatment of Females.
Chlorosis,        .    .  155
Catamenia,  Irregularities
  of,     ....  157
Observations on Pregnan-
  cy,    .    .    .       158
Air and Exercise, .    .  161
Clothing,    ...  163
Diet during  Pregnancy,  16& 
I1V                     INDEX.
                       Page
 Employment  of the Mind,
   and Habits, during Preg-
   nancy,                166
 Influence of Extern.il Ob-
   jects on the Unborn  In-
   fant,  .         .    .167
 Mental Emotions, .       167
 Despondency,     .    .   1C9
 Diseases of  Precnacy.
 Menstruation during Preg-
   nancy,    .    .       171
 Morning Sickness,        172
 Constipation  during Preg-
   nancy,             .   172
 Fainting  and  Hysteric-
   Fits,  ...   173
 Toothache during Pregnan
   cy,        •    .    .174
 Swelled Veins or Varices,  175
 Miscarriage,       .    .   176
 Treatment  before Par-
   turition.
 Breasts, Preparation of,    183
 Remedies before Labour,  184
 False Pains,  .        .185
 Parturition   and  Labour
   Pains,             .187
 Spasmodic Pains,  Cramps,
   and Convulsions,       190
 Treatment after Delivery.
 After Pains,  .        .193
 Duration of Confinement, 194
 Diarrhoea  of  Lying  in
  Women,           .195
 Milk,  Suppression  or  ex-
  cessive Secreti n of,    196
 Perspiration after Deli very,
  Suppression or excessive
  Secretion of,           197
 Lochial Discharge, Irregu-
  larities of,  .           ]98
 Abdominal Deformity,    200
Hair, Falling off of,    .   201
 Leucorrhcea after Parturi-
  tion.   •            .201
 Internal Uterine Swelling
  and Prolapsus,  .    .   202
Weakness  after   Deliv-
 ery.   •..   203
                       Page
 Milk Fever,          .  203
 Obstacles to Suckling.
 Di*inclination  of  the In-
   fant,               .205
 Excoriation  of the  Nip-
   ples,       .    .       206
 Inflammation    of    the
   Breasts,               207
 Mental  Emotions affect-
   ing the M.Ik.        .   209
 Deficiency of Milk,       210
 Deterioration   and   Dis-
   coloration of Milk,   .   211
 Mothers  not   Suckling
   their Children,  .       211
 Treatment of Infants.
 After  Birth,   .    .    .213
 Umbilical Hernia,  .       214
 Swelling of the Head,  .   215
 Expulsion of the Meco-
   nium, ....   215
 Suckling of the Infant, .   217
 Choice of a Nurse.        219
 Diet during Nursing,      220
 Dipt,  Supplementary,  of
   Infants,     .        .221
 Duration of Suckling, and
   Weaning,  .         .  224
 Sleep,       ...  225
 Exercise,         .      229
 Diseases of Infancy..
 Inflammation    of    the
   %es,  ...      232
 Hiccough,              233
 Cold in the Head,  .      233
 Crying   and   Wakeful-
   "e>s>  •             .  235
 Regurgitation of Milk,.  237
 Milk  Crusts, .         .  237
 Thrush or Aphthae,    .  238
 Excoriation,  .     .    #  240
Jaundice,         .    \  241
Derangement      ' during
  Teething,  .          241
Convulsions,  .     ,    _  244
Asthma of Millar,  .    .  260
Vaccination,  .     .    '  263
 Vaccination and re-vacci-
  nation,                264 
TABULAR  INDEX OF THE  MEDICINES
         Remedies.

Acidum Nitricum.
Acidum Phnsphoricum.
Acidum Sulphuricum.
Aconite.
Alumina.
Antimonium Crudum.
Arnica.
Arsenicum.
Belladonna.
Bryonia.
Calcarea Carbonica.
Cantharides.
Carbo Animalis.
Carbo Vegetabilis.
Causticum.
Chamomilla.
Cicuta Virosa.
Cina
Cinchona or China.
Cocculus.
Coffea Cruda.
Colocynth.
Crocus.
Cuprum Metallicum.
Digitalis.
Drosera
Dulcamara.
Euphrasia.
Fenum Metallicum.
Graphites-
Hepar Sulphuris.
Hyoscyamus.
Ignatia.
Ipecacuanha.
Kali Carbonicum.
        Antidotes.

Calc. c., Camph , Sulph.
Camph , Coff, Nux v.
Pulsatilla.
Camph , Nux v.
Bryon , Camph,, Ipec.
Hep s., Mercur.
Camph , Ign., Ipec.
China, Nux v , Verat.
Coff, Hy os , Puis.
Aeon ,  Cham ,  Nux v.
Camph., Sulph.
Camphor.
Camphor.
Arsenic, Camph.
Coffea, Nux  v.
Aeon., Nux v., Puis.
Arnica, Tabac.
Ipec
Arn,, Ars., Sulph.
Camph., Nux v.
Aeon , Cham , Nux v.
Camph , Coffea.
Opium.
Bell , Merc, Nux v.
Nux v., Opium.
Camphor
Camph.,  Merc , Puis.
Pulsatilla.
Am , Ars  , Bell., Ipec.
Arsen., Nux v.
Belladonna.
Bell , Camph., China.
Puis., Camph.
Arn , Ars , China.
Camph., Coff. 
XVI    TABULAR  INDEX OF THE  MEDICINES.
Remedies.
Antidotes.
Lachesis.
Lycopodium.
Magnesia Carbonica.
Mercuriua

Mercurius Solubilis.
Natrum Muriaticum.
Nux Vomica.
Opium
Phosphorus.
Platina
Pulsatilla.
Rheum.
Rhus Toxicodendron.

Sambucus Niger.
Secale Cornutum.
Sepia.
Silicea.
Spongia.
Staphysagria.
Stramonium.
Sulphur.
Tabacum.
Tinctura  Sulphuris.
Veratrum.
Zincum.
Ars , Bell., Nux r.
Camph., Pulsat.
Camphor.
Arn. Bell, Camph., Sulph.,
     Hep, s.
The same.
Arsenic, Camph.
Aeon , Camph., Coff, Puis.
Camph., Hep. s, Sulph.
Camph , Coff, Nux v
Pulsatilla.
Cham , Coff, Ignat., Nuv v.
Camph , Cham ,  Coff.
Bell,   Bry,  Camph.,  Coff,
     Sulph.
Arsenic, Camph.
Camph, Opium.
Aconit, Spir nitr.
Camph Hep. s.
Camphor.
Camphor
Bellad, Nux  v.
Aeon , Camph, Merc, Nux ▼.
Camphor , Ipec, Nux v.
Aeon, Camph , Merc, Nux v.
Aeon , Ars , Camph., Coff.
Camph, Ignat., Hep.  s. 
INTRODUCTION.
   The principal  points we have to notice in this
part are, the Regimen to be observed under treat-
ment—Clothing and Habits—the Administration
and  Repetition of the Medicines—the Potencies
in general use, and  the terms Psora and Anti-
psorics.

                 REGIMEN.

   The excellence of the Homoeopathic system
of regimen—the jirst really founded upon a prin-
ciple in medicine—has  wrested approbation even
from our  opponents, although at the same time
they disingenuously make use  of it as a handle
against the science  itself, and ascribe the cures
effected,  to its observance, rather than to the effi-
cacy of the medicines.
   To individuals  unacquainted with Homoeopa-
thy,  the   regimen is represented as  extremely
rigid ;  to that assertion, a plain statement of the
course to be pursued in  genera] cases, will prove
the best  refutation ;  and it may also be observed,
that  at  first sight the self-denial imposed, seems
more stringent than it  will prove on being car-
ried into  effect, and that many individuals in the
Author's  own experience have pursued  the same
           2* 
18
INTRODUCTION.
 system of diet, after they have had no further oc-
 casion  for medical assistance,  thus continuing
 from choice what they had begun from necessity.
   The  Homoeopathic regimen consists merely of
 the avoidance of medicinal and indigestible  sub-
 stances during  treatment, both   as calculated to
 interfere  with the action of the medicines, and
 the proper functions  of the alimentary system.
 Consequently, among liquids, the proscribed  arti-
 cles are tea, coffee, malt liquors, wine and  stimu-
 lants of every description ; cocoa, unspiced  cho-
 colate, or, in fact, any non-medicinal beverage is
 allowable. Pure water in preference to all other
 drinks.
   In animal  food, pork, young  meats : such as
 veal, lamb, &c.  ; and  among poultry, ducks and
 geese had better He avoided, when derangement
 of the  digestive functions  exist.   Beef, mutton,
 venison, and most descriptions of game, are al-
 lowable at discretion.*
   Fish  is a wholesome article of diet, and  may
 be  partaken  of without scruple,  with the excep-
 tion of the  oleaginous  species,  such as  eels,
 salmon, &c, which had better be  avoided or used
 with extreme moderation.
   Stimulating soups and made dishes, are so evi-
dently   opposed  to Homoeopathic  regimen, as
 scarcely to require  further notice.
   Among vegetables, all of a pungent, aromatic,
or medicinal description, are prohibited ; such as

  * See  Manual of Homoeopathic Cookery, designed  chiefly
for the use of such persons as are under Homceopathic Treat
ment. By the wife of a Homoeopathic Physician.  Price 
INTRODUCTION.
19
onions  garlic,  eschalots,  asparagus,  radishes,
horse-radish,  celery, parsley, mint, sage, &c.  :
but others free from such quali;ies, such as pota-
toes,  French  beans, green  peas, &c,  may  be
used, with the needful precaution of avoiding any
particular article of diet, whether of the animal
or vegetable kingdom, that may seem to disagree
with the individual.   Spices, acids, and the ordi-
nary condiments, such as pepper, mustard, pickles.
&c, ought either to be  sparingly partaken of, or
entirely abstained  f-om, particularly by the dys-
peptic.
   Sub-acid or unripe fruits, are clearly objection-
able, and even ripe fruits should be used in  ex-
treme moderation, and by dyspeptic individuals
not at all ;—most fruits possess a laxative pro-
perty, even  when  preserved or cooked, and  are
particularly objectionable when in combination
with pastry.  We may observe  that the  straw-
berry should be avoided, from its being well known
to possess medicinal properties.
   During fevers and inflammatory affections, the
patient must  of course  be  kept upon a low regi-
men ; gruel,  barley-water, &c. ; a light pudding.
with a little weak  beef-tea or mutton or chicken
broth, should form the  whole of  the nourishment
given.   Nature, however, is  our best guide,  and
when she takes away appetite, thereby intimates
the necessity of not taxing the digestive functions.

         CLOTHING  AND HABITS.-*

    Upon  the first  point it were scarcely worth
 while entering into any observations, were it not 
20
INTRODUCTION.
simply to remark upon the impropriety of gar-
ments  impervious to  air, fitting closely to the
shape, and the custom  of exposing the extremi-
ties and chests of young children to  the chilling
atmosphere of  our  peculiarly  variable climate,
under the  absurd idea of making them hardy.
The evil consequences arising from the check
given to  perspiration  by  the  first  mentioned
practice, are too well known to require  any par-
ticular comment; but  as the  other  is  an error
widely  prevalent, we  consider  it  our duty to
mention it; and feel assured, that if mothers will
only reform their system, and clothe their  chil-
dren in a more rational manner, they will make
no slight advance towards the prevention of se-
rious affections, not only during childhood, but in
after life.
  As regards habits, we may briefly observe, that
a systematic course of life, avoiding  late hours,
dissipation, over-study, anxiety, and other mental
emotion, and taking  sufficient air and  exercise,
are the best preservatives of health.
  Excessive warm or cold bathing are injurious,
particularly the former. The idea that sea-bathing
is almost  universally  beneficial, is  exceedingly
erroneous ; there are many constitutions on whom
it produces far other than a salutary effect.  Medi-
cated baths, either natural or artificial,  are, it is
scarcely necessary to observe,  strictly forbidden
under Homoeopathy.   Bathing the whole frame
with a sponge, with cold or scarcely  tepid water,
and the use of  the flesh  brush,  is by no means
opposed to treatment.
  The  use of  any  medicinal  or aromatic sub-
% 
INTRODUCTION.
21
  stances in the arrangement of the toilet, such as
  medicated dentrifices,  lip-salves, smelling salts,
  or  cosmetics, is detrimental to the action of the
  medicines, and had therefore better be avoided.
    The deleterious gas that flowers emit during
  night, renders their presence in  bed-chambers
  highly reprehensible.

  ADMINISTRATION  AND   REPETITION
            OF THE MEDICINES.

   Upon this subject we will offer a few remarks,
 promising at the same  time, that it is almost im-
 possible  to give  any general rule that  will serve
 in all cases, much more depending upon the dis-
 crimination of the  administrator, and a careful
 observance of the symptoms, than routine.
   In  acute diseases,  we  must,  then, carefully
 watch the  symptoms, and when we feel assured
 we have chosen the  proper remedy, if no percep-
 tible medicinal aggravation  or amelioration de-
 clare itself, but the disease seems  to gain ground,
 we must repeat the  medicine.  In  cases of high
 inflammatory action, Aconite has sometimes to be
 repeated  every  two hours, hour, or even ten
 minutes.
   I? a. medicinal aggravation take place, followed
 by amelioration, we must let the medicine continue.
 its action until the amelioration appear to  cease,
 and the disease again make head;  if new symp-
 toms  set  in, we  must then have recourse to the
 medicine  thereby indicated.   Should,  however,
 no perceptible medicinal aggravation take place,
but an amelioration follow, we jnay safely await 
22
INTRODUCTION.
 its approach to its termination, ere we again ad-
 minister.  If new symptoms arise, we must have
 recourse to the medicines they point out.
   In chronic and sub-acute cases, we may, when
 we feel  sure of the  medicament being correctly
 chosen,  allow  it  to continue  its' action for the
 space of eight days.  The following medicines,
 however, possess a  shortlived  action, and  may
 consequently be followed by another, or repeated,
 if  necessary, at  less  protracted intervals; the
 briefness of their  action  corresponds with the
 order in  which they  are placed ; Aconite, Ojium,
 Rhmm, Ipecacuanha, Chamomilla, and Coffea ; of
 the  first  we have already spoken; the second
 may be followed by another remedy in the course
 of about twelve hours ; to the  rest  we may, in
 general cases, allow  an action  of from one to four
 days, according to their order.
   The distinguishing of the medicinal aggrava-
 tion, from  that of the  disease,  being a point of
 material  consequence, we will  here give the pe-
 culiar  characteristics of each.   The  medicinal
 aggravation comes on suddenly and  without  pre-
 vious amelioration ;  the aggravation of the dis-
 ease more gradually, and frequently follou-ine an
 amelioration.  Moreover, in the former, several
 of the  medicinal  symptoms, some of which  we
 may meet under the  indications  for the remedy
 and not before remarked, declare themselves.
  In  the SELECTION OF  THE  REMEDY, it is OOt
necessary that all the symptoms noted  should be
present;  at the same time taking care, that there
are no symptoms not  covered by the medicine/or
more strongly indicating another. 
INTRODUCTION.
23
  When we find symptoms  not covered by a re-
medy, which nevertheless appears indicated,  we
may, with advantage, avail  ourselves of the ta-
bular index of  the medicines, and see if the
symptom required to complete the diathesis, is
given under the medicament in any other part of
the work.  In other cases, where different medi-
cines are pointed  out as useful in an affection, we
may make use  of the  table, and  by carefully
noting  the  symptoms  given under them else-
where, thereby  be enabled to select the remedy
most clearly indicated.
        OF THE MEDICAMENTS.

  The high potencies are  indicated for chronic,
and the low for acute diseases.  One of the best
rules seems to be, to  make use of the high poten-
cies  when  the vital power appears to require
stimulating ; they may consequently be adminis-
tered with great advantage to very young chil-
dren or aged individuals.  The low are particu-
larly serviceable when we  have to contend with
a material cause.
  The physician, however, for many reasons of
his  own, may  choose to  vary his potency, to
change from a high to a low,  or vice versa.  We
may, however,  hope  that the  mode we have laid
down will apply in general cases, and when  the
medicine has been judiciously selected, always
with the highest success. 
24
INTRODUCTION.
       PSORA  AND  ANTl  I'SORICS.

   As we  have frequent  occasion, in the course
of this work,  to make use  of the word psora,
and to point out different affections requiring a
course of \ vn-rsoiucs, wo may observe, that we
understand by the word, an inherent vice of con-
stitution, generally  hereditary, evincing itself in
several, and called into action in other diseases.
Although  there arc  two  other virus  noted by
Hahnemann, which form the source of numerous
affections,  we shall, nevertheless, content our-
selves with classing them under the one general
term, which although, strictly speaking, far from
correct, will, in a work of this kind, answer every
practical purpose.
   II)  am'i-fsorics, we mean medicines particu-
larly calculated to combat that virus, or miasm.
                                   J. L. 
THE
       HOMCEOPATHIC

DOMESTIC   MEDICINE.
                  PART  I.

 ON THE SYMPTOMS, CHARACTER, DISTINC-
     TION, AND TREATMENT OF DISEASES.



        ERUPTIVE  FEVERS.

             SCARLET FEVER.

   This disease, in its simple generic character,
 takes its name from the scarlet appearance of the
 skin, which is of a bright raspberry  red colour,
 or of a hue resembling a boiled lobster, smooth
 and glossy, upon which the finger  being pressed
 leaves a white imprint, which almost immediately
 disappears.   However, in  the present day, we
 seldom meet with it in this simple form, but more
 frequently accompanied  with  sore  throat, and
t sometimes complicated with ulcerated ^ore throat,
 delirium, and congestive or severe inflammatory
 symptoms.
            3 
26      '      eruptive  fevers.

  Scarlatina was formerly confounded with Mea-
sles, from the resemblance  which the two erup.
tions bear to each other at their commencement;
but they are easily distinguishable, even  without
taking into consideration the peculiar appearance
of  the  skin  above-mentioned—characteristic  of
the disease,—by the eruption in  Scarlet Fever
generally  developing itself  in  forty  eight hours
from the commencement  of the fever, whereas
that of .Measles rarely sets in before  the third  or
fifth day.
  In those  rare cases in which it appears in its
simple form.  Belladonna alone  is a sufficient re-
medy.   We may administer a teaspoonful of this
solution every six or even three hours, if the fever
run high, lengthening the intervals as it decreases
in intensity, only repeating  when a cessation  of
the amelioration takes place.  We ought to watch
carefully after each administration, for if the fever
increase soon after, we  may  conclude it  is a
medicinal action, and avoid aggravating it  by  a
repetition of the  dose ; with  infants we may sub-
stitute a higher attenuation.
  The next form which we shall treat of, is when
the Scarlatina becomes a severe  and dangerous
disease, when the throat is  affected, and inflam-
matory  and  high fever or congestive symptoms
set in, which, if not properly  treated, may assume
the malignant type, attended with ulcerated  sore
throat, extension of the  inflammation to  the air
passages, delirium, __c.
  It has been always remarked, that the greater
the efflorescence, the less  the intensity  of the
other symptoms ; it is when  the disease appears 
                SCARLET FEVER.             27

 principally  to  attack the head and throat that it
 becomes dangerous.
   BePadonna  should be administered  as soon as
 the  eruption  begins to declare itself,  when the
 throat and tongue  become affected with dryness
 and burning ;  desire, but complete inability to
 swallow even drinks, or saliva, with sense of suf-
 focation ; throat bright red, sometimes excoriated,
 with white  specks, or stringy mucus, or appear-
 ance like thrush, tonsils swollen, internally  and
 sometimes externally, the tongue of a bright fiery
 red, sometimes interspersed with  dark red patches,
 generally appearing later in the  disease, if at all;
 also when delirium is present.
   If the disease have taken a favourable turn, we
 may allow the  Belladonna to continue its action ;
 but if we clearly perceive an  appearance of ulcer-
 ation commencing, with increase of mucus, and
 swelling of the throat, we must have immediate
 recourse ioMkrcurius, unless the ulcers present
 a livid appearance  about the edges, emitting an
 offensive  odour, with excessive thirst or  gastric
 derangements ; also if great prostration of strength
 be  present, in  which case we may exhibit Ar-
 senicum, to be  followed by Nux Vomica, if it fail
 to relieve the totality of the  symptoms.   Some.
 times Acid. Phosph., Sulph., or Calc
   When the fever assumes a clearly inflamma-
 tory type, and the pulse runs  high,  we  may  ad-
 minister Aconite, to be repeated  according to
 results ; being guided by the same rules we have
 above stated, bearing in mind that this medicine
 is very prompt in its action, and therefore gene-
rally requires to be repeated more frequently than
Belladonna.  When the quickness  of pulse and 
28
ERUPTIVE FEVERS.
other inflammatory febrile symptoms are subdued,
and the affection of the throat again appears pro-
minent, we may return to Belladonna.
  Opium may follow the  administration of Bella-
donna, when there is burning heat of the skin,
drowsiness,  stupor, stertorous  breathing,  open
mouth, eyes  half closed, restlessness with vomit-
ing, or convulsions.
  Pulsatilla, when derangement of the stomach
and digestive organs is a prominent symptom, the
face  pale  or red  and  bloated ;  constipation or
looseness, especially at night, occasionally with
pains in the bowels, and shivering ; disposition
fretful  and sensitive, or melancholy.
  Wo frequently find this affection in a complica-
ted form, distinguishable from pure Scarlet Fever
by the absence of the peculiar hue of the skin, of
which  we  have spoken at the commencement. In
such cases we may have  recourse to the follow-
ing remedies :           *
  Coffea,  when  the  appearance  of  the  skin
closely resembles purples, with extreme nervous
sensibility to pain, sleeplessness from excitability,
disposition to tears, with tossing and restlessness.
Aconite, may follow, if Coffea  fail to  relieve,
particularly  when  a high pulse is  present.
  Ipecacuanha, when there is distressing tight-
ness of the  chest, and  the  fever heightens to-
wards evening, with symptoms of nausea, or even
vomiting ; diarrhoea with colic, face sallow,  rest
broken and  agitated, moaning, and disposition to
weep ; particularly if the clear Scarlatina hue is
less  defined, or the  skin is  studded with small
elevations, perceptible to the  eye  and touch. 
scarlet fever.
29
  In psoric habits of body, or in instances when
the disease has been allopathically  treated from
the commencement,  many troublesome sequelae
are left.  A gainst the following, Belladonna is ex-
tremely efficacious :  puffiness of the face, swell-
ing of hands and feet, lingering fever in the even-
ing, glandular enlargements, chaps  about  the
mouth, severe headaches, stammering, &c.
   Dropsical  swelling  of the whole body is  not
an  unfrequent sequela, requiring a most  careful
and discriminating treatment.
   Scarlet Fever  is chiefly dangerous when  the
latent psoric virus is called into activity, and as-
sociates  itself with  the disease ;  in  such cases,
the Allopathist finds himself baffled  by an  evil
against which he  possesses  no  specific remedy,
and the utmost skill  of the Homoeopathic  practi-
tioner  is called into play.   Such,  it is evident,
are far beyond the sphere of a work of this na-
ture, and were we to enter upon them, we might,
with the purest motives, commit irreparable mis-
chief by inducing many to attempt the treatment
of  those dangerous forms of this malady, which
fall so immediately within the  province of the
experienced physician.
   Belladonna is valuable as a preservative  against
pure scarlatina,  when epidemic,  and moreover
greatly assists in modifying the character of the
disease, in such individuals as do not wholly es-
cape its attacks; with children a dose may be given
every  week,  and with adults, or robust children
above  ten  years  of age,  every four or  five  days
for three  or four weeks, which will generally be
found  sufficient to  obviate any risk ; should the
               3*                         v 
30
eruptive fevers.
disease continue to rage, the treatment may be
renewed at the end of about three  weeks : if the
ruling epidemic be  Scarlatina in  a complicated
form, that is, not possessing the clear Scarlatina
hue, we should  alternate  this  medicine  with
Aconite, allowing the latter an  action of about
twelve hours, and afterwards proceeding with the
Belladonna a* before. While taking these medic-
aments, the patient must adhere  strictly to the
Homoeopathic diet, particularly avoiding wine and
acids.  We must,  in ad?ninistcriiif> prophy'ac/ics,*
carefully iratrh their effects,  and  if a medicinal
action set in, discontinue  immediately.

                 MEASLES.

  Thi> disease generally reigns as an infectious
epidemic, and for the most part confines its attack
to children, in which case  it is  seldom,  when
properly  treated, either severe or dangerous ; al-
though adults sometimes suffer from its influence,
when  it  generally assumes a more critical char-
acter.   It rarely attacks an  individual a second
time.
  Measles is not so  much to  be dreaded  for itself,
as for the deleterious consequences which,  under
an improper mode of treatment, it frequently en-
tails, or  to use  the technical term, the dre°s  it
leaves after  it, in  many constitutions developing
an inherent disposition to consumption.
  This malady  is  ushered  in  by the symptoms
* Prophylactics, medicines  taken as preventives  of i, 
MEASLES.
31
common to fevers, alternate heat and chills, &c,
preceding the eruption four or five days, with the
distinction of a catarrhal affection, which gene-
rally  runs its course to the termination  of the
disease.
  The eruption in Measles  consists of a number
of small red spots (frequently papular) the skin in
the intervals between them  generally preserving
its natural colour, and sometimes a faint reddish
hue.  We often  find them in the shape of small
irregular  arcs; the eyes of the sufferer are gene-
rally  red and watery.  They for the most part
make their first appearance  on the face and neck,
become confluent, and extend themselves  gradu-
ally downwards over the rest of the frame.
  Aconite has been regarded, in some instances,
as almost  specific against  Measles,  and  in  its
mild form will frequently be found sufficient, in a
few doses, to conquer the disease, or  at least ma-
terially  to shorten its duration ; it is  particularly
indicated  when  the  fever assumes an'inflamma-
tory form, attended with dry  heat of the skin, heat
in the head, w;th confusion and giddiness, redness
of the eyes,  intolerance of  light, general  weak-
ness  and prostration.   We   may administer   a
dose  every  twelve,  or  in  severe cases,  every
eight  hours, and  continue the treatment till we
find an amelioration,  should none of the symp-
toms,  hereafter mentioned, indicate the necessity
of having recourse to another remedy.
  Pulsaiilla  is also  very efficacious, and even
specific  in this  disease,  and  is frequently indica-
ted  in the commencement, from the strong resem- 
32
ERUPTIVE FEVERS.
blance which some of its pathogenetic*  proper-
ties bear to the catarrh attendant upon measles,
together  with  the  characteristic exacerbation  of
the symptoms  towards evening.  As a general
rule,  it may be  administered  every three  days,
while the same  indications continue,  until ame-
lioration  takes place ; or sometimes in alternation
with the  Aconite, which may always be consider-
ed indicated, when decidedly inflammatory symp-
toms  set in.   Pulsaiilla is  also valuable when
any gastric derangement is present.
   Belladonna, when the inflammation attacks
the throat,  presenting  many of the throat symp-
toms   we have  given for the  medicine under
Scarlet Fever, attended with great thirst, which
the patient is  often prevented  from  indulging by
the acute shooting or pricking  pain  in the throat
produced by swallowing ; and further, when there
is a hoarse, dry,  barking, and somewhat spasmo-
dic cough, worse at. night, with restlessness and
high nervous excitement ; also in those cases  of
Measles  where  no eruption  declares itself, but
simply headache and catarrh,  with inflammation
of the eyes, which present a glassy appearance,
are bloodshot or  streaked, and  watery.
   Bryonia is an  excellent  remedy  when the
lungs  and  chest seem affected, which discloses
itself by  shooting pains, increased by respiration
and extending themselves between the shoulders.
   This disease has frequently terminated fatally,
from  the eruption being driven in  by sudden ex-

   * Pathogenetic symptoms.  Those caused by the action
 of the medicine upon a healthy individual. 
SMALL  POX.
33
 posure to cold or change of temperature ; in such
 cases, Bryonia, as above, is generally found effi-
 cacious in re-evolving the eruption, and prevent-
 ing this disaster ; if diarrhoea, with  mucus dis-
 charge,  follow the suppression,  Pulsatilla  is
 indicated ; if the  vomiting be the more prominent
 symptom, Ipecacuanha should be substituted.
   For the treatment of coughs that Measles, not
 carefully treated,  sometimes leave after them, see
 Coughs.
   For the diarrhoea remaining under similar cir-
 cumstances, see Diarrhea.
   As a precautionary measure against the attacks
 of this  disease, when epidemic, we may admin-
 ister  Pulsatilla, followed by  Aconite  three
 days  after;  allow the  latter medicine to act for
 twenty-four hours, and continue  the alternation
 for a fortnight,  renewing it, when necessary, at
 the termination of a  week or ten days.   This
 treatment will  frequently be  found sufficient in
 warding off this disease, or, if taken, it will be in
 an extremely mild form.

               SMALL  POX.

  This  disease  is, by pathologists of the present
day, divided into two varieties—the distinct, when
the pustules on the face are clearly defined, and
do not run into one another;  the confluent, when
they coalesce and form one continuous whole.
  When the  symptoms are less severe than those
properly characteristic  of the disease, and the
eruption on the face slight, it is called the  Modi-
fied Small Pox.  We generally find this descrip- 
34            ERUPTIVE  FEVERS.

tion in such persons as have been properly vacci-
nated, which precaution, although not always a
preservative from  the attacks of variola, greatly
lessens its virulence,  and gives a milder charac-
ter to the complaint when  taken.
  This disease  is frequently very sudden in its
attacks, commencing with chilliness and shiver-
ing,  followed  by  febrile  symptoms,  with severe
pains in the small of the back and loins ; the pa-
tient also complains  of headache, oppression of
the chest,  and  acute pain in  the pit  of the sto-
mach, increased by pressure. The eruption makes
its appearance at the close of  the third  day, first
on  the  face and  hairy scalp, then on the neck,
and afterwards spreads over the whole body. Ca-
tarrhal symptoms,  sneezing, coughing, wheezing,
and frequently difficulty of breathing,  accompany
this disease, commencing  when the  pustules de-
clare themselves, the second or third day from
the  commencement of the  eruption,  and also
while they are coming out.
   The eruption  first appears in the shape of small
hard  pointed elevations, which become depressed
in the centre as they enlarge, and contain a semi-
transparent fluid with inflamed circular margin ;
about the sixth day the depression in  the centre
disappears, from the lymph  in the pustule chang.
ing into pus.  When the  pustules have attained
their full  development, in  most instances about
the eleventh day,  they generally burst, in mild
 cases emitting an opaque lymph, which dries into
 a crust and falls off;  in  severe  ones,  we  find a
 discbarge  of  puriform matter, forming  scabs and
 sores,  which leave,  on their healing, permanent 
                   SMALL POX.               35

 marks or pits.  Red stains,  caused by increased
 vascular action, always remain for a while after
 the eruption;  but  if no  ulceration  has taken
 place, they disappear in process  of time.
    In  Confluent  Small Pox, all  the  precursory
 symptoms are more severe, the eruptive  fever
 runs it course, the  pain in the pit of the stomach,
 and difficulty of  breathing, are more complained
 of, and in children the  eruption is frequently pre-
 ceded by  convulsions  and  delirium; the latter
 symptom is frequently present with adults during
 the suppurative or secondary fever, which gene-
 rally assumes a typhoid type, and if not properly
 treated from the commencement, sometimes car-
 ries off the patient on the eleventh day;   indeed,
 some exceedingly rare cases in which we have a
 deeply rooted  psora to contend against,  require
 the utmost  skill of the  experienced practitioner
 to ward  off a fatal result.
   Before we come  to the medicines to be admin-
 istered in the different stages of this disease, we
 may say a few words upon  the treatment of the
 patient.
   The room ought to be kept at a moderate tem-
 perature, not allowing too great a quantity of bed
 clothes, yet not so low  as to impede the proper
 development of the eruption.   W7hen the vesicles
 declare themselves, and begin to form into  pus-
 tules, the room ought to  be kept as dark as possi-
 ble, to aid in preventing the  risk of disfigurement,
 a precaution deducible from common experience,
 since we find that the parts of the frame exposed
 to the action of the light are always those most
strongly marked by the ravages of the disease; 
36
ERUPTIVE FEVERS.
the exclusion of air seems  also  to be preventive
of injury to the  skin, and consequently many phy-
sicians have  adopted  a mask or plaster for the
face, of different  substances, such as gum muci-
lage, calamine,  &c, to effect this desirable object.
We have, however, in the general course of prac-
tice, found the  specific action of the medicines
sufficient to obviate all evil consequences of this
nature, without requiring to have recourse to the
last mentioned  precaution.
   We shall now proceed to  the enumeration of
the medicines which  are generally administered
in this disease.
   In the first stage, that is, when the eruption is
coming out, the best  medicaments  to assist  the
natural course  of the distemper are Coffea and
Bryonia.
   Coffea is valuable  in allaying the nervous ex-
citability generally present.   Aconite may either
follow or precede this  medicine, when the  fever
runs high, and threatens visceral congestion, and
may be repeated after a short interval, according
to the effect produced.
   Bryonia is especially intended to develop the
eruption ;  also  when  considerable  symptoms of
gastric derangement are  present, such as bitter
taste in the mouth, foulness of the tongue, head-
ache, rheumatic pain in lire limbs, increased by mo.
tion, constipation and  irritability of disposition
and is useful  in the more advanced  stages of the
disease, when  the pustules have declared them-
selves ; also  when an inflammatory action of the
respiratory organs seems threatened, indicated by
occasional shooting pains in the  chest, especially 
SMALL POX.                37
 during respiration ; it  may  be  preceded or fol-
 lowed by Aconite, should there be considerable
 fever, with dry heat of the skin.
    Belladonna.—This remedy may follow Aco-
 nite  when the latter has been  indicated, should
 symptoms of  cerebral disturbance have set in,
 characterized by flushed countenance, intolerance
 of the eyes to light, headache and delirium ; to be
 continued until we have subdued the symptoms,
 care being taken not to repeat, as long as improve-
 ment is going on ;  and carefully noting the medi-
 cinal aggravation, if it  declare  itself, as another
 sign for a temporary discontinuance.
    Opium is  useful when there  are symptoms of
 stupor or strong inclination to somnolence.  Should
 the gastric symptoms be attended with diarrhoea
 and severe vomiting, we  may administer Ipeca-
 cuanha.   In children, Chamomilla is frequently
 preferable to Ipecacuanha, and  is useful  for the
 convulsions that sometimes set in.
   Pulsatilla.   When there  is  a gastric de-
 rangement with nausea, but  the vomiting not so
 severe, and when the symptoms are aggravated
 towards evening, particularly when  the patient is
 of a mild  or phlegmatic temperament.
   If Ipecacuanha do not succeed, and the vomit-
 ing increase considerably, with excessive thirst
 and dryness of the  mouth, the tongue very foul and
 dark, a tended with excessive prostration of strength,
 we may administer Arsenicum.  The last symp-
 tom generally occurs after the maturation of the
eruption .and secondary  fever (when present), in
which case we  may substitute a  higher attenua-
tion, which will generally sufficiently restore the
             4 
38
ERUPTIVE fevers.
vital energy  without  an injudicious alteration in
nutritive diet, or having recourse to wine or tonics.
Stramonium  is useful  when some pustules are
already formed, in  forwarding  the  eruption and
shortening its duration.
   During the filling up  of the pocks, a secondary
or suppurative fever  frequently  sets in, particu-
larly when the pustules are thick and evince a
disposition to run into the confluent form ; when,
moreover, there is inflammation of the eyes, throat,
and nose,  with salivation ; having, if called  for,
first  attacked the  more  prominent febrile symp-
toms with AcomtiT, we should administer on the
same day, Miohc i kius.
   While the  disease is running  its course, parti-
cularly  during the  distention  of  the pustules,
should  no other remedies be imperatively called
for, and also towards the  period of their bursting,
we may safely administer an occasional  dose of
M rcurius as above, in the latter case followed by
Sclimilr, to assist  in  the desiccation.
   During the period  of desiccation, continual
laving  with tepid water  and bran, and gently dry-
ing it afterwards, will be sufficient ; cleanliness
being then the great  requisite, with a careful at-
tention to  diet.
   Some physicians, in their treatment of  this af-
fection,  divide it  into distinct stages ;  we have
contented ourselves, when necessary, with slightly
referring to them.  To the practitioner they are
sufficiently well known ;  and the nonmedical ad-
ministrator must be guided by the symptoms that
present themselves  from  time to time,  in the se-
lection of the remedy, by which mode  he  is less 
chicken pock.                39
likely to  fall  into error, than he might be were
he to act  by mere routine.
   Modified Small Pox is merely a mild descrip-
tion of the  above, and  as we  have before  said,
is the form  the disease  generally assumes, when
it attacks those  who  have been properly vacci-
nated.  We must regulate our treatment accord-
ing  to  the  symptoms,  being guided in  the se-
lection of the remedies by the indications before
given.

              CHICKEN POCK.

   This disease bears a  considerable resemblance
in its external character to small pox,  but differs
symptomatically, being considerably milder, gene-
rally requiring no medical assistance, but merely
attention to diet;  and  but rarely becoming dan-
gerous, except when it  extends itself to the lungs
or brain.
   When this  affection attacks an individual,  and
small pox is epidemic,  which is not unfrequently
the  case, it is  often mistaken for that disorder,
but  it soon  discovers  its  real character,  by the
rapidity with which  the eruption declares itself;
the  pustules, (in many instances closely  resem-
bling those  of the -small  pox,)  being generally
fully matured  by the third day, and the whole
eruption disappearing at the end of the fifth, with-
out leaving  any mark.
  With regard to the treatment, when fever does
exist, we  should check it by the administration of
Aconite, or Coffea, if there is simply extreme
restlessness or anxiety.  When cerebral syrnp- 
40
ERUPTIVE FEVERS.
 toms threaten, Belladonna ;  for the indications
 of this  medicine,  see  Inflammation of  the
 Brain.   When attended  w.ith convulsions  in
 children, particularly during dentition, see  Con-
 vulsions.
   Mercuries may be  given when the lymph  of
 the pustules becomes converted into pus, as in the
 small pox, and  is also beneficial if strangury be
 present.   In anomalous cases,  where other symp-
 toms supervene, more closely resembling Small
 Pox, we   may consult  the remedies mentioned
 under that disease.

             MILIARY FEVER.

   The characteristic eruption of this disease, con-
 sists of a gieat number of exceedingly small round
 transparent vesicles, or  points irregularly scat-
 tered, of the size of millet seeds, (hence its name,)
 which, when the hand is passed over the surface,
 feel as if there were small guains of sand beneath
 the cuticle.   This   affection is sometimes idio-
 pathic, but more frequently associated with fever,
 and even occasionally present  in various chronic
 diseases,  in which latter instance it may generally
 be considered as  an evidence of some internal
 constitutional taint ; it is also not uncommon with
 women at the period  of confinement, arising from
 the room  being kept at too high a temperature—
 a frequent cause of this malady.  This, like other
 cutaneous affections of the same nature, is gene-
rally preceded by febrile symptoms, the eruption
appearing on the fifth or  sixth day;  previous to
the vesicles evolving themselves, there is a ting 
MILIARY FEVER.
41
ling or itching of the skin, occasionally attended
with a sensation of burning, together with a numb-
ness of the extremities  ; the patient complains of
a sense  of  oppression at  the chest, sometimes
with cough and stitches in the side, and not un-
frequently of severe, or fugitive rheumatic  pains
in the limbs and teeth.  The skin is sometimes
dry,  at  others  perspires  profusely with a sour
smell ; low spirits are  a frequent accompaniment
of this affection.
  With regard to the  treatment, in consequence
of the numerous diseases with which it is compli-
cated, it requires a variety of medicaments.  When
it appears in a simple  and apparently idiopathic
form, and is attended  with anxiety and restless-
ness, which seems to depend upon an accelerated
circulation of the blood with great internal and
external heat, Aconite is a specific remedy; and
when the above seem  more particularly to arise
from high nervous excitability, and the feeling of
anxiety is less, Coffea is  the remedy.
  Belladonna, when the accelerated circulation
is attended  with considerable  determination of
blood to  the head, and delirium.
  When the disease is found conjoined with puer-
peral or other fevers, and is preceded by oppres-
sion,  lassitude, anxiety,  and a  sense  of weight
about the chest, restlessness, sighing, &c.  ; it is
generally speedily  subdued by  a dose or two of
Ipecacuanha, repeating the dose in two days if
no action of the medicine declare itself; or should
the symptoms which precede the eruption  be ac-
companied  by constip"lion, or  shooting pains in
the chest, Bryonia should be selected.
            4* 
42            ERUPTIVE FEVERS.
  When this disease comes on in children, brought
about by the same cause, viz., excessive war.ntti,
or even errors in diet, attended with a greenish  or
watery yellowish diarrhoea,  we may administer
Chamomilla, followed,  if  no  alteration  take
place, by Sulphur.

             NETTLE  RASH.

  This eruption is one in many points resembling
the  stinging of nettles,  whence  its name.  It
generally presents the appearance  of red eleva-
tions of the  cuticle, with a white spot in the cen-
tre ; sometimes, on the contrary, these eminences
have a red appearance, but it is easily distinguish-
able from other eruptions, by the suddenness with
which it is  evolved, disappearing in one place to
re-appear in another.
   This eruption  is  brought to the surface  by
various causes, not unfrequently arising from  in-
digestion, caused by the use of improper articles
for food.  Before the eruption discloses itself, the
patient is affected with restlessness, languor, op-
pression, and want of appetite, derangement of
the  digestive functions,  and fever.  When the
eruption breaks out, the above symptoms become
relieved, but considerable  suffering arises from
heat and itching; sometimes swelling of the parts
affected;  this   being  merely a development of
Psora, or, in the words of the Allopathic physiolo-
gist, arising from a constitutional cause, requires
for  its  total eradiction, a  course  of antipsoric
treatment.
   In acute  cases, the remedies found most useful, 
                 NETTLE RASH.              43

 are Dulcamara, Aconite,NuxVomica, and Bryonia.
 The  first remedy is almost specific, when there
 is considerable fever, with  bitter taste  in  the
 mouth, foul tongue, diarrhoea, pains in the limbs,
 and extreme  itching,  with a burning sensation
 after scratching.
   Aconite, when the febrile symptoms are more
 intense, the pulse high, the  skin hot and dry,
 great restlessness and anxiety present.
   Nux Vomica, when there is considerable gas-
 tric derangement, particularly constipation, more
 especially  when arising  from wine,  stimulants,
 or indigestible substances ;  and may, if necessary,
 follow Aconite in eight or twelve hours after  the
 febrile symptoms are somewhat  modified.
  In  this,  as  in every other cutaneous eruption,
 great care  ought to be taken  against  driving in
 the eruption by  external applications or lotions;
 their  sudden suppression, as  before noted under
 Scarlatina and  Small Pox, being  frequently
 attended with fatal consequences.  When,  how-
 ever, from improper treatment, we have reason to
 dread this having  taken place, we  should admin-
 ister Bryonia, which will generally be found suf-
 ficient to bring back the rash, and prevent further
dangerous consequences. 
44
 DISEASES   OF  ORGANS   CONNECTED
    WITH THE DIGESTIVE  SYSTEM.


               TOOTHACHE.

   When we find a constant disposition to this dis-
tressing malady, on the slightest exposure to cold,
 without any presumable  cause, or what is gene-
rally called rheumatic toothache, we are warranted
in concluding that a psoric virus lurks in the con-
stitution ; and until means are taken for its eradi-
cation, even the remedies most clearly indicated
under other circumstances, fail for its relief, or at
most but temporarily alleviate its pains.   Another
obstacle to the selection of the proper remedy, is
the difficulty we find in obtaining from the patient
a perfectly clear description of his sensations. We
shall, nevertheless, mention a few of the remedies
which  have proved most efficacious in the  relief
of  toothache,  and when the symptoms of  the
sufferer approximate  closely to the indications
given for the medicine, they will, in very many
cases, afford a prompt relief;  among these", Bella-
donna,  Chamomilla, Mermrius, Nux Vomica Pul-
satilla, and  Sulphur,  hold a high rank.  The
medicine  selected may  be  administered every
half hour.
   Belladonna is particularly indicated  when
the pains are very severe, of a drawing, tearine
or shwunm  nature, extending to  the  face and
ears ; becoming aggravated  m  the  evening, and 
                  toothache.               45

especially at night, with gnawing or boring pain
in the  carious teeth, swelling of the gums and
cheeks, dryness of the mouth, with excessive ihirst,
with, or without salivation ;  renewal of the  pains
from intellectual labour, or after eating ; aggrava-
tion of suffering when masticating, also in the open
air ; congestion to the  head, with  heat and red-
ness of the face, also  pulsation in the head and
cheeks.
   Chamomilla, when there are severe drawing,
jerking, pulsative, or shooting pains ; heat and
redness, especially of one of  the cheeks; the pain
becomes almost insufferable,  especially at night in
the  warmth of the bed;  shooting  and pulsative
pains in the ear and side affected,  the pains are
aggravated by eating,  or drinking anything hot or
cold, but especially the former; great agitation and
loss of sense  from  pain,  or excessive  weakness,
sometimes amounting to fainting; great irasci-
bility, and disposition to shed tears during the
paroxysms.   Chamomilla  is useful  in cases of
toothache which have arisen  from  abuse of Cof-
fee, in which affection Nux Vomica and Pulsatilla
are also valuable,when indicated by the symptoms.
   Mercurius is  particularly indicated when the
pains affect carious teeth, or exist in  the roots of
the tee'h, and consist of fearing, shooting pains,
occupying the whole side of the head and face, and
extending to the ears ; loosening of the teeth, and
a feeling as if they were too long ; the pain be-
comes  almost   insupportable  towards evening,
and especially at night in the warmth of the  bed;
aggravated when  eating  or drinking, particu-
larly  after anything cold,  also by exposure to 
46
DIGESTIVE  SYSTEM.
cold or damp air ; swelling and inflammation of the
gums; nocturnal  perspiration, peevishness,  and
inclination to tears ;  it is especially useful in per-
sons who are subject to glandular swellings.
  Nux  Vomica is useful  for persons  who  are
habituated to wine, coffee, or other stimulants, or
addicted  to  sedentary life  or study ; of lively or
irritable  temperament, dark or florid complexion ;
sufferings increased by intellectual labour.  The
pains generally occur in carious teeth, and are of
a drawing  and jerking or corrosive  description,
occasionally diffusing themselves to the head  and
ears,  sometimes  attended  with painful enlarge-
ment of the submaxillary glands ; gums swollen
and painful, accompanied with throbbing and pul-
sation.  The toothache is more liable to come at
night or  on awaking in  the morning, sometimes
also after dinner or in the open air.
  Pulsatile \  is peculiarly adapted to  persons
of a m'Id. or phlegmatic disposition.   The pains
are digging and gnawing, attended with pricking
in the gums, extending to the face, head,  eye, and
ear of the side  affected ;  this remedy is  particu-
larly efficacious in toothache, attended with ear-
ache,  with paleness  of the face, and when the
toothache has  been  excited by  taking  cold, or
where we  find  shortness and  difficulty of breath-
ing; the pains  are sometimes of a drawing, tear.
ing, shooting, or jerking description, and occasion-
ally produce a sensation as  if the  nerve were
drawn tight, and then suddenly relixed ;  the pain
is much  aggravated in the evening or after mid-
night, generally increased by warmth, and when at
rest, and mitigated by cold air or cold applications
to the mouth. 
TOOTHACHE.
47
  Sulphur. This remedy is particularly valuable
in psoric constitutions, with a tendency to consti-
pation ; pain, sometimes  attended  with swelling
of the cheek and shooting pains in the ears, conges-
tion of blood to the head, and pulsative headache ;
the pain is of a tearing, jerking, pulsative descrip-
tion, affecting both carious and sound teeth ;  pains
are aggravated in the evening and at night, or by
exposure to the  open air, also by the application
of cold water or  by mastication ; loosening, sen-
sation of elongation, and setting on edge of the
teeth ; the gums  are swollen, attended with pulsa-
tive pains, and bleed easily.
  Bryonia, is also a useful remedy in this  affec-
tion, particularly with persons of a lively, choleric,
and  obstinate  disposition.   Its  indications are
loosening  and sensation  of elongation of the  teeth,
especially during or after eating ; shooting in the
ears, with inclination to lie down, pains aggravated
by taking anything  hot in the mouth, mitigated
by lying on the  affected side, or exacerbated by
the contrary position.
  Aconite, Belladonna,  Chamomilla, Coffea, and
Ignalia,  are  useful in affections of this nature
with children.
  Aconite.  When the  pains  are difficult  of
description, attended with great agitation, fever-
ish sensations, blood to the head, heat and red-
ness of the  face, and  when the  pains  are de-
scribed as of a pulsative, throbbing nature.
  Coffea.   Against violent  pains with  great
excitability  and  almost  distraction in adults ; also
when the patient is conscious  that the excitement
is disproportionate to the pain suffered. 
48
DIGESTIVE  ORGANS.
  For Chamomilla we have already given indica-
tions ; if it prove  insufficient, and the toothache
has been caused by a chill, and  is attended with
diarrhoea, we may  substitute Dulcamara.
  Igvatia  is  suitable to those cases  presenting
similar indications  to those of Nux  Vomica or
PidsaliUa,  but more  particularly applicable to
mild or sensitive dispositions, with alternation of
high and low spirits.

      SORE THROAT,  OR QUINSY.

  Quinsy is an inflammation of the throat, denoted
by swelling and red colour of the back part of the
throat, accompanied with difficulty of swallowing,
and occasionally fever.
  In the incipient  stage of this affection, there is
a sense of constriction  about the throat, with a
feeling of soreness, and sometimes of obstruction
in the act of swallowing the saliva; if it runs its
course, the difficulty of swallowing and breathing
increases, the tongue swells and becomes foul, the
tonsils assume a redder hue, occasionally a num-
ber of smal^yellow eminences appear at the back
of the throat  and particularly  on the tonsils, the
patient complains of thirst, and the pulse is high,
strong, and  frequent; sometimes the cheeks swell
and become florid, and the eyes inflamed ; and in
severe cases delirium is not an unfrequent occur-
rence.  This  affection, occasionally, if not prop-
erly treated, dangerous in its simple form, becomes
particularly critical when  it puts on  the putrid
type ; in such instances the  attendant fever gene-
rally assumes a typhoid character ;  when  this 
          SORE  THROAT,  OR QUINSY.        49

takes place, we  may always infer a psoric ten-
dency.
  When this affection is  at the commencement
attended with considerable fever, thirst, and dry
heat, deep  redness of the parts affected, painful
and difficult deglutition, pricking sensation in the
throat, with aggravation  of the  symptoms  when
speaking, we should  administer one or two doses
of Aconite, in  a  powder, on the tongue, or  in
water.
  The next medicament we shall mention, Bella-
donna, as may have been observed in the treatment
of Scarlatina,  Measles, &c, is  one of the  best
remedies we possess against  inflammation of the
throat.   When the above symptoms  have been
subdued by Aconite, or should the following symp-
toms have  existed from the commencement, we
should  have immediate  recourse to its adminis-
tration.
  Pain in the throat as if from excoriation, attended
with a  scraping sensation of enlargement, and
burning or shooting pains,  principally experienced
during the act of swallowing; these pains some-
times extend to the ears.  Other characteristic
indications for this remedy are—sense  of spas-
modic constriction  or contraction  of the  throat,
with constant desire to swallow saliva ; occasionally
there is violent thirst, but a dread of drink from
the suffering it occasions. Sometimes a complete
inability to drink exists, and the liquid returns  by
the nostrils.   On examination, the throat presents
a bright red colour, with  or  without swelling  of
the palate, uvula and tonsils.  In severer cases this
remedy also continues valuable ;  namely, when
              5 
50
DIGESTIVE  SYSTEM.
matter has gathered in the tonsils, and when we
observe small ulcers forming anil spreading rapidly,
also accumulation  of slimy whitish mucus  in the
throat and on the tongue,obliging the patient to spit
frequently; salivation, swelling of the muscles and
glands of the neck, severe headache, chiefly con-
fined to the forehead, sometimes determination of
blood to the head, and delirium ;  we may  exhibit
Belladonna, in two or three doses, at intervals,
according to the effect.  This remedy frequently
succeeds in speedily  removing the whole of the
above group of symptoms, or at least, so far subdues
them, as to enable Mcrcurius to complete the cure.
   Mekcukius, frequently valuable at the  com-
mencement of the disease, when so indicated, or in
alternation with Belladonna in troublesome cases,
is one of the most  valuable remedial  agents, fol-
lowing that  medicine, when necessary to  com-
plete the cure.  Its indications are violent shooting
in the throat and tvnsils, especially when swallow.
ing;  these  pains  extend to the ears, and glands
before the ears, and under the jaw ; inflammatory
redness of the affected parts of the throat, burning
in the throat, desire  to swallow,  attended with a
sensation of an obstruction existing in the passage;
accumulation of thick and tenacious mucus in the
throat, difficult deglutition, especially  of  liquids,
which sometimes  escape  through the nostrils;
swelling of the posterior part of the tongue, occa-
sionally swelling of the gums ; unpleasant taste in
the mouth, which is filled with saliva  more or less
inspissated ; throbbing of, and matter forming in,
the tonsils ; ulcers in the throat which look indolent
and  increase  slowly;  offensive  odour from the 
SORE THROAT,  OR QUINSY.        51
mouth, aggravation  of symptoms at night, when
speaking, and in the evening, chills and shivering,
sometimes alternated with heat.
  Mercuries, after the  bursting of the Quinsy,
is useful in facilitating the throat's healing.
  Nux Vomica.  This remedy is especially use-
ful when the sore throat appears to arise from or
to be accompanied  by  symptoms of deranged di-
gestion, and when a sense of scraping or excoria-
tion exists in  the throat, also  when a  feeling  or
contraction is experienced in the upper part of the
throat during empty deglutition, swelling and elon-
gallon of the uvula,  producing a constant desire to
swallow, at times only a sensa'ion of swelling, with
pressure and pains  ; when cold has been the ex-
citing cause, attended  with  dry cough  and head-
ache,  chiefly  in  the morning, and  pains under
the  low  ribs during  the cough,  this  remedy is
also indicated, likewise when  there are small  of-
fensive ulcers of the throat, or  considerable de-
bility is present; this medicine, in ordinary cases,
may be  allowed  to continue its action for a day
or two.
  Pulsatilla.   When there are symptoms of
gastric derangement, and more particularly when
a dark livid redness of the  throat  and  tonsils ap-
pears, with  a sensation of,  or sometimes actual,
swelling; a  feeling of an  enlargement  of the
upper part  of the   throat,  also excoriation  and
scraping, with dryness of the throat, without thirst,
shooting pains in the throat when not swallowing,
aggravation of the symptoms towards evening, at-
tended with shivering ;  also accumulation of ad-
hesive mucus in the throat.  This remedy is more 
52
DIGESTIVE  SYSTEM.
particularly suitable for females, or for individuals
of a mild and phlegmatic temperament.
   Chamomilla is  a remedy particularly useful
in the sore throat occurring in children, and espe-
cially when the disease has  been brought about
by cheeked perspiration, when there are shooting
or burning pains, with sensation  of a swelling of
the throat,  deep  redness  of  the  parts  affected,
inability to swallow  solid food, especially when
lying down ; thirst,  with  dryness of the mouth
and  throat,  swelling  of the  tonsils and  glands,
before  the ear  and under the jaw ; cough in-
creased by tickling  in the throat, attended with
hoarseness; fever towards  evening, with alternate
heat and shivering, redness of one cheek, great ex-
citability and tossing about.
   Ignatia is indicated when  there is  a sen-
sation as of a plug in the throat, with  red  and
inflammatory swelling of the tonsils, or  palate ;
burning pains  in deglutition, as if the substance
were passing over an excoriated  surface,  or par-
tially  obstructed by  some  foreign  body in the
throat.   Liquids  are  more  difficult to  swallow
than  solids ;  there  are also shooting pains in the
cheeks, thence extending to  the ears, when not per-
forming the act  of  deglutition,  induration of the
tonsils or evolution .of small pustules upon them.
   Hepar Sulphuris is valuable in bringing the
matter to a head, when the  Quinsy  has  attained
to such a height that  its bursting is inevitable.
   In conclusion we may remark,  that in all cases
in which Belladonna,  and  Mercurius appear indi-
cated, yet fail in completely subduing this disease,
Lachesis has frequently proved successful.  One 
BILIOUS complaints.           53
of the best indications for  its exhibition is when
the pain of the sore  throat becomes aggravated
from the slightest external pressure.
  It is perhaps unnecessary to mention that all
medicinal gargles, blisters, leeches, or other topical
applications, are rendered unnecessary by  proper
Homoeopathic treatment.  While we  thus  free
the patient from  a considerable  degree  of an-
noyance and  needless suffering, we, at the same
time, by a careful attention to the  symptoms, and
the exhibition  of the proper  remedy, effect a
speedy cure.

          BILIOUS COMPLAINTS.

  Bilious Complaints have of late years become
the popular term  for almost all  derangements of
the digestive  functions ;  and by common consent,
all  these disorders have been  at once unhesita-
tingly ascribed to a superabundance or deficiency
of the  important secretion of the liver.  This opi-
nion, although sufficiently plausible on its first ap-
pearance, will, on a careful examination, be found
erroneous ; for although in the  disease which is
commonly denominated, in severe cases, liver
complaint, this  organ is powerfully affected, yet
it is generally  only  by sympathy  ; and the  real
seat of the disorder is in the stomach and bowels.
When we succeed in restoring them to a normal
state, the liver will, in most instances,  again re-
sume its natural functions.
   Having  premised  thus much, we shall proceed
to the consideration of Dyspepsia, or Indigestion ;
under  which will be found all of the symptoms
           5* 
54
DIGESTIVE system.
ascribed to the two imaginary and opposite causes
of derangement, inactivity  of the liver, and too
great a secretion of bile.

     INDIGESTION, OR DYSPEPSIA.

  This  disease appears  in  so many different
phases, that we shall  simply content  ourselves
with an enumeration  of some of the principal ex-
citing causes, and refer  to the symptoms given
under the different medicaments for  its descrip-
tion.  The following are among the principal ex-
citing causes.
  Irregularities in diet—such as  an over-indul-
gence  in the  pleasures of the table, partaking  of
rich and  indigestible food, and stimulating soups,
excessive use of wine, malt and spirituous liquors,
tea, coffee, and other stimulants ; imperfect masti-
cation of food, irregularity of, or too  long fasting
between  meals, indolent or sedentary habits, ex-
haustion  from intense study, keeping late hours,
mental emotions, &c.
  The foundation of this disorder  is frequently
laid in early life,  by the baleful  practice of the
administration  of  large doses  of Calomel, and
other deleterious drugs ; and the evil is perpetu-
ated in more  mature  age, by a continuance of the
same absurd  and dangerous system.
  The principal Homoeopathic remedies for the
treatment of  this affection are, Nux Vomica, Pul-
satilla, Bryonia, Chamomilla, Igna'ia,  and Cin-
chona.  Of these, Nux Vomica and Pulsatilla are
the principal.
   Nux Vomica covers the following symptoms : 
          INDIGESTION, OR  DYSPEPSIA.       55

the head confused, with occasionally a feeling as
if from intoxication, and giddiness, with sensation
of turning and wavering of  the brain ;  headache
arising from, unfitting for, and increased by, men-
tal exertion ; tearing, drawing, or jerking pains
in the head or cheeks,  and pulsative pains,  and
a sensation as if a nail were driven into the brain;
congestion  of  blood to the  head,  with humming
in  the ears.  The  headaches  are often deeply
seated in the brain,  or in the back part of the
head, frequently confined to one side, or over the
eyes, and at the  root of the  nose,  coming on
chiefly in the  morning, after  a  meal, or in the
open air.  Eyes, yellowness of the lower part of
the whites, with a mist before  them,  with a  sen-
sation as if one were about  to  fall; sparks, or
small gray or black spots before the eyes  ; short-
sightedness.  Face pale or yellowish ; especially
about the mouth and nose, frequent  headache,
and redness  of the  face.   Tongue foul,  dry,
white, or yellowish; thirst, with water-brash,  par-
ticularly  after  acids  or  rich food, accumulation
of slimy  mucus, or of water in the mouth  ; bitter,
putrid, sour, or sweetish taste, chiefly in the morn-
ing, or after meals; bitter  eructations,  or  con-
tinued nausea,  especially when in the open air.
Heartburn, Hiccough,  Acidity, Flatulence
—frequent  and violent vomiting of food, mucus,
or bile, or ineffectual efforts to vomit.  Distention
and fulness in the epigastrium,*  with excessive
tenderness to the touch ; a feeling of tightness of
the clothes round  the upper part  of the waist;
  * Upper  part of the stomach, on each side of the pit of
the stomach. 
56
DIGESTIVE  SYSTEM.
CRAMPS IN THE STOMACH ; CONSTIPATION ;  sleep
restless from suffering, with disagreeable dreams.
  One of the most distinctive indications for  the
employment of this remedy in preference to  the
next mentioned,  is the temperament,  which is
restless, irritable, lively, and  choleric.   A dispo-
sition to Hemorrhoids is also  a good indication.
  For Pulsatilla we have nearly the same range
of dyspeptic symptoms, with  the  difference that
it is particularly adapted to females, children, and
to mild or phlegmatic dispositions.   Amongst the
characteristics, we  more  frequently find a want
of thirst than thirst; a repugnance to fat and rich
meat, and suffering  after taking pork and pastry ;
frequent and loose, or difficult and loose, or slow
evacuations.
  Bryonia.   Headache, burning or expansive,
particularly  after drinking, attended with bewil-
derment  of the head  and vertigo ;  Tongue dry,
coated white and yellow ;  sometimes the aversion
to food is so strong, as not to be able to bear the
smell of it;  loss of appetite, alternately with  un-
natural hunger ; great thirst,  insipid, clammy, pu-
trid sweetish, or bitter taste in the mouth ; acidity
and  flatulence,  or bitter  risings after  every
meal.   Hiccough, nausea, water-brash, vomiting
of food, or bile, particularly at night ;  tenderness
of epigastrium to the touch, sensation of swelling
in the pit of the stomach, pressure as if from
a stone  in the  stomach, especially after a  meal,
or on walking; sensation of burning in  the pit of
the stomach, and especially when moving.  Con-
stipation ;  temper  restless,  irascible,  and  ob-
stinate ;  also  when anger has been the exciting 
INDIGESTION, OR  DYSPEPSIA.       57
cause of the derangement.   This  dyspepsia  is
more apt to manifest itself in summer, or in damp
weather,  and is frequently accompanied by chil-
liness.
 Chamomilla. Headache, with sometimes semi-
lateral, pulling, shooting, and beating in the head ;
fulness, giddiness, and staggering in the morning
when getting up ;  oppressive heaviness, vertigo,
and sensation  of a bruise ; headache sometimes
felt during sleep, with obscuration of the eyes,
and yellow  colour of the whites ; Tongue dry
and cracked, with a thick and yellowish coating ;
mouth dry, sometimes  with frothy mucus ;  exces-
sive thirst and desire for  cold drink;  bitter taste
of the mouth and of food ; want, of appetite and
dislike to  food.  Acidity or sour risings, regur-
gitation of food, nausea,  vomiting of food, mucus
and bile;  acute oppressive pain in the region of
the heart,  distention at the epigastrium,  pit of the
stomach, and upper part of the waist, chiefly after
eating, and at night attended with inquietude and
terror;  burning pain in  the pit of the stomach ;
uneasiness and feeling of sinking in the stomach ;
cramps in the stomach, especially when trace-
able to coffee ; sometimes constipation, but gene-
rally relaxation of the bowels.   This remedy is
valuable in  indigestion,  brought on  by a fit of
passion.
  Ipecacuanha.   Headaches attended wi'h nau-
sea and vomi'ing; shooting pains, with heaviness
and painful pressure on the forehead ;  face pale
and yellowish, tongue sometimes clean, at others
coated white or yellow ; aversion to  food general-
ly to fat things ; vomiting of food, drink, mucus, or 
58
DIGESTIVE  SYSTEM.
bile, sometimes after a meal, or retching or easy
vomiting, generally attended with coldness of the
face and extremities, and  sometimes alternating
with watery diarrhoea;  sensation of emptiness,
flaccidity and sinking of the stomach.  Both this
and  Pulsatilla, are  valuable remedies for indiges-
tion in children, arising from imperfect mastica-
tion or improper food.
  Ignatia may sometimes follow Pulsatilla to
complete a cure, or even supersede it, when there
is a tendency to constipation, and particularly in
temperaments alternating from high to low spirits,
or  vice versa;  it  is  especially  indicated  when
grief has been the inducing cause of dyspepsia.
  In Chronic cases, these remedies, as indicated,
are  chiefly  valuable in the commencement of
treatment, and may be required to be followed by
anti-psorics.   Sulphur is especially useful after
Pulsaiilla and Nux  Vomica, in  removing  any
symptoms that  may  remain.  We may also  re-
mark, that in cases where  NuxVomica seems in-
dicated,  but  the disposition is  of a morose or
hypochondriacal turn, Cocculus  may be substi-
tuted with effect ;  when the indications for tem-
perament are not sufficiently distinctive, Cocculus,
Nux Vomica, and Pulsatilla, may be advantage-
ously alternated.
   Cinchona  is a  valuable auxiliary in the treat-
ment of this  derangement, and particularly when
we can trace it  to debilitating losses of fluids,
such as to  abstraction or loss of blood, too great
a drain upon the resources during lactation,  pro-
longed use of aperient medicines, &c, also dis-
orders arising from abuse  of tea. 
LIVER  COMPLAINT.
59
  With regard  to  the administration and repeti-
tion of the medicines, in dyspeptic cases we may
take of each  medicine, with  the  exception  of
Nux Vomica, one dose morning and evening for
a week, and cease its administration as long  as
we  find manifest improvement, or if a medicinal
aggravation come on, await the result.   Of Nux
Vomica, we may take one  dose each evening  on
going to bed; or when people are in the habit of
taking supper, from half an hour to an hour be-
fore that meal.
  In some Chronic cases, this derangement some-
times takes a critical turn, vomiting becomes ex-
cessive, every thing taken is returned from the
stomach, the skin is  hot and dry, the patient be-
comes emaciated and the countenance cadaverous.
Such cases, we need hardly say, require the aid
of the physician.
   An  abuse of coffee and tea,  is  a frequent cause
of many descriptions of sick  and nervous head-
ache,  attended  with excitement  and dyspeptic
symptoms,  which will frequently  disappear of
themselves on the disuse of these beverages;
however,  should not this speedily be the case, for
the effects of coffee  we  may have recourse to
Nux  Vomica, Pulsatilla, Chamomilla,  or Ignalia,
under which the sufferer  will find his symptoms
indicated.   Against the effects  of tea, Cinchona
will generally be found an antidote.

            LIVER COMPLAINT.

   This disease is divided  into the  Acute and
 Chronic ;  the latter generally goes by the name 
60
DIGESTIVE  SYSTEM.
of Liver Complaint, although a careful diagnosis
will generally discover, that the real disease is in
the stomach and intestines; however, in many
cases, the liver itself becomes much affected from
the cause, and in itself deserves considerable  at-
tention.
   Inflammation of the liver commences generally
by a feeling of tension and soreness on the right
side, extending to the shoulder blade and some-
times to the tip  of the  right shoulder ; the patient
finds a difficulty in lying on the left side ;  it some-
times also makes its appearance with a short, dry
cough,  or commences with a  sensation  of chill
followed by heat, the tongue foul and furred, pulse
hard and frequent, skin dry, excessive thirst, nau-
sea,  and  sickness ; bowels irregular,  generally
constipated, and evacuations of unnatural colour.
  When the disease has been for a  long time un-
checked, and the  inflammation becomes deeply
seated  in the substance of the liver,  an abscess
frequently forms, bursting either externally or  in-
ternally, in the latter case not unfrequently prov-
ing critical from bringing on hectic fever.

   ACUTE INFLAMMATION   OF THE
                  LIVER.

  This disease is much more common  in tropical
climates than with us.  A  high mode of living,
exposure to heavy dews  and damps in the even-
ing, and the powerful rays of the sun by day, are
among the principal exciting causes.   With  re-
gard to the treatment  under the acute form, the
following remedies are among the most valuable. 
    ACUTE INFLAMMATION OF THE LIVER.   61

   Aconite, Belladonna, Mercurius, Bryonia, Cha-
 momilla, and Nux Vomica.
   Aconite is especially indicated in the com-
 mencement of the attack, and may, when the fol-
 lowing symptoms are present, always precede the
 other remedies, especially when there is  violent
 inflammatory  fever, attended with insupportable
 shooting pains in the  region of the  liver,  with
 tossing,  restlessness, and great anxiety and an-
 guish.  Sometimes it is necessary to give  one or
 two doses of this remedy at short intervals, being
 always guided by the effects produced.
   Belladonna may be advantageously adminis-
 tered after Aconite has subdued the preceding
 symptoms, or  from the commencement, when the
 following indications present themselves : oppres-
 sive pains  in  the region of the liver,  which  ex-
 tends to the chest and shoulders, distention of the
 pit of the stomach,  sometimes  extending  across
 the epigastrium, producing a sensation of tension,
 with difficult and anxious respiration ; determina-
 tion of blood  to the head,  with cloudiness and
 giddiness, sometimes  causing faintness ;  great
 thirst,  tossing about at night and  sleeplessness.
 When Belladonna fails  to remove these symptoms,
 we frequently  find that Mercurius will have the
 desired  effect;  this  medicament  is too well
 known as  an  Allopathic  remedy  in the cure of
 this disease, and the consequences produced by
 its abuse are frequently so great as to render the
 disease almost incurable.   It is  frequently ad-
ministered when not indicated, until its pathoge-
netic  symptoms  declare  themselves, and conse-
quently the patient, in addition  to the original
                6 
62
DIGESTIVE  SYSTEM.
 malady, has to contend with a medicinal disease.
 The following are some of the principal indica-
 tions for its employment.
   Painful  sensation  in  the region  of the liver,
 with shooting, burning, or oppressive pains, not
 allowing the patient to lie long on the right side ;
 sometimes augmented by movement of the body
 or part affected ;  bitter taste in the mouth, want
 of appetite, thirst, and continual  shivering, with
 well marked yellow colour of the skin and eyes ;
 also when there is enlargement and hardness of
 the liver,  and where  we have  reason to suppose
 the formation of matter.
   Bkyonia, when the pains in the region of the
 liver are  mostly shooting, or oppressive, tensive,
 and  burning, increased  by touch, coughing, or
 respiration,  and  especially during  inspiration;
 also much  exacerbated by movement; also when
 the symptoms are attended with violent spasmo-
 dic oppression of  the chest ;  rapid and anxious
 respiration, bitter taste in the  mouth, tongue
 coated yellow ; constipation present.
   Chamomilla,  when there are pressive pains,
 pressure in the stomach, oppression of the chest,
 and a sensation of tightness under the ribs ; yel-
 low colour  of the skin, pains not  aggravated  by
 motion, &c. ; tongue foul and yellow,  bitter taste
 in the mouth ; paroxysms of great anxiety.  Chamo-
 milla is also almost specific when the above symp.
 toms have been brought on by a fit of passion.
   Nux vomica is particularly indicated when  the
 pains are   shooting and  pulsative,  and attended
 with excessive tenderness to the touch at the  re-
gion of the liver, pressure in the epigastrium and 
   chronic inflammation  of the liver.  63

under the ribs,  with  shortness of breath ;  also
when enlargement and induration occur;  and in
the chronic form, when  there are marked symp.
toms of gastric derangement.   Vide Nux Vomica,
art. Indigestion.
   Sulphur is valuable to follow any of the pre-
ceding medicines, which, although apparently in-
dicated, do not speedily declare a decided action,
or when  the disease continues, although in a
diminished degree; it is particularly efficacious
after Nux Vomica, to combat the sequelae of the
disease.  We may also remark in conclusion, that
we may alternate the preceding  remedies accord-
ing to the symptoms that present themselves.


 LIVER  COMPLAINT,  OR  CHRONIC IN-
     FLAMMATION OF THE LIVER.

   In this form of the disease  we find  many of
the foregoing symptoms,  but in a modified degree ;
further,  a continued pain or uneasiness  in  the
right side seldom leaves the  patient, who gradu-
ally  falls off in  flesh and loses strength ;  and
there is not unfrequently present an occasional
cough with expectoration ; sometimes considera-
ble perceptible enlargement of the liver,  with a
number of dyspeptic symptoms; the pulse gene-
rally quick but regular.
   Nux  Vomica and  Sulphur are two of the
principal remedies in this affection, which, how-
ever, frequently  requires a careful discriminative
treatment, and  all the  acumen of the  practised
physician to conduct a happy issue. 
64
digestive  system.
   For the indications  for  these  remedies,  see
Acute inflammation of the livi:r.
   Hepar Sulphuris is particularly useful in the
chronic cases,  to  combat the ill-effects of Mer-
cury, erroneously  administered.

              CONSTIPATION.
   We have now to treat of an affection which so
frequently baffles the skill of the practitioners of
the old school ; their leading cause of failure is
their ignorance  of the  great curative principle,
and  consequent  proceeding  upon  a system  op-
posed to the operations of  nature.  This affec-
tion  is generally sympathetic with some other de-
rangement of the organism,  and, consequently, in
our treatment of different diseases, we have had
frequent  occasion  to  allude  to  it.  One  of the
leading causes of aggravation  and excessive ob-
stinacy in the Constipation, most closely approach-
ing to an idiopathic form, is  the practice of flying
to aperient medicines on the slightest appearance
of costiveness, under the absurd idea that keeping
the bowels open is  a species of panacea against
disease of every description.  Many mothers are
so possessed with this idea, that they are  con-
tinually administering physic to their  children,
without the slightest apparent call for it, and thus
lay the foundation of dyspepsia and other visceral
derangements in after life.   Many  a slight cause
of costiveness,  which,  if left to nature,  would
have disappeared of itself, leaving no ill conse-
quences,  has, by  an ill-judged administration of
aperients, been  converted into obstinate Consti-
pation, embittering existence, and predisposing 
CONSTIPATION.
65
the constitution to a variety of diseases in after
life.  To prevent misconception upon this point,
we may remark, that we, by  no means, under-
value a regular  state of the bowels ; but when
costiveness shows itself, we happily  possess re-
medies calculated to restore the balance of the
system,  and  in obstinate  cases do not content
ourselves with simply alleviating the symptoms,
but mainly direct our attention to the permanent
removal of the affection.
   Many of the principal  causes of this affection,
besides that  mentioned, are the same with those
particularized under Indigestion, or Dyspepsia.
   When attended with dyspeptic indications, we
must  also  have  recourse to the  remedies then
noted.  The following are particularly efficacious
when  the Constipation  is  more  prominent than
dyspeptic symptoms.
   Opium, Bryonia, Nux  V.,  Pulsat., Plaiina,
Sulphur.
   Opium is  chiefly to be selected in acute cases,
when Constipation is not habitual, but when there
is a want of  power to relieve the bowels, with a
feeling of  constriction ;  pulsation and sense of
weight in the abdomen,  dull heavy pain in  the
stomach, parched  mouth, want  of appetite, deter-
mination of blood to the head, with redness of the
face,  and headache ; if  no  amelioration  takes
place, we may repeat the  dose in twenty-four, or
at the farthest, forty-eight hours.
   Bryonia   is especially useful  in Constipation
occurring in warm weather, and in persons of an
irritable or obstinate disposition, with a tendency
to be easily chilled, and subject to rheumatism ; it
          6* 
66
DIGESTIVE  system.
is further indicated when Constipation arises from
disordered stomach,  and  is attended with deter-
mination of blood to the head, and headache.
  Nux  Vomica.  This  remedy is particularly
useful when constipation results from too heavy
a meal,  indigestible food  and stimulating liquids ;
it is peculiarly adapted to persons of irascible and
lively temper, with determination of blood to the
head,  and headache,  unfitness  for  exercise, dis-
turbed sleep, and a feeling of general oppression
or heaviness; frequent and ineffectual efforts  to
relieve  the  bowels, attended  with  sensation  of
contraction in ano.   It is, as remarked under  dys-
pepsia, particularly indicated for individuals  sub-
ject to hemorrhoids.
  Pulsatilla has nearly the  same indications
as Nix  Vomica, with the characteristic distinction
of temperament  before  noted  under Dyspepsia.
It  is also partly indicated in cases of indigestion,
brought  about by rich or greasy food,  and when
accompanied by moroseness and shivering.
   Platina is a useful remedy when Constipation
has been brought about by travelling, when opium
has failed, or especially when  the constriction is
attended with straining.
   Sulphur  is  one  of the best remedies for the
relief of  habitual Constipation, and particularly
when hemorrhoids are present,  or a disposition to
them  exists.   There are several other remedies
useful in  obstinate and complicated cases of this
affection, the treatment of which, however, is too
serious  to be  entrusted to non-medical hands.*
  * See Diseases of the Digestive  Organs, and Constipation ;
by A. C.  Becker.  Price 50 Cents. 
67
          HEMORRHOIDS, (Piles.)

   This common and well known affection is gen-
 erally divided into Blind  and Open Hemorrhoids,
 from the difference of character; and Internal and
 External, from that of situation.  The predispos-
 ing cause is attributable to a psoric taint; among
 the exciting causes, are habitual costiveness, se-
 vere  exertion on  horseback,  prolapsus, use  of
 drastic medicines,  stimulating  diet, and suppres-
 sion  of  long continued discharges, sedentary
 habits, &c.   With regard to the remedies :
   Aconite, although  not specific in its curative
 action, is a valuable remedy when  considerable
 and distressing inflammation exists, and may  in
 such cases  precede the administration of each of
 the  following  medicines, which are among the
 principal curative agents in this disease—Nux
__ Vomica,  Sulphur,  Arsenicum,  Belladonna,  and
 Capsicum.
   Nux Vomica, as  we have before had occasion
 to remark, is a most valuable remedy in this af-
 fection  ; it  is  equally efficacious against both de-
 scriptions ;  it  is particularly indicated for indi-
 viduals who lead a sedentary life, or who indulge
 in the use of coffee or stimulating liquids, and for
 females  during pregnancy.  When hemorrhoids
 are present, attended with shooting, burning, or
 itching pains  ; shooting and jerking pain,  as if
 from bruises in the loins, rendering it difficult to
 rise, or walk in an erect position, and when they
 are accompanied by Constipation and the other
 symptoms described under Indigestion  or Dys-
 pepsia. 
68
digestive system.
  Sulphur  may  follow  the  administration  of
Nux Vomica,  and  an alternation of these reme-
dies  frequently  effects  a cure in cajes of long
standing.
  Arsenicum.  Hemorrhoids  accompanied by
burning and shooting pains, heat and agitation,
and sometimes prostration of strength.
  Belladonna. Moist  hemorrhoids, with an in-
sufferable pain in the loins, as if the back were
rent asunder.
  Capsicum.  When a burning sensation exists,
attended  with considerable itching and diarrhoea.
  Cinchona is valuable when there has  been
much loss of blood and  consequent debility.

  PROTRUSION OF THE INTESTINE.
  The principal remedies in this affection, are
Ignatia, Nux Vomica, Mercurius, and Suhdiur.
  Ignatia is particularly efficacious  in mild or,
sensitive temperaments, attended with Constipa-
tion.
  Nux Vomica is indicated for persons of irrita-
ble or lively disposition, and addicted to high and
stimulating diet, with a  tendency to  hemorrhoids
and  Constipation.
  Mercurius is particularly suited for children,
in whom the disease  is attended with hardness
and  swelling of the  abdomen, and  where the
straining is excessive.
  Sulphur is one of the best anti-psorics for the
permanent removal of the  disease.    When the
affection is obstinate and in  a psoric  habit, we
must have recourse to  a regular course of anti-
psoric treatment. 
69
                    COLIC.

   Colic is a griping, tearing, gnawing  or shoot-
 ing pain in the bowels, chiefly confined to  the
 region of the  navel, generally attended with a
 painful distention of the abdomen, with spasmo-
 dic contraction, and sometimes accompanied with
 vomiting and costiveness.   The exciting causes
 of this complaint are, acid fruits, and indigestible
 substances; cold in the feet, drinking cold bever-
 ages when heated,constipation, worms, &c.   We
 shall here content ourselves with giving the symp-
 toms under the different medicines, without enter-
 ing upon the different varieties  of this  affection.
 One  of the distinctive characteristics  between
 this malady and  internal  inflammation, is  the
 pain being somewhat relieved by pressure.  The
 principal remedies in   its  treatment are,  Nux
 -Vomica, Pulsatilla, Chamomilla, Belladonna, Coc-
 culus, Colocynth, and Coffea.
   Nux  Vomica is  a valuable remedy  in either
 flatulent or hemorrhoidal colic, and is particularly
 indicated when there is  a sensation of fulness and
 tightness  at the upper  part  of  the  waist; deep
 seated or cutting pains in the abdomen, with acute
 and.  hard, pressive, and bearing down sensation,
 forcing the sufferer  to bend double ;  respiration
 short and difficult;  flatulence, aggravation of the
 pains on the slightest  motion,  generally disap- ,
 pearing when at rest; violent pain  in the  loins,
 and sensation of internal heat and  obstruction;
constipation, coldness and numbness of the hands
and feet during the  paroxysm. 
70
DIGESTIVE  SYSTEM.
  Pulsatilla is more useful in the affection oc-
curring in females, when coming on periodically
in the evening; also when  there are present a
disagreeable tightness and distention of the abdo-
men and  of the upper part  of the waist ;  pulsa-
tion in the pit of the stomach, aggravation of the
suffering when at rest or in the evening, attended
with shivering, which increases with the pains, and
is mitigated by motion ;  severe bruising pains  in
the loins,  especially when rising up ; inclination
to vomit, fia'ulence,  diarrhoea,  paleness of the
face, livid circle round the eyes, and headache.
   Chamomilla.   Sensation as if  the intestines
were gathered into a ball, and as if the abdomen
were empty, with  tearing and drawing pains, at-
tended  with excessive anxiety and restlessness ;
distention under the lower ribs and in the pit of the
stomach; incarcerated flatulency, sometimes nau-
sea, bitter vomiting,  followed by desire to relieve
the bowels ; and bilious diarrhoea; livid circles
round  the eyes, alternate paleness and redness of
the face ; the pains come on particularly at night,
at  other times  early in the morning  or after a
meal.   This remedy, as before stated, is particu-
larly adapted to children   or  irritable tempera-
ments.   Pulsatilla is frequently valuable to follow
this remedy.
   Belladonna, when  there is  protrusion of the
transverse section of the great intestine, which be-
comes distended like a  pad, attended with colic-
like pain, doubling up the body, which is relieved
by pressure on the part; also severe bearing down
pains, aggravated by motion; at other times there
is a sensation as if  the above swelling had been 
COLIC.
71
 removed downwards, deep into the abdomen, with
 feeling of bearing down of the whole intestines;
 also spasmodic constrictions in the abdomen, with
 burning pain lower down or in  the small of the
 back ;  or, pain under the  ribs, as if a number of
 nails were holding the intestines.  The symptoms
 are  also attended with a liquid or puriform spe-
 cies of diarrhoea, and swelling of the veins of the
 head ; the pains are sometimes so  violent as al-
 most to deprive the patient of reason.
   Cocculus is indicated when there are severe
.constrictive or  spasmodic pains in the lower part
 of the abdomen, with great  flatulence, fulness, and
 distention  of the  entire abdomen, with  nausea
 and  difficulty of breathing; also when there is a
 sensation of emptiness,  tearing and burning pains
 in the intestines, sometimes with squeezing, tear-
 ing and pulling pains, excessive anguish and ner-
 vous excitement, and constipation.
   Colocynth.   In  the majority of violent and
 obstinate cases, we  find this a valuable remedy ;
 it is indicated  when the  pains are excessively
 violent, and of a constrictive or spasmodic charac-
 ter, or resembling stabbing and cutting, as if from
 knives;  sometimes  a  sensation of clawing and
 pinching, tenderness of the abdomen, with a pain
 as from a blow ; or  distention of the abdomen ;
 at other times  a sense of emptiness  is experi-
 enced, cramps and shivering, or tearing pains in
 the  legs ; during  the continuance of the attack,
 excessive restlessness, agitation and tossing about
 from the violence of the  pain : when the pains
 come  on, they  continue  without any apparent
 intermission ;  after  their  disappearance, a sen- 
72
DIGESTIVE  SYSTEM.
eation of bruising remains,  and the sufferer feels
as though the intestines were held together by
thin  threads, likely to  break from the slightest
motion.  Both this remedy and Chamomilla are
particularly  efficacious in the so-called  bilious
colic, being indicated by the diarrhoea and bilious
vomiting attending it, and in cases where poison
has been the exciting cause.
  Coffea is valuable when we have to deal with
colic with excessive pains, attended with great
agitation, anxiety, and tossing about, grinding of
the teeth, convulsions, suffocative, oppressive de-
spair, and coldness of the extremities.   In cases
of colic arising  from  indigestible food, a cup of
black coffee, without milk or  sugar, will  fre-
quently afford relief,  by causing the stomach to
free itself from the cause of annoyance ; in such
cases as that article has not been made one of or-
dinary beverage.  For colic arising from worms,
6ee Worms.
  As regards Ihe  administration of the medica-
ments, when an amelioration takes place, we may
quietly await the result; or if other symptoms de-
clare themselves,  have  recourse  to the remedy
hereby indicated.

  INFLAMMATION OF THE  BOWELS.

  In Inflammation of the Bowels, we find the fol-
lowing indications, which must be carefully borne
in mind, in order to avoid mistaking this affection
for Colic, and treating it accordingly.
  An acute burning pain, chiefly in the region of
the navel, with  extreme heat, tightness, and dis- 
       INFLAMMATION OF THE BOWELS.     73

tention ; the pain increased by any food or liquids
taken into the stomach, which, when that organ
is the principal seat of the affection,  are  almost
instantly rejected.   The pain is increased by even
the slightest, pressure, and sometimes confined to
one  spot;  there is sometimes straining, some-
times vomiting, or both ; the vomiting consists of
hard mucus, bile,  or fetid  matter;  hiccough is
also a frequent symptom ; the pulse  is generally
hard, accelerated and contracted, frequently vary-
ing  even  in the course of the day, with great
prostration of strength.  When the inflammation
more particularly attacks the stomach, the pain ap-
pears more highly seated, the hiccough and vomit-
ing increases in severity,  and  the prostration of
strength is considerably greater.
  This disease being exceedingly  dangerous and
rapid in its progress, sometimes  terminating in
Gangrene  in an exceeding'y short space of time,
we  do not  feel justified in entering upon its full
treatment in a work of this kind.  We shall simply
confine  ourselves  to  recommend  the immediate
administration of Aconite, to subdue the inflam-
matory symptoms,  repeating it every four or even
two hours,  until the fever begins to abate, taking
care not to repeat so long as amelioration  goes
on ;  this precaution, by holding  the disease  in
check, will give time to  consult  the physician,
which should be done  without  delay.  In slight
cases, Aconite frequently checks, and completely
vanquishes the disease.
7 
74
 DIARRIKEA, OR LOOSENESS OF THE
                 BOWELS.

  This  affection is simply  an increase  of the
peristaltic action of the intestinal canal, and  is
so well known under its different forms, that we
shall simply allude to the principal exciting causes,
and then proceed to the treatment.
  The exciting causes are acid, indigestible food,
a check of perspiration,  sudden changes of tem-
perature,  the prolonged use of powerful purga-
tives, which, although still more frequently the
cause of constipation, nevertheless, by producing
irritation of the  intestinal  canal, predispose  to
attacks ;  worm*, &c.
  The principal remedies in this affection  are
Dulcamara, Chamomilla, Cinchona, Rheum, Mer-
curius, Pulsaiilla. and Sulphur.
  Dulcamvra  should  be  administered in Diar-
rhoea, occurring in summer from cold,  produced
by wet feet or exposure to rain.  Particular indi-
cations for its exhibition are when the Diarrhoea
is attended with colic, or cutting pain, chiefly  in
the region of the  navel;  when the evacuations
are liquid, slimy and yellow, generally coming on
at night,  and attended with nausea or vomiting,
want of appetite and great thirst, paleness of the
countenance and lassitude.
  Chamomilla  is a  remedy  as already  stated
particularly useful in children, either at the period
of teething, or at a more advanced period, when
the affection has been excited by checked perspi-
ration ;  it is  further particularly indicated, when 
DIARRHOEA.
75
 the evacuations are watery, bilious, green, yellow,
 or slimy; when there are fullness at the pit of the
 stomach, severe colic or spasm, pain in the abdo-
 men, distention  and hardness of the  abdomen,
 bitter taste in the mouth, foul tongue, thirst, want
 of appetite, bilious vomiting and flatulency ; and
 in infants, attended with restlessness and scream-
 ing, and drawing  up of the limbs towards the
 stomach.
   Cinchona, when  the  evacuations  are  very
 profuse, and  sometimes attended with but little
 pain, and  when the discharge  comes on imme-
 diately after partaking of food, or at night, evacu-
 ations   liquid  and brownish, sometimes contain-
 ing portions of undigested food;  it is  in some in-
 stances  also  indicated, when considerable spas-
 modic or colic-like pains are present,  with flatu-
 lence,   want  of appetite, thirst,  and great weak-
 ness ; it is also valuable after improper treatment
 of  this affection,   when  considerable debility
 remains.
   Rheum, when the symptoms, in a great mea-
 sure, resemble Chamomilla, but the pain  not so
 violent, and the evacuations have a sour smell.
  Mercurius.  When  the diarrhoea is watery,
 slimy, frothy, bilious, or greenish, when also there
 is painful straining before, during, and after evac-
 uation ;   severe  cutting pains,  also  nausea and
 eructation, cold perspiration, trembling or shiver-
 ing, and shuddering, and great lassitude ; in Dy-
 sentery, or  Bloody Flux, this remedy is al-
 most specific.
  Sulphur is a most  valuable remedy in diar-
rhcea occurring in psoric habits, or  in  very ob- 
76               DYSENTERY.
stinate cases.  In adults  predisposed  to Hemor-
rhoids, or in children, when the diarrhoea is at-
tended with excoriation  and papular eruptions,
it is particularly efficacious.
  Pulsatilla is useful in diarrhoea arising from
errors of diet, attended with dyspeptic  symptoms.
Vide Indigestion.
  Opium, in diarrhoea arising from fright.  For
other indications,  vide Mental emotions.

               DYSENTERY.

  This is a common disease of the summer and
autumn which ordinarily  affects the lower part of
the intestinal canal.  Its principal  distinctive
phenomena are :  cutting, griping pains in the ab-
domen, sometimes excruciating ; a twisting sensa-
don  at the navel;  ineffectual urgings to stool ;
discharges  of slime  or blood ;  fever which,  with
most of the  symptoms, is aggravated at evening and
night.  The inflammatory form may endure from 7
to 14 days, the typhoid form from  21  to 28 days.
   The medicaments found most efficient  in Dy-
sentery are, Aconite, Colocynth, Mercurius, (sol.
or corr.) Nux  vomica, Bryonia,  Arsenic, Carbo
vegetabitis,  China,  Acidum sulph tiricum, Chamo-
milla, Pulsatilla,  Ipecacuanha,  Staphysagria and
Sulphur.
   Aconite  is commended  when the dysentery de-
velops itself with  violent  chills, high fever and in-
tense thirs', also with rheumatic pains  in the head,
neck and shoulders, and if the days  are hot and
nights cold.  If two or  three  doses  of Aconite
fail to relieve this state, and if it depend on a chill 
DYSENTERY.
77
 following the use of cold water, Bryonia is to be
 taken.
   Nux vomic v is frequently highly indicated after
 the  use of Aconite  and Bryonia.  Also,  when
 these are present: oppression of the head, catarrh-
 al affections, high fever and intense thirst, bitter or
 offen-ive taste in the mouth, nausea and vomiting,
 violent cutting pains across the abdomen near the
 navel,  distressing  urgency  to stool, (tenesmus)
 small and frequent evacuations, composed ofbloody
 mucus ;  and when the exacerbations occur in the
 morning.
   Mercurius solubilis is a specific in epidemic
 autumnal dysenteries.  Indications : fever and ex-
 cessive thirst, dry and coated tongue, violent tenes-
 mus before stools, as if the intestines  would be
 forced out,  relieved by recumbent position,  small
 discharges of b7ot)d and mucus or of green masses
 or pure bile, after long straining,  followed  by in-
 creased tenesmus and violent cutting pains in the
 abdomen ;  aggravations at night; dysenteries of
 children with fever, discharges of bright blood, or
 of slime, and chopped  green masses resembling
 cooked eggs ; chronic dysenteries attended with
 thickening of the intestines ; dysenteries attended
 with  descent of the intestine.   This form of
 Mercury is advised after the previous use of China
 and Nux vomica.
   Mercurius ( orrosivus.   Indications :  chills,
 heat,  thrst,  anxiety  and aggravated state of all
the symptoms  recorded of the  above  remedy,
(Mercurius solubilis,) after violent and lacerating
tormena (twistingat the navel)and tenesmus; for-
cible and very frequent discharges (every 5 or 10
              7* 
78               DYSENTERY.
minutes) either of pure blood or of bloody mucus ;
dysenteries of a bilious type,  when the days are
hot and nights cold, discharges green, brown and
of bilious matter, very fetid from the commence-
ment, with colic, tenesmus and vomiting which
relieves ; sporadic, epidemic and autumnal dysen-
teries.
   Colocynth is especially useful after Mercury.
It is applicable when the tongue is coated  white
and  the taste  in the  mouth offensive  with great
thirst; if there be nausea, frequent vomiting, ful-
ness, heaviness and distention  of the abdomen ;
cramp-like colic pains, which increase, in in'ensiiy
until the patient  is compelled to bend the body to-
gether, tormena, tenesmus ; evacuations, at  first
slimy and bilious, then of bloody slime ; shivering
over  the  abdomen, that finally extends over the
whole body.
   We have found very many cases of dysentery
in our practice to unite the symptoms of Mercury
and Colocynth, and have given these  remedies  in
alternation with the most marked success.   Our
rule has been to give a dose  of Mrcury  in the
evening, and of a solution of Colocynth  a  spoonful
every three or four hours  during the  day until a
sensible impression was produced.
   Arsenic has been especially advised in typhoid
dysenteries, if the tongue be dry and black, taste
putrid, thirst excessive ; if there be hiccough and
vomiting; distention  of  the abdomen, tenesmus
and frequent  evacuations, as if of decayed blood,
offensively fetid, and at times inro'uatary ;  reten-
tion of urine or involuntary micturition,  which is
offensive ; red and blue spots  or blood blisters on 
DYSYNTERY.
79
 different parts of the body;  cold perspiration;
 enfeebled powers of mind.
   Carbo vegetabilis.   Hering commends this
 remedy if, in addition to the above group of symp-
 toms, the patient complains of heat or burning
 pains, and has cold breath, or if the Arsenic fail
 in affording  the requisite relief.
   China.   This remedy is also applicable to the
 putrid dysentery in cases similar to those in which
 the two previous medicaments have not been suf-
 ficiently effective, and when the aggravations oc-
 cur in the evening, or at night.   It is also of great
 value in dysenteries that assume an intermittent
 form, or that arise in marshy districts.
   Acidum sulphuric em  may  follow  the  China
 with benefit in putrid dysentery.
   Chamomilla has been occasionally used in dy-
 senteries where the indications were the same as
 those of Aconite and after a partial effect of this
 medicament, and when  hemorrhoidal  sufferings
 were present.
   Pulsatilla has also been used after Aconite,
 and  when the evacuations  were slime streaked
 with blood.   It  is  also indicated if there  be  a
pasty taste in the mouth, or  bitter  or  putrid ;
 vomiting of  mucus ; painful  tormena ; frequent
 chills towards evening, which  are preceded and
followed by thirst; distressed state of  mind.
   Ipecacuanha may follow Aconite in autumnal
dysenteries, if there be  nausea,  cutting griping
pains, tenesmus, discharges'.^ of bilious mal'er,
then of bloody mucus.
  Sulphur is a most potent remedy  in chronic
dysentery.   In cases,  also, where the indicated 
80                chclera.
medicaments  have afforded  immediate  but not
permanent relief, the curative efforts of these re-
medies have been confirmed by the use of Sul-
phur.  It is specifically indicated if there be dif-
ficult respiration ; violent and continual tenesmus,
especially at night; passages of mucus streaked
with blood; tenesmus which sometimes  remains
after dysentery.
  Staphysagria has been successfully adminis-
tered in a form of dysentery attended  by agoniz-
ing colic pains in the abdomen, constant tenesmus,
small evacuations  every half hour composed  of
blood, slime and hard round lumps  of  fecal mat-
ter, great prostration and restlessness.—Eu.]

                 CHOLERA.
   By the term  Cholera Morbus,  was formerly
understood a  disease attended with nausea, and
griping, purging, and vomiting, generally  preva-
lent during our summer months, and at the season
when fruit was plentiful.  But it has now become
a generic term, under which are included two
varieties—the Cholera Morbus, properly so call-
ed, and the Asiatic Cholera.
   The  first named, sometimes called  the  Spora-
dic Cholera, generally  commences  with a  sudden
feeling of nausea and griping, followed by purg-
ing and vomiting; in severe cases,  accompanied
 with coldness of the body, particularly the extre-
mities, and anxious and hurried breathing, exces-
 sive thirst,  a feeling of cramping in  the legs,
sometimes in the arms, with spasmodic contrac-
tions of the abdominal muscles, shrinking of the
features, and a hollow expression about the eyes ; 
cholera.                81
pulse weak, sometimes scarcely perceptible, thin,
watery, and  fcetid, or bilious evacuations, some-
times with dark bilious vomiting.
   In Asiatic  Cholera, the  disease  generally
commences by vertigo, headache with singing in
the ears, a sensation of flatulence in the stomach,
with griping pains, and a feeling of weight and
oppression in the region of the heart.
   In some, but not all, cases of Asiatic Cholera,
we find the lips, nails, and sometimes the whole
skin, of a blue colour, but in almost all the frame
loses its power of generating heat; the pulse and
pulsation  of the heart are almost unfelt, and  the
circulation of the blood becomes stagnant.
   Patients who have escaped through the second
stage,  are frequently carried off by a typhoid fever
in the third.
   In the treatment of Cholera in its sporadic form,
(i. e., when the disease arises from  occasional
causes, such as cold, fatigue, &c.,) the following
remedies  will be found to be the most efficacious :
Chamomilla,  Colocynth, Ipecacuanha, Veratrum,
Arsenicum, Cinchona, Pulsitilla.
   Chamomilla is chiefly useful at the commence-
ment  of  the disease,  and when  given  on the
slightest  threatening of an attack, may prevent
its development.  The following  are the symptoms
 which particularly indicate its employment: acute
 coliclike pains,  or heavy pressure in the region
 of the navel,  sometimes extending to the heart,
 and producing a sensation as if that organ would
 be  found  out  of  its  proper  position ; diarrhcea,
cramps in the calves of the  legs, excessive an-
guish  ; tongue coated yellow, and sometimes vom-
 iting of acid matter.  This remedy is almost spe- 
82
DIGESTIVE  SYSTEM.
cific when the attack has been excited by a fit of
passion during the prevalence  of the disease.
  Colocynth  is  still more appropriate  in  the
latter case,  when  the  fit  of passion is attended
with indignation.
  Ipecacuanha may be  administered  after the
above,  should  the  attacks  of vomiting become
more  prominent; or it  may be selected from  the
commencement, should vomiting predominate, or at
least assume as marked a character in the com-
plaint  as the diarrhoea.  Other indications are,
sensation of weakness, or  softness (flaccidity),
coldness in the face and limbs, sense of shivering
in the abdomen; cramps in the calves of the legs,
and in the fingers and toes.   Should the disease
increase, notwithstanding the administration of
this  remedy, and  assume the following charac-
teristics  : violent vomiting with severe  diarrhoza,
excessive weakness, and  cramps in the calves of the
legs; countenance  pale, and expressive of acute
suffering and intense anguish; coldness  of  the
breath and tongue, excruciating pain in the region
of the navel, tenderness  of the abdomen  when
touched, dragging pains and  cramps in the fingers,
shrivelled appearance  of the skin  on the palms
of the hands,—we must have immediate recourse
to \ eratrum,   a   remedy  which  is extremely
valuable in  both varieties of this disease.
   Arsenicum  is indicated   when  this  malady
assumes a severe character  from  the beginning ;
but it is more particularly indicated when the  dis-
ease is attended with rapid prostration of strength,
insatiable thirst, excessive anxiety,  with fear of
approaching death, burning sensation in the region
of the stomach,  almost constant  discharge from 
cholera.
83
the bowels, or renewal of the discharge on every
occasion that,  the desire for drink  is gratified ;
violent and painful vomiting, tongue  and lips dry,
cracked and  blueish,  or black; hollow cheeks,
pointed nose, pulse almost imperceptible, or small,
weak, intermittent, and trembling ; severe spasms
in the  fingers and toe.s ; clammy perspiraiion.
   Cinchona is particularly indicated in cholera
with diarrhoea, containing  undigested food, with
vomiting of food,  oppression of the chest and
eructation affording relief; severe pressure in the
abdomen, especially after partaking  of the small-
est portion of food ; great exhaustion, sometimes
amounting to fainting.  This remedy is particu-
larly marked when the  disease has  been  excited
by indigestible substances,  such as  unripe  fruit,
&C.
   Pulsatilla, in cases where there are  mucous
diarrhoea and dyspeptic  symptoms (vide Indiges-
tion.)  It is also useful when the disease has
been excited  by the cause noticed under the pre-
ceding remedy.
   Asiatic Cholera.  When  the  promonitory
symptoms of this disease, as above noted,  exhibit
themselves, the complete development of this dis-
ease is frequently prevented, by the administration
of the saturated solution of Camphor, in one
part of Camphor to twenty  of spirits  of wine;
giving one or two drops of this in a spoonful  of
water  every  two  minutes.   But  when cholera
sets in in all its frightful forms, we  should have
immediate recourse to Veratrum.   Cuprum  is
found to follow Veratrum with manifest advantage,
when  severe  convulsive movements of the ex-
tremities declare themselves. 
84           digestive  system.

  These last are the two principal remedies in
this form of the disease ;  when it assumes other
symptoms,  similar  to  those of the  medicines
mentioned in the treatment of Sporadic Cholera,
we must have recourse to the remedy thereby in-
dicated.
  Although  we  have thus far noticed the medi-
cines generally most called for in this affection,
in order that  no time  may be  lost at the com-
mencement  of the  attack,  yet  we would most
earnestly  dissuade  any  non-medical individual
from attempting  its treatment, unless  the extre-
mity of the case  imperatively demanded it.
  As regards the exhibition of the remedies,  we
should administer a tea-spoonful every hour, half
hour, or every  two minutes, according to  the ur-
gency of the symptoms, and  thus continue until
we find amelioration.
  As preventives against the Asiatic Cholera,
Camphor taken internally, alternated  with Vera-
trum, and Cuprum, every  four days,  has in most
instances proved sufficient, even with individuals
exposed to the influence of the epidemic.

                JAUNDICE.

  This disease frequently declares itself, without
being plainly referable to any  exciting causes,
among which, however, mental emotion is not an
uncommon one.   The  predisposing causes are,
a too sedentary or irregular mode of life, indul-
gence  in spirituous liquors, or a frequent use of
aperients.
  Mercurius and Cinchona are two of the best
remedies in  the treatment of this disorder, par- 
WORMS.
85
ticularly the former ;  but  in  cases when the pa-
tient has suffered from the abuse of the first, we
give a preference  to  Cinchona, especially when
we can trace the disease to have arisen from par-
taking  of  indigestible  substances, such  as fat
pork, &c.
   In cases which  have  been  excited by a fit  of
passion, as we have before noted—no unfrequent
cause—we should  have  recourse to Chamomilla
or Nux Vomica, should the bowels be confined,
or alternately confined and relaxed.
   Nux Vomica  is  also indicated when sedentary
habits or over-study appear the predisposing, or
partly  the exciting causes.
   In children,  Chamomilla,  followed  by Mer-
cury,  if insufficient, will be found to obviate the
injurious consequences arising from the  abuse  of
the latter.

                  WORMS.

   The presence of these troublesome animals in
the intestinal canal, evidently arises from a psoric
cause.
   The three species most generally met with in
the human subject are, the ascaris, lumbricus, and
taena  or tape worm ; of the  last there are two
varieties, the solitary tape-worm,  composed of
long and slender  articulations, which  has been
known to exceed the length  of thirty feet;  and
the common tape-worm, which varies from three
to ten feet, seldom  comes away  entire,  but in
joints, which are considerably broader and thicker
than those of the variety first mentioned.
              8 
86           DIGESTIVE SYSTEM.
   Although no period of life is wholly exempt
from Worms,  infants and children appear to be
much more subject  to  the affection than adults,
and with them an ill-regulated diet is by far the
most frequent  exciting cause.
   The presence of Worms, unless when passed,
is not always easy of detection,  since sub-acute
inflammation of the mucus membrane from other
causes will frequently  present  nearly the same
range of symptoms ; but here,  (as  in the treat-
ment of many of the most serious acute diseases,)
Homoeopathy presents two manifest  advantages
over the old system.   In the first place, if acting
upon the  presumption of the existence of Worms,
we administer a remedy specific  to the affection.
In the next, when we are uncertain as to the true
character of the complaint, and  select a medica-
ment distinctly indicated by the  united symptoms,
it will be found applicable to  the affection, from
whatever cause it arises, and a careful observance
of the known pathogenetic powers of the reme-
dies selected, will materially  assist us in tracing
the disease to its proper source.
  The symptoms that generally indicate the pre-
sence of Worms are, pallor and sickly appearance
of the countenance, headache or  vertigo,  irregu-
larity of  appetite, fcetidity of breath,  nausea, and
foul tongue, tensive fulness of abdomen, with a
sensation of gnawing and burning in the intes-
tines ;  slight  febrile  symptoms, and nocturnal
wakefulness, with low  spirits  or irritability of
temper, and gradual emaciation ;  we also general.
ly notice  an inflammatory redness of the nostrils,
with great disposition  to picking or boring at the 
WORMS,
87
nose, especially in children, with sudden scream-
ing  when  awaking,  and grinding of teeth.  In
addition  to  the  above general symptoms of this
affection, we frequently meet  with severe colic-
like  pains,  with  vomiting, and slimy or bloody
evacuations ; convulsions in children, and epilep-
tic attacks, combined with cerebral affections  in
adults ; these last, when attended with cramps,
rigidity  of the frame, and sensation of coldness
and  fluctuation at the lower part of the abdomen,
are  a  frequent  accompaniment of taenia.   The
principal remedial  agents against the  two first
named  species, are Aconite,  Cina, Nux Vomica,
Mercurius and Sulphur.
  Aconite.  When considerable febrile irritation
exists, or cramps or convulsions threaten to set in.
   Cina is particularly  indicated when there is
frequent boring at the nose, great perverseness of
temper, constant inquietude and restlessness, with
in children, a desire for things which are rejected
when offered; fits of crying when touched, pale-
ness of face, with livid  circle round the  eyes ;
constant craving for food, even  after  a  meal,
griping in the abdomen,  with  discharge of thread
and round worms.   This medicine is particularly
indicated for Colic produced  by worms.
   Nux Vomica  is a valuable adjunct in cases  of
worms, in which  considerable derangement  of
the  digestive function is present, with irritability
 of temper and constipation.
   Mercurius, when we find diarrhoea, induration
 and distention of the abdomen, hardness in um-
bilical region, with increased secretion of saliva.
   Sulphur is very efficacious in obstinate cases, 
88
respiratory system.
 to assist in the completion  of a cure, although
 many such require a regular course of anti-psoric
-medicaments.   In the repetition nf this medicine,
 should no  satisfactory action  declare itself, we
 may with advantage have recourse to a different
 attenuation or dilution of the medicine.
   For the Tape W7orm, Sulphur alternated with
 Mercurius at intervals of eight days will gene-
 rally be found  of essential benefit in effecting  a
 cure ; should the affection, nevertheless, refuse to
 yield to these remedies, we may with great bene.
 fit occasionally administer Felix Mas; if the af-
 fection still continue obstinate, or has been of
 long standing,  the practitioner  will have to exer-
 cise  his  discrimination, in selecting among the
 anti-psorics such remedies as appear best consti-
 tuted to combat the virus.

 DISEASES OF THE ORGANS CONNECT.
  El) WITH  THE  RESPIRATORY   SYS-
  TEM.

     CATARRH, OR COMMON  COLD.
  This term is given to an  affection which con.
 sists of a  mild  degree  of  inflammation  of the
lining membrane of the nostrils,  windpipe,  and
occasionally also of the ramifications of the latter;
induced  by exposure  to sudden changes of  tem-
perature, or to a damp or  chilly atmosphere  with
insufficient clothing, particul\rly as  re-
gards children.  This complaint is character.
lzed  by slight fever,  impaired appetite, sneezing,
hoarseness, and cough; generally  preceded by 
         catarrh, or  common cold.      89

transitory chills or shiverings ;  there is  also a
slight degree of wheezing and difficulty of breath-
ing.   When  the  disease is confined to the  nose
and  sinuses,  it is termed a  cold in the head,
of which form we  shall treat hereafter.  In many
instances this affection  runs to  a salutary termi-
nation in a day or two ;  but in others, and espe-
cially in mis-managed cases, it is liable to entail
serious  consequences.   The  following are  the
principal remedies employed in the majority of
cases :—Dulcamara,  Aconi'e, Chamomilla, Bella.
donna, Nux Vomica, Hepar Sulphuris, Pulsatilla,
Hyoscyamus, and Ignatia.
  Dulcamara is a remedy of great value in the
treatment  of a variety  of affections produced by
exposure to wet, and is  also, when timely admin-
istered, an excellent  preventive against the evil
effects  which frequently result from such expo-
sures, especially during  those raw, damp seasons
so common to this climate.   It is therefore  an
important  medicament  against the treatment of
catarrh or  cough excited by the above causes.
   Aconite is sometimes of considerable service,
especially  at  the commencement of the attack,
when  there  is quickness of pulse, with a hot dry
skin ; short, dry,  and frequent cough, with scanty
expectoration.
   Chamomilla.   When  there  is  a short, dry
cough, worse at night,  and occasionally continu-
ing  during sleep; sense of  rawness or burning
in the chest, or frequent tickling in the throat and
chest, which excites the cough, and is aggravated
by  speaking.  Hoarseness, cold  in  the  head,
fever towards evening,  sometimes  with  redness
               8* 
90          respiratory system.

of the  face or of one cheek, and paleness of the
other ;  thirst, ill-humour and impatience.   This
remedy, as will be observed  in  various  parts of
this work, is of great importance in the treatment
of children.
  Belladonna is particularly indicated  in cases
of dry, short, hollow, barking, spasmodic cough,
chiefly at night, and sometimes coming on during
sleep; attended with redness of the face, rattling
of mucus in the chest, hoarseness or sore throat;
the cough is frequently excited  by an insupport-
able  tickling in the throat, and brought on by the
slightest  movement.   The paroxysms of cough-
ing, are often so severe as to threaten suffocation,
and are sometimes followed  by  fits of sneezing ;
disposition irritable or sad.   With children, other
indications for  the employment of this remedy
are,  wakefulness, or sleep broken by sudden fits
of starting or screaming.
  Nux Vomica is a valuable remedy in cases of
dry,  hoarse, deep cough, excited  by a sensation
of dryness, tickling, or scraping  in the throat;
sometimes attended with hoarseness, and a feel-
ing of roughness in the chest, with accumulation
of tenacious mucus   The cough is always  exa-
cerbated towards morning, and continues  through-
out the day;  it is sometimes  aggravated after
meals, and  again towards evening.   The fits of
coughing severely affect  the head, sides of the
chest,  pit of the stomach, and umbilical region;
producing  in the  latter a pain resembling the
effects of a bruise or blow.  This remedy is also
useful in Catarrhs attended with shivering on the
slightest motion,  followed by flushes of heat; or, 
           CATARRH, OR COMMON COLD.       91

  coldness, with shivering and  shuddering, chiefly
  confined to the back and extremities, which find
  relief from the warmth of a  fire.   It is  further
  indicated in this affection when we find foulness
  of the  tongue, deficiency  of appetite, nausea,
  vomiting, bleeding  from the  nose and  mouth,
  thirst, constipation, and irritability of temper.
    Hepar Sulphuris  is an exceedingly effica-
  cious remedy in cases when the catarrh, and  more
• particularly  the cough and  hoarseness accom-
  panying it closely approximate to the indications
  given for the exhibition of Nux Vomica ; but in
  which the last mentioned is extremely severe and
  obstinate, and attended  with  difficulty of breath-
  ing,  or swelling of the  glands.
    Pulsatilla may  be  had recourse to  when the
  cough is of a moist or  loose description,  excited
  by a sensation of roughness, dryness, tickling, or
  scraping, in the throat ;  sometimes with a feeling
  of pain in the throat and chest,  as if from exco-
  riation ; expectoration  of whitish  or yellowish,
  bitter or saltish mucus ; also when  hoarseness,
  sneezing,  or lachrymation  are  present.   The
  cough, and other symptoms, become aggravated
  towards evening, or when lying down.  The other
  indications  for  this remedy are, languor, loss of
  appetite, nausea or vomiting, mildness of disposi-
  tion, or melancholy.
    IIyoscyamus is useful for that description of
  cough which comes on only at night, or on as-
  suming a recumbent position, and disappears on
  rising up ; also when  the cough is of  a convul-
  sive  nature.
    Ignatia for dry, hoarse cough, continuing day 
92
RESPIRATORY  SYSTEM.
 and night with but little cessation, and when the
 sufferer is of a mild and placid disposition, but sub-
 ject to sudden alterations from high to low spirits.
   One or more of the foregoing  remedies, when
 judiciously selected, will generally be found suffi-
 cient  to  effect a cure in all ordinary  cases of
 catarrh.   When  one medicine proves inadequate
 to combat the whole  of the  symptoms,  recourse
 must be  had to  any  other that seems  indicated
 against the remainder; in neglected or  very ob-
 stinate cases, the  aid of a  physician is necessary.
 In  many  such,  however,  Mercurius  will  be
 found efficacious  in completing  the cure, if con-
 siderable  hoarseness  remain, with or without a
 disposition to swelling of the glands.
   Cold in the  Head is a very general atten-
 dant upon catarrh.  When it is the leading symp-
 tom, or  exists  independently of those already
 mentioned, the   best  medicines  for its  removal
 are— Nux  Vomica, Pulsaiilla, Chamomilla, Mer-
 curius  and Arsenicum.   The general  indications
 for the selection are as  follow.
  Nux Vomica.    Dry obstruction,  especially
 during night, only, with pressive heaviness in the
 forehead, and confusion in the head ; heat in the
 face, increasing towards evening.   If in combi-
 nation  with other catarrhal symptoms,  see  the
 indications already given for its exhibition.  This
 direction equally  applies  to the  other  medica-
 ments here quoted.
  Pulsatilla.   The discharge  thick, foetid, or
mixed  with clots  of blood,  loss  of smell, head-
aches,  sneezing, chill,  especially towards even-
ing, disposition to weep, lowness of spirits. 
INFLUENZA.               93
  Chxmomilla.   The  affection  having  risen
from checked perspiration, acrid discharge from
the  nose, causing redness of the nostrils, and ex-
coriation  or soreness under the nose ; chapped
lips ;  shivering, with /hirst.
  Mercurius.   Dryness  of the nose, with  ob-
struction ;  profuse discharge producing excoria-
tion, swelling or  redness of the nose.  This is a
valuable remedy in  the  generality of  ordin try
eases jof cold in the head.
  Arsenicum.   Obstruction of the nose, with, at
the  same time, discharge of thin, acrid,  excoriat-
ing mucus.  Saffer'ng relieved by he at;  pain in
the  back, feeling of general debility, or prostration
of strength.

                INFLUENZA.

  When catarrh appears in an epidemic form,
and is attended, in addition  to the symptoms de-
scribed at the  commencement of the preceding
article, with extreme oppression  and prostration of
strength ;  sleepiness, followed by shuddering and
general chilliness ; rheumatic pains in the head,
baqk, and limbs; and  slight redness of the eyes,
painful pressure, and sensibility to light; the dis-
ease is known by the  name of influenza.   The
principal  medicine in the treatment of this affec-
tion is Arsenicum, and in most cases, if not ad-
ministered too late, it will be found specific.
  The following are the characteristic indications
for  its  employment :   heaviness  and rheumatic
pain in the head ; profuse watery and  corrosive
discharge from  the nose, causing a disagreeable 
94          respiratory system.
burning sensation in the nostrils ;  violent sneez-
ing;  shiverings  and  shuddering,  with  severe
pains in the limbs ; oppression at the eh°st; diffi-
culty of breathing ; thirst; anxiety;  restlessness;
great prostration of strength ;  with aggra-
vations of sufferings at night, or alter a meal; in-
flammation  of the eyes, with sensibility  to light.
These symptoms  may  be attended with a deep,
dry, fatiguing  cough, exacerbated in the evening,
at night, or after  drinking, or sensation of dry-
ness and burning with mucus in the throat, which
is difficult to detach.
  When the throat is much affected, Belladonna
or Mercurius may be administered, according to
the symptoms.  Vide Sore Throat.
  Nux Vomica, when there is constipation, with
obstruction of the nose,  especially at night.
  Aconite, when much fever exists.
  Cinchona  will  frequently be found of great
service in removing the weakness that remains
after improperly treated cases.
  There  are  few complaints that tend  more to
develop latent disease in the lungs than Influenza,
and  it is almost unnecessary to repeat here what
we stated at the conclusion of common  catarrh,
viz.,  that assistance ought to be sought in every
case that threatens to  become  protracted, and
especially in  families where there  is a known
hereditary taint.

                  CROUP.

  This well   known disease  is one that requires
the promptest and most  discriminating treatment, 
CROUP.
95
to avert the danger.   From  the moment we are
assured of Ihe nature of the complaint, recourse
must be had to the remedy most clearly indicated
by the assemblage of the  symptoms, so  that not
an instant be lost in arresting its further progress;
since, if not skilfully kept in check, it frequently
runs to a fatal  termination  within  twenty-four
hours ; although in the generality  of cases, when
such an event does take place, it happens about
the fourth or fifth  day.
   Croup consists of a peculiar inflammation of
the lining membrane of the windpipe, causing the
secretion  of a thick, viscid substance, generally
opaque, of about the consistency of the boiled
white of an egg, which adheres to the interior of
the windpipe, and  takes the form of the  parts it
coverl| when this,  generally denominated the
false membrane,  has  been allowed to form, the
case becomes extremely critical.
   This complaint generally commences with the
symptoms of  a common Catarrh, such as cough,
sneezing,  and hoarseness, with a greater or less
degree of  fever ;  in a  day or two the cough
changes its character, and  becomes  shrill and
squeaking, or /deep, hoarse, or sonorous, attended
with a ringing sound during  speaking and respi-
ration, as  if the air were passing through a me-
tallic tube ; as the disease progresses, the cough
becomes  more  shrill, and when long continued,
resembles the crowing of a young cock.   There
is  seldom  much  expectoration,  and when any
matter comes up in coughing, it has a stringy ap.
pearance,  resembling portions of a membrane.
After inflammation has set in, considerable fever 
96          respiratory system.

and  restlessness continue, occasionally varying
in intensity, but never  wholly  remitting ;  the
countenance expresses great anxiety and alter-
nates from  a red to a livid hue;  ihe  paroxysms
are followed by a profuse and clammy perspira-
tion of the whole body, more particularly of the
head  and  face.  When   danger threatens,  the
pulse is  hard,  frequent, and  occasionally inter-
mittent;  the breathing, particularly during inspi-
ration, difficult and audible ; the features become
livid, and almost purple,  from the sense of suffo-
cation ; the head is thrown back ;  the cough  as-
sumes a veiled and husky tone ;  the voice sinks
to a whisper ; the eye has a dull, glassy, or di-
lated appearance, and the  wfcole system seems in
a state of utter prostration. J^ v
   That Croup arises from  innrent  constitutional
taint  is  evident from  the facybf some  families
having a peculiar tendency to the affection.  Th&t.
principal exciting causes  seem to be, exposure to*
cold or damp, and derangement of  the  digestive
functions.   It seldom attacks adults, though we
occasionally see exceptions to this rule, and is
not unfrequently found in  complication with other
affections of the lungs and windpipe.
   The medicines upon which  the greatest re-
liance is to be placed in the  treatment of this
affection, are  Aconite, Spongia, Ilepar Sulphuris,
and Lachesis.
   Aconite should  commence our treatment, and
may be exhibited  every  hour,  until the febrile
 symptoms begin to abate; after which we may
administer
   Spongia, when there  is  a  hoarse,  ringing, 
CROUP.
97
hollow  and squeaking cough, with slow wheezing,
respiration, or fits of choking;  it may be given
every one, two, or three  hours, according to the
intensity of the symptoms.
   Hepar Sulphuris, when these symptoms are
partially subdued by Spongia, the cough moist or
loose, with accumulation of mucus in the respira-
tory organs.  This  remedy is particularly useful
against the formation of the  false  membrane  of
Croup, and in warding off the risk it occasions.
It may be advantageously alternated with Spongia
at inlervals of three or four hours, the adminis-
trator carefully noticing the effects of each medi-
cine.
   Lachesis, in very serious and difficult cases,
in which  there is a swelling and tenseness in the
throat, with hoarseness ;  great sensitiveness  to
the touch, the slightest  pressure affecting almost
to suffocation ; voice very low and hollow, with a
sound like that of a person speaking through the
nose ;  fainting;  nausea;  swooning;   loss  of
sense ; rigidity of frame ; great prostration  of
strength, especially towards evening ; cough un-
attended  with  expectoration,  and a feeling  of
mucus  in the  throat.   This  medicine may be
administered  every half hour, or two hours, ac-
cording to the intensity  of the  symptoms, and
their abatement.
   After having subdued these threatening symp-
toms by the administration of the last mentioned
remedy, we may, if the disease is not wholly van-
quished, again fall back  upon Spongia or Hepar
Sulphuris, according to the indications given for
those remedies.
            9 
98          respiratory  system.
  There are many other  remedies which afford
valuable assistance in the  treatment of complica-
ted cases of this affection ; but which require the
judgment of the physician  in their selection.

            HOOPING COUGH.

  This is almost peculiarly a  disease  of child-
hood, and one which few  individuals escape dur-
ing that period;  it generally appears as an epi-
demic, and  is, by the majority of physiologists, ac-
knowledged to be communicated by contagion ;
we seldom find an instance of a person  suffering
a second time from its attacks.
   Over many, the affection passes lightly, but in
the majority of cases it  proves  a distressing, and
in some,a fatal malady, baffling all the ill-directed
efforts of the Allopathic  physician to conduct it to
a favourable termination.
   Under  the old practice, not  only  was a great
deal of valuable time lost  in endeavouring to sub-
due inflammation by antiphlogistic measures, but
the patient's vital  energies were weakened and
rendered less capable of contending with the dis-
ease, when it assumed the spasmodic type.
   On the contrary, we have it in our power, by
the administration of remedies  specific to the af-
 fection, to check the inflammation at its outset,
 subdue the other distressing attendant'symptoms.
 and shorten the duration of the complaint, without
 allowing it to leave after  it any of those evil con-
 sequences,  such  as debility,  and  emaciation,
 which oblige the  patient  to endure a tedious and
 protracted period of convalescence. 
HOOPING COUGH.             99
  This affection is generally preceded some two
or three  weeks, by  ihe  symptoms  of common
catarrh, with its commonly attendant fever, which
sometimes run high.   When the disease becomes
developed, it declares itself by several rapid and
violent expirations made in coughing, after which
a loud whoop is heard, caused by a  strong inspi-
ration of air ; the cough then again sets in  vio-
lently, until terminated by the expectoration of a
quantity  of  mucus, or a  fit  of  vomiting;  after
which the attack  ceases for  a time, leaving,  if
severe, hurried respiration and considerable de-
bility, although, in  some cases, the patient at first
suffers but little between the paroxysms.
  From  the  peculiar sound  emitted during the
attacks of coughing, the disease derives its name ;
it is also known under the denominations of the
Chin Cough, Kin Cough, or Kink Cough.
  It is easily distinguishable from common cough,
even  before the  whoop  declares itself,  by the
swelling of the features during the fits.
  Other  symptoms attendant upon  this affection
we  shall indicate  under  the different medicines,
the  principal of which are Aconite, Nux Vomica,
Chamomilla-Hyoscyamus, Dulcamara,Belladonna,
Pulsatilla, Ipecacuanha, Cina, Droscra, Veratrum,
Cuprum-Metallicum, Bryonia, and Arnica, the in-
dications for which are as follow.
  Aconite, febrile or inflammatory symptoms.
This remedy may  be had recourse to from time to
time  when such symptoms are present, bearing
in mind,  that  its action is of short duration, and
may be  followed  in a few hours  by any other of
the  remedies which may appear  more peculiarly
indicated. 
100
respiratory system.
   Nux Vomica, precursory catarrhal symptoms
present; for the indications for its employment,
see Catarrh.
   For Chamomilla, Hyoscyamus, Dulcamara, and
Belladonna, see Catarrh.
   Pulsatilla,  when in addition to the symptoms
given under Catarrh, (which consult,) there are,
vomiting immediately after coughing ; diarrhoea,
especially at night; excessive  anxiety; face livid,
with danger of  suffocation.
   Ipecacuanha.  Violent and rapid succession
of coughs, so as almost to check respiration, re.
newed after the inspiration or whoop ; generally
followed by a fresh attack, terminated by vomiting;
also when   Nux Vomica appears  indicated, but
fails to  relieve ; especially useful after  Cuprum
Metallicum in dissipating such  symptoms as that
medicine may have left.
   Cina.   Indications of worms present (which
see ;) cough  dry and spasmodic;  a chuckling
noise  passing  downwards, heard during the at-
tacks  ; paleness  of  the  face  during  the  pa-
roxysms ; rigidity of the  body, and  bleeding at
the nose and mouth,  after the cough  has ceased.
This remedy frequently proves \e.ry efficacious in
alternation  with Belladonna,when the latter seems
indicated.
   Drosera.  This   medicament  has generally
been found specific to Hooping Cough, and  may
be considered the principal remedy in this  affec-
tion, when  prevailing as an epidemic, especially
when  the whoop is clearly defined, and the cough-
ing, alternated with whooping,  rapid, violent, and
threatening suffocation ;  after  the  inflammatory 
hooping cough.             101
symptoms have been held in check by  Aconite,
Dro-tern  may, in most cases, follow, and will fre-
quently be found sufficient  to dissipate  the re-
maining  group of symptoms ; the dose  may  be
allowed to act uninterruptedly for a week, should
not its repetition appear called for by a cessation of
the amelioration, or the indications present imper-
atively demand the assistance of some other me-
dicament, in some such cases.
   Veratrum will frequently succeed  in  con-
quering  the  disease,  and  may  follow Dro.sera,
when  in  addition to the above  symptoms there
are,  great debility;  slight  fever;  pulse  small,
weak,  and accelerated ; cold and clammy perspi-
ration, especially on   the forehead ;  excessive
thirst ;  involuntary evacuations during the pa-
roxysms  ; vomiting after the attack ;  weakness in
the  nape of the  neck, rendering it  incapable of
supporting the  head ; pain in the  chest  and
groins ;  miliary eruption on the face and hands,
and  sometimes the whole  body ;  sighing ;  and
repugnance to motion or speaking, between the
paroxysms.
   Cuprum Metallicum may be substituted  for
Dro.sera,  at the commencement of the  develop-
ment  of the whoop, if the  following indications
are  present: rigidity of frame, with apparent de-
privation of consciousness ; severe vomiting dur-
ing restoration to sense and respiration,  and slow
recovery after it; perspiration  between the pa-
roxysms, attended with  rattling  in  the chest.
This medicine may be administered every  three
days while the above  symptoms  continue.
   Bryonia.   X< p1''waling cough, occurring in the
              9* 
102          RESPIRATORY SYSTEM.
evening and at night,  always coming  on after
eating  or  drinking, causing gasping  for  breath
and vomiting.
  Arnica, when the child cries after  coughing ;
or when the paroxysms are immediately  preceded
by en i ng.

   INFLAMMATION OF THE  LUNGS.

  This  affection is generally the result of a neg-
lected cold, or arises from a sudden check of the
perspiration.   In  treatment, our  great  object
should be  to assist nature, which being brought
about by specific  remedies,  the  disturbance will
cease to exist, and the equilibrium of the whole
system be restored.
  The suddenness with which this  affection  fre-
quently makes its  attacks,  demands  an  equally
prompt  mode  of treatment.  We  shall content
ourselves in this  place,  with  mentioning  the
course that should be pursued in order to ward
off immediate  danger, until  medical  aid can  be
procured ;  for we  must bear m mind, that in this
affection, not only  the selection of the remedy, but
also its administration, demands  the  utmost  dis-
crimination of the physician, in order, on the one
hand, to avoid  losing valuable time, by allowing
too  long a period  to elapse between the doses,
and on the other, interrupting the action of the
medicines by  too  frequent a repetition.  It  is
utterly impossible to give a rule applicable to all
cases, except  that which we have already done,
only to  repeat  or select another remedy, when
there appears a cassation of amelioration, or a.n ac-
 cession of new symptoms. 
        INFLAMMATION  OF THE  LUNGS.    103

   Before we proceed to notice the treatment, we
 will say a few words upon some of the most dis-
 tinguishing characteristics of the affection itself;
 observing, however, that inflammation of the lungs
 may exist, without any of the symptoms mentioned
 declaring themselves very prominently, and also
 that many of them are common to the other species
 of inflammation ; in  fact, it is only by a good ear,
 and the use of the stethoscope, that a practitioner
 can with certainty pronounce an affection, accom-
 panied with the undermentioned symptoms, to be
 really inflammation of the lungs ;  such, however,
 is at the commencement of but little practical im-
 portance ;  for when  any of the  following group
 present themselves, there cannot  be  the slightest
 hesitation about the  medicine indicated.
  Premonitory coldness and shivering;  difficulty
 of breathing, with cough,  sometimes dry, some-
 times attended with  spitting ; viscid, gelatinous
 and tenacious expectoration,  frequently  tinged
 with blood ; face and lips swollen and livid, or
 hot and red ; eyes protruded  and  shining ;  pulse
 hard,  strong, and accelerated ; an acute or dull
 compressing pain in the  chest, sometimes in, or
 extending to the back, under the shoulder blades,
 or about the spine ; high  febrile  symptoms, hot
 dry skin, thirst, &c.
  In  such cases. Aconite may be administered
 every one, two, or three  hours, according to the
 urgency of the case ;  we may, if the febrile symp-
 toms  run very high, without hesitation  repeat it
again as soon as amelioration ceases;  after which,
if the  febrile attack  is par'ially subdued, but does
not  continue to ameliorate, we may from time to 
104  DERANGEMENT of the cerebral
time, administer the medicine, carefully noting the
period when the  beneficial effects of the remedy
appear to determine, and  considering that as a
signal for its repetition.
  Bryonia may  with effect follow Acomte, when
the  more dangerous symptoms are subdued by
that remedy, to improve the respiration  and  ex-
pectoration.
  Phosphorus will  frequently remove the asth.
matic symptoms  that sometimes remain, and is
also valuable in cases where there is apredispo-
sition to  consumption.  In Pleurisy, the same
mode of treatment should  be observed as in  the
preceding.  We  may remark, that after Aconite
and Bryonia have removed the leading symptoms
of this last mentioned affection, a dose  of Sul-
phur will frequently complete  the cure.

DERANGEMENTS  OF THE CEREBRAL
                 SYSTEM.

   INFLAMMATION OF THE  BRAIN.

  In  inflammation of the brain or of its mem.
branes, the symptoms are exceedingly diversified ;
the extent  and duration of the disease,  the age,
sex,  and  constitution of the patient, assist in  giv-
ing to the affection a variety of character.  Much
assistance may be derived, in ascertaining wheth-
er the brain be affected or not, by examining the
eyes and general expression of the countenance.
The  pupils in  the first  stages  are  commonly
found more or less contracted, but as  the  dis- 
        INFLAMMATION OF THE BRAIN.     105

ease advances, they often become dilated.   Oc-
casionally the attack is  preceded by premoni-
tory symptoms, such as congestion of blood to the
head, attended with sensations of weight, or stu-
pefying,  pressive,  constrictive,  and  sometimes
shooting pains  in the head.   In some instances
slight feverish symptoms are complained of, with
ringing in the ears for about the space of a week ;
giddiness, and a sense of weight  on the crown of
the head ; pulse rather quick, and the heat of the
skin somewhat increased at night, attended with
restlessness and a difficulty of lying  long in one
position ; moreover, the patient is observed to be
irritable and annoyed at trifles ;  anomalies in the
mental powers may next be observed, such  as
obstupefaction, drowsiness,  with mild delirium ;
or  a high  degree of excitement, in which  the
patient  is affected by the slightest noise, and the
eyes have a brilliant and animated expression, or
are  bloodshot, with fiery redness of  the  face,
and wild delirium.   According to the seat of the
inflammation, or the constitution  of the patient,
the accompanying  fever is of greater or less in-
tensity ;  the pulse is very variable in the course
of the same day ; it may be regular,  intermitting,
quick, and  weak, or very slow and strong.   A
very slow  or  a  very  quick pulse generally indi-
cates danger.   The patient frequently complains
of heat in the  head, whereas the extremities  are
cold.  When  there  is stupor, or  a  tendency to
it, the  eyes look heavy and void of all expres-
sion ; vomiting sometimes takes  place and proves
very intractable ;  the  stupor becomes more pro-
found, convulsions  appear, and  death  sooner or 
 106  DERANGEMENT OF THE CEREBRAL SYSTEM.

 later ensues.  The  peculiar and delicate  struc-
 ture of the brain and its  membranes in children,
 renders them much more susceptible to the attacks
 of this serious disease, and great attention ought
 to be paid to the following symptoms:—heaviness
 of the head, attended with pains, of which latter
 circumstance we  are sometimes made aware, in
 very  young  children, by the little sufferer fre-
 quently raising its hands to the head ;  alteration
 of temper ; intolerance of light; nausea, occasion-
 ally followed by  vomiting ;  tendency to costive-
 ness ;  drowsiness ; wakefulness ; or starting du-
 ring sleep.   Secondly, continued  boring of the
 head against the  pillow;  a high state  of excite-
 ment, in which the slightest noise, or ray of light,
 throws  the child  into a fit  of screaming,  or  a
 state  of discontentment ;  heavy  sleep ;  great
 beat in the head ;  redness and swelling of the
 face, with perceptible throbbing in the vessels of
 the  head  and neck ;  great  agitation, with con-
 tinued  tossing about, especially at night;  eyes
 red, sparkling, convulsed, or fixed; pupils immo-
vable,  and generally  dilated.  With  regard to
the  treatment of  this disease, we  should  have
 immediate recourse to Aconite at the commence-
ment of the attack, when the skin is hot and dry,
and the pulse rapid, which is especially likely to
 be the  case in young plethoric subjects  ; and as
soon as  we have modified these  symptoms,  we
should administer
  Belladonna, which remedy will be frequently
found specific  in the  treatment both of adults and
children, if given before  the disease has  made
considerable progress.
  Hyoscyamus is appropriate when there are 
            WATER IN THE HEAD.          107

 drowsiness, loss of consciousness, delirium about
 one's  own  affairs ;  inarticulate speech ;  tongue
 coated white, with frothy mucus about the lips ;
 dilatation of the pupils;  fixedness of the  vision;
 skin dry and parched ; redness of the face ;  and
 picking of the bedclothes with the fingers.
   Opium, when there is lethargic sleep, with ster-
 torous breathing ; half open eyes  and confusion
 or giddiness after waking ;  complete apathy and
 absence of complaint
   Stramonium is  useful when there is starting
 or jerking  in the limbs ;  sleep almost natural, but
 followed by absence  of mind on waking ; some-
 times attended with  moaning and tossing  about;
 vision fixed, and the patient frequently  appears
 in a state of dread, or is  seized with a desire to
 run away,  and utters cries ; redness of the face ;
 feverish  heat, with moisture of the skin.
   Cina  is  a valuable remedy in the treatment of
 this affection, in children who have symptoms of
 WORMS.

         WATER  IN THE HEAD.

  This fatal and frequent disease,  is liable to be
 excited by a variety of causes, and is particularly
 prone to  take place  in psoric children, who  are
 born with unusually prominent foreheads, and in
 whom the  fontanels remain long unclosed.   The
 symptoms are sometimes  so  mild and insidious,
 that  parents are thrown off their guard, and at-
tribute the apparently slight indisposition of the
little patient, to some comparatively  trivial cir-
cumstance ; such as teething, or gastric derange- 
108
HEADACHE.
ment.  In other instances, the symptoms are much
more striking, and in many respects strongly re-
semble those described under inflammation of the
brain.   In  general, the  skin is hot, pulse rather
quick, chiefly  at night, and  the  child becomes
peevish  whenever it is raised from the horizontal
position; at other times  it is affected with fits of
screaming; grinding of the  teeth ;  redness of
the face and eyes ;  peculiar expression of coun-
tenance ; convulsions and stupor.   The most ap-
propriate remedies are,
   Aconite, Belladonna, Mercurius, and Bryonia.
The indications of the  two former have already
been given under inflammation of the brain.
   Bryonia may be administered after Aconite or
Belladonna, if necessary, or may be given at the
commencement, when there  is heat  in the head
with redness  of the face, and  great thirst ; deli-
rium ; sudden  starts, with cries, or constant incli-
nation to sleep; constant movement of the jaws, as
if engaged  in chewing ;  and constipation.
   Mercurius   will frequently be found  useful
after Belladonna, or previous to that remedy, when
the bowels  are much relaxed.  Hyoseyamus, Opi-
um, Cina, and  Stramonium, will  likewise prove
valuable in cases wherein the indications cones-
pond with those described in the preceding article.

       HEADACHE.   (Cephalalgia.)

   [Aconite deserves attention in headaches  con-
nected with Congestion to the head,  Catarrh, Rheu-
matism, Neuralgia and those caused by Heat, Cur-
rents of Air, Cold, Bathing or Tobacco; and forfe- 
headache.
109
   males, children, and nervous invalids. It is indicat-
   ed in Congestive headaches, when a violent throb-
   bing pain seizes the forehead and temples with a
   sensation of ardent heat through the entire brain,
   red and bloated face ; redness of the eyes, visible
   pulsation of the neck, excessive sensibility to the
   least n( ise or movement, and sometimes, great ir-
   ritability  or delirium.  N.  B.  when congestive
   headaches are habitual, the patient  should sponge
   the forehead and temples every morning with cold
   water, or take a shower-bath  and drink one or
   two tumblerfuls of cold water on retiring and rising,
   night and morning.   In Catarrhal  headaches the
   indications are : dull, pressive, and  constrictive
   pains and heat in  the  forehead, especially above
   the root of the nose, with flowing from the eyes,
   running at the nose, but more frequently obstruc
   tion of the same, dry heat in  the nose, buzzing in
   the ears, colic, frequent chilliness, alternating with
   feverishness,  occasional cough ; amelioration  of
1   the symptoms in the morning, and in the open air;
   aggravation in the  evening, and from speaking and
   exercise. The Rheumatic headache is character-
   ized by darting or rending pains, sensitive to the
   touch, which  fly from one part of the head to an-
   other, as from the nape of the neck to the ears,
   temples, vertex or forehead ; are sometimes con-
   nected with rheumatism of  the  neck and shoul-
   ders ; are attended with active fever,  dry and hot
   skin, thirst, redness or varying pallor  and redness
   of the cheeks ;  are insupportable  at night with
   mental disquietude and vexation ; are  palliated by
   sitting and aggravated or renewed by wine, stimu-
   lants, or great mental excitement.  The  Ner-
                      10 
110              HEADACHE.
vous headache generally occurs above the root of
the nose or on one side of the head.   The pains,
which  are intolerable, especially at night,  are
throbbing, darling, and  stinging, producing _ by
their intensity lamentations, inconsolable anguish,
fear of death, and, at  times, temporary  insensi-
bility,  and are attended by thirst, flushed cheeks,
small, quick,  weak, and occasionally intermittent
pulse and intolerance  of touch, light  and sound.
Headache from exposure to Heat usually assumes
the characteristics of  the  Congestive, which are
recorded above.   The headaches which arise
from Currents of Air, Cold, or Bathing, are in
every respect analogous to the sufferings we have
described as  Catarrhal. The  Tobacco headache,
whether from chewing or smoking, is very similar
to the  Congestive  headache  of Aconite,  marked
particularly  by sensation of great weight on the
vertex'and over the eyes, nausea and amelioration
in the open air.  All the preceding forms of head-
ache to which Aconite  is applicable, have the dis-
tinctive peculiarities of an increase of suffering from
motion, rising from a recumbent position, speaking
and drinking; and a diminution in the open air.
   The Aconite may be repeated in severe forms of
headache  every  two or three hours ; in  milder
forms, every six or eight hours, increasing the in-
tervals in proportion to the improvement effected.
We  have acquired great  service  from Aconite
in acute paroxysms of headache by using it as a
precursor to, or in alternation with, Arnica, Bella-
donna, Bryonia,  Chamomilla, Nux vomica, Pulsa-
tilla and Veratrum.  Thus a single dose of _lcon-
itc may precede the administration of these reme- 
HEADACHE.
Ill
dies some two or three hours, or may be alterna-
ted with them every three or four hours.
   Antimonium crudum has been used for head-
aches  dependant' on  Chills,  Suppressed Erup-
tions,  Tobacco or Indigestion.   They are charac-
terized by a pain  in the forehead  as if it would
burst, or dull, boring, rending, piercing, spasmodic
pains in the forehead, temples and vertex, with a
sensation as if in the bones of the head, especially
of the vertex.  The pains are increased by ascend-
ing stairs, and mitigated in the open air.  If the
headache  arise from Tobacco, it is attended with
dizziness.   If it depend on  Indigestion, it is fre-
quently preceded  by  nausea, want of appetite,
aversion to food,  eructation, and efforts to  vomit.
It is sometimes followed by loss of hair.
   The Antimonium may be taken  every twelve or
twenty-four hours, and is often more efficient after
the use of Pulsatilla, especially for the headache
of Indigestion.
   Arnica  is  indicated  in headaches  connected
with Congestion to the head, Neuralgia, and those
caused by Mechanical injuries.  The  Congestive
headache is characterized by a spasmodic pressing
in the forehead,  as if the brain were  contracted
into a hard mass, principally when near the fire,
whirling dizziness with nausea, heat and burning
in the head, with coldness of the remainder of the
body, and occasional prickling or numb sensations
in one  or more of the  extremities.   The  Ner-
vous headache manifests itself by crawling, prick-
ing, and stinging pains in one or both temples, or
on one side  of the head, which feels  as if they
had been bruised, or by an intense pain, as if a nail 
112              headache.
had pierced the brain.  The headache which fol-
lows Mechanical injuries, such as blows, falls, or
strains is the same as the  Congestive, attended
at times  by pressive sore pain in the part injured
or over  one  or  other eye, and  green vomiting.
This remedy is  the more  appropriate when the
sufferings are aggravated at evening or night, after
eating, or by mental or physical exercise.   Arnica
follpws and alternates  admirably  with Aconite
when the febrile action is prominent, and may pre-
cede the  use of Belladonna, Calcarea and Rhus.
The rule  of repetition is the same as that given
for Aconite.
   Belladonna obtains in headaches complicated
with Congestion to the head, Catarrh, Rheumatism,
Neuralgia.; ana those from Heat, Spirituous drinks,
Mechanical injuries, Cold,  and Currents of Air.
It is especially suitable for females, and children.
It is appropriate  in Congestive headache when
the indications  given for this form of suffering
under Aconite, are not promptly or permanently re.
lieved by that remedy ; also if the pains are more
deeply seated, are violent, pressive, heavy and full,
as if the brain would protrude through  the fore-
head or side of the head, with pale, haggard face,
drowsiness, loss of consciousness, murmurs  and
delirium ; or  if this form of  headache develop
itself after eating,  with  great lassitude, drowsi-
ness,  painful stiffness of the  nape of the  neck,
imperfect speech, distortion of the face, especially
of the mouth, and other  symptoms of Apoplexy.
The  Catarrhal headache is  marked  by pressive
aching in the forehead, and congestive feeling of
the entire  head as if it  would split open, with 
                  headache.              113

sneezing, swelling, redness and excoriation of the
nose, profuse flow of acrid water from the  nose,
or flowing from one nostril,  or alternating with
stoppage of the nose, smell too acute, especially
for  tobacco smoke,  or too obtuse;  shivering or
feverish heat, thirst and pains in the limbs.  (He-
par sulphuris or Mercury may precede or follow
Belladonna for  this variety  of Catarrhal  head-
ache)  Rheumatic headache is attended by vio-
lent shooting and burning pains, especially of one
side of the head, congestion to the head, swelling
of its veins and visible pulsation of its arteries,
redness of the eyes and face, and fever.    The
Nervous headache is characterized  by burning
shooting pains, generally of  one side of the head
in the mildest form of attack, attended by sensi-
tiveness of the scalp, distention  of  the veins of
the head and hands,  roaring and buzzing in the
ears, and  clouded  sight.  In  a severe  form the
pains become pressing, burning, shooting, rending
and distracting, appearing on one side of the head
or above the eyes  and nose, with a sensation as if
water fluctuated or undulated in the  head.   The
neuralgic pain may  also commence very gently,
increase in intensity through  one side of the head,
producing irritability, lamentations and delirium.
The headache which arises from Heat  is similar
to the Congestive,  and indicates Belladonna espe-
cially, when the head seems as  if it would split
open and the suffering is increased by walking and
mental excitement,  and is  attended by hot  fever,
thirst, vomiting, sleepiness, anxiety, tears, lamen-
tation, despair or rage, and delirium.   Spirituous
drinks produce pressing aching  in the  forehead
               10* 
114
headache.
with congestive fulness of the entire head, red
and bloated face, loss of appetite,  especially for
meat, thirst  and  feverishness.   The  headache
from Mechanical injuries is similar to the Conges-
tive, and requires the  Belladonna  most frequently,
after the previous use of Arnica.   The effects  of
Cold and Currents of Air  accord with the Ca-
tarrhal headache, attended at  times by imperfect
vision, sore throat and indigestion.  All  these
symptoms of Belladonna are  aggravated chiefly at
night, also about three or four o'clock in the after-
noon, and after sleeping ; also by the  warmth of
the bed, recumbent  position, motion,  especially
that of the  eyes, the  slightest touch, shock  or
noise, open air or currents of air,  contradiction,
even the slightest, and mental excitement; they
are mitigated by flexing the  head backward and
supporting it.
   Belladonna is frequently preceded  by, and  al-
ternated with, Aconite and Mercury.  Its rule of
repetition and alternation is the same as that di-
rected for Aconite.
   Bryonia is available in headaches  associated
with Congestion to the  head, Derangement  of the
stomach, Neuralgia and Rheumatism,  and  those
caused  by Heat and  Changeable weather.   Con-
gestive headache is manifested by severe pain in
both sides of the head, pressing from without in-
wardly,  with a sensation as  if  the  contents of
the skull would protrude  through  the  forehead,
especially on stooping, bleeding at the nose, afford-
ing no relief, burning of the  eyes, and  effusion of
tears, constipation. The Bryonia is of the greatest
value if this form of headache occur with Consti- 
HEADACHE.
115
 potion of the bowels.  It is generally worse in the
 morning. For headaches of the Stomach,  see In-
 digestion, p. 54.   Nervous headaches have press-
 ing, burning, rending and  shooting pains, as if a
 tumor were forming under the skin, and as if the
 brain would press through the  forehead, which
 seize the forehead, dart to one or other side of the
 head, or extend to the  cheek-bone, shooting and
 pulsating at times violently ;  rheumatic and  pas-
 sionate patients suffer most from this form of head-
 ache.   Rheumatic headache is complicated with
 local or general rheumatism, manifested by rend-
 ing and shooting pains  which fluctuate  from thei
 nape of the neck, sides  of the head, and forehead,
 attended  by coldness or shivering, or fever  and
 perspiration of the head or entire  body, aggrava-
 ted by the least movement and  at  night.  Head-
 ache from Hear is marked by pressing pain and
fulness of the entire head, attended  *>y want  of
 appetite, especially in the morning, nausea, vomit-
 ing and diarrhoea,  thirst, fever,  agitation, trem-
 bling and apprehension of the future. The Bryonia
 may  be  used in  alternation  with  Belladonna,
 when that remedy is not  promptly efficient for
 headache from heat,  as described under Bella-
 donna.   Changeable  weather frequently  excites
 the  Rheumatic  headache.    The  headaches  of
 Bryonia appear most frequently  in  the morning
 and  after meals, and are aggravated by  motion,
 walking, stooping, &c, and touch.
   Rhus and  Nux vomica  may be used after and
 alternated with Bryonia.   The repetition  and al-
 ternation of the dose the  same  as directed for
 Aconite. 
116
READACHE.
  Chamomilla is useful for  Digestive, Nervous
and Rheumatic  headaches,  and those caused by
Coffee, Anger and Cold;  and for females, chil-
dren, and persons excited  by the slightest pain.
For Digestive headache, see " Indigestion," p. 54.
Nervous headache is  characterized by drawing,
rending and pulsative  pains of one  side  of the
head which extend to the jaw, sometimes attended
by a benumbed sensation, or sensibility which ren-
ders the touch intolerable; acute  shooting pain in
the temples, heaviness and  throbbing over the
nose ; bloated face, redness of one cheek and pale-
ness of the other ;  hot perspiration of the head and
scalp, and painful  and congested eyes.  Rheuma-
tic headache is  similar to the  above, occurring in
persons of a rheumatic habit or labouring  under
rheumatism.  Headaches dependent on Coffee and
Anger are recognized by the  same peculiarities.
The headache from Co7d is marked, in addition,
by weeping eyes,  sore throat, hoarseness  and ca-
tarrhal irritation of the chest.  Chamomilla. may
be used after Aconite and Coffea, and may precede
Belladonna and Pulsatilla.
  Coffea is  applicable to  Congestive and Ner-
vous headaches, to those caused  by Debauch  or
Sp/riluous drinks, and to  nervous persons and
children.  Congestive headache  may  arise  from
excess of joy, and  is attended  by lively exaltation
of the mind,  heaviness of  the  head,  with  occa-
sional violent pain of one side, redness of the eyes
and sleeplessness, and is exasperated by speak-
ing.  Nervous  headache is marked by a sensa-
tion as if the brain were bruised and rent,  or  by
severe rending pains  of one  side of the head,  as 
HEADACHE.
117
if pierced  by a nail,  which  seem  insufferable;
frequently  caused hy Debauch or Spirituous drink,
meditation, vexation and  influenza ; attended by
extreme sensitiveness to noise and music, by agi-
tation, great  anguish, tears, cries, distraction,
throwing  about, chilliness, aversion to fresh air
and distaste for coffee.  Ignatia, Nux Vomica and
Pulsatilla may precede, and Aconite and Chamo-
milla succeed the use of Coffea.
  The Coffea may be  repeated  frequently, from
half an hour to two and three hours, according to
the relief afforded.
  Ignatia relieves Congestive, Hysterical and
Nervous  headaches,  and  those dependent  on
Grief, Anger,  and  Tobacco,  and of  nervous per-
sons and children.  Congestive headache is char-
acterized by a painful sensation of fulness and ex-
pansion of the  head, as if it  would burst, espe-
cially when conversing,  reading or listening to
another;  also  by  a  pulsative  and deep-seated
pain, especially in the forehead, and above the
root of the nose, attended by  trembling of the
body, palpitation of heart and great despondence.
Hysterical headache is generally owing to a high
degree  of mental excitement,  and particularly
Grief or excessive Anger, and is  marked by pierc-
ing, darting pains,  which penetrate  the brain
deeply, either in the forehead or one  side of the
head, by alternations of extravagant gaiety,  and
laughter, and extreme despondence and tears, im-
perfect sight, very red or pale face,  nervous  agi-
tation   and  physical  restlessness.    Nervous
headache is attended by rending, boring, throb-
bing, and lancinating pains, which seize the/ore- 
118
HEADACHE.
head as if a nail were driven through it deep into
the brain ;  or pressing pain in the forehead and
above the  nose,  which progresses from without
inwardly and  is  mitigated by stooping ;  paleness
of face, nausea, darkness before the eyes, intoler-
ance of light,  profuse colourless urine, fickleness
of disposition, sensitiveness, strong fears, tacitur-
nity,  sadness, mildness,  &c.   Ignatia may  be
used as an antidote to a headache caused by To-
bacco, when the  symptoms are similar to those we
have given as characteristic  of Ignatia.   The
headaches of  Ignatia are aggravated by  coffee,
tobacco smoke, brandy, noise and strong smells ;
aggravated or  mitigated by stooping ; mitigated by
lying down and change of position; and are re-
newed  after a meal, lying down in  the evening
and rising in the morning. It may be used to ad-
vantage  after Chamomilla,  Pulsaiilla and Nux
Vomica.
   Rule of administration the same as for Aconite.
   Mercurius solubilis or virus,  is  most effi-
cient in headaches connected with Catarrh, Con-
gestion to the  Head, and Rheumatism.   The Ca-
tarrhal headache frequently prevails epidemical-
ly, and is distinguished hy pressing, aching pain in
the forehead, frequent sneezing, profuse discharge
of serous mucus,  which is offensive at times, red-
ness and excoriation of the nose  with itching and
aching pains on pressing the nose, chills or fever,
nocturnal perspiration, violent thirst, pains in the
limbs, and increased suffering from either heat or
cold.   (It  may  precede or alternate with  Bella-
donna in this form of headache.) Congestive head-
ache has a full and crowded feeling of the head as 
HEADACHE.
119
if the forehead would fly apart, or as  if the head
were firmly bound by a band, especially with ag-
gravations at night,  when the pains become  bor-
ing, burning, rending and darting, and are attend-
ed  by  easy,  frequent  and profuse  perspiration,
which affords no relief.    (Here it is  useful after
Belladonna and Opium).  Rheumatic headache is
attended by burning, shooting, throbbing and rend-
ing  pains,  which  affect one  side  of the head,
extending to the teeth  and neck, with pulsatory
dartings in the ears.  The pains seem to be im-
bedded in the bones, and  the external  flesh is fre-
quently tumefied.} It may be used before or after
Belladonna,  Bryonia, China, Dulcamara, or La-
chesis.   It is  a distinct peculiarity of the Mercu-
rial headaches that they are aggravated at night,
towards morning, by the warmth of the bed, damp
and cold air,  heat and  touch ; and  are attended
by profuse perspiration, which affords no relief
  The Mercury may be given in extreme cases
every four hours, and in alternation with Bella-
donna every  three  or  four hours.   In  ordinary
cases it is preferable to administer  a  single  dose
in the evening.
  Nux vomica is a very prominent agent of  cure
in Catarrhal, Congestive,  Gastric,  Nervous  and
Rheumatic  headaches,  and those dependent on
Coffee,Spirituous drinks,Intellectual labour, Anger,
Chills or Currents of air, Prolonged  watching and
Constipation*  Catarrhal  headache is  marked

  * The Nux is most indicated in persons of a lively tem-
perament, red face and full habit, who make a free use of
Coffee and Liquors, and especially those that lead a seden-
tary life and suffer from Constipated habit. 
120
HEADACHE.
    either by heaviness in the forehead or shooting and
    rending  pains ; obstruction in the nose,  or else
   fluent  coryza of a  mucus  which  is  sometimes
    brown and corrosive in the  morning and dry in
    the evening or at night, with parched  mouth and
    absence  of thirst; bruised sensation  throughout
    the  body;  burning  heat  and  redness  of the
    cheeks ;  heat of the head and entire body, and
    alternations of chills and fever, especially in the
    evening;  and hard faeces or constipation.   Gas-
    tric headache: vide Indigestion, p. 54.  Congestive
    headache is attended  by excessive heaviness  of
    the head, especially  on moving the  eyes,  and
    during mental exercise, with  a feeling as if the
    skull would fly apart; painful sensitiveness of the
    brain,  either from motion  or external pressure;
    pressure  on the temples;  imperfect sight,  with
    desire  to shut the eyes  and  inability to sleep;
    and aggravated  in the morning and  open  air.
    Nervous headache appears  in the form of rend-
    ing, shooting and jerking pains, principally on one
i   side of the head, as if pierced by a nail, with  nau-
    sea and  vomiting  of sour  water ;  also pricking,
    stinging,  or oppressive sensation of one side of
   the head, which commencing in  the morning,
   gradually increases in intensity, until  the patient
   becomes   distracted   and  insensible;  also as
   if the  brain were rent asunder, with  pale,  hag-
   gard face, dizziness when walking, buzzing noise,
   excitation, dec.  Rheumatic headache  is marked
   by tensive drawing pains affecting the forehead on
   one side of the head, attended by a bruised sensa-
   tion of the head and  similar pains in the back,
   loins and joints, a sensation of torpor or paralysis 
HEADACHE.
121
 m the parts affected,  with cramps and palpitation
 in the muscles ; shivering and constipation. (It is
 mainly  indicated for Rheumatic headache  after
 Aconite,  Chamomilla,  Ignatia, or Arnica.)  The
 headaches dependent on Coffee, Spirituous drinks,
 Intellectual labour,  Anger, Prolonged watching,
 or Constipation,  are  Congestive  or Neuralgic,
 and require a careful study of their respective in-
 dications.   The headache from Chill or Currents
 of air, is Catarrhal,  which see.  The Nux head-
 ache is  aggravated  in the morning, after meals,
 by coffee,  wine, tobacco  smoke, noise, bright
 light, meditation, watching, and windy and chilly
 weather ; it is mitigated by sitting or lying down
 without change of position.
   The Nux may succeed Aconite, or alternate
 with it every three or four hours in acute febrile
 conditions.   It  may  precede  or alternate with
 Bryonia or Pulsaiilla by the same rule.
   Administered singly, the interval  of repetition
 should vary from 4 to 24 hours,  according to the
 severity  of the case.
   Pulsatilla  applies  to Catarrhal,  Gastric,
 Congestive,  Nervous  and  Rheumatic headaches,
 and to those caused by Debauch, Spirituous drinks,
 Intellectual labour, Chill, Bathing, or Cold drinks.
 It is especially suited to females and persons  of
 phlegmatic temperament, mild character and lym-
phatic  constitution, with  pale complexion, light
hair, blue eyes, etc. Catarrhal headache is marked
by dull heavy aching in the root of the nose, fore-
head, or over one eye, or confusion of the head,  and
is attended by loss of appetite, taste and smell,
swelling and obstruction of the nose ; discharge
              11 
122
HEADACHE.
of blood or of a thick and offensive mucus, some-
times yellow, and sometimes green ; and absence
of thirst, with chilliness.  For Gastric headache,
see  Indigestion, p.  54.   Congestive headache
manifests  itself by wearying,  debilitating,  and
oppressive pains which seize one side of the head;
or progress from the occiput to the forehead or
root  of the nose, or conversely proceed  from the
root  of the nose to the occiput; attended by heavi-
ness of the head, dizziness,  paleness  of  the face,
agitation  and  inclination   to weep.    Nervous
headache  offers rending pains, in single spots or
in every part of the head,  which  are augmented
toward evening ; or throbbing, darting and prick-
ing pains, after rising in  the morning  or lying
down in the evening ;  or jerking,  rending, dart-
ing and pricking pains in one side of  the head
only; attended by  heaviness of the head,  frequent
dizziness,  obscure vision,  intolerance  to light,
sickness  at the stomach, buzzing, darting, rend-
ing,  and pricking in the ears, paleness and varied
expression of the face, loss of appetite and thirst,
agitation and chills, bleeding at the nose and pal-
pitation of heart.  Rheumatic headache is charac-
terized by similar  pains to those of the Nervous ;
and  are connected with rheumatic pains  of the
body, which pass rapidly from one joint to another,
with sensation  of torpor  in the parts affected,
dartings and coldness on change of weather, and
Bhiverings increasing in proportion to the intensity
of the suffering.   For headaches  arising  from
Debauch, Spirituous drinks, and Intellectual labour,
carefully  consult the indications of Nervous and
 Congestive headaches; and  from Chill, Bathing, 
      ACUTE INFLAMMATION OF THE EYES.   123

or Cold drinks,  look  to  Catarrhal  headache.
The  Pulsatilla headache is aggravated or renewed
in the evening after lying down, or at night, or in
bed in the morning; at rest, especially when seat-
ed; and mitigated in the open air, by movement,
walking, external heat and firm pressure.  Pulsa-
tilla  follows,  and is of great  service  in alterna-
tion with Aconite ; may precede Bryonia and Nux,
and succeed Chamomilla and Ignatia,  with which
it may occasionally alternate.
  The repetition and alternation the same as ad-
vised for the  Aconite.—Ed.]

   ACUTE AFFECTIONS  OF THE EYE
                 AND EAR.

ACUTE INFLAMMATION OF THE  EYES.
                   v
   This affection may arise from a  variety of
causes, such as exposure  to extreme light,  the
strong heat of a fire,  particularly after  coming
out of an extremely cold atmosphere, external in-
juries, or cold.
   In general cases of non-catarrhal inflammation,
when the affection  has arisen from the first two
excitants,  or  without  known cause,  should  the
inflammation  be considerable, particularly if at-
tended with fever, we may,  in the first place, ad-
minister Aconite,  repeating the dose at the end
of twelve hours, should only slight amelioration
have taken place ; and  if great sensibility to light,
with redness  of the conjunctiva remain, follow it
with Bklladonna,  of which a single dose, if no
deeply-rooted taint be  present, will generally suf-
fice to effect a perfect cure. 
124  ACUTE AFFECTIONS OF THE EYE AND EAR.

  If the inflammation arise from external injury,
caused by a blow, or the entrance of any foreign
body into the eye, we may likewise  exhibit Aco-
nite, and follow it in about twelve or sixteen hours
with Arnica, bathing the eye occasionally at the
same time with a lotion of Arnica, five drops  of
the tincture to an ounce of water.
  In inflammation of the eye, arising from cold,
or Catarrhal Ophthalmia, the following are among
the  most  useful  remedial  agents:  Belladonna,
Nux vomica,  Cinchona,  Digitalis,  Euphrasia,
Ignatia,  and  Aconite.
  Belladonna,  when the following symptoms
present themselves :—redness  in the conjunctive
margin of the eyelids and corner of the eyes, with
a swollen and tumid appearance ; intolerance of,
and pain increased by  light; great sensibility of
the eyes and eyelids; decretse of vision; flashes
of light, sparks, or darkness before the eyes, with
blindness towards evening ;  objects appearing re-
versed or double;  moreover, when there are the
following catarrhal symptoms : severe cold in the
head, with acrid discharge, causing  excoriation,
and sometimes an eruption of pimples  under the
nose, and on and about the  lips; periodical return
of short, dry, barking,  spasmodic cough, aggra-
vated towards night,  with  any other of the indi-
cations given for this medicine under Catarrh.
  Nux vomica, when there are burning pressive
pain in the eye; feeling as of sand in the eye,
with smarting, tickling, and itching;  pressure on
the  eyes  and  eyeballs  on  attempting  to  open
them ; the eye streaked, bloodshot,  and swollen,
with adhesion of the  eyelids;  affection worse 
      ACUTE INFLAMMATION OF THE EYES.   125

towards morning.   For the attendant catarrhal
symptoms, see Catarrh.
  Cinchona.   When  the  inflammation  is  less
intense, but the motion of the eye painful, and the
same sensation as of sand in the eye before noted,
with the distinction of the affection exacerbating
towards evening, when  the pains are of a burning
or pressive nature, with headache in the forehead,
as ifarisingfrom suppression of the nasal discharge.
  Digitalis.   When  there  exist burning  pain
and  pressure  above the  eyes,  with redness and
inflammation  of the conjunctiva, with great red-
ness of swelling of the lower lid, and adhesive-
ness of the eyelids.
  Euphrasia.  For the exhibition of this medi-
cine, the particular indications are,  white of the
eye much inflamed ; painful pressure in the eyes ;
profuse and  acrid flow of tears, excited or in-
creased by exposure to cold ; secretion, or flow of
mucus, sometimes sanguinolent ; severe  cold  in
the head,  with profuse fluent  nasal  discharge ;
violent headache,  and  aggravation of the symp-
toms  towards evening.
  Ignatia  may  be administered  with advan-
tage when there are pressure in the eyes, profuse
flow of tears, great intolerance  of light,  with but
little or no perceptible  superficial redness of the
eyeball.
  Aconite may with advantage precede any of
the above mentioned medicines, when very high
inflammation or febrile symptoms seem to demand
its administration.
  Stye is, strictly speaking, an inflammation of
the meibomian glands  of the eye, appearing like
              11* 
126
EARACHE.
a small dark-red boil, generally in the corner of
the eye,  or upon the eyelids,  frequently causing
considerable pain and suffering. For the removal
of this affection, we may administer Pulsatilla,
and repeat the same once or twice, at intervals of
eight days or a fortnight, should an inclination to
its recurrence declare itself.  Here again, when
the inflammation  runs very high,  we  may have
recourse  to  Aconite,   which may  with effect
precede the Pulsatilla.
  When  we  meet with individuals with  whom
this affection  recurs upon the slightest exposure
to cold, we may with certainty predicate  the ex-
istence of a psoric virus ; and until that is eradi-
cated  by  a careful anti-psoric treatment, the best
directed treatment can prove only temporarily ef-
fective. (See A. C. Becker's Diseases of the Eye.)

                 EARACHE.

  The medicaments applicable to the majority of
cases of this troublesome and painful affection are:
Mercurius, Pulsatilla, Belladonna, Nux  vomica,
Arnica, Dulcamara,  and Chamomilla.
  Mercurius.  When the pain is attended with
a sensation of coldness in the ears, and exacerba-
tion of suffering in the warmth of the bed ; shoot-
ing or tensive pains in the internal ear, extending
to the cheeks and teeth ;  inflammation and in-
duration  of the ear, with soreness  of the orifice,
and discharge.
  Pulsatilla is a most valuable remedy in  this
affection. It is particularly indicated when the ex-
ternal ear is much affected, and appears  inflamed 
barachb.
127
and swollen with heat,  shooting and tensive ex-
coriating pain internally; side of the head also
attacked. This medicament is particularly useful
in cases of females, and  in  individuals of chilly
habit.
   Belladonna,  when determination of blood  to
the head, with redness  of the face,  exists, with
digging, boring, tearing or shooting pains extend-
ing to the throat, with extreme sensibility to the
slightest noise; when the pains are more severe
internally, also when the brain partakes of the
inflammation, and delirium is present.
   Nux Vomica. When the pains are of a tearing,
shooting nature, extending to the forehead, temples,
and bones of the face, worse towards morning;
and when the affection  occurs in  persons of a
lively,  choleric disposition.
   Arnica,  in individuals of nervous, excitable
temperament, subject  to be attacked from slight
causes ;  also, when great sensibility to noise  is
present.
   Dulcamara, when  the  affection has arisen
from a chill or wetting, will, in almost all cases,
prove sufficient for its removal; it  is  also  indi-
cated when the pains increase at night, and are
attended with nausea.
   Chamomilla.   When there are stabbing pains
in the ear, as from knives ; great sensibility to
noise,  or even to music,  extreme sensitiveness,
susceptibility, and irritability. 
128
         CUTANEOUS DISEASES.

               ERYSIPELAS.

  •This  name  is given to a peculiar  superficial
inflammation of the skin, which takes place in
people of all ages.  Derangement of the digestive
functions, exposure to cold, and powerful mental
emotions, are its principal exciting causes.  The
first local symptoms of the complaint are heat,
tingling or pricking pains, with diffused swelling,
tension,  and .deep  redness  of the  affected part.
This is, ere long, followed by pungent, burning,
and sometimes tearing or shooting pain, which is
aggravated by motion or pressure ; the surface
presents a shining appearance.  On pressure, the
redness  disappears for a moment, but immediately
returns on removing the finger. The constitutional
symptoms vary according to the severity of the
case ; they generally consist  of shiverings, suc-
ceeded by flushes of heat; sleepiness, wandering
pains, dry tongue, nausea, oppression at the stom-
ach, and headache ; vesications sometimes arise
on the affected parts, attended with increase of
fever.  In a few days the redness changes into a
yellowish hue.  When the face is  attacked,  the
features become much disfigured by the swellings,
and delirium supervenes.  The disease assumes
a very serious  aspect when it affects the face  and
scalp, and accordingly requires the utmost atten-
tion and discrimination in the  treatment pursued.
The principal remedies in the treatment of the or-
dinary forms of erysipelas are, Aconite, Belladon-
na, Bryonia, Pulsatilla,  and Rhus toxicodendron. 
ERYSIPELAS.
129
When the affection is attended with intense fever,
it is necessary to administer  a dose or two of
Aconite, in  order  to subdue the febrile action;
after the exhibition of which,  Belladonna is
often the most  appropriate remedy, especially
when the redness expands  in rays, and an acute
shooting pain is experienced in the affected part,
which is aggravated by movement.  In many in-
stances  Belladonna  alone is sufficient to cut short
the disease.
  Bryonia is frequently useful when the disorder
affects the joints, and when the pain is exacer-
bated by the slightest movement.
  Pulsatilla, when the disease frequently flies
from one part to another.
  When the disease affects the face and head, it
has a dangerous tendency to extend to the brain
and membranes, and particularly when it appears
in the form of vesicular erysipelas. These vesicles
are of various sizes, of a yellowish appearance,
produce itching and burning, and readily become
confluent. The principal remedy in the treatment
of vesicular erysipelas is Rhus Toxicodendron,
and a single dose is sometimes  sufficient to put a
stop to the disease ; at other times it will be found
necessary to administer a  second or third dose,
or to have recourse to one or more of the other
remedies  above  mentioned in  order to complete
the cure.  Arsenicum is an important remedy in
some kinds of vesicular erysipelas, and  in cases
which have terminated in gangrene. 
130
                  BOILS.

  The presence of these tumours  is  a strong
evidence  of a psoric tendency; we shall,  never-
theless,  mention a few medicines  which have
proved exceedingly valuable in their  treatment.
  Arnica  is useful  in general  cases; should,
however, the Boil have an inflamed, fiery appear-
ance,  or,  moreover, should it, if situated upon the
extremities, be associated with swelling and ten-
derness of the glands under the arm-pit,  or upon
the groin,  we may  give a preference to Bella-
donna;  or should the swelling refuse to yield to
that remedy, Mercurius.
  When  the Boil presents an extremely inflam-
matory appearance, and the  affection is accom-
panied with fever and restlessness, Aconite is
promptly efficacious in subduing these symptoms,
and may  precede a more specific  remedy.
   When  the matter has already  formed, Hepab
Sulphuris will be found conducive to bringing
the tumour to a head,  and thereby curtailing suf-
fering.
   But for  a perfect eradication  of the virus, we
require  a prolonged course   of  anti-psorics, in
combination with the  above mentioned  medica-
ments.

               CHILBLAINS.

   This affection is too well known to require any
particular  description : the exciting cause is ex-
posure to transitions of temperature, from cold to
heat, and  vice versa,  but  their origin  is more 
chilblains.              131
 deeply seated ; the feet are the part most generally
 attacked, but we frequently find the hands  also
 suffer.   When they burst and become ulcerated,
 they constitute an exceedingly painful affection.
   Severe suffering from chilblains  is an indica-
 tion of psora not to be neglected, and individuals
 so afflicted should place themselves  under an
 anti-psoric treatment; for,  until the  constitution
 is completely purged of that  virus, they  are
 continually subject to their recurrence.
   In the treatment of this affection, the following
 medicines  will be found valuable.
   Nux  Vomica, Pulsatilla, Belladonna, Arnica,
 Chamomilla, and Sulphur.
   Nux  Vomica is particularly indicated when
 the inflammation  is of a bright red colour, with
 swelling,  attended  with itching  increased  by
 warmth,  and when the chilblains  evince  a ten-
 dency to burst.
   Pulsatilla,  when the inflammation is of a
 livid hue, with itching and  beating in the part
 affected, and  when the suffering comes on, or is
 exacerbated in the evening or towards midnight.
   Belladonna, when  the inflammation is of a
 bluish red,  (but lighter than that indicating Pul-
 satilla,)  and very considerable, attended with a
 creeping, tingling sensation.
   Arnica, when the swelling is hard, shining,
 and painful, attended with itching.
   Chamomilla, when with the inflammation and
itching, a burning sensation is present.
   Sulphur is a valuable remedy  when the in-
flammation and itching are very severe, and the
affection  has refused to yield to the foregoing. 
132
                  CORNS.

  That  these troublesome  excrescences  arise
from an inherent vice of constitution, is evident
from the tact of many individuals, who wear tight
boots and  shoes,  which are unquestionably the
principal excitant, escaping them, while others,
with every precaution, suffer severely ; such being
the case, the main object  of the  physician must
be, by a course  of anti-psorics, to eradicate the
predisposing  cause.   Great alleviation of suffer.
ing has, however, been found to result from the
use of an arnicated plaster,  applied to the  corn,
after its having been carefully pared.

                 WHITLOW.

   By this term is understood an abscess, more  or
less deeply seated, forming  at the end of the fin-
ger, near the nail, attended with severe  pain and
considerable swelling; it  has  much  tendency
to reappear in individuals who have once suffered
from its attacks,   which clearly demonstrates the
advantage  of treating it as a constitutional, and
not as a merely local affection ; in so doing we
may  have recourse  to  the following medicines:
Mercurius, Hepar Sulphuris, Rhus, Sulphur, and
Silicea.
   We may generally commence the treatment  by
Mercurius, followed  by  Hepar  Sulphuris,
should  the abscess  come  to maturity,  notwith-
standing the administration of the former  medi-
cament.  Rhus  is  more  particularly  indicated
where there is a considerable degree of erysipe-
latous inflammation. 
GOUT.
133
  But we must  have recourse to the  alternate
administration of Sulphur and Silicea,  at  in-
tervals of eight days each, in cases where a con-
stant tendency to a recurrence of the complaint
exists.

                    GOUT.

  This disease,  particularly when it has assumed
the chronic form, requires a long and discrimina-
tive course  of  treatment.   The chief  danger
arises from its liability  to transfer its  seat from
the part first attacked, to some of the principal in-
ternal organs, such as the head and stomach ; in
such  instances it assumes a  peculiarly critical
character.
  This malady,  like  the majority of those  to
which the human frame is subject, owes its origin
to psora,  and consequently we  often find it here.
ditary in  some  families.  Until, therefore, this
predisposition is eradicated by a proper mode of
treatment, it is useless to expect  a permanent cure.
  Among  the exciting  causes of gout may  be
numbered  the following : — a luxurious mode of
life ;  stimulating diet or drinks ; sudden check of
perspiration ; mental emotions ; sedulous applica-
tion to studious  pursuits,  and  neglect of taking
proper exercise in the open air; and a use of ape-
rient medicines and  tonics.  In plethoric habits,
the gout shows a considerable inclination to shift
its seat to the head ; and in dyspeptic individuals,
to the stomach and intestines.
  Prior to the attack, we usually find symptoms
of general derangement of the  digestive function,
                  12 
134
GOUT.
with  slight access of fever;  the  veins of the
feet become swollen, and a  sense  of numbness,
cramps,  or twitching, is present,  with a  defi-
ciency of perspiration.   When the attack comes
on, which  generally  occurs  in the evening or
during the night,  it is generally with a feeling of
dislocation  in the joints  of the  feet,  and burning
or severe scalding pain in the part attacked, more
or less intense ;   after  a time  these sensations
disappear, leaving the part red and tumefied ; the
fit occurs again at intervals, generally diminish-
ing in intensity ; in many instances considerable
fever is present.    With regard  to  the treatment,
in general  cases of this  affection,  the  principal
medicaments are  Aconite, Pulsatilla, Nux  Vo-
mica,  and Bryonia.
  Aconite,  in  plethoric  or  corpulent habits,
where  there is considerable inflammatory fever,
with hard and quick pulse.
  Pulsatilla, where the pains are of a shifting
nature,  exacerbated  towards evening or in bed,
with paralytic or torpid  sensation in  the  part
affected, and more particularly when the  dyspep-
tic symptoms given under this medicine, (see In-
digestion or Dyspepsia,) present themselves.
  Nux Vomica, when the pains are  worse towards
the morning;  a  paralytic  and torpid sensation
with cramps and  throbbing in the   muscles;  and
moreover, when in addition  to other  dyspeptic
symptoms, we find constipation and hemorrhoids,
or inclination to that affection, and an irritable or
choleric temperament; furthermore, when indul-
gence in wine or  fermented liquors  has  been the
inducing cause. 
RHEUMATISM.
135
  Bryonia, when the affection has assumed the
form of Rheumatic Gout;  where the pains are
increased  by the slightest motion; aggravation of
suffering at night; coldness, and shivering,  with
general perspiration or fever.  For the dyspeptic
symptoms present, see article  before alluded to.
  Each of the medicines here  mentioned,  may
successfully follow Aconite,  when   the  febrile
symptoms  have been  in  some measure brought
under by the administration  of that medicament.

               RHEUMATISM.

  This disease is of  two kinds, the Acute and
Chronic;  the  former is accompanied by fever,
preceded by restlessness ; heat  alternating with
chills ; thirst; coldness of the  limbs and extremi-
ties ; constipation and accelerated pulse, followed
by  pains in the large joints,  generally shifting
their situation, leaving redness, swelling, and ten-
derness of the parts affected ;  it is also frequently
attended with excessive  perspiration  and weak-
ness.  In the  latter, or Chronic  Rheumatism, the
swelling of the parts, except in very severe cases,
is commonly  less perceptible ;  sometimes  there
is present a feeling of general stiffness or numb-
ness,  with little or no fever.
   Other symptoms  incidental to this complaint,
we shall notice more particularly under the head
of  the  different  medicaments most efficacious in
the treatment.   The principal  exciting causes
are, damp, chill, or  a sudden check of perspira-
tion.   People who have resided  long in a tropical
climate, or have been subject to continual exposure 
136
RHEUMATISM.
to cold or wet, are very liable to suffer from fre-
quent attacks of Rheumatism in the chronic form.
  In the treatment of this affection, the following
medicaments have been found particularly useful:
Aconite, Bryonia, Chamomilla, Nux Vomica, Mer-
curius, Pulsatilla, Rhus Toxicodendron, and Bel-
ladonna.
  Aconite  when we find high fever, dry heat,
thirst,   and  redness of the  cheeks;  excessive
shooting  or  tearing pains,  extremely  violent at
night; occasionally, redness or shining swelling
of the parts  affected; aggravation of pains by the
touch;  excessive irascibility of temper.
  Bryonia  may follow Aconite with great benefit,
or be administered independently  of it, if the fol-
lowing  are  the more prominent  symptoms ; se-
vere shooting pains, much increased by motion  of
the affected  part,  or by a  cold  draught of air;
swelling of the joints of the upper and lower ex-
tremities ; headache, gastric derangements,  and
constipation; pains  aggravated at night,  particu-
larly on the slightest irritation ;  irascibility and
perverseness of temper ; the pains seem situated
more in the  muscles, and  particularly about the
joints, than in the  bones.
   Chamomilla when we find dragging or tearing
pains, with a sensation of numbness or  of paral-
ysis in the parts affected; feverishness  ; redness
of one  cheek,  with paleness of the other;  great
agitation and  tossing; desire to  remain  lying
down ; perspiration ; exacerbation of suffering at
 night.
   Nux  Vomica,  when there  are : sensation  of
 numbness, paralysis, or tightness in the parts af- 
RHEUMATISM.
137
fected,  with cramps and  palpitation of the mus-
cles ;   pains  of  a dragging  description, chiefly
confined to the joints, trunk of the body, back,
loins, and chest, aggravated by cold;  gastric de-
range me nt ;  constipation; irritability of temper.
   Mercurius is  indicated in cases  where the
pains are increased  by the warmth of the  bed,
or exposure  to damp or cold  air, aggravated  at
night,   and   especially  towards morning ;   also
where there  is considerable puffy  swelling of the
parts affected.   This  medicine  is particularly
useful when the pains seem seated in the bones or
joints ;  profuse perspiration, without alleviation of
suffering, is also a good indication for its employ-
ment.
   Pulsatilla is  useful  in shifting  rheumatic
pains, particularly if  attended with a sense  of
torpor or paralysis, relieved by exposure to  cool
air,  worse at night or in the evening.
   Rhus Toxicodendron  is indicated  when
there are : sensation of torpor, dulness, and crawl-
ing,  with feeling of'paralytic weakness or trembling
of the extremities when attempting to move them ;
sensation of  bruising or  of laceration, as if the
flesh were torn from the bones, or as of scraping
of the bones  ; pains worse during rest, relieved by
motion; inflammatory or shining redness in the
joints, with  stiffness,  and sometimes  a darting
pain when handled ; aggravation  of suffering in
cold or  damp weather.   This  medicament  may
sometimes follow Bryonia with considerable ad-
vantage.
   Belladonna is  useful when the  pains are of
a shooting or burning description, aggravated by
              12* 
138
LUMBAGO.
 movement,  and worse at night;  when the parts
 attacked are swollen, red, and shining, and par-
 ticularly when there is fever,  with determination
 of blood to the head, wi'th throbbing of the vessels
 of that part, and redness of the face.
   Obstinate cases of Rheumatism in the chronic
 form, frequently require a long, careful, and dis-
 criminative  treatment, which would scarcely suit
 the purpose of this work to enter upon.

                 LUMBAGO.

   This affection seems to  be a species of rheuma-
 tism,  confining itself chiefly to  the  region  of
 the loins,  which frequently proves extremely ob-
 stinate and painful,  and is in some instances ac-
 companied with a  considerable  degree of fever.
 The exciting causes of  the  complaint  are the
 same as those already given  under Rheumatism.
 The medicines most valuable in its treatment are:
 Aconite, Bryonia, Nux Vomica, Rhus Toxicoden-
 dron, Belladonna,  PulsatiVa, and Mercurius.
   Aconite  may be given at the commencement,
 if much fever declare itself,
   Bryonia,  where the pains in the back are of
 a  severe  pressive  description, constraining the
 individual to walk in a stooping position ;  aggra-
 vated by the slightest  motion,  or a draught of cold
 air,  and  attended  with a general  sensation  of
 chilliness.
  Nux Vomica is particularly indicated when the
 pains resemble those produced, by a bruise, or by
 excessive  fatigue ;  also when they are much in-
creased by motion and turning in bed at night, and 
             bruises, sprains,  &c.         139

 attended with considerable weakness ; and more-
 over, when irritability of temper and constipation
 are present.
   This is  a valuable medicine  in chronic cases,
 and may follow Bryonia  in acute lumbago with
 considerable advantage.
   Rhus Toxicodendron may be exhibited when
 the  same indications as those given under the pre-
 ceding medicines are present, with the distinction
 of the pains being aggravated by rest.   It is also
 a useful remedy in chronic cases.
   Belladonna, where the pains are deeply seat-
 ed, causing a  sensation of heaviness, gnawing, or
 stiffness ; it may follow Aconite with considerable
 benefit,  when slight  inflammatory symptoms are
 present.
   Pulsatilla when  the pains, resembling those
 mentioned under  Nux Vomica, are  moreover at-
 tended  with sensation of constriction ; it is par-
 ticularly indicated, as remarked  in other parts of
 this  work, for  females, or individuals  of mild, sen-
 sitive, or phlegmatic temperaments.
   Mercurius, when  the pains are of  much  the
 same description  as  those given under Nux  Vo-
 mica, but considerably aggravated at  night,  inca-
 pacitating the  sufferer for taking  rest.

          EXTERNAL INJURIES,

   BRUISES,  SPRAINS, AND  WOUNDS.

   In  case  of injury,   arising  from external vio-
lence, Arnica is the specific remedy, and its timely
administration  in cases of contusion, will in most 
140
EXTERNAL  INJURIES.
instances, if the bruise be not very severe, suffice
to remove all traces and evil consequences of such
misfortunes.  We may administer it internally,
and bathe the injured part with  a lotion, in the
proportion of one tea-spoonful of'tincture of Arnica
to a wine-glassful of water, four or five  times a
day ;  should the swelling,  pain, and other symp-
toms increase, after one or two applications, we
may temporarily  discontinue the lotion,  and will
almost always find a marked improvement follow
such aggravation.  Should the skin  be abraded,
we may diminish the strength  of the lotion, by
substituting  six  drops for  a  tea-spoonful of the
tincture, in the same quantity of water.
  Sprains.— In the treatment of these trouble-
some casualties, the  same procedure  may  be
adopted at the commencement, as that given under
Bruises ;  but should the  affection refuse to yield
to Arnica thus applied, we may have recourse to
Rhus Toxicodkndron, which is, properly speak-
ing, more specific to this description  of external
injury ; should the sprain still continue obstinate,
we  may exhibit Acidum Sulphuricum, which
will generally be found of essential service.
  Both .contusions and sprains are sometimes ac-
companied  with other circumstances requiring
medical assistance, such as sudden shock or fright;
in such cases, when arising from fright, Opium
may precede  Arnica a few hours, to remove the
more threatening symptoms; or if the accident be
attended with other  mental emotions,  see  the
article on that subject in Part II.
  Wounds. — In the relief and cure of these in-
juries, Arnica is  again one of our most valuable 
BURNS AND SCALDS.
141
remedial agents ;  after the usual precautions of
cleansing the wound,  dec, have been taken, it
may  be  dressed with  bandages steeped in  the
weaker Arnicated lotion mentioned under bruises ;
at the same  time the  medicine may be adminis-
tered internally as before directed.
   If, notwithstanding the administration of Arni-
ca,  high  febrile symptoms are present, we may
have recourse  to Aconite, and  as soon as the
indications of fever are in a measure subdued, re-
turn to Arnica as before. Should the wound show
a disposition to suppurate, we may substitute Mer-
curius.   If, however,  matter  be already formed,
and  it be an object,  by bringing  it speedily to a
head, to-hasten the cure, we should  exhibit Hepar
Sulphuris.
   Arsenicum is a most valuable medicine when
mortification  threatens, or has  already  set in.
There are other medicines useful  at this critical
period of the treatment, which imperatively calls
for the assistance of the practitioner.
   Cinchona is particularly useful against the de-
bility ensuing from a great loss of blood.  During
the administration of the above mentioned medi-
cines, the external application of Arnica must be
discontinued, and the wound protected by a simple
bandage.

           BURNS  AND SCALDS.

   We shall  here content ourselves  with treating
of burns  merely  in their simple form.   In slight
burns or scalds, the injured part  should be held
for a couple of minutes to the  fire ; a temporary 
142
SEA SICKNESS.
increase of pain will be amply repaid by the pre-
vention  of future suffering and  annoyance.   If,
however, the injury be more severe, we may bathe
the affected part with heated alcohol, or spirits of
turpentine, taking care to keep the surface con-
tinually moist, and well protected from  the exter-
nal air.   The  application of common soap  is
another simple, and frequently  very  efficacious
method,  of subduing the  pain.  Sapo Communis
may be also given internally, with  considerable
advantage.
   Aconite, in cases where there is considerable
inflammation,  &c.

              SEA   SICKNESS.

   The medicaments  found  most  useful in the
treatment of this distressing and painful malady,
are Nux  Vomica, Cocculus, Tabacum, Arsenicum,
and Ipecacuanha.
   Nux Vomica should be taken fasting, from six
to twelve hours before embarkation;   this pre-
caution  will in many cases prove  sufficient  to
ward off the attack.
   Should, however,  a feeling of giddiness,  or a
sensation of emptiness in the head be experienced,
shortly after going on board, attended with head-
ache, nausea, and inclination to vomit, as the mo-
tion of the vessel increases,  which is aggravated
by standing erect, Cocculus may be had recourse
to,  and repeated every one, two, or three hours,
as those symptoms recur.
  Tabacum.  Excessive giddiness, attended with
distressing nausea, headache and deadly paleness 
HYDROPHOBIA.
143
of the face; or nausea, with sickness, or a sensa-
tion of burning  in the stomach, renewed  by the
slightest  movement of the  head or body.   This
remedy is further indicated, when the symptoms
are somewhat relieved by exposure to the fresh air.
   Arsenicum is extremely valuable when the
sickness  becomes excessive, and is attended with
a feeling of utter prostration and helplessness, vio-
lent retching, burning sensation in the throat, and
the other severe  concomitants of this malady.
It should be administered between the paroxysms,
and will rarely fail to relieve. This medicine may
be followed by  Tabacum or Cocculus, to dissipate
the symptoms  of nausea and  swimming in the
head that may supervene.
   Ipecacuanha is useful in attacks of vomiting
unattended with the great prostration of strength
given under Arsenicum.  Of course, in order to
avoid interfering with the action of the medicines,
the Homoeopathic regimen should be carefully ob-
served during the period of their administration.
Cocculus has been found  extremely useful in sick-
ness arising from travelling in a  carriage.

              HYDROPHOBIA.

   It is acknowledged that no Allopathic cure has
hitherto  been found for  this  disease when fully
established, the plans of treatment which  have
been  said to have been  successful in some few
instances, having  generally failed in all others ;
thus rendering it probable,  that in these supposi-
titious cases of success,  the persons bitten might
have escaped without  any treatment whatever. 
144
HYDROPHOBIA.
Experience  has  sufficiently  proved,  that  under
favouring  circumstances,  the hydrophobic virus
is imparted to the entire organism, synchronously
with the bite ; it is therefore at best but a dubious
precaution, to torture the individual by amputa-
tion, by dissecting out the lacerated parts, or by
applying the actual,* or the  potential f cautery.
But it is not to our purpose to enter into the mul-
titude  of ineffectual  remedies which  have been
recommended  by the Allopathists.
  Hydrophobia is a disease which arises  in con-
sequence of the bite of a rabid animal, and some-
times spontaneously, particularly  in the course of
some other disease ; in which form it is  known
under the  term of symptomatic hydrophobia.
  Ere we proceed to the homoeopathic treatment,
we  shall make a few remarks,  descriptive of the
disease, as it appears in the human subject.  The
first  symptoms that show themselves in a person
who has been bitten, are usually,  general uneasi-
ness, anxiety, and disturbed  sleep ; the eyes are
glassy, inflamed, and sensitive to  light; there are
also ringing in the ears,  giddiness, and paleness
of countenance ;   frequent paroxysms of  chilli-
ness ;  oppressed  respiration, and quickness of
pulse,  which latter  is  usually at the  same time
small,  contracted and irregular ; and loss of appe-
tite. These symptoms generally come on at some
indefinite period, occasionally after the bitten part
seems quite well.   In the second  or  convulsive
stage,  the wound, which may  have already be-

  * Iron at white heat.
  t Caustic, such as lunar caustic, or caustic potasia. 
                 HYDROPHOBIA.             145

 come completely cicatrized or healed, begins to
 assume a somewhat inflamed appearance, and a
 slight pain and heat, now and then attended with
 itching, are experienced in it.  It now breaks  out
 afresh,  and an  ulcer, with  elevated margins of
 proud flesh, which  secretes  a dark-coloured and
 offensive discharge, is subsequently formed; and
 wandering, drawing and shooting pains,  from  the
 lacerated part upwards towards the throat, pre-
 sent themselves. These symptoms, with  the slate
 of testiness  and  anxiety, increase  daily; and  the
 patient  complains  of a  sense of confusion in  the
 head, or giddiness,  with sparks before the eyes ;
 is affected with sudden startings, spasms, sighing,
 and is fond  of solitude ; the pulse is small, irregu.
 lar and intermittent;  the breathing laborious  and
 uneasy ; the skin cold and dry, and general chilli-
 ness, especially in the extremities, is complained
 of; then hiccough, colic, and  palpitation come on ;
 the patient looks wild, and the  eyes have a fixed,
 glassy, and  shining appearance ; the act of deglu-
 tition is impeded by a sense of pressure  in the
 gullet, which occasionally renders every attempt
 to  swallow liquids impracticable ; convulsions
 also take place in  the  muscles of the face or
 neck.  In this stage, however, the deglutition of
 any solid substance is  performed  with tolerable
 ease.   In  ordinary cases, the  sufferer  remains
 affected in the above manner for a few days, after
 which, the disease  passes into the hydrophobic
 stage, in which it is utterly impossible for him to
 swallow the smallest drop of liquid ; and the mo-
 ment that any fluid,  especially  water, is brought
in contact with the lips, it occasions the individual
                   13 
146
HYDROPHOBIA.
to start back with dread and horror,  although he
may, at the same time, suffer the most excessive
thirst; even the  sight of water, or the very noise
produced by pouring it from one vessel into an-
other, in  fact, any thing that tends to remind him
of that fluid, produces indescribable anxiety, un-
easiness, convulsions, and even furious paroxysms
of madness ;  he  dreads  even to swallow his own
saliva, and is constantly  spitting;  vomiting  of
bilious matter soon  comes on, succeeded by in-
tense fever, great thirst, dryness and roughness of
the tongue, hoarseness,  and  fits  of delirium or
madness,  with disposition to bite and tear every
thing within reach,  followed at intervals by con-
vulsive spasms.  These  attacks  commonly last
for a quarter  or half an hour, and at their  expira-
tion, the patient is restored to reason, but remains
in a state of great despondency ; finally, the par-
oxysms come on more violently and frequently,
and in some  instances a  fit  of  furious delirium
closes the frightful scene ; in others, nature sinks
exhausted after  a  severe  attack of convulsions.
The disease may be communicated  to the human
subject from the bites of cats and other animals
not of the canine race,  which  have  been pre-
viously inoculated with the virus.
   We may remark in this place, that the best and
most experienced of our writers upon this subject,
consider the human species as the least suscepti-
ble  of contagion  from the  hydrophobic virus;
scarcely  one out  of twenty, or even thirty, of
those actually bitten by  an animal in a  state of
rabies, suffering from its effects.   We consider it
our duty,  while making this statement,  which we 
HYDROPHOBIA.             147
 hope may prove a means of relieving  the minds
 of many from painful aprehensions, to  enforce at
 the same time,  the  necessity of taking  these pre-
 cautions, which we are now about to point out,
 against the dangers.
   In the Homoeopathic treatment of this disease,
 the following are the principal remedies employ.
 ed : Belladonna, Hyoscyamus,  Stramonium, and
 Cantharides.
   Belladonna.   HAHNEMANN,  the noble
 founder of our science,  states in the  introductory
 article to Belladonna, in his Materia Medica Pura,
 that he considers the smallest dose of that medi-
 cine, repeated every three or four days, to be the
 most certain preventive against Hydrophobia ; and
 when we refer to the pathogenetic powers of that
 medicine, described in that work, it is impossible
 not to be struck with the great resemblance which
 many  of them bear to the symptoms of that ma-
 lady ;  and  it is  from this  circumstance,  accord-
 ing to Hahnemann's doctrine of similia similibus*
 that Belladonna is found to be both a  prophylactic
 and curative remedy.
   When, therefore, a person has been bitten by
 a  rabid animal,  we would recommend the imme-
 diate administration of Belladonna,  and that the
 wound  be  washed  perfectly clean  with  tepid
 water, and then  dressed with a little  simple oint-
 ment,  to prevent its immediate adhesion ; these


  * The curing of a disease by the administration of a re-
 medy which has been found to possess the property of pro-
ducing a train  of symptoms in a healthy person, similar
to  those observed in the disease. 
148
HYDROPHOBIA.
precautions taken,  the patient  may be allowed to
pursue his usual occupations, care being taken by
those around him  to avoid making any allusion
which may tend to remind him of his misfortune.
Belladonna, in the  same dose, should be given on
the third or fourth day, and subsequently at longer
intervals.  The effect of each  exhibition should
be attentively watched, and  care taken  that  a
fresh one  be  not given, as long  as any symp-
toms of the action  of the previous dose are  per-
ceptible.  Generally speaking, from two to three
administrations will  be found  sufficient to  pre-
vent  the  outbreak  of the disease ; or, at all
events,  to modify it in such a manner as to ren-
der it less  dangerous,  and more easy of removal,
by one or  more of the other remedies, which must
then be selected according to  the symptoms that
present themselves.   Belladonna may  also be
given when the disease has already made its ap-
pearance,  attended with the following character-
istics :  drowsiness,  with  constant but useless
efforts to sleep, chiefly inconsequence  of exces-
sive  anguish and great agitation ;  sense of burn-
ing ; great burning in the throat, with accumulation
of frothy mucus in the mouth or throat;  frequent
desire for  drinks,  which  are immediately pushed
aside when presented ;  or a suffocating or  con-
stricting sensation  in the throat, on attempting  to
perform the act  of deglutition,  or complete inca-
pability of swallowing, with glowing redpess and
bloated appearance of the face ; pupils immova-
ble,  and  generally dilated ; great  dread ; occa-
sionally desire to strike, spit at, bite, or tear every-
thing ; inclination to run away ;  continual tossing 
HYDROPHOBIA.
149
about; and great physical activity,  with twitch-
ing  in  various  muscles, especially  those of the
face;  ungovernable  fury, with  foaming  at  the
mouth ; and  tetanic convulsions.
   Hyoscyamus is  more  particularly  indicated
either before or after Belladonna, when the con-
vulsions are very severe, and of long  duration;
when there is not so much inclination to bite, or
spit, but a desire to injure those that stand around,
in some manner or other.  The spasms in the
throat are not  so violent, but great dryness and
burning are complained of, attended with a sense
of shooting or pricking, which causes a difficulty
in swallowing,  resembling  a sensation of con-
striction in the throat, and threatening to produce
suffocation on attempting to  satisfy  the thirst;
dread of liquids in consequence of the pain and
difficulty that are experienced  in deglutition, with
ejection of the saliva from the same  reason; ex-
cessive convulsions, with loss of consciousness, come
on soon after the distressing act of swallowing has
been performed.   There is, moreover, foaming  at
the  mouth, with constant raving ; sometimes the
patient seems wrapped up in his own thoughts ; or
is full  of  fear,  and inclined to  run  away from
the  house, being afflicted with a sort of Anthro-
pophohia ;* there are  also  attacks  of  excessive
fury, attended  with apparently supernatural phy-
sical  power; or excessive  anguish  and fear,
alternating with fits of  trembling and convul-
sions ;  the individual exhibits  a  peculiar dread  of
being bitten by animals ; the  pupils are dilated ;

     * Anthropophobia, dread of the human species.
                 13* 
150
HYDROPHOBIA.
sleep much disturbed by great nervous excitement,
starts, and agonizing dreams.
  Stramonium is chiefly indicated in this  dis-
ease, when we observe severe convulsions taking
place, whenever the eye becomes fixed  on brilliant
objects,  or on  whatever tends to  remind the pa-
tient of water ; great thirst;  dryness of the mouth
and throat, with horror  of water  and all liquids ;
spasmodic constriction in the gullet, with foaming
at the mouth, and frequent spitting ; mania,  with
great loquacity and gesticulations ; fits of laugh-
ter and singing, sometimes alternately with acute
fits  of passion and  moaning ;  the  convulsions,
when severe, are generally attended with ungovern-
able fury, restless, agitated sleep,  sudden shrieks,
and starting up with wild gestures ;  insensible
and dilated  pupils ; and great disposition to bite,
or tear every  thing with  the teeth.
   Cantharides.   This  medicine also possesses
various  pathogenetic properties, that bear a close
resemblance to the  symptoms that  are met with
in  many cases of this disorder,*  and  should be
selected in  preference to any  of  the  foregoing
remedies, when  we meet  with  the  following

  * Drs  Hartlaub and Trinks consider  Cantharides to be
the most certain  prophylactic  against Hydrophobia,  when
administered early ;  they recommend it to be given every
three or four days, and  are of opinion that the virus is not
eradicated as long as the cicatrized wound presents a livid
hue, and is attended  with indurations, but affirm the danger
to be over as soon as the part assumes  a  healthy  and na-
tural appearance. Vide Hartlaub und  Trinks, R.A.M.L.,
Vol. I.,  p. 73.  Published in 1826. The specific nature of
this remedy in Hydrophobia and  Rabies is one of the most
vaunted of the recent discoveries of the Allopathists! 
HYDROPHOBIA.             151
symptoms : — great dryness and burning in the
mouth and throat, much aggravated on attempting
to swallow ;  paroxysms  of fury, alternating with
convulsions,  which are renewed  by any pressure
on the throat or abdomen, and also by the sight of
water ;  fiery redness  and sparkling of the eyes,
which become prominent and frightfully convul-
sed ;  spasms in  the throat,  excited by the pain
produced  by the act  of swallowing,  especially
fluids ;  continual  burning,  titillation, and other
irritating  sensations in  the lower  part of the ab-
domen.
   We have  thus enumerated and described the
characterisic indications for the  four principal
Homoeopathic remedies which have  been suc-
cessfully employed against Hydrophobia ;*  others
have also been  strongly recommended, but those
mentioned have generally proved  sufficient, when
administered early, and exclusively  adhered to
throughout the course of the disease.  Belladonna
has frequently been tried by the Allopathists, but
the  cases in which it seemed  to  fail, were  evi-
dently attributable to the improper manner in which
it was administered.   We shall not treat  of the
several remedies which have  from time to time
appeared, and have, by their inventors, been so
highly  eulogized,  as  time and experience alone
will  prove  whether they possess  any virtue or
not; it is to be feared, however,  that like  many
other  once  celebrated  "specifics," (?) they will


   *  Vide Hartmann's Therapie. acut.  Krank,  Vol. II.,
p. 77, 2d.  ed. 
152
HYDROPHOBIA.
soon fall into oblivion.   In fact, no remedy can
be confidently relied upon,  for the cure of this or
any other disease that has not been carefully tested
by, and found in accordance with, the great law
of similarities.
END OP PART I. 
PART II.
         TREATMENT




              OF





WOMEN  AND  CHILDREN,




           AND OF  THEIR





     PECULIAR AFFECTIONS. 
 
      TREATMENT OF FEMALES.

                CHLOROSIS.

   This  complaint  generally  declares  itself in
young females about their fourteenth year, and is
characterized  by  a pale, blanched complexion
(sometimes with flushes of heat and redness), a
depravity of appetite, a longing after innutritious
substances, such as  chalk, &c, and a  general
languor, both mental and  physical; the patient
complains of weariness, lassitude, and  debility,
and becomes emaciated ;  the  lower extremities
frequently  assume  an  cedematous appearance,
generally attended  with cold in those parts, and
headache, with flatulent distention of the abdomen,
particularly after meals,  and  in  the  evening:
bowels irregularly confined ; sometimes at a later
period very easily  irritated and relaxed;  a harsh
harassing cough, occasionally with periodical ex-
pectoration  of dark-coloured,  coagulated blood,
and hurried respiration, frequently declares itself
if the affection has been allowed  to proceed  un-
checked ;  and to an inexperienced  eye,  the suf-
ferer  appears to  be  on the verge, or even passing
through the different stages of a decline.
   The  predisposing causes of this affection  are
very remote ; we shall therefore be satisfied with
confining ourselves  to the  treatment of this com-
plaint in its more simple stage,  as, when we find 
 156        TREATMENT OP FEMALES.

 an exceedingly obstinate case, we may feel confi-
 dent  that  it requires a regular  course of anti-
.psoric treatment, or originates  in some organic
 derangement.
   Pulsatilla  is  peculiarly  efficacious when
 the complaint has been the effect of dampness,  or
 caused by damp  or cold air, or when it is accom-
 panied by frequent attacks  of semilateral  head-
 ache, with shooting pains,  extending to the head
 and teeth, sometimes shifting suddenly to the other
 side ; also when we  observe aching in the fore-
 head, with pressure at the crown of the  head, and
 sallow complexion, alternating with flushes of heat,
 difficulty of breathing, and  sense of suffocation,
 after the slightest movement; palpitation  of the
 heart ; coldness of the hands and feet, often chang-
 ing to sudden heat;  disposition to diarrhaza  and
 leucorrhoza; pain in the loins ; sensation of weight
 in the abdomen ; spasms in the stomach, with nau-
 sea, inclination to vomit, and vomiting; periodical
 expectoration of dark  coagulated blood ; hunger,
 with repugnance to food, or want of appetite, with
 dislike to food; great fatigue, especially in the
 legs.   This  medicine  is peculiarly adapted  to
 females of mild or phlegmatic  disposition,  dis-
 posed to sadness and tears.
   Sepia is  also a very valuable remedy in this
 affection, when  many  of the above symptoms are
 present,  with,  at the same time,  hysterical me-
 grims ; complexion sallow, with dark-coloured spots;
 frequent colic and pain, as of a bruise in the limbs.
 It may, when the above symptoms declare them-
 selves, advantageously follow  Pulsatilla,  if the
 latter have failed to relieve. 
        CATAMENIA, IRREGULARITIES OF.    157

   Bryonia.   Frequent congestion  in the head
or chest;  bleeding at the nose ; dry cough; cold-
ness and frequent shivering, sometimes alternated
with dry and burning heat; constipation or colic ;
bitter taste in the mouth, tongue  coated yellow ;
sense of pressure  in the stomach, as if from a
stone;  irascibility.
   Sulphur is more particularly indicated  when
there is pressive and tensive pain in the back oftlie
head, extending to the nape of the neck; or pulsa-
tive pain in the head, with determination of blood ;
humming in the brain; pimples on the forehead and
round the mouth;  pale and sickly  complexion,
with red spots on the cheeks ; voracious appetite ;
general emaciation ; sour and burning eructation;
pressive fulness and heaviness in the stomach under
the lower ribs and in the abdomen; bowels irregu-
lar ; difficulty of breathing; pain in  the loins and
fainting ;  excessive fatigue, especially in the legs,
with great depression after talking; great tendency
to take cold;  irritability and inclination  to  be
angry ; or,  sadness and melancholy, with fre-
quent weeping.

   CATAMENIA,  IRREGULARITIES  OF.

   When  a suppression takes place from the sud-
den effects of a chill, we  may have recourse to
Pulsaiilla, when the symptoms generally corre-
spond to those of that remedy, as detailed under
Chlorosis;  the same  rule  will  apply for  Sepia
and  Sulphur.
   Dulcamara, when the  complaint has arisen
from  wet  feet, or a severe wetting, if administer-
                14 
158       treatment  of females.

ed immediately,  will  generally obviate all  evil
consequences; if it fail, it should be followed by
any  of those mentioned under  Chlorosis,  that
may correspond to the symptoms present.
  If from sudden mental emotion, especially from
fright,  Aconite followed  by  Lycopodium,  if
necessary ;  for other cases,  see mental emo-
tions.
  Nux Vomica,  when oftoo frequent occurrence,
too profuse, and of too long duration, preceded by
drawing pains in  the nape of the neck, attended
by spasms in the abdomen;  nausea with fainting,
especially in the morning, with other  dyspeptic
symptoms ; determination of blood to the head, with
giddiness, pains in the limbs, constant irascibility,
restlessness and despair ;  suitable for dark com-
plexions.
  Platina, when attended with painful pressure,
or bearing down sensations; coagulations ;  sleep-
lessness at night;  shortness of breath ; excitabi-
lity and constipation ;  or if Nux Vomica has not
given the required  relief.

   OBSERVATIONS  ON PREGNANCY.

  This period may be looked upon as one of the
most interesting eras  of a woman's life.  She is
now no longer acting  for herself alone, but be-
comes  invested with a new and serious responsi-
bility,  and upon  some  of the  most apparently
trifling of her actions may depend the future health
and  happiness of a being  bound to her by the
fondest ties.
  From the mass of evidence, collected  by careful 
        OBSERVATIONS  of pregnancy.     159

observers-of the operations  of nature, we are
warranted  in drawing  the  conclusion, that the
actions of the mother exercise  a great influence
over, not only the  constitutional and  physical,
but also the mental organization of her offspring.
Keeping this fact in view,  we will endeavour  to
point out the course that mothers, who prefer the
welfare of their future  offspring to their own in-
dulgence, should pursue,  from  which they will
derive a double benefit, an improvement in their
own health,  with  exemption from suffering, and
the delight of seeing their  children pass  safely
through the perilous period of infancy; while, in
after life, beholding them flourishing around them,
in the full oltjoyment of health and vigour, they
will reap the rich reward of a slight temporary
self-denial  in  the delightful  consciousness  of
having performed  their  duty.
   The  leading causes  of a weak and sickly off-
spring are,  ill-health, or constitutional taint  of
both, or either of the parents ; very early  or late
marriages ; great inequality between  the ages
of the parties; errors in dress,  diet, and general
habits of life ;  and lastly, powerful mental emo-
tions.
   The first of these causes, medicine, under the
present enlightened system, possesses powers to
obviate, not only by destroying the hereditary taint
in the parents, but also by nipping it in the bud
when transmitted  to the  infants.  While  upon
this subject, we may remark, that in many fami-
lies, hereditary  diseases  are fostered, and even
exacerbated in  virulence, by intermarriages be-
tween their different members,  sometimes disap- 
160       TREATMENT  OF FEMALES.
pearing in one generation, aud  again declaring
themselves in the next;  but when Homoeopathy,
as it must eventually, completely supersedes the
present erroneous  system,  and  the  habits  and
mode of life  of communities become more adapted
to the natural law, we may safely calculate upon
the gradual extinction  of all hereditary diseases ;
and so far at least, children shall not have to  suf-
fer for the follies or faults of their progenitors.
   Females should seldom, at least in this country,
enter into the marriage bond before their twenty-
first  or second year; prior to  that  period, their
organization  is scarcely  ever fully developed ;
those who marry at sixteen or eighteen years of
age, incur the risk of severe after-sufi%ring them-
selves, and  of giving birth to weak and delicate
children.  How very, often we see the first chil-
dren of such marriages perish in infancy, or, after
contending through a childhood of continual deli-
cacy, sink into a premature grave !  Women who
marry late in life, incur considerable personal risk
and severe suffering, in giving birth to children,
and the offspring is seldom healthy.
   The children of old men, although by a  young
wife, are very often extremely delicate  and sus-
ceptible to illness ; they not unfrequently  precede
their father to the grave, or linger on earth but to
drag on a miserable and wearisome existence.
   After having laid down as clearly as possible,
the course which ought to be pursued during  this
important epoch, with regard to dress, diet, habit,
&c, we shall proceed to mental emotions,  and
point out what remedies our science affords us
of counteracting  the ill effects arising from such
sources. 
AIR AND EXERCISE.
161
  In concluding these observations,  we may re-
mark, that so far is the period of pregnancy from
being destined for one of suffering or  danger, that
nature has taken every precaution for the protec-
tion of the female and her future offspring.  While
pregnancy runs its equable and uniform course,
the expectant mother enjoys  an almost complete
exemption 'from the power of epidemic  or infec-
tious diseases, and chronic complaints are frequent-
ly suspended—in fact, with the exception of some
slight  morning sickness,  and occasional  trifling
uneasiness,  a well constituted organism  should
enjoy as good health during pregnancy, as at any
other time ; and  many pass  through this period
and give birth to vigorous children, without  even
the most  trifling inconvenience.
   Though, as we have said, nature seems during
this period to adopt every possible precaution for
the health and preservation of the parent and her
future, offspring, yet are her wise arrangements,
in too many instances, rendered nugatory  by  a
direct contravention of her laws.   The expectant
mother should, therefore,  bear in mind, that the
incumbency of a  regular and systematic course
of life, so essential  to every  individual, devolves
upon  her  with double force, since every  neglect
or breach of these ordinances of  nature upon her
part,  is frequently visited with fearful energy upon
her yet unborn infant.

           AIR  AND EXERCISE.

   Nothing  tends more to  the  preservation  of
health, than a proper attention to these two im-
            14* 
162        TREATMENT OF FEMALES.

portant points, and yet, unfortunately, there are
perhaps  few  more  completely  lost  sight  of.
Neither air nor exercise is individually sufficient:
and those  of the more opulent classes  in  this
country, who merely take the air in their carriages,
and shun the slightest physical exertion from long
continued habits  of acquired indolence, and who
feel any attempt of the kind at this period attend-
ed with increased inconvenience, can scarcely ex-
pect to enjoy the  benefit that nature has annexed
to the observance of her laws in a course of preg-
nancy free from suffering,  and the production of a
fully developed and healthily organized offspring.
   During this epoch, passive or carriage exercise
is not  sufficient ;  walking brings not only the
physical,  but the whole of the organic  muscles
into play, and communicates the increasing vigour
of the  mother to her offspring; on the contrary,
continual  passive exercise in a carriage has been
found particularly injurious during, and  towards
the end of, the second period of, pregnancy, and
is frequently the cause  of premature and abnormal
birth;  exercise  on  horseback,  even not taking
into consideration the risk of fright or accident to
the rider, and the fearful  consequences that may
thence result, is still more objectionable, for many
reasons.
   A second class, that of thrifty housewives, take
a great deal of exercise, yet without a correspond-
ing benefit,  from their  work  occupying  them
wholly  in-doors ; this  is  a  strong proof of the
inutility  of exercise  of itself,  unless combined
with pure air.  Moreover, these females, from too
great activity of temperament, and others, coerced 
CLOTHING.
163
by hard necessity,  frequently overfatigue them-
selves, go to bed late, rise early,  and sometimes
unrefreshed, and thus in a manner deaden the
energies  of the organic powers,  to their  own
injury, and  that of the unborn child.
  A third class  of females  injure  their health,
and frequently  induce miscarriage, through  their
excessive  levity and thoughtlessness, by  unre-
strained indulgence in active exercise, riding on
horseback, but more particularly  excessive  dan-
cing.   A female ought to recollect that^ if through
her own folly she has brought on miscarriage, the
greatest possible care is necessary  to prevent its
recurrence ; that a  second attack  increases her
liability in future ; and that she who has suffered
twice or thrice from this misfortune, even  when
she  escapes  it,  rarely  attains  her  full time.
Moreover, continued casualties of this nature not
unfrequently terminate in  premature death, from
that frightful disease, uterine cancer.
  The best exercise, therefore, for a female dur-
ing this epoch, is walking every day (when the
weather permits it), in the open air.  In order to
prove beneficial, and not to interfere  with the
process of digestion, exercise  ought to be taken
two or three hours  after a moderate meal,  about
mid-day, or in the afternoon, except during hot
weather,  when the evening may  be  preferred,
care being  taken  to avoid the night-damps, by
not remaining out  too  late.

                 CLOTHING.

  The dress  of the  female should of course be
suited to the season, and if she pass from a warm 
164       TREATMENT  OF FEMALES.
into a cold atmosphere, she  ought to have her
neck and throat well protected, so as to avoid any
risk of taking cold;  but  a point of far greater
importance  is the adaptation  of her clothing to
the form, so as to preclude, as much  as possible,
pressure upon any part of the frame, calculated
to interfere with the functions of those important
organs  destined for the birth and nourishment of
the infant: therefore, lacing, at all times most ob-
jectionable, is particularly so during this period, in-
asmuch as it cramps the natural action of the body,
and acting directly upon the abdominal muscles,
the blood-vessels, lymphatics,  and whole  intes-
tinal economy, produces narrowness of the chest,
disturbed circulation,  and  induration of the liver,
and exercises  a most baneful  influence upon the
breasts and uterus. We should bear in mind that
a pressure upon these organs, during development,
is acting in direct contravention  of the operations
of nature.   Females,  in their efforts to preserve
the elegance  of their shape  during pregnancy,-
are little aware that the constringing force exer-
cised upon the abdominal  muscle's, destroys their
elasticity, prevents a proper retraction after par-/
turition, and thus proves  one of the most corn-
mon causes of permanent abdominal deformity;
moreover,  to  the  culpable vanity of mothers,
thousands  owe their  club feet, and other malfor-
mations ;  in addition  to these evils, this practice
not  unfrequently deranges  the  position of the
foetus, which  displacement, with the consequent
want of energy in the muscles, and the parts con-
cerned, brings on protracted and painful labours,
metrorrhagia,  and induration of the womb, fre- 
DIET.                165
quently terminating in cancer.  Besides this, con-
tinual pressure on the uterus is liable to produce
premature labours.  To tight lacing, also, may
be attributed  the  difficulty many women of the
present day experience in suckling their offspring,
from the incipient process  for the  subsequent se-
cretion of milk being deranged by the unnatu-
ral  pressure on  the  beautifully constructed me-
chanism of the mammae; from this also result those
dangerbus indurations, cancers, and other affec-
tions Qf the breast, and retraction  and diminution
of the nipple, from which the act of suckling is
rendered difficult,  and in some cases impractica-
ble.
   Young girls of seventeen or eighteen are fre-
quently  found with pendulous  breasts,  from the
artificial support having taken the  office  of the
muscles, intended by nature for that purpose, and
throwing them out of employment.
   Garters too tightly bound,  are generally  in-
jurious,  more particularly to pregnant females ;
for the pressure thereby exercised upon the blood-
vessels  encourages the development of varicose
 vessels in the thigh,  (to which affection the sys-
. tern is already sufficiently  predisposed,) which in
 many instances become exceedingly painful and
troublesome.

                     DIET.

   The  greatest  simplicity  should regulate  the
 diet of  the pregnant  female ;   she should avoid
 taking too great a quantity of nourishment,  be-
 cause any excess  in this respect, besides causing 
 166       TREATMENT OF  FEMALES.

 dyspepsia and general  uneasiness,  has  a bad
 mechanical effect upon the future offspring; and,
 moreover, the foetus  shares  in the material de-
 rangements.
   Much depends upon the quality of her food;
 nothing  should  be  taken that is not of a simply
 nutritive nature, and every  thing possessing  a
 medicinal property  avoided.   Coffee and strong
 tea should be laid  aside.  Wine, liquors, malt,
 and other  stimulating beverages,  are  also  in-
jurious.  If the female has been long habituated
 to wine, it may be taken,  if of good quality and
 free from acidity, in extreme moderation, and di-
 luted with water; but he'ter far if stimulants of
 every kind are  altogether avoided;  indeed, the
 usual Homoeopathic diet  (for which, see article
 Regimen,  in Introduction)   is  sufficient  guide
 during pregnancy.

 EMPLOYMENT OF THE MIND AND HA-
       BITS DURING  PREGNANCY.

   It is not sufficient that  the body  be in perfect
 health ; the mind must also be kept in a state of
 serenity.  An easy cheerfulness of temper is es-
 sentially necessary to the future well being of the
 unborn infant.  Experience has presented us with
many  instances, in which the predominant feel-
ing on the mind  of the mother during pregnancy,
has had influence on the  future mental organiza-
tion of the child.  This shows how essential it is
for females  to keep  their minds  well employed
during this  period,  to avoid  both improper medi-
tation, dissipation, and reading works not calcu- 
              MENTAL EMOTIONS.          167

lated to improve  their understanding.  Nothing
can act more effectually against the future mental
and corporeal health of the unborn infant than an
oscillatory state of intellect, in combination with
physical indolence;  the  late hours, turning day
into night, and other practices of fashionable life,
injurious as they are to the most robust constitu-
tions, are doubly reprehensible on the part of the
expectant mother.

INFLUENCE  OF EXTERNAL OBJECTS
     UPON THE  UNBORN INFANT.

   The effect of any unpleasant or unsightly ob-
ject upon the imagination  of the mother, and the
transmission of that effect  to  the  offspring, evi-
denced  in various mental or physical peculiarities
after birth, is a theory as old as tradition ; without
entering upon the various arguments brought for-
ward both for and against it,  we would simply ad-
vise  females to keep as much as possible out of
the way of such objects, to preserve both mind and
body in a state of health, which will lessen every
fear of being affected by such  occurrences ; and
endeavour,  as constantly  as  possible, to  direct
their attention to  pleasing subjects; as it must be
perfectly evident that brooding over such unpleas-
ant impressions can scarcely fail  of being both
physically and mentally injurious.

           MENTAL  EMOTIONS.

   We shall now proceed to the consideration of
those particular Mental Emotions, which exercise 
168       TREATMENT OF FEMALES.
so great a control  over  the human organism,
among  the more  prominent  and  continually
recurring  of which,  we find fright,  passion or
anger, and concentrated grief.
  Aware, not only of the dangerous consequences
they not unfrequently entail upon the  female her-
self, but of the tremendous power they exercise
over the future physical or intellectual develop-
ment  of the unborn infant,  we should feel deeply
grateful to that science which has placed in our
hands the means of successfully  combating their
baneful influence.
  Having  premised thus much, we shall briefly
point  oufthe remedies that may be called for
in general cases of this  nature.
  When the sufferer has been exposed to sudden
fright, with terror or horror, the immediate ad-
ministration of Opium, either  internally  or  (as
some more strongly recommend) by olfaction from
the bottle, is generally efficacious in restoring the
patient and obviating any evil consequences.
  When fright or passion are combined, Aconite
is the appropriate remedy.
  Pulsatilla, in cases of fright, fear, or timidity,
particularly where accompanied with an  effect
upon the stomach;  or passion in people of gene-
rally mild temper;  it is  also suitable  for highly
nervous but not  easily irritable temperaments.
   Belladonna, where there is  present, particular
liability to be startled by trifles, or extreme gene-
ral nervous excitement.
   Ignatia, where the cause is gnawing, inward
grief.
   Chamomilla, where suffering has arisen from 
MENTAL EMOTIONS.
169
vexation, or a disposition to irritability, or where
great anguish and mental depression are present.
  Nux Vomica, suffering arising from a sudden
fit or outbreak of passion or rage.
  Staphysagria.   Anger  and vexation, arising
from just cause.
  Arsenicum is useful where passion is followed
by great weakness and dangerous prostration of
the  vital powers.
  Bryonia is indicated where a fit of passion is
followed by coldness and shivering over the whole
body, great irascibility, want of appetite, nausea,
vomiting, and bilious sufferings.
  In many cases,  the  sequelae or consequences
of this affection, are the best assistants  in  the
choice of the remedy.   Collecting the symptoms
noted in different parts of the book,  and combin-
ing them in the manner described in the Introduc-
tion, will materially assist in the  selection.
  Another not unfrequent symptom during preg-
nancy, is  great despondency of mind,  and  un-
easiness about the future.   Some females, whose
spirits are  generally good at other  times,  suffer
much from this affection during this period  ; and
with others, we find the same feeling and exces-
sive low  spirits  during the time of nursing, al-
though not permanent,  and when  commencing
early in  gestation, usually  disappearing before
delivery, without material injury to the general
health ; still, as it is apt to  create some uneasi-
ness, both to the sufferer herself and her friends,
we  have thought it advisable to mention it, and to
point out remedies which will frequently be  found
efficacious  in its  relief, referring to the symptoms
              15 
 170       treatment of females.

 mentioned in other parts of the work,  under the
 different medicaments,  as a further guide for the
 selection.
   Aconite.   If the state of despondency is pre-
 ceded  by one of excitement,  marked by heat of
 skin, and frequency  of pulse, attended  with ap-
 prehension and presentiment of approaching death.
   Bryonia.   Great  inquietude, and fear of the
future, attended with irascibility and derangement
 of the digestive functions.
   Nux Vomica.  Morning sickness and melan.
 choly,  with great uneasiness.
   Natrum  muriaticum.     Melancholy,   with
 weeping, uneasiness about the future, also obsti-
 nate cases of morning sickness, not yielding to
 Nux vomica.
   When this affection comes on during lactation,
 arising from  an over-secretion of milk, so that
 this fluid escapes involuntarily, and it is attended
 with great emaciation, melancholy, and apprehen-
 sion of the future, we may give Phosphorus.
   Calcarea is also  efficacious when the above
 symptoms present themselves,  and more particu-
 larly so, when there is excessive dejection with
 great lassitude.   When the indications  given for
 Phosphorus  only are  present, if no amelioration
 take place within a week or ten days after its ex-
 hibition, we may administer Calcarea.
   Calcarea is more particularly indicated,  when
 there  is suppression of the  secretion, and also
 excessive obesity, or  the individual is of plethoric
 habit.   Both these remedies are also valuable
 when there is a disposition  to consumption.
   When there is lowness of spirits, attended with 
MENSTRUATION.
171
dyspepsia, which may arise from the energies of
the mother being too severely tasked in the nour-
ishment of her offspring, either from keeping the
child too long  unweaned, or from  rearing twins,
we may administer Cinchona, one dos°e  to be
taken morning and evening for a week.
        DISEASES  OF PREGNANCY.

              MENSTRUATION.

   Virtual diseases during  gestation are  of rare
 occurrence ; but when they  do happen, they ought
 to be treated accordingly.
   A continuation of menstruation is not an actual
 disease, but rather an exception to  the general
 course of nature ; nor must we here mistake  her
 operation for  an indication of the  utility of the
 lancet; for neither in this,  nor in any case, can
 the artificial supply  the  place of natural  bleed-
 ing ;  however, when the woman appears to suffer
 from the continuance of the menstrual flux,  we
 must call in the assistance of medicaments, among
 which the principal are, Cocculus, Phosphorus and
 Platina.
   Cocculus.   A sanguineous mucous  discharge,
 and very severe  spasmodic pains in  the  lower
part of the abdomen.
   Phosphorus.   Discharge of blood,  with inci-
sive pains in the back, and occasionally vomiting.
  Platina.   Discharge  very profuse, attended
with a severe pain and bearing down. 
172
          MORNING SICKNESS.
  Morning sickness, nausea, vomiting, and heart-
burn, are the most distressing symptoms attendant
on the course of pregnancy :  these  troublesome
complaints harass  women most upon their first
risino- from a horizontal position in bed.   They
generally disappear soon after  quickening,  but
sometimes  continue  during  the whole period.
The numerous palliative remedies recommended
by Allopathists—leeches, cupping glasses,  blis-
ters, aperients, sedatives, &c, &c,  unfortunately
too often fail in  effecting their object; and  fre-
quently,  when the stomach becomes enfeebled,
the  hazardous resource of artificially  produced
premature labour is resorted to.
  The Homoeopathic treatment of this  derange-
ment, at once simple, prompt, and efficacious, has
in almost all cases been stamped by the signet of
success. In instances  free  from  complication,
with a tendency  to relaxation  of the bowels, Ipe-
cacuanha is generally sufficient.
   Nux  Vomica, taken every evening until relief
is obtained,  when there is constipation, with ir-
ritability of the temper and system.
   Natrum  Muriaticcm,  administered  in  the
same manner as  the above,  in more  obstinate
cases,  without reference to the action of the in-
testines.  These remedies  are also  suitable for
the longing  of pregnant women.

              CONSTIPATION

Is  a very common attendant upon pregnancy,
and those generally suffer  most who are natu- 
        FAINTING AND HYSTERIC FITS.     173

rally of a costive habit; when it does not arise
from a mechanical cause, active  exercise in the
open  air, avoiding coffee and other stimulating
liquids, and unripe subacid fruits, are generally
sufficient ; and when nature requires, further aux-
iliary.
   Nux Vomica, taken at bed-time, will generally
answer; if, after the completion of its  action,
there still  remain  some inconvenience, Igna-
tia should be given  as an intermediate,  follow-
ed by a stronger form of Nux Vomica ;  in other
cases,  when  Nux  Vomica  does not  show   a
marked improvement, and the temper continues
irritable,Bryonia will sometimes cure; or Opium,
which is especially indicated to follow Nux  Vom-
ica when there  appears to  be a weight in the
stomach, dryness of the mouth, and deep flushing
of the face.

     FAINTING AND  HYSTERIC  FITS.

    Many  delicate and nervous females  are fre-
 quently attacked with  fainting fits during  preg-
 nancy.  The  attack generally passes over easily
 and without deleterious consequences;  exercise
 in the open  air, and attention  to  the  rules  of
 regimen, are the best safeguards ; but  in  cases
 where these are insufficient, and the attacks  prove
 distressing, we must endeavour to ascertain their
 origin ; if from tight lacing,  warm rooms, or any
 other obvious excitant, its simple removal is suf-
 ficient; should  the  sufferer remain  long insen-
 sible, the speediest means of revival is sprinkling
 the face  with  cold  water;  when  arising from
             15* 
174        DISEASES  OF PREGNANCY.

plethoric habit, returns of the attack may be pre-
vented by Aconite, of which we have  had occa-
sion to speak several times, as a general regula-
tor of the circulation.
  Chamomilla, when the fainting is excited by
sudden fits of anger.
  Nux Vomica, when from general irritability of
system and consequent gastric derangement.
  Belladonna, when there is sudden determi-
nation of blood to the  head,  with  simultaneous
flushing of face and  perceptible action of the ar-
terial system.
   Cinchona,  when  arising from general weak-
 ness, and especially from loss of blood.
   Pulsatilla.   General excitability and  dispo-
 sition to  hysteria, with hypochondriasis and great
 general susceptibility.
   Ignatia, when the patient suffers from severe
 headache, as  if a nail were driven into the head ;
 sadness  ; concealed  sorrow and continual sighing.
   Viola Odorata.   Hysteria,  with  constant
 weeping, &c, &c.

                TOOTHACHE

 Is a frequent  affection with pregnant  women,
 and is too valuable an indication of psora lurking
 in the constitution,  to be  neglected ;  the female
 should, as soon as  she is in a proper state, put
 herself under  a course of  anti-psoric treatment,
 as, until  the virus is driven out, no remedies can
 prove otherwise than palliative.   We must par-
 ticularly caution females in this situation, against
 having teeth extracted, as  the affection frequently 
         VARICES, OR SWELLED VEINS.      175

occurs in sound  ones;  meantime, to relieve the
sufferings, the best medicines are, Sepia, Calcarea,
Alumina, and Magnesia Carbonica, exhibited by
olfaction, in order to avoid too great disturbance
of the system.
  Sepia is particularly indicated when there  is
pulsative shooting, drawing toothache, with pains
extending to the ears, or to the arms, and fingers,
excited by compressing the teeth, or by cold air,
and attended by impeded respiration,  swelling of
the cheek,  and enlargement of the  submaxillary
glands.
  Calcarea, when it is excited or aggravated by
cold air,  or any thing hot or  cold, and attended
with painful sensation of the gums, and pulsative
gnawing or shooting pains.
  Alumina, when the pains are excited by masti-
cation, or in the evening in bed,  and when of a
tearing nature, extending to the cheek bone, tem-
ple, and forehead.
   Magnksia  Carbonica.   Nocturnal pains in
the teeth, insupportable when lying down,  and com-
pelling one to get up and walk ;  pains  generally
boring, burning, drawing, tearing, and resembling
those of ulceration, attended with swelling of the
cheek of the side affected ; throbbing and shoot-
ing in the teeth after a meal;  pain aggravated by
a cold.  The above are the  four leading medi-
cines, though there are others which are  demon-
strable by peculiar symptoms.
     VARICES  OR SWELLED VEINS.
   Many females suffer much during pregnancy,
from distention  of the veins in the thigh and 
176       DISEASES OF PREGNANCY.
other parts,  which becoming more exacerbated,
eventually cause great pain and inconvenience.
These varicose veins generally arise from pres-
sure of the gravid  uterus upon the blood vessels,
but are,also a sure indication of the  existence of
psora.   These are too  well  known  to  need de-
scription ;  they are much increased by partaking
of stimulating liquids, always to be avoided under
treatment.   Considerable alleviation is experien-
ced by constant bathing with water, or with  di-
luted alcohol; also by bandaging from the foot
upwards with a gentle and equable pressure, and
by preserving a recumbent posture.   In order to
afford a considerable relief, we may have recourse
to the following remedies :
  Nux  Vomica,  when attended with irritability
of temper and constipation.
  Arsenicum, when the veins are of a livid co-
lour and burning.
   Carbo vegetabilis, where the former is not
sufficient.
   Belladonna.   Varices,  with   considerable
erysipelatous inflammation.
  Pulsatilla, when the livid  colour is extended
to the whole limb.
   But for a permanent eradication, the anti-psorics
are requisite, such as Sulphur, Graphites,  Carbo
Vegetabilis, Lycopodium, fyc.; hemorrhoidal affec-
tions, being psoric, require  a similar treatment.

              MISCARRIAGE.

   Before we proceed further,  we feel  ourselves
compelled, from the  present paucity of homceo- 
MISCARRIAGE.
177
pathic practitioners, to  enter  upon the treatment
of this important subject, although feeling it our
duty at the same time,  to endeavour to impress
upon the mind of every female, the propriety  of
placing herself under the care  of a professional
man, whenever practicable.
   Women who have once suffered from this af-
fection, are exceedingly obnoxious to its  recur-
rence, and this liability is still further increased,
if the  event have taken place a second  or third
time.  It may occur at any period  between the
first and seventh months, but in the majority of
cases, takes place about the third, or  the  begin-
ning of the fourth.  When before  or about this
period, it  is  frequently attended  with but little
pain  or danger, although repeated miscarriages,
from the great discharge that is generally present,
break down the constitution, and frequently de-
velop  severe  chronic diseases.    When miscar-
riage  takes  place at a more  advanced period, it
assumes a very  serious complexion, and is often
accompanied  with a considerable degree of peril
to the sufferer.
   The premonitory and accompanying symptoms
of miscarriage vary much in their  nature ;  some-
times  the discharge  is exceedingly profuse,  at
others moderate  or inconsiderable ;  the pains,  in
many instances extremely severe and  protracted,
are  in others very  slight  and  of short  continu-
ance.
   Sudden  mental emotions,  or great physical ex-
ertion, a luxurious mode of life, fashionable habits,
powerful aperients, neglecting to take air and. ex-
ercise, are a few  of the exciting  causes of this 
178        DISEASES OF PREGNANCY.

affection,  which is particularly apt to occur in
both highly  plethoric,  or  delicate and nervous
habits.  A psoric condition of the patient, is un-
doubtedly the predisposing cause.
  Miscarriage  is,  in most cases, preceded and
attended  by the majority of the following symp-
toms.  A sensation  of chill,  followed  by fever,
with more or less bearing down, particularly when
occurring  late in pregnancy ;  also severe pains in
the abdomen, drawing and cutting pains in the loins,
or pains, frequently bearing a close resemblance
to those of labour ; discharge  of  viscid  mucus,
and blood sometimes of a  bright  red,  not unfre-
quently mixed with coagula ;  at others,  dark and
clotted, followed by  the emission of  a serous
fluid.  The  miscarriage  generally takes place
during this discharge,  which  occasionally con-
tinues, if not properly checked, to flow for hours
after, placing the sufferer in considerable jeopardy.
When the pains increase  in intensity, and the
muscular contractions become generally establish-
ed,  with  their  characteristic regular throes, and
efforts to dilate the mouth of the  womb,  miscar-
riage is almost inevitable.   As preventives of this
affection, the principal remedies are  Sabina and
Secale Cornutum.
   When  the  premonitory symptoms of  miscar-
riage declare themselves, Chamomilla, Nux Vomica,
Ferrum  Metallicum,  Ipecacuanha, Sabina, and
 Calcarea.  The same with the addition of Hyos-
cyamus, Crocus, and Secale Cornutum, after the
 misfortune  has taken  place.  Cinchona  is also
 valuable  when the  indications which we shall
 give for that medicine are present. 
MISCARRIAGE.
179
  In cases where there  is an evident disposition
to miscarriage, or where, from a variety of rea-
sons, it is apprehended, the administration of Sa-
bina in the early stage of pregnancy will frequent-
ly prevent its recurrence. With regard to its ex-
hibition, we may allow about three weeks to elapse
between  the first and second doses, and gradually
lengthen the interval for each successive adminis-
tration, until  the period of danger be past.
  Hartmann* strongly recommends Secale Cor-
nutum as useful in similar cases,  but particu-
larly when this  misfortune has  already occurred
more than once ; it should be administered every
fourteen  days, commencing immediately after the
cessation of the  monthly period, and continuing
until the period  at which miscarriage usually oc-
curs, is past ; one dose more, at the utmost, being
allowed after this period.
  Both these remedies are also  valuable to follow
the other medicaments mentioned, after miscar-
riage   has taken place,  the latter particularly, in
weak or  exhausted  persons, or  in those cases of
hemorrhage  in  which the discharge consists of
dark liquid blood, and is  followed by considerable
debility; this  remedy is also efficacious in cases
of inevitable miscarriage, attended with feeble, ex-
pulsive efforts; the former,  Sabina, when  there
are dragging and forcing pains, extending down-
wards  from the  back and loins ;   sensations of
sinking or faintness in the abdomen ;  frequent de-
sire to relieve the bowels ; diarrhoea  ; nausea or
vomiting; chilliness  and heat,  with fever.

  * Therapie acut. Frank-form, Vol. II., p. 352., 2d Edit. 
 180       DISEASES of pregnancy.

   We shall now treat  of miscarriage when the
 premonitory symptoms have set in, giving under
 the  same head, the indications for the use of the
 medicaments, where the result is unavoidable,  or
 has  already taken place, as even in these cases,
 their administration is decidedly beneficial in ob-
 viating further injurious consequences,  and  in
 alleviating the sufferings of the  patient.   The
 remedies  in these cases are : Chamomilla,  Nux
 Vomica, Ipecacuanha,  Hijoscyamus, Belladonna,
 Crocus, Ferrum Metallicum,  Sabina, Secale  Cor-
 nutum, and Calcarea.
   Chamomilla, when there are  present :  ex-
 cessive restlessness, convulsions, twitching in the
 back and  limbs;  severe  pains in  the loins  and
 back, worse at  night, generally of a sharp cutting
 description,  extending downwards, strongly re-
 sembling  those of labour ;  sometimes also ab-
 dominal spasms, with  a species  of sanguineous
 discharge; or  discharge of deep   red, or dark
 coagulated blood ; frequent  yawning; coldness
 and shivering.
   Nux  Vomica.   Obstinate constipation,  and
 swelling of the reins;  also when the patient  has
 been accustomed  to  a stimulating diet, and the
 use of  coffee; severe  burning   or wrenching
 pains in the  loins ; painful  pressure downwards,
 and mucous discharge.
   Ipecacuanha.   Chill  with  heat;  pressure
downwards in the region of the groin ; discharge
of bright  red blood,  or coagulation ; cramp and
rigidity  of the  frame ; sometimes  convulsions ;
vomiting, or desire to vomit; cutting pains in the
umbilical region. 
MISCARRIAGE.
181
  Hyoscyamus, when the convulsions are  very
severe,  with cries,  great  anguish,  oppression of
the chest, and loss of consciousness.
  Belladonna.  Great pains in the loins and in
the entire abdomen ;  with severe central  bearing
down ; pain in  the back, as if it were dislocated ;
discharge,  if any,  of  bright  red  blood.   It is
also particularly valuable  in  cases  of profuse
hemorrhage of the  above description, after mis-
carriage.
   Ferrum Metallicum  is  a  useful  medicine in
cases of miscarriage attended with  fever, labour-
like pains,and considerable sanguineous discharge.
   Crocus is especially indicated  in  cases which
are attended or followed by  discharge of dark
coagulated or viscid blood,  with a sensation as of
something moving or jumping about in the umbili
cal region.  This   remedy is frequently useful
in  obstinate cases, after the employment  of one
or  more of the above mentioned remedies.
   Cinchona is valuable in the restoration  of the
vital power after the hemorrhage, or materially as-
sists in checking the discharge,  should  there be
spasmodic pain in the womb, or  bearing  down
sensation, with considerable discharges of blood
at  intervals.
    Calcarea is a remedy of considerable  impor-
tance, in the treatment of cases where  the affec-
 tion is  apparently induced  by a  varicose state
 of the veins.   It is also of value as a preventive,
 and especially when the patient is of a plethoric
 habit, with a tender or irritable  skin, and other
 psoric appearances.
    We have thus enumerated  some of the pnnci-
                    16 
182        DISEASES OF PREGNANCY.

pal homoeopathic remedies which are employed in
the different stages of this misfortune, and  have
endeavoured to point out the peculiar indications
for the selection of  the   proper  medicament as
succinctly, and at the  same time  as fully,  as it
is  possible to do,  in a work like the present.  In
concluding the subject, we shall  briefly  notice a
few precautionary measures that the patient ought
to  observe while threatened with, or after having
suffered from the  affliction.
   When miscarriage is threatened,  the individual
must assume the recumbent posture, and  in  some
cases indeed,  should be strictly confined to bed,
sleeping with  few  bedclothes;  the  apartment
should be kept cool, and every  means  must be
employed to  ensure perfect tranquillity of mind.
The diet prescribed in cases under homoeopathic
treatment should  be  closely followed, and warm
fluids generally avoided.    When the misfortune
has proved  unavoidable, or  has actually  taken
place,  before assistance has been sought, the pa-
tient ought still to be  confined to  bed for a few
days, lest a  fresh discharge be brought about by
too early a change from a horizontal to an upright
posture ; and on future occasions, when a similar
period comes round, great care  should be taken
that  the mishap  may not  again occur; in the at-
tainment  of this  desirable object,  we feel conn-
dent that nothing will tend so fully  to ensure suc-
cess,  as a timely application to  one or  other  of
the preventive remedies already described. 
183
 TREATMENT BEFORE PARTURITION.

   PREPARATION OF THE BREASTS.

  Young mothers frequently find great  difficulty
in suckling their children, in consequence of or-
ganic  defect,  or incapacity of the nipple.   In
every case, a preparation of the breasts is neces-
sary some weeks before delivery, in order to pre-
pare them for their future office.  In  many in-
stances, the structure  of the breasts is disorgan-
ized from an ignorant nurse having compressed
them in childhood, from the idea that such a pro-
cess was  needful for the expulsion of some  mat-
ter in the breasts of the  child—a vulgar error—a
practice against which mothers  ought to be par-
ticularly watchful; the same  inability of function
is likely to occur from  the pressure of stays in
after life, by which the cuticle is rendered so ten-
der, as to  preclude suckling.
  The first two cases are beyond  the power of
art.   If suckling be  attempted,  induration of the
nipple  and mamma ensues, attended with severe
suffering; when, however, a simple tenderness
of the epidermis exists, this evil is much alleviated
when the nipples are bathed with brandy twice a
day, for several weeks anterior to delivery.   An-
other  difficulty, frequently  accompanying  this
state, is a shortness  or retraction of the nipple,
so that the infant cannot take  hold of it;  this
defect is frequently  the cause of the  first, from
the  ineffectual efforts of the child  to  suck injur-
ing the part; in this case, appropriate shields of 
184    TREATMENT BEFORE PARTURITION.

soft wood may  be applied to accustom the nipple
to elongate, and protrude so as to present sufficient
hold for the infant,  when the period for suckling
arrives,  when  the  efforts of the  child  will still
further  contribute  towards the  effecting of this
object.   In this case  also,  bathing  with brandy
will  naturally tend to correct  any tenderness of
the skin, and prevent subsequent excoriation.  It
may also be here remarked,  that during the period
of lactation, between the intervals  of the infant
being applied to the breast,  the shield should be
resumed, and  the  bathing  continued, due  care
being always taken  to  lave the nipple  carefully
with tepid water, before it is again offered to the
child.

     REMEDIES  BEFORE LABOUR.

  Many  things  are  recommended  by  the old
school  previous to labour, such  as frequent blood-
lettings  and aperients; but  these, instead of pro-
moting the object desired, have a contrary effect,
by lowering  the  energies  requisite  at  such an
eventful  period, and  by placing the  nervous sys-
tem  in an abnormal state of irritation and excite-
ment;  when this loss of humour is brought about
in the  first period of pregnancy, it defeats its own
object, by what are  commonly called plethoric*
symptoms, induced by  the  reaction  in the organ-
ism, to  supply this uncalled for  waste, and this

  * Plethoric.  To obviate misconception,  we may men-
tion,  that we do not use this word to indicate too great a
quantity of blood in the system,  but derangements  of the
circulation simulating that appearance. 
FALSE  PAINS.
185
always taking place with  a correspondent expen-
diture of vital power.   It is a species of infatua-
tion to disturb the regular course of nature by the
ill-directed efforts  of art,  where an evident ple-
thoric state exists ;  this object is much more safely
and effectually attained  by the  internal adminis-
tration of a specific remedy, such as a few doses
of Aconite.
   An artificial evacuation, previous  to delivery,
may be  obtained by a lavement  of lukewarm wa-
ter, with  a  small  quantity of linseed oil, when
necessary.

               FALSE PAINS.

   Before we  proceed  to notice parturition, we
may say a few words upon the so-called, false,
spurious or intestinal pains, brought about by con-
gestion  of blood to  the uterus, errors  in regimen,
emotions of the  mind, effects  of chill  in  the ab-
domen,  and   a  variety  of other causes ;  they
sometimes precede  labour  for a  few  hours, but
in many  cases  come  on some days, and  even
weeks,  before delivery ;  they  chiefly differ from
labour pains  in  the irregularity of their  recur-
rence, in being unconnected with  uterine contrac-
tion, and chiefly confined to the  small of the back,
with painfulness of the abdomen to touch and move-
ment, and  in not increasing in intensity as they
return;  sometimes, from their close resemblance,
it is  extremely difficult  to discriminate between
them and the real labour pains ; but in such cases
we must be  chiefly guided by  the  period of ges-
tation ;  and  our  safest mode  of procedure is, to
             16* 
186    TREATMENT BEFORE PARTURITION.

endeavour  to mitigate the patient's  sufferings by
the administration of a proper remedy, as, if we
allow them to  proceed  unchecked,  they not un-
frequently continue until the moment of delivery,
rendering the labour much more painful and diffi-
cult.   The following medicaments  may  be  had
recourse to with effect: Bryonia,  Nux Vomica,
Pulsatilla, and Dulcamara, selecting the one most
suitable for the affection, according to the symp-
toms.
   Bryonia, when the pains in the loins resemble
a dragging weight, attended with constipation and
irritability, much increased by motion, with abdom-
inal  pains preceding those  in the back.
   Nux Vomica.   Similar pains in  the back and
abdomen ;  also when the pains resemble a, bruise,
and  arise chiefly at nig"ht,  particularly if attended
with constipation and irritability.
   Pulsatilla.  Similar abdominal pains ; pains
in the loins resembling those from continued stoop.
ing,  or a tight bandage, with  a sense of rigidity,
with either constipation or relaxation, or both al-
ternately ; mildness of temper  or great sensibility.
The three foregoing are particularly valuable when
these pains appear to have arisen from errors in
regimen, especially from  stimulants.
   Dulcamara is  chiefly  useful when the origin
may be traced to cold,  and the pains are of a vio-
lent, shooting and  drawing nature, situated in the
small of the back,  generally coming on at night.
When they seem to arise from emotions of the
mind,  we may consult  Mental Emotions. 
187
   PARTURITION AND LABOUR PAINS.

   It is a very general,  but exceedingly erroneous
 idea, that nature ever destined this period for one
 of severe  suffering ;  the pain and danger, fre-
 quently its attendants, arise, not from her ordina-
 tions,  but from a long-continued course of offend-
 ing against them.   Were it not for the acquired
 habits  of civilized life—improper  diet—the pro-
 portions of the  female  frame being distorted by
 tight-lacing,  &c„  and  their  regukr functions
 thereby disturbed — diseases  generated  by the
 want  of proper air or exercise, or both—heredi-
 tary maladies, &c,  parturition  would  be almost
 free from pain, as in fact it is, even at the present
 day, frequently found among savages.   We shall
 here quote  a few  words from an eminent writer,
 corroborative of this position.
   " Child-bearing  is a natural,  and not a morbid
 process ; and in  the  facility with  which healthy
 regular women pass through  it, we have abundant
 evidence, that the Creator did  not design it to be
 necessarily  a time  of suffering and danger."—
 Dr. A. Combe  on  the  Management, of  Infawy,
 2d ed.,  p. 99.
   However,  in cases in which  the labour is ex-
 ceedingly severe, which frequently  occurs when
 the female is of a slender form,  and delicate and
 nervous  habit of body, and more  especially at the
 birth of the first child ;  particularly if  this event
 occur  at an  advanced  period of life;  a dose of
 Coffea Cruda is  often sufficient to relieve the
 sufferer, when not accustomed to its daily use ; or
 if it fail, Aconite  ;  in  cases  of  the  abuse of
coffee,  the olfaction from the bottle of Nux Vom- 
188   TREATMENT before PARTURITION.
 ica is more particularly to be recommended,  es-
 pecially when the female complains of a continual
 urgency to relieve nature,  and straining.   When
 this  proves insufficient,  Belladonna ought to
 be  had recourse to,  particularly when elderly fe-
 males giving  birth to their first  child,  in  which
 the suffering principally arises from  the rigidity
 of the muscles.
   On other occasions, we find the throes are in-
 sufficient  to accomplish their  object; in such in-
 stances, Pulsatilla is valuable where the  labour
 pains are  almost unfelt, and at long intervals, at-
 tended with acute pains in the loins,  and painful
 drawing sensation in the thighs, which tend much to
 weaken the woman,  without furthering the labour.
   When Pulsatilla has not had the  desired effect,
 and when  the  labour pains return  every quarter
 of an  hour, not  increasing in intensity, Secale
 Cornutum  ought  to be administered.   Again,
 when we find the pain, although  powerful at first,
 suddenly  cease,  followed by a tremor  of  the
 whole body, occasionally  interrupted by violent
jerkings, and when the patient falls into a  sort of
 lethargic slumber, with open mouth  and stertorous
 breathing; the  eyes half closed, with great difficulty
 in arousing the sufferer, even by violent means :  in
 such cases, Opium is indicated.   When the pains
 suddenly  disappear, without  other  indications,
 one or two drops  of the Mother Tinc'ure  of Cin-
 namon will prove of service, especially  where
 the labour is far advanced.
   We have now, in  a great measure, treated of
 the course to  be  pursued when nature seems  to
 call  for our assistance to further her exertions ;
 but we must, at the  same time, reprobate  a rash 
PARTURITION AND LABOUR PAINS.    189
and ill-advised interference with her operations ;
and we cannot, in common with most men of em-
inence of the other school, too strongly reprehend
the practice of administering spirituous beverages,
or stimulants, such as  chamomile tea, and other
ptisans, coffee, and even opium, under the absurd
impression of thereby facilitating delivery.
   Spirituous liquors are objectionable,  from their
accelerating the  circulation,  and  consequently
producing difficult labour, and too great  a loss of
blood ;  Coffee, from its causing high nervous  ex-
citability ;  Chamomile, from its pathogenetic pro-
perty of producing, or creating a tendency to me-
trorrhagia ; | tisans, whose peculiar properties we
need not enter upon here, are  all more or less of
a  stimulating or irritating nature.  Opium,  given
merely as a palliative  of the severity of the throes,
materially retards delivery.
   As a  genera] rule,  every substance, possessing
a medicinal property, administered upon  the false
premises above noticed, tends to injury, and must
therefore be carefully avoided.
   With regard to the after birth,  when  common
mechanical means for its expulsion fail,  we may
have recourse to Pulsatilla, Secale Cornutum, or
Opium,  selecting by  the symptoms already  men-
tioned.
   When the parturition is complete, the  adminis-
tration of Arnica is always followed by  the hap-
piest results, preventing much  severe after suffer-
ing ; and we are convinced, that manycritical cases
of inflammation, <kc, might thereby be warded off;
and in instances where  the  labour has been very
protracted, the Arnica, applied  externally, will be
found to afford great relief. 
190
   SPASMODIC  PAINS, CRAMPS  AND
              CONVULSIONS.
  We  sometimes, in complicated labours, find
spasmodic pains set in, which occasion considera-
ble  suffering  without advancing the  birth ;  the
principal remedies against these affections are
Chamomilla,  Belladonna,  Hyoscyamus,  Stramo-
nium, Cicuta  Virosa, Ignatia,  Ipecacuanha, and
Cocculus; being guided  in the selection by the
following symptoms :
  Chamomilla ;   when  there is  great bearing
down,  attended by spasmodic  convulsions ; red.
ness of the face, especially of one cheek ; excessive
sensibility of the nervous system, and excitement.
  Belladonna ; when the bearing down is exces-
sive, as if the entire contents of the abdomen were
about to be protruded ; convulsive movements in
the limbs ; great agitation with continual tossing ;
occasionally throbbing and distention of the vessels
of the head;  bloated redness  of  the face, with
profuse sweat.
   Hyoscyamus ;  when  the  convulsions are still
more severe, accompanied with great anguish and
cries; oppression  of the chest and loss  of con-
sciousness.
   Stramonium ; convulsions, without loss of con-
sciousness, and trembling of  the  limbs.
   Ignatia ;  cramp-like  and  compressive pains,
with sensation of suffocation ; confused feeling in
the  head.
   Cicuta  Virosa ;  general convulsions,   or
cramp-like  contortions  of the limbs; pallor or
sallow hue of the face. 
TREATMENT AFTER  DELIVERY.     191
   Ipecacuanha ;  spasmodic convulsions ;  pale-
ness or bloatedness of the face,  occasionally with
desire to vomit.
   Cocculus ; cramps or convulsions of the limbs
and whole body, more especially in the lower part
of the abdomen, with heat, redness, and puffiness of
the face.
   Cuprum Metallicum ; in very severe cases.

    TREATMENT AFTER DELIVERY.
   After the termination of delivery,  both  body
and  mind  must be kept in  a state of perfect  re-
pose ;  every thing  which may tend to arouse  the
excitability of the patient, such as noise, strong
light, and odour, must be carefully avoided,  and
the room kept at a moderate temperature. After
the birth,  the  female should  be allowed to enjoy
that slumber,  which, in natural cases,  generally
follows without interruption ; but it  is commend-
able to feel the pulse from time to time, to ascer-
tain if a healthy action is going on.  Sometimes
this desirable state  of rest  is kept off by great
nervous excitement  on  the part of the  female,
with incessant tossing in bed and  restlessness.
Coffea Cruda will often  suffice  to dissipate
these  symptoms,  and to  procure a  refreshing
slumber; should it  fail, and any febrile symptoms
be present, Aconite  will generally produce the
desired effect.   When  these remedies,  which
answer in the majority  of  cases,  fail  of their
accustomed success, we must endeavour to trace
the cause, and will generally discover symptoms
pointing out  a different remedy, which, if judi- 
192      TREATMENT AFTER DELIVERY.

ciously  chosen, will,  with almost absolute  cer-
tainty, afford a  satisfactory result.  The prac-
titioner will generally  find but little difficulty in
the selection of the fitting medicament; but there
are so many circumstances to guide his choice,
that it would be wholly foreign to our purpose, in
a  work  of this kind,  to  enter upon the several
contingencies applicable to  individual or isolated
cases.
   Here again, at the risk of  appearing verbose,
we must severely reprobate  the  practice of ad-
ministering stimulating, and even spirituous bever-
ages to females  after  delivery, which, far from
possessing  a strengthening property, tend only to
excite and  irritate  the whole  nervous system.
For some time  after parturition, nature calls for
but little nourishment ; it should be given only
when the female herself expressly feels the want
of it,  and then be of the lightest and most diges-
tible kind,  and   in very small  quantities.  It is
highly  reprehensible to endeavour to  induce a
female to partake of food, under the absurd idea
of strengthening her.   We must allow nature to
pursue her  own course, which prescribes but little
nourishment for  the first  five  or six days after
delivery, and  thereby  avoids   the  necessity  of
calling the  bowels into action, which state of con-
stipation, (if it  may  be  so called,) is ordained for
the wisest  purposes, and attended with  the most
beneficial results ; while the temporary inactivity
of the alimentary  canal is compensated by  the
vicarious action of the skin (demonstrating itself
by increased perspiration) and the balance of the
system   thus kept  up.   We  cannot,  therefore, 
                AFTER PAIN8.             193

sufficiently condemn the use of aperients, which
only tend  to promote  irritation  and  bring on
puerperal fever, and other evil consequences; in
many cases, also,  this artificial relaxation inter-
feres with  the  proper secretion  of milk.   After
the fourth or sixth day, nature generally acts spon-
taneously, and when it appears necessary to afford
mechanical assistance,  we  may  do  so  by  the
application of warm friction to the  abdomen, or
the employment of a simple lavement,  consisting
of tepid  water, with  a little linseed oil or thin
gruel.   When this state, which seldom happens,
continues so long as to cause inconvenience, Nux
Vomica, Pulsatilla,  Bryonia,  and Opium, may be
resorted  to.  (See article Constipation.)  The
remedy thus indicated by the  symptoms will afford
speedy relief.

               AFTER  PAINS.

   In excitable temperaments, the After Pains are
frequently  very protracted and distressing, and
deprive the female of rest, in which case imme-
diate relief is necessary;  in many  instances the
previous administration of Arnica, as before men-
tioned,  is  sufficient, being  almost  specific, and
although given as a preventive in the  first place,
it should be repeated as soon as these pains come
on; but  when the pain  still continues, and the
patient  is highly  excitable and  sensitive,  we
should give Chamomilla if this fails ;  and the
pain is  of an  insupportable intensity  and acute
description, occasionally followed by convulsions,
coldness, and rigidity  of body, Coffea Cbuda
              17 
194      duration of confinement.

ought to be selected.   We may  give Pulsa-
tilla, when convulsions do not supervene, the
patient is of a  mild  and gentle  disposition, but
sensitive and easily alarmed about herself.  Again,
when the After Pains are  very  severe, and  an
inclination to relieve the bowels when in a recum-
bent posture, passing away when rising, followed
by spasmodic pains in the lower parts of the Ab-
domen exists, they are speedily subdued by Nux
Vomica.  In cases of a want of contractile  force
in the uterus, to which many females are unfor-
tunately predisposed by  the causes we have be-
fore alluded to,  which is generally indicated  by
metrorrhagia, when the blood is of a  black  or
dark colour and viscid consistency, and the dis-
charge  is attended with stabbing pains in the
groins,  and in  both  sides  of the region of the
loins, Crocus is an invaluable remedy.
  Cinchona, when the blood is coagulated, and
the discharge comes on by starts.

     DURATION OF CONFINEMENT.

  Even in strong and healthy females, during the
first five  days the patient should remain in bed;
in the four following, if she feel herself perfectly
strong, and desirous to rise, she may gradually
accustom herself to  longer periods  of sitting
up; the great risk is from the extreme suscepti-
bility of the system to cold. After this period,  fe-
males who still find themselves weak and languid,
should prefer the horizontal to the half-recumbent
posture;  and if this  prove wearisome, she may
sit up for an hour or two, but not so as  to fatigue 
       DISEASE FOLLOWING PARTURITION.    195

herself.  The diet should be extremely light, and
not of a very nutritious  quality; she ought only
gradually to partake of food of a more  nourish-
ing nature, never having recourse to any thing in
the least degree stimulating, and all strong odours
from flowers, and other aromatic substances, are
to be carefully avoided, the mind kept  in a state
of perfect tranquillity, and the room dark.
DISEASES  FOLLOWING  PARTURITION.

   DIARRHCEA IN LYING-IN WOMEN.

  Diarrhoea, during this period, is  a state to be
looked upon as highly injurious, and immediate
means should be taken for its suppression, by the
administration of Dulcamara, Hyoscyamus, Rheum,
Antimonium Crudum,  Phosphorus, and  Acidum
Phosphoricum.
  The first remedy is  generally indicated by the
cause, being the check of the  natural increased
perspiration in lying-in women,  and it then acts
specifically.
  In painless and almost involuntary evacuations,
Hyoscyamus is most effectual.
  Rheum,  and Antimonium Crudum, in watery
or putrescent evacuations ; the former when they
emit a sour smell.
  In very obstinate cases, when the discharge is
watery, almost involuntary,  and  painless, Phos-
phorus, followed, if necessary, by Acidum Phos-
phoricum. 
196
SUPPRESSED  OR  EXCESSIVE  SECRE-
              TION OF MILK.

  It is of paramount importance that the normal
operations of the organism peculiar to this state,
proceed with due regularity.   Among these, the
secretion of milk  takes a prominent position, and
its sudden suppression  is apt to be  followed by
internal and local inflammation, determination of
blood to the head, and all  the  terrible array  of
symptoms which form the disease commonly de-
nominated puerperal  fever, which, however,  also
results from ' internal injuries, consequent upon
difficult or protracted labour ; but if the precau-
tion  of administering Arnica,  already  enjoined,
has been taken, that  source of danger  will have
been effectually guarded against.
  When, however,  puerperal   fever arises,  or
threatens to set in, from a sudden  suppression  of
the  lacteal  secretion, the immediate  administra-
tion of Pulsatilla will frequently be found  suf-
ficient  to check  it at the outset, restore the flow
of milk, and  re-establish the equilibrium of the
organism ;  if any  unpleasant symptoms still re-
main, they will,  in most cases,  yield to the ad-
ministration of Calcarea,  followed  by Zincum,
if it  appear  called for.
  If the  suppression of the secretion arise from
any sudden mental emotion,  we must consult  that
article  for the suitable remedy.
  Should  feverish symptoms,  such  as hot  dry
skin, &c, denoting internal inflammation, set in,
Aconite should  be   immediately administered 
PERSPIRATION after delivery.     197
at short intervals,  according  to the intensity of
the  symptoms ; if the fever run high,  we must
have recourse to medical assistance, as this is by
far  too serious and critical  an affection to be
treated by non-professional Homceopathists.
  We may here refer back to our remarks upon
the  evil effects of aperients, which, by their action
upon the intestines, frequently cause a suppression
of the lacteal  fluid,  and the consequent fever.
  Sometimes, on the other hand, it happens that
too  abundant  a secretion takes place, causing dis-
tention of the breasts, and involuntary  emission
of milk, productive of  extreme emaciation,  and
sometimes development  of phthisis.  Calcarea
will be found   useful in this affection ; or should
it fail to relieve, Phosphorus.
  When the  febrile symptoms  evidently arise
from distention of the breasts, induced by exces-
sive secretion,  and indications of what is gener-
ally denominated  milk  fever, (which,  however,
frequently arises from  other causes,) set in, we
may,  with great effect, administer Rhus  Toxico-
dendron.
  Acomte,  as a  precautionary measure, when
there is high  febrile action of the whole system,
and we are ignorant of the exciting cause.

  PERSPIRATION  AFTER DELIVERY,
     SUPPRESSION  OR EXCESS  OF.

  The increased perspiration which takes  place
after childbirth, is, as we have before observed,
a substitute  for the suspended action of the  ali-
mentary canal; consequently its sudden suppres-
              17* 
 198  DISEASES FOLLOWING PARTURITION.

 sion is unavoidably followed by  an injurious re-
 suit, and not unfrequently puerperal fever.
   Exposure to cold, or a sudden chill, is the most
 frequent cause of this affection ; we consequently
 find that the immediate administration of Dulca-
 mara will suffice  to  restore  the  action  of the
 skin, and prevent further injurious consequences.
 Should  it  fail,   Nux  Vomica will  generally be
 found efficacious.
   On the other hand, an  excessive  perspiration
 is almost  equally  prejudicial;  it   is  generally
 brought about by keeping the room  of the female
 at too high a temperature,  too  great a quantity of
 bed-clothes, or stimulating beverages ; it is chiefly
 injurious from the extreme debility  and high sus-
 ceptibility to  taking cold it occasions.   Our first
 care must be the removal of the exciting causes ;
 and should the malady still continue,  we may ad-
 minister Sambucus Niger, which will generally
 be found effectual in its removal.

 IRREGULARITIES  OF THE  LOCHIAL
                DISCHARGE.

   This  varies considerably in different females ;
 with some it continues  for several weeks, in others
 omy a few days ; sometimes it is  thin and scanty,
 at others so profuse and long continued,  as imper-
 atively  to call for  medical assistance,  and may
 be frequently traced to sitting up too soon after
confinement,  to  errors in  regimen, keeping  the
chamber of the  female at too high a tempera-
ture, or mental  emotions.   If,  after nine  days,
the discharge continues profuse, containing pure 
lochial discharge.
199
blood, whereby an  abnormal state  is indicated,
Crocus, Bryonia and Calcarea are the principal
remedies.
  Crocus.  When the blood is black  or  dark
and of a viscid consistency.
  Bryonia.   When of a deep red, with internal
burning pains  in the region of the uterus.
  Calcarea is more particularly indicated when
there  is an itching kind of sensation in the uterus.
  When the  lochia are  suddenly  suppressed,
which they frequently  are, from a variety of ex-
ternal causes,  such as mental emotions, &c.; and
from  this cause  puerperal  fever threatens, the
danger may frequently be warded off by the ad-
ministration of Pulsatilla.
  When the sudden suppression arises from fright,
with  febrile symptoms, Aconite will generally
be found sufficient, or Opium,  when the indica-
tions  given under Milk Fever or Mental  Emo-
tions are present.
  When caused  by exposure to cold or damp,
Dulcamara will be found efficacious, and may be
advantageously followed by Pulsatilla.
  On the other hand, when  the discharge con-
tinues, but becomes sanious, foetid, and offensive,
Belladonna  will generally suffice to restore  it
to its  normal state ; if it prove inefficient, we may
administer  Carbo Animalis ; and if the  occa-
sion seem to require, it, Secale Cornutum.
  Silicea,  when pure  blood follows  with the
lochia each time that the infant is applied to the
breast. 
200
       ABDOMINAL DEFORMITY.

  Although in natural cases, and healthy consti-
tutions, no abnormal derangements should follow
parturition, still we frequently find that a  number
of unpleasant symptoms,  generally arising from
maltreatment, supervene.   Among these  we may
mention the thickening  of the abdominal coats,
occasionally  ending in a permanent malformation
and pendulous appearance.  This  affection is
more  commonly  incident  to females who have
borne many  children, or  who present  a predispo-
sition  to corpulency, and is  found especially
difficult of treatment, when tight  stays, which we
have already remarked  as one  of the principal
exciting  causes,  have relaxed   the  abdominal
muscles, and by so doing,  increased  the  existing
bias.  When, however, it is caused by the natu.
ral strain upon these muscles  during pregnancy,
the inconvenience may be  successfully obviated,
by following Professor Jbrg's  method, of an ex.
ternal application of equal parts  of rum,  white
wine, and vinegar.
  The internal  administration  of Sepia is  re-
commended  by Dr.  Gross as still more effectual,
who at the same  time advises the adoption  of an
elastic bandage, laced at  the back, and  exerting
an equable pressure over the whole of the abdomi-
nal region.  In some cases where there  is a ten-
dency to this affection,  particularly  in corpulent
habits, we may, after  delivery,  have recourse to
mechanical  aid, by  transferring the weight from
the abdominal muscles  to  the shoulders, by the 
         FALLING OFF OF  THE HAIR.      201

aid of a properly constructed apparatus ;  but  we
must in the strongest manner object to this or any
other pressure being exercised upon  the  abdomi-
nal region during pregnancy,  as calculated to en-
tail malformation, such as club feet, &c, upon
the offspring.


     FALLING OFF  OF THE HAIR.
  Another evil that some  females, particularly
those who nurse their infants themselves,  suffer
after confinement, is the falling out of the hair of
the head.  This arises from an innate delicacy of
constitution,  against which the following medica-
ments  have proved  particularly efficacious,  and
should be repeated every eight days.
   Tinctura Sulphuris, Natrum Muriaticum,
Carbo Vegetabilis,  Sepia, Lycopodium  and
Calcarea ; the latter,  in those cases in  which
the lochial discharge has  proved  very  profuse,
or  in  which the catamenia are  generally too
abundant.
   With regard to the other medicines, we would
in most instances recommend a commencement
with  Tinctura Sulphuris.  The  indications for
the rest, would be out  of place  in a work of this
nature in many cases ; the index given at the end
of the work  will prove of some  slight  service in
the selection.

LEUCORRHCEA   AFTER PARTURITION.
   A third evil is Leucorrhoea, which, although at
the  commencement,  merely  a consequence of 
202   UTERINE  SWELLING AND PROLAPSUS.

the relaxation of the internal uterine economy,
after the completion of  the lochial discharge, and
at first of  an  innocuous character,  frequently
proves exceedingly troublesome, and finally puts
on a  morbid appearance,  becoming acrid,  and
productive  of excoriation.  We generally find a
predisposition to the disease in scrofulous, torpid,
and  leuco-phlegmatic  temperaments;  in some
families this malady is hereditary, and only to be
removed  by a  careful course of anti-psoric treat-
ment ; in fact,  it generally  is of too difficult and
obstinate a nature, to be treated otherwise  than
by a regular practitioner ; we  may  content our-
selves, therefore,  with  mentioning, that when an
acrid  and excoriating discharge sets  in, Bovista
has been recommended as  specific, and may be
taken as a precautionary measure, until a physi-
cian's advice is attainable.

INTERNAL  UTERINE  SWELLING AND
               PROLAPSUS.

  A swelling of the interior economy is frequently
the result of a difficult labour ; and in some cases
of mismanaged  parturition  we sometimes  find it
complicated with  uterine prolapsus  ; if the pre-
caution of exhibiting Arnica,  which  we  have
before noted, (page 189,) have been taken, this
will rarely  occur ;  if, however, it set in with a
burning pain, and bearing down, a single dose of
Nux Vomica will  generally remove the evil. 
203
      WEAKNESS  AFTER DELIVERY.

   We frequently find a high degree of weakness
 or exhaustion remaining after delivery ; when it
 has been caused by very considerable hemorrhage,
 during or after that period, Cinchona is particu-
 larly indicated,  and  will generally be found  effi-
 cient in  restoring the vital energies.   When,
 however, the arrangement depends upon nervous
 weakness, and is  attended with restlessness  and
 want of sleep,  we may administer Aconite,  fol-
 lowed,  if necessary, by  Coffea ;  or  substitute
 Veratrum for  the  latter  medicine,  when  the
 prostration  of strength is excessive.
   When the patient is of a psoric habit, we must
 have  recourse to Kali Carbonicum, and in some
 instances to Sulphur  or Acidum Nitricum.

               MILK FEVER.

   The  secretion  of milk must be looked upon
 rather as an operation of nature, than one requir-
 ing medical aid for its regulation.  Nevertheless,
 many females suffer some slight uneasiness for a
 few days following confinement, during the first
 period of that process ; when any of the  under.
 mentioned group of symptoms present themselves,
 the affection is known by the name of milk  fever,
 and appears to arise, in a great measure, from an
 increased excitability of the vascular and nervous
 system.
  Thirst, shivering,  and heat,  terminating   in
perspiration ; the pulse, at first  weak, changing 
204  DISEASES  FOLLOWING PARTURITION.

to various phases, sometimes quick and frequent,
at  others soft and regular ; in some instances,
these symptoms are attended with a drawing pain
in the back, extending to the breast, a disagreea.
ble taste in the  mouth,  and headache ; the exa-
cerbation declares itself regularly  about evening,
and towards morning perspiration comes on, with
alleviation of suffering,  or temporary termination
of the attack, which  not unfrequently recurs on
the  following day,  but rarely  rises  to  such a
height  as to threaten danger;  nature herself, if
not disturbed by improper treatment, will, in most
cases,  suffice to restore the equilibrium  of  the
system.  When the  secretion  is  re-established,
aud the  lochial discharge  resumes its  normal
course, the derangement generally ceases ; should,
however,  the affection  become aggravated,  we
may dread the setting in of puerperal fever.
  When the  symptoms are as  above described,
and medical assistance is  required for their alle-
viation, we must, if  possible, in the  first place,
endeavour to  discover the exciting cause  ; when
the affection is  traceable  to mental emotions,
we may consult that  article for the remedy.
  Pulsatilla  will  be  found  particularly  use-
ful in severe  cases,  especially  when  caused by
taking cold, and bearing a closer approximation to
a rheumatic affection,  than to the general symp.
toms  of milk  fever;  this medicament  is  very
efficacious in restoring the lacteal secretion,  and
may be regarded as  a  prophylactic against puer-
peral fever, especially when  the  precautionary
measure of the administration of Arnica has been
neglected. 
          obstacles to sucklino.       205
     r

  Aconite  may be  had recourse to in all in-
stances where  high inflammatory fever is present.
  Bryonia  may  with  great advantage follow
Aconite, when  the inflammatory symptoms are in
a great measure subdued, and is particularly in-
dicated when  constipation  is present,  and the
pain in the breast partakes of a rheumatic char-
acter.
  Belladonna is useful in particular cases ;  a
reference  to  Inflammation of the  Breasts,
and other places where that medicament is men.
tioned, will serve  to point out in what  instances
it is most likely to prove efficacious.


      OBSTACLES TO  SUCKLING.

  DISINCLINATION  OF  THE INFANT.

  Where  there is a tendency to consumption in
the mother, or she is of a strumous habit, the in-
fant ought, for its own sake, to be reared  with
the spoon, or  a nurse provided; but even some
healthy mothers find  a difficulty, before they be-
come accustomed to it, in nursing  their children,
which  a  little  perseverance  will soon effectually
overcome: but when (a rare instance, if applied
soon after delivery) the child itself refuses to
take the breast, the administration of Cina, fol-
lowed, if not speedily efficacious, by Mercurius
Solubilis, is  generally found to remove this re-
pugnance  in the course of a few hours.
18 
206
    EXCORIATION OF THE NIPPLES.


   In the majority of those cases in which no mal-
formation of the  parts is present, the main diffi-
culty arises from the nipples having become  sore
and  cracked, which the efforts of the infant  tear
open afresh, and cause to bleed.
   This excoriation of the  nipples  is frequently
prevented by following up the treatment,  of which
we have already spoken, under the head of Pre-
paration of the Nipples ; of course taking the
precaution of laving them with a little warm milk
and water before the child is applied to the breast;
the shield before mentioned  ought  always to be
worn during the intervals of suckling.
   When there is a tendency,  however slight,  to
rawness or excoriation, great care must  be taken
lest the shield adhere to the skin; it ought to be
frequently removed, and together with the nipple,
kept perfectly dry ; attention  to these particulars
will  generally remove this difficulty. The mother
ought,  however, gradually to accustom herself  to
nourish the infant, using a suckling glass, which
should  be carefully washed  every day.  Should,
however,  the nipples have already become very
sore and irritable, from the neglect of these  pre-
cautionary measures, it is necessary to  have re-
course  to specific remedies,  without  which,  if
suckling be  persisted in, suppuration frequently
ensues.
  In the first stage  of the  affection,  Arnica
should  be administered internally, and the breasts 
       inflammation  of the  breasts.   207

laved with a weak lotion,*  say two drops, of the
Mother Tincture, to one ounce of rectified spirits
of wine.  If this fail, we  must have recourse to
anti-psorics,  as this disease almost always arises
from a psoric cause, females of healthy tempera-
ment being generally exempt from it.  These re-
medies, when necessary, may be taken even during
the use of the glasses, or suckling.  Among the
anti-psorics,  Tinctura Sulphuris seems  parti-
cularly indicated  for most cases of this affection,
and will generally remove  the disease in eight
days; if this fail, Calcarea  will in most instances
suffice.   We may  also  mention Lycopodium,
Sepia and Graphites, the latter especially, when
the female has formerly suffered from scaliness of
the head,  with a gnawing or itching sensation.
In the choice of the fitting medicament in com-
plicated cases,  the physician can be  guided by
the aggregate of the symptoms.

 INFLAMMATION  OF  THE  BREASTS.

   Another, and one of the  greatest obstacles to a
mother nourishing her infant,  is an erysipelatous
inflammation and swelling of the breasts, of which
anything tending to disturb  the lacteal secretion,
such  as fright,  passion,  cold, &c, serves for an
exciting cause,  although  we  frequently find it
present, without  being able to trace its origin;
it  not  unfrequently arises  from a too tardy ad-
ministration of the breast to the infant, or from a

  * This lotion may also be applied with advantage in the
preparation of the breasts, when irritation or inflamma-
tion appears to  arise  from the pressure of the shield. 
208        obstacles to suckling.
 sudden cessation of suckling,  from the death of
 the child, or other reasons,  causing  a distention
 of the lactiferous  tubes.   When  a  sudden sup-
 pression of the secretion occurs, the breasts be-
 come  red, inflamed  and indurated, occasionally
 suppurating in  some parts, which open and dis-
 charge, while others remain still hard and inflam-
 matory,  finally  either ending in suppuration, or
 the formation of obstinate  nodosities.
  This disease, if not checked, and but too fre-
 quently  under  Allopathic treatment,  exhibits a
 variety of phases ;  and the suppuration that takes
 place, leaves behind it disfiguring cicatrices ; fre-
 quently the breasts are so  far destroyed, as to be
 rendered ever after incapable of performing their
 functions, and, in many instances,  the foundation
 of cancer is laid.
  It is our firm conviction  that this malady can
 only be effectually combated by the Homoeopathic
 treatment, and that any other mode,  so  far from
 even alleviating, can only  aggravate the evil.
  The principal remedy in this affection before
 the  inflammation  becomes  fully  developed,  is
 Bryonia, especially when the breasts  are hard
 and tumefied, and the secretion of milk suppressed.
 Belladonna, when the inflammation is  more in-
 tense,  and the erysipelatous appearance  of the
 skin clearly defined;   after  which remedy, the
 disease is  generally vanquished.
  When   however, a  degree  of induration still
remains,  Mercurius Solubilis should be given •
in more severe cases,  when the psoric virus has
been roused,  and  in which suppuration has al-
ready commenced,  Acidum  Phosphoricum, fol- 
  MENTAL EMOTIONS AFFECTING THE MILK. 209

lowed by Hepar Sulphuris,  in extreme cases,
in which  it  is absolutely necessary to bring the
matter to a head.
  In instances   in which we  find a  foetid and
serous  discharge,  which  is  frequently brought
about by neglect or by improper treatment under
the old  system,  such as the application  of dele-
terious  salves,  &c,  Silicea,  in  about three
weeks,  will restore the breast to its former con-
dition.
   If this disease evidently arise from the effect
of a sudden chill, Dulcamara ought to be given
immediately, and  will generally obviate all  in-
jurious consequences.
   In cases where the disease has arisen from ex-
ternal  injury, Arnica  should be administered,
and a lotion, one part of the tincture to seven of
pure water,  locally  applied.
   In  psoric  habits,  tincture  of Sulphur  and
Graphites should be  exhibited, when the indi-
cations  before noted, under Excoriation of the
Nipples, are present.

MENTAL   EMOTIONS  AFFECTING THE
                    MILK.

   It is  a well known fact, confirmed by numerous
examples, that  Mental Emotions have  a most
powerful effect  upon this secretion, in a moment
changing it from  a source of nutriment into a
substance most injurious to the infant.   Mothers
ought  to bear this  in mind,  and after having
suffered from fright, passion, &c, should desist
from suckling until the mind be perfectly tranquil,,
              18* 
 210       OBSTACLES TO SUCKLING.

 and ere the infant be again applied to the breast,
 draw off a portion of the milk.   Fortunately, for
 evils arising  from these causes,  Homoeopathy-
 presents  prompt and efficacious remedies, (for
 which  see Mental Emotions),  which, if  at
 hand, should  be administered immediately,  ac-
 cording to the cause and  symptoms.

 DEFICIENCY  IN THE  SECRETION OF
                   MILK.

  Sometimes a deficiency of milk is found to arise
from a  want of energy, either functional or gene-
 ral.  For disturbance  of  the secretion  arising
from an inflammatory action, vide Inflammation
 of the Breasts.
  When  the  suppression arises from  the first
cause, the chief medicines  useful in restoring a
proper  and healthy flow of milk, are Pulsatilla,
Calcarea  and Causticum.  The physician is
the best judge in the application of these remedies,
as there  are  many minute symptoms  by which
his choice must be  guided  in the selection.  In
simple  cases,  Pulsatilla   will  most frequently
be found efficacious ;  the others presume  the ex-
istence of psora,  and the   patient  consequently
requires  to undergo  a  complete course  of anti-
psoric treatment, in which the two latter are par-
ticularly indicated. 
211
 DETERIORATION   AND  DISCOLORA-
              TION OF MILK.

  If the  milk  becomes  too clear and watery, or
is repugnant to the child, Cina and Mercurius
Solubilis or Silicea in  obstinate  cases,  (and
particularly if the infant  vomits immediately after
suckling,) will frequently bring about an ameliora-
tion.
  Rheum,  when the  milk  becomes thick  and
yellow,  and the child is restless and fretful,  will
generally remove the  derangement,   in  cases
when it has not been brought about by an abuse
of Rhubarb.

  MOTHERS NOT SUCKLING  THEIR
                 CHILDREN.

  In the present state of society, there are many
mothers  who,  from a variety  of circumstances,
find themselves necessitated to engage the ser-
vices  of a nurse for their offspring ; in such cases,
a  female, who has the  slightest regard for her
health, should  be particularly careful in her diet,
and  until the  secreting  process has completely
ceased, she should live  as low as possible ; the
application of dry cupping glasses  to the outside
of the arm, a little below the shoulder, or to the
inferior extremities, will materially hasten the
suppression of the lacteal secretion.   When  suf-
fering from inflammation ensues,  we  may have
recourse to Belladonna and Bryonia, for which
indications are given under Inflammation of the 
212       obstacles to suckling.

Breasts ;  Calcarea is serviceable, when the
breasts  are considerably distended  with  milk ;
these same directions will serve as a guide during
the period of weaning.
   We have thus far treated of the different affec-
tions of females, and of the conduct to be observed
by them before, during, and after pregnancy, and
shall now proceed  to the second part of our sub-
ject, the Treatment of Infants,  and endeavour to
point out the best mode of warding off the dangers
that encompass that peculiarly  critical period of
man's existence. 
     TREATMENT  OF  INFANTS.

       TREATMENT AFTER BIRTH.

   As soon as the child is born, it should be wrap-
 ped in fine flannel, with a piece of soft linen rag
 inside,  the flannel itself being too rough  for its
 delicate skin ; the wrapper should be heated to a
 temperature of 98 degrees, as it is only gradually
 that the infant becomes inured to the temperature
 of the surrounding atmosphere.  The skin should
 be  gently washed with a little lukewarm  water
 and bran, applied with a sponge, taking care not
 to continue the first washing too long,  for fear of
 irritation ; soap must on no account be  used ;  the
 room  should be  kept  rather dark,  and perfectly
 quiet,  and.all strongly  scented substances  re-
 moved.   After washing,  the  body ought  to be
 immediately dried, to  avoid  the  risk  of taking
 cold ;  the child should  be  bathed twice a day, to
 keep up the  action of the skin, gradually lowering
 the temperature  of the  water after weaning.
  The best time for bathing the infant  is in the
 morning, when taken  out of bed,  and again on
 returning to it for the night; immersing  the whole
 body, with the exception of the head, is preferable
to any other mode of washing, as the practice of
placing it  in a tub, with part of the frame alter-
nately laved with tepid  water, and exposed to the
action of the atmosphere, is apt to bring on a chill. 
214        TREATMENT  OF INFANTS.

  Nothing can be more evidently opposed to na-
ture and the dictates of common sense, although
like many of the absurdities  bearing the impress
of custom,  than the practice  of swathing  and
bandaging the tender bodies of infants, and load-
ing them with a superfluity of clothing, which, by
its weight and length, presses  upon their lower
extremities, and is the frequent cause of deformity
and weakness in after-life ;  in this opinion we are
fully borne out  by the corroborative testimony of
the most eminent practitioners  of the old school.

   UMBILICAL  HERNIA IN INFANTS.

  In cases, however, where there  is an evident
tendency to Umbilical Hernia, we may  apply a
bandage of soft linen folded, and at the same time
exhibit one  dose  of Nux Vomica, which,  if no
alteration take place, may be repeated next day;
we may then wait a couple  of days, and, if no
action declare itself, again repeat, bearing in mind
the directions upon  the  repetition  of medicines
given in the introduction ; if, however, we discover
no amelioration  from  the administration of Nux
Vomica, we may have recourse to Veratrum in
the same manner.  Obstinate cases are frequent-
ly found to yield to the application  of the North
Pole of the Magnet.   All these remedies are
equally useful in those cases of inguinal hernia
we occasionally meet with, generally effecting a
cure  with wonderful promptitude.
  This disease  being frequently brought on  by
the violent  fits  of crying that delicate  children
are subject to, the bandage may be worn, and re- 
          MECONIUM, EXPULSION OF.       215

tained for some time after the cure,  as a precau-
tionary measure against its return.

       SWELLING OF THE HEAD.

  Immediately after birth, the head of the infant
appears  more  or  less swollen ;  this is in most
cases but a trifling affection, and  generally goes
off  of itself;  the  immediate  administration of
Arnica to the mother, acting through the medium
of the milk, will materially hasten its disappear-
ance ; should, however, the swelling be  at all
excessive, bathe the part affected with a weak
lotion  of three drops of the  tincture of Arnica to
a wine-glassful of water.
  Occasionally  a considerable swelling in the
larger mould, (fontanel,) consisting  of fluid, is
observable ;  this is  of greater import than the
other,  though seldom dangerous ; if it does not
disappear in  a day  or two, we may  administer
Rhus  Toxicodendron to the infant.

      MECONIUM,  EXPULSION  OF.

  After having been permitted to sleep for five or
six hours  undisturbed, the infant  should be ap-
plied  to the breast as soon as the mother feels
herself sufficiently recovered to permit it, which
is generally from eight to ten hours after delivery,
and  should never  be deferred,  as we elsewhere
observed, longer than twelve ; the  milk of the
mother exciting a  mechanical action of the ali-
mentary canal, and assisting in the expulsion of
the meconium.  Here again we cannot too strong- 
216        TREATMENT  OF INFANTS.
ly reprobate the too general practice of admin-
istering laxative medicines for  this purpose, pos-
sessing, as they do, a most deleterious effect upon
the tender organism of the infant, and, if not pro-
ductive of jaundice, a too frequent consequence of
their administration, at least laying the foundation
of bowel complaint, debility of the stomach, and
a host of diseases in after-life.
   Mothers need not be under apprehension should
a  temporary delay occur in the passing of the
meconium ; far greater evil results from the vio-
lent methods taken  for its expulsion, than could
possibly occur from its continuance- in the  ali-
mentary canal for a few hours longer  than ordi-
nary.
   Should,  however,  an unusually  long period
elapse,  and the  child appear costive,  which in
many  instances arises from the mother  having
indulged in the use of ptisans, such as chamomile
tea, &c, or in coffee, the administration of a few
tea-spoonfuls of warm sugar and water  will gen-
erally answer every purpose ; if it  fail of imme-
diate relief, we may then make use of a lavement
of equal parts of sweet oil (or pure honey)  and
water; if  these simple means do not effect the
desired object, and the infant appear to suffer  in-
convenience,  more  particularly when  the origin
of the constipation seems to be from the mother
or nurse, we may administer  Nux Vomica,  Bry-
onia, Tinctura Sulphuris, or Opium,  to  the female
herself—for the indications of such medicines, see
 Constipation. 
217
      SUCKLING  OF THE INFANT.

  While upon this subject, we shall quote the ex-
pressions of a well-known writer, in whose opin-
ion,  in this respect, we perfectly coincide.
  "Unless very  peculiarly  urgent reasons  pro-
hibit, a  mother should support her infant upon the
milk  she herself secretes.    It is  the  dictate of
nature,  of common sense, and of reason. Were
it otherwise, it is not probable that so abundant a
supply of suitable food would be provided to meet
the  wants of an infant, when it  enters upon a
new  course  of existence.
   " It is difficult to estimate the  mischief result-
ing from infants being  deprived of their natural
nourishment; for, however near the resemblance
may  be  between  food  artificially prepared  and
breast milk,  still, reason and observation demon-
strate the superiority ofthe  latter to the former."
(Conquest's Outlines of Midwifery, p. 193.)
   And  again :—
   "As  a further inducement, it should be remem-
bered that  medical  men concur  in the  opinion,
that very rarely does a constitution suffer from
secreting milk ; whilst the health of many women
is most  materially improved by the  performance
of the duties of  nurse."  (Ibid.  p. 194.)
   Upon the same subject he  says in another place,
   " But few  mothers,  comparatively,  are to be
found, who,  if willing,  would not be able to sup-
port their infants, at least for a few months, and
parental affection and occasional self-denial would
be  abundantly  recompensed  by blooming and
vigorous children. 
218        TREATMENT OF INFANTS.

  " Presuming that the laudable determination is
formed to indulge the child with that nutriment
which  is designed for its support,   it becomes
necessary to state, that unless very strong objec-
tions should exist, twelve hours should never elapse
before the infant has been put to the breast.  In-
stinct directs  it what  to do, and the advantages
of allowing it to suck  soon after birth, are many
and important, both to the mother and child.
  '• By this commendable practice,  the patient is
generally preserved from fever, from inflamed and
broken breasts,  and  from the  distressing and
alarming consequences resulting from these com-
plaints.
  " If the breasts should not have secreted milk
previous  to delivery, the act  of suckling  will en-
courage  and expedite  the  secretion.  Thus  the
mother will be saved from much of the pain con-
nected with distended breasts.   Besides which,
if the infant be not put to the nipple till the breasts
become full and tense, the nipple itself will some-
times almost disappear, on account  of its being
stretched ; and without much,  and often ineffec-
tual labour on the part of the child, it cannot be
laid hold of, and  even then  the pain endured by
the mother  is exquisitely severe, and not unfre-
quently the cause  of  sore  nipples."  (Ibid,  p,
195.)
  Having premised thus much upon the advan-
tages resulting to both  mother  and child  from
following the  law of nature, which enjoins the
female to nourish her  own offspring, and having,
moreover, elsewhere  noted some of the causes
which may prevent its being  fully carried  into 
THE CHOICE  OF A  NURSE.       219
effect,  we shall now proceed  to  that  important
point, for those  who do not intend nursing their
own children, the choice of a nurse, and the re-
gimen  to be observed, which is equally applicable
to both parties.

       THE  CHOICE OF A  NURSE.

   In the selection of a nurse, the medical attend-
ant ought generally to  be consulted ; the follow-
ing points merit particular attention :
   She  should be apparently of sound health, • full
and moderate plumpness, with  a fresh complexion
and clear eyelids, free from any appearance of red-
ness, scurfiness, or thickening.   She  should  be
thoroughly exempt from glandular enlargements ;
possess deep red lips without cracks, sound  white
teeth,  and well formed, moderately firm breasts,
with nipples free from  excoriation or appearance
of eruption ;  the child ofthe nurse is  one  ofthe
best criterions to judge  by ; its being plump and
healthy is a great point in her  favour.  We should
also endeavour to discover if she is free from any
hereditary taint;  she  should  moreover  be of a
mild, patient, and equable  temper,  not  irritable,
or disposed to   fits  of passion,  6r nervous ^of
regular and temperate  habits, neat in person and
fond of children.   She ought also to be about the
same age, and delivered about the same time, or
at least within three  months  of the same  period
as the  mother.  With respect to the age, we must
of course avoid extremes : a woman, having given
birth to a child very late in lite,  should choose a
nurse several years her junior, and fully qualified 
220        TREATMENT OF INFANTS.
for her duties ; the reverse ofthe rule applies to
extremely young  mothers.

        DIET DURING  NURSING.

  As regards her diet, it should be simple  and
easily digested, and  she ought  to  live upon a
proper proportion of animal and vegetable food.
Nature  generally provides  for the increased call
upon her powers, by the suppression ofthe men-
strual discharge, and  moderate increase of appe-
tite,, which may be safely  indulged;  but all  food
of a  highly  concentrated,  nourishing nature, is
injurious, causing the  milk  to  become too  rich
and unsuited  to the delicate  digestion of the in-
fant ; the best guide is the  regular Homoeopathic
regimen, which may be consulted with advantage.
   We cannot too strongly repudiate the too pre-
valent,  but deeply erroneous  idea, that women,
during  the period of  suckling, require stimulants
to keep up their strength ;  under this  impression
both wine and  malt liquors, and among the latter
more particularly  porter, are  frequently resorted
to.  Porter is not only injurious  from its stimula-
ting properties, but the deleterious effect which
the  different ingredients which enter into its  com-
 position have  upon the milk, forms  one of the
 most prolific causes ofthe  many evils that attack
 infancy.  Our opinions in this respect are corro-
 borated  by   the  physicians of the old  school,
 though we regret to say, not  to  the same extent.
 We shall here  content ourselves with a single
 quotation from a well known medical writer.
   " There is an evil too generally prevalent, and 
      SUPPLEMENTARY DIET OF INFANTS.   221

most pernicious in its consequences on individuals
and society, and by no means confined to mothers
in the  lowest classes  of the  community, which
cannot  be  too  severely  reprobated ;  it is the
wretched habit of taking wine  or spirits to re-
move the languor present  during  pregnancy and
suckling.  It  is a  practice fraught with double
mischief, being detrimental both  to mother and
child.   The relief afforded  is temporary, and is
invariably followed  by a  greater  degree of lan-
guor, which demands a more powerful stimulus,
which at length weakens, and eventually destroys
the tone of the  stomach,  deteriorates  the  milk,
and renders  it altogether unfit to  supply that nu-
triment  which is essential to the existence and
welfare ofthe child."

SUPPLEMENTARY DIET  OF  INFANTS.

   Unfortunately,  some  mothers  do not possess
sufficient milk for the proper nourishment of their
offspring;  if this arise  merely from a deficiency
in the secretion, and the  female is  in  other re-
spects healthy, we must  have recourse to a sup-
plementary diet,  to make up for  the diminished
quantity ofthe natural nutriment. Goats', asses',
and cows'  milk, are excellent  substitutes,  espe-
cially the latter, diluted with one-third of water;
goats' milk being  apparently objectionable  from
its peculiar aroma.   The  milk,  therefore, ofthe
cow ought,  when possible, to be obtained, and if
given undiluted, boiled ; cows' milk being gene-
rally considered  too heavy,  which boiling  in
a  great  measure obviates; it  ought also to be
              19* 
222        TREATMENT OF  INFANTS.

slightly sweetened, so-as to  resemble as closely
as possible that ofthe nurse ; it should, moreover,
be about the same temperature,  say ninety-six to
ninety-eight degrees, a point less regarded than it
should be, and easily determinable by^the thermo-
meter.  If any constitutional  taint  exist in the
mother, the  sooner  the  child is transferred  to
another breast, the better for both parties ;  if a
nurse be not procurable, the above will generally
prove sufficient nourishment until  the front  teeth
appear, which is a clear indication that the diges-
tive organs are prepared for more solid food;  if,
however,  the milk diet appears  to  disagree with
the infant, we may mix  a little  thin  arrow-root,
rusk,  or well toasted  bread in water, to which the
milk may be afterwards added;  such alterations
in diet are, however, but rarely required.
   We may remark, that  no portion of the milk
ought to be retained  for a subsequent meal, from
the quickness  with which it  becomes sour ; the
same remark applies to any ofthe above prepara-
tions, in which milk forms the principal ingredient.
   In  the cows' milk, which was at first diluted,
we may, after two  or three weeks,  gradually
diminish the  quantity of water,  as the  digestive
organs  become  stronger ;  but  we cannot too
stringently press the  point, that  where it is  at all
practicable, the child ought to derive as great as
possible a portion ofits nutriment from the. breast,
as no  food can sufficiently  supply the place of
that which nature intended for it at its birth.
   When it is necessary  to  give supplementary
nourishment,  a suckling bottle ought to be used,
as the best imitation of nature in giving the food 
      SUPPLEMENTARY DIET OF INFANTS.    223

slowly ; particular  care  being taken to observe
the utmost  cleanliness.    The  child  ought,  in
feeding,  to  be  kept  in  a reclining,  not supine
position, as the latter frequently causes it to incur
the risk of suffocation ;  and when it evinces dis-
inclination to  its food,  no more should be offered.
When the front teeth appear,  which is about the
fifth or sixth month in healthy children, an altera-
tion may  take place in the diet; and a well made
panado,   diluted milk sweetened,  and  thickened
with  a small quantity of arrow-root, sago, semo-
lino,  or rusk,   may be given twice a day.  When
milk, even prepared with farinaceous substances,
disagrees, barley-water, fine  well boiled  gruel,
or weak chicken broth, and beef tea, may be sub-
stituted,  adhering  to that which seems best to
agree with the infant, and taking care to vary as
circumstances require it, as too long an adherence
to barley-water may occasion looseness  in the
 bowels,  while the  animal diet is  liable to lead, if
 too long  continued,  to a contrary result; the best
 precaution  in these  cases,  when  the predisposi-
 tion  becomes evident, is an immediate change  of
 the articles of diet.
    The  child should be accustomed  to take its
 nourishment  from each  breast, alternately ;  as, if
 this  precaution  be not  adopted,  inflammation  is
 likely to arise in the one not used, and the child
 is apt to become  crooked from being always re-
 tained in the same position.
    The physician is frequently  asked, how often
 the  child ought to be applied to  the  breast : the
 best rule is to give  it when the infant appears to
 desire it,  and to  withdraw it  when it  appears 
224        TREATMENT OF INFANTS.

satisfied.  As  it  increases  in  strength, it may
easily be accustomed to regular  hours, giving it
the breast late  at night and again early in  the
morning; but during the first  six weeks  or two
months, three times during the hours of rest, late
in the evening,  middle  ofthe night, and early  in
the morning, will generally be found sufficient.

    DURATION OF   SUCKLING, AND
                 WEANING.

   The period of suckling  ought seldom  to last
longer than forty weeks ; but in this we  must be
guided,  in a great measure, by the constitution of
The infant; weak psoric children,  in  whom  the
teeth are long in  making their appearance, it has
been  recommended to continue at the breast for
eighteen months, or even a longer period.  Wean-
ing ought,  in fact,  to  be  regulated both  by the
constitution of mother and child ; the full develop-
ment ofthe front teeth, which  in healthy  children
is from  nine  to  ten months, but  in  delicate or
psoric constitutions, is delayed for several months
later,  is the best indication for  weaning.   If,
however, the strength of the mother appear un-
equal to the task, and  the  supply of milk  be-
gin to fall off, the child may be gradually  weaned,
even  before the teeth  appear ;  but if the inlant is
healthy, a continuance of sucklingbeyondthe tenth
month is injurious to  both  parent and child ; the
re-appearance  of the  monthly  discharge is an-
other indication for ceasing suckling; if this take
place  early,  the child ought to be weaned,  or  a
nurse provided ; as, if suckling be continued, the 
SLEEP.
225
injury will soon declare itself, by the child falling
off and becoming emaciated ; if after the sixth or
seventh month, and the mother or nurse be other-
wise healthy, the secretion of the  periods ought
to be kept up by the  usual  artificial means, and
the child supplementarily nourished till the period
is past, when it may be again  applied.   Wean-
ing  should  not  take  place  suddenly,  but the
child should  be gradually  accustomed  to  other
food  and  a  less frequent  administration of the
breast,  till entirely weaned ;  the time to com-
mence this gradual course, is  from the first ap-
pearance ofthe front teeth, so  that the  weaning
terminate  with their  full  development;  thereby
the  secretion lessens  by  degrees,  preventing all
evil consequences of swollen or inflamed breasts,
and the  child also becomes quietly reconciled to
the deprivation.  Weaning  ought  not, however,
to  take place,  if the   child suffers considerably
from the  irritation of teething, or any  acute in-
fantile  disease.
   After the child has  been weaned,  his nourish-
ment should generally consist ofthe same simple
food before  mentioned, with  on occasional  light
pudding, without spice or eggs, made from semo-
lino,  tapioca, or  other  farinaceous  substance.
The transition to  a more substantial diet  ought
 to  be extremely  gradual  and guarded, and no
 material alteration made, till after the appearance
 of the eye teeth.
                    SLEEP.

   The  sleep  ofthe child  is the next considera-
 tion ; from  the inability of the infant itself to 
 226       TREATMENT  OF INFANTS.

 maintain a  proper degree of warmth, it  should
 sleep by its mother's  or nurse's side, for at least
 the first six weeks,  particularly  during winter or
 early spring.    Care must be taken not to over-
 burthen it with  bed clothes,  and to place it in
 such a position as  to  prevent it  slipping under
 them, thereby becoming exposed to  the  risk of
 breathing a vitiated atmosphere, or even  of suf-
 focation ;  after six or eight weeks, when the  or-
 ganism becomes stronger, and able to preserve a
 proper degree of natural  warmth,  placing  it in a
 separate bed  or cradle,  will be  more conducive
 to its thriving ; this change of arrangement will
 be found beneficial  to  both parties ; to the child,
 by its breathing a purer  air, and by the continual
 appetite for the breast being diminished ; and the
 mother, being freed from the  necessary watchful-
 ness and  restlessness consequent  upon its sleep.
 ing  with her,  will enjoy better  health,  and be
 more likely to secrete  good and  nutritious milk.
 Moreover, it is generally known, that sleeping  in
 the same bed with an adult is detrimental to the
 health and proper  development,  not  only of in-
 fants, but even of  children ;  a child sleeping  in
 the same bed with a very old  person,  will very
 soon begin to exhibit  signs of a  falling off in its
 general appearance.
  With regard to the kind of  bed best  suited  for
the infant, the suspended cradle  seems  the most
eligible; we  must,  however, be careful  not  to
allow the nurse to abuse its  use  by  continual
rocking, which frequently causes irritation  of the
brain ; it should not be  closed up with curtains,
but the room may be a  little darkened ; in cases 
SLEEP.                 227
where there is danger of draughts, a screen will
answer every purpose.
   As to the  length  of sleep  allowed, the chief
business ofthe first months ofits existence being
sleep and nourishment,  we may safely leave the
point to nature,  and not  attempt to coerce the in-
clinations of the  child;  if the  infant is lively on
awaking, we may conclude it has not slept  too
much;  as  it increases in vigour,  with longer in-
tervals  of wakefulness,  we may proceed (recol-
lecting  that night is  the proper period for sleep)
so to regulate its habits of taking its food and rest,
as to accustom it to a uniform system, and par-
ticular hours.  Children, up to two years of age,
require  rest during the day, and the  nurse ought
to endeavour to get them into the habit of taking
it in the forenoon ; for if in the afternoon, it gene-
rally interferes with their night's sleep.  Whether
by night or day,  we  must carefully exclude both
light and noise from the  nursery  ;  for although
they may be insufficient to arouse the infant, still
they cause its sleep to be disturbed and unrefresh-
ing,  and by  acting upon the nervous  sensibility,
predispose it to convulsions or  spasmodic  attacks
from slight accidental causes.
   It is true,  that during the first month,  the in-
fant  sleeps immediately on leaving the breast, and
no evil consequences ensue ; but it  must be borne
in mind, that it takes but little  at a time,  and the
tenuity ofthe  milk is at  that period wisely adapt-
ed to its delicate digestion ; but as the secretion
becomes  richer,  and  suited  to the increasing
power of those organs,  it is  injurious to  put the
child asleep  immediately after a full  meal;  his 
228        TREATMENT  OF INFANTS.

rest is then restless and disturbed  from the pro-
cess of digestion  being interfered  with, more
particularly when nurses foolishly endeavour to
force nature,  by resorting to the baneful practice
of rocking.
  Nothing causes greater  annoyance,  and even
anxiety to the mother, than a disposition to wake-
fulness on the part of her infant. A healthy  child
should always be prepared for its rest at the usual
hours ; if, instead thereof, it appear restless, fret-
ful, and disinclined for its accustomed sleep, it is
an evident indication of some derangement of its
general health ; and  if no other symptom be pre-
sent, the mother ought generally to  lose no time
in consulting a physician,  as the  cause may be
too remote and serious for other hands ; frequently
through ignorance, nurses, instead of attending to
this warning voice of nature, which  by the sleep-
lessness of the infant demands appropriate relief,
endeavour to stifle it, and sometimes,  to free
themselves from  a  little  temporary annoyance,
administer opiates, which induce an unrefreshing
slumber,  and not unfrequently  a  deep stupor,
mistaken for sleep,  while   the original evil still
continues to  make head against the vital power.
This baneful practice has not only been the  ruin
of many constitutions in after life, but to it, con-
joined with diet  drinks,  carminatives,  and other
quack medicines,  together  with  the highly erro-
neous practice, sanctioned though it be by names
of medical repute, of a frequent administration of
that active mineral preparation,calomel, in infan-
tile maladies, to  say nothing of laxatives, an in-
finite number of diseases and deaths are annually 
EXERCISE.
229
 attributable.   Every mother should not only cau-
 tion her nurse against the use of opiates, but use
 her utmost vigilance to detect any breach of her
 injunctions, which should be visited with the im-
 mediate discharge ofthe  person so offending; for
 she must be truly unfitted for such an important
 trust,  who, after  being warned of its  injurious
 tendency,  will persevere  in a practice placing in
 jeopardy the life of her infant charge.

                  EXERCISE.

   For the  first six or seven nionths,  the great
 business of nature seems  to be the proper devel-
 opment  of the infant organism, and of the  res-
 piratory  and  digestive  functions.  During  this
 period,  the cartilage  is  gradually  forming  into
 bone,  and its  delicate  muscles acquiring  power
 and strength.  We find also,  that consciousness
 is yet indistinct, and the infant evinces no anxiety
 to indulge in voluntary motion,  the muscles  of
 the neck and back not possessing sufficient power
 to support the head, or to keep the body in an
 erect position ;  for this reason, children during
 this period should, when carried in the  arms, be
 kept in a reclining position,  so as to  avoid an
 undue  pressure upon the vertebral column  ;  a
 neglect of this precaution, and a premature carry-
 ing of the infant in an upright position,  are a
too frequent cause of deformities  of the spine,
and  derangement  of the  internal functions in
after life.
   As its powers gradually develop,  the infant
seems  inclined to  exercise them, and evinces a
              20 
230        TREATMENT OF INFANTS.

desire to sit upright, which we may safely indulge,
taking care that "they be not over-tasked by keep-
ing it sitting up during the greater part ofthe time
it is awake.  A careful attention to nature in this,
as in all other cases, is the best guide.
  The  practice of dandling  the child in an up-
right position,  seems rather  to proceed from the
pleasure of  indulging the  feeling of  parental
affection, than from any benefit the child can, by
any possibility, be expected to derive from it; in
fact, it is highly injurious, even  at  a rather more
advanced period,  as exciting a premature invol-
untary  exercise of the muscles, and consequent
deformity.   The  act of respiration bringing into
play a great  variety of muscles,   occasional
crying  seems  sufficient  active exercise during
this period.
   In mild  spring and summer weather, the child
may, after the  first fortnight  has elapsed, be car-
ried out into the air for a quarter of an hour, and
the period of exercise  gradally. increased;  in
fact, if the weather be fine, it can scarcely be
too much in the open  air.  Should  its  birth occur
in  winter, advantage may be taken of a fine day
after it is a month  or five weeks old, as the frame
 is  gradually acquiring the  power of generating
 heat; but at the same  time,  great care must be
 taken  to prevent its catching cold ; and should it
 exhibit the slightest sign of  being affected by the
 coldness  of the  atmosphere, the practice should
 be  immediately  discontinued,  and it should  be
 carried up and down in a well ventilated  room, the
 nurse moving  it quietly  in her arms from side to
 side.   Many  children are lost through a foolish 
EXERCISE.               2ol
idea of making them hardy, by accustoming them
to endure cold ; this  can occur only through ig-
norance, for nature, in very early infancy, does not
possess sufficient energy of.reaction to overcome
the power  of a  sudden  or long-protracted chill.
We may recommend an occasional gentle friction
of  the  hand over the body  and limbs,  which
materially  assists in the promotion ofthe circu-
lation  of the blood, and will, in  unfavourable
weather, serve in  some measure  as a substitute
for exercising the infant out of doors.
   In carrying the  child, it should  be from time to
time transferred to different arms,  as a continu-
ance on one side is a frequent cause of deformity,
and in some cases, of squinting.
   The  child, as  the organization  develops  itself,
seems to evince a desire for  independent move-
ments,  in which it may very properly be indulged,
by removing every impediment in its dress,  and
allowing  it  to roll  about or  crawl  upon a soft
carpet.  The practice of assisting children to
walk, or of exciting them to a premature exercise
of their powers, is highly reprehensible, causing
curvature  of the limbs,  the bones  not being yet
sufficiently formed to  bear, the burden imposed
upon them.  By allowing nature  to act,  the in-
fant's powers will become more gradually, but at
the'same time, more fully developed, its carriage
will be'firm and erect, and its limbs straight and
well formed ; moreover,  it will walk with greater
confid.ence and independence by the expiration of
the first year, than  those who have been taught
to  walk by the assistance  of  the  nurse,  leading
strings, or mechanical  inventions.   When the 
232         DISEASES  OF INFANTS.
period  at which a child should make attempts to
walk, is retarded by evident debility of constitu-
tion, Homoeopathy affords us the means of obvi-
ating this evil, by acting against the constitutional
cause.   Dr. Gross has found Calcarea very use-
ful in a case of this nature ; and Dr. Hartmann
has  frequently  administered  Causticum  with
great effect.


        DISEASES  OF INFANCY.


 INFLAMMATION  OF   THE  EYES   IN
        NEWLY-BORN  INFANTS.

  A sudden exposure to the  strong light of day or
the  glare of a fire, is the general cause of this
affection ;  and no doubt many children who are,
what is vulgarly  denominated born blind,  owe
their misfortune to the neglect of those precau-
tions, which we have so strongly enforced under
the  head of Treatment of Infants ; in many
cases the  external indications  of this  affection
being so very slight as to escape observation.
  As soon, however, as, on a careful examination,
we  become aware of the existence of this evil, we
should  administer Aconite, which will generally
be found promptly efficacious in its removal.
  When, from the constitution of one or either of
the  parents, we have reason to suppose that the
exposure to light  has been merely the exciting
cause, but that the real origin of the evil is more
deeply  seated, or  if the Aconite seems to pro- 
             COLD  IN  THE HEAD.         233

duce no effect,  and the disease continues to ag-
gravate,  we  may have  recourse  to Tinctura
Sulphuris  and  Calcarea,  alternating them
every eight to ten days.  If, however, the inflam-
mation disappear after the administration of either
of these remedies, we need not have recourse to
further treatment.
  Chamomilla is useful some weeks after birth,
when the perceptive faculties are more developed
and the child exhibits.great intolerance of light;
also when redness, swelling and agglutination of
the eyelids,  with  other  indications given under
Acute  Inflammation of the Eye, (Part.  I.)
are present.

                HICCOUGH.

   This affection, though  in  itself of slight im-
portance, frequently causes  no small  degree of
uneasiness to young mothers; it generally arises
from exposure ofthe body, even in a warm room,
to the atmospheric air, even during the operations
of dressing  and undressing the new-born child ;
wrapping it  warmly in  the bed, or, better still,
applying it to the breast, will frequently lead to
its cessation ;  should it, however, continue,  the
administration  of a small quantity of white sugar,
as  much as will cover the top of a spoon,  dis-
 solved in a tea-spoonful of water, will effectually
 abate this evil.

           COLD  IN THE  HEAD.
   This  frequently arises from the same cause as
 the above mentioned,  but  very generally from
               20* 
234         DISEASES  OF INFANTS!
infection, namely, from a person suffering under
that affection, kissing the lips ofthe infant; other
severe maladies may be, we have  little doubt,
occasionally  communicated to children through
the same medium, which should serve as a caution
to mothers in  being exceedingly careful whom
they allow to kiss their infants.
   This affection frequently become,s exceedingly
distressing to the intiint,  when it appears in the
form of an obstruction in the  nose, impeding the
action  ofthe suckling, by not allowing the breath
to pass through the nostril, obliging the infant to
release the nipple frequently  in order to breathe,
causing it to become fretful and irritable, some-
times leading to irritation and excoriation ofthe
nipple, and thus,  in its repeated  efforts  to suck,
causing suffering to both  itself and the nurse.
   Whilst this  state  continues, it operates  con-
siderably  against the infant's thriving,  both  by
hindering it from  taking  a sufficient quantity of
nutriment, and by the impediment it causes to res-
piration preventing the child sleeping  at night.
When  the nose is dry, and the secretion of mucus
suspended, we may,  while administering  a re-
medy calculated permanently to remove  the evil,
afford relief, by imitating the natural secretion by
the application of a  little almond oil or cream to
the interior ofthe nostrils with a feather.
   This malady presents itself under many differ-
ent phases,  which  of course demand  remedies
suited  to  the  entire group   of  the  symptoms.
Among these,  Nux  Vomica  has been most fre-
quently successful; when  the  nurse  is similarly
affected,  it will be  sufficient to administer the 
CRYING AND FRETFULNESS.       235
remedy to her.   And when  the child  only is at-
tacked, we may give or administer it by olfaction
and inhalation,  applying the bottle alternately to
the nose and mouth for two or three seconds, and
withdrawing it  at each expiration.
  The indications  for  this  medicine  are, when
obstruction of the nose, with dryness, or, nocturnal
obstruction, with discharge during the day, exists,
with irritability and peevishness.
  Sambucus Niger has proved most effectual in
cases where there is an  accumulation of viscid
mucus in the nostrils;   and if no amelioration
quickly appear, we may  repeat the dose, if ne-
cessary, at the termination of twenty-four hours.
  Chamomilla is very useful when there is cold
in the head, with a watery discharge from the nose,
more particularly  when there are  febrile symp-
toms, soreness of the'nostrils, and redness of one
cheek.

CRYING AND WAKEFULNESS OF NEW-
             BORN CHILDREN.

  As we have already remarked,  the occasional
crying  of new-born children is a wise provision
to bring the respiratory organs  into play, and to
expand the chest.   When, however,  the  crying
becomes excessive,  and  threatens to prove in-
jurious, we  must, in the first place,  endeavour to
discover its origin, which frequently will be found
to be some mechanical causae, such as derange-
ment ofthe infant's dress, or  a pin sticking into its
flesh.   When, however, we  fail in  this point, and
no  guiding symptom  of disease  presents itself, 
236
DISEASES OF INFANTS.
  and the infant is peevish, irritable,  with  whim-
  pering, and wakeful, Belladonna, administered by
  olfaction,  will frequently be found sufficient in re-
  moving the evil.
    When  a  fit  of crying  comes  from the child
  having been irritated or excited  by any  cause,
  such  as  suddenly rousing it from  its rest, and
  when it seems willing to sleep,  but finds a diffi-
  culty in composing itself to slumber,  Coffea
  Cruda will prove efficacious.
    Ch\momillv is indicated, when we can trace
  the fits of screaming and  wakefulness to  a de-
 rangement ofthe digestive functions,  and the fol-
 lowing symptoms present themselves :—when the
 child appears to suffer  from griping  pains  and
 draws up its little limbs  upon the abdomen,  and
 when a whitish, yejlowish, or greenish, or watery
 and excoriating diarrhoea is present.
   In similar cases,  without diarrhoea, Jalappa
 is indicated.
   When the screaming and vigilance are attended
 with colic pain and flatulence, Senna deserves a
 preference.
   Rheum is more appropriate, when with  scream-
 ing and wakefulness are  combined colicky pains
 with ineffectual efforts to relieve  the bowels ; and
 when  there are only  occasional,  scanty, 'sour
 smelling  evacuations  of  greyish  appearance,
 which seem to afford no relief
   Pulsatilla  is very efficacious,  when it arises
 from overloading the stomach, or  improper  food
 ulfi, ™V,'"Jin« or wakefulness is accompanied
Jith  flatulence,  constipation,   and  sometimes 
237
       REGURGITATION  OF  MILK.

   Children, in suckling, sometimes overload their
 stomachs, and regurgitate  a portion of the milk ;
 so far mothers have no cause for uneasiness, nor
 is medical assistance requisite ; but when this
 changes into vomiting, and the whole ofthe nu-
 triment is returned from the stomach, at times
 followed  by mucus and watery fluid, and even
 bile, it muet be looked upon as a disease, and may
 generally be eased by Ipecacuanha, which may
 be repeated if not followed by a speedy amend-
 ment, giving the  medicine twenty-four hours to
 allow time for its action.
   In case the disease is attended  with constipa-
 tion, uneasiness,, or irritability,  we may adminis-
 ter Nux  Vomica.
   Chamomilla, when attended with convulsions,
 with diarrhoea, as described elsewhere, where the
 medicine has been mentioned.
   Followed by Antimonium Crudum, when the
 Chamomilla has not given the required relief.

               MILK CRUSTS.

   This affection, as it occurs  in  infants at the
 breast, usually consists of  an eruption of vesicles
filled with transparent fluid,  and  appearing in
 clusters ;  these vesicles generally show them-
 selves, in the first instance, on the face, and some-
 times  spread over  the whole body;  the  lymph
 therein contained soon becomes yellow, dark, or
 even sanguineous,  and on their bursting, forms 
   238         diseases  of infants.

   into crusts.  Frequently  there  is  considerable
   surrounding redness  and swelling, with distress-
   ing itching, which renders  the  little patient ex-
   cessively  restless  and fretful, and  causes  it  to
   keep continually rubbing the affected  parts,  by
   which the discharge  and crusts are repeatedly re-
   newed.
     Aconite should commence our  treatment, when
   we find excessive restlessness  and excitability
   produced  by this  affection,  and  when  the skin
   around the parts is red, inflamed  and itehing.
     As  soon  as  we have  found beneficial effects
   result from the administration ofthe  remedy, we
   may follow it up  with Viola Tricolor ;  this
   remedy is generally regarded  as  specific to this
   aflection in its simple uncomplicated form.
t     In cases of hereditary psoric tendency, however,
   we must have recourse to medicaments more par-
   ticularly adapted to combat this virus.  In general
   cases,  we  may administer Sulphur every day an
   hour before a meal.   Sometimes the eyes ofthe
   little patient present an appearance of inflamma-
   tion, in which case we may exhibit Belladonna,
   followed by Hepar Sulphuris, when  the affec-
   tion becomes obstinate, or Euphrasia, when ex-
   tensive lachrymation.and agglutination ofthe eye-
   lids,  with a tendency  to ulceration, exist.


          THRUSH,  OR  APHTHAE.

     This disease commences by the  formation of
   small isolated, round, white  vesicles,  which,  if
   not checked, become confluent,   and  sometimes 
             thrush, or aphtha.         239

present an ulcerated appearance, filling the whole
ofthe cavity of the mouth, and in  severe cases
extending to the throat.   This affection,  although
of itself neither malignant  nor dangerous,  fre-
quently causes  not only considerable suffering to
the child by preventing it from suckling,  but great
pain and inconvenience  to the mother by its being
communicated  to  the nipples, and causing  ex-
coriation, dec.
   This disease is  most generally produced by
the want of a proper attention to cleanliness, both
as regards the personal  and constant laving ofthe
infant;  but  especially  from  the  suckling glass,
when employed, not having been carefully wash-
ed after use.   Improper aliment is another ofthe
principal causes : thus we find, that children  who
are what is commonly called, reared by  the hand,
either partially or wholly, are more liable to this
affection than those whose sole nourishment has
been from the breast.
   One ofthe remedies in this affection,  although
perfectly  Homoeopathic  in its action,  has  long
been in use,  in its external application,  by prac-
titioners of the old school, namely, Borax; and a
weak solution applied to the mouth with a brush
has  not unfrequently been found efficacious.  We
would, however, prefer its internal administration,
which will frequently dissipate the affection with-
out the necessity of having recourse to any other
medicament.  We may administer one dose morn-
ing and evening for a week ;  if at that period no
amelioration  has taken place,  we must have re-
course to Sulphur.
  In cases where  there is much salivation and 
240         DISEASES OF INFANTS.
the thrush indicates  an inclination to ulceration,
we may administer  Mercurius Solubilis, fol-
lowed by Acidum Sulphuricum, if necessary. In
very bad cases, when the Aphthae assumes a livid,
blue, or violet appearance, attended with excessive
weakness  and diarrhoea, Arsenicum is specific.
   When this disease frequently, notwithstanding
every precaution, reappears, we may safely  infer
that it arises from some virus in  the constitution
of the mother or nurse, who ought  immediately
to be put through an anti-psoric treatment, under
the direction of a medical practitioner.

              EXCORIATION.

   Against this affection  cleanliness is  the best
preventive ;  however,  we frequently find it pro-
ceed to  such an extent as to require the aid of
medicine for its removal.
   Chamomilla will be found in most instances
speedily effective, when  we are certain that the
disease is not the medicinal effect of chamomile
tea taken  by the nurse or child, in which  instance
Ignatia  or Pulsatilla  should  be given.  In
very obstinate cases  we may have recourse to
Tinctura Sulphuris.  Acidum Sulphuricum
and  Graphites  are also extremely valuable in
this malady.
   Although pointing out the most efficient reme-
dies, we  would, at the  same time, advise the
mother, when the disease  has attained to such a
height, not to rely too  implicitly upon her own
judgment, but  to have, where possible, immediate
recourse to medical assistance. 
241
                  JAUNDICE.

   This disease, as we have before observed, fre-
 quently takes its rise  from the mischievous prac-
 tice of administering aperients immediately after
 birth ; exposure to cold is also one of its exciting-
 causes.
   When  it  has  arisen  from the last mentioned,
 and when there is, together with the distinguish-
 ing characteristic ofthe  disease (a yellow hue of
 the skin) considerable distention of the stomach,
 the administration of Chamomilla will be found
 prompt in affording relief; when an abuse of this
 medicine  has been the cause, we may substitute
 the medicaments mentioned  under Excoriation
 in a similar case.
   Nux Vomica, when the complaint is combined
 with  costiveness,  and the little patient appears
 generally of irritable temper.

 DERANGEMENTS DURING TEETHING.

   As  already  stated, about the  fifth or sixth
 month the  teeth  generally  begin to  protrude.
 Under a  proper system  of treatment, a healthy
 child  ought  to pass  through  this  period  with
 scarcely  any suffering ;   if a due  attention has
 been paid to the rules  for exercise and diet which
 we have already laid down, and the child is free
from any constitutional infirmity, we may safely
calculate  upon the period of dentition being al-
most free  from pain.
  Broths  and jellies   should,  during  the acute
             21 
242
DISEASES OF INFANTS.
stages,  be wholly  prohibited,  and its food,  if it
take other nourishment than the breast,.be ofthe
lightest and simplest description.  The mother, or
nurse, should  pay particular regard to her regi-
men, and  avoid all substances of a stimulating or
indigestive nature.   Here,  again,  we  may re-
mark, that the indulgence in vinous or fermented
liquors, is, from their irritating  propensities,  one
of the most frequent causes of the  suffering of
children during this period.
  During dentition  there is always a tendency of
blood to the  head,  which from  simple irritation
may, if not quickly checked, terminate in inflam-
mation ofthe brain: the best preventive against
this affection is keeping the head  perfectly cool.
  In  order,  as much as  possible, to  allay  the
anxiety of parents,  who may be led to  mistake
the  natural  symptoms  attendant upon dentition
for those of disease, we shall, in the first instance,
briefly enumerate   those which  frequently  take
place in healthy children,  and may be  safely left
to nature ; and afterwards proceed to point out in
what cases, from any ofthe symptoms diverging
from the usual track, it may be necessary to have
recourse to medicines, or to call in the assistance
ofthe physician,
  During Teething, the child  is more  restless
than usual, especially at night;  has flushes of
heat, alternating with paleness ; the gums gradu-
ally swell and become hot; it evinces a difficulty
in suckling; sometimes forcibly  bites,  and  fre-
quently lets go the nipple ; it drivels at the mouth,
and  its bowels become relaxed; the two latter
symptoms may, in some measure, be looked upon 
      DERANGEMENTS DURING TEETHING.   243

as a wise, precautionary  measure of nature,  to
prevent a congestion to the head and lungs,  to
which  all children  are at this time more or less
disposed ; and the sudden cessation of either, after
having once set in,  is a sign of derangement of
functions, demanding prompt attention.
  When the child appears to suffer much pain  in
the gums, accompanied with  redness, swelling,
and burning heat, and also when it is exceedingly
restless and feverish, we  may administer  Aco-
nite.
  Coffea, when the child is unable to sleep, ir-
ritable,  liable to start, and difficult to soothe.
  Chamomilla, when  the  excitability  is  very
great;   the infant  starts at  the  slightest noise;
evinces great thirst; spasmodic  twitches or con-
vulsions in the limbs during  sleep; short respira-
tions, quick and loud, sometimes with a hacking
cough ;  excessive diarrhoea, with green,  whitish
or watery evacuations ;  and  especially  when the
mother  has  been in the  habit of taking coffee,
which we have already so strongly reprobated  as
an article of diet to  women nursing.
  When in  the assemblage of  these symptoms,
cons ipation takes the place of diarrhoea, we may
administer Nux Vomica.
  When strong symptoms of cerebral irritation
exist, we should have instant recourse to  Bella-
donna.
  When the irritation seems to arise from  diffi-
culty of teething,  we may administer Calcarea,
repeating it every  eight  days,  which will ma-
terially  assist the protrusion  ofthe teeth. 
244
CONVULSIONS  OF YOUNG  CHILDREN.
                BY DR. HULL.

  In no case  of infantile sufferings  are the ma-
ternal sympathies more agonizingly  excited than
by  the  occurrence  of convulsive   paroxysms.
These  maladies are  frequently developed com-
pletely in a very rapid manner.   Almost without
a single instant of warning the transition from the
calm repose ofthe unwatched cradle, to the fright.
ful contortions of a most perilous state, makes the
awful appeal to the mother, in whose bosom God
has implanted the most earnest will to protect,
defend  and  soothe her offspring, for the immediate
and most effective interpositions of art.  Ignorance
ofthe few necessary  and simple rules of art  for
these dreadful exigencies must,  independently of
a fatal  issue in any case,  be  productive of inde-
cision and helpless dismay, or lead to the adoption
of violent,  inappropriate  and  even destructive
measures.  No mother of tolerable education can
willingly remain unqualified  for the discharge of
the preliminary medical offices which may be put
into action  before the physician can be summoned
to the charge of her little sufferer; and, as in our
mode  of cure, there are certain steps which  we
deem more efficacious than those of the ordinary
practice, and which  are  certainly  more in  ac-
cordance with our indispensable general maxims,
we consider  it our duty, to call the attentipn of
those  females  who employ  Homoeopathic phy-
sicians to the following considerations  and prac-
tical expedients.
   Predisposition.—Early  childhood  is pecu- 
CONVULSIONS OF  YOUNG CHILDREN.   245
liarly exposed to these maladies  in consequence
of anatomical  and  physiological  peculiarities.
Thus the relative volume of the brain aud nerves
is greater at this than  at any other period of life,
and especially  the  nerves that appertain to the
most  important part of the system (technically
designated, ganglionic).  The  circulation of the
blood is exceedingly rapid ;  the pulsations of the
infant approaching 120 in a minute, while those
ofthe adult average  about 75.
  The muscular system  is delicate  and  acutely
susceptible in consequence  of the  redundant vi-
tality of the  nervous  and  circulatory systems.
The  infant system  is  on  these  accounts  very
highly susceptible to impressions, whether  men-
tal or physical ; as is manifest in the sunshine of
smiles and showers  of tears—the swift-bounding
leaps and  almost convulsive  springs  that  alike
gladden and terrify.   As long  as this  mobility of
the infantile system  endures,  so long are  convul-
sive difficulties to be apprehended, for its depend-
ent susceptibility is  only subdued in the  ratio it
matures  as it approximates nearer and nearer to
the period of puberty.
   Hereditary predispositions form  a second con-
sideration of importance.   Numerous generations
of particular families have been observed to in-
herit convulsive habits in  conjunction with mal-
formations ofthe head, nervous irritable  temper-
aments, and also, sometimes,  lunacy.  Dr. Eberle
observes that convulsions  occur most frequently
among the denizens of crowded cities,  especially
in the luxurious and pampered classes, and pro-
portionate infrequency among the temperate  and
               21* 
246         DISEASES OF INFANCY.
 laborious who enjoy the free and uncontaminated
 air of the country!   Dr. North,  who has investi-
 gated the phenomena of infantile  life with dili-
 gence and acuteness, has observed  that the off-
 spring of parents who  marry prematurely, or at
 an advanced age, are more frequently subject to
 convulsive disease than the children of those who
 are united at sexual  maturity. An opinion which,
 we think, deserves the attention of those who are
 hastening mere children into relations they are
 physically unfit to sustain.
   Exciting causes of Convulsions.—These
 causes  deserve a more careful attention  on the
 mother's part than those of constitutional  predis-
 position, which,  however, should never be lost
 sight of.  If any of these  we are about to enu-
wnerate exist during childhood, appropriate mea-
 sures should be speedily adopted  to arrest their
 progress ; for, if the paroxysms of convulsions are
 not entirely suspended by the suppression  of the
 causes that frequently create them, they will be
 so far modified by anticipatory treatment as to be
 quite mild, and certainly exempt from all danger.
 Again  if the  development  of the paroxysms  is
 immediately dependent  upon one of these causes,
 the specific cause must  never be forgotten  in the
 selection ofthe remedies opposite to the occurrent
 symptoms.
   1. D'-ntition.—This is one pf the most frequent
 causes of convulsions in children; either when
 the vascular system  seems crowded to excess in
 very healthy plethoric infants, or when the teething
 has been protracted beyond  the ordinary periods
 by tedious sickness or immature constitutions. 
       CONVULSIONS  OF YOUNG CHILDREN.   247

   2.  Repelled Eruptions.— Experience has  de-
monstrated that,  in acute  eruptive diseases,  as
scarlet fever,  measles, &c,  the sudden repulsion
ofthe eruption has been frequently followed  by
convulsions.  The sudden and quackish suppres-
sion  of ulcers and chronic diseases ofthe skin,
by external applications, has been followed by the
same results.  We seize the present occasion to
reprobate this pernicious and unscientific practice,
which every  physician  of  any  observation has
known to prove hurtful and  even fatal.   We can
recur to three marked cases we have been called
to, where all the symptoms  of dropsy in the head
supervened upon the suppression  of  scaldhead
disease through  the  external  applicatb n  of un-
guents and washes—an  immoral expedient adopt-
ed to  satisfy  the demands  of parents who re-
quired an immediate  extinction  of the disease,
because " it was unpleasant to the sight.''
   3.  Irritating substances in  the  stomach and in-
testines. — Irritating and poisonous substances,
acrid and indigestible food,  and the overloading
and distention ofthe stomach, have been observed
to engender convulsions.  The possibility of such
results from these  provocatives,  points emphati-
cally  to the adoption of a plain and rational diet
for children, and  to the   avoidance of confection-
ery, cakes, pastry and coffee, with which their
tender stomachs  are  too  often surfeited,  abused
and permanently injured.
   4.  Worms.  — Verminous irritation unquestion-
ably  produces convulsions.  The  existence  of
this cause  should not  be too  hastily decided upon,
for with all the care taken to  elaborate  its  symp- 
248         DISEASES  OF INFANCY.

tomatic phenomena, they  so  closely  simulate
those arising from other kinds of irritation, that
no strong reliance can  be  placed upon  this dis-
crimination, except when  aided  by  the  absolute
presence of the worms in the evacuations either
from the stomach  or intestines.  This uncertainty
should serve as a salutary caution to the presum-
ing,  who are so  fond  of deluging infants  with
pink-root and other vermifuges, thus producing or
magnifying the very sufferings they aim to relieve.
The maw or thread worms, (ascarides  vermicu-
lares,) small white worms that gather in countless
numbers at the lower part.of the intestinal canal;
and  the common round  worm, (ascarides lumbri-
coides) are the two prominent species to be sought
for as  exciting causes  of convulsive difficulty in
children.
   5. Mechanical injuries.—Falls and blows upon
the head and  other  parts  ofthe  body, have pro*-
duced convulsions both immediately and  remotely.
The mechanical  depression of a part ofthe skull-
bone,  or the presence of a splinter in the fleshy
part ofthe body, have been known to excite con-
vulsions until the bone was elevated or the splin-
ter removed.
   6. Fright.—This is not an unfrequent agent in
the  production  of spasms.   Nurses, who, having
 some  ulterior  views  of comfort  or occupation,
 were  desirous of silencing  crying or fretful chil-
 dren,  have been  known to  frighten the little suf-
 ferers  into convulsions.  Thoughtless  children
 have pursued the same course with their younger
 associates with similar results.  Mothers, as they
 value the  future health and mental capacity,  or 
       CONVULSIONS  OF YOUNG CHILDREN.   249

the very existence of their offspring, should guard
against such misconduct with extreme vigilance.
   7.  Various unknown causes.— Convulsions oc-
casionally occur, and we find  it quite impossible
to recognise the  cause.  When we  feel assured
that dentition or indigestion are the factors ofthe
illness, we  possess  corresponding confidence in
alleviating or removing the suffering ; but when
children, seemingly in perfect health, and without
the least premonition,are seized with convulsions,
there is  reason to apprehend that  some organic
conformation exists  which may  render  all our
efforts hopeless and  useless.
   Treatment.—Directions preliminary to the use
of Homoeopathic  Medicines.—1. Presence of
Mind should ever prevail- with all  females who
have  assumed the responsibilities of mothers, as
its exercise, on  the sudden  emergencies ofthe
nursery, may save,  or its absence may  sacrifice
the lives  in  their custody.  The  mother's affec-
tion  should transform and concentrate her ener-
gies into a " master spirit,"  competent to guide in
the midst of danger,  and  rising in  magnitude and
power in proportion as new perils  environ her
offspring.   She should adopt a calm deportment
and resolute firmness ; and she will have the sat-
isfaction of  inspiring those about  her with confi-
dence in the pursuance  of  efficient  measures of
relief.  This  self-command is  to  be  acquired
more readily by learning what may be safely and
judiciously  done  in  case of accidental or other
sudden dangers, than by any merely moral disci-
pline, although the  latter ought by no  means to
be neglected.  Of course a messenger will  be 
250         DISEASES OF INFANCY.
despatched for the family physician on the instant
in which the signs of convulsions become  at all
manifest.
  2j On the access of  a  convulsion, let  warm
water he ordered and procured as speedily as pos-
sible.  The lower extremities should be immers-
ed in the  same up to the knees, from five  to ten
minutes, until the paroxysm seems evidently sub-
dued, when the patient  should be  wiped dry and
wrapped in a warm  blanket.    We will,  at this
place, mention a rule in regard to the benefit that
is obtainable from  warm water whenever needed
for local bathing—that  the water should always
be hot, but not scalding—if a decided and favour-
able impression is to be anticipated. If the  water
and other  means afford no relief after the patient
has been put into the warm wrapper, let the im-
mersion be repeated  ; at the same  time pour  a
small stream of cold water on the crown  of the
head until animation becomes apparent, and then
renew the dry envelop.  The alternation  of this
course upon the fifth trial has been found to re-
store convulsed children, although the prior trials
were perfectly inefficient.
   3. Lavements or injections are auxiliaries of
great importance.   They are  perfectly harmless
under all  circumstances, and at times absolutely
necessary, if irritating food or foreign material in
the stomach and intestines are  the known causes
ofthe paroxysms.  When such causes exist, the
injection should precede the  foot bath ; otherwise
the intervals between  the  baths  will furnish the
most suitable time for their application.  A lave-
ment of simple warm  water or milk is  generally 
       CONVULSIONS  OF YOUNG CHILDREN.   251

 sufficient;  if not, one of equal  parts of sweet oil
 and warm milk ; or a composition of warm water,
 salt and molasses.
    4.  If the arrival ofthe physician be protracted,
 or if  Homoeopathic  medicines be  not at hand,
 weak camphor-water  applied to the nostrils and
 forced into the mouth ofthe patient, at  occasional
 intervals, is  perfectly  admissible.   Camphor in
 some instances has proved  of  great value in  re-
 lieving  convulsions,  but requires caution as  to its
 too abundant administration.
    5.  The administration  of Homoeopathic reme-
 dies forms  a  consideration of great  moment, if
 they  can be  discriminatingly applied.   It is a
 safe rule for every family to possess a small phar-
 macon or medicine chest, with appropriate direc-
 tions  as to the mode of using the medicines,  not
 only  for the disease in  question, but for all  the
 trifling  ailments that are  constantly occurring in
 large families of children.   Effective  relief can
 thus be rendered, serious diseases frequently  an-
 ticipated, and, what is of importance,  substitutes
 at command which, it  is to be hoped, will banish
 from  every  house  the  pernicious " simples," as
 paregoric,  laudanum,  cough  syrups,  panaceas,
 bilious  pills', freckle and  pimple  lotions, (many
 containing corrosive sublimate and arsenic,) plas-
 ters,  unguents, &c.
     Medicines for Convulsions  and  their
 Symptoms.— In offering instructions  to laymen
 in regard to  the selection  of  medicine  for dis-
 ease, whether here or elsewhere, we feel satisfied
i that the intelligence of  those  who extend  their
 attachment  to Homoeopathia  to  a provision of 
252        DISEASES  OF INFANCY.
medicines,  will guard  them from an  abuse  of
these means by thoughtless prescriptions or  ran-
dom experiments.   The  practice  of Homoeopa-
thia by laymen, in  all  acute or dangerous mala-
dies,  is  unquestionably hazardous, as our argu-
ments in their proper  place will  prove ;  but, in
particular cases, careful practice is not only com-
mendable but necessary.   The present disease
will illustrate the propriety of this position, either
when the parent has become accurately  familiar
with the treatment of special forms of convulsions
by  watchful experience—or, when  a physician
cannot be procured—or, when no resource is left
beside,  but application to  Allopathic physicians
or measures.
  The selection of remedies is to be made with
reference to the causes.  The symptoms in italics
represent the distinctive indications of their re-
medies in convulsive diseases.
  1.  Convulsions  from  Dentition.— Bella-
donna.—This remedy is principally indicated for
plethoric and corpulent  children and those of san-
guineous temperaments.  Characteristics  of  the
paroxysm :  the child starts suddenly while sleep-
ing, seemingly under  the impression of  a fright-
ful dream, stares about  wildly, the  pupils are much
enlarged, the  wholy body or single limbs become
stiffly convulsed, the forehead and hands are dry
and   burning,  and  occasionally   there   follows
clenching ofthe hands  and involuntary urination.
On returning consciousness the attacks will some-
times recur from the least touch.   Belladonna is
applicable also when the  spasms  are preceded or
attended by smiles or laughter. 
       convulsions of young children.   253

   Chamomilla is indicated for children of nervous,
sanguineous temperaments, and endowed with ex-
treme sensitiveness, and peevish, fretful irritability.
Characteristic  symptoms :  the child  is fretful,
restless, and disposed to drowsiness while awake;
the eyes become half closed, one cheek  is red, the.
other pale;  moaning  for drink,  consciousness
ceases, twitches of the  eye lids and muscles  of
the face, with contortions of the eye-balls, jerks
and convulsions of the arms and legs, with clenched
thumbs, while the head is constantly rolling from
side to side.
   The Belladonna  and Chamomilla harmonize  in
alternation.  If the Belladonna is first indicated
and does not promptly  suppress the convulsion,  it
will frequently modify the symptoms  so that the
group will be successfully controlled by Chamo-
milla, which, if it does not, will in its turn create
a susceptibility,  so that the  repetition ofthe Bel-
ladonna will  remedy the predicament it primarily
failed to reach.  If* the Chamomilla  is  first indi-
cated, the converse also holds good as  to its suc-
ceeding alternation with Belladonna.
   Ignatia.  This  remedy applies to the melan-
cholic temperament.—to pale and delicate infants
of tame or peevish dispositions—and  to  hysterical
alternations of vivacity and  sadness  in children,
such as laughing and crying at the same breath.
Characteristic symptoms : the child, while repos-
ing in a moaning, light  slumber, becomes sud-
denly and repeatedly flushed  with burning heat;
awakes and springs with  a  convulsive  start, the
most soothing attentions scarcely availing to quiet
the excitement;  a tremor seizes the entire body,
              22 
254         DISEASES  OF INFANCY.

attended by violent crying or agonizing shrieks,
and the muscles  or single limbs become  con-
vulsed.  The Ignatia is  further indicated when
the spasmodic paroxysms  occur every day  at  a
regular hour, followed by fever and perspiration ;
or when they occur every other day  at variable
hours; or, again, when the Belladonna and Cha-
momilla do not appear  to be efficient  in teething
convulsions.
   Cina best accords with  the melancholic tempera-
ment.  It is especially suitable for children who
are scrofulous;  have  become  debilitated  and •
emaciated from continued disease ; are  painfully
sensitive to motion and  society; have  hooping.
cough ;  or have had a tedious dry cough resem-
bling hooping-cough ; or who are having  their
second teething;  attended with picking  at the
nose, and griping  and itching at the fundament,
both prior  and subsequent to the spasms;  who
have had previous convulsions from worms ; and
habitually wet their beds.  Distinctive symptoms :
spasms ofthe breast, then ofthe  limbs, and finally
paleness and rigid stiffness of the entire body.
   Arsenic has been used with great benefit in the
spasms of dentition.  As illustrative  of its  indi-
cations we  refer to  a  case in the Archives .suc-
cessfully treated  by the prior administration  of
Stramonium, the intermediate use of Arsenic,  and
concluded by Belladonna.  Collateral indications :
the child is irritable and  restless; cries for  some
particular thing, which,  when offered, it rejects ;
has an insatiable thirst;  frequently throws off the
little it will scarcely eat; has a diarrhoea,   often
of indigested food; constantly points  with a  pain- 
      CONVULSIONS OF YOUNG  CHILDREN.   255

fill expression of countenance  to the lower part
of the abdomen ;  tosses about at night; and ob-
tains short restless sleep toward morning oidy.
Paroxysms:  they  recur  frequently;  the  child
crie3 as if from a perverse temper;  stretches its
feet out, and  hands convulsively backward  (opis-
thotonos) ; then throws his hands about and rolls
over with violent shrieks ; alternates his position,
convulsively  bending forward  (emprosthotonos),
with clenclied fingers and extended thumbs.  All
efforts  to allay the spasmodic excitation by  sooth-
ing expressions irritate  instead  of  allaying,  so
that the child attempts to strike and bite those
around him.
   Stannum.   This remedy  has been  advised
when spasms occur upon the appearance of each
tooth,  every paroxysm increasing progressively
in  violence.   Characteristics :  burning heat  of
the skin with violent bounding pulse; spasmodic
twitches of the muscles ofthe face, eyes and neck ;
and foecal and urinary evacuations  in the midst
ofthe  spasms.
   2.  Repelled  Eruptions.—Belladonna is a
specific remedy in convulsions derived from sup-
pressed Scarlet Fever ; also in alternation with
 Opium and Stramonium.   Its  symptoms are de-
tailed  above.
   Bryonia relieves spasms dependent upon sup-
 pressed Measles.   Bryonia is also  indicated  for
 the results of some forms of .Chronic eruptions.
 Characteristic symptoms : the child is seized with
great lassitude and debility;  there  is a great tre-
 mor of the entire body ; the  face becomes very
 pale ;  the limbs fiaccid; twitchings ofthe muscles 
256         diseases of. infancy.
and of single  limbs;  and,  finally,  convulsions.
Occasionally the convulsions are preceded by deep
and violent  coughing and  oppressed respiration,
especially if owing to suppressed measles.
  Stramonium is sometimes applicable to spasms
arising  either from acute  or  chronic  eruptions
suppressed.  Symptoms : sudden flushes of heat,
thirst, vomiting, and watery diarrhoea; general
tremor ; foaming at the mouth; the eyes fixed and
the pupils dilated ;  the respiration  laboured and
groaning ;  and rigid  stiffness  of the body.   A
premonition, characteristic of this  remedy,  is
occasionally witnessed—an extreme aversion or
dread of water, similar to that of hydrophobic
sufferers.
   Tartar Emetic  has  been a successful remedy
in our hands in the treatment  of spasms arising
from repelled  eruptions of the head,  when  the
symptoms closely resembled those  of dropsy  in
the head.
   Sulphur, however, is to be esteemed one of our
prominent  agents when the spasms are directly
attributable to repelled chronic eruptions.   If the
symptoms  indicate any  one  of the  previously
named remedies, let it be  administered at once;
but if an immediate impression is not obtained,
apply the Sulphur speedily, and continue the  al-
ternation until successful.   After the paroxysm is
past, the Sulphur and other appropriate eruptive
remedies should not be spared until such a  possi-
ble cause of peril to children has been effectually
eradicated.
   3. Irritation of the  Stomach, &c.— Nux
 Vomica is a remedy quite apposite to the infantile 
CONVULSIONS OF YOUNG CHILDREN.   257
age, and also to lively, sanguineous and nervous
temperaments.  It is also peculiarly adapted to all
spasmodic  difficulties dependent upon  derange-
ments of the digestive system, as acid eructations,
colics,  constipation, die.   Symptoms:  cough
with expectoration of slime, and difficult hurried
respiration;  gripings and distention of the abdo-
men ;  constipation ; violent spasms attended by
shrieks, bending the  body backward, especially the
head, fixed eyes and trembling of the limbs.  The
paroxysms are  constantly  repeated, with much
thirst  and excessive perspiration  during the in-
tervals.
   Pulsatilla is  suited to  dull, phlegmatic, or to
mild, merry temperaments,  and to female infants.
It answers for such spasms as are directly tracea-
ble to an overloaded stomach.  It also relieves
the subjects  ofits peculiar temperament when the
Nux would be otherwise  indicated.  It acts effi-
ciently in alternation with Nux when the temper-
ament is questionable.
    Coffea.  This remedy will relieve spasms that
arise from the immoderate use of laudanum, pare-
goric, &c, given habitually to quiet the restless-
ness and cries of infants.   If  it is not  prompt in
 its action, follow its administration  by  Spirits of
 Camphor,  every five  or  ten  minutes.   If the
 spasms become frequent,  consult  the indications
 of Mercury, Nux Vomica,  and Belladonna.
    Ignatia, the symptoms  of  which  have  been
 already recorded, will be  found to correct spasms
 that have sprung from the domestic use of "Cha-
 momile tea.'
    Ipecacuanha applies  to convulsions preceded
               22* 
258
DISEASES OF INFANCY.
and attended by pale bloated face; frightful dis-
tortion of the muscles ofthe face and twitchings
of the extremities ; aversion to every thing  but
water; oppression ofthe chest, nausea, vomitings,
and diarrhaza.
  4.  Worms. — Hydrargyrum.  This mineral
forms an admirable agent in the cure of vermin-
ous spasms.  It is  prominently indicated  when
the attacks are  developed  about evening, and the
skin is disposed to perspiration.   Paroxysm :  the
child  is  taken  with  painful eructations;  water
drools or is ejected from the mouth ; a watery di-
arrhoea sometimes succeeds; the limbs are thrown
about and become convulsed ; stupefaction follows,
attended  by fever  and moist skin.   Previous to,
during and after the fit, the abdomen is distended
and hard.  After the paroxysm the child will fre-
quently lie for a long time  apparently exhausted
and dying.
   Cina is also applicable  to  convulsions from
worms, which  correspond with the symptoms of
this  remedy, detailed  under Dentition.  It also
succeeds  when the Hydrargyrum fails to effect
its group, or materially aids  in  alternation with
this latter remedy, or with Hyoscyamus.
   Hyoscyamus.  The  distinctive  indications of
this medicine point to spasms that occur periodi-
cally  and  immediately after meals.   Paroxysm:
the child  sickens after  eating,  and  sometimes
vomits, with evident suffering  in  the pit  of the
stomach  ;  or, else, suddenly shrieks and becomes
insensible; the limbs or entire  body  are moved
convulsively, and especially the muscles  of the
face; the  face is somewhat pale and bluish, or 
      CONVULSIONS OF  YOUNG  CHILDREN.   259

turgid and fiery-eyed ;  the eyes are exceedingly
protruded  and distorted ; grinding  of the teeth
and foaming  at the mouth follow ; while the  res-
piration is sonorous and oppressed.
   Cicuta  is   pre-eminently  serviceable, while
during the undoubted  existence  of worms,  the
child is first taken with violent abdominal gripings
and  colic which  persist  until they are merged in
convulsions.   Tremor of the limbs, jerks like elec-
tric shocks, and final insensibility,  constitute the
paroxysm.
   5.  Mechanical Injuries. — Arnica  is the
specific for convulsions derived from contusions,
&c, when the presence  of foreign bodies, or the
derangements of the  bones,  are  not the causes,
in which predicaments  surgical aid  must mainly
avail.  But after appropriate surgical assistance,
this remedy can be depended upon for efficient
impressions of a favourable character.
   6. Fright.—Opium is antidotal to the effects
of this cause.  Paroxysm :  the child   is taken
with a general tremor;  throws  his arms and legs
about; a melancholy expression of countenance
is supplied by one of stupidity,  during which  he
cries,  seemingly unconscious ;  finally  becomes
senseless ; the  body  swells, and the fcecal and
urinal evacuations are quite  suppressed.
   Ignatia avails according to its indications.
   Stramonium is useful when the child  becomes
suddenly convulsed and senseless from fright.
   Secale answers when the Stramonium fails, and
also  in alternation with it.
   7. Unknown  Causes.— All the preceding re-
medies may be administered when the causes are 
260         DISEASES OF INFANCY.
not discoverable, provided their symptoms coincide
accurately with the convulsive phenomena.
  Aurum has been used by Rau  in convulsions
attended with alternations of laughter and weeping.
  Aconite.   Dr. Hartmann  values  this medicine
in spasmodic affections attended with high fever.
  Other remedies,  as  Cocculus,  Cuprum, Cicuta,
&c, have been recommended by some physicians,
in consequence of their utility in convulsive dif-
ficulties of adults ; but,  as  the  testimony is not
explicit, and as children are amply provided  for
by the medicines already enumerated, we do not
deem it necessary to  enlarge on their effects at
the present time.

           ASTHMA OF  MILLAR.

  This affection  is  by some  denominated  the
Spasmodic Croup,  or  Acute  Asthma of Infants;
it bears a considerable resemblance to croup, yet
differs from it in  many respects, by the extreme
suddenness of the attack,  while that of croup is
generally  preceded one or two days by hoarse-
ness and a slight cough, and  by a  cessation from
suffering the patient  enjoys between the attacks ;
while, when croup has once set  in,  the  excite-
ment is permanent; moreover, this disease gene-
rally attacks in the evening or at night, whereas
croup in  most cases  makes  its first  appearance
during the day.
   Croup,  as  we  mentioned in the article upon
that subject, is an inflammation ofthe membrane
 of  the windpipe,  exciting the formation of  a
 peculiar secretion, which, if not  checked,  con- 
ASTHMA  OF MILLAR.          261
cretes  into  an abnormal  membraneous  tissue,
constituting what is technically  called the false
membrane of croup; whereas, in the Asthma  of
Millar,  the  suffering  appears  to arise from a
spasmodic  contraction of the. top  of the windpipe,
impeding the process of respiration.
  This affection commences  with a sudden spas-
modic inspiration, with a species of stridulous  or
crowing  noise ;  if the fit continues,  the face be-
comes ^purple, and  the extremities  partake ofthe
same hue,  frequently accompanied,  as in convul-
sions, with a clenching ofthe thumbs inside  the
palm,  and  spasmodic constriction of the toes,
giving  an appearance of  distortion to  the foot; if
proper means are  not  promptly taken, these at-
tacks recur frequently, and at short intervals, and
occasionally the  little patient  perishes during one
ofthe paroxysms.
  This affection rarely occurs except  in  infants
of a psoric habit,  which due means should be
taken to eradicate  by a proper course of treat-
ment;   it  is a frequent  accompaniment  of the
period  of dentition, and excited by similar causes
to those bringing on convulsions.
  With regard to  the  treatment: when there is
considerable lethargy present, difficult respiration
and  whistling;  sense of suffocation,  with  con-
striction ofthe chest;  the face swollen, and livid
or purple, and especially when coming on at night,
with cough  and  weeping  after each paroxysm,
Sambucus  is almost specific.  It may be adminis-
tered every  one or   two hours, according  to
symptoms.
  Should, however, the administration of Sambu- 
262         DISEASES OF INFANCY.

cus he  found ineffectual, we may have recourse
to any ofthe following medicines that  appear in-
dicated by the symptoms :  Aconite,  Ipecacuanha
Arsenicum, Moschus, or Pulsatilla.
  Aconite, when  a suffocating cough comes on
at night, with shrillness and hoarseness of voice ;
respiration  short, anxious, and difficult, more par-
ticularly if any marked febrile symptoms be pre-
sent, or we have  reason to dread determination
of blood to  the head.                  '
  Ipecacuanha, when there  is  rattling in  the
chest from  an accumulation of mucus, with  spas-
modic constriction,  and symptoms as  from  suffo-
cation  ; anxious and short, or sighing respiration,
with purple colour of the  face, and cramps  or
rigidity of the frame; it maybe advantageously
followed by Arsenicum, when many ofthe  above
symptoms are still present,  or in a  measure sub-
dued ,  also we find  great anguish, cold, perspira-
tion, and  considerable  prostration  of  strength,
during and after the paroxysms ; when these  last
indications are particularly prominent, Arsenicum
may supersede Ipecacuanha at the commencement.
   Moschus is frequently of value in  cases  that
occur at a  more advanced period of life,  when a
constriction in the larynx,  as if caused by the va-
pour of sulphur, is complained of;  difficult  respi-
ration and  short breathing ;  severe spasms  in  the
chest, with inclination to cough, after which  (espe-
cially  in children) the paroxysm becomes much
exacerbated.
   Pulsatilla will  often  be found successful in
 cases in which the  foregoing remedy fails in  pro-
ducing the desired  effect. 
263
              VACCINATION.

  This is an operation purely Homoeopathic, and
one which, from its efficacy  in  the prevention of
a disease exhibiting  analogous symptoms,  has
been frequently quoted by our Great Founder and
his  disciples,  as one of  the  best  illustrations
ofthe immutable law  of similia similibus cu-
rantur.
  Vaccination, when  the   child is  strong and
healthy,  may   be safely performed during  the
fourth or fifth month ;  but when the small pox is
rife as an epidemic, we may have recourse to the
prophylactic with  infants of a  still more tender
age.  If,  however, we are allowed  a choice of
time, summer  is the  best  period for performing
the  operation, as then  the infant, after having
taken the infection, incurs  least risk of catching
cold.
  It is of the  utmost importance to  obtain the
lymph from  a perfectly pure source, as experience
has too truly  proved,  that  other  diseases have,
from a neglect of this  precaution, been  frequently
transmitted  to healthy children.  For this reason,
a child that has  suffered  from  eruptions of the
skin, affections of the glands,  or soreness ofthe
eyes, or one born  of scrofulous parents,  is  an
unfit subject for taking the  vaccine matter from,
although at the  time apparently in health; as
however, in many cases, notwithstanding every
care, psoric symptoms develop  themselves when
the pustules are  drying up, we may,  during that
period, administer Sulphur, as a precautionary
measure, exhibiting  one  dose  and repeating it 
264         DISEASES OF  INFANCY.
twice, at intervals of a fortnight; each time from
a fresh  solution.

VACCINATION AND  RE-VACCINATION.

  Copenhagen is extremely subject to epidemic
diseases, and, during the last few years, to small-
pox.  From  the  various  observations which he
has made  during these  epidemic attacks, Pro-
fessor Otto concludes :  1. That the vaccine virus
has lost nothing ofits  original force.  2.  That a
child  cannot  be  vaccinated too soon  after birth.
3. That the  protective influence  of the vaccine
virus  gradually diminishes  with time ;  in some,
perhaps in the greater part of those vaccinated,
it is lost after a certain lapse of years.   4.  The
nature of the cicatrix  does not enable us to de-
termine  how far the  disease will  be modified.
5. Small pox, when it occurs in  the vaccinated,
is always modified,  and the more so, the younger
the person is.   6. Regular variola,  in the vacci-
nated, only appeared in persons who had passed
the age  of fourteen.  7. Out of  10 vaccinated
persons who died, none had passed the age  of
23.   8.  Not a single  case of small pox had,  as
yet, occurred in the re-vaccinated.
                   THE END.
 83F** Cases of Homoeopathic Medicines, containing 27 remedies,
with Family Guide, $3. —With (50 vials, 85.
 Also, Cases to Laurie's, Hering's and Epps' Domestics, and a large
assortment of Tinctures, Homoeopathic Medicines of different Atten-
uations, in cases of various sizes; and Standard works on the System
la the English, French and German languages.  For sale by
             WM. RADDE, No. 322 Broadway, New-York. 
                WILLIAM  RADDE,

        322  BROADWAY, NEW-YORK,

             HAS JUST ISSUED A NEW  EDITION  OF

     JAIIR'.S  NEW MANUAL OF HOMCEOPATHIC
   PRACTICE ; Edited,  with Annotations,  by A.  Gerald
   Hull, M D.  From  the last Paris edition.  This is the
   fourth  American edition of a very celebrated work, written
   in French by the  eminent Homoeopathic Professor Jahr,
   and  it is considered the best practical  compendium of this
   extraordinary science  that has yet been composed.  After
   a very judicious and instructive introduction, the work
   presents a table of the Homoeopathic Medicines, with their
   names in  Latin, English, and German ; the order in which
   they are to  be studied,  with their most important distinc-
   tions, and clinical illustrations of their symptoms and effects
   upon the various organs and  functions of the human sys-
   tem.  The second volume embraces an elaborate Analysis
   of the indications  in  disease, of the medicines adapted to
■* cure, and a Glossary of the technics  used in the work,.
   arranged so luminously as to  form an admirable guide to
   every  medical  student.  The  whole system  is  here dis-
   played with a modesty of pretension, and a scrupolosity in
   statement, well calculated to bespeak candid investigation.
   This  laborious  work  is indispensable to the students and
   practitioners of  Homoeopathy,   and  highly  interesting to
   medical and scientific men of all classes.  Two volumes,
   bound.  1849.   Price $6. 
 
                W.   RADDE,
PUBLISHER.  NO. 322 BROADWAY, NEW-YORK,
        HOMCEOPATHIC  MEDICINES.

 ,h7^ Radde(..3^, Broadway,  New-York,  respectfully  informs
 ttie Homoeopathic Physicians, and the friends ofthe System, that h«
 fn!ith tt  ugent,for theLe'Pzig  Central Homoeopathic Pharmacy,
 and that he has always on hand a good assortment of the best Ho-
 moeopathic Medicines,  in complete sets or by single vials, in Tinc-
 tures, Dilutions and Triturations; also  Pocket Cases of Medi-
 c™es;.r>'y sicians'and  Family Medicine Chests  to Laurie's
 domestic (60 to 82 Remedies)-EPP's 58 Remedies -HERING'S
 (HI Remedies).—Small Pocket-cases, at #3, with Family Guide and
 &i Kemedies^-Cases containing 415 Vials with Tinctures and Tri-
 turations tor Physicians- Cases with 260 Vials of Tinctures and Tri-
 turations  to  Jain's New.  Manual, or Symptomen-Codex.- Phy-
 memn's Pocket Cases with 60 Vials of Tinctures and Triturations.-
 Cases from 200 to 300 Vials with low and high dilutions of medicated
   SHets.- Cases from 50 to 80 Vials of low and high dilutions, etc. etc
   omceopathic Chocolate.  Refined Sugar of Milk, pure Globules
 etc., Arnica Tincture,  the best specific remedy for bruises, sprains.
 wounds, etc.  Arnica Plaster, the best application for Corns.   Ur-
 tica urens, the best specific remedy for Burns.   Also, Rooks. Pam-
 phlets, and Standard Works on the System, in the English, French,
 and German languages.


           HOMCEOPATHIC  BOOKS.

 JAHR'S NEW  MANUAL ; originally published under tbe name
   of Symptomen-Codex.  >Digest of Symptoms.)  This  *ork  is
   intended to facilitate a comparison of the parallel symptoms ofthe
   various  homoeopathic agents, thereby enabling the practitioner  to
   discover the characteristic symptoms of each drug, and to deter-
   mine with ease and correctness what remedy is most homoeopathic
   to the existing group of symptoms.  Translated, with important
   and extensive additions from various sources, by  Charles Julius
  Hempel,  M. D.,  assisted by James M. Quin,  M. D.,  with revi-
  sions and clinical notes by John  F Gray, M D.; contributions by
  Drs.  A Gerald Hull,  and George W. Cook, of New-York ; and
  Drs.  C Hering, J. Jeanes, C Neidhard, W. Williamson,  and J.
  Kitchen of Philadelphia ; with  a preface by Constantine Hering,
  M. D., 2 vols.  Bound, 1818. $11 00.

LAURIE,  DR.  J,  HOMCEOPATHIC  DOMESTIC MEDI-
  CINE, with the Treatment and Diseases of Females,  Infants,
  Children, and  Adults.   5th  American edition, much enlarged
  with additions by A. Gerald Hull, M. D   1849.  Bound $1 50.
              231 
 G. L. RAU'S ORGANON of the  Specific 'Healing Art of Ho-
   moeopathy.  Translated by C. J. Hempel, M. D.  1848.  f 1 25.

 HAHNEMANN, Dr S. MATERIA MEDICA PURA.  Trans-
  lated and edited by Charles Julius Hempel, M. D.  4 vols.  1846.
  $6.
 E STAPFS ADDITIONS to the Materia Medica Pura.  Trans-
  lated by C. J. Hempel, M. D.  $1 50.
 HAHNEMANN, Dr  S.  THE CHRONIC DISEASES, then-
  Specific Nature and Homoeopathic Treatment.  Translated and
  edited by Charles J. Hempel, M. D-, with a Preface, by Constan-
  tine Hering,  M. D., Philadelphia.  8vo.  5 vols.  Bound.  1845.

 TRANSACTIONS of the American Institute of Homoeopathy.
  1846.  Bound.  $1 50.
 C. HERING'S DOMESTIC PHYSICIAN.   Fourth American
  edition, revised with additions from the author's manuscript of the
  sixth German edition.  The part relating to the  diseases of Fe-
  males and Children, by Walter Williamson,  M. D.   1848.  $2
 HOMOEOPATHIC COOKERY.  Second edition, with additions,
  by the Lady of an American Homoeopathic Physician.   Designed
  chiefly for the use of such persons as are under homoeopathic treat-
  ment. 50 cts.
 RUECKERT'S THERAPEUTICS ; or, Successful Homoeopathic
  Cures, collected, from  the best Homoeopathic Periodicals, trans-
  lated and edited  by C. J. Hempel. 1 large 8vo. vol., bound.
  1848.  $3 50.

 HEMPEL'S Homoeopathic Domestic  Physician.   1849.  Bound.
  50 cts.

 JAHR,  G. H. G.,  M. D.  SHORT .ELEMENTARY TREA-
  TISE upon Homoeopathia and  the Manner of its Practice; with
  some of the most important effects  of ten of the principal Ho-
  moeopathic remedies, (tor the use of all honest men who desire
  to  convince  themselves by experiment, of the truth of the doc-
  trine.  Second French edition, corrected and enlarged.   Transla-
  ted by Edward Bayard, M. D.  Bound.  37. cts.

BCENNINGHAUSEN'S ESSAY on the Homoeopathic Treat-
  ment of  Intermittent Fevers.  Translated and edited by Charles
  Julius Hempel, M. D.   1845.   38 cts.           .

 A TREATISE ON THE USE OF ARNICA, in cases of Con-
  tusions, Wounds, Sprains, Lacerations of the Solids, Concussions,
  Paralysis, Rheumatism, Soreness of the Nipples, etc. etc., with a
  number of cases illustrative of the use of that drug.  Bv Charles
  Julius Hempel, M. D.   1845.   18* cents.

RUOFFS REPERTORY OF HOMCEOPATHIC MEDICINE,
  nosologicaUy  arranged.  Translated from the German, by A. H.
  Okie,  M. D.,  translator of Hartmann's  Remedies.   Second
  American edition,  wiih additions and  improvements, bv  G.
  Humphrey, M. D., etc  1844.  Bound.  $150. 

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