.-i«,f.; • rt it Wfiffffi .■■.■■ ^'33515 - . . . • : ■ ;■■ -h'-y ii'r!? ' t I«> i (' ' ■ tililte, >N___ \'x a. Jp" //A # \ NLM001050123 ooooooooo % h J THE HOMCEOPATHIC DOMESTIC MEDICINE. THE HOMCEOPATHIC DOMESTIC MEDICINE BY JOSEPH (LAJJRIE, M.D., Licentiate of the Royal College of Surgeons, Edinburgh; Graduate of Vie ITomoeopathic Medical College of Pennsylvania ; Consulting Physician to ihe Uahneiriannian Medical Institution and Dispensary, die., die. jFttittd ami fterised, WITH NUMEROUS IMPORTANT ADDITIONS, AND THE INTRODUCTION OF THE NEW REMEDIES, A REPERTORY, AND A GLOSSARY, ROBERT J. McCLATCHEY, M.D., Bradaate of the Homoeopathic Medical College of Pennsylvania; Member of the American Instit^i of Homoeopathy; Editor of the Hahnemannian Monthly; formerly Professor of ADatomy and Lecturer on Clinical Medicine in the Homoeopathic Medical College of Pennsylvania, &C. &c. TENTH AMERICAN EDITION. PHILADELPHIA: F. E. BOEEICKE, JLi JjivAJKY |3i:R3EON"^isiRr,L^0i'FlCr / b t / / o / \A/BK \86'f Entered, according to Act of Oongregg, in the year IS'] >•» F. E. BOERICKE. In ine Office of the Librarian of Congress at Washington. "^"-'A - STEREOTTPERS, PHILAD'A. FAQAN & SON, s* CAXTON PEERS OP SHEEMA* * 00 PREFACE To the Twenty-first English Edition. 1 reproduce this Work, with considerable additions and alterations, as in the last Edition, which then appeared to me to be essential in assist- ing the patient or administrator: I appended articles on the treatment of numerous complaints which I had not hitherto included, and especially of those which are peculiarly prevalent in certain climates, such as Tropica] Diseases, etc.; — directions for the discrimination between what is really a symptom of disease, and what is not, or what arises from merely casual cir- cumstances, by proper investigation of the patient, or of the disease; —more explicit regulations for the administration and repetition of the medicines, their form, potencies, and quantities; — and an article containing all which I think of service to the layman, amongst the Characteristic Effects of the remedies which I have chosen as the most important in the majority of cases. But as I think the homoeopathic public is entitled to an explanation of the more cogent of my reasons for such a course, and for such resolutions, rela- tively to enlargement and amplification, — I will briefly explain them. First of all, the common sense of every reader will admit, that I should write for the many, and not for individual cases, — that I should attempt to embrace all contingencies, as much as possible, not confine myself to merely local circumstances; and that it does not, therefore, follow that persona whose situation and the like render any of these details unnecessary to them, should be compelled to adopt my suggestions simply because I have published them; whereas it does necessarily follow, that those who are beyond the reach of any other resource, must whal'ly depend either upon their own un- aided judgment or upon the directions afforded in works of this kind. Suppose, for instance, a family resident in the centre of a highly cultivated country like this; — that family is not, therefore, within the immediate reacn of homoeopathic professional advice, in which case it is only fair that a work like this should represent the physician in so far as that is possible; — or if, on the other hand, such advice be within immediate reach, the worst mis- chief which results from my publication is, that its usefulness has been super- seded for the time being. But suppose another and a very common case, as of the emigrant to distant colonies, and to wild, uninhabited, desolate wildernesses, or the poor, toiling missionary amongst some remote and savage people;—from whence, I would ask, are these to obtain the professional advice which would seem so essential to them, unless it be from such directions as we are able to afford them in a work of this kind ? In this case, it must be admitted on all hands, that the work does good in comparison to its extent, amplitude, enlarge- ment and comprehensiveness. Wherefore then should these essential con- ditions be withheld ? Again, these are not the only questions involved; — there are yet more vital points relating to the variations, which may become necessary, in the actual treatment of disease when once undertaken. In these cases it is suf- ficiently obvious, that those who prefer to exclude professional advice (and Vi PREFACE TO THE TWENTY-FIRST ENGLISH EDITION. theirs is the responsibility), should be so far removed from the chance oferroi as possible, which cannot be done without ample detail, because disease haa scarcely ever, in two distinct cases, the same positive and exact character- istics. It is for this reason, alsq that I had entered so largely into the considera- tion of the " Investigation of the Patient and of the Disease," and into the modifications of scrofulous appearances. And in these respects, far from exceeding the limits which should properly circumscribe the compass of a " domestic work," I only regret that I have not yet more space for en- largement on the subject; because I am convinced, especially from circum- stances which have actually transpired, that the greatest fault of domestic works, in general, is, that they do not give enough information, and, conse- quently, that they often mislead instead of enlightening the reader. It is obvious, that the presence of inherent constitutional defects may occasion external appearances of disease, which are especially susceptible of erroneous inferences, and, therefore, without this very important clue, the special directions for the treatment of any particular disease may become a mere " Will-o'-the-wisp " to lead the unprofessional reader into entanglement, and there to leave him in utter darkness. I should wish the reader invariably to consider the important references alluded to, and, in fact, the whole of the introductory part, which I would fain "have extended yet more, notwithstand- ing the plausible but untenable objections raised by the few. It is also for these reasons, as well as for those already set forth, that I object to the extreme condensation of a domestic work, or to the limitation of its sphere to a particular class of diseases, and that I consider works founded upon this affected idea particularly useless; to which, however, I might appropriately add, that the advocates of limitation usually issue a programme, comprising the most fatal diseases with which we are acquainted; and, further, that as we do not deal with powerful deleterious drugs in large quantities, or in any quantity capable of occasioning poisonous, or in fact, any dangerous medicinal effects (as some adversaries pretend), — and, what- is still more important, as our remedies are so minute, that they can only operate at all when they are actually homoeopathic, and, consequently, cura- tive in the case in question, —just as a gentle blow will not be felt in a sound part, when it would occasion severe suffering if applied to a sore place, — the most timid lay administrator may rest assured that his Homoeopathic Medi- cines are not the agents which produce serious or fatal results. Homoeopathic treatment is always safe, rapid, and effectual, when cor- rectly applied; — or it is void — that is nature unaffected—when it depends upon mistaken hypotheses. I nowhere enjoin the layman who has means and immediate access to efficient homoeopathic professional advice, to undertake the treatment of dangerous diseases without it; I only endeavor, in a measure, to provide for those who do not possess such advantages. Upon such grounds as these I beg to intrust this work, enlarged as it is, to the verdict of all liberal and discerning people, and to state that I anticipate no untoward acceptation of my evident endeavor, even if the product of my labor should have fallen far short of its earnest purpose. The appeal is un- roubled by apprehension, — and unshaken by conscious misdoing. J. L. PREFACE To the American Edition. rTlHE publication of an American edition of Laurie's Horace- -L opathie Domestic Medicine was commenced, about two years ago, in the " Homoeopathic Sun," a family homoeopathic magazine, published in New York, under the editorial management of Pro- fessor F. W. Hunt, of that city. As the work appeared with the monthly parts of the magazine, it attracted great and deserved attention, and was pronounced the best and most comprehensive treatise on homoeopathic domestic practice that had been issued in this country. Messrs. Boericke & Tafel, the successors of Mr. Radde, determined to discontinue the publication of the "Homoe- opathic Sun," but were induced, by the repeated demands for the "Domestic," to go on with that work; and, subsequently, placed it in my hands for completion. At the cost of considerable time and labor, the task has been accomplished; and I trust that the value of the original work has been greatly enhanced by the efforts made to perfect it. Chapters have been added on comparatively new diseases, and the "Xew Remedies" have been introduced whenever definite and accurate indications for their use could be given. The numerous alterations and additions have been prompted solely by a desire to render the work more available for domestic use ; and a Repertory, or key to the remedies, has been added with the same view. The merits of " Laurie's Homoeopathic Domestic Medicine " are best attested by the popularity of the work in Great Britain, where upward of twenty thousand copies have been sold to the most in- telligent portion of the community — homoeopathic families there, vii viii PREFACE TO THE AMERICAN EDITION. as well as in this country, belonging almost exclusively to the educated class of society. For the simple and ordinary ailments of life, it will be found to be all that is required in a medical trea- tise; while for more dangerous maladies, acute or chronic, when the services of a competent homoeopathic physician are unattain- able, it will prove to be perfectly clear, exact, and reliable, in the description y£ diseases and of their proper homoeopathic treatment Robert J. McClatchey. Philadelphia, Fsbruary 1st, 1871. PREFACE TO THE FOURTH AMERICAN EDITION. The rapid sale—bej'ond precedent in the history of American homoeopathic publications—of three editions of Laurie's Homoeo- pathic Domestic Medicine, and the urgent demand for a fourth edition within eighteen months from the date of the first issue, leaves it fair to infer that the work supplies a want of the public and the profession in a satisfactory manner. It has been objected, however, that the book is defective in this, that diseases of the sexual organs—especially those of a venereal nature—are not treated of. The dose usually advised throughout the work haa likewise been the subject of criticism. To the first of these objections we beg leave to reply, that the class of diseases referred to were wisely excluded from the original English work, and were not incorporated with the American edition for the following reasons: 1. It was felt that their introduction would be highly improper in any work save one of a strictly professional character; and 2. They are of so grave a character, and so long-lasting and often terrible in their effects upon the organism, as to demand the highest professional skill in their treatment. The second point of objection is simply captious criticism. The practitioner of Homoeopathy who gives himself up to fault-finding about the dose, is neither scientific, philosophical, or logical. If the dose recommended does not accord with the views of the pre- scriber, he or she is free to exercise perfect liberty of opinion in the matter, and to administer the medicines in such doses as may be deemed best. The proper dose is that which will cure, com pletely, quickly, and safely. Robt. J. McCLATCHEr, •18 North Tenth St., Philadelphia, August 1st, 1872. * LIST OF THE MEDICINES PRESCRIBED IN THIS WORK ■---------------------------------------------------------------------------• The medicines may be used for internal administration from the third to the thirtieth or a higher dilution. For external application, from the strong tincture to the third dilution, according to circumstances. NAME OF MEDICINE. SYNONYMOUS TERMS. ABBREVIATIONS. Acidum muriaticum. Hydrochloric or muriatic acid. Acid. mur. - nitricum. Nitric acid. Acid. nit. - phosphoricum. Phosphoric acid. Acid. phos. - sulphuricum. Sulphuric acid. Acid, sulph Aconitum napellus. Aconite ; Wolfsbane; Monkshood. Aeon. Alumina. Argilla pura; Terra alumina. Alum. Ammonium carbonicum. Ammonise subcarbonas; Carbonate of ammonia. Amm. carb. - muriaticum. Ammoniae hydrochloras; Sal ammo- niac. Amm. mur. Antimonium crudum. Tersulphuret of antimony; Crude antimony. Ant. crud. - tartaricum. Stibium tartaricum; Tartar emetic. Ant. tart. Apis mellifica. Tincture of the poison of honey bees. Apis. Arnica montana. Leopard's bane. Arn. Arsenicum album. Arsenious acid. Ars. Arum triphyllum. Arissema triphylla; Indian turnip. Arum tr. Aurum metallicum. Aurum foliatum ; Gold. Aur. Baryta carbonica. Barytae carbonas; Carbonate of baryta. Bar. c. Baptisia tinctoria. Wild indigo. Bapt. Belladonna. Atropa belladonna; Deadly night- shade. Bell. Borax. Borax veneta; Biborate of soda. Bor. Bryonia alba. White bryony. Bry. Cactus grandiflorus. Cereus grandiflorus; Night-bloom- ing cereus. Cactus. Calcarea carbonica. Calcis carbonas ; Impure carbonate of lime. Calc. Calendula. Calendula officinalis; Marygold. Calend. Camphora. Laurus camphora; Camphor gum. Camph. Cantharides. Meloe vesicatorius ; Spanish blister- ing-fly. Canth. Carbo vegetabilis. Vegetable carbon. Carb. veg. Uaulophyllum thalictroidis. Blue cohosh. Cauloph. Cansticum. Potassse hydras; Caustic potash. Caust. Chamomilla Matricaria chamomilla; German chamomile. Cham. China. Cinchona; Peruvian bark. Chin. IX X LIST OF THE MEDICINES NAME OP MEDICINE. SYNONYMOUS TERMS. ABBREVIATIONS Cicuta virosa. Water hemlock. Cic Cimicifuga racemosa. Actsea racemosa ; Black cohosh. Cimieif. Cina. Artemisia Judaica ; Wormseed. Cina. Cocculus. Cocculus Indicus; Indian cockle; Fish-berries. Cocc. Coffea cruda. Coffea Arabica ; Arabian coffee. Coff. Colchicum. Colchicum autumnale ; Meadow saf- fron. Colch. Colocynth. Cucumis colocynthis; Bitter apple. Col. Conium maculatum. Hemlock. Con. Crotalus. Crotalus horridus ; Virus of the rat- tlesnake. Crotal. Crocus sativus. Crocus Hispanicus; Saffron. Croc. Cuprum. Cuprum metallicum ; Copper. Cupr. Digitalis purpurea. Foxglove. Dig. Drosera rotundifolia. Sundew. Dros. Dulcamara. Solanum dulcamara; Bitter-sweet. Dulc. Eupatorium perfoliatum. Boneset. Eupat. perf Euphrasia officinalis. Eyebright. Euphr. Ferrum metallicum. lion. Ferr. Filix mas. Aspidium felix-mas; Male fern. Fil. in. Gelseminum sempervirens. Bignonia sempervirens ; Yellow jes- samine. Gels. Glonoine. Nitro-glycerin. Glon. Graphites. Ferri supercarburetum ; Plumbago. Graph. Hamamelis. Hamamelis virginica; Witch hazel. Ham. Helleborus niger. Helleborus grandiflorus ; Black hel- lebore. Hell. Hepar sulphuris calcareum. Calcii sulphuretum. Hep. Hydrastis Canadensis. Yellow root; Golden seal. Hydras Hyosciamus niger. Hyosciamus agrestis; Henbane. Hyos. Ignatia amara. Strych-nos Ignatii; St. Ignatius' bean. Ign. Ipecacuanha. Cephaelis ipecacuanha; Ipecac. Ipec. [ris versicolor. Iris hexagona; Blue flag. Iris. Kali bichromicum. Potassas bichromas ; Bichromate of potash. Kali bich. Kali carbonicum. Potassae carbonas; Subcarbonate of potash. Kali carb. Kreasotum. Creasote. Kreas. Lachesis. Trigonocephalus Lachesis, Virus of the. Lach. Ledum palustre. Wild rosemary; Marsh tea. Led. Lobelia iuflata. Indian tobacco. Lob. in. Lycopodium. Lycopodium clavatum ; Clubmoss. Lye. Mercurius corrosivus. Hydrargyri oxymurias ; Corrosive sublimate. Merc. cor. Mercurius iodatus ruber. Hydrargyri biniodidum; Biniodide of mercury. Merc, iod i Mercurius solubilis. Hydrargyrum oxydulatum nigrum ; Hahnemann's soluble mercury. Merc. sol. Mercurius vivus. Quicksilver. Merc. viv. Moschus. Moschus verus ; Musk. Mosch. Natrum carbonicum. Sodas carbonas; Carbonate of soda. Natr. carb. - muriaticum. Sodii chloridum ; Table salt. Natr. mur. Nux moschata. Myristica Moschata; Nutmeg. Nux m. - vomica. Strychnos nux vomica ; Quaker but- ton. Nux vom. PRESCRIBED IN THIS WORK. Xj NAME OF MEDICINE. SYNONYMOUS TERMS. ABBREVIATION. Opium. Papaver somniferum; Concrete juice of the poppy capsule. Op. Petroleum. Rock oil. Petr. Phosphorus. Phos. Phytolacca decandra. Phytolacca vulgaris; Pokeweed. Phytolao. Platina. Platinum metallicum. Plat. Plumbum metallicum. Lead. Plumb. Podophyllum peltatum. May-apple. Podoph. Pulsatilla. Anemone pratensis; Pasque flower. Puis. Rheum palmatum. Rhabarbaruni; Rhubarb (Asiatic). Rheum. Rhus toxicodendron. Poison oak. Rhus. Ruta graveolens. Rue. Ruta. Sabina. Juniperus sabina; Savin. Sabin. Sambucus nigra. Black elder. Samb. Sanguinaria Canadensis. Bloodroot. Sang. Secale cornutum. Ergot of rye. Sec. corn. Sepia. Sepiae pigmentum; Inky juice of the cuttle-fish. Sep. Silicea. Oxide of silicon; Silex. Sil. Spigelia. Demerara pink-root. Spig. Spongia. Spongia marina tosta; Toasted sponge. Spong. Squilla maritima. Sea-onion. Squilla. Stannum. Stannum metallicum; Tin. Stann. Staphysagria. Delphinium staphisagria; Stavesacre Staph. Stramonium. Datura stramonium; Jamestown weed. Stram. Sulphur. Brimstone. Sulph. Thuja occidentalia. American arbor-vitae. Thuj. Drtica (urens or dioica). Stinging nettle. Urt. ur. Veratrum album. White hellebore. Verat. alb. Veratrum viride. American hellebore. Verat. vi?. Viola tricolor. Heart's-ease. Viol, ti Zincum metallicum. Zinc. Zino. HOMOEOPATHIC DOMESTIC MEDICINE, PART I. The principal points we have to notice are, first, the Method o^ discriminating- and determining the nature of Disease, and of asce. taining the relative condition of various Organs respectively,—thf Regimen to be observed under treatment,—Clothing, and Habits,— and the Administration and Repetition of the Medicinps generally; to which will be appended, remarks on Internal and External Reme- dies, and Precautions for the preservation and management of Homoeo- pathic Remedies, a systematic Table, exhibiting the general frequency of recurrence, suspension, &c, in the Administration,—notices on the use of the Bath for adults and infants, and on the employment of Ex- ternal Applications of the nature of a poultice, &c,—and, finally, a brief survey of the application of Homoeopathy to "Preventive or Eradicative Treatment," containing a few short and simple Rules for the Selection and Administration of Medicines in such cases. THE METHOD OF INVESTIGATING THE CONDITION" OF THE PATIENT, OF DISTINGUISHING BETWEEN A STATE OF HEALTH AND DISEASE, AND OF DETERMINING THE PECULIAR NATURE OF DISEASE. The investigation of the condition of the Patient, and the discri- mination of the particular nature of the Disease, are evidently essen- tial to appropriate treatment. It is therefore imperative that a work of this kind should contain such simple regulations on this head as may lead unprofessional persons easily aud simply to a clear and positive resolution. Such an investigation may properly be divided into two distinct sections, namely: first, the general investigation of the patient, and, secondly, the particular investigation of the disease. I.—THE GENERAL INVESTIGATION OF THE PATIENT. The general investigation of the patient should comprise a scruti- nising inquiry into the particular constitution of the individual—the temperament—the antecedents of the patient's family, as of the gene- ral health, habits, &c, of the parents, and of each of their families respectively,—the sex and the relative state of the secretions especially, consistently with the state of health in such sex,—the age of the patient, and the circumstances which qualify this condition,—condi- tions, impressions, or habits, ressure. A dry, wiry, constitution (not uncommonly combined with the bi- lious or nervous,)— characterised by swarthy complexion, sharp, deep-set features, searching glance, persistently arid condition of the skin ; firm, hard, wiry condition of the muscular and tendinous fibre; deficiency of flesh and angular frame; generally, also, rapid motion and quick perception; the urine is dark, the motions are habitually hard and scanty, the secretions and transpirations are usually deficient, and the pulse is generally distinct and wiry, but commonly, also, quicker than that of the nervous habit (when unexcited). The patient is subject to inflammatory affections—to which the intestines are espe- cially predisposed.—as also to diseases generally, which occur (as it were) with superabundant animal power. A lax, lymphatic, or mucous constitution.—These three varieties, which are, indeed, susceptible of very nice distinctions, are, hovrever, sufficiently analogous to be united in a work of this kind,—they are opposed to the foregoing. The complexion is generally fair, the flesh apparently full, but soft, flaccid, and puffy ; the skin pallid, the frame rounded, the muscular and tendinous fibre unstrung, yielding, r,nd relaxed; sensations of chilliness prevail, and the individual is usually more sensitive of cold than of heat, but is also alive to immoderate elevation of the latter ; the natural generation of heat is deficient, the circulation sluggish, the pulse being slow, (sometimes rather full, but always soft, easily compressed, yielding.) The patient is subject to the transmutation of every disease into a sluggish, persistent, or chronic form, (the crisis and resolution being in general imperfect,)—to superabundant secretions or accumulations of phlegm—to catarrhal affections—to abcesses—to excessive discharges of phlegm, &c, &c,— to the accumulation of water (by decomposition or imperfect compo- sition of the blood) about particular organs, or throughout the body (generally as the immediate consequence of inflammation), and some- times to the sudden suppression of discharges. The catarrhal or rheumatic constitution (nearly analogous to the last, but having one very distinctive feature in the susceptibility of the exteinal surface),—characterised especiallyuby want of sufficient activity and nervous tension and vitality in the skin; which therefore remains easily affected by every external circumstance, effects trans- piration very defectively and inadequately, and is apt by being sus- ceptible to the sudden suppression or repercussion of such transpiration to reconvey the morbid humors which have been expelled l'y inter nal organs upon those organs themselves, and thereby to generate diseases of the character indicated by the nomenclature which we have selected. A very decided feature of this habit of body consists of extreme susceptibility to derangement of digestion, which, if inherited, may be considered as the predisposing cause to such tendencies. A constitution in which the skin is especially liable to become diseas- 4 homoeopathic domestic medicine. ed {psorin) (more distinctly capable of individual classification than the scrofulous habit, but yet a mere modification of the latter),—dis- tinguishable by the predominance, recurrence, or continuance of ir- regular and unhealthy secretions from the skin, and irregular action of the glands associated with it: eruptions of various characters,— ulcerative sores, general foulness,—which seem to appear'as the result of every affection of Avhatever kind, and either to accompany or to follow every derangement. The consumptive constitution (in the majority of instances again, a modification of the scrofidous habit, but more subject to appropriate classification in a work of this nature),—identified in general by very clear, transparent skin, bright flush-spot on the cheeks, especially on the left cheek; flatness of the chest, and hollowness on the breast-bone ; slender, attenuated, lengthened, fragile frame; elongation and spare- ness of the neck; prominent protrusion of the shoulder-blades ; sud- den and rapid growth; prevalence of heat of the hands after eating; irritability of the circulative system ; and consequently a'ptdse charac terised by smallness and quickness. The patient is particularly sus ceptible to complications affecting the lungs, resulting from every inflammatory or irritative process (which is also very frequent and readily provoked); to want of breath and complete exhaustion after every unusual degree of exertion, especially after rapid motion, and often even in consequence of mere mental excitement or momentary irritability; to inflammatory affections of the lungs and adjacent membranes (and expectoration of blood), which will ever be liable to result in decay of those organs. 2. The Temperaments and their "Varieties. The temperaments are subject to an infinity of individual peculiari ties which might constitute separate divisions, but which, in our estimation, will be more readily apprehended by the reader in his investigation into individual characteristics. We shall, therefore, confine the division of temperaments into the following distinctions, which even are often compounded, and which should be held to modify the relations of morbid manifestations. A sanguine temperament (usually associated with a plethoric con- stitution),—which is characterised by habitual animation and buoyancy of spirits, gaiety, good humor, &c.; the mind and body are alike quickly stimulated into excessive action, but every affection or dis- turbance is usually of as rapid a course, and brief a duration, as it is severe whilst it lasts. The bodily health is usually good and strong —and slow or lasting diseases are of rare occurrence ; but the majoritv of affections, (which have a predisposition to assume a violent and inflammatory type) are exceedingly severe when they do occur, and run a very rapid course. A choleric temperament (usually associated with the bilious consti tution), characterised by the violence of the reaction occasioned bj any irritation, or stimulus, or impulse, and particularly by its severe implication of the biliary apparatus, which, with increased and altered secretion of bile reacts upon the moral and mental faculties and had investigation of the patient. 5 a tendency to engender a liability to the provocation of ill-humor, and even vengefulness and malignity, or to rancor and acrimonv of temper, upon the revival of causes of excitement. The complexion is usually swarthy, with a yellowish tinge; the muscular and tendinous fibre hard, wiry, and tightly strung; the hair black, and the features acute or deep-set. The patient is subject to bilious derangements,— and to bilious complications with every derangement, not uncommonly provoked by the violent fits of excitement to which he is constitution- ally subject. The melancholic temperament is identified by the slow, meditative disposition ; the gloomy, retiring, solitary, and hypochondriacal temper; the tacit, latent, and unobservable progress of affections produced by external impressions but silently harbored. Every impression is deep and lasting, and broods upon the mind and body ; but the patient is not subject to violent impulses, nor very susceptible to sud- den impressions, the organs being none the less alive to such impres- sions ; the sensibility is apparently blunted or subjected to the reflec- tive powers. The body is alike slowly but progressively affected by external circumstances The patient is subject to diseases affecting the intestinal apparatus, especially, which assume a chronic and con- tinuous character. A phlegmatic temperament (which is usually associated with the feeble and lax, or lymphatic constitution),—is distinguishable by the tardy operation of all functions, mental as well as bodily; by the slowness with which irritation or stimulation is produced, and by the no less remarkable sloicness, as well as by the inadequacy of the re- actionary power. The predispositions are to be gathered from the remarks on the "feeble," and on the "lax," or "lymphatic constitu- tions," (above.) 3. The Antecedents of the Patient's Family. We should pay especial attention to the general health, habits, or particular diseases (if they be known) of the parents of the patient, and of the paternal and maternal relations, which may serve to elu- cidate the origin of a bad habit of body, especially if such diseases as scrofula (in any of its multiplied forms), cutaneous disorders, con- sumption, gout, piles, &c, be distinguishable as habitual with any member of the family, whose constitution coidd have been inherited by the patient. This is a most essential consideration ; for it will very frecjuently be found that when a remedy is distinctly homoeopathic to the case, it fails to operate without previous preparatory treat- ment; and we are puzzled by the failure ; whereas, after the previous administration of an apposite preparatory remedy, the medicine al- ready distinguished as appropriate, but administered without effect, frequently becomes signally successful. This is generally owing to hereditary defects of constitution ; and it may be casually mentioned that Sulphur, Calcarea, Aurum, Baryta, Mercurius (not so fre- quently as the first two), Iodium, Ammonium-C, Silicea, Phosphorus, Nitri-A. and Sepia, &c, embrace the majority of requirements for the purpose. The selection Avill be facilitated by consulting the 6 homoeopathic domestic medicine. article on "Characteristic Effects," under the head of each respec- tively. (See also "Preventive and Eradicative Treatment.") 4. The Sexes and their Distinctions. In the male we anticipate redundancy of animal strength, vigor. energy, and circulative power, and we must consider disease in a modified or aggravated aspect, according to the ascendancy or defi- ciency of these characteristics. In the female we may anticipate more acute sensibility, greater ten- derness and excitability, and a less vigorous and persistent reactionary power. We most not, moreover, omit to consider the conditions de- pendent peculiarly upon the organs of parturition, &c, and upon the functions associated with them; the progress of pregnancy, and the generation of milk; or, on the other hand, the presence of periodical derangements should be duly considered in relation to every simul- taneous derangement. Relaxation of fibre and lymphatic accumulations are also (to a greater or less degree) inseparably associated with the peculiarities of the sex; and the greater intensity and additional sphere of nervous sensibility should lead us to consider, with great caution, such nervous spasmodic or hysterical indispositions as occur associated with natural predisposing causes. 5. The Age and the Conditions which qualify it. Age is not to be considered without regard to conditions of previous health, or disease—of habits, manner of living, climate, avocations, &c. &c, especially in relation to persons who have attained maturity! It may, however, (subject to such modifications) be considered under seven distinct^ sections, viz.—childhood constituting three, maturity two, and decline two. 1. In the earliest period of childhood (the first of infancy) extend- ing to the period of the earliest teeth, the human being is extraor- dinarily susceptible to external influences; sensitive to a^degree, and consequently alive to any sudden irritation from apparently s'light causes; the brain in particular is liable to precipitation of blood, and the acute sensitiveness of the whole nervous structure renders spas- modic affections predominant. 2. In the second period of childhood—extending to the seventh year in our climate—we have to consider the natural irritability of the system, the want of firmness of fibre, the susceptibility to fatigue readily obviated by the provision of nature,—a preponderance of tenl dency to rest; and we have to anticipate the occurrence of organia inflammations, particularly as connected with the respiratory or cere bral apparatus, and irregularities in the accumulation of flesh. 3. In the third period of childhood—extending to the fourteenth year m our climate—the equilibrium between the functions faculties &c, being better established, and the tissues having become inured to external influences, we should consider the occurrence of such affections as already described more minutely with reference to par. investigation of the patient. 7 ticular habit of body, circumstances, individual habits, avocations, f its con- stituents,) that, again, .being coated over the surface with a very firm white skim, is positively indicative of inflammation, tendency of the disease to develop inflammation, or predisposition of the patient (if in ealth) to attacks of inflammatory disease. Coagulation, in general aspect as just stated, but which throws up a superficial skim, of de- tached, unconnected, woolly, or yellowish, or sometimes greenish ap- pearance, distinguishes an irritation of a nervous rather than of a spe- cifically inflammatory character. 2. Insufficiency of the watery constituent, that is, when all or al most all of the blood is dark and thick, indicates a highly bilious habit of body. 3. Superabundance of the watery humor as a constituent of the blood, that is, when the tendency to coagulate is slow, and affects only a small portion (and that often of a paler color than is usual), and when the greater part resolves itself into a watery superfluid, in- dicates a deficiency of power to appropriate and distribute the nou- rishing portion of the food, for the sustenance and uses of the system; and (if of menstrual blood) a constitutional disposition to debile dis- orders, such as " green sickness." 4. Absence of healthy coagulation, the blood being dark, but re- maining entirely commingled in all its component parts, not separat- ing the watery humor, and remaining in a thick inadhesive condition, (not jelly-like,) indicates what is termed a putrid condition, or that stage of dissolution in which the vital energy sinks from deficiency of power to expel what is mischievous (as in putrid typhus); and, in general, a scorbutic habit of body, which involves a predisposition in every disease to assume a, putrescent character. 5."A dark, yet clear red blood, indicates strength, and a sufficiency of reactionary power. 6. Black, or very dark purple blood:—which is associated witt such diseases as result in predominance of venous over arterial blood, and which may indicate organic defect of the structure of the heart, particularly if the complexion have a bluish or purplish hue: and which may also indicate a highly bilious complication of intestinal de- rangement in scorbutic subjects (particularly), more especially if the blood be muddy, thick, and black. 7. Pale blood, from superabundance of watery fluid, also charac- terised by excessive liquidity, indicates constitutional weakness in the predominance of the watery humor as a constituent. Pale blood (from light redness of the coagulating portion) indicates a pernicious constitutional habit, such as the constitution heretofore described as " Rheumatic," &c. 8. The watery humor (as a constituent of the blood) thoroughly and distinctly separated from the coagulating portion, which is de- posited in a firm jelly, (and without any of the unhealthy manifesta- tions described under 1) above, may be assumed as an index of a healthy process of circulation. 9. The watery humor (as a constituent of the blood) appearing 2 18 HOMCEOPATHIC DOMESTIC MEDICINE. whitish and thick, indicates deficiency of constitutional vigor, espe- cially in the distribution of nutriment. 10. The watery humor (as a constituent of the blood) appearing of a distinctly yellowish hue, indicates an admixture of bile with the blood. 2. Spontaneous Discharges of Blood generally. If the discharge be from the nose, in cases of inflammation of the brain, severe determination of blood to the brain, or of inflammatory fever of any kind, the symptom is to be considered as a wholesome crisis. In general, discharges of blood may appear as the crisis of a disease, particularly of severe fever; but they may occur as the result of local determinations of blood or inflammations, of over-due fullness and dis- tension of the vessels, of precipitation of blood upon a weak part, (or, generally, of comparative deficiency of firmness and strength in such part, as when a blood-vessel is broken;) or again (as a most critical symptom) of a putrid condition. THE URINE, ITS VARIETIES AND THEIR INDICATIONS. From the consideration of the blood and its appearances, we cannot transfer our attention more appropriately than to the like variations in the urine, as the discharge, the processes attending the secretion of which are most intimately connected with the blood. 1. The healthy appearance of the Urine. Unaffected by any of the subjoined or other particular circum- stances of age, sex, method of living, active, or sedentary, particular articles of food or drink, the season of the year, and as a most impor- tant exceptional condition, the constitution of the patient,—the urine should be of a pale, brightish yellow or straw-colored, remaining clear after standing, precipitating no sediment, and of the peculiar amoniacal smell, but devoid of all loathsome odor. Exception 1. However, in old age, it is consistent with health that the urine should.be offensive, lessened in quantity, and deepened in color. Exception 2. Amongst females a degree of sediment is not always an unhealthy sign, and the urine is habitually of a paler hue. Exception 3. With respect to the habits of life, it may be reserved that a person leading a very active life, with especial predominance of physical exertion, should emit darker and more scanty urine than the stated standard,—and, that in an individual of very sedentary habits, it should be characterised by more copious but paler dis- charge. Exception 4. As to eating and drinking, it may be stated as an exception to the general rule, above, that certain vegetables (espe- cially those of a diuretic nature), such as asparagus, will usually cause the discharge to be offensive: other substances will give it a bright, gold yellow; excess of stimulating liquor will render the dig- INVESTIGATION OF THE DISEASE. 19 charge pale and copious, &c.;—whereas, also, within about six hours after eating, it will commonly be cloudy. Exception 5. The increase of constitutional vigor, or perhaps more mmediately the greater enjoyment of open-air exercise which the sura- I ler affords, tends to render the urine darker and more scanty, where- as in winter (that is, under contrary circumstances,) it is usually less Lighly colored and more abundant. 2. The proper Time and Method of Investigation. The urine should not be examined, or at least no reliance should be placed upon its manifestations, within less than six hours after a meal; and such of the urine as is reserved for investigation should then be set aside in a place where the temperature is even and moderate for at least two hours, not being at all exposed to sudden transitions of tem- perature in the interval, after which we may examine whether any of the subjoined evidences be present. 3. The Variations apparent in the Urine, and their Indications. 1. With respect to the progress of fevers, the urine affords the most valuable characteristics, varying with each stage, as the result of the febrile course is developed ; as, for instance: Before the fever has taken any turn towards issue, that is, so long as it continues to rage without any tendency to a crisis, the urine, of whatever color, is emitted (and remains after standing) perfectly transparent and clear ; or, in other cases, (especially nervous fevers, and fevers in which the digestive functions are predominantly impli- cated,),the urine will be emitted (and will continue the same, and without deposit after standing,) thick and cloudy. 2. As the determination of the fever approaches, the urine, which was previously clear, will become thick, and will begin to form a small half-floating cloud, or sometimes even a similar cloud completely buoyant, or which, should it sink for a time, will rise again complete- ly to the surface. The two latter are, however, indicative of a somewhat unfavorable issue in the imperfect completion of the crisis, whereas if, on the other hand, the cloud formed in the urine sinks, we have reason to anticipate a wholesome resolution. 3. The actual determination or crisis of the fever is distinguishable by the precipitation of a sediment (simply),—in cases in which the urine had previously been clear,—and by the like precipitation of a sediment, and the complete clearness and transparency (as if filtered) of the over-floating fluid, in cases in which the urine had previously been muddy and thick. But for this precipitation of a sediment to constitute a wholesome indication, it should also be smooth, undisturbed, light,—assuming an apparent, slight, rounded, elevation towards the centre,—white, or of a slightly gray color. It should not constitute more than one-fifth or one-fourth (at the most) of the whole volume discharged, and it should be deposited quickly after the emission. For otherwise it is a bad sign ; as, for instance : If black, or very dark, it indicates a putrid condition, 20 HOMCEOPATHIC DOMESTIC MEDICINE. If of the color of bile, or red, it characterises an intermittent ty?« of disease, or sometimes of a rheumatic tendency. If white and gritty, or deposited from dark turbid urine, there is depraved habit of body, or perhaps some concreting substance in the Or^ generally, if disturbed, irregular, of a purple hue, muddy, heavy and constituting from the half to two-thirds of the whole volume dis charged, it is a bad sign. 4. In general, moreover : a) If the urine be red when the pulse is accelerated, there is a decisive and positive indication whereby to distinguish constitutional fever, inflammatory action, and increased development of internal heat,—from a similar condition of pulse, which might otherwise characterise a purely spasmodic affection. b) If of a deep saffron-color, it represents the admixture of bile in the blood, &c.; and if this hue be conveyed to white absorbent sur- faces moistened with it, it decisively indicates jaundice. c) If it be thick and black, here is an indication of such a degree of inflammatory or putrid condition, as resolves itself into gangrene. d) If bloody, turbid, thick, and depositing an excessive proportion of sediment, we have an evidence of approaching decomposition of the blood. e) If, other things being equal, it be characterised by the floating of an apparently oily substance on its surface, we have an evidence of what may be termed advanced constitutional decay. f) If matter be mingled with it, there must be internal suppuration. g) If the urine (of children) appear, as it were, milky, we have reason to deduce the presence of worms in the intestines. h) If it be thick but pale, or still more, if it be very changeable in appearance, during the course of a fever, we have reason to look upon the disease as of a nervous kind. i) If it be clear, transparent, and watery, and there be continual urging to discharge it, the nature of the affection is distinctly spas- modic. k) If it be bloody, there is probably a degree of inflammation about the bladder or kidneys. I) If slimy we deduce a discharge of the character of phlegm from the bladder, or obstruction of the neck of the bladder by some con- creting substance. 5. Or again, as regards the manner or sensations which characterise the discharge: a) If the discharge be involuntary, the affection is of a paralytic character; but it should also be noticed that in such cases of fever aa evince this symptom, it is sometimes very difficult to ascertain whether it is really involuntary (in the true sense of the term). If really so, it is a serious manifestation. b) If on the other hand, the discharge be either difficult, painful, or impeded, it variously represents disease of a locally, inflammatory or spasmodic nature. 6. Or further, as to the antecedent circumstances: INVESTIGATION OF THE DISEASE. 21 a) It should be noticed that sudden check of perspiration will often occasion an exceedingly copious and watery discharge of urine. b) Whereas excessive relaxation of the bowels, the previous use of drastic purgatives (under Allopathic treatment), or profuse sweating, will frequently cause a darker and more scanty discharge. Chemical and Microscopic Distinctions, and the distinctive fea- tures of other varieties in respect of the urine, have been intentionally omitted, as calculated to lead unprofessional persons into erroneous experiments. THE FUNCTION OF BREATHING : ITS VARIETIES AND THEIR INDICATIONS. In many diseases, especially those whose seat is in the respiratory apparatus, the manner of breathing, the pains, &c. developed by the act of breathing, the sound emitted by the inward and outward pas- sage of the breath, &c, are the only signs upon which we can rely for a thorough and distinctive appreciation of the nature of the affec- tion, with the reservation, however, that the relations between the pulse and respiration are never to be overlooked. Iu all diseases, especially in those of an inflammatory or putrid character, there is much important insight into the direction, &c, of the malady, acquired by a careful consideration of the operation of this vital function. 1. The Breath in Health. The frequency and even the manner of breathing, in individual cases, is best determined by the habitual conditions of both. But, inasmuch as there should be about four pulsations to every act of re- spiration, it may be deduced that, in health, supposing the medium standard of the adult pulse to be 80 beats in the minute, there would be 20 inspirations and 20 respirations in the same time; and in the like proportion. The breathing would also be easy, slow in repetition, and in inhaling and exhaling equal and full. It is not, however, to be inferred that the relative equality of proportion between the beating of the pulse and the expansion of the lungs is in itself a sign of health (as will presently transpire), although it may be assumed therefrom that tha blood is not deteriorated in quality, on the one hand, and that the operation of the lungs is not organically affected, on the other hand. 2. The Variations to which Breathing is subject and their indications. a) Frequent respiration—by which is understood a rapid and con- tinuous succession of inspirations and respirations—is an evidence either of accelerated circulation or fever, and consequently, of organic inflammatory affections, or of inflammatory affections of any kind, in- volving constitutional disturbance ; and also of insufficient (elasticity) strength of the lungs. Frequency of respiration, when associated with smallness or shortness, that is, with inadequate expansion, is an evi- dence of some obstruction which oppresses the operation of the lungs; as, for instance, created by congested blood (as in inflammation of the 22 H0MC30PATHIC DOMESTIC MEDICINE. lungs), by the presence of water in the cavity of the chest, (or even, in severe cases, in the cavity of the belly,) by inflation with wind (the oppression being communicated by the contiguity of the lungs to the inflated parts of the stomach), or by the alteration of the substance of the lungs, &c. This variety is opposed to the habitual degree of slowness in th* breathing of health. b) The slow (unfrequent) breathing, when less frequent than in health, and further qualified, by deep breathing at remote intervals, as if in a convulsive effort, is frequently associated with spasmodic affections, swooning, &c. and is an evidence of want of strength. c) The quick respiration—a term by which is understood that the tVi-spiration is incomplete, and is quickly succeeded by the re-spiration —is occasioned by the presence of some oppression or obstruction, which renders the expansion of the chest so painful as to hurry the operation of decreasing the pressure by expelling the air ; it is almost invariably the result of any severe inflammatory affection of the intes- tines, or apparatus of respiration, and commonly occasions a more sud- den and spasmodic effort to expel the air, as manifested in cough. It is opposed to the healthy tardiness of respiration ; that is, to the deep, slow, protracted inspiration, and respiration, with power to hold the breath (full) for a length of time. d) Tardiness—may, however, be excessive, as resulting from weak- ness. e) The deep or long breath—when even, protracted — as to the in- haling, and exhaling—noiseless, and evidently without effort, is one of the characteristic features of healthy respiration; but, when deep, long breath, is evidently the result of a severe effort, somewhat diffi- cult, irregular, sonorous, and sometimes abrupt, it becomes an evidence of spasmodic affection,—especially involving the anterior portion of the cavity of the chest and abdomen, or, sometimes, of great fullness of the vessels about those regions; or, again, (as if there be a long pause between the expulsion of one draught, and the re-inspiration of another) of a' condition of stupor and delirium. /) The Small or short breath (simply)—may be considered an evi- dence either of weakness, or of spasm. We have already noticed this variety, as associated with frequency. g) Difficult breathing—-implies several distinct varieties, either of which may appropriately bear this denomination. In any degree, diffi- culty of breathing may be associated with coldness of the extremities (especially the feet), confusion and heat of the head, and empty, small and remittent pulse, owing to the obstructed and dilatory progress 01 the blood through the lungs. If casual, difficult respiration may be attributed to some accidental or even mechanical cause of oppression. As a symptom of disease, it would arise from the presence of any ob strdcting matter, blood or water, &c, impeding the action of the lunga and air-passages, &c.; or as a symptom, unattended with any evidence of inflammation, it would be occasioned by spasmodic affection of the respiratory apparatus. Moaning or sighing breath is a variety of difficult respiration, and INVESTIGATION OF THE DISEASE. 23 seems rather to identify the enveloping membranes of the lungs as the seat of the affection. Oppressed breath (simply)—may arise either from impeded diges- tion, from particular conditions of atmosphere, or from affections oi the air-passages. Panting Breath rather identifies obstructions (such as thickening o, he lining membrane) in the windpipe, and air-tubes. Suffocative breath—that is, when the breath is totally arrested by recumbency—may result from extravasation of blood on the lungs, &c, from the accumulation of water, from alteration of the substance of the lungs, or from what is termed paralysis of those organs; in any case it is a most urgent symptom. In all respects it is opposed to the easy breathing, or to the habitual degree of ease in breathing, which lharacterises the healthy state of the patient. h) Warm breath (simply)—indicates a degree of fever; if very hot particularly if the extremities be cold) it is a positive index of gene- ral, internal inflammatory action, or more particularly of inflammation of the substance of the lungs, or of some of the adjacent intestinal parts. i) Cold breath—indicates a deficiency of vigor (superfluity of watery humor) in the blood, and consequently sluggish, languid circulation. It may result, however, from obstruction which prevent the effectual passage of the blood through the lungs. As a symptom appearing with the sudden suspension of pain, and with general dullness of sensation in severe organic inflammation, it indicates internal mortification; in any case, as attendant upon the last stage of very critical disease, it is a fatal sign. k) Unequal breath—an expression which conveys its meaning—may, in very severe cases, result from obstructions impeding the inhalation or exhalation of the air (chiefly in the windpipe and air-tubes), or it may be occasioned by purely casual circumstances ; as, for instance, spasmodic affection of the nerves connected with the respiratory appa- ratus. It is opposed to the equal breathing of health. I) Noisy respiration—or that which is attended with unnatural sounds, is subject to several modifications,—as, for instance, whistling breath, which, in the majority of cases, indicates the result of spasm, or of accumulation of phlegm, &c, in the windpipe. Battling breath, which may result from the presence of matter, blood, or phlegm, partly obstructing the air-tubes ; or, as a fatal sign, it is the result of paraly- sis of the lungs. Flapping breath, or that which is accompanied with an occasional sound, as of the sharp flapping to and fro of a dry valve indicates the presence of very adhesive matter or phlegm in delicate cells connected with the air-passages. Crackling or crepitating breath, which, as associated with inflammation of the lungs, would be qualified by the other distinctive symptoms of that disease, may (particularly ir aged persons) indicate deficiency of moisture in the lining membran f the air-passages. m) Oppressed breathing, or oppression of the chest,—will be treated f under the head of anxiety, (see "Pain," &c.) n) Offensive or fetid breath—a symptom which requires no further 24 HOMCEOPATHIC DOMESTIC MEDICINE. description, but which must be considered in due relation to othei circumstances,—as, for instance, going too long without food, will en jender it. The menstrual periods are sometimes attended with it Excessive use of mercury, under allopathic treatment, is another ascer- ainable cause. A scorbutic habit of body (or that in which every affection has a lisposition to resolve itself into a greater or less degree of putrescence) s unmistakeably discernible from this symptom, when continual nd habitual. Excess of animal food may occasion it. Decay of the teeth and inattention to the proper cleansing of the mouth and teeth, will almost inevitably induce it. In typhus, it characterises the putrid degeneracy of the disease. In affections of the chest it usually charac- terises suppurative processes in the lungs, &c. As a general rule, es- pecially in the absence of any particular conditions, such as have been stated—foulness of the stomach, or the presence of worms, or other impure substances in the intestines, may be distinguishable by offen- sive breath. THE DIGESTIVE FUNCTIONS, AND THE INDICATIONS WHICH THEY AFFORD. The digestive functions, as is well known, afford some of the most palpable indications of derangement; and inasmuch as the nutritive or tributary process is entirely centred in this portion of the system, one very important deduction is dependent upon its condition ; namely, the sufficient cr insufficient degree in which the subsistence of the whole constitution is provided for by the processes acting upon the food. And further, in the habitual state of the digestive process, the ho- mceopathist distinguishes that which constitutes one of the most im- portant criterions whereby to determine the exact method of adminis- tering medicines in cases of imminent danger; and in some cases, also, the distinctive propriety and adaptation of one remedy in preference to another of very analogous operation. Thus, if the digestive process be habitually regular and strong, and little subject to be influenced even by irregularities of livino-__here is an indication of a constitution possessing an internal vigor and deci- sive reactionary power; a constitution of great buoyancy (so to speak), whereby, in critical cases, the administrator would be guided, firstly' to a relatively stronger, that is lower potency ; secondly* that he might venture upon more rapid repetition at the outset of the critical mani- festations. In cases, moreover, in which the vital energies were sink- ing, (for instance, collapse in cholera,) such an habitual strength of digestion, during the state of health, would usually indicate veratrum in preference to Arsenicum (in such cases as would otherwise have led to doubt). Further, it may be remarked, that persons of habitually strong di- gestive powers are more likely to resist the injurious effects of exter- nal circumstances; such as heat, cold, infection, sorrow, &o. &c. • but once attacked with disease (especially inflammation), they are'prone to be very seriously affected. At the same time, disease wilLbe more INVESTIGATION OF THE DISEASE. 25 likely to run a rapid course with such subjects, and to terminate promptly, than to degenerate into chronic disease. If the digestive process be habitually weak, we have a general indi- cation of precisely contrary conditions. 1. The Evacuations and their Indications. a. Costiveness. Suspended or deficient evacuations may be the effect of inflammatory tendency ; or of muscular debility ; or of inaction of the lower intestines ; or, again, of deficient or altered discharge of bile from the liver into the intestines ; or of general debility of the system and poverty of blood. Suspended evacuations may, however, be oc- casioned by mechanical obstruction of the bowels, as the lodgment of improper substances, &c.; whereas deficiency of discharge may result from excessive discharges or transpirations of another kind. Very dark evacuations may be either associated with costiveness or relaxation, and in both instances they usually, when not induced by the nature of the food, evince an exuberance of bile. Hard evacuations are of various kinds:—as hard and large, hard and small (detached), hard and knotty, &c.; in general they exhibit a deficient degree of natural irritability in the lining membranes, more or less excess of internal heat, and deficiency of moisture. b. Relaxation, as understood, not only of less consistent, but of more copious evacuations, is also subject to variations in the frequency, color, odor, &c, of the motion. In general it may result from in- flammatory or nervous irritability of the intestinal canal; or from the presence of obnoxious, irritating substances, impurities, &c.—such as undigested food, worms, &c,—therein; or from suppression of other discharges; or emotions; or, again, from a debilitated condition of the bowels or of the entire system. If the discharge be green (of an infant), acidity is commonly ex- hibited; if dark, predominance of bile; if pale, deficiency of bile. c. Spontaneous discharge should be distinguished from involuntary discharge, the former being of little importance, and being a common result of unconsciousness (when relaxation is present) and occurring, also, owing to the excremental matter being completely liquefied. d. Involuntary evacuations, properly so called, and attendant upon the last stage of severe fevers, especially fevers of a typhoid character, are indicative of paralysis, and are to be looked upon with great apprehension. e. Diminished evacuations are not necessarily opposed to the lessened consistency, and may occur either with highly consistent or very liquid motions; in the latter case, however, they generally exhibit an imperfect expulsion of the matter to be evacuated, and, in such in- stances, of the presence of some irritative substances in the canal. If unqualified by any other manifestation (such as hardness, or those al- ready stated) and especially if there be a constriction of the passage, the decreased quantity of the evacuation may be attributed to spasm. f. Straining to evacuate, is sometimes of spasmodic character, espe- cially if the motion be only partial, very scanty, or totally suppressed. 26 HOMCEOPATHIC DOMESTIC MEDICINE. But without spasm or especially nervous character, such straining may result from a greater or less degree of inflammation and its sequels, or from the peculiar susceptibility of the canal to irritations. g. Ofpainful evacuation we shall have occasion to speak under th head of 'Pains.' 2. Flatulency—Wind in the Stomach and Intestines—and its Indications. The generation of wind either in the stomach or in the bowels, arises from the production of the elements, in the form of gases, of the normal phlegm which is secreted from the blood. If habitual and excessive, it is clearly indicative of weakness or derangement (of nerv- ous action or tone) in the stomach, if the wind be expelled upwards, —or in the bowels, if the intestines become inflated, or the wind be expelled downwards. Flatulent distension of the belly, occurring in children, often identifies an additional morbid state, characterised by the presence of worms in the intestinal canal. Flatulent, drum-like distension of the belly during the course of fever, betrays want of vigor which may occasion serious results. If, at the same time, the belly thus distended be very tender, and severe pain be caused by pressure, a tendency to local inflammation is clearly exhibited. 3. Nausea and Vomiting, and their Indications. 1. These symptoms especially point out either original, local, or sym- pathetic affections of the stomach, or superior portion of the digestive apparatus, as opposed to the bowels or intestinal canal, which con- stitute the second division of this portion of the system. If, therefore, these symptoms be simultaneous with unhealthy evacuations, it is to be deduced that both the stomach and bowels are affected either simultaneously or sympathetically, or by communication of the irrita- bility from the one to the other. a) But they may be occasioned by mere sympathy, without any actual local affection, as:—1. by sympathy with the womb in females, and indicative of the earliest stage of pregnancy; or 2. by sympathy with the liver, as evinced by the pain or other symptoms emanating from that organ; or 3. by sympathy with the brain, as the result of irritation, or of oppression occasioned by determination of blood, con- cussion, or water; or 4. by sympathy with the intestines, as par- ticularly evinced by perverse and continued constipation. All these relations should be duly considered; and, in the absence of any such remote causes, we may trace the origin of these symptoms to the sto mach itself, as:— b) If habitual 1. to an organic derangement of that an 1 the neigh boring portions of the system. 2. If both food and drink are thrown up as soon as swallowed, to inflammation. 3. If accompanied with foulness or enlargement of the tongue, and INVESTrGATION OF THE DISEASE. 27 evinced inthe state of the matter thrown up, especially if the suffering be immediately relieved after vomiting, to the presence of obnoxious and indigestible substances in the stomach. 4. If attended with sudden paroxysms of cramp-like pain, and ab inpt suspension of breath, to increased irritability of a purely spas inodic character. 5. If both symptoms occur habitually in the morning, and there b no further indication of irritation of the stomach itself, and if further examination of the urine, and other symptoms lead to the same con elusion, they may be attributable to gravel. 4. TJie Appetite, and its Indications. The appetite may be equally great, or greater, in disease than in health, but there are very distinct indications which distinguish these opposite conditions. The appetite of health should be even, regular, (not capricious or fitful) varying in the frequency of its return only according to the habitual period of meals ; but, if not governed by any habit calculated to modify the intervals between the returns of hunger, it should recur, in the adult, about every four to five hours, and in infants and children at intervals of from one to three hours ; and satia- tion (that is, the meal), should not be accompanied with flushing of heat, but rather with a sensation of chilliness. As an indication of dis- ease we find the appetite deficient, or absent,—excessive and irregular —fitful—capricious—craving after particular substances, with absolute repugnance to others—characterised by a desire for unnatural things, as chalk—or by a particular longing for stimulants, y long continuance they will frequently engender a re artionary inflammation, and assume all the characteristic features of inflammatory pain, sometimes becoming, in such cases, very severe and intractable. As affecting important organs, they may first ac- celerate, then temporarily suspend the circulation and breath. In their distinctive character they are relieved by stimulants, heat, contraction of the parts, or of the whole body (doubling up), pressure, and espe- cially friction. In their excess they render expansion of the parts im- possible. They are either local, affecting particular motatory muscles, or they are internal, affecting the muscles which are connected with or constitute important organs. A constant and severe degree of spas- modic pain, affecting important organs (as, for intance, the heart or sto- mach,) is indicative of organic derangement. A casual spasmodic pain, however severe, is attributable chiefly to the accidental presence of irritative matters, especially in the stomach or bowels. 10. Partial pain in the head, that is, if developed in one spot, or on one side of the head, is indicative of hysterical (in the female), or if hypochondriacal condition (in the male). 11. Pain at the back of the head usually denotes determination of blood to the head. 12. Pressing pain in the forehead, accompanied with giddiness, commonly implies the presence of irritative or impure substances in the stomach; or, in some cases, excessive weakness:—that is, if it occur after a severe attack of illness, confinement to the bed, or more especially loss of blood, or other animal fluids. 13. Pain, particularly and persistently occurring in the back or loins, may (in females) be associated with pregnancy, or with a high degree of hysterical excitement, but in such cases as in the more general definition, it may be held to intimate the presence of, or a tendency to piles. 14. Pain, in the anterior part of the stomach, &c, occasioned by pressure (although there be no actual or positive pain without pres- sure), when occurring as associated with fever, or at the onset of fever, and further qualified by heat of the parts, and retching (if of the stomach), or straining (if of the bowels),—denotes respectively inflammation of such part or organ as thereby typifies the fever. 15. Stitching, or prickling pain, may denote a spasm, but more fre- quently determination of blood to a part, — or inflammation, especially of the envelopmg membrane of an organic part. a. If it be occasioned by spasm—as of the stomach—it will be casual, generally severe, sometimes even to the degree of suspending the breath, but passing off without return, or with a similarly casual return, in the majority of cases, upon the dislodgement of wind, espe- cially belching; pressure and friction will relieve it. b. If it be the result of determination of blood, such as when it occurs on the right or left side (about the spleen,) provoked by rapid 42 HOMCEOPATHIC DOMESTIC MEDICINE. motion immediately after eating, or the like conditions,—or when it occurs without such immediate causes (as in the right side), and con- tinues to be perceptible upon drawing a deep breath for some time without striking constitutional derangement,—pressure does not always aggravate it, unless severe, motion does: relaxation of the parts, as by bending the body forward, relieves. c. If it be the decisive symptom of inflammation, as in pleurisy, we may thereby distinguish inflammation of the pleura (the membrana which covers the lungs, &c, and lines the cavity of the chest) from inflammation of the substance of the lungs, especially if there be little (if any) pain, until the parts are expanded, as by drawing breath deeply; and its inflammatory character will be distinguishable in the general derangement and high degree of fever which accompanies it, with local and general increase of heat (except sometimes of the ex- tremities), dryness of the skin, thirst, &c. Sensations of discomfort, such as the following: 1. Restlessness has been already mentioned under the head of Motion. 2. Giddiness (simply), except in the cases reserved as important, is a symptom of no great moment, but it often serves to determine the individuality of disease. a. It may identify a nervous condition, generally speaking, occasioned by an irritation of the stomach, when we may identify the cause as an overloaded stomach, with a tendency to expel the irritating substances, upward. b. In many cases, particularly as occurring in persons of a full habit of body, it denotes congestion of blood to the head. 3. In persons of advanced age, or of apoplectic tendency, it may be looked upon as one of the unpropitious indications of imminent apoplexy. 'a. Sensations of heat and cold are of two kinds,—those 1) Avith which there is actual heat or coldness, and those 2) which merely con- vey these sensations, the parts affected with such feeling being neither hotter nor colder (necessarily) in a degree which should occasion such feeling. Thes? are subject to many modifying conditions—of which we shall briefly notice the most important—and are generally to be held as of very great importance in the investigation of disease. b. Actual increase of heat, if unqualified by any particular local de- termination, or by particular and local pains, &c, denotes 1) increased activity of circulation, that is, fever (simply), more or less inflamma- tory, as the degree of heat is greater or less; 2) local inflammation, whether of particular parts, if purely local, or attended with general inflammatory action throughout the system, if the heat be general, and simply characterised by local determination and other particulai identifying symptoms. This heat, as regards a particular spot, maj or may not be externally apparent to another person,—it is sufficien that it is internally felt by the patient; 3) a determination ot blood to particular parts or organs, without active inflammation, when the heat, whether internal or external, is confined to the spot, part, or organ affected, and to those which are contiguous; 4) when inflammatory and general heat is present, it is identified by INVEST rG LTION OF DISEASE. 43 the simultaneous frequency, hardness and strength of the pulse, which increase with the increase of ho at, and by its conveying no unpleasan sensation on contact to a healthy person ; and further, by the part of the healthy body thus brought into contact with it becoming so accustomed to it, after a short duration of contact, as to lose the dis tinct sensation of greater heat in the sick body ; or 5) in the last stage of putrid fever, or as an indication that fever has assumed a portentous putrid character, it may signify incipient decomposition, in which case, however, it will increase as the pulse becomes more and more feeble, it will convey a most disagreeable sensation of a burning, stinging cha- racter to the part of a healthy body on contact, becoming more and more disagreeable the longer the contact continues, and leaving the same unpleasant sensations for some time after the contact has ceased ; this is a chemical not an animcd heat. c. Heat in the anterior portions of the stomach, &c, and chest, and especially if conveying a burning sensation internally to the patient, accompanying a high degree of fever, identifies, especially a general, inflammatory condition of the tributary organs of life. d. Heat of the hands, after eating, denotes a disposition in the dis- ease to become habitual, or if there be no distinct disease, a predis- position to hectic complaints. e. Fugitive heat is particularly associated with a hysterical con- dition ; it is therefore more common among females, (at certain periods especially,) but it may occur in either sex, associated with nervous debility, irritability, or susceptibility. f Coldness of the extremities, associated with a severe degree of fever, denotes a high degree of inflammation in one or more of the important organs of life, such as may impede the thorough distribution of the blood throughout the system. Wherefore it is one of the dis- tinctive features of inflammation of the lungs, &c. But it may also denote deficient circulation or deficient strength of the blood, as associated with other symptoms of an enfeebled condition, and as such it identifies depression of vital energy. Or, again, it may be the result of spasm, either of particular parts or of a superior organ (as of the heart in particular), if associated with other spasmodic symptoms. g. Numbness or deadness of particular parts may 1) be indicative of latent and insidious gout, and if from other symptoms there be such further analogy as to identify this condition, it may be of much consequence; or 2) it may be purely nervous, and then quite super- ficial, in which case it will generally be palliated by cold applications; or 3) it may be occasioned by temporary arrest of circulation in the parts, in which case there will be no contraction or rigidity, and hot applications, friction, or rapid motion will palliate or remove it; or 4) it may be the result of spasm, in which case there will generally be contraction and rigidity, and heat or friction will likewise relieve, but motion will be commonly arrested. h. Itching (without the presence of any eruption), especially if pre- ceded by chill, and accompanied by heat (as associated with fever), usually announces the approach of a critical sweat; or if unattended with fevee, commonly denotes an acrid condition of the humors 44 HOMCEOPATHIC DOMESTIC MEDICINE. i. Chill (or the sensation of coldness without actual coldness), is a purely nervous indication of irregularity. It may consist of a spasm of the skin. The conditions which precede, accompany, and follow it, must indispensably be considered, in order to form a correct judg- ment of the various important indications which it affords, and which qualify every fever ; as for instance : 1. Acute fevers are characterised by the single and unrepeated »ccurrence of the chill. Intermittent fevers by the more or less fre- quent repetition of this symptom, according as the repetition of the fever-fits returns. 2. If the fever be of an intermittent character, and the chill be slight, with great predominance of heat, there is reason to anticipate that the disease will run into a distinctly acute character; but if the chill be severe, of long duration, and very predominant, the occurrence of heat being imperfectly developed, the disease exhibits a tendency to become sluggish and of long duration, and to assume a chronic form. 3. Chill which is very severe, and which precedes the heat, may first be generally designated as identifying either violent, acute, or even inflammatory fever, or, on the other hand, intermittent fever. 4. Chill which is imperfect, or comparatively feebly developed, and which alternates with heat, (that is, is successively preceding and suc- ceeding it,) usually identifies first: fever of a nervous character, or of a rheumatic or secondly catarrhal description. 5. Chill (rigor, coldness attended with shivering,) which occurs during the course of an acute fever, possesses many important signi- fications ; as, for instance : a) If there be inflammation of any particular and important organ, especially of the lungs, we may anticipate an issue into suppuration, or the still more urgent result of mortification, which will be further identified by subsidence of pain ; or b) in cases particu- larly in which no decided and local inflammation has existed, or in which the general symptoms are favorable, the approach of the crisis is identified, namely, the thorough development of an eruption, or, more frequently, the occurrence of copious perspiration, followed by general abatement of the disease; or c) when inflammation of one par- ticular organ has existed, and any abrupt arrest has taken place, such as the irregular suppression of discharge, &c, we may anticipate a transition to other organs; d) if no inflammation of any particular organ has existed, and there be evident susceptibility of any particular part, or evident tendency to determination of blood to such part, or obstruction to the operation of its functions, we may anticipate inflam- mation of such part; or e) if none of these circumstances be so com bined as to warrant deductions such as have been suggested, the chill may forbode the succession of intermittent fever. Sensations of anxiety: a denomination which is applied to a certain feeling of weight or pressure, with oppression of the breath, of which the seat appears to be the anterior part of the stomach and chesty No pains (or very few) are so distressing as these sensations, in which there almost appears to be a struggle for life, although, except in cases of organic disease of the heart or lungs, or of inflarn' investigation of disease. 45 mation of some important organ, or of general dropsy, &c, they are not so immediately urgent as they appear. a. They may be the result of an accumulation of blood in the lungs, (congestion,) in which case, if the patient were of a consumptive habit, the symptom would be urgent. b. They may occur as a spasmodic affection of the lungs; or, again, from local derangement of the same organs, such as irregular reception and expulsion of the blood, owing, perhaps, to the obstruction occa- sioned by enlargements, (as of any important gland,) deposits of matter, &c, in which last case, as distinguishable by the pulse, &o., much importance should be attached to them. c. Such sensations may be the result of merely sympathetic nervous irritation of the lungs, most frequently when the stomach is affected, as by deleterious drugs, tobacco, coffee, excess of fermented liquor, or obstructive and indigestible substances, in which case the affection must not be attributed to the lungs. d. They may be occasioned, as last indirectly stated, by overcharg- ing or overtaxing the powers of digestion, especially if the stomach be weak, a condition easily identified in those who have been treated with copious use of purgatives, emetics, or even tonics, (under allo- pathic treatment,) or who have been addicted to excesses in eating or drinking, or in young persons affected with worms; in such cases, if the patient has partaken of flatulent substances, or of very rich, heavy, or irritating food, or of mixed liquors, or has been affected with bilious symptoms, the occasion of the anxiety is sufficiently apparent. e. They may be associated with inflammation of the heart, stomach, liver, lungs, or bowels, or with dropsy of the belly, general dropsy of the system, or water on the chest; or, again, with permanent or organic disease of the heart or lungs, or with determination of blood to any of these organs, in the majority of which cases they are of great consequence. f They may be purely spasmodic, in which case the apparent suffer- ing of the patient will be greater than in any other, and it is not uncommon, even without serious disturbance of pulse, to see the patient, as if in the last struggle of existence, either speechless and prostrate, or occasionally grasping at the bystanders, and feebly ex- pressing an apprehension of immediate death. Such cases especially occur from comparatively slight causes of derangement (of the stomach in particular) in subjects of a highly hypochondriacal disposition, (if males,) or amongst females of excessive hysterical susceptibility, par- ticularly if there be actually some affection of the womb. Women subject to frequent miscarriages are particularly subject to be affected in this manner. Under such circumstances these symptoms are of comparatively slight importance. 2. THE ORGANS OF SENSE, ANDTHE1II INDICATIONS. This section involves, to a certain extent, not only the investigation of the condition of the sense, which may be deranged without apparent derangement of its organ, but also of the external manifest.itio;. of one 46 HOMCEOPATHIC DOMESTIC MEDICINE. organ itself (especially)—namely, of the eye, as well as of the sight. The other organs of sense—namely, the ears, nose, and palate, convey no such very distinct or important external manifestations, or none which are not included under various heads in the course of this article; and we shall, therefore, rest contented, in alluding to these to treat of the senses which they convey—namely, hearing, smell and taste. The eye affords a multitude of external evidences of derangement —as, for instance: 1. A dilated pupil may be engendered by sympathetic irritation of the brain, as associated with irritations of the stomach and bowels, particularly from the presence of worms; or it may indicate a local affection of the brain itself1—as inflammation of the membranes -or water —and is then the result of direct pressure upon the brain; or, again, it may result from total inaction, or suspended action of the bowels, in which case the symptom would identify a sympathetic affection of the brain; or it may be associated with insensibility of the nerve which communicates the representations of the eye to the brain, in which case it need not be otherwise than a purely local symptom. 2. A contracted pupil may be caused by great tenderness of light, when it consists of a convulsive effort to exclude the light from acting too powerfully upon the eye. If attended with sensibility to light, it exhibits over-due irritability of the nerves connected with the sight, and consequently an irritative inflammatory tendency. If attended with insensibility to light and associated with fever, it is an indication of the utter prostration of the vital energy. Languid expression of the eyes, occurring as a distinct and appreci- able symptom, may indicate 1) if associated with anxiety—overloaded stomach, or sometimes the action of fermented liquor on the stomach, or of deleterious substances, or of heavy and indigestible food ; in such cases it forebodes vomiting, especially if cold sweat transpire from the forehead; 2) if associated with general debility as the result of sudden and severe loss of animal fluids, or of very severe acute disease, it de- notes the sinking of the vital energy, and often forebodes fainting. Squinting, or distorted sight, is always symptomatic when it is not habitual, and constitutes a very important indication in children espe- cially, and affords a decisive index to the case, when other symptoms conspire to evince the probability of acute water on the brain. Other- wise, it exhibits a sympathetic affection of the brain, originating in irritation of the stomach and bowels, especially if worms be the direct cause of such irritation. Staring expression of the eye, or fixed stare at one object, with or without raving, or muttering, if consciousness be absent, identifies de- lirium ; or even if consciousness be not absent (in the usual acceptation of the phrase), there is a degree of abstraction amounting to momen- tary and accidental suspension of consciousness, absorbed by a fixed thought, or with vacancy of thought, in which case also it may be termed the indication of a degree or species of delirium (in its strict sense). INVESTIGATION OF DISEASK. 47 Sunken or retracted eyes denote debility. Protruding or prominent eyes, particularly if they be glittering, and characterised by suffusion of redness, combine to identify considerable congestion of blood in the head. The sight is attended with some variations of distinctive importance —as, for instance : 1. Double sight, or half-sight, either of which may exhibit a degree 01 spasm, and which may be simply associated with a hypochondriacal or hysterical disposition, but which may also arise from irritation of the stomach, especially ass the result of very stimulating food or drink; in which case, however, it is usually characterised by giddiness, drowsi- ness, dread of motion, talkativeness or extreme taciturnity, or excessive restlessness, and excitement; or, again, as one of the premonitory symptoms of imminent apoplexy. 2. The appearance of a profusion of dark spots before the eyes, generally conveying the idea of a slow descending movement aggre- gately ; but sometimes also of irregular oscillation, which, even when the patient wanders, is often to be distinguished in some fantastical expression of dread of such insects, as, in health, he or she abhors, may (according to other symptoms present) identify or forebode:—de- pression of vital energy, and fainting, if the patient has suffered from very debilitating affections—such as excessive loss of blood or other animal fluids, or from very rapid or severe acute disease—determination of blood to the head—or a deranged or over-loaded stomach; and, perhaps, in the latter case, vomiting. 3. Obscuration of sight, affords indications analogous to those of dark spots before the eyes, as just stated: The taste affords very important indications in respect of its alte- rations,—as for instance: 1. Foul taste may originate either in local affections of the mouth, teeth, throat &c, or in irregularities of the nervous system, as occurs particularly amongst women of a highly susceptible, hysterical dis- position, or sometimes also without such causes, during pregnancy;— or again, as associated with fever, in a tendency to putridity in the blood, which it therefore denotes to a certain extent;—or again, if saltish and putrid, as occurring in persons of a consumptive constitu- tion, or under circumstances likely to provoke consumption, it may originate in a suppurative condition of the last-named disease. Further- more, a sweetish, saline, bitter, slimy, or harsh and acrid taste, espe- cially if considerable phlegm be constantly in the throat, may be traced to the presence of an irritative condition of the stomach, occasioned by the presence of impure matters. 2. Loss or absence of taste may arise from some organic nervous affection; or, again, from cold, or derangements dependent upon cold. The hearing may constitute a characteristic symptom, either in its excessive or deficient sensibility. 1. If deficient, as associated with fevers, and particularly with typhus, this very irregularity constitutes a wholesome indication. 2. If excessive as associated with fever, we may identify either a 48 HOMCEOPATHIC DOMESTIC MEDICINE. degree of inflammatory action involving the brain, or in general too acute a susceptibility of the nervous system. 3. Buzzing or ringing in the ears, as associated with inflammatory action, or occurring without any apparent cause, or without either of he other conditions here mentioned—in persons of a full habit of body may be attributed to congestion of the blood in the part; or, if asso ciated with cold, to that with or without increased secretion ; or again to determination of humors to the ears, when more or less deafness usually qualifies the case. The sense of smell is also qualified by two chief conditions, name ly: 1) deficiency or loss of smell, which is attributable to nervou disturbance, or to the effect of cold (when associated with cold), or to indigestion; and 2) unnatural conditions of smell; as for instance:—- the prevalence of putrid smell in the nose, which is attributable either to local disease of an ulcerative and putrid character, in the nose or palate, or to tendency to putridity in the blood, or developed as an early manifestation of disposition to apoplexy;—or peculiar smell (which is not putrid, but may be very disagreeable), and wThich con- sists of an affection of the olfactory apparatus of a spasmodic character. GENERALITIES. 1. Coughs, and their Indications. Coughs are of various significance, and point to various derange- ments, or seats of derangement, according to the conditions which pre- cede, accompany or follow them, or by which they are immediately provoked. They constitute a series of manifestations which should never be overlooked in the investigation of disease, because it is clear that whether associated with direct or local inflammation of the re- spiratory apparatus, and of the lungs in particular, or with sympathetic affections of these organs, originating in other organic causes of irri- tation, whether in the stomach and digestive process generally, or particularly in the spleen, liver, &c.; the presence of cough indicates, for the time being, one of two conditions respecting the respiratory apparatus, namely:—either 1) that there is in the system some cause of irritation oppressing these organs directly, or reacting upon them from other parts. If the affection be merely sympathetic, caused, as is very frequently the case, by irregularity iu the process of digestion, chronic derange- ment of the lining membrane of the stomach, &c, or by the presence Of any impure substance in the stomach or bowels, either received from without, or spontaneously engendered from within, it does not indicate circumstances of much consequence as regards the organs of respira- tion, and should be dealt with purely as an affection of the stomach or bowels, &c.; with this reservation however, that if the increased irri tation of the lungs, &c, be allowed to continue too long, for want of the removal of such provoking cause in the digestive process, it may lead to congestion of blood to the lungs themselves. If the respiratory organs themselves be clearly the seat of the affection, it may be the product of the congestion of blood, suppuration. INVESTIGATION of disease. 49 tubercles, &c, or of a purely nervous affection; or, again, of inflam- matory action in the lungs, or the ramifications of the windpipe, or primarily of common catarrh, &c. The condition of perfect health, as respects the respiratory or- gans, is, therefore, in any case, inconsistent with the presence of cough ; for when no cause of irritation, either local or sympathetic, is present, there will be no cough, nor anything to impede the breath, and a deep inhalation may take place, the air being retained for many seconds in the lungs, without the slightest disposition to cough. , If the habit of body be such as to lead to the suspicion that there is some latent taint in the system; or, if again, the taint be testified by morbid affections of the glands, skin, or bones, or by tendency in every affection to assume a sluggish, chronic character, or by continual inflammatory or ulcerative affections of the eyelids or gums, -every cough may be of momentous importance, and should lead us to in- vestigate its cause, and to treat the affection, of whatever character, without delay, lest, while we pause, it should run on to organic affec- tion of the lungs, and degenerate into consumption. a. Short dry cough, accompanied by watering of the eyes, and frequent fits of sneezing, in the early stage of acute fever, usually prognosticates measles.—It may likewise (without such particular ac- companiments) announce an eruption of another character. b. Cough (generally), painful, hacking .cough, associated with acute fevers (other than those originating in, or associated with cold,) may often be the foreboding symptom of incipient inflammation of the lungs; when the manifestation of crepitating (crackling) breath will frequently be decisive. c. Predisposition to cough, as the result of every exertion of the lungs -such as the accelerated breathing caused by the rapid motion, or speaking, or laughing; or even as occasioned by mental or moral excitement —such as emotions, articular article of diet, whether of the animal or vegetable kingdom, that may seem to dis- agree in the jxirticular case in question. Lemon or orange-peel, laurel leaves, bitter almonds, peach leaves or kernels, fennel, aniseed, marjoram, &c, are objectionable; acids, and the ordinary condiments, such as pepper, mustard, pickles, &c, and salads, ought either to be sparingly partaken of, or entirely abstained from, particularly by per- sons predisposed to indigestion. Salt and sugar in moderation are admissible. Acid or unripe fruits are clearly objectionable; and even ripe fruits possessing little or no acidity, if fresh or prepared by cooking (such as peaches, raspberries, sweet cherries, grapes), and dried or preserved fruits (as figs, prunes, apples, pears), should be used in moderation, particularly by persons of weak digestion ; and should be avoided alto- gether by those subject to colic or looseness of the bowels. Cold fruits (such as melons) and raw vegetables (such as cucumbers, &c), and also nuts, of every description, are forbidden. All kinds of light bread and biscuit, free from soda or potash, and not newly baked; also simple cakes, composed of flour or meal, eggs, sugar, and a little good butter; or light puddings, such as bread-, rice-, sago-, semolino-, without wines, spices, or rich sauces, are admissible; but colored confectionary, pastry, and in some cases also honey, must be rejected. Regularity in the hours of meals should be observed, and too long fasting, as well as too great quantity of food at one time, should be avoided. It is not sufficiently considered that excess in eating even wholesome and digestible food is a most grievous error. The lightest diet will impede the operation of the digestive functions if the stomach be over- loaded. It were always better to leave the table unsatisfied than to indulge in any excess in this particular Nor should it be forgotten, that a craving appetite which induces an inclination to eat excessively, is in itself an unhealthy condition, which requires to be counteracted rather than to be encouraged. During fevers and inflammatory affections, the patient must of course be kept upon a low regimen,—gruel, barley-water, &c.; and at the com- mencement of convalescence 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 whenever she takes away appetite, the necessity of not taxing the digestive functions must, with rare exceptions, be deemed imperative. (See Fever, and also Synopsis of the Rules for Diet.) CLOTHING and habits 57 CLOTHING AND HABITS. "Upon the first point it were scarcely worth while entering into any observations, were it not simply to remark upon the impropriety of wearing garments impervious to air, and fitting closely to the shape, and the custom of exposing the extremities and chests of young chil- dren to the chilling atmosphere of our peculiarly variable and humid climate, under the absurd idea of making them hardy. The evil con- sequences arising from the check given to perspiration, by the first- mentioned practice, are too well known to require any particular comment; but as the other is an error widely prevalent, I consider it my duty to mention it; and I feel assured, that if mothers would only reform their system, and clothe their children in a more rational man- ner, they would make no slight advance towards the prevention of serious affections, not only during childhood, but in after life. Cotton, linen, and even leather worn next to the skin, are, generally, preferable to coarse woolens. As regards habits, it may be briefly observed, that a regular method of living, avoiding ill-ventilated apartments, late hours, dissipation, over-study, anxiety, and other mental emotions, and taking sufficient air and exercise, are the best preservatives of health. The frequent use of hot-baths is injurious and liable to retard the cure under homoeopathic treatment. The idea that sea-bathing is al- most universally beneficial is exceedingly erroneous; there are many constitutions on which it acts prejudicially. Medicated baths, either natural or artificial, are strictly forbidden. Bathing the whole frame daily with a sponge or wet towel, with cold or scarcely tepid water, and the use of the flesh-brush, are by no means objectionable, and fre- quently indeed strongly to be recommended. (See Notices on the Use of the Bath.) The use of any medicinal or aromatic substances in the arrangement of the toilet, such as camphorated or otherwise medicated dentifrices, lip-salves, smelling salts, or cosmetics, is more or less detrimental to the action of the medicines, and should be avoided. Flowers should be excluded from sleeping apartments, especially at night, when they emit a deleterious gas. ADMINISTRATION AND REPETITION OF THE MEDI- CINES. The method, quantity, potency, and frequency to be selected and observed in the administration of the remedies, will be stated more ex- plicitly as regards particular cases in the subsequent directions for the treatment of diseases, and in the Tables of the Remedies and Po- tencies and Analogous Medicines, generally prescribed, in the fore- going pages. There will also be additional particulars in the Remarks on Inter- nal and External Remedies ; and material assistance may, moreover, be derived from the article on the Characteristic Effects and Indi- cations of the Remedies. Yet much will still be left to the dia- 58 HOMCEOPATHIC DOMESTIC MEDICINE. crimination and judgment of the administrator; because it is obvious, that a multiplicity of exceptional cases and conditions will arise, to which no general rule and few special regulations will apply. In instances of this description the particular character of each symptom distinguishable by the conditions under which it is manifested—or still more properly the assemblage of symptoms similarly qualified by conditions, will be the safest guide for the judicious selection of the remedy; and the continuance, return, suspension, aggravation, pallia- tion, modification, or change of such particular features of ailment, will serve to regulate the repetition, suspension, or change of the remedy., The same circumstances will also frequently guide the administrator to change the potency, when the remedy he has selected is evidently indicated, but has not been followed by adequate results; or in other instances to adopt an analogous remedy, when both of the previous methods have equally failed. In pursuing such changes, great care should be taken in turning to the Table of Analogous Remedies, and from thence to the article on the Characteristic Effects and Indications of the Remedies, and in thereby selecting the remedy or potency whose operation assimilates most nearly to the aggregate features of symptoms and conditions in the case. The form of the medicine.—With respect to the form in which the medicines should be used, see the leading notification under the head of " Remarks and Regulations respecting Internal Remedies and Doses." Repetition and Selection.—The following are a few of the general rules to be observed in the domestic employment of the homoeopathic medicines:— In diseases which are severe, and run their course rapidly, we must carefully watch the symptoms, and when we feel assured we have chosen the proper remedy, if no perceptible medicinal aggravation or amelioration declare itself, but the disease seems to gain ground, repeat the medicine. In cases of high inflammatory action, Aconite or Bella- donna, &c, should sometimes be repeated at intervals, varying from fifteen minutes to two, four or six hours. If a medicinal aggravation take place, followed by amelioration, we must let the medicine continue its action, until the amelioration appears to cease, and the disease again makes head; if new symptoms set in, we must then have recourse to the medicine thereby indicated. Should, however, no perceptible medicinal aggravation take place, but amelioration follow, we may safely await its approach to a termination, ere we again administer. If any symptoms remain, from the remedy first selected having afforded only partial relief, we must have recourse to some other medicine, which seems best fitted to meet them; but refrain from changing the remedy as long as benefit results from its employment. In diseases whose symptoms are obstinate and long-continued, and in those which are virulent but of short duration, as well as in those vihich partake somewhat of these features of violence, when a very striking improvement takes place, it will generally be found ad- administration of the medicines. 59 vantageous to cease to administer the medicine as long as the improve- ment continues, and only to repeat as soon as the slightest symptoms of activity in the progress of disease reappear. But when a sudden or marked improvement, of comparatively short duration, follows the first dose of a remedy, and on repeating the dose, the symptoms ot the complaint increase instead of subsiding, as they did in the first instance, it may be concluded that the medicine does not answer, and that another must accordingly be had recourse to, in the selection oi which it will be necessary to choose one related or analogous to the remedy first prescribed. The distinguishing of the medicinal aggravation from that of the disease, being a point of material consequence, we shall here give the leading and most usual characteristics of each. The medicinal aggra- vation comes on suddenly and without previous amelioration; the aggravation of the disease more gradually, and frequently following an amelioration. Moreover, in the former, several of the medicinal symptoms, which did not previously occur, declare themselves. Such medicinal symptoms, or some of them, will be found, on referring to the remedy which has been employed in the article on the " Charac- teristic Effects," &e. Lastly, the pulse is also a discriminative guide particularly in fevers and inflammations. Thus, when it becomes less frequent, or when, at all events, it does not increase in frequency, on an accession of aggravation, the exacerbation is to be attributed to the medicinal influence ; but when the reverse is the case, the aggra- vation of symptoms must be considered as depending on the advance of the disease. We cannot attach too much importance to the necessity of careful watching the effects of each dose, as, in addition to the temporary aggravation of the symptoms which sometimes sets in, a development of collateral or medicinal signs occasionally takes place, particularly after frequent repetition of different remedies, in susceptible patients. By a want of attention, therefore, to this important point, we may incur confusion, and may be unconsciously treating a temporary me- dicinal disease of our own creation. We must also guard against falling into the opposite extreme—that of allowing the disease to gain head unchecked. Slight diseases are often removed by a single dose of a well-chosen medicine; the more severe and deeply-seated disorders are also fre- quently removed by a single dose of a well-selected, or specific remedy; but in general cases, and particularly those which have been long and rudely treated by allopathic practitioners, a frequent repetition is usual- ly required. «As a general rule, however, a given number of repetitions, more or less, according to the severity of the case, will serve to place the pa- tient thoroughly under the influence of the medicine, after which the pause may be protracted so long as the indications of progressive im- provement are present. If, then, it becomes necessary to resume the administration, it will generally avail at remoter intervals than during the previous course. In complaints which are of a mild, though^ slug- gish type, and which are unattended with any critical characteristics, the intervals, in the first period, may vary according to circumstances, 60 HOMCEOPATHIC DOMESTIC MEDICINE. from six to twelve hours. But in most complaints in which constitu- tional or local inflammation is present, the intervals, in the first period, should not exceed four hours, and when important organs are involved, and constitutional fever runs high, these intervals should not at first exceed two hours In severe acute affections, such as inflammations, fevers, &c, we may often repeat the same medicine in the same dose, at regular in- tervals, as long as it does good: but this rule has many exceptions, and the directions already given at the commencement of this article should be borne in mind. In obstinate and lasting cases, by a long-continued administration of the same medicine, the patient often becomes less susceptible ; in such instances, if the improvement remains tationary, or progress slowly, we may gradually increase the dose, or, still better, give, at suitable intervals, some other remedy or remedies, of as nearly analogous me- dicinal properties to that first administered as possible, and then re- turn to the original remedy, if needful; if, on the other hand, decided amelioration follow each administration, we should allow a longer in- terval to elapse before repeating, by which means the system gradually recovers itself, and the susceptibility to medicinal influence remains unimpaired until the cure is completed. In rare cases, this susceptibility increases ; in such instances a higher potency should be selected,—provided the remedy still appears to be appropriate,—and the intervals between the exhibitions should be lengthened. This .occasionally occurs when the medicine has been frequently repeated, and given in solution. When the beneficial effect of a medicine is interrupted by any intermediary irregularity, -such as, attack of cold, looseness of the bowels, &c, some other medicine must be given for the new affection, on the removal of which, the medicine which was previously acting favorably must be recurred to. In the Selection of the Remedy, it is not necessary that all the symptoms noted should be present; at the same time care must be taken that there are no symptoms uncovered by the medicine, or which more strongly indicate another remedy. REMARKS RESPECTING INTERNAL REMEDIES AND DOSES. Preliminary Observations as to the Form of the Medicines. The Form in which Homoeopathic Medicines are employed for in- ternal administration requires some particular notice, in order that the reader may have an additional opportunity of administering the medicine _ with the medium or vehicle which may be most likely to promote its active operation in the case under consideration. It is well known that the medicines are prepared in four distinct forms, namely: Globules, Tinctures, and Triturations. 1. Globules (or pellets of sugar of milk saturated with the tincture), are, in the great majority of cases, the only form required for domestic internal remedies. 61 treatment, and so greatly facilitate the explicitness of the directions for doses, that, in the first instance, all the medicines comprised in the list of the remedies which are quoted in this work, must be under- stood to be recommended in globules, (at the potencies, also, stated in that list). Dose.—For adults, fire globules, either dry or dissolved in a little water (a tea- spoonful.) For infants one globule in the same manner. 2. Tinctures might, as far as practical purposes are concerned, be coupled with Triturations, the latter being the form in which those Remedies which are insoluble, are first made, and consequently which represents those lesser degrees of attenuation which are administered in a fluid form—of such remedies as do not require such pulverization to render them soluble (or approximately so). It is this fluid form of soluble substance which is called the Tincture. Tinctures at low po- tencies (i. e. from the 1st to the 3d, and even, in some exceptional cases, the mother tinctures) have, upon the wdiole (like Triturations), been found better adapted to the treatment of acute diseases and some forms of scrofula, ague, &c. Dose usually employed —For an adult, one drop to a spoonful of water ; or, in cases in which the substance medicating the tinclure is precipitated (be- comes thickened) by water - as, for instance, camphor,—then give a drop on a small piece of pure loaf sugar. For a child above two years and under twelve years old, one drop—constituting fr m two to three doses, according to the strength of the child. For an infant under two years old, one drop, similarly divided into six to ei^ht doses. 3. Triturations, as has already been explained in speaking of Tinctures, represent the lower potencies (as administered in the latter) in powder, of substances which are not susceptible of immediate (approximate) solution, and which require previous and repeatedpxd- verization, and extreme and minute distribution. The administration of Triturations is adapted to circumstances such as those just men- tioned in relation to the Tinctures (of completely soluble substances). The objection to Triturations for unprofessional persons is, that being in p>oicder we have no other means of naming a precise quantity for the dose than by indicating the weight. Persons, therefore, who are in the habit of using them, should furnish themselves with ap- propriate and well-approved scales. Dose usually employed.—For an adult, from half a grain to n grain. For a child between two and twelve years old, half a grain distributed aa equally as possible into three portions—one of these third portions constitut- ing a dose. For an infant under two years old, one-sixth part similarly. 1. Previous to undertaking the treatment of any affection it is ad- visable that the Article on the administration and repetition of the medicines should be carefully studied. 2. Should the progress of the malady, notwithstanding treatment, without a distinct change in the nature of the symptoms, indicate a change of the remedies, it is advisable that the table of analogous remedies should be consulted with due consideration of the charac- teristic symptoms of each in the selection of the new Remedy. 62 HOMCEOPATHIC DOMESTIC MEDICINE. 3. In cases in which the distinctions between the indications foi diffeient medicines prescribed are so slight as to leave the least doubt on the mind of the administrator as to which he should select, the de- cision will be determined by referring to those remedies in the article ON CHARACTERISTIC EFFECTS, &C. This difficulty may frequently arise where twro or more medicaments are of closely analogous operation. 4. Of doses for infants and children.—Where no particular di- rection is given for the treatment of young children, or children under the age of twelve years, it is to be understood that the dose in gene- ral cases, should be in the proportion of one-third of that directed to be taken generally, or especially for an adult, as nearly as that pro. portion can be ascertained. a. The general dose for an infant, under six months of age, may be stated at the proportion of one globule to three tea-spoonfuls of water, which solution should be administered by the tea-spoonful at each dose. b. The general dose for an infant, between six and twenty-four months old, may be stated at one globule to the teaspoonful of water for each dose. 5. Of potencies.—With respect to the potencies or dilutions to ■ be employed, although it is by no means an essential point, still, as all the directions for treatment hereinafter given have been drawn in conformity with that scale, it is wTell that they should be in accord- ance with those quoted in the table of medicines and dilutions pre- scribed in this wrork. 6. Of the division of doses and solution.—The doses prescribed in this work are all directed to be taken in solution, as that is doubt- less the most efficacious method of administration. But when that is not convenient, or is rendered impossible by the state of the patient, the globules may be administered dry, by being placed on the tongue. a. When the solution of any medicine in water has to be kept more than three days before the whole is consumed, it is necessary to pre- serve the water from decomposition, by adding six drops of proof spirit to the two table-spoonfuls of solution. In very hot weather one clay should be the limit beyond which no solution should be kept without such infusion of spirit. When it is not convenient to add the proof-spirit to the solution, the only way of obviating deterioration is to make a fresh solution at the expiration of every such stated period of time. b. The best medium of solution is distilled water ; the next, filtered cr pure rain-water ; the next, water which has previously been boiled or pure spring water. 7. Of the recurrence, suspension, &c, of doses.—It were im- possible, as has been already stated, in laying down a general rule for treatment, always to assign a given recurrence of the dose of any remedy, without being as egregiously wrong in one case as one might be positively right in another. The discretion ofthe person wdiouses the medicine, uuiledby a careful study ofthe article on the repetition of medicines mubt indicate the frequency ofthe doses—the pause- INTERNAL REMEDIES. 63 the renewal—and the change—according to the conditions of each particular case. a. As far as the frequency, suspension, and resumption in the ex- hibition of medicine can be reduced to a systematic scale this has been done in the subjoined Table, from which the patient may occasion- ally derive assistance, but to which he must not trust in the least exceptional instances. b. Great care must be taken in distinguishing between the scale set forth for acute and that designed to direct the treatment in chronic disease. c. The constitution, temperament, and habit of body must also modify all set regulations in respect ofthe recurrence, &c, of Doses. Highly susceptible subjects require more sparing treatment, and must be closely watched to observe the earliest indications in the cessation of effect, medicinal aggravation, or other exceptional conditions. 8. Of consecutive treatment.—It is a manifest error, in treating of any malady, to direct a patient positively to begin by the ad- ministration of this or that remedy. Every malady may develop itself in a variety of ways. The incipient stage ofthe same disease even is scarcely ever identical in two cases. In all instances the development of complaint must depend upon constitutional tenden- cies, atmospheric influences, external circumstances especially relating to each case, condition of the system of previous treat- ment (particularly allopathic), &c, &c. a. All the remedies which are applicable to the treatment of any complaint within the proper province of domestic management, to- gether with the symptoms which indicate the exhibition being detailed, the only way in which an unprofessional person will avoid error is by invariably selecting the remedy indicated by the symptoms that ARE PRESENT, AND THE CIRCUMSTANCES WHICH ATTEND THEM, irrespec- tive of any order of succession, except where (as next stated) a par- ticular coins? of medicines is directed to be taken m rotation. b. When the medicines prescribed in this Volume are intended to be taken in succession, one after the other, or in alternation, &c, they will be invariably indicated by figures, viz. 1) MERCURIUS. 2) SULPHUR. 3) CALCAREA. c. As a general rule, however, when consecutive treatment is re- quired with medicines of analogous properties to those below stated, it will be found that such as are named as operating beneficially after others, will be preferable for selection in such relation to former treat- ment, viz. After Aciuum nitricum—Calcarea, Petroleum, Pulsatilla, Sulphur. " Acidum-phosphoricttm—China, Lachesis, Rhus, Veratrum. " Acioumsulphuricum—Pulsatilla. " Aconite—Arnica, Arsenicum, Belladonna, Bryonia, Cannabis, Ipecacuanha, Spongia, Sulphur. " Alumina—Bryonia. " Aniimonium crudum—Pulsatilla, Mercurius. ' Antimonium tartaricum—See Tartarus-emeticus. 64 HOMCEOPATHIC DOMESTIC MEDICINE. After Arnica—Aconite, Ipecacuanha, Rhus, Sulphuric-acidum. " Arsenicum—China, Ipecacuanha, Nux-vomica, Sulphur, Ve- ratrurn. " Belladonna—China, Conium, Dulcamara, Hepar, Lachesis, Rhus, Stramonium. " Bryonia—Alumina, Rhus. " Calcarea-carbonica — Acidum-nitr., Lycopodium, Phospho- rus, Silicea. " Carbo-vegetabilis—Arsenicum, Kali, Mercurius. " China -Arsenicum, Belladonna, Pulsatilla, Veratrum. " Cuprum-acet.— Calcarea, Veratrum. " Hepar-sulphuris—Acidum, Nitr., Belladonna, Jfercurius, Spongia, Silicea. " Ipecacuanha—Arnica, Arsenicum, China, Cocculus, Ignatia, Nux-vomica. " Lachesis—Acidum-phosph., Alumina, Arsenicum, Belladonna, Carbo-veg., Causticum, Conium, Dulcamara, Mercurius, Nux-vomica. " Lycopodium—Graphites, Ledum, Phosphorus, Pulsatilla, Silecea. " Mercurius—Acidum-nitr., Belladonna, China, Dulcamara, Hepar, Lachesis, Sepia, Sulphur. " Nux-vomica—Bryonia, Pulsatilla, Sulphur. " Opium—Calcarea, Petroleum, Pulsatilla. " Phosphorus—Petroleum, Rhus. " Pulsatilla—Acidum-nitr., Bryonia, Sepia. " Rhus-toxicodendron—Acidum-phos., Ammonium-c, Arsenicum, Bryonia, Calcarea, Conium, Phosphorus, Pulsatilla, Sulphur " Sepia—Carbo-v., Causticum, Pulsatilla. " Silicea — Hepar, Lachesis, Lycopodium, Sepia. " Spongia—Hepar-sulphuris, (for instance, in croup.) " Sulphur—Acidum-nitr., Aconitum, Belladonna, Calcarea, Cu- prum, Mercurius, Pulsatilla, Rhus, Sepia, Silicea " Tartarus-em eticus—Baryta-c, Ipecacuanha, Pulsatilla, Sepia. * Veratrum— Arsenicum, Arnica, China, Cuprum, Ipecacuanha. 9. Of Accessory or Palliative Treatment.—In cases of obstinate constifation the use of the clyster or lavement is allowable. The in- jection should consist of cold water, or, if that disagree, of tepid water; in some cases it may also be requisite to add a table-spoonful of olive oil. The quantity of water necessary for the different ages may, under ordinary circumstances, be stated to be twelve ounces for an adult; six or eight ounces for a youth of ten or fifteen; three or four ounces, for a child between one and five years of a«-e; and about one ounce for an infant at birth, or soon after. a. In cases of acute, external, and local inflammation, or more particularly, with wounds in which there is a lodgment of foreign sub- stances, which cannot be extracted, or, where suppuration is not suffi- ciently progressive, we may have recourse to an application, of the nature of a poultice, such as that which is described in the ensuing page (06). PRESERVATION OF MEDICINES. 66 b. All appliances and methods, such as bleeding, cupping, leeching, blisters,—all medicines resorted to according to the old practice,—and all patent and domestic medicines are strictly prohibited. 10. Precaution to insure a proper dose.—When the administra- tor is not certain that the patient will adhere rigidly to the dose prescribed, or w7hen given doses of medicines have to be sent to a distance, the simplest and safest expedient is to drop the globules into as much sugar of milk as wdll envelop them securely, fold the con- tents together in a slip of clean, unglazedpaper, and crush them, from, the outside with the blade of a knife, or some other hard and even substance. 11. When medicines should be taken, &c.—The medicines should invariably be taken fasting (save the understated exceptions), and abstinence from food or drink for about an hour after the administra- tion, is equally important. It is also of great consequence to abstain from excessive bodily or mental exertion, during treatment, and to keep perfectly quiet, if possible, for about an hour after the adminis- tration of medicine. There are exceptional cases, such as modify this rule, which may arise out of accidents or sudden emergencies, but the rule should be followed as closely as possible, even in cases of this kind. INDISPENSABLE RULES FOR THE PRESERVATION AND MANAGEMENT OF HOMOEOPATHIC MEDICINES, ANTIDOTES, &c. 1. Keep your chest closed or your phials in a dark, dry, clean, and cool place, free from odor or scent of any kind,—or, if in a hot climate, in as regular a temperature as possible. 2. Do not change the corks, or use the same phials to contain a different remedy without having previously been assured that it has been thoroughly cleansed, first with boiling and then with cold water. It is better at all times to rinse a phial, which has already contained medicine, with spirits of Avine, and to expose it uncorked to the action of great heat before it is filled with a different medicine. The cork or stopper should be submitted to the same process. The safest way of all is to destroy empty bottles. 3. Let all the medicines be carefully marked and labelled, and abstain from handling two at one time. 4. In preparing your solution for administration, be assured that the glass, or spoon, or other vessel in which you are about to mix it, is perfectly clean. 5. If it is necessary to prepare solutions of two or more medicines at one time, take care to keep them apart, and to mark them so that no mistake can occur. 6. Do not use the same spoon or other vessel to administer two different remedies, without having previously ascertained that it has been scrupulously cleaned. Porcelain spoons are preferable to any metal, on this account, because you are more certain of the thorough removal of any former medicinal substances. 5 36 HOMOEOPATHIC DOMESTIC MEDICINE. 7. If you dissolve your medicines in open vessels, such as tumblers, take the precaution to have them well covered down during the inter- vals between the administration, and keep them in a dark, dry, clean, and cool place, totally free from odor or scent of any kind. 8. Do not resort to any other medicinal agency during homoeopathic treatment, and abstain from any external applications, except such as are prescribed homceopathically. 9. Avoid the use of all articles of perfumery, restoratives, cosmetics, and the like. Camphor, and other popular appliances for cleansing the mouth, &c, &c, are strictly prohibited. The same may be said of smelling salts, &c, &c. 10. The saturated tincture of camphor, as it is used homceopathically, must be kept entirely apart from any other-medicines, or from any vessels or vehicles, such as powders, in which'it is proposed to convey or to administer other medicines. 11. Do not change your course of treatment or your remedies (when change becomes necessary) too suddenly, or without allowing a sufficient pause to elapse, viz., at least twro hours, if possible six hours, in general cases of a severe inflammatory nature, and in malig- nant fevers,—and at least from two to three days (48 to 72 hours), in disease of a chronic kind. 12. If the symptoms be so violent as to compel you to resort to immediate change after any previous treatment, administer one drop of spirits of camphor on a lump of sugar, or a teaspoonful of strong coffee, and then wait one hour, half an hour, or only a quarter of an hour, in urgent cases, before you proceed with further treatment. When, as occasionally happens with persons who are extremely sus- ceptible to the effects of the homoeopathic remedies, an undue medicinal action is developed, giving rise to considerable local pain, or general constitutional disturbance, camphor is, generally speaking, the most effective antidote, particularly to the vegetable medicaments. (See the Table of medicines, &c.) It may simply be inhaled by the nos- trils, or a drop of Tincture of Camphor may be taken on a piece of lump sugar. Coffee, without milk or sugar, is also a useful antidote, provided the patient has not been long accustomed to its use. The same may, in a measure, be said of wine. REMARKS AND REGULATIONS RESPECTING EXTERNAL REMEDIES AND APPLICATIONS. Any remedy, which is prescribed for internal administration as Homoeopathic to a local affection, may be applied to the parts as a lotion, either by dissolving the globules in water, or by using the tincture, usually of a like potency, to mingle with the water. External Application of the Nature of a Poultice.—The simplest and best application which can be used in cases requiring ex- ternal treatment of this nature, to forward and encourage suppuration, or for any other reason, consists solely of a piece of lint saturated with cold water, applied to the parts and kept constantly wet, the whole being carefully covered with oiled silk so as to exclude the air. EXTERNAL REMEDIES. 67 All medicated poultices should be avoided, and are strictly prohibited. External Application of the Nature of Fomentation.—As a palliative application pending the salutary action of internal treatment in cases in which local irritation and tension are excessive, it is allow- able to bathe the parts with water moderately hot by means of a piece of flannel; or to expose the parts to the action of the steam rising from boiling water poured into an open vessel. In cases of sore throat in which the suffering requires to be immediately soothed, or of cold, in which the obstruction and burning sensation in the nostrils is ex- cessively distressing, the patient may similarly inhale the steam of boiling water. All allopathic medicated fomentations should be avoided, and are strictly prohibited. Tincture of Arnica.—This useful medicament, when employed as a lotion to wounds, should always be discontinued upon the appearance of any eruption, &c Individuals, of what is ordinarily designated as an inflammatory habit, or who have very irritable skins, and are liable to be affected with erysipelas, must be very cautious how they use it, and must modify their treatment accordingly,' and abstain from the application upon the earliest appearance of medicinal irritation or ery- sipelatous swelling or redness. Such patients should invariably dilute the tincture with two-thirds more of water (in proportion) than is in- dicated in the directions which occur in various parts of this work, when they have occasion to employ it; and, should this precaution not suffice to exempt them from excessive medicinal aggravation, they should have recourse to calendula-officinalis as a substitute. General proportions of the lotion....................Tincture of Arnica 1 part, to water 6 parts. Or for very susceptible subjects.................Tincture of Arnica 1 part, to water 12 parts. For the eye, or as a gargle for the gums after dental treatment..................................Tincture of Arnica 1 part, to water 20 parts. For an infant under six months old...............Tincture of Arnica 1 part, to water 32 parts. For an infant over six months and under two yea.rsTincture of Arnica 1 part, to water 20 parts. Tincture of calendula-officinalis—may be employed in the treatment of wounds of every description, by those who, from con- stitutional causes, are unable to employ Arnica externally, without subjecting themselves to the inconveniences generated by the character of that remedy. Calendula has moreover an important advantage, over Arnica in very- severe incised or lacerated wounds, wrhere there are indications of a serious scar being otherwise left by the cut. It is also preferable in all severe wounds which cannot heal without previous suppuration. General proportions of the lotion—Tincture of Calendula one part, to water six parts: (for infants and children the same as Arnica.) Tincture of Rhus-toxicodendeon is more especially adapted to the treatment of sprains, for the milder forms of which it is a specific remedy. General proportions of the lotion—Tincture of Rhus-tox. one part to water six parts: (for infants and children the same as Arnica.) Tincture of Aconite.—Aconite has been used externally with great success in cases of local inflammation arising from check of per- spiration (or from other causes), in conformity with its well-known 68 HOMCEOPATHIC DOMESTIC MEDICINE. characteristic properties. Care must be taken to distinguish such cases of inflammation, usually extending to the membrane which in- vests the bone, and affecting joints in particular, from erysipelatous inflammation, to which it frequently bears a striking resemblance. The sudden appearance of symptoms of this nature in young persons, who are particularly liable to accidents arising out of carelessness, &c., and who, at the same time, have no predisposition to erysipelas, may be a strong ground of assurance in respect ofthe character of such in- flammatory action, which may further be explained by a brief inquiry into the previous circumstances. In such cases the external application of a lotion, composed of diluted Tincture of Aconite (simultaneously with the internal administration of the same remedy), by means of linen rag saturated therewith, and applied to the parts, will speedily subdue the symptoms, and preclude more serious consequences. General proportions of the lotion—for a person of adult age, Tincture of Aconite, ten drops to a wine-glassful of water. For a child under twelve years of age, Tincture of Aconite, six dropa to a wine-glassful of water. Tincture of Cantharis or Cantharides.—The peculiar property which Cantharis, or Spanish blistering Fly, possesses of creating a severe burning pain, followed by the effusion of watery fluid beneath the scarf skin, bears so close an analogy to the effects of a burn or scald, with the formation of vesication or blisters, that we can readily con- ceive it well adapted, according to the homoeopathic law, to be an admirable remedy for injuries ofthe like description, or attended with similar symptoms. Cantharis is, in fact, specific as an external remedy, in the treatment of burns or scalds, and is by far the most efficacious, if applied immediately after the injury has been inflicted (otherwise, see Causticum,) and before the application of cold water, acetate of lead, or similar expedients have been adopted. Cantharis is, however, objectionable for persons whose constitu- tional peculiarity renders them susceptible of erysipelatous tumefaction of the skin, in the place of blisters, from the effect of a burn or scald. In these cases, Urtica-didica is specific. In some instances, although very rarely, the external application of Cantharis may produce de- ranged action in the urinary organs, (exemplified by suppression of water); in such cases the mischief is readily counteracted by the inter- nal administration of one drop of Tincture of Camphor on a lump of sugar. The lotion should generally consist of the tincture at the second dilution and water, Avherewith a linen rag is to be saturated, the linen being so wound round the parts as to exclude the air and the moistening repeated as often as it becomes dry. General proportions-three drops of the Tincture of Cantharides, 2d., to every teaspoonfa Tincture of Urtica-dioica, or Urtica-urens—should be used in preference to tincture of Cantharides by those in whom a burn or scald is apt to produce erysipelatous swelling in the place of blistering. But this is the only case in which Cantharides is superseded by Urtica. 3 EXTERNAL REMEDIES. 69 Heneral proportions of the lotion .............Tincture of Urtica-dioica 1 part, to water 10 parts. For an infant under six months old.........Tincture of Urtica-dioica 1 part, to water 20 parts. For an infant over six months and under two years................... ................Tincture of Urtica-dioica 1 part, to water 15 parts. Proof Spirits of Wine.—In mild cases of burns or scalds, if Spirits of Wine can be procured immediately (otherwise, see Causti- cum), speedy relief may often be obtained therefrom, and ulterior Buffering avoided. Apply it warm to the parts (as hot as the patient can bear it), the injured part having meanwhile been exposed to the heat of the fire. Tincture of Causticum, as already intimated under the head of Cantharis and Spirit of Wine, is a preferable remedy to either ofthe foregoing when an hour or two may chance to have elapsed before the use of any remedial application. The Causticum wash is also of much service in more serious burns, and in those of long-standing. General proportions of the lotion—to every tea spoonful of water, add six drops of the Tincture of Causticum at the thivd dilution, and apply frequently to the parts by means of a piece of linen rag saturated therewith. Raw cotton (excepting when the suppuration is excessive, and the weather hot, for which case see Soap),—is highly useful as an external application to burns or scalds of a serious nature, and more especially when the injury extends over a large surface. The method of use is as follows:—Puncture any blister which may have arisen, bathe the sore well with tepid Avater, and then cover the parts with carded cotton or wadding in three layers—removing the outer layer only, and substituting a fresh one—when suppuration sets in. The soap plaster (pure, white, Curd-Soap).—This application is more particularly 'serviceable in cases of burns, where not only the outer or scarf skin, but also the inner or true skin has been destroyed. In serious cases, which have previously been treated wdth the lotion of Cantharides, or Urtica-dioica, and in which the inflammation and pain have yielded to these remedies, but which are too severe (owing to the injuries inflicted on the true skin and adjacent muscles) to heal without suppuration, the soap plaster is a very useful accessory. It should be made and applied as follows: -Moisten the soap with tepid water, and make a thick lather or paste, and spread it upon linen; then puncture any blisters which may appear on the exposed surface, and remove all loose skin. After these precautions, apply the plaster to the parts, and secure it by means of a bandage, being careful that the whole of the injured surface is covered with the plaster. As a general rule, the plaster may remain undisturbed for twenty-four hours, when it should be gently removed and changed: but there are many exceptional cases, and the feelings of the patient should guide us in the removal and change of the plaster, whenever a return of pain is complained of. This course of application should be continued un- til the injured parts are completely healed. The application of the plaster will always be attended with increased pain at first; but this must not deter us from the employment of it, as it will soon be followed by marked amelioration. Flour—may be used as a substitute for cotton or the soap plaster^ when neither of the latter can be obtained at the moment. The 70 HOMCEOPATHIC DOMESTIC MEDICINE. method of application is simply to sprinkle the flour copiously over the injured parts, after having taken the precautions directed to be observed under the heads of cotton and soap piaster^ When it becomes necessary to remove the dry paste formed by the incrustation of the flour, this should be gently effected by first moistening and loosening it, by means of poultices (as directed under the head of external ap- plication ofthe nature of a poultice). Tincture of Arsenicum (at the third dilution),—applicable to bed- sores, and as a local resource, in many cases, of malignant ulceration. General proportions ofthe lotion—to one wine-glassful of water, ten drops ofthe Tincture. Tincture of Carbo-vegetabilis (at the fifth dilution),—in similar cases, as directed for the affection in question. General proportions of the lotion—to two table-spoonfuls of water, twenty drops of the Tincture. Tincture of Cinchona (concentrated). See "Bed-sores," after typhus, &c. General proportions of the lotion—to a wine-glassful of water, fifty drops of the Tincture. Tincture of Sulphur (saturated), in such cases only as those in which it will be found hereinafter prescribed. General proportions of the lotion—to two table-spoonfuls of water, twenty drops of the Tincture. REMARKS AND REGULATIONS RESPECTING THE BATH. The bath may be divided, according to modern appliances, into eight varieties, viz:—the hot and cold salt-water bath, the hot and cold fresh-water bath, the tepid, the showek, the vapor, and the medicated baths. Of these we shall here consider the tvvo first-named only, viz. The Cold Salt-water and the Cold fresh-water Bath ; Except as respects new-born infants, for whom a third variety is necessary, namely, The Hot Fresh-water Bath. All the other varieties, especially medicated Baths, are commonly prohibited. The consideration of the Bath is a matter of essential importance to health, and has been acknowledged as such from the remotest antiquity, and in every climate. It is almost as much a necessary of existence as food or clothing. It involves what is a primarily essential, cleanliness; but, like all generalities, it is subject to exceptional modifications arising out of the condition of the system, or the temporary state of the body; such, for instance, as the presence of an eruption or rash, or the exudation of perspiration after violent and prolonged exercise, both of which would render the bath obnoxious for the time. But for persons who are free from any morbid manifestation which may render the free use of cold wTater objectionable, nothing, perhaps, will tend so much to brace the nervous and muscular construction ofthe frame, and to preserve the sturdy physical power of youth in advanced age, s«j the regular observances ofthe Bath. REGULATIONS FOR THE BATH. 71 General exceptional conditions under which cold bathing should be avoided. When (as is sometimes the case) it is found to induce constitutional disturbance, or is invariably followed by headache, &c, of the same character. When it is followed by lasting chilliness instead of the glow which indicates its healthy action. There are comparatively few instances in which the cold fresh-water Bath disagrees with persons in good health; in such instances, how^ ever, Avhen they occur, the use of a sponge or wet towel must be sub stituted for the bath, and should be followed with brisk friction. When any inflammatory action is present, or when from exertion or from any other cause the skin is moist and the pores are open, the Cold Bath should be avoided. During the presence of headache, other than headache arising from irregularities of digestion or nervous causes. Immediately or within one hour after a meal. Before any meal has been partaken, or, in other words, upon first getting up in the morning. Generally—with a declining temperature, as, for instance, late in the evening, wrhen the temperature of the water will not have declined equally with that ofthe atmosphere. When the atmospheric temperature is not sufficiently high, as com- pared with that ofthe water; or, in other words, when the water feels warm and the air cold. Generally—during the prevalence of cold east winds. General conditions under which cold bathing is beneficial. When the temperature of the water, relatively to that of the atmos- phere, is as nearly as possible that which it wrould reach and maintain, by being constantly exposed to the action of the same atmospheric temperature. When it is always followed by a glow. In affections of a purely nervous character. In the majority of affections resulting from debility of the digestive functions. During an ascending temperature; that is to say, in the earlier part of the day, generally about two or three hours after the first meal, and at an equal distance from the second. When the water is cold compared with the air, but not so cold as to produce a shock or numbness. In this climate, from the end of June to' the middle of September, may be stated as the best season for out-door bathing. In-door bathing—may be continued throughout the year with great advantage, with the precaution that the thermometer in the apartment stand at from 50 to 60 degrees of Fahrenheit, and that the water be exposed to this atmospheric temperature at least six hours (when that is possible) or be raised to from 45 to 55 degrees, if below it. 72 HOMCEOPATHIC DOMESTIC MEDICINE. The swimming bath, or bath in which (if not in open water) there is room to exercise the limbs, is preferable. General precautions to be observed in Bathing. Do not bathe the lower extremities first. The immersion should be complete at once. This need not be effected by plunging,—-when, as is not unfrequently the case, such a method is found to induce headache or temporary deafness. Diving—which is a very common amusement, is very often pre- judicial without sufficient attention being paid to the fact. In general, you should abstain from diving. Never leap into deep water, feet foremost and in an erect position. The best method is to drop into it, the body and limbs being bent together. Do not stand still or remain motionless in the water. Do not remain too long in the water. Five minutes is quite long enough to derive all the advantages ofthe bath. Never remain so long as to become thoroughly chilled. Leave the bath upon the first appearance of cramp. Apply a coarse towel briskly all over the body, as soon as you leave the water; and take pains to dry yourself as thoroughly and as ex- peditiously as possible. Dress as soon as you are thoroughly dry. The bath should be followed by a brisk walk, but not sufficient to heat you. The Salt-water Bath or Sea-Bathing. There has been a popular notion that sea-bathing is always preferable to fresh-water bathing. Nothing can be a greater mistake, and there are a far greater number of exceptions to the proper use of the former than to that of the latter. It is indeed true, that the question of temperature is far less important, in respect of sea-bathing, except, indeed, towards the fall of the year, when the temperature of the atmosphere, in our climate, becomes considerably depressed,—and when, in conformity with one of the '•'•general exceptional conditions'''' above stated, it were advisable for those even with whom sea-bathing generally agrees to discontinue it. But it is a matter of experience that there are a great number of constitutional exceptions. And it is quite as important that all those with whom sea-bathing is found habitually to disagree, should abstain from what, at certain seasons and in certain places, may be a great indulgence. There are instances in which sea-bathing produces a species of nausea similar to that of sea-sickness in persons who are totally exempt from this inconvenience on ship-board. This, then, is clearly a constitutional exception. In brief, however, it may be laid dowm as a rule, that when sea- bathing habitually induces any kind of constitutional disturbance it should be avoided. SYSTEMATIC TABLE. 73 The Fresh-water Bath. The instances in which fresh-water bathing disagrees, may almost be summed up under the head of the '•'•general exceptional conditions''' above stated. The cases of constitutional exception are far less nurne* rous than those which occur with respect to sea-bathing, and there are fewer cases still in which persons who cannot bear fresh water can tolerate the sea-bath. When, however, they occur, they should in- dicate the course of the patient. Temperature of the Bath for Infants. The warm Bath, which is requisite for the treatment of newly-born or very young infants, should never exceed 98 degrees of Fahrenheit in heat. It should in general range from 92 to 98 degrees, according to the effect produced on the child. When the bath is used as a remedial agent, it is important to maintain the temperature at which the immersion had taken place; and it will, therefore, be desirable on all occasions to have a thermometer within, so as to detect and regulate any variations. B The cold bath should be, as nearly as possible, of the temperature at which the atmosphere would place or keep it. It is, therefore, desirable that cold spring water, which has not been exposed to the action of the air, for four hours at, least, should be avoided in hot weather, when the atmospheric temperature would have materially increased the heat of it. Exception to the use of the cold bath.—In almost all cases the use of the cold bath, with new-born or very young infants, is repre- hensible. SYSTEMATIC TABLE, FORMING A SUMMARY OF THE RULES FOR THE ADMINISTRATION AND REPETITION OF THE MEDICINES. In summing up the general regulations for the administration and repetition of medicines, the following particulars may be deduced: OF ACUTE DISEASE, NOT CRITICAL. General Initiatory Remarks. In Acute Diseases, not critical, when, after the lapse of four, or at the most, six hours, no amendment results, another remedy should generally be selected, or the general state of the patient and the nature of the disease should be re-investigated. When, on the other hand, in the course of an hour or twyo, symptoms of improvement ensue—such as moist skin, a clear state of the intellectual faculties, a happier frame of mind, or a gentle and undisturbed slumber, no re- petition or change of medicine must be thought of, until a cessation ofthe improved condition ofthe patient becomes manifest. In Acute Diseases of a severe and critical kind, however—such as severe inflammatory complaints, cholera, croup, nervous fevers, asth- matic affections, &c, the repetition of the dose sometimes becomes 74 HOMCEOPATHIC DOMESTIC MEDICINE. necessary, every five, ten, or fifteen minutes - or, at all events, at inter vals of from one to three hours, subject to the like conditions. When a variety of new symptoms set in after repetitions ofthe dose, combined or not with a sudden aggravation of those which were pre- sent before treatment was commenced, a pause should be made—if the case be not extremely urgent—until these new (medicinal) symp. toms subside, and then a new remedy selected, unless a decided improvement succeeds; in which latter case, the same remedy may be repeated as soon as the signs of improvement begin to give way. 1. That there are two distinct periods in the course of treatment:— the first period, or that in which the medicine is more rapidly repeated to establish a medicinal ascendency over the disease ; and the second period, or that in which the treatment is resumed and continued to complete the cure, or until change of treatment. a. That these two periods are advantageously divided by a pause, during which the medicine may be suffered to exhaust its action, and the variation of symptoms, &c, observed. b. That during the first period, in the treatment of acute disease, which is not of immediately critical character, the intervals between doses should extend over from two to four or even six hours, accord- ing to the severity of the symptoms. c. That, as a general rule, a course of two, three, or four doses, according to the length of the intervals, will constitute the first period; the greatest number of doses agreeing with the shortest intervals. d. That the pause, at the conclusion ofthe first period in the treat- ment of such diseases, should extend over from four to twelve hours, according as the progress of the disease has been checked by the pre- vious treatment or not. 2. That the disease continuing to make head after the pause, whether modified or not (if no suspension or change should appear desirable in conformity with the exceptions below stated), the same treatment should be resumed during the second period. a. That during the second period in the treatment of acute disease, which is not of immediately critical character, the interval between doses should extend over from four to eight, or even twelve hours, according to the severity ofthe symptoms. b. That, as a general rule, one, two, or three doses, according to the length of the intervals, will constitute the second period; the greatest number of doses agreeing with the shortest intervals. 3. That, in the event of no alteration, or, at most, a merely tem- porary mitigation of the symptoms, by the remedy or remedies ad- ministered during the first period, another remedy must be selected as closely analogous as possible to the symptoms present. 4. That, after the completion of the second period, in the event of the re-appearance of symptoms, which have yielded to the use of the remedy or remedies previously administered; the same remedy or ceinedies shall be administered at still more extended intervals. ADMINISTRATION OF THE MEDICINES. 75 That, m this after-treatment, the intervals between doses shall ex tend over from 12 to 48 hours. Conditions creating exceptions to the foregoing Rules. 1. That the repetition of any medicine must be suspended: a Upon the first indication of medicinal aggravation, distinguish able by the features, described under that head at pages 58-59. b. Or, again, upon the intermediate appearance of another symp- tom, or of other symptoms, involving a complication, &c, not covered by the previous treatment. c. Or, again, as soon as a positive degree of improvement becomes apparent. d. To be resumed and re-continued upon the first indication that the natural and original disease is regaining its ascendency, from which we may judge that the medicine has exhausted its active agency. 2. That another remedy must be selected as closely analogous in its action as possible to the symptoms present: a. Upon the intermediate appearance of another symptom, or of other symptoms involving a complication, &c, not covered by the previous remedy. b. If no change, evidently resulting from medicined action, takes place, and the disease continue to gain ground progressively, notwith- standing from 12 to 24 hours of active treatment. c. This condition does not apply to complaints which run a regular course, unless irregular complications, demanding other treatment, Bhould appear; because it is obvious that the homoeopathic treatment wrould have a tendency to promote the development of such diseases. d. The period here assigned for treatment without change (12 to 24 hours), does not apply to critical cases, which are totally exceptional. Of Critical Cases of Acute Disease. 1. That critical cases of acute disease,—such, for instance, as of cholera, croup, or severe inflammatory disorders which are exces- sively rapid in their issue, are not susceptible of the general rules applied to acute disease. a. That the majority of these are individually exceptional. b. That, in their critical acceptation, they are only susceptible of one period of treatment. c That, in cases of this nature, such remedies as Arsenicum, Cuprum, Digitalis, Lachesis, Sambucus, Hepar, Spongia, and Veratrum, may be administered at intervals, varying from five to thirty minutes, ac« cording to the urgency of the symptoms, until beneficial reaction takes place. d. That the evident (andprogressive) decline of the vital principle, notwithstaneling treatment, may in such instances warrant the change ofthe remedy, if there be any hope that the change may produce tfip desired reaction. 76 HOMCEOPATHIC DOMESTIC MEDICINE. e. That, otherwise cases of this nature are susceptible of the same exceptional conditions, as have been reserved for the previous class of complaints (see "conditions creating exceptions, &c," as above). OF CHRONIC DISEASE. General Initiatory Remarks. In Chronic Diseases of a severe and obstinate kind, it is often very advisable to administer a dose of the remedy selected daily, the first thing in the morning (fasting), for a period of from four to eight days; or, in short, until such time as one or more symptoms become de- veloped, which the patient had not experienced, before commencing to take the remedy. When the remedy has been properly selected, the change in the patient's state will commonly occur within or shortly after the periods just named. Should no medicinal manifestations of any kind become apparent, another remedy may be selected, from two to four days after the last dose of the previous remedy has been taken. In chronic diseases, sulphur*, is very often the most appropriate remedy to begin with, if no other is better indicated, and particularly if the patient has previously been affected with any cutaneous malady (Itch). As soon as the symptoms developed by Sulphur have entirely subsided, a new medicament must be administered in accordance with the remaining symptoms (if any); but not for a longer period than from four to eight days. If improvement then sets in, the new remedy need not be repeated until the favorable change ceases to become pro- gressively manifest. But, if no amelioration ensues, although the remedy seems to be correctly chosen, Sulphur may again be resorted to, for from two to four sdays; and so on. It is frequently necessary to fall back upon Sulphur several times in this manner during a pro- tracted course of treatment (see "Eradicative Treatment.") 1. That there are two distinct periods in the course of treatment; the first period in which the medicine is more rapidly repeated to establish a medicinal ascendency-over the disease; and the second period, or that in which the treatment is resumed and continued to complete the cure, or till change of treatment. a. That these two periods are advantageously divided by a pause, during which the medicine may be suffered to exhaust its action and the variation of symptoms, &c, observed. b. That, during the first period in the treatment of chronic disease, the intervals between doses should extend to about twelve hours. c. That, as a general rule, a course of twelve doses will constitute the first period. d. That the pause, at the conclusion of the first period in the treat- ment of chronic diseases, should extend, for the vegetable remedies, generally, over from three to six days, according to the severity ofthe case and the effect produced; and for such remedies as Staphysagria, * See also the article on "Eradicative Treatment." ADMINISTRATION OF THE MEDICINES. 77 Conium, &c., over from four to eight days; for the mineral remedies, generally, over from six to ten days: and for such remedies asCalcarea, Hepar-sulphuris, Gr a plates, Silicea, Stannum, Sulphur, Zinc, dbc, from eight to twelve days. 2. That the disease continuing to make head after the pause, whether modified or not (if no suspension or change should appear desirable, in conformity with the exceptions below stated) the same treatment should be pursued during the second period. a. That, during the second period in the treatment of chronic elis- ease, the intervals between doses should extend over from 24 to 72 hours, according to the severity ofthe case. b That, as a general rule, two, four, or six doses, should constitute the second period, according to the length ofthe intervals—the great- est number of doses agreeing with the shortest intervals. 3. That, in the event of mere temporary mitigation ofthe symptoms by the remedy or remedies administered during the first period, an- other remedy must be selected as closely analogous in its properties as possible to the symptoms present, for further treatment. 4. That, after the completion of the second period, in the event of the re-appearance of symptoms, which have yielded to the use of the remedy or remedies previously employed, the same remedy or reme- dies shall be administered at still more extended intervals. That, in this after-treatment, the intervals between doses shall ex tend over from two to six days. Conditions creating exceptions to the foregoing Rules, respecting Chronic Disease. 1. That the repetition of any medicine be suspended: a. Upon the first indications of medicinal aggravation (which, how- ever, is of very rare occurrence, of a nature to suspend treatment at such intervals), distinguishable by the features described at pages 58-59 under that head. b. Or, again, upon the intermediate appearance of symptoms involv- ing a complication not covered by the previous treatment. c. Or, again, as soon as a positive degree of improvement becomes apparent. d. To be renewred and recontinued upon the first indication that the natural and original disease is regaining its ascendency, from which we may judge that the medicine has exhausted its active agency. 2. That another remedy must be selected as closely analogous in its action as possible to the symptoms present: a. Upon the intermediate appearance of another symptom or symp- toms involving a complication not covered by the previous treatment. b. If no change, evidently resulting from medicinal action, take place, and the disease continue to gain ground progressively, notwith- standing the administration of ten or twelve doses. 78 HOMCEOPATHIC DOMESTIC MEDICINE. OF PREVENTIVE AND ERADICATIVE TREATMENT; And of the Especial Applicability of the Homoeopathic Rule to sioch Purposes. It is too true that the every-day practitioner suffers himself to be too completely engrossed by the actual condition of disease to investi- gate or to provide against its accessibility. The duty, however, of every man who deals with his profession as a noble and humane science, is rather to point out the method of preventing the occurrence of active disease, and of eradicating (if possible) the latent and slum. bering defects of constitution, which may be described as dormant elis. ease, than to confine his attention solely to the treatment of its active manifestation. This great and humane purpose should characterise the philosophy of every medical creed or denomination, and should ennoble, if it may not consecrate any system. I am bound to admit that many amongst the more liberal and comprehensive intellects which have honored the ranks of our medical opponents, have been devoted to the study of this worthier branch of science; and, in my humble opinion, it is due rather to error in the basement of their medical tenets that ther1 labors have led to imperfect results (to say the least of it), than to lack of energy, moral courage, or even very superior intelligence; and I might show a series of instances, were there here an opportunity for such digression, in which the same energy, zeal and talent, with an early impulse in the same direction,—that is, with a sound basis of remediary principle to act upon,—would have led to far different, if not to the most gratifying results. It is not, moreover, unworthy of notice here, that the only instance in which preventive treatment has been indubitably successful, has been that in which the homoeo- pathic principle was the basis of the method. I allude to Vaccination. Yet it is not only true that this resource wras adopted by its illustrious discoverer, rather upon the vague inferences derived from precedent, than upon a fixed and undeviating principle, but that a necessary con- sequence followed, namely, that the research was carried no further. The true basis of principle, upon which the success of Vaccination is founded, is, however, as unalterable in physical relations as the Law of Gravitation; not more so indeed, because both, like all laws which affect Matter, may be overpowered by other forces. This basis is the principle of Homoeopathy, which, if extended to the Prevention, Treatment, and Eradication of every disease, will prove of equally positive efficacy. To be brief, therefore, I will proceed to divide the cursory glance which I propose to direct to this subject into twro distinct sections, namely, that which involves the Prevention of Disease, and that which is devoted to its Eradication. By the term Eradication, I wish to be understood to allude to the method of modifying or removing such unhealthy conditions of the system as necessarily predispose the subject upon whom they operate m particular developments of active Organic Disease. PREVENTIVE AND ERADICATIVE TREATMENT. 79 I would first, however, be understood to confine myself, here, to such general bints as may, with due consideration of the regulations hereafter laid down for the treatment of each Disease as it occurs, enable the non-medical reader to form some idea of the mode in which fhe rule is capable of being applied in the majority of individual cases because it is obvious that this subject alone might require the whole space of more than one of such Volumes as this, ere it was considered in detail. I would' also hint that the rule is so elistinct and positive, that the appropriate preventive treatment of any Disease may be readily inferred from the distinction of the medicines which are specific (that is of positively analogous properties) in its treatment. OF PREVENTIVE TREATMENT GENERALLY. In respect to the Prevention of Disease men of all medical creeds who have devoted their time and toil to the consideration of the sub- ject, hold opinions which are necessarily in accordance to a certain point;—that is, as regards the modification or removal of the external and exciting causes of disease, such as local or general climate, and the substitution of cleanliness, pure air, drainage, &c. There is, how- ever, a limit to the concurrence of opinion, even on some of .these points. We are further agreed as regards some of those causes which proceed from irregularities of living, from excesses, and also from im- proper or insufficient food. Amongst these accessory measures, wdiich are essential to the Pre- vention of disease, I would therefore particularly draw the reader's attention to the following,—involving, first, those which concern the person immediately; and secondly, those wdiich concern the locality immediately, and the person indirectly. 1. Those which concern the person immediately, amongt others, are: a. Exercise, in proper relation to the habits of the individual, to his strength and capabilities of physical exertion, the state ofthe weather, the method of taking exercise, whether active or passive (the latter being rather a modification of the accession of pure air than an appli- cation of exercise properly so called), and the circumstances of climate —involving the degree of altitude or depression of temperature, the time of the day, (the evening being very adverse to health, especially in districts in which thick vapor, lying close to the ground, is observ- able at and after sunset, marshes, &c), and the nature of the atmos- phere at the time — whether unduly charged with or deficient of moisture, or again, whether any particular wind prevail, which is known to be charged with noxious exhalations, as the Sirocco of Southern Europe, &c. b. Cleanliness of person and habitation, which is subject to no ex- ceptional conditions but those—of rare occurrence—which render it impossible. This action may also involve the free use of (cold) water in ablution, except in particular cases. c Ventilation, partly applicable to the person, and partly to the locality, by which I understand the admission and free circulation of pure air, wdthout the action of a direct current or draught, and the 80 HOMCEOPATHIC DOMESTIC MEDICINE. avoidance of close confined apartments, sedulously closed against the external atmosphere. In ninety-nine cases out of a hundred such ex- clusion would repulse, more probably, a restorative of health, than an aggravant of disease. For Nature is more surely in accordance with the requirements of human life, than any artificial means; and science bhould be rendered not a repellant, but an assistant of nature. d. Apparel, by which should be understood all coverings,—which should be as light as possible, consistently with weather, climate, and particular susceptibilities, or habits. The action of the skin is one of the most important functions of life, inasmuch as if irregularly per- formed, it reacts upon all or any of the organs most intimately con- nected with existence. Over-clothing or covering, on the one hand, therefore, may promote an irregular excess of action, which will result either in continued relaxation of the function, and consequent ex- haustion; whereas exposure, on the other hand, may occasion a repres- sion and suspension of action which will inevitably recoil upon the superior organs. The strict consideration of this question is more es- pecially imperative in climates in which the transitions of temperature are sudden, or very considerable. e. Aliments,—hy which I here understand both food and drink, should in every case be modified, in relative proportion, accordiug to the climate, and to exceptional conditions arising out ofthe particular degree of strength or weakness of digestion, which characterises par- ticular persons, or to any casual circumstances which may modify, alter, or deteriorate the digestive functions, and consequently operate upon the appetite. The European native, or the habitual inhabitant of a temperate climate, transplanted into a tropical zone, should de- crease (if not totally eschew) the admixture of animal food, or, if trans- planted into an arctic or very cold climate, might, Avith due regard to condition (especially whether salt or fresh) of such animal food, ad- vantageously increase its proportion;—the habitual use of salt or otherwise seasoned food, is always uniformly prejudicial;-he should also diminish the proportion of stimulating ingredients as the heat of the climate is increased;—under the same conditions he should, more- over^ strictly abstain from the use of stimulating liquor, or if that has previously been habitual,, he should decreased gradually, until very moderate indulgence (if any) remains ;-and he should be very careful not to overload the stomach with either food or drink of any kind It is very important that the European, transplanted into a tropical climate, should neither eat nor drink more than what is absolutely necessary,—inasmuch as every disease to which the inhabitants of temperate zones are subject between the tropics, not only assumes complications particularly implicating the organs of digestion, but very frequently springs either remotely (by predisposition thus occasioned) 01 immediately trom impeded or overtaxed digestion. The person of weak digestion should carefully abstain from all indigestible or stimu- atmg articles of food-should select the plainest dieV-feed to supplv StW0??168 T' aDd T t0 gl'atify the Palate,-should eat but httle at a time, and not at all as the time of rest approaches,—should PREVENTIVE ANn ERADICATIVE TREATMENT. 81 avoid all stimulating food or drink, and should never attempt to force an appetite. Regularity is indispensable to health. f. The habits of living.—Regularity is the great preservative in this respect,—including the just appropriation of the period of rest, as indicated by the secession of light and the dormancy of nature gene- rally,—and consequently early hours, both in resting and rising, and a sufficient but not excessive proportion of rest. The relations of night and day constitute the best directions for the equable adjustment of the due proportion of rest. The summer of temperate zones indicates a less proportion than the winter, as also the tropical night and day indicate a greater equality in the disposition of time. (See, also " Rest,'' under " Investigation of Disease.") Excessive disposition to rest (indolence) is as injurious, on the one hand, as excessive dura- tion of mental or bodily activity; and the regular return of both con- ditions, at corresponding and stated hours, is important. Regularity of habits also includes regularity in the period of feeding or the hours of meals, which is no less important than the former. The art of dividing time in every way is a powerful preservative. 2. The preventive measures, w7hich involve locality amongst others, are: a. Drainage.—If the locality be subject to periodical, irregular, or casual saturation or flooding of water, that is, if it be nearly on a level wdth some adjacent surface of water, such as lakes, rivers with sluggish current, or the sea,—the generally applicable methods of preventing the exhalation of noxious vapors, and the consequent impregnation of the atmosphere with miasm injurious to life, are 1) to create artificially, where practicable, such channels as shall lower the general level of the water, or comparatively elevate the general surface of the soil, and which shall prevent the stagnation of waters; and 2) so to disturb the surface ofthe soil, as by furrowing, ploughing, &c, that the exhalations shall be rapidly emitted, and thereby be subject to dilution and dis- persion, as soon as they transpire. Or again, and especially to towns and crowded districts, in which the accumulation of decomposing or decomposed animal and vegetable matter must necessarily be great, to create so free a vent by means of proper subterraneous canals, and by the removal of all filth, &c. (ex- posed to the action ofthe atmosphere), that any such matters shall be rapidly discharged into such currents as shall remove impurities rapidly, or into such remote receptacles as shall secure the absorption, dilution, or dispersion of all noxious vapors before they can impregnate the habitual atmosphere of the inhabitants. Wherefore, every dwelling to be wholesome should be accessible to the free passage of natural currents of air, and should be provided with an ample and wholesome supply of water, and an easy discharge for all refuse deposits. * b. Modifications of climate, by clearage, tillage, and every othei * Tested interests, stolid indifference, and an indolent disinclination to listen to the voice of reason, too often oppose a formidable barrier to the removal of crying nuisances. If there were any one act of despotic government interference more capa- ble of defence -than another, it would be one which was directed towards effectual sanitary impiovements. 6 82 HOMCEOPATHIC DOMESTIC MEDICINE. result and accompaniment of industry,—which thereby produces a doubly beneficial result 1) by removing the susceptibi ity of the inhabitant to disease; and 2) by removing the cause which too fre- quently generates disease, viz. the unhealthy exhalation ofthe soil. c The choice of habitation as to site, which should be removedaa much as possible from particular geological influences; from localities in*which the water is impregnated wdth mineral substances,—as lead, iron, &c.;—from particular (local) and injurious currents of air,—as in certain valleys;—from the midst of woodland (where a sufficient clear- age should be effected);—from the adjacency of stagnant waters;— and lastly, above the level of the mist or vapor, which consists doubly of the precipitated and of the continued exhalation from the soil, and which is readily distinguishable,—in marshy districts espe- cially,- by the dense wdiite fog, which lies like a separate atmosphere, an elevation of a few feet above the flat soil, after sunset. This subject has lately attracted much attention in the more popu- lous countries of Europe, and is therefore of particular import to the colonist who may have to select the site of his own habitation. * a. Medicinal Preventive Resources. No medicine, unless it be Homceopathic to the disease, or unless its action upon the human organs be analogous to disease, can be really, truly, and invariably preventive. The Preventive measures, as regards the employment of medicinal agents, consist in the repeated adminis- tration, usually in somewhat large doses, at intervals approximately of twelve hours, of one or more of such remedies (for alternation is occasionally requisite,) as most closely assimilate in their specific action, and according to the indications stated for their selection in the case of each particular disease, or which, in combination, by alternate ad- ministration, most completely embrace the distinctive characteristic features of disease, when it assumes an epidemic or even a local pre- valence. The first point is, therefore, to refer to the article hereinafter devoted to the treatment of such particular disease, whereby to ascer- tain the principal remedies quoted, whether any, either singly or in combination (by alternate administration), are described as direct spe- cifics, and thence, to turn to the article on " characteristic effects" for the further elucidation of the symptoms which characterise each of the remedies thus suggested. If under the head of the particular disease one or more remedies under certain circumstances, and qualified by the presence of certain symptoms, are announced as direct specifics, they will, doubtless, when early employed, be the unerring preventives or 'modifiers of the dis- ease. Such, for instance, as vaccination against smallpox, which should be repeated if many years had elapsed since the former opera- tion, or which should not fail to be resorted to by those who have not been previously vaccinated:—Belladonna against Scarlet Fever of which a very celebrated allopathic p?thologist f has gone the length of making the following important admission:—" Belladonna, in very * See So* on P- 81 t The learned Hufeland. PREVENTIVE AND ERADICATIVE TREATMENT. 83 small doses, has been used, according to Hahnemann's recommendation, as a preservative, and many cases have confirmed its utility:"—China and Lobelia (chiefly) against Marsh Intermittent Fevers:—Mer- curius-corrosivus against Dysentery, especially red Dysentery:— Bryonia and khus-toxicodexdron and Arsenicum against some varie- ties of typhus:—Cuprum-aceticum, camphor, and veratrum, against Cholera and Diarrhoea respectively, or against excessive and sudden relaxation, with spasmodic pains and cramps, when the diseases just named are prevalent:—Aconitum and Pulsatilla against Measles :— Aconitum, belladonna, and hyoscyamus, in cases and in particular localities in which Inflammatory Fever, with prominent affection of the brain becomes prevalent, and similarly occurs amongst numbers of persons at once :—Bryonia in cases, and in particular localities in which inflammatory fever, with prominent derangement of the sto- mach, appears (similarly characterised):—Carbo-veg., &c, against Scurvy (see also '■'•Eradicative Treatment,"):—Sabina and secale, etc., against imminent Miscarriage (see also uEradicative Treatment," for cases in which this casualty becomes habitual),—Camphor against severe colds (influenza), when they are wdiat is termed "going through the house.''' In fact, every remedy, as applied to the treatment of a particular disease after it has set in under a particular aspect, is equally applicable to the preservation when the current complaint bears a similar stamp. The Doses—of Preventive remedies should usually be repeated at intervals of about twelve hours, until a degree of medicinal option has set in, when the course may be considered complete; but the action thus excited must be watched, lest it should occur that the prevailing disease (in a modified degree) has supervened. For an adult six globules, for young persons four globules, in a wine-glassful of water; for a child under two years old two globules; for an infant under twelve months old one globule, in a tea-spoonful of water. eradicative treatment. No cure can be complete, where there is latent constitutional taint, without proper eradicative treatment. Scrofula, in one shape or another (or complicated with other diseases), may be considered as the predisposing cause of susceptibility to the recurrence of every disease: —that is as the great parent of disease, and the most common source of the malignity and fatality of other diseases, when not itself the fell destroyer. Eradicative treatment is applicable to the removal or subjugation of defects in constitution, habit of body, or temperament, which ope- rate continually, not only as the predisposing causes of every prevalent disorder, but also as the complicating accompaniment of every disease; or, on the other hand, which resolve—or threaten to resolve them- selves into organic decay, by attacking one or more of the important organs of life especially. Eradicative treatment is also applicable to the extirpation of those slow, latent or occasionally more active chronic diseases wdiich are gradually sapping the constitution, and which would otherwise finally result in general disorganisation, but which have not 84 HOMCEOPATHIC DOMESTIC MEDICINE. hitherto permanently destroyed the functions of any important organ of life. The space, which is necessarily confined in a work of this kind, will not admit of great detail, nor, indeed, could a whole volume such as this exhaust the subject if compressed within the narrowest compass, I have the intention, therefore, of confining my remarks to such gene. ral relations as may afford some idea of the mode in which the treat- ment is conducted, subject to the regulations severally laid.down under the head of each disease (in the subsequent parts of this work), —or, as it would then appear, in the character of a symptom, develop- ment, or manifestation of a more deeply-seated diseased condition— in conformity with the nature ofthe parent disease. The reasons for suspecting and the grounds for ascertaining the existence of such parent disease will be gathered from the article on "The Investigation ofthe Patient," particularly if due regard be paid to parentage (including near relations—uncles or aunts) ; to the part or organ most susceptible to the action of morbid influences, transi tions of climate, the nature ofthe locality generally inhabited, the dis- eases which most frequently affect the patient, and the inveterate or peculiar or dangerous form, which all maladies, affecting the patient, assume. Of these, the question of parentage and near (blood) rela- tions involves the most important and weighty considerations, as thence we may derive the origin of scrofulous habits of body in all their varieties of combination, complication, and development. Indeed wre may not improperly attribute every family defect of constitution, or every manifestation of a latent constitutional taint wrhich appears with greater or less intensity in several, or pre-eminently in one* of the members of a family, to an unwholesome or scrofulous inheritance. Thus to Scrofula Ave may attribute, amongst other derangements: Rickets, or enlargements and curvatures of the bones, and decay or exfoliation of the bones resulting from comparatively trivial circumstances; chronic Disease ofthe skin, or extreme suscepti- bility to the development of morbid appearances of the skin, of an endless variety, or especially to eruptions of the nature of tetters, to ringworm, &c. &c.; imperfect construction of the Brain; and imbeci- lity, or prevalence of susceptibility to derangements of the Mind, especially if complicated with glandular swellings or their cicatrices; torpid, or usually painless Ulcerations, frequently characterised by a degree of putrescence, and commonly discharging a thin, watery, cor- rosive fluid: or which, if somewhat quickly dried up in one part, are * Parents (or a parent) possessing the semblance of sound health, may yet carrv the germs of scrofula in the system, and consequently be capable of transmitting the disease to the offspring; hence the necessity for inquiry into the health of blood relations. Again, although there may not be any hereditary taint in the family of either parents the capability of giving a scrofulous constitution to the offspring mav be acquired by too early or too late a contraction of marriage, by disproportioneo marriages (as lo relative agents), by parental excesses, &c, and by any cause which may tend to injure the c nstitution of one or both parents-as improper or insuffi cient food impure air, nfnl of the one solution four hours after the ether, in rotation, until amelioration or change. Ipecacuanha may be selected in the early stage of typhus, when it is ushered in by prominent symptoms of derangement in the di gestive organs, such as headache, giddiness, nausea, vomiting, Avatery, velloAV or greenish, slimy evacuations; particularly wrhen these are associated with slight chills alternately with heat, or considerable shivering with slight heat, or marked heat with but little shivering. Dose: Four globules in a tea-spoonful of w»f.er every three hours until amelio- ration or change. 100 HOMCEOPATHIC DOMESTIC MEDICINE. Pulsatilla may also beselected in this stage ofthe disorder, when frequent shivering, bitter taste, Avhitish tongue, loss of appetite, ^ nau- sea, vomiting of phlegm, slimy evacuations, and febrile heat inter- mingled Avith chills prevail; and more particularly Avhen these symp- toms become exacerbated towards evening, and occur in mild, tem- perate, or phlegmatic subjects, or in females, Avith extreme depression of spirits and tearfulness. Dose : Four globules in a tea-spoonful of water every three hours, until ame- lioration or change. Digitalis is indicated when nervous fever, or rather typhus, accom- panied by bilious derangement, is ushered in by yellow, jaundiced hue of the skin; violent, bilious, spasmodic pains in the stomach; sensi- bility of the upper part ofthe stomach, on the left side, on pressure ; frequent urging to make water, particularly at night, Avith scanty urine ; burning heat ofthe head and face ; anxiety of mind and dread of some imaginary, impending misfortune; urination painful and diffi- cult, or entirely suppressed. Dose: Six globules in a table-spoonful of water every three hours, until ame- lioration or change. Nux-vomica. Symptoms of stomachal derangement, constipation, with frequent inclination and ineffectual efforts to evacuate. Nux- vomica is further indicated Avhen the spasms, which not unfrequently accompany this disease, are confined to the stomach and intestines, particularly the inferior bowel—a frequent cause of the above-men- tioned constipation ; painful and difficult emission of urine; painful pressure and tension in the regions about the stomach and the loAver ribs ; sensation as if the limbs Avere bruised : general nervous excita- bility, Avith great nocturnal restlessness and slight delirium ; Aveakness and aggravation of the symptoms in the morning. Temperament, sanguine or bilious ; disposition, irritable and impatient. Dose: Six globules in a table-spoonful of water every four hours, until ame- lioration or change. China. This remedy is frequently of service in the first stage, or when paleness of the face, lancinating, rending, aching, or pressive headache, cloudiness of \usion, buzzing or roaring in the ears, dullness of hearing are present; yelloAv or Avhite coating on the tongue, dry- ness of the mouth, insipid clammy, or bitter taste ; inclination to vomit; sensibility and distension of the belly; thin, yelloAv, watery motions, occasionally intermixed Avith undigested substances; urine scanty, pale or dark colored and cloudy; oppression at the chest; dragging shooting pains in the limbs; anxiety, sleeplessness, and gene- ral coldness and shivering. Dose: Six globules in a table-spoonful of water every six hours, until ame- lioration or change. Aconitum. Belladonna. These are the best remedies in the incipient stage ofthe disorder, Avhen inflammatory symptoms declare themselves from the commencement. The selection between Aconite and Belladonna will be gathered from the subjoined symptomatic in- dications, and from the article on the " characteristic symptoms? tin- TREATMENT DURING THE PREMONITORY AND INCIPIENT STAGES. 101 der the head of these remedies respectively. It should be added here, that when the elisease becomes further developed, and still retains the inflammatory character—Bryonia and Rhus respectively, according to the symptoms, are generally preferable. Aoonitum is indicated in the incipient stage by the presence of the following symptoms:—Chill followed by burning heat, strong, hard and quick pulse, dry skin, mouth, lips and tongue; the latter being generally of a bright red, but sometimes also slightly coated with Avhite ; excessive thirst; red and scanty urine; hurried breath- ing ; the symptoms being aggravated or modified, according to the greater or less irregularity of the pulse. The condition Avhich dis- tinctly points to Aconite, as the remedy (when other complications are not present), consists in the aggravation of the above symptoms at night, often attended with slight delirium. Should the delirium become violent, and considerable cerebral disturbance be otherAvise manifested, or should, this particular symptom not yield rapidly to the action of Aconite;—when, moreover, the skin continues hot and dry, and the bowels relaxed, or the motions are even passed involuntarily, or Avhen there is inflammation of the glands ofthe throat (tonsils), or red, parched tongue, great thirst Avith disinclination or dread to satisfy it, it Avill be preferable to administer Belladonna until the indicative symptoms yield. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every three hours, until amelioration or change. In mild cases in which the symptoms yield readily to the action ofthe medicine, the repetition may be deferred to intervals extending to twelve hours. Belladonna is particularly indicated by the folloAving symptoms, in addition to those above enumerated: .alternate heat and chills, or general heat externally and internally, Avith redness, burning heat, and bloated appearance of the face, or alternations of coldness and paleness, and heat and redness of the face, violent throbbing of the large arteries in the neck; redness, sparkling, and protusion ofthe eyes, with dilation of the pupils, extreme sensibility to light, and distortion ofthe eyes ; singing or noises in the ears to a greater or le?q degree ; wild expression of the countenance, with uneasy glancing around, as if from fear, sometimes attended Avith a marked inclination to run aAvay; violent shooting pains in the forehead ; or dull heavy pain, causing the patient to put his hand frequently to his head ; sopor; furious delirium or loss of consciousness; delirium and snatching at the bedclothes, or spasmodic or convulsive attacks; parched lips, soreness of the corners of the mouth, redness and dryness ofthe tongue, Avhich is also sometimes foul, and covered with a yellow coating ; skin hot and dry; bitter taste in the mouth, intense thirst, difficulty of deglutition, especially of liquids ; nausea ; pressure at the pit of stomach; excessive distension of the boAvels, and constipation, or Avatery motions; scanty and red or amber-colored urine; rapid respiration; pulse full and accelerated, or quick, hard and wiry; in- flammation and swelling ofthe glands before and benca h the ears. Dose Dissolve six globules in three table-ppoonfuls of water, and give a tea- 6uoonfnl ofthe solution every four hours, until amelioratioa or change. In 102 HOMCECPATHIC DOMESTIC MEDICINE. mild cases, or when the symptoms yield readily to the action ofthe medicine. the repetition may be deferred to a period of twelve hours, and repeated at such intervals, until amelioration or change. Stramonium is indicated by symptoms ofthe same nature as those which indicate Belladonna, wdth the addition ofthe following:— twitching of the muscles ofthe face, starting of the tendons, squinting, trembling ofthe extremities, tremulous motion ofthe tongue on pro- trusion, burning heat of the body, suppression ofthe urine, fantastic gesticulations, and involuntary spasmodic smiling. Dose : Four globules in a tea-spoonful of water every three hours, until ame- lioration or change. Hyoscyamus is indicated by the same symptoms as have been stated at length under the head of Belladonna, with the addition of the following :—twitching of the tendons, strong, full pulse, fullness of the veins, burning heat ofthe skin, sensation of pricking all over the body, and constant delirium ; frequent but ineffectual urging to uri- nate. Dose: Three globules in a tea-spoonful of water every three hours, until the symptoms are distinctly modified or changed. Baptisia (Wild Indigo) is especially required when the weak and tremulous feeling; the quick (90) full, and soft pulse ; the internal and external heat, with thirst; the headache and tendency to delirium ; the tongue yellowish-browm in the centre and red at the edges ; the constipation alternating with diarrhoea ; all contribute to make up the morbid picture ;—hot dry skin and a quick full pulse ; the tongue is thickly covered wdth a whitney-brown fur ; the head aches, and there is at least noctural delirium; no appetite and great thirst; the urine is high colored, and generally with constipation. ■ Dose: The same as directed for Stramonium. TREATMENT OF ABDOMINAL TYPHUS ; That is, typhus with tenderness and distension of the belly, griping, or sometimes dull, continuous pain, diarrhma, &c. Mercurius will be found a most efficient medicine, if immediately employed when the disorder assumes the low form of abdominal typhus, or occurs in persons of sluggish constitution and slow circu- lation, and is attended with pale, yellowish appearance of the face, severe headache, or sensation as if a tight band were across the fore- head ; thickly-coated tongue; bitter or foul taste; little thirst; sensi- tiveness of the region about the navel and the pit ofthe stomach to the touch and distension ofthe belly; evacuations, copious, watery, floc- culent, or slimy and even bloody, sometimes qualified by straining without evacuation; at first, dry burning skin followed by profuse, debilitating sweats; depressed pulse, and great prostration ; extreme restlessness and anxiety, with constant tossing about in bed ; and dis- turbed, unrefreshing sleep with anxious dreams. Dose: Six globules in a tea-spoonful of water, every two hours, until the eva citations become diminished in number and improved in appearance, and the TREATMENT OF ABDOMINAL TYPHUS. 103 tenderness and pain in the lower part ofthe stomach, <&c, are relieved. After which, some other remedy must be selected, in accordance with the remain- ing symptoms: consider Acidum JSitricum, amongst others. Rhus-toxicodendron is especially indicated in abdominal typhus characterised by continued heat and dryness of the skin; violent de- lirium; oppression at the heart, with sighing and moaning ; pains in the limbs; extreme debility; tongue and lips dry and red, or covered with a brown or blackish, tenacious fur; red, burning cheeks; con- vulsive tAvitching ofthe tendons, snatching at the bedclothes, drowsi- ness or stupor, Avith muttering and loud, nasal breathing; weak, ac- celerated pulse ; anxious expression of countenance; sleep disturbed, or prevented by the frequent recurrence of sudden starts; eyes in- flamed, watery and insensible; features collapsed ; breath exceedingly offensive; involuntary evacuation of excrement and urine; coldness ofthe extremities; sinking energies; livid spots and miliary eruption. Dose : Dissolve twelve globules in three table-spoonfuls of water, and give a tea-spoonful of the solution every two hours until three doses have been given; then extend the intervals (or sooner, if distinct improvement take place)to four hours, and continue the administration until the symptoms par- ticularly indicative subside or become altered. If no alteration follow the fourth dose, or the aspect of the symptoms be as follows, proceed with the next remedy. Camphor frequently proves useful after Rhus, particularly Avhen the following symptoms prevail; heat of the head with confusion of ideas, or violent delirium ; giddiness; throbbing headache; burning heat in the forehead : cold and clammy skin; continuous coldness of the hands and feet; debilitating and clammy SAveat; tendency to violent relaxation of the bowels; scanty cloudy urine, which deposits a thick sediment; great weakness, and feeble, scarcely perceptible pulse. Dose: One drop of the saturated tincture on a small lump of loaf sugar, every quarter of an hour, until distinct amelioration or change :—or if the more urgent symptoms have yielded, and the following remain, proceed with ths next remedy. Cocculus may often follow either Rhus or Camphor (after the previous employment of Rhus), especially AAdien the great debility con- tinues, and the patient complains of giddiness and headache ; or when there is a tendency to swooning or paralysis of the limbs, and when there are prominent symptoms of derangement of the digestive func- tions. Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-spoonful every two hours, until amelioration or change. These remedies either singly or in alternation are amongst the most important, in cases of a desperate character, and when the most alarm- ing symptoms occur. Arsenicum. This is decidedly one ofthe most important remedies in abdominal typhus, especially in the second and third stages, some- times restoring the patient when almost beyond the reach of hope, and renovating the vital spark. The chief indications for its employ- ment are :—extreme prostration of strength,—falling of the loAver 104* HOMCEOPATHIC DOMESTIC MEDICINE. jaw,—open mouth,—dull and glassy eyes,—bitter taste, inclination to vomit,—pressure and aching at the pit of the stomach, pain in the right side ofthe inferior region of the belly,—bursting bead ache,— giddiness, —violent or Ioav muttering delirium,—droAvsiness,—flatulent distension of the bowels,—burning thirst,—dry, hot skin,—parched, cracked, sometimes blackish-looking clammy tongue,—and violent and continuous relaxation of the bowels ; pulse scarcely perceptible, and intermittent. Dose: If singly, of a solution of six globules to three table-spoonfuls of water, give a tea-spoonful every quarter of an hour (in very critical cases), or every hour (in less urgent instances) until amelioration or change, doubling the length of the intervals as soon as distinct improvement occurs. If in alter- nation with Veratrum.—Dissolve separately six globules of each remedy in three table-spoonfuls of water, and give one tea-spoonful of the one half an hour after a similar dose of the other (in very critical cases), in rotation—or at intervals of one hour (in less urgent instances) until amelioration or change. Veratrum is occasionally useful after or in alternation Avith Arseni- cum, Avhen the inferior extremities become cold and covered Avith cold sweat. Dose: In every respect, singly or in alternation with Artenicum, as directed for the latter remedy. Carbo-vegetabrlis may also prove serviceable in very critical cases. It is indicated Avhere we find drowsiness Avith rattling respira- tion,—face pinched, sunken, and death-like,—pupils insensible to light, pulse scarcely perceptible, and the vital power rapidly sinking, —cold perspirations on the face and extremities,—involuntary and offensive evacuations,—deep-red urine, with a cloud floating in it, or rising towards the surface. In abdominal typhus, hoAvever, the more par- ticular indication consists in symptoms of incipient ulceration, or in signs of so-called putrescency. The following symptoms are also distinctly indicative of this remedy: —burning, lancinating pains about the region ofthe stomach, and deep in the bowels, which become renewed after partaking of food of any kind, and are accompanied by great anxiety, excessive flatulency, and the evacuation of burning, light-colored, fetid, watery, bloody stools, attended with painful urging; desire for salt food, and for coffee, with aversion to meat, generally, and dread of indulging the craving, lest the sufferings be aggravated. Dose : In every respect, singly or in alternation with Arsenicum, as directed for that remedy, above. TREATMENT OF THE SECOND OR ACTIVE STAGE IN TYPHUS, Whether of the inflammatory or low variety. Bryonia is more particularly indicated when the disorder assumes the character of inflammatory nervous fever, or typhus especially af- fecting the brain, Avith violent, stupefying headache, as from a blow, and pain across the forehead and at the temples, as if the head would burst; frequently raising of the hands to the head. Aggravation oi these sensations by movement—continued, violent delirium with ex- cessive febrile heats; foul, thickly-coated, yellow tongue, or dry. TREATMENT OF THE SECOND OR ACTIVE STAGE OF TYPHUS. 105 ;racked, tongue, Avith parched mouth and great thirst, and vesicles in the mouth or on the tongue ; furred lips; nausea, inclination to vo- mit, or vomiting of mucous and bilious matter; tenderness of the pit ofthe stomach, when touched; general heat of the Avhole bc:ly, dryness of the skin, redness of the face, and profuse perspiration during the fever; sensibility about the region of the stomach; distension of the belly, oppression at the chest, and frequent sighing and moaning, indicative of threatening miliary eruption ; constipation, or relaxed stools ; urine of a deep orange color or bright yellow, Avith yellow sediment; sensation as of a plug in the throat, Avith difficulty of hearing; stitches in the side; drowsiness or disposition to sleep during the day; sleeplessness, fugitive heat, and excessive restlessness, or continued droAA'siness or stupor, with startings and unpleasant dreams; painful shootings and soreness of the limbs, aggravated by 'movement; trembling ofthe hands; pulse quick, soft, frequent, or ir- regular, small andintermitting; miliary interruption, livid spots; ir- ritability, irascibility, despair ojf recovery. Dose: It singly. Under very favorable circumstances, of a solution of six glo- bules to three table-spoonfuls of water, give a tea-spoonful every twelve hours :—in cases which assume the more serious features, a similar dose should be repeated every three hours, until amelioration or change.—If in alterna- tion with Rhus. Dissolve separately, six globules of each remedy in three table-spoonfuls of water, and give a tea-spoonful of one solution four hours after the like dose ofthe other, in rotation, until amelioration or change. Eupatorium-perfoliatum. Pain in the bones, attended Avith hot dry skin. This remedy has been highly recommended by the most successful practitioners as Drs. Williamson, Xeidhard and others. Dose: The same as is directed for Bryonia. Rhus-toxicodendron. This medicine is more peculiarly suitable to the low form or stage,—Bryonia being more applicable to the in- flammatory,—but will frequently be found serviceable in all the stages of the disease, particularly when there is undue relaxation ofthe bowels, congestion to the head, oppression at the chest, and great Aveakness. The headache is generally of a stupefying nature, with a feeling as if from a bruise, but not so severe as that indicating Bryo- nia; the tongue presents nearly the same character, less nausea and inclination to vomit exist; violent pain is present about the region of the stomach, especially when touched. Constipation as named of Bryonia, but more frequently copious, yellowish, or loose, bloody evacuations, with severe cutting pains in the belly ; the s)mptoms are general heat, and those of the lace resemble those mentioned under Bryonia, but without the perspiration, or at most, a clammy feeling ofthe skin. The urine is hot, dark colored, or at first clear, and after- wards turbid ; the symptoms ofthe ears the same; sleep also the same; difficult deglutition of solids, as if from contraction of the throat and the gullet; general trembling, debility, and pyrostmtion, almost amounting to paralytic weakness of the different limbs; shooting pains in various parts of the body, aggravated when at rest or at night, and momentarily relieved by moving the part affected ; pulse quick and small or weak and slow; as mental or moral symptoms, 106 HOMCEOPATHIC DOMESTIC MEDICINE. we may notice, excessive anguish, anxiety, extreme lowness ol spirits, and disposition to weep. Dose: Whether singly, or in alternation with Bryonia, in all respects as di rected for the latter remedy above. Arnica is also of some importance in low or sluggish nervous fever, with lethargy, or delirium, and snatching at the bedclothes ; or when the patient lies in a state of unconsciousness as if he had been stunned by a concussion of the brain. Dose: Three globules in a tea-spoonful of water every four hours, until ame- lioration or change. Pulsatilla is often of considerable service in the second stage of typhus, when slight delirium, tears and lamentations, alternating with drowsiness, preATail. Dose : Three globules in a tea-spoonful of water, repeated, if necessary, at the expiration of four hours, and so until amelioration or change. But, if any of the under-mentioned symptoms declare themselves, proceed with the nex< remed}-. Acidum-phosphoricum is frequently required, either AAdien, at the commencement of the disease we find great exhaustion and pros- tration, with wandering even when awake; or in almost hopeless cases (alone or still better in alternation with Rhus) when the patient is always found lying on the back in a drowsy state, and either makes no reply Avhen spoken to, or ansioers incoherently; or in other in- stances, and especially after the previous employment of Pulsatilla, when the following symptoms prevail .-—constant, loquacious delirium or low muttering ; snatching at the bedclothes ; fixed looks ; seeming efforts to escape from some alarming object; black incrustations on the lips; dry, hot skin ; continual, copious, watery discharges from the boAvels, the motions being in general involuntary : bloody evacuations- frequent, weak, and occasionally an intermitting pulse. Dose: Three globules in a tea-spoonful of water, at first every hour, extending the intervals to three hours as soon as the symptoms are modified, and con- tinuing the administration until positive amelioration or change.' Or if the under-mentioned symptoms should in particular continue unmodified proceed with the next remedy after a lapse of three hours, from the last dose.' Aeidum-nitricum should be administered after or during the course of Acidum-phosphoricum—hut not within less than three hours of a previous dose ofthe latter,—if the bloody evacuations fail to yield readily to the previous treatment. Aeidum-nitricum is moreover particularly useful when there are white specks in the mouth and throat; sensibility ofthe belly on pressure; relaxation ofthe bowels and slimy acrid, greenish-colored stools; straining; intestinal ulcl rations; shooting pains in the lower bowel; scalding when passing water ; and tendency to collapse. In some cases it is necessary to aol minister this remedy by injection or enema, as below stated. Dose : Three globules in a tea-spoonful of water, repeated, if necessary, after four hours (or every four hours till the symptoms yield), returning to AciduZ phosphoruum, if requisite, or proceeding with next remedy, after a paused three hours if the under-mentioned symptoms, in particular, supervene The Enema should consist of six drops of the tincture at the third dilution 4 every two table-spoonfuls of water. B ^ TREATMENT OF THE SECOND OR ACTIVE STAGE IN TYPHUS. 107 Cantharides should be administered after or during the course of either of the three foregoing remedies, but not within less than three hours of a dose of any other medicament ifpainful evacuation of water be distinctly manifested. Dose : Three globules in a tea-spoonful of water, repeated, if necessary, after an interval of three hours (or continuing at such intervals until the indicative symptom is positively subdued), returning to either of the foregoing, or pro- ceeding with other treatment, or suspending treatment, according as the pre- valence of particular symptoms or general improvement be manifested. China is sometimes of considerable value in the second stage of this disease, especially Avhen the attack has become protracted and tedious, and the following symptoms in particular have declared themselves: — nocturnetl sweats, obstinate relaxation ofthe boAvels, but unatteneled with pain in the boAvels, the tongue at the same time being clean. Dose : Three globules in a tea-spoonful of water, every four hours, until ame- lioration or change, unless, after the third dose, the sweats remain unmodified, when proceed with the next remedy, after a pause of four hours. Rnlphur should follow the third dose of China in the event ofthe continuance ofthe sweating, notAAnthstanding the previous administra- tion of the latter remedy. Sulphur has also been found of consider- able service,—Bryonia, Rhus, or Acidum phosphoricum having been fruitlessly administered, but particularly Avhen the folloAving symptoms were encountered : pale and collapsed countenance, burning, itching eruptions on the lips, dryness ofthe mouth: foul, dry tongue; bitter taste; slimy or bilious vomiting; tenderness of the region about the stomach, and pain as from excoriation of the parts about the navel, increased on pressure; flatulent rumbling in the bowels; frequent, watery, flocculent, or yellow evacuations; cloudy urine, depositing a reddish sediment; miliary eruption; eruption with a discharge of matter; bleeding at the nose ; stitches in the chest, oppressed breath- ing ; dry cough, worse towards evening and at night; sleeplessness, or whining during sleep ; dry heat during the day, with moderately quick pulse, and profuse sweating at night. Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea- spoonful of the solution every six hours, unless, after the second dose, the following symptoms be present, when proceed with the next remedy. Acidum-sulphuricum should folloAv the second dose of Sulphur after an interval of six hours, if the sweating be yet very profuse, par- ticularly if soAvhen lying still and modified by movement; or it should even precede either or both of the preceding remedies, if the sweating be very profuse when lying still and diminished by movement. Dose : Three globules, in a tea-spoonful of water, every four hours, until ame- lioration or change. Calcarea, 1 Calcarea-c. may sometimes be adminis- Hepar-sulphuris, > tered advantageously, alternately with Belr Lycopodium. ) ladonna, Arsenicum, or Rhus, according to the symptoms; it is further, occasionally, a most efficient remedy in cases in which debilitating relaxation ofthe bowels, or bleeding of the nose, will not yield to such remedies as Acidum-phosph., Rhus, China, &c.; lastly, Calcarea-c. may be exhibited with advantage 108 HOMCEOPATHIC DOMESTIC MEDICINE. where there are symptoms of impending miliary eruption, jerkings 01 tAvitchings in the limbs, particularly in children, tendency to inflam- mation ofthe membranes ofthe brain, delirium, &c. Dose: Of a solution of six globuleB to tjhree table-spoonfuls of water, give a tea-spoonful every three hours until amelioration or change.—Or if the under- mentioned symptom should declare itself, or having been previously present should continue unmodified after the third dose of Calcarea, proceed with the next remedy, after a pause of four hours. Hepar-sulphuris should follow the third close of Calcarea after an interval of four hours if discharge ofblo'odfrom the nose should super- vene, or, having been previously present, should continue AATithout material improvement; except, indeed, the presence of other symp- toms of a more urgent character should require the administration of other remedies, such as Pulsatilla, Belladonna, Rhus, or Sulphur. Dose: Three globules, In a tea-spoovfful of water, repeated, if necessary, after au interval of four hours—or c<>,itinued, at such intervals, if requisite, until the distinct modification of the indicative symptom. Lycopodium is often^a valuable remedy after Calcarea, (with or without the intermediate administration of Hepar-s. according to circumstances,) in the second stage of typhus, when miliary eruption is sloAvly and scantily developed, and the folloAving symptoms occur: drowsiness with muttering delirium ; confounding of Avords; stam- mering ; twitching ofthe tendons, snatching at the bedclothes; flatu- lent distension of the boAvels, with constipation ; affections of the bladder ; or when there are shiverings alternating with heat; circum- scribed redness of the cheeks; debilitating sweats; excessive debility ; complete hanging of the lower jaAv; halt-closed eyes; slow respiration ; or, state of excitement, Avithout heat or congestion in the head or face; redness of the tongue; constipation; burning urine; tranquil and resigned state of mind, or surliness and malevolence, especially on waking. Dose: Three globules, in a tea-spoonful of water, every three hours, until ame- lioration or change. In case of amelioration, pause until the symptoms evi- dently retrograde, when resume, at intervals of six hours, as long as neces- sary.—In the case of change suspend treatment for four hours, and continue with the remedy newly indicated. Lachesis may prove serviceable in fever analogous to typhus, attended Avith giddiness on rising or sitting up; muttering ; bitter taste; delirium; hanging of the lower jaAv ; vacant expression of countenance; sunken features; yellowish tongue, Avith bright-red margins; cracked tongue; smooth, dry tongue, or furred, white, slimy tongue ; heaviness of the tongue, with difficulty of protruding it, and inarticulate speech ; seeming paralysis of the eyelids ; lethargic sleep, and tendency to lie in the prone position ; thirst, with disincli- nation to drink ; brownish-red, copious urine. Dose : Three globules, in a tea-spoonful of water, as directed for Lycopodium: —or if the symptoms be very urgent, begin by administering at intervals of two hours—extending the intervals to four hours after two doses have been given. Phosphorus is of great service where Ave find great dryness ofthe tongue heat of skin, small, hard, quick pulse, painless relaxation of the TREATMENT OE THE SECOND OR ACTIATE STAGE IN TOPHUS. 109 bowels, Avith excessive flatulent rumblings ; or Avhen the disease be- comes, as it Avere, concentrated in the lungs, and there is consequently congestion, with extremely laborious breathing and excessive anxiety, dullness on percussion, mucous rattling, stitches during respiration, cough, Avith copious expectoration of phlegm mixed with blood or even offensive matter, more benefit may be looked for from this than from any other remedy. Phosphorus is also serviceable Avhen, notAvith- st an ding the pneumonic concentration, there is, moreover, sensibility and rumbling on the right side ofthe lower part ofthe belly, or Avhen there is continued heat of skin, Avith small, hard, accelerated pulse, throbbing of the great arteries ofthe neck, and nocturnal sweats; sleep disturbed by crowding of ideas, weeping, whimpering, sudden cries, and restlessness. The patient awakes from sleep complaining of great thirst and dryness of the mouth, excessive heat, and aching of the Avhole body. In addition to these symptoms, there is a burning sensation in the belly and fundament, with frequent semi-fluid stools, streaked with blood ; giddiness, confusion, and throbbing pains in the head; deafness: frequent discharge of blood on bio Aving the nose, and heat in the face; tongue and lips dry and cracked; bitter taste; co- pious eAracuations of urine, Avhich deposits a AAThitish or reddish sedi- ment ; delirium ; obstupefaction. Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea- spoonful ofthe solution every four hours, until amelioration or change. ' Acidum-muriaticum. "Weakness, with a constant tendency to sink town in the bed, Avith groaning during sleep, almost paralytic state ofthe tongue, rendering it nearly impossible for the patient to speak, even Avhen in a collected state, and great dryness ofthe mouth. Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-spoonful every three hours, until amelioration or change. Natrum-muriaticum is recommended in nervous fevers Avith great debility, insatiable thirst, dryness ofthe tongue, and loss of con- sciousness, and particularly Avhen they folloAv in the course of antece dent debilitating diseases. Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-spoonful every three hours, until amelioration or change. Hellebonis has also been found of great utility in nervous feArer, occurring after other febrile affections, such as scarlatina, measles, stomachal fever, worm fever, and cholera, with pain as from contu- sion, combined with tumefaction, in the integuments of the head; disposition to somnolency, Avith confusion of ideas, and extreme rest- lessness : dark, cloudy urine; heaviness, or feeling of stiffness and powerlessness in the limbs; depression of spirits, and obtuseness ofthe faculties. Dose: A solution of six globules, as directed for Natrum-muriaticum. Secale-cornutum is, in like manner, with Natrum-m. and Ifelle- horus, recommended by many homceopathists who have had frequent opportunities of treating nervous fevers, particularly in cases occurring in the wake of other diseases; but is more especially appropriate Avhere 110 HOMCEOPATHIC DOMESTIC MEDICINE, the symptoms developed clearly proceed from irritation ofthe spinal nerves, with wandering, fugitive, spasmodic pains, extending from the base and column of the spine into different parts of the body; the spasms which affect the face become subsequently of an intermittent nature ; whilst those that have their seat in the hands and feet par- take of a continued character. This remedy is further indicated by dry heat of the skin, insatiable thirst, accelerated pulse, great rest- lessness and sleeplessness; excessive languor, and aversion to food. Should the spasmodic affections readily yield to the employment of this remedy, but if the febrile symptoms continue, some other remedy appropriate thereto must be prescribed. Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea spoonful of the solution every three hours, until amelioration or change. Arsenicum, ) These remedies are of signal importance, eithei Veratrum, v singly, in succession, or in alternation, according to Carbo-veg. ) the individuality, succession, or combination ofthe Bymptoms present, in the second stage of typhus, in all desperate cases in which vitality becomes nearly extinct. For distinctive indications the reader is referred to the foregoing prescription of these remedies, ander the head of Abdominal Typhus (at page 10H). Dose: If singly, of either remedy:—Dissolve six globules in three table- spoonfuls of water, and give one tea-spoonful of the solution every quarter of an hour (in very critical cases), or every hour (in less urgent instances), un- til amelioration or change, doubling the length of the intervals as soon as distinct improvement ensues.—If in alternation. Dissolve, separately, six globules of the remedies to be used alternately in three table-spoonfuls of water, and give a tea-spoonful of one, half an hour after a similar dose ofthe other (in very critical cases), in rotation, or at intervals of an hour (in less urgent instances), until positive amelioration or change doubling the length ofthe intervals as soon as a degree of improvement is evident. Carbo-veg. In addition to the indications given for this remedy, under the head of Abdominal Typhus, the following symptoms are characteristic of its employment in the second stage : excessive anxiety, and burning heat ofthe skin, arising from congestions to the head and chest; the eyelids agglutinated during the night; deafness, and ring- ing in the ears ; bleeding from the nose, and obstruction of the nose from incrustations, eruption around the nose, and brOAvn or blackish, cracked lips; the legs drawn up during sleep, and the sleep restless, and disturbed by frequent waking. Dose: Three globules in a tea-spoonful of water, every three hours, until ame- lioration or change, when thus specially indicated ;—when, as above, singly or in alternation, the dose should be as directed under the last head. TREATMENT OF TYPHUS CHARACTERISED BY STUPOR. In treating of this variety of the malady it will be unnecessary to recapitulate the remedies already enumerated, in relation to the various stages and varieties hereinbefore described. Suffice it to say, that the same features and conditions wrould indicate their employ- ment in this variety, and that the method of administration should be in every respect similar. But the symptoms which more particularly THE STAGES OF DEBILITY AND CONVALESCENCE AFTER TYPHUS 111 distinguish this species of typhus, especially indicate, by assimilating most closely to the specific operation of Opium. This remedy should accordingly be given when the follow- ing group of symptoms prevails:—great droAvsiness or lethargy, Avith stertorous breathing, open mouth, half-closed eyes or fixed look; slight delirium or muttering, snatching at the bedclothes; the patient being in a continued state of stupor, from wdiich it is extremely difficult to rouse him, and from Avhich he is scarcely aroused before he relapses into his former state ; furious delirium, and incessant restlessness; dry, offensive stools, with involuntary eA-acuations of excrement and urine. Dose: Of a solution of six glohules to three tea-spoonfuls of water, give a teaspoonful every three housr, until amelioration or change. TREATMENT OF THE STAGES OF DEBILITY AND CONVALESCENCE AFTER TYPHUS. Rhus-toxicodendron. This remedy retains its importance in the treatment of typhus throughout all the stages of the malady, and is amongst the best appliances during the period of debility which gene- rally superA'enes after the issue of this fever. Rhus is more especially indicated in this stage, Avhen the progress towards recovery is sluggish, the pxdse retaining afebrile character, the appetite, although improved, being capricious, the bowels predisposed to relaxation, and the chest not yet exempt from feelings of oppression. Dose: Three globules, in a tea-spoonful of water, night and morning, until distinct amelioration or change.—Upon evident improvement taking place under this treatment, it will be sufficient to repeat the dose every night. China is frequently of great use in this stage against the debility resulting from the effects of the malady, more especially Avhen the patient has suffered much from violent relaxation of the bowels during the previous course ofthe disease ; or if there be a tendency to con- tinuance in this symptom. China is also particularly useful when debilitating sweats supervene. In this case it should be followed by Sulphur, if that symptom has not yielded distinctly, after the second dose. Dose : In the case first described, three globules, in a tea-spoonful of water, repeated, at intervals of twelve hours, until three doses have been taken. Under the last-stated circumstances a similar dose night and morning,—and if the symptom does not distinctly yield within twelve hours after the second dose, proceed with the next rernedA'. Sulphur should follow tAvelve hours after the second dose of China, in case of the obstinate continuance of the swreats, or ofthe presence of dry cough at night. Dose: Three globules, in a tea-spoonful of water, every twelve hours, until amelioration or change. Ferrum-metallicum is a preferable remedy Avhen the pulse con- tinues weak or frequent, after a profuse discharge of blood, particularly in the case offemales effected, with green-sickness, or who have pre- viously suffered from it. 112 HOMCEOPATHIC DOMESTIC MEDICINE. Dose: Three globules, in a tea-spoonful of water, morning and evening for a week. ACCESSORY MEASURES DURING THE PERIOD OF DEBILITY The fever having subsided, and the patient being able to sit up, hould first be removed to another apartment, free ventilation, and a moderate degree of warmness being simultaneously secured. By degrees, and as soon as posible, passive motion, and from thence, it possible, walking exercise (not sufficient to exhaust the patient) should be daily sought in the open air, in fine Aveather, with, however, par- ticular precautions against damp or chill. Nothing Avill conduce to restore the patient to health and strength more rapidly and tho. roughly than such accessory treatment Avith proper precautions in respect of diet, as stated beloAV. AFTER EFFECTS OF TYPHUS. BED-SORES, ABSCESSES, BOILS, SWELLING OF THE FEET, WEAKNESS OF DIGESTION, AND GENERAL DERANGEMENTS. These are more or less frequently the results of very severe or protracted cases,—especially when the reactionary process is sluggish, —and require simultaneous local and constitutional treatment, Avith this reservation : that when the local application is unmedicated (such as pure spirit), we may select the constitutional remedy, irrespective of such application, according to the particular features of the case, by consulting the symptoms present, the article on the "Characteristic Effects," and the articles on "Boils" and 'Abscesses," as regards those particular affections. External Treatment of Bed-sores. Spirits-of-wine, Collodion, or Glycerine, will in general, suffice to remove this troublesome affection. Application. To one part of the Spirit add two parts of pure water, and satu- rate with this solution a linen pad, which must be applied to the parts and kept moist. Arnica (tincture) should be employed if the diluted spirit has proved insufficient and inflammation has not supervened. Application. To one part of the Tincture add twenty parte of water, and pro- ceed as directed for Spirits of Wine. Tinoture of Carbo-veg., J When mortification Tincture of Arsenicum, \ supervenes Ave may suc- Tineture of Cinchona (concentrated). ) cessfully employ either of these remedies (according to symptomatic indications) simul- taneously with the internal administration ofthe same medicament,— as stated below. Application. To a wine-glassful of water add five drops (of the Tincture of Arsenicum), or ten drops (of either of the others), and satura e with this so- lution a linen pad, which apply to the parts and keep moist Constitutional Treatment of Bed-sores. Belladonna is required singly (in general, but in alternation with AFTER-EFFECTS of typhus. 113 Sulphur, especially for scrofulous subjects,) in cases in Avhich severe inflammatory action supervenes, the local treatment having been insufficient. Dose: If singly, three globules in a tea-spoonful of water every three hours until three doses have been taken, and then every six hoars until the symp- toms subside. If in alternation with Sulphur, first three doses of Belladonna successively at intervals of four hours, then a pause of twelve hours ; then two doses of Sulphur at intervals of twelve hours. Carbo-veget-, ) One or more of these remedies Avill become re- Arsenicum, > quisite in cases of bed-sores characterised by the or China. ) appearance of mortification, exemplified in the ap- pearance of the sores. The distinctive indications of each of these medicines Avill be best traced by consulting the article on " Characteristic Effects." Dose: Of the appropriate remedy give three globules in a tea-spoonful of water three times during the first day, and afterwards night and morning, until amelioration becomes progressive. Silicea is especially indicated when the bones are evidently affected. Dose: Six globules in a table-spoonful of water night and morning for a week, pause a week, and resume, similarly, if still requisite. Sulphur, ) It wdll be advisable to refer to the article on " Cha- Silicea. f racteristic Effects," to facilitate the selection from these remedies, in cases in Avhich the process of granulation is sus- pended or sluggish. Dose: Of the appropriate remedy give six globules in a table-spoonful of water, night and morning until the process of healing becomes more regularly progressive, pausing, however, as soon as this is the case. Constitutional Treatment of Abscesses. Belladonna is indicated when inflammatory redness is developed over the surface ofthe tumor. Dose: Three globules in a tea-spoonful ot water every four hours, until the indicative symptoms subside. Hepar-sulphuris should be employed when the process of sup puration is retarded and sluggish, and the tumor causes severe ten- sive pain. Dose: Three globules in a tea-spoonful of water three times during the fira* day, and then every twelve hours, until suppuration ensues. Consult also the article on " Abscess." Constitutional Treatment of Boils. Arnica is indicated by simple painfulness and tenderness. Bella- donna, by very inflammatory redness, or by simultaneous affection of the glands ofthe groin and arm-pits, if the boils be on the extremities; or by simultaneous dry heat ofthe skin, and thirst. In either case the administration of one or both of these remedies for the respective acute symptoms, should be followed by that of Sulphur, as soon as the acute symptoms have yielded, to complete the cure. Dose: Of Arnica or Belladonna, give three globules in a tea-spoonful of water, 8 114 HOMCEOPATHIC DOMESTIC MEDICINE. three times, at intervals of four hours, and then at intervals of twelve hcuri until the symptoms yield. Of Sulphur, give six globules in a table-spoonful of water every morning for a week. If the boils be peculiarly large, Lycopodium may be employed pre- ferably to the foregoing, followed, after the subsidence ofthe acute symptoms, by Silicea. Dose : Lycopodium should be administered as directed for Arnica and Bella- aonna above; and Silicea as directed for Sulphur. Treatment of Swelling of the Feet. Bryonia, ") The reader must be guided in a selection from China, these remedies by the indications afforded for their Lycopodium, \employment in the article on "Characteristic Pulsatilla, I Effects," with due precaution to observe minutely Sulphur. J the general constitutional symptoms Avhich attend this particular manifestation. Dose: Of either of these medicines (as indicated), give three globules in a tea- spoonful of water night and morning, for a week ; after which pause four days, and resume the administration or not, according to the condition of the patient. Treatment of Weakness of Digestion. Nux-vomica, ) In selecting from these remedies for the treat- Pulsatilla, >• ment of weakness of digestion resulting ft^m Sulphur. ) typhus, it will be necessary to consult the article on " Characteristic Effects," as regards the medicines in question, and also the table exhibiting the remedies adapted to particular con- stitutions, with due consideration of the particular constitution and temperament of the patient. Dose : Of either remedy (as indicated) give three globules in a tea-spoonful of water, night and morning, for ten days; after which pause six days, and resume similarly if necessary. Treatment of general Derangements in Psoric Subjects. Sulphur is directly specific in cases of this kind, and should be administered from time to time, in repeated courses, effectually to eradicate or modify the obnoxious constitutional condition. In such instances Sulphur should always be employed upon recovery after acute disorders. Dose: Six globules in a table-spoonful of water, every morning for a week • then pause ten days, and resume similarly for a week ; after which, pause three weeks, resuming once again, as before. ' Sleeplessness. Coffea is generally the most useful remedy here. Dose: Six globules in two table-spoonfuls of water, one table-spoonful in the evening, and another after an interval of three or four hours, if needful, and so on every evening until relief or change. Cold or tepid sponging, or both, according to the season of the year and the constitution ofthe patient, and sometimes also the "wet sheet' PUTRID FEVER. 115 and other hj Iropathic means, are very useful in allayii g restlessness, sleeplessness, and dry heat of skin, in the course of the fever. Diet. In a disease that presents so many varieties, it is difficult to give any rules upon this head, applicable to all cases. When a marked inflammatory character is present, the same abstinence should be en- joined as already specified for Fevers in general, or for Inflammatory Fever ; and in all cases, either during the progress ofthe disease or the period of convalescence, the greatest possible care should be taken to avoid taxing the digestive functions ; the diet should be light and simple, and the patient never allowred to indulge the appetite to its full extent: but his anxious desire or craving for food, even during the height ofthe fever, rarely if ever Avithheld. Lastly, stimulants appear to be necessary to rouse the sinking ener- gies in certain cases Avith quick, weak, or intermittent pulse. PUTRID FEVER. PESTILENTIAL FEVER, OR MALIG- NANT TYPHUS. We have already alluded to this form of the disease under the head Typhus, particularly in the indications given for the employment of Arsenicum and Carbo-vegetabilis, but consider it of sufficient importance for separate remark. This fever sometimes rages as an epidemy, but it more frequently appears in the wake of Nervous Fever, or the latter degenerates into the malignant type, in consequence of improper ge- neral treatment, uncleanliness, or the impurity ofthe air by Avhich the unfortunate patient is surrounded. Indeed, almost any fever may terminate in malignant typhus under the unfavorable circumstances just quoted. Symptoms. The symptoms of Nervous Fever, already given, Avith extreme prostration, pulse exceedingly small and Aveak, so as to be scarcely perceptible ; a peculiar sensation of burning, pungent heat, communicating itself to the hand Avhen placed upon the body ofthe patient; heavy, cadaverous smell of the AAdiole body; putrid odor of the breath, perspiration, and secretions in general; profuse, oily and clammy sweats ; involuntary evacuations ; violent and continuous dis- charge from the bowels, sometimes bloody; dark or bloody urine; bleeding at the nose ; livid spots, and other marked tendencies to organic dissolution. The patient is always found lying on his back, and continually shrinks down to the foot of the bed, a sign of utter helplessness and prostration. Premonitory Stage. Treatment. For instructions in this respect during the pre* monitory stage, the reader is referred to the preceding directions for the treatment of typhus, in the early stage, under the head of "Ner- vous Fevers," especially as regards the varieties characterised by pre- dominant affection of the digestive system. Advanceel or Malignant Stage. Arsenicum corresponds closely to the symptoms, and is, therefore, 116 HOMCEOPATHIC DOMESTIC MEIICINE. our principal remedy Avhen the disease assumes this malignant form, particularly when Ave find involuntary and bloody evacuations and straining. Carbo-vegetabilis may also be advantageously alternated wit! Arsenicum, when the symptoms already given under Typhus for the exhibition of that medicine are present, (page 110.) Dose: Of Arsenicum, if singly, dissolve twelve globules in three table- spoon- fuls of water, and give a tea-spoonful of the solution every four hours (in moderate cases) or every hour (in very critical cases) until amelioration en- sues,—doubling the length of the intervals, however, as soon as this occurs, and withholding further doses if the improvement continues progressively. If in alternation with Carbo-veg., a like solution of each remedy separately, —of which give, first, two doses of the one, at intervals of four hours ; then two- doses of the other, at similar intervals, with an intervening pause of eight hours between the administration of the different medicines. Tincture of Rhus (concentrated) has been found to succeed in some severe and very critical cases in Avhich Arsenicum and Carbo- veg. had been ineffectually administered in several successive doses. Dose: One drop of the Tincture in a table-spoonful of water every three hours, until amelioration or change. Mercurius is indicated when excessive straining, and considerable discharge of blood, characterise the evacuations, and should be fol- lowed by one or other ofthe consecutive medicines cited, in the event of the continuance of these symptoms, and according to the respective and distinctive indications afforded for each in the article on "Cha- racteristic Effects." Dose : Of a solution of twelve globules to three table-spoonfuls of water, give a tea-spoonful every two hours, until amelioration ensues, when extend the interval to four hours, and continue till the symptoms subside; but if the bloody evacuations continue unmodified, two hours after the third dose, pro- ceed with one or the other of the following medicines, according to circum- stances. Cimifuga-racemosa (act^ea racemosa). Excessive pain in the forehead over the right eye. Pain in the eyes or eyeballs. Delirium. Seeing rats, mice and insects. Dose: As directed for Mercurius. Acidum-phosph.: especially if, moreover, the pulse be very fre- quent, feeble, and sometimes intermittent; the evacuations very co- pious, thin, and even involuntary ; the skin hot and dry, and the lips black, incrustrated, and characterised by scaly peeling. Or Acidum-nitric, particularly if, moreover, there be white spots or vesicles within the mouth and throat; if there be scalding upon passing water, darting pains in the lower part of the belly, and ex- cessive tenderness ofthe belly. Or Cantharides, particularly if, moreover, there be excessively painful urination. Dose: Of either of the three last-named remedies, dissolve twelve globules in four tea-spoonfuls of water, and give a tea-spoonful of the solution every two hours until the distinctive symptom becomes modified, and then extending the intervals to four hours until it subsides. Sometimes, however, it mav be necessary to return to the administration of Mercurius, as above directed CONTAGIOUS fearer. 117 when the orig:nal symptoms still prevail, and the assemblage is s'ich as stated under the head of that remedy in the article on "Characteristic Effects." State of Debility. China often becomes a most serviceable remedy when the ma- lignancy of the fever has been overcome, but, nevertheless, great weak- ness remains from the loss of humors; it is also useful, when whatever nutriment the patient may have taken passes off undigested. Dose : Dissolve six globules in three table spoonfuls of water, and give a tea- spoonful of the solution every four hours for two days successively, then every twelve hours, until amelioration or change. CONTAGIOUS TYPHUS, CAMP FEVER, JAIL FEVER, PETECHIAL FEVER. Symptoms. The symptoms of this variety of Typhus, are ana- logous to those already described variously under the head ofXervous Fever, or of Malignant Typhus or Putrid Fever. The distinction consists in the cause A\Thich is traceable, in this in- stance, to contagion on infection (immediately), or perhaps to the de- generacy of Epidemic Typhus (remotely). The first stage of this malady is of an inflammatory character, from Avhich the issue may re- sult variously in a crisis without change, convalescence without change, or fatality similarly, or in a change of aspect to that of low nervous, or putrid Fever, according to the habit of body, condition, &c, of the patient, or according to the locality, atmospheric pheno- mena, and the like external circumstances. TREATMENT. Bryonia, *) These remedies, as, indeed, all those hereinbefore Rhus, I cited, &c, under the head of Nervous Fevers, are Arsenicum, f equally important for the treatment, of this variety Secale. J of typhus. The respective indications and doses will be found in the foregoing sections alluded to, and due regard must invariably be paid to the particular character assumed by the complaint. (See 110-113.) Opium is, hoAvever, of particular importance in Contagious Typhus, and is indicated by stupor, lethargy, (sometimes real or ap- parent loss of consciousness,) snoring respiration, the mouth partly open, the eyes half closed or wdde open (but apparently unconscious of objects), the pupils much dilated, loss of speech, rigidity of the limbs, a small or intermittent pulse, suspension or involuntary dis- charge of evacuations, or hard, scanty, and difficult stools, and severe distension of the bowels. Dose: Three globules in a tea-spoonful of water, or (if there be difficulty in this) dry on the tonpue, every three hours, until amelioration or change. Hyoscyamus, ) Either of these remedies, according to the dis- Starmonium. f tinctive features cited in the article on Nervous Fevers, and in that on the " Characteristic Effects," may be in- dicated, when in addition to the symptoms just recited as indicative 118 HOMCEOPATHIC DOMESTIC MEDICINE. of Opium, convulsive jerkings and tAvitchings in individual parts are manifested. Dose : Of either remedy (according to the selection made) give four globules in a tea-spoonful of water immediately ; a second dose (if the symptoms con- tinue unmodified) after the lapse of two hours, (but it modified, after the lapse of four hours; and then the like doses at intervals of four hours, until ame- lioration or change. But if the symptoms manifest no change or modi- fication in twelve hours after the first dose, reconsider them and select afresh. Veratrum-viride. Gnats and bugs fly before the eyes ; inclined to jump out of bed; pains in the boAvels with black diarrhoea. Diet. At the commencement of the disease, or Avhen the fever if of an inflammatory type, the same precautions should be observed a; described under Diet during Fevers in general; but, in the more ad- vanced stages, with great prostration of strength, and quick, weak. small pulse, stimulants—such as wine or brandy, administered in tea- spoonfuls, at first every half-hour, and then at longer intervals, are often of service. ACCESSORY TREATMENT OF TYPHUS, AND PRECAUTIONARY TREATMENT DURING ITS PREVALENCE IN ALL VARIETIES. Accessory Treatment. The most valuable and indispensable of ac- cessories, in aiding the restoration of the patient, is the free circulation of fresh air,—or, in other words, ample and judicious ventilation. Di- rect draughts and chilly currents of air should, however, be carefully avoided. Preservative measures generally, and preventive remedies in par- ticular. Cool pure air, thorough ventilation, the avoidance of dark or dismal-looking apartments, into which the genial daylight does not freely penetrate, and the removal of all causes generating the disease, —such as stopped sewers, or collections of decaying vegetable and animal matter; a plain wholesome diet, Avith moderation in the use of fermented liquors or wine, and total abstinence from spirits; the refraining from late hours, intense study, and excessive mental or cor poreal exertion ; exercise in open situations, with proper precautions against exposure to cold or damp; and, finally, the preserving a healthy tone of mind and cheerful temper. The absurd practice of keeping the bowels constantly open by means of aperient medicines, and the use of drugs inducing profuse perspiration, cannot be too strongly reprobated; both these practices weaken the system, and predispose it to the disease. Standing betAveen a fire, or open Avindow, and the bed ofthe patient is to be avoided, as unnecessarily increasing the risk of taking the infection. Preventive Remedies. Whatever Remedy (amongst those recited as applicable to the Treatment of Typhus, or described in greater detail in the article on the "Characteristic Effects") has in its specific action a direct analogy to the features of the prevailing disease, is unerring as a preventive or moderating agent.—The safest plan to be pursued, therefore, in epidemic, or endemic typhus, or, indeed, in any INTERMITTENT fevers. 119 other epidemy, is to form an aggregate of the symptoms by carefully collating those of individual sufferers, so as to present a perfect image of the existent malady, and to choose the remedies accordingly, Avhich should be administered directly on the premonitory symptoms de- claring themselves, Avithout Avaiting for the further development of the disease. Bryonia, [ These Remedies cover a great number of the symp- Rhus. \ toms of Typhus, if, therefore, upon considering the aspect ofthe disease Avhich prevails, one or both of these medicaments be found to embrace the characteristic features of the malady, we should have immediate recourse to that Avhich corresponds with such characteristics, or, if necessary, to both of these medicines, in alter- nation,— whereby, if not averted or checked, the disease will be ma- terially softened doAvn in its after course. Dose (preventively) : Six globules in a table-spoonful of water, either of one of these remedies singly, or first of the one and then of the other (beginning with Bryonia), at intervals of twenty-four hours, that is, at bed-time daily for a week; or, in the event ofthe disease running its course (in a modified form), such treatment, according to symptoms, as is directed to be pursued in the foregoing articles. Arsenicum is particularly efficacious as a preventive remedy during the prevalence of Typhus, either Avith predominant affection of the Bowels, or Avhich assumes a putrid character,—or, indeed, in all such cases as have been hereinbefore described as indicating its em- ployment. Dose: Four globules in a tea-spoonful of water, at bed-time daily for a week, with such reservations and exceptions as are quoted respecting the dose of Bryonia and Rhus. Consult also the article on "Characteristic Effects," especially under the heads of Bryonia, Rhus-tox., Arsenicum, and Carbo-veg., from A\rhich a judicious selection may be made by accurate study of the salient features of the prevailing disease. INTERMITTENT FEVERS—AGUE. "We have now to enter upon a class of Fevers differing essentially from those already considered, in possessing a marked character of their own, in the simplicity of their form, the periodicity of the different stages, (although the periods of fever-fits are not necessarily regular,) and the uncertainty of their duration; at the same time it may be noticed that one of the distinctive features of intermittent. fever consists in the fact that the febrile action does not individually constitute the disease, but appears rather as an occasional development of other morbid processes. Intermittent fevers cannot be better described than as a compound of acute and chronic disease; acute during the continuance of each attack, and chronic in the continuance of liability to the attacks. Symptoms. These must be classified in three distinctive stages ; 1) a chill or cold fit, 2)'followed by heat, and terminating 3) in per- spiration, more or less profuse; these three stages constitute a 120 HOMCEOPATHIC DOMESTIC MEDICINE. paroxysm; after which, for a certain period, called the interval or respite, the patient is generally free from suffering. The fever-fits are characterised by the red deposit in the urine. These periods are generally of definite duration; but occasionally indefinite and irregular. If the paroxysms return at regular intervals of twenty-four hours, the fever is termed a Quotidian,—of forty-eight, a Tertian, —of seventy-two, a Quartan; even longer intervals have been observed betAveen the attacks, as that of seven days, Avhich is someAvhat inappropriately termed an eight-day intermittent fever. If two fever-fits take place Avithin each period, the ague is said to be doubled, as a double Quotidian, or Tertian, &c. These fevers are sometimes found existing in the simple form above noted; that is, that each fever-fit (as it occurs) assumes the character of simple fever, as described at page 93 ; in other instances, however, the fever-fits (as they occur) assume the characteristic features of in flammatory or typhoid fever, or of complications involving the re- spiratory or digestive functions respectively, &c. &c. The absence of continuity or regular process to a crisis will then identify the febrile symptoms as appertaining to this class in general, whereas the peculiar implication of particular organs will qualify the specific cha- racter of any particular variety. They are exceedingly indefinite in duration, and frequently assume a tediously chronic form. An individual once attacked with ague, is frequently liable to a return of it in after life, if the disease has not been radically extirpated in the first instance ; nay more, any attacks of disease to which he may afterwards be subjected are peculiarly apt to assume the intermittent form. ^ Ague is rarely dangerous in this country, except when of long con- tinuance, and then, owing to the weakness which it occasions, and the injury Avhich it inflicts upon the constitution ; it may, hoivever, lead to obstructions and indurations of the more important organs, par- ticularly ofthe liver and spleen, or may induce dropsical affections It should not be omitted, hoAvever, that the sudden development of peculiar symptoms in connection with the fever-fits may be more or less ominous, and should be watched and treated with especial care. Sometimes, however, intermittent fevers appear (as a whole- some crisis) in the last effort of the constitution to expel morbid humors Avhich have long preyed upon the system; and in such cases, if treated with due care by homoeopathic means (which will assist in their development), they will serve to carry off the causes of tedious chronic disorders. But in hot climates, or in low marshy countries, this disease is ex- ceedingly fatal, in consequence ofthe brain and its tissues, the lining membrane of the stomach and bowels, the lungs, and the investing membrane of the stomach and bowels becoming affected: in such h£ stances, when the disease gains ground, the patient loses strength and becomes emaciated, every fresh paroxysm entails an increase of suffer ing, and the perspiration fails to relieve; he complains of a sense of weight in the region under the false ribs, particularly the right, Avith griping pam in the bowels, flatulent distension of the belly, looseness INTERMITTENT FEVERS. 121 of the bowels or constipation, and constant thirst; or of headache, cough, and shortness of breath; the tongue is furred, and dry at the tip; the skin hot, harsh, and dry; the urine scanty, the belly tumid, the extremities become dropsical, and sleep is restless or broken. Death may ensue from collapse in the cold stage, from the absence of perspiration, and from the disease passing into continued or remit- tent fever, or from disorganization of some important part, such as the brain, lungs, spleen, or liver. We shall now proceed to a general consideration ofthe three stages of the disease, premising that the various modifications of the symp- toms will be found more in detail, under the medicaments, Avhen we enter upon the consideration ofthe remedial treatment. Premonitory Symptoms. Sense of languor, or general uneasiness; yawning, headache, stupor, pains in the limbs or back; the toes and fingers becoming numb, and the nails blue. I. The Cold Stage (Congestive Stage). Coldness of the extremities, Avith a feeling as of stream of cold Avater running down the back, and extending itself to the chest and belly; general prostration of strength, insupportable coldness, external and internal tremors, chattering of the teeth, respiration labored and hurried, Avith inability to draw a full inspiration, and oppression at the chest. The head is \*ariously affected, sometimes with headache, at others with drowsiness, stupor, or delirium; the pains noticed in the premonitory symptoms are generally present, and, in some instances, the patient complains of pain all over; the tongue is moist, the eyes are heavy and sunken, the features pinched, and the lips and cheeks livid; the rigors sometimes run on to convulsions. The pulse is weak and oppressed, sometimes sIoav, at others quick, and frequently intermitting, and often, from the severity ofthe rigors, scarcely perceptible. The heat of the body, except at the extremities, is generally above the natural standard, while the patient complains of cold. Sometimes the patient feels only a slight degree of cold, without tremors, but accompanied with symptoms of functional derangement, and in a few hours the hot fit declares itself. The duration ofthe cold stage is from an hour to four hours; and it runs into the hot without any marked interval. II. The Hot Stage resents all the characteristics of a modified inflammatory attack, with ot, dry skin, and thirst, oppression at the chest, hurried and anxioua breathing, and acute pains in the head, regions of the spleen, liver, &c.; there is also occasionally a degree of disturbance about the brain, or even delirium. The general duration of the hot fit is from four to twelve hours, when it tennhu.tes in tae sweating stage; when this does not take 122 HOMCEOPATHIC DOMESTIC MEDICINE. place, it is apt to run on to continuous fever, or take the form of a remittent,—a not uncommon issue of this disease in Avarm climate* III. The Sweating Stage. After the hot fit has continued a longer or shorter period, profuse perspiration sets in, commencing in the forehead and extremities, and quickly diffusing itself over the whole body; as soon as it makes its appearance, the uneasiness and other symptoms begin to disappear, and the patient, in simple ague, continues free from suffering until the next paroxysm. Causes. Marshy districts are noted as being the hotbeds of this malady; the presence of stagnant Avater in the immediate vicinity of dwellings will provoke it; as occasionally, also, conditions which will engender low typhus; the continued prevalence of epidemic disorders may also be cited amongst the causes of intermittent fever; a con- tinuance of fish or farinaceous diet is also apt to produce it; it may, moreover, arise from taking cold, indigestion, internal obstructions, the presence of inactive humors which oppress particular organs, from peculiar constitutional tendency or the like, occasioned by acute dis- eases, or by difficult chronic affections, or even from purely local irritation. Nervous or inflammatory fever may change into an intermittent, or the latter take upon itself, if it continue, the character of either of the two former, or become remittent; this frequently happens in hot - climates. Method of Treatment, peculiarly adapted to Intermittent Affections. The medicines should generally be administered in the interval between the paroxysms, but Avhen these are extremely short, or Avhen they are attended Avith after-pains of the preceding paroxysms, they should be administered Avhen the sweats, or other concluding features ofthe attacks, begin to subside. Treatment. In the treatment of Ague, the type, although by no means to be held as unimportant, is yet of very secondary considera- tion to the other features ofthe malady. Medicines generally adapted to particular Varieties of the Disease. To assist the reader, however, in selecting the appropriate medicine Avith reference to the distinctive nature, variety, or type, of particular cases (if there be no identical and overruling feature), the subjoined repertory may be consulted, not, however, without due regard to the special indications for each remedy, as stated at large in the subse- quent part o/this article, and in the article on the " Characteris- tic Effects." For Marsh Fevers. Select especially from*:—Arsenicum, China (in particular) ; Ipeca- * These remedies are particularly pointed out to facilitate the selection, with the especial reservation that the symptoms shall in every respect correspond with tho*e intermittent fevers 123 cuaytha, or, in some cases, from Arnica, Carbo, Ferrum, Natrum-m Rhits, and Veratrum. For Spring and Summer Fevers, or Fevers of Hot Climates. Select especially from*:—(generally), Arnica, Belladonna, Bry v?ria, Calcarea, Carbo-veg., Digitalis, Ipecacuanha, Lachesis, (espe cially in hot climates,) Pulsatilla and Veratrum. Or, if the Chills be predominant, particularly from*: —Bryonia, Carbo, Ipecacuanha, Phosphorus, Pulsatilla, Staphysagria, and Veratrum ;— Or, if the heat be predominant, particularly from*:—Aconitum, Arsenicum, Belladonna, Bryonia, Cocculus, Nux-vomica, Silicea, and Sulphur ;— Or, if the sweating be predominant or profuse, particularly from*: —Arsenicum, Bryonia, China, Cocculus, Mercurius, Nux-vomica, and Sambucus. FOR FEVERS CHARACTERISED BY THREE DISTINCT AND COMPLETE STAGES, COLD, HOT, AND SWEATING. Select especially from*:—Arsenicum, Belladonna, Bryonia, Cha- momilla, China, Ipecacuanha, Nux-vomica, Pulsatilla, Rhus, and Veratrum. FOR FEVERS IN WHICH TWO STAGES ONLY ARE DISTINCT AND COMPLETE. 1. Consisting of Chills and Heat. Select especially from*:—la) if the heat be the precursory manifes- tation, Calcarea, Nux-vomica ;— Or, 1 b) if the chill be the precursory manifestation, particularly from* :—Aconitum, Arnica, Bryonia, Carbo, China, Ignatia, Ipeca- cuanha, Natrum-muriaticum, Nux-vomica, Pulsatilla, Rhus, Sulphur, and Veratrum; -- Or, 1 c) if the chills and heat be alternated, each recurring more than once during every fever-fit, particularly from*:—Belladonna, Calcarea, Lycopodium, Mercurius, Natrum-muriaticum, Nux-vomica, Silicea, Spigelia, Sulp>hur, and Veratrum;— Or, 1 d) Avhen the shivering and heat occur together, particularly from*:—Aconitum, Arsenicum, Belladonna, Chamomilla, Ignatia, Ipecacuanha, Lycopodium, Nux-vomica, Rheum, Rhus, and Sulphur. 2. If consisting of Heat and Sweating. Select especially from*:—2 a) if the heat and sweating be simul- taneous, Belladonna, Bryonia, Chamomilla, Cina, Hepar-sulphuris, Ignatia, Mercurius, Nux-vomica, Opium, Pulsatilla, and Rhus; — Or, 2 b) if the sweating follow the heat, particularly from*:— which are hereafter named as indicating each respectively; and with the assemblage of symptoms attributed to each respectively in the article on the " Characteristic Effects." Otherwise, selection must appropriately be made aicerdmg to suck indi- cations, aid irrespective of the present enumeration. • See Note p. 122. 124 HOMCEOPATHIC DOMESTIC MEDICINE. Arsenicum, China, Hepar-sulphuris, Ignatia, Ipecacuanha, Pulsatilla Rhus, and Veratrum. 3. If consisting of Chills and Sweating. Select especially from*: 3 a) if the chills and sweating be simul- taneous, Lycopodium, Pulsatilla, and Sulphur;— Or, 3 b) if the sweating follow the chills, particularly from : Carbo, Lycopodium, Natrum-muriaticum, Rhus, Thuja, and Veratrum. For Fevers of which the attacks are characterised by Lethargic Drowsiness. Select especially from*: Cocculus, Nux-vomica, and Opium; or, occasionally, also from: Belladonna, Hyoscyamus, and Stramonium Fevers, of which the attacks are characterised by Apoplectic or Paralytic Symptoms. Select especially from*: Aconitum, Arnica, Arsenicum, Coffea, Cocculus, Opium, and Nux-vomica. For Fevers, of which the Attacks are characterised by Fainting-fits. Select especially from"-; Graphites, Ipecacuanha, Lycopodium, Pulsatilla, Sepia, Sulphur, and Veratrum. AS REGARDS THE TYPE OF THE FEVER. For Simple- Quotidian Fevers. Select especially from*: Calcarea, Ipecacuanha, Nux-vomica, and Pulsatilla. For Simple-Tertian Fevers. Select especially from*: Antimonium-c, Calcarea, Chamomilla, Drosera, Lycopodium, and Staphysagria. For Simple-Quartan Fevers. Select especially from*: Aconitum, Arsenicum, and Lycopodium. For Double- Quotidian Fevers. Select especially from*: Belladonna, China, Graphites, Stra monium, and Pulsatilla. For Double Tertian Fevers. Select especially from*: Arsenicum, Nux-vomica, and Rhus. For Annual Fevers. Select especially from'"': Arsenicum, Calcarea, Nux-vomica, Lyco- podium, Rhus, (directly specific and preventive,) Sepia and Sulphur (in continued courses.) * See Note p. 122. INTERMITTENT FEVERS. 125 AS REGARDS THE THIRST ATTENDANT UPON THE FEVER-FITS. Select especially from* (if the thirst precedes the attack,) Arnica, China, and Pulsatilla;— Or, if the thirst occurs during the cold stage, particularly from*: Arsenicum, Belladonna, Bryonia, Carbo, Chamomilla, China, Ignatia, Ipecacuanha, Phosphorus, Rhus, and Veratrum ; Or, if the thirst occurs after the cold stage, particularly from*: Arsenicum, China, and Pulsatilla ; Or, if the thirst occurs during the hot stage, particularly from* : Chamomilla, Nux-vomica, Pulsatilla, Rhus, andVeratrum; Or, if the thirst occurs after the hot stage, refer to China, in par- ticular ;* Or, if thirst be absent, or only present in a natural degree, during the hot stage, select particularly from*: Arsenicum, Carbo, China, Ignatia, Ipecacuanha, Pulsatilla, Rhus, and Veratrum. AS REGARDS THE TIME OF THE DAY AT WHICH THE FEVER-FITS RECUR. For Fever occurring in the Morning. Select especially from*: Arnica, Calcarea, Chamomilla, and Sta- physagria. For Fever, occurring in the Decline of Day. Select especially from*: Arnica, Carbo, Ignatia, Lycopodium, Mercurius, Sepia, and Staphysagria. For Fever occurring at Night. Select especially from*: Carbo, Chamomilla, and Mercurius. Dropsy. For dropsical indications resulting from intermittent fever, Aurum is a useful remedy. particular indications For the Use of the Remedies generally called for in Ague. China or Cinchona. This wrell-known but too frequently abused remedy is undoubtedly of great efficacy in those fevers which owe their origin to the influence of marsh miasm, and are peculiarly pre- valent at particular seasons of the year. It may be giA'en Avhen the fever commences with a sense of languor or general uneasiness of the heart, anxiety, headache, sneezing, great thirst, craving hunger or nausea, and pain in the bowels. It is also indicated Avhen the fever has set in with absence of natural thirst—during the cold stage—but thirst is experienced after the heat and during the sweating, or thirst between the hot and the cold stage, and when the chill and fevrer are folloAved by a copious sweat. It is contra-indicated Avhen thirst exists during the hot stage. Turgidity of the veins, with heat in the head, and natural w?armth or increased heat of the body, with * See Note p. 122. 126 H0MC30PATHI0 DOMESTIC MEDICINE. or without increased heat ofthe surface. Or, again, determination of blood to the head, commonly Avith redness and heat in the face, with chilliness of all the other parts of the body, and even external cold- ness, or only a feeling of internal heat in the face, with coldness ofthe cheeks to the touch, and cold sweat on the forehead, are further indi- cations for the employment of this medicament. In many cases, China, although not capable of effecting a radical cure, is yet of great utility as a palliative: it should, under such circumstances, be exhibited im- mediately before the cold stage. In such instances, the consecutive treatment should be adapted to the remaining or supervening symp toms, according to the indications subjoined, or to those afforded in the article on " Characteristic Effects," Avith due regard to the par. ticular constitution of the patient, and under the guidance of the Table of Remedies (in the introductory pages) adapted to particular CONSTITUTIONS, &G. Dose : Four globules in a tea-spoonful of water, either in the interval between the fever-fits, or as more particularly stated at page 122,—the samp lose being repeated as long as the symptoms occur in like manner. Win n di- rectly specific, however, a single dose of this medicine will generally remove the fever. Lobelia-ihflata. This remedy promises to be of equal efficiency with China in the treatment of ague, and may be particularly selected, in many instances, even in preference to China; but in the majority of cases wdiich appear to indicate the latter remedy, AArhen that, hoAvever, has been productive only of temporary relief', and par- ticularly when derangement or foulness of the stomach is present (perhaps after the previous administration of such remedies as Nux-v., Pulsatilla, Antimonium-crudum, &c), it may be most use- fully employed. Dose : Of a solution of six globules to four table-spoonfnls of water, give a tea-spoonful every three hours, until amelioration or change ; or a dose in the like proportions two hours before the anticipated return of the attack. Arsenicum is one of the most important remedies in intermittent fevers. It is indicated Avhen the different stages are not definitely marked, but the fever and heat and shivering appear simultaneously —or Avhen Ave find cold shuddering alternately Avith heat, or a sen- sation of cold internally, Avith heat, or an imperfect development of the paroxysms; or burning heat, as if molten lead Avere coursing through the veins, communicating an unpleasant sensation of heat to the hand, when placed upon the body of the patient; great restless- ness ; excessive, almost insatiable thirst, obliging the sufferer to drink constantly, although but little at a time ; depression, marked pros- tration of strength and anxiety; nausea, desire to vomit, retching, and even vomiting; severe and burning pains in the stomach, and insupportable pains all over the body, especially in the limbs. One marked characteristic of Arsenicum is, that all the sufferings of the patient, pains in the limbs, &c, increase in intensity during the pa roxysm, and others develop themselves; another is, its marked periodicity, generally either Tertian or Quartan, and the rigors gene- rally setting in towards evening. It is therefore called for in these INTERMITTENT FEVERS. 127 cases, where we meet with a well-marked period)':ity of imperfectly developed paroxysms, Avith some or any of the symptoms above men- tioned. Dose: Six globules in a table-spoonful of water, administer during the inter- val between the fever-fits, as often as they continue to recur. Or in cases of the continuance of the cold fit, or of exhaustion so severe that the patient is unable to rally, even during the intervals,—of a solution of twelve glo- bules to three table-spoonfuls of water, give a tea-spoonful at intervals vary- ing from a quarter of an hour to two hours, according to the severity of the case, doubling the intervals or suspending treatment as soon as reaction sets in. Ipecacuanha is usefully employed in the majority of cases of marsh fever, at some stage of the disorder, especially in the earlier periods. Some instances occur in which by embracing the assemblage of the symptoms, it is sufficient of itself to effect a cure; in other instances it is most successfully followed by other and appro- priate remedies, or coupled Avith Nux-v. in particular. It is indicated by the following symptoms: much shivering, with but little heat, or vice-versa; increase of the shivering by external warmth; oppression at the fore part ofthe chest; want of natural thirst, or a least, little thirst; dryness of the mouth, nausea, vomiting, and other symptoms of deranged digestion. Dose: As directed after Nux-vomica, below. Nux-vomica is especially indicated by excessive weakness at the commencement of the fever; the shuddering mixed with or imme- diately followed by heat; warmth ofthe cheeks, Avith internal chilli- ness ; feeling of heat in the face, with shuddering in the remaining parts ofthe body ; heat in the head, with coldness ofthe body ; burn- ing pain in the eyes; or, giddiness, with feeling in the head as if from intoxication, desire to lie down, Avith trembling of the limbs; fainting, or a sensation of paralytic Aveakness and prostration, with cramps in the different extremities, particularly the calves ofthe legs and feet; difficulty of breathing, palpitation of the heart, anxiety, irascibility, fear of death, and even violent delirium; derangements of the ali- mentary organs, such as want of appetite; dislike to bread; bitter and sour eructations, tension of the belly or spasms of the muscles in that region, and constipation ; burning itching miliary eruption, and burning itching sensations over the whole body. During the fever: coldness and blueness of the skin, desire to be constantly covered, even during the access of heat and perspiration ; occasionally stitches in the side, shooting pains in the belly, aching in the back and limbs, and dragging pain in the belly during the rigors. During the hot fit particularly: headache, buzzing in the ears, heat in the head or face, with redness of the cheeks, and thirst. Dose: If in alternation with Ipecacuanha, give first two doses of Ipecacuanha, consisting each of six globules in a table-spoonful of water, at intervals of three hours : then pause for twelve hours, or until the next evening, if not less than twelve hours, when give a like single dose of Nux-vomica, repeating this last every evening until amelioration or change ; recurring, however, to the occasional administration of Ipecacuanha, if indicated, at a period of not les than twelve hours from that at which Nux-v., is administered, h 128 H0MC30PATHIC DOMESTIC MEDICINE. singly, of either remedy six globules in a table-spoonful of water, during tne intervals or before the anticipated return of the attack. Pulsatilla, like the tAAro medicines last mentioned, is an excellent remedy in Agues complicated Avith stomachal or bilious symptoms, whenever the slightest attack of indigestion brings on a relapse. Its more peculiar indications are, vomiting of phlegm at the comme»ice- ment ofthe cold stage; Avant of natural thirst, all through the lever, —or thirst, only during the hot fit; simultaneous heat and shivering —aggravated in the afternoon or towetrds evening; shivering when uncovered ; anxiety and oppression of the chest during the shivt-ring. During the hot stage, redness and swelling of the face, or redness of the cheeks only, and perspiration on the face. The presence of diar- rhoea, and the patient being of a mild disposition, are corroborative indications for its employment. Dose: Except in particularly severe cases, it will suffice to administer four globules in a tea-spoonful of water once during the intervals, either at the close of the attack or three hours before it;—or in cases of eight-day fever, particularly, three hours before the anticipated return of the attack. In very severe cases, however, and when the fever-fit, characterised by the symp- toms just stated, is unduly protracted, it were better to repeat the like dose every six hours (for simple quotidian), or every twelve hours (for simple tertian and quartan), or as often as ev* ry four hours (for double quotidian). Antimonium-crudum. The indications for this remedy closely resemble those of Pulsatilla, but it is particularly called for, when the perspiration breaks out simultaneously with the accesses of heat and then suddenly dissappears leaving the skin dry and hot. Dose : Four globules in a tea-spoonful of water, as directed for Pulsatilla. Cina is of great efficacy in quotidian agues, Avhich are ushered in by vomiting of food, folloAved by ravenous appetite ; as also when the cold stage is attended Avith thirst. Dose: Four globules in a tea-spoonful of water, every six hours during the first internal which occurs since the treatment has been undertaken ; and every twelve hours during subsequent intervals, until amelioration or change. Bryonia is indicated by headache and giddiness, with dry heat preceding the attacks of shivering; by the predominance of cold or shivering, Avith redness of the cheeks, heat in the head, and headache; or marked heat, followed by shivering; by stitches in the side, ex- cessive thirst, thickly coated tongue, bitter taste in the mouth, disgust at the sight of food, nausea or vomiting, and constipation. Dose : Six globules in a table-spoonful of water every morning, or as nearly at that period as possible, during the interval between the attacks, until ame- lioration or change. Veratrum-album is indicated by the predominance of external coldness, with heat internally, cold clammy perspiration, especially on the forehead, or general coldness ofthe body; or by shivering, fol- loAved by heat and perspiration, and then relapsing into shivering • coldness, great thirst, deep-colored urine, looseness of the bowels' with griping,—or constipation, sometimes nausea or vomiting and giddiness, and pains in the back and loins. INTERMITTENT FEVERS. 129 Dose: Six globules in a table-spoonful of water, administered during the fever- fits as often as they continue to recur ; or in cases of the continuance ofthe cold fit, or of exhaustion so severe that the patient is unable to rally, even during the intervals, of a solution of twelve globules to three table-spoonfuls of water, give a teaspoonful at intervals varying from a quarter of an hour to * two hours, according to urgency, doubling the intervals or suspending tiett- ment as soon as reaction sets in. Antimonium-tartarieum has also been recommended in cases analogous to those which require the administration of Veratrum, as follows: especially AArhen the nervous system becomes prominently affected, as indicated by drowsiness, insensibility, with coldness of the extremities, rigidity of the whole body, or twitchings of the muscles ofthe face and limbs, and almost imperceptible pulse. Dose : Six globules in a table-spoonful of water during the interval between the attacks, or immediately on the subsidence of the fever-fit,—or otherwise, three hours before its anticipated recurrence. In cases of excessive severity, as further directed for Veratrum. Belladonna. Severe headache, with giddiness, or heat and red- ness of the face, pulsation ofthe large blood-vessels ofthe neck, and excessive aggravation of pain from meditation ; partial shivering and shuddering, with heat in other parts; great heat with slight shivering; or violent shivering Avith moderate heat; absence of natural thirst, or, on the contrary, intense thirst; extreme susceptibility, tearfulness, or depression of spirits, and desire for death, particularly when the sufferings are at their height. Dose : Four globules in a tea-spoonful of water every twelve hours .during the first interval which occurs after treatment has been undertaken ; and afte» wards, three hours before the anticipated recurrence of the fever-fit, until amelioration or change. Cocculus is sometimes useful, when, in addition to the usual symp- toms of ague, we find, during the intervals, symptoms of spasmodic affections, such as cramp-like pains, or constrictive, pinching, or tear- ing, burning, colic-like pains about the region of the stomach and the lowest portion ofthe belly. Dose : Three globules in a tea-spoonful of water, three hours before the anti- cipated recurrence of the attack. Ignatia is indicated, when, with heat of some parts of the bodyi there is coldness, chill, and shuddering of others; also where the heat is only external. Its best characteristic is, when the chills are easily relieved by external warmth, and attended with thirst. Dose: Four globules in a tea-spoonful of water, either immediately on the sub- sidence of the fever-fit, or three hours before its anticipated recurrence. In very severe cases, particularly when the fever-fits are unduly protracted, it will be desirable to administer this remedy during the intervals as follows :—• four globules in a tea-spoonful of water every six hours (for simple quoti- dian), every twelve hours (for simple tertian and quartan), or as often aa every four hours (for double quotidian.) Opium has chiefly been recommended in intermittent fever with drowsiness, snoring, convulsive movements in the limbs, and sup- pressed evacuations;—unless, indeed, upon consulting the article on 9 130 INTERMITTENT FEVERS. "Characteristic Effects," under the head of others, amongst the remedies herein cited, the symptoms be found to correspond more intimately with such other remedies,—Avhen one or more of such » other remedies should be employed in preference to Opium. Dose : Six globules in a tea-spoonful of water as soon as the fever-fit subsides , and, again, three hours before its anticipated return, until distinct amelioration or change. The symptoms of every attack (if any) which occurs after the administration of Opium, must be very closely watched for the least change of character, such as might require another remedy, with which the treatment should immediately proceed. Apis. Violent headache amounting almost to unconsciousness; pains in the limbs and all over the body, thirst more during the heat; sensitiveness at the pit of the stomach; scanty urine and swollen feet. Dose: As directed for Ignatia. Natrum-m. is especially advantageous, for cases which have been mismanaged allopathically, with excessive doses of Bark or Quinine, particularly as follows:—Ague-fits, commencing with headache, general aching pains, predominant or prolonged shivering, great thirst during the hot fit, and nearly to the same extent during the cold stage; also dryness ofthe mouth and tongue; tenderness of the pit of the stomach to the touch; bitter taste and loss of appetite; debility; sallow com- plexion; soreness ofthe corners ofthe mouth. Dose: Four globules in a teaspoonful of water every four hours, during the first interval after treatment is undertaken'; and subsequently upon the subsidence, and three hours before the return of every attack, until amelioration or change. Carbo-vegetabilis is particularly indicated, Avhen throbbing at the temples, aching in the teeth, and in the bones of the extremities, and the coldness of the feet precede the paroxysm; when thirst is present only during the shiverings, and there are rheumatic pains in the teeth or limbs before or during the attack; or nausea, giddiness, and redness of the face during the hot fit; further, when an intense, burning pain, occupying the prominent part of the forehead and the eye on the right side, accompanies the fever. Dose: Three globules in a tea-spoonful of water, given during every interval, if possible, morning and evening, until amelioration or change. Caetus-grandiflorus. Quotidian intermittent fever. Severe dull- ness during three hours. Pains in the uterine region with perspiration. Dose : The same as directed for Carb.-veg. Aconite should be employed without delay in cases in which the hot fit continues long, without perspiration supervening, and the inter- mittent fever threatens to become remittent or inflammatory. Dose: Dissolve twelve globules in three table-spoonfuls of water, and give a tea-spoonful of the solution at once; after which pause three hours, when, if perspiration has not become developed, and the pulse remains unmodified, resume the treatment, with similar doses repeated every hour until perspira- tion ensues and the pulse becomes more healthy. Rhus is employed with particular success, in cases of intermittent AFTER-EFFECTS OF INTERMITTENT FEVER. 131 fever which have ensued after having been wet through, and having remained some time in Avet clothes. Dose: Six globules in a table-spoonful of water during every interval, until ame- lioration or change, as follows: every four hours during the first interval after treatment is undertaken, and afterwards every six hours (for simple quotidian), or every six hours during the first interval, and afterwards every twelve hours (for simple tertian and quartan). ». Mercurius is indicated when the sweats are excessively copious, and of an offensive or sour smell, and when simultaneous heat and shivering are attended with palpitation of the heart; and when the hot stage is further characterised by anguish (excessive uneasiness) and thirst. Dose : Six globules in a table-spoonful of water, upon the subsidence of the attack, and, again, three hours before the anticipated recurrence of the fever- fit, until amelioration or change. Or in very severe cases, and when the attack is unusually protracted, of a solution of six globules to three tea-spoon- fuls of water, give a tea-spoonful immediately, repeating this dose three times at intervals of three hours. TREATMENT OF THE AFTER-EFFECTS OF INTER- MITTENT FEVER. Dropsical Swellings of the Feet and Stomach. 1. Arsenicum, 2. Bryonia, 3. Helleborus, 4. Calcarea, 5. Sul- phur. The fever-fits having ceased to recur,—a selection should be made, particularly from the five medicines quoted, by careful reference to the article on " Characteristic Effects." Dose: Of"either remedy give four globules in a tea-spoonful of water, morning and evening, for ten days; then pause four days, and resume treatment simi- larly (if necessary) in like manner, until amelioration or change ; or if no im- provement be distinctly declared before the expiration of the second course, proceed with the next remedies. Protracted Debility. 1. Calcarea, 2. Ferrum, 3. Sulphur. According to the indica- tions afforded for these remedies respectively in the article on " Cha- racteristic Effects," we should select from these remedies in such cases. Dose: Six globules in a table-spoonful of water for adults, for very young per- sons three globules in a tea-spoonful of water, every morning (fasting) for a week ; then pause seven days, resuming the course in like manner until change takes place, or the improvement becomes regularly progressive. INVETERATE CHRONIC CASES. Such cases may be most advantageously treated, by consulting the indications for the remedies recommended throughout this article re- spectively, and further, by reference to the article on "Characteris tic Effects," under the head of every such remedy, or more par ticularly— If occurring in persons of an unhealthy habit of body. 1. Calcarea, 2. Lycopodium, 3. Sepia, 4. Sulphur. The selec- 132 GASTRIC FEVER—DILIOUS FEVER. tion from these remedies respectively should be made in conformity with the indications hereinbefore afforded, and further, by careful reference to the article on "Characteristic Effects." Dose: Six globules in a table-spoonful of water, morning and evening for ten days ; pause four days, and resume similarly, if necessary, continuing until change takes place, or the amelioration becomes regularly progressive. 1. Carbo-v., 2. Natrum, 3. Hepar-s. In some instances, and particularly when the digestive functions are chiefly affected, and the usual features of chronic derangement of the stomach supervene, as dependent upon the previous occurrence of Intermittent' Fevers, it may be desirable to select from these three remedies in preference to the former, according to the indications afforded for each, respectively, in the article on the " Characteristic Effects." Dose: In every respect as last stated. Chronic Cases which have degenerated from Abuse of Cinchona. The simplest rule which can be afforded to apply invariably to cases of this kind, is to adapt the treatment to the particular symptoms which are present, selecting from amongst the remedies cited in the foregoing part of this article, with careful reference to that on " Cha- racteristic Effects," to ascertain the delicate distinctive features Avhich point to one remedy in preference ^o another; for the instances which are reducible under this head, assume such a variety of aspects, that the particular regulations for treatment would, in all probability be as vague and uncertain as they would inevitably be prolix. The particular regulation Avhich Avould apply to all cases, would be that respecting doses, Avhich is therefore subjoined. Dose: Of the remedy selected give two globules dry on the tongue, or six glo- bules in a table-spoonful of water ; or for very young persons one globule dry on the tongue, or three globules in a tea-spoonful of water, during the interval between the fever-fits, every twelve hours (or, if possible, morning and eve- ning), for three weeks—unless, in the meanwhile, the symptoms should dis- tinctly subside or change, or unless no alteration whatever should follow, during the second week; in the former of which cases, we should suspend treatment until the ameliorative process becomes stationary ; in the latter, it would be desirable to reconsult the symptoms for the purpose of selecting a more appropriate remedy. Disease in general assuming an Intermittent Type. The same general remark applies to this class of disorders, as to that last named, saving that every disorder so degenerating, should be treated by consulting the article which is appropriated to the particu- iar disease in question, such as Asthma, chronic derangements, and induration of the Liver, and Spleen, various nervous affections, Con- sumption, &c. Dose : According to the last-stated dose (above). GASTRIC FEVER. BILIOUS FEVER. This is a form of fever in which, as its name implies, the digestive organs are chiefly affected; it bears some degree of affinity to typhus but is distinguished from the latter by the absence of nervous symp! GASTRIC FEVER—BILIOUS FEVER. 133 toms,—although, Avhen it assumes a torpid character, these are occa- sionally developed,—by the absence of the pressive aching pains in the back of the head; and by the absence of disturbance or derange- ment in the senses of sight and hearing; further, that the pain in the right side of the belly, Avhich is so constant a symptom in typhus, is not a feature of this disease. Fevers of this description have no definite course or duration. They not unfrequently fall short of the particular course to which the de- finition is especially appropriate, as in such cases as result merely from indigestible substances, without actual increase in the discharge of (acrid) bile. In such cases the successful effort of nature to expel the obnoxious substance (as by vomiting or purging, or both) is often sufficient to constitute a perfect resolution, and convalescence succeeds. In other cases nature is thus but partly relieved, the whole circulative system having become essentially involved, and the Fever continues until some other crisis (as of sweat or urine) succeeds. Thus, Gastric Fever, if associated with mere foulness of the stomach, may run its course to perfect resolution in a few days; or, if the lining membranes of the stomach or bowels be seriously affected, or the action of the liver be much deranged, and there be Bilious Fever, properly so- called, the fever may continue for weeks (if not properly or success- fully treated), or may assume a highly inflammatory character, or degenerato into nervous or even Putrid or into Chronic or Hectic Fever. On the other hand, again, it may result in transitions of various character—the superficial membranes, either of the throat or external surface (the skin) may become affected, and Eruptions of various kinds, Abscesses, &c, may ensue. Complications and their Treatment. In the case of any such com- plications occurring, the treatment must be conducted according to the special directions afforded in the separate article respectively de- voted to the disease in question. Predisposing Causes. The predisposing causes may be identified in continued exposure to great heat—whereby the rapid sympathy existing between the skin and the liver and stomach, has conveyed to those organs an undue degree of irritability; exposure to excessive moisture of the atmosphere, particularly extreme accumulation of con- densed vapors (heavy dews) over a reeking, heated soil, which con- tinues to emit exhalations: exposure to great (especially sudden) transitions of temperature, particularly from great heat to comparative coldness, or to the alternation of heat and cold; whence it follows, that, under such circumstances, this disease may assume an Endemic or Epidemic character. The more particular and predisposing causes are: weakness of the stomach, that is, a morbid sensibility of the lining membrane, and overdue irritability of the Liver; habitual debauchery or excesses, sedentary habits, or anything, in fact, which may occasion derangement of the stomach, as considered in the article on " In- digestion." Exciting Causes. The presence of obnoxious indigestible or irri- tating matters in the stomach or bowels—which cannot be dislodged by the ordinary action of those organs—either in the shape of exces- 134 GASTRIC FEVER--BILIOUS FEVER. sive reception of food, Avhether or not in itself of an indigestible character, or simply the reception of indigestible substances in how- ever small a quantity, or in the shape of altered or excessive internal secretions, such as bile. Other exciting causes are taking cold, emo- tions, such as anger, grief, care, anxiety, &c., acute diseases; or, in fact, any cause of general irritation when acting upon persons already predisposed to this complaint by such conditions as have been men- tioned above. Symptoms—of which the folloAving are the principal: sensation of fullness and weight in the region ofthe stomach, or flatulent distension, with inclination to vomit; offensive, flatulent eructations, and some- times vomiting of food and tenacious phlegm mixed with bile; thickly furred, dirty-yellow tongue; belly soft; bowels costive; but in the ad- vanced stage of the disease the evacuations are often very offensive, and contain portions of undigested food: frontal headache; languor; sickly and distressed expression of countenance, with yellow discolora- tion of the white of the eyes; more or less chilliness, succeeded by heat and dryness of skin; pulse quick but soft, sometimes intermitting or irregular, particularly the latter; urine thick, cloudy, and dark- colored. When bilious symptoms are markedly predominant, all the symp- toms commonly appear in an aggravated form; the heat of the skin is very considerable, and the restlessness and thirst are excessive (the patient expressing a constant desire for acid drinks). The region of the stomach is much distended with flatulency, but, in addition to this symptom, the following are more or less marked: the tongue is covered at first with a pale yellow fur, which gradually assumes a deeper or brownish color; the taste and eructations are bitter, and the substance vomited consists of a greenish, bilious matter; the bowels are either confined or relaxed, the motions presenting in the latter case a yellow, green, or brown color; the face exhibits an earthy, somewhat jaun- diced aspect; sometimes there is also a greater or less degree of sensi- bility, hardness, tension and burning in the region of the liver; the urine is dark-brown, bilious; the pulse full, accelerated, intermitting or double. Treatment.—In simple cases associated with uncomplicated de- rangement of the stomach, or simple foulness, especially if the affection be casual, and can be traced directly to excess in eating or drinking, or to some particular indigestible substance, if all strikingly bilious symptoms be absent, such as those above enumerated, and if there be no bitterness of taste, or bitter eructations, the treatment should be regulated by the directions hereafter afforded in the section on " de- rangement ofthe stomach," under the general head of " Indigestion." In the severer cases, characterised by predominant bilious symp- toms, or if the disease assumes an inflammatory character, the ensuing indications may advantageously be consulted. 1. Aconitum, 2. Belladonna. One or both of these medicines, either singly, in succession, or in alternation, will generally be required at the onset of the attack, and if administered appropriately, and in time, may often suffice to arrest the disease: the more particular in* GASTRIC FEVER—BILIOUS FEVER. 135 dications for each are subjoined, which if only aggregately covered by the combination of both, will serve to point out the necessity for alternate administration. Aconitum is indicated more especially when everything received in the mouth, in the shape of food or drink, except wrater, has a bitter taste, or when there is continually a bitter taste in the mouth, the pulse being quick and frequent; when the tongue is covered with a yellow coating; when bitter eructations or violent urging to vomit and retching occur, without discharge, or when there is vomiting of greenish, bitter, or slimy matters; also by excessive nausea; suspended evacuations, or frequent, scanty, small motions, attended Avith much urging; swelling and tightness across the stomach, along the lower ribs, and extreme tenderness of the region of the liver; pulsating headache,—or stitching headache, aggravated by talking,—or sensa- tion of heaviness and fullness in the forehead and temples; especially if these sufferings be aggravated by assuming an erect or sitting pos- ture, by drinking, movement generally, or simply by speaking, and if fresh air appears to afford some relief. Dose : If singly, of a solution of six globules to two table-spoonfuls of watei", give a tea-spoonful every four hours, until amelioration or change. If in alternation with Belladonna, dissolve eight globules of each medicine sepa- rately, in a wine-glassful of water, and give a tea-spoonful, first of one solution, then of the other, so that a lapse of six hours intervenes between the doses, and so on, until amelioration or change. Belladonna is indicated when there is violent throbbing of the arteries of the temples, reeling giddiness, and intense and unbearable headache, chiefly seated in the forehead, (especially in and above the eyebrows), with sensation as if the forehead would burst from internal pressure, and as if the contents ofthe head wonidfall out at the fore- head; dryness of the mouth, and thirst; sometimes incessant nausea; tongue coA'ered with a thick, whitish or yellowish coating; sour taste; repugnance to all kinds of food, and even to drink; vomiting of food, or vomiting of sour, slimy, or bitter matters ; suspension of evacuations, or looseness of the bowels, with slimy evacuations; quick and full pulse; especially if the head-symptoms be aggravated by moving the eyes, or by movement generally, or by shaking, or even by touch, and by the access of fresh air, or a draught, and if they be somewhat re- lieved wben the head is supported or held backwards. Dose : In every respect as directed for Aconitum. Nux-vomica is indicated in Bilious Fever by the folloAving symp- toms, amongst others: absence of thirst, or ardent thirst; attended with heartburn; constant nausea; bitter eructations; foul or bitter taste in the mouth, or insipid taste of the food; accumulation of phlegm, or water in the mouth; the tongue dry and Avhite, or covered Avith yellow coating towards the root; painful sensation of Aveight and tightness across the stomach, along the lower ribs, or generally in the region of the stomach; constipation, Avith repeated urging to evacuate, without discharge, or looseness of the boAvels, with scanty, insufficient, watery, or Himy evacuations; spasm ofthe stomach; great inclination to vois.it, sometimes even with empty retching, or vomiting of food j 136 GASTRIC FEVER—BILIOUS FEVER. full and frequent, or quick and intermittent pulse; exacerbation of the fever, particularly in the morning or evening, or at night; the febrile symptoms accompanied with loss of consciousness, even at the onset, or with great prostration of strength in the same stage, and charac- terised by shivering, occurring Avith partial heat, or by heat following s preceding, or mingling with shivering; partial shuddering, principally about the back and extremities, Avith or without coldness; coldness principally in the evening or morning, or provoked by the slightest movement (even change of position) aaith shivering and shuddering; headache, with heat of the head, and flushing of one cheek; dullness, or confusion of the head, Avith reeling giddiness, and sensation as if the brain oscillated; sensation of heaviness, especially of the back of the head; buzzing, singing, or tinkling in the ears; rheumatic pains in the limbs and in the teeth ; yellowness ofthe skin, or sallow appearance of the complexion, incapability of gathering or concentrating the thoughts; sensation of exhaustion and Aveariness; excitable, violent, restless or quarrelsome disposition; sometimes yelloAvish hue of the white ofthe eye, particularly ofthe lower part ofthe eyeball; inflam- matory and suffused redness of the eyes; great sensibility of light, especially in the morning. Dose: Two globules dry on the tongue, or three globules in a tea-spoonful of water, every three hours, until four doses have been given, and afterwards, if necessary, every six hours, until amelioration or change ; but if little or no positive or permanent improvement should accrue within Six hours after the fourth dose, or if one or more of the subjoined indications should supervene, consider the next remedy Chamomilla is of eminent service, often after Nux-vomica, in very severe cases in Avhich the last-named remedy has failed to arrest the symptoms, Avhen the tongue is red and fissured, unless the patient has used chamomile in excess under previous allopathic treatment;—or when the tongue exhibits yellow coating; or when further indicated by:—intense heat and redness of the face (particularly at night), rest- less and interrupted sleep, with much tossing, and Avith° repeated Avaking; bruised pain in the head, Avith pressure, fullness, and heavi- ness; inflammatory redness, and burning sensation in the eyes, re- markable susceptibility to be provoked to tears or anger; suspicious, quarrelsome disposition, and from time to time great anguish of mind • bitter taste in the mouth; every kind of food conveys a bitter taste; loss of appetite; nausea or eructations; vomiting of greenish, sour or bitter matters; intense anxiety, and oppression ofthe chest; tightness and weight at the pit of and in the region of the stomach, across the stomach, and beneath the lower ribs; offensive smell emitted from the mouth, and in the breath; looseness of the bowels, with sour-smelling evacuations, or evacuations of excremental matter and slime (frothy evacuations) having the appearance of stirred eggs; or greenish evacuations; or on the other hand constipation,' with suspended evacuations. Dose: As directed for Nux-vomica. Bryonia is particularly appropriate to the treatment of this disease when it occurs in hot weather, with moisture ofthe atmosphere (sultrv' GASTRIC FEVER—BILIOUS FE"VER. 137 damp heat), or generally, when it occurs in the hot season. The indi- cations Avhich identify it are as follow:—insipid, pappy, foul, or bitter taste, particularly on waking; sensation of dryness in the mouth and th roat, continual thirst; tongue exhibiting a number of blisters, and covered Avith a Avhite or yelloAv coating; morbid desire for acids and stimulants, such as coffee, wine, &c, but repugnance to solid or whole some food; the mouth and breath emit a putrid smell; vomiting ot bilious matters, particularly after drinking, or sometimes frequent but ineffectual retching; fullness and tightness in the region of the sto- mach, particularly after eating, however smali the quantity; sensation of chilliness, Avith shuddering; heat in the head, Avith redness of the face; oppressive headache, wdth sensation of extreme heat, fullness and tightness, aggravated by drinking, opening the eyes, or move- ment (even change of position); dullness, confusion, and giddiness of the head; constipation. Dose: In every respect as last stated. Pulsatilla is also a most important remedy in this as in every other disease in Avhich the digestive organs are particularly implicated, and more especially if the patient has been submitted to excessive use of Chamomile under previous allopathic treatment. The following indi- cations may serve to determine and identify conditions, to Avhich it is appropriate;—the tongue being covered with whitish coating ; eruc- tations conveying a sour, bitter, or even putrid taste, or the taste of the food; particularly after swallowing food or drink, there is bitter, foul, or pappy taste in the mouth; desire for acids or stimulants, with general repugnance to food, particularly to animal food, and to fat (especially), or to warm, cooked food; all food conveys a bitter taste, especially bread; regurgitation of food; extreme nausea, or inclination to vomit, more intense after eating or drinking, or in the evening; ex- cessive accumulation of phlegm in the stomach and gullet; vomiting of food or of phlegm, or of bitter or sour matters, more severe at night; acidity of the stomach; flatulent distension, tightness, and hardness of the belly, with rumbling of Avind in the boAvels; looseness ofthe boAvels, Avith discharge of bilious or slimy matters in the evacua- tions,—or sluggish, languid evacuations, and insufficient activity and muscular energy of the bowels; the patient, if even habitually of a mild disposition, is unaccountably and unnaturally violent, perverse, morose, or taciturn; the temper is soured; languid and dragging sen- sation throughout the body, attended with chilliness; splitting head- ache, Avith tightness and compression of the forehead; sensation of weariness and exhaustion, occasioned by the least mental exertion; giddiness like that of drunkenness; vacancy, and confused sensation in the head; tearing, darting, jerking pains in one side of the head; darting, cutting pains (sometimes) in the eyes; aggravation of the pains in the head, (at first) in the evening, upon assuming a recumbent position, by mental labor, by moving the eyes or the head,—in the morning (during recumbency), or Avhen stooping; sloAvness and fullness of the pidse (in general); fits of shivering, shuddering, and coldness in the evening, or towards evening, sometimes further qualified by 138 GASTRIC FEVER—BII IOCS FEVER. sensations of anxiety and by oppression of the chest, or accompanied by pallor, reeling giddiness, and headache or perhaps merely heaviness ofthe head. Dose: In every respect as stated before. Mercurius may frequently be employed Avith great advantage after Belladonna, and is more particularly required when indicated by the following symptoms and conditions: dryness, and burning heat ofthe lips; "drowsiness in the daytime, but sleeplessness at night; severe and painful sensitiveness of the belly and of the region of the stomach, to the touch or to pressure, these symptoms being aggra- vated, or particularly developed at night, and attended with extreme sensations of anguish and restlessness; the tongue covered Avith white or yellowish coating,—or moist;—foul, or even offensive and loath- some, or bitter taste in the mouth; nausea or inclination to vomit, or, at other times, actual vomiting of mingled phlegm and bilious matters; the fever-symptoms are characterised by general coldness, shivering and shuddering all over the body, (as opposed to the partial occur- rence of these symptoms, indicating other remedies,) and by aggrava- tion occurring towards night, or in the night; fever, either of an inflammatory or putrid character; irregular, or quick and intermittent pulse ; heat of the head and face, with flushing, Avhen all other parts ofthe body are affected with coldness, shivering, &e ; giddiness when the head is raised; intense headache, with desire to press the head betAveen the hands; burning or tearing pains in the head, or on one side of the head only, extending to the ears, &c.; intense dejection, and listlessness. Dose: Of a solution of six globules, to two table-spoonfuls of water, give a tea- Bpoonful every four hours, until amelioration or change. Cocculus.—This remedy, as wrell as Pulsatilla, may be advan- tageously employed when the patient has been treated (under previous allopathic management) Avith excessive use of decoctions of Chamomile. The particular indications for its employment are as follow: absolute loathing of food; dryness ofthe mouth, Avhether thirst be present or not; offensive eructations; nausea and inclination to vomit, especially when eating or talking, during passive motion, or after sleeping; the tongue covered Avith a yellow coating; laborious respiration, inciden- tal to painful and oppressive sensation of fullness in the region of the stomach; soft evacuations, with a sensation of burning in the passao-e, or (more frequently) constipation; aching pain in the forehead, at- tended Avith giddiness; and weakness, characterised by sweat, occur- ring after the least physical exertion. Dose: In every respect as directed for Mercurius. Ipecacuanha is indicated by inclination to vomit, Avith uttei repugnance to food, and particularly to fat or greasy substances; dry- ness of the mouth; the tongue either clean, or covered with a thick yellowish coating; bitter taste in the mouth; bitter taste conveyed by all food; the mouth and breath emit an offensive smell; violent retc/t. ing, without discharge, and attended with great straining, or easy GASTRIC IEVER—BILIOUS FEVER. 139 copious vomiting of slimy matters, or of food, with a violent gush; looseness ofthe bowels, Avith discharge of yellowish, and very offensive or even piitrid evacuations; and accompanied with severe colicky pains; Aveight and sensation of fullness, Avith very severe pains in the region of the stomach; pale, yellowish hue of the skin; severe head- ache, seated in the fore-part of the head, and a sensation as if the skull were crushed; sensation of chill, attended with shuddering, and extending over the whole surface of the body, coldness of the extremi- ties, &c. Dose: Of a solution of six globules, to two table-spoonfuls of water, give, (if violent vomiting occur) one tea-spoonful every hour, until the symptoms yield. Otherwise, of the like solution, give a tea-spoonful every four hours, until three doses have been given, and then, if necessary, every eight hours, until positive amelioration or change. China is applicable to such cases as eATince the following symptoms: —frequent eructations; vomiting or regurgitation of food; loss of appetite, and a sensation of thorough repugnance to all food, or as if one had eaten enough, or more than enough; frequent emission of very offensive wdnd from the bow^els; evacuations containing indigested food; painful sensation of tightness in the belly, and of weight in the region of the navel; sensations of chilliness and shuddering after drinking; looseness of the boAvels Avith watery, slimy or yellowish evacuations; heat with full and quick pulse; headache (sometimes delirium), burning sensation in the lips, red face, and dry mouth. Dose: Of a solution of six globubes, to three tablespoonfuls of water, give a tea- spoonful every six hours, until amelioration or change. Colocynth. This remedy is appropriate to the following symptoms amongst others:—spasmodic colic; spasm ofthe stomach, vomiting, or loose discharge from the bowels after the slightest and most whole- some meal; cramp in the calves of the legs ; shivering with general coldness, but with heat of the head, unattended with thirst; full and quick pulse. Dose: Of a solution of six globules, to two table-spoonfuls of water, give a tea- spoonful every four hours, until three doses have been given, and afterwards, if necessary, every six hours, until amelioration or change. Digitalis frequently proves of great service when such symptoms as the following are present:—looseness of the bowels attended Avith great loss of strength; nausea, with bitter taste in the mouth after sleeping thirst; vomiting of phlegm, &c. Dost Of a solution of eight globules, to three table-spoonfuls of water, give a tea-opoonful every three hours, until positive amelioration or change. Arsenicum, an invaluable remedy in the majority of very severe And urgent cases, either when one or more of the preceding have failed to arrest the symptoms, or when the disease has run on to an advanced stage before treatment has been resorted to. The chief in- dications whifcu identify it as the appropriate remedy, are as follow: dryness of the tongue, accompanied with severe thirst, and with con- tinual inclination to drink, with, however, inability to drink more than a small quantity at a time; bitter or very acrid,pungent eructations ; 140 GASTRIC FEVER—BILIOUS FEVER. saltish or bitter taste in the mouth ; nausea; vomiting of food or of greenish, brownish, or bilious matters; extreme tenderness of the region of the stomach to contact: burning and cutting cramp-like or spasmodic pains in the stomach and boAvels, accompanied with chilli- ness and anguish,—or very painful sensation of Aveight and burning at one spot in the stomach ; suspension of evacuations, on the one hand,— or on the other hand, excessive and continued relaxation of the boAvels, attended with severe urging, and with brownish, yelloAvish or greenish evacuations; scalding sensations in passing water; the evacuations (or vomiting) are provoked by or recur after every movement, or after drinking; fits of shivering and shuddering, attended with sensations of anxiety, oppression of the chest, headache, difficulty of breathing, chiefly occurring in the evening upon exposure to currents of air, in the open air, or after eating or drinking (especially the latter); general heat of the body usually occurring at night, and accompanied Avith restlessness, anxiety, &g. ; irregular, frequent, and quick pulse; ex- treme prostration of strength, and desire to assume or to retain a recumbent posture, &c. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every hour (in very urgent cases, characterised by repeated occur- rence and continuance of the violent symptoms, and by excessive prostration of strength), or every three hours (in cases in which the urgent symptoms are qualified by less frequency and longer intervals), until amelioration or change. Baptisia. Nausea, vomiting and eructations. Increased debility, furred tongue, also diarrhoea. Dullness of the head: SAvimming sen- sation. Many symptoms resemble the so-called "Spotted Fever." Dose: Four globules in a tea-spoonful of Avater. Gelseiriinum. Excessive nervous irritability and delirium. Bilious diarrhoea or inflammation of the stomach and cramps. Congestion of the portal system, and a torpid state of the liver in which case Aconite, Nux-vomica, Podophyllum, Mercurius, or Leptandria would be applicable, alternated with Gelseminum. Dose: Three globules in a tea-spoonful of water every hour, or of the next selected remedy at intervals of four hours, until amelioration or change. Veratrum will frequently be found of great service in cases which do not correspond in all points with the symptoms described under the head of Arsenicum, but which evinces the same general character, but more especially when disease attacks persons who are otherwise habitually of robust health. The following are amongst the distinctive indications: the tongue dry, or covered with a yellowish or brownish coating; simultaneous vomiting and dejection of bilious matters;— fits of fainting after evacuating, and extreme debility. Dose: In every respect as directed for Arsenicum. 1. Rhus-tox., 2. Antimonium-tart., 3. Squilla. One or more of these medicines respectively, according to the indications afforded in the article on " Characteristic Effects," will in some cases be found of considerable service in the treatment of Bilious Fever, in its various stages. chronic fever. 141 Dose: Of the remedy selected, give four globules in a tea-spoonful of water, every three hours until four doses have been given, and afterwards, if neces- saryj every six hours, until positive amelioration or change. Diet and Regimen. During the course of this fever in its severe forms, no solid food Avhatever should be allowed, and even very thin farinaceous foods, or gruel can only be admissible in very small quan- tities at a time. The only drinks which can be .allowed are water, or toast-Avater, or water which has been softened by being strained off scalded groats or pearl bailey, and alloAved to stand until cold. Even during convalescence, the diet mustbeA'ery sparing for some time; the least irritating or seasoned food is very objectionable, and even an'.mal broths should not be allowed until the tone of the stomach is some- what restored, until Avhich, very thin farinaceous food gradually thickened from day to day, should be giATen in very small quantities at a time, and at intervals (in general), not exceeding three hours. Regularity of meal-hours, and a careful abstinence from excess, or from any rich, seasoned or stimulating food for some time after the attack, can alone secure the convalescent from mischievous consequences. Water should continue to be the only beverage for a considerable time, and smoking should be aA^oided, even by those who have been habitually addicted to the free use of tobacco. The avoidance of any of the other exciting causes is equally impor- tant ;—excess of exercise, exposure to heat, or to transitions of tem- perature, fatigue, or .check of perspiration may lead to untoward results. But Avith such precautions, a due proportion of exercise in the open air, change of air and scene, and free ablution with cold water will do much to invigorate the functions in their restored equilibrium. CHRONIC FEVERS. Before we diverge from the consideration of Fevers unaccompanied, or not necessarily followed by Eruptions, we should not omit to men- tion those Fevers which assume a protracted character, and which therein differ from ordinary fevers (fevers of a distinctly acute cha- racter), which run a rapid and quickly determinable course. In cases of this kind, the pulse is continually more or less accelerated, and indi- cative of some constitutional irritation, and the continuance of these symptoms is attended with emaciation, sometimes colliquative dis- charges, suppurations, great debility, and eA'ident organic injury. They mav be reduced to four general heads, Avhich, however, are sub- ject to a multitude of individual and subordinate divisions, viz.: slow Symptomatic Fever, slow Nervous Fever (properly so-called), Hectic Fever. General Causes. Severe allopathic treatment, poisons, unwhole- some humors, extreme exertion or excess, acting upon a constitutional debility, and unhealthy habit of body; chronic inflammatory action or irritation, ending in suppuration, and affecting a particular part or organ; gnaiving, and continual grief (pining), or continued meutai 142 SLOW SYMPTOMATIC FEVER. excitements of any kind; or in some cases, even the continued duration of particular pains, inducing restlessness, and thereby sapping the vital energies. SLOW SYMPTOMATIC FEVER, Or Fever resulting from the Presence of noxious Humors or bad Habit of Body. Treatment. Cases of this kind, in which the constitutional irri- tation is evidently associated with other constitutional derangements, such as scrofulous affections, gout, &c, Avill be preferably treated by referring to the articles devoted to those subjects in particular, in other parts of this work; for the only certain method of subduing the feverish symptoms which are mere manifestations of other disease, is to remove or modify the cause of irritation. We shall, however, sub- join a few remedies which may be applicable to some features of affections of this nature. It were impossible to consider fevers of this kind, in their Ararious variations, here without transgressing the limits of a work of this kind, or forestalling details which Avill be afforded elsewdiere. 1. Sulphur, 2. Calcarea. These may be numbered amongst the most important remedies in cases of chronic fever, associated with a Scrofulous habit of body, and in the majority of cases Sulphur should be first, and sometimes singly employed. In other cases, Calcarea more distinctly embraces the symptoms present. The alternation or successive administration of these medicines, however, is often required (that is Sulphur followed by Calcarea). Sulphur is more especially indicated by unnatural hunger, swelling (and sometimes suppuration or ulceration,) of the glands of the arm- pits, neck and groins (especially), swTeat easily provoked, and often profuse, especially towards morning; continual watery discharge from the nose, rattling of phlegm in the upper part of the windpipe ; pale and bloated, or very thin face, pale skin generally; discharge from the ears, flaccid and flabby condition of the flesh; excessive susceptibility to taking cold, and to long-continued discharge from the nose and eyes, &c.; pressure on the chest, holloAV, sunken appearance of the eyes, Avith dejected expression ; stitches in the side and chest, short oppressed respiration, and palpitation of the heart; scabby and other unhealthy eruptions on the skin; (sometimes) enlargement (distension), and hardness of the belly, predisposition to diarrhoea, attended with severe colicky pains, or to constipation of the most obstinate kind; continued excessive and slimy diarrhoea, or indomitable constipation ; dry cough; Aveakness, with weary feeling and heaviness ofthe limbs, dryness ofthe skin with thirst; increased and feverish heat, particularly towards the close of the day; limited red patches on the cheeks, par- ticularly on the left cheek. Calcarea is more distinctly indicated by curvature ofthe bones; hard and tense swelling of glands with suppuration ; continual sensation of heat unaccompanied AAdth thirst; or habitual shuddering, aggravated SLOW SYMPTOMATIC FEVER. 148 or appearing only towards night, and accompanied Avith redness ofthe face; sudden and frequent flushes of heat, attended Avith extreme un- easiness, and frequently with 'severe palpitation; rapid or slow but progressive loss of flesh, sometimes qualified by fitful but voracious appetite, sometimes by loss of appetite; dryness, Avithering and wrink- ling of the skin, Avith more or less dimness of the eyes; talking exhausts the patient, Avho is evidently in continual anxiety concerning his or her health; the least excess in quantity of food, or slight irregularity of any kind disturbs the digestion; SAveats, sometimes very profuse, preArail at night, and are easily provoked even by the slightest mental excitement or emotion at any time; short, dry cough ; excessive dry- ness of the skin, sometimes also looseness; chronic inflammations of the eyes and eyelids, with great tenderness of light; discharge of blood from the nose,—or swelling and redness of the nose; chronic discharges of matter from the ears, and enlargement of the upper lip, either continual, or occurring from time to time; complexion pallid and puffy; belly swollen and hard, and obstinate Constipation, or ex- cessive and continued relaxation. Dose : If singly, of either of the foregoing remedies for an adult, six globules in a table-spoonful or, still better, in a wine-glassful of water every morning the first thing (fasting), for eight days) or until a dis- tinct change has taken place in the aggregate of symptoms, in which case, pause three days before proceeding: for children between two and twelve years old, three globules, or even four globules in a tea-spoonful of water, likewise ; for rickety infants from the first dentition two globules (of Calcarea), in a tea-spoonful of water likewise. If in alternation, first, two such doses of the one (on two successive days), then a pause of four days, followed by two similar doses of the other, and so on. Lycopodium may often follow Calcarea with advantage when eruptions on the hairy scalp, associated with obstinate Constipation, constitute the distinctive features of the case, with such other qualify- ing conditions as are set forth in the-Article on " Characteristic Effects ;" in which case however, it will, in many instances, be neces- sary to return to Calcarea, or sometimes even to Sulphur, when Lycopodium seems to fail in producing a progressive effect. Dose: Of a solution of six globules in two table-spoonfnla of water, give a tea- spoonful morning, noon, and night the first day, and afterwards, morning and evening, until amelioration, change or suspension of effect, unless no effect at all should occur in four days ; in either of which cases, reconsider the symp- toms, and proceed accordingly. Arsenicum is indicated when there is a continual inclination to lie down, from a sensation of inability to move or to sit up—a symptom which may likewise be characteristically associated with continued and severe relaxation of the bowels: scurfy eruptions on the hairy scalp, swelling of the glands of the neck, Ac. Dose: Four globules in a tea-spoonful of water, as directed for Sulphur or Calcarea. Belladonna, especially for patients of a fair complexion, when, with other symptoms, as already described, we notice a predisposition to inflammatory SAveiling and soreness of the throat; wetting the bed, or general inability to retain the water; more particularly if the mental 144 SLOW NERVOUS FEVER. development is observed to be unusually in advance of the physical poAvers (in children). Dose: Six globules, or in other respects, as directed for Sulphur or Calcarea. Diet and Regimen. In all cases of this nature, the greatest importance should be attributed to these accessory measures in Treat- ment;—indeed, little or no permanent benefit can be anticipated without attention to these particulars, as detailed in the Sections on " Preventive and Eradicative Treatment," in the introductory portion of this Volume. The food should be nourishing, unstimulat- ing, and as much compressed as possible — quantity being an important consideration; for, however digestible may be the food, if sparingly used, an excess in quantity will inevitably impede the digestive pro- cesses. Fresh air and exercise without fatigue, regular habits, freedom from causes of vexation, emotion, excitement or the like, and the proper employment of cold Avater for ablution, Avith general cleanliness of person and habitation, are absolutely indispensable to cure. SLOW NERVOUS FEVER. Slow Nervous Fever, properly so-called, is to be definitely dis- tinguished from Hectic Fever, by an increased development of febrile motion AAdien fasting (relief being consequent upon a replenished sto- mach), and by general deficiency of heat; Avhereas, Hectic Fever is aggravated by partaking of food, and is qualified by increase of mor- bid heat. SIoav Nervous Fever, moreover, is unconnected with any organic or other local affection, but depends upon a general debility of the Avhole nervous structure, and consequent derangement of func- tions especially associated with this portion of the system. Symptoms. The general symptoms, subject to variations of in- tensity, in accordance Avith the greater or less degree of the affection, and dependent upon functional derangements conformably to the par- ticular susceptibilities of individuals, consist of very great variations of temper, disposition and inclinations, Avith predominance of fretful- ness, desponding humor, or severe, painful and indomitable depression of spirits alternated with brief moments of excitement; spasmodic, hysterical, or hypochondriacal affections; extreme susceptibility of the Cerebral System, to be disturbed by external circumstances, generally with local or lateral headaches, which are, however, apt to be modified if the attention is pleasingly abstracted without involving an intellec- tual effort (as, for instance, by entertaining and light reading)—little or no increased sensation or positive increase of heat, but predominant sensation of chill, and either absence of undue perspiration or little SAveat; variable manifestations afforded by the urine, both as to color and quantity ; the pulse is in general small and quick, but is subject to considerable variations, and is very susceptible of extreme accelera- tion upon the least emotion or excitement; the febrile action is aggra- vated towards morning or whenever the stomach becomes empty, and is lessened by eating. CHRONIC FEVER. 146 Causes. Debilitating causes of any kind may result in SIoav Nervous Fever, but particularly Acute Nervous Fever, or rather Acute Fevers ; continued discharge of blood or other animal fluids; the debi- litating effects of excesses (which have not directly occasioned inflam- matory disorders), may lead to the same consequence; exhausting and continued exertion of physical strength and endurance, and excessive and long-continued application of the mental faculties, may also ter- nanate in the same disorder. Treatment. Arsenicum is indicated if the skin be hot and dry, or particularly the latter, during the exacerbations, the appetite defi- cient, the emaciation very considerable, the temper particularly irri- table and contradictory; or if the debility be excessive, and palpitation of the heart be easily provoked, and there be a continual disposition to lie down: or if great thirst prevail, the appetite being fitful and dainty, or even deficient, and the patient has a continual inclination to drink, without ever drinking freely,—or more especially if stimulating drink [which is to be avoided) be found to allay the symptoms for a time. (Refer also to the Article on " Characteristic Effects.") Dose : Three globules in a tea-spoonful of water towards noon, repeated at night until a degree of improvement (or change) results, when (if improvement), continue the doses at night, until the symptoms become progressively modi- fied or positively changed. China is more especially required when the direct cause of the dis- order has been great loss of blood or other animal fluids; in which case, listlessness and languor are more characteristic than irritability, sometimes, however,perverseness or discontentment; dainty, fastidious appetite quickly satiated, or voracious appetite followed (if the food be too rapidly SAvallowed) by uneasiness, oppression, and ill-humor; longing for something indefinite, never gratified by what is offered; pulse small and quick; tenderness of the roots of the hair and of the scalp generally; frequent bleeding at the nose; Avhatever is eaten that is the least indigestible passes through the bowels in a crude state; frequent inclination to pass Avater with slow and deficient elischarge; swelling of the feet; sleep very easily broken, and generally disturbed by uneasy, sometimes by frightful dreams; dread of bodily exertion; abundance of impracticable projects, &c. Dose : Six globules in a table-spoonful of water at bed-time, until amelioratica or change. Cocculus is especially indicated by erroneous calculation of time, every period appearing shortened to the patient; extreme nervous sus- ceptibility, whereby the patient feels aggrieved at every thing which is said and done; and Avhich, with excessive preponderance of melan- choly and desponding ideas, amounts almost to aberration of mind; occasional nausea and giddiness even to fainting; soft and yellow evacuations; numbness of the feet and legs.— Cocculus is most appro- priate in cases resulting from acute fevers, nervous fever in particular. Dose : Three globules in a tea-spoonful of water, as directed for Arsenicum. Staphysagria is required when the exacerbations of the fever are distinguishable by chill or coldness instead of heat; absence of perspi- 10 146 HECTIC FEVER. ration, Avith pallor and headache, or occasionally partial cold sweats on the feet and on the forehead; sleep retarded by anxious or abundant thoughts, or disturbed by uneasy dreams; obtuseness ofthe intellectual faculties, and weakness or confusion of memory; apprehension for the future; rapid falling off of the hair; confusion of sight and hazy appearance of a light; adhesion of the eyelids, with discharge—con- siderable accumulation of dry matter in the corners of the eyes—or great dryness of the margins; chronic eruptions of small millet-shaped pimples on the skin; hollowness of the eyes, with wan and drawn appearance of the face, and sometimes blue rim round the eyes; enlargement of the tonsils; SAveiling ofthe glands ofthe groin ; relaxa- tion of the bowels, Avith offensive flatulency; fluttering palpitation of the heart, provoked by the least motion, and by pleasing emotions, or on first rising from a recumbent position; swelling of the instep. Dose : Four globules in a tea-spoonful of water, once daily at bed-time, until amelioration or change. Veratrum is indicated by fever, characterized by positive external coldness; small, quick, and intermittent or slow and indistinct pulse; dark-colored urine; taciturnity or violent excitement, with much talka- tiveness ;. painful sensation, as of remorse, unquiet mind, or vacancy of thought; whitish and flabby skin; sudden rush of blood to the brain in the act of stooping or leaning forward, and reeling giddiness on first assuming an erect position; throbbing headache—coldness of the top of the head; double vision; objects flitting before the eyes on raising the head from the pillow, &c ; extreme coldness of the nose; frequent bubbling in the intestines; coldness of the extremities. Dose: Three globules in a tea-spoonful of water three times a day, until ame- lioration or change. Diet and Regimen.—The accessory means which tend to over- come this troublesome and indefinite affection, are change of air and scene, a mild climate without excessive moisture, avoidance of night and morning air, until the atmosphere has been cleared by the action of the sun or the circulation of currents of air, avoidance of sudden transitions of temperature; exercise and free access of fresh air, Avith- out fatigue or chill—generous but simple and sparing diet; frequent and scanty meals, an equal proportion of animal food Avithout suc- culent vegetables. —All depressing or over-elating emotions should be avoided; equanimity is very essential.—Amusements, involving physi- cal expertness, are preferable to those Avhich rack the reflective facul- ties. Perception should no sooner be excited by one object than it is diverted to another. Good wine, in very limited quantities, especially if diluted, can do no harm. HECTIC FEVER. Hectic Fever, which is distinguishable from slow Nervous Fever by 'ts aggravation after eating, and by an increased development of heat, is invariably associated with organic affection of some important parts, whether by congestions or by indurations, &c. It does not, however^ follow that Hectic Fever, properly so called, is irremediable, because HECTIC FEVER. 147 the imminent inflammation may be averted, or the induration may be resolved, \Thich this disease appears in its simple form. Dose: Dissolve six globules in four tea-spoonfuls of water, and give a tea spoonful of the solution every three hours (if the fever-symptoms be severe) or every six hours (if they be moderate), until amelioration or change ; either of which supervening, the administration should be suspended until the ame- lioration, on the one hand, has become stationary, or the symptoms, on the other hand (in case of change) have been reconsulted to ascertain if they be of the nature of a medicinal aggravation (for which consult the article on the "Administration," &c, pp. 57, 58, and that on the Characteristic Effects"), or if they be of a nature to indicate another remedy. If medicinal aggravation, abide the reaction without further treatment; if of a different character, pro- ceed with the remedy so indicated. MALIGNANT SCARLATINA. The next form we shall treat of is one in which the scarlatina be- comes a severe and dangerous disease, when the throat is considerably affected, and high fever or congestive symptoms set in, and which, if not properly treated, or if they occur in a bad habit of body, may assume the malignant type, attended with ulcerated sore-throat, ex SCARLET FEVER. lol tension of the inflammation to the air-passages, delirium, spasm, &c. (See also Ulcerated Sore-throat.) The fever and sore-throat increase Avith the eruption, in mild cases, and cease Avith its decline, but in the more severe form they continue; it is wdien the disease appears principally to attack the head, throat, chest, or boAvels, that it becomes dangerous. (See also Inflammation ofthe " Windpipe, &c.,» "Lungs," "Bowels," and "Brain.") The eruption frequently does not appear before the third day, and then only in isolated patches. Treatment.—Belladonna should be administered, as soon as the throat and tongue become affected with dryness and burning, and there is a desire, but complete inability, to swallow even drinks or saliva, with sense of suffocation ; further, when the throat is of a bright red color, having its surface excoriated, or covered Avith white specks, or stringy phlegm, or presenting the appearance of thrush, - the glands of the throat being swollen,—and the tongue is of a bright, fiery-red hue, sometimes interspersed with dark red patches, but, generally, later in the disease, if at all; also Avhen delirium exists. Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea- spoonful of the solution every six hours, until amelioration or change ; to a child under twelve years of age, a tea-spoonful of the solution repeated as above—which will generally be sufficient to bring about a speedy ameliora- tion, when the administration should be suspended until such amelioration becomes stationary. But if no improvement follow within three hours after the second dose, and the inflammation and swelling continue to increase (which often occurs in scrofulous patients), or the subjoined symptoms super- vene, proceed at once with the next remedies respectively. Mercurius should be promptly employed six hours after the second dose of Belladonna, if, instead of subsiding, the inflammation and swelling continue to increase, or if incipient ulceration becomes ap- parent, and there be an increased secretion of phlegm in the throat. Dose: Dissolve twelve globules in three table-spoonfuls of water, and give a tea-spoonful of the solution every four hours, until amelioration or change; for a child under twelve years of age, a solution of six globules to three tea- spoonfuls of water, administered by tea-spoonfuls in like manner ; or if the subjoined symptoms supervene, proceed with the next remedy, first pausing six hours. Arsenicum should be administered six hours after the last dose of 3Iercurius, if the ulcers present a livid appearance about the edges, and emit an offensive odor, or if there be excessive thirst with great dryness ofthe throat and extreme prostration of strength. Dose: Three globules in a tea-spoonful of water (for a child under twelve years of age, two globules in a tea-spoonful of water) every three hours, until ame- lioration or change; but if no improvement (or very little and transient) follow within two hours after the fourth dose, especially if the subjoined in- dications be present, proceed with the next remedy. Nux-vomica will be required after Arsenicum, Avhen the latter is evidently inadequate to effect a perfect reaction, when the improve- ment (if any) has been trifling and transient, or more particularly when the folloAving symptoms are present:—glutinous phlegm is copiously secreted from the inflamed and tumefied lining ofthe throat, which adheres so tenaciously, that it is with difficulty expelled, and 152 SCARLET FEVERS. sometimes even threatens suffocation. (See also the article on " Ulce- rated Sore Throat." Dose: Dissolve six globules in three table-spoonfuls of water, and administer a tea-spoonful of the solution as directed for Arsenicum. Aconite should be administered when the fever assumes a clearly inflammatory type, and the pulse runs high. (See also " Inflammatory Fever.") Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea- spoonful of the solution every three hours, until amelioration or change ;— for a child under twelve years, four globules to six tea-spoonfuls of water ad- ministered by tea-spoonfuls. Belladonna should be administered when the quickness of pulse and other inflammatory febrile symptoms are subdued, and the affec- tion ofthe throat again appears prominent, especially if the skin retain the peculiar scarlatina hue. Dose: Fo»r globules in a tea-spoonful of water,—or for a child under twelve years of age, two globules in a tea-spoonful of water,—every four hours, un til amelioration or change. Opium may follow the administration of Belladonna, when there is burning heat ofthe skin Avith droAvsiness, stupor, snoring respiration, open mouth, eyes half closed, restlessness Avith vomiting, or convul- sions. When furious delirium, Avith great restlessness, incessant movement of the hands, &c, appears at the commencement of scarlet or other eruptive fevers, Opium is more serviceable than any other remedy, and Avill generally prevent a fatal issue from paralysis of the brain, Avhich is so prone to occur in such cases. Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea- spoonful of the solution every four hours, until amelioration or change ; (or three globules dry on the tongue similarly, if there be difficulty in inducing the patient to swallow the solution.) As soon as manifest improvement oc- curs,—frequently after the first dose,—it is desirable to suspend treatment until the improvement becomes stationary, or the symptoms recur in full force (when the same remedy should be repeated;,-or until other symptoms supervene, when a fresh and appropriate remedy must be administered. But if little or no improvement follow within two hours after the third dose proceed with Gelseminum, as directed before. Zincum may sometimes be required, when Opium is insufficient to avert the threatening danger. Dose : In every respect as directed for Opium. Sulphur, in repeated doses, has been strongly recommended when the eruption is very intense, and extends over the entire frame, and particularly when the patient affected is of the scrofulous habit of body. Dose : It singly, three globules in a tea-spoonful of water every six hours, until amelioration or change; for a very young person, two globules in 'a tea- spoor ful of water similarly.- Or if symptoms indicative of Aconitum super- vene rendering the intermediate administration of that remedy necessary allow an interval of eight hours to elapse—and proceed with the next remedy returning to Sulphur four hours after the last dose of Aconitum, if necessary as soon as the particular symptoms which called for the last-named medicin ■ have yielded. COMPLICATED FORMS OF SCARLET FEVER. 153 Aconitum is indicated for intermediate administration during the course of Sulphur, eight hours after the last dose of that medicine, if great restlessness and dry heat ofthe skin should supervene. Dose: Four globules in a tea-spoonful of water,—or for a a ery young person two globules in a tea-spoonful of water,—repeated in an hour, and a third dose two hours after the second, if necessary, and so on until the peculiarly indicative symptoms subside, when pause four hours, and return to the aa- > ministration of Sulphur if required. COMPLICATED FORMS OF SCARLET FEA'ER. Varieties of Scarlatina not unfrequently occur in wdiich the charac- teristic peculiarities of the efflorescence are wanting, namely, the color, which is not a bright scarlet but of a darker hue, and the effect of pressure, Avhich does not leave the white impression after it. There are, also, cases in which small granular elevations appear upon the surface of the red patches. These variations from the foregoing de- scription of the manifestations afforded by Scarlet Fever are not to be mistaken for indications of a different disease, but should be accepted as signs of a different type of the same disease, and of one Avhich Avill be more appropriately treated of under the head of "Scarlet Rash." There are also instances in Avhich the eruption is confined to internal parts, when, Avith the characteristic acceleration of pulse, there is sore throat, and the mouth and throat are bright red, hot, swollen, and often very dry. This variety will be subject to treatment, such as that already detailed, according to the special indications present. Other instances, again, occur of a yet more insidious character, which are not distinguished until the dropsical sAvellings supervene, and which either evince no eruption at all, or so slightly as to escape notice. This variety must, in all instances, be treated as directed for the like symptoms supervening, as the after-effects of the disease when the eruption has been struck in or imperfectly developed. Another very dangerous complication, which is frequently associated with scarlet fever, consists of inflammation of the upper part of the windpipe. This variety should be subjected to the treatment prescribed in the article devoted to the consideration of that particular disease, so long as symptoms of this nature continue—returning, however, to the specific treatment of the primary disease (Scarlet Fever) as already directed in this chapter, as soon as the complication is subdued. Another variety is characterized by degenerating into a Ioav typhoid type, in Avhich cases the following treatmect becomes requisite. Ammonium-carb., Arsenicum, Acidum-phosph., Secale- corn. From amongst these remedies a selection should be made by accurately studying the symptoms of the case, and by comparing them Avith the indications afforded under the head of each respectively, in the article on " Characteristic Effects." Dose: In very severe cases it will be necessary to commence by administering four globules in a tea-spoonful of water (or for very young persons, two glo- bules in a tea-spoonful of water), every hour (twice), and then every two hours, until some degree of amelioration or change sets in, when the intervals 154 after-effects of scarlet fever. should be doubled,--the administration being moreover suspended as soon as decided amelioration follows, until such amelioration ceases to be progres- sive, or the symptoms begin to resume their ascendancy,—when the treat- ment should 'be resumed at intervals of six hours, and so on, until the serious aspect of the malady is entirely removed. In more moderate cases, the ad- ministration may be commenced at intervals of four hours, subject to similai modifier tions. Cases in Avnich the throat becomes the chief seat of danger, require the folloA\ing treatment:— Arsenicum is indicated in the majority of cases in which severe and dangerous sore-throat accompanies Scarlatina, the tonsils fceing SAVollen into hard tumors, often as large as apples, attended Avith snorting and difficult breathing, enlargement of the adjacent glands, remittent pulse, and intense drowsiness. (See also the article on " Ulcerated Sore-throat," for particular indications.) Dose: Four globules in a tea-spoonful of water (or to a child under twelve years, two globules in a tea-spoonful of water), first three times at intervals of half an hour, then an hour after the last dose, and again two hours after that; and then, if the more urgent symptoms have been modified, every four hours, until amelioration or change ; but if little or no improvement ensues within six hours after the commencement of this course, proceed with the next. Aeidum-nitric., Aconitum, Lycopodium, Belladonna.— If little or no improvement should have folioAved the administration of Arsenicum within the time iust stated, proceed with these remedies in succession (one dose 01 each), in the order in which they are placed. Dose: Of each remedy four globules in a tea-spoonful of water (or for a child under twelve years of age, two globules in a tea-spoonful of water) in suc- cession, at intervals of one hour, or in very severe cases, even of half an hour, until distinct amelioration or change. AFTER-EFFECTS OF SCARLET FEVER. Scrofulous subjects in particular are subject to a multitude of con- secutive ailments of Scarlet Fever, which are often of an obstinate character, and require careful treatment and great precaution. Excessive Susceptibility to take Cold. In general also, we may number amongst these after-effects, when the skin has been cast, an exceeding susceptibility to take cold, which, if not obviated, may entail serious consequences. Treatment.—As accessory precautions Ave may mention great care as to diet, sufficient exercise out of doors, if possible, but only in very dry weather, warm clothing, and avoidance of drafts, without, how- ever, resorting to the extreme of coddling or the exclusion of free ventilation, which is as essential to thorough recovery as medicine. Calcarea should, in the majority of cases, be administered (unless there be symptoms which distinctly point to other remedies) in re- peated doses. Dose: Six globules in a table-spoonful of water (or for very young persons, three globules in a tea-spoonful of Avater), night and morning for ten days , AFTER-EFFECTS OF SCARLET FEVER. 15. pause four days, and resume treatment similarly for seven days mere if necessary. J J ' Rawness of the Face. Chamomilla. Belladonna, Arum-trip. Chamomilla may, in most cases, be employed singly with perfect success against tlrs troublesome consequence. When, however, an inflammatory tendency continues, and the affected parts are much swollen and painful, &c, it will be desirable to resort to the alternate administration of Chamo- milla and Belladonna as follows; and if no relief take Arum-trip. Dose: If singly, give four globules of Chamomilla in a tea-spoonful of water morning and evening until amelioration, or change. If in alternation, firs* two doses of Chamomilla at intervals of six hours, then a pause of twelve hours, and subsequently two doses of Belladonna similarly, and so on. Offensive Discharge from the Nose. Aurum is indicated by offensive discharge of matter from the nose, with soreness and swelling of the interior, following Scarlet H EVER, Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea- spoonful ofthe solution morning and evening, until amelioration or change. Soreness of the Nose, dc, with Swelling ofthe Glands. Mercurius and Hepar-s, Silicea, Sulphur, Calcarea.— Mercurius is required Avhen there is soreness of the nose and face Avith swelling of the glands on the inner side of the loAver jaw' folloAved, if necessary, and according-to the indications afforded in the article on "Characteristic Effects," by one or more of the other remedies named. Dose : Four globules in a tea-spoonful of water (or for a very young person two globules m a tea-spoonful of water), morning and evening, until amelio- ration or change,—allowing in even case an interval of twenty-four hours to elapse between the administration of different remedies. Puffiness and Swelling of the Face and Extremities, &c. Belladonna is in most cases sufficient to overcome the fohWino- symptoms, occurring as the after-effects of Scarlet Fever, namely— Puffiness ofthe face, swelling of the hands and feet, lino-erino- fever in the evening, glandular enlargements, chaps about the°mouth, severe headaches, stammering, &c. Dose: Four globules in a tea-spoonful of water, three times a day for four days, an 3 then morning and evening (if necessary), until amelioration or change. Dropsical Swellings, &c. Arnica, Belladonna, Helleborus, Acidum-phosph., Gelse- minum. One or more of these remedies respectively according to the detailed indications afforded respecting them in the articcle of " Characteristic Effects," should be administered, Avhen symptoms of Water on the Brain supervene, such as: dullness of the mental faculties, with evident painful effort to think clearly; excessive drew- 156 after-effects of scarlet fever. siness, weakness of the feet and repeated falling doAvn; squinting, dilatation ofthe pupils, &c. &c. Dose: Of either remedy, as selected, give six globules in a table-spoonful of water, or for a very young person, from two to four globules in a tea-spoou fill of water, three times during the first day, and afterwards night and morning, until amelioration or change. Arsenicum, Helleborus, Digitalis. Selection should be made from these remedies, subject to the regulations reserved in the last prescription, particularly when symptoms of Water on the Chest supervene, such as: painful oppression of respiration, aggravated by motion, or by lying on the beick; the patient is suddenly disturbed in sleep by a suffocative sensation, which compels him to sit up, or even to get up, and seek for air; or even inability to lie down, necessitating a sitting or even a perfectly erect posture; short, dry, and even spas- modic cough, and stitching, crampy pains between the shoulders; ex- cessive anxiety, &c. &e. Dose: Of the remedy, as selected, in every respect as last directed ; except in very severe and critical cases, when the dose must be repeated at intervals varying from half an hour to two hours, until relief is obtained. Digitalis, Helleborus. Selection should be made—subject to the regulations already indicated—from these two remedies, Avhen dropsical swelling of the abdomen (or belly), in particular, super- venes. Dose: In every respect as directed for Am., Bell., Hell., and Acid-phos. above. Arsenicum, Helleborus, Rhus. These medicaments should, in like manner, be referred to, In the article on "Characteristic Effects," for selection in cases in which general dropsical savell- ing of various parts ofthe frame simultaneously supervenes. Dose : In every respect as directed for Am., Bell., Hell., n of adhesions. 296 ACUTE INFLAMMATION OF THE LIVER. The disease may terminate by resolution, critical transitions to other organs, piles, diarrhoea, bleeding at the nose, or eruptions on the skin, generally erysipelatous. TREATMENT. Aconitum, Belladonna, Mercurius, Lachesis. Aconite is especially indicated in the commencement of the attack, and may always precede the other remedies, when there is violent inflammatory fe\rer, attended Avith insupportable shooting pains in the region of the liver, with tossing, restlessness, and great anxiety and anguish. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-spoonful every three hours, until amelioration or change. Belladonna may be advantageously administered, after Aconite has subdued the preceding symptoms, or from the commencement, when the folloAving indications present themselves ; oppressive pains in the region of the liver, Avhich extend to the chest and shoulders, dis- tension of the pit of the stomach, sometimes extending across the region of the stomach, producing a sensation of tension, with difficult and anxious respiration; determination of blood to the head, with cloudiness and giddiness, sometimes causing faintness; great thirst, tossing about at night, and sleeplessness. Belladonna may be advan- tageously alternated with Lachesis in such cases as coincide with the joint indications afforded for both of these medicines, especially if the patient has been addicted to excessive use of fermented liquors. Bella- donna is, moreover, especially appropriate when the temperament of the patient exhibits a combination ofthe sanguine and lymphatic. Dose: If singly, dissolve six globules in two table-spoonfuls of water, and give a tea-spoonful of the solution every four hours, until amelioration or change. But if symptoms of medicinal aggravation should occur (see pp. 57 and 58), the administration should be suspended, until the re-ascendancy of the disease itself becomes manifest; or. again, if no positive and permanent improvement should ensue within four hours after the third dose, pause two hours more, and proceed with the next medicine. If in alternation with Lachesis, the like solution of each administered in rotation, by tea-spoonfuls, at intervals of twelve hours. Mercurius Avill, in the majority of cases, prove effectual AAThen Belladonna has failed to produce a favorable impression on the dis- ease, and should accordingly be administered six hours after the third dose of the foregoing remedy in such instances. The particular indi- cations for Mercurius are as follow: Considerable fullness or tumefaction in the region of the liver, Avith pricking, burning, or oppressive pains, not allowing the patient to lie long on the right side, and sometimes augmented by movement ofthe body or part affected; pain in the shoulders; bitter taste in the mouth, want of appetite, thirst, and continual shivering, sometimes followed by SAveating, but without relief, with pale yelloAv color ofthe skin and eyes; also, in more advanced stages of the complaint, when there ia induration of the liver. This medicine may moreover, like Belladonna, be administered in alternation with Lachesis, under similiar conditions. If the patient is of a lymphatic temperament, or is distinguished by ACUTE INFLAMMATION OF THE LIVER. 297 softness of the muscular system, there will be additional reason for selecting Mercurius. Dose : A solution of six globules, in all respects, eingly, or in alternation, ae di rected for Belladonna. Lachesis. In subacute cases, or in those in Avhich Belladonna or Mercurius has merely afforded partial relief, Lachesis is often of great service. It may also be administered with advantage, alternately w:th the said remedies, in obstinate cases occurring in drunkards. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful, at intervals of eight hours, if singly, or of twelve hours, if in alter- nation with either ofthe preceding medicines. Bryonia, Chamomilla. Bryonia, when the pains in the region ofthe liver are mostly shooting, or consist of an obtuse pressure, with tension and burning, increased by touch, coughing or respiration, and especially during inspiration, or much exacerbated by movement; also when the symptoms are attended with violent spasmodic oppression ofthe chest; rapid and anxious respiration; bitter taste in the mouth, tongue coated yellow, and constipation. Bryonia, like Chamomilla, is particularly useful in cases which have been excited by mental emo- tion, such as a violent paroxysm of anger, and is Avell adapted to per- sons of nervous or bilious temperament, and of choleric disposition. Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every six hours, until distinct amelioration or change. In cases in which the pain is very severe, the doses should be repeated every two, three and four ho-ars progressively, according as improvement ensues, and, subse- quently, every six hours, as already stated. Chamomilla is more particularly required in the milder forms of the complaint, or, more correctly speaking, in simple irritation of the liver, Avhen there are pressive pains, pressure in the stomach, oppression of the chest, and a sensation of tightness under the ribs; yellow color of the skin, pains not aggravated by motion, &c.; tongue foul and yellow, bitter taste in the mouth ; paroxysms of great anxiety. Cha- momilla is also almost a specific, Avhen the above symptoms have been brought on by a fit of passion. Dose: In all respects as directed for Bryonia. Nux-vomica is particularly indicated when the pains are shooting and pulsative, and attended with excessive tenderness in the region of the liver, to the touch, pressure in the region of the stomach and under the ribs, with shortness of breath and constipation; also when enlargement and induration occur; and, in the chronic form, when there are marked symptoms of derangement of the stomach. This medicine is especially appropriate for the treatment of patients of a sanguine or bilious temperament or choleric disposition. Dose: In acute attacks, three globules in a tea-spoonful of water every three hours, until a degree of effect is apparent, and then every six hours, until positive improvement results. In chronic cases, six globules in a table-spoon- ful of water, every night at bed-time, for a week, after Avhich, a pause of four days should e^isue, the administration being similarly resumed, if necessary, and so on. Arsenicum. Distension of the right side beneath the lower ribs, 298 ACUTE INFLAMMATION OF THE LIVER. with severe burning pains and sensibility to the touch, burning Leat of skin, accelerated pulse, intense thirst, anxiety, Aomiting of a dark. colored, grumous fluid. Dose: In very acute cases, of a solution of six globules to two table-spoonfuli of water, give a tea-spoonful every two, three, and four hours, according as the symptoms continue unmodified, or abate. When the sufferings are less intense, the repetition of the like dose may be deferred for intervals of six, eight, and twelve hours, with the like reservations. Pulsatilla. Sensation of tension in the region of the liver, and pressure or dull pain in the region of the stomach; oppression at the chest, bitter taste, yellow tongue, nausea; loose, greenish, and slimy stools; excessive anxiety, especially towards evening or during the night. (Temperament lymphatic; disposition mild.) Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every six hours, until amelioration or change. Sulphur is valuable to follow any one of the preceding medicines, which, although apparently indicated, does not speedily declare a de- cided action ; or when the disease continues, although in a diminished degree; it is particularly efficacious, after Nux-vomica, to combat the bad consequences of the disease. In many instances, moreover, in which the distinct analogy between the symptoms of the disease and those which characterize one or more of the other medicines enume- rated herein has led to the administration of such other medicine or medicines, and when such treatment has failed to be followed by ade- quate benefit, the intermediate administration of a single dose of Sulphur, from time to time, has served to aAvaken the susceptibility of the system to the action of such other medicine (when evidently appropriate), and the repetition of its administration after such dose of Sulphur has been followed by admirable results. Dose: To assist the action of the other medicines, give four globules in a tea- spoonful of water, following up the treatment with the remedy judged most appropriate to the case, after an interval of twelve hours; when employed to combat the after-effects of the disease, give six globules in a wine-glassful of water, every morning, the first thing (fasting), for ten days (or until the earlier development of improvement or "hange), after which, pause a week, resuming the course, as before, if necessary. China, Rhus-tox., Sepia. One or more of these medicines, also, may frequently prove of signal service in the treatment of this disease. The selection should be founded upon the close investigation of their respective characteristic action as described in the article on that subject. Dose : Of either of these medicines, as selected, administer doses according to the directions afforded for Pulsatilla above. Suppurative Inflammation or Abscess of the Liver. Sulphur, Silicea. Kali-c., Lycopodium. These four medicines may be numbered amongst those which have proved useful in cases of Suppuration ofthe Liver. The selection from amongst them must, of course, depend upon the particular features of each individual case, and must be regulated by instituting a comparison between the symp- CHRONIC INFLAMMATION OF THE LIVER. 299 toms cf the disease and those AA'hich are recorded as characteristic of each of these medicines in the article on that subject. Dose: If singly, of the remedy selected, give four globules in a tea-spoonful of water, night and morning, for a week, after which, pause four days, resum- ing the treatment as before, and so on until positive amelioration or change; it mu8t not be omitted, however, that the development of new, collateral, or complicated symptoms should be most carefully watched, for the selection and intermediate administration, if necessary, of some remedy from amongst those mentioned in the foregoing part of this article, and in that on "Indi- uestion." If two or more of these medicines be required in alternation or succession, the like quantity should be administered of each, in such manner, that twelve hours' interval be allowed to elapse between the doses. Diet. The regulations for diet which have already been prescribed for the treatment of Fevers in general, and such other regulations as are detailed in the article on " Indigestion," are equally applicable to cases of Inflammation of the Liver. LIVER COMPLAINT or CHRONIC INFLAMMATION OF THE LIVER. In this form of the disease we find many ofthe foregoing symptoms, but in a modified degree; and, in addition, a continued pain or un- easiness in the right side seldom leaves the patient, Avho gradually falls off in flesh and loses strength; and there is, not unfrequently, present an occasional cough A\dth expectoration; sometimes considerable per- ceptible enlargement of the liver, either continual or returning perio- dically, with a number of dyspeptic symptoms; high-colored or red urine, yellow tinge of the skin and eyes, occasional febrile symptoms; the pulse, except during these attacks, generally quick but regular. TREATMENT. With proper modifications as to the frequency of doses, the regula- tions prescribed in the foregoing article (pp. 295 to 299) are equally applicable to this variety of the Disease. The medicines enumerated should accordingly be selected in conformity with the indications therein set forth. The following, however, are especially appropriate, in the majority of cases of Chronic Inflammation ofthe Liver, and the undermentioned rule for the dose is generally apposite, as regards other medicines. Nux-vomica, Bryonia, Arsenicum, Sulphur, Sepia. There are comparatively few cases (if any) of Chronic Inflammation of the Liver, in which one or more of these medicines, either singly, succes- sively, or alternately, will not be required; wherefore, in addition to the indications already afforded at pp. 296 and 297, the administrator may derive much assistance in securing an appropriate selection by consulting the article on the " Characteristic Effects" under the head of each respectively. Dose : Of the medicine selected give four globules in a tea-spoonful of water, morning and evening, for a weekj(or until an earlier subsidence or change in the symptoms) ; after which, pause four days, resuming the course, as before, if necessary, and so on. 300 JAUNDICE. JAUNDICE. Symptoms. Yellow color, varying in shade from a pale saffroq to a dark-brown yellow, appearing first in the eyes, then extending over the surface ofthe whole body; hard, whitish evacuations; orange- colored urine; symptoms of deranged digestion, and sometimes, ten- sive pain or pressure in the region of the liver. In severe cases, even, the perspiration will impart a yellow hue to the patient's linen. Exciting Causes. The disease frequently declares itself without being plainly referable to any exciting cause; the principal causes, hoA\rever, are affections of the liver, indigestion, poisonous substances, taking cold, powerful mental emotions, emetics, drastic purgatives, or internal obstructions, such as gall-stones, or even worms obstructing the biliary duct. Predisposing Causes. Amongst the-predisposing causes may be enumerated a too sedentary or irregular mode of life, indulgence in spirituous liquors, and the frequent use of aperients. It may be also remarked, that this disease frequently assumes the intermittent type. Jaundice is not, of itself, to be considered as a dangerous disorder, but rather as an indication of some internal derangement, which, if neglected, may entail serious consequences: for example, dropsy, hec- tic fever, or general wasting away. TREATMENT. Mercurius, China. These are two of the best remedies in the treatment ofthe disorder. Mercurius may be denominate'd a specific remedy for jaundice in a great number of cases, when indeed the patient has not been sub- jected to drenching courses of Mercury under Allopathic treatment. Dose: Three globules in a tea-spoonful of water, every six hours, until four doses have been given, and then every twelve hours, until permanent and positive amelioration or change. China is, however, to be preferred to Mercurius in cases in Avhich Mercury has been too copiously administered. China is also particularly appropriate Avhen the attack has come on after violent corporeal exer- tion, or when it can be distinctly traced to indigestible substances; also when the disease assumes an intermittent character. In a great number of cases, indeed, in which jaundice recurs periodically, or in which patients already predisposed to its attacks have been unavoid- ably or inadvertently exposed to some directly exciting cause (such as over-exertion, cold, &c). China will operate as a preventive re- source and will commonly ward off the development of an incipient attack. Dose: For the treatment of jaundice, in an advanced stage, give four globules in a table-spoonful of water, three times, at intervals of four hours, and then at intervals of eight hours, until amelioration or change. As a ureventive JAUNDICE. 301 resource, give six globules in a wine-glassful of water, night and morning, for three days, then pause two days, suspending treatment, or resuming the course, similarly, according to the state of the patient. Chamomilla, which is also possessed of approximately specific virtues against jaundice, is more especially appropriate in cases in which a fit of passion or other \dolent emotion, is identified as the ex- citing cause, as is frequently the case. Dose: Four globules in a table-spoonful of water every four hours, until six doses have been given, and then every eight hours, until positive amelioration or change. Nux-vomica is preferable in the generality of cases, even in such as have been directly occasioned by violent emotion, when the bowels are confined, or alternately confined and relaxed. Nux-vomica is also especially appropriate when sedentary habits, or study, or indulgence in spirituous liquors, appear to have been the predisposing, or, partly, the exciting causes ofthe attack. Dose: Three globules in a tea-spoonful of water, as directed for Chamomilla. Pulsatilla. Lassitude, great weakness and anxiety, especially to- wards evening; obtuse pressure, but sometimes, also, pricking or shooting pain, in the region of the liver, extending occasionally up- Avards, tOAvards the right shoulder; whitish stools. Dose: Four globules in a tea-spoonful of water, as directed for Chamomilla. Aurum is frequently an excellent remedy in obstinate cases, after Pulsatilla, when the disorder occurs in young females; or, in other cases, when the affection is accompanied by pain in the liver and region ofthe stomach. Dose: Three globules in a tea-spoonful of water, night and morning, for a week (or until the earlier development of improvement or change), after which, pause four days, resuming treatment similarly, it requisite. Digitalis. A most important remedy in many cases of this disease ; the following are the principal indications for its employment: nausea, retching, or vomiting, and purging of greenish fluid; or sluggish state of the bowels, with white, gray, or clay-colored evacuations; tongue clean, or coated white; pressure at the pit of the stomach and region of the liver; alternate heats and chills. Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea-spoonful every two hours, until the violence of the symptoms becomes modified; and then every four hours, until positive amelioration or change. Inflammatory Jaundice. Cases in which jaundice is associated Avith symptoms of inflammation and pain on pressure in the region of the Liver, are so closely ana- logous to inflammation ofthe liver, that the reader is referred, on this subject, to the foregoing articles, treating especially of that disease. In a great number of cases, hoAvever, the subjoined course of treat- ment will be appropriate and adequate to effect a cure. TREATMENT. Aconitum should be promptly administered when evidences of in- flammatory action are discerned. 302 INFLAMMATION OF THE SPLEEN. Dose: Three globules in a tea-spoonful of water, every three hours, until anis lioration or change; but if within two hours after the third dose, the symp- toms be only partially overcome, pause two hours longer, and proceed with the next remedy. Belladonna should be administered four hours after the third dose of Aconitum, in cases such as that under present consideration, in the event ofthe last-named medicine having failed to overcome the active symptoms. Dose: Three globules as directed for Aconitum. But if within two hours after the third dose, the symptoms yet resist the treatment, pause four hours longer, and proceed with the next medicine. Mercurius should be administered six hours after the third dose of Belladonna, in such cases, AAdien the last-named medicine, as Avell as Aconitum, has failed in subduing the inflammatory symptoms. Dose: Three globules in a tea-spoonful of water, every four hours, until posi- tive amelioration or change. Sepia is to be preferred in inflammatory cases of a subacute description, that is, when the indications of active inflammation are wanting, but there is considerable pain and tenderness in the regio'n ofthe liver. Dose : Four globules in a tea-spoonful of water, night and morning, until positive amelioration or change. Obstinate Cases of Jaundice. Sulphur, Hepar-s., Lachesis, Acidum-nit. One or more of these medicines respectively, according to the symptoms present and the characteristic action of each as stated in the article on that sub- ject, will become essential to overcome such obstinate and intractable cases as have resisted treatment conducted as hereinbefore directed. Dose: If singly, of either remedy, as selected, give four globules in a table- spoonful of water, night and morning, for a week (or until the earlier deve lopment of improvement or change); after which pause four days, resuming treatment, similarly or not, according to circumstances. If, in.alternation or succession, an interval of twelve hours should elapse from dose to dose, the proportion being as already stated. Diet. The diet should be light and unstimulating; veal or chicken broth, with bread (unfermented); roasted apples ; also mild vegetables, such as vegetable-marrow, stewed lettuce, and French beans. The drink should chiefly be confined to water. Bacon, butter, eggs, milk, wine, spirits, and malt-liquor must be strictly abstained from. INFLAMMATION OF THE SPLEEN. Symptoms. Sharp, pressing, or shooting pains in the region of the spleen, beneath the lower ribs on the left side, with, in most cases, a high degree of fever with general derangement; and sometimes enlargement and tumefaction; when very severe, vomiting of blood. From our very imperfect knoAvledge, however, ofthe physiology of this organ and its relation to the others, this disease, except when it presents itself in the tangible form above mentioned, is extremely INFLAMMATION OF THE SPLEEN. 303 difficult to discover. Its best characteristics are tenderness or sensi- bility on pressure in the region about the spleen, with general debility; paleness of the complexion, bloodless appearance of the conjunctiva (the superficial membrane lining the eyelids, and extending over the fore part ofthe eyeballs), languid circulation, and tendency of the ex tremities to become cold. It is a rare disease in this country, but sometimes declares itself in hot seasons, Avhen it is not unfrequently mistaken for other affections. It may, however, arise in individuals of delicate constitutions, or in children, when exposed to the influence of marshy miasms, particularly Avhen to that cause has been added insufficient clothing, want of exer- cise or proper nutriment, and long-continued mental disquietude. TREATMENT. Aconitum is generally required at the onset, or even from time to time during the course of treatment as an intermediary medicine, against the fever generally present, if the disease be severe. Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea- spoonful of the solution every two hours, when the febrile symptoms run high, or every six hours, in less urgent instances, until the fever abates ; when pause four hours, and proceed with such of the subjoined medicines as may appear best indicated. China should be administered four hours after the last dose of Aconitum when the inflammatory symptoms have abated, or, at the onset of treatment, if no fever of any moment existed from the com- mencement, particularly if the disease OAves its origin to marsh miasm, or if the accompanying fever present an intermittent type, in Avhich case it should be administered during the intervals. Moreover, if im- paired appetite and general derangement be present. Also, if the patient have been Aveakened by vomiting of blood, or diarrh greenish stools, with crude, undigested matter; skin dry and harsh during the day, sometimes with nocturnal sweats. Dose: Four globules in a tea-spoonful of water, night and morning, for a week; then pause two days, resuming the course as before, if necessary, and so on, until amelioration or change. Phosphorus. Soreness in the belly, Avith tenderness on pressure, and distressing distension after meals; obstinate diarrhoea, or consti- pation and diarrhoea alternately: stools containing crude matter; pulse rather quick and hard; weakness and emaciation. Dose : As directed for Acidum-nitr. Sulphur. This remedy is one of the most useful in inflammation of the intestines arising from the suppression of some accustomed dis- charge, such a,s the haemorrhoidal, &c.; as also in cases arising from the driving inward of a tetter, or sudden healing up of an ulcer. Sulphur is moreover, indispensable in awakening the susceptibility of the system to the influence of such other medicines as may be indi- cated, in the great majority of cases in which constitutional taint is apparent (as more particularly explained at pages 87, 88), especially if there be a predisposition to unhealthy condition of the skin, or to piles, &c. In such cases a dose or two from time to time (as an inter- mediary medicine), may prove of great service. It is also indicated Avhen Aye find the tongue red, or loaded; thirst; pain, as from excoria- tion; in the belly, Avith tenderness on pressure; or fullness and uneasiness in the belly, increased by cold drinks, or after meals; dimi- nished or fastidious appetite, with aversion to meat; fetid and loose discharge from the bowels, frequently containing crude matter; con- stipation, or constipation alternately from diarrhoea; flatulence; skin yellow, or otherwise unhealthy-looking, or dry and peeling, but often covered with perspiration at night, or tOAvards morning; pulse quick and hard; emaciation, with considerable debility. Dose : If generally indicated by the symptoms detailed above, give six globules in a table-spoonful of water, every morning, the first thing (fasting), for ten days (or until the earlier development of new symptoms, change or improve- ment) : then pause four days, resuming the course, as before, if still required, and so on, until permanent improvement or change. If as an intermediary medicine (to assist in perfecting other treatment), a dose of six globules should be given forty-eight hours after the last, if any other medicine, and again at the expiration of twelve hours, after which a pause of three daya should elapse, before other treatment is resumed, Silicea When the disorder has been excited by the sudden sup INFLAMMATION OF THE BOWELS ASSOCIATED WITH WORMS. 315 pression of the perspiration of the feet, or the rapid healing up of a chronic ulcer, Silicea is one of the most important remedies. The following symptoms are some of the more immediate indications for its selection : dryness of the mouth, loaded tongue, great thirst, Avith diminished appetite, and sometimes disgust at meat, or cooked and hot food, with desire for cold food and drinks; belly hard, hot and tense, and painful to the touch; constipation, or extremely fetid, watery stools; rumbling in the boAvels, especially on movement; skin dry and parched during the day, and covered with SAveat tOAvards morning; pulse quick and hard. Dose: Six globules as directed for Sulphur. Arsenicum has already been noticed as a principal remedy in acute cases of a violent character; it is, moreover, a remedy of con- siderable service in some of the chronic varieties of inflammation of the intestines, characterized by a sensation, as it were, of excoriation, or of burning heat in the belly, attended with nausea, Avant of appe- tite and great thirst; increase of pain after cold drink; flatulent rumb- ling ; diarrhoea, sometimes Avith undigested matter; fetid, discolored stools; skin parched, hard, and of a yellowish, unhealthy-looking hue; emaciation, with extreme debility. Dose: Three globules in a tea-spoonful of water night and morning, until posi- tive amelioration or change. Calcarea, Carbo-veg., Sepia. One or more of these medicines may also proA^e of considerable service in obstinate cases, and should be selected in conformity with the indications afforded for each, re- spectively, in the article on "Characteristic Effects." Dose: Of the remedy selected, give three globules, as directed for Arsenicum. Kali-c, Hepar-s., Graphites. One or more of these medicines also may be found appropriate to particular cases, and especially to such as have been tampered with in Allopathic treatment. The selec- tion will be determined by reference to the characteristic action of each respectively, as stated in the article devoted to that subject. Dose: Of the remedy selected, give three globules, as directed for Arsenicum. INFLAMMATION OF THE BOWELS ASSOCIATED WITH WORMS. Cases occur in which the presence of Worms may be traced as the exciting cause of the disorder, and which, therefore, cannot be effec- tually cured Avithout the removal of such cause. In these cases, there- fore, or when there are grounds for suspecting the presence of Worms, the reader is referred for particulars of the appropriate method of treatment to the article on " Invermination." Diet. In acute cases of inflammation, either of the stomach or bowels, the regimen must be placed under the same restrictions as described under Fever ; and in sub-acute and chronic cases the food should be very light, and given in small quantities; raw fruit, green vegetables, and sometimes potatoes, must be strictly prohibited; and the drink should consist solely of toast-water, barley-water, or the like 316 inflammation of the peritoneum. INFLAMMATION OF THE PERITONEUM. * Symptoms. Painful tension and tumefaction of the belly, with sensibility to the touch even more acute than that in inflammation of the intestines, so much so that the patient cannot bear the pressure even of a sheet upon that part. Sometimes vomiting and other symp- toms, closely resembling those of inflammation of the bowels occur, and frequently constipation and suppression of urine; at other times merely the marked sensibility of the belly, and tumefaction, with derangement of the digestive functions. But, physiologically con- sidered, these symptoms arise from the intensity and extent of the inflammation and the sympathy ofthe other and adjacent organs. Causes. General causes of inflammation, and moreover, external injury, parturition, chill of the stomach, and the sudden transition of morbid affection from some other part or organ. treatment. Aconitum is generally most appropriate as an initiatory medicine in the treatment of this disease. It has indeed, in some cases, been sufficient of itself to overcome the disease when promptly administered upon the first appearance of the characteristic symptoms. Dose: Of a solution of six globules to six tea-spoonfuls of water, give a tea- spoonful every two hours, until the fever is more or less reduced (which will usually be effected by from one to three doses of this medicine) ; after which consider the subjoined medicines, for further treatment, if requisite. Nux-vomica should be employed after the general and local inflammatory symptoms have yielded to the action of Aconite, but the following manifestations continue to prevail: distension of the belly, with predominant symptoms of derangement of the digestive organs, and suppression of urine. Dose : Three globules in a tea-spoonful of water, every six hours, until amelio- ration or change. Mercurius is more particularly suited to the advanced stages of the disease, Avith weak, quick pulse, nocturnal sweats, and great weakness. Dose: Three globules, as directed for Nux-vomica. Bryonia will be required when the inflammation extends to the pleura, f and the breathing becomes affected, with acute shooting pains, or otherwise, as stated in the article on Pleurisy. Dose : A solution of four globules, as directed for Aconitum (above). Arsenicum should be promptly employed when the peritoneal coat of the upper portion of the alimentary tube or of the stomach itself becomes affected, evidenced by an increase in the intensity of the disease,—the pain extending higher, and vomiting, generally a rare Bymptom, becoming severe and continual—collapse of the features, * Tho remedies to the foregoing list, as appropriate for obstinate and intractable cases ; and some particular directions are necessary in respect of the method of administration, Avhich should be adopted conformably with the sub- joined general rule. Dose: Of the appropriate medicine, in mild cases, give two globules in a tea- spoonful of water, the first thing in the morning (fasting), and the last at night, every other day ; in cases in which the symptoms are more urgent and distressing, however, dissolve six globules in two table-spoonfuls of water, and give a tea-spoonful of such solution every four hours, during the first day, and every six hours, during the second ; after which, give three globules in a tea-spoonful of water, night and morning, until distinct amelioration or change. In cases which require the employment of Veratrum or Drosera it has been found of advantage to give the first dose immediately after a fit of coughing, and to repeat the administration after the next paroxysm, in such cases only in which the second fit of coughing is fnlly as violent as the former. An interval of twenty-four hours should then be permitted to elapse (or more if improvement becomes manifest before another dose is given) before further treatment. If, however, instead of improving, the patient grows apparently worse, after the pause just prescribed, or if symptoms of a different charactei occur, the case should be carefully reconsidered, and another and more appro- priate medicine selected ;—or again, if the symptoms (notwithstanding this want of success) still distinctly indicate the same medicine, a single dose of Sulphur followed by a pause of twelve hours, and then by re-administration of the medicine previously employed, may prove of considerable service. Obstinate and Intractable Cases. Sulphur, Sepia. One or both of these medicines singly or in sue" cession, will be found of great service in some obstinate and neglected cases occurring amongst persons of delicate constitution. The more particular indications which serve to determine the selection betAveen them may be gathered from the article on " Characteristic Effects." Dose: Of either medicine as selected, give six globules in a table-spoonful of water, every morning the first thing (fasting), for ten days (or until the earlier development of new symptoms, change or improvement); then pause four days, after which the same course may be repeated, if some lurking traces of the disease yet remain : and so on until a perfect cure is effected. It should not, however, be omitted that one or more of the medicines mentioned abov« (or in the article on " Cough") should be employed for intermediary adminis- tration, from time to time, if particularly indicated. Diet. The diet must be light and easy of digestion; consisting of aght bread-pudding, provided the fever be not high,—in which case, weak gruel, barley-water, and the like, must also be partaken of: when the more serious symptoms have subsided, or in all mild cases, we may CROUP. 565 give a little chicken, chicken-broth, or beef-tea,—and so on, gradually increasing the amount of nutriment, as the disease declines. The drinks should consist of toast-water or barley-Avater. CROUP. This well-knoAvn disease is one that requires the promptest treat- ment, to avert the danger. From the moment that we are assured of the nature ofthe 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 sometimes runs on to a fatal termination Avithin twenty-four hours; although in the generality of cases, Avhen 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 Avindpipe, causing the secretion of the thick, viscid substance, generally opaque, of about the consistency of the boiled white of an egg, which adheres to the interior ofthe windpipe, and takes the form of the parts Avhich it covers; Avhen this, generally denominated the the false membrane, has been allowed to form, the case becomes ex- tremely critical. It particularly affects early childhood. It seldom attacks adults,— though we occasionally see exceptions to this rule;—and is not unfre- quently found in complication with other affections both of the lungs and windpipe. Predisposing Causes. That croup arises from inherent constitu- tional taint is evident from the fact of some families having a peculiar tendency to this disorder. Exciting Causes. The principal exciting causes seem to be ex- posure to cold or damp, and derangement of the digestive functions, from a too nutritious or heating diet, too much animal food, or stimu- lants, such as wine or coffee. Symptoms. Short, difficult, and hoarse respiration, accompanied by a shrill, Avhistling, squeaking, harsh, rattling, or metallic sound, with cough of the same character; the patient throws the head back in order to breathe more freely; fever, and sometimes lethargic state ofthe brain. The attack 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 tAvo the cough changes its character, and becomes shrill and squeaking, or deep, hoarse, or sonorous, attended with a ringing sound during speaking and respiration, as if the air were passing through a metallic 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 appearance, or resembles portions of a membrane. After inflammation has set in, considerable fever and restlessness continue, occasionally varying in intensity, but never wholly remitting; the countenance expresses great anxiety, and alternates from a red to a livid hue: the paror- 366 crc up. ysms are followed by a profuse and clammy perspiration of the whole body, more particularly of the head and face. When danger threatens, the pulse is hard, frequent, and occasionally intermittent; the breathing, particularly during inspiration, difficult and audible; the features become livid, and almost purple, from the sense of* suffo- cation :—the head is thrown back; the face and forehead become bedewed Avith a cold and clammy SAveat. The cough either entirely ceases or assumes a veiled and husky tone; the voice sinks to a Avhis- per; the eye has a dull, glassy, or dilated appearance, and the whole system seems in a state of utter prostration. On the other hand, Avhen a favorable turn takes place, the cough becomes looser, and the paroxysms diminish in severity and frequency; the breathing becomes freer in the intervals between the coughs; the countenance loses its expression of anxiety; or the voice becomes stronger, and the restless- ness subsides. Should these signs of improvement persist for tAventy- four to thirty-six hours or so, we may generally calculate that all danger is past. Nevertheless, there must be no relaxation of watch- ful care until the hoarseness and cough, hoAvever slight, have entirely disappeared. Incipient Stage. Treatment. The remedies enumerated in the general article on Cough, are severally applicable to the treatment ofthe incipient stage of Croup, according to the particular indications present. Amongst others, hoAvever, the folloAving may be especially recommended. Hepar-sulphuris, Avhen the disease sets in with a hard, dry, hoarse and hollow cough, attended Avith wheezing;—or, in general, Avhen this symptom is present, Avhether indeed, there be apprehension that the disease will resolve itself into Croup or not, this remedy is of great service and should be promptly administered. Dose: Of a solution of four globules to two table-spoonfuls of water, give a tea-spoonful every three hours, until amelioration or change. A warm bath is also of service,—but the child should be placed in bed immediately afterwards, and the temperature of the room kept steadily Avarm at about 65°. Inflammatory Stage. Aconite is called for during the inflammatory period of this dangerous disease, Avith great febrile disturbance, burning heat, thirst, short, dry cough, and hurried and laborious breathing.* * The employment of a cold water compress, consisting of a piece of linen rag wrung out of cold water, and applied over the exterior of the throat, or windpipe, is alco of much service in the inflammatory stage of croup. The moist rag should be covered with a piece of oiled silk, and the whole secured in the proper place by means of a dry bandage. When oiled silk is not at hand, a longer piece of wet rag should be used, so as to admit of its'being folded two or three times ; and the secur- ing bandage may consist of a double fold of flaunel, or a worsted stocking, of suffi- cient length. The compress may be continued for several hours, and should be cenewed when it becomes dry or hot. Spongia piline and gutta percha are the more refined appliances now k vogue for the purpose specified. Waterproof cloth is a good substitute. CROUP. 367 Dose : In very acute cases, of a solution of six globules to two table-spoonfuls of water, give a tea-spoonful every half hour, until the specially indicative symptoms abate. In less urgent cases the repetition of doses should take place every two hours, until a similar result ensues. So soon, however, as the medicine begins to make a favorable impression, the intervals should be extended to foul, and then to six hours ; or, on the other hand if the fever has. to a certain degree, yielded to Aconitum, but such 9ymptcms as are sub- joined supers ene or remain —pause four hours after the last dose of Aconite (except in very urgent cases—when no pause can be allowed), and consider the following medicines. If in alternation with one or both of the other medi- cines, associated as above, the like solution should be separately made of each, and administered by tea-spoonfuls, so that not less than two hours shall elapse between doses (except in the most urgent cases, when the intervals should be reduced to half an hour). Hepar-sulphuris. Either when the febrile symptoms are partially subdued by Aconitum, the skin having become moist or covered Avith a profuse sweat, the cough more loose and the breathing freer, but there remains a dry, harsh, deep, holloAV cough, with a Aveak, hoarse voice, and more or less difficulty of breathing ; or Avhen, from the com- mencement, the cough so peculiar to croup has already set in, and is accompanied by a constant mucous rattling in the respiratory organs, during which the patient is incessantly but effectually occupied in en- deavoring to obtain relief by expectoration,—or frequently grasps at his throat, and bends the head back;—Avhen, moreover, there is a considerable degree of fever and restlessness, together Avith a burning hot skin, and excessively quick and laborious respiration. This remedy is of itself sufficient, in many instances, to arrest the progress of the disease, if administered as soon as the incipient symptoms of the attack are observed; but Aconite, Hepar-sulphuris and Spongia, generally in alternation, become necessary when the affection is more developed. Dose : A solution of twelve globules to two table-spoonfuls of water, or if in alternation, a solution of six globules of each medicine, as directed for Aconi- tum. If. however, the subjoined symptoms and conditions occur, proceed at once (in most urgent cases), or, after a pause of four hours (in less pressing instances), with the next medicine. Spongia is chiefly useful after Aconitum, when the skin has become moist, the breathing somewhat easier, but still very labored, loud, grating, and wheezing the patient appearing to carry on the process of respiration more readily with the head thrown backAvards, yet is even then occasionally threatened Avith suffocation; further, when the cough is dry, hoarse, ringing, hollow, and squeaking/" Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea- spoonful of the solution every half hour (in very acute cases), or only every three hours (when the symptoms are not so extremely distressing), until a degree of improvement ensues, when the intervals should be extended to double the time. Or, one gr. of the third trit., dry on the tongue, at like in- tervals ; but if no relief should ensue within twelve hours, proceed with Bro- mine, as directed for Aconite. * Spongia is frequently alone sufficient to effect a cure in thoroughly-developed croup, unaccompanied by the strong febrile symptoms mentioned under Acotute, 01 before the latter, when there is no mucous rattling. 368 CROUP. Iodium is generally required in children of marked scrofulous habit, or of soft, flabby, plethoric constitutions, and may be preferred to the other remedies in such cases, particularly if the affection par- takes less of the active inflammatory character described under Aconite. When considerable febrile disturbance, with dry, hot skin, attends, an alternation with Aconite is beneficial; and when, in the absence of prominent inflammatory symptoms, the employment of Iodine alone produces only partial or temporary improvement, Hepar-s. should be administered alternately with it. Dose: Twelve globules (or one drop of the tincture) to a table-spoonful of water, a tea-spoonful every half hour—in very urgent cases, every quarter of an hour. If in alternation with Aconitum or Hepar, proceed as directed under Aconitum. If, however, the more urgent symptoms continue on the increase, and this and the foregoing medicines appear incapable of arresting the pro- gress of the disease, have recourse at once to the next set of remedies. Phosphorus is sometimes required to follow Hepar (as in the first course prescribed above) when the symptoms are such as have been enumerated under the head of that medicine, but have not yielded to its action. Phosphorus is also of service to folloAv Aconite and Spongia, when these medicines have been productive only of partial relief. But in the cases in which the administration of lachesis becomes necessary, and in which the fourth dose of lachesis has been administered without adequate relief, Phosphorus should be promptly employed. Dose: Two globules in a tea-spoonful of water, every quarter of an hour, until amelioration .or change, or until three doses have been given ; but if no ade- quate relief should ensue within half an hour after the third dose, proceed with the next medicine. Arsenicum should be administered half an hour after the third dose of Phosphorus, in cases in which the last-named medicine has not produced prompt relief, especially if the patient has become cold and exhausted, and appears to be sinking. Dose: Three globules in a tea-spoonful of water, every ten minutes, until three doses have been given ; but if yet no positive improvement results, proceed with the next remedy. Antimonium-tartaricum may be given fifteen minutes after the third dose of Arsenicum, especially when there is much oppression and rattling of phlegm on the chest, with slow, laborious, and impeded respiration, and frequent inclination to Aromit. Dose: Three globules in a tea-spoonful of water, or dry on the tongue, at intervals of five, ten, fifteen, and twenty minutes, and so on (adding five minutes to the length of every successive interval) until positive improve- ment results. After having subdued these threatening symptoms by the adminis. tration of the last-mentioned remedy, we may, if the disease is not wholly vanquished, again fall back upon Hepar-sulphuris or Spongia, according to the indications given for those remedies. It may be added, hoAvever, that Kali-bichromas has proved eminently success- ful Avhen Iodium, &c., failed to relieve; and that Iodium and Bro- mium have also been recommended, particularly in cases occurring in INFLUENZA. 369 very scrofulous children. As a pretty general rule, however, the early administration of Aconitum followed as soon as needful by Spongia or Hepar, one or both, will rarely fail to conduct this alarming and frequently fatal disease to a happy issue. ACCESSORY MEASURES. It is of the utmost importance to keep the patient warm throughout the attack, and to protect him (or her) against the slightest chill. Putting the arms in hot Avater is sometimes useful at the commence- ment ofthe malady. Diet and Regimen. The food should at most consist of a little warm milk-and-water, from time to time, during the attack. And even after the acute symptoms have been subdued, and the patient is convalescent, very great care should be taken to exclude every irritat- ing or stimulating ingredient from the diet: and to allow only of very gradual increase of quantity at each meal. The diet should, however, by slow degrees, be improved, and rendered more and more nourish- ing. Mucilaginous drinks, toast-and-Avater, milk-and-water, and the like, should be exclusiATely used for some time after an attack of croup, —and an unstimulating diet is sometimes necessary, even for tAvo or three months. Proper precautions, in respect of clothing, &c, to prevent exposure, are very essential;—and exposure to cold, bleak, nipping, dry winds, as well as to damp, should be avoided. The act of standing still in the open air would be likely to prove prejudicial, as also walking exercise when the ground is very Avet. But gentle exercise in the open air, in favorable weather, ample circulation of air in the sleeping and sitting apartments, when the patient is absent from either, se: Three globules in a table-spoonful of water, every night at bed-tin?*?, until amelioration or change ; but if some inconvenience should continue to prevail, notwithstanding repeated doses of Nux-vomica, proceed with the next medicine. Ipecacuanha will frequently complete the cure, when Nux-vom. has not removed the whole ofthe symptoms. Dose: Three globules in a tea-spoonful of water, every night, until the com- plete subsidence ofthe symptoms or change supervenes. Aurum is appropriate to the treatment ofthe following symptoms: extreme oppression at the chest, as if suffocation impended, sometimes with loss of consciousness and livid hue of countenance; palpitation of the heart, and excessive anguish. Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every four hours, until a degree of improvement becomes evident, or change is manifested. If improvement ensue proceed with the same doses at intervals of twelve hours, until the complete subsidence of the symptoms; if change occurs (without improvement), suspend the administration of Aurum, and select another remedy appropriate to the existing symptoms. Pulsatilla is indicated by ebullition of blood in the chest Avith ex- ternal heat; constriction in the chest, Avith impeded respiration; palpi- tation of the heart; anxiety—and aggravation of the symptoms tOAvards evening; also when congestion to the chest has arisen in phlegmatic subjects from hemorrhoidal suppression, or in females, from stoppage of the menstrual flux. Dose : Three globules in a tea-spoonful of water, the first thing in the morning, until amelioration or change. Spongia should be employed AA'hen the( symptoms are proAroked by the slightest exertion or even movement, and are attended with anguish, sensation of threatened suffocation, nausea, prostration, and fainting. Dose : Of a solution of six globules to two table-spoonfnls of water, give a tea- spoonful every four hours, until a degree of improvement becomes apparent or change occurs in the character of the symptoms. If improvement, proceed with the administration of the same medicine in similar doses every twelve hours, until the complete subsidence of the symptoms; if change, select another medicine appropriate to the existing symptoms. Bryonia. Burning heat in the chest, with a sensation of tightness, difficulty of breathing, and anxiety; palpitation ofthe heart; occasional prickings in the chest during inspiration. Dose: Three globules in a tea-spoonful of water, morning and evening (fasting), until amelioration or change. China. When we can trace the affection to debilitating losses, with palpitation of the heart and oppressed breathing. Dose: Three globules, as directed for Bryonia. Sulphur. Ebullition of blood, weight, fullness, and pressure in the chest, aggravated by coughing; palpitation of the heart, difficulty of breathing, chiefly on lying down at night; it is also most serviceable in suppressed hccmorrhoiels, after Nux-vomica or Pulsatilla, and aftei the latter remedy in checked menstruation. ACUTE BRONCHITIS. 377 Dose: Six globules in a table-spoonful of water, everj- morning the first thing (fasting), for a week (or until the earlier development of new symptoms, im- provement, or change); then pause four days, after which resume the course as before, or not, according to the greater or less degree of improvement which has been effected. Phosphorus. In some obstinate cases this remedy is often success- ful in affording relief, particularly Avhen, in addition to the more usual symptoms, shooting or pricking pains are frequently experienced on laughing, speaking, or Avalking quickly; palpitation of the heart, anxiety, sensation of heat extending from the chest into the throat. Dose: Three globules in a tea-spoonful of water Dight and morning, until ame- lioration or change. Diet and Regimen. The diet should be such and so limited as to preclude the risk of oppressing the stomach, or otherAvise impeding, retarding, or deranging the process of digestion. All sources of ex- citement (whether for pleasure or pain), should be avoided, as calcu- lated to proA'oke or aggravate an attack. Calm rest and regular habits are of great importance to those who are afflicted with a pre- disposition to such affections of the chest. INFLAMMATION OF THE MUCOUS MEMBRANE OF THE BRONCHIAL TUBES. BRONCHITIS. The disease consists of a greater or less degree of inflammation of the mucous membrane of the ramifications of the windpipe, and is divided into acute and chronic. Of the former it is intended more particularly to treat. The disorder is of frequent occurrence both as a primary affection, and as a concomitant of measles, scarlatina, small- pox, hooping-cough, &c. ACUTE BRONCHITIS. Symptoms. Chilliness, succeeded by fever; hoarseness, difficulty of respiration; severe, frequent, and distressing cough, at first dry, or with scanty expectoration of frothy or viscid mucus, which subse- quently becomes copious, and sometimes streaked with blood; exces- sively laborious respiration, attended with feeling of constriction and oppression at the chest, which sometimes increases to such a degree as to threaten suffocation; general Aveakness, foul tongue, and loss of appetite, paleness of the lips, cadaverous and anxious countenance, loud wheezing: on applying the ear to the chest, a louder sound is heard than that occasioned by the natural respiration, either droning, or harsh and broken, or whistling and rattling, according to the stage ofthe disease. Favorable and Unfavorable Results. In the cases which terminate favorably, the first symptom of improvement which sets in, is a greater freedom of breathing, with remission of the fever, and an alteration in the expectoration, which becomes thicker, whiter, and diminished in quantity. But when the disease takes an unfavorable 378 ACUTE BRONCHITIS. turn, the difficulty of breathing increases, and a state of excessive debility and collapse supervenes; the face becomes livid, the bod7 covered with a cold and clammy SAveat; the mucus accumulates rapidly in the air-tubes, and the cough, which has become feeble through the exhausted and sinking condition of the patient, is insufficient for its ejection ; aeration of the blood in the cells of the lungs is preA'ented ; and head symptoms declare themselves from impeded circulation, or the effect of unarterialized blood circulating in the brain. Insidious Variety of Bronchitis. In many cases of acute bron chitis, although a degree of oppression ofthe chest be present, no par- ticular pain, heat of skin, or fever may exist; this is a most insidious form of the disease, and one in which the complaint is but too fre quently neglected until beyond the power ofthe physician's art: it occurs most frequently in children who may apparently be only troubled with a slight Avheezing, of which scarcely any notice is taken, nor is any medical aid called in, until suddenly suffocation threatens, or some alteration of structure takes place; so that an affection which probably might have been easily subdued at the onset, is noAv beyond control. Bronchitis of Children. The frequency ofthe disease in infancy and early life deserves a particular notice. It generally commences, as in adults, with the symptoms of a common catarrh; the breathing becomes quick and oppressed, and, from the increased action of the midriff, the belly becomes prominent; both the shoulders and nostrils are in continual motion, but the Avheezing is often more marked than the difficulty of respiration, and on applying the ear to the chest a mucous rattle is heard over almost every part; expectoration some- times temporarily relieves, and occasionally the mucus is expelled from the air-passages by vomiting; the countenance is pale and anxious, and someAA'hat livid:—these symptoms are interrupted and relieved by occasional remissions, during which the child generally appears drowsy: but the return Avith additional severity, and if not checked, an acces- sion of extreme difficulty of breathing ensues, and death takes place from suffocation. When sore throat is also present, coughing produces considerable pain, and the child for that reason frequently endeavors to suppress it. There is also impaired appetite with thirst, although, when the disease has advanced, it is found difficult to take a long draught from its impeding respiration: this is very observable with children at the breast, who, after eagerly seizing the nipple, will bite it, discontinue sucking, cry, throAv back the head, and even after vomiting up the phlegm, continue for some time in that position. In some cases, from the character of the voice and cough, bronchitis has been mistaken for croup. The tubes of one lung only, may be affected, but frequently those of both lungs are attacked by the disease. The exacerbation of suffering at night is a striking symptom in this complaint. Causes. The causes are the same as that of common catarrh. Treatment.—Aconitum is the remedy upon which we must place our chief reliance in the inflammatory stage of the disease, and ACUTE BRONCHITIS. 379 throughout its course, wherever high febrile action sets in. Its more marked indications are, hot, dry skin, with strong, hard, and accele- rated pulse; roughness of the Aoice; short, dry, and frequent cough excited by tickling in the throat and chest; obstructed respiration, Avheezing or sonorous noise in the chest; anxiety; restlessness, head- ache, and thirst, with occasional, scanty expectoration of viscid phlegm. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful, repeated at intervals of two hours, until the indicative symptoms are allayed. When the skin and pulse, in particular, manifest a degree of abatement in the fever, the intervals should be extended to six hours, and the administration thus continued, unless some distinct indications characteristic of one or more of the other medicines particularized should occur, when the doses of Aconite should be suspended, and appropriate treatment adopted ; but if the fever-symptoms should continue without abatement or modification, two hours after the third dose of Aconitum and the subjoined symptoms be present, proceed with the next medicine. Bryonia is of great service, in a large number of cases of bronchitis, at the commencement of the attack, and should be administered two hours after the third dose of Aconitum, in the event ofthe unmodified continuance of the fever-symptoms, notwithstanding the previous ad- ministration of the last-named medicine,—the subjoined indications being present: laborious, rapid, and anxious breathing, with constant inclination to make a deep inspiration; hoarseness; headache; dry cough, attended with a burning, pricking pain, extending from the throat to the middle ofthe breast-bone; or cough, day and night, Avith scanty and difficult expectoration of viscid, white or yellow-colored phlegm, in some instances tinged with blood; wheezing; dryness of the mouth and lips; hot, dry skin, or dryness of the skin during the day, and copious perspiration at night; excessive thirst. When, more- over, a pain as if arising from the effects of a bruise, is experienced under the breast-bone, with aching and sensation as if the contents of the cranium would be forced through the forehead, after each fit of coughing, or Avhen the respiration is impeded by shootings in the chest, and the affection threatens to become complicated with pleurisy, this remedy is still more particularly called for. . Dose: A. solution of six globules, as directed for Aconitum; but if Bryonia should be inadequate to effect more than temporary relief, proceed with the next medicine. Spongia is often of great service after the previous administration of Aconite, when there still remains a considerable degree of inflam- mation in the air-tubes, especially the larger, with wheezing or sonorous noise in the chest; and also at a more advanced stage of the disease, when rattling of mucus is distinctly audible; hollow, dry cough day and night, but worse towards evening; or cough Avith scanty, viscid, ropy expectoration ; heat in the chest; burning, tickling irritation in the top of the windpipe; quick, anxious, laborious respiration; in- ability to breathe unless the head is thrown backwards; hoarseness. Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every three hours, until amelioration or change ; but if within three hours after the fourth dose partial improvement, only, should have Accurred. 380 ACUTE BRONCHITIS. or if the subjoined symptoms should remain predominant, pause three hotiri longer, and proceed with the next medicine. Hepar-s. is sometimes useful after Spongia, especially Avhen the mucous rattle is predominant, the skin hot and dry, and the efforts to expectorate ineffectual; or at a more advanced stage ofthe complaint, Avhen the expectoration has become more copious, and the paroxysms of coughing are followed by profuse sweating. Dose: Three globules in a tea-spoonful of water every four hours, until a degree of benefit has been effected, and then every twelve hours, until positive ame- lioration or change. Belladonna. This remedy is useful when there is severe head- ache, materially aggravated by coughing; flushed face; opp/ression of the chest, and constriction, as if bound, Avith loud wheezing and rat- tling of mucus in the air-tubes; short, anxious, and rapid respiration; dry, fatiguing cough, especially at night, which is endeavored to be suppressed on account of the pains which it creates; heat of the skin, and thirst; soreness of the throat. Belladonna is often exceedingly efficacious in children, particularly in those insidious cases which com- mence with a slight Avheezing, and then suddenly become aggravated to such a degree as to threaten suffocation; the heat ofthe skin being at the same time considerable, and the pulse excessively rapid, and sometimes even intermittent. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every three hours, until improvement or change ; if improvement ensues extend the intervals to six hours, and continue the administration thus, until the distinct subsidence of the sj-mptoms ; if change, suspend the administration of Belladonna, and substitute a medicine appropriate to the new symptoms. Nux-vomica. Difficulty of breathing, with excessive tightness of the chest, particularly at night; hoarseness; dry cough, worse tOAvards morning, attended with pain, as if caused by a blow or bruise, in the pit of the stomach or under the false ribs; cough, Avith difficult and scanty expectoration of viscid mucus; dryness of the mouth and lips, thirst, constipation, peevishness. Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every four hours, and proceed as directed for Belladonna. Lachesis. Oppression at the chest, with short and hurried respi- ration, anxiety, and dejection; mucous rattle; dry, fatiguing cough, sometimes followed by the expectoration of a little tenacious or frothy phlegm, after much effort, occasionally streaked with blood; hoarse- ness. Dose: A solution of six globules, as directed for Belladonna. Mercurius. This remedy may occasionally be found useful in the second or secretive stage, when the symptoms of bronchitis are accom- panied by excessive perspiration ; when the cough is fatiguing, worse in the evening and at night, and excited by a tickling irritation, or sensation of dryness in the chest, with quick, short, oppressed breath- ing, and louder respiration than ordinary; hoarseness; cold in the head, with watery, acrid discharge; swelling of the nose. ACUTE BRONCHITIS. 381 Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every six hours, until amelioration or change. But if the subjoined symptom occurs, or remains predominant, after repeated doses of Mercurius pause twenty-four hours, and proceed with the next medicine. Dulcamara should be given tAventy-four hours after the last dose of Mercurius, Avhen the offensive night-sAveats continue to predominate. Dose: Three globules in a tea-spoonful of water, night and morning, until the positive subsidence of the indicative symptoms, or until other indications occur characteristic of some other medicine. Phosphorus. This important remedy is frequently of great utility in bronchitis, when the more inflammatory symptoms have been sub- dued by Aconite, but the respiration continues much oppressed, ac- comprmied Avith great anxiety, and heat in the chest; dry cough, excited by tickling in the throat or chest, aggravated by talking or laughing, nnd followed by expectoration of stringy phlegm of a saltish taste. Further, when the disease has been neglected, or Avhen, from the phenomena which present themselves at the commencement, Ave have reason to dread complication, or an extension ofthe inflammation to the substance of the lungs, there will be additional reason for ad- ministering Phosphorus. Dose : Three globules in a tea-spoonful of water every four hours, until distinct amelioration or change. Pulsatilla. This remedy is often required in the second or secre- tive stage to complete the cure, after the previous exhibition of Aconitum, when the acute inflammatory symptoms have been sub- dued, and the expectoration has become thicker and more copious. It may, hoAvever, be prescribed before or after any of the medicaments we have named, especially when the disease occurs in persons of mild disposition, or of lymphatic constitution, and the symptoms are as follow: respiration short, accelerated, and impeded, attended Avith rattling of phlegm, heat in the chest, and anxiety; hoarseness; shaking cough, worse towards evening, at night, or in the morning, accom- panied with considerable expectoration of tenacious, or thick, yellowish phlegm, sometimes mixed with blood; cold in the head, Avith copious discharge of thick, discolored phlegm. Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every four hours, until improvement, or change. If improvement occur the intervals should be extended to six hours, and the administration thus continued, until the subsidence ofthe symptoms; if change suspend the administration of Pulsatilla, and continue treatment with a remedy more ap- propriate to the new symptoms. Sepia should be selected in preference to Pulsatilla, when the ex- pectoration is very copious, though someAvhat difficult, and of salt taste; aggravation of the cough in the morning and towards evening. Dose: Three globules in a tea-spoonful of water, night and morning, until ame- lioration or change. But if within twelve hours after the fourth dose of Sepia the subjoined indications remain predominant, proceed with the next medicine. Stannum should be administered after Sepia, if the expectoration be still profuse, but more easily detached and ejected, greenish, and less saline, or of a sweetish taste. 382 ACUTE BRONCHITIS. Dose. Three globules in a tea-spoonful of water, night and morning, until pel ■ mauent amelioration or change. Lycopodium. When the cough is materially worse at night, and attended Avith thirst and quickness of pulse, but moist skin and ten- dency to sweat; the expectoration yellowish-gray, of a saltish taste; oppression at the chest. Dose: Three globules in a tea-spoonful of water, night and morning, until amelioration or change. Bronchitis in Children. Chamomilla is often a most useful remedy after the previous exhibition of Aconitum in cases occurring amongst children, when a slight degree of Avhistling or sonorous noise in the chest still remains; dry cough, worse at night, occurring even during sleep. (See also Belladonna.) Dose : Of a solution of four globules to four tea-spoonfuls of water, give a tea- spoonful every three hours, until amelioration or change; but if notwith- standing the administration of Chamomilla, the subjoined symptoms and con- ditions supervene, and become gradually or rapidly worse and worse, proceed promptly with the following course of medicines. Aconitum, Hepar-sulph, Spongia. When, notwithstanding the employment of Chamomilla, the Avhistling or sonorous sounds con- tinue, and the respiration becomes more accelerated and oppressed, or becomes unequal,—the inspiration being quick and short, the expira- tion prolonged and noisy, the face livid, and the pulse excessively quick, these three remedies, chiefly in alternation, will usually be found the most serviceable in averting a fatal issue. Dose: Dissolve six globules of each separately, in two table-spoonfuls of water, and give first a tea-spoonful of the solution ot Aconitum, followed, after the lapse of a quarter of an hour, by the like dose of the solution of Hepar-sul- phuris, and this again after the further lapse of a quarter of an hour by the like dose of Spongia, and so on in rotation, until the breathing becomes less oppressed, noisy or fivquent, upon which the intervals may gradually be lengthened (first to half an hour, and then to an hour), as the amendment advances. But if on the other hand the symptoms remain unmitigated, or if they undergo a change within a period varying from three to 6ix hours, consult and select from the subjoined remedies. Ipecacuanha is also a very serviceable remedy for children, when there is Avheezing or rattling in the chest, and Avhen on coughing they are almost suffocated by the excessive secretion of phlegm, and become livid in the face; shortness of breath and perspiration on the forehead after each fit of coughing. Dose: Give two globules in a tea-spoonful of water, every half hour, until amelioration or change. But if little improvement be effected within two hours after the third dose, consider the indications for the alternate adminis tration of Arsenicum with Ipecacuanha, or the other subjoined medicines, and proceed promptly with further treatment. If in alternation, as directed for Arsenicum. Arsenicum should be given tAvo hours after the third dose of Iper cacuanha, if the latter remedy has only been productive of partial benefit, and is indeed to be selected in preferent e to Ipecac, if the CHRONIC BRONCHITIS. 383 folloAving indications occur: the pulse very quick, feeble, aad irregular, and the patient reduced to a state of extreme debility and collapse; the respiration obstructed almost to suffocation and attended with a wheezing and whistling noise in the chest, cough and hoarseness. Dose: Of a solution of eight globules to four tea-spoonfuls of water, give a tea-spoonful (or two globules dry on the tongue), at intervals of five, ten, fif- teen, and twenty minutes, and so on, adding five minutes to the length of each succeeding interval. If in alternation with Ipecacuanha, dissolve six globules of each, separately, in two table-spoonfuls of water, and give a tea-spoonful, first of the one solution and then of the other, at intervals of a quarter of an hour, until a degree of improvement ensues, and then at intervals of an hour, until the urgent symptoms are subdued. Antimonium-tartaricum is chiefly found useful in those severe cases in Avhich the smaller tubes are clogged Avith phlegm, and suffo- cation threatens to ensue, when the cough suddenly ceases, either from weakness or from other causes. It is also of great value Avhen the inflammation has extended to the substance ofthe lungs. Dffse : Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful (or two globules dry on the tongue), every half hour, until a degree of improvement ensues, and then every two hours, until the urgent sypmtoma subside. Sulphur is of more or less service, in the greater number of cases, after the previous employment of any of the medicines hereinbefore enumerated, in winding up the cure and preventing the disease from degenerating into the chronic form, or when the expectoration has in- creased in quantity, and become Avhitish and less viscid. Dose : Six globules in a table-spoonful of water, every morning, the first thing (fasting), for ten days (or until the earlier development of new symptoms, im- provement, or change); then pause a week; after which the same course may be repeated, if necessary. Cactus-grandiflorus. Great anxiety and suffocation, with rattling of mucus. Dose: As directed for Sulphur. The Cactus-g. has cured Chronic Bronchitis of many years standing. Diet and Regimen, In the severe forms of bronchitis, the diet to De obseiAred should be the same as that directed to be observed under the head of Fever; but when the febrile and inflammatory symptoms have been completely removed, the patient should gradually return to a more nutritious diet, even though a considerable degree of cough and expectoration remain. In the slighter forms ofthe complaint, spare diet, confinement to the house—in short, the simple measures laid down for the treatment of common colds, in another part of this Avork, Avill frequently check or at all events materially shorten the attack. CHRONIC BRONCHITIS. This complaint may be the result of the acute affection, or it may arise as a gradual and insidious inflammation of the mucous membrane ofthe air-tubes, or proceed from the inhalation of dust or other minute particles carried into the lungs; it may also be coeval with diseases of 384 CHRONIC BRONCHITIS. the heart, or declare itself after eruptive fevers. It differs from acute bronchitis chiefly in the greater mildness and longer duration of its symptoms, the continuance of which varies from several weeks or months to many years. It affects elderly persons more frequently than the young, but is of course liable to occur at all ages as the result of an acute attack (although such a circumstance is comparatively of rare occurrence under proper homoeopathic treatment), as the sequel of measles, &c. Symptoms. A comparative exemption from cough is frequently experienced during summer; but in winter, or in inclement springs, the patient is tormented with harassing cough and copious, viscid ex- pectoration, especially in the morning, Avhich, in the severe forms of the disorder, is peculiarly distressing. The expectorated matter in the chronic affection is of a different nature from that in the acute, being of a thicker consistence, and of a greenish or yellowish-Avhite color; it is not unfrequently muco-purulent, and sometimes decidedly purulent, and occasionally streaked with blood, particularly in obstinate, invete- rate cases. There is generally more or less difficulty of respiration, Avith acceleration of pulse after slight corporeal exertion; but in other respects, the health may be good and continue so. In the more trying forms ofthe disorder, an aggravated state of all the symptoms enume- rated is met Avith: moreover, Avhere the expectorated matter is of a purulent nature, hectic fever, extreme emaciation, nocturnal sweats, and occasional attacks of diarrhoea, are frequent adjuncts: the latter symptoms are sometimes liable to cause the disease to be mistaken for tubercular consumption; but in the majority of cases, auscultation,* and percussion, f together with a careful attention to the symptoms and the history of the case, enable us to discriminate betAveen them. TREATMENT. Sulphur is, in the majority of cases, one of the principal remedies for the treatment of Chronic Bronchitis. The particular symptoms which serve to indicate its employment, are as follow • dry, racking cough, Avith spasmodic tightness of the chest, sometimes aggravated by the recumbent position, and not unfrequently attended with nausea or even vomiting; accumulation of phlegm in the air-tubes, and scrap- ing sensation in the throat; sensation of soreness at the chest; chronic hoarseness, and even loss of voice; aggravation of the generality of the symptoms in raAV, damp, cold weather; dry cough at night; or cough Avith considerable expectoration of thick, Avhitish or yellowish phlegm, chiefly in the day time; attacks of suffocative sensation and oppression of breath; rattling of phlegm on the chest, and occasional or even fre- quent palpitation of the heart; pains in the head and chest during fits of coughing; mistiness of sight, and sensation of darting; fullness in the head. * The act of listening through the stethoscope, or otherwise, in order to ascertain if any unusual sound in the chest. as moelic cough during the day, and in the evening; pain as of soreness in the upper part of the Avindpipe, or sensation of tickling and rough- ness in the same part; prolonged and intractable hoarseness and rough- ness of voice, aggravated by talking, or by raw, cold, damp Aveather, and occurring more particularly in the morning or towards night; rheumatic pains in the chest and limbs; cough with considerable ex- pectoration of greenish phlegm. Dose: Three globules in a tea-spoonful of water, morning and evening, until amelioration or change. Pulsatilla. This medicine is more particularly appropriate Avhen the following symptoms and conditions occur: dry cough, which subsequently becomes moist, and is then characterized by very con- siderable expectoration of saltish or bitterish phlegm, or of phlegm tinged with blood, or of a yelloAvish or whitish appearance; soreness of the palate and throat; frequent attacks of chilliness Avithout thirst; yellowish, greenish, or offensive discharge from the nose; hoarseness, or even loss of voice; cough Avith much expectoration, and with pain on the chest; racking cough exacerbated at night and in a recumbent position, and accompanied with rattling of phlegm, nausea (or even vomiting), and sensation of being stifled, feeling of soreness or contu- sion about the belly in the act of coughing. Dose: Three globules in a tea-spoonful of water, night and morning, until ame- lioration or change. Sepia is usually of eminent service in such inveterate cases of Chronic Bronchitis as are characterized by—cough attended with or followed by abundant expectoration of greenish-yellow, matter-like, or even bloody phlegm of a putrid or saltish taste, occurring chiefly in the morning and towards night, and accompanied with a sensation of weakness and soreness about the chest; or sometimes dry, spasmodic cough, attended with nausea and resulting in the vomiting of bilious 386 CHRONIC BRONCHITIS. matters,—the cough occurring particularly at night, and being furthei characterized by difficulty of breathing or shortness of breath. Dose : Four globules in a tea-spoonful of water, night and morning, for a week (or until the earlier manifestation of improvement or change); then pause four days, resuming the course after this interval, if necessary, as before, arid so on until permanent improvement or change. Causticum is also a medicine of much importance in the treatment of this disease, and is more particularly indicated by: aching pains in the limbs, bones of the face and jaws, and in the throat and head, associated with a violent, racking cough, of Avhich the fits occur parti- cularly at night; feebleness of voice; hoarseness, or even loss of voice; lacerated and painful sensations in the chest and throat; faltering or feebleness ofthe lower extremities; rattling of phlegm; watery dis- charge from the nostrils accompanied Avith headache; flushing of heat at night, attended with palpitation of the heart; chill during every motion; sometimes nausea, and even vomiting of food Avith dainty or deficient appetite. The open air provokes or aggravates the symptoms. Dose: Three globules in a tea-spoonful of water, morning and evening, until amelioration or change. Arsenicum is a valuable remedy in severe cases, characterized by great debility and languor,- particularly if the subjoined symptoms occur: violent, dry cough, accompanied with shortness of breath, or even Avith attacks of apparent suffocation in the evening or at night, and provoked by cold drinks, or by the least exposure to cold air; or moist cough, Avith accumulation of very adhesive phlegm in the ramifi- cations of the Avindpipe, which is haAvked or coughed up with great difficulty; and general aggravation of the symptoms at night or after eating. Dose: Two globules in a tea-spoonful of water, three times a day, until the symptoms become less violent; and then at night and morning, until perma- nent and positive amelioration or change. Lachesis is of much service when the fits of coughing, and other distressing sensations, are provoked or aggravated by the slightest external pressure (as of the neckcloth), being applied to the front part ofthe neck or upper part ofthe Avindpipe, and when the patient is un- able to bear the least touch in that part; or again, when a fit of coughing occurs as soon as the patient lies doAvn, and he is accordingly unable to retain a recumbent position; or Avhen a meal provokes or aggravates the symptoms; cough in the evening and at night, and even during sleep, awaking the patient Avith a sensation of Avant of breath, and an eager effort to obtain fresh air; cough Avith distressing oppression at the chest; sensation as if a quantity of phlegm Avere lodged in the throat, but which no effort could dislodge; continual hoarseness, and sometimes prolonged and obstinate watery discharge from the nostrils; fits of coughing accompanied with pains in the throat and head, and even in the eyes and ears; exacerbation after Bleeping. Dose : Three globules in a tea-spoonful of water, night and morning, until ame- lioration o~ change; or, in the case of very distressing attacks, arousing the CHRONIC BRONCHITIS. 387 patient frorr. sleep, a similar dose after every such fit of coughing until the attacks are manifestly less violent and prolonged. Silicea is more particularly indicated in obstinate and inveterate cases, characterized by abundant expectoration of transparent or matter-like phlegm, or Avhen the cough predominates at night and i? of a suffocative character; or when there is racking cough constantly attended Avith a feeling of soreness in the throat. Dose: Six globules in a table-spoonful of water every morning the first thing (fasting), for ten days (or until the earlier development of improvement or change); then pause a week, after which the course may, if necessary, be re- sumed as before, and so on, until amelioration or change. Phosphorus is a remedy of the greatest value, in the majority of chronic affections ofthe respiratory organs, and is indicated in Chronic Bronchitis by the subjoined symptoms among others: extreme tender- ness of the upper part of the Avindpipe, hoarseness, huskiness, or total loss of A-oice, attended with hacking cough, and, generally, with more or less hectic fever; soreness ofthe chest, Avhich appears to provoke a short, hacking cough; dry cough, provoked by a sensation of tickling in the throat, and attended with pricking pains in the upper part of the windpipe; cough AAith expectoration of adhesive and blood-streaked phlegm; or cough which is provoked by the least exertion or exposure to the open air, or by drinking, talking, reading or laughing. Dose : Three globules in a tea-spoonful of water, night and morning, until posi- tive amelioration or change. Hepar-s., Stannum, Baryta-c, Acidum-nitr. One or more of these medicines, singly or in succession, may in many cases, prove of considerable service in many difficult and complicated forms of Chronic Bronchitis, according to the particular and characteristic action of each (as explained in the article devoted to that subject), and to the analogy between such action and the distinctive symptoms of the malady. Dose • Of the medicine selected give four globules in a table-spoonful of water night and morning, until amelioration or change. Kali-c, Natrum-m., Staphysagria, Conium. One or more of these medicines, also, may become of much service in particular cases. When, therefore, the symptoms do not correspond very closely in their distinctive features with the indications above afforded, the reader is recommended, before treatment is undertaken, to consider the applicability of these by reference to the article on " Characteris- tic Effects." Dose: Of either remedy selected, as in the foregoing prescription. Diet and Regimen. The diet should be wholesome and nourish- ing, but as free from any stimulating or irritative ingredients as possible. Fermented liquors, and, in fact, all stimulants are prejudicial. Wherefore, also, spices and the like seasoning materials should be ab- stained from Exposure to raw, cold and damp, or to bleak, dry and cold conditions ofthe atmosphere are to be avoided. The same may, in fact, be said of every thing Avhich is known to provoke a recurrence of, or to aggravate the attacks. Sudden transitions from one tempe- 388 inflammation of the lungs. rature to another, or draughts, are injurious. Confinement in close, ill-ventilated apartments is equally so. An atmosphere tainted Avith gaseous exhalations (as in many factories), or by the presence of num- bers of persons assembled together, is very injurious and should be avoided. Early hours and moderate exercise in the open air, in favo rable Aveather (especially in mild, cloudy, still Aveather, Avithout mois ture under foot), are very beneficial. Excessive bodily exertion i injurious. INFLAMMATION OF THE LUNGS. This serious and dangerous disorder consists in an inflammation of the substance ofthe Lungs. Predisposing Causes. The natural inflammatory tendency ofthe lungs, occasioned by the important functions which they perform, in connection Avith the circulation and in the generation of animal heat: or, more especially, such natural tendency heightened by particular constitutional disposition. Fever may, in general (although uncom- plicated with local affection ofthe lungs at the onset), be numbered as a predisposing cause; dry coldness of the atmosphere, and elevated barometric condition; redundancy of animal food, and the habitual over-indulgence in ardent beverages, such as Avines, spirits, &c. Exciting Causes. Taking cold, the sudden suppression of natural or habitual discharges of blood; measles (especially if neglected, or erroneously treated—under allopathic direction) ; concussions, whether ofthe chest or of other parts, or particularly if the back be the part so injured: these and other analogous conditions and circumstances may be numbered amongst the exciting causes. Uncomplicated Cases. Symptoms. The following are some of the principal general symptoms Avhich characterize this disease: shivering and chills, followed by heat or fever; short and hurried respiration; cough, short, continuous, and distressing, dry at the com- mencement, afterwards attended Avith scanty expectoration of viscid and extremely tenacious mucus, generally, but not invariably, of a rusty (sometimes bright-red) color; [this rusty or sanguinolent hue is intimately combined, not in streaks: it appears, usually, about the second or third day, and is a characteristic indication of the presence ofthe disease in question ; at the same time it must be borne in mind, that its absence is by no means a certain criterion ofthe non-existence of inflammation of the lungs;] the cough is excited by every deep inspiration, or on every attempt to speak; the speech is interrupted, or there is a pause after every articulation; occasionally there is a dull pain in the chest, but more frequently rather a tightness than pain; pulse variable, sometimes not beyond the natural standard, but more generally full, strong and quick at the commencement, or, when the inflammation runs high, hard, wiry, and greatly accelerated; tongue parched and dark-colored; thirst; loss of appetite; physical and mental depression. The patient, particularly in severe and extensive attacks, lies upon his back. In addition to the above symptoms, there are some important one* INFLAMMATION OF THE LUNGS. 38S which are to be detected by auscultation and percussion; but a medical man can alone determine these. Complicated Cases. Symptoms In severe cases, inflammation of the lungs is often found combined AA'ith pleurisy, in Avhich case thg pains of the chest are intense, and mostly of an acute, shooting cha- racter. Another and still more frequent complication is formed with bronchitis. Issue and Results. When the disease comes rapidly to a favo- rable termination, some striking evacuation generally attends it, such as a very free and abundant expectoration of thick, Avhite or yelloAv matter, often slightly streaked with blood; or a profuse and general SAveat; diarrhoea ; a profuse discharge of urine, with a copious sediment; or a flow of blood from the nose. If inflammation of the lungs be not checked in the earlier stages, the lung is altered in structure; and the face becomes patched with red, and sometimes livid, the vessels of the neck swollen and turgid, and the pulse weak and irregular. In the advanced or suppurative stage of the disorder, the expecto- ration becomes purulent or converted into a broAvn, serous fluid, and slight shiverings generally supervene; the pain or sense of fullness and tightness becomes abated, and the patient is commonly enabled to lie on the affected side without much inconvenience; but the pulse be- comes weak and thready, and the strength commonly sinks rapidly: a fatal result is, however, sometimes, even then, avoided by proper homoeopathic treatment. Treatment. The great danger attendant upon this disease renders the assistance of professional experience, when that can be obtained, absolutely indispensable. But to provide, in some measure, for the contingencies in which such aid cannot be secured, the following direc- tions are subjoined, to enable even unprofessional persons to entertain 6ome hope of insuring a successful issue. Aconite. In the stage of simple inflammatory congestion, with severe inflammatory fever, Avhether or not accompanied or followed by violent shooting pains in the chest, this remedy is unquestionably of great service. Dose: If singly, of a solution of six globules to two table-spoonfuls of water, give a tea-spoonful every three hours, until the pulse becomes reduced in volume and frequency, or the skin moist, or covered with profuse perspira- tion,—upon which the intervals may be extended to six hours, and the admi- nistration thus continued, until absolute amelioration or change;—except, however, in such cases as manifest conditions akin to those under-mentioned, when consider the following medicines. If in alternation with Belladonna, a similar solution of each, separately, administered in like doses, at intervals of four hours, in rotation, until improvement or change. Cimicifuga-racemosa. Intense pain in the right side, the patient could not move at all without increasing the pain. Dose: As directed for Aconitum. Bryonia is frequently the best remedy to follow Aconite, when the more severe febrile symptoms have been lowered by that medicine, or, more especially, when such symptoms as the following predominate: 390 INFLAMMATION OF THE LUNGS. cough with expectoration of stringy or tenacious phlegm of a brick- dust color, oppression and acute shooting pains in the chest; or rheumatic pains in the chest and extremities, with' aggravation on movement; foul, dry, tongue, constipation, and other indications of derangement ofthe stomach. When the pain in the chest is excessive, and of a shooting, cutting, or pricking character, the membrane Avhich invests the lungs is generally in\-olved, and the case thereby compli- cated with pleurisy. In such cases the alternate use of Bryonia, with such other medicine as may further embrace some of the symptoms, is sometimes necessary, or, at all events, conducive to more speedy recovery. Dose: In every respect, as directed for Aconitum, singly, but if such symptoms as are subjoined ensue, proceed at once with the next medicine. Belladonna is, howeArer, generally required before (or even after"! Bryonia, when the fever returns after having been apparently sub- dued by Aconitum, and the difficulty of breathing, and pain, or feeling of uneasiness in the chest, continue; the expectoration tinged with blood, and difficult to bring up; the cheeks flushed, lips and tongue dry and parched, the skin hot, and the thirst incessant; the pulse hard, quick, and full; the sleep disturbed by frightful dreams and delirium. In young, robust subjects, Aconitum and Belladonna may be ex- hibited in rapid alternation, with the most satisfactory results during the first stage. In such cases, indeed, the further progress of the disease is not un- frequently arrested, or at all events such a degree of impro\Tement is effected, that any remaining symptoms, such as some degree of oppres- sion, and expectoration of viscid phlegm, readily yield to the adminis* tration of Bryonia. Dose : If singly, of a solution of six globules to two table-spoonfuls of water, give a tea-spoonful repeated at intervals of two hours, until three doses have been given, and then at intervals of four hours, until very essential improve- ment or change. If in alternation with Aconitum, as directed under the head of that medicine. But if such improvement occur, with the super-existence of those symptoms which have been mentioned as requiring a recurrence to Bryonia, pause six hours, and proceed with that medicine at intervals of six hours, until the remaining symptoms yield. Phosphorus. This remedy has been employed with striking suc- cess in almost every stage of the disease in question, under Avhatever form it presented itself, and even when the disease had already attained a somewhat advanced stage. Much, fever, with hard, full pulse, cough, and blood stained expectoration, are the salient general indications for Phosphorus. It is also more or less necessary in all cases occurring in consumptive habits. Dose: If singly, of a solution of six globules to two table-spoonfuls of water, give a tea-spoonful every three hours, until amelioration or change. If in alternation with Aconitum or Bryonia (in particular), as directed for each of those medicines, at page 389. Additional Particulars.—Serious Cases. Mercurius has been found a useful medicine in some cases (when indicated by the correspondence between the symptoms ofthe disease INFLAMMATION OF THE LUNGS. 391 and those Avhich are its specific products), either singly or folloAved, according to circumstances, by one or more ofthe subjoined. Dose: Three globules in a tea-spoonful of water, every two hours, until ame- lioration or chaDge. But if, although there be general improvement, the subjoined symptoms remain, or. if otherwise, they supervene, proceed with the next medicine. If on the other hand, no change whatever ensue, after the administration of six doses of Mercurius, consider the course of Lachesis, Arsenicum, and China. Belladonna should be administered after Mercurius, if spasmodic constriction of the chest, Avith dry, hacking cough should remain or supervena Dose: As directed for Mercurius. Lachesis has been sometimes found serviceable, singly (but more particularly in alternation with Arsenicum and China), in those very serious, and indeed almost desperate cases, Avhich threaten to terminate in gangrene of the lungs, and Avhich are attended Avith extreme pi'os- tration of strength, coldness of the feet, and offensiveness of the breath and expectoration. Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea- spooDful every quarter of an hour, until a degree of improvement sets in, and then every hour, until the urgent symptoms subside. If in alternation with Arsenicum and China, the like solution of each, separately, administered by tea-spoonfuls, every half hour in rotation, until manifest improvement, or de- cided change. Antimonium-tartaricum is frequently of service when the op- pression at the chest and anxiety continue to increase, and the pulse becomes small, weak, and irregular; or, moreover, either Avhen there is no expectoration, or when the expectoration is not tinged with blood, and occurs chiefly at night; or, again, when difficulty of breath- ing, anxiety, and other dependent symptoms are always temporarily relieved after expectorating. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea-spoonful, first at intervals of a quarter of an hour, and then of half an hour, and 60 on, extending the intervals to three hours, as improvement gra- dually ensues. When, however, the urgent symptoms have subsided, con- sider the general aspect of the symptoms, and suspend or continue treatment accordingly. Sulphur is a medicine of great service when a relapse threatens to succeed the improvement previously effected by other treatment; and in repeated courses, upon the accession of com'alescence, to restore the vigor and equilibrium ofthe system, and to neutralize the remain- ing susceptibility to affections of the same organs. Do&i: If against an impending relapse, three globules in a tea-spoonful of water every three hours, until the progressive improvement, previously manifested, becomes apparent. If aa an after-remedy, against the remaining susceptibility of the lungs, give six globules in a table-spoonful of water, every morning, the first thing (fasting), for a week (or until the earlier development of new symptoms, or general change) ; then pause four days, after which the course may, if necessary, be repeated, and so on until the cure is complete. Diet. It is scarcely necessary to remark that, during the inflamma- tory period, an almost total abstinence must be observed: even during 392 INFLAMMATION OF THE PLEURA. convalescence there is caution required, and care must be taken not to alloAv the patient to over-indulge bis returning appetite, as any error in this respect may entail troublesome consequences. The drinks may consist of water, toast-Avater, and sometimes whey, rice- or barley. water, sweetened with a little sugar if desired. Refer also to the directions in this respect, in the general article on Feveks, or in that on Inflammatory Fever in particular. INFLAMMATION OF THE PLEURA. (the membrane lining the chest and investing the ldngs.) PLEURISY. Symptoms. Like other acute inflammatory affections, Pleurisy is ushered in by shivering of longer or shorter duration. The patient then complains of severe cutting, lancinating pain in the side, remain- ing in one circumscribed spot (over which the patient can place his finger), interfering with breathing, and acutely increased by taking a deep inspiration, or by coughing ; difficult and anxious respiration, but not so oppressed as in inflammation of the lungs or of the bronchial tubes; quick, hard pulse; hot skin, particularly over the chest, or the seat of the disease, at Avhich spot there is sensibility to external pres- sure ; short, dry cough; parched tongue; scanty and high-colored urine; general prostration, and, occasionally, brain symptoms,—head- ache, wandering, &c. Position in bed, usually on the back, or on the affected side. Exceptional and Complicated Cases The above are the more constant general symptoms of this inflammation; but the disease may exist, and even terminate fatally, Avithout giving rise to them in any marked degree. If Avithin reach, a medical man ought, therefore, to be sent for in all sudden cases of illness which commence with shiver- ing, iolloAved by a hot stage, and are attended Avith more or less pros- tration of body and mind, thirst, heat of the skin, loss of appetite, anxiety, and general uneasiness; auscultation, percussion, &c, being usually the only certain means of determining the exact nature of the uisease. Issue and Results. If the heat and other febrile indications generally subside, and if the performance of the act of respiration be- comes more free and less painful, and copious and free expectoration ensues, an early recovery may be expected; but if the fever and in- flammation have been intense, and the pain should suddenly terminate, followed by a sinking of the pulse and a change of countenance, danger to be apprehended. Treatment. Like Inflammation of the Lungs, this disease is sub- ject to so many minute but very essential modifications which are barely to be detected but by a practised and professional observer, that written directions for its domestic treatment must necessarily be imperfect and insufficient. To provide, however, for such cases as occur beyond the reach of professional aid, a few directions are sub- joined. It may be remarked, however, that there exist so intimate a INFLAMMATION OF THE PLEURA. 893 relation between Pleurisy and Inflammation of the Lungs, that the reader would do well, in treating the one, to refer to the directions Avhich have been afforded for the other. Aconitum is an indispensable remedy in allaying the intense feArer (Avith quick and full pulse) Avhich is often attendant on Pleurisy; and is in many cases, indeed, Avhen timely administered, alone sufficient to cure the disease. It completely supplies the place of the lancet in such cases, and rarely fails to effect improvement in from six to eight hours; should it not do so in that space of time, another remedy must be selected. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every three hours, until the pulse becomes more healthy, the skin moist, and the breathing less painful and impeded. If, however, such symp- toms as are subjoined should remain or supervene, pause four hours, and pro- ceed with the next medicine; or consider also Sulphur, which may sometimes be preferably or previously employed, especially when a third or fourth dose of Aconite appears to produce only partial effect against the acute febrile symptoms. Bryonia-alba should, in general cases, follow Aconitum Avhen the fever has been someAvhat allayed by that remedy. It is more particu- larly indicated, either in simple or complicated pleurisy, when the following symptoms are encountered, at an early stage of the disease: aching, burning, but more especially acute shooting or cutting pains in the chest, much increased during inspiration or on movement; op- pression and anxious respiration; palpitation of the heart; dry, cracked, brown, or yellow-coated tongue; bitter taste, nausea, and occasionally vomiting of mucus, or of a bitter, bilious-looking fluid; aching or painful pressure at the pit ofthe stomach and under the false ribs; intense thirst, especially at night; constipation ; head confused and giddy ; giddiness on sitting-up in bed ; aching and shooting pains in the head, or pain as if the head would burst, particularly at the temples, with exacerbation on coughing, or moving; fiery, or bluish redness, and puffiness of the face; restless, disturbed sleep, frequent startings; nocturnal delirium, with alternations of lethargic sleep; burning heat of skin; occasionally, partial, clammy perspiration; pulse generally frequent, hard, and small, but sometimes full, unequal, inter- mittent, and weak ; aching in the limbs. Lastly, when, in connection with many ofthe above, the folloAving symptoms are met with: cough on lying on the side, or impossibility of lying otherwise than on the back; dry cough, or cough Avith expectoration of dirty yelloAV-colored phlegm, streaked or tinged with blood, and attended with great exa- cerbation of pain,—Bryonia will rarely fail to render much service, and can, indeed, with difficulty be dispensed with. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every four hours (or in very severe cases every two hours), until amelioration or change. But if the symptoms appear to be only partially affected by either this or the foregoing medicine (or by both), consider the next remedy ; if great improvement has been effected by Bryonia moreover, Sulphur may, then also, be advantageously employed to complete the cure. Sulphur may Avith advantage follow Bryonia, when the pain mentioned has been removed by that medicine, and often completes 394 SPURIOUS OR BASTARD l'LEURISY. the cure, when Aconite or Bryonia, or both of these, have been insufficient. This remedy is, however, not uncommonly, of essential service as an intermediary resource, administered from time to time, to awaken a susceptibility in the system to the action of others,—in such cases (associated Avith constitutional taint) as are not adequately influenced by either of the foregoing. In such cases the reader is, moreover, recommended to refer to the remarks in respect of Sulphur, at page 87. Dose: If as an intermediary medicine, two globules in a tea-spoonful of water, four hours after the last dose of any other medicine, followed, in six hours, by such treatment as may be particularly indicated. If as a conclusive resource to perfect the cure (already advanced) three globules in a tea-spoonful of water, every six hours, until four doses have been given, and then six globules the first thing in the morning (fasting) for four days ; then pause two days, resuming the course as before, if necessary, and so on, until all traces of the disease have been removed. These three are the most important remedies in the greater number of cases of Pleurisy, and are frequently found sufficient to effect a speedy cure. There are often occasions, however, in Avhich other remedies are called for, but Avhich require the skill of an experienced practitioner for their proper selection. Diet. As directed in the foregoing article on "Inflammation of THE LUNGS." SPURIOUS OR BASTARD PLEURISY. By this term is here meant, that painful affection usually referred to the intercostal muscles (the muscles which occupy the spaces between the ribs), which is productive of many ofthe symptoms of true pleurisy, and is consequently liable to be mistaken for that disease, particularly when attended Avith febrile excitement, as is frequently the case in hysterical females. Distinctive Characteristics. The history ofthe commencement of the affections enables us to discriminate satisfactorily between the two diseases. Thus, in Pleurisy, the attack is invariably preceded by chills, and the disease is accompanied by fever and general prostration; whereas Spurious Pleurisy is not ushered in by chills, and is unat- tended Avith fever, quickness of pulse, and heat of skin, but generally commences Avith rheumatic pains in the neck and shoulders; moreover, in the latter affection the pain is not fixed, and it is accompanied by great tenderness over a large surface of the chest, and more especially between the ribs. The medical man is further guided in distinguish- ing one disease from the other by auscultation and percussion. TREATMENT. Arnica, Pulsatilla. These two medicines are frequently of ser- vice in alternation as well as singly. Arnica. In the majority of cases Arnica is the principal remedy, and is occasionally sufficient to effect a speedy cure, after a single dose. In other instances, hoAvever, the disorder does not yield so readily, and SPITTING OF BLOOD. 395 consequently one or more of the other remedies enumerated must be had recourse to. Dose: If singly, of a solution of four globules to three tea spoonfuls of water, give a tea-spoonful every four hours, until amelioration or change. If in alternation with Pulsatilla, separate solutions of six globules of each, adminis- tered by tea-spoonfuls at intervals of six hours, until amelioration or change. Pulsatilla is more particularly indicated when the pain becomes exacerbated tOAvards eA-ening, and is sometimes experienced more during the act of e- spoonful every four hours, until amelioration or change. INDICATIONS AFFORDED BY PARTICULAR CAUSES, upon the Occurrence of an Attack. When Mechanical injuries or violent muscular exertions are dis- tinguished as the immediate causes of the attack, select especially from: Arnica, Aconitum, and Belladonna (sometimes alternated). When the attack is immediately traced to impeded circulation, occasioned by a tight neckcloth, tight lacing, and the like, prolonged stooping, or retention ofthe head in a dependent position, select espe- cially : Opium. When the attack is immediately traced to loss of blood, select especially from: China, Nux-vomica, Lachesis, and Cocculus. Aconitum. There are few cases in which this remedy is not more or less useful at the onset of the attack. The following symptoms are, however, its more immediate indications: marked signs of active febrile excitement, characterized by full, quick, and strong pulse, heat of skin, flushed face, &c. Dose: Three globules in a tea-spoonful of water, or dry on the tongue, repeated at intervals of two hours, until the flushing and other febrile symptoms abate. Opium is held as a most important remedy in all cases of Apoplexy, when the disease has attained considerable height. It is one of the best remedies to commence Avith, when the attack has arisen from ex- cess in drinking, and the symptoms are as follow: slow, stertorous breathing; red and bloated face; heat ofthe face and head, which latter is also covered with sweat; insensible and dilated pupils ; stupor; rigidity of the entire frame, or convulsive movements and trembling in the extremities; foaming at the mouth. In elderly persons, Opium is as has already been stated, a remedy of primary importance. Dose : Three globules in a tea-spoonful of water, or dry on the tongue, every quarter of an hour, until the more alarming symptoms subside, and then every two hours, until a general and manifest improvement or change results Nux-vomica has been found of great service in completing the cure alter the previous use of the above remedy; but may also be ad- ministered at the commencement, when the attack has occurred in an individual of bilious, sanguine, or nervous temperament, and of irri- table temper, in consequence of over-indulgence in vinous or spirituous liquors; or Avhen the attack has resulted during or after a fit of passion, and the patient appears in a state of drowsiness approaching to stupor; the breathing stertorous; eyes dull and glassy; face bloated and red, or pale and puffy; hanging of the lower jaw, Avith copious secretion of saliva; paralysis, particularly of the inferior extremities; paralysis of the Avhole of one side. Dost Three globules, as directed for Opium. Lachesis is also a valuable remedy in this disease, especially when 414 APOPLEPY. occurring in habitual drunkards; or in choleric, hypochondriacal per- sons, or those Avho are frequently affected Avith melancholy, and are of a spare habit, or of exhausted constitution, Avith drowsiness or loss of consciousness, lividity, or, on the contrary, paleness and puffiness of the face, convulsive movements or tremor in the extremities ; stupor, or paralysis, especially ofthe left side: pulse Aveak and slow. Dose : Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful (or otherwise three globules dry on the tongue) every quarter of an hour, until the lividity, tremor, and tardiness ot pulse cease to be prominently manifested, and then every three hours, until the patient exhibits symptoms of returning consciousness; but, if after these results have, accrued, the semi- lateral paralysis should continue, proceed with similar doses every twelve hours until general improvement or change. Arnica. Apoplexy, with loss of consciousness (drowsiness or stupor); stertorous breathing; moaning or inarticulate muttering; in- voluntary evacuations; paralysis of the extremities, or ofthe left side; pulse strong and full. Dose : A solution of six globules to two table-spoonfuls of water, or two glo- bules dry, as directed for Lachesis. Belladonna. Bed, turgid, swollen face, with fullness and violent throbbing of the vessels of the head and neck; dilated, immovable pupils, lethargy, loss of consciousness; the patient lies speechless, with the mouth drawn to one side; convulsive movements of the limbs or facial muscles; paralysis of one side, particularly the right; impeded deglutition; foaming at the mouth. Dose: A solution of six globules to two table-spoonfuls of water, or three glo- bules dry on the tongue, as directed for Lachesis. Pulsatilla. Lethargy, loss of consciousness; bloated and bluish- red, or pale and puffy face, occurring after a full meal, which has been hurriedly SAvalloAved; or sudden loss of the power of movement; pal- pitation of the heart; with pulse almost entirely suppressed, snoring respiration ; especially for persons of phlegmatic temperament. The alternate employment of Pulsatilla and Ipecacuanha is some- times of great service when surcharge of the stomach and want of proper mastication are recognised as the exciting causes. Dose: If singly, of a solution of six globules to two table-spoonfuls of water, give a tea-spoonful (or otherwise three globules dry on the tongue), every half hour, until the pulse improves, and afterwards every two hours, until general improvement or change ; but if within half an hour after the second dose the urgent symptoms (of pulse, &c.) remain but little moderated, con- sider the subjoined medicine, and also whether its alternate or single adminis- tration be advisable. If in alternation with Ipecacuanha, a similar solution (separately) of each (or three globules dry), administered by tea-spoonfuls in rotation, at intervals of a quarter of an hour, until manifest improvement or change. Ipecacuanha is equally indicated when the attack has arisen from a full and hurried meal, and may therefore be employed after, or in alternation with, Pulsatilla, should the latter remedy not afford speedy relief. Dose: In every respect as directed for Pulsatilla. Baryta-carbonica. This remedy, like Opium, is peculiarly well INFLAMMATION OF THE BRAIN. 415 adapted to the treatment of many of the affections of old people. It has accordingly, like the latter medicine, been found very serviceable, Avhen the serious affection, at present under consideration, is met Avith in patients of advanced age, particularly when the following symptoms are encountered: lethargy, with moaning and muttering; circumscribed redness ofthe cheeks; mouth drawn to one side; paralysis of the tongue, or of the upper extremities; paralysis of one side (the right) ; confusion of ideas; childish manners. Dose : Three globules dry on the tongue (in most cases characterized by para- lysis of that organ),—or, sometimes, dissolved in a tea-spoonful of water,— every half hour, until the more urgent symptoms relax, and then every three hours, until general improvement or change becomes manifest. Paralysis resulting from Apoplexy. Belladonna, Rhus, Lachesis, Stramonium. These are amongst the most Aaluable medicines which are available for cases of paralysis remaining as the sequel of an Apoplectic fit. But inasmuch as the direct exciting cause of the attack (if ascertained) may modify the method of treatment, the reader is recommended to refer to the two tables in the foregoing portion of this article (pp. 410 and 413), exhibiting the medicines especially appropriate for the treatment of attacks of Apoplexy traced to particular causes, and, if consistent with the general or particular symptoms of the case, to select accordingly. ACCESSORY MEASURES. During the paroxysm of Apoplexy, the patient ought to be placed in a cool room, Avith the head raised, or put, in short, in such a position as will least favor determination of blood to the head. The clothes ought to be loosened, especially about the neck; and the feet or legs allowed to hang down. It may also be useful to increase the force of the circulation in the lower extremities by means of friction, and by applying hot Avater in bottles and flannels, or putting the feet in Avarm water. An injection of tepid water may be employed when the bowels are loaded and the belly feels hard and distended. Diet and Regimen. Water, toast-and-water, barley- or rice-water may be given from time to time in spoonfuls, when the patient makes signs indicative of thirst. When recovery sets in, nourishment must be cautiously administered. Refer, moreover, to the directions afforded in these respects in the general article on Fever. INFLAMMATION OF THE BRAIN AND ITS TISSUES. BRAIN FEVER. Symptoms. Drowsiness or constant delirium, or both, with signs of determination of blood to the head ; fullness and redness ofthe face and eyes; beating of the arteries ofthe neck and temples; occasional attempts to grasp the head. In inflammation of the brain or its membranes, the symptoms are prone to be exceedingly diversified; the extent and duration of the disease, the age, the sex, and constitution of the patient, all combine 416 INFLAMMATION OF THE BRAIN. to give to the affection a variety of character. Much assistance may be derived, in ascertaining Avhether the brain is affected or not, from 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 disease advances they often become dilated. Occasionally the attack is preceded by premonitory symptoms, such as congestion of blood to the head, attended with sensation of Aveight or stupefying, pressive, constrictive, and sometimes shooting pains in the head. In some instances slight feverish symptoms are complained of, Avith ring- ing in the ears for about the space of a Aveek; 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 Avith 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, Avith slight 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, and intolerant of light, with fiery redness of the face ; violent delirium. According to the seat of the inflammation, or the constitution ofthe patient, the accompanying fever is of greater or less intensity; 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 A'ery sIoav or a very quick pulse generally indicates danger. The patient frequently complains of heat in the head, Avhereas the extremities are cold; and there is, co*mmonly, a considerable degree of prostration both of body and mind. When there is stupor, or a tendency to it, the eyes look heavy and void of all expression ; vomiting sometimes takes place, and proves very in- tractable; the stupor becomes more profound, convulsions appear, and death sooner or later ensues. The peculiar and delicate structure of the brain and its membranes in children, renders them much more sus- ceptible of the attacks of this serious disease, and great attention ought to be paid to the following symptoms: heaviness and tendency of the head to gravitate backwards, attended Avith pain, (ofAvhich latter circumstance Ave are sometimes made aAvare, in very young chil- dren, by the little sufferer frequently raising its hands to the head;) alternations of temper; intolerance of light; nausea, occasionally fol- lcAved by vomiting; tendency to costiveness; drowsiness; Avakefulness, or starting during sleep. Secondly, continued boring of the head tgainst the p>illow; a high state of excitement, 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 heat in the head; redness and swelling of the face, with perceptible throbbing in the vessels of the head and neck; great agitation, with continued tossing about, especially at night; eyes red, sparkling, convulsed, or fixed ; pupils immovable, and generally dilated. Distinctive Characteristics. When it is caused by inflammation of" the tissues, the pain is more acute than that arising from inflamma- tion of the substance of the Brain INFLAMMATION OF THE BRAIN. 417 Results. Paralysis is more frequently associated with inflammation ofthe substance than Avith that ofthe tissues ofthe Brain. Exciting Causes. Anything tending to irritate the brain, such as extremes of heat or cold; the abuse of ardent spirits; external injuries ofthe head; concussions from falls; mental emotions, or over-exertion of the faculties; excesses of all kinds; sanguineous congestion; the sudden transition of disease from another part or organ; contagious diseases; repressed eruptions, &c. TREATMENT. With regard to the treatment of this disease, we may premise by stating that medical aid should ahvays be procured, if within reach; but when it is impossible or difficult to secure such assistance, the fol- lowing remedies may be resorted to: Aconite is invariably required at the commencement ofthe attack, when the skin is hot and dry, and the pulse rapid, with the ordinary indications of pure Inflammatory Fever, which is especially liable to be the case in young plethoric subjects. Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea- spoonful of the solution every three hours, until the pulse diminishes in force and frequency, and the skin becomes moist or covered with profuse perspi- ration ; after which the intervals may be extended +o six hours, and the administration be proceeded with, if no other medicine appears to be indi- cated, until general and progressive improvement becomes apparent. But if any of the subjoined symptoms remain or supervene, consider the following medicines, and select that which is indicated by the symptoms present. Belladonna seems to possess a certain specific influence over in- flammation of the brain and its membranes, and is generally the remedy Ave should select, Avhen the following, amongst other symp- toms, present themselves : great heat of the head; redness and bloated- ness of the face, with violent pulsation of the arteries of the neck; burying the head in the pillow, and increase of suffering from the slightest noise, with extreme sensibility to light; violent shooting and burning pains in the head ; eyes red and sparkling, with protrusion or wild expression; contraction or dilatation of the pupils; violent and furious delirium; loss of consciousness; sometimes Ioav muttering; convulsions, —occasionally symptomatic hydrophobia; vomiting; in- voluntary evacuations of fseces and urine. Dose: Of a solution of six globules to three table-spoonfuls of water, give a tea- spoonful every four hours, until amelioration or change. In the event of dis- tinct medicinal aggravation (respecting which, see pages 57, 58), the adminis- tration should be suspended until the reaction has taken place. But if dis- tinct improvement supervene (without intervening apparent aggravation), the intervals should be extended to six hours, and, again, after two more doses,— if the amelioration be regularly progressive—to eight hours ; and so on, until permanent improvement or change. But, in very urgent cases, and when repeated doses of Belladonna have produced inadequate results, consider the next medicine, and proceed accordingly. If in alternation with Zincum, a similar solution of each (separately) administered by tea-spoonfuls, at inter- vals of half an hour (or even of fifteen minutes), in rotation, until the urgent symptoms abate. Zincum may be had recourse to, after, or in alternation Avith Bella- donna, when that remedy effects only partial amendment. In those 27 418 INFLAMMATION OF THE BRAIN. extreme cases where symptoms of threatening paralysis of the Brain are manifested by the folloAving indications: loss of consciousness— half-closed eyes—dilated, insensible pupils — icy coldness of the extre- mities, or of the entire surface of the body—blueness of the hands and feet; impeded respiration; small, weak, scarcely-perceptible pulse,— Zincum has been found occasionally effectual in averting a fatal issue. Dose: If singly, dissolve six globules in three tea-spoonfuls of water, and give a tea spoonful of the solution (or otherwise, three globules dry on the tongue), every hour (or in very urgent cases even every quarter of an hour), until the lividity and coldness, and the indications of the pulse assume a more natural aspect,—and then every three hours, until general improvement or change. If in alternation with Belladonna, as directed for that medicine (above). Bryonia. This remedy will frequently be found of igreat efficacy in children, Avhen Aconite and Belladonna have produced but trivial im- provement, and the symptoms manifested resemble those enumerated in the article on Water in the Head. Dose: Dissolve six globules in four tea-spoonfuls of water, and give a tea- tea-spoonful of the solution every four hours, until amelioration or change; but if partial improvement only should become apparent within four hours after the third'dose ot Bryonia, pause two hours longer, and proceed with the next medicine. Helleborus-niger is required after Bryonia, in cases exhibiting the characteristic features of Water in the Head, when the last-named medicine has been inadequate to overcome the disease. In such cases, and when partial improvement only has resulted from the previous ad- ministration of Bryonia, Helleborus should be given six hours after the third dose ofthe last-named medicine. Dose : As directed for Bryonia. Hyoscyamus is appropriate when there are,—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 vision—skin dry and parched—redness ofthe face, and picking ofthe bed clothes with the fingers. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every three hours, until amelioration or change. Opium. When there is lethargic sleep, with snoring respiration; half-open eyes, and confusion or giddiness after waking; congestion of blood to the head; complete apathy and absence of complaint. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful (or otherwise three globules dry on the tongue), every hour, until amelioration or change. Stramonium. When there is starting or jerking in the limbs; sleep almost natural, followed by absence of mind after waking, but sometimes attended Avith moaning and tossing about; Aision fixed, and the patient frequently appears in a state of dread, and utters cries; redness ofthe face ; feverish heat, Avith moisture ofthe skin. In many of the symptoms this remedy bears a close resemblance to Belladonna, with the exception of being indicated by signs of a more spasmodic character, and by less acute pain in the head. Dose: As directed for Hyoscyamus. INFLAMMATION OF THE RR IN. 419 Cuprum-aceticum. The value of this remedy in cases of repor- cussed eruptions, and the consequences arising therefrom, has been already noticed in the articles on Scarlet Rash, Measles, &c ; under '.he head of which also some of the symptoms indicating its employ- ment are commented upon : it is also called for in a peculiarly sensitive or irritable rather than an inflammatory state ofthe brain, which not anfrequently appears in children, during the course of catarrhal fewer or difficult teething, of which affection the following are the symp- toms: at the commencement crossness or fretfulness, or apathy and indifference; sleep disturbed and restless. As the disease gains ground, droAvsiness, with inability to sleep; incapability of holding the head erect, and flushing of the face; dryness of the mouth Avithout increase of thirst; disgust of food, nausea, and even A'omiting; torpor of the bowels, rarely diarrhoea; shudderings, folloAved by heat; and occasionally burning; unfrequent perspiration; pulse A'ariable, gene- rally rather accelerated and full; exacerbations and fever towards and at night; twitchings of the tendons, and grinding of the teeth during the exacerbations. Dose: Dissolve 6ix globules in four tea-spoonfuls of water, and give a tea- spoonful of the solution every four hours, until the more immediate symp- toms yield ; and then at intervals of six hours, until general improvement or change ensues. Brain Fever from Check of an Eruption. Cuprum-aceticum is, as above stated, and as previously mentioned in the article on Scarlet Rash (p. 158), and on Measles (p. 162), &c, a medicine which has frequently proved successful in promoting the re-evolution of the eruption whilst it simultaneously operates specifi- cally upon the seat of disease. Dose: Three globules in a tea-spoonful of water every six hours, until the erup- tion begins to re-appear, and the symptoms of cerebral disturbance to sub- side ; and subsequently every twelve hours, until general amelioration or . change. If, however, partial amelioration only be the result of repeated doses of Cuprum, consider the subjoined medicines. Belladonna, Rhus, Lachesis, Mercurius. One or more of these medicines (all of which are of great importance in cases of this nature) may be required when Brain Fever occurs as the result of a checked eruption. Particular indications for each, respectively, may be gathered from the article on " Characteristic Effects." Dose: Ofthe remedy selected, give three globules, as directed for Cuprum-accl. Bredn Fever from Sun-Stroke. Tincture of Camphor Avhen administered upon the earliest de- velopment of symptoms of Inflammation ofthe Brain, after prolonged exposure to the direct rays of a hot sun, may be numbered amongst the most effective of remedial agents. Additional and especial indi- cations for its administration may be gathered from the article on " Characteristic effects." Dose: One drop of the saturated tincture on a small lump of fine loaf-sugar, or in a sufficiency of sugar of milk, every hour, until the symptoms abate or assume a character distinctly indicating another medicine. 420 INFLAMMATION OF THE BRAIN. Arnica. As directed for Cuprum. Also external application of the Tincture. See Wounds. Aconitum in particular is required at the onset when the attack sets in with marked symptoms of inflammatory fever. Dose: In alternation, as directed under the head of Belladonna (p. 417) in the previous part of this article. Brain Fever from a violent Chill in the Head. Aconitum, Bryonia, Arsenicum, Hyoscyamus. Aconitum followed by one or more of the other medicines here enumerated, is required in those cases of Inflammation of the Brain (of occasional occurrence), which result from violent chill in the head. Aconitum is, as already stated in the earlier portion of this article, (p. 417), ap- propriate at the onset (in most cases), but especially when the symp- toms of inflammatory fever are well defined and prominently developed The subsequent employment of one or more of the others should bo governed by the indications present, and by those which have been mentioned as characterizing each of these remedies separately (in the previous part of this article—pp. 417, 418), as well as by such detailed distinctive particulars as may be gathered from the article on " Cha- racteristic Effects." Dose: See pp. 417, 418 under the head of Aconitum, Bryonia, Belladonna, and Hyoscyamus. Brain Fever from suppressed Discharge from the Ear. Sulphur or Pulsatilla will be found most efficacious in removing the cause of irritation, and thus allaying the inflammatory action. Dose : Of either medicine, as selected, give three globules in a tea-spoonful of water every four hours, until the discharge in a degree returns, and the in- flammatory symptoms accordingly abate; and then at intervals of six hours, until general and decided improvement ensues. Brain Fever from External Injuries. Dose: Of Arnica, dissolve eight globules in three table-spoonfuls of water, and give a tea-spoonful of the solution every thre hours, until improvement or change ; but if the successive employment of Belladonna or Mercurius (or both) become needful pause six hours after the last dose ot Arnica, and proceed with similar doses of the next selected, at intervals of three hours; and so on, until manifest improvement or change results. Brain Fever from Abuse of Ardent Spirits. Opium, Lachesis, Sulphur, Calcarea. One or more of these medicines according to the distinctive indications afforded in the pre- vious part of this article and in that on " Characteristic Effects," may be named as most appropriate for the treatment of cases of Inflammation of the Brain, Avhich can be distinctly traced to such a cause. Dose: Dissolve six globules in three table-spoonfuls of water, and give a tea- spoonful of the solution every four hours, until amelioration or change. In cases in which Lachesis and Opium (particularly) are indicated, and after the more violent symptoms have yielded to their influence, the administration should be continued at intervals of six hours, until three more doses have tetanus. 421 been given—and subsequently, again, night and morning, until all traces of inconvenience have been removed. Brain Fever from Excessive Mental Application. Belladonna is the remedy which may be named as most commonly appropriate for the treatment of cases of this nature. Dose: In every respect, as directed for the same medicine in the earlier part of this article (p. 417). Irritation of the Brain occasioned by Worms. Cina is a medicine of great service in cases of the irritation of the Brain occurring amongst children afflicted with Worms. Dose: Two globules in a tea-spoonful of water, night and morning, for four days (or until the earlier development of distinct improvement or change) ; then pause two days (or longer—according to circumstances), resuming as soon as any signs of a relapse sets in, and so on, until permanent amelioration or change. AFTER-EFFECTS OF INFLAMMATION OF THE BRAIN. Protracted or Chronic Cases. Sulphur, Helleborus-nig., Arsenicum, Lachesis. The par- ticular indications which should lead to the selection of one or more in particular, may be gathered from the article on "Characteristic Effects." Dose: Of either of these medicines respectively (as selected), give three glo- bules in a tea-spoonful of water, morning and evening for a week (or until the earlier development of new symptoms, improvement or change); then pause a week; after which the course may be resumed as before, if necessary, and so on, until permanent improvement or change. Diet and Regimen. In the first stage drinks are alone required. They should consist of wTater, or toast-water. In these particulars, hoAv- ever, the regulations prescribed for the treatment of Fevers in general, and of Inflammatory Fever in particular, are equally applicable to the management of cases of Brain Fever. TETANUS. This is a disease characterized by a general spasmodic rigidity of the muscles. Varieties. 1. what is termed lock-jaw; 2. that in which the body is drawn or bent backwards by the spasmodic contraction of the muscles, sometimes to such a degree that the back ofthe head touches the heel, Avhich is of the most frequent occurrence; 3. that in which the body is bent forwards, a rare form ofthe disease; 4. that in which the body is bent to one side, a still more rare variety. Causes. The disorder is chiefly occasioned either by exposure to cold (idiopathic tetanus), or by some irritation of the nerves resulting from local injury, particularly of tendinous parts (traumatic tetanus). It is of much more frequent occurrence in warm than in cold climates. hi this and in other climates, the amputation of a limb, or the twitch 422 TETANUS. ing of a nerve by a ligature, are not unfrequent sources of its occur rence. When it takes place, in consequence of such a cause, or of any other external injury, the symptoms generally set in about the eighth day, and sometimes later; but when it supervenes on exposure to cold, they usually declare themselves much earlier. Symptoms. In some cases the attack comes on suddenly, and with extreme violence; but it more generally approaches in a gradual manner; a slight stiffness being at first experienced in the back part of the neck, together with an uneasy sensation at the root of the tongue, and a difficulty in performing the act of deglutition; an op- pressive tightness is complained of in the chest, Avith a pain at the inferior extremity of the breast-bone, or the pit of the stomach, ex- tending into the back; the respiration is impeded; the countenance pale, pulse small, bowels constipated, and urine high-colored; a stiffness also takes place in the lower jaw, Avhich ere long increases to such an extent, and compresses the jaws so closely and firmly, that the smallest opening is unattainable, and the patient is now afflicted Avith what is termed lock-jaw. In some instances, the spasmodic contractions pro- ceed no further; in others they return with great frequency and in- creased severity, and also extend to the arms, the muscles ofthe belly, the back, and inferior extremities, so as to bend the body forcibly in one or other of the'directions before stated. Finally, the arms, lower extremities, head, and trunk become rigidly extended, from an equi- poised spasmodic action of the flexor and extensor muscles. The tongue is also seized with spasm, and is, not unfrequently, injured by the teeth becoming clenched together, just as it happens to be con- vulsively darted out. As the affection advances, the eyes becomes fixed and immoveable, the Avhole countenance frightfully distorted and expressive of extreme anguish, the pulse irregular, the strength completely exhausted, and a termination is put to the sufferings, generally about the fourth day in acute cases, by one concentrated spasm. In some cases the fatal ter- mination is protracted considerably beyond the stated period. TREATMENT. Belladonna is one of the most important medicines in the treat- ment of this disease, particularly in idiopathic tetanus, properly so called, or in lock-jaw; it has also proved useful in the traumatic variety as well, after the previous employment of Arnica. It is principally indicated when a sensation of constriction is experienced in the throat, Avith tightness ofthe chest, grinding of the teeth, spasmodic clenching of the jaws, distortion of the mouth, foaming, obstructed deglutition, and a renewal or exacerbation of the paroxysms on attempting to drink. In some cases of lock-jaw, the alternate use of Belladonna and Lachesis or- of Belladonna and Cicuta-virosa has been found necessary. Dose: If it be possible to introduce the medicine into the mouth, give four glo- b ules in a tea-spoonful of water, or dry on the tongue, at intervals of font hours, until a degree of relaxation becomes apparent, and, subsequently, mo rning and evening, until some decided beneficial result or change. If it be TETANUS. 423 impossible to introduce the medicine into the mouth, dissolve twelve gllbulea in a wine-glassful of water, and moisten the lips and nostrils with this solu- tion, or cause the patient to inhale it through the nostrils, from the bottle ic which the globules of Belladonna or of one of the subjoined medicines aa selected for administration are dissolved. But if no apparent effect ensue within forty-eight hours, consider the following medicines. Lachesis is sometimes required after the previous administration of Belladonna, or in alternation with that medicine in cases of lock-jaw. Dose : As directed for Belladonna; consider also the next medicine. Cicuta-virosa is also appropriate either after the previous admi- nistration of Belladonna or in alternation Avith that medicine, in some cases of lock-jaw. Dose: As directed for Belladonna. Arnica-montana. In cases of traumatic tetanus, which is by far the most fatal variety, this remedy is, in very many instances, the most appropriate to commence with, and, besides its internal administration, should be applied externally in the form of an extremely weak lotion. Any local irritation Avhich may seem to have excited the disease, ought, at the same time, if possible, to be carefully removed. Dose (internal) : Four globules in a tea-spoonful of water, or dry on the tongue, every two houi-s—or otherwise applied in solution to the lips and nostrils (aa directed for Belladonna—above), until manifest improvement or change. But if no apparent benefit be effected in the course of twenty-four hours, pause six hours after the last dose, and proceed with the next medicine. Application (external) : To half a pint of water add one tea-spoonful of the con- centrated Tincture of Arnica, and bathe the injured parts freely with this lotion every two hours, so long as the internal exhibition of the same remedy is continued (that is, only until relaxation of the contracted muscles ensues). Opium has proved extremely useful in some of the severest forms in which the body is bent backwards arising from cold; but, as above stated, it is also Aaluable in traumatic tetanus, in which latter case it should be promptly employed (as just directed), if, within twenty-four hours after treatment had been commenced with Arnica, no apparent benefit should have been effected by the last-named medicine. Opium is also distinctively indicated when fright has been the exciting cause. Dose: Four globules as directed for Arnica; but if no apparent benefit be effected in the course of twelve hours, pause six hours, and proceed with the next medicine. Hyoscyamus should be employed six hours after the last dose of Opium, when that medicine has also been incapable of producing the desired effect. Dose: Four globules, as directed for Arnica. Rhus-tox., Ignatia. These two remedies singly, alternately, or successively, have been found very efficacious in severe cases, in which the body has been bent up (backwards) in the form of an arch, and on some occasions Avith the back of the head touching the heels; (the latter remedy particularly when the complaint has arisen from terror the former when it has been caused by wounds of the joints 01 tendons). 424 ERYSIPELAS. Dose: It singly, of either remedy as selected, administer four globules in a tea> spoonful of water (or dry on the tongue).—if either method be practicable,—■ every half hour, until a degree of relaxation takes place, and, afterwards, every two hours, until the position becomes natural. If in alternation, the like dose of each in rotation, at intervals, first of an hour, and then of six hours; consider, also, the directions prescribed for the exhibition of Bella- donna. Mercurius has frequently succeeded in curing inflammatory lock- jaw, with swelling of the angle of the lower jaw, and tension of the muscles of the throat and neck, from cold. Dose: As directed for Rhus or Ignatia. ADDITIONAL PARTICULARS. Of the Administration. In those cases in which it is impossible to introduce the medicines into the mouth, and in which neither the inhalation through the nostrils, nor the moistening of the lips or nostrils with the medicinal solutions proves of any avail, it may be found ad- vantageous to ha\*e recourse to the injection ofthe medicines after the subjoined method. The Enema Of any of the medicines prescribed according to the symptoms present (the above-stated indications being of equally distinctive application for this method of treatment), add twenty drops of the tincture at the second dilution (excepting Mercurius and Lachesis, and these at the fifth dilution) to half-a-pint of water, and inject one half pint of this solution, repeating the injection after the lapse of six hours, if necessary. Diet and Regimen, In respect of diet (except in cases attended Avith local or constitutional inflammatory action), inasmuch as the in- capability of receiving fcod is more to be dreaded than the food itself, the patient may be suffered or encouraged to gratify his own taste (if any preference be manifested), so long as the food selected is plain, wholesome, and easy of digestion. In lock-jaw the employment of nutritious enemata (injections) is frequently necessary. CUTANEOUS DISEASES. ERYSIPELAS.—ST. ANTHONY'S FIRE.—ROSE. Symptoms. The first local symptoms are heat, tingling or prick- ing pains, with diffused swelling, tension, and deep, shining redness of the affected part. This is, ere long, folloAved by pungent, burning, and sometimes tearing or shooting pain, which is aggravated by motion or pressure. On pressure, the redness disappears for a moment, but im- mediately returns on removing the finger. The constitutional symp- toms vary according to the severity of the case; they generally consist ot shiverings, succeeded by flushes of heat; sleepiness, wandering ERYSIPELAS. 425 pains, dry tongue, nausea, oppression at the stomach, and headache; vesications frequently arise on the affected parts, attended with in- crease of fever. In a feAV 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 Avhen it affects the face and scalp, and accordingly requires the utmost attention and discrimination in the treatment pursued. The hair often falls off after a severe attack of erysipelas of the face. Causes. Derangement ofthe digestive functions, exposure to cold, or powerful mental emotions; occasionally it appears during menstrua- tion: certain kinds of food also provoke it in some persons; for example, lobsters, oysters, or other shell-fish. TREATMENT. Aconite may be required at the onset, only however in case there be much fever, or hot, dry skin at the commencement;—or even dur- ing the course of the disease, if required. Dose : Dissolve six globules in three table-spoonfuls of water, and give a tea- spoonful of the solution every three hours, until the pulse becomes dimi- nished in force and frequency, and the skin moist, &c, when another remedy should be administered, in accordance with the distinctive features of the affection. Belladonna, when the redness expands in rays, and an acute shoot- ing pain with heat and tingling, is experienced in the affected part, which is aggravated by mo\Tement. Erysipelas ofthe face, Avith burn- ing heat, excessive swelling, so that the eyes are almost closed, violent headache, thirst, dry, hot skin, restlessness, disturbed sleep, delirium. In such instances, Belladonna is, generally, alone sufficient to effect a cure. There are cases, hoAvever, hi which it will be found necessary to have recourse to Lachesis or Bhus-toxicodendron, in alternation with Belladonna, according to the particular symptoms, or group of symptoms present. Dose: If singly, of a solution of six globules to two table-spoonfuls of water, give a tea-spoonful every three hours, until amelioration or change, when the intervals should be extended to six hours, until the symptoms are wholly overcome, or assume distinctive features indicative of another remedy. In cases, however, in which the symptoms possess and retain a very benign aspect from the onset, a dose of three globules in a tea-spoonful of water, re- peated, after the lapse of twelve hours, will usually suffice to subdue all traces of the affection. But in those cases, of occasional occurrence, in which the symptoms, being severe, are but little moderated, within three hours after the fourth dose of Belladonna, consider Lachesis or Rhus, a similar solution of each medicine, administered by tea-spoonfuls, at intervals of four hours, until ame- lioration or change. Rhus-toxicodendron is to be preferred particularly when the disease manifests a tendency to extend itself to the brain and its mem- branes, and the symptoms closely resemble those which characterize Brain Fever, as stated at pages 415,416. It may likewise be remarked, that Bhus is especially suitable for the treatment of erysipelas, arising from particular kinds of fooel, operating upon certain individual 426 ERYSIPELAS. peculiarities of constitution which predispose the patient to such attacks. Dose : In cases of a benign description, it will suffice to administer three glo- bules in a tea-spoonful of water, and to repeat the dose after the lapse of twelve hours. But in all severe cases, whether singly, or in alternation with Belladonna (or even with Arsenicum), the doses should be prescribed accord- ing to the regulations prescribed for Belladonna. If, however, after the symptoms have been generally moderated by such course of treatment, cer- tain manifestations indicative of Belladonna, or even ot Pulsatilla (in vesicular Erysipelas), remain or supervene, proceed with the remedy or remedies so indicated, accordingly, after a pause of twelve hours. Arsenicum is required either after the previous administration of one or more of the foregoing medicines (principally), or in alternation with Lachesis or Bhus (especially); or again singly, and at any stage of treatment, according as the symptoms manifested offer the com- bined characteristics of one or more of the medicines named,—Avhen vesicles of a blackish hue, Avith a tendency to degenerate into a gan- grene, present themselves; or, still more essentially, if great (and rapid) prostration of strength occurs. Dose: In all respects, whether singly or in alternation, as directed under the head of Belladonna above. Pulsatilla is more especially indicated when the hue of the skin is less intense, or of a blueish-red, and the morbid spots frequently dis- appear from one place to reappear in another (fugitive erysipelas). It is furthermore appropriate Avhen the disease affects the internal and external ear, especially in the vesicular variety of erysipelas, and after the employment of Bhus-toxicodendron. Dose: Three globules in a tea-spoonful of water, morning and evening, untir amelioration or change. Nux-vomica is often of service in cases of erysipelas developed in the knee or foot, and characterized by extremely painful, bright-red SAveiling. It is more especially advantageous in cases of spurious ery- sipelas, occurring in irritable subjects, particularly females, and when mortification ofthe sub-cutaneous cellular tissue has ensued. Dose: Three globules in a tea-spoonful of water, repeated at intervals of three hours, until the pain and other symptoms become, moderated, and, afterwards, at intervals of twelve hours, until manifest and general improvement or change. Bryonia is frequently useful when the disorder affects the joints ex- clusively, and Avhen the pain is exacerbated by the slightest movement. Dose: Of a solution of six globules to two table-spoonfuls of water, give a tea- spoonful every four hours, until amelioration or change ; but if, within four hours after the third dose, the symptoms, although moderated, do not con- tinue progressively to yield, consider the next medicine. Sulphur is of great service after the previous employment of Bryonia in the cases just particularized, and should be administered twelve hours after the third dose of the last-named remedy, when the previous treatment has not produced any amendment. Sulphur, more- over, occurs as of great service in the majority of cases in Avhich ery- sipelas is either obstinately protracted, or recurs frequently; in whic*h ERYSIPELAS. 427 cases it may be employed in long and repeated courses (if no other remedy be better indicated), or from time to time as an inter meelietry medicine (when some other remedy is very distinctively indicated, but does not produce adequate results). Dose: If after the previous administration of Bryonia, to complete the cure give three globules in a tea-spoonful of water, repeated at intervals of twelv hours, until manifest improvement or change. If as an intermediary medicine to develop the activity of one or more of the other medicines prescribed, pause six hours, after the last dose of the medicine previously exhibited, and then give four globules of Sulphur in a tea-spoonful of water, repeating the dose after the lapse of six hours, and then, again, pausing twelve hours, be- ore the re-administration ofthe distinctively appropriate medicine. If as an eradicative resource in cases in which other distinctive indications are wanting, give six globules in a table-spoonful of water, every morning the first thing (fasting), for a week (or until the earlier development of new symptoms, im- provement, or change), then pause four days, after which the course may be resumed, as before (if necessary), and so on, until manifest and permanent amelioration or change. Erysipelas imperfectly Evolved. Cuprum-aceticum is a remedy which has proved of great A^alue in promoting the thorough evolution or re-establishment of many cutaneous eruptions (attended with more or less fever), and of ery- sipelas amongst others, Avhen it has been checked by some untoward circumstance. Dose: Three globules in a tea-spoonful of water, every three hours, until th« skin-symptoms begin to reappear, and the constitutional disturbance, conse- quently, to abate; and then every six hours, until the thorough evolution oi the erysipelatous eruption. Erysipelas terminating in Ulceration. Sulphur, Arsenicum. See the article on "Ulcers." Susceptibility to Ersysipelas in the Face. Belladonna, Rhus, Lachesis. When this disease is repeatedly developed in the face, and there is, in fact, an habitual tendency to attacks of this nature, Belladonna and Bhus (in particular), either singly, alternately, or successively, according to circumstances, are frequently capable of permanently removing the complaint, and of ob- viating the return of attacks. Dose : It singly, of either remedy, give three globules, night and morning, for a week (as soon as the acute symptoms of an attack have been subdued) ; then pause four days, after which the course may be repeated, as before, and so on from time to time. If in alternation—give first the one (as just directed), and then, after an interval of five days, proceed with the other, in like man- ner, in rotation, at intervals of five days, and so on, occasionally, until the predisposition seems conquered. Comocladia-dentata. Soreness of the eye-balls; inflammation of the eyes; face swollen, worse at night, and stitches hi the eyes. Dost: As directed for Cuprum-acet. Chimney-sweeper's Cancer. Arsenicum, Rhus. The variety of erysipelas known by this de- 428 BOILS. nomination, is most advantageously treated with Arsenicum (especially), or Bhus. Dose: Of either medicine, whether singly or in alternation, as directed in the last prescription. Diet and Regimen. In cases attended with inflammatory fever, pure Avater, toast-Avater, or thin water-gruel, should alone be given at the commencement. When the fever yields, a light vegetable diet may be allowed, as more particularly directed in those respects, in the general article on Fever. If the accompanying fe\'er is of a typhoid kind, and the pulse begins to sink, or, if the pulse is weak from the commencement, or, again, if the erysipelas is of a gangrenous type—a more nutritious diet, and even wine or brandy in small quantities, fre- quently repeated, become necessary. The greatest care must be observed to avoid the risk of taking cold even during convalescence; such an accident occurring during the dis- ease is, as is well knoAvn, frequently attended with the most dangerous results. The troublesome itching, so frequently attendant upon ery- sipelas, is often relieved by the application of wheaten starch, or the flour of maize. The inflamed parts should, therefore, be copiously and frequently sprinkled either with the one or the other, or even with common flour. BOILS. Symptoms. Round, or rather cone-shaped, hard elevations, of different sizes, slowly inflaming and suppurating, discharging matter, generally at first tinged with blood, but still retaining a portion of morbidly altered cellular tissue, which may form the nucleus of other elevations, after those which appeared first have healed. Causes. A peculiar constitutional tendency. Boils are, however, frequently critical, as in gout; they also, sometimes, follow acute fevers or eruptive diseases, or form the termination of chronic eruptions, such as itch, &c. Arnica is the most appropriate remedy against the pain, soreness, tenderness, and other acute symptoms (unless severe constitutional disturbance, requiring one or more of the subjoined medicines, should occur). Dose: Three globules in a tea-spoonful of water, night and morning, until ame- lioration or change. If the acute symptoms promptly yield, pause forty-eight hours, and proceed with the administration of Sulphur. But if any of the subjoined symptoms occur, consider the following medicines, aiid administer that which is appropriate to the case. Sulphur should be given forty-eight hours after the last dose of Arnica in cases in which the acute symptoms (pain and tenderness) have materially yielded to the action ofthe last-named medicine. Dose: Six globules in a table-spoonful of water, every morning the first thing (fasting), for a week (or until the earlier development of new symptoms, im- provement, or change); then pause four days, after which the course may, if necessary, be repeated as before, and so on, from time to time, so long as Boils are occasionally evolved, until their permanent removal. Aconitum, when the boil presents an extremely inflammatory CARBUNCLE. 429 appearance, and the affection is accompanied with considerable fever and restlessness, is promptly efficacious in subduing these symptoms, and may precede a more specific remedy for those which remain. Dose : Two globules in a tea-spoonful of water, repeated, if necessary, at inter vals of six hours, until the indicative symptoms and conditions subside. Belladonna, should the boil have an inflamed, fiery, or erysipela- tous, red appearance: or, moreover, should it, if situated upon the extremities, be associated with swelling and tenderness of the glands under the arm-pit, or upon the groin; dry, hot skin, thirst, head- ache, &c. Dose: Three globules in a tea-spoonful of water, night and morning, until ame- lioration or change. But if, after other improvement has accrued, the swelling should remain predominant, pause twenty-four hours, and proceed with the next medicine. Mercurius is usually effectual (twenty-four hours after the last dose of Belladonna), should the swelling refuse to yield to the last- named remedy, after the inflammatory redness has been subdued. Dose: As directed for Belladonna. Hepar-sulphuris is of service, when matter has accumulated in the Boil, in bringing the tumor to a head, and thereby curtailing and alle- viating suffering. Dose: As directed for Belladonna. Lycopodium. When the Boils are inordinately large, and occui in persons Avho are extremely subject to them, this medicine is appro- priate to the treatment. Dose: Three globules iD a tea-spoonful of water, night and morning, until ame- lioration or change. LOCAL OR EXTERNAL TREATMENT. A piece of wet, linen rag, folded double, should be applied, covered Avith a dry one, also folded double. As soon as the wet rag becomes dry, it should be remoistened. When there is much pain and inflam- mation, a hot linseed meal poultice forms a soothing application. Diet and Regimen. In all cases the diet should be very plain, easy of digestion, and nutritious; but, if the attacks be attended Avith much fever, it should be regulated by the directions afforded in the general article on Fevers. A superfluity of animal food is, neverthe- less, not to be enjoined in any case. The free use of cold water, drinking a copious draught night and morning, is very beneficial in promoting a vigorous and healthy action ofthe skin and absorbents. CARBUNCLE. Symptoms. A hard, circumscribed, extremely painful, inflamma- tory swelling, resembling a boil, but of a large size, and having no defined central core. The tumor speedily assumes a shining appear- ance, and a livid, bluish, or black pustule forms in the middle. If the disease is unchecked, mortification spreads widely and rapidly, and a sanguineous matter is discharged through several small orifices. Ulti- 430 CHILBLAINS. mately the slough (or dead part) is throAvn off, and a deep, ragged cavity is exposed to view. The disease is attended by headache, thirst, foul tongue, sickness, loathing of food, languor, tossing, restless- ness, and sleeplessness. If the slough be small and easily detached, the constitutional disturbance soon abates; but if the mortification be extensive, typhoid symptoms of the Avorst form often supervene, and the patient generally sinks rapidly. INTERNAL OR CONSTITUTIONAL TREATMENT. Silicea, when administered from the commencement in simple non- contagious carbuncle, is frequently found sufficient to effect a perfect cure. Dose : Four globules in a tea-spoonful of water, the first thing in the morning, (fasting), repeated, if requisite, at intervals of twenty-four hours, until pro- gressive improvement (or change) ensues. Lachesis, when the Carbuncle presents a livid appearance, and seems disposed to extend rapidly or to burrow. Dose: Three globules in a tea-spoonful of water, repeated at intervals of four hours, until three doses have been given, and, subsequently, night and morn- ing, until progressive improvement (or change) ensues. Arsenicum, Avhen the Carbuncle threatens to terminate in mortifi- cation ; and Avhen there is great prostration, with small, quick pulse; it is also the most efficacious remedy when the disease has arisen from contagion. . Dose : Of a solution of six globules to three table-spoonfuls of water, give a tea- spoonful repeated at intervals of four hours, until three doses have been given, and, subsequently, at intervals of twelve hours, until the distinctive symptoms have been removed, or undergo a change. If, however, after the more serious indications are overcome, the improvement should cease to con- tinue progressively? pause forty-eight hours, and consider the subjoined remedies. LOCAL OR EXTERNAL TREATMENT. See Boils. Diet. This should be simple, and easy of digestion, in slight cases; but when the mortification is extensive, a highly nourishing diet is necessary during the separation of the sloughs. If the vital poAvers are much reduced, or the patient is of a very debilitated habit, wine, in small but frequently repeated quantities, is commonly required CHILBLAINS. Arnica. In case of a sub-acute character, this remedy is often very useful during the first or inflammatory stage, particularly when the swelling is hard, shining and painful, attended with itching. (See also "External Treatment," below.) Dose : Two globules in a tea-spoonful of water, morning and evening, or night and morning, giving four doses in succession. Allow a lapse of four days, and resume the same or another remedy (if necessary), according to the symptoms then present. Pulsatilla is to be preferred when the inflammation is of a livid hue, with itching and beating in the part affected, and when the suffer CHILBLAINS. 431 ing comes in, or is exacerbated in the evening, or towards mid- night. Djse: Two globules in a tea spoonful of water, night and morning, giving four doses successively. Then pause for four days, resuming the same, of another remedy, according to symptoms. Belladonna should be selected Avhen the inflammation is severe, and the parts affected are of a blueish or bright-red color, attended with a creeping, tingling sensation. Dose: Two globules in a tea-spoonful of water, night and morning, during thfl prevalence of the indicative symptoms. Rhus-toxicodendron is of much efficacy Avhen there is considerable inflammation, attended Avith heat, swelling, tingling, itching, and the formation of blisters. Dose : Four globules in a tea-spoonful of water, at bed-time, until amelioration or change. Urtica-dioica is of equal efficacy with Bhus. when there is little or no swelling, but the symptoms are otherwise the same. Dose: Four globules as directed for Rhus-tox. Nux-vomica is particularly indicated when the inflammation is of a bright-red color, with swelling, attended with itching, increased by warmth, and AvThen the chilblains are soft, swollen, and evince a ten- dency to burst. Dose: Three globules in a tea-spoonful of water, morning and evening, or night and morning, giving four doses in succession. Then pause for four days, and resume the same remedy, or another (if necessary), according to the Bymptoms. Sulphur is a valuable remedy when the inflammation and itching are very severe, and the affection has failed to yield to the foregoing medicines. Dose: Two globules in a tea-spoonful of water, night and morning. EXTERNAL TREATMENT. Tincture of Arnica may in many cases be advantageously applied externally to the parts affected simultaneously with the internal ex- hibition ofthe same medicine, and when the symptoms are such as are described under the head of this medicine for Constitutional Treat- ment (p. 430, above). Application: To five parts of water add one of the concentrated Tincture of Arnica, and bathe the parts freely with this lotion, three times a day, until amelioration or change. Tincture of Cantharides (second dilution). In recent chilblains, induced by exposure to intense cold, this remedy may be applied ex- ternally with great success. It operates against the formation of vesicles or blisters, and aids in subduing the congestive action. Application: Add four drops of the tincture, at the second dilution, to two table- spoonfuls of water, and bathe the parts with the lotion three times a day until amelioration or change. Urtica-dioica, Urtica-urens, Rhus-tox. (Concentrated tinc- tures^ These remedies respectively, according to the distinctive indi- cations for their internal exhibition, in the foregoing remarks on the 432 FROZEN LIMBS.—CORNS. Constitutional Treatment, are preferable in the case of old chilblains^ when the tendency to blistering no longer exists, and Avhen the severe pain has been replaced by a smarting, itching, and irritation. Application : To six parts of water, add one of the tincture selected, and bathe the parts freely with this lotion three times a day, until permanent improve- ment or change. Tincture of Causticum (second dilution) is to be preferred to either of the foregoing, for broken chilblains of old standing, and foi those cases in which the ulceration has eaten deeply into the flesh. Application: Add four drops of the Tincture at the second dilution to two table spoonfuls of water, and apply the lotion as directed for Cantharides. FROZEN LIMBS. Application of Snow. In slight cases of " Frozen fingers," 01 other limbs, or portions of the body, the well-knoAvn practice of apply- ing Snow to the affected parts is more or less beneficial. Camphor (Saturated Tincture). When Snow cannot be procured, this is a valuable substitute. For young children this is more parti- cularly applicable, especially when the face is the seat of the injury. Application : To five parts of Spirits of Wine add one of the Tincture of Camphor, and bathe the parts with this lotion freely twice a day. Aeidum-nitricum is a most efficient remedy in severer cases, both for internal and external exhibition. Dose : Of a solution of six globules to the wine-glassful of water, give a tea spoonful every three hours, until amelioration or change. Aeidum-nitricum (externally—second dilution). This remedy may simultaneously Avith its internal administration, be applied ex- ternally. Application: Add four drops of the tincture, at the second dilution, to two table- spoonfuls of water, and bathe the parts with this lotion three times a day. If convenient, it were preferable to saturate a piece of linen rag with the lotion, and to apply it to the frost-bitten part, covering the whole over with oiled silk. Diet and Regimen. Plain, wholesome, nutritious, but unstimu- lating diet; a sufficiency of active exercise in the open air; free venti- lation ; frequent change of linen; the free use of cold water. CORNS. That these troublesome excrescences not unfrequently arise from an inherent vice of constitution, is evident, from the fact of many indivi- duals who wear tight boots and shoes (unquestionably the principal exciting cause) escaping them, while others, with every precaution, suffer severely; such being the case, the main object must be, by a course of properly-selected internal remedies, to eradicate the predis- posing cause or condition. PALLIATIVE TREATMENT. Great alleviation of suffering has been found to result from bathing the feet in warm water, and from subsequently resorting to the follow- ing application. ABSCESSES. 433 Tincture of Arnica. A lotion composed of a Aveak solution of the Tincture of Arnicei should be employed to bathe the com, aftei it has been previously soaked in Avarm Avater and pared down witl great care. Application: To a wine-glassful of water, add forty drops of the Tincture 0j Arnica, and bathe the corn with this lotion at bed-time (after the preparatory operations just described). The skilful reduction of the corn by an experienced operator may likewise be mentioned as a ready and prompt palliative measure. ERADICATIVE TREATMENT. Antimonium-c, Sepia, Silicea, Sulphur, Calcarea. One or more of these medicines, according to the particular indications which serve to point out the employment of each, respectively, will usually be required in the course of treatment, adopted for the purpose of eradicating the inherent tendency to the formation of corns. The dis- tinctive indications may be discerned by reference to the article on " Characteristic Effects." Dose: Of the remedy thus selected, give four globules in a table-spoonful of water, every morning the first thing (fasting), for a week ; then pause five days, after which the course may be repeated as before, and so on, from timi to time, so long a6 corns continue to form and to become very painful. Swelling of the Heel. Nux-vomica has been found serviceable in cases of swelling and redness of the heel, resembling chilblains, attended with acute, burn- ing, shooting pains, materially increased by the pressure of the boot or shoe, or by Avalking. Dose: Three globules in a tea-spoonful of water, every six hours, until the pain, swelling and redness subside; but if, after the fourth dose, these symp- toms continue to recur, although somewhat lessened in intensity, pause twenty-four hours, and proceed with the next medicine. Arnica may be recommended for the same symptoms, should Nux- vomica be found insufficient to relieve; in which case, this medicine should be employed twenty-four hours after the fourth dose of the last named. Dose: Three globules, as directed for Nux-vomica. ABSCESS.—LYMPHATIC TUMORS.—DISEASE OF THE CONGLOBATE GLANDS. By the term abscess is meant a collection of purulent matter, result- ing from morbid action, contained in a sac or cyst of organized coagu- lating lymph, furnished with absorbent and secreting vessels. Varieties. Abscesses are divided into acute and chronic. Symptoms of Acute Abscess. The acute species is preceded by sensible inflammation in the affected part, which is soon followed by suppuration. The commencement of the suppurative process is evidenced by a change in the description of pain, Avhich becomes more obtuse and throbbing, by an increase ofthe swelling, and, when matter f34 ACUTE abscess. is formed, by the perceptible fluctuation ofthe part, Avhen the abscess is not too deeply-seated ; lastly, Avhen the formation of matter is in con- siderable quantity, the fever Avhich attended the previous inflammation is lessened, and irregular chills or rigors supervene, succeeded in turn by heat and increase of fever. When the abscess is mature, the tumor becomes pointed, or presents a sort of conical shape, generally near the centre of the cutaneous sur- face; over this spot the skin assumes a reddish hue, becomes thin, and ere long gives Avay, and alloAvs the contents ofthe cavity to escape. Symptoms of Chronic Abscess. The signs of the formation or existence of a chronic abscess, on the other hand, are in the generality of instances devoid of any apparent disorder, either local or constitu- tional, until it begins to approach the surface and to form an external swelling. The secreted matter is unhealthy, thin and serous, and con- tains substances resembling curds or flakes. When the contained matter is evacuated, and the air admitted into the cavity, inflammation of the cyst arises, and is productive of a salutary effect if the abscess be small; but if it be large, great constitutional disturbance ensues, the cavity, instead of contracting and filling up, under the process of healthy granulation or incarnation, goes on discharging copiously, and hectic fever is produced. TREATMENT OF ACUTE ABSCESS. The lancet is never necessary, except when the purulent matter, by its extensive diffusion or pressure (especially when seated under liga- mentous or tendinous expansions), is liable to injure important parts; or when, from its situation, there is reason to apprehend its discharge into any cavities of the body. Local Treatment. In order to moderate the tension and to lower the inflammatory action, Avbich often render an abscess extremely painful, the repeated fomentation ofthe parts with hot Avater, is frequently of much service, as a temporary, palliative measure Avhilst the operation of medicinal agents is in progress. It is also frequently of service to employ local applications of the nature of poultices as more particularly described at page 66. Constitutional Treatment. Hepar-sulphuris is of eminent service during the local treatment, above described, in promoting and forwarding the suppurative process. Dose: Three globules in a tea-spoonful of water every four hours, until four doses have been given ; and then every six hours, until discharge ensues But if little apparent progress become manifest, within twenty-four hours from the commencement of the treatment, consider the following medicine. If in alternation with Si'icca, give a similar dose, first of the one and then Df the other, at intervals of six hours, until suppuration takes place. Silicea is sometimes required in alternation Avith Hepar-sulph., and particularly when repeated doses of the latter remedy have not been pioductive of adequate progress; in which case the alternate adminis- CHRONIC ABSCESS. 435 tration of these two medicines should be resorted to, six hours after the last dose ofthe former (as singly administered). Dose : As directed tinder the head of Hepar-sulph.; but if the subjoined mani- festations ensue, proceed with the next medicine. Lachesis is required, either after the previous employment of Hepar-s. or of Hepar-s. and Silicea (in alternation), or at the onset,— when a large portion of the skin is much distended, and presents a deep-red or blueish appearance, or when its structure has been de- stroyed by the magnitude ofthe abscess. Dose: Three globules in a tea-spoonful of water every four hours, until amelio- ration or change. Mercurius is occasionally useful, whereAvith to commence treat- ment, when there is induration. Dose : Three globules in a tea-spoonful of water night and morning, until ame- lioration or change; but if the subjoined indications occur, consider the next medicine. Baryta-carboniea is also useful in such cases, particularly when there is considerable SAveiling round the abscess, as well as induration, even after the natural discharge ofthe abscess. Dose : Three globules, as directed for Mercurius. TREATMENT OF CHRONIC ABSCESS, Local Treatment. In chronic abscesses, it has usually been found most beneficial to make an outlet for the matter as early as possible, to prevent its copious accumulation, and thereby aAroid the consequent frightful con- stitutional disturbance, Avhich is so prone to occur in such cases, from the extent of the inflammation after the bursting of the abscess. When the collection of matter is very extensive, it frequently accu- mulates again, after having been evacuated; hence it has been recom- mended to heal up the opening immediately, and to make a new one again, Avhen necessary, but before the purulent matter has accumulated in any considerable quantity. Constitutional Treatment. Mercurius should usually be administered as soon as discharge has taken place. Dose: Three globules in a tea-spoonful of water, repeated at intervals of three hours, until a healing process promises to ensue ; but if, within three hours, after the fourth dose, little or no improvement appears to have set in, and the re-formation of successive abscesses threatens to take place, pause nine hours longer, and proceed with the next medicine. Hepar-sulphuris should be given twelve hours after the fourth dose of Mercurius, should the latter appear inadequate to effect a heal- ing process, and if fresh matter begins to form. Dose: As directed for Mercurius. When, however, in cases ot open abscess, the parts betray a tendency to chronic ulceration, proceed with one or both of the next medicines (after a pause of four days, from the last dose of the medi cine previously given). 436 CHRONIC ABSCESS. Fatty Tumors. Calcarea is to be recommended as a most efficacious remedy in tLe ease of fatty tumors. Dose : Six globules in a table-spoonful of water every morning the first thing (fasting), for ten days (or until the earlier development ot new symptoms, im- provement or change); then pause a week ; after which the course may be re- sumed, as before, and so on, from time to time, nntil manifest improvement or change. Enlargement of the Glands, dbc. (See Scrofula.) Mercurius. Occurring amongst persons of a scrofulous habit of body. Dose: Give three globules in a tea-spoonful of water morning and evening, for a week, until amelioration or change. Belladonna is required when there is considerable inflammatory redness of the skin over the tumor. Dose : Three globules in a tea-spoonful of water, repeated at intervals of twelve hours, until amelioration or change. If, however, the subjoined indications occur, pause twelve hours, and proceed with the next medicine. Conium should be employed twelve hours after the last dose of Belladonna, or, indeed, of any of the foregoing remedies, Avhen the glands have become indurated and do not decrease in size under the employment ofthe above-named medicines. Dose : Three globules in a tea-spoonful of water night and morning, for a week; after which pause four days, resuming the course, if necessary, and so on, until amelioration or change. Treatment of Inveterate Cases. (See Scrofula.) Hepar-S. being required at the onset to promote the suppurative process, folloAved by Silicea (after a course of six doses, and a further interval of four days) to promote the healing process; and Lachesis being occasionally required as an intermediary remedy if the sAvellino- assume a livid appearance, or, if a degree of improvement havino- fob lowed the administration of Silicea, the symptoms should subsequently become stationary. Dose : Of Hepar-sulphuris, give four globules in a tea-spoonful of water, night and morning, for three days ; then pause four days ; after which give six glo- bules ot Silicea, in a table-spoonful of water, the first thing in the morning (fasting), for a week (or until the earlier development of improvement or change); then pause four days, resuming the course, in like manner, after each interval (if necessary), and so on, from time to time, as long as this me- dicine appears to be acting beneficially. But in the event of the above-named indications for the employment ot Lachesis ensuing (in which case consider also Arsenicum and Phosphorus), pause twenty-four hours, after the last dose of the medicine previously administered, and give three globules of Lachesis in a tea-spoonful of warter, every six hours until four doses have been given, and then every twelve hours, if still Requisite, until the indicative symptoms disappear; after which pause four days before proceeding with further treat- ment (considering Arsenicum and Phosphorus, or returning to Silicea), if such a method should be necessary; or to Sulphur. NETTLE-RASH. 437 Removal ofthe Cicatrices resulting from Ulceration ofthe Glands. Hepar-sulph., Silicea, Calendula, Sulphur, Calcarea. One or more of these medicines, either singly, in alternation, or in succes- sion, but generally a successive course of tAvo or more of them, may be enumerated as the most effectual resources in removing or, at all events, improving the unsightly cicatrices which otherwise ensue from ulceration of the glands. In order to facilitate the appropriate selection, the reader is recom- mended to refer to the article on "Characteristic Effects" under the head of each of these medicines respectively. The administration should then be resorted to as soon as the healing process begins to be developed, and should be continued, from time to time, until the parts are thoroughly healed. Dose: Whether singly or successively, as directed in the foregoing prescription. Diet and Regimen. Inasmuch as the cure of morbid manifesta- tions of this nature, can be perfectly accomplished only by improving the general tone of the system, and promoting the regular functional action of the absorbents and lymphatic vessels, the strictest adherence to every precaution in these essential respects, cannot be too strongly enjoined; but as very explicit directions have been already afforded, as regards these particulars, in the article on "Eradicative Treat- ment" (pp. 83, 84, 85), the reader is requested to refer to that sec- tion, especially devoted to the consideration of this subject, in order that unnecessary recapitulation may be avoided. Suffice it, therefore, to add, that the diet should ever be as nourishing, as easy of diges- tion, and as regularly administered as possible. During the inflam- matory stage of acute abscess, animal food should usually be avoided (for a time); but during the chronic continuance of disorders of this kind, an equal proportion of animal and vegetable food, prepared with a fair proportion of the pure gravy of sound and wholesome meat, is commonly required. Roasted meat should be taken in pre- ference to any other—especially mutton and beef. Eggs, when found to agree, lightly boiled (soft), and eaten with a fair proportion of good, home-baked, stale, wheaten bread, are allowable. Sometimes a milk diet is found beneficial (when it does not disagree, as is sometimes the case in particular instances). Of beverages, pure water is the only fluid which is universally safe;—really good and wholesome beer is not always to be forbidden ; but it should be borne in mind, that any fer- mented, vinous, or spirituous liquor, is more or less injurious to those who are very susceptible to its stimulating action, and that, in such cases, at all events, stimulating beverages should be strictly prohibited. NETTLE-RASH, Characteristics. Spots or wheals, flat or prominent, and of a dull-white color, like the sting of a nettle, or redder than the surround- ing skin, generally encircled with a rosy areola, disappearing in warmth, and reappearing in the cold, evolved suddenly, and continually chang- ing their situation. 438 NETTLE-RASH. Predisposing Causes. This disease, in almost all cases arising from a constitutional cause, requires, for its total eradication, a regular course of treatment. Exciting Causes. The eruption is brought to the surface by various causes, not unfrequently arising from indigestion, caused by the use of improper articles of food; prolonged exposure (o cold is, likewise, sometimes productive of its sudden development. Premonitory Symptoms. Before the eruption discloses itself, the patient is affected with restlessness, languor, oppression, Avant of appetite, derangement ofthe digestive functions, and fever. Symptoms of the Actual Attack. When the eruption breaks out, the above symptoms become relieved, but considerable suffering arises from heat and itching, sometimes accompanied Avith swelling of the parts affected. Treatment.—Dulcamara is appropriate when the exciting cause has been cold or damp, when the affection occurs in wet Aveather, or when we find considerable fever, Avith bitter taste in the mouth, foul tongue, looseness of the bowels, pains in the limbs, and extreme itch- ing, Avith a burning sensation after scratching. Dose : Of a solution of four globules to two table-spoonfuls of water, give a tea- spoonful night and morning, until the indicative symptoms subside, or assume characteristics which render different treatment necessary. Aconite becomes requisite either at the onset, or subsequently to other remedies, Avhen the febrile symptoms are more intense, the pulse being high, the skin hot and dry, and great restlessness and anxiety being present. Dose: Of a solution of three globules to three tea-spoonfuls of water, give a tea- spoonful every six hours, until the fever-symptoms subside. But when thia result has been secured, if the subjoined symptoms remain or supervene, pause twelve hours, and proceed with such of the next remedies as may be more especially indicated. Nux-vomica is particularly indicated when there is considerable derangement of the stomach, wdth constipation, more especially Avhen arising from wine, stimulants, or indigestible substances ; it may, there- fore, under such circumstances, be employed twelve hours after the last dose of Aconitum, and AA'hen the fever-symptoms have, in a degree, yielded to the action ofthe last-named medicine. Dose: Three globules in a tea-spoonful of water, repeated at intervals of six hours, until the indicative symptoms subside. But, if such other indications as are subjoined should superven consider the following medicines. Pulsatilla deserves a preference, under similar circumstances, to those mentioned as indicating Nux-vomica, but when the bowels are relaxed, and the patient is of a quiet disposition and lymphatic tem- perament, and the attack has apparently been excited by indigestible food. Dose: Three globules as directed for Nux-vomica. But if little improvement should accrue within six hours after the second dose, proceed with tne next medicine. Antimonium-crudum should be administered six hours after the NETTLE-RASH. 439 second dose of Pulsatilla, should the latter have failed to relieATe the affection. Dose: Three globules in a tea-spoonful of water, night and morning, until ame- lioration or change. Belladonna is indicated when the affection is attended Avith a severe, throbbing headache, Avith redness ofthe face. Dose: Ot a solution of four globules to four tea-spoonfuls of water, give a tea- spoonful every three hours, until amelioration or change. Hepar-sulphuris has frequently been found useful when cold in the head is present, particularly if it affects only one nostril. Dose: Of a solution of four globules to six tea-spoonfuls of water, give a tea- spoonful night and morning, until amelioration or change. Rhus-toxicodendron is one ofthe most useful remedies, in a great majority of cases of this eruption, and especially when, owing appa- rently to a peculiarity of constitution, the eruption has been thrown out by the use of some particular article of food. Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea- spoonful of the solution, night and morning, until manifest improvement or change. CHECK OF THE ERUPTION. In this, as in eA'ery other cutaneous eruption, great care ought to be taken to avoid the check of its development, by external applications or lotions; its sudden suppression, as before noted under the head of Scarlatina, Measles, and Smallpox, being sometimes attended with fatal consequences. Treatment.—Bryonia should, hoAArever, be administered, Avhen from improper treatment, we have reason to dread that this accident has occurred; and this remedy Avill generally be found sufficient to re- evolve the rash, and to pre\Tent further dangerous consequences. Should, however, marked head-symptoms declare themselves, the complaint should be treated as before prescribed under the head of Measles»at page 165. Dose: Of a solution of eight globules to three table-spoonfuls of water, give a tea-spoonful every three hours, until the eruption begins to reappear, and then every six hours, until its thorough evolution. TREATMENT OF CHRONIC CASES. In cases of a chronic or extremely obstinate character, one or more of the subjoined remedies may become necessary to overcome the inherent predisposing causes Avhich lurk in the system. Calcarea-carbonica is more particularly indicated when the erup- tion becomes re-evolved by exposure to the open air in cold weather; hut it may also be added, that, in almost all cases of a chronic charac- ter, this medicine is more or less essentially requisite. Dose: Three globules in a table-spoonful of water, night and morning, for four successive days ; then pause six days, after which the course may, if neces- sary, be repeated as before, from time to time, so long as the patient con- tinues to be subject to the occasional occurrence of this troublesome affection Aeidum-nitricum is also of signal seiwice in a great number of 440 ITCH. chronic cases, but is more especially indicated when the eruption ia liable to be re-evolved, or aggravated by going into the open air, after two or three days of confinement within doors. Dose: Two globules in a tea-spoonful of water, as directed for Calcarea. Conium. In chronic cases, especially if the eruption is liable to re appear after violent exercise, or exertion of any kind. Dose : Give three globules in a tea-spoonful of water, night and morning, for ten days, then proceed with Natrum-m., as directed for Conium. Sulphur is of essential service in eradicating the predisposition to Nettle-Rash. Dose: Give four globules in a tea-spoonful of water, every morning the first thing (fasting), in courses such as those directed in the last prescription. If of Sepia, Lycopodium, or Carbo-veg. in every respect as directed for Conium and Natrum-m. Diet and Regimen. The regulations laid down in these respects in the article on Indigestion, and in that on Eradicative Treatment (pp. 83, 84, 85), are equally applicable, more or less stringently, to the treatment of Nettle-Rash, especially if it degenerate into the obstinate variety just described. ITCH. This contagious, inflammatory affection of the skin, is characterized by an eruption of pointed vesicles, transparent at the summit, and filled with a viscid and serous fluid. These are subsequently mixed Avith, or terminate in pustules. With the exception of the face, they appear in every part of the body, but much more frequently and abundantly about the Avrists, between the fingers, and at the bond of the joints, &c, and are accompanied by incessant and almost insupportable itch- ing, without fever. There are several varieties of the disorder, but it is often very difficult to distinguish their characteristic differences. treatment. • Sulphur is unquestionably one of the most important remedies in this disorder, particularly at the commencement, and is, in some cases, beneficially employed, both externally and internally. In the milder, uncomplicated forms of the malady, and even in the purulent variety, especially when confined to the fingers and wrists, it is indeed specific. Dose (internal) : Six globules in a table-spoonful of water, every morning the first thing (fasting), for ten days (or until the earlier manifestation of increased irritation, new symptoms, improvement or general change); then pause a week, after which the course just prescribed may, if necessary (or if any additional irritation possibly developed by the Sulphur has entirely subsided), be repeated as before, and so on, from time to time, until the gradual diminution of the irritation, and other unpleasant sensations, the gradual disappearance of the vesicles, pustules, vhen they have failed in producing a beneficial effect. The particular indications for each, respectively, may be gathered from the article on " Characteristic Effects." Dose: Of Phosphorus, give three globules in a teaspoonful of water, night and morning — or, ot Sulphur or Silicea, six globules in a table-spoonful of water, the first thing in the morning (fasting), for ten days (or until the earlier manifestation of new symptoms, improvement, or change); then pause eight days, after which the course may be repeated as before, and so on, until manifest improvement or change. CANCEROUS ULCERATIONS. Arsenicum, Lachesis, and Conium, respectively, according to the distinctive symptoms present, are to be mentioned as being fre- quently of great value in the treatment of cancerous ulcerations. The particular indications which should determine the selection of each, respectively, may be gathered from the article on " Characteristic Effects." Dose: Of either of these medicines, give three globules in a teaspoonful of water, three times a day, for four days; then pause two days, after which similar doses should be administered, night and morning, for a week; then pause again for six days; after which, if a degree of improvement be apparent, repeat the course again for a week, pausing again after such course, and so on, from time to time, until general and progressive improve- ment sets in, or until such improvement becomes stationary. If, however, no effect at all be apparent within six days after the completion of the second course — or, if subsequently, a degree of improvement having ensued, the progress should cease to advance satisfactorily — consider the subjoined medicines, especially Sulphur (as also at page 87). Sulphur, Silicea, and Acidum nit. will often prove of essential wervice in the treatment of cancerous ulcerations, either from the com- mencement (when characteristically indicated), or after the preceding smployment of one or more of the foregoing medicines. If, after such previous treatment, the administration should be commenced six days after the termination of the second course (no effect whatever having resulted), or six days after a subsequent course (should the improve- ment cease to be regularly progressive). Sulphur, in particular, is, moreover, of essential service as an intermediary medicine, as above WARTS. 501 more particularly stated (at p. 491), under the head of Swelling of the Lips. Dose: If of Acidum nit., give three globules in a teaspoonful of water, night and morning,—if of Sulphur or Silicea, six globules in a table spoonful of water, the first thing in the morning (fasting), for ten days (or until the earlier manifestation of new symptoms, improvement, or change); then pause eight days, after which the course should be repeated as before, and so on, from time to time, until general improvement or change. If of Sulphur, as an intermediary medicine, pause two days after the last dose of any med icine previously employed; then give six globules (as just directed), repeat- ing this dose after the lapse of twenty-four hours, after which pause four days, and then proceed with the medicine more especially indicated. Diet and Regimen. The strictest attention should be paid to the rules in respect of diet or of general habits, which have been stated at large (or more especially) in the article on " Eradicative Treatment " (pp. 83 to 89). WARTS. The application of Lunar Caustic (Nitrate of Silver) or the use of the Knife for the removal of Avarts is in every case reprehensible, and is often attended with the Avorst results, aud the general rules for treat- ment more particularly stated below, will generally prove effectual. TREATMENT. Causticum is perhaps as a general rule the most serviceable med- icine for the treatment of warts developed on the face, or on the hands and other parts of the body, when they are large and painful. Dose: Three globules in a teaspoonful of water, night and morning, for a week; then pause ten days, after which the course may be resumed as before, and so on, until three courses have been completed. If after the termination of such third course, the warts be evidently waning, pause three weeks, and then resume the same courses as before, and so on, until their total disappearance; but if, on the contrary, there be no apparent decrease in the size of the warts, pause ten days, and proceed with the next medicine, or consider also Sulphur. Thuja should be employed ten ,days after the completion of the third course of Causticum in cases in which the last-named medicine has produced no apparent effect. It is particularly serviceable for the treatment of moist warts, and may be used externally as well as inter- nally. Dose: Three globules in a teaspoonful of water, as directed for Causticum. Sulphur should be employed ten days after the completion of the second course of Thuja Avhen neither the last-named medicine nor Causticum has produced any apparent effect. There are cases also (such as those in which the patient exhibits very predominant scrofu- lous taint) in which the treatment should be commenced by the admin- istration of two doses of Sulphur as a preparatory medicine. Dose: Give six globules in a table-spoonful of water, every morning the first thing (fasting), for ten days (or until the earlier manifestation of new symptoms, improvement, or change); then pause fourteen days, after which the course may be repeated as before, and so on, from time to time, until the warts progressively decrease in size, or disappear. 502 inflammation of the ears, and earache. Rhus tox., Dulcamara, Acidum nit., Kali-c., and Sepia may also prove serviceable in some cases, and when the general indi- cations point to them preferably to the foregoing. The parti culai indications for each, respectively, may be gathered from the article on " Characteristic Effects." Dose: Of either of these medicines as selected, give three ^kbules in a teaspoonful of water, as directed for Causticum. Lycopodium is preferably indicated when the warts are large and intersected with deep clefts or crevices. Dose: Three globules, in every respect as directed for Causticum in the fore- going prescription. Sabina has also been found of service in some cases of moist warts on the hands or on other parts, and should be employed when indicated by the symptoms which are mentioned in detail in the article on " Characteristic Effects." Dose: Three globules in a table-spoonful of water, night and morning, for a week; then pause ten days, after which the course may be repeated as before, and so on, until the progressive decrease of the warts becomes appa- rent; but if this should not occur within ten days after the completion of the third course, consider Sulphur and Calcarea below. Sulphur and Calcarea may be mentioned as the most serviceable in all cases of long standing or for the treatment of warts on the hands or on other parts of the body which may have resisted the action of any of the other medicines enumerated. Any particular distinctions serving to determine a selection between them for cases in which the individual employment of the one or of the other is to be preferred, may be gathered from the article on the " Characteristic Effects," under the head of each, respectively. Dose: Of either of these remedies, give six globules in a table-spoonful of water, the first thing in the morning (fasting), for a week; then pause ten days, an I, subsequently, resume the course as before, and so on, from time to time, until the progressive decrease of the warts, or some particular condition characteristically indicative of other treatment, becomes apparent. INFLAMMATION OF THE EARS, AND EARACHE. . Inflammation of the Ears may be divided into that which affects the interior of the Cavity of the Ear (Internal Inflammation) and that Avhich affects the external parts only (External Inflammation). In some cases these two varieties occur simultaneously from the extension of the internal inflammation to the external parts about the orifice. Earache may either exist as the effect of inflammation of the ears, or, if neglected, may pass on to inflammation; in many cases again, it may arise by sympathy from toothache, or declare itself as a purely rheumatic or nervous affection proceeding from cold. Inflammatory Symptoms. Violent, frequently insupportable, pain in the ear, with sensibility and even inflammation of the tube of the ear, and greater or less fever. Issue and Results. The pain when excessive, communicating with the whole head, may bring on delirium, or even inflammation of the brain. inflammation of the ears, and earache. 50? Inflammation of the Ears. TREATMENT. Aconitum is required in commencing treatment Avhen the affection is attended with considerable febrile disturbance, — dry heat of the skin, with fulness and quickness of pulse. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful every six hours, until the indicative symptoms subside. But if any of the subjoined indications should occur, proceed at once with the medicine or medicines thus more especially characterized. Belladonna is indicated when there is determination of blood to the head, Avith redness of the face, by digging, boring, tearing or shoot- ing pains extending to the throat, fever, and extreme sensibility to the slightest noise; Avhen the pains are more severe internally; also when the brain partakes ofthe inflammation, and delirium is present. Also in External Inflammation of the Ears, Avhen the inflammation runs high, and threatens to extend to the face and scalp. Dose: Six globules, as directed for Aconitum. * Hepar sulphuris should be administered twelve hours after the last dose of Belladonna, if, after the second day from the commence- ment of treatment, the pain and inflammation be not completely reduced; or again and more especially in cases in which suppuration and discharge have taken place. Dose: Three globules in a teaspoonful of water, repeated at intervals of twelve hours, until decided and permanent improvement or change. Sulphur. This medicine should be administered twelve hours after the last dose of Hepar sulphuris if the discharge of matter, in partic- ular, should continue unarrested ; — or more immediately twelve hours after the fourth dose of Mercurius, if, in addition to the discharge of matter, there should be humming in the ears and pricking pains. Dose: Three globules, as directed for Hepar sulphuris. Mercurius should be selected when the following symptoms and conditions characterize the case: — Shooting or tensive pains in the ear, extending to the cheeks and teeth; sensation of coldness in the ear; exacerbation of suffering in the Avarmth of the bed; inflammation and induration ofthe ear, with soreness of the orifice and discharge; swelling of the glands. Also in External Inflammation, particularly Avhen the adjacent glands are involved. Dose: Six globules, as directed for Aconitum. Pulsatilla is a most valuable remedy in this affection. It is par- ticularly indicated when the external ear is simultaneously much affected, and appears inflamed and swollen; attended with heat, shooting and tensive excoriating pain internally; moisture in the ear, or somewhat copious discharge. This medicament is particularly useful for females and individuals of chilly habit. Applicable, also, to most cases of External Inflammation of the Ears. Dose • Six globules as directed for Aconitum 504 INFLAMMATION OF THE EARS, AND EARACHE. Nervous or Rheumatic Earache. TREATMENT. Pulsatilla is not unfrequently indicated for the treatment of casea of Nervous or Rheumatic Earache, which ensue from time to time aa the consequence of antecedent inflammation; or more particularly if there be a tendency to discharges from the ear, or if the ear be habit- ually moist. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful every half hour (when the pain is very distressing), or every three hours (in less severe cases), until a degree of improvement takes place; after which the intervals should be gradually extended to twelve hours, and the administration thus continued, until the cessation of the pain, or the occurrence of other symptoms requiring different treatment. Phytolacca should be administered when there is shooting pain in both ears, the right being worse, aggravated by swallowing; feeling as if the ears were stopped up, Avith cracking sounds in them; the sense of hearing seems dull, while it is really more acute. Dose: A solution of six globules, as directed for Aconitum. Nux vomica is preferably indicated when the pains are of a tear- ing, shooting nature, extending to the forehead, temples, and bones of the face, worse towards morning; dryness of the ear; particularly when the affection occurs in persons of a lively, choleric disposition. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful every hour (when the pain is unbearably severe), or every three hours (in less distressing cases), until a degree of amelioration becomes apparent; after which the intervals should be gradually extended to twelve hours, and the administration thus continued until permanent and decided improvement or change. Dulcamara should be selected when the affection has arisen from a chill or wetting, and will, in many cases, prove sufficient for its removal; it is also indicated when the pains increase at night, and are attended with nausea. Dose: A solution of six globules, as directed for Nux vomica. Mercurius should be employed when the pain is attended with a sensation of coldness in the ears, and is characterized by exacerbation in.the warmth of the bed ; or again, when there are shooting or tensive pains in the internal ear, extending to the cheeks and teeth. Dose: A solution of six globules, as directed for Nux vomica. Chamomilla should be administered Avhen there are stabbing pains in the ear, as if knives were driven into the head; great sensitiveness of noise, and even of music; extreme sensitiveness, susceptibility, and irritability. Dose: A solution of six globules, as directed for Nux vomica. Sanguinaria should be exhibited when there is burning of the ears, Avith bright redness of the cheeks, and headache accompanying the earache; the neck feels stiff; painful sensitiveness to sudden sounds. Dose: A solution of six globules, as directed for Nux vomica. Arnica is often of much service for the treatment of individuals of a nervous, excitable temperament, subject to attacks of earache HUMMING OR BUZZING IN THE EARS. 503 provoked by trivial causes, and is, moreover, characteristically indi- cated when there is an excessive sensibility to noise. Dose: A solution of six globules, as directed for Nux vomica. China is frequently suitable after Arnica, in cases in which the last-named medicine has been productive of partial relief only, and when, moreover, the pains are aggravated by lying on the ear, or by contact. Dose: A solution of six globules, as directed for Nux vomica. Sulphur should be administered, if the excessive sensibility to noise should constitute a predominant indication; it is especially suit- able to persons subject to catarrh or tendency of the blood to the head. Dose: Three globules in a teaspoonful of water, night and morning, until permanent improvement or change. Diet and Regimen. Patients who are subject to attacks of nerv- ous or rheumatic earache .should be very careful and moderate in the indulgence of their appetite; and the food should be simple but nour- ishing. Fermented and spirituous liquors, coffee and strong tea, &c, are capable of themselves of provoking an attack; and inasmuch as a tendency to derangements of the digestive functions is very frequently to be distinguished as characterizing the predisposition to earache, it is very essential that those things should be avoided whichare likely to engender irregularities of digestion, however apparently trivial. Everything Avhich is knoAvn to operate as an exciting cause should, as much as possible, be avoided. HUMMING OR BUZZING IN THE EARS. Nux vomica will be found of service in the treatment of recent cases of humming or buzzing in the ears, when this annoying affection is most predominant or the symptoms are aggravated at night. Dose: Three globules in a teaspoonful of water, morning and evening, for a week; then pause a week, resuming the administration after the lapse of that time, if yet required. Pulsatilla is to be preferred when the evening is more especially the period of exacerbation, and for persons of a mild character, par- ticularly females. Dose: Three globules, as directed for Nux vomica. Causticum. Loud vibration of all sounds, and even of the patient's OAvn voice. Dose: Three globules, as directed for Nux vomica. Mercurius is more distinctly indicated when the attacks are attended Avith sweating. Dose: Three globules, as directed for Nux vomica. China, Carbo veg., and Acidum nit. are severally indicated when this affection occurs amongst persons who have been subjected to excessive doses of Mercury under allopathic treatment. It may sometimes become necessary to administer them successively, but the determination of such a requirement must entirely depend upon the degree of improvement or 'change resulting from the treatment as it 606 DISCHARGE FROM THE EAR. progresses, and should in all cases be regulated by the distinctive ind'* cations afforded under the head of each of these medicines, respectively, in the article on "Characteristic Effects." Dose: If singly, of either of these medicines give two globules in a teaspoon ful of water, night and morning for four days (or until the earlier devel- opment of improvement or change); then pause four days, after which the course may, if necessary,, be repeated as before, and so on, until man- ifest amelioration or change. If in succession, allow an interval of a week to elapse between the last dose of the one and the first dose of the other. DISCHARGE FROM THE EAR. Arsenicum should be given when the discharge is profuse, smells very badly, and makes the adjacent parts sore; also Avhen there is prostration and weakness. Dose: Give three globules, in a teaspoonful of water, night and morning, for four days (or until the earlier development of manifest improvement or change); then pause four days, after which the course may be repeated as before, if necessary, and so on, until manifest improvement or change. Aurum will be found to be useful in chronic cases, particularly after the abuse of Mercury under old-school treatment, where the discharge js fetid, and the bones ofthe ear are diseased. Dose: Three globules, as directed for Arsenicum. Calcarea carb. should be administered, in chronic cases, when the discharge^ looks like matter, the glands of the neck are swollen, the abdomen is large, and there are other evidences of a scrofulous con- stitution. Dose: Three globules, as directed for Arsenicum. ^ Carbo veg. is suitable after suppression of itch, or itch-like erup- tions; the discharge is offensive, the ear is inflamed and sensitive to touch. Dose: Three globules, as directed for Arsenicum. Hepar sulphuris may be administered when the discharge is very profuse and mild, particularly in scrofulous persons, or when it results from acute inflammation of the internal ear. Dose: Three globules, as directed for Arsenicum. Sulphur is indicated when the discharge consists of offensive mat- ter, particularly if the left ear be affected ; eruptions behind the ears, which itch, and bleed after scratching. Dose: Three globules, as directed for Arsenicum. Mercurius is indicated if the affection be of syphilitic origin; the pars itch, the face is covered with little pimples which secrete matter. Dose: Three globules, as directed for Arsenicum. Pulsatilla will be found to be a very valuable remedy in th8 treatment of this troublesome affection. It is indicated Avhen the dis- charge is the result of a cold (catarrhal) or follows acute inflammation of the ear. The discharge is usually thick and yellow ; the ear is red and swollen, and there are stitch-like pains in it. The left ear is most commonly affected. Dote: Of a solution of six globules in two table-spoonfuls of water, give a DEAFNESS. 507 teaspoonful every six hours, until the appearance of improvement or change, when the intervals should be lengthened. Elaps should be exhibited when the discharge is greenish, and im- parts a greenish stain to the linen it touches; it is also suited when there is lachrymation at the same time. Dose: Solution of six globules, as directed for Pulsatilla. Further indications for the use of the foregoing medicines, may be gathered from the chapter on " Characteristic Effects," which should be carefully consulted. ILL-EFFECTS OF SUPPRESSED DISCHARGE FROM THE EAR. Sulphur, Calcarea c, Belladonna, Pulsatilla, Mercurius, Nux vomica, Bryonia, or Dulcamara, one or more of which may be required, according to the circumstances of the particular case under consideration, may be enumerated as those which are applicable to the treatment of general cases, in which the discharge from the ear has been suddenly or otherwise improperly suppressed, and in which other morbid developments ensue as the result of such suppression. It Avill be necessary to consult the article on " Characteristic Ef- fects," under the head of each, respectively, and to select from amongst them, by comparing the general and particular symptoms and condi- tions present, with those which are therein enumerated. Dose: Of either of these medicines, as selected, give three globules in a tea- spoonful of water, repeated at intervals of six hours, until three doses have been given (or until earlier improvement or change), and subse- quently, at intervals of twelve hours, until the discharge recurs, or general improvement (or change) becomes manifest. DEAFNESS — HARDNESS OF HEARING. From Determination of Blood. Belladonna, Hyoscyamus, Sulphur, Mercurius, Phos- phorus, Graphites, Silicea. When deafness is occasioned by determination of blood to the head (generally), or to the vessels about the cavity of the ears (in particular), one or more of these medi- cines will usually be required for the treatment. The selection from amongst them should depend upon the particular symptoms and char- acterizing conditions present, which, by comparison with such as are elicited by the specific properties of each, respectively (as stated in the article on that subject), will serve to determine the choice. In cases of this kind, however, it is to be observed, that the medicine should preferably be given in sparing and unfrequent doses. Dose: Of either medicine, as selected, give two globules in a teaspoonful of water, repeating the dose after the lapse of twenty-four hours, if the attack continues or should recur with undiminished intensity. But if the deaf- ness be evidently less intense or troublesome, it will be necessary to pause, until the improvement ceases to proceed progressively, or the attack returns with its original intensity, and so on, as occasion requires. Nervous Deafness. Gelseminum, Causticum, Phosphorus, Acidum phos., 508 DEAFNESS. Petroleum. When deafness is occasioned by purely nervous causes, as may be distinguished by the general state of the patient, and the absence both of the sensation of fulness or heaviness, &c., — which characterizes determination of blood to the vessels of the head — of any aching pains or symptoms of a catarrhal description — and of any an- tecedent diseases, or treatment which might have occasioned such a consequence — and further, by the fitful or periodical nature of the deafness, — one or more of these medicines will usually be found effectual, if selected in accordance with the specific properties of each, respectively, as stated in the article on that subject. Dose: Three globules in a teaspoonful of water, night and morning, for a week (or until the earlier manifestation of some distinct change in the general or particular nature of the symptoms); then pause ten days, after which should the deafness recur, a similar course may be repeated, and so on, from time to time, until manifest improvement or change. Catarrhal or Rheumatic Deafness. Rhus tox., Hydrastis, Mercurius, Pulsatilla, Belladon- na, Ledum pal., Sanguinaria. These medicines (one or more of which may be required during the progress of treatment) may be men- tioned as especially appropriate, when deafness occurs as a catarrhal or rheumatic symptom. The selection should be determined in accord- ance with the indications afforded in the article on " Characteristic Effects." Dose: Of either of these medicines, as selected, give three globules in a teaspoonful of water, repeated at intervals of twelve hours, until im- provement or change becomes apparent. If improvement should succeed, the treatment must be suspended, and will probably not require repetition — if change (without amelioration) the symptoms should be re-investigated, and a new selection made accordingly. Coffea or Chamomilla are more especially appropriate for the treatment of catarrhal or rheumatic deafness occurring in highly sensi- tive females or children, and particularly if there be much irritability, fretfulness, and nervous excitement. Dose: Two globules in a teaspoonful of water, repeated, if necessary, after the lapse of twelve hours, and again, after a further interval of twenty-four hours, if necessary, suspending treatment, however, as soon as manifest effect ensues. Deafness occasioned by sudden suppression of a Chronic Eruption. Antimonium c, Sulphur, or Calcarea may be required during the progress of treatment in cases in which deafness occurs, manifestly, as a consequence of the repercussion of a chronic eruption; that is, when this symptom supervenes upon the sudden and unaccountable disappearance (or the rapid drying or healing up, by means of improper lotions or ointments) of such an eruption. Dose: Six globules in a table-spoonful of water, the first thing in the morn- ing (fasting), repeating the dose at intervals of twenty-four hours, until new symptoms supervene,—the eruption re-appears,—or general im provement ensues. deafness. 509 Deafness resulting from Eruptive Fevers. Belladonna, or Hepar sulph., respectively, according to the particular symptoms present — or successively in some cases (that is, Hepar s. folloAving Belladonna, in the event of inadequate effect), may be mentioned as particularly appropriate for the treatment of deafness resulting from Scarlet Fever. Dose: Of either of these medicines, give three globules in a teaspoonful of water, night and morning, for six days (or until the earlier development of improvement or change) ; then pause four days, after which the course may, if necessary, be repeated as before, and so on, until manifest improvement or change. If in succession, allow an interval of four days 10 elapse between the last dose of the one, and theirs/ dose of the other. Pulsatilla is usually effectual in obviating deafness, which ensues as the consequence of Measles. Dose: Three globules, as directed in the last prescription. Carbo veg. should, in most cases, be given six days after the termination of the second course of Pulsatilla, in cases in Avhich the employment of the last-named medicine has not been productive of adequate improvement, as regards the deafness (resulting from measles), however other and general improvement has ensued. Dose: Three globules in a teaspoonful of water, repeated after the lapse of twenty-four hours, and, subsequently, if yet requisite, every fourth day, until manifest improvement or change. Mercurius, followed by Sulphur, may be mentioned as the most appropriate course of treatment for the generality of cases in which deafness occurs as the sequel of Smallpox. Dose: Two globules of Mercurius in a teaspoonful of water, repeated aftei the lapse of twelve hours, and again after a further interval of twenty-foui hours; then pause four days, after which proceed with four globules of Sulphur in a teaspoonful of water, the first thing in the morning (fasting) for six days (or until earlier improvement or change); then pause again for a week, subsequently repeating the course of Sulphur, if necessary, as before. Deafness occasioned by abuse of Mercury. Acidum nit., Aurum, Staphysagria, Hepar s., Sulphur, When deafness ensues, without any other apparent cause but the pre- vious treatment with excessive doses of Mercury, under allopathic management, and when, therefore, the hardness of hearing is definitely traced to such antecedents, one or more of these medicines (respective- ly, according to the other symptoms and conditions present), may serve to modify, if not to overcome, the deafness. Long courses of treat- ment are, however, generally required. The article on " Character- istic Effects " should be consulted for more particular indications. Dose: If of Sulphur, give six globules in a table-spoonful of water, every morning, the first thing (fasting) — if of either of the others, three globules in a teaspoonful of water, night and morning, — for six days (or until th6 earlier development of new symptoms, improvement or change); then pause ten days, after which the course may be repeated as before, and ea on, from time to time, until manifest improvement or change. 510 BLEEDING OF THE NOSE. Deafness from Enlargement ofthe Tonsils. Mercurius, Aurum, Acidum nit., Staphysagria. When deafness occurs in consequence of enlargement of the tonsils, the em- ployment of Mercurius is usually to be adopted. Inasmuch, however, as particular conditions may entitle one or more of the other medicines here named, to a preference in some cases — it were better to refer to the article on " Characteristic Effects." Dose: Of either medicine as selected, give three globules in a teaspoonful of water, night and morning, for a week (or until earlier change ensues) ; then pause ten days, after which the course may, if necessary, be repeated as before, and so on, from time to time, until manifest improvement or change. Deafness resulting from Nervous Fevers, &c. Baptisia, Phosphorus, Acidum phos., Veratrum, Arnica. When the deafness occurs as the result of any acute febrile disease, and especially of Fevers of a nervous character, one or more of these medicines should be employed, the selection from amongst them being governed by the particular indications, in respect of each, afforded in the article on " Characteristic Effects." Dose: Of either of these remedies, as selected, give three globules as directed in the preceding section. Diet and Regimen. — In cases of Inflammation of the Ears, and during the earlier stage of the disorder, it will be necessary to restrict the patient to such regimen as has been more especially prescribed in the general article on Fevers. In cases, however, in which discharge from the ears ensues, or in which deafness occurs as the result of pre- vious acute disease (Avhether eruptive or not), — the diet should be more generous and invigorating, but still all stimulating ingredients, whether of food or drink, should be excluded. When deafness re- mits from the check of a chronic eruption, the diet should be very plain and easy of digestion, but should, nevertheless, be nourishing; and when it ensues as the result of Smallpox, the regulations prescribed in the article on that subject should be observed. BLEEDING OF THE NOSE. Bleeding of the nose often appears at the termination of many dis- eases, such as fevers, epilepsy, &c, and is, in such instances, salutary; it also frequently relieves or cures headaches, giddiness, &c, and ought, therefore, not to be interfered with, unless it be excessive, last too long, recur too frequently, or take place under a debilitated state of the system. The attack is occasionally preceded by a degree of quick- ness of the pulse, flushing of the face, throbbing in the arteries of the temples, confusion or dimness of sight, heat and itching in the nostrils, and other signs of congestion. TREATMENT. INDICATIONS AFFORDED BY PARTICULAR CAUSES AND CONDITIONS. When the discharge of blood from the nose is occasioned by local BLEEDING OF THE NOSE. 511 determination of blood, select especially from :* — Aconitum, Bella- donna, Crocus, Graphites, Rhus, and Hamamelis. When caused by being overheated, or by over-indulgence in fer- mented liquors, select especially from : * — Nux vomica, Aconitum, Belladonna, and Bryonia. When occasioned by loss of humors and other deiiilitating causes, select especially: *—Ferrum and China. When occasioned by physical exertion, select especially*—Rhus or Arnica. When occasioned by a blow or contusion, select especially* — Arnica. When readily provoked by the slightest cause, select especially from: * — Sulphur, Silicea, Sepia, Calcarea, Carbo, Graphites, and Lye podium. When the discharge is excessive, select especially from : * — Aconi- tum, Arnica, Belladonna, Mercurius, Pulsatilla, and Rhus. When associated Avith scanty menstruation, select especially from:* — Pulsatilla, Graphites, Causticum, and Sepia. When associated Avith excessia'e menstruation, select especially from: * — A conitum, Calcarea, and Crocus. When (in children) associated with worms, select especially* — Mercurius and Cina. When bleeding of the nose occurs with every attack of cold in the head, select especially * — Pulsatilla. Aconitum is indicated by prolonged or violent bleeding at the nose, in plethoric subjects, with a considerable degree of fever, flushing of the face, pulsation of the arteries of the temples and neck, or general fulness of the vessels of the head. Dose: Of a solution of four globules to two table-spoonfuls of water, give a teaspoonful every half hour, until amelioration or change. Belladonna is frequently of the greatest service when there is bleeding from the nose at night, which awakens the patient from sleep, and sometimes returns in the morning ; bleeding from the nose from being overheated. Dose: Four globules, as directed for Aconitum. Bryonia is preferably indicated by bleeding from the nose, chiefly in the morning, or at night during sleep, causing the patient to aAvake; or Avhen it arises from suppressed menstruation, or from overheating during warm weather; obstinate or irritable disposition. Dose: Four globules, as directed for Aconitum. * These indications afforded by particular causes and conditions, are not to be considered paramount. In very many cases, it will, indeed, bt found that the one or other of the medicines thus indicated, otherwise corresponds to the particu- lar symptoms present, as described in the subsequent portions of this article, in respect of each, separately. But, if it should occur that although indicated by such particular cause or condition, the medicine, thus appropriate, offers no other relation to the case, and that one or more of the others do more particularly cor- respond, the latter should be selected. If, however, two medicines are identically indicated in all respects, except by the cause, or particular condition here named, — such cause or condition will be decisive between .them, and should then de- termine the selection. 512 BLEEDING OF THE NOSE. Mercurius is of great service against bleeding of the nose during sleep, or Avhile coughing, with speedy coagulation, so that the bloo» hangs in clots at the nostrils; or when the affection is preceded by t» sensation of tightness round the head, as if it were bound. Dose : Four globules, as directed for Aconitum. Carbo v. is of essential service against bleeding at the nose during the night, with ebullition of blood; violent nasal haemorrhage in the morning Avhile in bed, followed by pain in the chest; discharge of a few drops of blood from the nose every forenoon; excessive bleeding from the nose several times a day, particularly after stooping, or after every exertion, preceded and followed by great paleness of the face. Dose: Two globules in a teaspoonful of water, morning and evening, for three days (or until the earlier development of improvement or change); then pause four days, after which the course may, if necessary, be repeated as before. Graphites may sometimes prove useful against bleeding of the nose tOAvards night, Avith heat in the face, preceded by determination of blood to the head, in the after-part of the day, particularly in females who have scanty menstruation. Dose: Two globules, as directed for Carbo v. Pulsatilla is indicated by discharge of blood from the nose every afternoon, evening, or before midnight, especially in females with sup- pressed or scanty menstruation, or in those of a mild and placid dispo- sition. Dose: Four globules, as directed for Aconitum. Hamamelis should be administered in cases in which the blood is dark colored and flows sluggishly but profusely. It is also useful if the nose bleed be complicated with bleeding of the lungs, or if re- sulting from suppressed menstrual flow. Dose: Four globules, as directed for Aconitum. Veratrum alb. will be found efficacious when there is present, death-like paleness of the face, coldness of the surface ofthe body, and slow, intermitting pulse. Dose: Four globules, as directed for Aconitum-. Arnica, in addition to being the principal medicine in violent nasal haemorrhage from external injury, or from great physical exer- tion, is, moreover, an important remedy in all cases in which the haemorrhage is preceded by itching in the nose and forehead ; and when the nose feels hot, and the blood discharged is red and liquid. Dose: Four globules, as directed for Aconitum. Rhus is appropriate for the treatment of bleeding of the nose occasioned by physical exertion, such as lifting a heavy weight, or when blowing the nose, spitting, &c.; or for discharge of blood from the nose, which becomes aggravated or renewed on stooping, or during the night. Dose: Four globules, as directed for Aconitum. China is generally to be selected when the loss of blood has been very considerable, and when the patient is much weakened before as« sistance is rendered. Dose: Four globules, as directed for Aconitum. BLEEDING OF THE NOSE. 513 Ferrum should be employed after the previous administration of China, in cases in which the last-named medicine has been productive of partial amelioration only. Ferrum is, moreover, of much service in the treatment of bleeding ofthe nose occurring in debilitated subjects, with excessive paleness of the face. Dose: Two globules, as directed for Carbo v. Sepia. — Frequent attacks of haemorrhage from the nose, Avith pale or sallow complexion, especially in females with obstructed men- struation. Dose: Two globules, as directed for Carbo v. Nux v. is more particularly indicated by bleeding of the nose, especially in the morning, from being overheated, or from the suppres- sion of an accustomed discharge, such as that of piles; also after drink- ing wine, &c, or in habitual drunkards. Dose: Four globules, as directed for Aconitum. Dulcamara is more particularly indicated by bleeding at the nose after getting the feet wet; flow of hot, clear blood from the nose. Dose: Four globules, as directed for Aconitum. Crocus is useful for discharge of dark-colored, thick, or viscous blood from the nose, the blood hangs in long black strings; particu- larly in females Avho menstruate too copiously, sometimes followed by fainting. Dose: Four globules, as directed for Aconitum. Moschus is frequently serviceable Avhen the bleeding of the nose occurs in nervous, hysterical females, or when the bleeding has con- tinued to depletion, and there is spasmodic jerking ofthe muscles. Dose: Four globules, as directed for Aconitum. Ammonium c. is more especially required for bleeding from the nose after a meal, or in the morning when washing. Dose: Four globules, as directed for Aconitum. Silicea is an excellent remedy for the treatment of those obstinate and sometimes habitual discharges of blood from the nose, which occur in persons of a marked scrofulous habit of body. Dose: Two globules, as directed for Carbo v. ACCESSORY MEASURES. When the haemorrhage is of an active kind, the patient should be placed in the erect posture, and kept cool and quiet for some time afterwards. When there is reason to fear suffocation from the bleeding continu- ing inwardly, and getting into the throat, as is liable to happen in ex- tremely debilitated subjects, in whom little or no reaction appears to folloAv the administration of the remedies, the anterior and posterior outlets from the nose may be plugged; the latter by passing threads up the nostrils, and bringing them out at the mouth, then securing pieces of sponge, or small rolls of lint, to the ends; after this the 33 514 SWELLING OF THE NOSE, ETC. threads should be drawn back, and tied sufficiently tight so as to bring the plugs somewhat firmly against the orifices. Diet and Regimen. In all cases in which bleeding of the nose occurs otherwise than as the result of a mere casual accident (and even then until the discharge is thoroughly subdued), the diet should be plain and unstimulating ; it should, nevertheless, be nourishing, for — although in many cases, as this discharge occurs in the place of some other natural evacuation, the system is not so much exhausted thereby as might be anticipated —it may still be looked upon as an indication of some local or general debility. The state ofthe organs of digestion should, therefore, be subjected to close attention, that any irregularities may be obviated, and that proper nutrition may be promoted. Reg- ular habits, early hours, avoidance of over-intense application, ex- tremes of temperature, or of excesses of any kind, a fair proportion of exercise in the open air, in favorable weather (but Avithout enduring fatigue), and the like, are essential. In cases of very debilitating and long-continued discharges of blood from the nose, change of air and scene will often materially assist in the restoration of the patient. SWELLING AND OTHER AFFECTIONS OF THE NOSE. TREATMENT. Arnica should be employed internally and externally at the same time, when swelling of the nose has been occasioned by a blow or con- tusion. Dose (Internal): Three globules in a teaspoonful of water, repeated at inter- vals of twelve hours, until the swelling subsides (unless, meanwhile, such other symptoms should occur as to demand different and especially appro- priate treatment). Application (External): To two table-spoonfuls of water add forty drops of the concentrated Tincture of Arnica, and bathe the parts freely with thi.a lotion three times a day, until the swelling, soreness, tenderness, &c, abates. Arsenicum, Nux vomica, or Lachesis should be employed when swelling ofthe nose can be traced to habitual excesses in the use of fermented and spirituous liquors. Arsenicum is more especially indicated when the redness is of a coppery hue. For more particular indications, refer to the article on " Characteristic Effects." Dose: Three globules, as directed for Arnica, internally. Bryonia, Belladonna, Mercurius, or Hepar s., according to the particular nature of the symptoms present, may be required for the treatment of cases in which the SAveiling of the Nose is characterized oy intense redness and pain. Dose: Three globules, as directed for Arnica. Rhus tox., and Calcarea may also be named as often appropri- ate in the treatment of difficult chronic cases, or for such as do not ap- pear tc be controlled by either of the foregoing. A more particular CANKER OF THE MOUTH. 515 indication is, however, in this instance, afforded when the point of the nose is especially the seat of redness. Dose: Three globules, as directed for Arnica. ULCERATION OF THE BONES OF THE NOSE. Mercurius is to be preferred when the ulceration is of syphilitic origin, provided the patient has not already been placed under an inju- rious course of that poAverful medicine. Dose: Four globules, in a table-spoonful of water, the first thing in the morning (fasting), for ten days (or until the earlier development of im- provement or change); then pause eight days, after which the course may, if necessary, be repeated as before, and so on, from time to time, until manifest improvement, or change. Aurum is the most important remedy in cases of ulceration of the bones ofthe nose, whether of a scrofulous or mercurial origin. Dose: Four globules, as directed for Mercurius. Acidum phos., Acidum nitr., Sulphur, Calcarea, Silicea. In cases of Ulceration of the Bones of the Nose, Avhich have resulted from the abuse of Mercury, and when Aurum, singly, does not appear to be capable of effecting a cure, or more especially when the system generally has become involved by the mischievous effects of the mercu- rial treatment, one or more of these medicines, respectively, according to the particular symptoms of the case, may be required for further treat- ment. In the great majority of cases, indeed, long courses of Sulphur and Silicea, especially, become necessary to complete the cure, even when very striking improvement has been effected by Aurum, as previ- ously administered. For particular indications refer to the article on " Characteristic Effects." Dose: If of Acidum nit., three globules in a teaspoonful of water, night and morning; if of either of the others, six globules, the first thing in the morning (fasting), in other respects as directed for Mercurius above. Diet and Regimen.- A simple diet, regular habits, early hours, and such other precautions as have been enumerated in the article on " Eradicative Treatment " (pp. 83 to 89), must be more or less rigidly enjoined. CANKER OF THE MOUTH. SCURVY IN THE MOUTH. Symptoms. This affection consists of a fetor in the mouth, Avith a A'iscid, bloody discharge from the gums, Avhich are at the same time hot, red, tumid, spongy, very sensitive, retracted from the teeth, and subsequently ulcerated along their margins. Sometimes there are also glandular swellings and salivation ; and usually looseness of the teeth, impeded mastication and deglutition, great debility, and slow fever. TREATMENT. Mercurius is the most useful remedy here, and may, generally, form the first prescription in almost every case of the kind, as it wiil 516 SCURVY. rarely fail to prove seiviceable, if not sufficient to effect a perfect cure. Dose: Three globules in a teaspoonful of water, morning and evening, for four days (or until earlier change); then pause four days, and, if the symptoms still retain the same character, though in a less intense degree, re- peat, the course as before, and so on, until manifest improvement or change. But if any of the subjoined indications occur, proceed, promptly, with one of the following medicines. Carbo v. will be found of primary importance, and should be em- ployed when we have reason to conclude that the symptoms above described have in reality been created by the injurious employment of mercury, under allopathic treatment Carbo v. is, moreover, of great service when the disorder has arisen from unAvholesome food, the daily use of kitchen salt in excess, or the prolonged use of salt meat; when the gums smell most offensively, and bleed during mastication ; the teeth being loose, the mouth hot, and the tongue much excoriated and moved with difficulty. Dose: Three globules, as directed for Mercurius. Staphysagria should be employed more immediately after the previous employment of Carbo veg. (or indeed at any period of treat- ment), if fungous excrescences be observed to form on the gums. Dose: Three globules, as directed for Mercurius. Arsenicum should be adopted, when, in addition to the ulceration, the gums present a black, spongy, gangrenous appearance; more par- ticularly if the patient complains of burning pains in the gums, with great prostration of strength. Dose: Three globules, as directed for Mercurius. Nux v. is an efficient remedy in this disorder, particularly when it occurs in meagre, dark-complexioned subjects, of bilious tempera- ment and choleric disposition, who lead a sedentary life; the gums presenting a putrid aspect, and being so much swollen as completely to cover the teeth ; countenance pale and sunken. Dose: Three globules, as directed for Mercurius. Natrum m. is indicated when the ulcers are indolent, and do not acquire a healing aspect; the gums being at the same time much swol- len, very sensitive to heat or cold, and disposed to bleed upon the slightest touch ; moreover, when painful vesicles or blisters are ob- served on the tongue, inner surface of the lips and cheeks, which im- pede speech, and, together with the irritable gums, render the act of mastication a work of labor and excessive torture. Dose: Three globules, as directed for Mercurius. Sulphur should be employed eight days after the last dose of Na- trum m., or other selected medicine, in cases in which the improvement effected by that medicine ceases to advance progressively. Dose: Three globules, as directed for Mercurius. SCURVY. General Symptoms. This disorder is characterized by exces give debility, .pale and bloated countenance, dropsical swelling of the SCURVY. 517 inferior extremities; discharge of blood from the onfiees, livid spots on the skin, — or foul ulcers, — offensive urine and extremely fetid stools. The gums are spongy, or otherwise diseased, as described in the pre- ceding article on " Canker of the Mouth," page 515. Predisposing Causes. Intemperance, want of exercise, impure air, unclean!iness, Avith depressing emotions, &c, often tend to predis- pose to the disease, more especially when combined Avith deficient or unwholesome food. Exciting Causes. This disease chiefly affects sailors, or others who from circumstances are deprived of fresh provisions and an adequate quantity of vegetable food, and are exposed to cold and moisture, together with fatigue. TREATMENT. In the cure, as also the prevention of this malady, it is requisite, in the first place, to remove the probable causes of its invasion, where that is practicable; and to supply the patient, if possible, with Avhole- some diet, fresh vegetables, and those fruits Avhich furnish citric acid, such as the lemon, the juice of Avhich made into a drink forms an invaluable remedy. Sour kraut, and other substances which ha\-e un- dergone the acetous fermentation, cider, spruce-beer, and the like, as also vinegar, have been likewise recommended. But it should be observed, that the use of lemon-juice, or of any other acids, must most strictly be avoided, during the course of such medi- cinal treatment as may become requisite, and for which directions are subjoined. Natrum m., Mercurius, Carbo veg., and Arsenicum may be mentioned as the medicines of the chief importance for the treat- ment of Scurvy when the disease has not been of long continuance. In general, the indications which should lead to the selection of the one or the other, respectively, may be deduced from such details as have been afforded under the head of each, in the foregoing article on "Canker of the Mouth" (pp. 515, 516). The reader should, how- ever, consult the article on "Characteristic Effects," for more particular details. Dose: Of either of these medicines, give three globules in a teaspoonful of water, night and morning, for four days (or until earlier change); then pause four days, after which the course may, if necessary, be repeated as before. Acidum nitricum is often of service in cases which have ap- peared to indicate Carbo veg. more especially, but in which the last- named medicine has been productive of partial effect only. Dose: Three globules, as directed in the last prescription. Ammonium c, Nux vomica, and Sulphur may be nen- tioned as also of essential service in particular cases, or more particu- larly when partial effect only is obtained from the administration of the foregoing. For more particular indications refer to the article on "Canker of the Mouth," and to that on "Characteristic Ef- fects." Dose: Three globules, as directed for Natrum m., Mercurius, Arsenicum, Set. 518 GUMBOIL. Staphysagria is more especially required if there be fungous ex- crescences on the gums. Dose: Three globules, as directed for Natrum m., $c. GUMBOIL. Symptoms. A gumboil consists of an inflammatory swelling in the gums, attended with considerable pain, heat, and tenderness to the touch. The tumor very generally terminates in the formation of mat- ter, then comes to a head and discharges. TREATMENT. Mercurius is indicated, and will generally suffice to effect a cure, when the affection is accompanied by a profuse flow of saliva. Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea- spoonful of the solution every four hours, until amelioration or change. Pulsatilla is indicated when the case is characterized by promi- nent derangement of the digestive functions, with the following dis- tinctive symptoms: — Relaxation of the bowels, or alternate relaxation and costiveness accompanying great depression of spirits, and, more particularly, when the patient is of a mild but sensitive disposition. Dose: Six globules, as directed for Mercurius. Hepar sulphuris should be promptly employed, whether at the onset of treatment or after another medicine, whenever indications of the formation of matter become manifested, in the increase of the swelling and heat, and in the softening of the tumor,sometimes attended with throbbing ; — except, however, in cases in which the gumboil is attributable to the irritation occasioned by a decayed tooth, in which case, the following medicine is more especially appropriate. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful every three hours, until decided amelioration or change. Silicea is, however, the more appropriate medicine when the symp- toms just described are attendant upon gumboil which has been occa- sioned by a decayed tooth, and should accordingly be employed either at the onset, or after one or more of the medicines first enumerated. Silicea is additionally and very distinctly indicated when swelling of the jaw with suppuration supervenes, either as the consequence of de- cayed teeth or of the unskilful extraction of a tooth. Dose: Six globules, as directed for Hepar sulphuris. BLEEDING OF THE GUMS. Staphysagria may be mentioned as one of the most important remedies for the treatment of bleeding of the gums, in general cases, or, more especially, when fungous growths are developed upon them. Dose: Three globules in a teaspoonful of water, night and morning, for six days (or until earlier change); then pause a week, after which the eouraa may be repeated as before, if necessary, and so on, until permanent amelioration (or change) results. Mercurius is more particularly required (except when the affec- INFLAMMATION OF THE TONGUE. 519 tion occurs as the result of abuse of Mercury, under allopathic treat- ment), Avhen the gums are painful, SAVollen, spongy, and jagged at the margins. Dose: Three globules, as directed for Staphysagria. Acidum phosphoricum is a remedy of much importance for the treatment of bleeding of the gums, in some cases even in which other remedies fail, but more particularly when the bleeding is readily ex- cited by touching or rubbing the gums, or when the gums feel as if excoriated. Dose : Three globules, as directed for Staphysagria. Carbo veg., China, Causticum, Ruta grav., Natrum m., Lycopodium. In very obstinate or protracted cases — in Avhich ulceration of the gums has taken place, and Avhen the bleeding is pro- voked by the most trivial cause, and sometimes takes place apparently without a cause, and so as to lead the patient to believe that the blood is discharged from other sources, — one of these medicines may become appropriate to the treatment, respectively, in accordance with the par- ticular symptoms of the case. For particular indications refer to the article on " Characteristic Effects." Dose: Of either of these medicines give three globules, as directed for Staphysagria. Diet and Regimen. In simple cases of gumboil, the observance of moderation in diet, and the avoidance of exposure to cold, would be preferable, during the continuance of any inflammatory symptoms. In the more obstinate cases of ulceration, SAveiling, sponginess, and bleeding of the gums, a very light and digestible diet, consisting pre- dominantly of vegetables and totally free from spices or seasoning should be enjoined, and the other regulations prescribed under the heads of "Canker of the Mouth," (at p. 515), "Scurvy," (at p. 516), and of "Eradicative Treatment," (at pp. 83 to 89), should usually be consulted and applied. INFLAMMATION OF THE TONGUE. Symptoms. Tumefaction, with heat and redness of the tongue ; the SAveiling is sometimes so great as to fill the whole cavity of the mouth, rendering swalloAving impossible, and threatening suffocation ; unless resolution takes place, it may terminate in induration, suppura- tion, or gangrene. Predisposing Condition. A peculiar taint of constitution or Bcrofulous habit of body. Exciting Causes. Local injuries, acrid substances, rheumatism, catarrh, or the transition of disease from some other part or organ. treatment. Arnica ( Concentrated Tincture) is appropriate, as a local applica tion, for the treatment, in cases of lesion of the tongue from the points of decayed teeth, or by biting the tongue. Application. — To six table-spoonfuls of water, ad 1 twenty drops of the con- 520 INFLAMMATION OF THE TONGUE. centrated Tincture of Arnica, and rinse the mouth with this lotion three times a day, until amelioration or change. But in severe cases, or when the inflammation is not readily reduced by this method, consider the fol- lowing medicines. Urtica urens ( Concentrated Tincture) is, in some instances, to bo preferred to Arnica as a local application in cases in which there is a burning sensation with little alteration of appearance, and when it has ensued simply as the consequence of a burn or scald. Application. — To six table-spoonfuls of water, add twenty drops of the con- centrated Tincture of Urtica urens, and rinse the mouth with this lotion, every two hours, until the pain abates. Mercurius is almost specific Avhen the disease is attended Avith ex- cessive inflammatory swelling or induration. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful every two hours (when the symptoms are very severe), or every four hours (when the inflammation is less intense), until manifest amelioration or change. Belladonna is required when the affection does not speedily yield to Mercurius, or when the inflammation is of an erysipelatous or active nature. Dose: A solution of six globules, as directed for Mercurius. Pulsatilla has been found useful in cases arising from suppressed hsemorrhoidal and gouty affections. Dose: Six globules, as directed for Mercurius. Apis mellifiea should be given when the tongue is dry, swollen, and inflamed, Avith inability to swallow, and stinging, burning pains in the tongue and throat, which is also involved. Dose: Six globules, as directed for Mercurius. Arsenicum or Lachesis may be more particularly required, or may become imperatively necessary, Avhen symptoms of threatening gangrene present themselves. In such instances, however, if profes- sional assistance be Avithin reach, it should be sought. Dose: Of either of these medicines, dissolve six globules in two table-spoon- fuls of water, and give a teaspoonful of the solution every four hours, until manifest amelioration or change. In some rare cases, when, from great tumefaction of tho tongue, suf- focation threatens, it has been recommended to have recourse to longi- tudinal incisions; such cases will, hoAvever, rarely, if ever, occur under homoeopathic treatment, if the disease be taken in time, and the reme- dies judiciously selected. Diet and Regimen. In very severe cases no solid food whatever should be allowed during the presence of inflammatory symptoms, although it may be observed that this injunction becomes superfluous, owing to the pain occasioned by mastication. The heat of the food or drink should also be barely more than tepid, although absolutely cold drinks are equally to be avoided. Very thin gruel-water, or toast and water, should, in such instances, be the only food or drink allowed until the inflammation subsides, and even then solid food, even of the plain est description, should be very cautiously alloAved for some time. FACIAL NEURALGIA. 521 OFFENSIVE BREATH. Causes. _ The most frequent causes of this unpleasant affection are, (1) uncleanl'uess, leaving particles of food in the teeth; (2) an accu- mulation of tartar, carious teeth; (3) a diseased state of the gums, white vesicles or ulcerations in the mouth ; an abuse of mercury ; and, lastly, but more especially, derangement of the stomach. TREATMENT. (1.) When there is reason to suppose that the first-named circum- stance is the chief cause of the complaint, its removal will be readily effected by proper attention, rinsing the mouth Avith tepid water, and brushing the teeth with a moderately hard brush night and morning, as also after every meal. (2.) When attributable to the second cause, a dentist of known skill and respectability ought to be consulted. (3.) Lastly, when the annoyance can be traced to any of the remain- ing sources enumerated, the remedies given under their different head- ings should be had recourse to. Diet and Regimen. In cases in which offensiveness of the breath results from an habitually disordered state of the gums, a predomi- nance of vegetable food, very light and digestible diet used Avith great moderation, abstinence from salted articles, or from stimulating drinks, and most ofthe directions prescribed'at pages 83, 84, and 85, in these respects, should be observed. Even when the offensive breath results from simple derangement of the stomach, much caution should be ob- served in respect of diet. FACIAL NEURALGIA — NERVE-PAIN — FACE- AGUE. TIC-DOULOUREUX. This distressing malady consists of an excruciating pain, which has its most frequent seat in the branches of the fifth pair of nerves, and is accordingly experienced Avith great acuteness under the eye, and some- times before the ear, from whence it shoots over the entire half of the face, and frequently into the orbit and head. The paroxysms occa- sionally continue, with shorter or longer intervals, for several days or Aveeks in succession. It is frequently of great obstinacy, and sometimes incurable. TREATMENT. Belladonna is indicated (when the pain chiefly affects the nerve that makes its exit beneath the eye, but sometimes also the other branches of the fifth nerve) by darting pains in the cheek-bones, nose, jaws, or in the bones adjoining the ears; or cutting and tensive pains, with stiffness at the nape of the neck, and clenching of the jaws, twitching in the eyelid, or violent shooting, tearing, and dragging pains 522 FACIAL NEURALGIA. in the ball of the eye; jerking pains in the facial muscles, and mouth, heat and redness of the face. The pain is generally preceded by itch- ing and creeping in the affected side of the face, and at times becomes so severe as to be almost insupportable. The paroxysms are prone to be excited by rubbing the usual seat of the sufferings. Dose: Three globules in a teaspoonful of water, repeated at intervals of four hours, for the first two days (should the pains continue or recur without change of character during this period), and, subsequently, at intervals of twelve hours, for two days (if yet required); then pause four days; after which (if necessary and still indicated) the course may be repeated as be- fore, and so on, until decided and permanent amelioration or change. Platina is appropriate when the subjoined symptoms are predomi- nant: — Feeling of coldness and torpor in the affected side of the face, with severe,spasmodic pain; or tensive pressure in the bones adjoining the ears, with a sensation of creeping or crawling, and aggravation or renewal of the sufferings in the evening, and when in a state of rest; flow of tears ; redness of the face, &c. Dose: Three globules, as directed for Belladonna. Gelseminum should be given when the pain comes on in distinct paroxysms, and is very severe, accompanied with twitching and draw- ing in the muscles around the part affected; the parts in and around the orbit of the eye are most commonly affected. Dose: Three globules, as directed for Belladonna. Colocynth. Violent rending and darting pains, which chiefly oc- cupy the left side of the face, are aggravated by the slightest touch, and extend to all parts of the head, temples, nose, ears, teeth, &c.; miti- gated by perfect rest, and by external warmth. Dose: Three globules, as directed for Belladonna. Arsenicum should be given when there is a tendency to periodi- city in the attacks or paroxysms, and the pains partake more especially of a burning, pricking, and rending character, and are experienced chiefly around the eye, and occasionally in the temples; the sufferings being occasionally of so severe a description as almost to drive the patient distracted; great anguish ; excessive prostration, with desire for the recumbent posture; sensation of coldness in the affected parts; exacerbation during repose, from fatigue, in the evening, when in bed, or after a meal; temporary amelioration from external heat. Dose: Three globules, as directed for Belladonna. China should be selected when, as in the instance of the foregoing remedy, there is a tendency to periodicity in the attacks, and when the pains are excessive, attended with extreme sensibility of the skin, and consequent aggravation from the slightest touch; the pains are located below the eye and in the cheek; great prostration after the paroxysms. Dose: Three globules, as directed for Belladonna. Veratrum is more especially indicated by insupportable pains, which almost drive the patient to distraction ; excessive weakness, even to fainting; general chilliness; exacerbation of suffering on getting warm in bed, or towards morning; temporary relief on moving about. Dose: Three globules, as directed for Belladonna. FACIAL NEURALGIA. 523 Spigelia is frequently a useful palliative remedy in all cases when the pain is excessive; but it is more especially required when the pains are of a jerking, tearing character, exacerbated by the slightest touch or by movement of the affected parts, or when they appear to shoot from the centre of the brain to the sides of the head or the ears; flow of Avater from the eyes and nose; further, when the pains partake of a burning and pressive aching character, and have their seat in the zygomatic process ; glossy tumefaction of the affected side of the face; excessive agitation and anguish ; rheumatic pains elsewhere. Dose: Three globules, as directed for Belladonna. Mezereum is more especially indicated for burning, pressive pains, coming very suddenly, and Avhich leave the parts numb, attended Avith chilliness and shuddering; they are worse from eating warm food, or from entering a warm room.; there is frequently redness and burning ofthe throat, and a stiff feeling of the jaws. It is especially suited after abuse of Mercury, or in syphilitic persons. Dose: Three globules, as directed for Belladonna. Iris versicolor is adapted to such cases as are associated with " sick headache," Avhere there is a good deal of vomiting of a sweetish mucus, and sometimes of bile. Dose: Three globules, as directed for Belladonna. Nux vomica should be administered when the pain is mostly be- Ioav the eye, and the eye is inflamed and Avatery; profuse watery dis- charge from the nostrils ; the affected side feels numb. The patient is morose, irritable, belches a great deal, and is constipated. It is especially suitable after abuse of coffee, liquors, or drugs. Dose: Three globules, as directed for Belladonna. Rhus tox. will be found useful for drawing, burning, tearing pains in the face, and a feeling as though the teeth were too long ; very great restlessness, and tossing about; particularly adapted if brought on by getting wet, or after wet Aveather. Dose: Three globules, as directed for Belladonna. Verbaseum should be given in cases in which the pain, which is very violent, and jerking, like lightning, is aggravated by the slightest touch, even of a light cloth, or by sneezing, talking, or chewing. Dose: Three globules, as directed for Belladonna. Bryonia may be administered, particularly in cases of rheumatic face-ache, Avhen the pains are of an aching, pulling, or tearing descrip- tion, exacerbated by movement; irritability of temper and general tend- ency to rheumatic attacks. Dose: Three globules, as directed for Belladonna. Hepar sulphuris is also of much service against face-ache result- ing from excessive mercurial treatment, and is more particularly indi- cated Avhen the pains are so much aggravated by the pressure of the teeth or by eating, that the. patient is afraid to allow the crowns of the teeth to meet; pains of a drawing or jerking character, often aggra- vated by entering a warm room, or by the warmth of the bed at night; also Avhen there is great sensibility of the cheek and base of the tern- 524 FACIAL NEURALGIA. pie, with extension of the pains into the ears and up the side of the face. Dose: Three globules, as directed tor Belladonna Sulphur is frequently a medicine of considerable value whether for the treatment of the immediate acute symptoms (as subjoined), or for the after-treatment, in cases in which abuse of Mercury has developed a predisposition to face-ache. This remedy is especially indicated by throbbing, drawing and jerking, or burning, aching pains in the bones of the face, and in the jaws and all of the teeth, whether sound or de- cayed ; or when the pains involve the whole face, and even head, and are accompanied with determination of blood to the head, redness and SAveiling of the cheeks and of the nose, and with suffused redness and inflamed appearance ofthe eyes; or when there are also aching, Aveary sensations in the limbs or in the small of the back, or catching, stitch- ing, darting pains in the ears; general chilliness and susceptibility to the least current of air, with sleeplessness during the whole or greater part of the night, and droAvsiness tOAvards morning or in the day ; cold Avater or cold applications, and mastication greatly aggravate or pro- voke a retain of the pains, which are also renewed or aggravated generally towards evening, at night, or by currents of air. Dose: If ag'ainst the immediate acute symptoms, three globules, as directed for Belladonna. If for after-treatment, four globules in a teaspoonful of water, the first thing in the morning (fasting), for ten days (or until the earlier development of change); then pause ten days; after which the course may be repeated, as before, if any tendency to a return of the attack should yet be perceptible or be dreaded. Causticum is more especially indicated by severe drawing and aching pains in the bones of the face, and sometimes attended Avith humming in the ears, partial deafness, and rheumatic pains in other parts of the body. Dose: Three globules, as directed for Belladonna. Phosphorus is indicated by tearing pains which occur, more especially, about the left side of the face, and which are further char- acterized by determination of blood to the head, and by a sensation of tightness in the skin of the face, — by aggravation upon the slightest touch or movement of the parts, — or by pains extending deep into the ear, and to the root of the nose, and often attended with a confused, shell-like roar in the ears. Dose: Three globules, as directed tor Belladonna. Pulsatilla, on the other hand, is to be preferred when the pains are usually aggravated towards evening, and at night, or in the morning when seated, and Avhen they are somewhat moderated in the open air; or further, when there is general chilliness with depression of spirits; or, again, when the patient is of a phlegmatic temperament. Dose: Three globules, as directed for Belladonna. Diet and Regimen. In cases of an inflammatory character, and during the prevalence of local heat, &c, or of general disturbance, of more or less intensity, the precautions directed in the general article on " Fevers " should be observed; and in all cases of Nerve-pains, abstinence from fermented, spirituous, or other stimulating drinks, or PALPITATION OF THE HEART. 525 from the use of highly seasoned food, is usually of essential importance. When, hoAvever, these painful affections are developed in exhausted and debilitated subjects, a sound, Avholesome, and nourishing diet, and the general rules prescribed at pages 83 to 89 should be enjoined, inas- much as the restoration of the general vigor of the system is essential to permanent relief. PALPITATION OF THE HEART. By this term is understood the occurrence of unusually strong and frequent palpitation of the heart without any organic injury. It is most readily excited in sanguine and nervous temperaments; and although slight and transient in its early stage, it becomes eventually extremely distressing, and if neglected may ultimately lead to struc- tural diseases, either in the heart itself or in some other important organs. TREATMENT. Aconitum may be recommended for palpitation of the heart attended AA'ith a sensation of anguish and intense oppression at the chest, and generally with weight and weariness of the extremities, flushing of heat, especially in the face, short, painful, and anxious respiration, or shortness of breath, particularly during sleep; sometimes pricking sensations in the chest, or sensation of compression, or as if bruised in the left side, or, again, shooting pains in the left side, particularly during motion, and on going up stairs; palpitation caused by fright. Dose: Three globules in a teaspoonful of water, repeated at intervals of four hours, until the particularly indicative symptoms are moderated ; or after- wards again, from time to time, should those indications occur. Belladonna, when there are violent pulsations of the heart, rever- berated, as it Avere, through the whole chest, and sometimes to the ex- tremities and head; sensation as of a heavy weight on or firm band about the chest, with pains in the shoulder-blades ; irregular and some- times interrupted breathing, with an occasional effort to expand the chest for breath, or short, anxious, and very accelerated respiration ; palpitation, sometimes attended with intense anxiety, particularly in the evening in bed; tremulous palpitation of the heart, Avith anguish, or palpitation generally on going up stairs. Dose: Three globules, in a teaspoonful of water, as directed for Aconitum. Nux vomica is more particularly of service for palpitation ofthe heart, occurring in persons of dry, meagre habit, but also in persons of robust constitution and sanguine or bilious temperament, and par- ticularly Avhen the paroxysms are liable to come on either in the morn- ing— sometimes attended with nausea, and even inclination to vomit, or Avith pressure at the chest—or more especially upon first lying down or after eating (sometimes after every meal), heat, or even burning sen- sation in the chest, occasionally occurring at night, and attended with great anxiety, sleeplessness, and agitation; or if coming on after the use of coffee or liquors. Dose: Three globules, as directed for Aconitum. 526 PALPITATION OF THE HEART. Sulphur is generally of service after one or more of the foregoing medicines, in completing the cure, but particularly when the attacks are provoked by ascending stairs, &c, and are accompanied by a feel- ing of anxiety or dread. This remedy is also very serviceable when the affection has ensued after the suppression of an eruption or the sudden healing of an old sore. Dose: Three globules, as directed for Aconitum. Arsenicum may sometimes be required after the previous admin- istration of Sulphur, in cases in which the symptoms have not yielded to a second course of the last-named medicine, and when the affection has ensued as the consequence of a suppressed eruption, or of the sudden healing of an old sore. Dose: Three globules, as directed for Aconitum. Lachesis is indicated when there is frequent desire to draw a long or deep breath, or shortness of breath chiefly prevalent after eating or after any exertion of the limbs (particularly of the arms), generally attended Avith deep despondency; also by suffocative attacks at night; or spasmodic affections of the heart, attended Avith a peculiar pulsative sensation deep (as if on the drum) in the ear, which make it appear as if the membrane would burst;-*—or again, in very severe cases, and when fainting-fits and cold sweats attend upon spasmodic attacks of the heart, and there is extreme shortness of breath. Dose : Three globules, as directed for Aconitum. Pulsatilla is a remedy of great value in the generality of cases in Avhich palpitation of the heart occurs as a nervous or hysterical symp- tom, or in young girls during the time of puberty, or from suppressed menstruation. Dose: Three globules, as directed for Aconitum. Cocculus is more particularly required Avhen there is a suffocative palpitation of the heart associated Avith weakness, trembling of the limbs and extreme languor, dizziness and faintishness, and Avhen the attacks are aggravated or excited by talking, eating, or drinking. Dose: Three globules, as directed for Aconitum. Cactus is indicated in palpitation occurring in persons who are usually low-spirited or hypochondriacal; palpitation Avorse Avhen Avalk- ing, and at night, when lying on the left side; general prostration of strength, and sleeplessness. Dose: Three globules, as directed for Aconitum. Coffea is more especially required, in recent cases particularly, when the palpitation is attended Avith excessive nervous excitement, with suffocative attacks and excessive anxiety, attended with groundless apprehensions, torture of conscience, great despondency, restlessness, and sometimes complaints; or again, when sudden emotions of joy have induced the attack. Dose: Three globules, as directed for Aconitum. Chamomilla is more particularly indicated when the palpitation is attended with shooting pains in the region of the heart, and Avith difficulty of breathing; or with general oppression at the chest, some- CRAMPS IN THE LEGS, ETC. 527 times attended Avith extreme anxiety; — further, when the attack has been occasioned by emotions of anger or chagrin. Dose: Three globules, as directed for Aconitum. Gelseminum. Palpitation occurring from fright or fear, with fulness of the head and vertigo; or in persons who are very irritable, and easily excited. Dose: Three globules, as directed for Aconitum. China is, generally speaking, the most serviceable remedy when palpitation of the heart occurs as the consequence of debilitating losses of blood, or of other animal fluids. Dose: Three globules, as directed for Aconitum. Diet and Regimen. Above all things it is essential that the exciting cause of. attacks, A\dien known, should be, as much as possible, avoided. When the affection is in the least degree complicated with disease of the heart, or with derangement of the stomach, or is inci- dental thereto, a plain and sparing diet should be enjoined, or all articles known to disagree with the patient should be avoided. Coffee (especially), and sometimes tea, and all fermented or spirituous liquors should be avoided. Early hours, regular habits, proper exercise in the open air (when not contra-indicated by fits of exacerbation after the slightest exertion), are all likewise of importance. When palpita- tion of the heart has been occasioned by losses of blood or other depletions, change of air, and a good, sound, wholesome, and nourish- ing diet, become more or less essential, and are even desirable. When associated with fulness or redundancy of blood — a very sparing, low, and chiefly vegetable diet should be enjoined. CRAMPS IN THE LEGS, &e. TREATMENT. Veratrum is frequently one of the most serviceable remedies in eradicating the tendency to frequent returns of this painful and troublesome disorder (as well as in removing the immediate symptoms), when it does not appear to be connected with any other marked derangement of the system. Dose: Three globules in a teaspoonful of water, night and morning, every fourth day, for a fortnight (or until earlier change); then pause a week; and if, afterwards, there be any return or continuance of the affection, proceed with one of the next medicines. Sulphur should be employed a week after the last dose of Vera- trum, if, notwithstanding the previous employment of the last-named medicine, there be still a continuance or recurrence of the symptoms. Dose: Three globules in a teaspoonful of water, as directed for Veratrum. Colocynth should be employed after the last dose of Sulphur, iu cases in which, notwithstanding the previous treatment, as above directed, the symptoms yet continue or recur from time to time. Colo- cynth is, moreover, particularly indicated when stiffness and pain are experienced in the limb for some time after the cramp has relaxed. Dose: Three globules, as directed for Veratrum. 528 GOITRE. Rhus should be selected when the attacks occur during the day while sitting, as well as at night. Dose: Three globules, as directed for Veratrum. Nux vomica is more especially required when there is a sensation of rigidity in the limbs, or of numbness, as if they would go to sleep (as it is called). Dose: Three globules, as directed for Veratrum. Calcarea, when stretching out the limb brings on the cramp. Dose: Three globules, as directed for Veratrum. Camphor (saturated Tincture) employed by inhalation through the nostrils is often suflicient to arrest a threatening attack of local cramp, as of general spasm. Application: Hold a phial, containing the saturated Tincture of Camphor, to the nostrils, for a few instants, closing the lips, and performing the act of inspiration only through the nostrils. ACCESSORY MEASURES. During a paroxysm of cramp, the readiest mode of relieving the pain is to grasp and strongly compress the affected part, or to press the foot firmly against the wall, bedstead, or any other fixed body. Friction is also serviceable in some cases. Diet and Regimen. Local cramps, as well as general spasms, being often associated with some irregularities of digestion, a cautious observance of moderation is very serviceable. The mischievous habit of taking ardent spirits against cramps and spasms cannot be too strongly condemned, and it is not of unfrequent occurrence that the excessive use of stimulants is the primary cause of such affections. It is always desirable to avoid undue exposure to cold or to chills when heated, and to the still more frequent casualty of wet feet. GOITRE —DERBYSHIRE NECK. This disfigurement arises from a tumefied state ofthe thyroid gland, — a large body, situated on the front of the throat. As the enlarge- ment increases, it is productive of a considerable degree of obstruction to free inspiration, from the pressure which it exerts against the wind- pipe. The disorder is most frequently encountered amongst the inhabitants of mountainous districts. Women are more prone to be afflicted with it than men, and particularly those who have suffered from severe labors. An inherent constitutional taint seems to be the chief predisposing cause. TREATMENT. Spongia has generally been found the most useful remedy in the treatment of this affection. Dose: Three globules in a teaspoonful of water, night and morning, for six days (or until earlier change); then pause a week ; after which the course should be repeated as before, and so on, until decided amelioration or change. But if any of the subjoined symptoms occur, proceed accordingly GOITRE. 529 Thuja is, hoAvever, particularly indicated Avhen the superficial veins of the swelling are in a distended, turgid, varicose, and painful state. Dose: Three globules in a dessert-spoonful of water, repeated at intervals of six hours, until four doses have been given ; then pause four days, after which proceed with the like doses, if necessary, at intervals of twelve hours, for four days, or until earlier change, then pause again for six days, and so on, until decided amelioration or change. Belladonna is preferably indicated when, either from exposure to cold or otherwise, the thyroid gland has become tumefied, and there is at the same time redness of the integuments over and around the SAvell- ing, attended Avith impeded deglutition, violent headache, cough, and a considerable degree of fever. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful every six hours, until manifest amelioration or change. Aconitum should be given eight hours after the last dose of Bel- ladonna, in cases in which the fever-symptom becomes intense. Dose: Six globules, as directed for Belladonna, Mercurius should be prescribed if, on the other hand, there be no discoloration of the surrounding skin, and the fever be of a less active character. Dose: Six globules, as directed for Belladonna. Iodium, Natrum m., Conium, Sulphur, or Calcarea, may be found effectual in some cases in which the symptoms indicative of Belladonna or Mercurius respectively, do not completely yield to the influence of either of those medicines. The particular indications for each, respectively, may be gathered from the article on " Character- istic Effects." Dose: A solution of six globules of the medicine selected, as directed for Belladonna. Hepar s. is called for when symptoms of suppuration have set in, and should then be administered in order to forward the bursting of the abscess. Dose : A solution of six globules, as directed for Belladonna. Silicea is sometimes required, if the suppurative process proceeds very tardily. Dose: A solution of six globules, as directed for Belladonna. Carbo veg., Lycopodium, or Sepia, respectively, according to the indications afforded in the article on " Characteristic Effects," may prove of great service in obstinate and inveterate cases. Dose: Of either of these medicines (when selected) give three globules, as directed for Spongia. Diet and Regimen. Inasmuch as the goitre is to be looked upon as an evidence of constitutional taint, the regulations under these heads, which have been stated at large in the article on "Eradicative Treatment " (pp. 83 to 89), are equally applicable to cases of this kind, more particularly. 34 530 SLEEPLESSNESS. SWEATING FEET. Some individuals are much troubled with a disagreeable, clammy Bweating of the feet, to such an extent as to render it necessary to change the stockings several times daily. This evil is, moreover, a Bource of extreme annoyance to others, from the offensive odor, which is usually exhaled at the same time. The utmost attention to cleanli- ness is insufficient to remedy the complaint: and to attempt to suppress the secretion by cold water, or powerful astringents, is highly culpable, from the dangerous consequences which are liable to ensue from pro- ducing a sudden suppression. TREATMENT. Silicea and Rhus tox. may be mentioned as of the chief im- portance in the treatment of sweating of the feet, as also against the deleterious and sometimes serious consequences which may result from improperly checking the transpiration. Dose: First ot Silicea, give three globules, night and morning, every third day, until six doses have been given (or until earlier change); then pause a week ; and if, during this interval, improvement should occur, repeat the course as before ; if otherwise, proceed with the administration of Rhus in like manner, — returning again to Silicea, if necessary. But if, after re- peated courses, these two medicines should fail in permanently removing the symptoms, consider the following. Mercurius, Baryta c, Graphites, or Kali c, respectively, according to the particular symptoms present, may be required in ob- stinate and inveterate cases, and Avhen both of the foregoing are pro- ductive of partial effect only. For particular indications, refer to the article on " Characteristic Effects." Dose: Of either of these medicines give three globules, as directed for Silicea. Sulphur, Calcarea, Lycopodium, and Carbo veg. may be, in some cases, appropriate for the treatment, and especially Sulphur, either as an intermediary remedy, or in long courses, when other medi- cines, which are apparantly well indicated, fail to produce marked and permanent benefit. Dose: Of either of these medicines give three globules, as directed in the foregoing prescription. Diet and Regimen. In the generality of cases, a predominance of vegetable food (other than heating farinaceous articles) would be desirable. Sudden chills of the feet, wet feet, and check of the trans- piration, should be carefully avoided. SLEEPLESSNESS. In almost all cases sleeplessness is but symptomatic of some other disease, and can only be remedied by its removal. It frequently, how- ever, forms so prominent a feature as to render it necessary that we should treat it as an original disease, and direct our attention to the selection of medicines conformably. Intense mental application, con- tinued up to the period of going to rest; sedentary habits, the habitual SLEEPLESSNESS. ftoi use of coffee (often for the express purpose of warding off inclination to sleep), also weakness of the digestive functions, are frequent causes of sleeplessness. • treatment. Nux v. will generally be found the most appropriate remedy, when sleeplessness can be traced to intense mental application or general Aveakness of the digestive functions; or when it is occasioned by excessive use of coffee, or wine ; but, unless the acquired habits above detailed are given up, or materially altered, no permanent ben- efit can be expected from the employment of the remedy referred to. Dose: Three globules in a teaspoonful of water, morning and evening, for two days (or until earlier change); then pause two days; after which the course may, if necessary, be repeated as before, and so on, until decided amelioration or change. Pulsatilla will be administered with great advantage when the disturbed sleep is occasioned by overloading the stomach, particularly towards night, combined with the habitual use of stimulating or rich and indigestible food. In all such cases, however, no decided good can be effected without the observance of a more simple mode of living. Dose: Three globules, as directed for Nux vomica. Coffea should be selected Avhen excessive joy is the evident cause of sleeplessness. This remedy should also be chosen when the emotion cannot be traced to any particular cause. Also if arising from abuse of tea. Dose: Three globules in a teaspoonful of water at bedtime; the same dose repeated after the lapse of twelve hours, if necessary. Ignatia amara should be selected when the affliction arises from dejection, caused by grief, unpleasant reflections, vexations, &c, &c. Dose: Three globules in a teaspoonful of water at bedtime, until amelio- ration or change. Opium is specific when the affection is attributable to fear or fright; or when the sleep is fitfully disturbed by fantastic or frightful visions. This remedy is again indicated in sleeplessness arising from excessive nervous irritability in consequence of exciting or depressing emotions, severe mental exertion, or long-continued night-watching, when the patient complains of a feeling of over-excitement, attended with lively and incessant floAV of ideas, and when, on falling asleep, a convulsive jerking or twitching takes place in the whole body, or only certain limbs, which instantly gives rise to the preceding state of vigil- ance, until at length, as morning dawns, a heavy, stupefying, dreamful slumber ensues, from Avhich he awakes late and unrefreshed. Dose: Three globules in a teaspoonful of water at bedtime, until amelio- ration or change. Aconitum is especially indicated when feverish anxiety, caused by annoying or agitating events, disturbs or retards the sleep. Dose: Three globules in a teaspoonful of water at bedtime. Belladonna is indicated when there exists a strong but ineffectual desire to obtain sleep, with frequent determination to sleep in spite of one's-self; when agitation or anguish, with frightful visions, timidity or 532 NIGHTMARE. terror, apprehension of real objects, &c, are complained of; or when the sleep is disturbed by frequent starting, when there is extreme sleep- lessness early in the evening or towards morning. Dose: Three globules in a teaspoonful of water at bedtime, until amelio- ration or change. China, amongst other antidotes of tea, will usually be found the most efficacious remedy, when sleeplessness occurs from abuse of strong tea. Dose: Three globules in a teaspoonful of water, morning and evening, for a week (or until earlier change). Chamomilla is more particularly indicated when sleeplessness, occasioned by the use of coffee, occurs in conjunction with other derangements, such as headache, colic, &c, in nervous, highly excitable and irritable subjects, who are extremely impatient, even under compara- tively trivial suffering. Dose: Three globules, as directed for Nux vomica. Cocculus is indicated when symptoms are present, such as those which have been mentioned under the head of Chamomilla, with this distinctive indication — that a sensation of emptiness or lightness is present. Dose: Three globules, as directed for Nux vomica. Moschus is useful in sleeplessness occurring in hysterical or hypo- chondriacal individuals, arising from nervous excitement. Dose: Three globules, as directed for Nux vomica. Diet and Regimen. The diet should be plain, easy of digestion, and unstimulating. Early rising should be adopted, and the sooner the patient can retire to bed before midnight the better, provided a suffi- cient time (at least two hours) is alloAved to elapse after the last meal, which should be a light one, has been disposed of. Regular exercise should be taken, but over-fatigue of body or mind must be abstained from; hot rooms are to be avoided ; and the bedchamber should, if possible, be light and Avell ventilated. Bad sleepers ought, moreover, to be accustomed to a hard bed; and they should be supplied with light but warm bedclothes, rather than those which are thick and weighty, when the season requires it. Bed-curtains ought to be entirely dis- pensed Avith, particularly those Avhich are heavy, and overhang or sur- round the whole bed, so as to intercept the free circulation of the air. When the sleeping chamber is not large and airy, it is generally advisable to sleep with the door ajar, or even with the window open. The windows ought to be thrown open as soon as the sleeping apart- ment is vacated, and the bedclothes suspended or turned down, so as to be well exposed to pure atmosphere. Most plants give out a noxious vapor during the night; they ought, therefore, to be excluded from a dormitory. NIGHTMARE. When this well-known and distressing disturbance occurs very fre- quently, and in an aggravated form, it becomes necessary to prescribe for it. ACUTE INFLAMMATION OF THE SPINAL CORD. 533 TREATMENT. Aconitum should be given when there is considerable febrile ex« citement, Avith quickness of pulse, thirst, palpitation of the heart, heat in the face and head, oppression at the chest, anxiety, and agitation. A dose of Aconite may be taken immediately after an accession of nightmare, when the patient feels hot and feverish, and much excited, even if some other remedy is employed against the source or primary cause of the complaint. . Dose: Against the immediate symptoms, when the sleep is disturbed, cne dose should be taken, consisting of three globules in a teaspoonful of water. AArhen indicated by the general condition of the patient, give two globules in a teaspoonful of water, night and morning, for six days (or until the earlier development of improvement or change); then pause four days ; after which consider the subjoined medicines, and proceed accordingly, with renewed treatment, if necessary. Nux v., when nightmare is occasioned by sedentary habits, the habitual indulgence in spirituous or malt liquors, &c. Dose: Two globules in a teaspoonful of water, every night at bedtime, for a week, or until the earlier occurrence of decided amelioration or change. Pulsatilla, when there is derangement in the digestive functions, arising from gross living, heavy suppers, &c. Dose: Three globules, as directed for Nux vomica. Opium is a remedy of importance in all cases of a severe charac- ter ; but particularly Avhen, during the attack, the respiration is nearly suspended or snoring, the eyes only half closed, the mouth open, the countenance expressive of extreme anguish, and bedewed with cold perspiration ; slight convulsive motions or twitchings. Dose: Two globules, as directed for Nux vomica. Sulphur will generally be required in cases in which such of the foregoing medicines, as have been more especially indicated, may have failed entirely to remove the tendency to attacks of nightmare; and in such instances it will usually suffice to complete the cure, if the excit- ing causes be at the same time avoided. Dose: Two globules, as directed for Nux vomica. Diet and Regimen. Every apparently exciting cause of the attack must at the same time be avoided ; the diet should be light and Avholesome, suppers altogether abstained from, and a glass of cold water taken instead, on retiring to rest. Daily exercise in the open air, the shower-bath, or sponging with cold water, every evening, are useful preventives or auxiliaries during treatment. ACUTE INFLAMMATION OF THE SPINAL CORD AND ITS MEMBRANES. Characteristic. This affection is indicated by pain, more or lesa Bevere, in some cases of an intermittent character, either confined to the mgion of the loins, back, or neck, or embracing the entire length of the spine. General Symptoms of Acute Inflammation. The pain is 534 ACUTE INFLAMMATION OF THE SPINAL CORD. aggravated by the slightest movement, and an exalted sensibility of various parts of the cutaneous surface is often perceptible, from the dread and shrinking which the patient exhibits at the slightest touch. Sharp pain at the pit of the stomach, sometimes spreading over thn whole of the belly, and increased on pressure; palpitation of the heart; sensation of constriction and Aveight in the fore part of the chest, with oppressed respiration ; small, quick, hard pulse, — are symptoms which are generally encountered in the course of the disorder. Varieties and their Symptoms. When the inflammation oc- cupies only a part of the cord, the symptoms vary according to. its locality. Thus: — (1.) When the commencement or upper portion is principally affected, squinting, spasm of the throat, lock-jaw, with loss of voice; spasm or other unnatural conditions of the muscles of the neck, chest, and superior extremities, with general convulsions, intense but of brief duration, declare themselves. (2.) When the middle portion of the cord is the seat of the inflam- mation, the body usually becomes rigidly curved backwards. (3.) When the lower region is seized, retention of urine, or paralytic or spasmodic affections of the bladder and lower intestine, are generally met with. [In each of the latter cases, the inferior extremities are commonly either convulsed or paralyzed.] (4.) When the membranes of the cord are principally or solely affected, the sensibility of the surface is said to be always increased, the spasms more frequently general, and of a lasting character, and the bowels are, generally speaking, confined. (5.) When the inflammation is confined to the substance of the cord, the sensibility is usually lessened, the muscles of the extremities are affected with brief spasm or paralysis, those of the back only being in a state of long-continued contraction, and diarrhoea has almost uni- formly been found to predominate. Chronic Inflammation of the spinal cord and its coverings is generally accompanied with a trivial degree of local pain, and its prom- inent features chiefly consist in derangement of the functions of the in- ternal organs, deprivation or diminution ofthe sense of feeling, paralysis, cramp, and emaciation. The chronic variety is even more dangerous than the acute. Issue and Results. The disease, when confined to the substance of the cord, may terminate in softening, induration, suppuration, gan- grene ; in effusions of a watery fluid, purulent matter, or blood; or in thickening of their structure, when the membranes have been the seat of the inflammation. The services of a physician should always be procured when practicable. TREATMENT. Aconitum must be prescribed in all cases where the accompany- ing fever is intense. Dose: Of a solution of eight globules to two table-spoonfuls of water, give a teaspoonful, repeating the dose*, after the lapse of two hours, and again (if the inflammatory symptoms be yet unallayed) after a further interval ACUTE INFLAMMATION OF THE SPINAL CORD. 535 . of four hours, and so on, so long as the fever and inflammatory sy nptoma (simply) afford the most prominent indications. • If, however, any of the subjoined symptoms occur, proceed accordingly. Belladonna is the most important remedy, when the upper part is the seat of the disorder. If from the invasion of delirium, &c, there is some reason to apprehend an extension of the inflammation to the brain, this remedy will still be the most appropriate, and, indeed, that on which we must rest our chief hope in so serious a complication of a malady sufficiently dangerous in its simple form. This medicine is further well indicated when the body becomes spasmodically bent backAvards, as the consequence of inflammation of the middle division of the cord, or when there are continued spasms affecting different parts occasioned by inflammation of the entire cord, or, more properly, of its enveloping membranes. Dose: Of a solution of eight globules to two table-spoonfuls of water, give a teaspoonful (or two globules dry on the tongue) every hour, until the more violent inflammatory symptoms, delirium, &c, abate, or general change takes place; after which extend the intervals to four hours, and continue the administration, if necessary (or consider one or more of the subjoined medicines), until important amelioration or change. Hyoscyamus is also required in cases of this kind, and is more especially indicated by violent convulsive jerkings, attended with cries; or when there is a meaningless smile, and a quick pulse, with swollen, turgid veins ; vivid redness of the tongue ; spasmodic clenching of the eyelids, with dilated pupils (as observed by examination), or red, im- movable, and convulsed eyes ; inability to SAvallow liquids ; sometimes frothy saliva about the mouth, extreme sensitiveness of the stomach to the touch, and involuntary discharge of excrement and urine. Hyos- cyamus is, moreover, appropriate for the treatment of long-lasting spasms resulting from inflammation of the entire cord, or of its envel- oping membranes ; and, again, in cases in which inflammation of the spinal marroAV has been occasioned by external injuries. Dose: In every particular as directed for Belladonna. Stramonium is more especially indicated, in similar cases to the above, by violent and frantic fits of delirium, the face being deep-red, puffed, and bloated, and the expression peculiarly vacant; grinding of the teeth, or extraordinary distortion of the features ; suppression of urine, and alvine evacuations; trembling of the hands and feet, and convulsive jerking or spasmodic attacks affecting the arms in particu- lar, but sometimes also the legs; bending backwards of the body in the form of an arch; imperfect articulation, or total loss of capability to articulate; fixedness and sparkling of the-eyes, Avith dilated pupils, which are, however, insensible, no attention being paid to objects which are passed before the eyes. Dose: In every particular as directed for Belladonna. Bryonia is often of service when there is delirium, running on very anxious thoughts, or on apprehensions for the future, characterized by utter despondency; and Avhen there is universal dry heat of the whole body, the eyes being glassy and apparently suffused Avith tears, or dull and turbid ; the face burning and red, and the lips dry, cracked, and 536 ACUTE INFLAMMATION OF THE SPINAL CORD. swollen; the tongue dry; or when there are convulsive movements in the arms, with painful stiffness of the knees; hot, dark-colored, and scanty urine, suppressed or hard, dry, and scanty stools; short, interrupted, and oppressed breathing, with violent pulsation of the heart; — this medicine being of service more especially in cases in which the inflam- mation attacks the upper and lower portion of the cord. Dose: In every particular as directed for Belladonna. Sulphur may not unfrequently prove of service either as an inter- mediary medicine, when such others as appear to be well indicated do not promptly moderate the symptoms, or after the previous employ- ment of one or more of the foregoing; and when general exhaustion appears to supervene after severe attacks of inflammation of the upper or lower portion of the cord; or more particularly when, notwithstand- ing the treatment previously directed, general convulsions ensue, at- tended with clenching of the teeth; or when the patient sinks into complete lethargy; or when low, moaning delirium succeeds to more violent frenzy, the eyes being half-open, the respiration snoring and laborious, and the position persistently on the back, the body remain- ing motionless, except as it is slightly shaken by feeble jerkings of the limbs; incoherent attempts to communicate the wants and wishes; ex- treme sensitiveness or total insensibility of the eyes to light; immova- ble and dilated pupils; trembling of the eyelids; dry and cracked tongue; frothy and putrid evacuations; involuntary micturition, &c, are further indications for this medicine. Dose: In every particular as directed for Belladonna. Arsenicum, Pulsatilla, and Digitalis may be named as of special service for cases in which the chest is prominently affected, as evidenced by laborious and anxious breathing, irregular action of the heart, &c, Avhether the upper or central portion of the cord be the seat of inflammation. The more particular indications, which should lead to the discriminative selection from amongst these medicines, may be gathered from the article on " Characteristic Effects," under the head of each respectively. Dose: Of either of these medicines, when selected, as directed for Belladonna. Veratrum, Nux vomica, Cocculus, and Ignatia are espe- cially appropriate when the bowels become prominently affected, and when coldness and spasms supervene in those parts, whether the upper or the lower portion of the cord be the seat of inflammation, but especially the latter. The particular symptoms which should lead to a discriminative selection between them, may be gathered from the arti- cle on " Characteristic Effects," under the head of each, respect- ively. Ignatia is, however, also of service in cases in which long-con- tinued spasms result from inflammation of the enveloping membranes of the entire cord, or when the body becomes spasmodically bent back- wards, owing to inflammation of the middle portion of the cord. Dose: Of either of these medicines, when selected, as directed for Belladonna. Rhus toxicodendron is indicated in cases in which the attack has been induced by prolonged exposure to wet, or when the following Bymptoms are encountered:—General spasm of the whole frame, bend- ACUTE INFLAMMATION OF THE SPINAL CORD. 537 ing the body backwards (in consequence of inflammation of the lower portion of the cord); — or Avhen the toes, in particular, are affected with distorting spasmodic contractions. Dose: In every particular, as directed for Belladonna. Opium is indicated by general and long-continued spasmodic con- tractions, or by spasmodic bending of the body backwards, accom- panied by noisy, snoring respiration, and apparent attacks of suffoca- tion ; trembling of the hands and arms ; convulsive jerkings of differ- ent parts of the body ; pale, ash-like and holloAV, or puffed, bloated, and red face; spasmodic twitchings at the corners of the mouth; fixed, half-closed, glassy, distorted, protruding eyes ; paralytic falling of the eyelids from muscular relaxation ; hardness of the belly ; very black and offensive motions, or suppressed evacuations; — or, again, involun- tary evacuations ; scanty, deep-colored, or suppressed urine ; lethargic, prostrate condition ; full, sIoav, intermittent pulse ; coldness of the skin throughout the body ; utter imbecility, and sometimes rambling, inco- herent expressions. Dose: In every particular as directed for Belladonna. Lachesis may be held to be one of the most reliable remedies in • those very severe and protracted cases of spasmodic rigidity, resulting from inflammation ofthe entire cord, or, more properly, of its enveloping membranes, which are attended Avith imminent danger, and which seem to resist all other appliances, — particularly when the pulse becomes intermittent, feeble, tremulous, irregular, or almost extinct, and cold sweat appears upon the surface ; — or when the whole surface, or only the feet, may become intensely cold, the complexion being earthy or lead-colored, and the countenance hollow, sunken, or collapsed. Dose: Two globules dry on the tongue, repeated, after the lapse of five, ten, fifteen, or twenty minutes, and so on, successively, until improvement or decided change becomes apparent. Arnica, Hyoscyamus, and Opium are more especially appro- priate for the treatment of inflammation of the spinal marrow result- ing from external injuries, and should, accordingly, be selected con- formably to the indications afforded for each, respectively, in the arti- cle on " Characteristic Effects." Arnica is, hoAvever, in most cases to be considered only for imme- diate administration after the occurrence of the accident, or again, in cases in which paralysis supervenes or threatens to result. Dose: In every particular as directed for Belladonna. Calcarea c, Stannum, Causticum, Sulphur, Silicea, Lachesis, and Zincum may be mentioned as the more important of those medicines which are appropriate to the chronic form of this disease, such as has been more particularly described at p. 534. The selection from amongst them should be conformable to the indications afforded under the head of each, respectively, in the article on " Char- acteristic Effects." Dose: Of either of these medicines, as selected, give four globules in a table- spoonful of water, the first thing in the morning (fasting), for a week (or until the earlier development of amelioration or change); then pause six days ; after which the course may, if necessary, be repeated as before, and 538 CEREBRO-SPINAL MENINGITIS. so on, from time to time, until decided and permanent amelioration or change. Diet and Regimen. During the prevalence of an acute attack of inflammation of the spinal cord, there is not such inclination to eat as need render particular directions respecting diet necessary. The thirst may, however, be intense, although there is often so constant a spasmodic closure of the throat as to render the admission of fluids im- possible. Water and toast-and-water alone, should be allowed as bev- erages. In the chronic form of the disease, as also for some time after an acute attack, the diet should consist of the lightest, and generally of fluid food ; every excess of exertion or source of excitement should be avoided, and, if possible, the quiet of a country retreat should be secured. CEREBRO-SPINAL MENINGITIS — SPOTTED FEVER. Characteristics. This disease almost always sets in suddenly, and commences with a chill, followed by headache and often vomiting; the pulse is greatly accelerated, while the heat of the body is not pro- portionably increased, and the breathing becomes more rapid; the headache becomes very violent; there is great restlessness; extraordi- nary prostration of strength ; great aching in all the limbs, with con- siderable sensitiveness to touch; stupor; convulsions; contraction of the nape or one side of the neck, throwing the head backwards or sideways; squinting and double vision; flabbiness of the enlarged tongue. These symptoms are found in most cases, and to them may be added a great many others of greater or less importance. The term spotted fever Avas applied to this disease from the fact that irregular, purplish spots, varying from the size of a pin's head to large patches, appear upon different parts of the body, most commonly upon the chest, abdomen, and thighs, on the second or third day of the disease. They do not grow white under pressure, have sometimes the appearance of measles, and are occasionally of a rose-colored hue. They do not appear in all cases. Results. This is a disease of great magnitude, and sometime? proves very rapidly fatal. Under the most approved allopathic treat- ment, the mortality has hitherto been absolutely appalling, but under homoeopathic medication much more favorable results have been attained. It most commonly attacks children, and is usually so viru lent, that the services of a homoeopathic physician should be obtained, in all cases where it is at all practicable. TREATMENT. Aconitum, Gelseminum, and Veratrum viride are reme- dies that will be found most useful, more particularly at the com- mencement of the disease. Aconitum should be administered when the febrile symptoms run very high, and should be followed by one of the , medicines mentioned in conjunction with it, as the symptoms indicating their use become prominent. The article on "Characteristic Ef- CEREBRO-SPLNAL MENINGITIS. 539 fects" should be carefully consulted, to aid in discriminating between them. Dose: Of either of these remedies, as selected, dissolve eight globules in three table-spoonfuls of water, and give of the solution a teaspoonful every two, three, or four hours, until the manifestation of improvement, when the intervals between the doses should at once be lengthened; or, if other symptoms should become manifest, indicative of one of the subjoined medicines, proceed at once to the consideration of that particular remedy. Belladonna and Hyoscyamus may be more particularly relied on Avhen cerebral symptoms predominate. Active delirium has set in, the patient is inclined to sleep, the white of the eye is greatly con- gested, the pupils are alternately contracted and dilated, or one pupil is contracted and the other dilated, spasmodic twitchings of the mus- cles ensue, and spasms, in which the body is bent backwards in the form of a bow. The article on " Characteristic Effects " and the pre- ceding article on " Inflammation of the Spinal Cord " (p. 533) should be consulted. Dose: In every particular as directed in the preceding prescription. Bryonia or Rhus toxicodendron should be resorted to when the high inflammatory condition seems to give way to one of a typhoid character, and more particularly when the following symptoms present: Lock-jaw ; partial loss of consciousness; stupor, Avith an expression of deep suffering in the countenance; difficulty of protruding the tongue; the corners of the mouth are draAvn down; the muscular pains are very severe. A very great degree of restlessness and uneasiness is more especially indicative for the use of Rhus tox. The article on "Characteristic Effects" and that on "Inflammation of the Spinal Cord," &c, should be carefully consulted, in order to aid in discriminating between these two valuable agents. Dose: In every particular as directed for Aconitum, §c. Arsenicum should be administered in the advanced stages of the disease, when the symptoms indicate a very great degree of poisoning of the blood, and when there are foul discharges from the bowels, and the purple spots are of a very dark hue and malignant-looking. Dose: Two globules should be administered, dry upon the tongue, every one, two, or three hours, as may be deemed most advisable. Opium may be resorted to when the stupor and the paralytic symptoms do not yield to Belladonna or Hyoscyamus, or exhibit a tend- ency to become inveterate. Dose: In every particular as directed for Aconitum, Sec. Cuprum aceticum has been used with benefit to the paralytic symptoms and the mental derangement which sometimes remain as sequelse of severe attacks of this disease. Dose: Three globules in a teaspoonful of water, every morning and evening, until the manifestation of improvement or change; the course to be re- peated, if deemed advisable. Arnica, Cimicifuga, and Crotalus may be mentioned as med- icines that may be indicated during the course of the disease : indica- tions for the use of each, individually, may be gathered from the article on " Characteristic Effects." 540 PALSY, or paralysis. Dose: Of either of these medicines, when selected, as directed for Aconi- tum, Sfc. Diet and Regimen. The remarks found under this heading in the article on " Inflammation of the Spinal Cord," &c, relating to acute attacks, are equally applicable to this disease. It may be remarked, however, that stimulants, alcohol for instance, are admissible, and may be resorted to when there is a tendency towards sinking, but should even then be very cautiously administered. When it is decided that stimulants may be resorted to, two teaspoonfuls of pure alcohol should be added to eight teaspoonfuls of water, and a teaspoonful of the solution given every half-hour, or hour, as the case may seem to indicate. PALSY, OR PARALYSIS. This affection consists in the abolition or diminution of the power of voluntary motion. It usually comes on suddenly, but in some instances it is preceded by numbness, coldness, paleness, and slight convulsive jerking or twitching in the parts affected. TREATMENT. Arnica is especially appropriate when the paralytic weakness affects the joints generally, or the hip and knee joints in particular; more particularly if the paralysis results from rheumatism. Dose: Three globules in a teaspoonful of water, night and morning, for a week (or until earlier change); then pause for six days; after which the course may, if necessary, be repeated as before, and so on, from time to time, until manifest amelioration or change. But if only partial effect should result after the completion of the second course, consider some other medicine. Rhus toxicodendron should be employed for paralysis resulting from rheumatism, after getting wet, or after great muscular exertion; painful stiffness of the whole body, frequently with numb feeling in the parts, worse during rest and when first commencing to move, and from every change to bad weather. Dose: In every respect as directed for Arnica. Sulphur is a medicine of paramount importance in all obstinate and protracted cases, and may be most advantageously employed after other remedies, or even as an intermediary remedy, during other treat- ment, in cases in which the medicine, thus particularly indicated, either seems to fail in producing any impression upon the malady or produces only partial and inadequate effect. Dose: If as an intermediary remedy, pause four days after the last dose of the remedy previously employed; then give six globules in a table-spoonful of water, the first thing in the morning (fasting), repeating the dose after the lapse of twenty-four hours, then pausing six days, and, subsequently, resuming the previous course of treatment. If as a consecutive medicine, give six similar doses in succession, at intervals of twenty-four hours (paus- ing, however, upon any earlier manifestation of amelioration or change); then pause ten days, after which the course may, if necessary, be repeated, and so on, until decided amelioration or change. Cocculus is a most valuable medicine for paralysis affecting the PALSY, OR PARALYSIS. 541 face or tongue, or other parts of the body, occurring in weakened and nervous subjects who have been for some time in ill health, and Avho are inclined to fainting fits and palpitation of the heart; likewise when occurring after apoplexy. Dose: In every respect as directed for Arnica. China or Ferrum may be required for the treatment of cases of paralytic debility, resulting from excessive loss of blood, or of other fluids. The particular indications Avhich should lead to a discrimina- tive selection between them, may be determined, by reference, under the head of each, respectively, to the article on " Characteristic Effects." Dose: Of either of these medicines, when selected, give three globules, in every respect as directed for Arnica. Nux vomica should be given in cases in which the paralysis is incomplete, and is accompanied by vertigo; weak memory, darkness before the eyes, ringing in the ears, and general gastric derangement; more especially if occurring in drunkards. Dose: In every respect as directed for Arnica. Opium is a medicine of great value in cases in which habitual exposure to the vapor of lead, or to the deleterious effects of handling white lead, has developed complete torpor and palsy of the legs, as well as of the arms, — further characterized by livid swelling of the parts, and when there is, moreover, general relaxation of the muscles of the face, — the bowels being obstinately confined, or the motions very hard, black, and offensive. Dose: In every respect as directed for Arnica. Belladonna is to be preferred in cases of paralysis resulting from the deleterious effects of lead when the palsy affects the lower extreme ities, and there is also torpor of the arms and hands, with stiffness of the hip-joint, and when the evacuations are suppressed, or hard and insuf- ficient. It is also indicated in cases of paralysis following apoplexy, and where there is a predominance of cerebral and congestive symptoms; or AAhere the tongue is paralyzed, with sensation of heaviness in it, and trembling of the organ Avhen protruded. Dose: In every particular as directed for Arnica. Gelseminum is particularly indicated Avhen there is loss of mo- tion, but sensation is preserved; and when the paralysis has been pre- ceded for some time by vertigo and heaviness of the limbs. In paraly- sis occurring after diphtheria it is frequently of very great service. Dose : In every respect as directed for Arnica. Causticum is appropriate to the treatment of paralysis of the muscles ofthe face, as evinced by the relaxation of the features, the powerless falling of the eyelids or of the lower jaw, &c. Its selection may more accurately be determined by reference to the article on " Characteristic Effects." Dose: In every respect as directed for Arnica. Phosphorus should be employed for paralysis occurring from spi- 542 HERNIA — RUPTURE. nal affections, after sexual excesses, or after child-birth. Tingling and tearing pains running from the back down into the limbs. Dose: In every respect as directed for Arnica. Plumbum will be found useful occasionally in cases of complete paralysis, with trembling and emaciation, and accompanied by mental derangement. Dose: In every respect as directed for Arnica. Lachesis is of great value in those severe cases in which either the mouth and tongue are intensely dry, or there is copious drivelling of watery saliva, and when the tongue is of a glossy, bright-red hue, and cracked and swollen, or when the articulation of particular sounds fails. Dose: In every particular as directed for Arnica. Arsenicum, Baryta c, Graphites, Caulophyllum, and Cuprum may be appropriate for the treatment of particular cases of paralysis; wherefore, Avhen neither of the foregoing appear to corre- spond with the indications above detailed, it were desirable to refer to the article on " Characteristic Effects," under the head of each of these, respectively, to determine more particularly as to the treatment. Dose: Of either of these medicines, as selected, exhibit three globules as directed for Arnica. ADDITIONAL DIRECTIONS. The article on "Characteristic Effects" should be carefully consulted, under the head of each of the above medicines, respectively, in order the more accurately to determine the appropriate remedy. The article on " Apoplexy " may also be referred to as containing some valuable indications. ACCESSORY MEASURES. Electricity or galvanism, in moderation, is frequently of considera- ble service in facilitating the cure, or, at all events, in promoting im- provement in obstinate cases, and particularly when painful jerkings or twitchings frequently take place in the affected parts. Diet and Regimen. In the generality of cases of palsy, other than those incidental to loss of animal fluids, the diet should be very sparing, simple, light, and unstimulating, and, generally speaking, little solid food should be allowed, — even in the latter case, the food should be strengthened in quality and increased in quantity, by very slow degrees, and only as evidence of a healthy process of digestion is manifested. Stimulating or irritating articles of food and strong drinks should be habitually avoided by those who have once been affected with paralysis, as being likely to induce a return of the attack. HERNIA—RUPTURE. Characteristics. By this term is understood a spelling occa- sioned by the protrusion of some of the boAvels from the cavity of the belly. In the generality of cases, the displaced intestines are included HERNIA — RUPTURE. 543 or contained in a bag, derived from the membrane which lines the walls of the belly and invests the bowels, which they push before them in their descent. The situations in which the swelling most commonly makes its appearance are the navel, the groin, the scrotum, the labiae pudendi, and the upper and anterior part of the thigh; but it may occur at various other parts. Varieties, &c. The parts which are most frequently protruded are—(1.) the omentum, which consists of folds of the investing mem- brane of the boAvels connected together by cellular tissue, and lies upon the anterior surface of the boAvels, being attached superiorly to the stomach and transverse portion of the large intestines; — (2.) the small and large intestines; — or (3.) a portion both of omentum and intes- tine. General Symptoms. A rupture, for the most part, appears suddenly after some violent corporeal exertion ; or, where a predisposi- tion exists, OAving to some local or general weakness, after even the slightest exertion, such as coughing, sneezing, straining at stool, &c, it may occur suddenly or gradually. It presents an indolent and usually soft and elastic tumor, at some of the points or situations already referred to. The SAveiling is subject to a change of size ; being smaller, or quite imperceptible, when in the recumbent position ; larger or only apparent on assuming the erect posture, and particularly when taking a full breath, coughing, or sneezing ; also on walking or standing long after a hearty meal. It is frequently diminished, or caused to recede completely when pressed upon, but returns as soon as the pressure is removed. Vomiting, constipation, colic, and other signs of a deranged state of the stomach and intestines, are frequent concomitants of rup- ture, arising from the unnatural situation of the intestines. Issue and Results. Rupture is termed reducible, when it can at any time be readily returned into the abdomen, and when, in an unre- duced state, it is productive of no pain or hindrance to the perform- ance of the intestinal functions ; irreducible, when it cannot be replaced, in consequence of its bulk, or from the contraction of adhesions; and strangulated, Avhen the protruded parts are not only incapable of being returned, but are moreover affected with constriction, pain, and inflam- mation, attended with nausea, frequent retching or vomiting, tension of the belly, obstruction of the bowels, quick, hard pulse, and more or less fever. If the return of the intestine be not effected under such a state of matters, an aggravation of all the said symptoms at first en- sues, and subsequently the vomiting is exchanged for a convulsive hiccough, with frequent bilious eructations; after the abdominal tension, fever and extreme restlessness have continued for a few hours in an in- creased degree, the patient suddenly becomes relieved from pain, the pulse Ioav, feeble, and intermittent, the eyes dim and glassy, the belly ceases to be tumid and tense, and the skin, particularly that of the extremi- ties, becomes cold and moist; theruptural swelling disappears, and the skin over the part often changes to a livid hue, but invariably conveys a crackling sensation to the touch, indicative of the establishment of gangrene: finally, spasmodic shuddering and convulsive twitching in the tendons supervene, and death soon terminates the scene. 544 HERNIA — RUPTURE. TREATMENT. When the disease has not been neglected, or is not of long standing, it may be cured by means of internal homoeopathic remedies. No truss should be applied until the rupture is completely reduced; and care should then be taken that the truss fits properly, as it is intended only to keep the rupture from protruding, and not for effecting a cure. Mechanical Means of Reduction. In effecting the reduction of a rupture by manipulation, the patient should be laid upon his back, a pilloAv being placed under the chest and lower part of the back, so as to curve the trunk of the body, and thereby relax the muscles of the belly. If the case be one in which the tumor is developed in the groin or at the inner side of the bend of the thigh, the muscles, &c, of the thigh must also be relaxed, by placing the limb in a state of flexion, so as to be rotated inwards. Then gently compressing the tumor, we should push upwards and out- wards, in the case of rupture of the groin ; and first backAvards and then upAvards, in the case of ruptural tumor of the bend of the thigh, if the tumor be small; but first dowmvards, and then backAvards and upwards, when it is large and has passed farther up. In navel rupture the pressure should be made directly backwards. In most cases, the following simple method maybe pursued by the uninitiated: — Place the left hand on the swelling as if for the purpose of grasping it, then introduce the fore and middle fingers of the right hand between the thumb and fingers of the left, on the top of the tumor, and rub and press it gently ; persevere softly and patiently for half an hour and upwards when the rupture is considerable. The palm of the hand should also be occasionally employed, by giving it a rotatory motion combined with gradually increasing pressure, especially when the tumor begins to diminish in bulk, or when it has been small from the first. Even strangulated rupture is capable of being reduced by the hand with facility, after the employment of the proper remedies; the operation, Avhich is always more or less dangerous, being thereby avoided. When the rupture is painful and very tender to the touch, medicine must first be prescribed to remove the irritability ; after which the protrusion has often been found to recede of itself. In some cases, the application of warm fomentations to the part reduces the rupture, and the general relaxing effects of a Avarm bath are well known as be- ing useful in facilitating reduction. The application of crushed ice, enclosed in a bladder, has also been employed with good effect. The following medicinal appliances have been strongly recommended, when the symptoms encountered are as described. Medicinal Treatment. Aconitum should be employed when there is considerable fever, with quick, hard, full pulse, inflammation of the affected parts, with excessive sensibility to the touch ; violent burning pain in the abdo- men ; bitter, bilious vomiting; agonizing restlessness, and cold perspir- HERNIA— RUPTURE. 545 ation. In the majority of cases, marked benefit has resulted after the administration of the first dose of Aconitum, under the circumstances mentioned. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful. repeating the dose, at intervals of half an hour or an hour, until decided change. But if little or no amelioration result within an hour after the third dose, (or sooner, if the following indications occur,) proceed with the next medicine. Sulphur should be administered four hours after the third dose of Aconitum, if the last-named medicine has not been productive of decided improvement; or it should be employed earlier, if the sub- joined conditions become strikingly manifest, viz., if the bilious eruc- tations and vomiting become of an acid character. If, after the first dose of Sulphur, the patient should fall asleep, the best of all methods is to encourage rest by abstaining from any interference, by darkening the apartment, avoiding noise, and simply watching for any change. Dose: Two globules in a teaspoonful of water, repeated at intervals of an hour, if necessary. • Nux vomica is to be preferred when the tumor is not so painful or tender to the touch as above mentioned, and the vomiting less severe, but Avhen the respiration is oppressed and laborious, and the strangulation has arisen from errors in diet, from exposure to cold, from being overheated, or from a violent fit of passion, &c. Dose: In every particular as directed for Aconitum. Opium should be employed after Nux v., if the last-named medi- cine should have been productive of no effect. Opium is, moreover, to be preferred from the onset, should there be hardness and distension of the abdomen, putrid eructations, or even vomiting of fsecal matter. Dose: If as a consecutive remedy after Nux vomica, of a solution of six glob- ules to two table-spoonfuls of water, give a teaspoonful every hour, until decided amelioration or change. If individually indicated from the onset, repeat similar doses every quarter of an hour, until decided amelioration or change. But if, in the latter case, little or no decided effect should have resulted within a quarter of an hour after the fourth dose, pause three quarters of an hour longer, and proceed with the next medicine. Lycopodium may be had recourse to after Nux v., in preference to Opium, when the abdomen is much distended with wind. Dose: A solution of six globules, as directed for Opium. Plumbum should be administered an hour after the fourth dose of Opium, when that medicine (being particularly indicated, as above stated,) has failed to produce prompt and decided effect. Dose: A solution of six globules, as directed for Opium. Veratrum should be administered when there are retching and vomiting, with cold, moist skin, and coldness ofthe extremities. Dose: A solution of six globules, as directed for Opium. Belladonna should be given an hour after the second dose of Vera- trum, in case= in Avhich that medicine has failed to produce a decided change in the state ofthe patient. Dose: A solution of six globules, as directed for Opium. 35 646 HERNIA — RUPTURE. Neglected and very Serious Cases. In cases of this kind, and when the symptoms more particularly de- scribed under the head of the following medicines occur, if no profes- sional aid be within reach, the subjoined method of treatment should be promptly adopted. If professional assistance be secured, the prac- titioner would, probably, determine upon the operation, a method which is always more or less hazardous, and which should be discouraged until the under-mentioned medicines have proved evidently inadequate to restore the patient, particularly as it is to be borne in mind, that if symptoms of immediate danger to life do not, supervene, no mischief can result from the delay, and because these medicines will, in many cases, obviate the necessity for an operation. If, however, symptoms of imminent danger should supervene, or the medicines should fail, a professional adviser, being at hand, should be suffered to operate. Lachesis should be promptly administered Avhen the case has been neglected, or Ave find the malady already advanced so far, on reaching the patient, that the skin over the rupture has assumed a livid hue, and there is reason to apprehend the invasion of gangrene. Dose: Of a solution of eight globules to two table-spocnfuls of water, give a teaspoonful, repeated at intervals of a quarter of an hour, until four doses have been given (or earlier change); then pause an hour; after which, if no decided effect has resulted, proceed with the next medicine. Arsenicum should be given an hour after the fourth dose of Lachesis, in cases in Avhich the last-named medicine has not been pro- ductive of decided amelioration. Dose: A solution of eight globules, as directed for Lachesis. Rhus toxicodendron may serve to avert a catastrophe in ex- treme cases, when no surgical aid is within reach, and when both of the preceding medicines have been ineffectually administered. In less argent cases arising from straining, and particularly if the patient has at the same time been exposed to wet, Rhus is, again, a useful remedy. It is also of service to persons who are predisposed to rupture, or who have previously suffered from incarceration of the protruded bowel, &c, when threatening symptoms ahvays become manifest in wet relax- ing weather. Dose: A solution of eight globules to two table-spoonfuls of water, adminis- tered by teaspoonfuls (or two globules dry on the tongue), repeated at intervals of ten, fifteen, and twenty minutes successively, and then every half hour, until a decided change for the better becomes apparent; after which the intervals should be extended to three hours, and the adminis- tration thus continued, until such amelioration follows as to warrant at least a temporary suspension of treatment. Diet and Regimen. It is obvious that during the continuance of the acute symptoms, described in the foregoing regulations for treat- ment, taking food will be inadmissible. In less urgent cases, however, should the patient express a desire for food, fluid, mucilaginous prepa- rations may be alloAved, and when all inflammatory or febrile symp- toms have subsided, if the patient be much exhausted, some very thin and weak beef-tea may be administered in very small quantities at a time. Solid food should for some time be withheld, and but very FAINTING. 547 cautiously and gradually given after and during the progress of recov- ery. It is needless to add that perfect quiet is essential; and that the position in which the patient is placed and retained, should be such as has been described under the head of " Mechanical Means " (at p. 544), as favoring the reduction of the rupture. FAINTING — SWOONING. It is proposed here chiefly to treat of that kind of fainting which proceeds from some manifest cause, such as transitions from cold to heat, breathing vitiated atmospheres, great fatigue, loss of blood, long fasting, deranged digestion, grief, fear, and other mental emotions; and not of those serious and dangerous forms which arise from diseases of the heart or great vessels, or from excessive loss of blood. TREATMENT. General Management of the Patient. When fainting occurs, let the patient be immediately removed to where a stream of pure fresh air can be obtained, and let all tight clothing about the neck, chest, and stomach be loosened; the patient should, at the same time, be placed in a comfortable position, with the head low. If the foregoing prove insufficient to effect restoration, sprinkle cold fresh water on the face and neck, and, if necessary, on the pit of the stomach. Should there still be no marked benefit pro- duced, or if the patient becomes cold, a little spirits of camphor may be applied to the nose. In cases in which the fainting fit or fits have been induced by loss of blood or of other fluids, or by any exhausting depletion, wine, in very small quantities at a time, or a little bread or biscuit soaked in wine, and sometimes a little strong soup, may be administered when the patient has rallied. MEDICINAL TREATMENT. China should be classed as the most serviceable remedy in general cases of fainting of a mild character, but more especially where fainting proceeds from loss of blood, or other debilitating causes. Dose: Three globules in a teaspoonful of water, repeated once, after an interval of six, and then after a lapse of twelve hours, if necessary. Nux vomica. In cases where fainting is caused by excessive mental application, or occurs in those who have been addicted to the excessive use of ardent spirits, or arises from debility, this remedy is particularly appropriate, particularly if it occurs after a meal, in the morning, or after taking exercise; with nausea and pale face. Dose: Three globules in a teaspoonful of water, once a day for a week (or until earlier change) ; then pause six days, after which the course may, if necessary, be repeated as before, and so on, until decided amelioration or change. Aconitum is of service Avhen there is palpitation of the heart, with determination of blood to the head, humming in the ears; or 548 FAINTING. .when the paroxysms come on usually on assuming the erect posture, and are accompanied by shivering and flushing of the face, succeeded by deadly paleness ; or when occurring from fright. Dose: Three globules, as directed for China. Coffea may be prescribed after Aconitum (being administered twenty-four hours after the last dose of that remedy) in highly excita- ble or nervous subjects, when the fainting-fit has arisen from fright, and the last-named medicine has not afforded much relief. Dose: Three globules, as directed for China. Hepar sulphuris, when the fits generally come on towards even- ing, and are preceded by giddiness; or when slight pain causes fainting. Dose: Three globules, as directed for Nux vomica. Lachesis, when the fainting-fits are either preceded, accompanied, or followed by asthmatic symptoms, giddiness,paleness of thtface, nausea, vomiting, convulsions, spasms of the jaw, rigidity of the body; bloated appearance of the face, bleeding of the nose, aching pain or stitches in the fore part of the chest, or cold perspirations. Dose: Three globules, as directed for Nux vomica. Moschus. Fainting-fits, attended with spasms in the chest, or succeeded by headache, and occurring towards evening, during the night, or in the open air. Dose: Three globules, in other respects, as directed for Nux vomica. Veratrum, when the attacks are excited by the slightest fatigue; or when they are often preceded by a feeling of extreme anguish and excessive dejection, or despair, and accompanied by spasmodic clenching of the teeth, and convulsive movements of the eyes and their lids. Dose: Three globules, in other respects, as directed for Nux vomica. Nux moschata is adapted to the general disposition to faint, par- ticularly in females Avith suppressed or otherwise irregular menstruation, and wh« are constantly drowsy, even after a good night's sleep. Dose: Three globules, as directed for Nux vomica. PRECAUTIONS. Persons who are subject to fits of fainting or swooning should, if possible, strictly avoid all those frequent causes of fainting-fits which have been alluded to at the commencement of this article; as, also, where practicable, any other cause known by experience to be produc- tive of the attacks; otherAvise the cure will be rendered difficult, or even hopeless. Diet and Regimen. With whatever cause fainting be associated when it is of frequent occurrence, inasmuch as it indicates a greater or less degree of debility, or of functional or organic disease, the diet should be as plain and unstimulating as possible, but should, in the absence of inflammatory symptoms, be nutritious and strengthening. Early and regular hours, and exercise in the open air (short of fatigue), are also of importance as accessories to the cure. In very obstinate cases, change of air and scene become necessary. HEADACHE. 549 HEADACHE. Headache is often but symptomatic of disease, and, in such .ases, is only to he cured by the removal of the primary affection. When, therefore, it arises from derangement of the stomach, constipation, cold in the head, mental emotions, congestion of blood in the vessels of the head, &c, the remedies most appropriate to the treatment of these dif- ferent disorders must be had recourse to. TREATMENT. Belladonna is of the chief importance when headache is periodical or nearly constant, and the pain is increased by the slightest movement, either of the head or body, and particularly on stooping, or by moving the eyes; or when a bright light or the most trivial noise tends to aggravate the pain, Avhich consists of a dull pressure at the crown of the head, or is of a lancinating description, and occupies either the entire head, or merely one side, extending from the back of the head into the orbit and root of the nose, and is then described as a violent, screwing, piercing, bursting, or tearing pain, sometimes attended Avith great heat at the crown of the head ; or when the seat of the pain is in the forehead, and is of a dull, aching, or cutting description, attended Avith redness and Avatering of the eyes, fulness and throbbing of the vessels at the temples, sometimes flushing of the face, and a sense of fulness or a feeling as if the brain Avould be forced through the fore- head on stooping. At times these pains become so violently increased as almost to deprive the patient of consciousness whilst they last; or the headache is attended with extreme restlessness, sleeplessness, and delir- ium ; and there is falling off of the hair in consequence of the head- aches. Occasionally there is secondary or sympathetic irritation of the nerves of the stomach, giving rise to nausea, eructations, inclination to vomit, or actual vomiting, and a sensation of weight, or a pressive, aching pain in the region of the stomach. Dose: In acute cases, three globules in a teaspoonful of water, repeated at intervals of four hours, until amelioration or change. In chronic cases the like dose repeated, at intervals of twelve hours, until decided improve- ment or change. But if little permanent improvement should be effected within four hours after the third dose (in acute cases), or within twelve hours after the sixth dose (in chronic cases), consider the subjoined medi- cines, and proceed accordingly. Platina answers well, in some cases, after Belladonna, when the pain is chiefly lateral, and of the same description; or when there is, at the same time, coldness of one half of the face, &c, with humming or buzzing in the head. Dose: Three globules, as directed tor Belladonna. Mercurius is often of service in effecting a cure in cases in which a third or sixth dose of Belladonna (as above specified) has failed in effecting more than temporary relief. The remedy is, however, more especially indicated by rending and burning or lancinating and piercing pains, generally lateral, sometimes extending to the teeth and neck, with shooting in the ears; tightness round the head ; excessive noc- 550 HEADACHE. turnal aggravation of the headaches, often accompanied by profuse BAveating. Dose: Three globules, as directed for Belladonna. Sepia is one of the most valuable remedies in the treatment of severe and inveterate megrim. It is more especially required in peri- odical headache aggravated by mental emotion, particularly in hyster- ical females ;* the pain is either of a lancinating description, or it is a pressive, aching, shooting, or a tearing, piercing, or jerking pain, and affects the whole head, or is merely seated under the eye, or occupies one half of the head or forehead; in the latter case, the pain is expe- rienced chiefly in the morning, and is frequently attended with extreme sensibility of the eyes to the light. Sepia is also very efficacious in cases of obstinate megrim, with violent piercing or rending pain, inter- mingled with lancinations so excruciating that the patient is afraid to move, and can only obtain a trivial degree of relief by remaining per- fectly quiet with the eyes closed ; at other times the pain is so violent as to cause the patient to scream out, and is attended with heat in the head, or faintness and giddiness, followed by nausea and vomiting. The source of the nervous headaches Avhich call for the employment of Sepia is to be found in derangement of the digestive organs, or more particularly of the womb in the case of females. The headache is, consequently, a secondary and not a primary affection. We accord- ingly find that it is of the greatest efficacy in cases attended with green sickness, or with whites in the intervals between the periods, when a sensation of heat and fulness in the lower part of the belly, and also a peculiar offensive-smelling sweat, particularly in the armpits and in the soles of the feet, prevail; lastly, pale, dirty, or yellowish complexion, shrunken features, or a countenance expressive of suffering; spare habit of body; constipation. Dose: Three globules in a teaspoonful of water, morning and evening, for a week (or until earlier change) ; then pause six days, after which the course should, if necessary, be repeated as before, and so on, until decided and permanent improvement or change. Glonoine is particularly efficacious for headaches occurring from exposure to the sun; or for headaches which, coming on almost daily, increase as the sun rises, and decrease as it sets. Congestion of the brain; throbbing, pulsative pain from below upwards, with fulness and feeling of enlargement of the head; it feels like the motion of waves in the brain ; congestion of the eyes; ringing in the ears; pal- pitation of the heart; inability to wear the hat. Dose: In every particular as directed for Belladonna. Silicea is especially useful where a sensation is experienced as if the brain were about to protrude through the forehead or eyes; or pain so severe that the head feels as if it would split; or semilateral, shoot- ing, rending pains, commencing at the temple, and*extending to the nose, the upper and lower jaw-bones and teeth of the same side. When there is a tendency to frequent sweating of the head, or when there is frequently great tenderness of the scalp, Silicea is further indicated. Dose: Three globules, in every respect, as directed for Sepia, HEADACHE. 551 Bryonia. Aching, piercing, or digging, tearing pain, at a small fixed spot; or piercing, aching pain in the forehead daily after a meal, or coming on in the morning, and aftenvards becoming lancinating; or pain coming on in the morning, disappearing in the afternoon, and returning again in the evening Avith great violence, when it is attended with a sensation as if the head Avere pressed together, particularly at the temples; burning, tearing pain over the entire head ; shootings in one side of the head. The pains are increased by movement, and are attended with irascibility and disposition to chilliness or shivering; they are sometimes relieved or terminated by a fit of vomiting. Dose: In every particular as directed for Belladonna. Nux vomica should be employed Avhen the following symptoms are complained of: —Pain commencing with a slight pressure, or a sen- sation of coldness at the part which is subsequently affected, succeeded by throbbing, and then an intense shooting, piercing, rending, or stunned pain confined to a small space, which can frequently be cov- ered with the point of the finger, and is extremely sensitive to the touch; or the pain causes a sensation as if a nail were being driven into the head; at other times the pain extends over the nose down to the lip, and also to the gums; or, on the other hand, it commences at the eyelid or the orbit, causing a constant flow of tears, and extends over the forehead and temples to the ears, back of the head, and nape of the neck; or it is seated in the crown of the head, and produces a sensation as if the head would split or were being opened at the top; or rending, aching pain, affecting only one side of the head, sometimes combined or alternating with shooting; the pain becomes heightened to such a degree occasionally, and more particularly in the morning, as wellnigh to drive the patient to despair, or deprive him of conscious- ness ; great heaviness of the head, and sensation as if the brain were bruised or lacerated ; tenderness of the scalp. The pains are aggra- vated by movement, such as walking or stooping, or by reflection ; also after eating, or on going into the open air, and are frequently attended with considerable giddiness or confusion in the head ; the headache is generally attended with extreme irascibility, and is renewed or aggra- vated after partaking of coffee, the constant habit of drinking which, and of over-indulging in vinous or spirituous liquors, as also the con- stant addiction to sedentary habits-, or to severe mental application, are not unfrequently causes of the complaint; sudden attacks of this head- ache are frequently excited by a fit of passion, a fright, the effects of a chill, or an overloaded stomach. Constipation, and suffering from piles generally attend the symptoms which call for Nux v. in males; and in women, too early and too protracted periodical returns, together with a costive state of the bowels. Dose: Three globules, as directed for Belladonna. Rhus toxicodendron is sometimes of service after the previous administration, whether of Nux vomica or of Bryonia, and is more especially indicated by such symptoms as the following : — Shooting and rending pains, extending to the ears and root of the nose ; burn- ing and pulsative pains ; headache after a meal, Avith desire to lie down 552 HEADACHE. and to remain motionless ; fulness and weight ofthe head; renewal of the headache upon the slightest contradiction, or on going into the open air; sensation of undulation in the brain at every step; or sensation as if water were in the head, or as if the contents of the skull were in a relaxed or loosened state, and shifted about with every movement of the head ; feeling of creeping or crawling in the head. Dose: Three globules, in every particular as directed for Belladonna. Pulsatilla is a remedy of great value for the treatment of megrim, characterized by rending or shooting pains, with heaviness of the head, giddiness, dimness of the sight, sensibility to light; or buzzing or singing in the ears, and earache; nausea, paleness of the face, low- ness of spirits; headache, Avith pain in the nape of the neck; aggra- vation of the headache, with chilliness, towards evening, during repose, or particularly when sitting; amelioration in the open air. Disposi- tion mild ; temperament phlegmatic. In females, retarded periodical returns. Dose: In every respect as directed for Belladonna. Ignatia is especially appropriate for one-sided headaches, proceeding from irritation of the spinal nerves, or may be required in cases in Avhich the previous administration of Pulsatilla, as just described, has been attended with imperfect results. It is also an excellent remedy, and should be preferably selected, in cases in which the pain is confined to a small space, and causes a sensation as if a nail were being driven into the brain; also Avhen the pain is of a pressive, aching, or of a shoot- ing description, proceeding from within outwards, and chiefly confined to the forehead and root of the nose; and when there are nausea, dim- ness of the sight, and sensibility of the eyes to light; paleness of the face, and temporary alleviation from change of posture; aggravation from noise or strong odors, or after partaking of coffee. Ignatia is, moreover, especially applicable to nervous, hysterical females of a mild and sensitive disposition, or to those in whom the attacks are prone to be excited by depressing emotions. Dose: In every respect as directed for Belladonna. China is often a remedy of considerable efficacy against headache, Avorse at night, accompanied with a sensation as if the head would split; or dull, aching, pressive, or boring pains, particularly at the crown of the head, increased by movement or by the open air; tender- ness of the scalp; debility from loss of fluids; great sensibility to pain ; irascibility, taciturnity, and obstinacy. Dose: Three globules, as directed for Belladonna. Veratrum is indicated by headache preceded by coldness and shivering ; pain in the head as if the braiii were bruised or lacerated ; or lateral, aching, constrictive, and throbbing pains, sometimes attend- ed with a sensation of constriction or tightness in the throat; feeling of coldness at the crown of the head, as if ice were pjbiced upon it; or sensation both of coldness and heat on the exterior of the head, Avith deep-seated or internal burning heat; headache, with paleness of tha face, nausea, and vomiting, and preceded by a copious discharge of colorless urine; headache, Avith pain at the pit ofthe stomach, or pain- HEADACHE. 553 ful stiffness ofthe neck; headache, with extreme weakness and melan- choly ; painful sensibility of the hair to the touch ; chilliness, Avith gen- eral cold perspiration. Dose: In every particular as directed for Belladonna. Arsenicum should be employed when the subjoined symptoms are predominantly developed: — Headaches so intolerable as almost to drive the patient distracted, and which occur periodically, and are aggravated by partaking of food ; the pain sometimes extends to the gums, where it is so excruciating as to render it impossible to fall asleep; exces- sive restlessness, the patient imagining himself relieved by constantly changing position; tenderness of the scalp to the touch, and excessive sensitiveness to cold air; sometimes there is temporary amelioration of the headaches from the application of cold water, but more commonly, the pain is relieved by the external application of warmth; extreme prostration of strength ; sallow complexion ; chilliness. Dose: In every particular as directed for Belladonna. .ffisculus hip. should be employed when there is confusion of the head with giddiness ; fulness, heaviness, and pressure, rather than acute pain; particularly when occurring in persons who suffer much from piles, or from dyspepsia. Dose: In every respect as directed for Belladonna. Lachesis is more especially required for deep-seated pains in the head, or severe aching pain in the back part of the head, in the sockets of the eyes or above them, with stiffness of the neck, particularly at the nape; heaviness and feeling of expansive pressure, sometimes as intense as if the head would burst; tension in the head, as if caused by strings or threads draAvn through the back of the head towards the eyes; lancinations in different parts of the head; violent throbbing at the temples; headache every morning on waking, or after dinner, or at every change of weather. Dose: Three globules, as directed for Sepia. Gelseminum should be employed for nervous headaches com- mencing in the nape of the neck, and thence spreading over the entire head; great heaviness of the head, with a sense of relief from shaking it; dimness of sight and vertigo; objects have a greenish appearance ; swooning sensation or sense of lightness in the head ; the headache is relieved by sitting with the head reclining on a pillow. Dose: Three globules, as directed for Belladonna. Colocynth is often of service for the treatment of nervous head- aches, attended Avith smarting in the eyes; excruciating aching at the sides ofthe head ; rending, dragging pains ; nausea and vomiting ; feel- ing of compression in the forehead, increased by stooping or lying on the back; headache every afternoon or evening, with great anguish and excessive restlessness, rendering it impossible to remain in the recum- bent posture; offensive perspiration; profuse discharge of colorless urine during the headache. The attacks are prone to be excited by mental emotions, particularly indignation and exasperation, or chagrin in con« sequence of personal affronts, or undeserved ill-treatment. Dose: Three globules, in every respect as directed for Belladonna. 554 HEADACHE. Coffea is a very useful medicine for the treatment of megrim (a pain confined to one side of the head), which has been induced by medita- tion, vexation, exposure to cold, or sudden and pleasurable excitement; when attended Avith irritability, sensibility to noise, great anxiety, and chilliness, and a sensation as if a nail were being driven into the brain, or a feeling as if the brain were bruised, — occurring in individuals who are extremely impatient of suffering, and are not accustomed to the habitual use of coffee as a beverage. Dose: Three globules, in every respect as directed tor'Belladonna. Chamomilla should be employed three hours after the third dose of Coffea (as above specified), in recent cases in which the last-named medicine has produced only partial or temporary relief. This medicine may, however, be preferably selected when the subjoined symptoms and conditions more especially characterize the case: — Headaches occur- ring in individuals Avho are extremely impatient under suffering, and are exasperated by the slightest pain, or who exhibit symptoms and expressions of suffering apparently uncalled for by the nature of the complaint; the headaches are often confined to one side of the head, and the pains are of a rending, aching, or shooting character, and sometimes extend into the upper and lower jaw; sweating at the head is a frequent concomitant symptom. Chamomilla will, moreover, avail in most instances to afford material relief, if not to perfect the cure, in cases of megrim attended with ex- treme excitability, arising from the daily use of black coffee, but which is usually relieved for a time by partaking of a cup of that beverage. Dose: In every particular as directed for Belladonna. Aurum. Headaches in hysterical persons, attended with buzzing or other noises in the head; and pain as if the head had been bruised, especially on rising in the morning, or during mental occupation. Dose: Three globules, in every respect as directed for Belladonna. Spigelia is often useful for the treatment of nervous headache, chiefly confined to the left side, of gouty origin, and consisting of tear- ing, pressive, aching pains, which are increased by walking (out of doors), by stooping, and by noise. Dose: Three globules, as directed for Belladonna. Iris versicolor. Pains in the forehead and right side of the head, aggravated by rest and on first moving the head, but relieved by con- tinued motion ; accompanied by lowness of spirits, nausea and vomiting; sick headaches, arising from derangement of the stomach or liver, with vomiting and great prostration. Dose: Three globules, as directed for Belladonna. Sanguinaria is particularly indicated for what are called sick headaches: The pain commences, frequently, in the back part of the head, rises and spreads over the head, and settles, especially above the right eye; there exists nausea, vomiting, and chilliness; the patient ia obliged to seek a dark room, and to lie perfectly still. Dose: Three globules, as directed for Belladonna. Thuja. Headaches of long standing, occurring in persons who HEADACHE. 555 have formerly suffered from rheumatic or gouty affections. The pain is more exclusively confined to the left side, and sometimes extends to the entire fore part of head and to the face. Occasionally a sensation is experienced, as if a knob were being forced upAvards at the centre of the head, or, on the other hand, as if a nail were being driven into the head; aggravation of the pains in bed, or Avhen at rest and in a warm room ; amelioration on looking upwards and holding the head back. Dose: Three globules, as directed for Belladonna. Asclepias syriaca is indicated for headaches which pass off by profuse urination; dull and stupid feeling in the head, with stabbing from one temple to the other; it is particularly suitable for headache coming on after suppressed perspiration. Dose: In every particular as directed for Belladonna. Cactus grandiflorus may be administered with advantage in attacks of headache dependent on disease of the heart; or Avhere there is great orgasm of the blood, with congestion to the head; great anxi- ety, driving the patient from bed; continued and tormenting pul- sations in the head ; headache brought on by the least excitement. Dose: In every respect as directed for Belladonna. Cimicifuga will be found useful in headaches with feeling as if the brain were too large for the skull; the headache is situated princi- pally in the back part of the head, is worse in-doors, and relieved by going into the open air. Dose: Three globules, as directed for Belladonna. In those very obstinate and intractable cases in Avhich headaches occur habitually, and are associated with other evidences of deep-seated and inherent taint of constitution, and with chronic derangements of the organs of digestion and nutrition, one or more of the subjoined medicines singly or successively will generally be required to complete the cure, even after the immediate symptoms may have yielded to some other medicines (perhaps more positively indicated). They are also sometimes of great service when other remedies, although apparently well indicated, produce little or no permanent impression. Sulphur is more especially indicated, however, by — chronic head- ache; headaches occurring daily, or every eight days, worse in the morning, or during the night, and attended with heaviness of the head, aching, or pressive pains in the forehead above the eyes (causing the patient to knit the brows, or keep the eyes closed), or over the entire head ; incapability of mental exertion from the pains in the head; pains as if the head would split; or rending, shooting, dragging, jerk- ing pains on one side of the head; aggravation of the headaches from meditation, the open air, or movement; extreme tenderness of the scalp to the touch; falling off of the hair. Dose: Three globules, in every particular as directed for Sepia. Calcarea is a remedy of the first importance in obstinate nervous headaches depending on some constitutional taint, and may be required to follow Sulphur, as above directed; or may, even, be preferably selected from the onset in the case of female patients when the sub- joined indications are present. In the case of those who have formerly 656 HEADACHE. suffered from glandular disease, and who still present signs of a scrof ulous habit, it is an indispensable medicine. The attacks are frequent- ly attended with a sensation of extreme coldness, either interiorly or on the scalp ; the pains either affect the entire head, or merely the fore- head, the (right) side, or the crown of the head, and are chiefly of a stunned, aching, throbbing, or hammering description, compelling the patient to retain the recumbent posture ; at times the head feels as if compressed in a vice, or the forehead feels as if it would burst open, particularly when in the open air, and there is great tenderness to the touch; headache, with humming noise in the head, confusion of ideas, excited or aggravated by close application to study, or by movement; falling off of the hair. In females, there is an additional reason for the selection of Calcarea, if the periodical return is usually too copious and several days before the ordinary time. Dose : Three globules, as directed for Sepia. But if inadequate effect should result within eight days after the completion of the second course, proceed with the next medicine. Lycopodium should be employed eight days after the completion of the second course of Calcarea (as just specified), in those very obsti- nate and difficult cases in which the previous treatment has been pro- ductive of imperfect results. Dose: Three globules, as directed for Sepia. Acidum nitricum should be administered eight days after the completion of the second course of Lycopodium, if partial relief only has resulted from the previous treatment, and more particularly if the patient should previously have been subjected to excessive mercurial treatment under allopathic direction. Dose: Three globules, as directed for Sepia. GENERAL REMARKS. One remedy is seldom sufficient to effect a cure of headache of long standing, particularly when of a nervous character; and, indeed, in some cases of this description, it is only possible to effect a degree of amelioration. ACCESSORY MEASURES. Bathing and rubbing the feet as far as the ankles in a shallow bath of cold water for from ten to twenty minutes; or, in other cases, the temples, hands, and arms as far as the elbows, sometimes arrests a threatened attack of nervous headache. The use of the flesh-brush is also useful at times. Diet and Regimen. In general cases of headache which does not simply occur as the result of casual and accidental circumstances, but which is associated with general derangements involving irregular- ities of digestion, the diet should be plain but (in the absence of inflammatory symptoms) nutritious, and the meals should be regular. Regularity in the general habits, and early resting and rising, together with a fair proportion of exercise in the open air (short of fatigue), are also valuable accessories in promoting and assisting a permanent cure. DELIRIUM TREMENS. 557 Everything which is known to provoke or aggravate an attack, should be carefully and sedulously avoided. More particular directions may also be found in the article on " Indigestion," for the management of cases in which there is predominant derangement of digestion. DELIRIUM TREMENS. Exciting Cause. This disease generally comes on in persons who have habitually resorted to over-indulgence in fermented or ardent liquors, during the state of prostration which ensues when they have, in a great measure, given up, or been suddenly deprived of, their accus- tomed stimulus. Premonitory Symptoms. The first symptoms of the malady are generally indicated by extreme irritability of temper, weakness of memory, but constant activity of mind, anxiety, and uncontrollable restlessness, Avith increased muscular mobility. The appetite is often pretty good, but more frequently impaired in consequence of the previ- ous habits, and the tongue is sometimes foul but moist. Symptoms of the Confirmed Attack. Soon after these pre- monitory signs, vigilance sets in, and little or no sleep can be obtained; or it is unrefreshing and disturbed by frightful dreams, imaginary visions, and sounds. Fixed ideas then take firm possession of the pa- tient's mind, such as the supposition that some one is bent upon poison- ing him, or doing him some other grievous injury, ore.; yet he gener- ally dreads being alone. The speech is frequently stuttering and inarticulate; the countenance quick, wild, and exceedingly variable, according to the prevailing impression on the mind; the face in most cases pale or sallow; the eye rolling, expressive, and restless, and the conjunctiva (or portion of the mucous membrane Avhich covers the front of the eyeball and lines the eyelids) blanched ; the skin damp, or covered Avith sweat, chilly and relaxed, very rarely above the nat- ural temperature ; the hands are commonly tremulous, and muscular twitchings are often observable. As the disease advances, sleep is completely banished; loquacity, with perpetual bustling occupation, becomes incessant; and eventually, Avhen it is fully developed, delir- ium supervenes. The pulse is soft and compressible, and rarely quick, when unruffled by the struggles or exertions of the patient — for his corporeal activity keeps pace Avith the restlessness of his mind, and it is difficult to confine him to his bed or apartment; at the same h. >, exhaustion is liable to come on very rapidly after great exertion, and the patient is prone to drop doAvn from fatigue. Occasionally, convul- sions take place; but though sometimes serious, they are usually not of a fatal character. The history of the case, together with the dis- tinctive nature of most of the above-described symptoms, enable us to discriminate betAveen this disorder and that of inflammation of the brain or its membranes. TREATMENT. Nux vomica is particularly useful in the first stage of the disor- der, and may frequently be the means of arresting its further progress 558 DELIRIUM TREMENS. when administered at that period. It is more particularly indicated when there is great trembling, loss of strength, and violent starting; inability to keep the limbs quiet; stammering articulation ; great irri- tability of temper; great anguish ; belching, and other gastric symp- toms ; constipation ; sleeplessness, or very restless sleep; red face and eyes, and delirium. Dose: Eight globules in a teaspoonful of water, repeated, after the lapse, of two hours, and, subsequently, at intervals of four or eight, until the total subsidence of the premonitory symptoms, or general change. Confirmed Attack. Opium is more especially and individually appropriate, and should be promptly employed when the disease has become fairly established, and the patient is affected with violent delirium, attended with constant movement of the hands, &c, or convulsions, and we find an aggravated degree of all the symptoms remarked at the commencement of the attack. The curative properties of this drug, in the malady under consideration, do not, as is erroneously supposed by the majority of allopathic practitioners, arise from its property of producing sleep, but from its hommopathicity or specificity, if I may use the expressions; the characteristic effects which it produces being exactly similar to those symptoms Avhich are developed in the course of the disease, as it occurs in consequence of excess in the use of ardent liquors. Dose: Eight globules, as directed for Nux vomica. Aconitum, Belladonna, Lachesis, Hyoscyamus, Stramo- nium, and Cimicifuga may be mentioned as more particularly appropriate for the treatment of those less common varieties of this disease which are more liable to occur in young, robust subjects, or amongst young persons of a full habit of body, accompanied with indi- cations of active determination of blood to the brain, and such cerebral and convulsive symptoms as are incidental to inflammation affecting the brain and spinal column or their tissues. Aconitum should in such cases be employed at the onset to reduce the general inflammatory condition of the system. Dose: Three globules in a teaspoonful of water, repeated at intervals of three hours, until four doses have been given (or until the more active inflammatory symptoms are sooner diminished in intensity); after which, if the symptoms be not very urgent, pause twelve hours (but if they be very urgent, only three hours), and proceed with one or more of the subjoined remedies according to the indications present. Belladonna should be employed (as just specified) after the last dose of Aconitum, Avhen there is great heat of the head and violent pulsation of the arteries of the neck, together with extreme tenderness of the eyes upon exposure to light, or red and sparkling, or protruding eyes, Avith wild expression, redness and bloatedness of the face, and excessive sus- ceptibility to noise, or sometimes even frantic delirium. Dose : Three globuTes in a teaspoonful of water, or dry on the tongue, re- peated at intervals of two hours until three doses have been given (or earlier and manifest change^, and subsequently, at intervals of six hours, until decided amelioration or change. DELIRIUM TREMENS. 559 Hyoscyamus is to be preferred to Belladonna in cases in which the mental hallucination dependent upon the disease assumes the char- acteristic tendency of extreme and groundless jealousy; or the patient manifests a great disposition to uncover himself completely, or an intense desire to escape. Dose: Three globules, as directed for Belladonna. Stramonium may be mentioned as calculated to be of service in cases in which, although apparently indicated, Opium, Hyoscyamus, or Belladonna may have failed to produce important and beneficial results ; or Avhen the mental disturbance assumes the form of a religious mania. Dose : Three globules, as directed for Belladonna. Arsenicum is chiefly indicated in inveterate cases, when profuse sweat, excessive restlessness, fear of solitude, spectres, and death, are the most prominent symptoms. Dose: In every particular as directed for Belladonna. Coffea may be named as a medicine of much service as an interme- diary remedy in cases in which incessant watchfulness, or mental and bodily restlessness, and excessive irritability are the predominant and characteristic indications. Dose: Three globules, as directed for Belladonna. Delirium Tremens occasioned by Vapor of Lead. Opium, Belladonna, and Nux vomica, and especially Opium and Belladonna, may be mentioned as those Avhich have proved of the chief service in the treatment of Delirium Tremens resulting from ex- fiosure to the vapor of lead. The particular indications which should ead to the selection of each respectively, may be discerned on reference to the foregoing portion of this article (pp. 557-559,) and to that on " Characteristic Effects," under the head of each. Dose: Of either of these medicines respectively, when selected, as directed in the foregoing portion of this article. Morning Sickness of Drunkards. Acidum sulphuricum. This medicine is of great service against the morning sickness of those who have been inveterately ad- dicted to excess in the use of ardent liquors, or to what may be termed habitual drunkenness. Dose: Three globules in a teaspoonful of water, morning and evening, for a week (or until the earlier development of amelioration or change); then pause eight days, after which the course may, if necessary, be repeated as before, and so on, from time to time, until decided amelioration or change. Diet and Regimen. Inasmuch as this disease may be said to be inevitably associated with one of the worst forms of derangement of the primary organs of digestion in which the tributary nerves are more especially involved, the regulations Avhich would be appropriate to be obser\red respecting the diet, habits, &c, would be such as have been stated in greater detail in that portion of the article on "Indiges- tion" which is devoted to the consideration of the particular form of derangement. 560 epilepsy. EPILEPSY. Characteristics. This is a malady which consists of brief but reiterated spasms, or convulsions, with loss of consciousness and volun- tary motion, and generally foaming at the mouth. General Symptoms. The attacks come on by fits, and are usually characterized by the suddenness of the attack, although it is occasionally preceded by pain in the head, dimness of vision, flashes or sparks of fire, singing in the ears, palpitations, flatulency, and languor; or, by a peculiar feeling, partaking partly of pain, and partly of a sense of cold, commencing in some remote part of the body, as in the toes, belly, or fingers, and proceeding gradually upAvards towards the heart or head. During the paroxysms, the muscles of one half of the body are commonly more severely agitated than those on the other, and those concerned in the performance of respiration are always more or less implicated; the eyes are hideously convulsed, and turned in various directions, but at length become fixed, so that the whites of them alone are seen ; the fingers are firmly clenched, and the muscles of the jaws are often spasmodically affected, in consequence of which the tongue is sometimes lacerated by being thrust out immediately before the sudden and violent approximation of the teeth; the mouth is frequently filled with phlegm, which is expelled Avith considerable force in a frothy state. The face is either of a dark red or livid color, or it is pale, or alternately pale and red, or pale on one side and red on the other. The evacuations from the bowels and the urine are sometimes passed involuntarily. On the abatement of the spasms the patient gradually recovers. Sometimes a fit of vomiting terminates the attack. Issue and Results. The memory and judgment are generally somewhat impaired for some little time after the fit, and a sensation of languor and exhaustion, or weight, and other uncomfortable feelings in the head are complained of. Comparatively few patients are carried off during the fit; but it sometimes happens that one fit succeeds another in rapid succession, or with increasing intensity, until a leth- argic state ensues, and the patient sinks. Idiocy is an occasional mel- ancholy result of this distressing malady. Anticipations. The opinion is more or less favorable according to the age of the patient and the species of the epilepsy. When the disease occurs before the age of puberty, or when purely sympathetic, it is generally curable without much difficulty by means of homoeopa- thic remedies. On the other hand, when it comes on after the age of puberty, is an original malady, or of hereditary origin, and has been of long duration, the cure is not easily accomplished. It is generally possible, however, even in the most inveterate cases, to lengthen the intervals betAveen the attacks, and to mitigate their violence by means of steady and judicious treatment. TREATMENT. In many respects the treatment must be regulated by the character and causes, as well as by the symptoms of the disease; wherefore the EPILEPSY. 561 subjoined classification of medicines, as respects the particulai indica- tions, afforded by the cause, period, or particular conditions, may be of service in assisting to determine the selection. The symptoms of the case must, nevertheless, be held paramount if they should not be cor- roborative of a choice dependent upon such causes, conditions, &c. INDICATIONS AFFORDED BY PARTICULAR CAUSES AND CONDITIONS, AC. When the disease is occasioned by full or redundant habit, with de- termination of blood to the head, select especially from : * — Bella- donna, Opium, Nux vomica, Mercurius, Ignatia, Sulphur, Veratrum, Silicea, Gelseminum, Glonoine, Veratrum viride. When occasioned by debility, or by loss of blood or of other fluids, select especially from: * — Nux vom., Sulphur, Calcarea, Silicea. When occasioned by Avorms, select especially from: * — Hyoscyamus, Belladonna, Mercurius, and Sulphur. When associated Avith teething, select especially from: * — Belladon- na, Ignatia, Sulphur, Calcarea, and Stannum. When associated Avith hysterical affections, or menstrual or uterine derangements, select especially from:*—Belladonna, Ignatia, Ipeca- cuanha, Sulphur, Nux vomica, Cocculus, Veratrum, Stramonium, Hyoscy- amus, Platina, Moschus, Caulophyllum, Cimicifuga, and Gelseminum. ■ When attributable to the check of an eruption, select especially from:*—Sulphur, Calcarea, Silicea, Lachesis, Nux v., Stannum, Ipecacuanha, and Cuprum. When caused by abuse of ardent liquors, or of narcotics, — such as wine, spirits, tobacco, opium, adulterated beer, &c, — select especially from: * — Nux vomica, Lachesis, Cuprum., Opium (except as to abuse of Opium), Hyoscyamus, and Belladonna. When caused by exposure to the vapor of arsenic or copper, select especially from : * — Camphor, Mercurius, Veratrum, Cuprum (ex cept as to the vapor of copper), Arsenicum (except as to the vapor ol arsenic). When caused by exposure to the fumes of Mercury, select especial ■ ly : * — Stramonium. When occasioned by check of perspiration, select especially from : * — Sulphur, Aconitum, Belladonna, Nux vomica, Lachesis, Cicuta, and Silicea. When occasioned by moral emotions, — such as fright, alarm, &c, — select especially from : * — Opium, Chamomilla, Cuprum, Hyoscy- amus, and Nux vomica. When caused by indigestible food, select especially from : * — Ipe- cacuanha and Nux vomica. When occasioned by injuries in the head, select especially from: * — A conitum, Cocculus, Cicuta virosa, Belladonna, and Sulphur. *The particular and symptomatic indications for each of these medicines are stated in detail in the subsequent portion of this article, and it is to be under- stood that the general indications afforded by the cause or condition, &c, as here stated, are subordinate to such other symptomatic characteristics, the last being paramount. It is. however, to be remarked that, in some instances in which the 36 562 EPILEPSY. Belladonna should be employed when the subjoined indications are more especially apparent: — A sensation of crawling and torpor in the upper extremities; jerking of the limbs, especially of the arms, col- vulsi\re movements of the mouth, muscles of the face, and eyes; con- gestion in the head, with giddiness, deep redness, heat and bloatedness of the face, or paleness and coldness of the face, with shivering; intoler- ance of light; convulsed or fixed eyes; dilated pupils; cramps in the upper part of the windpipe and throat, with obstructed deglutition and danger of suffocation; foam at the mouth ; unnoticed emission of fseces (and of urine), or loose evacuation of undigested substances; oppression on the chest and anxious respiration ; renewal of the fits on the slightest contact or the least contradiction; dizziness, or complete loss of conscious- ness; sleeplessness between the fits, with agitation and tossing, or deep and lethargic sleep, with smiles and grimaces; waking with a start, with cries. Dose: Two globules in a teaspoonful of water, every four hours, until the immediate symptoms have passed away, and then only every twenty-four hours, for four days ; then wait four days, when the course should be renewed, and so on, until decided amelioration or change Hyoscyamus is more especially indicated by: —Bluish color and bloatedness of the face, foam at the mouth, prominent eyes; convulsive movements of certain limbs, or of the whole body ; violent tossing; retraction of the thumbs ; reneAval of the fits, on endeavoring to swal^ low the least drop of liquid ; cries; grinding of the teeth ; loss of con- sciousness; unnoticed emission of urine; congestion of the brain; deep and lethargic sleep, with snoring. Dose: Two globules, as directed for Belladonna. Ignatia may advantageously be employed Avhen the following indi- cations occur: — Convulsive movements of the limbs, eyes, eyelids, mus- cles of the face and lips ; throwing back of the head; retraction of the thumbs ; red and bluish face, or redness of one side and paleness of the other, or paleness and redness alternately; frothy salivation ; spasms in the throat and larnyx, with threatening suffocation, and difficult deglu- tition ; loss of consciousness ; frequent yawning, or drowsy sleep; great anxiety, and deep sighs betAveen or before the attacks; daily paroxysms. Dose: Two globules, as directed for Belladonna. Nux vomica is more particularly required for shrieks, throwing back of the head, trembling, or convulsive jerks of the limbs or mus- cles ; renewal of the fits after contradiction or an angry emotion ; un- noticed evacuation of fseces and urine; sensation of torpor and numbness in the limbs; vomiting, profuse perspiration, constipation, ill-humor, and irascibility between the attacks. Dose: Two globules, as directed for Belladonna. Opium is more particularly indicated by the occurrence of the fits tymptoma'ic indications for two medicines might be so nearly analogous as to in- volve a doubt as to the selection, both might not be appropriate for cases charac- terized by one or more of these conditions, in which case such difference would be decisive between them. The medicines printed in capitals are those of chief importance. EPILEPSY. 563 at night or in the evening; ihrowing back of the head, or violent move- ments of the limbs, especially of the arms ; loss of consciousness, insen- sibility, cries ; closed fists; threatening suffocation; deep and lethargic sleep after or between the paroxysms. Dose: Two globules, as directed for Belladonna. Cocculus is especially appropriate for attacks in Avomen during the menstrual periods, or also from an external injury. Dose: Two globules, as directed for Belladonna. Stramonium is indicated by the following symptoms: — Throwing back of the head, or convulsive movements of the limbs, and especially of the upper part of the body and of the belly; pale and haggard face, Avith stupid expression, redness or bloatedness of the face, loss of conscious- ness and of sensation, sometimes with cries, &c, renewal of the fits by contact, and also by the sight of bright and brilliant objects. Dose: Two globules, as directed for Belladonna. Chamomilla is sometimes of much service, particularly for the treatment of the epileptic convulsions of children, and more especially when the attacks are characterized by paleness of one cheek and redness of the other, or by redness and bloatedness of the face; the tongue, eyes, eyelids, and extremities being convulsed, and the respira- tion hurried, rattling, and exceedingly anxious : or when the attacks are preceded, followed, or accompanied Avith distension of the belly and pains in the bowels, with or Avithout relaxation, or by short rattling cough, or starting and jerking ofthe limbs during sleep, or the exuda- tion of hot perspiration on the head. Dose: Two globules (or for very young and susceptible children, or if dur- ing dentition, one globule). If, after an interval of three hours, the fits have continued to recur, but with diminishing intensity, repeat the dose; but if, on the other hand, the attacks increase in frequency and intensity, proceed with the next medicine. Ignatia should be given three hours after the first dose of Chamo- milla in cases such as have just been described, in Avhich, notAvith- standing the administration of the last-named medicine, the fits have continued to recur more frequently, and Avith increased intensity. Dose: Two globules (or for very young children one globule), as directed for Chamomilla. Ipecacuanha is often of much service for the treatment ofthe epi- leptic convulsions of hysterical females, or of children more particularly when there is utter loathing of food and continual desire to vomit with- out vomiting; or vomiting accompanied Avith loose discharge from the bowels, and coming on by fits; and when there is rattling of mucus on the chest; the face being pale, but bloated (the eyes often seeming buried as if in redundancy of flesh, or heavy and half-closed,) and there being violent and continued agitation of the muscles of the face and extremities, especially convulsive catching of the corners of the lips or of the eyelids, and uncontrollable snatching of the hands and arms; sometimes the fits are accompanied Avith loss of consciousness. Done: Two globules, as directed for Belladonna. Platina is sometimes of service against convulsive agitations of all 564 EPILEPSY. the limbs, but more especially ofthe muscles of the face, without loss of consciousness, but in which the powers of articulation are often much impaired, if not prostrated, for the time, and when the attacks are apt to recur early in the morning. Dose: Two globules, as directed for Belladonna. Moschus is occasionally of service for the treatment of the epileptic convulsions of highly hysterical patients. Dose: Two globules, as directed for Belladonna. Sulphur should usually be employed after Belladonna (in cases in which that remedy has been required at the onset, but has only pro- duced temporary improvement) ; or it may be required immediately in cases of chronic epilepsy in which the paroxysms are characterized more especially by the following symptoms and conditions: — the attack being often preceded by a sensation as if a mouse, or some other small animal, were running over the muscles, cries, stiffness of the body, fits excited by cool air, or by a current of air. Dose: Three globules in a teaspoonful of water, night and morning, for a week (or until earlier change); then pause a week (supposing no recur- rence" of the fits); after which the course may be repeated as before, and so on, from time to time, until permanent amelioration or change. Con- sider also the next medicine. Calcarea is sometimes required at the onset, or more immediately after Belladonna, or after Sulphur. Dose: In all respects as directed for Sulphur. Silicea is chiefly useful in chronic epilepsy, more especially after the previous employment of a course of Calcarea (or of Sulphur, followed by Calcarea), and when the fits have, nevertheless, recurred with undiminished violence, more especially if the attacks be characterized by great fulness, or determination of blood to the head, with heat chiefly in the forehead; or, if there be perspiration on the head at night, or frequent attacks of pain, extending upwards, from the nape of the neck to the crown of the head, or constant morning headaches, with giddiness, cloudiness of sight, and sensation as if the head Avere too heavy, and when the patient is incapable of, or easily fatigued by, the least exertion of the intellectual faculties; the complexion being usually pallid and inanimate, or of a dull, leaden hue. Dose: Three globules, as directed for Sulphur. Arsenicum, chiefly Avhen the fits are attended with burning in the stomach, spine, and belly ; and are preceded by a sensation as of warm air streaming up the back into the head. Dose: Two globules, as directed for Belladonna. Cuprum should be employed against the fits when these are char- acterized by the folloAving symptoms and conditions: — The convulsive movements commencing in the fingers or toes, or in the arms ; retraction of the thumbs ; loss of consciousness and of speech; salivation, sometimes frothy; redness of the face and eyes; recurrence ofthe fits every month, and especially at the menstrual periods. Dose: Two globules, in all respects as directed for Belladonna. Lachesis is a medicine of great value in chronic epilepsy when tne EPILEPSY. 565 fits are characterized by loud cries, falling, and loss of consciousness, foaming at the mouth, cold feet, eructations, pale face, giddiness, heavi- ness and pain in the head, palpitation of the heart, distended belly, lethargy, nausea, &c. Dose: Two globules, as directed for Belladonna. Camphor (Saturated Tincture) is often of service as an interme- diate remedy, and also as a means of shortening the attacks, or after- effects, Avhen they are of long duration; in cases of chronic epilepsy, against the fits, Avhen these are characterized by snoring, red and puffed face, and lethargic condition, and sometimes complete loss of conscious- ness; great droAvsiness and oppressed breathing after the fits. Dose: One drop of the Tincture of Camphor, on a small lump of fine loaf- sugar, repeated at intervals of three hours, until decided amelioration or change. Cicuta virosa is to be preferred, when paleness or yellowish color of the face, clenching of the jaws, distortion of the limbs, cries, accu- mulation of frothy spittle in the mouth, and colic, like that incidental to Worms, characterize the attacks; sometimes, also, complete loss of consciousness, and almost imperceptible respiration. Dose : Two globules, in all respects as directed for Belladonna. Stannum. Jactitation of the limbs, retraction of the thumbs, paleness of the face, backward traction of the head, loss of conscious- ness, appearance of the fits in the evening. Dose: Three globules, as directed for Sulphur. Veratrum album. Loss of sense and movement, distortion of the eyes, and convulsive movements of the eyelids; anguish, discour- agement and despair, between the fits. * Dose: Two globules, as directed for Belladonna. Caulophyllum is indicated for epileptiform spasms coming on at or near the menstrual period, and associated with deranged menstru- ation. Dose: Two globules, as directed for Belladonna. Gelseminum should be given when the fits occur after sup- pressed menses, with severe spasms in the throat as if the patient would choke; after the fit, dull feeling in the forehead and on top of the head, Avith pain and fulness in the back of the head before the attack comes on. Dose: Two globules, as directed for Belladonna. Glonoine should be employed when the fit is preceded and charac- terized by intense congestion ofthe head, feeling Of fulness, with ring- ing in the ears, and sense of congestion in the chest as if it would burst; during the fit there are convulsive movements and spreading apart of the fingers and toes. Dose: Two globules, as directed for Belladonna. ACCESSORY MEASURES. During the epileptic seizuies or paroxysms, the patient should be placed in the horizontal posture, and such precautions taken as will 566 asthma. obviate any injury which may be sustained by the violence of the con- vulsive movements. In order to prevent any injury of the tongue, something ought to be inserted between the teeth. The neckcloth should be removed, the stays loosened, and cold water sprinkled over the face, especially when the breathing is much affected by the spasms ofthe muscles concerned in respiration. An operation may sometimes be necessary to remove the source of irritation, particularly Avhen we have reason to apprehend that a morbid growth of bone is pressing upon the brain. And in this respect, as in others, for a disease of so formidable a nature, it is obvious that the assistance of an experienced homoeopathic practitioner should, if pos- sible, be secured. Diet and Regimen. The diet of epileptic patients ought to be very moderate, simple, and easy of digestion. Stimulants ought to be strictly avoided where there is redundancy of blood, with tendency to congestion. Debilitated persons require a somewhat more generous diet than the robust, but in all cases care should be taken never to overload the stomach. Excessive corporeal or mental exertion must be abstained from. Change of air and scene is, in some cases, of much service in promoting the cure, when all other available means seem to fall short of cure. ASTHMA. General Symptoms. During the attack the patient feels much worse in the recumbent posture, and consequently sits up, requests the door or window to be thrown open, to admit more air into his apart- ment, and uses every effort t* dilate and empty the lungs. He also experiences great restlessness, making frequent attempts to force some- thing out of the air-passages, which he thinks impedes the breathing, by coughing. The face is pale or livid, and wears an anxious expres- sion. The extremities, and even the nose and ears, are frequently cold, and the face and chest covered with cold perspiration; the heart pal- pitates ; the pulse is variable, being quick and full, or small and quick, or weak and irregular; often intermitting. These symptoms continue with a greater or less degree of violence for some hours or even days, until expectoration takes place, which affords relief as it increases in quantity. A remission also sometimes takes place soon after an acces- sion of copious perspiration, or a profuse discharge of urine. The dis- ease is more frequently met Avith at an advanced than at an early period of life, and oftener in men than women. The attacks occasionally come on in the afternoon, or on retiring to rest, but much more fre- quently during the night, and in the midst of a sound sleep, from which the patient is suddenly awakened by a sense of suffocation. Varieties. The quantity of expectoration is small and even entirely absent in some cases of asthma, whilst in others it is exceed- ingly copious; and hence, the disease has been divided into dry and humid asthma. In the former variety, the attack is usually sudden, violent, and of short duration, the cough slight; in the latter, the par- oxysm is gradual and protracted, and the cough severe. ASTHMA. 567 Issue and Results. One attack generally leads to another, and the paroxysms commonly become more and more frequent and distress- ing ; still, if no disease result, Avith substantial alteration of important organs (such as those connected Avith the processes of circulation, or the function of respiration in particular), patients who are subject to returns in considerable frequency, sometimes survive to an advanced age. But this is unfortunately not often the case, for unless the dis- ease be arrested, the repeated obstruction and disturbance which is offered to the respiration and circulation seldom fails, in the majority of cases, to induce organic injury either of the heart and large vessels, or of the lungs, with the usual concomitants of water in the chest or belly. TREATMENT. Ipecacuanha. During the paroxysms of acute asthma, this rem- edy is one of the most frequently useful, whether the attack occurs in children or adults. It is more especially indicated when the patient is awakened from a sound sleep, with a suffocating sensation of constriction in the windpipe, with quick laborious breathing and gasping for breath ; wheezing and mucous rattling in the chest; short dry cough; paleness and coldness of the face, sometimes alternately with heat and redness ; coldness of the feet; anxiety and dread of suffocation ; feeling as if dust were inhaled during the act of respiration, and caused the suffo- cating sensation in the chest; spasmodic rigidity ofthe body, and livid hue of the face. Dose: Three globules in a teaspoonful of water, repeating the dose, if neces- sary, in half an hour (in very distressing cases), or only after two hours (in less urgent instances). But if little relief should have resulted within an hour after the second dose (in the one case), or within three hours (in the other case), or, if the subjoined indications occur, consider the follow- ing medicines, and proceed accordingly. Arsenicum should be employed (either in acute or chronic asth- ma) when, during the attack, the respiration appears to become more and more laborious, and is attended Avith extreme agitation, moaning, and restlessness; great exhaustion and anguish, as if at the point of death, witli cold perspiration. In confirmed asthmatics, it forms a most important remedy, Avhen the breathing is liable to become much op- pressed when Avalking rather quickly, or when going up a hill, or ascending stairs ; and Avhen, particularly in the case of old people, even the effort of laughing, or the exertion of getting into bed, brings on a fit of difficult breathing. Arsenicum (as well as Ipecacuanha) is further indicated when the paroxysms of asthma are most liable to occur on retiring to rest, or before midnight, the patient being dis- turbed from sleep by a sense of spasmodic constriction in the chest and upper part of the windpipe, which is soon followed by laborious panting, and whistling respiration, with gasping for breath. These symptoms are Jccasionally relieved by remissions, but the attack is prone to recur on using the slightest exertion ; for the most part, however, the parox- ysm continues with more or less intensity until relieved by the acces- sion of a fit of coughing, with expectoration of viscid phlegm filled with vesicles. Arsenicum, though principally called for in cases in 568 ASTHMA. which the attacks come on at night, is also useful when they are liable to be excited during the day, on exposure to a cold bracing air, or on going out during the prevalence of disagreeable, damp, or stormy weather. Likewise when changes of temperature, or tight and very warm clothing, are frequent sources of fits of difficult breathing. Sen- sation of burning heat in the chest during the fit of asthma, is an addi- tional indication for Arsenicum. Dose: In acute cases, give two globules in a teaspoonful of water, repeating the dose at intervals of half an hour (in very distressing cases), or every four hours (in less urgent instances), until decided amelioration or change. In chronic cases, give similar doses, repeated at intervals of twelve hours, for four days in succession (or until earlier change); then pause six days, and, if necessary, repeat the course as before, and so on, until decided amelioration or change. Bryonia should be selected in cases in Avhich the subjoined indica- tions are more especially apparent: — Obstructed respiration at night or towards morning, Avith frequent cough, pains under the short ribs, and inability to recline on the right side, or without inconvenience on the left, so that the patient is constrained to lie on the back ; frequent coughing, with expectoration, at first frothy, and subsequently thick and glutinous, and frequently attended with retching or vomiting; aggravation of the fit of difficult breathing from talking, or from the slightest movement; frequent efforts to obtain sufficient air by deep inspirations, accompanied Avith moaning, palpitation of the heart, and great anxiety. The attacks are often attended by shootings in the chest on taking a full inspiration, also on coughing, or after any move- ment of the arms or trunk. Dose: In every respect as directed for Ipecacuanha. Nux vomica is indicated by the following symptoms: — Nocturnal attacks of suffocating tightness, especially at the lower part of the chest, preceded by disagreeable or anxious dreams ; also when the paroxysms are prone to occur in the morning, or after a meal, and are attended with anxiety, aching, and pressive pains in the fore part of the chest, as also in the sides under the short ribs; flatulence; inability to bear the slightest pressure from the clothing, particularly around the chest and waist; the clothes seem to fit tightly and increase the difficulty of breathing, whilst in reality they are quite the reverse; difficulty of breathing when walking and conversing in the open air, especially if the temperature be somewhat cold; also after trivial corporeal exer- tion of any kind. Amelioration of the asthmatic sufferings when reclining on the back, or on changing from one posture to another, such as sitting up, and then lying down again, or turning from one side to the other. Disposition irritable and passionate. Dose: In every respect as directed for Ipecacuanha. Pulsatilla is more especially indicated by the subjoined symptoms: — Oppressed, rapid, and laborious breathing from a feeling of spasm- odic constriction in the chest, especially at the inferior portions; or suffocating feeling in the windpipe as if caused by the vapor of Sulphur; tension, and sensation of fulness, pressure and aching, attended with mucous rattling in the chest; short fits of coughing in rapid succession, ASTHMA. 569 and appearing to threaten suffocation; or cough Avith copious expectora- tion of phlegm. The attacks usually come on at night, or in the even- ing when in a horizontal posture; extreme anguish, palpitation of the heart, and sometimes lancinating pains in the chest during the parox- ysms. Pulsatilla is generally more suitable for hysterical females, or individuals of a mild, timid, sensitive, or fretful disposition. Dose: Three globules, in every respect as directed for Ipecacuanha. Antimonium tartaricum ghould be employed against difficulty of breathing Avith suffocating cough and anxious oppression at the fore part of the chest, arising from an excessive secretion of phlegm in the air- tubes ; this remedy is frequently of great service either in aged persons or in children. Dose: Two globules, as directed for Arsenicum. Opium is more particularly indicated by obstructed breathing, either from congestion or from spasms of the lungs, with suffocating cough and livid hue of the face; loud mucous rattling in the chest, with extreme anguish from dread of suffocation; difficult breathing during sleep, resembling nightmare. Dose: Three globules, as directed for Ipecacuanha. China. Paroxysms of asthma at night, as if caused by an accu- mulation of phlegm in the Avindpipe; wheezing in the chest during inspiration; difficult expectoration of thick, transparent phlegm; op- pression at the chest, palpitation of the heart, and inability to breathe, unless the head and shoulders are propped up with pillows; great weakness, and tendency to copious sweatings upon the slightest exer- tion, or when too warmly clothed. Dose: Two globules, in every particular as directed for Arsenicum. Veratrum should be administered four hours after the third dose of China, when the last-named medicine has been productive of inade- quate benefit; more especially in those violent attacks of spasmodic asthma, with symptoms of threatening suffocation, cold perspiration, coldness of the nose, ears, and lower extremities. In such instances Veratrum may sometimes be employed with success after other medi- cines, such as Arsenicum in particular. Dose: Two globules, as directed for Arsenicum. Sambucus. Rapid and laborious respiration, with loud wheezing; oppression at the chest as if from a weight, attended with anguish and dread of suffocation, and sometimes swelling and livid hue of the face and hands ; general heat, tremor, inability to talk much above a whis- per ; suffocating cough; aggravation of the symptoms in the recum- bent posture. In the case of children this remedy is often of great service, when, in consequence of a chill, they are seized with spasms in the chest, and awake from sleep with a start, and exhibit many of the symptoms detailed. Dose : Three globules, as directed for Ipecacuanha. Moschus is useful against acute asthma occurring in hysterical females, or in children from exposure to cold,' sense of spasmodic con- striction in the upper part ofthe windpipe and its ramifications; or op- 570 ASTHMA. ression at the chest with paroxysms of suffocating feelings, as if caused y the inhalation of the vapor of sulphur, commencing with a fit of coughing, and succeeded by distressing, oppressive constriction, some- times to such a degree as almost to drive the patient to exasperation and distraction. Cuprum is indicated by nearly the same train of symptoms aa Moschus, and frequently succeeds when the latter has failed to relieve. Dose: As directed for Ipecacuanha. Belladonna is more particularly of service when the following symptoms constitute the predominant features ofthe case:—Difficulty of breathing, particularly when occurring in females of an irritable habit, and subject to spasms, with tension in the chest, and lancinating pain behind the breast-bone; dry cough at night with moaning respiration, which is sometimes deep and full, at others short and rapid, Avith gasping for breath and great efforts to dilate the chest to the utmost to obtain a sufficient supply of air; sensation of constriction in the upper part ofthe windpipe, and feeling as if suffocation would ensue on putting the hand to that part, or on turning the neck ; paroxysms of asthma, with loss of consciousness, &c. Dose: As directed for Ipecacuanha. Lobelia infiata is a valuable medicine when the following indica- tions are present: — Tightness of the chest, and laborious breathing, with disposition to keep the mouth open in order to breathe; oppression of the chest, causing a deep breath to be taken to relieve the pressure; slight tickling under the breast-bone, on drawing a deep breath; asth- ma coming on in spells; when drawing a deep breath, a feeling as if something had fallen out of its place, and which goes back only with great pain; sensation of weakness and pressure in the region of the stomach; feeling as of a lump or a quantity of mucus clogging the windpipe. Dose: Two globules, in all respects as directed for Arsenicum. Cactus grandiflorus. Periodical attacks of suffocation, with fainting, cold perspiration on the face, and loss of pulse; sensation as though a cord were tightly bound around the lower part of the chest; feeling of congestion of blood to the chest, with oppression and pal- pitation, preventing lying down; better in daytime, but anxious feel- ing returns in the evening. Dose: Three globules, as directed for Ipecacuanha. Phosphorus is one of the most important medicines for the treat- ment of chronic cases of asthma, particularly of the humid variety. Dose: Three globules in a teaspoonful of water, night and morning, for a week (or until earlier change); then pause eight days, after which the course may, if necessary, be repeated as before, and so on, until decided amelioration or change. Sulphur, Calcarea, Sepia, or Lycopodium may also be re- quired for the treatment of very obstinate and inveterate cases of chronic asthma. The more particular indications which should lead to a discriminative selection from amongst them, may be gathered from the article on " Characteristic Effects." I Dose: Of either of these medicines, as selected, give three globules, of. directed for Phosphorus. DROPSY. 571 Diet and Regimen. Asthmatic patients should sedulously ad- here to the general dietetic rules, more particularly detailed in the introductory article (at pp. 55 and 56). They should strictly avoid all stimulating or irritating articles, both as to food and drink. The diet should, in the majority of cases, however, be generally of a nourishing description, although plain, wholesome, and easy of digestion. Heavy meals should be avoided, more especially at night. DROPSY. Definition. We apply the term dropsy to collections of watery fluid, in one or more ofthe closed cavities of the body, or in the meshes of the cellular tissue, or in both, such watery accumulations being alto- gether independent of inflammation. Dropsy being itself rather a symptom of disease than the actual disease, it might be esteemed more scientific to consider, in the first instance, the original disease upon which the watery effusion depends. But there are reasons Avhich ren- der it advisable for the person undertaking the treatment to consider the dropsy as the disease in reality to be treated ; for, in many cases, during the life of the patient, the organ on Avhose disease the dropsy depends is not always quite obvious; and, in the next place, the drop- sy itself becomes, in its turn, the cause of other annoyances, interfering, by reason of the imprisoned fluid, Avith the performance of several im- portant organic functions ; so that, in a practical view of the matter, the dropsy becomes something more than an effect, or mere symptom of disease. It is clear, in fact, that, in a case of dropsy depending upon organic disease, two sets of symptoms have to be attended to: first, those depending on the primary disease giving rise to the dropsy ; and, in the second place, those depending on the accumulated fluid. DISTINCTIVE CHARACTERISTICS, ETC., OF VARIETIES. Dropsy of the Brain. In respect of the symptoms, treatment, and other particulars relat- ing to this variety, the reader is referred to this subject under the gen- eral head of " Diseases of Infancy and Childhood," in the subse- quent part of this volume. Dropsy of the Chest Dropsy ofthe Chest is dependent upon organic disease of the heart and large vessels, which is the most frequent form of the disease; or is the consequence of inflammation of the lungs, or of their investing membrane. General Symptoms (1, when dependent upon organic disease ofthe heart). Those symptoms Avhich generally indicate this kind of dropsy are — difficulty of breathing, which is increased by lying down, palpitations of the heart, pale or livid appearance of the face, sudden startings from sleep in alarm, and with palpitation, a dropsical state of the legs, and scanty urine. When these symptoms arp present in 572 DROPSY. auy case, we may be tolerably certain of the existence of dropsy in the chest. Another prominent symptom of, and one well deserving of no- tice, is a Avatery, or dropsical state of the eyelids. This at first may not attract attention, and may pass entirely unnoticed, until swelling of the feet and ankles may awaken the attention of the patient, or hia friends, to the real nature of the case. When the dropsy of the chest is dependent on some disease of the heart, as is generally the case, the early progress of the disease is slow ; but as soon as the feet and ankles begin to swell, the difficulty of breathing generally becomes much aggravated. The patient now feels more difficulty in lying down, and finds it necessary to have his head raised with additional pillows, — at length, the breathing becomes so very difficult that he finds it neces- sary to sleep in a chair. This difficulty of breathing also is observed to undergo very severe exacerbations, and to become more alarming every now and then, the cause of which is not very obvious. In dropsy of the chest, incidental to inflammation of the lungs or their lining membrane, the palpitations and other symptoms referable to the heart are wanting; the prominent and most striking symptom being great difficulty of breathing. Issue and Results. These are'generally unfavorable, the disease causing the dropsy being in general a complicated one. TREATMENT. By means of homoeopathic medicines, however, we may very materi- ally alleviate the sufferings of the patient, and in some cases, even so far modify, or even suspend the ravages of the disease, as to restore the patient to comparative health and comfort. Ammonium c. is particularly indicated when there is present great shortness of breathing, especially on going up a height, when the breathing is very much oppressed, and great palpitation of the heart takes place after the least bodily exertion ; or when there seems to be a pressure of blood to the chest, and a feeling of weight in the same region. Dose: For the general treatment, give four globules in a teaspoonful of water, night and morning, for eight days (or until the occurrence of decided change); then pause a week, after which the course may be repeated as before, and so on, from time to time, until decided amelioration or change. If against a paroxysm of palpitation, &c, give three globules in a tea- spoonful of water, repeated at intervals of three hours, if necessary, until the symptoms are allayed. Arsenicum is required in cases attended with great difficulty of breathing and shortness of breath, great oppression in ascending a height, as also in every motion, and even on laughing; suffocative attacks, more especially at night, and in bed, with panting and wheezing respiration amid great distress, as if the patient were going to die; and, more espe- cially, Avhen with the paroxysms great debility sets in. Dose: Three globules (for the general treatment), and two globules (for thepar- oxysms), in otner respects as directed for Ammonium c. In some instances, however, in which the symptoms are very distressing and urgent, and the prostration excessive, it becomes necessary to repeat the doses at in- tervals, varying from five to thirty minutes. DROPSY. 573 Carbo v. is more particularly in licated when the case is character* ized by the symptoms of spasmodic flatulent asthma, with oppression and tightness of breathing; as also heavy and short breathing, more especially in walking; Avith pressure and a feeling of lassitude in the chest. Dose: In every particular as directed for Arsenicum. Bryonia. When, among the other symptoms, we observe great difficulty of breathing, more especially at night, or towards morning, with inability to lie on the right side, pressure and tension through the entire chest; Avhen there is increased difficulty in breathing, in speak- ing, and in every kind of exertion; Avhilst the patient experiences great relief as soon as he raises himself from the recumbent posture. Dose: In every respect as directed for Arsenicum. Ferrum is often of much service in case there is violent excitement of the sanguineous system, accompanied Avith oppression of the chest, the motions of the chest during inspiration being almost eritirely imperceptible ; also when there is great shortness of breath, especially at night; or in the evening, in bed, in case of lying on the back. Dose: In every particular as directed for Ammonium c. Pulsatilla is of service when the patient complains of an arrest of the respiration as from the vapor of sulphur; also of breathlessness, and suffocative paroxysms, with great distress, palpitation, &c. Dose : As directed for Arsenicum. Lachesis is indicated in individuals who complain of shortness of breath after meals, in walking, after sleeping, and after violent move- ment of the arms; also of suffocative paroxysms on lying down; of slow and whizzing respiration. Dose: As directed tor Arsenicum. Apis mellifica is a valuable remedy for dropsy of the chest when the oppression is very great; there is inability to lie down; absence of thirst; very dark urine, looking like coffee. It is particularly suited to cases resulting from catching cold after scarlet fever. Dose: In every particular as directed for Arsenicum. Apocynum cannabinum should be given when there is an almost total inability to speak, with catching of the breath ; the irri- tability of the stomach is so great that even cold water is rejected; the urine is very scanty. Dose: In all respects as directed tor Arsenicum. Digitalis Avill prove useful when dropsy of the chest exists in persons Avho have a very pale or bluish appearance, and who are sub- ject to fainting; the pulse is intermittent, the face pale, and the skin cold ; urination is difficult, and the urine scanty. Dose: In every respect as directed for Arsenicum. Squilla will be found very useful in many cases of dropsy of the chest. It is more particularly indicated when there is strong urging to urinate, Avith scanty and dark-colored urine; and continuous cough, with expectoration of mucus. Dose: In every particular as directed for Arsenicum. 574 DROPSY. Sulphur is a remedy of much value in this variety of dropsy, as in all others which ensue as the consequence of acute disease, and in such instances will tend materially to promote the efficiency of other medi- cines more especially indicated. Sulphur is again of much value, in the same manner, in cases which are slowly and gradually developed, and which ordinarily depend upon a debilitated or exhausted condition of the system. Dose: Give six globules in a teaspoonful of water, the first thing in the morning, fasting, from time to time, as an intermediary resource, (if other treat- ment be imperatively called for), or for a week in succession (if no other remedy be very positively indicated for immediate administration). Dropsy of the Belly. This form of dropsy is technically termed ascites. It varies in the method and progress of the attack. Sometimes the enlargement is quite sudden, and unattended with marked constitutional disturbance at the onset, and unpreceded by any premonitory symptoms ; in other instances the enlargement takes place gradually, with the same absence of constitutional disturbance, &c.; but in some instances there is a marked premonitory stage preceding the actual development of the disease. General Symptoms. In this kind of dropsy, the progressive en- largement of the belly is regular and uniform as respects the two sides of the body. If the patient lies on his back, the weight of the fluid causes the sides of the belly — the flanks — to bulge outwards, or to swag over. The swelling of the belly is more or less hard, and when struck with the fingers conveys a dull sound; and in cases in which the accumulation is considerable, if one side be gently struck with the finger of one hand (the patient being in a recumbent posture), and the other hand be laid lightly upon the opposite side, the fluctuation of the fluid will be sensibly felt. The patient is generally affected to a greater or less degree with difficulty of breathing, and with incapabil- ity of lying down, more especially as the accumulation increases, and extends to the cavity of the chest. Emaciation commonly attends upon this variety, as well as upon general dropsy, so that, when the dropsical swelling does not affect the extremities, these become very spare, meagre, and attenuated. The SAveiling, however, generally involves the lower extremities to a greater or less extent; and the con- stitutional disturbance, such as variations of pulse, restlessness, &c, are sometimes well marked in cases which are gradually developed. This, however, is not invariably the case, for in many instances the advance of the disease is very insidious. In some very unfavorable cases the pulse is feeble, irregular, and intermitting; spots or stains appear on the skin ; there is fever, with cough and difficulty of breathing; dis- charges of blood occur (or have preceded the development of the dis- ease), the prostration of strength is excessive, and the urine is scanty and offensive. Examination of the belly by pressure Avill enable us to decide Avhether liquid is contained in the serous membrane which in- vests the belly, technically called the peritoneum. It is a matter of the utmost importance in practice to be able to de DROPSY. 575 termine whether the fluid is accumulated in the membrane in question, or in any other organ or structure. As this point, however, belongs more properly to the professional attendant, we shall say nothing of it here, confining our attention to the consideration of the treatment of dropsy of the belly, as indicated by particular manifestations, which afford the unprofessional reader an opportunity of discriminating in the selection of the appropriate medicine. Complication. Dropsy of the belly may be complicated with general dropsy, or with dropsy of the chest, or it may ensue as the re- sult of irregularities attending the development of eruptive diseases, or of the suppression of some habitual discharge. Issue and Results. If dependent upon structural disease of some important organ, the issue is usually unfavorable, although much hope of alleviation may be anticipated from appropriate homoeopathic treatment. The same may be said of cases occurring amongst persons advanced in years, or sickly children. As regards cases which are traceable to an immediate cause, such as irregularities attending the development of some eruption, sudden suppression of an habitual dis charge, cold, fatigue, &c, — these are far more within the range of remedial treatment; and a cure is to be anticipated or hoped for, if proper treatment be properly undertaken. General Dropsy. By this term it is intended to designate that variety which may in- inciude all the other Ararieties, or which invades the entire system, either simultaneously or progressively. General Symptoms. This comprehensive variety of dropsy may obviously evince a combination of the chief symptoms which more especially characterize the other varieties, individually and distinctive- ly. It Avill suffice here, therefore, to pass in revieAV the general mani- festations of the disease only, without recapitulating the particular symptoms already mentioned under each of the foregoing heads. Gen- eral Dropsy of the system is commonly characterized by pale and sickly complexion ; dryness of the skin; red and parched, furred and moist, or unnaturally clean and florid, tongue ; want of appetite, and general derangement of the organs and functions of digestion; constipation generally, but sometimes also looseness of the bowels; or, in some instances again, constipation and looseness in alternation; scanty and high-colored urine; the pulse being sometimes quick, and in other instances slow, and often irregular and intermittent ; general loss of strength, more or less rapid, and always progressive, attended Avith ex- cessive languor; habitual feverishness, more especially aggravated towards and during the night. To these symptoms are sometimes superadded a painful, hacking, and generally dry cough. There is usually shortness of breath, more particularly exacerbated by the least exertion, or upon lying doAvn, Avhen a sense of suffocation also ensues. Violent palpitation of the heart is a general concomitant. The nights are restless, and even sleepless; or the sleep is disturbed by frequent starting, often with an intense sensation of oppression and anxiety. In 5/6 DROPSY. addition to the symptoms resulting from Dropsy of the Chest or of the Belly, as above described, General Dropsy is usually characterized by such as are more particularly manifested by — Dropsy of the Cellular Tissue, local and general. This variety of Dropsy consists in the excessive accumulation of the watery constituent of the blood in the cellular membrane immediately under the skin, or in the vicinity of important glands, &c, and is usually associated with the last-named variety; but it also occurs in some instances as a symptomatic development of some other organic disease, or in other instances again as a primary disease. It may be either acute or chronic. Issue and Results. As regards the acute forjn, it may generally afford better hopes of cure; but if neglected, and when it takes an un- favorable turn, it may lead to a fatal issue, sometimes in a few days ; or in other cases it may be protracted for several weeks, and finally terminate fatally. As regards the chronic form, the prospect of cure is very precarious; but much alleviation may be afforded by appropriate homoeopathic treatment. TREATMENT. When incidental to Eruptive Fevers, &c. The treatment of cases which result from scarlet fever, or from other eruptive diseases, has already been detailed under the head of each respectively. To such articles, therefore, the reader is referred. General Cases dependent upon other Causes. Aconitum. This medicine is occasionally of service in either of the foregoing varieties of dropsy at the onset of treatment, when the feverish excitement is very predominant; but it is more especially required in those sudden attacks of the acute or inflammatory form of dropsy of the cellular tissue, which occur in persons of a full habit of body and vigorous frame, and should, in such instances, be given pre- paratory to farther treatment during the active predominance of fever- symptoms. Dose: Three globules in a teaspoonful of water, repeated, if necessary, after the lapse of two hours ; proceeding, however, promptly with such other treatment as may be required, as the heat of the skin and agitation of the pulse become moderated. Helleborus niger is to be mentioned as especially appropriate to the treatment of cases of an acute character, either characterized by considerable febrile excitement, or when the fever-symptoms are attended with great debility, and (especially in Dropsy in the Belly) when there is a tendency to torpor or lethargy; the urine being ex- tremely scanty, or almost suppressed, and the evacuations from the bowels relaxed and gelatinous ; or, when shooting pains in the extrem- ities prevail. Or again, when the fever-symptoms are accompanied with tightness and oppression at the chest, or with darting pains in the DROPSY. 577 same part; the breathing being short and hurried — the thirst intense, and Avhen prolonged shivering occurs. Helleborus is again of much value as an intermediary remedy in the chronic forms of the disease of either variety of development. Dose: Of a solution of six globules in four table-spoonfuls of water, give a teaspoonful every four hours (or in very urgent cases, every two hours), until manifest improvement, whereupon the medicine should be given every morning and evening. If no improvement be manifested in two, or at most three days, consider some other medicine, more particularly Ar- senicum. Arsenicum is one of the most valuable medicines for the treat ment of the various forms of Dropsy above described, Avhether of an acute or chronic character, and should be promptly employed (six hours after the last dose of the foregoing medicine in acute cases) aftei the previous treatment above described, when Helleborus does not appear capable of .effecting more than partial relief. Arsenicum is also more especially indicated at any period wfien extreme debility (or very rapid prostration of strength) is, or has constituted a characteriz- ing feature in the case. Or, when (in acute cases) the disease has made considerable progress before treatment is undertaken. Arsenicum is again of great value in cases of Dropsy of the Cellular Tissue, ensuing as the result of very severe and mismanaged acute and inflammatory diseases. Or again, in those chronic and protracted cases which have been gradually induced in shattered constitutions, or in those which obviously depend upon organic disease of the heart, or of any ether important organ. The indications for the use of this medicine given under the article on "Dropsy of the Chest" should be consulted, together Avith the article on " Characteristic Effects," under the appropriate heading. Dose: Against acute symptoms give two globules in a teaspoonful of water, every half hour (or, in very urgent instances, at intervals of half an hour), until a degree of reaction becomes apparent, subsequently extending the intervals to three, six, or even twelve hours, according to the greater or less urgency of the case. In chronic cases, give three globules in a tea- spoonful of water, night and morning, for a week (or until the earlier de- velopment of marked change) ; then pause six days, after which resume the course as before, and so on, from time to time, until very decided amelioration or change. Apis mellifica should be administered in cases in which the dropsy is characterized by great soreness of the muscles of the abdomen; stinging, burning pains in different parts of the body; the urine is scanty and of a very dark color; great difficulty in breathing, partic- ularly when lying down, even leaning backwards causes a suffocative feeling. The article entitled "Dropsy in the Chest" should likeAvise be consulted, together with that on " Characteristic Effects." Dose: In every particular as directed for Helleborus niger. Apocynum cannabinum is a medicine which has frequently proved of great service in dropsy of the belly, and in general dropsy. It is particularly indicated in cases where there is a sinking or gone feeling at the pit of the stomach, with great irritability of the stomach, to such an extent that even a draught of water is not retained; the 37 578 DROPSY. urine i*> scanty, and muddy in appearance. The article on "Dropsy of the Chest," and that on " Characteristic Effects," should be consulted. Dose: In every particular as directed for Helleborus. Mercurius is occasionally of much service in some chronic cases of Dropsy of the Belly, dependent upon organic diseases of the liver, spleen, &c, especially when characterized by great debility, short, shaking cough, &c. Or again, in acute cases of general dropsy, attended with oppression at the chest, incessant, short, and extremely fatiguing cough, or in the chronic form associated with derangement or organic disease of the liver; and further characterized by general heat, prevailing thirst, and great weakness. Dose: In every respect as directed for Arsenicum. China is useful in cases of Dropsy of the Belly, dependent upon an enfeebled condition resulting from excessive loss of .blood, or of other animal fluids. Or again, in those cases which are associated with or- ganic disease of the liver or spleen, (more especially the latter,) and which are further characterized by short, distressing cough, Avith, or Avithout expectoration, extreme paleness of the skin, general chilliness, small, feeble, and slow pulse, frequent urging to pass water, either resulting in very scanty discharge, or sometimes totally ineffectual. China is also of service for the treatment of cases of general dropsy, which have resulted from excessive discharge of blood, whether natural, accidental, or artificial, or from protracted diarrhoea or dysentery. Dose: In every respect, as directed for Arsenicum. Ferrum should be administered six hours after the last dose of China (as regards the paroxysms), or six days after the last dose (as regards the general treatment), in cases in which the last-named medi- cine has been productive of inadequate or barely perceptible benefit. Ferrum is, moreover, well indicated in cases of Dropsy of the Cellu- lar Tissue, or of general dropsy, characterized by a pale, sickly, and cadaverous hue of the skin, or by pricking and shooting pains in the parts affected with dropsical swelling. Dose: As directed for Arsenicum. Bryonia is of much service in cases of Dropsy of the Cellular Tis- sue, or of general dropsy, particularly in those of an acute or inflam- matory character, whether occurring as a primary disease, or otherwise, but especially, if provoked by incautiously drinking quantities of cold water Avhen heated; and further characterized by great oppression at the chest with acute pricking pain during a full inspiration, and by increase of the dropsical SAveiling during the day and diminution at night; these symptoms being associated with constipation. Bryonia is also of service in cases of dropsical swelling which occur during an attack of inflammation of the lungs. Dose: In all particulars as directed for Helleborus niger. Phosphorus is principally of service in the treatment of Dropsy of the Cellular Tissue, or of general dropsy, accompanied with inflam- mation of the lungs. Dose : As directed for Helleborus. SCROFULA. 579 Sulphur is of pre-eminent service in completing the cure, in almost nil instances in which this disease occurs in persons of a marked scrof- ulous habit of body; or, in which it has been incidental to foregoing acute and inflammatory diseases, or Avhen other medicines apparently offering a very closely specific analogy to the symptoms of the case ap- pear to he limited in their efficacy, in which instances, Sulphur should generally be employed as an intermediary remedy. Dose: If of Sulphur, as an intermediary remedy, give six globules in a table- spoonful of water, the first thing in the morning, fasting, repeating the dose after the lapse of twenty-four hours; then pause four days, and return to such treatment as may appear distinctively appropriate. Other- wise and for consecutive treatment, of either of these medicines, give a sim- ilar dose every morning, the first thing, fasting, for ten days (or until earlier change) ; then pause a week, after which the course may, if necessary, be repeated as before, and so on, until decided amelioration or change. Additional Particulars. For additional particulars, refer to the foregoing details relating to Dropsy of the Chest, at pp. 572-574. Diet and Regimen. In acute and inflammatory cases, the diet and general treatment should be such as has been detailed under the general head of " Fe\7er." In chronic cases, the particulars de- tailed, in the article on " Eradicative Treatment," at pp. 83 - 89, should be consulted. SCROFULA. By the term Scrofula, we understand not only, as is popularly imag- ined, a particular disease affecting the glands and terminating in ulcer- ation,— but rather a general morbid condition whose universal charac- teristic is debility or Avant of tone, and Avhich operates as a very constant predisposiny cause to every variety of disease, especially to such as assume a malignant character during their acute stages, or to such as have a tendency to degenerate into protracted and chronic affections ultimately resulting in organic disease, or disease with alter- ation of structure. Scrofula, therefore, may generally be defined as the great parent of disease. It may remain latent or passive until its mischiefs are de- veloped by the co-operating influence of some exciting cause of disease, or it may continue to affect the system, generally in' a marked and ob- vious manner, Avithout, hoAvever, any definite development; or, again, may assail particular parts in a distinctly characteristic manner: — as, for instance, Avhen the glands become enlarged or ulcerated, or the bones become affected with curvature or other unnatural developments, or when decay and Consumption settle upon some important organ, such as the Lungs, &c. From the almost universal prevalence of Scrofulous disease in some form or other, from the well-known fact of its sparing in its ravages neither age, sex, nor condition, and from its assumption of so many and such different appearances, it certainly becomes a matter of the utmost importance to obtain as intimate a knowledge as possible of its 580 SCROFULA. causes, nature, and symptoms. As far as the morbid structure and the concomitant symptoms are concerned, very great progress has been attained, yet but little has been done in the investigation of the remote causes, or towards our determination of what may be considered the Scrofulous constitution. This is the more to be wondered at as from the remotest period we meet with constant allusion to what they called the Scrofulous habit of body, or the Scrofulous temperament. Now, though experience has fully proved that no original temperament, com- plexion, or make of body, confers immunity from the invasion of Scrofulous disease, still it must be admitted that there are certain traits or physical peculiarities which may be fairly assumed as characteris- tics of the Scrofulous constitution. Characteristics. These may be enumerated as follows:—Extreme whiteness and fineness ofthe skin, with a remarkably fair complexion, light, silky hair, long, shining eye-lashes, watery, and often blue eyes Avith dilated pupils; it is to be observed, also, that the skin is peculiarly irritable even on the application of the slightest causes. Scrofulous children, for instance, are more liable to chilblains, which are to be observed on their hands; and in Scrofulous persons the application of a blister is frequently followed by the eruption of pustules on the sur- rounding skin. The form of the body also is, in general, soft and rounded, owing, no doubt, to a full development of the cellular tissue, which effaces all lines and muscular prominences. Scrofulous persons often present the aspect of a florid habit and full robust health ; the external surfaces often present to the eye an appearance of firmness and elasticity, though Avhen examined by the touch, they are found to be soft and flabby; the countenance, which is generally full and rounded, presents an expression of softness ; the cheeks, presenting a bright, roseate hue, form an almost brilliant contrast with the white skin; the teeth, Avhich are of a pearly white color, evince a tendency to premature decay; the lips, more especially the upper, are usually swollen ; further, the upper lip is, in general, chapped in the centre. The Scrofulous habit is, ordinarily, deficient in stamina. Children possessing this constitution are familiarly known as feverish children; the least irregularity of diet or exposure to cold or moisture throwing them into a state of febrile excitement. Their frames betray an undue proportion of irritability, and they are peculiarly prone to attacks of inflammation. In Scrofu- lous persons the conjunctiva (or mucous membrane which covers a por- tion of the eye and lines the eyelids) is very liable to inflammation, and the mucous membrane of the intestines is soon and easily irritated and diarrhoea thus produced. In such persons, also, the mucous secre- tions are very copious, and often acrid, various portions of the mem- brane themselves thickened ; whence arise excoriations of the nostrils and of the upper lip, with swelling of these parts. So irritable has the skin of Scrofulous children been observed to be, that barely washing them Avith scented soaps has been known to produce the appearance of a pimply eruption. Most Scrofulous subjects are of small stature, and have slender limbs; still it must be remembered that multitudes of Scrofulous subjects are met with of a very different description, — indi- SCROFULA. 581 v; luals remarkable for their lofty stature and apparent strength, as also for the symmetry and beauty of their persons. The moral and mental faculties of such persons are oftentimes rather of an agreeable cast, though frequently accompanied by irritability and impatience. The temper is hasty and irritable; the desires and the passions are ardent, the intellect, in early age, is lively, full of viva- city and cheerfulness; the perception is keen; the imagination pre- dominates over the judgment; nothing is more striking than the ready appreciation of thought and feeling in children of this constitu- tion ; there is generally found to be, hoAvever, in such persons, a defi- ciency in firmness. Such is the ordinary description given of the Scrofulous constitution; it corresponds pretty closely Avith that which has been called the san- guineous temperament. Some there are, hoAvever, Avho will haAre it, that the melancholic is also characteristic of this disposition, and, no doubt, there is much truth in this.opinion. In such persons the complexion is dark, the skin harsh, and the habit indolent; the countenance is swollen and pasty, and all the functions of the body are indolent and sluggish; the nervous energy is feeble, the feelings obtuse,and both the moral and intellectual powers occupy but a low rank. The best pathologists are agreed that, in this temperament, the Avorst forms of Scrofula are to be met Avith. Others, again, will have it that the scrofulous constitution is more exclusively confined to the lymph- atic or phlegmatic temperament. This temperament is character- ized by a fineness and whiteness of the skin, roundness of form, Avant of firmness in the chest, muscular feebleness, and apathy of mind; all of Avhich, hoAvever, present a condition perfectly consonant Avith health. Whatever may be the relative frequency of this morbid condition in different constitutions, it is evident from Avhat has been just said, that no one particular temperament can strictly be called scrofulous. Still there really do exist certain characteristics, by which an inherent pre- disposition to scrofulous disease is indicated, and any state of the system, Avhich, under certain exciting causes, is liable to its develop- ment, may be fairly called the scrofulous habit of body. These char- acteristics, it may be observed, are progressive, and are generally more marked and striking Avhen this morbid condition is hereditary in its origin than when it is acquired. The general form of the body is rather deficient in proportion and symmetry, the head being relatively larger than the trunk (as for instance, in Rickety children, &c), and the limbs small with large rounded joints; the belly is also generally prominent. In those avIio are dark-complexioned, the skin becomes sallow, whilst in those avIio are fair, it bears some resemblance to blanched Avax. The skin is very thin in texture, and the veins are seen ramifying beneath it;—it rap- idly shrinks aAvay under privation, fatigue, or disease; but these effects are soon recovered from, and its previous state of fulness is quickly restored. The poAvers of the body are extremely inadequate to the idea formed of them from viewing its external appearance ; fatigue is very soon felt; the circulation is feeble, as marked by a weak pulse and cold extremities. The state of the circulation may be said to form 582 SCROFULA. an element in the Scrofulous habit. The poAvers of digestion are also observed to be very feeble; the bowels, for the most part sluggish, are in general irregular; the discharges from the bowels, more especially in infancy, present an unhealthy character; the urine is in general scanty and turbid ; the secretions from the skin are very irregular, being sometimes suppressed, at other times excessive. It is a remark- able fact, that Scrofulous children indulge in protracted and profound sleep. History and Progress of Scrofulous Disease. For getting a more correct idea of Scrofula, it may be as well to consider it in its different forms and stages of development; and first (1) we shall view it in its simple, uncomplicated, and ordinary forms, which may be divided into three distinct stages, supposing the morbid condition to advance progressively, and to assume the character of active disease, and next (2) as it shows itself in particular organs, when it may assail one or more important organs simultaneously, and assume the charac- ter of various organic diseases in its progressive development. ♦(1.) The Simple Form. First period or stage. — What Ave shall here consider the first period of the simple form of the morbid condi- tion in question is the period of the disease Avhich has been particularly overlooked. We have already observed, that the countenance, to an indifferent or inattentive observer, generally presents the appearance of good and excellent health ; on a more attentive observation, this impression will be discovered to be deceptive, the cheeks being found to be loose, soft, and flaccid. The countenance is often observed to be indicative of great distress, if very keenly observed; it assumes a hag- gard and Avorn expression. In the progress of this state, the appear- ance ofthe countenance becomes changed; it now puts on a jaded and distressed aspect. In this early stage nothing is more distressing than the great liability to colds and slight feverishness. Inflammatory action is most readily excited in the various portions of the mucous membrane. Frequent perspirations are complained of, A\rhich alter- nate with a dry feverish state of the skin. The mucous membrane of the nose becomes thickened and inflamed, discharging a thin, acrid matter. The air passing through with difficulty renders it necessary for the patient to breathe through his mouth. The inner membrane of the eyelids is frequently irritable and inflamed; the eyelashes also drop off, and leave the eye unprotected. On the accession of this stage, we observe in those of a sanguineous temperament an exaltation of the intellectual powers. The perceptive power is quickened; Avhilst in subjects of the phlegmatic temperament the natural dulness of perception is increased, and the tendency to inaction and sluggishness becomes more marked. The irritability of the nervous system becomes more aggravated. The sleep also becomes disturbed with dreams. Second stage or period. — The next period, and one which occurs be- tween the second and twelfth years of life, is characterized by indolent swelling of the glands, cellular system, and joints. These ordinarily occur, at least in the milder forms, in the form of small rounded tumors, uovable under the skin: it may be observed, that an effusion of fluid SCROFULA. 583 is often perceptible, exterior to the body of the gland, circumscribed by the adjacent cellular membrane. The glandular swellings are soft, with a feeling of elasticity. Their ordinary seat is the neck, under the chin and ears. The joints of the elbows, fingers, toes, knees, &c. become SAVollen, and at times stiff. Whether it be the glandular or the cellular tissue, or the joints them- selves, that are thus affected, there is every reason to suppose that they pass through all the stages of inflammation; but it is deserving of re- mark that, in each stage, phenomena are exhibited which are peculiar to the scrofulous habit. These swellings are not ordinarily attended with the same degree of heat or pain as we find in common inflamma- tion. The lymphatic glands of the neck are those most frequently the seat of this inflammation; sometimes only a few of them in number, sometimes several. These tumors are very variable in their size, being one day more prominent and tense, and the next more sunk and flac- cid. The lymphatic gland, when first affected Avith Scrofula, is soft and fleshy, and its size is increased ; the texture then becomes firmer, and the color paler than in health. Third period or stage.— As the disease proceeds, portions of the gland are observed to have altogether lost their flesh-color, and acquired a degree of semi-transparency, and a texture approximating to that of cartilage; at length a deposition of soft white or yellowish, curd-like substance, is found to have taken place, and the true scrofulous deposit now becomes manifest. This, which may be considered as marking the third stage, is further characterized by lancinating pains, febrile ex- citement, &c. Some portions of the skin covering the inflamed part become pale, and one or two openings spontaneously occur, by which fluid is poured out. This fluid, though like ordinary matter at first, differs from that Avhich is discharged from a common abscess. As the discharge continues it becomes less thick, until at length it assumes the appearance of a sticky, watery matter, intermixed Avith Avhite matter, resembling the curd of milk. The period of suppuration is arrived at in three different modes. In the first mode we have an early effusion external to the gland. The fluid discharged, when the abscess bursts, consists of flakes of a coagulable lymph, swimming in a half-matter-like fluid. This matter is formed externally to the gland, so that when the skin and cellular membrane are absorbed, the cavity of the abscess is very superficial, and the tumor continues almost as prominent as be- fore the discharge of the fluid. In the second, -the progress of the ulcer is marked by simple enlargement of the substance of the gland, or of the adjacent parts, caused, of course, by the pouring out of coagula- ble lymph. In the third species, the abscess is formed in the substance of the gland, and a part of its walls must be absorbed before ulceration can take place. In the cellular tissue beneath the skin, the scrofulous affection generally presents itself under the form of chronic inflamed tumors, passing into abscess. The matter of these abscesses is like to that found in scrofu- lous glands in general. The abscesses immediately under the skin may form on the hairy scalp, neck, chest, or belly. The contents of these 584 SCROFULA. abscesses frequently become chalky, especially when the course of the abscess has been rather indolent. Characteristics of the Scrofulous Ulcer.—The characteristics of the scrofulous ulcer are as follows :—Its margins are smooth, obtuse, over- lapping, and hard, presenting a dull-red color; the surface of the sore is of a light red; while the granulations, somewhat like to raw flesh, are flabby, and display a glossy appearance. The discharge is thin, somewhat ropy, abundant, and contains in it curdy flakes. Such may briefly be set down as the ordinary form of the simple Scrofula. (2.) Complicated Forms. The affections, hoAvever, may assume a variety of modifications; many of what are called the eruptive dis- eases are deemed essentially scrofulous, from their oftentimes accom- panying the affection. The fact, however, of their being unattended by scrofulous deposit Avould appear to exclude them from the place of scrofula. In the Mucous Membrane.—The various portions of the mucous membrane are a very frequent seat of scrofulous affections. The scrofu- lous deposit has been frequently seen on the free surface of this mem- brane, it being sometimes found deposited in the air-cells. The Nose.—The mucous membrane of the nose is often attacked very severely, commencing with a trifling swelling and redness about the wings of the nose, attended by a discharge Avhich blocks up the nostril. The discharge is very thin, like matter, and gives off a very offensive odor. The Primary Organs of Digestion.—The mucous membrane of the digestive tube is very likely to be the seat of Scrofula. Small spots of ulceration, of a decidedly scrofulous character, are met with on the surface of the throat and gullet, or the tube leading doAvn into the stomach. There is a form of indigestion which is considered to be peculiar to persons of a scrofulous habit of body. The Serous Membranes.— As well as the mucous membrane, so also the serous membranes are subject to tuberculous or scrofulous deposi- tions. Of this we have numerous instances in the serous membrane belonging to the brain ; to that investing the lungs ; to that covering the solid and membranous intestines contained in the belly, as well as the stomach and intestines generally, the liver, spleen, &c. The Synovial Membranes of Joints and the Bones.— The smooth mem- branes covering the joints, called synovial, are sometimes the seat of scrofulous disease. The bones are as frequently affected with scrofu- lous disease as any other parts of the body. In persons carrying about with them the characteristics of the scrofulous habit of body, the bones are observed to be more slender; and what is a matter of every-day observation is, that it is the soft and spongy bones that are the more frequently attacked by Scrofula — as, for instance, the heads of the long, ca lindrical bones, as of the leg and thigh, the bodies of the spinal bones, or those bones constituting the back-bone. The Joints.—When scrofulous disease attacks the joints, the affection is very insidious, there being so little local uneasiness as scarcely to call attention to the part affected. As the disease, however, becomes SCROFULA. 585 more established, the symptoms become more marked ; a dull, heavy, constant pain, which, though felt to be deep-seated, is neither increased by pressure nor aggravated by motion. The Lymphatic Glands.—The lymphatic glands were once thought to be the peculiar, nay, even the exclusive seat of the scrofulous poi- son ; we have already seen that such is not the case. The glands more ordinarily so affected are the submaxillary (or those under the loAver jaAv), and the sublingual (or those under the tongue); sometimes the parotid gland (that is, the gland near to, and anterior to the ear,) and the tonsils are attacked. When scrofulous habit is well marked, the tonsils seldom escape being affected. A large number of glands, situ- ated in the belly, or that portion called the mesentery, are frequently affected with scrofulous disease. To enlargement of these glands we are to refer the tumid belly so often observed in children. The Lungs.—When Scrofula attacks the lungs, it gives rise to one of the most serious diseases to Avhich man is liable—viz., pulmonary or tubercular consumption. Characteristics of Hereditary Scrofula. According to Lugol, the hereditary transmission of scrofulous disease may be recognized chiefly by the two following characters : 1st, the general occurrence of the disease in the family affected ; and, 2dly, by the mortality which it occasions. The first and most striking fact in the study of scrofulous diseases is the frequency of their occurrence in the family affected. There is, ho\v- ever, one circumstance to be observed in scrofulous families at first sight, which is a certain complexion or physical constitution common to all the children; which is called the family constitution or temperament. This it is which first reveals the fatal predisposition to Scrofula. I have already, however, said sufficient regarding the physical constitution of those bearing about them marks of the scrofulous habit (in the fore- going part of this article, at pp. 580, 581), and have, I believe, entered sufficiently into detail on that subject Avhen giving the characteristics of the scrofulous habit. According to Lugol, we are fully Avarranted in inferring the scrofulous habit of body, in several individuals, from the fact of knowing that Scrofula has existed among their progenitors. And it is especially in considering this hereditary character of scrofu- lous disease that I am compelled, as it were, to recapitulate some remarks which I have already made, in order to maintain their connec- tion Avith such other phenomena as now come under consideration. I should therefore repeat, that scrofulous families may be at once recog- nized by the general aspect of debility Avhich pervades the children; their scale of health is at the best negative, and totally deficient in the attributes of robust and healthy organization. There is always a Avant of harmony in the external configuration of scrofulous children; their trunk and extremities are not proportionably developed, but the limbs are either too long or too short, Avith large joints, and are awkwardly attached to the body. " The median line," says Lugol, " is frequently not in the centre, the lateral halves of the body appearing unequal, and, as it were, improperly joined together." This conformation, which depends on iiregular development, is of the Avorst augury, as far aa 586 SCROFULA. regards future disease. It is not uncommon to t.bserve a want of union in one or more portions of the median line, as in cases of hare-lip, fis- sured palate, and deficiency in portions of the fibrous line which is observed to divide the belly. In certain scrofulous children the chest is keel-shaped, the different portions of the breast bone being distinctly visible beneath the skin and tilted forwards. In such cases the ribs are variously distorted, and the diameter of the chest from before back- wards greatly exceeds the lateral. This mal-conformation may, in favorable cases, improve progressively between the ages of eight and twelve; and even if the change does not take place at this period, we may still hope that puberty will oper- ate beneficially in remedying the deformity. This abnormal condition, hoAvever, is more commonly persistent, and, by preventing the due ex- pansion of the lungs, plainly shows that the taint of Scrofula has struck deep root into the system. The physiognomy appears to be in advance of the age during the period of infancy alone. A sort of nonchalance or mental apathy is a frequent characteristic of this constitution. Scrofulous children are also subject to a spontaneous feeling of lassitude, which repose rather aggravates than relieves: — they sometimes aAvake more fatigued than they went to bed. The same thing is a matter of frequent observation in Consumption of the Lungs. It may be laid down as a general rule, that scrofulous subjects, or, more properly speaking, those in whom Scrofula is a morbid condition of inheritance, and is very predominant, are impatient both of bodily fatigue and mental disturbance. They possess, in many instances, con- siderable intelligence, but rarely the powers of application and concen- tration of ideas ; they are devoid of energy, whether physical, intellec- tual, or moral; there is nothing natural or healthy in their whole con- dition ; they have neither strength nor powers of endurance; — in a word, as Lugol forcibly expresses himself, all the phases of their exist- ence are abortive, — they know neither puberty nor manhood, the dif- ficulties Avhich oppose themselves to their development are endless; — they are beings physically and morally incomplete. Pathological Causes. — Some medical writers'state that Scrofula has been introduced into the system with the matter of smallpox. The best medical men, however, discard this view. Others state, that Scrofula may be communicated to a child by a scrofulous nurse: — such a nurse is certainly objectionable for many reasons. Others, again, have sup- posed that the syphilitic virus has been a cause of Scrofula. These opinions are not entertained by some of the best writers, or the most experienced practitioners on the subject. External Causes. — The external causes of Scrofula are certain pecu- liarities in diet, place of habitation, and atmosphere. That bad diet is considered as likely to produce Scrofula, is easily conceivable, as any- thing likely to induce debility is sure to do so — however, we are dis- posed to think that the effects of diet in causing this disease have been 2iuch exaggerated. Habits. —Want of cleanliness has been set down as an exciting cause; and its mode of operating is said to be by its opposing free trauspira SCROFULA. 587 tion. We see the disease, hoAvever, occurring in these who cann at be charged with uncleanliness. Atmospheric Vicissitudes, Heat, Light, &c.— The. nature and variation of the atmosphere have with much probability been said to exercise considerable influence in the production of Scrofulous affections; — with much probability, we say, seeing that it is the medium by which heat and light, moisture and electricity, all such important agents, as regards the animal economy, are applied to the system. Humboldt thinks that a diminution of electricity in the atmosphere concurs to the develop- ment and progress of Scrofula. On this subject, further observations are still Avanting. The beneficial results of solar light are universally admitted in Scrofulous cases; whilst it strikes us very forcibly, that the want of sufficient light must constitute one of the external causes which produce those deviations of form in children affected with Scrofula,— a conclusion which is supported by the observation, that this disease is most prevalent in poor children living in confined and dark streets. Baudelocque attaches great importance to the agency of light in the bringing up of healthy children. Baudelocque thinks that temperature, of itself, exerts no influence in the production of Scrofula, for it obviously is not a disease either of Avarm or cold latitudes, as it occurs most commonly in temperate cli- mates. We can scarcely doubt, however, that temperature and moisture combined, do exercise considerable influence on health. A temperate and moist climate presents the condition which is likely to render it a source of disease generally, but especially of Scrofula. The influence of vitiated air has been acknowledged by many as exercising consider- able influence on the occurrence of Scrofulous disease. Baudelocque insists much on the great influence of vitiated air in the production of this morbid condition. PREVENTIVE AND ERADICATIVE MEASURES. Additional Particulars at pp. 83 - 89. In the General Introduction to this Work, I have already devoted some space to, and laid great stress upon, the Preventive and Eradica- tive methods of treatment, which are so valuable in obviating the mis- chiefs of an inherent predisposition to disease, or in removing or modi- fying the activity of the Scrofulous habit when that has actually been induced or developed. As, however, there are some few more remarks, which I think it advisable to add to Avhat has already been said upon the subject, and as no question is of more vital importance to the well-being and physical comfort of families as well as the dispersion of morbid moral sentiments so often dependent upon some of these physical causes, I do not think I can exceed the limits of my space in dealing with this subject, and I shall accordingly resume. In the prevention of this affection, Ave may sug- gest the observance of the following rules as possessing no slight influ- ence. Where a scrofulous taint obviously exists in the mother, the state of her health during pregnancy should be attended to with the utmost care; that Avherever either or both parents evince a taint, or at least, any appearance of the scrofulous predisposition, on the birth of 588 SCROFULA. the child, preventive and precautionary measures must be adopted from the earliest infancy in bringing up the child. When there is no appear- ance of predisposition, Avhether in the father and mother, or in the col- lateral branches of the family of either, those external causes above enumerated must be sedulously removed. In the case of a child born of scrofulous parents, every means must be adopted regarding food, air, clothing, &c. If the father alone is affected, and the mother is in every respect qualified to nurse, the infant should be nursed by her in preference to any one else. When a wet-nurse is employed, she should not have given suck to her OAvn child more than a feAV days ; and she during the time of her nurs- ing, as well as the infant, of course, should occupy large, airy rooms; she should attend most carefully to the state of her stomach and bowels. The infant should be weaned at the end of nine, or at farthest twelve months, as the nurse's milk after twelve months becomes too poor for the infant. After this, the food should consist in a great measure of cow's milk, with light nutritious matters taken from the vegetable king- dom ; and with the slight addition of broth. The clothing of infants is of the utmost importance; their clothing should neither be excessive nor deficient; — to the same end, it will con- tribute much to keep the organs of the circulation and respiration in a state of vigor, by sufficient exercise in the open air, by living in well- ventilated apartments, and keeping up a healthy condition of the sur- face of the body. The beneficial effects of fresh air are of great importance— the rooms should be large and airy, Avell ventilated, and not too many inhabiting them ; there should be no curtains to the child's bed or cot. GENERAL TREATMENT. In respect to the general treatment of scrofulous patients, I have already entered into some detail on the method which has proved chiefly effectual, and of which Homoeopathy alone is capable. The general article on Preventive and Eradicative Treatment, but more especially the latter portion, was essentially devoted to this particular branch of treatment. To avoid repetition, therefore, I would briefly refer the reader to the article in question, at pp. 78 - 89. With respect to the various dependencies, and the many groups of affections which appertain to the extensive order, recognized under the head of Scrofulous Disease, among which may be enumerated Rickets, Dropsy of the Brain (under the head of "Diseases of Infancy," &c), Green Sickness (under the general head of "Diseases of Females"), Pulmonary Consumption, Hip Disease, White Swelling of the Joints, Scrofulous Ulcers, Scrofulous Enlargement and Ulceration of the Glands, Affections of the Knee, Affections of the Nose, Abscesses, &c, Scrofulous Inflammation of the Eyes and Eyelids, Swelling of the Lips, &c, &c, and the host of other diseases, particularly such as assume a chronic, intractable, or malignant character, and which have been con- ventionally enumerated as off-shoots of this afflicting malady, — the reader is, for obvious reasons, referred for the treatment to each indi- vidual disease, as separately considered in its own proper place, in the foregoing or succeeding portions of this Avork. DISEASES PECULIAR TO TROPICAL CLIMATES. 589 DISEASES PECULIAR TO TROPICAL CLIMATES. PRELIMINARY REMARKS. The successful practice of Homoeopathy has gradually extended its beneficial influence to the tropics, and will, doubtless, before long, be very generally adopted by the natives of temperate climates, whose call- ing requires their emigration, Avhether temporarily or permanently, to regions immediately under the influence of a Arertical sun, rapid and exuberant vegetation, and yet more rapid and noxious decomposition. The growing necessity for some directions, Avhich might be available to the Missionary or Emigrant, Avho may be placed beyond the reach of any professional assistance, and still more beyond that of Homoeo- pathic medical aid, and the strong solicitations Avhich have been com- municated to me, have induced me to attempt a brief and familiar outline of the management of Tropical diseases, in the hope that it may answer the purpose to which it is devoted. Fortunately, indeed, the broad expanse ofthe United States, embracing, as it does, tropical as well as temperate climates and districts, Avhich are peculiarly subject to some of the most dangerous endemic diseases of the teeming swamps, in re- gions extending, for several degrees, northAvard and southward of the Equator, and the extension of homoeopathic practice in India, have furnished some important materials for our assistance, in addition to those Avhich have reached us from other quarters. It will be readily observed, however, that the recapitulation of any disease which has already come under consideration in the preceding portions of this work, Avould be Avholly unnecessary, except in so far as particular precautionary measures may be appropriate in a hot climate, Avhich would hardly be applicable to the general consideration of such disease as it is known elsewhere. And the great bulk which this work has already necessarily attained, renders it additionally neces- sary that I should be as brief in my details respecting tropical diseases as I can be. I trust, however, that, limited as this part of the work will necessarily be, Avhen duly compared with other portions in which diseases of an analogous description are considered, it will be found to render some service. GENERAL PRECAUTIONS TO BE OBSERVED IN A TROPICAL CLIMATE. Food and Drink. 1. One of the first and most important precautions which should be observed by the natives of temperate zones, upon proceeding to a trop- ical climate, should be to reduce the proportion of animal food, and to abstain from stimulating articles of diet, in fact to maintain a regular, simple, nourishing, but very plain diet. 2. A second, and no less important precaution, is to abstain entirely from all stimulating beverages (especially fermented or spirituous liquors). Water is the only wholesome beverage. Water-drinkers 590 DISEASES PECULIAR TO TROPICAL CLIMATES. have invariably been found less subject to the frightful diseases of the tropics, and less seriously affected when attacked. This is more espe- cially applicable to the first year or two of residence. After this, how- ever, and when, owing to the excessive loss of animal fluids, Avhich is generally attendant upon the first visit to a hot climate, the patient has become somewhat exhausted in system, the occasional use of very weak brandy- or wine-and-water may be alloAved. 3. The water used as a beverage should not be artificially chilled as a general rule, or only slightly so; and never, when drunk immediate- ly after violent exertion, or Avhen, from any other cause, the perspira- tion is profuse. The habit of drinking iced Avater is likely to be very prejudicial under such circumstances. 4. The meals should be taken at regular hours, and consistently with the peculiar effect of the climate upon the system. The first meal should be taken about sunrise, and should be very plain. Animal food should not be allowed at breakfast. The second meal or dinner should be taken about noon, that is, about the period selected for the "tiffin" in India; but the addition of a late dinner is not only super- fluous, but very mischievous; and the third meal, which, like break- fast, should be a very light one, consisting chiefly of fluids, such as weak black tea (in the instance of those who have been habituated to the use of this beverage), very thin cocoa, &c, should follow the second after the lapse of from four to six hours. 5. Fruit should be very sparingly and cautiously taken, particularly by the recent resident; cocoa-nut milk should be very cautiously al- lowed ; excess has often proved most prejudicial. 6. The new resident cannot be too strongly cautioned against occa- sional transgression in respect of food or drink which may seem to be warranted by his habitually regular and simple method of living ; for he is, perhaps, during the first one or two seasons, the more susceptible to ill-effect, from the absence of the habit of indulgence. State ofthe Body—Heat. 7. It is very essential that the body should be kept as cool as possi- ble, whether by avoiding heavy or excessive clothing, exertion during the heat of the day, &c, &c, or by the free use of the punkah, or of some similar appliance during the night. In the heat of the day the apartment should be cooled, if possible, by means of the simple appa- ratus called " tatties " in the East. Dress. 8. The best stuffs for dress, in a tropical climate, are those of light cot- ton texture, — such as fine calico. Linen should be avoided. Flannel is to be preferred to cotton, for climates in which great changes of temper- ature take place suddenly; in general, however, it is too heavy, too irritat- ing, and too slow a conductor. An outer-flowing wrapper of fine silk is often conducive not only to comfort, but to health. Supposing the or- dinary head-covering of Europe to be used, —a substitute for the protec- tion of the turban, by means of a cotton Avrapper, folded up and inserted DISEASES PECULIAR TO TROPICAL CLIMATES. 591 into the hat, would be serviceable; and the habit of wearing some fine woollen texture (such as a shaAvl) round the waist, may advantageous- ly be adopted, especially in districts in which sudden transitions of temperature are common, or by persons who, either from debilitation resulting from long residence, from acute disease, or from other causes, are subject to irritability of the boAvels. Above all things the dress should be quite loose (when that can be contrived without interference with the avocation). On the Avhole, as regards India, the European cannot do better than to follow the example of the native, in respect of clothing, as closely as he can. Exercise. 9. During the heat of the day, that is to say, from three hours after sunrise to three hours before sunset, in the hot season, exercise is out of the question. The natives of tropical climates, even, abstain from any corporeal exertion ; and, if quiescence be requisite for them, it is doubly so for the European. The expeditions and amusements Avhich Europeans are sometimes induced to indulge in, in defiance of all cau- tion, are almost certain preludes of disease. The European should, therefore, seclude himself in a partially darkened and well-ventilated apartment (cooled if possible by artificial means), during the heat of the day, and restrict his hours of exercise to the early part of the morn- ing, and the cool of the evening. Dancing, which has been a popular amusement in some parts of the East and West Indies, is by no means a very prudent recreation. During the rainy season, the life of the Euro- pean is necessarily rendered, if possible, still more inactive. The pas- sive motion of the palankeen, and the artificial exercise of the swing, may, in some cases, do good service. Rest—Sleep. 10. The comfort of sleep is a great desideratum, which it is often difficult in the Torrid zone, to enjoy undisturbed; for what with insects (such as rausquitoes), the intensity of the heat, and nightmare, quiet, undisturbed, and thoroughly refreshing sleep is not easily secured. Coolness should be induced by artificial means, such as fanning with r.he punkah, &c. Sleeping in the open air, even, is desirable is seasons and in districts in which the sleeper would be secure from the excessive dews, or from the noxious exhalations of decomposing animal and vegetable matter (as in the immediate vicinity of marshes, of water- courses, half dried up, &c), or from rain, or the influence of the hot land-Avinds of some parts of India; that is, therefore, generally in the hot and dry season of the East Indies, otherwise than when a change of monsoon is taking place. The bedding should consist of a light hair-mattress only, provided with a muslin sheet and coverlet, and with thin gauze curtains, which will suffice to Avard off the insects, or, some- times, even moisture, without excluding the air. Sound and healthy sleep, moreover, cannot be expected in hot climates, unless the hours of resting and rising be early and regular; and, as regards nightmare, the method of treatment (for prevention), and the general precautions prescribed under the head of that subject, in the earlier part of thin 592 DISEASES PECULIAR TO TROPICAL CLIMATES. work, should be observed. Fruits, excess of flatulent vegetables, &c, should generally be avoided (in addition to the other precautions above noticed), when the sleep is habitually disturbed by Nightmare. General Habits. 11. Exposure at night to the heavy dews or exhalations, which are so injurious in a tropical climate, should be avoided. 12. All the predisposing or exciting causes to endemic disease, which are, locally, well knoAvn, should be avoided. 13. The intense depression, and the exciting or depressing passions, generally, should be moderated, avoided, or warded off. Excessive in- dulgence in any way is injurious, and the depression of spirits often induced by the physical causes which have operated upon the organs of digestion (in particular), or by the mere monotony, and, sometimes, real desolation of life, should be tempered by any innocent diversion. 14. The practice of using aperient medicines, especially, under the foolish idea of securing "regularity of the bowels," cannot be too strongly condemned ; and the use of mercurial preparations, which has long been so popular amongst Europeans in the tropics, is a frequent predisposing cause to fatal disease. 15. Cold bathing, or thorough ablution, with cold water, twice a day, is highly beneficial in the majority of cases, and is a powerful preserva- tive against disease. Ablution with tepid water is sometimes to be preferred when there has been chronic affection of the Liver; but the ablution of one kind or the other should be invariably performed every day Avhen in health. 16. The bedding ought to be exposed to the sun during the day; the clothing should be changed after any violent exertion; but under- clothing, which Avas clean, and has not been discolored by the perspira- tion, should be dried and worn again. EFFECTS OF CLIMATE AND SEASON. The most palpable and immediate effects of hot climates generally upon the native of temperate latitudes, are developed upon the extreme vessels of the external surface, and sympathetically upon those of the biliary system. The first mischief consists in excess of secretion; the reactionary result is a proportional deficiency. Whence it is deducible that the course which tends to moderate secretion, at the onset, is likely to obviate the subsequent inactivity of those important portions of the human economy. In both cases the nature of the secretions is not healthy, and is calculated to react upon the entire organism, and more immediately upon the functions and organs of digestion. In the removal of any irregularities in the Biliary system, and in effec- tually obviating other important and more serious derangements which may folloAv, it is very desirable that, on their first manifestation, such incipient indispositions, resulting from the transition from a temperate or cold to a hot climate, should be efficiently and pronjptly treated with the appropriate homoeopathic medicines. INCIPIENT BILIARY DERANGEMENTS. 593 SITUATIONS, LOCALITIES, ETC. In respect of the situations, localities, &c, which are particularly healthy or unhealthy, in certain districts, the local knoAvledge of those who have resided in them is most to be relied upon. It is, however, to be mentioned, generally, that experience, as Avell as common sense has indicated the insalubrity of the immediate vicinily of swamps, or of partially dried water-courses, beds of rivers, lakes, estuaries, or of periodical floods, especially in those seasons in which the rise of the water over tracts hitherto uncovered takes place, and in which the dry- ing-up of periodical floods commences. Hence a certain elevation it desirable, and it is also advantageous to avoid situations in which the prevailing winds set directly from such swamps, water-courses, &c The luxuriant vegetation of the tropics extending to the very brink of the sea or of tidal estuaries, such as that of mangroves, exhales gases which are very deleterious, and which almost inevitably induce disease whenever they are repeatedly inspired, and often, upon a single instance of exposure to their influence. The upper floors of houses, Avhich are above the range of altitude at which the condensed vapors of the evening float, are, for analogous reasons, more healthy than basements. INCIPIENT BILIARY DERANGEMENTS. Symptoms. Disagreeable taste in the mouth, sometimes of a putrid description upon first rising in the morning; dark-colored and hot urination, often Avith scanty and generally with diminished dis- charge, and conveying a pungent or burning sensation during the act of passing Avater; generally there is a degree of nausea in the first of the morning, and there is a sensation of general weariness or languor with extreme disinclination to exert one's self, and sometimes with particular aversion to mental labor ; the part of the tongue near the root, and sometimes the centre of the tongue, all along, is slightly dis- colored by a yellowish or brownish fur ; the skin, especially around the eyes and mouth, is often slightly tinged with a yellowish hue, of which the white ofthe eyes occasionally partakes; the bowels are irregular in their operation, sometimes fitfully relaxed, but more generally costive, and the evacuations vary in color and odor; they are usually very offensive; the spirits are unaccountably depressed, the temper is fretful and irritable; commonly a slight attack of looseness, attended with griping pains in the stomach and boA\rels, will be followed by inaction of the bowels; the appetite is gradually impaired, the sleep becomes disturbed or interrupted; the patient loses flesh and grows pale, and there is often a peculiar disliking for fat or greasy articles of food. TREATMENT. The medicines which are most appropriate for the treatment of the various symptoms which may be developed, are such as have been enumerated, with the particular symptoms indicative of their selection, in the article on " Indigestion," (pp. 196-222.) 38 594 DISEASES OF TROPICAL CLIMATES. Diet and General Precautions. These should consist of the strictest observance of the precautionary injunctions already prescribed (at pp. 55,56, and, also, very particularly, at pp. 589 - 592.) PRICKLY HEAT. Prickly heat is usually to be considered an evidence of good health, but it is a very troublesome and often a most irritating testimony of soundness. Symptoms. It is very difficult to describe the peculiar sensations known by this denomination; the sensation of intense itching or irri- tation combined with a peculiar tingling, &c, would be most intelligible to those who have been the victims of bugs in Europe, but, Avith the prickly heat, there are no blains such as those produced by the bite of those insects. Sometimes an eruption accompanies the irritation, and more particularly characterizes it; in many respects, as regards its evolution and disappearance, this eruption (otherwise than in appear- ance) resembles Nettle Rash, being not uncommonly intensified by the application of cold water; this eruption consists of bright-red pimples, usually about the size of a millet-seed, sometimes appearing near the root of the hair on the upper part of the forehead, but more generally upon the chest (especially), as well as about the thighs, and often, also, about the neck and the upper part of the arms. These pimples are sometimes also observable upon the back. TREATMENT. The treatment of Prickly heat resolves itself mainly into the pre- caution of keeping as quiet and cool as possible, and in avoiding stimu- lating or hot drinks, which immediately provoke or aggravate its redevelopment. When very annoying or of long continuance, the patient should consider the regulations afforded for the treatment of Irritation of the Skin, at page 446. DISEASES OF TROPICAL CLIMATES, &c. DYSENTERY. The symptoms and treatment of Dysentery in the fatal form in which it attacks Europeans in hot climates, do not so essentially differ from such as have already been described at pp. 267- 273, as to require a recapitulation in detail. The reader is therefore referred in these respects to the article in question. But the following precautionary and accessory measures which may be more especially applicable to this disease, as it prevails in inter-tropical countries, merit the assidu- ous attention of those whose calling removes them to such latitudes. PRECAUTIONS, DIET, AND ACCESSORY MEASURES. Above all things, the patient, who has had any premonitory indica* tions of an attack of Dysentery, or who has recovered from an actual attack, should avoid exposure to the damp atmosphere and heavy dewc ACUTE HEPATIC DYSENTERY. 595 of a tropical night. The sudden transitions of temperature (from heat to cold) which take place so remarkably in climates in Avhich the range is very high, are also most pernicious, and are capable of causing re- lapse if not of provoking the attack. The sudden check of perspiration is one ofthe most frequent causes ofthe disease, more especially when, after being heated and perspiring freely, a person sits or lies down exposed to a damp or to a very much lower degree of temperature, the underclothes being saturated with sweat, and thus becomes chilled. After any exertion or exposure to other causes of profuse transpiration, the change of the clothing is very essential, especially of such articles as come in contact with the abdomen. It has been urged by some Avriters that the particular condition of atmosphere Avhich encourages the development of Dysentery is more decided and pernicious at the periods of new and full moon than at other times. If this be true, the night air should be especially avoided at such periods. At all events the caution may not be prejudicial. The convalescent should wear a thin flannel over the belly and next to the skin, as a protective resource against relapse. He should also be ATery cautious in indulging the appetite to the extent of the desire upon its return, for excesses or errors in diet are the too frequent causes of relapse. Under circumstances and conditions calculated to provoke or en- courage the development of Dysentery, a very guarded restriction in diet should be observed, and the most rigid temperance should be en- joined, and the food should chiefly consist of farinaceous articles, and of very plain but nourishing broths. During the continuance of Dysentery (in its chronic form) such articles as arroAV-root, rice, tapioca, sago, or other unirritating farina- ceous substances, alone should be allowed. HEPATIC DYSENTERY. The author of a valuable work on the diseases of India* has drawn a marked distinction between the uncomplicated form of Dysentery, and that which is complicated with marked derangement, and, subse- quently, Avith organic disease of the Liver. This variety he has divided into two distinct forms, the acute or subacute, accompanied Avith a highly vitiated state of the bile, and the chronic form which is attended Avith organic disease of the Liver itself. Acute Hepatic Dysentery. Premonitory Symptoms. General sensation of chilliness, with an irregular condition of the bowels, and predominant constipation; coldness of the skin, Avith sensations.of crawling and shuddering, attended with pallor of the face, and sensations of coldness and discom- fort in the lower part of the back and round the body, below the loins. These symptoms are more or less speedily folloAved by pinching pains throughout the boAvels and the region under the ribs, oppression about * Annesley. 596 DISEASES OF TROPICAL CLIMATES. the chest and stomach, sensation of fulness in the stomach sometimes a degree of shortness of breath or even vomiting, and generally extreme depression of spirits. Symptoms of the Attack. Dark, offensive discharge from the bowels, generally bee Dming more and more frequent, and commonly abundant at the onset, constantly varying in appearance, color, &c, aa the disease makes progress, but continuing for some time to be free from froth or slime, and preserving a dark-green color, or perhaps be- coming black with the admixture of blood. The stools subsequently become mingled with watery, slimy, or frothy matter, still, however, retaining a greenish "hue, afterwards becoming of a deep yellow, brown, or reddish color, or, on the other hand, being rather characterized by the predominance of watery matter, with the admixture of a greater or less quantity of blood. The disease is always accompanied with a greater or less degree of fever, and the restlessness is often intense. In some instances a dry, hacking cough prevails, the pulse being quick and frequent, but generally small. All these symptoms have a tendency to become worse towards night, when the urging to stool, which is sometimes excessively troublesome, is more frequent and pain- ful. There is a scalding sensation attendant upon the discharge from the boAvels, and there is also generally a heavy pain or an uneasy sen- sation (worse on pressure) about the stomach and region of the liver, or pains in the chest or in the shoulder-blade on the right side, with or Avithout tightness and pressure in the right side ; headache, shortness of breath, and extreme anxiety, the urine at the same time being dis- charged with considerable pain, and being deficient in quantity, and thick as Avell as deep-colored. There is generally much thirst, with preference for cold beverages. The appearance of the skin is variable, but it is usually dry and harsh, and commonly presents a dingy sallow appearance. The tongue is also variable in appearance, being at first usually covered with a yellowish coating, and becoming clean, red, smooth, and dry, or covered with a dark coating particularly at the root as the disease progresses. Sometimes a kind of oily perspiration appears upon the skin, and in these cases extreme nausea or even vom- iting is apt to occur. Profuse sweats are of common occurrence in the latter stages. TREATMENT. Mercurius, Lachesis, Bryonia, Nux vomica, China. Looking at the peculiar complications evinced in the course of this disease, the medicines here quoted are probably amongst those which would prove of the greatest service in the earlier stages of the disease, and which might suffice to arrest its progress. The selection must, ' however, Avholly depend upon the analogy existing between the symp- toms of the disease and those which specifically belong to each medi- cine, respectively, as stated in the article on the "Characteristic EFFECT3." * Dose: During the premonitory stage, the dose of either of these medicines should consist of four globules in a teaspoonful of water, repeated at in- *See also the article on Dysentery, p. 267. chronic hepatic dysentery. 597 tervals of six hours. When the attack is fairly declared, the repetition of the doses should occur, at intervals, varying from one to four hours, according to the urgency of the symptoms. Consider also the following. Acidum phosph., Acidum nit., Cantharides. In cases which assume an unfavorable aspect, these medicines also may prove of signal service, as, indeed, the two former have been practically found to be, in the treatment of most of the diseases chiefly affecting the stomach and bowels in hot climates. Cantharides, on the other hand, may prove of service in cases in Avhich the painful discharge of urine becomes a predominant symptom. The other particular indications of each may be determined by reference to the article on the " Charac- teristic Effects." Dose: Of either of these medicines, as directed in the last prescription. Con sider also the following. Arsenicum, Phosphorus, Sepia, Sulphur. These are also medicines Avhich may probably be found of service especially in the treatment of difficult and protracted cases, and of such as appear to be only partially controlled by the medicines already enumerated. The selection must necessarily depend upon the indications afforded for each of these medicines, respectively, in the article on the " Characteris- tic Effects." Dose: Of either of the medicines, as directed for Mercurius, &c, above. Chronic Hepatic Dysentery. This variety of Hepatic Dysentery is, according to the writers on the subject, sufficiently well defined, although it is less distinctly charac- terized, and necessarily more obscure than the acute form. Symptoms. There is a general and gradual exhaustion of the vital energy, with extreme depression of spirits and sallow countenance, with dirty hue of the skin. The general symptoms of derangement or disease ofthe Liver as regards the seat of pain, &c, are very often ab- sent, but there is occasionally a pain as well as a sensation of weight and tightness in the right side of the chest, below the ribs on the same side, and extending over the region of the stomach, and even over the left side. The frequent urging to stool is not so distinct a symptom; indeed, as compared with that which characterizes the acute form, it may be said to be very trifling. The evacuations are, however, char- acteristically dysenteric, and are more or less altered in composition, color, and consistency in different cases. The straining which is so prominent a symptom of the acute form of dysentery, and the acute pains in the belly which accompany it, are very often Avholly absent, and are never so violent or distressing. This insidious form of disease is the more to be dreaded if the previous career of the patient has been marked by habitual intemperance. TREATMENT. Arsenicum, Mercurius, Phosphoric acid, Lachesis, Sul- phur, Silicea, Kali c. From the value of these medicines in the treatment of some obstinate forms of Dysentery, as well as from their great 598 CHOLERA IN HOT CLIMATES. value in many, if not in most cases, of suppurative inflammation ofthe Liver, Avhich is the chief complication to be dreaded in the chronic variety of Hepatic Dysentery, it is probable that one or more of them, singly or successively, might prove of much service in the treatment of the dis- ease now under consideration. The more particular indications which may serve to determine the selection of each, respectively, may, how- ever, be gathered from the article on the "Characteristic Effects." Dose: Of either of these medicines, as selected, give three globules in a tea- spoonful of water, three times a day, for a week (or until earlier change); and subsequently, night and morning, until decided amelioration or change; pausing, however, for four days, after every course extending over a week. Diet and Regimen. It is to be observed that whilst the greatest care should be taken to guard the patient against the least transgres- sion of the general precautionary rules enumerated under the head of Dysentery above (pp. 594, 595), or against the least errors in diet, &c, it is necessary that the system should be sustained as much as possible, and that such nourishing and very simple articles of food as are found to be capable of being digested should be used. CHOLERA IN HOT CLIMATES. With reference to this disease, which is well known, and of which the symptoms and homoeopathic method of treatment, &c, &c, have been considered at length at pp. 276 - 286, it may not be superfluous to add a few remarks Avhich are more particularly applicable to hot climates in general, and which may serve as an additional caution to those who are exposed, during the prevalence of this frightful epidemy, in countries in Avhich its ravages are still more violent than in our own latitudes. Precautions. Above all things, it is most essential to avoid or to obviate all depressing emotions, which operate strongly as a predispos- ing cause whereby the susceptibility of the system to the influence of the epidemy is awakened. The general rules, prescribed at pages 589 - 592, should also be more stringently observed; inasmuch as everything which tends to disturb the general health will render the patient subject to the attack of Cholera. Too long fasting or excessive fatigue are also to be dreaded, as well as excesses in eating or drinking. All acts of intemperance are to be reprehended; and nothing can be more mistaken than the idea that ardent spirits, and brandy in particular, may serve to obviate a threatened attack. The use of saline purgatives is another great error; and many an attack of Cholera is induced by this mistaken method of seeking to provide against it, by " keeping the bowels free from accumu- lations." Deficiency of rest is another condition which tends more strongly in India to induce attacks of Cholera than in our own climate; on which account it is ever desirable that any interference with proper repose should be avoided. Exposure to the heat ofthe day (Cholera being most fatal in the hot seasons, and generally in the months of May and June) should be avoided, INFLAMMATORY OR ARDENT FEVER OF INDIA. 599 and above all, any excessive exertion during the prevalence of great heat. On the other hand, persons should not be induced, by the fresh- ness of the evening air, to remain exposed to the dews and chills which result from the extreme vicissitudes of temperature. Excess of fruit, acids, and vegetable food (of an indigestible kind), especially of raw vegetables, is well known in temperate climates to be provocative of Cholera, and is equally to be dreaded elsewhere. TREATMENT. In respect of the treatment, every particular has been afforded in ;he former article on the same subject, at pp. 276-286, to which the reader is referred. INFLAMMATORY OR ARDENT FEVER OF INDIA. Characteristics. This Fever, which is apt to be induced by ex- posure to climatic influences, &c, during the hot season, is usually of the continuous type, but has also been known to assume a remittent character. The Brain appears to be chiefly implicated. The disease is confined to the unacclimated. Issue and Results. This disease is very rapidly fatal when un- arrested, and has been knoAvn, even, to afford no opportunity for treat- ment, attacking patients Avithout any premonitory symptoms, and prov- ing fatal within a very short period. It is a remarkable instance of the danger and uselessness of the allopathic resources of bleeding, &c, such measures being usually followed by fatal results. Even in cases in which recovery takes place, this disease not unfrequently leaves in- delible traces of organic injury, and not uncommonly develops a pre- disposition to Liver disease or to Dysentery. Exciting Causes. The principal exciting causes are exposure to the intense heat of the sun, and over-exertion or fatigue during the pre- valence of great heat. Predisposing Causes. Intemperance, in the general acceptation of the term, may be mentioned as the principal of the predisposing causes. General Symptoms. The attack is generally sudden, and is rarely, if ever, preceded by any premonitory symptoms; the skin is intensely hot, dry, and parched ; the thirst is excessive and insatiable; the pulse very frequent, and generally full and quick; the face is flushed, and often also puffed or bloated; the breathing is oppressed and labori- ous, and there is a great degree of oppression about the region of the chest and stomach; the brain is principally disturbed, and there is usually violent pulsation of the arteries of the head and neck in parti- cular. To these symptoms quickly succeed general indications of stomachal derangement, and generally vomiting; giddiness, and quickly afterwards loss of consciousness, sometimes with frantic delirium, or in other instances inability to move (the tongue being tremulous), and twitchings of particular muscles, especially of those of the face, may ensue, succeeded again by involuntary discharge from the bowels, and evident prostration of the nervous system. In the latter cases the face 600 TYPHOID FEVER OF INDIA. usually presents a perfectly livid aspect, and the pupils are extremely dilated, and generally insensible. These symptoms are sometimes pre- ceded by intense, burning pain in the eyes. Death is sometimes, how- ever, almost instantaneous, and is almost the first signal of the disease. TREATMENT. The treatment would probably be analogous to that prescribed for " Inflammatory Fever," to the article on which, therefore, the reader is referred. The article on " Inflammation of the Brain and its Tissues " should, however, be consulted. The principal difference in the method of treatment should consist in the frequency of the Doses, consistently with the very rapid course of the disease. The administration may, at the onset, be repeated every quarter of an hour, until three or four doses have been given, the intervals being extended as the inflammatory symptoms become modified. ACCESSORY MEASURES. It is absolutely necessary that all articles of clothing which offer any pressure to the adjacent parts of the body, should be unfastened and removed; and if the patieift be conscious and desirous of drinking, water should not be withheld. TYPHOID FEVER OF INDIA. Characteristic. The fever Avhich prevails in India, during the cold season, has been appropriately denominated, by authors who have devoted much attention to the subject, as the "Congestive Fever." The type of this disease is usually of the continuous character; and, when it occurs in the remittent form, this is generally to be traced to mismanagement, or to the protracted continuance of the fever. General Causes. The fact that few, if any, foreigners, however circumspect, are exempt from the attacks of this disease, tends to prove that the causes are very general, and essentially climatic. They may, in fact, be summed up in the sudden suppression of the excessive secre- tory processes induced by the effect of the intense heat and moisture of the hot and rainy seasons. Premonitory Symptoms. Amongst the premonitory indications of the Typhoid Fever of the cold season, are, — a sensation of oppression and fulness in the region of the stomach, which sometimes continues, gradually becoming more troublesome, for several days, which may be accompanied by other indications of deranged digestion, and which is attended with increasing harshness and dryness of the skin. So slow and insidious, however, is the advance and development of this disease, that these premonitory indications too often remain unnoticed, until finally the symptoms of the actual attack declare themselves. General Symptoms. As the attack becomes confirmed, head- ache, more or less intense, prevails; the tongue becomes very foul, often exhibiting a thick, broAvnish fur; the appetite, already irregular and squeamish, becomes Avholly suspended; the sleep is disturbed or inter- rupted, or very uneasy; the pulse becomes quick and frequent, and the YELLOW FEVER. 601 breathing hurried and anxious; there is intense languor or lassitude, and the countenance wears an anxious expression. By degrees the headache becomes worse and worse, until it is almost insupportable; the stomach-symptoms are generally exacerbated; the urine is cloudy, thick, and generally high-colored; the belly is distended and tight; the eyes, sometimes, are tinged with a yellowish hue, and occasionally the skin, in different parts, manifests the same appearance; the oppression about the chest and stomach increases; delirium and torpor sometimes ensue; and occasionally these symptoms are accompanied with retention of urine. If unarrested, the disease rapidly degenerates into the worst form of Typhoid Fever, the restlessness becoming intense, the patient tossing about and moaning, and the yellowness of the surface becoming more decided. The tongue sometimes becomes excessively dry, and exhibits a blackish hue in the latter stages. If remissions take place, which may sometimes occur, they are folloAved by a return of the attack, with symptoms of a still more depressed condition. In some instances vomiting and purging, indicative of an inflammatory or very irritable condition of the stomach and bowels, or actual symptoms of local in- flammation in those organs, become apparent. TREATMENT. The treatment of this disease would not vary materially from that prescribed for the treatment of Nervous Fever, or Typhus (as stated at pp. 98-119.) In referring to the article in question, however, the reader should be careful to distinguish whether the brain, or the stomach and bowels, be predominantly disturbed, as these distinctions have already been prominently drawn. YELLOW FEVER. Characteristics, etc. The dreadful scourge, which has been very generally known by this somewhat inapposite denomination, is of two distinct descriptions. Indeed, the fever might be said to appear under other forms; but the two varieties included in the classification here adopted, involve all the distinction that is practically important. Thus the one variety is liable to be induced by any accidental cause which, under a tropical sun, would naturally provoke febrile action ; and the other is almost purely of epidemic origin, and induced by such general atmospheric causes as do not relate to individuals, but to the entire population. Varieties. From what has just been said, it will appear that we should divide Yellow Fever into two varieties, according to the type and exciting cause: — (1.) The sporadic or continued Yellow Fever, which is of the nature of inflammatory gastric fevers generally, and which is dependent upon casual causes; and (2) the epidemic or generally remittent Yellow Fever, which afflicts all those who are predisposed to the effect of the poison, or Avho are accidentally or continually exposed to particular atmospheric conditions, &c, which may operate partly as predisposing, and partly as exciting causes. The yellow suffusion if the skin, and 602 YELLOW FEVER. the black vomit, as it is called, may occur in either case, but are essential neither to the one nor to the other. Predisposing Causes. As regards the sporadic variety, the more generally predisposing causes are irregularities of living, and derangement of the digestive functions or organs, when these conditions are brought into juxtaposition and combination with any direct excit- ing cause. As regards the epidemic Yellow Fever, the chief predis- posing condition is the effect of the change of temperature (to which especially a new immigrant is exposed) upon the system; wherefore, when at all prevalent as an epidemy, Yellow Fever is observed to attack new comers from temperate climates, or to attack the same person as often as he may return to a district in Avhich it is preva- lent. Hence, as a general rule, it has been urged that the action of an intense heat (the long continuance of a very high temperature upon those who are casually exposed to the directly exciting cause) should be considered as the predisposing cause. The Negroes and Creoles are less liable to its attacks. Europeans and others Avho have long resided in a district in which YelloAv Fever frequently recurs as an epidemy, are less liable to be attacked than new comers. Habitual excesses are liable to predispose to the epidemic variety. Exciting Causes. As regards the sporadic variety, the following may be numbered amongst the exciting causes, viz., a chill when heat- ed, or what may be generally defined as "taking cold;" excessive in- dulgence, either in indigestible food, or in fermented or spirituous liquors ; over-exertion, especially if the person so exerting himself is at the same time directly exposed to the sun. Moral emotions may also operate as exciting causes. As regards the epidemic variety, want of due regard to cleanliness and ventilation may possibly operate as auxiliary causes ; and the foulness which accumulates in the holds of ships, &c, undoubtedly exhales noxious vapors when influenced by the decomposing processes as they occur in very hot climates, which may be recognized as capable of becoming one exciting cause. What is called the marsh poison, or miasm—that is, the exhalations emitted in the immediate vicinity of the sea-shore, or of swampy grounds, or wherever the contiguity of vegetation and water occurs, exposed to the action of intense heat, and rapid decomposition of animal and vegeta- ble matter is going forward, may be generally named as the chief ex- citing cause. Age, Condition, &c. It is only proper that persons of robust and vigorous health, and who are young and generally little subject to disease, should be cautious not to presume upon their strength, but to be the more careful to avoid undue exposure to any predisposing or exciting cause, because the young and robust are particularly liable to be attacked by Yellow Fever, if recently arrived from a temperate climate. General Symptoms. In the subjoined description of symptoms, those which characterize both varieties have been included, the chief difference consisting in the continuance and intensity of the febrile action, or in its temporary remission. Premonitory Symptoms. The outbreak of the disease is gen- YELLOW FEVER. 603 orally preceded by sudden debility and restlessness, and a general feel- ing of illness, which are soon folloAved by headache, giddiness, faintness, and slight chilliness (sometimes with severe fits of shuddering), and subsequently by oppression about the region of the chest and stomach, the appetite being deteriorated, or rather suspended, and the stomach evincing other indications of derangement. General Symptoms. First Stage. — Immediately after these premonitory symptoms violent reaction sets in (Avith greater or less intensity according to the greater or less vigor of the patient — that is, more intensely with young, robust subjects recently arrived from tem- perate climates), announced by a high degree of fever, with great heat of the skin, which is also excessively dry and parched, strong throb- bing of all the arteries of the body, and excessive determination of blood to the head. The respiration is hurried and often laborious, attended with deep sighing and gasping for air; the face is flushed; the eyes are heavy, and affected Avith burning sensations, and often also with redness, and throbbing pain; the tongue is usually white and furred, but sometimes red, and soon becomes parched and dark-colored, being usually tinged with yellow after the vomitings come on ; the thirst is intense and insatiable. A burning pain is sometimes experi- enced at the pit of the stomach; and there is excessive tenderness to the touch, both in that part and in the region under the ribs on the right side. The stomach, excessively irritable from the first, is rendered so much so, as the disease advances, that everything AAdiich is taken into it, is almost immediately rejected along with a quantity of bilious matter. Severe darting pains traverse the head, the small of the back, and even extend down the thighs. The pulse is subject to variations, being in some cases quick and strong, in others quick, low, and irregular; in plethoric individuals, Avho have not been long exposed to the relax- ing effects of the warm climate, it is accelerated, full, and bounding, for some hours after the development of the reaction; the urine is suppressed, or scanty and offensive; the stools have likewise a most disagreeable fetor ; the patient is excessively restless, tormented with spasms in the belly and legs, and tosses about with anguish. These symptoms constitute the first or inflammatory stage of the fever, and may continue from twenty-four to sixty hours and upwards, accord- ing to the severity or mildness of the attack; after which a remission ensues (when the fever assumes this type), which is of greater or less duration, and is sometimes characterized by such complete suspension of all the symptoms, as to lead to the inference that the disease has passed off; the pulse becomes calm and regular, the intellect clear, the skin moist and cool, and the general sensations easy. Sometimes, how- ever, this remission consists rather of a complete stupor; and often, however the symptoms may appear to have subsided, the vomiting will be provoked by pressure of the stomach. Second Stage. — The second stage commences with the abatement of several of the preceding symptoms, and the increase or substitution of others. The skin and eyes present a yellow tinge; the head is con- fused, or delirium supervenes, and the eyes look glassy. The fits of vomiting are more violent, and the matter ejected becomes thicker and 604 YELLOW FEVER. darkei ; the patient occasionally drops asleep, but instan.ly awakena in a fright; and sometimes he springs out of bed in a state of furious delirium, but instantly sinks to the ground in a state of tremor and exhaustion ; the pulse flags, but is sometimes soft, at others high ; the tongue is generally parched, harsh, and discolored, but sometimes moist and covered with a dark fur; there is frequent hiccough, and the skin is soft and clammy. The second stage is sometimes a mere continuation of the first; and in these cases the patient passes directly from the remission to the third or exhausted stage (which is then, properly speaking, the second). The duration of this stage is also variable, rarely if ever longer than forty-eight hours, sometimes only twelve. Tliird Stage. — The termination of the first, or of the first and sec- ond stages, by a remission of the more alarming symptoms, and the hope of recovery which has been entertained, is too often doomed to disappointment by the insidious degeneration of the disease into the third stage, in which the pulse sinks, becomes irregular and intermit- tent, yet sometimes increases in frequency. As the pulse sinks, the pain and burning heat in the stomach often becomes unbearably intense; the vomiting becomes incessant, and is attended with great straining and noise, from the violent belching of flatulency; the mat- ter vomited resembles coffee-grounds, and is named the black vomit. The breathing becomes more labored; the tongue black, or shrunk, dry, and red; the eyes hollow and sunken, and the features shortened. A gradual aggravation of the symptoms then ensues, attended with startings or twitchings ofthe tendons ; the limbs become deadly cold, and the hiccough distressingly constant. Oozing of blood takes place from different orifices and parts of the body, such as the gums, nostrils, and sometimes from the internal lining surfaces generally; the urine is dark-colored, and often perfectly putrid, sometimes being passed in- voluntarily ; but sometimes, on the other hand, it is totally suppressed ; the discharge from the bowels is black, often mingled with effused blood ofthe same appearance as the vomits, and sometimes takes place involuntarily. Sometimes the belly is tight, and distended with drum- like inflation. The excessive weakness of the patient compels him to be totally prostrate, as if in a state of lethargy, and sometimes there is low muttering delirium. Dingy or livid patches make their appear- ance upon the skin ; and death ensues generally by a gradual exhaus- tion of the vital energy, but sometimes suddenly. All these symptoms, as detailed, would hardly be present in a single case, and are therefore to be regarded as typical of the disease. More- over, the line of demarcation between the stages is by no means to be sharply drawn, the one stage frequently passing into the other by insen- sible steps, particularly the second into the third stage, and the symp- toms of the one stage sometimes pervading another stage. Issue and Results. The hope of cure depends materially upon the greater or less success in moderating the activity of the inflamma- tory action at the onset, or during the first stage, or the first and second stages. It is too true that there is but little hope when the last stage, characterized by general exhaustion, has ensued. Fatal result' YELLOW FEVER. 605 sometimes occur in the earlier stages from organic affection of the brain, and in these cases the vomiting does not constitute a predom- inant symptom. In cases which extend to the subsequent stages, the stomach becomes more fatally implicated, and life generally holds out until the fourth or fifth day. The duration of the insidious remissions may, hoAvever, defer the fatal issue for a longer period. Life, however, is sometimes saved under homoeopathic medication, that system hav- ing proA-ed itself wonderfully efficient in the treatment of yellow fever. Out of 140 cases treated homceopathically by Dr. Holcombe, nine died, and out of 415 cases treated homceopathically by Dr. Davis, there were but twenty-four deaths. Favorable symptoms are: — A slow pulse and moderate temperature of the body, and a quiet stomach. Free copious urine, no matter how dark or bilious, is the most favora- ble of any sign. On the other hand, the more fiery crimson the tip and edges of the tongue, the more irritable the stomach, the severer the headache, the more unfavorable is the first stage. In the second stage, the earlier and more complete the suppression of urine, the greater the danger. A faltering articulation is a bad sign, and diffi- culty of protruding the tongue adds to it. A recent residence in a temperate climate; the race or complexion of the individual; the fact of his previously having suffered from an attack, will enter into an estimate of his chances of recovery. TREATMENT. Aconitum has been named as the most direct and positive reme- dial agent in the early stage of Yellow Fever; and, indeed, its specific effect upon the human economy in a healthy state, especially under conditions of temperature provocative of the generation of fevers of this kind, tends greatly to confirm this opinion. In case of an attack of fever of an inflammatory character, whether it be apprehended that it may resolve itself into this form or not, the prompt administration of Aconitum can only have been productive of benefit. Dose: Three glohules iu a teaspoonful of water, or dry on the tongue, re- peated, after the lapse of one or two hours, and, subsequently, at intervals of three or four hours, until the fever-symptoms abate, the breathing be- comes less laborious, and the pulse more regular, or less quick and fre. quent. But if symptoms of severe exacerbation should threaten to suc- ceed, notwithstanding the administration of Aconitum, proceed promptly with such ofthe subjoined medicines as may oifer the closest analogy to the case. Belladonna may prove of much service after the previous admin- istration of one or two doses of Aconitum, for the treatment of those cases (during the first stage) which attack young, full-habited subjects, with very marked and predominant brain-symptoms. It is useful in the first or second stages, when indicated; to determine which the arti- cle on " Characteristic Effects " should be consulted. Dose: As directed for Aconitum. Bryonia rray be called for in the first, or even in the second stages, where Aconite or Belladonna have not sufficed to allay the symptoms. It is more particularly indicated when the pains assume a rheumatia 606 YELLOW FEVER. character, and all the symptoms are aggravated by motion. The arti- cle on " Characteristic Effects " should be referred to. Dose: As directed for Aconitum. Lachesis has proved to be a most valuable medicine in the treatment of this disease. It may be called for in any of the stages, but is more particularly adapted to the second and third. The symp- toms and conditions indicative for its employment may be gathered from the article on " Characteristic Effects." Dose: Three globules in a teaspoonful of water, every ten or fifteen min- utes, in urgent cases, or at intervals of from half an hour to an hour in those of a less alarming kind. Or one drop of the tincture (30th dilution) in three table-spoonfuls of water, a teaspoonful as above. Arsenicum is likewise one ofthe most important medicines in the treatment of Yellow Fever; and it has proved curative in a number of cases. Many of its symptoms, as detailed in the article on " Char- acteristic Effects," will be found to closely simulate those pro- duced by the disease. A careful examination of that article, under the appropriate heading, will indicate its sphere of usefulness. Dose : In every particular as directed for Lachesis. Crotalus has been employed in some cases with very marked suc- cess, all danger having been subdued after a few hours, even in cases which had reached the fully developed third stage. It is more espe- cially indicated by the hemorrhages occurring from the eyes, nose, mouth, ears, stomach, and bowels. Dose: As directed for Lachesis. Argentum nitrieum has been employed in some cases, with good effect, where the patient is sinking, the vomiting becomes worse, with brownish stains in the matter ejected, or other evidence is given of effusion of blood upon the mucous lining of the stomach. Dose: As directed for Lachesis. Opium is said to have proved of service when the remission be- tween the first and second stage is characterized by complete stupor, as is sometimes the case. Dose: As directed for Lachesis. Pulsatilla, Mercurius, Nux vomica, Acid nitrieum, and China may prove of service in the first or second stages, more partic- ularly, and Cantharis, Digitalis, Carbo veg., Croton tiglium, Rhus tox., and Veratrum album in the second and third stages, more particularly. The selection should be guided, in each case, by the analogy existing between the symptoms of the disease, and those which are specific to each of these medicines, as stated in the article on the " Character- istic Effects." Dose. As directed for Aconitum or Lachesis, as above. Additional Particulars. The following medicines may be found useful as intercurrents, or to allay troublesome or distressing symptoms. Veratrum album may be found very useful in allaying the vom- LEVANTINE PLAGUE. 607 iting and abdominal pains. Tartar emetic has succeeded promptly in some cases of prolonged and distressing nausea. Chamomilla will fre- quently prove most valuable, particularly in women and children, in allaying the irritability of the stomach. Mercurius, Phosphorus, or Colocynth should be given for supervening diarrhoea or dysentery. Cantharides will usually promptly relieve the great distress accom- panying the act of urinating. Belladonna, Coffea, or Hyoscyamus may be required at night for nervous sleeplessness. When the strong char- acteristics of Yellow Fever have subsided, leaving the system pros- trated and torpid, Rhus tox. and Bryonia were used with good effect. Dose: Of either medicine, as required, as directed for Aconitum. ACCESSORY MEASURES. The free administration of cold water, especially in the first stage, as soon as the inflammatory character of the disease is declared, has been found of much efficacy in averting the fatal degeneration of the Fever in its second and third stages, and has been strongly recommended from experience by some eminent practitioners of the old school. The efficacy of cold water as a diluent is sufficiently intelligible; and so simple and harmless an agent is equally available for the homce- opathist pending the reactionary effect of the medicines which he administers. Diet and Regimen. In these respects, it is obvious that the directions which are applicable to the treatment of Fevers generally (as stated at p. 92) would be equally applicable in these cases. As regards food, there is little occasion for the exercise of discrimination, for the patient has naturally no inclination to eat. If it be possible to administer some simple mucilages when the fever threatens to run on into the second and third stages, which are characterized by depression of vital power, it may be doubtful whether the organs of nutrition will be capable of conveying even such sustenance to support the cir- culation. If, hoAvever, there should appear to be a hope of sustaining the strength of the patient, it should be done. During convalescence, the slightest imprudence in eating is apt to produce a relapse. Even toasted bread, chicken broth, or soft-boiled eggs have produced unfavor- able symptoms. When the patient is able to pass from farinaceous food to something more nutritious, he may be permitted at once to chew pieces of good beef-steak. This is much better than beef-tea, because the act of mastication extracts the saliva, and incorporates it with the juice of the meat, thereby facilitating its digestion. LEVANTINE PLAGUE. History, &c. The term Plague is employed to designate a ma- lignant disease which frequently prevails on the coast of the Levant, and Avhich appeared in England about 200 years ago. Most au- thors who have Avritten on the subject consider the Plague to be a pestilential contagion, which is propagated almost solely by contact, either with a diseased person, or with porous substances, such as wool and woollen cloths, which have absorbed and retained the specific 608 LEVANTINE PLAGUE. poison ; but it would seem that it occasionally prevails also as an cpi« demic disease. It has been observed that the disease generally appears iis soon as the fourth or fifth day after infection. Premonitory Symptoms. Sometimes premonitory symptoms, in the form of slight headache, and some degree of languor, are ex- perienced by the patient, for many days previous to the outbreak of the disease. Symptoms of the Attack. It more frequently happens, how- ever, that great depression of strength, anxiety, palpitation of the heart, fainting, giddiness, violent headache, delirium, and stupor, to- gether with a weak and irregular pulse, very soon supervene. Nausea, and vomiting of a dark, bilious substance are shortly superadded ; and as the disease proceeds on its course, swellings form in the glands of the armpits, neck, jaAv, and in those beneath the ears; carbuncles also arise, or spots or stains make their appearance; or discharges of blood, and an exhausting diarrhoea ensue. Issue and Results. This disease is always regarded as serious and pregnant with danger when it presents itself in a severe form. Much appears to depend upon the particular character ofthe epidemy. When accompanied by glandular tumors, it is commonly less fatal than when unattended by these inflammations. The invasion of healthy suppuration in the glandular tumors is always held as critical, and con- ducive to recovery. The breaking out of a gentle perspiration has also been known to prove critical. Spots, discharges of blood, excessive relaxation of bowels, and a tendency to gangrenous degeneration of the carbuncles or glandular tumors, have hitherto been regarded as positive indications of a fatal termination. TREATMENT. The most available remedies and their respective indications as regards the typhoid fever, will be found in the article on "Nervous Fever," to which, therefore, we beg to refer our readers. Arsenicum, in addition to being appropriate to the fever, is well adapted to the excessively irritable state of the stomach, with rejection of everything that is partaken of, or vomiting of blackish bilious matter, the great prostration, and the excessive loose discharge from the bowels, which so frequently accompany the disease. It is, further, well cal- culated to be of essential service in warding off a tendency to gangren- ous degeneration when carbuncles arise, and may even prevent a fatal issue when gangrene has already commenced. Arsenicum is again char- acteristically indicated by the development of the peculiar spots or stains upon the skin. Dose : Give three globules in a teaspoonful of water, repeated, after the lapse of one hour, and subsequently, at intervals of two hours, until the symptoms are manifestly moderated ; subsequently, again, extending the intervals and continuing the administration (if still indicated), at intervals of six hours, until decided amelioration or change. Lachesis or China may also prove efficacious, in some cases, even, in which Arsenicum appears to exercise only a partial control over the progress of the disease, and Avhen, notwithstanding the employment BILIOUS REMITTENT FEVERS. 609 of the last-named medicine, the glandular tumors ana carbuncles threaten to terminate in mortification. Lachesis, in particular, is avail- able in those almost desperate cases in which the utter prostration of the vital energy appears imminent. China, on the other hand, may suc- ceed when the disease has throughout its course been characterized by exhausting diarrhoea. Dose: Of either of these medicines, as selected, give three globules in a tea- spoonful of water, every quarter of an hour, until four doses have been given, or a degree of improvement sets in, and subsequently, at intervals of an hour, until some important and decided change takes pli*ce. Mercurius may, on the other hand, be employed with much good effect after any of the medicines previously indicated, as against the typhoid fever, Avhen the glandular tumors form and threaten to become indurated, although they do not assume a livid appearance ; and, more especially, if the glands adjoining the ears become affected and the region about the liver is much distended. Done : Three globules in a teaspoonful of water, repeated at intervals of four hours, until decided amelioration or change. Silicea should be promptly employed, if, after the previous adminis- tration of Mercurius, the surface over the glandular tumors should present a livid appearance, or, if the carbuncles should suppurate and discharge, but instead of manifesting a tendency to heal should exhibit an angry or even gangrenous aspect. Dose: Three globules, as directed for Mercurius. Acidum nitrieum would in all probability prove a medicine of much value in cases in Avhich, notwithstanding the previous adminis- tration of Mercurius and Silicea, the glandular ulcers continue to ex- hibit a more unfavorable aspect, and the general condition of the patient to grow worse. This medicine would also, probably, be of much service against the exhausting discharge of bloody evacuations which some- times occurs. Dose: Three globules, as directed for Arsenicum. Diet and Regimen. Proper ventilation, if it can be obtained, would doubtless be conducive to the promotion of the curative efficiency of the medicines. In general, however, the regulations in these respects may be stated as analogous to those already afforded in the articles on " Nervous Fever " and " Malignant Typhus." Cleanliness is essen- tial, both as regards habitation and person. BILIOUS REMITTENT FEVERS. This class of diseases, which constitutes the most fatal group of acute maladies to Avhich the natives of temperate climates, or, more particu- larly, of Northern latitudes are subject, Avhen exposed to the clima- torial influences of South European or inter-tropical countries, is so analogous in its nature, notAvithstanding the local distinctions and the various degrees of intensity and rapidity, that it has appeared less con- fusing to condense them all under one general head. There will be occasion to add to those which are peculiar to the torrid zone; such, also, as are prevalent even in the South of Europe. The coasts of the 39 810 BATAVIAN FEVER. Mediterranean, indeed, are not exempt from Yellow Fever, properly so called, and they are also exposed to the ravages of a species of Bilious Remittent Fever, of a somewhat distinctive character. Again it should be noticed, in reference to the class of Fevers hero included under the general head of Bilious Remittent Fevers, that they are occasionally wanting in the distinct and characteristic remissions, under particular circumstances; hut as this is a merely casual circum- stance, and as it is unimportant to the general practical purposes of a work of this nature, minute distinctions of type must necessarily be overlooked!. Another remark, however, is of more importance respecting the Bilious Remittents of hot climates, inasmuch as it may serve to affect the general precautions available to a certain extent, as means of pre- vention, namely, that they are of two distinct forms: — (1) those which are purely local, or which are peculiar to a certain district, and which are, therefore, termed the Endemic Fevers; and (2) those which sweep over whole regions, hurrying mortality to a frightful extent in their career, and Avhich are distinguished by the name of Epidermic Fevers. To these might be added a third variety, which is, however, less positively Re- mittent, but also frequently of the continued type, and which is purely incidental to casual causes, such as exposure, &c. As regards the third variety, for the sake of convenience, and as it is often, also, of the remittent type, it will be included with this class. These diseases are not to be looked upon as contagious; and this is a remark which may give courage to those who might otherAvise be timid in fulfilling the duties of common humanity to the sufferers. The method of promoting the cure of patients suffering from Endemic Bilious Fevers, and of obviating the possible attack of those who are thus attending upon them, is, if possible, to remove the sick to some situation (often near at hand,— even to the upper floor of the same house!), in which all are beyond the range of the miasm Avhence the disease is derived. It is also to be generally remarked that the method of treatment, which is applicable to one local variety is (subject to a feAV, and often unimportant distinctions,) as applicable to another. BATAVIAN FEVER. Characteristics. This fever, Avhich has proved so fatal to Euro- peans, offers much analogy in its symptomatology to the Yellow Fever. It is apparently, however, rather of Endemic than of Epidemic origin. Like all the Bilious Remittents of the tropics, it may be affirmed that it is not propagated by contagion. General Symptoms. First Stage. — The attack comes on some- what suddenly, and without any distinct premonitory stage, and is char- acterized by very severe chills and shuddering, attended with violent giddiness, and quickly followed by severe pain extending over the entire region of the stomach, and over the eyes; or, sometimes, by total loss of consciousness, the pit of the stomach being intensely hot, but the body, in other parts, generally covered with a cold, clammy perspiration. There is usually a rapid or even sudden prostration of strength, and BATAVIAN FEVER. 611 sometimes vomiting from the onset; anl the pulse is very frequent and quick, but small; sometimes there is perfect lethargy from the onset, or, in other cases, Ioav, muttering delirium, and, in some instances also convulsions occur: the delirium generally turns upon previous occupa- tions, &c. In general the attack is preceded or accompanied with ex- treme apprehension, anxiety, and despondency. By degrees this first stage or fit passes over, and all the symptoms appear to be temporarily moderated; but — The Second Stage quickly follows, characterized by a general reac- tion, attended with flushes of heat throughout the body; except, indeed, about the legs and feet, Avhich are sometimes cold, clammy, and moist,—or occasionally, even covered with cold perspiration ; the res- piration becomes more and more oppressed, and laborious; the pain over the eyes, which characterized the first stage, becomes more violent, and extends over the Avhole anterior part of the head ; the pains in the region of the stomach and belly become more severe, and assume an intense burning character; the patient suffers from excessive anxiety and restlessness, and from great oppression at the chest and stomach; delirium sets in (if, indeed, it did not characterize the first paroxysm,) which usually is ofthe low, muttering description,— but, occasionally, active and violent; the patient in the latter case raving violently, and grasping furiously at objects within his reach ; the skin is intensely hot, dry, and parched; and the pulse still accelerated and small, or sometimes full and hard ; if the patient be conscious, it may be ascer- tained that he suffers from pains about the loins, thighs, and lower ex- tremities generally; the tongue is thickly covered with a white coating; the belly is full, hard, and distended ; the face is flushed ; the eyes are red and protruded, and violent retching generally sets in sooner or later during this stage, which terminates in the expulsion of bilious matter, generally dark and offensive. This paroxysm is variable in duration; but, if not fatal at an earlier period, rarely lasts more than twelve hours, being followed by a brief and imperfect remission ofthe more violent symptoms, but usually characterized by low delirium, and often chills and shuddering. The Third Stage sets in after a partial remission of greater or less duration, and is characterized by the rapid aggravation of all the pre- vious symptoms,—the vomiting becoming more frequent, urgent, or even incessant; the pains in the head and region of the stomach intolerable; and these symptoms being sometimes folloAved or accom- panied by violent evacuation of foul, bilious matter from the bowels, or sometimes, again, by total inaction of the bowels; the vomiting and purging often consist of blackish or dark-brown matter, like the black vomit, described under the head of Yellow Fever (at p. 604); tAvitch- ings of the muscles of various parts ensue; the faculty of hearing becomes much impaired; the breath becomes exceedingly offensive; aphthous vesicles sometimes appear in the mouth; or, in other in- stances, blackish or brownish spots or patches appear about the mouth ; and the interior ofthe mouth, the tongue, throat, gums, and even the teeth become covered with a dark-brown coating. In a feAV cases, dis- charge of blood from the nostrils, or even from the mouth and the 612 BATAVIAN FEVER. internal lining surfaces, occurs. The skin sometimes assumes a bright- yelloAv hue ; in other instances it exhibits a dull, earthy, and someAvhat livid hue. The pulse is, generally, very feeble, accelerated and wiry, or small, hard, and fluttering, — but it is also, at times, observed to be regular, even at the approach of fatal symptoms ; and lock-jaw has been known to accompany the last stage. An absolute insensibility to danger, and absence of consciousness of his situation usually precedes a fatal issue, the patient being, apparently, insensible to suffering, and unaware of any ground of apprehension. Predisposing Causes. The chief predisposing causes which have been observed to render persons extremely susceptible to the attacks of this fever, consist in the reckless excesses, especially in ardent or fermented liquors, to which Europeans are apt to abandon themselves in the unhealthy climate of the region in Avhich this disease prevails, and in the ill effects of exposure to the intense heat of the day. Exciting Causes. The exciting causes may evidently be traced to the noxious exhalations or miasms, which arise from the stagnant SAvamps and jungles, and which impregnate the atmosphere; and especially to those miasms, Avhen condensed at nightfall; and, con- sequently, it is to be presumed that the most active and fatally effectual cause would be exposure to the heavy dews and damp chilly air of the night. Issue and Results. The hope of cure is exceedingly precarious, except, indeed, in cases in which the patient has been habitually cir- cumspect in his indulgences. Those who are attacked may sink during the first paroxysm, or, very frequently, during the second stage, that is, A\rithin from twenty-four to thirty-six hours. Some again may be carried off in the third stage, or may even linger on for several days, and finally die from exhaustion. Some have been known to rally after the second paroxysm, and to have been, apparently, recovering, but to have suffered what seemed to be a relapse, but Avhich Avas really the third stage (after a longer remission), and which proved fatal at periods varying from the seventh to the thirteenth day. Even in the case of recovery the dregs of this frightful malady often entail a long period of suffering upon the convalescent, either from organic injury sustained by the stomach, bowels, liver, or spleen, or, sometimes, even by the brain, or from an obstinate and protracted continuance of In- termittent Fever, which may involve the many local attacks (such as the apoplectic or paralytic), or the painful mental affections which this last class of diseases often conveys with it in the East. TREATMENT. The treatment of this disease, homoeopathically, must necessarily depend upon analogical deduction, as we are not in possession of any material which furnishes the result of actual experience. It is, how- eATer, to be observed, that Avith the well-defined properties of our medicines, which so pre-eminently distinguish the practice of homoe- opathy, a very approximate inference may be drawn from the known nature of the disease as regards the method of treatment thereby indicated. EPIDEMIC FEVER OF AFRICA. 613 Aconitum, Bryonia, Arsenicum, and Nux v. would appear to be variously -'ndicated by the conditions evinced in theirs* stage, or sometimes, also, in the second; and it is probable, that one or more of these remedies, therefore (Aconitum being administered at the onset), might serve to arrest, or materially to mitigate, the progress of the fever. The particular indications Avhich might serve to determine the selection between them must Avholly depend upon the assistance to be derived, in these respects, from the article on " Characteristic Ef- fects." Dose: Of either of these medicines, as selected, give three globules in a tea- spoonful of water, or dry on the tongue, repeating the dose, after the lapse of half an hour, and again at intervals of an hour, until decided change occurs. Belladonna, Lachesis, Mercurius, or China would, proba- bly, be applicable to the treatment of the second stage, according to the predominance of head or stomach symptoms, and in addition to those already enumerated. The selection must entirely depend upon the details which may be gathered, with respect to the prevailing symp- toms, and to those Avhich should indicate these medicines respectively, as stated in the article on " Characteristic Effects." Dose: In general as directed in the last prescription. Veratrum, Phosphorus, Acidum mur., or Carbo v. may be had recourse to, in the third stage, if Arsenicum has already been employed in the second, against the indications (such as the prostration of strength, burning pains, vomiting, and purging of dark matter, and so on), Avithout arresting the progress of the disease. Although there is but little hope of Avarding off a fatal issue in such desperate cases, no possible means should be overlooked so long as life is not extinct, in attempting to effect the restoration of the patient; for success may attend our efforts, even under the most unpromising circumstances. Dose: In general as directed for Aconitum, &c, above. Diet and Regimen, &e. In some instances in which apparent recovery is taking place, the patient will express a desire for food, and . will, if suffered to obtain it, eat to excess. Inasmuch as this is often the foreboding indication of a dangerous relapse (or rather succeeding paroxysm), a very small quantity, only, of some thin, mucilaginous fluid should be allowed, the quantity and consistence of the food being very cautiously increased as progressive improvement takes place. EPIDEMIC AND ENDEMIC FEVER OF AFRICA. Epidemic Fever. Characteristics. This disease, which belongs to the class of Bil- ious Remittent Fevers, is distinguishable from the local or endemic fever, chiefly by its prevailing generally in all or most of the settlements, either successively or simultaneously, and by its being equally obnox- ious to the old settler, or the recent immigrant, as well as to the natives themselves, Avho are not exempt from its attacks. It is apt to invade the Avhole. of the settlements, and native provinces of the Western Coast of Africa, to the extent to which they are known. The remis 614 ENDEMIC FEVER OF AFRICA. sions are more regular and well defined than in others ofthe analog. >ui Fevers of hot climates, and the course is more uniform to the crisis. Symptoms. In respect of the symptoms, it may be generally stated, that those which are more particularly described under the head of the Endemic form of Fever peculiar to the Western Coast of Africa (as below stated), also occur in the Epidemic variety, but in an exag- gerated degree. . General Causes. The occurrence of the frightful and fatal Remit- tent Fever of the Western Coast of Africa as an epidemy, has been pretty satisfactorily traced to the occurrence of the rains at an earlier season than usual, as well as to the absence of the predominant period- ical tempests of wind which serve to bear away, or to dilute much of the rankling miasm generated by the vegetable decomposition. It may, therefore, be generally stated, that variations in the atmospheric condi- tions are capable under certain circumstances of developing this as well as other Epidemic diseases. Endemic African Fever. Characteristics. The Endemic Fever differs from the Epidemic Fever, above described, very distinctly in respect of the range of its ravages. This variety is almost entirely innocuous, if not wholly so, as regards the natives of the locality, or even as regards the natives of hot climates in general, and attacks old residents or settlers, even, more rarely than new comers; but it assails all those who have recently arrived from temperate latitudes, with very few exceptions, and rages with greater or less malignity, according as the person attacked has immigrated from a cold, or temperate, or comparatively warm region. The endemic Fever is, moreover, of purely local prevalence. Symptoms. Premonitory Stage. — Amongst the first foreboding indications of the access of this disease are:—a general sensation of uneasiness and of indescribable discomfort, often unattended with any pain, or with any marked variations or irregularities of the pulse — and equally uncharacterized by any positive skin-symptoms. Some- times the external surface will be covered with profuse perspiration, and it is comparatively rare that, at the onset, the very decided dryness and harshness, or even withering of the skin becomes apparent. In other instances, again, a more or less apparent yellow suffusion of the skin and eyes characterizes the premonitory stage. There is invariably a more or less rapid loss of strength and of inclination to exertion of any kind, generally followed by pains in the limbs, and in the lower portion of the back and loins, or more especially in the principal joints, and subsequently, by occasional fits of vomiting. The bowels are often regular, and the evacuations evince no positive indications of derange- ment ; but in cases in which the yellowness of the skin is apparent at the onset, this manifestation is usually followed by very dark and offen- sive evacuations, and by vomiting of green bile, of a greater or less in- tensity (or darkness) of color. The pulse, meanwhile, sometimes con- tinues regular and almost healthy for some days, being only slightly more frequent than in the habitual condition; in other instances, how- evr (according to Boyle), " it is hard, small, and contracted, or soft ENDEMIC FEVER OF AFRICA. 61E fluttering, and stridulously undulating." The tongue is, usually, more or less covered with yelloAvish or broAvnish, or sometimes Avith a Avhite coating, Avhich subsequently becomes darker as the tongue becomes dry. By degrees the pulse becomes more and more accelerated and frequent, as the other symptoms become aggravated, and the skin be- comes very hot and dry. In some instances the pulse is "full and bounding." As the disease advances, especially in cases occurring in persons of a full habit of body, there is a sensation of weight, confu- sion, and pressure in the head, with a pain either affecting the forehead in particular, or chiefly seated in the cavity of the eyes, or above the eyebroAVS, or apparently in the eyeballs themselves, or again conveying the idea of a general pressive, aching pain throughout the interior of the head. Immediately preceding these symptoms, a slight chill and fit of shuddering sometimes occurs, immediately followed by intense restlessness, &c, these latter symptoms being usually accompanied, however, with a strong inclination to sleep, Avhich, nevertheless, is im- possible. The incipient or premonitory stage, or the stage of incuba- tion, as it might also be termed, may extend variously over a period of from three days to a week, or even longer. Second Stage (or Confirmed Attack).—The second stage is ushered in by decided aggravation of all the symptoms, but is more especially characterized by the intense restlessness and tossing, and by the wild delirium and hallucination which accompany it. The prevailing idea of the delirium is, that the patient is maintained under restraint, and that he is exposed to a variety of dreadful catastrophes. The patient complains of being held down in bed, and makes efforts to es- cape, or will actually dash through a window, if not prevented from doing so; he is not conscious of bodily pains, but raves about the treat- ment to which he is subjected, and it is not unfrequent that he may contrive to elude the vigilance of the attendants and actually spring from bed, and in the last struggle of life, even, exert the extraordinary physical strength of frenzy. So long as the active stage of the fever continues there are, usually, regular but partial remissions occurring every other day, in which case the remissions consist of a general lessening of the intensity of the symptoms. In other instances, however, there are also more positive diurnal remissions, in which case the paroxysms return about the lattei part of one afternoon and last until the ensuing morning, when the patient gradually becomes tolerably calm until the afternoon again. In this case, also, the attacks are more severe on the alternate days. During the positive diurnal remission above described, the only sensa- tions expressed by the patient usually consist of an excessive feeling of weariness and exhaustion, resulting from the foregoing delirious ex- citement, of the hallucination of which he usually retains a pretty defi- nite impression, and generally affords a graphic description. There is. generally, little or no sensation of pain during these intervals. Crisis, or Third Stage.—These alternations of paroxysms and remis- sions usually run a regular course until the critical day, which com- monly falls about from the end of the seventh to the tenth day since the attack. After a more or less frequent alternation of attacks and 616 ACCIDENTAL FEVER OF AFRICA. remissions, according to the greater or less intensity of the symptoms to the strength, &c, of the patient, and the attainment of the critical period ofthe disease, and generally after a violent paroxysm of frenzy, either the disease takes a salutary turn ; or, if it be taking a fatal or very desperate turn, the patient sinks into a Ioav, lethargic stat?; twitchings of particular muscles ensue, the discharge from the boAvela and the evacuations of the urine become very frequent, and are usually passed involuntarily; there is either a low, rambling,muttering deliri- um with total prostration, the patient lying almost motionless, except as regards the twitching movements; or in other cases, the delirium even is absent, and total tranquillity prevails from excessive prostration of strength; — hiccough often accompanies or follows these symptoms, and there is snatching at the bedclothes, or catching at imaginary bodies, and the extremities become cold and clayey to the touch, Avhen the patient gradually sinks and expires. Predisposing Causes. Under this head we may probably enu- merate the effect of the intense and moist heat of the climate, act- ing upon the unhabituated system, especially of the native of a cold climate, recently arrived in an African settlement. Intemperate habits always predispose to this as to analogous diseases; as it has also been observed that the sudden discontinuance of stimulants, amongst those who have habitually indulged in them to excess, is also a fre- quent predisposing cause. Exciting Causes. Exposure to the noxious exhalations of the swamps, and particularly of the low, level tracts in which the vegeta- tion stretches to the very brink of the sea, or of the innumerable tidal estuaries and other channels which intersect the settlements on the Western Coast of Africa in every direction. Exposure to the night air in particular, as Avell as to the intense heat of the day (which is rather to be considered as a predisposing cause), is certainly one of the most direct of the exciting causes in this, as in other districts in the torrid zone, in which a heavy, malarious vapor floats close to the sur- face of the soil or water (along the coast) after sunset. ACCIDENTAL FEVER OF AFRICA. Characteristics. This variety of fever, which is more frequently of the continuous type, as above stated, but which sometimes assumes the character of the other remittents, has been appositely denominated the Climatorial Fever of Africa. It is to be distinguished from the others by the absence of any general prevalence of the endemic or epi- demic varieties, by the absence of general or local causes, and by the suddenness with Avhich it attacks the patient, as also by the particular nature of the antecedents to Avhich it is traced. It is more properly and purely of an inflammatory character — that is to say, it is less likely to degenerate into the low variety, and runs a more rapid and positive course, either to a fatal or salutary issue. Symptoms. The earlier symptoms of this fever are barely to be distinguished from those which may be of consecutive development, owing to the suddenness ofthe attack. Sometimes, indeed, the attack EPIDEMIC AND ENDEMIC FEVER OF AFRICA. 617 and the fatal issue, Avhen attributable to exposure to the sun, are almost simultaneous. If, however, the progress of the disease is better defined, there is usually a greater or less degree of constipation, and often a total absence of evacuation from the bowels, symptoms Avhich are commonly characterized by a foregoing sensation of chilliness, and impaired appetite, Avith nausea; and the patient complains of severe aching pains m the back and loins, and in the principal joints, and particu larly in those of the lower extremities, Avhich give under him Avhen he attempts to stand or to walk. There is intense pain at the pit of the stomach, Avith excessive heat and dryness of skin ; and, in the majority of cases, an intolerable pain in the anterior part of the head, and chiefly above the eyebroAvs. Violent retching soon sets in, followed by vomiting of green, bilious matter, of more or less dark color, and offensive odor. The thirst is generally a marked and prominent symp- tom ; the eyes are generally red and bloodshot, and surrounded by a dark ring; the expression is depressed; the face is usually much bloated, and almost crimson, but in other instances it is quite purple; and this latter symptom is often characterized by an absence of the very marked vascular excitement otherAvise evinced by the pulse. In general, however, the pulse is very frequent, and either quick and hard, or full and bounding. The tongue exhibits the same general appear- ances as have already been described under the head ofthe "Endemic Remittent Fever," at p. 615. TREATMENT. Epidemic and Endemic Remittent Fever. China, which has been used with success as a preventive medicine, may be advantageously employed at the onset, if the first incipient or premonitory symptoms be distinguished in time, and before the active fever-symptoms become developed. The specific properties of this medicine would seem to confirm the statement of its efficacy; and if indeed (as is most likely the case) it be insufficient to arrest the progress of the disease when once the miasm has been imbibed, it may yet serve materially to mitigate the course of the malady, to assist the treatment subsequently required, and thereby to afford a better pros- pect of ultimate cure. The nature of the inducing cause of these dis- eases — viz., marsh miasm — is also a strong confirmation of the general applicability of China (provided Arsenicum or Nux v. be not better indicated by all the symptoms) in the treatment of the incipient or incubating stage. This medicine is, moreover, of service, according to some statements, after the complete subsidence of the fever, and during the stage of convalescence. Dose: During the incipient stage, give four globules in a teaspoonful of water, three times a day, until the fever-symptoms become more positively devel- oped, or until the first sensation of chill and shuddering, which announces the approach of the inflammatory stage, when the subjoined medicine should be promptly administered. If during the stage of convalescence, give four globules in a teaspoonful of water, night and morning, for ten days, or until some new and decided change takes place. Aconitum has been named as of great efficacy in the treatment of 618 EPIDEMIC AND ENDEMIC FEVER OF AFRICA. the inflammatory stage of the Bilious Remittents of hot climates, and its particular properties would seem to confirm us in the belief of ita direct and specific homoeopathicity. Dose: Three globules in a teaspoonful of water, repeated, at intervals of two hours, during the paroxysms, until the moderation of the fever-symptoma, aa indicated by the pulse, skin, &c, or the greater calmness of the patient; unless, however, the delirium should become exceedingly violent, or such symptoms as, upon reference, would seem more distinctly to indicate one or more of the subjoined medicines, when it would be desirable to proceed accordingly. Bryonia, Nux v., Belladonna, Pulsatilla, and Mercurius, respectively, according to the particular symptoms developed, may be named as offering a series of analogies to the symptoms of the active stage of the Bilious Remittent Fevers above described. The selection must wholly depend upon such particular indications as may be gathered from the article on " Characteristic Effects." Dose: The dose, which should be rapidly repeated, during the paroxysms, should consist of four globules (of either of these medicines, as selected) in a teaspoonful of water, or dry on the tongue, given every half-hour, until the excitement becomes subdued; and, subsequently, if still indicated, at intervals of two hours, until the remission or general modification of the symptoms. Arsenicum, Veratrum, Acidum nit., and Acidum mur. may be particularly enumerated as appropriate for the treatment of the third or critical stage of these diseases. There are, however, no prac- tical particulars on the subject, and the selection must wholly depend upon the indications afforded under the head of each in the article on " Characteristic Effects." Dose: Of either of these medicines, as selected, give three globules in a teaspoonful of Avater, or dry on the tongue, repeated at intervals of five, ten, fifteen, and twenty minutes successively, and, subsequently, at inter- vals of an hour, until a salutary reaction promises to take place. PREVENTIVE TREATMENT. China has been mentioned, as of some efficacy in the prevention of these as of other marsh fevers. But this can only apply to those who have not been so directly exposed to the miasm as to be already uncon- sciously under the influence of the poison. Dose: When persons are likely to be exposed to such conditions as have been described under the general heads of " Causes," or whenthe Fever is preva- lent, four globules should be taken three times a day, for two days, and subsequently, night and morning, for a week, from time to time, during the continuance of the unhealthy season, or of the general exciting causes. Arsenicum, or even Nux v., may claim a preference to China, when the leading features of the prevailing disease correspond better to the specific properties of these remedies, respectively, as stated in the article on " Characteristic Effects." Dose: Of either of these medicines, as directed for China. Diet and Regimen. The method which has been most success- fully adopted as recovery was progressing, has been to allow the patient any article of food (not positively noxious) for which he may express an inclination, but to limit the quantity, administering only very small INDIAN MAI.SH-REMITTENT FEVER. 619 quantities au the time, and only increased by very slow degrees until the balances of healthy action become very decidedly restored. Wine, or, more properly, wine-and-water or brandy-and-water, much diluted' may be administered by teaspoonful doses, when nothing remains but the debility necessarily resulting from such severe diseases. During the_ remissions, pending the continuance of the active stage, if the patient should manifest any inclination to take food (or otherAvise, if there is a chance of his not refusing it,) a little very thin arrow-root Bhould be given by teaspoonfuls. This is, however, to be done with much circumspection. Climatorial or Accidental Fever. We have no material which should lead to a positive distinction in the course of treatment, or to any material deviation from the rules already prescribed for the two foregoing varieties. It is probable, indeed, from the great analogy Avhich exists between the symptoms of all, that the same medicines would be available in all three, Avith vari- ations (indicated by the course of development) in the successive ad- ministration, or in the selection as regards different stages. The same phenomena are prone to occur in all three forms, if not in all the fear- ful bilious fevers of the tropics; and these phenomena indicate an apposite and similar selection of the medicine. It may, however, be stated that China would probably be of no service in this variety. Camphor (Saturated Tincture) might probably be of service if immediately administered, if life be not extinct, as is too often the. case, in those very severe cases in which instantaneous loss of consciousness and of motion results from exposure to the intense heat of the sun (that is, from sun-stroke). I am not aware, hoAvever, that it has ever been tried in these cases. I merely mention it as homceopathically indicated in analogous cases. Dose: If the patient is considered capable of swallowing, one drop of the Saturated Tincture of Camphor, on a small lump of loaf-sugar, or in a little arrow-root, &c, should be placed upon the tongue; if otherwise, the phial containing the Tincture should be held to the nostrils for a few instants. In either method the exhibition of the Camphor should be repeated at intervals of a quarter of an hour, until some signs of improvement set in. The subsequent treatment would depend upon the course and character of the disease. ACCESSORY MEASURE& The warm bath has been strongly recommended by practitioners of the old school of medicine, who have had much experience in the treat- ment of the Climatorial Fever of Africa. I see no positive objection to its being once employed at the onset of the attack. It is generally necessary to shave the head, and cold affusion during the course of the fever is sometimes a serviceable accessory or palliative resource, provided the skin be dry. INDIAN MARSH-REMITTENT FEVER. Characteristics. This disease, which corresponds in many re- spects with the other bilious remittents of hot climates, differs in some 620 INDIAN MARSH-REMITTENT FEVER. respects, however, from those already described. It does not run the regular course to a critical period, but bears more analogy to the Bata- vian fever, and may also be divided into three distinct stages, defined by well-marked remissions. The stomach is the organ chiefly affected, and the head symptoms are not generally so positively marked from the onset. The natives do not appear to be exempt from the attacks of this disease, although they are not by any means as subject to them as the unseasoned and reckless European. Symptoms. Premonitory Stage. — The premonitory symptoms are sometimes wholly wanting, particularly if the persons attacked have been exposed to direct transition from the heat of the day to the damp chill and heavy dews of night, and more particularly to the condensed and malarious vapors which gather upon the immediate surface of land and Avater at nightfall. In other cases, however, and when the exciting cause has been less decidedly and more gradually incurred, the boAvels will continue to be irregular, and sometimes for several days before any other symptoms appear; in other cases there will be total inaction of the bowels; presently the pulse becomes feeble, quick, and small, and this sometimes before the shuddering fit or chill sets in; the spirits then become intensely depressed, and oppressive sensations about the chest and stomach, and sometimes headache, ensue; after which nausea and vomiting are commonly not tardy to follow. Second Stage. — The development of the malady in this stage too frequently constitutes the first evidence of disease, in which case, gen- erally, there is either agonizing pain in the stomach and excessive oppression, quickly followed by vomiting of bilious matter, or a sudden savoou with ghastly, pallid countenance, and total loss of consciousness, the gradual return of which is evinced by movements indicative of intolerable pains in the stomach and head, which also issue in the ejec- tion of bilious matter from the stomach; and although consciousness is usually restored after the vomiting, the patient shortly afterwards, in many cases, becomes violently delirious, the pulse having become full, very frequent, and accelerated, the headache much aggravated, the thirst intolerable, and the eyes usually red and blood-shot. The duration of this stage is variable, but usually averages about twelve hours, after which a decided remission of all the symptoms, with sub- sidence of delirium and of the vascular excitement (but characterized by great exhaustion, and general nausea,) is ushered in by the breaking out of a copious perspiration. During the remission the patient often complains of a bitter taste in the mouth, and a return of all the symp- toms in greater intensity shortly follows, constituting the — Third Stage — in Avhich the delirium is at first more violent, but has a tendency to degenerate in the low, muttering, wandering description ; in Avhich latter case the tongue usually becomes covered with a black or dark-brown coating, the vomiting often being almost incessant, and assuming the character of the black vomit described under the head of "Yellow Fever" at p. 604; the pulse becomes very feeble and irregular, but is often excessively frequent; the pain in the stomach is intense, and almost unbearable, the skin being clammy. In other in- stances which do not assume so desperate a character, the yellow suffu- INDIAN MARSH-REMITTENT FEVER. 02< sion of the skin (sometimes very strongly developed in the second stage), the pain in the stomach, and the delirium, only, become more violent, and the vomiting of bile, of a more natural character, very frequently, the skin continuing exceedingly hot and dry. Predisposing and Exciting Causes. These are similar, in most respects, to the predisposing and exciting causes mentioned under the preceding Tropical Fevers. Issue and Results. The course of the fever is variable in dura- tion. In some cases, a series of attacks, rather like relapses than remissions and exacerbations, continue to afflict the patient, who may finally sink at periods varying from one to three Aveeks; but a fatal termination more commonly occurs before the expiration of the first week. Some patients are carried off a few hours after the attack, and others early in the second stage. Recovery is, in any case, slow, and very gradual, and then too often involves organic disease of the liver The skin usually betrays the traces of the disease, by the yellow hue which remains long after recovery. TREATMENT. China has been mentioned as of service during the very earliest period of the premonitory symptoms in cases in which the attack is very slow and gradual, and the indications mentioned under the head of the Premonitory Symptoms (page 620) occur. The efficacy of this medicine in the earlier stages of Bilious remittents, caused by marsh miasm, has already been alluded to at page 616. Dose: The method of administration should probably be analogous to that already prescribed at page 618 Aconitum, Mercurius, Belladonna, and Bryonia may be named as offering such analogy to the various symptoms developed during the second or active stage of the fever, as to warrant the expect- ation that they might prove of great service in the treatment. The selection must, however, wholly depend upon the indications afforded under the head of each, in the article on " Characteristic Effects." Dose: Of either of these medicines, as selected, give four globules in a tea- spoonful of water, or dry on the tongue, at intervals of two hours, during the paroxysms, until decided amelioration or change. Arsenicum, Digitalis, Veratrum, and Lachesis are to be named as affording the most analogous specific symptoms to those which, in the majority of cases, characterize the third stage of this disease. The selection from amongst them must, however, wholly depend upon the indications afforded in respect of each, in the article on "Characteristic Effects." Dose: In very urgent cases, in which the patient appears to be sinking rapidly, two globules, of either of these medicines should be administered dry on the tongue, or in a teaspoonful of water, at intervals of five, ten, fifteen, and twenty minutes, successively, and subsequently every half hour, until a salutary reaction begins to set in. In less urgent instances, the repetition of the doses should be commenced at intervals of half an hour,— these intervals being extended, as soon as possible, during the con tinuance of the paroxysm. Consider also the following. Acidum nit., Acidum mur., and Acidum phos. are alsc 622 LEPRA — LEPROSY. medicines Avhich offer much analogy in their action to some of the worst symptoms of the third stage, and are, therefore, to be recommended for trial, in very urgent cases, in which, by referring to the article on " Characteristic Effects," the one or the other is found to corre- spond with the symptoms of the case. Dose: Of either of these medicines, as selected, the administration should be conducted as mentioned in the last prescription. PREVENTIVE TREATMENT. The Cold Bath. There is reason to believe that, as a general preventive measure, against the predisposing influences of the climate, the cold bath at noon, or a little before midday, is of great service. It is almost invariably observed by Europeans, that there is a daily feverish attack which sets in tOAvards night, and continues until early in the ensuing morning, and another analogous attack about or soon after noon, which is more particularly apparent at the periods of new and full moon ; and the cold bath has been recommended by those whose experience in the treatment of the diseases of India deserves attention. Dr. Martin has found the greatest benefit arise from cold bathing before the access of this midday attack. These means, by lessening the morbid effect of the climatorial influences, doubtless tend to sustain the system in its resistance to the exciting causes of the remittent fever, and, by modifying the general predisposition, to lessen the hazard of attacks, even under moderate exposure to the exciting causes above mentioned,— or even to render the prospect of cure less precarious in the event of an actual attack. LEPRA —LEPROSY. General Characteristics and Symptoms. From the fact of Lepra being a rather common disorder, it has sometimes gone by the- name of Lepra vulgaris (or Common Leprosy). It consists of red scaly patches, of various dimensions, but always affecting a circular or elliptical shape, and scattered over different parts of the body. It usually commences on the limbs, mostly near the joints, just below the knees or elbows; it has further been remarked, that these patches, especially Avhen they are few, and the disease is recent, are distributed symmetrically, each spot on one limb answering in situation to a simi- lar spot on the fellow-limb. In the majority of instances the disease is developed on both legs or both arms at the same time. It is then apt to extend, by the successive formation of new scaly patches, along the arms and thighs to the breast and shoulders, and to the lumbar and lateral regions of the abdomen. The patches are often more numerous and prominent on the lower part of the belly than elsewhere. The disease rarely extends to the hands or hairy scalp. The patches that do occur on the head are generally of small size; a few are now and then observed around the outer angles of the orbits, from Avhence they spread along the eyebrows to the forehead and temples. The patches are disposed to coalesce by their corresponding edges; but the origin- ally orbicular form ofthe parts composing these aggregate patches, is LEPRA — LEPROSY. 623 still proclaimed by the arcs of circles which are seen in their circum- ference. The lepra vulgaris of Willan invades in the shape of small, solid elevations, around Avhich numbers of other reddi di-colored, prominent spots, about a line in diameter, of a circular form and firm consistency, are evolved. This induced Willan to imagine that lepra was owing to an induration of the papilla? of the skin. The summit of these elevations, the appearance of which is fre- quently successive, smooth in the earlier stages of their existence, be- come covered, some few days after their formation, with a small epidermic scale, Avhite, semi-transparent, smooth, and polished. This minute, spangle-like scale is detached before long, and its fall is announced by a feeling of tingling and itching. The small space of skin, which it covered, is noAV found red, and is rough to the touch. In the centre of the inner surface of the scale Avhich is thrown off, a minute eminence may be perceived, less consistent than the other parts, and which appears to have been lodged in a slight depression of the skin ; it is even observed to be tinged with blood Avhen violence is em- ployed in removing the scale. These small scaly spots, after having thus shed their covering once, enlarge in rather a rapid manner, until they measure an inch, and even more, in diameter, but always preserving a circular shape. They are soon again covered with scales, which are dry, glistening, somewhat opalescent, tough, and of a pearl-gray or pale-yellow tint. They are bounded by a rosy, or purplish and slightly elevated margin, so that the centre of each patch appears somewhat depressed. The scales, which almost always adhere very firmly to the skin, are by no means evenly and regularly spread over the surface of the leprous patches, which are never seen covered by a single scale. The scales are super- posed, especially in the circumference of the patches, and become thicker and thicker, so as to form prominent layers. The leprous eruption sometimes covers the entire body, commencing in general from the extremities; it rarely spreads to any extent on the face. When the scalp becomes affected, the scales are very minute, and generally cover an exudation derived from the inflamed bulbs of the hair. In very severe cases, when the disease extends over the hands, and invades the root of the nails, these become changed in structure, curved, and of a dirty yelloAv color. The constitutional disturbance attending on leprosy is, for the most part, very trifling; sometimes there is a slight fever, accompanied Avith gastric symptoms. Its most troublesome accompaniment is a disagreeable itching, attending its commencement and increase. A form of this disease, which they call lepra alphoides, is but a mere variety of common lepra. There is, in this form, less redness of the skin; the scales are smaller, and of a more pearly whiteness. It sel- dom reaches the trunk; and it generally attacks children, aged per- sons, or those of a weakly habit of body. Lepra alba, the leuce of the Greeks. White elephantiasis,—character- ized by spots and white crusts, — commences by the appearance of mor- phea al ba, or white morphew, on the spots of which these are formed, which 624 LEPRA — LEPROSY. are covered with scales or white crusts. If this phenomenon does not take place, the spots are seen to extend more and more, the skin beneatn becomes insensible, there are formed tumors in the cellular tissue under the skin, produced by the stagnation of coagulated lymph, and the outer skin frequently falls, several times in the year, in large flakes like those thrown off by serpents when they cast their slough. At length there come on fissures and ulcers, the face becomes affected with drop- sical swelling, the gums fungous and putrid, the hair falls off, the senses are blunted, the blood taken from the veins is blackish and tur- bid, and life is terminated by dropsy or consumption. Black lepra, a variety characterized by black spots and scales. It commences by a black morphew; the characteristic patches extend in the form of rings; these form a great quantity of scales and crusts. The skin between the scales is inflamed, and the seat of burning pains, which torment the patient more especially during night. Tuberculous Lepra. A more advanced degree of scaly lepra. This seems to be the form more commonly described by authors under the names of Elephantiasis, Leonine, or elephantine lepra, lepra ofthe Arabians, &c. It announces itself, like the black, scaly lepra, by a deep-colored leprous eruption, and frequently becomes developed after the scaly lepra. In general the glands of the groin and those of the armpit are observed to become engorged, the face puts on a red or leaden tint, and there form, first at the eyebrows, then all over the face, indolent and insensible tubercles from the size of a small pea to that of a hen's egg, and which disfigure the face horribly. The same takes place on the arms, legs, and belly. In the interval between these tubercles the skin is chapped and wrinkled. Chaps form chiefly on the lips, which are traversed Avith veins that are injected and bleed readily; the gums are fungous and ulcerated ; the eyes are prominent; the look of the patient is either fixed or wild, or without life or fire; the patient becomes either melancholic or maniacal; the senses are blunted; the voice becomes guttural; the respiration is embarrassed, and the case terminates in Consumption. After death all the skin is found hypertrophied, the cellular tissue and muscles are transformed into one uniform lardaceous mass, strongly adhering to the bones, the blood-vessels dilated and lacerated, the bones softened, the intestines presenting indurations and lacerations. There are two distinct varie- ties of the tubercular lepra, namely: (1) the Elephantiasis of the Greeks, and (2) the Arabian Elephantiasis. (1.) The tubercular lepra, properly so called, or the Elephantiasis of the Greeks, is a variety in which the tubercles occupy the entire body, and especially the face, to which they give a hideous aspect, making it resemble that of a lion. These tubercles are transformed into cancer- ous ulcers, with callous edges, with a surface spongy and covered with excrescences like raspberries, accompanied with lesions in the osseous system, &c, &c, Avhich make the entire limbs become mortified, and be detached from the body. (2.) The elephantine lepra, or Arabian Elephantiasis, is a variety characterized by local intumescence of a limb, of the scrotum, the female pudendum or the face, and more especially by that of one of the LEPRA — LEPROSY. 625 lower extremities, called the elephant's foot. This affection generally commences by SAveiling of the glands -of the groin, whence a red line shoots off in the direction of the lymphatic vessels, the foot or arm be- comes swollen and hard, and pressure with the finger produces no im- pression on the tumor ; the latter becomes longer and larger, without any defined form, entirely insensible, and the skin becomes covered with scales ; the nails become rough and tuberous ; the general health is often but little changed; but frequently, also, there is added a quartan fever to the affection, a characteristic in leprous affections. In many cases the disease may remain stationary for life, unless the affected limb begins to ulcerate. Distinctive Characteristics. The distinction of lepra presents no difficulty Avhen we take this affection in its whole aspect, and the de- scription now given of these different varieties may entirely suffice to distinguish this disease from all other skin-affections. General Causes. With respect to the causes of this affection, there is nothing positive regarding those which occasion the cases evi- dently not attributable to contagion. Ordinarily the affection is hered- itary, contagious, and communicated chiefly by sexual intercourse. It is developed principally at puberty, is more frequent in hot weather than in cold, and is much favored in its development by great heat, moist atmosphere, and one filled with marshy emanations, as also by the use of pork, fish, &c. The causes which favor lepra, particularly in certain countries, are to be referred to the habits of living of the inhabitants, and to the nature of the climate or soil. The white lepra, now very rare, was formerly very frequent in Egypt, Arabia, and Pales- tine ; the black lepra prevailed more especially in Greece, and spread over Europe ; the tubercular lepra, according to some authors, origin- ated in Egypt, and thence spread to Europe and throughout Africa. It is, hoAvever, unhappily prevalent in the East generally; we find it also in South America and chiefly in Brazil. TREATMENT. For the treatment of lepra we are indebted to Dr. Hering, wbu treated, for several years, very many cases of this affection in South America. The medicines preferred were in general as follows: Alumina for coppery tubercles in the face; ears and nose tumefied; veins injected at the extremity of the nose; leprous spots, skin of the legs tense, and covered with tubercular spots; forearm wrinkled and rough ; 0 rose-colored tubercles : inflammation of the eyes, and flow of tears, with- out pain, with a feeling of weight in the face, as if swollen; looks sad and dull; lips swollen, chapped and exfoliated; nose stopped, and much thick tenacious phlegm ; voice hoarse, and rattling of phlegm ; nostrils excoriated and scabby; tickling and itching, and burning feel at the extremity of the tongue; toes shining and red, as if with chilblains. with pain, on external pressure; intense itching in small parts; dar- trous spots, which itch chiefly at night; appearance of vesicles united in groups; finger painful at the extremity, as if from subcutaneous ulcera- tion ; ulcers on the soles of the feet; corns painful; itching in old scars. Dose: Six globules in a teaspoonful of water, the first thing in the morning, 40 626 LEPRA- -LEPROSY. fasting, for ten days (or until the earlier manifestation of new symptom, ot general change); then pause.a week; after which the course should, if necessary, be repeated, as before, and so on, until decided amelioration or change. Arsenicum, for burning ulcers, with bloody secretion, of a dirty color, and fetid ; thin scabs, surrounded by inflammatory, raised edges ; much pain during repose, chiefly at night; gangrenous ulcers, with burn- ing pains: burning itching, with painful feeling of the skin ; circular spots on the skin; yellow spots on the chest; elastic swelling of the skin, face, forehead, eyelids, lips, &c, with pimples; color of the face changed; twitching in the bones of the nose; tubercular tumefaction of the nose, with stopping of the nostrils, and weight in the forehead: burning in the skin, in the ulcers, and in the intestines; corroding ulcers on the soles of the feet, and in the toes; burning ulcers at the end of the fingers ; in- dolent ulcers on the leprous tubercles; white leprous spots. Dose: Six globules, as directed for Alumina. Baryta carb. for ulceration around the nails; eruptions around the ears; tubercular tumefaction of the face; tension of the skin of the face, as if it was covered with a spider's Aveb; sense of swelling, and fulness in the upper lip; dryness of the skin of the hands; tickling in the palms. Dose: Six globules, as directed for Alumina. Calcarea is seldom indicated in tuberculous lepua; but may be ap- plicable in other varieties of this disease, especially in case of itching, and eruptions in the face; stopping of the nose by fetid, purulent matter; hoarseness, cough at night in bed; great sensibility to cold; heat and restlessness at night. Dose: As directed for Alumina. Carbo vegetabilis; more especially when they are red, brownish itreaks, without a grayish centre; spots, with the centre more deeply colored than the edges, remaining after the tubercles. Dose: Six globules, as directed for Alumina. Causticum, for shortening of the flexor muscles of the fingers and hands ; ulcers at the ends of the fingers; vesicles and corroding ulcers in the heels ; shortening of the muscles of the instep ; painful torpor of the thumb and fore finger, especially on touching an object. Dose: Six globules, as directed for Alumina. Colocynthis may be useful against shortening of the muscles in some cases of lepra, and again when there is casting of the whole scarf- skin. Dose: Six globules, as directed for Alumina. Conium may be useful for itching in the face; morning stopping of the nostrils ; purulent discharge from the nose ; lips rough and dry; brown spots on the skin of the body; sulky and gloomy temper. Dose: Six globules, as directed for Alumina. Graphites is not less important than Arsenicum, especially when f here are dry scabs in the nostrils; stopping of the nose; falsetto voice for singing; tetters on the thighs; toes ulcerated : toe nails thick, shape- less, and curved • cross look; eruptions on the face, mouth, chin, ears, ABSCESS OF THE LIVER. 627 and buttocks; red, indolent spots on the thighs and the leg; stiffness in the joints of the foot; failure of transpiration; fetid sweats; leprous spots, and remnants of these spots; copper-colored, annular spots, raised on the face; coppery tubercles on the ear; callous ulcers on the ears; rose-colored tubercles ; rigid and torpid feel of the toes. Dose: Six globules, as directed for Alumina. Kali carb. may be useful in some cases. The particular indications may be gathered from the article on " Characteristic Effects." Dose: Six globules, as directed for Alumina. Natrum carb. This medicine is very important, chiefly for obsti- nate tubercles in the face, and black pores; white pimples under the tongue; tuberculous spots on the thighs and legs; leprous spots on the arm; yellow rings, remains of dartrous spots; circular dartrous spots, brown and coppery, with round edges, and of a tubercular character; obstinate ulcers, after corrosive and spreading vesicles on the heels; itchy eruption on the belly; rose-colored tubercles, &c. Dose: Six globules, as directed for Alumina. Natrum muriaticum. In some case this medicine may be use- ful, especially Avhen there are tubercles on the forehead, and at the back of the neck, &c, &c. Dose: Six globules, as directed for Alumina. Petroleum. This medicine is of great importance, especially when there are yellow spots on the arms; chaps in the hands, and at the ex- tremity of the fingers; vesicles on the heel; tubercles on the face; dar- trous and tubercular spots on the body ; obstinate ulcers on the fingers, with raised and callous edges, and with a flat, moist, and red bottom; fetid ulcers at the end of the fingers; ulcer broad, dirty-looking, with much proud flesh ; hoarseness, suffocating cough at night. Dose: Six globules, as directed for Alumina. Phosphorus is a very important medicine, for: — flat spots, of a clear brown color; tubercles on the body, especially on the thighs; thick patches on the skin of the face; white spots on the arms; pains and heat in the swollen fingers; stopping of the nose; pains in the tubercles of the face. Dose: Six globules, as directed for Alumina. ABSCESS. OF THE LIVER. This is, unfortunately, a disease of much frequency in India, as well as in other hot climates, and it is as fatal as it is ins'dious and obscure in its first attack. History, &c. When inflammation of the liver, especially of its internal structure, is not treated with sufficient decision in its early stages, the formation of one or of several abscesses is a frequent con sequence. This arises from one of two causes: —either from want of decisive and prompt treatment in the first instances; or from the insid- ious way in Avhich it runs its course in the substance of the organ, in ccnsequence of Avhich its nature and extent are not detected, until the particular organic change has manifested itself sufficiently. 628 ABSCESS OF THE LIVER. Characteristics. We may look on abscess of the liver as on abscess of any other part of the body. We know that collections of matter sometimes form in external parts of the body Avithout any marked rigors or constitutional disturbance, and even without much fever; and a similar occurrence may supervene with respect to the liver. Investigation of Abscess of the Liver. The symptoms which usher in the formation of abscess, in many instances, seem to depend more on the constitution of the individual, or the extent of mischief at the time the suppurative process is commencing, than upon any invariable change in the system necessary to its commence- ment, and regularly indicated by certain signs. When the inflammatory action, going on in a part of the organ, is not very acute, and when the constitution is characterized by a scrofulous habit, then abscess super- venes in the liver without giving any precise warning, until the very last stage ofthe suppurative process, when the aggregate of the symp- toms may lead us to infer its existence, or its communication with some other important internal organ renders it manifest. When the inflam- mation is acute and the habit not much impaired, the progress, as well as the commencement, of abscess of the liver may often be detected, if the inquiries be made with precision. Indications afforded by external investigation. When the inflamma- tion is active, the liver is very large from previous or simultaneous congestion. This is more particularly the case when the upper surface is the one affected. When the increase of bulk is chiefly on the con- cave surface, it extends more in the direction of the stomach and large intestine. Adhesions are then often formed either with the stomach, large and small intestines, or right kidney. Adhesions to opposite surfaces are not ahvays the result of the point- ing of an abscess in any particular direction. If it form and point in the superior and anterior surface of the liver, adhesions to the adjoining wall are often the consequence, and then an operation may be performed with a prospect of advantage, and the mechanical treatment should not be neglected if surgical aid be at hand. When the abscess points externally, the circumstance may be readily detected; and in some cases when it is formed in the body of the liver, and points in the direction of some other important organ, it may be recognized by the symptoms present, and sometimes by the hand; coun- terpressure on the posterior parts of the lower ribs being made at the same time. Abscess, however, may form and point either on the mid- riff, or on the intestines, more especially in weakly or scrofulous habits with evident symptoms. When acute attacks of inflammation ofthe liver are not subdued by decisive treatment in the early stages, they run rapidly into abscess. If abscess be actually found, and is seated in the convex part of the right lobe, the enlargement is evident over the whole region immedi- ately under the ribs in the right side, the swelling extending below the ribs towards the navel. When the abscess is likely to form below the ribs, we find generally great swelling and increased heat of the surface of the part. If the abscess form on the superior surface of the liver, and point on the midriff, there will seldom be felt any great increase ABSCESS OF THE LIVER. 629 of temperature in the region below the ribs. The abscess may point between the ribs. When the abscess is fully formed and is seated on the superior part of the liver, the enlargement and swelling felt beneath the ribs, previous to and during the formation of matter, become considerably diminished; but if it be in the inferior and anterior part of the organ, the enlarge- ment becomes more and more reduced, until it assumes the character of a distinct tumor, and the pain either ceases altogether or is but little felt. Indications afforded by the external surface. The supervention of abscess is often not manifested by decided symptoms, especially when the consequence of chronic inflammatory action, complicated with dys- entery. The presence of rigors in such cases can seldom be expected; but slight shuddering is more frequently observed. Even the occur- rence of rigors is not decisive respecting the formation of matter in this disease, as Liver Disease is often complicated with Ague. Indications afforded by internal sensations and perspiration. Some- times an internal sense of throbbing and fluttering has been felt in the region of the liver, and has been followed by a broad, soft pulse, and night perspiration. The supervention of night perspiration is one of the most certain signs we can have ofthe formation of an internal abscess. The indications next in importance are frequent cold sweats, but only in the advanced stage of abscess. Frequent fainting sensations deserve much reliance. Indications afforded by the Pulse. The pulse, at the commencement of the formation of matter, is generally soft and full, is subject to acceler- ation in the evening, and, in the progress of the disease, becomes more irritable, quick, and contracted. Indications afforded in the Chest. In the more advanced stages of abscess, and especially when it is seated in the posterior part of the liver, and presses on the midriff, we have anxiety and oppression in the region about the chest, heart, and stomach. Indications afforded by the position. The easiest position for the patient in abscess of the Liver varies. It is more frequently on the back and left side, Avhen the abscess points tOAvards the stomach or large intestine. Frequently there is most ease from the sitting posture, and from leaning gently forwards. TREATMENT. In addition to the subjoined particulars, those which have already been furnished on the subject of Inflammation and Suppuration of the Liver, should also be referred to. Silicea is more especially indicated when a sensation of internal soreness is felt in the region of the Liver, under such circumstances ; and when the least pressure, or even the jar of walking or riding is extremely painful; also when there is excessive costiveness ; these indi- cations being further characterized by a throbbing in the part or b) swelling. This medicine is of great value either in averting such a result when suppuration is not inevitable, or in promoting a more satis- factory turn when this result has actually ensued. Dose: Four globules in a teaspoonful of water, repeated at interval* of six 630 ABSCESS OF THE LIVER. hours, until four doses have been given, and subsequently, at intervals of twelve hours, for a week (or until the earlier manifestation of general change); then pause four days, and determine whether to resume treat ment immediately, or to defer it for four or six days longer, according to the state of the case. Lachesis is to be preferred to Silicea, when the symptoms, detailed under the head of that remedy, occur in individuals who have been addicted to intemperate habits. Dose: Four globules, as directed for Silicea. Kali carb. is applicable to the treatment of cases closely analogous to those indicating Silicea; but more particularly when, with great physical weakness, there are burning, darting, cutting pains in the Liver, or when there is a constant pressive, heavy, dull, aching pain in the same part, more especially aggravated by bending the body forward, &c.; looseness of the bowels, sometimes with discharge of mucus or even of blood, more particularly at night; scanty evacuations and deficient (almost suppressed) discharge of urine, what is discharged being thick and high colored, and urination being attended with more or less pain. Dose: Four globules, as directed for Silicea. Acidum phosphoricum is more particularly serviceable when the bowels are in an irritable condition, and the patient is much incon- venienced by urging to stool, the evacuations being scanty, often crude, pale colored, slimy and loose; but when, sometimes, there is little or no sensation of pain actually in the liver except when pressure is applied, or when, in other instances, there is a feeling as if a great bulk or weight were in the right side; or when, again, in other cases, cramp-like, con- tractive, nipping, or shooting pains are suddenly experienced in the right side. Dose: Four globules, as directed for Silicea. China, Sepia, Sulphur, and Lycopodium may also be enu- merated as of occasional service in the treatment of abscess of the Liver, and may advantageously interpose to meet particular and collateral developments as they occur. As respects Sulphur, there are compara- tively few cases in which its employment would not be required. For the particular indications of each, however, the reader is referred to the article on " Characteristic Effects." Dose: Of either of these medicines as selected, give four globules, as directed for Silicea. Additional Particulars. It may prove of much assistance in treating cases of this nature to consult also the general article on " Indigestion," and on " Dysentery," whence many important features of the case may be extracted and thence facilities afforded for the appropriate treatment. Diet and Regimen. The food must be taken in very small quantities at a time, more frequently than would be required in health, and with great regularity. Above all, every irritating ingredient should be sedulously excluded, and every stimulating article of food or drink withheld. At the same time the support of the strength as far as we are able to effect it must not be neglected; and good, plain, chronic affections of the liver. 631 nourishing food, such as broth, and plain, farinaceous substances, should be taken. Exposure to vicissitudes of temperature, whether to heat or chill, or to exertion, fatigue, &c, cannot be undergone without danger CHRONIC AFFECTIONS OF THE LIVER. Chronic disease of the Liver is by no means to be looked upon as essentially incidental to residence in hot climates. I have had oc- casion to enter into the consideration of this class of diseases in the earlier part of this work. But, at the same time, many of these disor- ders are far more frequent in hot climates, and more particularly in India, and therefore they are entitled to especial consideration in this place. Chronic Inflammation of the Liver. Nature and Origin. Chronic Inflammation of the Liver may supervene primarily, or the acute form may subside into, a slow, inactive state. If it occur primarily, its seat is generally the internal texture of the-organ. When it is incidental to the acute form, it is generally, but not uniformly, seated in the substance of the liver. Symptoms. Chronic inflammations of the Liver generally com- mence, and are accompanied Avith much disorder of its functions. There are generally appearances either of disordered biliary secretion, or of obstruction to the discharge of this fluid into the superior intes- tines. Sometimes it appears to be more abundant than is natural, but this arises from obstructions to its free discharge into the first bowels, and its consequent accumulation in the hepatic ducts and gall-bladder. Torpor of the organ, when it accompanies a state of chronic disease of the organ itself, may also lead occasionally to attacks of more acute disorder, attended with an increased and vitiated secretion of this fluid; and this effort may proceed from the elements of bile accu- mulated in the blood, owing to the deficient functions of the liver, irritating or exciting it to increased or morbid action. The secretion of bile may therefore be various in quantity, according to circumstances; but it is more generally diminished, and almost always changed in quality. In the slightest and most chronic forms of inflammatory action of the biliary organs, the symptoms are very often indistinct; it is chiefly, in cases of this description, through disorder of the digestive and assimi- lative functions, that we are often led to infer the existence of disease of the Liver. The loss of flesh, the symptoms of disordered digestion, particularly the slow and painful digestion, accompanied with acid and acrid eructations, flatulency, nausea, and sometimes vomiting ; torpid state of the bowels, or dark-colored, offensive, strong, greenish, tena ci 'nis, or watery and muddy motions ; the frequent calls to stool, ana the scanty and morbid state of the evacuations; the dark-colored and disordered condition ofthe urine; the distension and oppression at the region about the stomach and below the ribs on the right side; the oc- casional aching pain and weight in these situations ; the uneasiness and pain bout the right shoulder or shoulder-blade; the slight acceleration 632 CHRONIC AFFECTIONS OF THE LIVER. of the pulse towards evening, with an irritable beat, and considerable heat and restlessness through the night; the burning heat of the palms ofthe hands and ofthe soles of the feet in the evening, and chilliness in the morning; the white, foul, and excited tongue; the bitter or dis- agreeable taste of the mouth ; the hardened state of the gums, &c. &c, — and by such as these, constituting the principal symptoms, — that we are guided in determining the existence of Chronic Inflammation of the Liver. Issue and Results. The terminations of chronic inflammation of the liver are various. The greater number of them, however, may be viewed in the light of advanced stages of the inflammatory state ; others merely as organic changes, to which this state invariably leads in particular habits and. constitutions, rather than as actual termina- tions of chronic inflammatory action, since the vascular disorder may be considered as still existing. As, in the more acute forms of the disease, these forms may terminate in resolution, by a gradual diminu- tion of the morbid symptoms and a return of the healthy action of the diseased organ and of those related to it in function; they may also give rise to a more acute form of disease, or to organic changes of a serious and even fatal tendency. Amongst the latter are, active inflam- mation of the organ, or of the gall-bladder and ducts ; the latter em- braces all the organic changes to which the organ is liable, —and these, indeed, are of more common occurrence in temperate climates than in warm ones. Enlargement. The Liver, in cases of long-continued and slight inflammatory action, becomes much enlarged. The enlargement is often accompanied, also, with deposits of purulent matter in various parts of the organ, Avith a friable state of its texture, and a dark and congested condition of both its internal structure and surfaces. Induration seems to be merely the consequence of slow inflammatory action, with a deposit of organized matter, and an increased consist- ence of the cellular internal structure of the organ, and frequently with an effusion in the granulated tissue composing the greater portion of its internal structure. Tubercles of various kinds, some encysted, others without any evident cyst or distinct envelope, are often severally detected in examinations of the more chronic forms of inflammation of the Liver. These various changes are chiefly remarked in the most chronic cases. In these cases, also, particularly in those addicted to drinking spirit- uous and intoxicating liquors, the substance of the liver is tuberculated, and of a cheesy consistence and texture; it is generally, at the same time, much enlarged. Atrophy. In many chronic cases the Liver becomes smaller than is natural; and in some it is diminished in size. Atrophy of the Liver may be the result of slow inflammatory action. The cause of the diminution of size may be abscess. In addition to these organic changes referable to the substance of the liver, others appertain to the Gall-ducts. These are, collections of very viscid bile in the hepatic ducts, and biliary concretions in the same sit- uation. Biliary concretions frequently form, in warm climates, in the CHRONIC AIFECTIONS OF THE LIVER. 633 gall-bladder, and often produce inflammatory action in this receptacle, or in the cystic or common duct, not unfrequently attended with spasm. TREATMENT. Chronic Inflammation of the Liver. With respect to Chronic Inflammation of the Liver, the directions already afforded for the treatment of this disease, as it occurs amongst us, are equally applicable to its treatment in tropical climates. To the article in question, therefore, the reader is referred. Enlargement and Induration of the Liver. Arsenicum is a medicine which is frequently of considerable service for the treatment of enlargements and indurations, such as have been above described, and is more especially appropriate when the Liver Disease is complicated Avith enlarged Spleen. It is indicated by a small, quick, irritable pulse; tightness and fulness in the right side about the region of the liver, with sensibility to touch, and predominance of burning pains; heat of skin, thirst, anxiety, and restlessness; great dryness of the mouth ; bitter taste in the mouth ; foul, chiefly brown, and dry tongue; and sometimes vomiting of a dark-colored, grumous fluid ; or diarrhoea, occasionally sanguineous; prostration of strength, and swelling of the feet. Dose : Three globules in a teaspoonful of water, night and morning, for six days (or until the earlier development of new symptoms or general change); then pause four days, after which the course should, if this remedy is still indicated, be repeated as before, and so on, until decided amelioration or change. Mercurius is very characteristically indicated by swelling and indu- ration of the liver, more particularly if there be obstructions in the gall-bladder and ducts, and complete jaundice supervene; the region of the liver is full and incapable of sustaining pressure. Sometimes the case is further characterized by occasional shooting and burning pains in the region of the liver. Dose: Three globules, as directed for Arsenicum. Calcarea is useful for enlargement and induration of the liver, attended with excessive tightness and pressure below the lower ribs of the right side,—these parts being incapable of sustaining the least press- ure : or when the enlargement is characterized by occasional darting pains, or by a continual sensation of tightness and pressure, with gen- eral, dull, dragging pain in the same region, sometimes extending through to the right shoulder-blade; evacuations deficient of bile, usually whitish, and sometimes streaked with blood ; bitter taste in the mouth, almost invariably in the morning; predominance of thirst, and very feeble powers of digestion, every meal occasioning much inconve- nience ; white-coated tongue; daily feverish attack soon after midday; excessive dejection of spirits, irritability, impatience, and anxiety; nmetimes shortness of breath, and generally short, dry cough. Dose: Six globules in a table-spoonful of water, the first thing every morn- ing, fasting, for eight days (or until the earlier development of marked change); then pause a week, after which the course should, if necessary, 634 CHRONIC AFFECTIONS OF THE LIVER. be repeated as before; and so on, from time to time, until decide! amelio- ration or change. China is more especially of service in cases complicated with simul- taneous enlargement and induration of both the liver and the spleen, and when pains, as from a bruise or sore, are provoked in the region of the liver by the least touch, or when there is a prevailing heavy pain along the lower ribs on both sides; the evacuations are almost invari- ably slimy, often yellowish or greenish, and sometimes also watery; the urine is cloudy and deposits much sediment; everything eaten has an acid or bitter taste; there is predominant thirst, with great desire to drink; the tongue is much loaded with a yellowish or white coating; there is usu- ally a yellow suffusion ofthe skin, and the sleep is much disturbed ; pains in the limbs often occur; and stitching pain in the region of the liver, during inspiration, is also a symptom, which, when associated with the foregoing, should indicate China; there are pains in the shoulder-blades, and often a short, interrupted, muffled cough, Avith sensation of suffoca- tion at night; pressive pain in the forehead; evening fever, with great heat, and with excessive heat and dryness of the lips, and sometimes with determination of blood to the head. Dose: Three globules in a teaspoonful of water, night and morning, for six days (or until the earlier development of amelioration or change); then pause four days; after which the course may, if necessary, be repeated as before, and so on, until decided amelioration or change. Nux vomica, Lycopodium, Sulphur, or Sepia may be required, especially in cases of long standing. There are few instances in which they will not be required, either in courses, or for intermediary administration from time to time (especially in cases of simple enlarge- ment). For the particular indications which should lead to the selec- tion of each, respectively, refer to the article on "Characteristic Effects." Dose: Of either of these medicines, when selected, give three globules, as directed for China. Diet and Regimen. In cases in which Enlargement or Indura- tion of the Liver has taken place, the directions which have been stated at length in the article on "Eradicative Treatment," at pp. 83-89, should be referred to. Tubercle and Atrophy of the Liver. Arsenicum, Silicea, Sulphur, and Lycopodium may be named as being likely to be of some service. There are others, however, which the tact and experience of a medical practitioner in attendance might find more appropriate in many cases. It should not be omitted, however, that in all cases in which organic disease of the liver is detected in an advanced stage, if there be any hope of retrieving comparative health and of prolonging life, the medicinal treatment should, if prac- ticable, be seconded by removal to a climate more consistent with the constitution. The selection from amongst these medicines must depend wholly upon the indications afforded under the head of each, respec- tively, in the article on " Characteristic Effects." Dose: If of Arsenitum or Lycopodium, give three globules in a teaspoonful o. chronic affections of the liver. 635 water, night and morning,—if of Silicea or Sulphur, give six globules in a table spoonful of water, every morning, the first thing — fasting, for ten days (or until the earlier manifestation of marked change); then pause a week; after which the course should, if indicated, be repeated as before; and so on. Affections of the Gall-Bladder and Ducts. Belladonna is sometimes productive of speedy relief, of longer or shorter duration, in the treatment of Biliary Concretions or Gail- Stones, and of other morbid accumulations in the Gall-ducts, &c, AA'hen excessive pain is experienced at the pit of the stomach, darting through to betAveen the shoulders. Dose: Four globules in a teaspoonful of water, repeated three times a day for two days, and subsequently, night and morning, if the pain continues in a diminished degree, for a week (or until the earlier manifestation of decided change). Calcarea, Lachesis, Silicea, and Sulphur are to be men- tioned as frequently of service in the treatment of obstructions in the Gall-Ducts, &c, especially in protracted cases, or in cases associated Avith long-continued and inveterate derangements of the biliary appa- ratus. The general indications for each, respectively, may be gathered from the article on " Characteristic Effects." Dose: If ot Lachesis, give three globules in a teaspoonful of water, night and morning,—if ot Silicea, Calcarea, or Sulphur, six globules in a table- spoonful of water, the first thing in the morning—-fasting, for ten days (or until the earlier manifestation of decided change); then pause eight days, after which the course may, if necessary, be repeated as before, and so on, until decided amelioration or change. China and Nux vom. are always of greater or less service in the treatment of chronic diseases of the Liver, Spleen, Gall-Ducts, &c, and their associated derangements of the whole apparatus of digestion, when the disease is not of too long standing, or beyond the reach of art. Dose: Of either of these medicines, when selected, as directed for Lachesit, in the foregoing prescription. 636 CONCUSSION OF THE BRAIN. CASUALTIES. CONCUSSION, BRUISES, SPRAINS OR STRAINS, WOUNDS, DISLOCATIONS, AND FRACTURES. REMARKS on external remedies. With respect to the chief distinctions which serve to determine the fitness of one remedy, as a local application, in preference to another, the reader is referred to the Introductory article at pp. 66-70, in which this subject has been considered in detail. CONCUSSION OF THE BRAIN. In concussion of the Brain (which may arise from a violent shaking of the brain or of the Avhole body, without any direct violence having been offered, such as a severe blow or fall on the head,) the symptoms vary, according to the degree of injury which the brain has sustained. Symptoms. When the concussion is very severe, there is im- mediate deprivation of sense and power of motion, and death is the general result; but when slight, a temporary stunning or confusion. with more or less headache, is produced, followed by increased action of the pulse, giddiness, and sickness. When, on the other hand, the violence done is greater than in the latter instance, though not so severe as to cause the fatal termination alluded to above, we may divide the progress of the results of such accident into three distinct stages, as follows:— (1.) The first stage,—in which the patient is rendered insensible and incapable of movement; his limbs become cold ; the pulse weak, dow, and intermittent; the respiration laborious, but usually without moring. (2.) The second stage, — in which, as the patient begins to recover from this condition, the pulse and respiration improve, and warmth begins to be felt in the extremities; the sensibility to touch then returns, and the contents of the stomach are in most cases ejected; still he continues to remain in a dull, confused state, and inattentive to, or almost unconscious of, slight external impressions. On the gradual subsidence of the first effects of the concussion, the patient becomes enabled to respond to questions spoken in a loud tone. (3.) The third stage. —When, however, the stupor has considerably or entirely abated, inflammation of the brain, of an active character, will, in many cases, then begin to develop itself, with all its wonted symptoms; and if not checked, suppuration or effusion within the head, preceded by sudden coldness and shivering, will result. TREATMENT. Arnica is the specific remedy in all cases of injury arising from ex- ternal violence, and its timely administration internally, simultaneously with its external application (if there be a wound), in cases of concus- sion of the brain, will, in most instances, if the injury be not very CONCUSSION or contusion of the chest. 637 severe, suffice to remove all traces and evil consequences of such mis- fortunes. Dose (internal): Two globules in a teaspoonful of water (if requisite, and no other remedy should meanwhile become more distinctly indicated), at in- tervals of three hours, until decided amelioration or change. Application (external): Add twenty drops of the Concentrated Tincture of Arnica to two table-spoonfuls of water, and bathe the parts with this lotion three times a day, until the dispersion of the bruise, swelling, &c. Should the swelling, pains, and other symptoms increase, after one or two applications, the Lotion should be discontinued, until these symptoms of aggravation have subsided. When, however, the contusion has been serious, the subjoined symp- toms usually characterize the case: —Extreme restlessness or jactita- tion, and irritability of temper, Avith sensibility ofthe eyes to light; small, quick pulse ; delirium ; or subsequently coldness and shivering, &c. The treatment which is called for in cases of this nature, is identical with that Avhich has already been detailed in the article on Inflamma- tion of the Brain, to which therefore the reader is referred for par- ticulars. Diet and Regimen. After an injury to the head, particularly if it has been of a somewhat severe character, the patient ought not to be allowed to partake of any stimulating liquids, such as wine, spirits, &c, until at least three or four Aveeks have elapsed, even although he may appear to have entirely recovered from the effects of the accident. He ought likewise to be kept quiet, and not be permitted to expose himself to excitement of any kind, otherwise the most serious con- sequences may result. CONCUSSION OR CONTUSION OF THE CHEST. TREATMENT. Arnica should be promptly employed, in those instances in which the chest has been injured by a contusion, or violent concussion, &c, and when the subjoined symptoms ensue: soreness, or a sensation as if from incipient suppuration, with heat and throbbing, is experienced in some particular spot; fever, or alternate chilliness and heat followed by fever, which becomes aggravated in the evening; sleeplessness or disturbed sleep, Avith general heat, and sometimes perspiration towards morning; short, dry cough which increases the pain, or cough with spitting of blood; further, when the pain in the chest is rendered more acute by taking a full inspiration, laughing or sneezing, or when pricking pains or a sensation of fulness or pressure, as if caused by ex- travasated blood, is experienced, together with a feeling of constriction that obstructs the freedom of respiration. If the febrile symptoms should be very intense a dose of Aconitum should be given, either at the commencement, or as an intercurrent. Dose: Six globules to two table-spoonfuls of water, a teaspoonful at inter- vals of four hours, until decided amelioration or change. Mercurius. In cases in which the cough, more especially, con- tinues and increases, and when, moreover, expectoration of thick, yel- low phlegm /"occasionally streaked with blood) ensues. Dose: Two globules, in other respects as directed for Arnica. 638 snocK to the nervous system. China is not unfrequently of much service in completing the cure when a degi ee of delicacy of the chest remains behind, with tendency to suffer from shortness of breath, and a short dry cough, combined with paleness of the face, impaired appetite, and restless, unrefreshing sleep. Dose: Three globules in a teaspoonful of water, night and morning, for six days (or until earlier change); then pause four days, after which the course may, if necessary, be repeated as before, and so on. Stannum, Acidum nit., Silicea, Kali c. In cases in which the continuance of ill-effects, resulting from concussion, &c, of the chest, has been unduly protracted, or in which the accident was neglected at the time, and has entailed chronic mischiefs, with apprehension of terminating in Consumption, one or more of these medicines may prove of service in obviating the imminent development of organic disease. The selection from amongst them should be guided by the in- dications afforded under the head of each, in the article on " Charac- teristic Effects." Dose: Of either of these medicines, when selected, give three globules, as directed for China above. Phosphorus, Lycopodium, Calcarea, and Sulphur are also to be mentioned amongst those of importance in cases in which organic disease threatens to attack the lungs, in consequence of a neglected injury to the chest. The particular indications which should lead to the selection of each, respectively, may be gathered from the article on " Characteristic Effects." Dose: Of either of these medicines, when selected, give three globules, as directed for China above. SHOCK TO THE NERVOUS SYSTEM. TREATMENT. Arnica should be employed in almost all cases of, the kind, occa- sioned by stumbling or making a false step, &c, either at the com- mencement or during the progress of the course of treatment, subject to characteristic indications, such as those detailed respecting this remedy in the article on that subject. Dose: Three globules in a teaspoonful of water, morning and evening for four days ; unless, in the meanwhile, symptoms, such as those described under the other remedies, strikingly supervene, in which case proceed accordingly. Aconitum should be given when there is great fearfulness resulting. The patient is afraid of a crowd, to cross the streets, &c. Dose: Three globules, as directed for Arnica. Belladonna should follow Arnica when headache has resulted from a contusion, or from stumbling, which the latter remedy has failed to relieve. Dose. Three globules, as directed for Arnica. Cocculus, Cicuta, and Acidum phos. are also to be men tioned as sometimes appropriate for .the treatment of headache inci- dental to such an accident. The selection from amongst them should SPRAINS. 639 he regulated by the indications afforded for each, respectively, in the article on " Characteristic Effects." Dose: Of either of these medicines, when selected, give three globules, as directed for Arnica. Pulsatilla and Bryonia should be selected according to their re- spective indications (as stated in the article on that subject) against the effects of the shock to the nervous system, occasioned by stumbling or making a false step, when pains in the limbs are present. Dose: Of the remedy selected, give three globules, as directed for Arnica. Opium should be the first remedy selected, when the accident has been accompanied by fright. Dose: Three globules, as directed for Arnica. Chamomilla and Ignatia are indicated when, from extreme pain, convulsions ensue. The particular and distinctive indications of each, respectively, may be gathered from the article on " Character- istic Effects." Dose: Of the remedy selected, give three globules, as directed for Arnica. CofFea is preferable when uncontrollable agitation and agonizing restlessness result. Dose: Three globules, as for Arnica. Diet and Regimen. Under these circumstances a little circum- spection in respect of diet is ever desirable. Stimulating articles should be avoided, and the patient should at the same time remain quiet, and avoid any exertion, whether of the body or mind, until the pain, &c, be removed. SPRAINS. EXTERNAL OR LOCAL TREATMENT. Arnica (Concentrated Tincture) should be employed at the com- mencement in the treatment of these troublesome casualties, especially when there is much swelling and redness, or lividness from the extrav- asation of blood, with great pain on the slightest movement. Application: To four table-spoonfuls of water add one teaspoonful of the Concentrated Tincture of Arnica, and bathe the parts affected with this lotion every three hours during the first day after the accident has oc- curred. Calendula ( Concentrated Tincture). For persons in Avhom Arnica is productive of irritation, especially those who have a predisposition to affections of the character of Erysipelas, and in whom the Tincture of Arnica is apt to produce inflammation of the skin, or to develop a troublesome rash, this remedy must be substituted for Arnica. Application: As directed for Arnica. Rhus toxicodendron should be applied after either of the fore- going remedies, or should be preferred before any, when there is no extravasation of blood. It is, in fact, more especially specific in this description of external injury, and should, in the absence of Calendula, be employed alone in a great number of cases, more particularly in 640 STRAINS. those in which Arnica produces inflammation of the skin, or develops a troublesome rash. Application: To two table-spoonfuls of water add twenty drops of the Con- centrated Tincture of Rhus tox.; and bathe the parts affected every three hours. INTERNAL OR CONSTITUTIONAL TREATMENT. During the external application of the above remedies, it may be advisable to administer them internally to assist in the cure. Dose: Three globules in a teaspoonful of water, once a day for four days. Bryonia, Sulphur, or Calcarea may become necessary, when severe pain, particularly on movement, together with stiffness or weak- ness of the part, remains after the use of the above. Dose: Of the remedy selected, give three globules in a teaspoonful of water, once a day, for four days. Sepia, Causticum. In some instances in which the stiffness, weakness, &c, are much protracted, and have not been wholly removed by the foregoing course, these tAvo medicines should subse- quently be administered in succession, at intervals of ten days, as above directed. Aconitum must, however, interpose within not less than four hours after the administration of any other remedy, internal or external, at any period when the local pain, heat, and redness resulting from a severe sprain are attended with fever and restlessness. During the administration of Aconitum, all other treatment must be suspended, and not resumed until six hours have elapsed after the last dose of this remedy. Dose: Three globules in a teaspoonful of water, repeated at intervals of six hours, till the fever abates. STRAINS. TREATMENT. Bryonia should be administered when pricking or other pains are experienced in the back, &c, after a strain caused by any powerful or sudden exertion, such as lifting a heavy Aveight, or throwing up a window, with aggravation from the slightest movement of the arms or trunk. Dose: Three globules in a teaspoonful of water, night and morning, until the symptoms subside. Rhus tox. should be administered when headache results from a strain, or when the pains are confined to the extremities, or if the pains in the back or loins are equally severe during rest as on move- ment, if not more so. Dose: Three globules, as directed for Bryonia. Calcarea should follow Rhus tox., if, after the fourth dose of the latter, there be no material improvement. Dose: Three globules in a teaspoonful of water, twice a day, for two days. Veratrum or Nux vom. is more distinctly indicated when INCISED WOUNDS. 641 sickness and great pain in the belly are produced by the effects of a strain. Dose: Three globules in a teaspoonful of water, every three hours, until the symptoms subside. Diet and Regimen. When there is no fever the diet should be plain and unstimulating, but sufficiently nutritious. The parts which have been injured should be kept in a state of absolute rest, Avhen it is practicable to do so. WOUNDS. Wounds are generally divided into, or classified as (1) incised, (2) lacerated, (3) contused, (4) punctured, (5) gunshot, and (6) poi- soned Avounds. (1.) By an incised wound is meant one which has been produced by a sharp instrument, as a sword, knife, &c, and is not accompanied with any contusion or laceration. Incised wounds, although more liable to be attended with a greater loss of blood, are, generally speak- ing, the least dangerous, and the most easily healed. (2.) Lacerated Avounds are those in which the muscular fibres, in- stead of being divided by a sharp-cutting instrument, have been torn asunder with some violence; the edges, in place of being even and regular, are jagged and unequal. They are commonly attended with little or no bleeding, rarely heal without suppurating, and are fre- quently succeeded by violent inflammation. (3.) The terms contused wounds or bruises, are applied to those injuries which are occasioned by some blunt instrument, or hard, blunt surface, being brought in violent collision with a part of the body. When severe, they are dangerous, from being prone to terminate in mortification and sloughing. (4.) Punctured wounds are those which have been caused by pointed instruments; they partake more of the nature of lacerated than of incised wounds, and are dangerous from the great depth to which they frequently penetrate, and the serious consequences they often entail. (5.) Gunshot wounds partake of the character of lacerated and contused wounds. (6.) Poisoned wounds are considered under the head of Hydro- phobia. Degree of the Injury. Wounds of the arteries are, for the most part, the most serious: they are to be distinguished by the bright color of the blood, which, moreover, issues very rapidly and in jets; while that from a vein flows in a smooth, uninterrupted stream, and has a darker hue. INCISED WOUNDS. EXTERNAL TREATMENT. In the treatment of wounds of a severe description, our first object is to arrest the flow of blood. The tourniquet (an instrument used for this purpose), the ligature, compression, cold water or ice, and 41 642 INCISED WOUNDS. astringents, are all appliances to this end, variously appropriate. according to the degree or source of the hemorrhage. When the injured vessels are of a small size, they spontaneously cease to bleed, or do so, at all events, as soon as the wound is dressed: but when the discharge of blood is considerable, one or more of the eubjoined measures must be immediately resorted to for the purpose of arresting it. Mechanical Means — Dressing. Wounds of Arteries and Veins. When, therefore, there ig reason to conclude that an artery has been wounded, a tourniquet should be applied around the limb to check the flow of blood; the external wound must then be closed, covered Avith a graduated com- press, and firmly secured with a bandage. When a proper tourniquet is not at hand, its place may be tolerably well supplied by a handker- chief secured round the limb, and tightened by two or three turns of a stick passed under the handkerchief, until the discharge of blood ceases; or the substitute may consist of a cork cut longitudinally, and firmly fixed over the artery, the site of which is readily to be found at the inner surface of the limb, in spare or emaciated subjects, by its pulsation : but as, in robust and muscular patients, it is more difficult to find the artery, it will, in such cases, be advisable first to tie a handkerchief or non-elastic garter, tightly round the limb, above the wound; Avhich will have the effect of rendering the artery more prominent. In order to make the compression of the cork the more effectual, several plies, of lint or linen, or a piece sufficiently large to form a few inches square and one in thickness, should be placed over the cork (which should be held firmly in the required position during the preparation ofthe compress), and the whole then tightened, and retained as long as may be requisite. The application of ice to the wound is also of unequivocal service. Bleeding may also be ar- rested by twisting the divided ends of the artery firmly with a pair of forceps, if the vessel be of small size; or by the application of lint saturated with " Monsell's Solution " (persulphate of iron) to the wound, secured with a compress and bandage. This latter method is also well adapted to the arrest of bleeding from Avounded veins. When the discharge of blood comes from a large artery, it must sooner or later be stopped by ligature. It is to be remembered that when an artery is wounded, compression is to be made between the wound and the heart; and vice versa when a wounded vein needs compression, as the blood Aoavs through the arteries, from the heart, and through the veins, to the heart. It is sometimes necessary, in cases of wounded arteries, to make compression both above and below the wound. Wounds in the Mouth. Bleeding from wounds, &c, in the mouth, sometimes requires the application of styptics, such as alcohol, kreosote water, " Monsell's Solution," &c. The same may be said of slight superficial wounds, as also of fungous tumors, and other dis- eased surfaces, when cold water fails to answer the purpose. Copious discharge of blood after the extraction of a tooth is, usually, INCISED wounds. 643 readily suppressed by pushing a compress of lint into the hollow space left; or by the aid of styptics, when requisite. A simple, and some- Limes extremely efficacious mode of checking the flow of blood, is by replacing the extracted tooth, and keeping it in its former position until the risk of further discharge of blood is obviated. The next step to be taken in wounds of every description, after the hemorrhage is stopped, is to remove all extraueous matter, such as sand, fragments of glass, splinters, &c.; then to relax the muscles by placing the injured limb or part in such a position that the wound may not be made to gape; finally, to bring the lips or sides of the wound in accurate contact, and keep them so by bandages, plasters, stitches, &c. Bandages are usually indispensable in deep, and even in small, superficial, incised wounds; but care must be taken not to apply them too tightly, nor Avhen there is excessive inflammation. Stitches are commonly found necessary in wounds of the face or belly, and sometimes of the hands, and in old people generally. In the young and vigorous they are seldom called for, and may be even improper and hurtful Avhen the patient is of an irritable habit of body. Strips of adhesive plaster, — cut narroAV and sufficiently long to retain their hold as firmly as possible, and act Avith the required compressive power, — form, in the majority of incised wounds, the most frequently useful means of bringing the sides into close approximation and effect- ing adhesion. It sometimes happens, however, that even incised wounds, particularly when deep and of considerable magnitude, ter- minate in suppuration. It is consequently necessary to leave inter- vening spaces between the slips of plaster, to admit of the exit of the matter in such an event. Again, Avhen it is found impracticable to cleanse the wound of all foreign substances, it ought to be only lightly, and so to speak, incompletely dressed, as it will be necessary to renew the dressings repeatedly. In some cases it is necessary to dilate the wound, to facilitate the abstraction of a splinter, &c. When it is necessary to dress the Avound, and the compress is found adherent, it is advisable to remove it Avith caution and gentleness, in order to avoid tearing asunder the closing wound: the employment of tepid water will facilitate the separation of the linen. It is best to keep all wounds as much secluded from the external atmosphere as possible. INTERNAL OR CONSTITUTIONAL TREATMENT. Arnica is the first remedy in the constitutional treatment of wounds of all kinds, and its internal administration should commence as soon as the patient has been rendered as comfortable as circumstances will admit. Dose: Three globules in a teaspoonful of water, to be repeated every twelve hours, if necessary. Aconitum is found necessary, if the patient be robust and strong, and sympathetic fever runs high. Dose: Three globules in a teaspoonful of water, every three hours, until the febrile indications have abated. China is required for the treatment of those serious injuries bj 644 LACERATED WOUNDS. which very severe loss of blood is occasioned, resulting in all the signs of extreme exhaustion, characterized by severe and repeated fainting- fits, with deadly paleness of the face or livid appearance of the coun- tenance, twitching of the tendons, &c. In cases, moreover, in which reaction does not speedily follow the first dose of this medicine, two or three teaspoonfuls of good wine should be administered, after which, if a general improvement takes place, the next medicine should be subsequently employed. But if, on the other hand, the wine only acta as a temporary stimulant, the dose of China must be repeated before proceeding with further treatment. Dose: Three globules in a teaspoonful of water, followed in half an hour, if the patient does not rally, by the administration of a teaspoonful of wine (repeated three times, at intervals of five minutes). After which, if the patient sinks again, repeat the dose of China as before. But if the worst symptoms have subsided, proceed with the administration of Arnica. When matter forms in Incised wounds, the same treatment must be pursued as is described under the head of Lacerated wounds. LACERATED WOUNDS. EXTERNAL OR LOCAL TREATMENT. In the treatment of lacerated wounds we must, after having carefully cleansed them, closely approximate all the parts that will admit of the process, and retain them in their places by means of plasters and an appropriate position of the body or limb, for the purpose of endeavor- ing to unite them by the first intention. If the laceration be exten- sive, and arteries of any considerable magnitude have been divided, they must be secured by ligature. During the process of sloughing, Avhich commonly ensues, the wound must be closely watched, as sec- ondary bleeding is liable to ensue. Arnica and Calendula (Concentrated Tincture) are of great im- portance in the treatment of Lacerated, Contused, and other wounds. When the discharge of blood is profuse, and the wound is of such a character as threatens to leave a severe scar, or to terminate in exten- sive suppuration before healing, Calendula is found most efficacious, and will frequently greatly modify the severity of the symptoms. When, on the other hand, the parts are severely bruised, and show a disposition to turn black in the neighborhood of the wound, or when the wound is slight, Arnica is to be preferred, — except in persons in whom it produces inflammation of the skin, or is apt to develop a rash. Calendula has likewise been found to be a useful application, during the healing process, when the granulations are excessive or redundant. Application: To sixteen parts of water, add one of the Concentrated Tincture of Arnica or Calendula (as the case may be), and saturate therewith a pad made of linen rag, which place carefully over the wound, remoistening and reapplying the same as often as may be necessary. CONSTITUTIONAL TREATMENT. Chamomilla becomes essential when copious suppuration ensues, the pain becomes very severe, and the wound shows no disposition to contused wounds or bruises. 645 heal under external treatment alone. The application of Arnica or Calendula to the parts must be simultaneously discontinued. Dose: Three globules in a teaspoonful of water, morning and evening, for three days. Hepar sulphuris should follow after Chamomilla, if the latter remedy has not been capable of effecting material amelioration. Dose: Three globules, as directed for Chamomilla. Silicea should be administered after Hepar sulph., if that remedy appears incapable of inducing a healing action. Dose: Three globules, as directed for Chamomilla. Sulphur should be adopted, if the administration of Silicea has not been followed by manifest healing action. Dose: Three globules, as directed for Chamomilla. Further indications for the discriminative use of the above remedies may be obtained by consulting the article on " Characteristic Ef- fects." If the patient becomes extremely weak, with thirst, &c, hot, dry skin, and gangrene threatens, Arsenicum must be given; or, if the symptoms correspond, Carbo veg., China, or Lachesis are to be em- ployed. Dose: Of the remedy selected, give three globules in a teaspoonful of water, every three or four hours, until amelioration or change. CONTUSED WOUNDS OR BRUISES. EXTERNAL treatment. In cases in which gangrene ensues from very severe injuries, by con- tusion, notwithstanding the appropriate treatment as below directed, the question of Amputation is at once presented, and the services of a surgeon should be had without delay. In cases in which the membrane investing the bone (the periosteum) has been injured by a contusion, if effused blood or matter is evidently pent up beneath it, and the suffering attendant upon the injury is very intense, an incision may be necessary, whereby the effused fluid may be allowed to escape, the constitutional treatment being, at the same time, pursued as appropriate to the symptoms and conditions of the case. Cold Water. In the first instance, the only external application in cases of contusion should consist of cold water. In those very severe cases in which the injured part has been squeezed out of shape, or otherwise absolutely disfigured, the application of the cold Avater should be continued simultaneously with the appropriate constitutional treatment, a remark which also applies to such cases as have demanded recourse to a surgical operation. Application: Bathe the part freely with cold water for five minutes, repeat- ing the operation in the course of three hours; or otherwise saturate a linen rag with cold water, place it over the part, covering the whole with oiled silk, and remoistening the rag as fast as it becomes dry. Arnica (Concentrated Tincture) should, however, be applied, when 646 contused wounds or bruises. there is considerable extravasation of blood, to promote absorption and otherAvise forward the cure. Application: To ten parts of water add one of the Concentrated Tincture oj Arnica, and bathe the parts well with this lotion every three hours, until evident indications of amelioration. Rhus tox. (Concentrated Tincture) is to be preferred in cases in which the joints, synovial membranes, or tendons are injured by a contusion, and this remedy should be employed, simultaneously with its internal administration, at the onset in such instances. Application: To sixteen parts of water add one of the Concentrated Tincture of Rhus tox., saturating a piece of linen rag with this lotion, and applying it to the parts injured, covered with oiled silk, and remoistening this dressing as often as it becomes dry, until the pain and other symptoms abate (suspending the application, however, and substituting cold water, as above directed, if an eruption should be developed in the parts). CONSTITUTIONAL TREATMENT. Arnica. This medicine must be administered internally, during the first period, and Avhilst cold water or the Tincture of Arnica, only, is being applied externally to the parts. In very severe cases, even, in Avhich the contusion has been so violent as to squeeze the limb nearly flat, or otherwise to disfigure it, this medicine should be em- ployed at the onset. When amputation has become necessary and has been performed, Arnica is generally to be recommended as the appro- priate medicine for constitutional treatment. Dose: Three globules in a teaspoonful of water, repeated after twelve hours. Rhus toxicodendron is to be preferred simultaneously Avith the external administration of the same medicine, for the treatment of cases in which the joints, synovial membranes, or tendons have been especially injured by the contusion. Dose: Three globules, as directed for Arnica. Mezereum has proved of service in cases in which the joints, bones, or periosteum especially, have been injured. Dose: Six globules in a table-spoonful of water, night and morning, for a week (or until the earlier manifestation of new symptoms or general change); then pause ten days, after which the course may, if necessary, be repeated as before. Arsenicum may be employed in those very severe cases in which gangrene threatens to ensue, and the skin has assumed a livid and black appearance, if, indeed, amputation be not absolutely necessary. So long as there is a prospect of avoiding the loss of the limb, the employment of this and the successive medicines should not be ne- glected. Dose: Three globules in a teaspoonful of water, repeated at intervals of three hours, until some degree of improvement or change becomes apparent; but if little or no effect be evinced, within four hours after the fourth dose, proceed at once with the following medicine. Lachesis should be employed when the last-named medicine has failed to produce decided effect, and amputation appears almost inev- itable. In cases in which there is not some deep-seated constitutional CONTUSED WOUNDS OR BRUISES. 64'j taint to contend with, these medicines, if promptly employed, might frequently obviate the necessity of an operation. Dose: Three globules, as directed for Arsenicum. Arnica is again of service (as has been stated above) for immediate treatment after amputation has been performed. Dose: As directed for this medicine above (at p. 646). Consider, also, the following. Calendula is to be preferred to Arnica, when the operation has been an extensive one; it has, in such cases, proved exceedingly useful in promoting the effectual healing of the parts. Dose: As directed for Arnica. Hepar s., Silicea, Sulphur. In some cases, one or more of these medicines may be required, singly or successively, to promote the heal- ing process. For the particular indications which should lead to the selection of each, respectively, refer to the article on " Characteris- tic Effects," under the head of each, respectively. Dose: Of either of these medicines, as selected, give six globules, as directed for Mezereum. Bunions and other Swellings from Pressure or Contusion. Silicea is a very efficacious remedy in the treatment of swellings of different parts of the body, which have been caused by constant pressure, or, which is the same thing, a kind of repeated contusion, — and for bunions in particular. Also in the treatment of swellings in the finger-joints, and, indeed, of those in any situations where tendons play. Dose: Three globules in a teaspoonful of water, once a day, for seven days; pause six days, and resume the course similarly once more. Arnica is sometimes required before Silicea, especially in recent cases, or when the pain and soreness are excessive. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful every six hours, until amelioration or change. During the treatment of these swellings it is very necessary that the patient should, at the same time, be careful to avoid pressure on the part affected, and that he should expose the parts as little as possible to the effect of motion. Contusions of the Breast. Aconitum is the most appropriate remedy when inflammation results. Dose: Dissolve four globules in a wine-glassful of water, and give a tea- spoonful of the solution every six hours, until the inflammatory action subsides. Conium must be administered when induration has ensued. Dose: Of a solutijn of four globules to three table-spoonfuls of water, give a teaspoonful at intervals of twelve hours, until amelioration or change takes place. Phosphorus should, however, be selected without delay, when suppuration threatens to follow. Dose A solution of four globules, as directed for Conium. 648 PUNCTURED WOUNDS. Diet and Regimen. So long as any inflammatory symptom are present, the diet should necessarily be sparing and very simple, and such generally as would be appropriate to Fever in general. Stimulating food and beverages should, at any rate, be avoided. PUNCTURED WOUNDS. EXTERNAL TREATMENT. The external treatment of punctured wounds is, in every respect, similar to that directed for wounds in general; but unless compression, by means of adhesive plaster or a bandage, can be brought to bear against their entire extent, the cure by the first intention must not be attempted. CONSTITUTIONAL TREATMENT. Arnica will generally be found sufficient to avert all more serious symptoms, if it be administered in time. This medicine should also be administered, pending the arrival of medical aid, when lock-jaw ensues in consequence of an injury of this nature. Refer also to the article on " Tetanus." Dose: Three globules in a teaspoonful of water, repeated four times, at inter- vals of twelve hours. Aconitum should, however, be administered, if the constitutional disturbance be severe and the febrile action run high. Dose: Three globules in a teaspoonful of water, as directed tor Arnica. Chamomilla is generally useful, if there be excessive nervous irritability, with impatience of the pain, which is severe. Dose: Of a solution of six globules to two table-spoonfuls of water, give one teaspoonful every six hours, until amelioration or change. Belladonna or Rhus tox., according to the characteristic action of each, should be selected, when the inflammation partakes of an erysipelatous character. Dose: Of either of these medicines, when selected, as directed for Chamo- milla. Cicuta virosa will be found serviceable when muscular twitch- ings ensue. Dose: A solution of six globules, as directed for Chamomilla. Ledum palustre will be found efficacious when there is coldness during the fever which ensues. Dose: A solution of six globules, as directed for Chamomilla. Silicea should be administered, when suppuration ensues, and the external treatment, just particularized, has been insufficient to promote a healing process. Dose: Three globules in a teaspoonful of water, every six hours, until amelioration or change. Mercurius should be administered twelve hours after the last dose of Silicea, in cases in which the process of healing does not pro- GUNSHOT WOUNDS. 649 ;eed satisfactorily, and the matter discharged becomes unhealthy and watery. Dose: Three globules, as directed for Silicea. Sulphur should be employed twelve hours after the last dose of Mercurius (that medicine having been administered for three days), when inadequate or only very partial effect has been produced, — or more especially (and irrespective of any length of period as regards previous treatment) when the discharge from the wound becomes offensive. Dose: Four globules in a teaspoonful of water, night and morning, until decided amelioration or change. Diet and Regimen. In all severe cases of punctured wounds, the diet should be such as would be appropriate to fevers or to inflam- matory affections generally. Perfect rest is essential. GUNSHOT WOUNDS, SPLINTERS, &c. EXTERNAL OR LOCAL TREATMENT. When splinters of bone, a ball, &c, are lodged in the wound, they should be extracted with as little irritation as possible, if they press upon some important part; if otherwise, however, they may be allowed to remain (particularly when deep-seated and difficult to be found) until loosened by suppuration, this process being forwarded by the appropriate constitutional treatment, as below stated. Cold Water constitutes one of the most generally useful of local applications in cases of gunshot wounds, or wounds of an analogous description. Application: Saturate a linen rag or lint pad with cold water, and apply it to the part, constantly remoistening the pad as it becomes hot. Consider, also, the following method. Arnica (Concentrated Tincture) is, in some cases, to be preferred 'to the simple application of water, more especially if the parts be much lacerated; or if, in addition to the immediate wound, the adja- cent parts have been bruised, and there be considerable extravasation of blood. Application: To two table-spoonfuls of water add twenty drops of the Con- centrated Tincture of Arnica, and apply this lotion as directed for the pre- ceding application of Cold Water. INTERNAL OR CONSTITUTIONAL TREATMENT. Silicea is of much value in cases in which there is a lodgment of foreign bodies in the wound which can only be detached by suppura- tion. Dose: Four globules in a teaspoonful of water, repeated at intervals of six hours, until three doses have been given, and then at intervals of twelve hours, until suppuration is determined. Hepar s. or Sulphur may sometimes be required, either at the onset or after the previous administration of Silicea, when the last- named medicine has been productive of imperfect results. Dose: Of either of these medicines, when selected, as directed for Silicej. 650 DISLOCATIONS — LUXATIONS. When Fever, Gangrene, &c, ensue, the course of treatment already prescribed under the heads of Contused and of Punctured Wounds (pp. 646-648) should be pursued, according to the particular indica- tions afforded. Acidum nitrieum is, however, to be named, in addition to the medicines already mentioned (in the sections just referred to), as espe cially appropriate for. the treatment of punctured wounds, or even of those from splinters, &c, Avhen sluggish ulceration ensues, or when the wound assumes a very unhealthy character. Dose: Three globules in a teaspoonful of water, night and morning, until decided amelioration or change." Phosphorus is one of the most serviceable medicines for the treat- ment of all cases in which, after having healed up under the foregoing treatment, the wounds reopen. Dose: Three globules, as directed for Acidum nitrieum. DISLOCATIONS — LUXATIONS. Symptoms. Violent pain, swelling, distortion of the joint, loss of motion, with an alteration in the shape, length, and direction of the limb, characterize the existence of this species of injury. EXTERNAL OR LOCAL TREATMENT. The reduction of a dislocation ought to be effected as soon as possi- ble by the surgeon. Preceding this operation, however, the appropriate treatment, as below particularized, should be adopted. When the luxation is reduced, the appropriate treatment, Avhether local or con- stitutional, should again be pursued, if called for. In compound dis- locations (that is, dislocations accompanied with a wound communi- cating with the joint), the same treatment must be pursued, in the first instance, as described below ; and the wound treated so that it may be healed, if possible, by the first intention, as has already been described under the general head of " Wounds," at page 642. Arnica (Concentrated Tincture) should be employed, externally, to the part injured, provided the constitutional symptoms of disturbance be such as to render Arnica, alone, a sufficient remedy for internal administration ; and this remedy is equally appropriate, whether before the dislocation has been reduced by proper mechanical means, or after the reduction has taken place, if requisite. Application: To ten parts of water add one of the Concentrated Tincture of Arnica, and saturate a linen rag with this lotion, which place over, or bind gently and loosely round the parts, constantly remoistening it as fast as it becomes hot and dry, until the pain subsides. But if the constitutional disturbance should be so severe as to require the employment of other remedies internally, suspend the use of this lotion, and substitute the fol- lowing. . Cold Water should be employed in preference to Arnica in cases in which it becomes necessary to administer Aconitum, or some other medicines besides Arnica, internally. Application: As directed for the lotion of Arnica, by saturating the rag with Cole1 Water only FRACTURES. 651 CONSTITUTIONAL TREATMENT. Arnica should be administered first in cases of luxation, where surgical aid cannot readily be obtained, and when the pain and inflam- mation are excessive; and, again, if required, after the reduction of the dislocation. Dose: Three globules in a teaspoonful of water, every four hours. Aconitum should be given, however, if the pain continue violent, and the inflammatory action be acute; and this remedy should con- tinuously be given until the symptoms subside. Dose: Three globules in a teaspoonful of water, every four hours. Diet and Regimen. When there is fever, the patient ought to be kept low; but m slight cases, unattended with constitutional dip- turbance, food should be simple, easy of digestion, and nutritive o- generous. FRACTURES. Symptoms. The symptoms of fracture are: pain, swelling, de- formity, and sometimes shortening of the limb; loss of power, with preternatural mobility, when we attempt to bend the limb, and crack- ling on rubbing of the broken surfaces of the bone together. Varieties. Fractures are divided into transverse, oblique, and longitudinal; but also, and more explicitly, into (1) simple, (2) com- pound, (3) complicated, and (4) comminuted. (1.) By a simple fracture is understood one in which the bone is broken, without there being at the same time a wound of the soft parts. (2.) A compound fracture consists, not only of a solution in the continuity of the bone, but also of the co-existence of an external Avound, caused by the protrusion of the extremity of one or both frag- ments of the bone through the integuments, or otherwise produced. (3.) Again, a fracture is termed complicated when it is attended with a wound of a large artery, extensive laceration of the soft parts, or with dislocation of a joint. (4.) Lastly, it is designated comminuted when the bone is broken into several pieces. TREATMENT. General Precautions. As soon as the limb is discovered to be fractured, the patient ought to be placed on a litter of any kind which happens to be at hand, such as a board or shutter, and removed to some neighboring place of shelter, or to his own abode if it be not far distant, and a surgeon sent for. Great care and gentleness ought to be exercised in lifting and transporting the patient from one place to another; otherwise a fracture, originally ofthe simple kind, is liable to be converted into a compound, or at all events into a complicated one, from laceration of the soft parts, &c, by the serrated extremities of the fractured bone; whereby the probabilities of recovery will be rendered much more unfavorable, particularly if the accident has happened to a debilitated or aged indi- vidual. 652 BURNS AND SCALDS. Mechanical Measures. (1.) For Simple Fractures. — In the case of a simple fracture, the adjustment should be immediately effected, by placing the limb in the position best calculated to relax the principal muscles attached to the broken bone; it should then be gradually extended, until the uppei and lower fragments are brought into their proper position; after the execution of which, splints and bandages must be applied to retain the fragments in their situation. (2.) In Compound fracture, the protruded extremities of the bone should be restored to their natural position as soon as possible, the limb supplied with splints, &c, and the external wound attempted to be healed by the first intention. Consecutive inflammation and consti- tutional, disturbance must be suppressed by the appropriate local and constitutional treatment. (3.) In Fracture complicated with a wounded artery, or with a dis- located joint, the artery requires to be ligated, and the luxation reduced before the bone is set. Medicinal Treatment, Local and Constitutional. In all cases the same medicinal treatment is to be pursued as we have already prescribed for that of Contusions, Wounds, &c, in general (pp. 643 - 650). BURNS AND SCALDS. A Burn or Scald implies an injury of some part of the body, arising from the application of excessive heat. It is customary, however, to confine the latter term to cases in which the effect has been produced by the agency of some fluid at boiling heat; whereas the former desig- nates all injuries inflicted by dry, red, or dull heat, as by a hot iron, brand, flame, or burning substance, or by the explosion of some inflam- mable or combustible substance, such as gunpowder, gas, &c, &c. Burns have generally been divided, by most authors, into three kinds: — (1) first, those Avhich only excite an inflammation of the skin, accompanied or not with a vesication; (2) secondly, those which injure its vitality, inducing separation of the cuticle or scarf-skin, and sup- puration of the subjacent or dermal surface; (3) thirdly, those in which the vitality of the integuments is either at once destroyed or so seriously affected that sloughing ensues. The amount of danger from the effects of a burn depends upon several conditions. A scald or burn, of great extent, frequently proves fatal immediately or after the lapse of a few hours, the patient never rallying from the collapse or utter prostration, incidental to the first shock. The extent and depth of the burn, wherever its seat may be, together with the age, temperament, and habit of body of the patient, determine the degree of danger to be apprehended. EXTERNAL OR LOCAL TREATMENT. In slight burns or scalds, the injured part should be held for a couple of minutes to the fire; a temporary increase of pain will be BURNS AND SCALDS. 653 amply repaid by the prevention of future suffering and annoyance. In cases, however, in which the injury is more severe, it will be necessary to have immediate recourse to such of the subjoined applica- tions as may be appropriate to the condition ofthe injury. Arnica (Concentrated Tincture) will often prove sufficient, in slight and superficial burns or scalds, speedily to remove the pain and to obviate other inconveniences. Application: To one part of the Concentrated Tincture of Arnica add six parts of water, and bathe the part freely with this lotion for ten minutes imme- diately after the accident. Tincture of Cantharides (second dilution). This remedy is especially efficacious in obviating vesication (amongst persons in whom a burn or scald is knoAvn to produce this effect), and will, with very few exceptions, be found successful in cases of burns or scalds, if" applied immediately after the accident has occurred, and before cold water or any other improper appliance has been resorted to. Application: Add ten drops of the Tincture of Cantharides (second dilution) to an ounce of water. Use this lotion as directed for Arnica, above. Urtica urens (Concentrated Tincture) will be found useful in cases and under circumstances precisely similar to those indicated under the head of Cantharides, with this distinction, that Urtica should be used for persons with whom the effect of a burn is to produce an erysipelatous tumefaction of the skin, and not the formation of blisters, when this has previously been ascertained. Application: To ten parts of water add one of the Tincture of Urtica, and apply the lotion as directed for Arnica. Spirits of Wine. In mild burns or scalds, if diluted Spirits of Wine can be procured immediately, and applied warm to the affected part, speedy relief, and the prevention of future suffering and annoy- ance, are commonly afforded thereby. While the Spirits of Wine is being heated, the injured part should be held close to the fire. Application: Dip and saturate a piece of linen rag in the spirits of wine, and bind it round the parts, then cover the whole with oiled silk. Kreosote has likewise been recommended for the preparation of a lotion in the treatment of burns of all kinds, either at the commence- ment of the treatment, or subsequently to induce healthy granulation and cicatrisation. Application : Two drops of the Kreosote (second dilution) to every teaspoonful of water, applied as directed for Arnica. Crocus sativus (Concentrated Tincture) has also been spoken of as most serviceable for the furtherance of healthy granulation, &c, in the wounds occasioned by burns, &c, and attended with considerable loss of substance and disposition to mortification and sloughing. Application: To every teaspoonful of water add two drops of the Concen- trated Tincture of Crocus sativus, and apply the lotion as directed for Arnica. Calendula officinalis (Concentrated Tincture) is also to be men- tioned as of considerable importance in those very severe cases in which sloughing takes place. Application: As directed for Arnica. 654 BURNS AND SCALDS. Raw Cotton. The application of raw or carded cotton to the pari is most efficacious, especially when the injury presents a large surface, and should be applied immediately after the parts have been bathed with the selected lotion, in order to seclude the sore from the air, which is of great importance in the treatment of burns or scalds. Application: Having previously punctured any blisters that may have arisen, and bathed the sore, cover it with carded cotton or wadding, in three layers. When suppuration sets in remove the upper layer only, and sub- stitute fresh. When the suppuration is excessive, and the weather hot, it will be found best to substitute the soap plaster for the cotton. During the application of the cotton, the directions for internal treatment, as stated under the head of " Constitutional Treatment," must be observed. Soap (a remedy generally at hand) is extremely serviceable in burns, where not only the cuticle, but the true-skin has been destroyed: pure, white, castile is the best for this purpose. In serious cases, which have been previously treated with the Lotion of Cantharides, or of Urtica, in which the inflammatory action and pain have been subdued by those valuable remedies, but which are too severe (owing to the injuries inflicted on the true-skin and adjacent muscles) to heal without suppuration, the soap plaster is a very useful accessory. Application: Make a thick lather, and spread it upon linen in the form of a plaster; apply it to the injured part, and secure by a bandage. Any blisters which may have formed should be carefully punctured, and all loose skin removed. Care ought also to be taken that the whole of the affected surface be covered with the soap; otherwise the healing of those portions of the sore, to which it has not been applied, will be retarded. The application of soap will, as in the instance of radiating heat,'&c, at first increase the pain ; but this temporary inconvenience will be followed by a marked amelioration. After the lapse of twenty-four hours, the plaster may be gently removed, and a fresh one substituted ; generally speaking, however, we must be guided by the feelings of the patient, and renew it as often as a return of pain is complained of, and so continue until the injury is completely healed. Flour. When neither Cotton nor Soap is within reach, common Flour may be copiously sprinkled over the injured parts. When the encrusted masses of Flour require to be removed, they should be loosened by the application of poultices. Linseed Oil and Powdered Charcoal, made into a paste, may likewise be used as a dressing for severe burns and scalds. CONSTITUTIONAL TREATMENT. Arnica is often sufficient, if administered at the onset, and simulta- neously with its external application, as above directed, to remove all inconvenience resulting from a burn or scald; provided, indeed, the injury be slight and merely superficial. Dose: Three globules in a teaspoonful of water, repeated at intervals of three hours, until decided amelioration or change. Carbo vegetabilis is to be preferred to Arnica at the onset for the treatment of superficial burns or scalds, when the pain is excru- ciating; or, again, it should be promptly employed, even after the previous administration of Arnica, when the pain subsequently becomes thus excessively distressing. Dose: Three globules, as directed for Arnica. BURNS AND SCALDS. 655 CofFea should be employed after Carbo veg., if the pain still con- tinue to be unmitigated, and the patient cannot sleep from the pain or in consequence of nervous excitement. Dose: Three globules, as directed for Arnica. Aconitum may be given when there is considerable fever, with fulness and quickness of pulse. Dose: Three globules, as directed for Arnica. Very Severe Cases. These are generally of a nature to require the interference of a pro- fessional adviser, if such aid be Avithin reach. But as this work is intended to provide, in some measure, for cases in Avhich such aid is not to be promptly procured, the subjoined directions for treatment have been added. Opium is preferable Avhen the system has received a severe shock in consequence of the severity of the scald or burn, and the patient is in a state of stupor, with weak, scarcely perceptible pulse, general chilliness, shivering, &c. Fright having attended the accident, is an additional indication for Opium. The Avarm bath is sometimes ser- viceable in such a state of matters, particularly in the case of children. Dose: Four globules in a teaspoonful of water, or if that be not possible, the same dry, every four hours, until reaction takes place. If, then, fever and inflammation supervene, proceed with the next medicine; or if, on the other hand, the patient does not readily recover from the state of pros- tration, consider Arsenicum. Aconitum should, however, be promptly employed, and in repeated doses, Avhen reaction takes place, or when, in other words, the patient recovers from the state of prostration above described, but fever and inflammation supervene. Dose: Three globules in a teaspoonful of water, every three hours, until decided amelioration or change. Belladonna is, in some cases, of much service in this stage of treat- ment, but should be selected only with due regard to its specific prop- erties, as particularized in the article on " Characteristic Effects." Dose : As directed for Aconitum. Arsenicum should be given when the patient does not rally from the state of prostration, &c, described under Opium; and especially when there is reason to apprehend extensive mortification or sloughing. Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea- spoonful of the solution every two hours, until improvement ensues. Rhus toxicodendron is of much service in some instances in which, notwithstanding previous treatment, and owing to the severity of the injury and the consequent disturbance of the system, the fever- Bymptoms have degenerated into those of a low, typhoid character. Dose: As directed for Arsenicum. • Hepar sulphuris is required in cases where sloughing is severe producing a marked effect on the system. China should also be thought of under such circumstances. Dose: As directed for Arsenicum. 656 FATIGUE. Diet and Regimen. The diet should be sparing and unstimu- lating at first when the injury is somewhat severe. When there ia much fever, Avith extensive inflammation, the regulations prescribed in these respects under the general head of " Fever," must be most rigidly enforced. As the inflammatory symptoms subside, however, and are succeeded by extreme exhaustion and debility, it will be advantageous gradually to administer more nourishing diet, such as good broths, or even to give small quantities of wine from time to time. These remarks, of course, apply to the very severe cases, in which burns involve very serious consequences. FATIGUE, CORPOREAL AND MENTAL. TREATMENT. Arnica internally administered, and in some cases, also, externally applied, will generally be found the most appropriate remedy to afford relief, when a feeling of lassitude and contusion is experienced in all the limbs. Dose (internal): Four globules in a teaspoonful of water, repeated after an interval of twenty-four hours, should any of the symptoms remain. Application (external): In cases in which the feet or hands have become swollen and painful, to a pint of water add a table-spoonful of the Concen- trated Tincture of Arnica, and bathe the parts freely once or twice with the mixture. Gelseminum will be found very valuable when fatigue and mus- cular pain result from severe physical exertion, as in walking a great distance, &c. Dose: Four globules, as directed for Arnica for internal administration. Rhus toxicodendron will usually be found effective in removing pain in the joints, &c, arising from lifting heavy weights, or from violent physical exertion of any kind. Dose: Four globules, as directed for Arnica for internal exhibition. China will frequently assist in renovating the strength, when there has been profuse perspiration attendant upon prolonged bodily exertion, and followed by great languor and prostration. Dose: Four globules, as directed for Arnica for internal exhibition. Veratrum is to be preferred when tendency to fainting ensues from the effects of extreme fatigue. Dose: Four globules, as directed for Arnica, above. Coffea should be selected when abstinence from food, combined with violent exercise, has produced a state of exhaustion. Dose: Four globules, as directed for Arnica. Cocculus is more properly indicated when fatigue occurs after the most trivial exertion either of body or mind. Dose: Tbree globules in a teaspoonful of water, on each occasion on which the indicative symptoms are present, repeated, if necessary, at intervals of six hours. But if, after repeated instances of its employment, this medicine fails to mitigate the predisposition, consider the following. Calcarea should be employed in instances in which the reiterated FATIGUE. 657 exhibition of Cocculus at various times, has only served to palliate the eymptoms at the moment without affecting the predisposition. Dose: Six globules in a table-spoonful of water, every morning the first thing, for four days : then pause ten days; after which, if requisite, repeat the course as before Aconitum is a useful remedy when difficulty of breathing, Avith palpitation of the heart, pain in the side, or aching in the limbs arises after running a short distance, or even from walking quickly. Dose: Three globules, as directed for Cocculus. Bryonia is sometimes required after Aconitum, when, partial alle- viation only has been effected by the last-named medicine, but more especially when aching pains in the limbs constitute the predominant symptoms. Dose: Three globules in a teaspoonful of water, repeated, after the lapse of twelve hours, if necessary. Fatigue from long Watching. Cocculus is the more generally useful medicament for the treat- ment of cases of fatigue arising from long watching, and attended with confusion or sensation of emptiness, or of tightness in the head, pains in the eyes and forehead, &c. Dose: Three globules in a teaspoonful of water, on each occasion on which the symptom* prevail, repeated, if requisite, at intervals of six hours, until amelioration or change. Nux vomica is to be preferred to Cocculus in cases either arising from over-application to study, or from Avatching night after night at the sickbed, when severe headache, beAvilderment, drowsiness with restless, unrefreshing sleep, and considerable nervous excitability with general lassitude are present. Dose: Three globules, as directed for Cocculus. Coffea is serviceable (provided coffee has not been taken as a beverage for the express purpose of warding off sleep, — in which case, r paroxysms themselves. 1. The consideration of the constitutional tendency involves a gen eral inquiry into the age and condition of the patient. 2. The consideration of the fits or paroxysms involves a more ex- plicit detail of symptoms and of the exciting causes, which may gen- erally be particularized as follow :— Hysterical affections are more frequent in single than in married life, and usually occur between the age of puberty and that of thirty- five, and generally about the period of menstruation. The disorder is readily excited in those who are subject to it, by sudden mental emo- tions. Hysterics have also been known to arise from sympathy and imitation. Women of delicate habit, and of extremely nervous sensibility, are chiefly prone to be affected with hysteria, and are predisposed to the attack by an inactive or sedentary life, distress of mind, suppression or obstruction of the periodical illness, excessive depletion, or constant use of spare or unwholesome diet. Females of a nervous, sanguine, or plethoric temperament, are chiefly liable to this disease. Symptoms. The attacks, fits, or paroxysms, are generally pre- ceded by depression of spirits, anxiety, effusion of tears, difficulty of breathing, nausea, and palpitation; also with pain in the left side, which seems to advance upwards till it gets to the throat, when it feels as if a ball were lodged there; if it advances further, there is a sense of suffocation, stupor, and insensibility, with spasmodic clenching of the jaws; the trunk of the body is moved about, and the limbs are agitated ; alternate fits of laughing, crying, and screaming; incoherent expression and foaming at the mouth occur ; and relief ensues generally with eructation, and frequent sighing and sobbing, followed by a sense of soreness over the whole body. Hiccough is sometimes a concomi- tant, and a very distressing one, in hysteria. These are the usual symptoms indicating this disease, but the complaint appears in a great variety of forms; and in many cases the patient is attacked with a violent spasmodic pain in the back, which extends from the spine to the breast-bone, and eventually becomes fixed at the region of the stomach, and is often so intense as to cause clammy perspiration, a pale cadaverous countenance, coldness of the extremities, and a febrile, thread-like, or scarcely perceptible pulse. PREVENTIVE AND ERADICATIVE TREATMENT. It may generally be stated, that the medicine which offers the closest analogy to the symptoms of the fits, when they occur, and which is most successfully employed in restoring the patient as regards the par HYSTERICS. 697 oxysms, may, in r/.any cases, be administered in repeated doses, for the purpose of overcoming, or, at all events, of moderating the predisposi- tion. It should also be borne in mind, that if this condition be asso- ciated with other derangements, the treatment which is particularly appropriate for such derangements is also the best preventive and eradicative resource. There are, however, a few medicines which are especially and particularly applicable to the removal or modification of this constitutional tendency; these, however, I shall simply enu- merate, with their chief and characterizing indications. Sepia is, in the great majority of cases, the medicine upon which the chief reliance can be placed, more particularly if the patient has been affected with Green-sickness, Whites, or with other chronic de- rangements or diseases of the womb and its appendages; or, again, when she is liable to be seized with sudden attacks of debility, approach- ing to general but temporary palsy, and attended with the outbreak of profuse and often clammy perspiration. Dose : Four globules in a table-spoonful of water, every night at bedtime, for ten days (unless change should sooner occur); then pause a fortnight, after which the course may, if necessary, be repeated as before, and so on, from time to time. Calcarea carbonica, on the other hand, is more especially ap- propriate for the treatment of persons of an attenuated, sickly-looking frame, and pale, wan, sunken countenance, with whom the general convulsion attending the attacks is very violent, and who are subject to fainting-fits, or to an habitually impaired and capricious appetite, the menstrual discharge occurring too frequently and in excess. Dose: Four globules, as directed for Sepia. Natrum muriaticum is to be preferred, also, in cases in which the countenance is sickly, pallid, and sunken, but more particularly when there is an habitual dislike to society, and when constant gloom, sadness, or despondency is apt to affect the patient; whilst feeble powers of digestion, and prevailing chilliness, with occasional flushing of the face, and retarded menstrual discharge, further characterize the case. Dose: Four globules, as directed for Sepia. Veratrum is of much service in overcoming the constitutional tendency to hysteric attacks, as well as in modifying their immediate violence, in cases in which they are attended with clenching of the jaws, or general spasm, coldness ofthe extremities, and clammy sweat, especially on the face and forehead. Dose: Three globules, as directed for Sepia. TREATMENT OF THE ATTACK. Belladonna is appropriate when the paroxysms are characterized by and commence with a sensation of choking, with spasmodic closing or obstruction in the throat, and every sensation as if suffocation would ensue; the face being hot, bloated, and of a dark-red hue, and there being other indications of determination of blood to the head; or when, as the paroxysm proceeds, the eyes become prominent, wild, and 698 h r sterics. staring, and the pupils much dilated; or when, again, during th« intervals between attacks, the patient habitually sleeps in a disturbed and restless manner, suddenly tossing in, or even starting from, sleep. Dose: When the sensations of an approaching attack are apparent, give two globules in a teaspoonful of water, repeating the dose after the lapse of a quarter of an hour, and again, half an hour later, if the symptoms do not sooner subside ; or, again, after the subsidence of the attack, or during the momentary intervals of calmness, give similar doses from time to time. If after the attack, the doses should be repeated every six hours, foi twenty-four hours. Ignatia is of great value for the treatment of hysterical paroxysms affecting patients of a mild and very sensitive disposition, or those who are subject to extreme variations of spirits, and when the attacks are apt to be somewhat suddenly announced by convulsive laughter, pro- voked by some slight or imperceptible cause ; the face, previously pale, becoming flushed, deep-red, or even livid, and the laughter terminating in screams; or, more especially, when the attack is preceded by the sensation of a ball in the gullet, which gives rise to a feeling of suffo- cation, attended with spasmodic eructation; further, when convulsive movements of the extremities, with clenching of the thumbs, occur during the paroxysm; or when, again, there is alternation of flushing and pallor; or when the patient is affected with frequent fits of yawn- ing, or with drawing of a deep breath-upon recovery. Dose: Two globules, as directed for Belladonna. Pulsatilla is appropriate for the treatment of patients of mild and sensitive or exceedingly timid disposition, or of phlegmatic or lympathic constitution, and when there is an habitual or very frequent derange- ment of menstruation ■ or more particularly with predominant derange- ment of the organs and functions of digestion at the period of the menstrual discharges, and when the attacks are characterized by tear- fulness or fits of crying without any ostensible cause. Dose: In all respects as directed for Belladonna. Chamomilla is sometimes of service when the attacks are preceded by flushing, with burning heat of the skin, sensation of extreme an- guish, and with anxious and hurried respiration, and when they occur in females of extremely excitable and peevish dispositions, and who have been habitual coffee-drinkers. Dose: As directed for Belladonna. Gelseminum should be given when the hysterical paroxysms as- sume the proportions of convulsions; there are: excessive irritability of body and mind; a semi-stupid condition, with languor and pros- tration ; nervous headache, commencing in the back of the neck, and thence spreading over the head; vertigo and dimness of vision; diffi- cult menstruation. Dose: As directed for Belladonna. Aurum met. is to be preferred when the patient is habitually of a gloomy, desponding disposition, or manifests paroxysmal attacks of violent excitement, with attempts at self-destruction; and when the attacks are preceded by and accompanied with extreme anxiety, insup- portable oppression at the chest, and palpitation of the heart. Dose: As directed for Belladonna. HYSTERICS. 699 Stramonium may be named as especially appropriate when the attacks are characterized by the predominance of hiccough, and are attended with convulsive movements of the arms, and with an expres- sion of extreme exhaustion or of vacancy, and difficult articulation ; or sometimes with violent raving, sudden desire to remove as if from the reach of some fancied danger, and with alternations of crying, or even discordant attempts to sing, and violent convulsive laughter ; or when, again, the violence of the attack is liable to be reinduced or aggravated by the sight of shining or glistening objects. Dose : As directed for Belladonna. Nux vomica is to be preferred when the patient is habitually of an irritable disposition, or of nervous or bilious temperament, and of costive habit,—or generally, moreover, of a meagre frame and pointed features ; the attacks being preceded or accompanied with twitchings ofthe limbs or of particular muscles, and when a vexation or disappoint- ment has been the exciting cause of the attack; also when stimulants of various kinds have been too freely employed from time to time. Dose: In every particular as for Belladonna. Veratrum is generally to be recommended when the attacks are characterized by clenching of the jaws, or general spasmodic affection of the entire frame, coldness of the extremities, and clammy perspira- tion, especially on the face and forehead, and when a considerable quantity of pale urine is generally voided before or after the attack. Dose: As directed for Belladonna. Conium should be administered when there is much vertigo, par- ticularly on lying down ; she cannot turn in bed, without exciting great dizziness. The breasts swell1, and become painful and hard, as the menstrual period approaches, at which time the hysterical symptoms are usually developed. Choking sensation in throat, as though a ball were ascending from the stomach. Dose: In every particular as directed for Belladonna. Moschus. Violent, long-continued scolding, until she falls down in an hysterical paroxysm. Great anguish; she feels as if she must die, and insists that she will die. Feeling of constriction or tightness on the chest during the paroxysm. Dose: As directed for Belladonna. Caulophylium will prove of value in some cases, when the hysteria can be traced to disordered condition of the menstrual flow, or to some disease of the womb. Dose: As directed for Belladonna. Cactus grandiflorus should be given when there is great sadness, taciturnity, and irresistible inclination to weep; love of solitude, and fear of death; menstruation is excessively painful, and there is great prostration at the menstrual period. It is particularly suitable for cases in which there is a disordered condition of the heart. Dose: As directed for Belladonna. ACCESSORY MEASURES. Above all things it is necessary that any portion of the clothing 700 PREGNANCY. which may fit tightly should be loosened as an attack ensues, or threatens to ensue; all strings and fastenings should be undone, and the stays should be unlaced. Whatever may tend to impede the circula- tion should be removed, and the patient should be stretched out in a recumbent position (the floor being the safest and best place), beyond the reach of any article which she might strike against in the convul- sive movements. A free current of air should then be admitted, and the face of the patient should be sprinkled with cold water. Friction ofthe wrists, ankles, and palms ofthe hands, is often also of service. GENERAL REMARKS. In order to overcome the constitutional tendency to Hysteria, a long and judicious course of treatment is always required in inveterate cases. Diet and Regimen. Persons who are subject to hysterical attacks should avoid tight lacing, or any articles of clothing which fit too closely and firmly round the body. Elastic jackets are much to be preferred to stays. They should also take regular exercise in the open air, without fatiguing themselves; avoid all depressing and ex- citing emotions ; live regularly ; keep early hours ; abstain from rich, seasoned, or stimulating food or drinks, and partake only of plain but nourishing food. To these regulations may be added such others as have been enumerated under the head of " Green-Sickness," " Sup- pressed Menstruation," " Excessive Menstruation," " Difficult or Pain- ful Menstruation," " Whites ;" and also the general rules prescribed in the article on "Eradicative Treatment" (at pp. 83-89). PREGNANCY. GENERAL OBSERVATIONS. 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 becomes invested with a new and serious responsibility; 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 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 shall endeavor to point out the course that mothers, who prefer the welfare of their future offspring to their own indulgence, should pursue, and 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 anxious period of infancy; whilst in after-life, be- holding them flourishing around them in the full enjoyment of health and vigor, they will reap the additional, rich reward of a slight, tem- porary self-denial, in the delightful consciousness of having performed their duty. AIR AND EXERCISE DURING PREGNANCY. 70.1 So fai is the period of pregnancy from being destined for one of suffering or danger, that Nature has taken every precaution for the protection 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 infectious diseases, and even chronic complaints are frequently 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 women 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 in- stances, rendered nugatory by a direct contravention of her laws. The expectant mother should therefore bear in mind, that the duty of leading 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. 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 vigor of the mother to her offspring; whilst, 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 births; exercise on horseback, even with- out taking into consideration the risk of fright or accident to the rider, and the fearful consequences that may thence result, is still more ob- jectionable for many reasons. Some women take a great deal of exercise, yet without a corre- sponding benefit, from their work occupying them wholly in-doors; this is a strong proof of the inutility of exercise in itself, unless combined with pure air. Moreover, some of these, from too great activity of temperament, and others, coerced by hard necessity, frequently over- fatigue themselves, 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 to that ofthe unborn child. Others, again, injure their health, and frequently induce miscarriage, through their excessive levity and thoughtlessness, by unrestrained indulgence in active exercise, riding on horseback, dancing, &c. A woman 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 serious and painful disease, cancer of the womb. 702 CLOTHING DURING PREGNANCY. The best exercise, therefore, during this epoch, is walking every day (when the weather permits) in the open air. In order to prove benefi- cial, and not to interfere with the process of digestion, exercise ought to be taken two or three hours after a moderate meal, about midday, or in the afternoon, except during hot weather, when the evening may be preferred, care being taken to avoid the night damps, by not remain- ing out too late. CLOTHING. The dress of the woman should, of course, be suited to the season; and if she pass from a warm 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 her form, so as to preclude all unnecessary pressure upon any part of the frame, calculated to interfere with the functions of those important organs which are destined for the birth and nourishment of the infant: tight lacing, therefore, at all times most objectionable, is particularly so during this period, inasmuch as it cramps the natural action of the body, and, bearing directly upon the muscles appertain- ing to the belly, the bloodvessels, lymphatics, and the whole intestinal economy, produces narrowness of the chest, disturbed circulation, and induration or other derangements of the liver, and exercises a most baneful effect upon the breasts and womb. We should bear in mind that a pressure upon these organs during development takes place in direct contravention of the operations of Nature. Women, in their efforts to preserve the elegance of their shape during pregnancy, are little aware that the constringent force thus exercised upon the abdomi- nal muscles destroys their elasticity, prevents a proper retraction after parturition, and thus proves one of the"most common causes of perma- nent abdominal deformity. Moreover, to the culpable vanity of their mothers, in this and other respects, many, it is probable, owe their club- feet and other malformations; and in addition to these evils, this prac- tice not unfrequently deranges the position of the infant in the womb, — a displacement which, together with the consequent want of energy in the muscles and the parts concerned, generally brings on protracted and dangerous labors. Besides this, continual pressure on the womb is liable to produce premature labors. To tight lacing, also, may he attributed the difficulty many women of the present day experience in suckling their offspring, from the incipient process, required for the subsequent secretion of milk, being deranged by the unnatural pressure on the beautifully-constructed mechanism of the breasts: from this, also, sometimes result those dangerous indurations, cancers, and other affections of the breasts, and also retraction and diminution of the nipple, from which the act of suckling is rendered difficult, and in some cases impracticable. Garters too tightly bound are generally injurious to pregnant women; for the pressure thereby exercised upon the bloodvessels encourages the development of varicose veins in the inferior extremities (to which affection the system ii already sufficiently predisposed), which, in many instances, become exceedingly painful and troublesome. DIET, HABITS, ETC., DURING PREGNANCY. 70S DIET. The greatest simplicity should regulate the diet of the pregnant woman; she should avoid taking too great a quantity of nourishment, because an excess in this respect, besides causing disordered digestion and general uneasiness, has a bad mechanical effect upon the future offspring; and, moreover, the unborn infant shares in the derangements ofthe mother. Much depends upon the quality of her food ; nothing should be taken that is not of a simply nutritive nature, and everything possessing a medicinal property avoided. Coffee and strong tea should be laid aside. Wine, liquors, beer, and other stimulating beverages, are also injurious. The usual homoeopathic diet, subject to the general or par- ticular regulations prescribed in the Introduction, at pp. 55, 56, &c, should be adopted as closely as possible during pregnancy. EMPLOYMENT OF THE MIND, AND HABITS DURING PREGNANCY. It is not sufficient that the body should be in perfect health; the mind must also be kept in a state of serenity. An easy cheerfulness of temper is essentially useful in promoting the well-being of the un- born infant. Experience has presented us wTith many instances, in which the predominant feeling on the mind of the mother during preg- nancy has influence on the future mental organization of the child. This shows how essential it is for women to keep their minds well em- ployed during this period; to avoid all improper meditation, and dissi- pation ; and to abstain from reading works not calculated to improve their understanding. The effect of any unpleasant or unsightly object upon the imagination of the mother, and the transmission of that effect to the offspring, evidenced in various mental or physical peculiarities after birth, is a theory as old as tradition. Without entering upon the various arguments brought forward both for and against it, we would simply advise women to keep as much as possible out of the way of such objects; to preserve both body and mind in a state of health, which will lessen every fear of being affected by such occurrences; and to endeavor, as constantly as possible, to direct their attention to pleasing subjects; as it must be perfectly evident that brooding over such unpleasant impressions can scarcely fail of being both physically and mentally injurious. MENTAL EMOTIONS. This subject has been already treated of in the Second Part of this work, at pp. 678-680, to which the reader is referred, as the remedies there mentioned are equally applicable to affections arising from these sources in either sex. A not unfrequent symptom during pregnancy is, great despondency of mind, and uneasiness about the future. Some women, whose spirits are generally good at other times, suffer much from such an affection during this period; and in others, we find the same feeling and exces 704 MENTAL EMOTIONS. sive lowness of spirits, during the time of nursing. This symptom, however, is not permanent, and, when it commences early in gestation, usually disappears before delivery, without material injury to the gen- eral health. TREATMENT. As this affection is apt to create some uneasiness, both to the sufferer herself and to her friends, we have thought it advisable to mention it, and at the same time to point out remedies which will frequently be found efficacious. Aconitum is often serviceable when the state of despondency is preceded by one of excitement, marked by heat of skin and frequency of pulse, attended with apprehension and presentiment of approaching death. Dose: Two globules in a teaspoonful of water, repeated at intervals of twenty-four hours, until amelioration or change. Bryonia is more particularly indicated by great inquietude and fear for the future, attended with irascibility and derangement of the digestive functions. Dose: Two globules, as directed for Aconitum. Nux vomica is usually efficacious against morning sickness and melancholy, with great uneasiness, impaired appetite, constipation, fret- fulness. Dose: Two globules in a tea-spoonful of water, every night at bedtime, until amelioration or change. But if little effect should be apparent, as regards the sickness, twenty-four hours after the fourth dose, pause four days, and proceed with the next medicine. Natrum muriaticum should be employed five days after the last dose of Nux v., in obstinate cases of morning sickness, and when the last-named medicine has produced little or no effect. Natrum m. is, however, more particularly and individually indicated by melan- choly, with weeping; uneasiness about the future. Dose: Two globules, as directed tor Aconitum. Phosphorus should be employed when the affection comes on dur- ing the period of nursing, arising from an over-secretion of milk, so that this fluid escapes involuntarily, and is attended with great ema- ciation, melancholy, and apprehension of the future. Dose: Two globules, as directed for Aconitum. Calcarea is also efficacious when the above symptoms present themselves, and more particularly so when there is excessive dejection with great lassitude. This remedy is further very serviceable when there is suppression of the secretion, and also excessive obesity, or the individual is of a plethoric habit. Dose: Two globules, as directed for Aconitum. China is more especially serviceable when there is lowness of spirits, attended with derangement of digestion, which may arise from the energies of the mother being too severely tasked in the nourishment of her offspring, either from keeping the child too long unweaned, or from rearing twins. Dose. Two globules, as directed for Aconitum. DERANGEMENTS DURING PREGNANCY. 705' DERANGEMENTS DURING PREGNANCY. MORNING SICKNESS. Morning sickness, nausea, vomiting, and heartburn are the most distressing symptoms attendant on the course of pregnancy. These troublesome complaints generally harass women most upon their first rising from a horizontal position in bed. They generally disappear soon after quickening, but sometimes continue during the whole period. TREATMENT. When this affection shows itself in a mild form, we may leave it to nature, adopting at the same time the homoeopathic rules for regimen, and being careful not to overload the stomach. The homoeopathic treatment of this derangement, at once simple, prompt, and efficacious, has in almost all cases been attended with success. Aconitum is the best medicine for employment at the onset in those somewhat severe cases which depend upon full-habited condition of the system. Dose: Four globules in a teaspoonful of water, repeated, if necessary, after the lapse of twelve hours ; after which, consider the following medicines. Ipecacuanha is usually sufficient to overcome the affection in simple and uncomplicated cases, further characterized by a tendency to relaxation ofthe bowels. Dose: Four globules, as directed for Aconitum. Nux vomica should be preferably selected when there is nausea or vomiting every morning on rising: heartburn, depraved appetite, or craving for chalk, earth, beer, &c, constipation and irritability of temper. Dose: Two globules in a teaspoonful of water, every night at bedtime, until decided amelioration or change. Cocculus should be employed after Nux vomica in cases in which the last-named medicine has been productive only of very partial relief. Dose: Four globules, as directed for Aconitum.. Arsenicum is sometimes required, more particularly when the following indications prevail: — Excessive vomiting after eating or drinking, with attacks of fainting; burning pain in the stomach and gullet; great weakness and emaciation. Dose: Four globules, as directed for Aconitum. Pulsatilla is indicated by nausea after every meal, vomiting of food, heartburn, depraved appetite, or longing^ for particular articles, such as acids, beer, wine, &c. Disposition peevish and sensitive, though naturally mild. Dose: Four globules, as directed for Aconitum. JEsculus hip., Caulophyllum, and Gelseminum have proved useful in some cases of morning sickness. Discriminative 45 706 CONSTIPATION. directions for their use may be obtained by consulting the article on " Characteristic Effects." Dose: Of either medicine, as selected, four globules, as directed for Aconitum. Natrum m., Sulphur, and Sepia are chiefly needed in cases occurring in scrofulous or otherwise unhealthy constitutions. See "' Characteristic Effects " for general and special indications. Dose: Two globules in a teaspoonful of water, once a day, until ameliora- tion or change. Diet and Regimen. The strict observance of the general rules, prescribed at pp. 700-703, will be found sufficient for the great majority of cases. For the management of persons of marked scrofu- lous taint of constitution, the further directions afforded in the article on " Eradicative Treatment," at pp. 83 - 89, should be consulted. CONSTIPATION. Constipation is a very common attendant upon pregnancy, and those females usually suffer most from it who are naturally of a costive habit, and are addicted to sedentary habits. accessory measures. When it does not arise from some unusual cause, active exercise in the open air, and partaking frequently of cooked or fully ripe sub-acid fruits and well-boiled, tender vegetables, (at the same time avoiding coffee and other stimulating liquids,) is generally sufficient to remove or ameliorate the complaint. TREATMENT. When nature requires further assistance, the following medicines may be advantageously administered: — Nux vomica should be employed at the onset, in those instances m which symptoms of general derangement are associated with the constipation, and particularly when there is frequent inclination for stool with insufficient or fruitless results, feeling of heat in the bowels, and dull, continuous headache, or dulness, heaviness, and confusion of the head. Dose: Four globules in a teaspoonful of water, at bedtime: after which, pause twenty-four hours, and then repeat the dose ; but if, after another interval of twenty-four hours, inconvenience be yet experienced, proceed with the next medicine; or, if little or no amendment be produced, con- sider Bryonia. Ignatia should be employed two days after the last dose of Nux vomica, as just directed, if, notwithstanding some general improvement, symptoms of inconvenience should still prevail; more particularly, if Btool be followed by prolapsus of the rectum, or " falling of the body,' bs it is called. Dose: Three globules, as directed for Nux vomica. But if all traces of de- rangement be not removed, after the lapse of three days, return to the administration of Nux vomica, as before. Bryonia should be preferably selected, to follow Nux vomica, in FAINTING AND HYSTERICAL FITS. 707 cases in which the last-named medicine has been followed by very partial (if any) effect, and generally for the treatment of cases of some standing, and of an obstinate character, attended with extreme irri- tability of temper. The stool is mostly dark, dry, and hard, as if burned. Dose: Three globules in a teaspoonful of water, morning and evening, every other day, for a week, or until the earlier development of amendment or change. Opium is indicated when the constipation is attended with a sensa- tion of weight in the stomach, dryness of the mouth, and deep-colored flushing of the face. The stool is generally in round, hard, black-look- ing bails. Dose: Three globules, as directed for Bryonia. Zincum metallicum should be given, when the stools are re- markably dry, and insufficient, and are expelled only after much forcing, and with the greatest difficulty. Dose: Three globules, as directed for Bryonia. Alumina is indicated by conditions similar to those indicating Zincum. The stool is not expelled, seemingly because of paralysis of the rectum. Dose: Three globules, as directed for Bryonia. Sulphur, Sepia, and Silicea may be required in very obstinate cases. Consult the chapter on " Characteristic Effects." Dose: Of either medicine, when selected, three globules every evening, until amelioration or change. ADDITIONAL PARTICULARS. The medicines above enumerated are those wdiich are of the chief importance in the treatment of the ordinary forms of constipation in pregnancy; but, inasmuch as there may be material variations in the symptoms present, dependent upon particular complications, the reader is referred for additional particulars respecting the treatment to the general article on "Constipation," at pp. 241-247. DIARRHOEA DURING PREGNANCY. As regards the treatment of diarrhoea, occurring during pregnancy, as I shall have occasion to treat of this derangement as connected with delivery, in an ensuing article, and as it has already been considered at length in the foregoing portion of this work (at pp. 260-266) I should wish to refer the reader to the two articles in question for particulars respecting the method of treatment. FAINTING AND HYSTERICAL FITS. Many delicate and nervous women are frequently attacked with fainting fits during pregnancy. The attack gen era]' y passes over easily, • and without deleterious consequences. 708 FAINTING AND HYSTERICAL FITS TREATMENT. Aconitum is chiefly of service for administration when the prin- cipal characterizing feature of the case is the redundant habit of the patient, under which circumstances it may suffice of itself to obviate the return of the attacks. Dose: Give two globules in a teaspoonful of water, repeated after the lapse of twenty-four hours, if necessary. Belladonna is to be preferred, when there is determination of blood to the head, with simultaneous flushing of the face and perceptibly increased action of the arterial system. Dose: As directed for Aconitum. Chamomilla is to be preferred when the fainting is liable to be excited by sudden fits of anger. Dose: Three globules in a teaspoonful of water, repeated after twelve hours. Nux vomica is indicated when the attacks arise from general irritability of the system, and consequent derangement of the digestive organs. Dose: Three globules, as directed for Chamomilla. Nux moschata should be given to overcome the predisposition to fainting. It will also be found useful in hysterical fits, characterized by violent laughter. Dose: Three globules, as directed for Chamomilla. Gelseminum is indicated by dark or dusky hue of the face, ring- ing in the ears, vertigo; objects have a greenish hue. Dose: Three globules, as directed for Chamomilla. China is to be recommended when the attacks are attributable to general weakness, and especially from loss of blood. Dose: Two globules^ in a teaspoonful of water, night and morning, for six days, after each attack (unless change should sooner occur.) Pulsatilla is indicated when the attacks are further characterized by general excitability and disposition to hysteria, with depression of spirits, and great general susceptibility. Dose: Two globules, as directed for China. Coffea is more especially indicated when there are spasmodic pains in the bowels, with oppressed respiration, twitching of the tendons, cold perspiration, and uncontrollable agitation and tossing, with inability to sleep, from nervous excitability. Dose: Two globules in a teaspoonful of water, repeated, at intervals of three hours, until the indicative symptoms subside or change in character. Ignatia is appropriate for the treatment when the patient suffers from severe headache, as if a nail were driven into the head; sadness, concealed sorrow, and sighing. Dose: Two globules in a teaspoonful of water, repeated, at intervals of three hours, until the pain in the head abates (or change occurs); and, subse- quently, night and morning, for a week (unless change should sooner occur). Additional Particulars. In cases in which neither of the medicines above enumerated ap- TOOTHACHE. 709 pears to answer to the case under consideration, the reader should con- sult the article on " Fainting," at pp. 547 - 548, and that on " Hys- terics, &c," at pp. 696-700. Diet and Regimen. Exercise in the open air, and attention to the rules of regimen, are the best safeguards against the afiection ; but in cases where these are insufficient, and the attacks prove distressing, we must endeavor to ascertain their origin. If the fits arise from tight lacing, warm rooms, or any other obvious excitant, the simple removal of the cause will prove sufficient. TOOTHACHE. This is a frequent affection with pregnant women, and is sometimes too valuable an indication of some taint lurking in the constitution to be neglected. We must particularly caution women in this situation against having teeth extracted, as the affection frequently occurs in sound teeth. TREATMENT. Sepia is particularly indicated when there is a pulsative shooting, drawing toothache, with pain extending to the ears, or to the arms and fingers, excited by compressing the teeth, or by cold air, and attended with impeded respiration, swelling of the cheek, and enlargement of the glands under the jaw. Dose: Two globules in a teaspoonful of water, repeated, at intervals of three hours (against the immediate attack), until amelioration or change; and, subsequently, at intervals of twelve hours (against the predisposition), for a week (unless change should sooner occur). Calcarea is to be preferred when the toothache is excited or aggra- vated by cold air, or by anything hot or cold, and attended with painful sensation in the gums, and pulsative gnawing or shooting pains, which are aggravated by noise. Dose: As directed for Sepia. Pulsatilla should be given when the toothache generally comes on in the evening, and is accompanied by chilliness and paleness of the face; the pain is usually jerking or tearing; the toothache always ceases entirely in the open air, but returns in a warm room. Dose: As directed for Sepia. Nux moschata will be found valuable in some cases characterized by: aggravation from drawing cold air into the mouth; amelioration by holding warm water in the mouth, or by making warm applications to the cheek; the tooth feels as if it were being wrenched from the socket; the teeth of the affected side have a blunt feel. Dose: Two globules, as directed for Sepia. Additional Particulars. If neither of the medicines above enumerated should appear to an- swer to the requirements of the case, — that is, if the indications afforded for their selection do not correspond with the symptoms and conditions ofthe case, — the reader should consult the article on "Toothache," at pp. 179-182. 710 SWELLING OF THE LOWER LIMBS. URINARY DIFFICULTIES. As pregnancy advances, urinary difficulties are sometimes expe- rienced, from pressure of the womb upon the bladder, or from other causes. There may be very frequent calls to micturate, or, on the other hand, there may be more or less difficulty in urinating, amounting, in some cases, almost to complete suppression. TREATMENT. Cantharides is the most frequently efficacious remedy. It is in- dicated by very frequent urination, with violent cutting or burning pains; almost constant desire to urinate, with a feeling as if it were impossible to do so; strangury. Dose: Six globules in a table-spoonful of water, repeated at intervals of six hours, until decided amelioration or change. Pulsatilla should be given when there are: retention of urine, with feeling of heat and soreness in the region of the bladder; con- tinual pressure on the bladder, without a desire to urinate; after urinating, pain in the neck of the bladder, extending into the thighs. Dose: Six globules, as directed for Cantharides. Belladonna will prove efficacious in many cases of plethoric women who are affected during pregnancy with urinary troubles, and who have frequent attacks of vertigo and determination of blood to the head. Special indications for its use are: constant involuntary drib- bling of urine; great difficulty is experienced in passing even a small quantity of urine; it flows in drops. Dose: Three globules, in other respects as directed for Cantharides. Nux vomica should be administered in cases where the urinary trouble is accompanied by extreme constipation of the bowels; partic- ularly in women of an irascible temper, or who are addicted to the use of wine, malt liquors, or other injurious beverages. Dose: Four globules in a teaspoonful of water, every evening, until decided amelioration or change. Aconitum, Apis mellifica, Mercurius, Lycopodium, or Sulphur may be required in some cases. Indications for their use may be derived by consulting each, respectively, in the article on " Characteristic Effects." Dose: Of either medicine, as selected, give six globules, as directed for Can- tharides. SWELLING OF THE LOWER LIMBS. General dropsical effusion is by no means of infrequent occurrence during pregnancy; but the swelling is usually limited to the lower limbs, and gives rise to considerable suffering, inconvenience, and fre- quently to depression of spirits. The remedies mentioned below will generally be found to afford prompt relief, and even to dissipate the effusion completely. Should they fail, however, medicines more appro- priate to the case may be found by consulting the article on "Dropsy,' pp. 571-579. VARICOSE OR SWELLED "VEINS. 711 TREATMENT. Silicea is the most frequently efficacious remedy for the treatment 3f this affection, and should be promptly administered as soon as the enlargement of the limbs is observed. Dose: Six globules in a teaspoonful of water, the first thing in the morning, fasting, for two days; then pause four days, when the course may b6 resumed, as before, if necessary. Should no improvement be manifested, however, four days after the completion of the second course, proceed with one of the subjoined remedies. Arsenicum or Apis mellifica will be found valuable in some cases in which little or no change has been effected by the previous employment of Silicia. Discriminative indications for their employ- ment will be found under the head of each, individually, in the arti- cle on "Dropsy" (pages 571-579), and in that on "Characteristic Effects." Dose: Of either of these medicines, as selected, six globules, as directed for Silicea. VARICOSE OR SWELLED VEINS. Many women suffer much during pregnancy from distension of the veins in the thigh and other parts, which, becoming exacerbated, event- ually causes great pain and inconvenience. These varicose veins gen- erally arise from obstructed circulation caused by the pressure of the gravid womb upon the bloodvessels, but are also frequently a sure indication of the existence of constitutional debility, particularly when they occur in an aggravated form. They are much increased by par- taking of stimulating liquids, which should consequently be avoided. treatment. Pulsatilla is one of the most useful medicines, particularly when there is excessive pain and swelling, with a good deal of inflammation, or when the veins are of a livid color, which is imparted to the whole limb. Dose: Three globules in a teaspoonful of water, repeated at intervals of twelve hours, until amelioration or change. Arnica is to be preferred either at the onset or after the previous .employment of Pulsatilla, when the occupations of the patient render it impossible for her to lay herself up, or to avoid much standing and moving about in discharge of her domestic duties. A bruised, sore feeling is experienced in the affected limbs. Dose: As directed for Pulsatilla. Nux vomica should be employed when the affection is attended with constipation, piles, and irritability of temper. Dose: Three globules, as directed for Pulsatilla. Hamamelis may be used with advantage in some cases of varicose veins, particularly when there are stinging pains in the affected limbs, or a feeling of enlargement or distension therein. It may be admin- istered internally, or as an external application. Dose: Internal. Six globules, in other respects as directed for Pulsatilla. External. Add a teaspoonful of the concentrated Tincture of Hamamelis 712 PAINS IN THE BACK AND LOINS. to a half pint of water. Saturate compresses of muslin with this lotion, and lay ihem over the swollen veins, covering the limb loosely with a piece of muslin. Arsenicum is to.be selected when the veins are of a livid color, and are attended with severe burning pain. Dose: As directed for Pulsatilla. Carbo vegetabilis should be administered twenty-four hours after the fourth dose of Arsenicum, when the last-named medicine has not been sufficient to subdue the constant scalding or burning. Dose: Three globules, as directed for Pulsatilla. Belladonna is usually well indicated by the prevalence of varicose veins, with considerable erysipelatous inflammation. Dose: Two globules in a teaspoonful of water, every six hours, until the inflammatory symptoms yield. Lycopodium has been employed with success in some inveterate cases. Dose : Four globules in a table-spoonful of water, the first thing in the morn- ing, fasting, for a week (unless change should sooner occur); then pause ten days, after which the course may, if necessary, be repeated as before. ACCESSORY MEASURES. Considerable alleviation is experienced from constant bathing with water, or with diluted alcohol; also by bandaging from the foot up- wards with a gentle and equable pressure, and by preserving a recum- bent posture, — which is requisite in severe forms of the complaint, accompanied with considerable swelling of the feet, ankles, &c. PAINS IN THE BACK AND LOINS DURING PREGNANCY. TREATMENT. Kali carbonicum maybe mentioned as the medicine ofthe chief service in the treatment of this affection, when the prevailing symp- toms are : almost indescribable aching in the back and loins ; or drag- ging and pressure, as if caused by a dead weight resting on the affected parts. Dose: Four globules in a table-spoonful of water, the first thing in the morn- ing, fasting, until amelioration or change. But, if the subjoined symptoms ensue, consider the following medicines. Nux vomica should be employed in cases in which piles appear, simultaneously with the pains in the back and loins, and Kali c. is then insufficient to alleviate the suffering. Dose: Two globules in a teaspoonful of water, night and morning, until amelioration or change. Sulphur should be administered after Nux vomica, when piles ap- pear in complication with the pains in the hack and loins, and when the last-named medicine has been incapable of effecting permanent relief. Dose: Four globules, as directed for Kali carb. Sepia is also appropriate for the treatment of cases in which the pains in the back and loins are complicated with piles, but more par- MISCARRIAGE. 713 ticularly when the patient has been subject to a chronic derangement of menstruation, &c. Dose: Four globules, as directed for Kali carb. Secale. When the pain is associated with bearing-down sensations in the lower part of the bowels, aggravated by movement. Dose: As directed for Kali carb. MISCARRIAGE. Peculiarities, &c. Women who have once suffered from thie affection are exceedingly obnoxious to its recurrence; and this liability is still further increased, if the event have taken place a second or third time. Issue and Results. When it occurs before or about the third or fourth month, it is frequently attended with but little pain or danger; although repeated miscarriages, from the great discharge that is gen- erally present, break down the constitution, and frequently develop severe chronic diseases. When miscarriage 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. Exciting Causes. Sudden mental emotions, or great physical ex- ertion, mechanical injuries, a luxurious mode of life, fashionable habits, powerful aperients, neglecting to take air and exercise, &c, are a few of the exciting causes of this affection, wdiich is particularly apt to occur both in highly plethoric, and delicate or nervous habits. Predisposing Causes. An unhealthy state of the constitution, giving rise to multifarious local and general derangements, is undoubt- edly the predisposing cause. General Symptoms. The premonitory and accompanying symp-. toms of miscarriage vary much in their nature; sometimes 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 continuance. Miscarriage is, in most cases, preceded and attended by the majority of the following symptoms :—A sensation of chill, followed by fever, with more or less bearing-down, particularly when occurring late in pregnancy ; also severe pains in the belly, drawing and cutting pains in the loins, or pains frequently bearing a close resemblance to those of labor; discharge of viscid mucus and blood, sometimes of a bright red, not unfrequently mixed with clots, at other times dark and clotted. followed by the emission of a thin colorless fluid. The miscarriage generally takes place during this discharge, which occasionally con- tinues, if not properly checked, to flow for hours after, placing the suf- ferer in considerable jeopardy. When the pains increase in intensity, and the muscular contractions become generally established, with their characteristic regular throes and efforts to dilate the mouth of the womb, miscarriage is almost inevitable. TREATMENT. I shall here endeavor as briefly, but at the same time as clearly, as 714 MISCARRIAGE. possible, to point out a course of treatment to be pursued, until medical aid can be procured, both in preventing its occurrence, and in obviating the consequences which it entails, when it has been found impracticable to avert the evil. Preventive and Eradicative Measures. Sabina. The administration of this medicine, at an early stage of pregnancy, will, combined with appropriate diet and regimen, and the removal, when possible, of any of the ordinary exciting causes already alluded to, frequently overcome the predisposition, and prevent the accident, in cases where there is an evident disposition to miscarriage, in plethoric females, or where, from a variety of reasons, it is appre- hended ; but as there are other remedies which may be called for in preference to this, under certain conditions, the aid of a practitioner should, as already advised, be sought in place of putting implicit reli- ance on this remedy, in every instance of the kind. Dose: Three globules in a teaspoonful of water, repeated after the lapse of twenty-four hours, and again after the lapse of four days more, gradually lengthening the interval for each successive administration, until the period of danger be past;—being careful, however, to watch the effect of each dose, to discontinue the medicine whenever any indications of its action on the system become apparent, and to abstain from repeating until the symptoms attributable to the medicine have passed away, and then only with increased caution, and at longer intervals. Secale cornutum has been strongly recommended, as useful in similar cases, but particularly when this misfortune has already oc- curred more than once; it is generally of much greater efficacy than the former remedy in weak, exhausted women, and should be adminis- tered from time to time, commencing immediately after the cessation of the monthly period, and continuing until the period at which mis- carriage usually occurs is passed; one dose more, at the utmost, being allowed after this period. Dose: Three globules, as directed for Sabina. Sepia is one of our most important medicines when the predis- posing cause consists in a constitutional delicacy, evidenced by a tendency to local congestions, with pressive or bearing-down pains in the lower part of the belly, or a relaxed state of the system, with excessive and habitual whites, frequently of an acrid character, giv- ing rise to excoriation, and attended with troublesome local itching. Further, when the tendency to miscarriage occurs in women of feeble habit, with a tender and irritable skin, which is liable to be affected with brown or yellowish eruptive spots, particularly on the face; — lastly, when there is constant disposition to copious perspiration after the most trivial exertion, and when, during the unimpregnated state, the monthly discharge is scanty, and usually premature, and frequently associated with headache, toothache, and extreme depression of spirits. Dose: Three globules, as directed for Sabina. Sulphur. The following are the more important indications for the employment of this medicine: — Disposition to blind or bleeding piles; constipation; liability to colds, with copious secretion of phlegm; MISCARRIAGE. 715 unhealthy, irritable, and itching state of the skin; frequent formations of pimples and other eruptions, — or when the patient has been subject to or affected with troublesome cutaneous affections in early life, general debility; dragging weight in the lower region of the belly, with frequent urging to pass water; during the unimpregnated state, a periodical discharge either unusually profuse and premature, or feeble, delayed, and accompanied by whites, with much local heat, itching, and smarting. Dose: In every respect as directed for Sabina. Calcarea is frequently of service after the previous employment of Sulphur, in eradicating the predisposition to miscarriage. It may be selected in preference to Sulphur when the following symptoms characterize the case: — General fulness of blood, frequent attacks of headache, colic, pains in the back, lancinations or other pains in the breast (which are excessively distended); also when there is excessive predominance of whites; and when, in the unimpregnated state, the monthly discharge is excessive, and commonly occurs before the proper time. A craving for potatoes is another indication for Calcarea. Dose: As directed for Sabina. Lycopodium. A troublesome sensation of dryness in the anterior passage, or an actual dryness, as an alternate state with previous dis- charge of whites, capricious appetite, aversion to bread, heartburn, morning sickness, general pulsation through the body after a meal, constipation, languor and extreme weakness, flatulence, intolerable pain in the back before urinating, which is entirely relieved as soon as the urine flows. Dose: As directed for Sabina. The Actual Attack. The remedies which are more commonly required when the pre- monitory symptoms of miscarriage have set in, or when the mishap has already taken place, — as even in these cases their administra- tion is decidedly beneficial, either in obviating further injurious con- sequences, or in alleviating the sufferings of the patient, — are as follows: — Arnica. When the symptoms have been excited by an accident, such as a fall, blow, or concussion, &c, this remedy should be imme- diately administered. Dose: Of a solution of eight globules (or one drop of the concentrated tinc- ture), to two table-spoonfuls of water, give a teaspoonful every ten, fifteen, and twenty minutes (in very urgent cases), and, subsequently, every half hour, gradually extending the intervals to three hours, and continuing the administration, until decided amelioration or change. Rhus. If the symptoms have originated in a strain from lifting, pulling, or dragging a heavy weight. Dose: As directed for Arnica. Sabina, which has been mentioned as a valuable preventive medi- cine, is also of decided service when miscarriage becomes imminent, or has actually occurred, and is then indicated by dragging and 716 MISCARRIAGE. forcing pains, extending down the back and loins, profuse and bright- colored discharge of blood; sensation of sinking and faintness in the belly; frequent desire to relieve the bowels; diarrhoea, nausea, or vomiting; chilliness, and heat with fever. Dose: A solution of eight globules, as directed for Arnica. Seeale cornutum is indicated by the subjoined symptoms: — Incessant expulsive efforts, with profuse discharge of dark liquid blood, followed by considerable debility; this medicine is also efficacious when the patient is of feeble and exhausted constitution, and the pulse is almost extinct, and the patient being seized at the same time with fear of death, and tendency to convulsions. Dose: A solution of eight globules, as directed for Arnica. Chamomilla is to be preferred wdien a fit of passion has developed the attack; or it may be selected, in any case, when the subjoined symptoms prevail: — Excessive restlessness, severe pains in the loins and back, worse at night, generally of a sharp, cutting description, extending downwards, strongly resembling those of labor; sometimes also spasmodic pain in the bowels, with a species of sanguineous dis- charge; or discharge of deep-red or dark-clotted blood; frequent yawning; coldness and shivering; frequent urination. Dose: Of a solution of twelve globules to three table-spoonfuls of water, give a teaspoonful, repeated, at intervals of half an hour, until three doses have been given; and, subsequently, at intervals of three hours, and so on, extending the intervals, until decided amelioration or change. If, however, a severe throe follow, succeeded in turn by others of decidedly diminished severity and frequency, do not repeat the dose, until a relapse threatens, for a single dose will, in some cases, suffice to arrest the mis- chief. The same rule may be applied to the other remedies. Apis mellifica should be employed when the trouble commences with stinging pains in the lower part of the abdomen, which become stronger and more frequent, until labor pains are finally produced; sometimes with flooding, and finally abortion. Dose: As directed for Chamomilla. Nux vomica is indicated by obstinate constipation; every pain causes a desire to evacuate the bowels or bladder, particularly the former; 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. Dose: As directed for Chamomilla. Bryonia should be employed an hour after the sixth dose of Nux vomica, when the symptoms are such as have been just described, and when the last-named medicine has been productive of inadequate effect. Dose: Two globules in a teaspoonful of water, every two hours, until amelio- ration or change. Ipecacuanha is indicated by chill with heat; violent pressure downwards; flooding or excessive discharge of bright-red blood ; cramp and rigidity of the frame; sometimes convulsions; vomiting, desire to vomit; disposition to faint whenever the head is raised; cutting pains in the region of the navel. Dose: As directed for Arnica. MISCARRIAGE. 717 Hyoscyamus is required when there are very severe convulsions, with cries, great anguish, oppression ofthe chest, and loss of consciousness. Dose: As directed for Arnica. Belladonna. Great pains in the loins and entire abdomen; severe bearing-down, as if the whole of the intestines would be pressed out; pain in the back, as if it were dislocated or broken ; bruised pain in the lowest part of the back; sensation either of spasmodic constriction or of expansion in the belly. It is also particularly valuable in cases of profuse discharge of blood, the blood sometimes feeling particularly hot. Dose: A solution of eight globules, as directed for Arnica. Crocus is especially indicated in cases which are attended or fol- lowed by discharge of dark, clotted, or viscid blood, with a sensation as of something moving or fluttering about in the region of the navel, and increased bloody discharge on the slightest movement. This med- icine is frequently useful in obstinate cases, after the employment of one or more of the above-mentioned remedies. Dose: A solution of eight globules, as directed for Arnica. Ustilago madis will be found very valuable in cases in which, the miscarriage having taken place, the flow of blood is very profuse, or flows continuously, or comes away in lumps ; or, again, in cases in which the flow of blood is unaccountably continued for days and even weeks after miscarriage. Dose: Four globules in a teaspoonful of water, every three hours, until amelioration or change. China is valuable in restoring the exhausted energies after the dis- charge of blood, and materially assists in checking the discharge, if there be spasmodic pain in the womb or a bearing-down sensation, with considerable discharge of blood at intervals. Dose: Three globules in a teaspoonful of water, repeated at intervals of three hours, until four doses have been given; and then, night and morning, for a week (unless change should sooner occur). Miscarriage induced by Mental Emotions. When threatening or imminent symptoms of miscarriage occur in consequence of such an exciting cause, in addition to the medicines above enumerated, the reader should consult the articles on " Mental Emotions," at pp. 678-680, and 703-704. ACCESSORY MEASURES AND PRECAUTIONS. When miscarriage is threatened, the individual must assume the recumbent posture, and in some cases, indeed, should be strictly con- fined to bed, sleeping with few bedclothes; the apartment should be kept cool, and every means must be employed to ensure perfect tran- quillity of mind. In all cases of threatened miscarriage, medical assistance should be summoned as promptly as possible ; but as life may be lost, in urgent cases, before a physician can be had, the following additional particu- lars should be observed : — When the misfortune gives evidence of being unavoidable, and the 718 TREATMENT BEFORE PARTURITION. hemorrhage is excessive, and is not promptly controlled by the p)o« perly selected medicaments, the application of cold to the abdomen, in the form of cold cloths, &c, will very frequently have the desired effect, by causing the womb to discharge its contents. Permanent cessation of the flow of blood cannot be expected until this is accomplished ; and as it is frequently slow to dilate sufficiently for the effecting of that purpose, the passage should be plugged to prevent the flow until the womb be sufficiently dilated. A piece of sponge, of sufficient size, may be used for this purpose; or a plug made of old muslin or linen rags (technically called a tampon) should be inserted cautiously. It should be of sufficient size to fill the passage, and entirely obstruct the flow of blood. These measures should only be resorted to in extreme cases, and when a physician cannot be procured. If they are employed, the indicated homoeopathic remedy should be given at the same time, and frequently, in a few hours, upon removing the plugs, the womb will be found dilated, and will expel its contents. If hemorrhage occurs after this, it may be arrested by the proper medicines, or by the application of dry, cold articles to the abdomen, over the region of the womb. The tampon, however, is only to be used in miscarriages occurring before the period of quickening; never afterwards. Diet and Regimen. In addition to the other precautionary measures, just enumerated, it should not be omitted, that the plainest and least stimulating, but at the same time nourishing diet is essential, and the food, and more particularly the beverages, should be taken nearly, if not quite, cold. All stimulating beverages should be avoided. TREATMENT BEFORE PARTURITION PREPARATION OF THE BREASTS. Young mothers frepuently find great difficulty in suckling their children, in consequence of some organic defect or incapacity of the nipple. In many instances the structure of the breasts is disorganized from an ignorant nurse having compressed them in childhood, under the idea of such a process being needful for the expulsion of some matter in the breasts ofthe child—a vulgar error, against the practice of which mothers ought to be particularly watchful. Incapacity of function is also likely to occur from the pressure of stays in after life, by which the cuticle is rendered so tender as to preclude suckling. The first two cases are beyond the power of art; and if suckling be attempted, induration of the nipple and breast ensues, attended with severe suffering. When, however, a simple tenderness exists, this evil is much alleviated by bathing the nipples with brandy twice a day, for several weeks anterior to delivery. Another difficulty, frequently accompanying this state, is a shortness or retraction of the nipple, so that the infant cannot take hold of it. In this case appropriate shields mav be applied to accustom the nipple to elongate and pro- trude, so as to present sufficient hold for the infant, when the period FALSE PAINS. 719 for suckling arrives, and when the efforts of the child will still further contribute to effect 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 when any tenderness exists during the period of nursing, the shield should be resumed between the intervals of the infant being applied to the breast, 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. Sulphur will frequently be found'to be very useful in some cases ; three globules of which may be taken, dry on the tongue, the first thing in the morning, fasting. PREPARATION FOR LABOR. TREATMENT. Fulness of Blood. When the approach of labor is attended with symptoms of fulness or redundancy of blood, Aconite or Belladonna will suffice to obviate what the exhausting resources of bleeding and aperients, under the old system, have failed to ward off. Aconitum should, in such instances, be employed at the onset; to be followed by Belladonna if Aconitum does not suffice to remove the fulness of blood, particularly if there be tendency to congestion to the head. Dose: Two globules in a teaspoonful of water, repeated, if necessary, after an interval of six hours. The Bowels. Lavement. An artificial evacuation, previous to delivery, may be obtained by a lavement of luke-warm water, repeated with a small quantity of linseed oil, when necessary from a failure in the first attempt to obtain the desired effect. Injection: If of luke-warm water, simply, inject about a tumblerful; if the addition of linseed oil be necessary, to a tumblerful of water add two table-spoonfuls of the oil; shake them well together in a bottle or other closed vessel, and inject the mixture. Diet and Regimen. The diet should be especially plain, con- sisting chiefly of farinaceous and fluid food, taken in moderate quan- tities, only, at a time; and perfect calmness (all disturbance, noise, or sudden causes of alarm being avoided,) is absolutely essential. FALSE PAINS. Characteristics. These pains sometimes precede labor but a few hours, — but in many cases come on some days, and even weeks, before delivery, — and chiefly differ from labor-pains in the irregu- larity of their recurrence, in being unconnected with contraction of the womb, and chiefly confined to the belly, with sensibility to touch and move ment, and in not increasing in intensity as they return. 720 TREATMENT AFTER DELIVERY. TREATMENT. Bryonia is indicated when there are pains in the loins resembling a dragging weight, much increased by motion, with abdominal pains pre- ceding those in the back. This remedy is more particularly indicated when the above symptoms have been excited by a fit of passion, or by taking cold. Dose: Of a solution of six globules to four teaspoonfuls of water, give a tea- spoonful. If, soon after the administration of the first dose, an aggrava- tion of pain ensues, pause until two or three more paroxyms have occurred; and, if these succeeding pains-prove to be of diminishing intensity or fre- quency, do not repeat the dose, until a relapse threatens. If on the other hand no improvement results, repeat the dose, after an interval of six hours; and so on, if the proper time for the expected labor is not nearly due, —discontinuing immediately on relief or change. Nux vomica, when the exciting cause appears to be constipation, or mental irritation, or a too luxurious mode of living, stimulants, coffee, or spirituous liquors. Dose: As directed for Bryonia. Pulsatilla. Similar abdominal pains; pains in the loins resembling those from continued stooping, or the pressure of a tight bandage, attended with a sensation of rigidity, and painful dragging and aching in the thighs ; constipation or relaxation; mildness of temper or great sensibility; particularly when these pains appear to have arisen from indigestion, brought on by rich, indigestible food. Dose : As directed for Bryonia. Aconitum. When these pains occur in young plethoric subjects attended with accelerated and strong pulse, flushing of the face, and increased temperature of the skin, the employment of this remedy completely obviates the supposed necessity for abstraction of blood. Dose: As directed for Bryonia. TREATMENT AFTER DELIVERY. After the termination of delivery, both body and mind must be kept in a state of perfect repose; everything which may tend to arouse the excitability of the patient, such as noise, strong light, and odor, must be carefully avoided, and the room kept at a moderate temperature. Restlessness. After the birth, the woman should be allowed to enjoy that slumber, which, in natural cases, generally follows, without interruption. Some- times this desirable state of rest is kept off by a great nervous excitement on the part of the female, with incessant tossing in bed and restlessness. TREATMENT. Coffea is usually sufficient of itself to overcome the restlessness in question, and to secure a calm and healthy slumber. Dose: Three globules in a teaspoonful of water, repeated, if necessary, in three hours. iFTER-PAINS. 721 Aconitum will generally avail to overcome the restlessness in cases in which Coffea has been ineffectually employed, and when fever symp- toms, such as dry heat of the skin, quick pulse, &c, set in. Dose: As for Coffea. When these remedies, which answer in'the majority of cases, fail of their accustomed success, the article on "Sleeplessness" (at pp. 530- 532) should be consulted. General Management, Diet, &c. Here again we must severely reprobate the practice of invariably administering stimulating, and even spirituous, beverages after delivery, which, far from possessing a strenthening property, tend only to excite and irritate the whole nervous system. For some time after parturi- tion, Nature calls for but little nourishment; it should be given only when the woman herself expressly feels the want of it, and then be of' the lightest and most digestible kind, and in very small quantities. It is highly reprehensible to endeavor to induce a woman to partake of food, under the. absurd idea of strengthening her. We must allow Nature to pursue her own course, which prescribes but little nourish- ment for the first five or six days after delivery, and thereby avoids the necessity of calling the bowels into action, which state of Constipa- tion (if it may be so called), is ordained for the wisest purposes, and attended with the most beneficial results; while the temporary inac- tivity 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, sufficiently condemn the use of aperients, which only tend to promote irritation, and occasionally aid in bringing on puerperal fever and other evil consequences; in many cases, also, this artificial relaxation interferes with the proper secretion of milk. After the fourth or sixth day, Nature generally acts spontaneously. When it appears necessary to afford early 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 a costive state of the bowels continues so long as to cause inconvenience, the appropriate medicine may be selected, and administered according to the directions afforded in the articles on this subject, at pp. 241- 247, and 706, 707. AFTER-PAINS. These pains are considered salutary, and perhaps justly so, to some extent; at the same time, when they occur in an aggravated form, and are unduly protracted, as frequently occurs in women of exalted nerv- ous sensibility, they tend to deprive the patient of her rest, and ought, under such circumstances, to be subdued as speedily as possible; their early mitigation, in all cases, by means of homoeopathic remedies, is, moreover, always attended with the most satisfactory results. TREATMENT. Arnica employed internally, and likewise externally as a lotion, 46 722 FLOODING. when the labor has been somewhat severe, is sufficient to prevent the excessive development of these pains, as also in most cases to ward off fever and inflammation. Indeed, the salutary effects of this remedy in f>reventing the development of the various derangements which are iable to occur after labor, is so decided that it is a safe procedure to have recourse to it in all cases. Dose: Internal. Of a solution of six globules to a table-spoonful of water, give one teaspoonful immediately after delivery; and again, when the after- birth has come away; and, subsequently, at intervals of three hours, until three more doses have been given; but if, notwithstanding the use of this medicine, the subjoined symptoms should ensue, proceed with one of the subjoined medicines. Application: External. To four table-spoonfuls of tepid water, add fifteen drops of the Concentrated Tincture of Arnica, and apply this lotion to the parts. Chamomilla should be administered an hour after the second dose of Arnica, when the after-pains still continue to a severe extent, and the patient is highly excitable and sensitive. Dose: Two globules in a teaspoonful of water, repeated, if necessary, after the lapse of an hour; then pause three hours, and, if the pains still con- tinue severely, proceed with the next medicine. Nux vomica should be employed when the after-pains are very severe, and there is a continual inclination to relieve the bowels when in a recumbent posture, but passing away when rising, followed by spasmodic pains in the lower parts of the abdomen, and the patient is of a quick and irritable temperament. Dose: Two globules, as directed for Chamomilla. Coffea cruda ought to be selected if the woman be sleepless, and the pain is of an insupportably intense description, followed by convul- sions, coldness, or rigidity of body. Dose: Two globules, as directed for Chamomilla. Pulsatilla is to be preferred when the convulsions do not super- vene, but the pains are protracted and the patient is of a mild and gentle disposition, but sensitive and easily alarmed about herself; the pains become worse towards evening. Dose: As directed for Chamomilla. Secale is indicated in feeble, thin, and delicate women, when the {>ains are, more particularly, of a pressing or forcing nature, simulating abor pains. Dose: Two globules, as directed for Chamomilla. Cuprum should be administered when the after-pains take the form of severe cramps, with cramps of the extremities; particularly in women of highly nervous or hysterical temperament. Dose: Two globules, as directed for Chamomilla. FLOODING. With respect to the treatment of Flooding, or of excessive discharge of blood as incidental to Delivery, the medical and general treatment, which is appropriate for this condition, is, in every respect, analogous INCONTINENCE OF URINE. 723 to that which is required for similar circumstances, as attendant upon miscarriage, to the article on which (at pp. 713-716), the reader is therefore referred. It is to be remembered, however, that while in flooding after labor, at the full term, the application, of cold to the abdomen is admissible in severe cases, the tampon or plug is never to be resorted to. It may be mentioned, in addition, that pressure made upon the womb, through the relaxed abdominal walls, by clasping it with one or both hands, equally and forcibly, but yet gently and without roughness, very frequently arrests the hemorrhage with great promptness. RETENTION OF URINE. A retention of urine after delivery, particularly when the labor has been protracted or severe, is not an unfrequent occurrence, and is one which naturally gives rise to great anxiety and uneasiness when pro- fessional aid is not at hand. TREATMENT. Belladonna. This medicine is, in the majority of cases, sufficient to remove the symptoms, often even without repeating the dose, but at all events after two or three doses have been given. Dose: Dissolve six globules in two table-spoonfuls of water, and give a tea- spoonful of the solution every two hours until relief is obtained. Cantharides should be administered if Belladonna should fail to produce the desired result within two hours after the third dose, and particularly when there is constant urging to urinate, with inability to effect urination. Dose: As directed for Belladonna. INCONTINENCE OF URINE. An incapability of retaining the urine is, on the other hand, another not unusual sequel of protracted or severe labors. TREATMENT. The employment of Arnica, internally and externally, as advised under the head of " After-Pains," at p. 721, is, in the majority of cases, sufficient to overcome this weakness. When it fails to accomplish this object, the following remedies should be had recourse to. Pulsatilla is frequently successful in remedying the defect in from two to four days. Dose: Three globules in a teaspoonful of water, morning and evening, for two days. Consider also the following. Belladonna may be administered, if, two days after the last dose of the foregoing medicine has been given, only partial relief has ensued. Dose: As directed for Pulsatilla. Cicuta, Zincum met., Sulphur, Natrum m. When the affection does not yield to the foregoing medicines, or when it has become chronic before remedial aid has been sought or employed, one 724 DISEASES FOLLOWING PARTURITION. of these remedies may be required to effect a cure. For the particular indications which should lead to the selection of each, respectively, refer to the article on "Characteristic Effects." Dose: Of either of these medicines, as selected, give three globules in a tea- spoonful of water, night and morning, for a week (unless decided change should sooner occur); then pause five days, after which, if some degree of improvement is evident, and appears to be progressive, repeat the same medicine as before. DURATION OF CONFINEMENT, ETC. Strict attention should be paid to cleanliness and ventilation of the lying-in chamber. Everything that emits an offensive odor should be promptly removed from the room; and a draught of air should pass through the room (not, however, across the patient's bed). The parts should be bathed, under the bedclothes, with lukewarm water, once or twice a day, so long as the after-discharge continues. The patient should make no exertion during the first three or four days. As soon as she is able, she may be moved from one side of the bed to the other; thus leaving a fresh side to be transferred to, for the first nine or ten days. During this period she should not get up. After the tenth day she may sit up out of bed, if she is able, for a short time, which may be lengthened gradually from day to day, as she gains strength. Thus, too, she may begin to walk, little by little, until she gradually grows stronger, and more accustomed to exercise. In summer she may ride out during the third week, and in winter during the fourth week, all things being favorable. Diet and Regimen. The diet should at first be light, and not generally of a very nutritious quality, but exceptions to this rule are necessary in many cases ; the patient ought only gradually to partake of food of a more nourishing nature, and rarely have recourse to stimu- lants; all strong odors from flowers, or other aromatic substances, must be carefully avoided, and the mind also kept in as perfect a state of tranquillity as possible. DISEASES FOLLOWING PARTURITION. SUPPRESSED SECRETION OF MILK. It is of paramount importance that the natural 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, &c. TREATMENT. Pulsatilla should be promptly employed in cases of sudden sup- pression of the secretion of milk, whether occasioned by mental emo- tion or other causes ; and this medicine will, in such cases, frequently excessive secretion of milk. 725 be found sufficient to restore the natural flow of milk, and to reestablish the general equilibrium of the system. Dose: Three globules in a teaspoonful of water, repeated, if necessary, at intervals of six hours (or only every twelve hours, in very mild cases) until amelioration or change. Bryonia is to be preferred when the suppression of the milk has been followed by oppression at the chest, or even by stitching pains in the chest or side; or perhaps, more particularly, if the suppression can be traced to some sudden mental emotion, or to catching cold. Dose: Three globules in a teaspoonful of water, repeated at intervals of four hours (if necessary), until amelioration or change. Chamomilla should be selected if the patient be particularly irritable and excitable, and the suppression be followed by hurried and anxious respiration, and by intense flushing of heat, or burning heat of the hands and face, either with crimson flush, or with evanes- cent and alternate flushing and paleness; and especially if the suppres- sion has been occasioned by a sudden mental emotion or perturbation. Dose: Three globules, as directed for Bryonia. Belladonna should be given in cases in which the suppression is characterized by: redness of the face, and general symptoms of con- gestion to the head; the breasts feel heavy, and appear red, the redness running in streaks over them ; sensitiveness to noise, light, or touch. Dose: Three globules, as directed for Belladonna. Aconitum should be administered if active feverish symptoms, such as hot, dry skin, &c, set in; and under such circumstances will fre- quently remove the whole disordered condition with great promptitude. Dose: Three globules, as directed for Bryonia. EXCESSIVE SECRETION OF MILK. Occasionally, on the other hand, it happens that too abundant a secretion takes place, causing distension of the breasts, with involuntary emission of milk, and producing extreme emaciation, and weakness. TREATMENT. Aconitum may be exhibited, as a precautionary measure, when there is high febrile action of the whole system, and we are ignorant of the exciting cause. Dose: Of a solution of four globules to two table-spoonfuls of water, give a teaspoonful, repeated at intervals of six hours, until the frequency of the pulse is diminished, and the skin becomes moist, &c. Rhus toxicodendron frequently proves of much service when febrile symptoms arise from distension of the breasts, induced by an excessive secretion, and indications of what is generally denominated milk-fever (which, however, frequently arises from other causes). Dose: Two globules in a teaspoonful of water, night and morning, until ame- lioration or change. Calcarea should, however, be employed in cases in which excessive distension of the breasts, spontaneous emission of milk, and loss of flesh occur without any marked and active fever symptoms, — or after the 726 SUPPRESSION OR EXCESS OF PERSPIRATION AFTER DELIVERT. previous employment of Aconitum or of Rhus, when the fever symptoms have been allayed. Dose: Two globules, as directed for Rhus tox. Phosphorus is of especial value in cases of this kind, when the patient exhibits marked signs of a tendency to consumptive disease, and emaciation takes place rapidly; under which circumstances (if Calcarea has effected little apparent benefit) it should be employed eight days after the last dose of that medicine. Phosphorus is yet fur- ther indicated when there are prevalent sensations of determination of blood, with oppression at the chest, and sometimes, even, short, dry, hacking cough. Dose: Three globules, as directed for Rhus tox. SUPPRESSION OR EXCESS OF PERSPIRATION AFTER DELIVERY. Suppressed Perspiration. The increased perspiration, which takes place after child-birth, is, aa we have before observed, a substitute for the suspended action of the alimentary canal, consequently its sudden suppression is unavoidably followed by an injurious result, and, not unfrequently, by fever. Exciting Causes. Exposure to cold, or a sudden chill, is the most frequent cause. TREATMENT. Dulcamara should be promptly administered when the perspira- tion has been suddenly checked by a chill, and, in such cases, it will often suffice singly to restore the action of the skin, and to prevent fur- ther injurious consequences. Dose: Three globules in a teaspoonful of water, repeated (if there be a degree of effect) after the lapse of four hours. But, if no evident reaction should have occurred, proceed with the next medicine. Bryonia is to be preferred when extreme oppression at the chest is the predominant symptom; or when there is a feeling of soreness and aching in all the limbs, aggravated by movement. Dose: Three globules, as directed for Dulcamara. Sulphur should be employed after the foregoing medicines, in cases in which such treatment is insufficient, and there is, more especially, intense heat of the skin, and distress. Dose: Three globules, as directed for Dulcamara. Excessive Perspiration. On the other hand, an excessive perspiration is almost equally prejudi- cial ; it is chiefly injurious from the extreme debility and high tuscep- tibility of taking cold which it occasions. It is generally brought about by keeping the room at too high a temperature, the use of too great a quantity of bedclothes, or by stimulating beverages. TREATMENT. Our first care must be a removal of the exciting causes. • MILK FEVER. 727 Sambucus nigra should, however, be administered if the exces- sive perspiration should not subside, upon the removal ofthe causes, in which instances this medicine will generally be found effectual in its removal. Dose: Two globules in a teaspoonful of water, repeated at intervals of six hours, until decided amelioration or change. China should be employed six hours after the second dose of ^Sam- bucus, if, notwithstanding the administration of the last-named medi- cine, the excessive perspiration should continue, and should be of an exhausting character, and attended with great debility. Dose: Two globules, as directed for Sambucus. Acidum sulphuricum is, however, to be preferred when the per- spiration is excessively profuse, when lying still, but is diminished by movement. Dose: Two globules, as directed for Sambucus. Diet and Regimen. Above all things, the use of stimulating beverages should be avoided. In other respects, the general regula- tions, prescribed at pp. 720, 721, for immediate treatment after de- livery, should be observed. MILK FEVER. The secretion of milk must be looked upon rather as an operation of nature, than one requiring medical aid for its regulation. Neverthe- less, many women suffer some slight uneasiness for a few days follow- ing confinement, during the first period of that process; and when any of the under-mentioned group of symptoms present themselves, the affection is known by the name of Milk Fever. Symptoms. Shivering and heat, terminating in perspiration; the pulse, at first weak, changing to various phases, sometimes quick and frequent, at others soft and regular; and, in some instances, these symptoms are attended with a drawing pain in the back, extending to the breast, a disagreeable taste in the mouth, thirst, oppressive breath- ing, anxiety, headache, and diminution and suppression of the secretion of milk, &c.; the exacerbation declares itself regularly about evening, and towards morning perspiration comes on, with alleviation of suffer- ing, 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. Exciting Causes. Neglecting to put the infant sufficiently early to the breast, with consequent absorption of the milk into the circula- tion, is a frequent source of the derangement. Mental emotions are also not unfrequently to be distinguished as the exciting causes of such irregularities. TREATMENT. Nature herself, if not disturbed by improper treatment, will, in most cases, suffice to restore the equilibrium of the system. When the secre- tions are reestablished, the derangement generally ceases; should, how- ever, the affection become aggravated, we may dread the setting in of puerperal fever. 128 CHILD-BED FEVER. Aconitum may be had recourse to in all instances where consid erable fever is present; and will usually suffice to remove the entire group of symptoms. Dose: Give three globules in a teaspoonful of water, repeated, after the lapse of six hours, if necessary. Coffea should be employed, when the case is characterized by ex- treme restlessness, anxiety, and dread. Dose : As directed for Aconitum. Bryonia may with great advantage follow Aconitum, when the active febrile symptoms are in a great measure subdued; and it is fur- ther particularly indicated, when there are oppressed and laborious breathing, intense headache, and obstinate constipation. Dose: Three globules, as directed for Aconitum. Pulsatilla will be found particularly useful in severe cases, espe- cially when caused by taking cold, and bearing a closer approximation to a rheumatic affection than to the general symptoms of milk fever. Dose: Three globules, as directed for Aconitum. Belladonna is very useful in particular cases, in which complica- tions with severe disturbance of the brain, or with inflammatory action in the breasts, may supervene. Dose: Two globules in a teaspoonful of water, repeated at intervals of four hours, until a degree of improvement sets in; and-then, at intervals of six hours, until decided amelioration or change. Rhus is also of considerable service, when extreme fulness, tension- and painfulness of the breasts, with excessive secretion of milk, partic ularly characterize the case. Dose: Two globules, as directed for Belladonna. Diet and Regimen. The greatest precaution should be observed in the food and drink allowed. Very, thin gruel, or some other simple farinaceous or mucilaginous fluid, alone should be allowed. The apart- ment should be kept cool, without, however, exposing the patient to a direct draught, and the bedclothes should be light. Excessive heat is a frequent cause of untoward complications. CHILD-BED FEVER. This malady is of such gravity, that, in all cases where it is at all possible, the services of a homoeopathic physician should be secured. As this work, however, will be used, perhaps, when no physician can be had, it has been thought judicious to treat of the disease at sufficient length to be available in cases of emergency. Characteristics. This disease assumes various types and degrees, and has received a variety of names. It commonly attacks on the third day after delivery, but its incipiency may be manifested immediately after labor ; or, again, in some instances, it occurs even when the lying- in woman has well progressed in convalescence. It is, fortunately, of unfrequent occurrence; and, while difficult or tedious labor by no means implies greater liability to an attack, even the quickest and least diffi- cult labor d>es not, necessarily, imply immunity from its ravages The CHILD-BED FEVER. 729 more prominent symptoms, in a majority of cases, are: chills, or chilli- ness, followed by severe headache, fever, quick and sometimes weak- ened pulse, suppression of the milk and of the lochia, pain and tender- ness to pressure over the region of the womb, which gradually increases in degree, and extends over the entire abdomen. The patient becomes listless and languid, losing all interest in surrounding circumstances, and even in her child, and the expression of the face indicates anxiety and great prostration ; or, again, on the other hand, she may be unduly excited, nervous and tremulous. If the disease progresses in spite of treatment, delirium commonly supervenes, vomiting, and sometimes diarrhoea set in, and bloatedness of the abdomen ensues. Rattling of the breathing, with enormous distension of the abdomen, are usually regarded as fatal symptoms. As the disease advances, the womb, the peritoneum, and other organs and tissues of the abdomen, become in- volved in the prevailing inflammation. Causes. This disease may occur in consequence of a chill occa- sioned by a draught of air, or other cause, or from the use of damp or wet linen; or it may be occasioned by violence; or, again, it may be impossible to assign any reason for its occurrence; in which case we are led to believe that it is due to infection, or arises in consequence of some lurking taint or predisposition of the system. Issue and Results. Under allopathic treatment, puerperal fever is most commonly fatal; but different results obtain under the gentle and specific measures pertaining to homoeopathy; so that a good de- gree of hopefulness as to a favorable termination may be entertained, even in apparently desperate cases. The initiatory symptoms of this disease are very similar to those of "milk fever;" but the distinction is to be made by the fact of absence of pain, and more particularly by absence of tenderness of the abdomen. It is well to make the distinc- tion, when possible, at an early period; but as homoeopathy directs that medicines are to be prescribed according to existing symptoms and conditions, errors of diagnosis are not, necessarily, attended with such grave results as under other and less direct systems of medication. TREATMENT. Aconitum should be employed at first, being indicated by the febrile condition, and by other circumstances; and will, in very many cases, when promptly administered, particularly in those of a more simple form, serve to dissipate the entire disordered condition, and restore harmony to the system in an almost magical manner. Dose: Of a solution of twelve globules to four table-spoonfuls of water, give a teaspoonful every hour, or half hour, according to the severity of the symptoms. If, at the end of twelve hours, the symptoms have abated, the intervals may be extended two or three hours. If, however, after the lapse of six or twelve hours, no evidences of amelioration are manifested, consult one of the subjoined remedies. Belladonna should be administered when the pain is violent and cramp-like, with swelling of the abdomen; or the pains are forcing, ag if the contents of the abdomen would be pressed out; sensitiveness of the belly to touch; chilliness ant1 heat occurring simultaneously; burn- 730 CHILD-BED FEVER. ing heat, especially ofthe head and face; redness ofthe face and eyes' headache; dry mouth, with red tongue; sleeplessness, with restlessness, delirium; suppression of the lochia, or escape of red and fetid blood; the breasts are red and inflamed, or swollen and empty. Dose: As directed for Aconitum. Hyoscyamus may be used in some cases of a similar nature to that indicative of Belladonna; but where the disease has been developed by mental emotions, and is characterized by spasmodic symptoms, jerks, and twitches, delirium, throwing off of the bedclothes, and desire to be uncovered, &c, it is more particularly indicated. Dose : As for A conitum. Bryonia will be found useful in cases in which the abdomen is swollen equally, and is sensitive to touch ; violent, splitting headache; the pains are aggravated by the slightest motion; sitting up, or even raising the head, cause nausea and fainting; great thirst, with desire for cold drinks; the patient is irritable, or restless, and apprehensive as to the result of her sickness. Dose: As for Aconitum. Rhus tox. is suitable when the fever is of a low or typhoid grade; the patient is very restless, constantly tossing about; the least contra- diction aggravates the symptoms; the lochia, having changed, is again tinged with blood, or clots of blood are discharged; aching, soreness, and stiffness of the limbs; the tongue is red. Dose: As for Aconitum. Mercurius is indicated by dejected expression of countenance; great thirst; constant flow of saliva; lancinating, boring, or pressive pains in the belly; profuse sweat, which, however, gives no relief; mucous or bloody diarrhoea, or ineffectual desire for stool; very offen- sive wind ; the symptoms are usually, aggravated at night. Dose: Of a solution of twelve globules to four table-spoonfuls of water, give a teaspoonful every two hours, until manifest improvement or change. Nux vomica is suitable at the commencement, when the lochia has been suddenly arrested by some untoward mental emotion, such as vexation; frequent desire to urinate, with pain, scalding, and burning; heaviness and burning in the abdomen; pain in the small of the back, worse on moving; frequent and ineffectual urging to stool; despondent; sleepless, or dreams frightful dreams; the symptoms are usually aggra- vated early in the morning. Dose: As directed for Mercurius. Colocynth will be found valuable when the abdomen is greatly distended, and the pains are insupportable, being of a sharp, cutting, or lancinating character, which cause the patient to draw the thighs up as close to the belly as possible; diarrhoea, with colicky pains, aggra- vated or excited by eating or drinking. Dose: As for Aconitum. Chamomilla is useful for cases in which the breasts are flaccid, and without milk; diarrhoea, with whitish stools; pains in the belly, like the pains of labor; general heat, with redness of the face, or one IRREGULARITIES OF THE LOCHIAL DISCHARGE. 731 cheek is red, and the other not; great agitation, impatience, and nerv- ous irritability; the disease is the consequence of a fit of anger. Dose: As for Mercurius. Arsenicum will prove valuable when there are: great anguish; sudden prostration; sunken countenance, with a sallow or livid com- plexion ; extreme restlessness and anguish, with fear of death; sleep- lessness ; dry and parched lips; great thirst, with desire to drink but little at a time; burning heat in the belly; feeble and intermittent pulse; with coldness and desire to be covered. Dose: As for Aconitum. Lachesis. The abdomen is extremely sensitive to pressure, so that she cannot even bear the pressure of her clothing; the pains feel as if ascending towards the chest; all the symptoms are worse after sleeping. Dose: As for Mercurius. Acidum phos., Carbo \eg., Opium, and Seeale may be found available in some cases, after the above-mentioned remedies have failed. A selection from among them may be made by consulting the article on " Characteristic Effects." Dose: Ofthe medicine selected, as directed for Aconitum. Diet and Regimen. The most absolute repose of body and mind should be secured ; all noise should be shut out, the chamber darkened, and a moderate temperature maintained ; the room should be well ven- tilated, so as to have the air changed without admitting a cold draught. Privation of all aliment must be enforced, and the thirst allayed by teaspoonfuls of cold water, which should be iced in summer, or if there be vomiting. If the lochia are suppressed, flannels wrung out of hot water may be applied to the external genitals; or a tepid injection may be thrown into the rectum, if there be great constipation; but it must be a small quantity, that the bowels may be not much disturbed. The infant should be removed, and fed on cow's milk and water, until the patient is out of danger. IRREGULARITIES OF THE LOCHIAL DISCHARGE. This discharge varies considerably in different women; with some it continues for several weeks, in others only a few days ; sometimes it is thin and scanty, at others so profuse and long-continued, as impera- tively to call for medical assistance. Causes. Profuse and protracted lochial discharge may be fre- quently traced to sitting up too soon after confinement, to errors in regimen, keeping the chamber at too high a temperature, or to mental emotions. TREATMENT. If, after nine days, the discharge continues profuse, containing pure blood, whereby an unnatural state is indicated, one or more of the subjoined medicines may be required. Excessive Discharge. Crocus is to be recommended in most cases where the discharge is 732 IRREGULARITIES OF THE LOCHIAL DISCHARGE. of too long duration, and particularly when the blood is of a black jr dark color, and viscid consistency. Dose: Three globules in a teaspoonful of water, night and morning, until amelioration or change. Bryonia is to be preferred when the discharge is of a deep-red color, and is attended with internal burning pains in the region of the womb. Dose: As directed for Crocus. Nux v. is usually required when a chill, or the use of stimulants, has produced the mischief, and the patient is affected with severe pains in the back, and a constant and fruitless urging to stool. Dose: As directed for Crocus, Calcarea is more particularly indicated, when troublesome itching is experienced in the internal parts; or when the discharge is very protracted, and occurs in women of full habit. Dose: Three globules, as directed for Crocus. Silicea should be employed when pure blood follows with the lochia] discharge, every time the infant is placed at the breast. Dose: Three globules, as directed for Crocus. Suppressed Discharge. Pulsatilla. When the lochial discharge is suddenly suppressed, — which it sometimes is, from a variety of external causes, such as men- tal emotions, &c, — and from this source puerperal fever threatens to ensue, the danger may frequently be warded off by the administration of this medicine. Dose: Three globules in a teaspoonful of water, repeated at intervals of six hours, until a degree of improvement results; and, subsequently, night and morning, until the return of the discharge. Aconitum will generally suffice, if promptly administered when the sudden suppression arises from fright, and is attended with febrile symptoms. Dose: Three globules, as directed for Pulsatilla, Opium should more especially be employed, whether at the onset or after the previous administration of Aconitum, when convulsive symptoms prevail. Dose: As directed for Aconitum. Dulcamara will be found efficacious when the suppression is caused by exposure to cold or damp. Dose : As directed for Pulsatilla. Belladonna. Where sudden suppression is followed by conges- tion of the brain, with flushed face, delirium, &c. Dose: As directed for Aconitum. Colocynth is to be preferred in cases of suddenly suppressed lochial discharge, when there is intense colic, with excessive flatulent distention of the bowels, and diarrhoea, and aggravation of symptoms after drinking, or taking the smallest morsel of nourishment. Dose: As directed for Pulsatilla. DIARRHG3A IN LYING-IN WOMEN, 733 Offensive Discharge. Belladonna should be promptly administered when the discharge becomes thin and offensive, and will usually suffice to restore it to a healthy condition. Dose: Two globules in a teaspoonful of water, night. and morning, until amelioration or change. Carbo v. should be administered twelve hours after the third dose of Belladonna, if, notwithstanding the employment of the last-named medicine, the discharge should continue to be equally offensive. Dose: Two globules, as directed for Belladonna. Kreosote or Secale cornutum should be given twelve hours after the third dose of Carbo v., if the offensiveness of the discharge should not have been removed by the previous treatment. Dose: Two globules, as directed for Belladonna. Diet and Regimen. If the discharge be excessive without becoming offensive, the diet should be very plain and unstimulating, and the food or drink taken nearly cold, if not quite so. If, on the other hand, suppression arises, the general precautions prescribed un- der the head of "Fever" (at p. 92) should be observed. If, again, offensive discharge should ensue, very great caution must be observed in the nature of the food. In all cases great cleanliness is doubly conducive to the comfort of the patient and to the prevention of untoward complications. 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 correction, by proper treatment. TREATMENT. Dulcamara is generally indicated by the cause being a check of the naturally increased perspiration, in lying-in women, from a chill; and when timely administered, it will generally be found sufficient to answer the purpose required. Dose: Two globules in a teaspoonful of water, every four hours, until amelioration or change. Acidum phos. is most effectual for the treatment of painless and almost involuntary evacuation. Dose: Two globules, as directed for Dulcamara. Antimonium crudum is generally to be recommended when the evacuations are very watery or liquid, and offensive; the tongue is coated white. Dose: Two globules, as directed for Dulcamara. Rheum palmatum is to be preferred, whether at the onset, or after the previous administration of Antimonium c, in cases in which, in addition to the indications afforded for the last-named medicine, the evacuations emit a sour smell. Dose: As directed for Dulcamara. 734 ABDOMINAL DEFORMITY. Phosphorus should be administered in very obstinate cases, when the discharge is watery, almost involuntary, and painless. Dose: As for Dulcamara. Veratrum should be given if the discharges are very profuse and watery, attended with much pain; chilliness, coldness of surface, and cold sweat on the face. Dose: As directed for Dulcamara. Additional Particulars. In cases in which neither of the medicines above enumerated appear to meet the symptoms and conditions which occur, consider the in- structions afforded in the general article on "Diarrhoea" (at pp. 260- 266). Diet and Regimen. Consult the article on "Diarrhoea" (at pp. 260-266). ABDOMINAL DEFORMITY. Abdominal deformity is more commonly incidental to women who have borne many children, or who present a predisposition to corpu- lency ; and is found especially difficult of treatment, when tight stays have relaxed the abdominal muscles, and, by so doing, increased the existing bias to the affection. It may, however, ensue as the conse- quence of a strain upon the muscles of the belly during pregnancy. TREATMENT. Rhus toxicodendron should be administered internally, simul- taneously with its external application, when there is reason to attribute the condition in question to a strain upon the muscles of the belly, occurring during pregnancy. Dose (Internal): Three globules in a teaspoonful of water, night and morn- ing for a week. Application: To four table-spoonfuls of water add twenty drops of the Con- centrated Tincture of Rhus toxicodendron, and apply this lotion to the parts by means of gentle friction, twice a day for four days (unless the lotion should prove irritating). Calcarea carb. is to be recommended as of the chief importance m the treatment of the general obesity which sometimes occurs, and is more especially serviceable for lymphatic subjects. Dose: Four globules in a table-spoonful of water, the first thing in the morning, fasting, for a week. ACCESSORY MEASURES. An elastic bandage, laced at the back, and exerting an equal press- ure over the whole of the abdominal region, may, at the same time, be worn with advantage. In some cases, where there is a tendency tc this affection, particularly in corpulent habits, we may, soon after de- livery, have recourse to mechanical aid, by transferring the weight from the abdominal muscles to the shoulders, by the aid of a properly- constructed apparatus; but we must, in the strongest manner, object to this or any other pressure being exercised upon the abdominal region WEAKNESS AFTER DELIVERY. 735 during pregnancy, as such a measure is obviously calculated to entail injurious consequences upon the offspring. Diet and Regimen. Spare diet and regular exercise must, in both varieties of corpulency, be inculcated. FALLING OFF OF THE HAIR. TREATMENT. Calcarea carb. is to be chiefly recommended, especially in cases in which the falling off of the hair occurs in patients who have had profuse or protracted lochial discharge, or who have been habitually subject to excessive menstrual discharges; or who sweat profusely about the head. Dose: Four globules in a table-spoonful of water, the first thing in the morning, fasting, for a week (unless some change, requiring other treat- ment, should sooner occur); then pause ten days, after which the course may be repeated, as before. Kali carb. is also of much service in cases in which the hair is very dry and brittle. Dose: As directed for Calcarea. Sulphur is, however, to be preferred in a great number of cases in which there is determination of blood to the head; the patient is sub- ject to piles, and exhibits marked indications of an enfeebled or tainted constitution., Dose: As directed for Calcarea. Lycopodium and Natrum mur. will be found very useful in some cases in which the foregoing remedies have failed to produce a decided effect. Dose: As directed for Calcarea. K WEAKNESS AFTER DELIVERY. We frequently find a high degree of weakness or exhaustion remain- ing after delivery, when it has been caused by very considerable loss of blood, during or after that period ; or by other causes. TREATMENT. China is particularly indicated in such cases, and will generally be found efficient in restoring the vital energies; especially when the weakness is referable to loss of blood, or to very profuse sweating. Dose: Three globules in a teaspoonful of water, repeated, morning and even- ing, for four days (unless decided change should sooner occur). Aconitum should generally be given at the onset, when the derangement is attributable to nervous weakness, and is attended with great restlessness and want of sleep. Dose: Two globules in a teaspoonful of water, repeated, if necessary, at intervals of six hours. Coffea should be administered four hours after the last dose of Aconitum, if the restlessness and nervous excitement should become excessively predominant. Dose: Two globules, as directed for Aconitum. 736 OBSTACLES TO SUCKLING. Hydrastis will be found very efficacious in restoring tone to the system in some cases, more particularly when the weakness is due to severity or long-continuance of labor. Dose: Three globules, as directed for China. Veratrum should, however, be preferably employed after Aconi turn, when excessive prostration of strength ensues. Dose: As directed for Aconitum. Diet and Regimen. The patient should be kept very quiet, all noise being avoided ; and everything calculated to induce excitement. such as general conversation, the presence of many persons (members of the family), or intelligence, should be withheld. Beef-tea, and good broth free from grease, with a little dry toast, and simple farinaceous articles, constitute the best diet for the first four days. Stimulants should by no means be allowed, in almost all cases, until the milk- fever has passed, and then at the utmost, if necessary in particular instances, a few teaspoonfuls of weak wine and water. OBSTACLES TO SUCKLING. DISINCLINATION OF THE INFANT. Even some healthy mothers find a difficulty, before Ihey become accustomed to it, in nursing their children, which, however, a little perseverance will soon effectually overcome. TREATMENT. In cases of a simple nature the subjoined medicines will usually suffice, but in those of a more complicated character, and when medi- cines enumerated fail to overcome the difficulty, it is sometimes neces- sary to select a wet-nurse, or to resort to the nursing bottle. Cina. When the child itself refuses to take the breast, although applied within a few hours after delivery (a rare instance), the admin- istration of this medicine has, in some cases, succeeded in removing this repugnance in the course of a few hours. Dose: Four globules should be placed upon the tongue of the infant, and allowed to dissolve. But if, after the lapse of six hours, the infant be still disinclined to suckle, proceed with the next medicine. Mercurius should be employed six hours after the administration af Cina (as just directed), when the infant still refuses the breast. Dose: As directed for Cina. Silicea is likewise occasionally very serviceable, in cases in which the infant takes the breast readily enough but immediately afterwards returns the milk. Dose: As directed for Cina. EXCORIATION OF THE NIPPLES. In the majority of those cases in which no malformation ofthe parts EXCORIATION OF THE NIPPLES. 737 is present, the main difficulty 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 ;ip the treatment of which we have already spoken under the head of "Preparation of the Breasts" (at p. 718); of course taking the pre- caution of laving the nipples 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. In case, however, the nipples should be insufficient, or their tenderness should remain in spite of treatment, nursing may yet be accomplished by using a proper shield and artificial teat, numerous and excellent varieties of which may be procured. TREATMENT. Arnica, internally and externally employed, at the same time, will frequently suffice to obviate further inconvenience, if employed at the onset; unless, indeed, there be a lurking taint of constitution, which can only be overcome by the use of one or more of the subjoined medi- cines. The external application of Arnica may also be employed with advantage in the preparation of the breasts, when irritation or inflam- mation appears to arise from the pressure of the shield. Dose (internal): Three globules in a teaspoonful of water, repeated, if neces- sary, after the lapse of twelve hours. Application, (external): To two table-spoonfuls of water add ten drops of the ' Concentrated Tincture of Arnica, and bathe the parts with this lotion three times in the course of the day, washing the nipple with tepid water, or milk and water, before giving it to the infant. But if these means should not be followed by decided relief, consider the following medicines. Sulphur should, in the majority of cases, be administered when the external and internal employment of Arnica has not been productive of prompt and decided good results. Dose: Four globules in a table-spoonful of water, the first thing in the morn- ing, fasting, for four days, unless some important change should sooner occur; then pause eight days, after which, if any inconvenience be yet experienced, proceed with the next medicine. Calcarea should be employed eight days after the last dose of Sul- phur, in cases in which the last-named medicine has not completed the cure. Dose: As directed for Sulphur. Mercurius is to be recommended in preference to the foregoing medicines, when the excoriation is attended with a burning sensation. Dose: Two globules, in other respects as directed for Sulphur. Chamomilla is well adapted to meet the milder forms of sore nipples, with extension of the inflammation to the surrounding skin; the woman is irritable and cross. Dose: Four globules, as directed for Sulphur. Silicea may be required after any of the above-named medicines, for the treatment of very obstinate cases, in which the method prescribed in the foregoing directions has proved insufficient to complete the cure. Dose: Four globules, as directed for Sulphur. 47 738 INFLAMMATION OF THE BREASTS. Diet and Regimen. Heating and stimulating articles of food should be carefully avoided. A moderate temperature should be main- tained, and as much fresh air admitted into the apartment as possible; at the same time, the advantageous use of proper ablution should not be neglected. Scrupulous cleanliness is of very important consideration. INFLAMMATION OF THE BREASTS. Characteristics. Another, and one of the greatest obstacles to a mother nourishing her infant, is inflammation and swelling of the breasts. The breasts become red, inflamed, and indurated, occasionally suppurating in some parts, which open and discharge; while others remain still hard and inflamed, and ultimately either end in suppura- tion, or in the formation of obstinate nodosities. General Causes. Anything tending to disturb the lacteal secre- tion, such as fright, passion, cold, &c, may operate as an exciting ° cause of this affection, although we frequently find it present, without being able to trace its origin; it not unfrequently arises from a too tardy application of the infant to the breast, or from a sudden cessa- tion of suckling, occasioned by the death of the child, or other reasons. Issue and Results. This disease, if not checked, as but too fre- quently happens under allopathic treatment, exhibits a variety of phases; and the suppuration that takes place leaves behind it disfigur- ing scars. Frequently the breasts are so far destroyed, as to be rendered ever after incapable of performing their functions. TREATMENT. Bryonia is the principal remedy in this affection, before the in- flammation becomes fully developed, especially when the breasts are hard, red, tense, and tumefied, and feel heavy; and when there is some degree of fever. Doze: Of a solution of six globules to four teaspoonfuls of water, give a tea- spoonful every four hours, until amelioration or change. Belladonna is, however, required when the inflammation is more intense, and the erysipelatous appearance of the skin is clearly defined, usually running in radii; and is, in such instances, usually sufficient to subdue all inflammatory symptoms. Dose: As directed for Bryonia. Sulphur may be required, more especially for the treatment of scrofulous subjects, and when the previous administration ofBelladonna has been productive of partial or limited improvement, an evident sus- ceptibility remaining, even if the active inflammatory symptoms have been allayed. It is also useful when, after the bursting of an abscess in the breast, the cavity is slow in healing up, and the discharge ex- cessive. Dose: Three globules in a teaspoonful of water, morning, noon, and night, for four days (unless change should sooner occur) ; and then, every other night, at bedtime, for four days more. Graphites should be employed, particularly in scrofulous subjects, where the breasts are in such bad condition from previous inflammations INFLAMMATION OF THE BREASTS. 739 and abscesses, that the milk cannot flow, and its retention threatens inflammation and abscess. Graphites will in most cases ward off the difficulty. Should Graphites fail, Phytolacca should be tried, no other remedy being more prominently indicated. Dose: As directed for Sulphur. Phytolacca decandria will be found to be a most valuable remedy in many cases; more particularly where the breasts are hard from the commencement of the disorder, sensitive to touch, and more or less painful. It will also prove useful for "lumps" in the breasts. Dose: As directed for Bryonia. Mercurius may be required after any of the foregoing medicines, when, notwithstanding the previous treatment, and the reduction of the inflammatory symptoms, a degree of induration still remains. Dose : As directed for Sulphur. Phosphorus is indicated when symptoms of threatening formation of matter (abscess), such as increase of pain, with transitory chills, and throbbing in the breast ensue. Its immediate employment, under such circumstances, will often succeed in speedily relieving pain, and pre- venting the ripening and bursting of the abscess. It is also indicated in severe cases where there are already fistulous ulcers formed, of blue appearance, and having callous edges; and the patient has hectic fever and night sweats. Dose: Three globules every six hours, until relief is obtained. Lachesis is indicated when the affected parts present a bluish or purplish appearance, the patient having chills at night, and flushes of heat by day. Dose : As directed for Bryonia. Veratrum viride is indicated when the inflammation of the breasts is accompanied with orgasm of the blood, quick pulse, and general excitement of the arterial system. Dose : As directed for Bryonia. Hepar should be given when the intense heat with throbbing pain continues or increases, and when it becomes absolutely necessary to bring the matter to a head; or when suppuration has already set in. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful every four hours until decided amelioration or change. Silicea. In many instances in which we find a fetid, watery dis- charge, which is frequently brought about by neglect or by improper treatment, such as the application of deleterious salves, &c, this medi- cine will often be amply sufficient to restore the breast to its former condition. Dose: As directed for Sulphur. Diet and Regimen. During the continuance of simple and active inflammation, the general regulations to be observed are those which have been prescribed in the article on "Fevers" (at pp. 92, 93). When, however, suppuration takes place, especially if the healing process becomes protracted, the reader should consider the instructions respectively afforded in the article on " Eradicative Treatment," (at pp. 83-89,).and in that on "Abscess," (at pp. 433-437.) 740 MOTHERS NOT SUCKLING THEIR CHILDREN. MENTAL EMOTIONS AFFECTING THE MILK. It is a well-known fact, confirmed by numerous examples, thaf Mental Emotions have a most powerful effect upon milk, — in a mo- ment 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 they are perfectly composed ; and ere the infant be again applied to the breast, a portion of the milk should be drawn off. TREATMENT. Fortunately, for evils arising from these causes, homoeopathy presents prompt and efficacious remedies, which, if at hand, should be adminis- tered immediately, according to the cause and symptoms. The appro- priate treatment may be readily discerned by reference to the articles on " Mental Emotions," (at pp. 678 - 680, and again at pp. 703 and 704.) DEFICIENCY OR SUPPRESSION OF THE MILK. TREATMENT. Pulsatilla is generally capable of restoring a proper and healthy flow of milk, in the majority of simple cases dependent upon temporary want of functional energy. Dose: Three globules in a teaspoonful of water, night and morning, until the flow of milk begins to be more healthy, and suflicient. Agnus castus will be found useful in similar cases, when Pulsa- tilla has failed to effect a favorable change. It is more particularly indicated when a sad or despairing mood on the part of the woman predominates. Dose: As directed for Pulsatilla. Calcarea is to be preferred when the patient has been subject to profuse menstrual discharges, and is of a scrofulous habit, and of leuco-phlegmatic temperament. Dose: As directed for Pulsatilla. Causticum is to be preferred for the treatment of patients whose menstruation has been habitually feeble and retarded, but not always deficient; and when the nipples are cracked and sore, and surrounded by an eruption. Dose: As directed for Pulsatilla. 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 services of a nurse for their offspring, — when precautionary treatment to obviate the possible ill-effects of such a circumstance should be adopted. TREATMENT. Pulsatilla, when timely administered — that is, as soon as the MOTHERS NOT SUCKLING THEIR CHILDREN. 741 infant is withheld from the breast, or immediately after the proper treatment demanded by the symptoms and conditions incidental to delivery has been effectually employed, (in cases in which the infant is from the onset withheld from the mother's breast,)—will very fre- quently suffice of itself to disperse the secretion of milk. Dose: Three globules in a teaspoonful of water, night and morning, until the fulness of the breasts begins to decrease very decidedly and rapidly. Calcarea is to be recommended when the breasts are extremely distended with milk, and the distention occasions considerable pain and inconvenience. Dose: As directed for Pulsatilla. Bryonia, Belladonna, Phosphorus. One or more of these medicines, singly, or successively, will be required when, in conse- quence of the pent-up accumulation of milk, inflammatory symptoms set in and occasion considerable suffering. The particular and appro- priate selection of these medicines, respectively, may be discerned, upon reference to the article on " Inflammation of the Breasts," (at pp. 738, 739.) Dose: Of either of these medicines, when selected, as directed under the head of each, respectively, (at pp. 738, 739.) ACCESSORY MEASURES. The employment of dry cupping at the outer surface of the arm, a little below the shoulder, or at the inferior extremities, will materially hasten the suppression of the lacteal secretion. Diet and Regimen. In such cases a woman, who has the slightest regard for her health, should be particularly careful in her diet, and until the secretion has completely ceased, she should live as low as possible. PAET IV. TREATMENT OF INFANTS AND CHILDREN. TREATMENT AFTER BIRTH. As soon as the child is born, it should be wrapped 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, or it may be anointed with lard; but care must be taken not to continue the first washing too long, for fear of irritation; the room should be kept rather dark, and perfectly quiet, and all strongly- scented substances removed. After washing, the body ought to be dried immediately, to avoid the risk of taking cold; the child should be bathed twice a day, to keep up the action of the skin, — the tem- perature of the water being gradually lowered, after weaning. The best time for bathing the infant is in the morning, when it is 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 alternately laved with tepid water, and exposed to the action of the atmosphere, is apt to bring on a chill. Nothing can be more evidently opposed 'to nature and the dictates of common sense, — although, like many other absurdities, it bears the impress of custom, — than the practice of swathing and bandaging the tender bodies of infants, and loading them with a superfluity of cloth- ing, which, by its weight and length, presses upon the lower extremities, and is the frequent cause of deformity and weakness in after-life. STILL-BORN CHILDREN — SUSPENDED ANIMATION. Causes. Natural debility; difficult parturition ; injury from the forceps; pressure of the umbilical cord round the neck; accumulation of phlegm in the throat; too sudden an alteration of temperature, the respiratory action of the lungs not having commenced. TREATMENT. Mechanical Measures, &c. The usual mechanical means, under the direction of a competent 742 SWELLING OP THE HEAD. 743 person, must, of course, be instantly had recourse to. First in im- portance among these, is now pretty generally considered to be the method recommended by Sylvester, of which a description will be found in the article on Apparent Death from Suffocation. Should this method fail after persevering trial, respiration may be excited by an adult person applying his or her lips to those of the child, and then blowing in air, — having previously gently compressed the pit of the child's stomach with the fingers of one hand to prevent the entrance of the air into that organ, and closed the nostrils with the finger and thumb of the other hand to prevent its exit from these orifices. The chest should, when it has thus been distended, be emptied again by gentle pressure with the hand. This process ought to be repeated until signs of natural respiration become apparent. Among other means of this kind, are, exposure for a short time to cold air, or placing the child in a cold bath, the dashing of cold water on the chest, and the slapping of the body somewhat briskly, gentle friction of the limbs, &c, &c. Medicinal Treatment. But should the infant continue to breathe feebly and imperfectly after animation has been restored, the following homoeopathic remedies may be resorted to : Antimonium tartaricum. The child shows little signs of vitality, the face is pale, and the limbs relaxed, or, on the other hand, the face is swollen and purple; also if the air-passages appear to be clogged or obstructed with phlegm. Dose: Place two globules on the tongue of the infant. Opium is to be recommended if no improvement ensues a quarter of an hour after the use of the above-named remedy; or it should be preferred if the face is livid and bluish. Dose: As directed for Antimonium tart. Aconitum should be employed when the child is reviving and beginning to breathe, if the face has been previously flushed or of a blueish tint, and the child is large or plethoric. Dose : As for Antimonium tart. China should be preferably selected if the face be pale, during the suspension of animation, and the infant of small, delicate, or emaciate frame; also when the child is reviving and respiration commencing — if the same indications present themselves. Dose: As directed for Antimonium tart. ACCESSORY MEASURES. The removal of any phlegm or other substance, which is capable of preventing the entrance of air into the respiratory organs, should first be accomplished, before the above medicaments and other remedial measures are employed. SWELLING OF THE HEAD. Immediately after birth, the head of the infant appears more or less 744 NAVEL-RUPTURE IN INFANTS. swollen; this is in most cases but a trifling affection, and generally goes off of itself. But medicinal treatment may, nevertheless, be some- times required. TREATMENT. Arnica. The internal administration of this medicine will usually suffice materially to hasten the subsidence of this swelling. When, however, it is very extensive, it may be desirable to resort simultane- ously to the external application of the same remedy. Dose (internal): Dissolve two globules in a teaspoonful of water, and . nfuse the solution into the mouth of the infant, gently and with great care. Application (external): To a wine-glassful of water add six drops of the Con- centrated Tincture of Arnica; and apply this lotion to the part, repeating the operation after the course of twelve hours. Rhus toxicodendron. Occasionally, a considerable swelling in the anterior fontanel, consisting of fluid, is observable; this affection is of greater import than the other; and, though seldom dangerous, if it does not disappear in a day or two, the administration of the medicine now named may prove of material service. Dose: As directed for Arnica (internally). NAVEL-RUPTURE IN INFANTS. Mechanical Treatment. The mechanical treatment of navel-rupture may be summed up as follows: — Take a piece of lint, just sufficiently large, when folded five or six times, to cover the rupture effectually; then press in the pro- trusion, and keep it reduced with the hand, until the compress is rightly adjusted and secured in its position by means of two strips of adhesive plaster, placed over the compress in the form of a cross. It is still better, however, to get an efficient bandage made to measure by an intelligent and experienced maker. This disease being frequently brought on by the violent fits of crying, to which delicate children are subject, — the bandage may be worn, and retained for some time after the cure, as a precautionary measure against its return. Medicinal Treatment. Nux vomica. In cases in which the mechanical measures, just mentioned, fail to complete the cure, the administration of this medi- cine will generally effect the purpose. In every instance, indeed, whether subsequent treatment be required or not, Nux vomica may be looked upon as the medicine of primary importance. Dose: Of a solution of four globules to six teaspoonfuls of water, give a tea- spoonful, repeating the dose after the lapse of twenty-four hours; then pause five days; and if only very partial improvement be apparent, admin- ister two more doses as before; then pause again for six days; and if, after this time, there be not very decided improvement, proceed with the next medicine. Veratrum should be employed six days after the last dose of Nux EXPULSION OF THE MECONIUM. 745 vomica, when the last-named medicine has been inadequate to effect a cure. Dose: As directed for Nux vomica. Chamomilla is sometimes of service in difficult cases, and when the foregoing method of treatment has not been completely effectual, more particularly if the infant be very fretful, and the motions be too relaxed, and of an unhealthy color, or if there be evidence of griping pains in the bowels. Dose: As for Nux vomica. Sulphur is also of great service, after any of the foregoing medi- cines, in obstinate cases, and when, though followed by partial im- provement, the treatment prescribed has been incapable of effectually completing the cure. This medicine is also to be recommended for the treatment of soreness of the navel remaining after the falling off of the ligature, or even before this takes place. Dose: As for Nux vomica. Silicea should be given six days after the second dose of Sulphur, in cases of soreness of the navel, in which no decided improvement has been effected by the last-named medicine. Dose: As for Nux vomica. Rupture in the Groin. All the medicines just enumerated are equally useful in those cases of rupture in the groin we occasionally meet with. EXPULSION OF THE MECONIUM.* After having been permitted to sleep for five or six hours undis- turbed, the infant should be applied to the breast, as soon as the mother feels herself sufficiently recovered to permit it, which is gener- ally from six to eight hours after delivery; and this should never be deferred, as we have elsewhere observed, longer than twelve hours, — the milk of the mother exciting the action of the alimentary canal, and assisting in the expulsion of the meconium. Here, again, we cannot too strongly reprobate the too general practice of administer- ing laxative medicines for this purpose, exercising, as they do, a most deleterious effect upon the tender organism of the infant, and, if not productive of jaundice, — a too frequent consequence of their repeated administration, — at least laying the foundation of bowel complaints, 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 evils result from the violent methods taken for its expulsion, than can possibly occur from its continuance in the alimentary canal for a few hours later than is ordinary. TREATMENT. Should, however, an unusually long period elapse, and the child * The excrementitious matter discharged from the bowels of the newly-born infant 746 THE CHOICE OF A NURSE. appear costive, the administration of a few teaspoonfuls cf warm sugar- and-water will generally answer every purpose; if it should fail to produce speedy relief, we may then make use of a lavement of equal parts of sweet oil and water. If these simple means do not effectually accomplish the desired ob- ject, and the infant appears to suffer from inconvenience, consult the subsequent article on " Constipation of Infants." SUCKLING OF THE INFANT. While upon this subject, we shall quote the expressions of a well- known writer,* in whose opinion, in this respect, we perfectly coincide. " Unless very peculiar urgent reasons prohibit, a mother should sup- port 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 resulting 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 demonstrate the superiority ofthe latter to the former. "As a further inducement, it should be remembered 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 ofthe duties of a nurse. " Presuming that the laudable determination is formed to indulge the child with that nutriment which is designed for its support, it be- comes necessary to state, that unless very strong objections should exist, twelve hours should never elapse before the infant has been put to the breast. Instinct 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 those complaints. "If the breasts should not have secreted milk previous to delivery, the act of suckling will encourage and expedite the secretion. Thus the mother will be saved from much of the pain connected with dis- tended breasts. Besides which, if the infant be not put to the nipple till the breasts become full and tense, the nipple itself will sometimes almost disappear on account of its being stretched; and without much, and often ineffectual labor 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 unfrequently the cause of sore nipples." THE CHOICE OF A NURSE. For those who do not, or cannot, suckle their own children, the selec- tion of a nurse is of great importance, and the medical attendant ought * Conquest's "Outlines of Midwifery/' DIET DURING NURSING. 747 generally to be consulted; and the following poii. ts merit particular attention: — She should be of sound constitution and in good health, of full and moderate plumpness, with a fresh complexion, and clear eyelids, free from any appearance of redness, scurfiness, or thickening. She should be thoroughly exempt from glandular enlargements, and possess deep red lips without cracks, sound white teeth, and well-formed, moderately firm breasts, with nipples free from excoriation or appearance of erup- tions ; the child ofthe nurse is one of the best criterions to judge by—■ its being plump and healthy is a great point in her favor. We should also endeavor to discover if she is free from any hereditary taint; she should, moreover, be of a mild, patient, and equable temper, not irri- table, or disposed to fits of passion, or nervous; of regular and tem- perate habits, and fond of children. She ought also to be about the same age, and to have been delivered about the same time, or, at least, within three months of the same period as the mother; with respect to age, we must, of course, avoid extremes. A woman, having given birth to a child very late in life, should choose a nurse several years her junior, and fully qualified for her duties; the reverse of the rule applies to extremely young mothers. DIET DURING- NURSING. As regards the nurse's diet, it should be simple and easily digested, and she ought to live upon a proper proportion of animal and vegeta- ble food. Nature generally provides for the increased call upon her powers, by the suppression of the menstrual discharge, and a moderate increase of appetite, which may be safely indulged; but all food of a highly concentrated, heavy description is injurious, causing the milk to become unsuited to the delicate digestion of the infant; the best guide, in the majority of cases, is the regular homoeopathic regimen, which may be consulted with advantage. Reference must, however, be had to constitution; thus, a strong woman of full habit will not require much animal food, and will have, generally speaking, a plentiful sup- ply of good milk, if she drink nothing but gruel, barley water, toast water, cocoa, tea, &c.; whilst, on the other hand, a woman of somewhat delicate constitution and languid circulation, will want more nourish- ing food, milk, &c. But we cannot too strongly repudiate the too prevalent but deeply erroneous idea that women, during the period of suckling, necessarily 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 stimulating properties, but the deleterious effect which the different ingredients composing it produce upon the milk, forms one of the most prolific causes of the many evils that attack infancy. We shall con- clude this part of the subject with a single quotation from a well-known medical writer: — " There is an evil too generally prevalent, and most pernicious in its consequences on individuals and society, and by no means confined to 748 SUPPLEMENTARY DIET OF INFANTS. 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 remove 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 fol- lowed by a degree of languor 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 nutriment which is essential to the existence and welfare of the child." SUPPLEMENTARY DIET OF INFANTS. Unfortunately, some mothers do not possess sufficient milk for the proper nourishment of their offspring; if this arises merely from a deficiency in the secretion, and the woman is in other respects healthy, we must have recourse to supplementary diet to make up for the diminished quantity of the natural nutriment. Goat's, ass's, and cow's milk are excellent substitutes, especially the latter, diluted with one-third of water; goat's milk being apparently objectionable from its peculiar aroma. The milk therefore of the cow ought, when possible, to be obtained, and, if given undiluted, to be boiled, — cow's milk being generally considered too heavy, which boiling in a great measure obviates ; it ought also to be slightly sweetened; so as to resemble as closely as possible that of the nurse, and should, moreover, be about the same temperature, say from ninety-six to ninety-eight degrees, — a point less regarded than it should be, and easily determinable by the thermometer. If any constitutional taint exist in the mother, the sooner the child is transferred to another breast, the better for both parties; and 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 digestive organs are prepared for more solid food: if, however, the milk-diet appears to disagree with the infant, we may give thin water-gruel, or 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 here observe 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 of the above prepara- tions, in which milk forms the principal ingredient. In the cow's milk, at first diluted as above prescribed, 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 a portion of its nutriment as possible from the breast, no food being able efficiently to supply the place of that which nature intended for it at its birth. When it is necessary to give supplementary nourishment, a sucking- bottle ought to be used, as the best imitation of nature, in giving the food slowly; particular care being taken to observe the utmost cleanli- uess. The child ought, in feeding, to be kept in a reclining, not DURATION OF SUCKLING—WEANING. 749 supine, position, as the latter frequently causes it to incur the risk of suffocation; and when it evinces disinclination to its food, no more should be offered. 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 breast not used, and the child is apt to become crooked, from being always retained in the same position. The physician is frequently asked how often the child ought to be applied to the breast: the best rule on this point is, to give the breast when the infant appears to desire it, and to withdraw it when the child appears satisfied. As the infant increases in strength, it may easily be accustomed to regular hours. It should not be permitted to "lie at the breast" during the night; which is a most pernicious practice for both mother and child. DURATION OF SUCKLING — 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, ill-conditioned 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. Weaning ought, in fact, to be regulated by the constitution both of mother and child. The full development of the front teeth, which in healthy children is from nine to ten months, but in delicate or scrofulous constitutions is delayed for several months later, has been considered the best indication for weaning; but this is by no means an unexcep- tionable rule. If the strength of the mother appears unequal to the task, and the supply of milk begins to fall off, the child may be gradually weaned, even before the teeth appear; still, even when the supply is ample, and the mother and child are apparently strong, a continuance of suckling beyond the tenth month is generally injurious alike to parent and child. Weaning should not take place suddenly, but the infant should be gradually accustomed to other food, and a less frequent administration of the breast, till entirely weaned; the time to commence this gradual course is upon the first appearance of the front teeth, so that the weaning may terminate with their full development; thereby the secre- tion 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 con- siderably from the irritation of teething, or any acute infantile disease. When, however, it is found absolutely necessary to wean, the above precautionary measures should be observed, both with respect to the mother and child. FOOD OF THE INFANT. After the child has been weaned, its nourishment should generally consist of the same simple food as before mentioned. The transition 750 SLEEP — SLEEPLESSNESS. 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 — SLEEPLESSNESS. From the inability of the infant itself to 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 overburden it with bedclothes, and to place it in such a position as to prevent it slipping under them, and thereby be- coming exposed to the risk of breathing a vitiated atmosphere, or even of suffocation; after six or eight weeks, when the organism becomes stronger, and able to preserve a proper degree of natural warmth, a separate bed or cradle will be more conducive to the health of the in- fant ; this change of arrangement will be found beneficial to both par- ties,—to the child, from its breathing a purer air; and the mother, being freed from the necessary watchfulness and restlessness consequent upon the child sleeping with her, will enjoy better health, and .be more likely to secrete good and nutritious milk. Moreover, sleeping in the same bed with an adult, and particularly with an old person, is some- what detrimental to the health not only of infants, but even of children. As to the length of sleep allowed to-the infant, the chief business of the first months of its existence being sleep and nourishment, we may safely leave the point to nature, and not attempt to coerce the inclina- tions ofthe child; if the infant is lively on waking, we may conclude it has not slept too much ; and as it increases in vigor, and is able to endure longer intervals of wakefulness, we may proceed (recollecting that night is the proper period for sleep) so to regulate its habits of tak- ing its food and rest, as to accustom it to an uniform system, and par- ticular hours. Children, up to two years of age, require rest during the day ; and the nurse ought to endeavor to get them into the habit of taking it in the forenoon, for if it be taken in the afternoon, it gen- erally interferes with the 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 unrefreshing, and, by acting upon the nervous sensibility, predispose the child to convulsions or spasmodic attacks from slight accidental causes. It is true that, during the first month, the infant 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 milk is at that time wisely adapted to its delicate digestion; but as the secretion be- comes richer, and suited to the increasing power of those organs, it is injurious to put the child asleep immediately after a full meal; for its rest is then unquiet and disturbed, from the process of digestion being interfered with, more particularly when nurses foolishly endeavor 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 wakefulness on the part of her infant. A healthy child should always be prepared for its rest at the usual hours; if, SLEEP — SLEEPLESSNESS. 751 instead of going to sleep, it appears restless, fretful, and disinclined for its accustomed rest, it is an evident indication of some derangement of the child's general health; frequently, through ignorance, nurses, instead of attending to this warning voice of nature, — which by the sleepless- ness of the infant demands appropriate relief,—endeavor to stifle it, and sometimes, to free themselves from a little temporary annoyance, administer opiates, often in the form of " carminatives," " soothing sirups," &c, which induce an unrefreshing slumber, and not unfre- quently 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, conjoined with improper diet, stimulating or unwholesome drinks, quack medicines, together with the highly erroneous practice of a fre- quent administration of laxatives, in infant maladies, a considerable number of diseases and even deaths are annually attributable. Every mother should not only caution 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 immediate discharge of the 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. TREATMENT. Amongst the homoeopathic remedies which have been found the more generally useful in removing restlessness and sleeplessness in children, the subjoined deserve especial notice. Coffea is very efficacious when the child seems unusually lively, restless, and wakeful; but will commonly fail to answer its purpose when the nurse is in the daily habit of taking coffee as a beverage. • Dose: Two globules, dry, at night, repeated after the lapse of twenty-four hours. Opium may be substituted for Coffea when the nurse is in the daily habit of taking coffee, and is especially indicated if the face of the child looks red. Dose: As for Coffea. Chamomilla will do good when the child is tormented with flatu- lence, and distension of the bowels, and appears to suffer from colic, indicated by drawing up the legs, screaming, &c. Dose: As for Coffea. Aconitum is preferable to any of the preceding, when there is gen- eral febrile heat and great restlessness. Dose: Two globules, dry, on the tongue, every twelve hours. Additional Particulars. The reader should further consult, if necessary, the general article on "Sleeplessness," and that on "Crying, Wakefulness, and Colic of Infants," in the subsequent pages. 752 EXERCISE. EXERCISE. For the first six or seven months the great business of nature seema to be the proper development of the infant frame, and particularly of the respiratory and digestive organs. During this period, also, the cartilage is gradually forming into bone, and the infant's delicate mus- cles are acquiring power and strength. We find, however, that con- sciousness 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 car- ried in the arms, be kept in a reclining position, so as to avoid an undue pressure upon the spinal column; a neglect of this precaution, and a premature carrying of the infant in an upright position, is a too fre- quent cause of deformities of the spine, and derangement of the func- tions in after life. As its powers gradually develop, the infant seems inclined to exer- cise them, and evinces a desire to sit upright, which we may safely in- dulge, taking care not to overtask its strength by keeping it sitting up during the greater part of the 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 upright 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 involuntary ex- ercise of the muscles, and consequent deformity. The act of respira- tion bringing into play a great variety of muscles, occasional crying seems sufficiently active exercise during this period. In mild spring and summer weather the child may, under favoring circumstances, after the first fortnight has elapsed, be carried out into the air for a quarter of an hour at a time, and the period of exercise gradually 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 the child exhibit the slightest sign of being affected by the atmosphere, the practice of carrying it out of doors should be imme- diately 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 idea of making them hardy, by accustoming them to endure cold; this can occur only through ignorance; for nature, in very early infancy, does not possess sufficient energy of reaction to overcome the power of a sudden or long-continued chill. We may recommend an occasional gentle fric- tion of the hand over the body and limbs, which materially assists in the promotion of the circulation of the blood, and will, in unfavorable weather, serve, in some measure, as a substitute for exercising the infant out of doors. DISEASES OF INFANCY. 753 The practice of assisting children to walk, or of exciting them to a premature exercise of their powers, is highly reprehensible, causing, in many cases, curvature of the limbs, the bones not being yet sufficiently formed to bear the burden imposed upon them. By allowing Nature to act, the infant's powers will become more gradually, but at the same time more fully developed; its carriage will be more firm and erect, and its limbs straight and well formed; moreover, it will walk with greater confidence 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. Retarded Strength of the Limbs. TREATMENT. Calcarea carb. is, in the majority of cases, the appropriate medi- cine when the child continues to be feeble, and any attempt to walk, or the capability of sustaining an erect position, is unduly procrastinated. Dose: Two globules in a teaspoonful of water, every morning, the first thing, fasting, for four days (unless some condition requiring other treatment , should sooner nrise); then pause eight days, after which repeat the course as before; then pause again for three weeks, and repeat the course once more. But if within three weeks after the completion of the third course no very apparent change should have taken place, consider the following medicines. Silicea or Sulphur may be required after the previous employ- ment of Calcarea, when the last-named medicine has been productive of no very apparent improvement, more particularly if the child mani- fests a generally feeble or scrofulous habit, and is affected with enlarge- ment of joints or tendency to curvature of the bones, or rickety affec- tions. Dose: Of the remedy selected, give two globules, as directed for Calcarea. DISEASES OF INFANCY. INFLAMMATION OF THE EYES IN INFANTS. Causes. A sudden exposure to the strong light of day, cold, or the glare of a fire; or the constitutional state of the mother, &c, may be numbered as the general causes of this affection; or it is sometimes epidemic; and no doubt many children, who are what is commonly denominated born blind, owe their misfortune to the neglect of proper precaution, — in many cases the external indications of this affection facing so very slight as to escape observation. TREATMENT. [Additional Particulars, at pp. 484 - 496.] Aconitum should be administered as soon as, on a careful exami- nation, we become aware of the existence of this evil: two doses of this 48 754 COLD IN THE HEAD. remedy will generally be found promptly efficacious in subduing this affection, in all mild and simple cases. Dose: Two globules in a teaspoonful of water, repeated after the lapse of twelve hours. Sulphur should be selected when, from the constitution of one or both 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 Aconitum seems to produce only temporary effect. Dose: One globule in a teaspoonful of water, repeated, after the lapse of four days, if requisite. Calcarea is, in some cases, found requisite, especially where a con- stitutional taint, such as scrofula, is the radical cause of this affection. Dose: As directed for Sulphur. HICCOUGH. This affection, though in itself of slight importance, frequently causes no inconsiderable degree of uneasiness to young mothers; it generally arises from exposure of the body, even in a warm room, to the atmospheric air, even during the operation of dressing and un- dressing the new-born child. Wrapping the infant warmly in the bed, or, better still, applying it to the breast, will frequently lead to a cessation of the affection; should it, however, continue, the adminis- tration of a small quantity of white sugar, as much as will cover the end of a teaspoon, dissolved in a teaspoonful of water, will, in general, effectually remove the evil. COLD IN THE HEAD. This affection frequently becomes exceedingly distressing to the infant, when it appears in the form of an obstruction of the nose, — impeding the action of suckling, by not allowing the breath to pass through the nostrils, obliging the infant to release the nipple fre- quently in order to breathe, and causing it to become fretful and irritable; sometimes also leading to irritation and excoriation of the nipple, and thus, in its repeated efforts to suck, the child causes suffer- ing both to itself and the nurse. Whilst this state continues, it operates considerably against the infant's thriving, both by hindering it from taking a sufficient quantity of nutriment, and, by the impediment it causes to respiration, prevent- ing the child from sleeping at night. When the nose is dry, and the secretion of mucus suspended, we may, whilst administering a remedy 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 of the nostrils with a feather. TREATMENT. [Additional Particulars at pp. 345 - 349.] Nux vomica has been most frequently successful, particularly when the following symptoms are present: — Obstruction of the nose. CRYING AND WAKEFULNESS OF INFANTS — COLIC. 755 with dryness or nocturnal obstruction, with slight discharge during the day ; irritability and peevishness. Dose: Two globules in a teaspoonful of water, repeated after the .apse of twenty-four hours, if necessary. Sambucus nigra is frequently efficacious when Nux v. fails to relieve; but is also of service in cases when there is an accumulation of thick and viscid phlegm in the nostrils. Dose: As directed for Nux vomica. Antimonium tartaricum should be had recourse to, when, in addition to the cold in the head, there is a suffocating cough, with wheezing in the chest, and quick, laborious breathing, if Sambucus does not soon relieve the latter symptoms. Dose: As for Nux vomica. Chamomilla is very useful when there is cold in the head, with a watery discharge from the nose; more particularly when there are febrile symptoms, soreness of the nostrils, and redness of one cheek. Dose: As for Nux vomica. Pulsatilla is indicated by thick, green or yellow, bloody, or matter- like discharge from the nose, attended with a frequent sneezing. Dose : As for Nux vomica. Sulphur should be employed two days after the fourth dose of Pulsatilla, if the last-named medicine should produce only very limited and partial improvement. Dose: As for Nux vomica. Calcarea should, however, be employed when the nose is appar- ently dry and obstructed during the night, and discharges a yellow, mattery-looking, and sometimes offensive, humor during the day ; also when there is soreness of the nostrils, and particularly when the child is of a full, round, leuco-phlegmatic habit. Dose: As directed for Nux vomica. CRYING AND WAKEFULNESS OF NEW-BORN CHILDREN — COLIC. 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 exces- sive, and threatens to prove injurious, we must, in the first place, endeavor to discover its origin, which frequently will be found to be some mechanical cause, such as derangement in the infant's dress, or a pin sticking into its flesh, &c. TREATMENT. Belladonna will frequently be found sufficient to remove the evil when no exciting cause or guiding symptoms of disease present them- selves, and the infant is peevish and irritable, affected with incessant whimpering and wakefulness, or prolonged fits of crying. Dose: Two globules in a ' easpoonful of water, repeated at intervals of four hours, until amelioration or change. 756 REGURGITATION OF MILK. Chamomilla is often more efficacious than Belladonna when the infant is of a very spare and delicate habit; or when we can trace the fits of screaming and wakefulness to a derangement of the digestive functions, and the child appears to suffer from griping pains (colic), indicated by contortions of the body, and drawing up of the little limbs upon the belly; and when a whitish, yellowish, or greenish, watery, excoriating diarrhoea is present; or when the child wants to be carried all the time. Dose: As for Belladonna. Jalapa is useful in similar cases, but without diarrhoea, or with motions tinged with blood. Dose: As directed for Belladonna. Coffea cruda will generally prove efficacious when a fit of crying arises 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 difficulty in composing itself to slumber. Dose: As for Belladonna. Aconitum should, however, be employed after the previous administration of Coffea, when, in addition to the symptoms just described, there is considerable heat of the skin, with extreme restless- ness. Dose: As for Belladonna. Rheum is more appropriate when, in addition to screaming and wakefulness, combined with griping, there are ineffectual efforts to relieve the bowels by frequent straining; or when at the utmost, only scanty, sour-smelling motions are passed, of grayish appearance, and which seem to afford no relief; the child has a sourish smell. Dose: As directed for Belladonna. Nux vomica will commonly succeed in restoring ease when flatu- lent colic, accompanied by sudden fits of crying, drawing up of the legs or of the scrotum, and a costive state of the bowels appears to be the source of the disturbance. Dose: As for Belladonna. Pulsatilla is very efficacious when the derangement arises from over-loading the stomach, or improper food, and the crying or wake- fulness is accompanied with colic, flatulence, and diarrhoea. Dose: As directed for Belladonna. REGURGITATION OF MILK—ACIDITY, FLATULENCE, &c. TREATMENT. Ipecacuanha will generally afford relief, and may be repeated, if the first dose be not followed by some amendment, the medicine being allowed twenty-four hours for its action. Dose: One globule in a teaspoonful of water, repeated, if necessary, after the lapse of twenty-four hours. Pulsatilla may be administered, should the vomiting or flatulence, MILK-CRUST, MILK-SCAB, MILK-BLOTCHES. 757 kjd also the diarrhoea, wnen present, not decrease after two doses of Ipecacuanha. Dose: As for Ipecacuanha. Antimonium crudum should follow the second dose of Pulsa- tilla, after the lapse of twelve hours, if the symptoms which indicated the latter remedy still continue to prevail, though in a mitigated form. Dose: As for Ipecacuanha. Nux vomica is indicated when Regurgitation of Milk is attended with flatulence, constipation, uneasiness, or irritability of temper. Dose: As for Ipecacuanha. Bryonia should follow the second dose of Nux v. after the lapse of twelve hours, if the indicative symptoms mentioned under the head of the latter remedy have not yielded to its action. Dose: As for Ipecacuanha. Flatulent Distension of the Stomach and Bowels. Gentle friction with the palm of the extended hand, which has been previously warmed, is a simple and frequently efficacious method of affording temporary relief, when the stomach and bowels are painfully distended with flatulency. At the same'time, if this should not occur as a merely casual circumstance, the subjoined medicines should be employed. Nux vomica should be employed at the onset for children of a spare, meagre habit, or who are more subject to a costive condition than the contrary. Dose: One globule in a teaspoonful of water, repeated, if necessary, at in- tervals of twenty-four hours. Pulsatilla is to be preferred for the treatment of children of a relaxed habit, or who are subject to discharges from the eyes and eye- lids ; or particularly when diarrhoea is present. Dose: One globule, as directed for Nux vom. Chamomilla should be administered twelve hours after the second dose of Nux v., or of Pulsatilla (as above directed), if no permanent relief should have resulted from the previous treatment; or, more espe- cially, if convulsions or diarrhoea be developed as attendant symptoms. Dose: One globule, as directed for Nux vom. Diet and Regimen. The diet must, at the same time, be attended to, and altered if of an indigestible nature, and the undoubted-cause of the mischief. MILK-CRUST, MILK-SCAB, MILK-BLOTCHES. Characteristics. This affection, as it occurs in infants at the breast, usually consists of an eruption of numerous small, whitish vesi- cles, which appear in clusters upon a red ground. The vesicles gen- erally show themselves, in the first instance, on the face, particularly the cheeks and forehead, but sometimes spread over the whole body. The lymph contained in them soon becomes yellow, dark, or even san- 758 MILK-CRUST, MILK-SCAB, MILK-BLOTCHES. guineous, and, on their bursting, forms into thin yellowish crusts. The scalp is either primarily or secondarily affected, so that, in bad cases, the top of the head is one great crust, and the face appears as if cov- ered with a mask. Frequently there is considerable surrounding redness and swelling, with distressing itching, which renders the little patient excessively restless and fretful, and causes it to keep continually rubbing the affected parts, by which the discharge and crusts are repeatedly re- newed, and increased in thickness, often to such an extent that the whole face becomes covered, the eyes and nose alone remaining free. Its sudden expulsion, by means of medicated external applications, is to be guarded against, as very serious consequences result from its sudden suppression. TREATMENT. Aconitum should commence our treatment, when we find exces- sive restlessness and excitability produced by this affection, and when the skin around the parts is red, inflamed, and itching. Dose: Of a solution of two globules to three teaspoonfuls of water, give a teaspoonful, repeated at intervals of six hours, until the infant becomes more calm; after which, consider the following medicines. Viola tricolor. As soon as beneficial effect has resulted from the administration of Aconitum, and twelve hours after the last dose of that medicine, it will be desirable to proceed with the employment of the remedy now under consideration, which, in the simple and uncomplicated form of the disease, is often sufficient to effect a cure. Dose: One globule in a teaspoonful of water, night and morning; then pause two days (unless active treatment should become necessary); after which, if a degree of improvement is observable, repeat the two doses as before. But, if the affection has manifested a disposition to extend or otherwise to grow worse, consider the following medicines. Graphites should be given when a transparent, glutinous fluid exudes, which causes the crusts to fall off; the eruption appears more particularly upon the chin and behind the ears; emits a fetid odor, and the itching is intolerable. Dose: One globule, as directed for Viola tricolor. Arsenicum is indicated when the eruption is very dry and scaly, and causes destruction of the hair. Dose: As directed for Viola tricolor. Rhus toxicodendron when the scalp is considerably affected and thickly studded with incrustations; a bright-red margin surrounds the eruption, and the itching is worse at night; the child being very rest- less. Dose: As directed for Viola tricolor. Calcarea is to be preferred for administration after Rhus tox., in cases in which a limited degree of improvement has been effected, and when there is little or no discharge from the vesicles; particularly when there is considerable irritation from teething, and the child is of scrofulous parentage. Dose: One globule in a teaspoonful of water, every morning, for four days; APHTHA —THRUSH. 759 then pause two days, after which repeat the doses for two days, if neces- sary. Lycopodium is more efficacious when there has been a limited degree of improvement from the administration of Rhus tox., but when there is considerable discharge or oozing of matter, or of blood, and the eruption smells badly. Dose: One globule, as directed for Calcarea. Sulphur should be employed, if, after the administration of Rhus, the affection is found to have made but little favorable progress, or, indeed, if no apparent improvement has been effected, as not unfre- quently happens in debilitated or scrofulous subjects. It is more particularly indicated when the eruption spreads over the entire body; with very great itching. Dose : As directed for Calcarea. Hepar, Sepia, or Staphysagria may be required for the treat- ment of cases of an obstinate character and of long standing, and when the treatment previously directed above has been pursued with com- paratively indifferent results; or more especially when there is still excessive itching, and discharge of an offensive odor. Dose: Of the medicine selected, one globule, as for Viola tricolor. APHTHJE — THRUSH. Characteristics. This disease commences by the formatioe of Bmall, isolated, round, white vesicles, which, if not checked, become confluent, and sometimes present an ulcerated appearance, or form a thin white crust, which lines generally the whole of the cavity of the mouth, and, in severe cases, extends to the throat, and even throughout the alimentary canal. This affection, although of itself neither malig- nant nor dangerous, frequently causes not only considerable suffering to the child by preventing it from suckling, but great pain and incon- venience to the mother, by being communicated to the nipples, and causing excoriations, &c. Causes. The complaint is most commonly produced by the want of proper attention to ventilation and temperature, and to cleanli- ness, as regards the constant personal laving of the infant, but more especially from the sucking-glass, when employed, not having been carefully washed after use. Improper aliment is another of the principal causes; thus we find that children, who are what is com- monly called reared by hand, either partially or wholly, are more liable to this affection than those whose sole nourishment has been derived from the breast. TREATMENT. General External Applications. The mouth should be carefully washed, after nursing, with a soft old-linen rag dipped in tepid water; or in water containing a small quantity of honey in solution. A weak solution of borax may like- wise be used with good effect in some cases. 760 CONSTIPATION. CONSTITUTIONAL TREATMENT. Ordinary Cases. Mercurius is to be recommended for ordinary cases, but more especially when there is much salivation, or the thrush indicates a disposition to ulceration. Dose: One globule in a teaspoonful of water, repeated after the lapse of twenty-four hours; then pause two days, and, if a slight amendment has resulted, repeat as before; but, if no improvement has taken place, pro- ceed with the next remedy. Sulphur should follow the second dose of Mercurius after the lapse of two days, if the same symptoms still prevail, notwithstanding the previous administration of that remedy. Dose : As directed for Mercurius. Acidum sulphuricum should follow the second dose of Sulphur, after the lapse of two days, if the symptoms have not improved under the foregoing treatment; the mouth appears to be very painful, and the child is weak. Dose: One globule, as directed for Mercurius. Pulsatilla or Nux vomica are valuable remedies in some cases where there is much acidity and excessive regurgitation, or vomiting of milk. The choice between them must be governed by the characteristic indications, for which see the article on " Characteristic Effects." Dose: Of either of these medicines, as selected, give one globule as directed for Mercurius. Borax has sometimes succeeded when the above remedies have failed. It is more particularly indicated by: great heat and dryness of the mouth; the child frequently lets go of the nipple as though it caused pain ; is very nervous; cannot bear a downward motion, or the rustle of a dress or a paper. Dose: As directed for Mercurius. Baptisia tinctoria is likewise recommended, in cases in which there is a fetid smell from, the mouth, and the vesicles appear to tend towards ulceration. It will frequently effect a speedy cure in such cases. Dose: As for Mercurius. Arsenicum. In very bad cases, when the vesicles assume a livid, blue, or violet appearance, and are attended with excessive weakness and diarrhoea, Arsenicum is highly useful. Dose: One globule in a teaspoonful of water, repeated at intervals of four hours, until amelioration or change. Diet and Regimen. Great cleanliness ought to be observed in all cases, and proper attention paid to the state ofthe mother or nurse, the quality of the milk, &c, as well as to proper ventilation, &c. CONSTIPATION. This derangement generally appears in children who are either wholly or partially reared by the hand, and also in those whose mothers or nurses are similarly disposed; if it arises from a peculiar diet or want CONSTIPATION. 761 of exercise, such as too much animal food, &c, on the part of the last mentioned, it may be removed by a proper attention to these points, but in many instances it is necessary for them also to have recourse to proper remedial agents at the same time with the infant. TREATMENT. Mechanical Measures. Before proceeding to enumerate the homoeopathic remedies which are in general most appropriate in this affection, we may observe that an injection or lavement of tepid water, or of milk and water, may occa- sionally be had recourse to, if required, in consequence of occasional obstructions of forty-eight hours' duration ; or a suppository, consisting of a small strip of paper or linen, spirally twisted, and lubricated with oil, may be introduced by a gentle rotatory movement. When nearly two days have elapsed, and the above means have failed to produce an evacuation, the lavement must be repeated, with the addition of a little brown sugar or molasses thereto. Rubbing the stomach and bowels frequently, in the course of the day, with a warm hand, sometimes assists the means employed. In order, however, to overcome the constitu- tional tendency, the appropriate medicines for constitutional treatment must be selected and administered according to the subjoined regulations. Medicinal Means. Nux vomica. The presence of flatulence, foul tongue, hardness of the belly, peevishness, sleeplessness, or drowsiness, with disturbed or restless sleep, and debility, are special indications for Nux v.; as also costiveness, with knotty, hard, dark-brown colored stools, languor, sleeplessness, with drowsiness during the day, and frequent ineffectual efforts to evacuate. Dose: In ordinary cases, give two globules in a teaspoonful of water, re- peated, after an interval of twenty-four hours; then pause four days, after which proceed with the next remedies, if necessary. In very urgent cases, and when the lavement fails, dissolve one globule in three teaspoonfuls of water, and give a teaspoonful of the solution every six hours, until ame lioration or change. Bryonia may be substituted for Nux v., when the child seems con- stantly chilly, or feels cold to the touch, and is very fretful. In chil- dren who are able to walk, Bryonia is, moreover, generally better adapted than Nux vomica to constipation occurring during summer, or costiveness, with stools of an' unusually large size; it is, furthermore, equally applicable to costiveness, in infants at the breast, when the stools are more formed than is commonly the case with infants at the breast. Dose: In every particular, as directed for Nux vom. Sulphur should follow the second dose either of Nux v. or of Bry- onia, after the lapse of four days, if no material or only a limited im- provement has followed the previous treatment. Dose: Two globules in a teaspoonful of water, repeated after the lapse of twenty-four hours, if necessary; then pause 5ve days, and return, if necessary, to Nux v., as above. 762 BOWEL COMPLAINTS OF INFANTS. Opium is well adapted to robust-looking children, particularly when the bell) is somewhat hard and full, or there is lumpy irregu- larity of surface at the sides to the touch, but the child is otherwise apparently healthy; costiveness, with hard, knotty, dark-brown motions. Dose: Two globules in a teaspoonful of water, repeated after an interval of twenty-four hours. Habitual Costiveness, &c. Alumina is more particularly required when there always appears to be defective expulsive power, and when there are frequent indica- tions of deranged digestion, such as acidity and flatulency, with drum- like distension of the bowels, and when, in children from three years of age and upward, an exacerbation of all the symptoms invariably follows when potatoes have been eaten. Dose: Two globules in a teaspoonful of water, morning and evening, every other day, for eight days, unless a favorable or other change should sooner become apparent, in which case the medicine should be discontinued, as long as the improvement exists, or other treatment pursued, if necessary. Lycopodium is often of much service in obstinate constipation or costiveness, arising from the abuse of aperients; or in congenital slug- gishness of the bowels occurring in children of delicate or scrofulous constitutions, with foul tongue and other signs of impaired digestion. Dose: As directed for Alumina. Acidum nitrieum is often an almost indispensable remedy in chronic cases of costiveness, which have either been aggravated or induced by the frequent use of Calomel, and other mercurial prepara- tions, under allopathic treatment. Dose: Two globules, as directed for Opium. Veratrum. Obstinate constipation, necessitating the use of artifi- cial local means (lavements, &c.) from inactivity or torpor of the rectum, with consequent deficiency of expulsive power, or of inclina- tion thereto ; also when there is loss of appetite, occasional sickness, acidity (acid risings), and flushing of the face. Dose: As directed for Opium. Silicea is more especially indicated when there is evidently fre- quent inclination for stool, but with ineffectual result; but more espe- cially when the affection occurs in scrofulous or worm-infested children, and when there is acidity (sour regurgitation), with hard, distended bowels, associated with frequent attacks of colic. Dose: As directed for Alumina. BOWEL COMPLAINTS OF INFANTS. Diarrhoea, like Constipation, is to be regarded merely as a symptom, not as a disease; the real disease here consists in irritation or inflam- mation of the mucous membrane of the intestines, arising from the effects of aperients, indigestible food, cold, fright, &c. General Causes. The administration of laxative medicines, the introduction into the stomach of inappropriate, indigestible food, deranged condition of the mother's milk, induced by mental emo- BOWEL COMPLAINTS OF INFANTS. 763 tions, improper diet, or other causes on the part of the mother, fright, and exposure of the infant to cold, &c, may be enumerated as the most frequent exciting causes of this disorder. Distinctive Symptoms. A healthy infant at the breast passes, on an average, from three to six motions in the twenty-four hours; but in some instances the evacuations are more frequent, yet, without in any degree affecting the health of the child ; in such cases, then, there ought to be little or no interference, so long as the stools remain free from fetor, possessing merely the slightly acid smell peculiar to the infantile state, and are evidently unattended with pain, or any other unnatural indication. When, however, the stools become green and waterv, or yellow and watery, brown and frothy, as if fermented, mixed with phlegm, or consisting entirely of phlegm, or emit an offen- sive odor, and are generally preceded or accompanied by signs of suffering, it becomes imperative to have recourse to remedial aid. TREATMENT. [Additional Particulars at pp. 260 - 266.] Aconitum will frequently be found sufficient to arrest the dis- ordered action of the infant's bowels, without the aid of any other remedy, when the following indications are presented : — Feverishness, the skin is hot and dry, and the mouth is dry, the lips looking dry and red; the child is restless and excitable, throwing itself about, or, on the other hand, lies perfectly still, with fretfulness; the stools are often watery, and of dark color. Dose: Of a solution of four globules to three table-spoonfuls of water, give a teaspoonful every three hours, until amelioration or change. Chamomilla is invaluable in bowel complaints, when the follow- ing symptoms are apparent: — Redness of the face, or of one cheek ; hardness and tension and fulness of the belly, attended by severe colic, which is indicated by a state of peevishness, restlessness, desire to be carried, constant crying, and drawing up of the legs; sickness; frequent evacuations of a bilious, watery, slimy, or frothy description, of a whitish, yellowish, or greenish color, sometimes bearing a resemblance to beat- up eggs, and of an offensive odor, similar to that of rotten eggs. Dose: As directed for Aconitum. Rheum is of great utility, provided the disorder has not been excited by frequent use of Rhubarb. It is particularly appropriate when acidity has been generated by indigestion, or has arisen from the prolonged use of antacids, such as magnesia, &c, and when there is a flatulent distension of the belly, colic, crying, restlessness, straining before and after the evacuations, which are either of the consistence of pap, or watery and somewhat slimy, occasionally grayish, or of a brown color, and when a sour smell is emitted from the body ofthe infant. Dose: As directed for Aconitum. Pulsatilla. Diarrhma arising from indigestion, or from a chill, with watery, slimy, whitish, or bilious, greenish-looking evacuations, occurring chiefly at night; where the affection has been brought on by the abuse 764 BOWEL COMPLAINTS OF INFANTS. of Rhubarb or Magnesia; the stools are changeable, no two successive stools being alike. Dose: As directed for Aconitum. Ipecacuanha is particularly valuable when the diarrhoea is ex- cited at the period of weaning from the sudden change of food, which the stomach is unable to digest, — and when the following symptoms are present: —Repeated attacks of vomiting; the child seems sick at its stomach all the time; paleness of the face; stools w7atery, slimy, or greenish yellow, sometimes blackish, or streaked with blood, and of a putrid odor, or resembling matter in a state of fermentation, or con- taining white flakes, followed by straining. Dose : As directed for Aconitum. Antimonium crudum should be employed four hours after the last dose of Ipecacuanha, if the vomiting in particular should not have subsided. It is more particularly indicated when the tongue has a thick white coating. Dose: As for Aconitum. Mercurius. The following are the principal indications:—Watery, frothy, or slimy stools, sometimes streaked, or mixed with blood; or stools of a blackish, greenish, or whitish yellow color; griping before, and, frequently, severe straining during each evacuation, with relief immediately after; diarrhoea, with redness of the whole body, as from general excoriation; thighs and legs are cold and clammy, especially at night. Dose: As directed for Aconitum. Dulcamara is generally a serviceable remedy when the complaint recurs every time the child is taken into the open air, particularly when the air is rather damp or the temperature low, or when a sudden change has occurred from heat to cold. Dose: One globule in a teaspoonful of water, thrice a day, for two days; and then, every night, for three days more, unless decided change of any kind should sooner occur. Arsenicum. Watery or slimy stools, mostly profuse, of a greenish, whitish, dark, or brownish color, or of a putrid or gangrenous odor, or hot and irritating, taking place chiefly during the night, or after drink- ing or partaking of any kind of food, often preceded by crying and restlessness, and followed by exhaustion; great thirst, sleeplessness, pale- ness of the face, sunken cheeks, and blue circles round the eyes; great restlessness and distressing enlargement of the belly; extreme weakness and excessive emaciation. In diarrhoea attended with vomiting, Arseni- cum is one of the most valuable remedies. Dose: As directed for Aconitum. Podophyllum should be employed when the diarrhoea occurs mostly in the morning, and the stools are green and watery; or, the stools may have a natural appearance, but be much too frequent; it will be found curative, also, in most cases when there is "falling ofthe body" during stool. Dose: As directed for Aconitum. CHOLERA INFANTUM — SUMMER COMPLAINT. 765 Belladonna should be given when there is great sensil ility of the belly on pressure, and the infant cries constantly; or when it is drowsy, lying half asleep and half awake, with moaning; the stools are greenish. Dose: As for Aconitum. Croton tiglium should be administered when the diarrhoea, with colic, comes on immediately after nursing; the stool escaping suddenly and with force, like a jet of water from a hydrant. Dose: As directed for Aconitum. Diet and Regimen. When the derangement can be traced to any particular kind of food, an alteration in the diet becomes impera- tive ; at the same time the quantity of food or drinks must be dimin- ished, until improvement sets in. In cases, however, in which great debility has resulted from the depleting effects of the diarrhoea, supple- mentary nourishment ought at the same time to be given in the case of infants at the breast, and diet of a nutritive quality to children of more advanced age. CHOLERA INFANTUM —SUMMER COMPLAINT. This is a special form of bowel complaint, which is worthy of special mention. It is an infantile scourge, which very frequently proves fatal, more particularly from the fact that it usually prevails in the latter part of summer, when the young organism is debilitated by the preceding hot weather ; but it frequently assumes the form of an epidemic, particularly in large cities ; in which case infants are mostly attacked suddenly, and the disease often assumes great virulence from the first. Children under two years of age are most liable to attack. Characteristics. Vomiting and Diarrhoza are the most promi- nent, and often simultaneous symptoms. The stomach is evidently in a very irritable condition, as everything taken into it is rejected at once, and sometimes with great violence. The discharge from the bowels usually consists of a colorless, or sometimes greenish, inodorous, and watery fluid, occasionally with shreds of mucus mixed with it. The stools are generally discharged without effort — sometimes uncon- sciously — or are squirted out as though thrown from a syringe. Fre- quently there is considerable pain, with straining, the infant mani- festing its sufferings by a whining, plaintive cry, by restlessness, and by drawing up and extending its limbs. As the disease advances, vomiting becomes spontaneous, and the matter ejected resembles that passing from the bowels; while the number of stools increase. Some- times there is a sudden lull in the whole force of the disease, or the diarrhoea may abate while the vomiting continues, or vice versa. There is extreme languor and prostration, and generally very rapid emacia- tion ; which conditions, together with the vomiting and diarrhoea, as above described, clearly and unmistakably point to cholera infantum. As the malady progresses the discharges from the bowels become still more frequent, are passed involuntarily, and are usually more profuse, resembling dark-colored, dirty water, or the "washings of 766 CHOLERA INFANTUM — SUMMER COMPLAINT. meat," and are very offensive; emaciation becomes extreme; the eyes are languid and dull, or hollow and glassy, and the child takes no notice of surrounding objects or persons; the lips are dry and shrivelled. In many cases the child lies constantly in an imperfect doze, with half-closed eyes, and entirely insensible to external impressions. The abdomen frequently becomes distended and hard, or is sunken and flaccid. Frequently, in fatal cases, the child falls into a complete state of stupor, and convulsions ensue. It not unfrequently happens, particularly in children predisposed to affection of the brain, that in an early stage of the disease the brain becomes involved, and the child dies, with all the symptoms of inflammation of the brain. Issue and Results. The mortality from this disease differs greatly in different seasons; but usually, under homoeopathic treatment, a favor- able termination may be looked for, particularly in the case of children of a previously healthy condition. In favorable cases, there is a gradual mitigation and final cessation ofthe symptoms; the vomiting and diar- rhoea become less and less frequent, prostration is not so great, and the fretful whine, together with the distressed appearance of the counte- nance, give place to natural sleep and a placid look. In some cases, however, the severity of the symptoms abates, while the disease con- tinues in a mitigated form and becomes chronic; under which circum- stances it is evident that the intestines and mesenteric glands are very seriously affected, and death from marasmus is not unlikely to occur. TREATMENT. Much of what has been said under the head of Treatment, in the preceding article on "Bowel Complaints of Infants" (pp. 762-765), may be made available in selecting the remedy suited to a case of cholera infantum, and that article should be, therefore, carefully con- sulted. The subjoined medicines, however, are those most frequently called for in the treatment of the disease under consideration, and are approved as of the utmost efficacy when carefully selected for the in- dividual case. Aconitum is very frequently indicated, and should be given, in cases in which there is febrile excitation, manifested by acceleration of the pulse, heat and dryness of the skin, and thirst. Under such cir- cumstances, it often happens that Aconitum, when promptly adminis- tered, not only removes the febrile indication, but, as well, cuts short the entire disease, and very promptly aids in restoring the babe to health. Dose: Of a solution of three globules in two table-spoonfuls of water, give a teaspoonful, — or one globule, dry, on the tongue,— every one or two hours, according to the severity of the symptoms, until manifest improvement or change. If a favorable change should result, however slight, at once lengthen the intervals between the doses to two, three, or four hours, as the case may be,— according to the existing condition,— and finally cease giving the medicine upon the exhibition of marked and decided ameliora- tion and improvement. Should, however, no evidence of improvement be manifested after the sixth dose, or should symptoms indicative of some other remedy sooner occur, proceed at once to the administration of another and better indicated remedy. CHOLERA INFANTUM — SUMMER COMPLAINT. 767 Arsenicum is suited particularly to cases in which there is great weakness from the first, so that the child does not care to hold its head up; there is much thirst, while drinking induces vomiting and stool; vomiting and purging occur at the same time, and greatly exhaust the child; the child has a pinched and distressed look, and is very restless, which restlessness, together with the other symptoms, grow worse after midnight; coldness ofthe hands and feet, &c. Dose: In every particular as directed for Aconitum. Ipecacuanha should be given when the stools, which are very fre- quent, have a fermented appearance, or resemble greenish water; and when, more particularly, nausea and vomiting predominate, the child seeming to be sick at its stomach almost constantly. Dose: In every particular as directed for Aconitum. Chamomilla will frequently prove useful in the early stages of some cases, particularly if the child be suffering from the irritation incident to dentition; it is more particularly indicated by the presence of griping, colicky pains, with greenish stools; fretfulness and crossness, with desire to be carried. Dose: One globule, dry, on the tongue, every three hours, until manifest improvement or change. Veratrum is required in cases in which the purging and vomiting are almost constant and simultaneous, and are excited by even the smallest quantity of nourishment or drink; motion even excites nausea; there is very great prostration, with coldness of the face and extremi- ties, and cold sweat forming on the forehead, and an almost impercep- tible pulse. Dose: As directed for Aconitum. Secale is indicated by a chain of symptoms very similar to those pointing to Veratrum, but is more particularly indicated by paleness of the face, with sunken eyes, dry heat of the body, restlessness, and sleeplessness. Dose: As directed for Aconitum. Podophyllum should be given in cases in which the dejections have an exceedingly offensive odor, and are passed most frequently in the morning; the child moans during sleep, lying with half-closed eyes, and rolls its head from side to side. Dose: In all respects as directed for Aconitum. Mercurius should be given, particularly at the commencement, if there be much colicky pains, which are relieved by the purging, the Btools being slimy or bloody; or, when there is a great deal of perspira- tion, particularly on the thighs. Dose: As directed for Aconitum. Croton tiglium should be administered in cases in which the stool is forcibly expelled, as though forced from a syringe,—one gush ant. it ceases. Dose: As directed for Aconitum. Belladonna is required in some cases, particularly if there be great heat of surface, with flushed face, and evidences of a tendency to con- 768 INCONTINENCE OF URINE. gestion of blood to the head ; the child is very thirsty, drinks hurriedly and thrusts its hands constantly into its mouth. Dose: As for Aconitum. Calcarea carb. will prove valuable in cases in which the stools are whitish and watery, and have a sour smell, as does the matter vomited; there is great emaciation, while the abdomen is bloated; the face has an old, wrinkled look; the extremities are cold. It is especially adapted to scrofulous children, with retarded dentition, or where the case has become chronic. Dose: One globule, dry, on the tongue, repeated every twelve hours, until manifest improvement or change. Sulphur may be called for in cases similar to those indicative of Calcarea. It should be given likewise in cases where the patient, hav- ing got better, relapses, and this process is again repeated, so that the case seems to linger, and has a tendency to become chronic. Dose: As directed for Calcarea. Bryonia, Nux vomica, Opium, and China may be called for in the treatment of this malady, in its earlier or later stages. For dis- criminative indications for their use, consult, under the heading of each medicine, respectively, the article on " Bowel Complaints of Infants," (at pp. 762 - 765), and that on " Diarrhoea " (at pp. 260 - 266). Diet and Regimen. Very little nourishment will be taken by an infant suffering from cholera infantum. Breast-milk should con- stitute its chief source of food and drink, in cases in which the child suckles; but in other cases, however, great care must be taken to avoid giving anything that can add to the irritation already existing in the stomach and bowels. Pure dilute milk, boiled and sweetened, or thin, well-boiled oat-meal gruel, will afford sufficient food and drink. Water may be given in small quantities, if it does not excite vomiting; in which latter case, the infant may be permitted to suck small pieces of ice from time to time, if its lips be parched and dry, or a small piece of ice may be enclosed in a linen rag, and the child allowed to suck at it. Every effort should be made to sustain the natural warmth of the body, particularly of the abdomen and lower extremities, by the appli- cation of warmed woollen cloths; but the resort to the application of cloths wrung out of hot spirits, or claret wine, or other poultices, is highly objectionable, and should not be resorted to. INCONTINENCE OF URINE. Wetting the Bed. Causes. Involuntary flow of urine usually proceeds from relaxa- tion or a paralytic affection of the bladder; or from irritation of the bladder, in consequence of the secretion of acrid urine, or a diseased state of the organ itself. With children, however, it is generally de- pendent upon a general debility, the presence of worms in the intestinal canal, or upon cerebral irritation. C-NCONTINENCE OF URINE. 769 PRECAUTIONS. a the case of children, if the emission of urine takes place only at an early hour in the morning, the nurse ought to get into the habit of raising the child from bed before the time of the usual occurrence of the mishap. TREATMENT. When, in spite of every precaution on the part of the nurse, children wet the bed every night, and no other symptom of derangement can be detected, the following remedies are often effectual in surmounting the weakness. Sepia is to be preferred when the mishap generally occurs during the first sleep. Dose: Two globules in a teaspoonful of water, at bedtime, for four nights in succession; then pause four days, and resume the administration, if necessary, on alternate days, four times, and so on. Acidum phosphoricum will prove useful in some cases, when large quantities of urine are emitted, so that the child's bed is " flooded " nightly. Dose: As for Sepia. Belladonna is appropriate in cases in which the weakness is evi- dently incidental to a relaxed condition of the bladder, or to cerebral irritation. Dose: One globule in a teaspoonful of water, repeated, if necessary, every fourth day. Sulphur should be perseveringly employed in almost all chronic cases occurring in delicate children, but particularly in those who are or have been subject to eruptions on the skin. Dose: As directed for Sepia. Cina is a useful remedy when the existence of worms appears to be the irritating cause. Dose: Two globules, as directed for Sepia. Additional Particulars. In cases in which this weakness is evidently associated with the presence of worms in the intestinal canal, and when Cina is insufficient to remove it, the reader should consult the general article on " Worms," and proceed according to the directions therein afforded. If, on the other hand, the wetting of the bed is associated with evident derange- ment of digestion, the article on "Bowel Complaints" should be con- sulted. Retention of Urine. TREATMENT. Aconitum should be promptly employed when infants or children are seized with retention of urine, and there is great restlessness, with some degree of fever, and with urging. Dose: One globule in a teaspoonful of water, repeated, if necessary, after an interval of three hours. 49 770 EXCORIATIONS — CHAFING, ABRASIONS OF THE SKIN. Pulsatilla should be given two hours after the second dose of Aconitum, when no relief has followed the administration of that med- icine, and when there is considerable heat in the lower part of the bowels, the child being of a leuco-phlegmatic temperament. Dose: As directed for Aconitum, until decided amelioration or change. Nux vomica is to be preferred for administration (two hours after the second dose of Aconitum), under similar conditions to those men- tioned as indicative of Pulsatilla, but when the child is of bilious or san- guine temperament, and subject to confinement of the bowels, or when the bowels are actually in a confined state. Dose: One globule, as directed tor Aconitum, until decided amelioration or change. Cantharides becomes of essential service when neither of the fore- going medicines have succeeded in relieving the retention of urine. Dose: One globule, as directed for Aconitum. EXCORIATIONS —CHAFING, ABRASIONS OF THE SKIN. PRECAUTIONARY MEASURES. Against this affection cleanliness is the best preventive; however, we frequently find it proceed to such an extent as to require the aid of medicine for its removal. TREATMENT. Chamomilla will be found speedily effective, in most instances, but particularly in those which proceed from acidity. Dose: Two globules in a teaspoonful of water, night and morning; then pause three days, after which the two doses should, if necessary, be re- peated as before. Mercurius should be given three days after the second course of Chamomilla, when there is a yellowness of the skin, which the last- named medicine has not removed, and when the excoriation is exten- sive and severe. Dose: Two globules in a teaspoonful of water, repeated at intervals of three days, until amelioration or change. Sulphur is especially indicated in obstinate cases which have been preceded by, or are associated with, a miliary eruption, in which case it should be preferred to any of the foregoing remedies. Dose: Two globules, as directed for Mercurius. Rhus should be administered when the heat, redness, and swelling of the parts are excessive, and associated with a considerable discharge, occasionally fetid, either in the bend of the knees or arms, about the neck, or behind the ears. Dose: Two globules, daily, in a teaspoonful of water, for a week. Graphites, Sepia, Calcarea. For those comparatively rare cases which do not yield to any of the foregoing remedies, and partic- ularly when the space behind the ear is the principal seat of the affec- tion, one of these three remedies should be had recourse to. The mora HIVES — NETTLE-RASH. 771 particular indications of each, respectively, may be discerned by refer- ence to the article on " Characteristic Effects." Dose • Of either of these medicines, as directed for Mercurius. JAUNDICE. Causes. This disease, as we have before observed, frequently takes its rise from the mischievous practice of administering aperients imme- diately after birth; exposure to cold is also one of its exciting causes. TREATMENT. Aconitum is indicated in most cases, at the commencement, by the febrile indications, and will frequently, in such cases, be sufficient to remove the entire disorder. Dose: Of a solution of two globules to three table-spoonfuls of water, give a teaspoonful, morning, noon, and night, until manifest improvement or change. Chamomilla will be found prompt in affording relief, when the affection has arisen from exposure to cold — that is, from a sudden chill — or from mental excitement, such as a fit of passion; and when there is, together with the distinguishing characteristic of the disease — a yellow hue of the skin — considerable distension of the stomach. Dose: As directed for Aconitum. Mercurius may, in many cases, follow Chamomilla, after an in- terval of three days from the last dose, if the last-named medicine has only partially relieved. Dose: Two globules, as directed for Aconitum. China may be preferred, if the affection has assumed an intermit- tent form, accompanied by profuse sweating; or, it should follow the fourth dose of Mercurius, after a pause of three days, if any symptoms still remain, after the employment of the last-named medicine. Dose: As tor Aconitum. Nux vomica is to be preferred when the complaint is combined with costiveness, and the patient appears generally of an irritable temper. Dose: As for A conitum. Additional Particulars. For more particular indications for the medicines above given, and (or further information, the reader is referred to the article on " Jaun- lice," in a former part of this work, at pp. 300 - 302. HIVES — NETTLE - RASH. This is an eruption usually consisting of red inflamed patches, irreg- ularly distributed upon different and often distant parts of the body. In its appearance, and in the sensations it excites, it resembles the effects produced by application of stinging nettles to the skin. Some- times the eruption takes the appearance of white wheals. The disease nsually appears in summer, as an effect of hot weather, in which 772 SWELLING OF THE BREASTS. case the warm bath will be found very useful in relieving the intense itching and burning that sometimes ensues. As a general thing, it ia a trifling and evanescent ailment, but sometimes, owing to complica- tions with diarrhoea, fever, &c, it becomes of greater gravity. In some instances the eruption suddenly disappears, and may as suddenly re- appear, on some other part of the body. TREATMENT. Aconite will usually relieve all the symptoms, and remove the eruption promptly, in cases in which there is much feverishness, and thirst. Dose: Of a solution of three globules to two table-spoonfuls of water, give a teaspoonful every two hours, until manifest improvement or change. Should, however, no improvement be noticed after the sixth dose, wait two hours, and then proceed to administer the next most suitable remedy. Apis mellifica will be found useful in many cases, when the erup- tion consists of red, inflamed, raised patches, resembling bee-stings, with burning and stinging pains; or when there is considerable swell- ing of the parts affected. Dose: As directed for Aconitum. Urtica urens will prove useful in some cases, resembling the stings from nettles; the eruption is pale, and the child wants to have it rubbed all the time. Dose: As for Aconitum. Rhus toxicodendron should be given when the eruption is bright red, itches a great deal, which rubbing does not relieve, and when, on the contrary, rubbing or scratching seems to aid in spreading the eruption. Dose: As for Aconitum. Pulsatilla will be found useful in some cases, when hives is asso- ciated with gastric disturbance or diarrhoea, or has been occasioned by the use of too heavy or otherwise unsuitable food. Dose: As directed for Aconitum. Arsenicum, Bryonia, Nux vom., and Belladonna will be found available in some cases which refuse to yield to the foregoing remedies. Consult the article on '.'Characteristic Effects." Dose: Ofthe medicine selected, as directed for Aconitum, SWELLING OF THE BREASTS. These organs, in female infants, sometimes become swollen and hard, which is usually the result of the absurd and wicked practice on the part of nurses of squeezing them, under the erroneous opinion that if " the milk is not squeezed out of them," they will not perform their proper functions in after-life. This practice is a cruel one, and very often brings about the state of affairs it is intended to prevent, for, by squeezing the gland, inflammation, swelling, and perhaps sup- puration and destruction follow, and the breast is rendered useless and the source of a great deal of trouble and suffering in after-life. DERANGEMENTS DURING TEETHING. 773 TREATMENT. Aconitum should be given if there be much fever accompanying the inflammation and swelling of the breasts, and will sometimes dissi- pate the entire difficulty. Dose: One globule, dry, on the tongue, repeated every six hours, until manifest improvement or change. Arnica should be used if it be known that the breasts have been squeezed, and they are merely hard, with no apparent inflammation, or the redness has not yet appeared. Dose: One globule, as directed for Aconitum. Belladonna should be employed when the breasts are of a bright- red color, the inflammation being disposed to run high, and in streaks or rays. Dose: As directed for Aconitum. Bryonia will be useful when the breasts are very hard, and of a pale color. Dose: As for Aconitum. Hepar will prove useful if matter has already formed. Dose: One globule, dry, on the tongue, repeated every twelve hours, until manifest improvement or change. • Silicea will be requisite after the administration of Hepar, particu- larly to assist the healing process following the suppuration. Dose: As directed for Hepar. DERANGEMENTS DURING TEETHING. Distinctive Symptoms. 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 of the symptoms diverg- ing from the usual track, it may be necessary to have recourse to medicines, or to procure professional assistance. During the teething, the child is more restless than usual, especially at night; has flushes of heat, alternating with paleness; the gums gradually swell and become hot; it evinces a difficulty in sucking, sometimes forcibly bites, and frequently lets go the nipple; it drivels at the mouth, and its bowels become relaxed;—the two latter symp- toms may, in some measure, be looked upon as a wise provisional 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 a derangement of functions demanding prompt attention. TREATMENT. Coffea may be administered when the child is in an excited state, and unable to sleep, irritable, liable to start, and difficult to soothe. Dose: Two globules in a teaspoonful of water, repealed in six hours; if, 774 DERANGEMENTS DURING TEETHING. however, no amelioration follow within twelve hours after the second dose, proceed with the next remedy. Chamomilla may be given if the following symptoms are encoun- tered : — Extreme excitability; the infant starts at the slightest noise; evinces great thirst; spasmodic twitches or convulsions in the limba during sleep; short, quick, and loud respiration, 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. Dose: One globule in a teaspoonful of water, repeated at intervals of four hours, until three doses have been given (unless decided change should sooner occur), and subsequently at intervals of twenty-four hours, until decided amelioration or change. Mercurius is, in some cases, required twelve hours after the third dose of Chamomilla, when the last-named medicine has not produced any decidedly good effect on the state of the bowels, — that is to say, if the child evidently suffers from undue and protracted relaxation, because, in general, a simply relaxed state of the bowels is rather salutary than otherwise. Dose: One globule, as directed for Chamomilla. Ignatia should be given when the tendency to convulsions is asso- ciated with a costive state of the bowels. More particular indications for the employment of this medicine may also be derived from the article on " Convulsions," at p. 778. Dose: One globule, as directed for Chamomilla. Aconitum should be preferred when the child is feverish, the skin being hot, the face flushed, and the pain in the swollen and inflamed gums evidently very distressing. Dose: As directed for Chamomilla. Belladonna must be resorted to when strong symptoms of irrita- tion or inflammation of the brain supervene, as more particularly described under the head " Belladonna," in the article on Inflamma- tion ofthe Brain, at p. 417. Dose: Dissolve and administer one globule, as directed for Chamomilla. Cuprum aceticum. When marked irritabilitg of the brain de- clares itself, and the child almost spasmodically clenches the spoon or cup with its gums when drinking. Dose: As directed for Chamomilla. Zincum has been found useful in apparently hopeless cases, with symptoms of incipient paralysis of the brain, such as profound sleep half-closed or motionless eyes, with insensible pupil; loss of conscious- ness ; moaning ; icy coldness of the whole body, and bluish color of the skin ; pulse nearly imperceptible ; respiration interrupted. Dose: Two globules, dry, on the tongue, repeated in the course of half an hour, and afterwards every two hours, until the surface becomes warmer, the pulse stronger, and the breathing more regular. Calcarea should be administered when the irritation seems to arise from difficulty of teething, — the gums being pale, tense, swollen, and CONVULSIONS IN CHILDREN. 775 painful, the motions pale-colored, and the child feeble and irritable. This remedy will materially assist the protrusion of the teeth. Dose: One globule in a teaspoonful of water, morning and evening, once a week for a month (unless some change requiring other treatment should sooner occur). Apis mellifica is indicated by the child frequently waking at night with sharp and violent screams; the body is covered here and there with red blotches. Dose: As directed for Chamomilla. Nux vomica is more particularly indicated by flatulency, foul tongue, hardness of the belly, feverishness, sleeplessness, or drowsiness, with disturbed or restless sleep, and debility; dry cough; costiveness, with knotty, hard, dark-brown stools, languor, sleeplessness at night, with drowsiness during the day. Dose: Give two globules in a teaspoonful of water, repeated after the lapse of twenty-four hours; then pause four days, after which, if a decided change has not taken place, consider Sulphur. ' Bryonia is to be preferred to Nux vomica, when the child seems constantly chilly, or feels cold to the touch, and is very fretful. Dose: As directed for Nux vomica. Sulphur may be advantageously employed, four days after the last dose either of Bryonia or of Nux vomica (as above directed), when either of the last-named medicines, although previously well indicated, has been productive only of very partial benefit. Dose: Two globules in a teaspoonful of water, repeated after the lapse of twenty-four hours; then pause four days, after which resume the admin- istration of Nux vom., or Bryonia, as before, and so on, until decided and permanent amelioration or change. CONVULSIONS IN CHILDREN. General Causes. Convulsions generally arise from the prepon- derance of the nervous and cerebral systems over the other parts of the frame, hereditary predisposition called into activity by dentition, re- pelled eruptions, irritating substances in the stomach, intestinal worms, mechanical injuries, fright, and lastly, from some occult cause, in many instances bidding defiance to the powers of medicine. Premonitory Symptoms. Convulsions may occur suddenly in apparently healthy children, without premonitory warning, or without any assignable cause. When harbingers of a convulsive attack are present, they usually display themselves in the form of occasional twitchings of the fingers or toes, clenching of the thumb, downward torsion of the hand or foot, and retraction of the toes. The pupils are observed to be suddenly dilating or contracting; or one is being con- tracted whilst the other is dilating; the eyes are either fixed or in con- stant and rapid motion. An irregularity in the breathing, a livid appearance about the mouth, and frequent changes of color, are also deserving of notice. Symptoms of the Attack. During an attack of convulsions of a mild character, the face is sometimes alone affected with slight twitch- 776 CONVULSIONS IN CHILDREN. ings, combined with distortion of one or both eyes; or only one liniD, or one-half of the body may be convulsed, sometimes alternately or successively with the other half. In the severer varieties, all the limbs are more or less affected, and likewise the muscles of the face and those of respiration. The eyes seem about to start from their sockets, and are much distorted, or roll about in various directions; or the eyelids open and shut in incessant motion; the tongue is protruded, or alter- nately elongated and contracted; the mouth foams; the breathing is impeded; the hands are firmly clenched; the limbs violently jerked or tossed about; and the face and head, which are often red at the begin- ning of the seizure, assume a dark or purple hue towards the conclu- sion, as also, at times, the entire surface of the body. As the attack declines, the convulsive movements become less violent and of less fre- quency, the contractions of the muscles relax, and the child, after a fit of crying, recovers its natural appearance. A quiet sleep often ensues, accompanied by a copious perspiration, from which the child awakes calm and refreshed. At other times, the paroxysm is succeeded by a secondary state of great languor, attended with complaints of head- ache, &c. Duration, Results, &c. Convulsions vary in duration as well as intensity; sometimes the paroxysm will last only a few minutes, but occasionally it is protracted for hours, and after a short interval of ces- sation it may recur with undiminished violence. When very severe, or frequently repeated, a fatal issue, or an irrecoverable state of par- alysis may be the consequence. Neither fever nor loss of consciousness necessarily accompany an attack ; but when they do, or when the pulse is much accelerated, and the skin exceeds the natural temperature, which is more liable to be the case in robust, plethoric children, an inflammatory disease (of the brain or its membranes, for instance,) is commonly to be dreaded. ACCESSORY MEASURES. When no professional aid or medicines are at hand, and the danger is imminent, we may, in the first place, recommend the immersion of the lower extremities up to the knees in water, as hot as can be borne with safety to the infant, for the space of eight or ten minutes, until the paroxysms seem in a measure subdued; after which, the child should be wiped perfectly dry, and placed in a warm wrapper; if the first immersion be followed by no relief, it should be repeated, and at the same time we may pour a small stream of cold water upon the crown of the head, until reanimation becomes apparent, when the child ought again to be warmly covered up; this course, frequently repeated, has been found to restore children, although the prior attempts have proved inefficient. Lavements of equal parts of sweet oil and warm milk are sometimes beneficial. TREATMENT. General Remarks and Precautions. Remove, if possible, the exciting cause, when it can be discovered, avoid every excitement, and keep the child perfectly quiet, and free CONVULSIONS IN CHILDREN. 777 from every disturbing influence of light, noise, &c, and with great care select and administer the remedy which appears to be indicated by the exciting cause, the nature of the case, and the attending con- ditions. Convulsions are liable to be excited in infants, when they are put to the breast immediately after the mother or nurse has had a fright, a fit of anger, a paroxysm of grief, &c. In most cases, a medicine which is appropriately indicated by the mental perturbation ought to be taken by the mother as soon as possible, and the first milk drawn from the breast by some artificial means. It is only after such preventive measures, and when the mother or wet-nurse has become thoroughly calm, that the infant should be allowed to take its nourishment from the usual source. INDICATIONS AFFORDED BY THE PARTICULAR CAUSE, ETC. As regards the particular and distinctive indications for selection which are afforded by the cause, the subjoined abstract may serve to facilitate the determination.* When occasioned by fright, select especially—Opium, Hyoscyamus, Aconitum, Belladonna, Gelseminum. When occasioned by external injury, such as a blow or fall, select especially — Arnica, Cicuta, Belladonna. When occasioned by acidity ofthe stomach, select especially from — Chamomilla, Nux vomica, Belladonna. When occasioned by overloading the stomach, or by indigestible food, select especially from — Ipecacuanha, Nux vomica, Pulsatilla. When incidental to worms, select especially from —.Cina, Mercurius, Cicuta. When occasioned by a fit of passion, select especially — Chamo- milla. When occasioned by some incipient affection of the brain, or of its vessels or membranes, select especially—Belladonna, Hyoscyamus. When incidental to dentition, select especially from— Chamomilla, Ignatia, Calcarea carb. Camphor (Saturated Tincture) may be advantageously employed by inhalation, or by friction of the gums, when there is lock-jaw, or rigid extension of the entire frame, and general coldness of the surface. Camphor is also of very general service in almost all cases of emer- gency, and when none of the other medicines subjoined, as appropriate to particular manifestations, are within reach; when, if the Saturated Tincture, or Spirit of Camphor, be obtainable, it should be promptly employed, pending the arrival of some further assistance. Administration • Hold the unstoppered bottle, containing the saturated Tine- *The selection from one or more ofthe medicines thus enumerated must, how- ever, depend upon the correspondence between the symptoms of the case, and those detailed in the subsequent portion of this article, as indicating each medicine, separately and respectively. But, if the indicative symptoms for two or more med- icines (hereafter afforded) be so closely identical as not to be decisive between them, whereas both are not applicable to the treatment of cases arising from the same cause, then this discrepancy will be decisive between them, if the cause bt clearly ascertained. 778 convulsions in children. ture of Camphor, to the nostrils of the infant for an instant, from time t< time, until the violence of the convulsive fits becomes somewhat abated. In cases )f lock-jaw, it is often most useful to apply a weak solution of the Tincture (consisting of six drops to two table-spoonfuls of diluted Spirits of Wine), by means of friction to the gums. Chamomilla stands in the first rank, particularly in very young children, when the convulsions have been excited by teething, as well as for children who have passed that period, who are extremely sensi- tive, and peevish, or when the attacks have been excited by acidity and colic, a chill, or a fit of passion or vexation. The characteristic indications for its administration are: restlessness, fretfulness, and disposition to drowsiness when awake; one cheek red, the other pale; diarrhoea; eyes half-closed ; quick and loud breathing; moaning; twitches of the eyelids and muscles of the face; jerks and convulsions of the limbs, with clenched thumbs; constant rolling of the head from side to side; loss of consciousness. Dose: Dissolve six globules in four teaspoonfuls of water, and administer one teaspoonful of the solution at the commencement or immediately after the attack ; if fresh paroxysms come on, but decreased in intensity, we ought not to repeat the remedy, but allow it to exhaust its action; if the con- vulsions increase, on a second or third attack, we may give another spoonful — unless other symptoms, declaring themselves, intimate that we ought to have recourse to any of the under-mentioned medicaments. If, however, no change should occur within two hours after the second dose, or, if the subjoined indications more particularly ensue, proceed with the next medicine. Again, if a paroxysm of greater or less severity ensues immediately or very soon after the first dose, it is prudent to wait for one or two subsequent recurrences to guide the necessity for repeating or changing. Belladonna is the most important remedy in all cases which pro- ceed from, or are connected with, a more or less serious disturbance in the brain; and it should, moreover, be employed two hours after the second dose of Chamomilla, if the last-named medicine should have produced no apparent effect, and the convulsions should recur. It is more particularly indicated when the child starts suddenly, when asleep, or stares about wildly; the pupils are much dilated; the body or indi- vidual members become rigid ; the head is hot and face flushed; occa- sionally, clenching of the hands; involuntary passing of water after returning to consciousness; the slightest touch will sometimes provoke a renewal of the attack. Dose: As directed for Chamomilla. Ignatia is frequently found successful, particularly during the time of teething, more especially in children that appear of a melancholy temperament, or in pale, delicate infants, of peevish dispositions. The characteristic symptoms are: the infant, while reposing in a moaning, light slumber, becomes suddenly flushed with burning heat, awakes with a convulsive start, and the utmost soothing scarcely quiets the excitement; a tremor of the entire body, attended by violent crying and shrieks; the muscles of single limbs seem convulsed; the fit returns every day at a regular hour, or every other day at variable hours. Dose: As directed for Chamomilla. Aconitum In robust, plethoric children, this remedy is fre- convulsions in children. 779 quently of much service as an auxiliary remedy, when the pulse is full and accelerated. It may, under such circumstances, be given either previously, or subsequently to the medicament otherwise indi- cated, until the unnatural rapidity of the circulation has been sub- dued. Dose: Dissolve six globules in three teaspoonfuls of water, and give a tea- spoonful of the solution every four hours, until amelioration or change. Ipecacuanha is useful when great difficulty of breathing, nausea, aversion to food, vomiting and diarrhoea, either precede, accompany, or follow the attacks; also if the convulsions are preceded, followed, or accompanied by spasmodic stretchings; and when the child has a constant inclination to remain in the recumbent posture. When indi- gestible food, or an overloaded stomach, has given rise to the attack, there will be additional reason for the selection of this remedy. Dose : As directed for Aconitum. Gelseminum should be administered when the child's head seems heavy, and it lies in a semi-stupid condition, after the paroxysms: during the convulsions the face is flushed, of a dark or dusky hue, and the arteries of the neck pulsate violently. Dose: As directed for Chamomilla. Nux v. is chiefly required in cases which arise from indigestion, with vomiting of food, constipation, convulsive jerking of the limbs, and tossing backwards of the head; and when the attacks are the result of high living on the part of the nurse. Dose: As directed for Chamomilla. Cina is useful, particularly during the second teething, for children of a melancholy temperament, scrofulous constitution, and who are troubled with worms, or habitually wet the bed; the characteristic symptoms are: spasms, commencing with constriction of the breast, followed by stiffness of limbs, paleness, and rigidity of the whole frame. Dose: As directed for Chamomilla. Mercurius is useful in spasms which are caused by the presence of worms; the stomach is swollen and hard before, during, and after the fit; the child is attacked with painful eructation, and a species of salivation; the limbs tossed and convulsed, attended by fever and moist skin; after the paroxysms, the child lies for a long time ex- hausted, and apparently dying. Dose: Of a solution of six globules, as directed for Chamomilla. Cicuta virosa is exceedingly serviceable when there is a clear indication of the presence of worms; when the child is first attacked with severe griping and colic, terminating in convulsions; the charac- teristic features of the fit are: tremor of the limbs; jerks like electric shocks, terminated by insensibility. Dose: As directed for Chamomilla. Acidum hydrocianicum should be given when the muscles of the back, face, and jaws are principally involved in the convulsive action, and the body assumes a bluish tint. Dose: As directed for Chamomilla, 780 WATER IN THE HEAD — DROPSY OF THE BRAIN. Arsenicum has proved very valuable in severe cases of convulsion, during dentition, with the following symptoms:—A burning heat diffuses itself over the whole body ofthe child; it stretches its feet out, and the hands convulsively backwards; then throws its hands about, and rolls over with violent shrieks, changes its position, and bends forward wilh clenched fingers and extended thumbs; it is irritable, restless, and per- verse; evinces insatiable thirst, but drinks little at a time; is affected with diarrhoea, sometimes of undigested food; frequently vomits imme- diately after taking food; the paroxysms recur frequently, and all attempts at soothing seem only to irritate the child. Dose: As directed for Chamomilla. Arnica is to be recommended in those instances in which convul- sions result from mechanical injuries. Dose: As directed for Chamomilla. CofFea should be given for convulsions occurring in weak, nervous, and excitable children, who are subject to convulsive attacks; particu- larly if the spasms are brought on by the excitement of excessive laugh- ing, or playing. Dose: As directed for Chamomilla. Opium should be administered at the onset, when convulsions have ensued as the consequence of a fright, and when the following appear- ances are present: — General trembling; throwing about the limbs; va- cant stare; cries, seemingly unconscious; snoring respiration, and final insensibility. Dose: Of a solution of six globules, as directed for Chamomilla. Stramonium is to be preferred when the child becomes suddenly and violently convulsed and senseless from fright; or when the attack is attended with the involuntary discharge of feces and urine, and the fits are renewed by the sight of any bright or luminous object, such as a candle, mirror, &c. Dose : As directed for Chamomilla. Hyoscyamus, when sudden fright causes very violent convulsions, with twitchings in the face and other parts of the body; diarrhoea, and involuntary emission of urine ; frothing at the mouth. Dose: As directed for Chamomilla. Diet and Regimen. The diet, if artificial, should be very spar- ing, light, and unirritating, so long as the paroxysms continue to recur; and great caution must be observed for some length of time. Stimu- lating fluids, above all things, should be avoided, and any source of sudden excitement obviated, as far as this is practicable. WATER IN THE HEAD —DROPSY OF THE BRAIN. Varieties. It occurs in three distinct forms, namely: (1) the slow, insidious, or torpid variety, which is of an acute or sub-acute character; (2) the highly active or inflammatory form, exhibiting all the features of Inflammation of the Brain, but wdiich is the least fre- quent form ; and (3) the essentially chronic form. WATER IN THE HEAD — DROPSY OF THE BRAIN. 781 Acute Dropsy of the Brain. (1.) The low, torpid, or insidious form (First stage).—Generally cornea on very insidiously, and often creates no alarm at first, the signs of in- disposition being attributed to the effects of teething or to peevishness. The first of these indications of deranged health consists in great lan- guor, and tendency to fatigue from the slightest exertion. The child consequently shuns movement; totters in its walk; or drags one leg after the other. There is excessive fretfulness, particularly when the head is raised, and pain is frequently complained of in the back ofthe neck, in the eyes, limbs, and stomach. The stomach is exceedingly irri- table, vomiting being generally induced whenever the child sits upright or is placed in an erect posture ; the head is hot; the eye looks inflamed, or the pupil is contracted, and the countenance wears a peculiar ex- pression. There is some fever, the skin being usually hot, and the pulse being rather quick, but often variable, especially at night, with grind- ing of the teeth during sleep, and starting, or fits of screaming on being awakened. The evacuations are unhealthy, or the bowels are obsti- nately confined; the urine scanty or suppressed. The child often an- swers correctly when spoken to, but often stutters or hesitates in using a particular word. (Second stage.)—As the disease progresses, pain is commonly less frequently complained of; the child becomes quiet when allowed to remain in the horizontal posture, but utters a shrill, peevish cry when lifted up. Drowsiness or stupor now prevails ; the head sinks upon the pillow; the eyes are half closed; the pupils dilated or immovable, or alternately dilated and contracted, and attended with impaired or double vision, or with squinting. A diminution or a complete cessa- tion of sickness, sometimes combined with a slight return of appetite, occurs at this stage; but emaciation proceeds rapidly; the child moans and frequently lifts its hands to its head with a tremulous motion, and often sighs deeply. This, the second stage, may continue for eight, twelve, or fourteen days; after which the affection enters upon the (Third stage) — with its convulsions of greater or less intensity. There is constant moaning or raving, but complete loss of conscious- ness ; the eyes are dim, glazed, and turned upwards; the pulse may be invariably quick throughout the whole course of the disease; or after having grown slow and weak at the termination of the first stage, it may now become much accelerated for a short period, and then grad- ually decline. The limbs become relaxed, the belly retracted, and the breathing very unequal. Extreme prostration, with increased stupor, supervene, and the child is carried off in a state of collapse, or the scene is terminated by a severe convulsive fit. (2.) The acute and inflammatory form (First stage). — In the acute and less frequent variety of the complaint, the symptoms are much more strongly marked. In robust children it occasionally sets in very suddenly, with fever or violent convulsions, the child dying on the third or fourth day. In other cases, the child is seized with severe headache; the face is red, the head hot, and the vessels full and throb- bing ; the child starts at the slightest noise; the eye is preternaturally brilliant, and is very sensitive of the light. The pulse is, at first, full 782 DROPSY OF THE BRAIN. and very quick, and the respiration hurried and labored. The stomach is excessively irritable ; the tongue white and furred, and perhaps en- larged ; the bowels usually very costive, or the motions unnatural, gen- erally presenting a singular green color; the urine scanty, or sometimes altogether suppressed. The countenance is strikingly peculiar, present- ing a mixed expression of terror and pain; the hands are frequently raised to the head; and the child is extremely fretful, particularly when taken up from the bed ; whilst the screams which occasionally escape from it are piercing and frantic. As the disease advances, the pulse becomes slow, feeble, and unequal or irregular; any movement has, however, a tendency to accelerate it. • (Second and Third stages). —The complaint then passes through the stages already described, and terminates in a like manner. Chronic Dropsy of the Brain. Symptoms. This form of the disease is sometimes a sequel of the preceding variety; but, more commonly, it sets in slowly and insid- iously, without any antecedent acute stage. The head gradually en- larges, whilst the face retains its natural size; and if the child affected be of tender age, the bones of the head separate to a considerable ex- tent, the fontanels become transparent and prominent, and a sense of fluctuation is detectable on pressure. In some cases, the head is unu- usally large originally, and does not increase in magnitude during the course of the disease. The first general symptoms usually observed are languor, lassitude, and loss of flesh. The physical power is much enfeebled, and one or the whole of the senses are impaired, or become entirely suppressed as the malady advances. In some cases, the intellectual faculties are pre- served much longer than could be imagined from the extent of the disease. Occasionally the head attains an enormous size, and is inca- pable of being kept erect by the debilitated and attenuated frame which supports it. Violent general convulsions sometimes occur, and certain limbs remain constantly in a rigid state. At other times the convul- sions are only partial, affecting merely the face, the muscles connected with the act of breathing, or those of one or more extremities. Some degree of giddiness in the erect posture is occasionally complained of; or there may be heat and pain in the head; vomiting; nocturnal fever, with great restlessness, aud movements of the head from side to side, or sinking of the head deep into the pillow; repeated working of the tongue and lips, or continuous action of the lower jaws, as in the pro- cess of chewing. Squinting is not an unfrequent attendant. Issue and Results. The more acute the inflammation the greater are the prospects of cure in general cases of Water on the Brain. A copious outbreak of perspiration, with diminished rapidity and oppres- sion of breathing, and increased flow of urine taking place, announce a happy result. On the other hand, when the disease, even in its acute or sub-acute form (as is more frequently the case), comes on gradually and insidiously in the wake of some other malady, and especially if it occurs in a child of scrofulous habit, the chances of recovery are much less. When the chronic form of the complaint follows an acute attack, DROPSY OF THE BRAIN. 783 or when, during its progress, delirium, convulsions, and stupor super- vene, a fatal result can with difficulty be warded off. Distinctive Investigation. Dropsy of the Brain is liable to be confounded with other diseases, as worms, inflammation and ulceration of the mucous membrane of the small intestines, drowsy state from ex- haustion, occurring after protracted debilitating disease, &c. The his- tory of the case, together with a close scrutiny of the whole of the symptoms, will rarely fail in enabling an intelligent person to establish the distinction. TREATMENT. Acute Dropsy of the Brain. Medical aid should, if possible, be obtained at the earliest period at which the symptoms of this dangerous and so frequently fatal malady display themselves. The following medicaments may, however, be men- tioned as the more appropriate. Aconitum should be administered at the onset, if the existence of the disease has been discovered upon the first indications of its active progress, when the skin is hot and dry, and the pulse quick, more par- ticularly if the patient exhibit the appearance of a full habit of body, the face having habitually the color of robust health. Dose: Of a solution of three globules to four teaspoonfuls of water, give a teaspoonful every six hours, until amelioration or change. Should ame- lioration ensue, the medicine should be given every twelve hours, the in- terval to be subsequently increased to twenty-four hours, as improvement continues. Should, however, no amelioration be apparent after the lapse of four days, or should other change be earlier manifested, consider and select the most suitable medicament from the subjoined. Belladonna. Great heat of the head; redness and bloatedness of the face, with strong pulsation of the arteries of the neck; loud com- plaint of pain in the head; burying of the head in the pillow, or moving the head from side to side ; great increase of suffering by the least noise, and extreme sensibility to light; frequent flushing of heat; violent shoot- ing and burning pains in the head, the eyes being red and sparkling, or of unusual brilliancy, with protrusion, or with bold or wild expres- sion ; contraction or dilation of the pupils; sickness at the stomach; violent delirium ; drowsiness and stupor ; loss of consciousness ; frantic screams ; sometimes low muttering ; grinding of the teeth ; convulsions and vomiting, or even involuntary evacuation from the bowels, or of urine. Dose: As directed for Aconitum. Hyoscyamus is more especially appropriate, when there are vio- lent convulsions; loss of consciousness, or inarticulate speech; delirium; redness ofthe face; wild, fixed look; white, coated tongue, with frothy phlegm about the lips ; dilatation of the pupils; skin dry and parched; thirst; diarrhoea; picking at the bedclothes with the fingers. Dose: As directed for Aconitum. Apis Mellifica will be found valuable in cases in which the child emits shrill, piercing screams, while asleep, as though it suffered from 3udden and severe pain ; it is also indicated by the disease occurring 784 DROPSY OF THE BRAIN. after the suppression of eruptions, as scarlatina, measles, &c.; or, when the case is characterized by sweating about the head, squinting, grating ofthe teeth, trembling ofthe limbs, and irregular, slow pulse. Dose: As directed for Aconitum. Bryonia may be administered when there is heat in the head, with dark redness of the face, and great thirst; eyes convulsed ; delirium ; sudden starts, with cries, or constant inclination to sleep; continued movement of the jaws, as if engaged in chewing; tongue coated yellow; the bowels obstinately confined, and the belly distended; urine suppressed, or the passing of it appears to cause pain; great thirst, especially at night; skin hot and dry ; respiration hurried, laborious, and anxious; constipation. Dose: As directed for Aconitum; or, in very severe cases, one globule dry on the tongue, repeated at intervals of one, two, three, and four hours, suc- cessively, arid then at intervals of six hours, if yet required. Helleborus niger. Complete apathy; the child cannot raise itself without assistance; frequent rubbing of the nose ; no desire for anything but drinks ; swallowing greedily ; easily made angry; striking with the hands; does not want any one near; scanty, dark urine, depositing a sediment that looks like coffee grounds. Dose : As directed for Bryonia. Opium is more properly indicated when the subjoined symptoms prevail: lethargic sleep, with snoring respiration ; half-open eyes, and confusion or giddiness after waking ; and complete apathy and absence of complaint; it is particularly useful when the disease follows an attack of cholera infantum. Dose : As directed for Aconitum. Zincum has occasionally been employed with success in the last stage of acute Dropsy of the Brain, with symptoms of incipient paralysis ofthe brain. This remedy is more especially indicated by loss of con- sciousness ; half-closed eyes; dilated, insensible pupils; icy coldness of the extremities, or of the entire surface of the body; blueness of the hands and feet; impeded breath, and small, weak, scarcely-perceptible pulse. Dose: Two globules, dry, on the tongue, repeated at intervals of two hours, until the warmth returns, the pulse grows stronger, the breath easier, and the eyes capable of communicating sensations, objects, &c.; after which the other medicines, above enumerated, should be considered for further treatment. Artemisia may be of use in the second stage, other remedies having failed, with convulsions on the right side of the body, while the left side is paralyzed ; stupor; greenish diarrhoea; the face is pale, and old looking, and the body is cold all over. Dose: As directed for Zincum. Digitalis is sometimes indicated in the second stage of Water on the Brain, particularly when the pulse is very slow, weak, and irregu- lar. Dose : As directed for Zincum. Arsenicum is to be preferred when the face is pale and waxy, the ASTHMA OF MILLAR. 785 emaciation and debility excessive, the pulse quick, weak, and unequal or irregular, and when marked intermissions are observed in the cour«e of the disease. This medicine is again of the chief value in the treat- ment of the chronic variety. Dose: As directed for Aconitum. Sulphur is very serviceable as an intermediary medicine, during the course of treatment wdth one or more of the medicines above named, when the improvement effected by the remedy which is evidently indi- cated by the symptoms, is limited to a certain point. Sulphur is also of great service in completing the cure, after an attack of the active or inflammatory form. Dose: If as an intermediary medicine, give two globules in a teaspoonful of water, or dry on the tongue, repeated after the lapse of six hours; then pause (if possible) twelve hours, after which resume treatment, with the medicine previously and appropriately employed. If, to complete the cure, repeat the like dose the first thing every morning, for ten days (unless some striking change should sooner occur). Chronic Dropsy of the Brain. Calcarea carb., Zincum, Helleborus, Arsenicum, and Sulphur should be mentioned as those which have proved to be of the most use in the treatment of the chronic form of this disease. The particular indications for each, respectively, may be derived from the previous part of this article, or from that on " Characteristic Effects." Dose: Of either of these medicines, as selected, give one globule in a tea- spoonful of water, night and morning, for a week (unless some decided change should sooner occur); then pause ten days, after which the course should, if necessary, be repeated as before, and so on, until decided amelioration or change. Diet and Regimen. For particulars in these respects, the reader is referred to the article on " Eradicative Treatment," at pp. 83-89. ASTHMA OF MILLAR — SPASM OF THE OPENING OF THE WINDPIPE. Characteristics. 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,—as, for instance, by the extreme suddenness of the attack, while that of croup is generally preceded, for one or two days, by hoarseness and a slight cough, and by the cessation from suffering the patient enjoys between the attacks, whereas, when croup has set in, the excitement is perma- nent. The suffering appears to arise from a spasmodic contraction of the windpipe, impeding the progress of respiration. Symptoms. The attack commences with a sudden spasmodic inspiration, accompanied by a species of stridulous or crowing noise ; if the fit continues, the face becomes purple, and the extremities partake of the same hue, frequently attended, as in convulsions, with a clenching of the thumbs inside the palm, and spasmodic constriction 50 786 SPASM OF THE GLOTTIS. of the toes, giving an appearance of distortion to the foot; if proper means are not promptly taken, these attacks recur frequently, and at short intervals, and occasionally the little patient perishes during one of the paroxysms. General Causes. This disease rarely occurs except in infants of delicate constitution, when due means should be taken to endeavor to eradicate it by a proper course of treatment; it frequently accompanies the period of teething, and is excited by similar causes to those bring- ing on convulsions. TREATMENT. Aconitum is indicated when a suffocating cough comes on at night, with shrillness and hoarseness of voice; respiration short, anx- ious, and difficult; skin hot and dry; pulse hard, full, and much accelerated. Dose: Of a solution of six globules to two table-spoonfuls of water, give a teaspoonful, repeated at intervals of three hours (in moderate cases), or even every hour (in somewhat severe instances); or, again, every quarter of an hour, until three doses have been taken, and subsequently every hour (in cases in which the symptoms are very urgent), — proceeding in such manner until amelioration or change. Ipecacuanha is to be preferred when the attack has been excited by indigestible food, and has been preceded by sickness or purging; or especially when the symptoms consist of—rattling in the chest from an accumulation of phlegm, with spasmodic constriction, and symp- toms as from suffocation; anxious and short, or sighing respiration, with purple color of the face, and cramps, or rigidity of the frame. Dose: Of a solution of three globules to six teaspoonfuls of water, give a tea- spoonful every quarter of an hour, until three doses have been given, after which the intervals must be lengthened, or the medicine suspended, if decided improvement, or a cessation of the symptoms of impending suffo- cation ensues. Arsenicum should be employed half an hour after the last dose Df Ipecacuanha, if the latter medicine should fail in producing speedy relief, and many of the symptoms above enumerated are still predomi- nant or only partially subdued; or, again, Arsenicum is more particu- larly indicated, and should be employed at the onset, when the sub- joined symptoms prevail: — Great anguish, cold perspiration, and tonsiderable prostration of strength during and after the paroxysms. Dose: As directed for Ipecacuanha. Sambucus is indicated by lethargy, or ineffectual inclination to sleep, with oppressed respiration and wheezing; livid hue of the face; agonizing tossings; dry heat of the trunk; no thirst; pulse small, irregular, and intermittent. Dose: As directed for Ipecacuanha. Moschus is of value in cases that occur at a more advanced period of life, when there are: a constriction in the larynx, as if caused by the vapor of sulphur, severe spasms in the chest, with inclination to cough, after which (especially in children) the paroxysms become much ex- acerbated. Dose • As directed for Ipecacuanha. RICKETS. 787 Diet and Regimen. It may be deemed almost superfluous to caution parents against the needless exposure of their children to any of the causes which may possibly excite attacks of this kind. RICKETS. Progress. This distressing disease commonly begins to show itself about the tender age of from one to two years. It is generally pre- ceded, for a longer or shorter period, by derangement of the general health, before any of its well - known characteristic features become developed. Premonitory Symptoms. Pale and sickly countenance; dry, harsh skin ; soft and flabby flesh; irregular appetite, sometimes with desire for indigestible or unnatural food; constipation or diarrhoea; general febrile excitement, fretfulness, and languor. General Symptoms. Subsequently, the head is observed to become preternaturally enlarged, and the forehead unusually promi- nent. The breast-bone projects ; the ribs appear flattened; the belly is much distended; while the rest of the body, and the limbs in par- ticular, are greatly emaciated, and the debility is extreme. As the disease advances, the muscles become more flaccid ; the wrists and ankles become swollen ; the legs, thighs, and arms distorted; and the spine partakes in the general deformity, by becoming shorter, and curved in various directions. Issue and Results. When the disease is early attended to, and the more general exciting causes,—such as defective nursing, damp or wet, ill-ventilated dwellings, insufficient exercise out of doors, im- proper food, and uncleanliness, — are capable of being removed, — the chances of recovery are much increased, and the deformity is fre- quently materially, if not wholly, diminished as the patient grows up. Otherwise, if life be spared, it is liable to be rendered miserable by a state of almost continuous suffering. TREATMENT. General Precautions and Management. When there is an hereditary predisposition to this disease, too great attention cannot be paid to the first manifestations of ill-health. Great care should, at the same time, be taken to avoid undue pressure upon the chest and other parts. The bones of a rickety child are wanting in the natural and requisite strength or firmness to support the weight of the frame. Consequently, when every precaution is not adopted, and the child is allowed, or rather compelled, by its heedless or culpa- ble nurse or others, to use muscular exertion, deformity inevitably results. It will, therefore, be necessary to deal gently and cautiously with the child from the first day of its earthly existence. And while every care is observed to escape the mischief, alluded to, other means, having for their object the improvement of health, must be strictly followed. The child should be regularly in the open air, when the weather permits ; its apartments ought to be well ventilated ; its per- sonal cleanliness should be constantly ensured; and wholesome and 788 RICKETS. appropriate nourishment provided. When the health and strength are improving, but the limbs and other parts have become deformed to a greater or less extent, in defiance of every solicitude, — or, a« more frequently happens, from oft-repeated infractions of the rules laid down, — considerable benefit may yet be accomplished by judi- ciously applied mechanical aid. MECHANICAL MEASURES. At the head of the artificial contrivances for counteracting deformity, may be placed the gentle and cautious use of gymnastic exercises, as soon as the child is old enough to undergo them; and it is surprising how early they may be advantageously resorted to. Without these all instruments are often futile, not to say hurtful. But in combination with them, the objection to the temporary employment of an appro- priate apparatus for the purpose of exercising compression, is, I believe, in certain cases removed. I allude, more especially, to the instance in which the legs have become very much bent, either in consequence of neglect, or from its having been found impracticable to prevent a high- spirited child from constantly getting on his feet before his delicate frame had become sufficiently invigorated by suitable treatment. I am free to admit, however, that instruments should always be rejected whenever and wherever they can possibly be dispensed with. Medicinal Treatment. The homoeopathic treatment, required for the subjugation of the constitutional disturbance which ushers in the local peculiarities ofthe disease, is so analogous to what is recommended in the article on " Infantile Remittent Fever," that the reader is referred thereto, (at pp. 789-793.) If the local manifestations of the disease have supervened, the sub- joined medicines more especially should be considered : — Calcarea is a medicine of the most essential importance in all cases of rickety disease, and is more particularly required when the fontanels remain open too long, and when the process of teething ia unduly protracted, or the teeth that are protruding have a tendency to premature decay ; or again, when there is curvature of the spine and of the limbs, with enlargement of the joints, and very undue dimension of the skull. Calcarea, again, is yet more especially indi- cated, if, in addition to these manifestations, there be incrustations on the face, or if the belly be enlarged and hard, and whilst rapid or gradual loss of flesh takes place, the appetite is morbidly voracious; the skin is commonly dry and flaccid, and the child wears the appear- ance of being much older than it really is, although it be commonly liminutive and fragile; the bowels are habitually costive, or are fre- quently affected with excessive and protracted relaxation. Dose: Two globules in a teaspoonful of water, the first thing every morning, for a week (unless decided change should sooner occur); then pause ten days; after which the course should be repeated, as before, and so on, unti] some distinct signs of general improvement or change. Baryta carbonica will be found adapted to some cases, particu INFANTILE remittent fever. 789 larly of dwarfish children, where there appears to be a general arrest and suspension of development, particularly if there be a tendency to glandular enlargements in the neck and elsewhere. Dose: As directed for Calcarea. Mercurius should be employed if the following symptoms should ensue: — Pains in the bones, as if of soreness, or as if bruised, with ex- treme tenderness of the shin-bone and knee-joints to pressure, with or without curvature of the limbs ; dandruff, and other obstinate affections of the scalp and face; incrustations on the face; extreme susceptibility to take cold, with constant or very frequent prevalence of cold in the head or on the chest, and tendency to excessive perspiration, whether offensive or not; and often a chronic, slimy, or clay-colored diarrhoea. Dose: Two globules, as directed for Calcarea. Silicea is appropriate to the treatment of almost all cases of disease of the bones; and is more particularly and decisively indicated by a peculiar tendency to ulceration manifested by the skin upon the least abrasion, — that is, when it "heals badly," as it is popularly termed; or when there are scabby eruptions on the scalp, the glands being dis- posed to suppurate, the complexion pallid but puffy, and the ears being constantly or frequently affected with discharges of matter. Silicea may be required after Calcarea, to complete the cure. Dose: Two globules, as directed for Calcarea. Sulphur should be employed after Calcarea or Silicea, if these medicines, having previously been productive of decided good effect, should cease to operate so beneficially, or if the subjoined symptoms should prevail (which, if predominant, however, might more distinctly in- dicate the employment ofSulphur at the onset): — Extreme susceptibility to take cold, and to protracted discharges from the nose or from the windpipe, or, again, to excessive or continued relaxation of the bowels; but still more especially by obstinate and intractable constipation, with flabbiness of the flesh and skin, pallor and puffiness of the face; pro- tracted inability to use the legs or to maintain the erect position ; tend- ency to be easily thrown into a violent perspiration by any exertion; the skin being otherwise dry, and even harsh, and the eyes and eyelids appearing to be habitually more or less inflamed, and both mind and body languid, and unfit for exertion of any kind. Diet and Regimen. In these respects the reader is referred back to the remarks on " General Precautions and Management," in the foregoing portion of this article, and to the article on " Eradicative Treatment," pp. 83-89. INFANTILE REMITTENT FEVER. Characteristics. By infantile remittent is here chiefly meant that form of fever which occurs in infants and children, arising from morbid irritability of the stomach and bowels. Symptoms. The affection is usually preceded by languor, irrita- bility of temper, drowsiness, with very restless nights, want of appetite, foul tongue, offensive breath, nausea, or vomiting, thirst, slight heat of 790 INFANTILE REMITTENT FEVER. the skin, headache, or pain in the stomach, flatulence, constipation, oj diarrhoea, and orange-colored or white and turbid urine, which fre- quently deposits a chalk-like sediment. Ere long these symptoms pre- sent themselves in a more aggravated form, together with a furthei development of morbid phenomena, such as hurried and oppressed breathing, quickness of pulse, with occasional flushes in the face, vom- iting, distension and tenderness of the belly; obstinate constipation, sometimes diarrhoea; motions discolored, fetid, frequently mixed with mucus, and occasionally with blood, or containing worms. The hands and feet are often cold, and the rest of the body is parched; the head hot and heavy, attended with lethargy, &c. The tongue, at first moist, loaded, and occasionally very red at the tip and along the margin, often becomes dry over a triangular spot at the point, and the lips are sometimes covered with a brown fur. As soon as the fever is regularly established, remarkable aggrava- tions with consecutive remissions take place during the twenty-four hours. When the febrile exacerbation takes place at night, it is accom- panied by vigilance and tossing; when during the day, there is, on the other hand, drowsiness and stupor; and extreme irritability of temper, with constant picking at the nose, lips, or tongue, particularly during the periods of remission, are frequent concomitant symptoms. An an- noying cough, succeeded by wheezing and expectoration, sometimes appears. Issue and Results. Although, as is characteristic of remittent fever, the febrile symptoms never entirely subside, still the patient will frequently appear to be steadily recovering for a time ; and the unwary and inexperienced may consequently be led to pronounce an unduly favorable opinion, which will too often be contradicted by the occur- rence of a relapse, followed, perhaps, again by another encouraging but deceptive remission, and so on — unless the progress of the disease be checked — until either the mesenteric glands become affected, or dropsical effusion into the cavity of the belly, or unequivocal signs of disease of the brain supervene; or the little sufferer is so emaciated and reduced by protracted disease, that the vital powers give way, and it sinks exhausted. TREATMENT. In mild attacks, occurring in tolerably healthy children, the disease is generally readily subdued in a few days, by means of one or more of the following remedies : — Ipecacuanha may be given, if the attack has been excited by over-feeding, or by indigestible food, and the symptoms encountered are as follows: —General dry heat, or harsh and parched skin, especially towards evening; thirst, extreme restlessness, burning heat in the palms of the hands ; perspiration at night; quick, oppressive breathing, foul tongue, nausea, vomiting, or fastidious appetite with sickness after eating; great languor, apathy, and indifference. Dose: Of a solution of six globules to three table-spoonfuls of water, give a teaspoonful every six hours (during the prevalence of the premonitory symptoms), until amelioration or change; or at intervals of four hours, during the remissions (when these are well marked), and during the activ INFANTILE REMITTENT FEVER. 791 stage of the fever; or, again, morning and evening, in mild cases, and when the remissions are less decided. Pulsatilla should be employed, if notwithstanding the administra- tion of Ipecacuanha, at the stated intervals, for twenty-four hours, the symptoms remain unaltered, or the bowels become very relaxed, the motions fetid, whitish, bilious, or of variable color at different times, and accompanied with griping and distention of the belly, turbid, reddish, orange-colored urine, and fever towards evening or during the night. Dose: As directed for Ipecacuanha. Aconitum is generally of considerable efficacy against the par ticular symptoms which follow : — When the patient is of a full habit of body, or in all cases in which the febrile action is excessive, the thirst great, the pulse full and much accelerated, the skin dry and much above the natural temperature, the water scanty and high-colored. Dose: As directed for Ipecacuanha. Gelseminum will be found to be a valuable remedy in many cases, in which the symptoms bear some resemblance to those of Aconi- tum, but are not so active and intense. There is dark flushing of the face during the febrile exacerbations, which commonly occur about noon; the child will probably be playful and cheerful in the morning, and towards noon, or in the afternoon, will droop and become languid, and the fever will become exacerbated at once. Dose: As directed for Ipecacuanha. Nux vomica is efficient when the bowels are costive, or when there is straining, followed by scanty, watery motions, generally mixed with mucus, or occasionally with a little blood ; belly tumid and rather painful; further, when the child is excessively peevish; the tongue foul, or vivid-red at the tip and margins; appetite impaired; or there is nausea, with disgust at food; restlessness; fever worse towards morn- ing. Dose: As for Ipecacuanha. Chamomilla is indicated if the tongue is red and cracked, or coated yellow; sleep restless and agitated, attended with frequent starts and jerkings of the limbs; flushes of heat in various parts of the body; the head is hot, the skin hot, the face flushed, the pulse quick ; thirst, nausea, vomiting ; greenish evacuations, with straining ; orange-colored urine; and the child is very fretful and irritable, and wants to be nursed or carried about. Dose: In every particular as directed for Ipecacuanha. Belladonna may be employed if the tongue be loaded, or coated white or yellow in the centre, and very red at the edge; thirst; nausea or vomiting; great heat of the belly, with tenderness on the slightest pressure ; oppressed breathing; very red face; moaning during sleep; with starting and jumping ; delirium ; red eyes; and general predomi- nance of brain symptoms. Dose: As directed for Ipecacuanha. Mercurius should be given for the following symptoms: — Loaded tongue, nausea or vomiting, with tenderness of the belly; thirst, some- 792 INFANTILE REMITTENT FEVER. times with aversion to drinks when offered; cloudy or milk-like urine; no motions, or diarrhoea with excessive straining, the stools generally consisting merely of a little slime, sometimes mixed with blood; yel- lowish tinge of the skin, profuse sweat, which affords no relief. Dose: As directed for Ipecacuanha. Bryonia should be preferably selected when the head is hot and heavy, the pulse quick, the tongue foul (yellowish-brown), or very dry, particularly at the tip, and other symptoms of stomachic derangement are prominent, together with a tumid and painful state of the belly, constipation, or alternate diarrhoea and costiveness; headache, thirst, quick, laborious respiration, and delirium, particularly at night, with drowsiness during the day. Dose: As directed for Ipecacuanha. Cina is particularly indicated when all the symptoms of invermina- tion or worms accompany the fever, — such as boring and picking at the nose, starting and screaming during sleep, dilated pupils, colic, diarrhoea, —or loose, bilious, or white papescent stools, sometimes containing worms. Dose: Two globules in a teaspoonful of water, morning, noon, and night, until amelioration or change. Sulphur may be given with advantage to complete the cure, in many cases, after the previous employment of any of the foregoing medicines. It is, however, when the attack is characterized by the following features, that this remedy is more directly called for: — Feverish heat, especially towards evening; flushes, alternately with paleness ofthe face; dryness ofthe skin; hurried and laborious breath- ing ; nocturnal perspiration ; languor and great weakness, particularly in the inferior extremities; tense, tumid, and painful belly; whitish urine; dry, hard, or loose and slimy motions. Dose: Two globules in a teaspoonful of water, morning and evening, until amelioration or change. Silicea is to be recommended when there is great emaciation, lan- guor and debility, paleness ofthe face, want of appetite, or craving for dainties; shortness of breath on movement; feverish heat in the morn- ing or towards evening. This remedy is also a most important one, when the patient is afflicted with worms, and when the disease is in a great measure attributable to that cause. Dose: Two globules, as directed for Sulphur. Calcarea is more especially indicated by the following symptoms: — Great debility, with flabbiness of the muscles, dryness of the skin, and excessive emaciation; frequent flushes, or general heat, followed by shivering towards evening; exhaustion, or dejection after speaking; impaired, fastidious appetite, with weak and slow digestion, or, on the contrary, extreme voracity ; perspiration towards morning ; hard, tense, and tumid belly. It is particularly adapted to scrofulous children, with open fontanels, &c. Dose: Two globules, as directed for Sulphur. Arsenicum is indicated by extreme prostration of strength and emaciation, with desire to remain constantly in the recumbent posture; drj, b irning heat of the skin ; parched tongue, with great thirst, but ATROPHY — EMACIATION— MARASMUS. 793 desire to drink little at a time, or merely to moisten the lips, which are frequently parched ; or clammy perspiration, with coldness of the limbs; impaired appetite, and sometimes excessive irritability of the stomach, so that very little food can be retained; hard and tense belly ; soreness and ulceration of the mouth; restless, unrefreshing sleep, and frequent starts, or twitching of the tendons; pulse scarcely perceptible, or intermittent; fretful and capricious disposition. Dose: Two globules in a teaspoonful of water, three times a day, iniil amelioration or change. Rhus is useful when the tongue is dry and brown, or furred, and there is trembling of the hands and arms, with extreme debility; copi- ous, yellowish, or loose sanguineous stools; general heat, or a clammy state of the skin; pulse quick and weak; excessive restlessness, or fre- quent drowsiness or stupor; the disease has a disposition to take a typhoid character. Dose: As directed for Ipecacuanha. Phosphorus is chiefly required in protracted cases attended with low fever, distended bowels, and debilitating diarrhoea; milky-looking urine, or turbid urine, which deposits a white sediment. Dose : As directed for Ipecacuanha. Lachesis may be advantageously employed when the ensuing symptoms supervene: — Deep, prolonged sleep; grinding of the teeth; or somnolency alternately with sleeplessness; tremulous, intermittent, or scarcely perceptible pulse; the child invariably is worse after sleep- ing. Dose: As directed for Cina. Diet and Regimen. The utmost possible attention should be paid to diet in the treatment of Infantile Remittent Fever. There is, generally, much aversion to food during the height of the disease, and we should on no account entice the patient to take more than the weakened digestive powers can sustain, even when the appetite is returning. When diarrhoea, or symptoms of intestinal inflammatory action prevail, the dietetic regulations to be observed are such as have been more particularly enumerated under the head of " Bowel Com- plaints" (at p. 765). Light farinaceous diet alone should be allowed, even in an advanced stage of convalescence. Solid food, particularly meat and fish, must be strictly prohibited, even though the appetite should be good — as it is in some instances, while, in other cases, indeed, it is ravenous. — In protracted cases, change of air is often of great service. It may be added, that when the skin is hot and parched, the sleeplessness and restlessness are often temporarily removed by sponging the body with tepid water; this expedient is, however, only to be had recourse to when the remedies fail to afford this relief, and that in a more permanent degree. ATROPHY — EMACIATION — MARASMUS. General Causes. Emaciation of infants and children usually arise from a predisposing constitutional cause, which frequently be- comes developed luring the irritation of teething, or is called into 794 ATROPHY — EMACIATION — MARASMUS. activity by inappropriate or unhealthy nourishment, either from the breast, or in the form of supplementary diet, at an earlier period; or again, and, unfortunately, not unusually, it is engendered or developed, and rendered more complicated, and almost incurable, at a somewhat more advanced age, by the pernicious habit of a free and reiterated use of mercurial preparations, in the vain hope of bringing about a healthy state of the primary organs of digestion, when these have become deranged by repeated infractions of appropriate rules, as to diet and general habits. The manifestation of worms and the usual attendant symptoms of invermination, and the enlargement and indu- ration of the mesenteric glands, are frequent, antecedent, occasional causes of the disease. TREATMENT. Sulphur is appropriate in almost all cases at the commencement of the treatment, when the disease has become fairly developed, or occurs in scrofulous children, but is more especially indicated by the following symptoms:—Craving appetite for food and drink, watches eagerly for the cup or spoon, and clutches at them, thrusting every- thing into its mouth; enlargement of the glands in the groin or arm- pits ; slimy excoriating diarrhoea, or obstinate constipation; pale com- plexion, sunken eyes; jumping, starting, and screaming; restless sleep. Dose: Three globules in a teaspoonful of water, every morning, the first thing, for ten days (unless decided change or new symptoms should sooner occur); then pause five days, after which the course may, if still indicated, be repeated as before, and so on, until decided amelioration or change. Calcarea should either be employed at the onset, or after the previous administration of Sulphur (as just directed), if the following symptoms be more especially predominant, or should supervene, or if again Sulphur should not have been productive of apparent improve- ment within eight days aftor the completion of the second course. The indicative symptoms are, — great emaciation, with craving appetite; enlargement and induration of the mesenteric glands and of the belly; great weakness, clayey evacuations, a dry and flabby skin ; too great s susceptibility of the nervous system; large open fontanels; profuso sweat about the head; cough, with rattling of mucus. Dose: Three globules, as directed for Sulphur. Chamomilla is chiefly required when the following symptoms occur: — Frequent screaming, with drawing of the legs towards the stomach; hardness and fulness of the belly; great restlessness and feverishness; acidity ; flatulence, frequent purging, the stools being of a deep grass-green, or very yellow color, or whitish, yellow and frothy, sometimes resembling beaten eggs, and of an offensive odor, often like that of rotten eggs; occasional sickness, the matter vomited being more or less of a bilious description; thirst; want of appetite; frequent change of complexion. Dose: Of a solution of three globules to six teaspoonfuls of water, give a tea- spoonful thrice a day. Podophyllum should be administered when the child rapidly becomes emaciated; a great number of evacuations take place daily, ATROPHY — EMACIATION — MARASMUS. 795 all of which have a natural appearance ; the greater number occurring in the morning. Dose: As directed for Chamomilla. Pulsatilla is indicated when less restlessness and peevishness pre- vail than under Chamomilla, and little or no thirst, with complete loss of appetite; or, on the contrary, voracious and inappeasable hun- ger, with acid or other disagreeable risings; or disposition to vomiting the contents of the stomach; frequent papescent stools of a greenish, bilious description; or watery, slimy evacuations, at times of a light or whitish color; the child is always better in the open air. Dose : As directed for Chamomilla. Antimonium c. may be had recourse to, twelve hours after the last dose of the preceding remedy, if no improvement has resulted; or this remedy may be preferred, from the commencement, if the child cannot bear to be looked at, or touched by any one; or if its tongue be covered with a thick, white coating. Dose: As directed for Chamomilla. Ipecacuanha is usually a most useful medicine, when nausea, or copious and frequent vomiting form more prominent features in the case than purging; or, when there is both vomiting and purging,— the substance ejected from the bowels being chiefly of a greenish-yel- low color, and often bearing a resemblance to matter in a state of fer- mentation. Dose: As directed for Chamomilla. Mercurius is required when the evacuations from the bowels are very frequent, but generally scanty and slimy, and usually attended with distressing straining; or greenish, sour-smelling, or fetid; also when small white ulcers make their appearance on the inner surface of the lips and cheeks, or on the tongue, &c.; when, with less flatulency, most of the symptoms mentioned under the head of Chamomilla are present; or, and more particularly, when the patient is affected with enlarged joints and glands, and distorted limbs,—provided always these latter symptoms have not been induced, or at least materially aggravated by the abuse of Calomel, or other mercurial preparations, under allopathic treatment, — this medicine is also of much efficacy. Dose: As directed for Sulphur, Nux vomica. The interposition of constipation, 01; alternate states of costiveness and relaxation, with fickle, variable, or entire loss of appetite; regurgitations or vomiting, flatulency, acidity, excessive irritability of temper, great feebleness, soreness of the mouth, or forma- tion of small, white, ulcerative specks or spots, are all indicative symp- toms for the employment of this remedy. Dose: As directed for Chamomilla. Bryonia. Vomiting occurs almost immediately after eating ; con- stipation ; the child always feels cold; the lips are dry and parched, and the mouth is dry. Dose: As directed for Chamomilla. Arsenicum is one of the most important remedies: it is indicated 796 ATROPHY — EMACIATION — MARASMUS. by dryness of skin, which resembles parchment; hollow eyes; desire to drink often, but little at a time; excessive agitation and tossing, especially at night; short sleep, interrupted by jerks; colic, with relaxed stools of greenish, brownish, or blackish color, or evacuations containing undi- gested food ; night-sweats; extreme prostration; pale, waxy appearance. Dose: As directed for Sulphur. Baryta carb. is indicated by enlargement of the glands of the nape Df the neck ; tenderness of the belly, with tumefaction and induration of the abdominal glands; continual desire to sleep; great indolence, and aversion to exertion and amusement; dysenteric or loose stools, some- times containing thread-worms. Dose: As directed for Sulphur. Acidum nitrieum is chiefly required in cases which have been developed or exacerbated by the abuse of mercurial preparations; the bones and joints being swollen and tender, the mouth and gums more or less inflamed and sore, the mesenteric and other glands much enlarged; the bowels confined, or much relaxed, and attended with straining. Dose : As directed for Sulphur. Conium is indicated by hardness and excessive distension of the bowels, sometimes with coldness of the feet and legs, or only of one foot; constipation; but more frequently exhausting watery diarrhoea, attended with griping, — the stools, occasionally, containing undi- gested substances. Dose: As directed for Chamomilla. Phosphorus is more or less useful, in cases with protracted and debilitating watery diarrhoea, and when the mesenteric glands are dis- eased. Dose: As directed for Sulphur. Staphysagria is suitable for children who are subject to boils; large abdomen ; voracious appetite; swelling ofthe glands ofthe neck, and of those under the lower jaw ; frequent attacks of cold in the head, with scurf around the nostrils ; unhealthy skin. Dose : As directed for Chamomilla. Aethusa cynapium. The child throws up its milk soon after nursing, with great force, and suddenly; then falls asleep, as if from exhaustion — to awaken for a fresh supply. Dose: As directed for Chamomilla. Belladonna is to be preferred when the prevailing symptoms and conditions are as follows: — Capriciousness and obstinacy; nocturnal cough, with rattling of phlegm ; enlargement of the glands of the neck ; unquiet sleep; precocity of intellect; (blue eyes and fair hair.) Dose: As directed for Chamomilla. China is required for excessive emaciation ; voraciousness; diarrhoea at night, or frequent, white, papescent motions, or evacuations of undi- gested matter; frequent perspirations, especially at night; great de- bility and languor; unrefreshing sleep. Dost: As directed for Chamomilla. DIPHTHERIA. 797 Cina is more particularly required when the patient suffers from worms; or for wetting of the bed, insatiable appetite, &c. Dose: As directed for Chamomilla. Rhus should be selected, when there is slimy or sanguineous diarrhoea; debility; and excessive languor, with constant desire for the recumbent posture; great restlessness ; the symptoms are all aggra- vated after midnight. Dose: As directed for Chamomilla. Diet and Regimen. When the disease is manifested in infants at the breast, recovery will, in many cases, take place on the substitu- tion of a good nurse of sound constitution, or of appropriate artifi- cial feeding — such as goat's milk, or, sometimes, weak broths — for the faulty nutriment which has originated the disease. But when the child is of scrofulous constitution, and glandular enlargements, &c, have become developed, the addition of regular and appropriate me- dicinal treatment is required. Again, when the affection has been engendered by improper food, in children who are being reared by the hand or who are past the age of infancy, if the progress of decay is not too far advanced, and no organic disease be developed, a cure may, as in the former case, be accomplished by the correction of the main source of all the mischief. The improper food ought, therefore, to be at once withdrawn, or the quantity reduced, if that has been too great. Goat's milk or cow's milk, which has previously been boiled and diluted (one part of water to about three of good milk), and, occasionally, chicken-broth, or, to children of more advanced age, fari- naceous food, generous beef-tea, or mutton-broth, free of fat, may be substituted for food of a more solid or indigestible nature with which the child has been dieted. Pure air and regulated exercise are also of great importance. DIPHTHERIA. Much difference of opinion formerly existed, and to some extent still exists, as to the nature of the external manifestations of this seri- ous, and so frequently fatal disease. This decrepancy may, in a great measure, be attributable to the various aspects which the malady has assumed in different localities, and at different epochs. In the present chapter it is meant to treat briefly ofthe more distinctive form of true diphtheria, characterized by extreme prostration of strength, fetid ex- halations, and the formation of what is denominated a false membrane, comprised of a yellowish, yellowish-white, or ash-colored, more rarely grayish, exudation, varying in thickness and consistency, and appear- ing either in one continuous layer, or in patches, on the soft palate, uvula, tonsils, lips, &c. This exudation is, in general cases, easily broken up or detached, and the mucous membrane under it is found to be entire, but usually highly irritable, and of a peculiarly livid color. In the milder forms of the affection the exudation is confined to the throat and mouth. In the severer types it extends upwards into the nostrils, or downwards into the windpipe; and, in the malignant varie- ties, it is associated with excessive swelling of the glan is, &c, of the 798 DIPHTHERIA. throat, front ofthe ear and neck, and, occasionally, also with bleeding of the gums, or oozing of blood from the entire mucous membrane of the mouth and throat; lastly, in complicated cases, there may be putrid ulcerations with thin, acrid, offensive discharge, extreme prostration of strength, or, in short, the ordinary indications of malignant putrid sore-throat of the most aggravated form. Symptoms. In the first stage of the disease there is often little or no derangement of the general health ; but, in some of the severer forms, sudden prostration of strength, chilliness, fretfulness, and loss of appetite, are early noticeable. A slight pain in the throat may also be complained of, with a little difficulty in swallowing. On looking into the throat, the palate and uvula are usually found to be inflamed, while the tonsils are observed to be somewhat enlarged, and speckled with small whitish spots, which, in a few hours, deepen into a yellowish hue, and frequently coalesce. This peculiar exudation then extends to the soft palate, uvula, &c, in a more or less continuous form, thus completing the development of the characteristic false membrane above alluded to. It sometimes varies in color and consistence, as the disease advances, in different epidemics. It exhales a fetid odor, and is some- times accompanied by flow of saliva. After having been frequently dispersed, and again renewed, it permanently disappears, in the simple form of the disease, in the course of a few days, and recovery is estab- lished. In too many instances, however, the affection, in place of retaining this simple form, rapidly passes into the severer variety; or, it assumes, soon after its invasion, the dreadful features of the malig- nant type. Even in the milder forms of the affection, the false mem- brane occasionally continues to be reproduced incessantly at longer or shorter intervals, and the patient sinks from exhaustion or suffocation. In the majority of fatal cases, sudden collapse or gradual exhaustion is the cause of the fatal issue. The disease generally runs its course in about a week; but death may ensue as early as the close of the first or second day, and as late, in malignant cases, as the twentieth day. Even after the lapse of several weeks, death has ensued from prostration and paralysis. In some epidemics of this disorder there is an eruption upon the skin, which appears in the form of a rash, and is sometimes of a dark or purplish color, bearing a close resemblance to that of measles; at others, bright and scarlet, like that of scarlet fever. The disease may be modified by a prevailing epidemic of measles or scarlet fever; and is sometimes complicated with croup. In favorable cases, and under appropriate treatment, the putrid odor of the breath speedily decreases; the exudation or deposit gradu- ally diminishes, or shrivels up and drops off; the swelling and redness steadily subside, and the mucous membrane is restored to its natural healthy aspect. Unfavorable signs are: an acrid discharge from the nostrils; invasion of the windpipe, or complication with croup ; hemor- rhage from the nose or mouth; coldness of the surface of the body; diarrhoea and vomiting; convulsions; complications with scarlet fever, measles, &c; Cases which are apparently mild at first, not unfre- quently terminate unfavorably • and sometimes, after the disease has DIPHTHERIA. 799 subsided, it is found that paralysis, either general, or of special parts, or derangement of the special senses, such as hearing, smell, taste, &c, remain as sequelae of this formidable malady. TREATMENT. Belladonna is frequently of great value in the early stage of mild cases, more particularly when the disease sets in with marked febrile symptoms, and there is marked redness and inflammation of the ton- sils; the patient is uneasy and restless, and complains of the throat; is drowsy, and cannot sleep, or starts up suddenly out of every sleep. Dose: Of a solution of twelve globules to five teaspoonfuls of water, give a teaspoonful every two hours, until amelioration or change. Many mild cases, with the above characteristics, will be promptly relieved and cured, by this remedy alone; and should amelioration be noticed, the interval between the doses should be lengthened to three or four hours, according to circumstances. Should the symptoms recur with violence, however, after having been once mitigated under the action of Belladonna, do not resort to that remedy again, but select one ofthe subjoined. Acidum muriaticum. This remedy has proved of great efficacy in a number of cases of simple diphtheria, and may very generally be administered as soon as the membranous deposit begins to appear, and particularly when there is not much glandular swelling, but consider- able prostration of strength and fetid breath; with little fever, but marked lassitude and weariness. Dose: Three drops of the second decimal dilution in a teaspoonful of water every hour, until relief or change. In the event of improvement, lengthen the intervals to two hours, then to three hours, and so on, until the cure is complete; but if the exudation spreads to fresh surfaces in spite of the employment of Acid, muriaticum for from twenty-four to forty-eight hours, another remedy must be selected. Mercurius protiodatus. Should the throat present a deep-red appearance, and the tonsils and the surrounding parts be considerably swollen and studded with specks of exudation; and if, moreover, there be cold in the head, accumulation of mucus in the throat, and exces- sive secretion and flow of saliva of a fetid odor, Mercurius is a useful, if not an indispensable remedy. It is an important remedy in all forms of the disease. Dose: One grain of the third centesimal trituration in six teaspoonfuls of water, a teaspoonful every two hours; or as much of the trituration as can be carried on the point of a penknife, administered dry (undissolved), at the same intervals, until amelioration or change; but if, after the lapse of forty-eight hours, or even a shorter period, the exudation, fetor,- and swelling increase, proceed with the more appropriate remedy. Kali bichromicum. In the event of no improvement, from thirty-six to forty-eight hours after the employment of Mercurius protio- datus, and particularly when the disease extends into the posterior parts of the throat, and thence into the nostrils, Kali bichromicum should be selected. It is, moreover, indicated by a tough and stringy discharge from the nose or mouth ; pain in the left ear; swelling of the glanda under the ears; croupy cough; measle-like eruption, and red and shin- ing tongue. Dose: As directed under Mercurius protiodatus. 800 DIPHTHERIA. Acidum nitrieum. When, notwithstanding the employment of Acidum mur. or Mercurius, superficial patches of exudation continue to present themselves ; and when the throat, in place of healing, become? painful and of a vivid-red color; also when there is a tendency to ulcera- tive complication, and the gums are disposed to bleed, this remedy may be employed with advantage. It is further indicated by the presence of ulcers on the mucous membrane of the mouth, and by an acrid, corrosive discharge from the nose. Dose: Two drops of the third decimal dilution in a teaspoonful of water, every two hours, until relief or change. Kali chloricum. When, after a period of not longer than forty- eight hours, the above-described symptoms either remain stationary, or become aggravated ; or when the gums are more or less red and swollen, and the exudation is extensive, but confined to the mouth and palate, Kali chlor. may be substituted with the best results. Dose: Same as directed for Acidum nitrieum. Phytolacca is a remedy which has been promptly curative in many cases of diphtheria, particularly in the mild, or non-malignant variety. It is indicated more particularly when there is considerable febrile manifestation; headache; violent aching pains in the back and limbs; great weakness, so that the patient cannot stand, and gets faint and dizzy even when rising up in bed. Dose: As directed for Acidum muriaticum. Lachesis will prove useful when the inflammation and the diph- theritic deposit commence on the left side of the throat, and either remain there or spread to the right side. It is further indicated when the patient is always worse after sleeping, and cannot bear the slightest pressure on the throat. It is frequently useful after the previous em- ployment of Belladonna, and in malignant forms of the disease, when mortification or sloughing ofthe parts threatens. Dose: As directed for Belladonna. Lycopodium should be given, in mild cases, when the right side of the throat is first invaded, and the soreness is aggravated by warm drinks ; the nostrils are stopped up, and the patient cannot breathe with his mouth closed; starting and jerking of the lower limbs; dread of being left alone. Dose: As directed for Belladonna. Apis mellifica should be given when there is great debility from the commencement of the disease ; the false membrane presents a dirty- grayish hue ; there is puffiness around the eyes, pain in the ears wheD swallowing; an itchy, stinging eruption on the skin; numbness of the feet and hands. Dose: As directed for Belladonna. Cantharides will prove very efficacious in many cases when the diphtheritic exudation appears in patches ; the adjoining surfaces of the mucous membrane being of a bright-scarlet redness, with intense burning and dryness of the throat, and great thirst, the burning resem- bling that produced by the application of a blister. It is further indi- LARYNGEAL DIPHTHERIA. 801 cated by derangement ofthe urinary apparatus, manifestel by burning and scalding on urinating, or by a suppression or increased discharge of urine; as well as by extreme prostration, and an irritable-looking rash upon the skin. Dose: As directed for Acidum nitrieum. Arsenicum. In cases in which the prostration of strength is ex- cessive, or threatens to increase, notwithstanding the employment of Acidum muriaticum, or any of the above-mentioned remedies, together with nourishing diet and stimulants, this remedy should be brought into requisition. It is further indicated by an excessive and distress- ing restlessness, which is worse after midnight. Dose: A drop of the third centesimal dilution every hour, or half-hour, in a teaspoonful of water, until reaction sets in, when the intervals between the doses may be lengthened to two hours, or another remedy selected if needful. LARYNGEAL DIPHTHERIA. This dangerous variety of diphtheria may, from neglect or otherwise, occur during the progress, or even towards the apparently successful close of a mild attack, from an extension ofthe exudation into the air- passages. It presents some resemblance to the worst forms of croup, particularly as regards the accompanying impeded respiration, cough, and hoarseness, with the distinctive foid-sm,elling exudation or false membrane, and the throat symptoms, described in the preceding obser- vations. The remedies which have hitherto been employed with the most success in laryngeal diphtheria, as soon as the first indications of its invasion become manifest, are — Iodium, Bromium, Kali bichro- micum, and Mercurius protiodatus. Iodium. When, in addition to the formation of specks or patches of exudation of greater or less extent, with sore throat, enlargement of the tonsils, or glands of the neck, great languor, disinclination for food, — difficulty of breathing, cough, and alteration of the voice, super- vene, the administration of Iodium may at once be resorted to. Dose: Six drops of the first centesimal dilution to four table-spoonfuls of water, a teaspoonful at first every quarter of an hour for one hour, and then every hour until amendment or change. In the event of improve- ment, lengthen the intervals of repetition to two hours for six hours more, and so on. But if no improvement take place after from twenty- four to thirty-six hours, or so, or if a change for the worse set in within a shorter period, Bromium may be substituted for Iodium, and administered in the same way. Should Bromium fail to make a favorable impression, or should there be manifestations of ulceration, or an extension of the disease to the nostrils, with offensive acrid discharge from the nose, Kali bichromicum may be employed—dose same as the above. Again: if these three seem to produce little or no improvement, and if there be intolerably pungent fetor of breath, or flow of fetid saliva, and much glandular swelling, Merc, protiodatus should be adminis- tered. Dose: A grain of the first centesimal trituration in a table-spoonful of water a teaspoonful as above described. 51 802 MALIGNANT DIPHTHERIA. MALIGNANT DIPHTHERIA. The remedies which have mainly been employed in this truly for- midable, and so frequently fatal type of the disease, are Kali bi- chromicum, Mere, iod., Iodium, Bromium, Ammonium carb., Ammonium causticum, Arsenicum, and Lachesis. The leading indications for some of these remedies have already been given; but as cases of this desperate kind are beyond the pale of do- mestic management, too often, indeed, beyond the known resources of medical art, it may suffice to say that Ammon. carb. has been chiefly recommended after the previous employment of Iodide of Mercury, and Bichromate of Potash (Kali bich.); Ammonium causticum when the air-passages are involved, or, when oozings of blood from the mucous membrane of the mouth and throat increase the exhaustion, and fail to he controlled by Kali bich.; and, lastly, Arsenicum, when there is excessive swelling ofthe neck and glands, putrid exhalations, and low typhoid exhaustion, or utter prostration of the vital energies. It is in the earliest possible stage of diphtheria, and particularly in the milder forms, that medicine, coupled with appropriate diet and hygiene, can, under favorable circumstances, with any certainty, avail; and it ia here that, firstly, Acidum muriaticum, Belladonna, and Phyto- lacca, and, secondly, Merc, iod., and Kali bichromicum, have been found of undoubted efficacy in homoeopathic practice. Note. — Palpable doses, in the form of tinctures and triturations, have hitherto been chiefly employed in the treatment of Diphtheria, and it will be observed that with most of the medicines above mentioned, larger doses than usual are recommended. When tMe medicines, in these forms, are not at hand, and in the case of very young children, globules may be used, say twelve globules for one drop or grain of tincture or trituration. LOCAL TREATMENT. The application of pure Glycerine has, in many cases, been found a valuable solvent of the exuded false membrane. It should be applied by means of a thick camel's-hair brush. After a few hours, or, as soon as the exudation has been dispersed, the exposed diseased mucous membrane may then be carefully painted in like manner with Acidum muriaticum, first decimal dilution; and so on, as often as the mem- brane threatens to form again; the internal use of Acid, muriat. being proceeded with at the same time. When Glycerine fails to exer- cise any solvent property, Acidum muriaticum may be applied alone, twice a day. When Phytolacca is used internally, it may, at the same time, be topically applied, by throwing a weak solution (twenty drops of the Concentrated Tincture to the ounce of water) by means of the atomizer or spray-distributer, against the affected parts. Unfortu- nately, it is often difficult, sometimes impossible, to accomplish the local treatment effectually with some children, and especially those of tender age. Kali bich. may also be applied locally, as above, when being administered internally. In laryngeal diphtheria, inhalations of Iodium and of Bromium have been recommended, by putting three or four drops of the tincture (pure) in plates filled with water and placed in the rotm of the patient. Bromium has been recommended in this PARALYSIS FOLLOWING DIPHTHERIA. 803 manner as a preientive against the propagation of the disease. A solu- tion of Carbolic Acid in water may be equally serviceable, and should be placed daily afresh in the water-closet, if not in the apartment. Free ventilation is the simplest, as it is the safest, if not the best pre- servative, however. Diet and Regimen. In a disease of such depressing and ex- hausting properties, it is necessary to give as much nourishment, and of the most concentrated form, as possible. Eggs beaten up with a little wine or brandy, warm water, or milk and sugar; strong beef-tea; milk ; and, when the strength continues to fail, stimulants in the form of wine, champagne, — sometimes malt liquors, — in small, but fre- quently repeated quantities, and even added to the beef-tea, milk, etc., when needful. The strong repugnance frequently shown by the little sufferers to take nourishment must be sedulously counteracted in every conceivable way; and our efforts should be aided by consulting the palate as much as possible. Nutritive injections, consisting of beaten- up eggs and good fresh milk, or the essence of beef, etc., in the quan- tity of abotit an ounce each time, may be thrown up about every two hours, when, either from pain or nausea, etc., food is either entirely rejected or taken in insufficient quantities. Free ventilation, with pre- cautions against currents of air, or exposure to a chill, particularly in patients subject to croup, is essential. The spoons, etc., used by the patient should be washed in hot water immediately after being used, and any portions of ejected false membrane should be carefully re- moved. Great cleanliness of house, person, and sick-room is also most important; and the slightest foul smell from drains, water-closets, cess- pools, and dust-holes, effectually remedied immediately, or as early as possible, otherwise a mild attack may be rapidly converted into a malignant one; or, as is usually the case under such baneful circum- stances, the disease assumes the worst form, almost from the com- mencement, and speedily terminates fatally. The patient should, especially in the severer cases, be kept quiet in bed; attacks of faint- ing, sometimes fatal, being occasionally liable to take place from com- paratively trifling exertion. This has repeatedly occurred about the fifth day ofthe disease. Even during convalescence considerable care is required, both as regards general management, and the regulation of digestible, generous diet. When diphtheria shows itself in a child where there are other children in the family, those unaffected by the disease should be removed to another locality; and, indeed, great benefit may be derived by the sick child from being removed to an atmosphere not impregnated with the poison, when the removal can be safely accomplished. PARALYSIS FOLLOWING DIPHTHERIA. It not unfrequently happens, that at longer or shorter intervals after an attack of diphtheria, and sometimes even when convalescence is rap- idly progressing in an apparently satisfactory manner, symptoms of local or general paralysis manifest themselves. The limbs may be powerless m hile all the senses are intact, or again, on the other hand, 804 VACCINATION. the patient- may enjoy the full use of the limbs while some of the organs of special sense are seriously affected, so that taste, smell, and touch — more rarely sight and hearing— are impaired. Most of these disorders readily yield to pure air and generous diet, as their tendency is commonly towards spontaneous recovery — particularly the loss of" power in the limbs; but in cases where no such improvement is mani- fested, or in order to aid and hasten the reparative processes of nature, one or more of the subjoined medicaments may be employed. TREATMENT. Gelseminum may be regarded as of the utmost importance in the treatment of various forms of post-diphtherial. paralysis, and will, in a majority of cases, alone accomplish a cure. Dose: Six globules in a teaspoonful of water, morning and evening, for a week ; then pause four days, when the course may be resumed, if neces- sary, as before. Should, however, no evidences of improvement be mani- fested after the time of the completion of the second course, pause two days, and then proceed with one of the subjoined medicines. „ Cocculus, Conium, and Zincum may be mentioned as reme- dies of importance in the treatment of post-diphtherital paralysis ; one of which should be employed after the completion of the second course of Gelseminum, whf>u that remedy has failed to produce an apprecia- ble improvement. Indications for discriminative selection may be had by consulting the article on " Characteristic Effects," and that on "Paralysis," (at pp. 540-543.) Dose : Of the medicine selected, as directed for Gelseminum. VACCINATION. This is an operation purely homoeopathic ; and one which has been frequently quoted by Hahnemann and his disciples, as affording one of the best illustrations of the immutable law, whereby medicines, which, when given in rather large and repeated doses, are capable of developing in a healthy subject, symptoms analogous to those of a par- ticular disease, are also capable of removing them when they appear as the manifestation or result of natural disorder induced by other causes. It might be supposed that the efficacy of vaccination as a preserva- tive against the ravages of small-pox, had been placed by the experi- ence of many years, beyond the region of doubt; but this is not the case. There are individuals, and even communities, who argue against its employment, and who resort to every means to make it appear a curse rather than a blessing to mankind. The machinations of these evil-disposed and notoriety-seeking persons, are, however, fortunately in vain; for faith in the protective virtues of vaccination is too firmly implanted in the minds of the people, to be uprooted by anything short of the most convincing statistical proofs, which cannot of course be produced, of its injurious effects, or even of its inutility. Since the introduction of vaccination, the mortality from small-pox, and small-pox itself, have steadily declined. The following table, extracted from the work of Dr. E. C. Seaton, Medical Inspector to the VACCINATION. 800 Privy Council of England, shows the average number of yearly deaths from small-pox, in London, for periods of ten years, from 1751 — I860: — Average yearly number of Deaths Periods. from Small-pox. 1751 — 1760..........................................2,061 1761 — 1770.....:....................................2,445 1771 — 1780..........................................2 204 1781 — 1790...........................................1,705 1791 — 1800..........................................1,780 1801 — 1810..........................................1,253 1811 — 1820.......................................... 793 1821 — 1830......................................... 699 1831 — 1840.......................................... 573 1841 — 1850.......................................... 841 1851 — 1860.......................................... 715 This remarkable diminution can be attributed to no other cause than the spread of vaccination. Again, in Ireland, vaccination was made compulsory, by law, in 1863, and all children born after January 1st, 1864, were required to be vaccinated within six months from birth. The effects upon small- pox mortality were striking and unmistakable. Whereas, in the periods 1830-40, 1840-50, and 1850-60, the respective average mortalities from small-pox had been 5,800, 3,827, and 1,272; in the years 1864- '5 -'6- 7 and '8, they were 854, 347, 187, 20, and 19 respectively; in the first quarter of 1869, there were only three deaths, and in the second quarter, none. In addition to diminishing the fatality of the disease and the fre- quency of its occurrence, vaccination greatly mitigates its severity, as shown in the largely reduced amount of disfigurement that it leaves behind. Vaccination, when the child is strong and healthy, may be safely performed during the fourth or fifth month; but when the small-pox is prevalent, as an epidemic, or the child is exposed to its influence, re- course should be had to this preservative at once, even in infants of tender ages. If, however, a choice of time be permissible, summer is the best period for performing the operation, as then the infant, after having taking the infection, incurs less risk of catching cold; and for other obvious reasons. It is of the utmost importance to obtain the matter from a perfectly pure source, as other disease may, from a neglect of this precaution, be transmitted to healthy children. For this reason, a child that has suffered from eruptions on the skin, affections of the glands, or soreness of the eyes, or one born of scrofulous parents, is an unfit subject fcr taking the vaccine matter from, although at the time apparently in health. Diseases are, however, but rarely transmitted by vaccination , but it sometimes happens that even when the greatest care has been exercised in selecting the matter from a perfectly pure source, the operation is followed by the appearance of an eruptive disease, of more or less importance, upon the skin; owing to the fact that the reception 806 VACCINATION. within the system cf the vaccine virus has aroused a latent or dormant dyscrasia of the system, which has resulted in the throwing out of the eruptive disease. Parents should bear this important fact in mind, ere they hastily censure physicians, or accuse them of carelessness. The operation is a very simple one, and may be performed as fol- lows : — A portion of vaccine crust (scab) having been broken up and softened to a pulpy consistence with the aid of a drop or two of water, a few scratches with a lancet or other sharp instrument should be made upon the arm of the child, of sufficient depth to cause a very slight effusion of blood. Upon these the matter is to be placed, using the point of the lancet for the purpose, and gently worked into the superficial scratches. Care should be taken that the matter is not rubbed off, and the sleeve of the child's dress should be tied up until the matter is thoroughly dried. If lymph from the cow be used, the operation is proceeded with in the same manner, and the point of a needle being inserted into the lymph-tube, sufficient can be withdrawn to effect the purpose intended. If the vaccination be successful, on the fourth day a small, red, and somewhat elevated spot will be perceptible, or may be felt with the point of the finger, which will continue to enlarge, hearing a strik- ing resemblance to a small-pox pustule, and becoming flat or de- pressed in the centre about the eighth or ninth day. It commonly happens that the child becomes fretful and peevish, and a degree of feverishness is manifested during the process, and sometimes a rash appears over the body. These symptoms usually subside without detri- ment ; but should the fever and irritability appear to be excessive, a few globules of Aconitum, in a teaspoonful of water, given morning and evening, will be speedily found to have a very beneficial effect. It has been recommended that a dose of Sulphur be given after vaccina- tion ; but this procedure does not appear to be at all necessary in cases in which there are no particular manifestations calling for the exhibi- tion of that medicine. PAET V. CHARACTERISTIC EFFECTS AND INDICATION'S OF MEDICINES REFERRED TO IN THIS WORK. PRELIMINARY REMARKS. The reader should be careful to observe accurately the assemblage of the symp- toms in consulting this article; a single symptom is rarely characteristic. It is, therefore, essential to the right use of this article, that the conditions and accom- paniments should be closely marked, and that the symptoms should be studied in groups. I have grouped the symptoms produced, cured, or relieved, connected with different parts or organs, in that order in which they afford the most important indications for the medicine under the head of which they are enumerated. ACIDUM MURIATICUM. Nervous System, Brain, Senses, &c. Agitated, disturbed sleep, with low mut- tering delirium or groaning, and with evident agitation (but without the power to move), or with sudden tossing, noisy breathing, and sinking towards the foot of the bed; extreme apprehension, but gloomy silence; the mind busied or agitated with the predominant thought of occupations or events which have immediately preceded the illness, or running upon habitual occupations; mistiness of sight; giddiness; heavy drowsiness in the daytime shaken off by exertion; yielding of the knees upon attempting to stand or walk; extreme dejection and sensation of general oppression and anxiety; feeling as if the brain were bruised. Stomach, Bowels, and Evacuations. Feeling of sinking and vacancy in the stomach; tightness round the waist; the belly full and distended; sickness at the stomach, and frequent belching at night, with vomiting ; feeling of emptiness and sinking, as well as of uneasiness in the bowels ; difficulty in expelling the evacuations; looseness of the bowels, with sensation of scalding or smarting in the orifice ; or liquid and involuntary discharge from the bowels whilst passing water; soreness of the pile-swellings, with discharge of blood, or swellings of a purplish hue, with scalding and soreness, or protrusion of the intestine upon passing water; the anus is very sensitive to even the slightest touch. External Surface. Cold feet; oozing eruptions forming scabs, and affected with very troublesome itching; dropsical swellings, general or local; perspiration breaks out at night as soon as the patient falls asleep; general flushing of heat during the night, with inclination to uncover one's self; general itching of the skin, with pricking sensations and constant inclination to scratch one's self; itching and tingling in the palms of the hands; burning heat, with swelling of 807 808 ACIDUM NITRICUM. the finger ends; burning heat, with swelling of the tips ofthe toes; dark, angry- looking elevations on the skin. Pulse. The pulse is feeble, or in many cases intermittent. Pains. Bruised pain in the brain; aching pains in the head ; shooting paina across the eyes; pains in the teeth as if they were being wrenched asunder; throbbing toothache, alleviated by warmth, but much aggravated by the intro- duction of cold fluids into the mouth; pulling, clawing, or throbbing pains in the ears; bruised pains in all the joints; burning, shooting pains in the head; claw- ing, pinching pains in the bowels; strained pain in the back ; tearing or aching pains in the arms, or wrenching pain in the shoulder or elbow-joint. Breathing, Chest, &c. Pressive, heavy sensation in the back part ofthe chest; oppression at the chest, with deep and groaning respiration; stitches in the chest on taking a long breath. Nose, Ears, Mouth, Gums, Tongue, Eyes, &c. Accumulation of thick, yellow humor in the nose, or flow of watery and acrid fluid from the nostrils ; stoppage of the nose, and internal soreness of the nostrils ; oozing eruptions, forming scabs in the ears; motionless and palsied, or dry, parched tongue, with absence of ail moisture in the mouth ; deep ulceration of the tongue; copious flow of saliva in the mouth ; swollen, unhealthy, sore, and bleeding gums; soreness and raw feeling in the throat, and over the roof of the mouth ; the lower lip swollen ; the eyelids red and swollen, or the corners of the eyes affected with smarting and itching. ACIDUM NITRICUM. External Surface. Swellings of the glands, with inflammation or suppuration; hard, knotty swellings in the breasts; brown, reddish spots, boils and black pores upon the skin; the lips are ulcerated, the face is characterized by the development of pustular eruptions; eruptions of an ulcerative tendency on the skull, with shedding ofthe hair; eruptions of the nature of nettle-rash ; freckles; chapping of the skin after exposure to the least cold; warts; coppery or violet spots on the skin ; oozing eruptions, with intense itching, in various parts; sweat- ing of the feet; copper-colored spots on the hands; roughness, harshness, and chapping of the hands; chilblains on the toes ; sour-smelling sweat, or sweat with the smell of horse's urine ; wasting away of the breasts. Breathing, Chest, &c. Dry cough, worse in the evening, and in a recumbent posture; matter-like expectoration, and hoarseness, or rough, harsh sound, deep in the chest, when breathing; short, impeded breath; brisk walking, or an ascent, puts the patient quite out of breath (and induces palpitation of the heart); wheezing breath, particularly during physical exertion; loud, noisy cough, a cough which prevails only in the daytime: whistling breath; fits of coughing, terminating in vomiting; harshness or roughness in the windpipe after speaking or reading aloud. Stomach, Bowels, and Evacuations. Digestion habitually deranged, and morbid appetite; desire for clay, chalk, and lime; repugnance to sweet things and to meat; continued thirst; sweetish taste in the mouth, or bitter taste, especially after eating; (eating is attended by outbreak of perspiration;) sensation of fulness in the stomach after a slight meal; sour and flatulent risings; very fre- quently sickness at the stomach, and desire to vomit, or vomiting of sour and ACIDUM NITRICUM. 809 bitter matters after eating; chronic looseness of the bowels; frequent and violent desire to evacuate, attended with burning and itching in the orifice; piles, with discharge of blood at stool; diarrhoea, with putrid evacuations; dysenteric, bloody evacuations, with straining; nervousness and debility after an evacuation; flatu- lent distension of the bowels, particularly in the morning; offensive involuntary flow of urine; frequent urging to pass water, with scanty drop-discharge (and much pain). Narvous System, Brain, Senses, &c. Giddiness of various kinds, especially in the morning and evening; sad and melancholy, or selfish and irritable disposition; sleep is attended with anxious dreams, and is often interrupted by starting, — it is either dispelled early, or the patient is slow and difficult to awaken in the morn- ing; buzzing and roaring sounds in the ears, and hardness of hearing; tremulous weakness ; appearance as of gauze before the eyes, or of undulating spots or sparks; violent cramp in the calves of the legs; palsy, and falling of the upper eyelid. Pains. Pains (with inflammation or ulceration) in the bones, or in the mem- brane investing the bone ; pains returning or aggravated upon changes of weather; pains of a pricking, stinging character, such as those caused by splinters; pains which are accompanied by acute sensation during sleep; pains in the joints, such as those produced by sprains (or accompanied with cracking on change of position); pains about the parts where former wounds existed, especially when the bone has been affected, recurring when changes take place in the weather; stitching pains in the eyes; aching and shooting pains in the eyes ; shooting and throbbing pains in the ears; bone-pains in the skull; pains in the back generally, and in the small of the back in particular; tearing pains in the forehead, back of the head, and crown of the head; burning pain, with rawness in the throat; shooting pains in the pit of the stomach; pinching and cutting pains in the bowels. Ears and Eyes. Inflamed and ulcerated eyes; specks on the anterior trans- parent portion of the eyes; obstruction of the ears; cracking in the ears in using the jaws. Mouth, Tongue, Gums, Teeth, Throat, &c. Soreness, or even rawness of the whole surface inside the mouth, and of the tongue, palate, and gums; dryness, or sometimes profuse flow of saliva in the mouth; soreness, rawness, and burning in the throat, with heat, redness, and swelling, which implicates the tonsils; or even ulcers in the mouth and throat, or ulceration of the tonsils; very offensive odor from the mouth; looseness of the teeth. Nose. The nose emits an offensive smell, which is distinguishable by the patient when breathing; the nostrils are sore, dry, stuffed up, raw, and charac- terized by the formation of scabs; discharges of black blood from the nose, more especially in the morning; oozing vesicles, forming scabs on the tip of the nose, which is red and sometimes swollen; accumulation of very offensive yellow humor in the nose; partial, interrupted sneezing. Menstruation, &c. Menstrual discharge suppressed; very offensive slimy dis- charge of whites during the intervals, with soreness and rawness of the thighs and adjacent parts, with itching; or pressive, heavy sensations and spasmodic affections .during the menstrual flow ; brownish or reddish and offensive discharge between the periods. 810 ACIDUM PHOSPHORICUM. ACIDUM PHOSPHORICUM. Stomach, Bowels, and Evacuations. Sensation of weight, or undulation in the stomach after eating (attended with faintness, sinking, and depression, or with drowsiness, uneasiness, and muddled feeling in the head); aversion to bread; bitterish taste of bread; the taste of the food remains long in the mouth; scald- ing, sour risings; sickness at the stomach to such a degree that the patient ia obliged to lie down; thirst, which cannot be allayed, with a general feeling of being parched ; feeling of coldness in the stomach, or, on the other hand, burn- ing sensation in the stomach; vomiting of sour matters, or of food; tight distended belly; noisy gurgling of wind in the intestines very frequently; sour things induce the development of much flatulency in the bowels, and bitter risings from the stomach; evacuation ofthe bowels at very short intervals; small, hard, detached Btools ejected with difficulty, or relaxation of the bowels, with discharge of the contents of the bowels, or of whitish, slimy matters, or of watery and undigested matters, followed by severe straining, and attended with the forcing downward ofthe pile-swellings; whitish-looking urine depositing a blood-stained or jelly- like sediment; or discharge of watery urine at short intervals, and in large quan- tities, and which quickly precipitates a white, cloudy-looking sediment; scalding during and after (and cutting pains during) the discharge of urine; unbearable urging to pass water, with insufficient discharge, or predominant discharge at night. Nervous System, Brain, Senses, &c. Great disinclination to physical exertion, with general debility; feebleness and insensibility of the limbs; nervous debility; weight and weariness of the limbs ; complete stupor and apathy (attendant upon malignant typhoid fever); very heavy sleep ; jerking and snatching movements of the hands, with low muttering, convulsed and half-opened eyes, whining, and sometimes singing; dreams, by which the sleep is disturbed, and which leave an impression of alarm; much inclination to sleep during the day, or towards night, with tardy sleep in the night, and heavy sleep towards morning ; gloomy, taciturn ill-humor; incapability for mental application; home-sickness, with great depres- sion of spirits; total indifference to everything; giddiness ; embarrassment of the head, as if after drinking intoxicating liquors ; sounds otherwise agreeable are unbearable; sounds from a distance, although audible, are unheard, or very indistinctly heard; sounds seem to re-echo loudly in the ears. External Surface. Boils above and behind the thighs; soreness or rawness between the toes, and burning feeling in the soles of the feet, or all over the feet; harsh, dry, puckered skin on the hands; ulcers fringed at the bottom emitting offensive matter, flat and sluggish; swelling or sweat of the feet; large pimples, or moist oozing eruptions, forming scabs, on the cheeks, chin, or fore- head; crimson efflorescence on the skin; tingling, creeping sensations under the Bkin; fingers and hands cold, with general shivering fits, particularly in the evening; alternate flushing of heat and shivering fits; perspiration in the morn- ing; profuse and habitual perspiration at night; weak, limp hair, which turns gray; shedding of the hair; red patches on and swelling of the bridge of the nose ; tightness of the skin of the face, with a feeling as if gum had been spread over it, and had dried on ; pointed features, and blue rings round the eyes, which are sunken; hollow, pale, and haggard face. ACIDUM SULPHURICUM. 811 Breathing, Chest, &e. Weakness at the chest, and deficiency of breath, so that the patient is unable to sustain a conversation long, or to speak loud, or feela exhausted after speaking; cough, followed by vomiting of food, or by expectora- tion of matter-like fluid (and attended with headache); or dry cough towards night, and cough followed by expectoration of yellowish or whitish phlegm in the morning; tickling, harsh sensation in the upper part of the windpipe, which ex- cites coughing; loss of voice, or very rough, hoarse voice. Pains. Aching pains in the stomach after eating; burning pain at the bottom of the stomach ; aching, clawing pains in the region along the lower ribs, or more especially in the liver (especially during the menstrual period); tearing, jerking pains in the limbs ; burning pain in the lower part of the body, which, however, feels cold externally ; burning pain in the corners of the eyelids, or in the eyelids generally, especially when exposed to candle-light; shooting pains in the ears, with dragging pains in the teeth, jaws, and bones ofthe face; continued headache, much aggravated by noise, or by the least disturbance ; habitual aching pain in the head in the morning ; violent tearing toothache, worse in the warmth of the bed, or upon the introduction of hot or cold fluids into the mouth; clawing, eramp-like pains in the bowels. Menstruation, Womb, &c. Puffing up of the womb as if inflated with air; vari- able menstrual discharge (generally attended with suffering, and chiefly with aching or shooting pains in the region of the liver); discharge of whites, con- sisting of yellowish humor, with much irritation after the periodical discharge has ceased. Mouth, Tongue, Gums, Teeth, Throat, &c. Collection of sticky phlegm in the mouth and on the tongue; enlargement of the tongue (so that speaking is painful); soreness of the mouth, which smarts and feels raw when the patient attempts to chew solid food; soreness, burning heat, and rawness of the back part of the palate; burning sensation of the tongue, dry mouth, and biting of the tongue during sleep; swelling and development of knotty (and painful) protuberances in, and discharge of blood from, the gums; yellow appearance of the teeth; smarting, soreness, and sensation of rawness in the throat in swallowing solid food. Nose and Eyes. Discharges of blood and matter from the nose; redness, heat, &c, of the edges of the nostrils, with profuse flow of watery fluid (cold in the head, cough, and burning sensations in the throat and chest) from the nose; boring at the nose; offensive smell from the nose ; dull, depressed eyes; sensation as if the eyeballs had not room in the sockets; stye on the eyelids, or heat, swelling, and redness of the eyelids; great fulness of the small bloodvessels in the corners of the eyes, with red suffusion and heat of the eyes; considerable flow of tears ; glazed-looking, inanimate eyes; feeling in the eyes as if the inner edges of the lide were cold; yellow stain on the white part of the eye. ACIDUM SULPHURICUM. Stomach, Bowels, and Evacuations. Heartburn, acid risings in the throat; rising of bitter, sweetish, or saltish matters from the stomach; burning heat, or feeling of coldness in the stomach; extreme tenderness of the region of the Btomach to the touch or to pressure ; sensation of coldness attending the descent of all fluids into the stomach, unless some cordial be mixed with them; ontinual 612 ACIDUM SULPHURICUM. urging to evacuate; chronic relaxation ofthe bowels ; fetid, putrid stools; watery, greenish, soft, loose motions; very large, hard, lumpy, black, and slow motions; discharge of blood at stool; gritty, watery urine ; urine forming a thin, glairy film on standing, and depositing a sediment having the appearance of containing blood; scalding when passing water, and scanty discharge; urine depositing a Blimy sediment. External Surface. Spots on the skin of a red or bluish hue; sores on the skin, attended with gangrenous ulceration; appearance of extravasations of blood; cracked lips; considerable ruptural protrusion in the groin; cold or swollen feet; red, hot, and itching or livid swellings (chilblains) on the fingers; bluish spots on the lower part of the arms; numbness and insensibility of the legs; eruption of small, red, itching spots over the hands and between the fingers; eruption with much irritation among the hair ; swelling of the veins of the legs. Nervous System, Brain, Senses, &c. Tremulous condition of the frame; great feeling of tremulousness, without trembling; melancholy, morose, lachrymal, and impatient disposition ; cannot do anything fast enough, and when done is not satisfied with the work; lassitude of the whole frame ; feeling as if the brain were undulating in the skull; obtuseness ofthe intellectual faculties; loss of the sense of smell; buzzing or humming sounds in the ears, or sounds as if there were a distant but loud peal of bells being rung; dulness of hearing, as if something were tied over the ears ; the patient falls asleep late and wakes early ; the nervous Bymptoms, in particular, are more apparent on the left side ; sensation of weight in the legs and arms; tottering of the knees and stiffness of the ankles; great inclination to draw up and stretch the limbs; attacks of cramp affecting the hands. Breathing, Chest, &c. Speaking exhausts the patient; the open air induces fits of coughing ; difficulty of breathing ; coughing which terminates in the rising of food from the stomach ; cough followed by spitting of blood ; sensation of strangu- lation in the upper part of the windpipe. Pains. Pains of a wrenching description in all parts of the body ; pains which are suddenly suspended ; forcing pains in the lower part o^ the belly, like those of labor; griping, clawing pains in the bowels ; sufferings generally aggravated in the open air ; dragging pains in the back and loins ; tearing, gnawing pains in the teeth, generally relieved by warmth, and renewed or aggravated in the open air; pains which are chiefly felt in the left side. Mouth, Tongue, Gums, Teeth, Throat, &c. Aphthous vesicles in the mouth, and very copious flow of saliva; chronic discharge of blood from the mouth; dryness of the tongue, and sensation of great dryness throughout the mouth; the gums are swollen, ulcerated, and readily provoked to bleed, the teeth blunted and adhesive, and the throat rough. Nose and Eyes. One nostril stopped up, the other discharges an abundance of clear watery fluid; discharges of blood from the nose, particularly occurring towards night; cold in the head, with dry obstruction of the nose; continued inflammation of the eyes, with burning or soreness, and watering, more particu- larly when the sight is intently fixed ; tightness and stiffness of the eyelids, with inconvenience in attempting to open them in the morning. Menstruation, &c. During the intervals very white, milky discharge, with Bcalding ani soreness; painful menstruation (attended by cutting pains down ACONITUM NAPELLUS. 813 wards and through the lower part of the belly, and often preceded by deranged digestion, with disturbed, oppressive dreams at night). Excessive menstrual discharge, occurring before the proper time and continuing too long, or discharge of blood from the womb at other times. ACONITUM NAPELLUS. Pulse and Circulation. Determination of blood to the head, and to other important parts, and violent beating of the heart (accompanied with flushing of the face; or even general heat, lassitude of the limbs, and extreme anxiety); full, hard, quick, and frequent pulse. External Surface. Burning heat and dryness of the skin over the whole body; or puffed, red, hot, or even purplish face ; flush-patches on each cheek; evanescent flushing of the face, .succeeded, suddenly, by deadly pallor (especially when the head is raised): yellow suffusion of the skin; dry, burning heat of all parts wherein swelling is manifested; alternation of paleness, with flushing of the face, or flushing of one cheek with pallor of the other; inflamed, burning, and red eruptions; great, general heat, with inclination to be uncovered, and a chill and rigor upon uncovering, or upon the least exposure ; great heat of the head and face (with determination of blood to the head); a sensation of smarting or soreness over the surface of the head, as if the hair were pulled ; harsh, red, and swollen lips; the intense, dry, burning heat generally follows a violent chill and shiver- ing fit; burning heat of the extremities of the ears, with general coldness of the body, and local coldness of the forehead (and intense heat internally); dryness and blackness of the lips; heat and swelling of the hands, and coldness of the feet; sweating of the soles of the feet, with coldness of the tips of the toes; cold per- spiration breaks out in the palms ofthe hands. Stomach, Bowels, and Evacuations. Repulsiveness to food, with excessive and insatiable thirst; bitter taste in the mouth, impregnating everything eaten or drunk except water ; great pressure, as of a weight at the pit of the stomach; dis? tension of the stomach; the stomach acutely sensitive to the touch or to pressure; oppression in the region of the stomach (with difficulty of breathing); sensation of weight and fulness in the region of the liver; and tightness along the lower ribs on both sides; vomiting of frothy, bilious, greenish, or even bloody matter; great tenderness of the belly, especially felt during motion or upon contact; burn- ing sensation about the navel; extreme tenderness of the region of the liver; scanty, soft motions, attended with straining; white motions, with red urine; suspension of evacuation from the bowels; scalding sensation in passing water, which is scanty and of a deep color ; suppression of urine ; watery evacuations from the bowels, with much uneasiness. Breathing, Chest, &c. Short, hurried breath; sensation of suffocating tightness at the chest; short, dry, hacking cough, attended with expectoration of phlegm tinged with blood, or of blood only ; shortness of breath, particularly whilst sleeping; groaning, painful, anxious breathing; continual inclination to cough, with a sensation as if coughing would afford relief; sensation of extreme anguish, with arrest of breath ; extreme oppression at the chest; shortness of breath on sitting up. Pains. Pricking pains, or sharp local pains; acute sensitiveness, with pain throughout the body, or of the particular part affected, when touched or moved; 814 ALUMINA. stupefying pain in the head, with violent throbbing; aching pain in tie eyes; pressive or dragging pain at the pit of the stomach ; stitching and twinging, cutting pains in the chest, and especially in the side (excited or increased by breathing, coughing, or motion); aching pain (with weariness) in the limbs; aching pain in the head (with sickness at the stomach and vomiting); shooting pains in the head, exacerbated by motion or by talking; bursting pain, affecting the forehead and temples especially; shooting pains in various parts; burning, pricking pains in the throat; aching pain along the lower ribs on either side; burning and aching pain in the region of the liver (with obstruction of breath); dragging pains in the belly, when the patient stoops; strangling pain in the upper part of windpipe; bruised pain in all the limbs; throbbing pains in the teeth, and shooting pains in the region of the heart; tingling, or feeling of numb- ness in different parts. Nervous System, Brain, Senses, &c. Intense nervous excitement, or great debility, and proneness to fainting; mental apprehension, despondency, anguish, and lamentation; foreboding of death; disposition to start; delirium; frequent attacks of swimming of the head, with obscurity of sight; stupefying tightness and oppression about the forehead, as if a band were tied tightly round it; dread of light, and dilatation of the pupils ; susceptibility to noise or smell; stiffness of the nape of the neck, hips, and small of the back; indistinct, stammering, and tremulous speech; buzzing in the ears; sensation as if the brain undulated in the skull; giddiness, with hazy sight on sitting up; extreme sensitiveness, with vexed, irritable humor; disposition to make one's escape from bed; crying and laughing alternately ; bad effects of fright or fear. Menstruation, &c. The menstrual discharge too copious; determination of blood to, sometimes with discharges of blood from the womb, and yellowish, stringy discharge of whites during the intervals. Mouth, Tongue, Throat, Nose, &c. Dry mouth ; sore throat, with dark redness of the parts affected, and difficulty of swallowing; the tongue coated white; sneezing with much effort, and which shakes the whole body; discharges of blood from the nose ; pricking and burning of the tongue. Eyes. Red and inflamed eyes, with heat and irritation; fulness, with dark and turgid appearance of the vessels which traverse the eyes, sometimes, also, with Bwelling, and generally with copious watering of the eyes; inflamed eyes from dust, sparks, &c. ALUMINA. Stomach, Bowels, and Evacuations. Preference for vegetable food or fruits; ravenous but capricious appetite, or sinking sensation, with want of food, but no relish ; very capricious and variable appetite: aversion to animal food; habitual and very frequent belchings ; heartburn, with acrid or sour risngs ; sickness at the stomach, occurring in the morning ; tenderness of the region of the liver upon leaning forwards or stooping ; stoppage of the bowels ; slow and difficult evacuations, dependent upon want of contractile energy in the bowels; discharge of blood with and after the evacuations; discharge of urine with the evacuations; constipation of pregnant women ; of painters; pain in the stomach, nausea, and colic after eating potatoes; scanty, hard evacuations at distant intervals; slimy discharge with the evacuations; increased discharge of urine, more especially at night, ap- pearing *hick and whitish, and depositing a whitish-looking sediment; or scald- ALUMINA. 815 Ing and abundant discharge of watery urine, with great urging to pass it; or scanty discharge, with gritty, reddish, brickdust-looking sediment. Menstruation, &c. Painful, scanty, premature menstrual discharges, preceded and attended with much constitutional disturbance (palpitation, flushing, in- creased excitement of the circulation, disturbed sleep, colicky sufferings, megrim, &c.); the menstrual discharge does not continue long enough ; acrid discharge of whites preceding and succeeding the menstrual discharge, and producing raw- ness and smarting of the parts. Breathing, Chest, &c. Difficulty of breathing when sitting down; feeling of intense tightness with oppression at the chest, particularly when leaning for- wards, stooping, &c.; or intense weight at the chest at night; obstructed breath- ing, with cough (and attended with strained pain in the nape of the neck and head); cough which is more especially dry in the morning, and which is subse- quently relieved by resulting in the dislodgment of phlegm. External Surface. Chaps on the hands, which bleed on the least touch; oozing eruptions, forming scabs on the lower part of the arms; chipping of the nails; peeling of the skin from the hands, like scurf; redness and irritation of the toes, with feeling of great heat under them; numbness and torpor of the legs during the night; whitlow on the finger-ends; red and swollen nose ; coppery redness of the face; eruption of pimples, oozing and forming scabs on the lips; cracking, dryness, and scaling off of the skin from the lips; great scurfiness, with continual itching of the head amongst the hair; great deficiency of natural warmth, with predominant chilliness, coldness, and shivering towards night, and even in front of the fire. Nervous System, Brain, Senses, &c. Complete exhaustion or weariness after speaking, or after the least exercise; trembling of every part of the body; tho patient is obliged to lie down, but feels only the more weary; the least quantity of spirituous liquor, or every attempt to smoke tobacco, produces a feeling of giddiness and sickness at the stomach; spinning of the head, with darkening of sight, and generally attended with falling; there is total incapability for mental application, or for physical exertion; the sleep is tardy, and disturbed by dream- ing, or very heavy and stupefying ; feeling of weight in the face; continual desire to stretch one's self when sitting down; weight and weakness in the arms and legs. Pains. Aching pains in the loins whilst at rest; aching or tearing pains in the teeth during mastication; shooting, darting, piercing pains in and through the back; incisive, clawing, griping pains in the bowels, relieved by the externa] application of heat; shooting pains in the liver after stooping; sore pain in the pit of the stomach and along the lower ribs on either side, worse or especially occurring when the patient stoops or turns in bed; bruised pain in the back and loins; tearing pains, extending from the shoulder through the arms to the finger-ends; griping, clawing, cramp-like pains in the bowels before and during menstruation ; pains in the head as if some one were lugging at one's hair; vio- lent headaches during menstruation and pregnancy; headache, alleviated by gently supporting the head or by lying down, and much aggravated by motion, especially in the r. pen air ; aching pain in the head, as if it were in a vice. Eyes, Nose, and Ears. Watering of the eyes during the day, and adhesion of the lids during the night, with constant feeling of burning heat in the eyes; 816 AMMONIUM CARBONICUM. coldness of the eyes; discharge of thick, yellow humor from the nose: heat, swelling, and redness (inflammation) of the nose; complete obstruction of the nose ; cold in the head, with stuffing of the nose at one time and flow of discharge at another, or with obstruction of one nostril and discharge from the other; ulceration of the nostrils, and acid smell in the nose ; gnawing scabs in the nose; discharge of blood from the nose; redness, with heat of one ear from time to time towards night; sensation of great heat, with irritation in the ears; matter- like discharge from the ears. Mouth, Tongue, Gums, Throat, &c. Soreness (like rawness) ofthe whole ofthe interior of the mouth; ulceration of the gums; very offensive smell from the mouth ; minute sores in the mouth, blood-stained phlegm in the mouth, or readily bleeding and swollen gums; the tongue covered with a yellowish coating; feeling as if the teeth were too long; the throat dry and the tonsils swollen; soreness of the throat, relieved by warm fluids, and always worse towards night and during the early part of the night; thick, sticky phlegm in the throat, which it is diffi- cult to detach ; sensation as if the throat were contracted, when swallowing even a small morsel of food ; — it is felt until it enters into the stomach. AMMONIUM CARBONICUM. External Surface. General loss of flesh; bright-red efflorescence on the skin; habitual, fine, grain-like eruptions on the skin; small glandular protuberances in various parts; soreness of the skin in parts which come in contact, as between the thighs and outtocks; local itching of particular parts, which the patienf scratches violently, and by which an eruption of pimples or blisters, with burn- ing heat, is developed; free perspiration in the latter part ofthe night; sweating of the feet; attacks of chilliness in the evening; unhealthy, pallid complexion ; loss ofthe hair; irritation and soreness ofthe skin amongst the hair; enlargement of the glands of the neck and armpits; peeling off of the skin on the hands; swell- ing of the hands when the arms are hung downwards; swelling of the joints of the fingers; swelling in the groin, as if puffed up with air ; bleeding, cracked, dry lips, with burning heat; itching eruptions on the face; inflammatory boils on the face ; scaly eruptions, with peeling off of the skin from the chin, the corners of the mouth (especially), or from the cheeks. Nervous System, Brain, Senses, &c. Debilitated condition of the intellectual faculties; attacks of nightmare on falling asleep; sprained feeling in the joints: general debility; aversion to physical exertion (which is generally attended or followed by palpitation of the heart); sleeplessness at night, or constant drowsi- ness; general sensation of weakness, with anxiety; appearance of black spots or bright rays before the eyes ; roaring and ringing sounds in the ears; fatigue and weariness of the legs ; numbness and stiffness of the arms and fingers; cramps in the feet; hardness of hearing; unmanageable disposition, and complete disgust at existence; the nervous symptoms (as well as others) predominantly affect the right side; giddiness (with sickness at the stomach), especially when sitting still and reading; objects appear multiplied to the sight; cramps in the fingers. Stomach, Bowels, and Evacuations. Metallic taste in the mouth; aversion to milk, and desire for sweet things; the patient cannot eat without drinking first: bitter taste in the mouth the first thing in the morning; acrid risings, with harsh lensation in the throat after eating; extreme tenderness of the pit of the stomach, AMMONIUM CARBONICUM. 817 with sickness and sensation ot repletion after eating; sensation of intense heat in the stomach; sensation of fulness, weight, and burning in the region of the liver; small, detached, hard, and difficult evacuations, with habitual costiveness; or slimy, relaxed, or soft motions ; or, again, and generally, discharge of blood at ■md after stool, and bleeding piles, with soreness and smarting in the orifice; gritty, whitish urine; discharge of blood, with the urine or without the urine, from the passage; the discharge of urine takes place chiefly or more abundantly during the night, or there may be a continual want to pass water with insufficient discharge. Womb, Menstruation, &c. Acrid and black discharge of blood at the menstrual period; menstruation painful, preceded and attended with much disturbance (depression of spirits, toothache, pressive and tugging pains, pressive pains in the loins, and griping in the bowels, chilliness, pallid complexion, and continual inclination to lie down); excessive menstrual discharge, occurring before the proper time ; scalding, acrid, and irritating discharge of whites during the inter- vals ; soreness, burning sensation, swelling and great irritation of the parts ex- ternally. Chest, Breathing, &c. Habitual cough, recurring at particular periods of the day, such as the morning (very early) ; short, stifled cough, with asthmatic, im- peded breathing; weight and pressure at the chest, with determination of blood to that part; extreme shortness of breath on ascending stairs; harsh, rough, hoarse voice; tightness and oppression at the chest, with cough, particularly at night; coughing induces spitting of blood; or fits of coughing, followed by spitting of mingled blood and phlegm ; cough, with tickling sensation, and fol- lowed by dislodgment of phlegm. Pains. Stitching pains at the heart; shooting pains in the outer surface of the chest; aching, weary pain in the thighs, &c, relieved by exercise, and most felt before rising in the morning; pain in the great toe at night, especially felt upon moving it; clawing, cramp-like pains in the pit of the stomach, especially felt in stretching one's self; pulling and pressive pains in the lower part of the belly, and aching pains in the loins (before and during the menstrual period), or violent pains in the teeth (during the menstrual period); aching pains in the teeth, when closely approximated, or when cold air is inhaled through them, or at night upon first lying down ; burning pains in the eyes in the morning, and also in the evening ; hammering, bursting headache, chiefly in the forehead ; severe pain in the head, chiefly felt when pressed or moved; or darting pains deep in the brain. Nose, Mouth, Teeth, Gums, Throat, &c. Discharges of blood from the nose, especially upon the application of cold water, in the morning, or after eating, and extreme tenderness ofthe nostrils; sensation of weight, as if from rush of blood to the nose when stooping; eruption of small blisters in the mouth and on the tongue ; feeling, in the interior of the mouth, as if swollen, with heat, redness, and soreness; the mouth particularly dry at night; the teeth habitually loose, and feeling too long; the gums swollen, red, hot, and sometimes suppurating; the gums bleed on the least touch; the tonsils are swollen, and the throat is sore, especially in the morning, and towards night; sensation as if a hard sub- stance were lodged in the throat. 52 818 AMMONIUM MURIATICUM. AMMONIUM MURIATICUM. Nervous System, Brain, Senses, &c. Excessive depression and melaz choly, with disposition to weep ; excessive and general weakness, with incapability of muscu- lar exertion, especially affecting the legs and feet, and sometimes attended with Bwimming in the head ; peculiar repugnance conceived against particular persons ; swimming of the head, with haziness of sight; generally alleviated by the open air; obtuseness of hearing, with buzzing in the ears; the weakness and other symptoms principally affect the right side ; great reluctance to exertion, and drow- siness during the day, or towards evening; stiff neck (painful when moved); shortening of the tendons behind the thigh, or stiffness of the knee ; heaviness, stiffness, and debility of the arms. Breathing, Chest, &c. Difficult breathing during the night, or in the open air, with sensation of weight and oppression at the chest; impeded breathing, on raising or extending the arms; roughness or weakness of voice, with sensation of great heat in the upper part of the windpipe; drawing a deep breath, particu- larly when resting on the right side, induces a fit of coughing; coughing renewed or aggravated by drinking cold fluids, lying with the head too low, or after every meal; shaking cough, when the patient lies on the back, more especially towards night, or during the night. Menstruation, Womb, &c. Excessive and premature menstrual discharge at- tended with much suffering (sometimes with relaxation of the bowels and vom- iting, or with discharge of blood when at stool, and generally attended with dragging, squeezing pains in the back, and aching, dragging pains in the loins); discharge of whites during the interval between the periods, transparent and gelatinous (and attended by clawing pains about the navel and flatulent disten- sion of the belly). Stomach, Bowels, and Evacuations. Rising of the food, mingled with sour or bitter matter, or partial eructations, with bitter taste ; flatulent distension of the bowels; costiveness, with hard motions; or relaxation of the bowels, with greenish, Blimy discharge; deep-colored but clear urine, with increased discharge, espe- cially at night, and depositing no sediment. External Surface. Scaling off of the skin in various parts, especially between the fingers; habitual coldness of the feet; eruptions of small vesicles, which end in the deposit of a dry scurf; puckered, cracked, dry, sore, and burning lips; puffing ofthe face, with general heat (and much thirst); tenderness of the nose, which is swollen, to the touch; swelling (with painful throbbing) of the glands beneath the jaw ; eruption of vesicles which ooze and form incrustations on the wrists; the wrists become swollen ; offensive sweat on the feet; swelling (withsore pain, especially when touched) in the groin. Pains. Shooting pains issuing from the ears ; aching, weary pains in the loins and lower extremities; strained and weary pain outside the chest; pain, with stiffness in the loins (felt during motion) so that the patient cannot walk upright; sharp, tugging pains in the collar-bone and neck, on either side; disjointed pain in the wrists; shooting pains in the calves of the legs, especially or only felt after much walking exercise; tugging pains as it were in the bones of the legs, at night; gnawing, dragging, or burning pains in the stomach; pulling pains in the bones of the face, and in the teeth. ANTIMONIUM CRUDUM. 819 Nose, Mouth, Gums, and Throat. Stuffing of the nose, with cold in the head, o>zing of blood and incrustations in the nostrils ; discharge of acrid, clear fluid from the nose ; accumulation of sticky phlegm in the throat, particularly observa- ble in the morning; eruption of small vesicles, with burning sensation at the tip of the tongue, or sometimes in the cavity of the mouth, generally ; very unhealthy condition of the gums, which are puffed and sometimes ulcerated, and either livid, or of an ash-color. Ears and Eyes. Discharge of matter or humor from the ears, or eruption of gnawing vesicles in the interior of the ear; throbbing in the eyelids ; the eyes tender of light, and affected with a burning sensation, especially in the morning, or towards night; burning sensation in the corners ofthe eyes. ANTIMONIUM CRUDUM. Stomach, Bowels, and Evacuations. Nausea, sometimes attended with vomiting of bile or mucus; frequent eructations tasting of the food; absence of appetite, oppression at the stomach; rising of watery fluid, or of acrid matters, into the mouth ; sickness at the stomach after wine-drinking; predominance of thirst at night; sensation in the stomach as if overloaded ; great accumulation of flatulency in the bowels; rumbling and bubbling of wind in the intestines; complete repug- nance to all food; hard and difficult, motions, with urging; discharge of yellow mucus from the bowels; discharge of urine when coughing; bright-yellow or pale, watery urine, or brownish-red urine, depositing a deep-colored sediment; continual flow of slime from the urinary passage, and frequent and copious dis- charge of urine; continual desire to pass water, with insufficient discharge. External Surface. Dropsical swellings; pimply eruptions on the skin, akin to that of chicken-pox; tumors and blisters on the skin, such as are produced by the sting or bite of insects; spots on the skin; freckles ; hard and horny excres- cences, such as warts; perspiration at night and in the morning, especially every other day ; soreness of the corners of the mouth, and about the nostrils; frequent appearance of pustules on the face, particularly on the chin, followed by casting of yellow scabs; general dropsical swellings of the whole body: sometimes un- healthy and general deposition of fat; unhealthy degeneration of the skin ; itching and heat in the cheeks; bright-yellow, grain-like eruptions on the face; swelling and redness of the heel; great tenderness of the soles of the feet if walking over a hard surface ; horny growth under the toe-nails (especially the nails of the great toes). Pulse and Circulation. Variable condition of the pulse, chiefly slower or quicker than in the state of health; determination of blood to the head. Nervous System, Brain, Senses, &c. General loss of strength, and sensation of lassitude, more particularly felt upon waking during the night; lethargic heavy sleep, with low delirium ; heavy sleepiness towards night and in the morning, or also during the day ; impulses to self-destruction, and very fretful, irritable humor ; dulness of hearing, as if the orifice of the ears were obstructed ; loss of sight; ex- treme tenderness to the daylight; the lower extremities become numbed after retaining the sitting posture for some time ; swimming and confusion of the head (with a sensation as if the patient had overstrained his intellectual faculties, or as if he had a violent cold in the head, and attended with sickness at the stomach); sudden falling, with loss of sense and motion, and with accumulation of frothy spittle in the mouth ; gritting of the teeth whilst sitting or sleeping 820 ANTIMONIUM TARTARICUM. Pains. Severe pains which traverse the forehead and temples ; aching pain in the crown of the head, as if in the bone ; obtuse aching pain across the top of the head and the upper part of the forehead ; very severe cutting pains in the bowels ; clawing, contracting pain at the pit of the stomach ; shooting pains in the eyes and ears; jerking pains in the teeth after eating, and at night in bed ; aching, pricking, tugging, or gnawing pains in the hollow teeth, relieved in the open air, but renewed or aggravated every time cold water is introduced into the mouth, or after every meal; pain in the region of the stomach, on pressure or contact; pain in the stomach after eating, as if one had eaten too much ; burning pain in the pit of the stomach ; bruised pains in the chest, when the arms are raised or extended ; aching, gouty pains in the arms or joints of the finger; shooting pains in the skin and knee-joint; burning pain in the corns, or pain as if they were exposed to severe pressure ; dragging or very violent pains in the legs and thigh- joints. Nose, Eyes, Mouth, Tongue, Teeth, and Gums. Cracking and scurfiness of the nostrils; the corners of the nostrils as well as the interior are sore; collecting of yellowish, thick humor in the nose; complete obstruction of the nose, or great dryness of the nostrils, particularly in the open air; discharges of blood from the nose, more particularly towards night; collection of secreted mucus, &c, in the corners of the eyes; adhesion of the lids at night, with irritation and inflamma- tion of the eyes; redness, heat, and swelling of the eyelids; collection of limpid fluid in the mouth, or copious flow of saliva, or, on the other hand, great dryness of the mouth; collection of sticky phlegm in the throat, with harshness and dry- ness ; the margins of the tongue feel sore; sensation of a foreign body in the throat, with soreness and difficulty of swallowing; while-coated tongue, or eruption of vesicles on the tongue; the gums retracted from the teeth; discharge of blood from the teeth and gums ; the lips very dry, or cracked, or exhibiting an eruption of pimples. Ears. Swelling, with heat and redness inside the ears. ANTIMONIUM TARTARICUM. Breathing, Chest, &c. Short, difficult, and impeded breathing, or paroxysms of actual suspension of breath, amounting almost to absolute suffocation, and occurring more especially towards night or in the morning, when in a recumbent position; sensation of heat rising from the region of the heart, with extreme op- pression at the chest and anxiety; noisy, rattling breath, with copious accumulation Of phlegm on the chest; very hurried, anxious, and difficult breathing; cough, which results in vomiting of the contents ofthe stomach, and occurs after eating; cough, com- ing on by fits, of such violence as to terminate almost in suffocation; (sweating of the forehead and hands, and heat of the latter during a fit of coughing;) hollow-sounding and rattling cough ; fits of coughing, coming on in the latter part of the night, and attended with much detachment of phlegm, great hoarse- ness ; heat, with oppression at the chest; cough, with great muscular effort from the region of the stomach, and often followed by aching, weariness, and prostra- tion, as if from excessive exertion. Stomach, Bowels, and Evacuations. Heat and oppression in the stomach ; con- siderable vomiting, with excessive muscular exertion and straining in heaving ; the substance vomited has an acid or bitter taste; the bowels are much relaxed, and ANTIMONIUM TARTARICUM. 821 the diarrhoea is characterized by an extreme sense of exhaustion which attends it; the vomiting and purging are sometimes simultaneous, or in other cases thera i« violent retching or effort to vomit (with sinking in the legs, profuse perspira- tion on the forehead, and abundant flow of water in the mouth); > our, acrid risings; vomiting and purging of mucus, or of frothy or slimy matters; intense pressure at the pit of the stomach, with continual sickness at the stomach, and desire to vomit, alleviated by the expulsion of flatulency; sensation of intense weight at the stomach, and at the pit of the stomach, after every meal, as if one had eaten too much ; great development of flatulency, with much rumbling and bubbling in the intestines; sensation of constant discomfort about the region of the stomach and bowels, which induces the patient to stretch himself backwards, and to lie down; pap-like, or slimy, watery, bloodstained, or pale-brown, or even yellow evacuations; alternation of costiveness and relaxation; very painful discharge of urine, in a great quantity, but in a small jet (attended with pressure or cutting pain in the bladder), accompanied with burning, scalding, and drawing sensations in the passage, and between the thighs, and becoming bloodstained as the discharge is nearly effected; cloudy, dark-brown, or very red urine, the latter depositing blood-colored, thready matter, after standing; frequent urging to pass water during the night, the discharge, however, being insufficient (and attended with intense thirst). . External Surface. Pustular eruptions on the skin, the pimples being surrounded by a red base (of inflammatory appearance), suppurating, becoming depressed in the centre, oozing or forming incrustations, and subsequently leaving a pit on the surface, especially if disturbed ; oozing and scabby eruptions of various kinds; perspiration breaks out on the affected parts ; coldness and shivering predomi- nate over heat; or, on the other hand, there is sometimes burning heat of the entire frame; heat, especially at night, attended with excessive perspirations, occurring in repeated and quick succession; the perspiration is often cold; anxious expression of countenance, with haggard, pallid face, or puffed and crimson face; fine grain-like eruptions on the skin, and particularly on the arms and nape of the neck; hardness and numbness, or intense coldness of the ex- tremities of the fingers; the feet cold; flea-bite-looking, red spots on the hands in particular; dark-yellow stains on the fingers. Nervous System, Brain, Senses, &c. Continued tremulous state of the head; the eyes are characterized by a sensation of being tired, or worn out by labor; there is an inclination to close the eyes, as it were, for relief; great desire to sleep in the daytime, or deep, lethargic, drowsy sleep; sleep easily disturbed, with abundance of light or fanciful dreaming; tremulous state of the limbs, with screams and fixed look during sleep; sensation upon waking as if the sleep had not been suf- ficient; jerkings of the body, or of particular limbs during sleep ; twitches of the muscles; extreme languor and weakness, and sometimes habitutl fainting fits; tremulous state of all the limbs; great reluctance to exertion, and sensation of weight in the limbs; continual desire to be carried in children; sensation of weight in the head, especially at the back; numbed, stupefied, and embarrassed sensation in the head, with obtuseness of the senses, and confusion of ideas; fre- quent talking in the sleep ; the feet are benumbed upon sitting down ; convulsive twitching in the muscles of the face. Pains. Tearing and dragging pains in the limbs; aching pain in the head 822 APIS MELLIFICA. (with giddiness and palpitation of the heart); digging, dragging, or tearing pain in the head ; throbbing pain in one side of the head ; darting pains in the head, piercing to the eyes (which the patient closes for relief); aching pain in one side of the head; pain, with sensation of compression in tne brain ; violent toothache in the morning ; bruised pain in the eyeball, especially felt on pressure ; darting, shooting pain, with feeling of intense heat in the inner corners of the eyes; aching pains in the eyes; severe throbbing pain, or shooting pain in the pit and region of the stomach; cramp-like, spasmodic pains in the bowels; aching pain in the left side of the chest; or sore pain, occurring now and then in the chest, or only in the left side; aching pain in the back, or in the back and loins, when silting down; aching pains in the legs and hips, or tearing pains down the arms to the hands. Nose, Eyes, Mouth, and Tongue. Cold in the head, with copious, watery dis- charge; loss of taste, and of the sense of smell; shivering fits and continual sneezing; watery eyes; parched, peeling, and cracked lips; brown-coated, or moist, clean tongue, and abundant flow of spittle in the mouth. APIS MELLIFICA. W*> /^^^ Stomach, Bowels, and Evacuations. Great sensitiveness to touch and pressure in the region of the stomach, with violent pain in the stomach ; burning pain in the stomach ; vomiting of bile and mucus, and accompanied with loose evacuations from the bowels ; evacuations of yellowish-green mucus, occurring particularly in the morning; or which have a very offensive odor; evacuations accompanied with or succeeded by a discharge of blood, with straining and burning in the orifice; scanty evacuations of highly-colored urine, with pain and burning, or burning, smarting, and stinging in the urethra during or after the passage of urine; profuse discharge of watery, colorless urine; piles, with stinging pains in them. External Surface. Cold swellings in various parts of the body, of a bluish hue, with stinging or pricking pains; swelling of the lower lip, as though occurring from the sting of an insect, with stinging or pricking pains ; sudden, acute swell- ings; nettle rash or hives, with great burning, itching, and stinging; styes upon the eyelids ; carbuncles, boils, felons, all characterized by burning and stinging pains; erysipelatous inflammation of various parts, appearing like the effects of Btings of insects ; sensation of soreness below the ribs, or over the ribs; burning, stinging heat in the face, which is of a purple color; erysipelas, or swelling of tho face; redness and swelling of the ears; swelling of the eyelids; dropsical swell- ings of various parts, with scanty emissions of urine ; hands bluish, and inclined to be cold ; cold legs; swelling of the feet, ankles, and legs. Nervous System, Brain, Senses, &c. Restlessness, and constant changing of position; delirium; great awkwardness ; giddiness, when sitting, standing, lying, or when closing the eyes, with nausea and headache; congestion of blood to the head, arising after suppression of the monthly flow; the brain feels as if tired; water in .the head, of children, characterized by the following ccnditions: copious sweat about the head, torpid condition of the system, delirium interrupted by sudden, shrill cries, boring of the head deep into the pillow, squinting, grinding of the teeth, scanty urine, twitching of the limbs on one side of the body, while the other side is paralyzed; twitching of the eyeballs; intense dread ARNICA MONTANA. 823 of light, in consequence of inflammation of the eyes; great feeling of being tired, is if some hard work had been done; sleep disturbed by many dreams; awakens from sleep with a shrill shriek. Breathing, &c. Hoarseness and huskiness of voice, particularly in the morning; shortness of breathing, with oppression at the chest, particularly on ascending a height; inability to remain in a close or warm room, in consequence of shortness of breath ; sensation within the chest of soreness, as if from a bruise; cough after lying down and sleeping. Pulse and Circulation. The pulse is full and rapid, or small and tremulous, or intermittent; chilliness coming on towards evening, or chilliness excited by the least movement, with heat of the face and hands at the same time; perspiration, alternately with dryness of the skin. Menstruation, Womb, &c. Dropsical swellings of the ovaries, particularly of the right, with sharp, cutting, stinging pains in the affected ovary, which are worse during the menstrual flow ; the monthly flow is either suppressed, or very much diminished in quantity, this condition being accompanied by fulness and congestion of the head; feeling of pressure downwards in the womb; dropsical enlargement of the womb. Mouth, Gums, Teeth, and Throat. Swelling of the lips, particularly the upper lip; dry, swollen, inflamed tongue, with inability to swallow; white, dry tongue (accompanying attacks of diarrhoea); offensive odor of the breath, accompanying attacks of headache; accumulation of tough and frothy spittle in the mouth ; the throat is dry, without thirst; burning and swinging sensation in the throat; inflammation of the throat, with swelling, redness, and stinging pains ; ulcerated sore-throat, especially in scarlet fever, when the eruption does not come out; diphtheritic sore-throat, with stinging pains. ARNICA MONTANA. External Surface. Hot, hard, red, and shining swelling of the affected parts, the lower extremities ofthe body cold, whilst the upper parts are hot; irritation, itching and tenderness of the head; crawling, stinging sensations in the face and scalp, and smarting in the lips; crawling sensation of chill, as if cold water were run- ning down the body, and with shivering, especially towards night; intense feverish heat in some cases preceding the shivering fits (and attended with considerable thirst); fits of shivering, especially on .the least exposure to the air, but with great heat (and often characterized by aching pains in the limbs and back) ; much swelling (with considerable suffering) of the glands of the neck and beneath the jaw; glossy, red, hard, and hot swelling of one cheek (further characterized by pulsating pain); hollow, haggard, drawn, and pallid face, or heat and flush- ing of the face only; enlargement and hardness of the belly ; swelling of the veins of the hands; colorless swelling of the knee; tightness of the skin over the knee ; red, hot, and glossy (painful; swelling of the feet and of the great toes, and tingling, pricking, or crawling sensations in the feet. Fains. Pains as of a bruise or sore about the parts affected ; crawling and stinging pains in different parts; pains akin to those produced by a blow or contusion; lacer- ating and sudden twinging pains in the head; stinging, crawling pains in the face, or throbbing pain (in the swollen cheek); stinging pains in the gums, and smarting pains in the lips; sudden stitching pains, especially in the sides and 824 ARNICA MONTANA. chest when walking; stitches and other shooting pains about the heart (with unaccountable fits of fainting); aching pain in the head, chiefly in the forehead; shooting pains, especially through the temples; dull, heavy, or sometimes violent pains in the head, re-induced or aggravated by motion and by eating; sore, darting pain in the eyes; aching pain in the head, above one eye (in some cases attended with vomiting of greenish matter) ; aching pain in the back (or through the back); and pain upon expanding the chest, such that the shoulders are drawn together forwards; aching pains in the teeth, with sore, crawling pains in the gums; shooting pains in the pit of the stomach; cramp-like, contractive pain in the stomach ; bruised pain in the chest, especially towards the shoulders (or in the muscular part of the breast on either side); shooting pains behind and through the ears; or tugging and severe pains; or, again, bruised pains in the ears. Pulse and Circulation. The pulse is unusually full and strong, and there ia often very violent beating and agitation of the heart, with predominant determi- nation of blood to the head, or perhaps, also to the chest. Nervous System, Brain, Senses, &c. Pressure about the forehead and temples, as if the forehead were violently squeezed ; a dread of raising the brow for fear of pain being caused or aggravated thereby ; the teeth are on edge, as if they had been jarred or loosened by a violent blow ; unaccountable fainting fits (with sudden shooting pains about the heart) ; the fingers are devoid of strength for the grasp ; the knees fail, totter and yield when walking ; or the joints, both of the hips and knees, are affected with a paralytic deficiency of strength ; the taste is clammy, or putrid; the eyes protrude, and are only in part closed; the sight is misty and darkened; the pupils are strikingly contracted; the expression is anxious and intent; the hearing is obtuse, or buzzing, humming sounds are heard in the ears; giddiness, often attended with sickness at the stomach; the lower jaw hangs down from paralysis of the muscles, or the jaws are clenched. Stomach, Bowels, and Evacuations. Loathsome eructations; bitter or putrid flatulent risings; sickness at the stomach, with utter loathing of food; violent effort to vomit, or sudden vomiting of food mingled with blood ; vomiting of clotted blood ; scanty but frequent motions ; discharge of undigested substances in the evacuations; spontaneous, or even involuntary evacuations, — sometimes also constipation; discharge of dark, brownish urine, with thick, reddish sediment; discharge of blood with the urine, or of bright-red blood instead of urine, some- times attended with discharge of dark clots of coagulated blood. Womb, Menstruation, &c. Discharge of bright-red blood subsequently to pre- mature delivery; the same discharge, especially when aggravated by motion, exertion, mental excitement, or sudden revulsion of posture ; discharge of pure blood from the womb during the intervals between the menstrual periods. Breathing, Chest, &c. Excessive offensiveness of the breath ; anxious, oppressed, .mpeded, and hurried breathing ; sensation of weight and tightness, or of extreme fulness, ofthe chest; spitting of black, clotted blood without coughing; fits of coughing after crying or sobbing (in children) ; cough as if from an effort to expel phlegm, but with great difficulty in effecting this; (coughing induces a sensation as if the chest were bruised, and darting pains in the head;) short, dry cough, or cough followed by spitting of blood or oozing of blood, either bright and clear, or mingled with clots and phlegm, or with froth ; cough whilst sleeping. Mouth, Tongue, Teeth, Throat, and Nose. The mouth excessively dry ; the lipi ARSENICUM ALBUM. 82D hot, swollen, and cracked; the gums sore, and the teeth feeling as if too long; the tongue thickly covered with a white coating, or very dry, and sometimes also bright-red ; irritation and soreness of the tongue; burning, acrid sensation in the throat, or accumulation of bitter phlegm, or sensation as if a hard body were it) the throat; active discharge of blood from the nose: swelling of the nose, with or without extravasation of blood, or with glossy redness, heat, and tinglinf ; dry, burning heat in the nostrils, or even ulceration of the interior of the nose. Eyes. Soreness and smarting in the eyelids; swelling and redness or bluish hue of the eyelids, and redness and heat of the eyes ; the eyes bloodshot; sensa tion as if the eyelids were stiff as well as sore; dulness or prominence of the eyes. ARSENICUM ALBUM. Stomach, Bowels, and Evacuations. Excessive loathing and sickness at the stomach, great thirst, but without being able to drink more than a few drops at a time, vomiting of food, blood, or of dark substances, or of frothy, slimy, yellowish, or greenish matters; constant and empty eructations; after eating or drinking the patient is unable to sit up or to sustain an erect position, the nausea being ex- cessive, and the attendant exhaustion unbearable; repeated attacks of violent hiccough, especially during the night; rising of sour matter from the stomach ; (drinking is followed by shivering;) craving after acids, cold water, or brandy ; vomiting sets in violently after partaking of the least food; cold water sets heavily upon the stomach after drinking, with feeling of coldness in the stomach; excessive sensibility and tenderness of the stomach, with intense heat and burn- ing sensation; scalding and watery diarrhoea (with spasmodic colic), and with ineffectual straining to evacuate ; burning sensation in the orifice ; violent purg- ing (with the vomiting) ; coldness or intense burning sensation in the bowels ; exces- sive looseness, especially at night, with extreme prostration of strength, and discharge of very offensive frothy, slimy, yellowish, greenish, brown, or even black matters; suppressed discharge of urine, or discharge of urine mingled with blood, and attended with excruciating scalding of the passage; the bowels are apparently gathered up into knots by cramp; whitish and loose discharge from the bowels, containing undigested matters, and very painful; scanty discharge of urine, with slimy or gelatinous sediment. External Surface. General chill (with extreme prostration); dropsical swell- ings of various parts, with burning sensation in them; rapid and general loss of strength, with exhausting sweats; trembling over the whole body, or of any par- ticular part, upon attempting to move or exert it; attacks of chill and shivering, especially after drinking, or even in bed during the night, or chiefly in the open air; fits of shivering in the morning and towards night, with feeble flushing of heat (and with uncontrollable agitation and restlessness, and burning thirst); coldness of the entire surface, with cold, clammy perspiration; very frequent fits of sweating, very profuse and exhausting, and occurring chiefly upon falling asleep. or generally during the night; reddish, brownish, or even blackish spots or stains upon the skin; eruption of pimples, discharging blood or thin corrosive humor; or eruption of large, angry-looking pimples, which, upon breaking, form scabs, these scabs being subsequently cast, and leaving angry ulcers on the surface harsh dryness of the skin; skin cold and livid; a bluish hue about the extremities and the nai's, and also below the eyes and around the mouth; eruptions and 826 ARSENICUM ALBUM. ulcers of a burning character upon the skin; dry, mealy, or moist and oozing, often gnawing and itching eruptions, characterized by a burning sensation al night; horny-looking, fissured ulcers throwing up unwholesome excrescences, enlargement of the belly (from swelling of the glands of the mesentery), or drop- sical swelling of the belly; ulcers characterized by an angry, gangrenous appear- ance, with burning sensations ; eruptions offering the appearance of nettle-rash; cold, parchment-like skin; ulcers discharging a thin corrosive matter, and affected with a burning sensation ; oozing eruption with continual gnawing, burning sen- sations, and forming scabs upon the scalp; cadaverous countenance; swelling and ulceration ofthe glands of the neck and beneath the lower jaw; red or purplish, or livid and bloated face; swelling of the face, especially under the eyes; wax-like, leaden, grayish, clayey, yellowish, or even greenish complexion; ulcers on the face, forming and casting scabs, and having a tendency to spread and to assume a gangrenous character; distortion of the features often very distressing; blackish, fissured, scaly, dry, or ulcerated lips; excesshf inflation ofthe stomach and bowels; sensation of scalding under the skin, as if some boiling fluid were running there; extreme tenderness of the scalp. Pulse and Circulation. Very frequent, quick, small, and feeble pulse; or flut- tering, evanescent, and sinking pulse; or small, darting, pointed, contracted pulse; or irregular and very feeble, or scarcely perceptible pulse; violent and oppressive, or irregular beating of the heart, sometimes by snatches, with short, contracted movement. Nervous System, Brain, Senses, &c. Extreme restlessness at night, with repeated tossing, and desire to change the position for relief; excessive anguish (with bodily suffering), especially at night; spasmodic grinding of the teeth ; tremulous con- dition of the tongue; general trembling, with extreme and sudden prostration of strength, and indescribable depression, or sometimes total indifference to one's con- dition; the lower jaw hangs down as if paralyzed ; violent cramps and spasms in various parts, especially in the lower extremities, bowels, and stomach, some- times extending to the chest and heart (as indicated by the interruption of breath- ing, and the irregular, contracted action of the heart); drowsy lethargy, without sleep, and with catching or jerking of the limbs; heaviness, confusion, and weak- ness of the brain; fainting-fits, preceded by extreme anguish, anxiety, and agita- tion; extreme impatience, and inclination to find fault; the patient dreads to be alone, yet loathes those who are attending him ; extreme apprehension of disso- lution ; disturbance of conscience; low, muttering delirium; the human voice is very imperfectly heard, other sounds sometimes acutely, or the hearing is gene- rally dull, sometimes quite wanting; constant bitterness of taste; extreme ten- derness of light, with weakness and dimness of sight; spasmodic closing of the eyelids; violent cramps in the calves of the legs ; great fatigue of the legs and feet; hurried and precipitate articulation. Chest, Breathing, &c. Attacks of extreme oppression, amounting almost to Buffocation; short, difficult, impeded, anxious, hurried, and groaning respiration; cough during the night, with expectoration of bloodstained phlegm; sensation of extreme dryness, parching, burning, and tightness (as if strangled) in the opening of the windpipe; dry, short, hacking cough, as soon as the patient lies down at night; extreme tightness of the chest; accumulation of viscid, stiingy, Bticky phlegm in the windpipe ; suffocative catarrh; paralysis of the lungs. AURUM METALLICUM. 827 Periodicity. The fever-fits, in remittent or intermittent diseases, have a tend ■ ency to return, or to become aggravated about sunrise or sunset, at intervals of forty-eight or seventy-two hours. In remittent fevers, the intorval affords a very imperfect subsidence of the symptoms, and there is usually a low, drowsy, motion- less, or prostrate condition, sometimes complete stupor. In all cases, whether remittent or intermittent, the intervals are characterized by extreme weakness. Pains. The pains are relieved by moving the part affected; paroxysms of pain (with coldness, anxiety, loss of strength, or complete prostration); burning pains in the extremities, stomach, bowels, head or other parts; cramp-like, clawing, and insupportable pains in the stomach and bowels ; pains at night, which become perfectly insupportable ; aggravation of the sufferings on first rising in the morn- ing, or upon lying down ;it night, or more especially when lying on the affected part; intolerable aching, burning pain across the forehead; aggravation of the pains in the head by eating, or at different periods ; burning, aching pains in the eyes; intolerable cutting, clawing, griping, or burning pains in the bowels; excessive pain (with cramps) in the calves of the legs; sore and burning pains in the knee-joints; intolerable wrenching pains in all the teeth; very keen, drawing pains extending from the hips to the groins, thighs, knees, and even ankles. Mouth, Tongue, Throat, Gums, Teeth, and Nose. The mouth is parched and intensely dry, and emits an offensive odor; collection of greenish or grayish phlegm in the mouth and throat; eruption of angry ulcerative vesicles in the mouth; the tongue is completely dry, parched, blackish, fissured, and ulcerated, or of a whitish or bluish color, tremulous (sometimes quite cold at the tip), or Bometimes unnaturally and brightly red ; the throat is intensely dry, hot, inflamed, and sometimes bright-red or purple, usually ulcerated ; the gums are swollen, and bleed on the least touch or without apparent provocation; the lips are dry, cracked, and blackish or ulcerated ; the teeth loosened; and the nose discharges a scalding, corrosive, and thin fluid, with stuffing and burning heat in the cavity about the bridge of the nose; dry feeling of the nose; or swelling of the nose, with copious and continued discharge of blood. Eyes. Dimness and watery swelling of the eyes; yellowish suffusion of the white of the eye; ulceration of the anterior transparent portion of the globe of the eye; heat, redness, and swelling of the eyelids, with glossy appearance of the margins; adhesion of the eyelids, with exudation of sticky humor; redness of the white of the eyes, with burning heat, and redness, with heat of the internal sur- face of the eyelids; flow of scalding, corrosive tears, which induce soreness of the Bkin where they moisten it. Menstruation. The menstrual discharge occurs before the proper time, and in great excess, and there is corrosive, acrid discharge of whites during the intervals. J/ / _JL AURUM METALLICUM. JCft tf.{ # i* Xtirii i External Surface. Sensation of coldness over the head, as if cold air were blowing on it when uncovered; red, scaly eruption on the nose, and over the eyebrows or forehead; purplish hue, sometimes with bloatedness, of the face (during fits further characterized by loss of consciousness, suffocation, and pre- cipitate falling); profuse sweat all over the body early in the morning ; the whole surface of the body is cold, and the extremities and nails assume a purplish hue ; extreme sensitiveness of cold over the entire surface of the body ; shivering all 828 AURUM METALLICUM. r>ver tne body when first lying down in bed; the upper jaw, bones of the forehead, and sometimes the glands under the jaw are swollen ; shedding of the hair. Nervous System, Brain, Senses, &c. Unnatural conditions of sight, smell, and hearing; obstructed hearing, or humming in the ears; sectional division of objects to the sight, as if traversed by level lines; flashing of luminous rays or sparks, or dark spots appearing before the eyes; yielding and palsied condition of the knees, or paralytic incapability of bending the knees backwards and forwards; weak- ness in the fingers; excessive anguish, with inclination to or actual attempt at self- destruction ; the brain is readily exhausted by mental application; extreme keen- ness of sensibility, and susceptibility to the least pain ; uncontrollable impulse to abandon one's self to a fit of crying; despair, deep depression, and insuperable melancholy; agitating, anxious dreams, with restless, unrefreshing sleep; low interrogatory talking during sleep ; weariness, debility, and languor upon waking; dulness, or excessive keenness of smell. Nose, Ears, Mouth, Gums, Throat, and Teeth. Inflammation of the nose, with heat and swelling, and ulceration of the interior, characterized by the formation of dense incrustations, and gnawing, spreading ulceration of the bones of the nose themselves; discharge of thin fluid from the nostrils; stinging, gnawing Bensation in the nose, or discharge of yellowish or greenish matter from the nostrils, emitting an offensive odor; stuffing of the nose; internal ulceration of the ears, and discharge of very offensive matter; ulceration and decay of the bones of the roof of the mouth, with excessively offensive, rotten smell; unhealthy, spongy, ulcer- ated state of the gums; ulceration, swelling, heat, and redness of the tonsils, or the tonsils enormously enlarged; the teeth loose; sound of the voice as if the patient spoke through the nose. Pains. Very keen, drawing pains in the bones and joints of the toes and fingers; aching, continued, dull pain in the head; sore pain in the bones of the nose, provoked by pressure ; or aching pains in the eyes, which become aggravated by the touch ; drawing, tensive pains in the bones of the upper jaw ; griping pains (with flatulency) in the bowels; pains in the bones, particularly of the affected parts, at night; bruised pains in the joints or bones of the limbs generally; dull, aching, sinking pains in the stomach, or shooting pains in the region of the stomach; pressive, bearing-down pains in the lower part of the belly (during the menstrual period). Pulse, Circulation, &c. Paroxysmal agitation of the heart, with violent beating from time to time by fits and starts, and apparently without a cause ; great deter- mination of blood to the head, chest, and womb; irregular beating of the heart. Pulse sometimes full (but unusually compressible), generally quick, and most frequently small, irritable, or irregular. Menstruation, Womb, &c. Falling down ofthe womb, with chronic enlargement and hardening; menstrual discharge commonly coming on all of a sudden (or in other cases preceded by much bearing-down pain). Stomach, Bowels, and Evacuations. Aversion to food generally, or more par- ticularly to animal food ; inordinate appetite and constant thirst; pad-like accu- mulation of flatulency in one spot in the bowels; fulness and distension of the bowels ; retention of urine, which causes much pain ; thick, curdy-looking, whitish urine, depositing a jelly-like or slimy sediment ; or pressive urging at the bladder, without discharge, or with scanty discharge at very short intervals. BARYTA CARBONICA. 829 BARYTA CARBONICA. External Surface. Swelling and hardness of the glands generally ; predisposi tion to excessive perspiration at night; extreme susceptibility to chill from the least exposure (cold generally affecting the throat); dry or moist, and oozing or scaly, or mealy and scurfy eruptions on the external part of the ears and behind them ; sore patches, with oozing on the skin in various parts ; unbearable irrita- tion of the skin ; oozing or dry and scurfy eruptions on the face, or red, blotchy eruptions; the glands beneath the jaw are swollen; dry, or moist, scabbing erup- tions ou the head, chiefly in circular patches, with complete casting of the hair; extreme sensitiveness of the scalp to the touch; fatty tumor on the nape of the neck; flaccid, colorless tumor in the armpit; very offensive sweating of the feet; puffiness or dropsical swelling of the skin, especially about the trunk and face, with extreme and general loss of flesh ; tingling in the skin in various parts, chiefly in the hands, arms, feet, and legs (or what is popularly called pins and needles) ; whitlows on the tips of the fingers; swelling and hardness of the glands of the neck. Stomach, Bowels, and Evacuations. Sensation of weight and oppression at the stomach after every meal, even after very moderate and scanty meals of the lightest description ; sensation of rawness or soreness over the surface of the throat and stomach as the food is swallowed; hard and lumpy evacuations, expelled only with much effort; or loose, soft, pappy evacuations, with scarcely control- lable and very frequent desire to relieve the bowels, and with crawling chills over the thighs ; soreness and oozing, with intolerable gnawing and burning itching in the orifice, and expulsion of thread-worms at stool; soreness in the mouth before eating; slow, feeble, and imperfect digestion; reluctance to eat after a few mouthfuls. Throat, Mouth, Teeth, Tongue, Nose, and Ears. Sensation as of a lump ob- structing the throat; inflammatory swelling and suppuration of the roof of the mouth and tonsils, with soreness of the throat and very great pain in swallowing; extreme susceptibility to sore throat, which almost invariably results from the least chill: the gums are swollen, readily provoked to bleed, and unnaturally pale, and the teeth very sensitive of pressure; formation of scabs under the nostrils ; excessive dryness, with heat of the nose, or copious discharge of thin, watery fluid, and collection of thick humor in the nostrils; the nose is easily pro- voked to bleed by any effort; there is a throbbing sensation deep in the ears, particularly at night, and constant gnawing itching beyond the reach, deep in the cavity, and apparently near the throat. Breathing and Chest, &c. Sensation of weight, oppression, heaviness, and ful- ness in the chest, with short and sometimes difficult breathing, and with deep, hollow, hoarse voice (sometimes rattling of phlegm), or total loss of voice (with whispering), and dry or rattling cough, especially at night. Pains. Keen, dragging or tearing pains in the limbs generally; heavy pain (aching) in the stomach after eating, or dull or acute pain on pressing the stomach after a meal, or sore pain in the act of swallowing; shooting, burning, hammering pains in the hollow teeth ; aching pains above the eyebrows ; aching pains in the teeth (as the menstrual period approaches); aching pains in the small ofthe back; digging, boring, or darting pains through the head, sore pain 830 BELLADONNA. in the throat, especially on swallowing (with constant desire to swsllow th« saliva); aching pains in the chest, alleviated by friction or warmth, and by belching of flatulency; throbbing and burning pain in the back. Menstruation. The menstrual discharge is preceded by whites ; menstruation insufficient, feeble, and too short. Eyes. The eyes are swollen in the morning, and the lids adhere; the eyelids and ball of the eye are inflamed, and feel excessively dry, gritty, and sore. Nervous System, Brain, Senses, &c. The hearing is obtuse, the sense of smell very acute, the sight confused, readily dazzled, and the eyes are very tender of light; there is much weakness of the nervous system generally; extreme dislike to society ; very restless, agitated, and disturbed sleep ; the whole body feels too heavy for the strength, and the patient constantly longs to lie down; the arm becomes numbed when rested upon, and the fingers are benumbed ; the nape of the neck and small of the back are stiff; giddiness is immediately induced by stooping; and the legs and feet tremble. BELLADONNA. Nervous System, Brain, Senses, &c. Muscular twitches, with spasmodic fits, attended with screaming; lethargic drowsiness, or sleeplessness with unsuccess- ful attempts to sleep ; excessive irritation of the senses, with whining and lament- ation ; frantic delirium; dizziness, with buzzing in the ears (and with pain in the head, and violent pulsation of the arteries of the head and neck) ; eyes convul- sively starting from their sockets (to appearance), or faint and distorted ; pupils dilated or extremely contracted; eyes very tender of light; spasmodic rigidity of the body, or clenching of the jaws; violent trembling of the whole body, or of particular parts; convulsive fits, with screams; paralytic attacks, affecting the whole of one side, or general or local palsy; sensation as if the limbs were too heavy for the strength ; drowsy lethargy, interrupted by sudden starting from time to time, with wild and even furious expression ; continual starting from sleep, with screams and groans, the sleep being disturbed or interrupted by anxious dreams ; excessive agitation, and constant tossing, particularly at night; delirium of various kinds at night; desire to escape from some imaginary ill, with suspi- cion of those about one; frenzy, with destructiveness, and desire to bite, tear, or mutilate everything; low, gloomy melancholy; sudden fits of reeling giddiness, with spinning of the head and wavering gait; sensation as if the brain were expanded; sensations of weight, fulness, and oppression in the head, especially above the eyes; complete stupor; boring the head into the pillow during sleep; flinging the head backwards; sensation as if fluid were lodged on the brain, and were undulating, and too heavy to be borne ; humming, ringing, or loud roaring sounds in the ears, and generally dulness of hearing; objects appear upside-down to the sight, or every object appears to be doubled; light appears to be surrounded by luminous halos; feeble and confused sight; the eyelids drop half over the eyes; twitchings in the eyes, and quivering of the eyelids; palsied and trembling tongue; expression vacant, agitated, and distracted; spasmodic closing of the ihroat, and incapability to swallow liquids; complete horror of liquids (generally attended with burning and insatiable thirst); violent, convulsive hiccough; vio- lent twitchings or jerkings in the muscles of the arms and hands, and sensation of weight, with complete palsy of the legs, &c.; violent jerkings of the limbs, a? BELLADONNA. 831 soon as the patient falls asleep; in children, fits of crying, apparently without a cause; touch, and the least contradiction, induce a return of the convulsive fits; Budden attacks of dizziness, with extreme anxiety, precipitate falling, and loss of consciousness. Pulse and Circulation. Full, slow pulse; or strong, full, and frequent pulse; or hard, wiry, contracted pulse; or small and frequent, or small and tardy pulse; determination of blood to the head, especially on stooping, with violent throbbing of the arteries of the head and neck ; determination of blood to the chest, womb, or other im portant organs, and violent beating of the heart, with extreme anguish. External Surface. Heat and chills in alternation; puffed, fiery-red, and hot face; boils on the skin, with excessive heat, and bright, glossy redness in the circum- ference ; glossy, hot, red swellings of various parts, and hot and red swellings of the glands generally ; eruption of red spots, like flea-bites, on the skin; or eruption of bright, scarlet patches, with great heat, on the skin^ erysipelatous swellings, with heat and redness ; exacerbation of the fever symptoms (alternate heat and chill) towards night, or during the night; shuddering in particular parts; intense dryness, heat, &c, of the skin (generally attended with much thirst, swelling of the veins, puffing and redness of the face, and throbbing of the arteries of the head and neck); swellings, with heat and redness of the glands of the neck, and beneath the lower jaw; eruptions of pimples, or even ulcers, on the lips, or of pimples forming scabs ; purplish hue of one cheek, and eruption of pimples on the chin, and about the corners of the mouth ; sallowness and pallor of the complexion, sometimes with sudden and transient flushing, of a crimson hue ; swelling (with pain and stiffness of the nape of the neck); chilblains on the extremities, with glossy, red swelling, and heat; perspiration breaks out on the head; swelling of the large intestine in the upper part of the belly; extreme irritation over the belly; eruption of large, angry-looking elevations, with dirty-white margins, and forming a blackish surface. Breathing and Chest, &c. Extreme oppression of breath, with rattling of mucus in the air-tube; short, imperfect, interrupted, anxious breathing; very rapid breath- ing, without inflation of the chest; or deep, slow (and feeble) breathing; extreme weight at the chest, with difficulty of breathing, or with irregular respiration; hollow, hoarse, deep cough, or short, dry cough; cough chiefly prevalent at night, and provoked or renewed by the least movement or change of position in bed; feeble, hoarse, guttural voice, or total loss of voice ; accumulation of thick, adhe- sive phlegm in the chest, hoarseness and expectoration after coughing; (cough- ing induces a stitching pain in the belly;) short, dry, spasmodic cough. Stomach, Bowels, and Evacuations. Rising of putrid, bitter, sour, or burning matters from the stomach ; convulsive retching, but without discharge; sickness at the stomach, which ends in violent retching, and the discharge of mingled food and bilious matters from the stomach ; extreme weight at the stomach, prin- cipally apparent after having eaten ; bloating or inflation, with much distension of the bowels; soreness all over the stomach and bowels, especially the latter; sensation as if a portion of the intestines were seized with the nails and sud- denly drawn up into a knot; constipation, and total suppression of evacuations j or, on the other hand, involuntary evacuations of dark or frothy matters, or of slime; incapability to retain the urine, with spontaneous and abundant dis- charge ; cloudy, bright-red, or very clear urine; profuse discharge of urine — critical—(with abundant perspiration). 832 BRYONIA ALBA. Pains. Burning or stinging pains, with bruised pains, and swelling of the parts affected; tensive, forcing, and violent pain in the forehead, which seems a? if it would burst; very acute inflammatory and periodical nerve-pains in the face ; burning and stinging pain over the eyes; pain in the head (with violent pulsation ofthe arteries of the head and neck, attended, also, with giddiness and buzzing in the ears); clawing pains in the bowels; sore pain in the upper part of the windpipe and throat; pain (with stiffness) in the neck ; cutting, piercing, or ham- mering pains in the head; aching pain in the head, greatly aggravated by moving the eyes, or by any motion, or by cool air; aching pains in the eyes; and deep in the sockets; shooting, burning pains in the balls and corners of the eyes; shoot- ing pains in the glands adjoining to the ears, extending to the latter, and piercing deeply into the head; great pain, soreness, and burning in the tongue ; shooting pains in the throat when swallowing ; very acute or continuous, aching, drawing pains in the aiyns, and in the shoulder-joints, and thence to the wrists; periodical pains in the head, returning every afternoon, and becoming worse as night ad- vances, but subsiding again towards morning; burning, shooting pains in the loins and in the hips, and digging pains in the belly; violent bearing-down, or forcing pains (of females); the belly sore and painful when touched, Periodicity. The fever-symptoms and pains have a tendency to recur at inter- vals of twenty-four hours, commencing between noon and sunset daily, and sub- Biding between midnight and sunrise. Womb, Menstruation, &c. Determination of blood to the womb; sensation of great weight, fulness, pressure, and forcing towards the lower regions of the belly, as if the intestines would be thrust out; profuse floodings of hot blood; darting and cutting sensations towards the womb; flow of milk ; menstruation irregular — a discharge of menstrual fluid taking place at indeterminable periods; depression (falling) ofthe womb; insufficient lochial discharge after delivery; menstrual discharge too pale. Mouth, Tongue, and Throat. Extreme dryness of the mouth ; great accumula- tion of slimy, sticky phlegm, of a whitish appearance, in the mouth and throat; soreness of the inside of the mouth ; profuse discharge of blood from the mouth; the papillae of the tongue raised and swollen; the tongue cracked or swollen, and inflamed, and sometimes covered with slimy, whitish phlegm, or dry, fiery-red, and hot tongue, or — again, coated tongue, with crimson tip and margins; tongue very sore and painful; soreness and rawness in the throat, with great inflammation of the tonsils, and back part of the throat and palate; soreness of the throat (with shooting pains extending to the ears) whenever the patient attempts to swallow; in- tense dryness, with redness and burning heat in the throat, and sometimes sup- puration of the tonsils; the throat affected with a sensation of constriction. Nose and Eyes. The nostrils ulcerated; the extremity of the nose intensely hot, and perfectly crimson; the eyes red and glittering, and seeming as if they would start from their sockets ; or distortion of the eyes, and excessive squinting; great heat in the eyes; yellow suffusion of the white of the eyes; adhesion of the eyelids at night ; flow of scalding tears ; fixed and motionless pupils ; inflamma- tion of the eyes. BRYONIA ALBA. Stomach, Bowels, and Evacuations. Sense of loathing and repulsion towards food; hankering after wine, acid drinks, and coffee ; vomiting of food and of BRYONIA ALBA. 833 bitter substances; belching of flatulency; relish in eating, but sickness at the stomach afterwards; sickness at the stomach whilst sitting still, or upon attempt- ing to drink ; vomiting of all that has been drunk, without the solid food; extreme weight and pressure in the region ofthe stomach; insipid, clammy taste of everything eaten; extreme sensibility of the region of the liver; bowels obstinately confined; or loose, yellow evacuations at night or in the morning; very offensive relaxed evacuations: scanty, brown, and hot urine; motions too large, or scanty, de- tached, small, and hard; nausea, and feeling of faintness on attempting to rise from a recumbent position — even when merely raising the head, has to lie down again immediately. External Surface. Swellings, with tension, heat, and redness; inflammatory heat, redness, swelling, and tingling of the skin, about the joints; chilliness often attended with flushing or redness of the face; perspiration, sometime greasy, day and night; coldness and shivering when in bed ; intense dry heat throughout the body, most felt internally ; profuse perspiration at night and in the morning ; greasiness of the hair with the exudation of the skin; dirty, sallow, pallid, and yellow hue of the face; swelling of the face, and swelling and cracking of the lips; the face marked with patches of red on the cheeks; or with redness and bloated appearance ; great heat, redness, and swelling of the feet, with feeling as if the skin were too tight when moved; sensation in the calves of the legs as if the skin were too tight; great swelling, with heat and tightness of the skin (and pain) in the knee-joints; tight, hot, but colorless swellings in general, especially of the joints ; dry, scaly, or mealy eruptions, with intense irritation on the eye- lids; tenderness and swelling of the nose. Breathing, Chest, &c. Cough dry and hacking (or sometimes attended with vomiting of food); coagulated or brownish blood, emitted by the act of coughing; stitchings in the chest, and sides of the chest, aggravated to a great degree by coughing, breathing (deeply), or moving; deep, panting, or anxious and hurried breathing; the breathing is impeded or interrupted — so that a deep breath is impossible — by dartings in the chest; the dartings and impeded breathing compel the patient to lie on his back, on which only he can remain lying permanently; great heat in the chest; attacks of hoarseness (with breaking out of perspiration); rattling of phlegm on the chest; spasmodic suffocative cough, when vomiting or after a meal; yellowish matter expectorated after coughing. Pains. Dragging and tearing pains, with extreme tension of the parts affected, much aggravated by motion ; bruised or contused pain, as if the flesh were detached from the bones by external violence; extreme heavy pressure and sore pain in the stomach, much aggravated by the least pressure; stitching pains in the chest and sides of the chest, much aggravated by coughing, or by any muscular effort, or the least motion or jarring of the step, and even by breathing; pains gener- ally attended with shivering and sensation of coldness; all the pains have a tend- ency to be aggravated by motion, eating, or in the evening or during the night; pains in the head, as if the brain were alternately expanded and contracted; ach- ing frontal pains aggravated by movement, or digging, boring pain, forcing towards the fore part of the head; shooting pains through the head, or onty on one side; aching pains in the teeth, worse on the contact of warm food or annk; darting pain in the throat upon pressure or contact; aching pain in the stomach after eating, as if a hard body were lodged there; colicky pains in the boweio, or 53 834 CACTUS GRANDIFLORUS. dull, aching pain (with inflation) in the belly and region of the stomach, or cut- ting, piercing pains in the bowels after eating; burning pain in the chest; ach- ing pain and stiffness in the neck and nape ofthe neck; pain in the articulations of the foot in walking; pains in the small of the back and head (with flooding of females); drawing, darting pains in the calves of the legs, extending to the feet; burning pain in the lower part of the belly on the left side (in females) during pregnancy, much aggravated by movement; drawing pain in the waist (under the ribs) to the stomach and back. Nervous System, Brain, Senses, &c. Excessive nervousness, compelling the patient to lie down; disposition to be angry; determination of blood to the head at night, attended with heat, disagreeable dreams and delirium ; determination of blood to the head, with great heat of that part; confused and stupefied sensations in the brain; great and unaccountable dread of imaginary ills and desire to escape; swimming of the head on raising it from the pillow, or on assuming an erect position; fulness and heaviness of the head ; numbness and yielding of the limbs ; sleep much disturbed or impossible, with extreme agitation or anxiety at the chest before midnight; the patient walks in his sleep; heavy, drowsy, lethargic sleep, interrupted only by delirium; capricious humor; swimming of the head on stooping, and then only; the patient has no hope of recovery; very dark appearance or bright flashing before the eyes; extreme sensitiveness of noise and light; extreme susceptibility of the sense of smell; humming sounds in the ears. Mouth, Tongue, Teeth, and Throat. The mouth is extremely dry; the tongue is completely parched, and covered with a yellow, brown, or blackish coating, or with a dirty-white coating; the teeth feel too long, and the throat is completely parched (so that the patient cannot speak clearly for lack of moisture in the mouth); soreness of the throat with difficulty of swallowing. Eyes, Ears, and Nose. Glassy, dull appearance of the eyes, sensation as of sand in the eyes; sensation in the ears as if they were stuffed up; stuffing with intense dryness, and much heat, in the nose; or swelling of the nose, with extreme tenderness to the touch; ulceration of the interior of the nostrils. Womb, Menstruation, &c. Discharge of blood from the womb of a dark color ; bearing-down pains in the small of the back, and headache, with the flooding; menstrual discharge occurring before the proper time or not appearing at all. ; ' i CACTUS GRANDIFLORUS. .'' v LC)1- • : 0 Nervous System, Brain, Senses, Ac. Disposition to sadness, or to ill-humor; indifference, and indisposition to talk ; imagination of evils which are expected to happen; vertigo, with rush of blood to the head; sensitiveness to sounds, even to voices; dimness of vision, objects appear as if obscured; buzzing or humming in the ears, which interferes with the sense of hearing; tingling in the arms, ^ith feeling as if they were very heavy : crawling sensation in the arms, as if produced by insects crawling over the skin; general weakness, and prostration of strength; sleeplessness, without apparent cause, or sleeplessness in conse- quence of throbbing in the region of the stomach, or in the ear; on awaking, delirious mutterings. External Surface. Dry, scaly eruptions, which rub off like bran, on the outside of the elbow, or on the right inner ankle joint; swelling of the hands and arms, more particularly.of the left; swelling of the feet, and extending upwards to the CALCAREA CARBONICA. 835 knees, the skin has a shining appearance, and pressure of the finger leaves au indentation; the face is swollen and red, with pulsation in the head. Stomach, Bowels, and Evacuations. Nausea, in the morning, or lasting through- out the day; acrid or acid risings from the stomach; vomiting of blood; consti- pation of the bowels, the stools being hard and very dark; sensation of great weight in the orifice; swelling, and paiufulness of the piles; irritation, with desire to pass water frequently; the urine passes by drops, accompanied with much turning; profuse urine, of a straw-color, or depositing a reddish, sandy sediment. Respiration, &c. Feeling of constriction on the chest, as if it were tightly bound with a band, hindering breathing; attacks of suffocation, with fainting, cold sweat on the face, and sinking of the pulse; chronic irritation of the windpipe, with rattling of mucus; spasmodic or convulsive cough, with copious expectoration of phlegm; pricking pains in the chest, with oppression of breath- ing, hard cough, and expectoration of bloody phlegm. Pulse, Heart, Fever, &c. Acceleration of the pulse; intermittent beats of the pulse; chilliness in the morning, with chattering of the teeth; burning heat, with shortness of breath ; intense feverish heat at night, with headache, pre- ceded by a chill and followed by sweat; intermittent fever, occurring every day at the same hour; sensation of constriction of the heart, as if a hand were clasp- ing it with great force and preventing its movements; acute pain and stitches in the heart; palpitation of the heart, which is worse while walking, and at night, when lying on the left side. „ , • CALCAREA CARBONICA. <_ ■:''-<*•£">/.-**a**"1 External Surface. General loss of flesh, and wasting away of the body; con- tractions of the limbs and joints generally; numbness of the parts affected; swelling of the parts affected; extreme sensitiveness to cold, damp air, and to changes of weather, especially in chronic disorders; rough, harsh, and dry skin; ulcera- tive, moist, scabbing, and itching — or dry, mealy, or scurfy, and itching erup- tions; great predisposition to ringworm; ulcers, especially on the extremities, discharging offensive matter; great scurfiness of the head amongst the hair; pale, thin, and wrinkled face, with premature appearance of age, even in children ; swelling of the glands of the mesentery ; tendency to perspire freely on the least exertion; the skin (and other) symptoms are usually aggravated by the applica- tion of moisture —as by washing ; swelling of the veins, especially of the legs; hard swellings of the glands generally; flushing of the face and general heat, followed by chills and shivering, recurring periodically, especially on alternate evenings; protuberances on the head amongst the hair; intense coldness over the surface of the head, more particularly on the right side; shedding of the hair ; scabs and oozing eruptions amongst the hair; hollowness of the eyes, and sunken appearance of the countenance, with dark rings around the eyes; the upper lip especially is often much enlarged; eruptions of various kinds, with intense, gnaw- ing, itching on the face ; prickling and tingling, with insensibility of the fingers, swelling and sweating of the hands ; swellings (usually colorless, but, sometimes, red and glossy) on the knee-joints; inordinate accumulation of unhealthy fat, and general bloatedness of the body, especially in children; flaccid, circumscribed tumors in various parts; sweating of the feet, and burning heat of the soles of 836 CALCAREA CARBONICA. the feet; enlargement of the head; retarded closing of the fontaneh n infants corns on the feet; sweating ofthe head in children; rickety affections of thi bones with enlargements of joints, and curvature of the long bones, and of the spine; swelling suppuration and ulceration of the glands of the arm-pits; prominence, with irregular course of the spinal bones; swelling and coldness of the feet at night; damp feeling of the feet. Stomach, Bowels, and Evacuations. Loathing of meat; craving after wine and delicacies; capricious, fastidious, and dainty appetite; hankering after salted food, and succulent vegetables; risings of acrid, hot, watery fluid, after eating (or even after sudden exertion); foul taste in the mouth; bitter, or sonr taste, and risings; inflation of the bowels, with flatulency, which accumulates in one fixed spot; or accumulation of flatulency in the lower region of the belly; hard distension of the belly; habitual constipation, or continued relaxation of the bowels, and burning sensation in passing water; generally scanty and dark-col- ored, but sometimes profuse and watery discharge of urine, or these two condi- tions in alternation (in children) ; frothy and spontaneous evacuations, or sour- smelling evacuations; looseness during teething; discharge of blood, with, after, and before urine. Menstruation and Womb, &c. Profuse and premature menstrual discharge; great predisposition to miscarriage (menstruation, attended with aching pains in the teeth, and flushing of blood to the head); discharge of whites, either acrid and corrosive, or painless, occurring by fits and starts, and generally in jets, when passing water ; floodings at irregular periods; excessive irritation of the parts, chiefly outside." (Various derangements, and usually swellings of the breasts, precede the menstrual discharge.) Nervous System, Brain, Senses, &c. Extreme and general debility; insensi- bility or deadness of various parts of the body; great nervousness ; melancholy disposition; constant languor; excessive dejection of spirits; predisposition to fainting-fits ; fatigue, after speaking or after a short walk; illusions of the imagination (fancying some one is watching behind one); the patient is startled by his or her own shadow ; cramps along the upper part of the thighs, toes, soles of the feet, and calves of the legs ; heaviness and stiffness of the legs; weakness of the fingers; drowsiness in the early part of the evening, or during the whole day, with sleeplessness at night, and extreme mental activity; sleep much dis- turbed and agitated, and very often interrupted by starting, accompanied with groaning, or even with screaming, and occasioned by dreams; total indifference to everything; giddiness or dizziness when in an elevated position; misty sight, or extreme length of sight, or sometimes great tenderness of light, with dilata- tion of the pupils; ringing or creaking sounds in the ears, or loud roaring, ot humming noises; extreme sensitiveness, or dulness ofthe sense of smell. Breathing, Chest, &c. Habitual or long-continued hoarseness, or sometimes total loss of voice; excessive accumulation of phlegm on the chest (in the air- passages and cells) ; excessive susceptibility to hoarseness and to loss of voice; cough, attended with offensive expectoration, — partly matter, partly blood, and partly phlegm,—or expectoration of nearly pure blood; habitually dry (but eometimeB moist and rattling) cough at night; burning sensation in the chest. Pains. Wrenching pains in the back, small of the back, and nape of the neck: Bhooting pains through the sides and chest; drawing and shooting pains in the CAMPHOR — CANTHARIDES. 837 thighs and hips ; lancinating or dragging pains in all the limbs; contusive pains in the limbs (with stiffness) ; throbbing pains in the head, which completely prostrate the patient; aching pains in the eyes, and boring pains in the forehead; burning, cutting, and smarting pains in the eyes, and throbbing pains in the ears ; aching, dull, and continued, or tearing pains in the teeth, worse when exposed to contact of hot or cold food or drink, and to the inhalation of cold air; pinching, clawing, or dull aching pains in the bowels, or cutting pains, coming on by fits and starts in the region of the stomach; dull, aching, or clawing and cramp-like pains in the stomach (sometimes followed by vomiting of the contents of the stomach); or dull, aching pain in the stomach, when empty; pain (with swelling) in the breasts (before the menstrual period). Nose, Mouth, Throat, Tongue, &c. Excessive and constant internal dryness of the nose, often with complete obstruction of the nostrils, or with very offensive smell in the nose; predisposition to habitual discharges of blood from the nose ; accumulation of very sticky, stringy mucus in the mouth and throat, which car only be dislodged with much effort; excessive and constant dryness of the tongue or, sometimes, red or purplish angry-looking swellings, on the side of or under neath the tongue, and extreme tenderness of the gums; internal and external Boreness of the nose. Eyes and Ears, Prominent swelling of the eyelids, with great redness and heat, and constant irritation ; constant itching in the eyes and eyelids ; tremulous con- dition of the eyelids; suppuration of the corners of the eyes and discharge of matter from the ears. CAMPHOR. General Symptoms. Lethargic sleep; excessive prostration, often accompa- nied with convulsions and spasms, with rigidity, also loss of consciousness, and delirium ; the pulse either small and retarded in the extreme, or very full and excessively accelerated ; coldness all over the body, with pallor of the face, lividity of the skin, cold, clammy perspiration and violent shivering ; a burning sensation in the mouth, jaws, and stomach; internally there is heat, externally there is chilliness; convulsive spasms, which have the effect of drawing the head on one side; the eyes are chiefly characterized by an excessively anguished expression, and by being turned upwards convulsively, so that the white only is seen; the jaws are rigidly clenched together; collection of mucus in the air-tubes, so great as some- times to impede respiration; exacerbation ofthe symptoms on movement at night or from cold; giddiness and weight of the head, which compels the patient to lean it backwards ; urine turbid and red ; spasms affecting the chest; suffocating oppression at the chest, and tightness of the upper part of the windpipe; exces- sive, burning, insatiable, or continued thirst; great pressure in the region of the Btomach; red, hot, and tingling swellings of the skin; great tenderness of the Bkm ; violent cramps in the calves of the legs ; total suppression of urine, or discharge of blood. CANTHARIDES. Kidneys, Bladder, &c. Excessive irritation of the neck of the bladder; constant urging to pass water, and scanty discharge; spasmodic suppression of urine, or what is called spasm of the bladder; painful discharge of urine; difficult and drop- discharge of deep-colored urine, or, on the other hand, copious discharge of pale urine; discharge of blood immediately after the evacuation of water, some'i^fls 838 CANTHARIDES. with it (attended with the most excruciating pain in the bladder, and d >wn wards as if everything would be forced through); excessive tenderness of the parts about the bladder to pressure; smarting or scalding sensation during the discharge. Pains. There is usually much pain in cases requiring this medicine, and tho right side is especially affected. The sufferings are commonly relieved when the patient lies down. Darting, cutting, and very severe pains in the bladder and subordinate passages, especially during the discharge of urine, and immediately afterwards; sore, scalding, or burning pains in internal parts generally, espe- cially in the lower parts of the belly; dragging, tearing pains in the limbs, espe- cially about the joints, or in the extremities; violent pain in the head, with pre- dominance of heat in the same part at night; darting, cutting, pressive, or cramp-like pains shooting from the nape of the neck to the forehead ; burning pain deeply seated in the head; throbbing pains as if in the brain; pains in the head, conveying the sensation of the hair being violently pulled or torn out; burning or scalding pains in the throat, as well as in the stomach, and even through- out the extent of the alimentary ducts from the throat throughout the stomach and bowels; shooting, darting, and cramp-like pains in the region under the ribs on the right side ; burning pain and sore sensation in the eyes ; dragging pains in the hips, back, and arms, and the like, or pains of a lancinating description. Nervous System, Brain, Senses, &c. Convulsions affecting the entire frame, or spasmodic affections of the throat and extremities in particular; spasmodic con- traction of the muscles of the jaw, and lock-jaw; spasmodic rigidity of the whole body, the body being bent backwards; spasmodic sensation of choking in the throat, with total inability to swallow liquids ; spasmodic tightness of the chest, and of the opening of the windpipe ; palsied affection of the hands ; total prostra- tion of nervous power, and general palsy; furious raving, or intense agitation and total inability to remain quiet, or to be calmed; yellow appearance of objects to the sight; convulsive rolling of the eyes; convulsive tossing of the limbs, attended with shrieks; total absence of taste, or morbid, bitter taste as of resin in the mouth ; faint, nauseating, or offensive smell in the nose. Pulse and Circulation. Violent palpitation of the heart; full, hard, quick, and frequent pulse, or very frequent, small, and wiry pulse. External Surface. Fiery redness of the face; extreme tenderness of the whole body to pressure; sensation of soreness in the scalp, as if the hair had been pulled; redness, swelling, and inflammatory heat in the cheeks; yellow tinge in the complexion; scalding vesicles on the skin, which, however, are apt to itch until rubbed; deplorable and dejected expression of countenance; sunken, drawn, and pallid face and features ; offensive-smelling sweat. Stomach, Bowels, &c. Total absence of appetite, and intense thirst generally after the shivering-fit, or intense and burning thirst, with parched lips, tongue, and throat, and aversion to fluids owing to the pain occasioned by attempting to swallow them; discharge of blood from the stomach, or vomiting of blood and inflammation of the stomach; bilious or slimy vomiting; soreness and burning Bensation about the navel, especially upon the least exertion of the adjacent muscles; occasionally obstinate costiveness, but more frequently (whether after or without the previous occurrence of constipation) relaxed, greenish, and frothy evacuations, scanty in quantity, and occasioning a Ttry painful, raiding sensa- CARBO VEGETABILIS. 839 tion; discharge from the bowels, mingled with blood or with white, Uread-like matter; white, frothy, or slimy evacuations, especially at night; inflammation of the bowels or liver; evacuations looking like scrapings from the bowels. Menstruation. The menstrual discharge is usually excessive, very dark, and occurs before the proper time, and is commonly preceded by whites during the interval; burning, cutting, and forcing sensations, with gushes and scalding sensations during the ordinary discharge. Breathing, Voice, &c. Sensation of weakness at the chest, with feeble voice; oppression and difficulty of breathing ; arrest of breath during an ascent (with sensation of giddiness or sickness), and with rattling of phlegm on the chest; hoarseness, rattling of phlegm, and inflammation of the opening of the windpipe. Mouth, Throat, &c. Frothy and involuntary flow of saliva; fiery redness, heat, and often swelling of the inside of the cheek, lips, tongue, and tonsils; cracking of the lips; inflammatory redness, heat, and swelling, with extreme tenderness of the whole of the mouth and throat; extreme dryness of the tongue, gums, and lips, with glossy, bright redness. CARBO VEGETABILIS. External Surfaee and Mucous Membrane generally. Disposition to perspire freely; profuse perspiration at night; sweating of the feet, or sour-smelling sweat in the morning; perspiration whilst eating; offensive burning ulcers, easily provoked to bleed, and emitting a thin, acrid discharge; chilliness, alternated with sudden flushes of heat; predominant shivering-fits, with coldness; great loss of flesh; pallid countenance, with a grayish hue ; predisposition to be affectec by cold, sometimes even without any apparent cause ; sensation as of burning heat in the skin in different parts of the body ; enlargement and induration of the glands ; the scalp is acutely sensitive, and conveys a sensation of pain, even when merely touching the hair; discharge of offensive matter from the ears; redness, with great heat of the external parts of the ear towards night; the hands, and sometimes also the feet, are very hot, especially at night; in other cases the hands and feet are very cold, particularly at night; the extremities of the fingers and toes are ulcerated; eruption of pimples on the back, attended with very trouble- some itching; pimples on the face; itching all over the body upon becoming warm, especially towards night; swellings ofthe nature of chilblains; falling off of the hair; swelling and bluish appearance of the veins; sunken appearance of the face, with drawn and pointed features. Stomach, Bowels, &c. Stomach-ache, with general derangement of digestion, and generally excessive and very offensive flatulency; rumbling of wind in the bowels; habitual aversion to fat or greasy food, and even to all animal food; ex- cessive inflation and distension of the belly after eating; habitual nausea; tight- ness and sensation of weight at the pit of the stomach; rising of food in the gullet, or rising of acid matter ; excessive water-brash ; or difficulty and straining at stool, and sometimes costiveness ; discharge of blood after a motion; putrid and involuntary discharge from the bowels; cannot bear tight clothing about the waist. Breathing, tee. Short, difficult, interrupted, or laborious respiration, with sensation of intense pressure or tightness in the chest; soreness in the chest; eouoh on taking the least oold; cough, accompanied with expectoration »f 840 CARBO VEGETABILIS. greenish, puruleLt phlegm ; intense oppression at the chest; habitual hoarseness, which is especially apparent or prevails chiefly or solely in the evening, or in the morning and evening; attacks of oppression amounting almost to suffocation, and occasioned by flatulency; shortness of breath on the least exertion; spas- modic or convulsive cough, like whooping-cough; rattling of phlegm, and copious expectoration. Pains, Sensations, &c. Burning pains, particularly in the limbs and bones, predisposition to numbness in the limbs; pains as if from bruises in the limbs, particularly on rising in the morning; intense burning pain in the belly; spas- modic and burning pains in the stomach; headache, chiefly at, night or after a meal; shooting pains in the top of the head ; aching or burning pains in the eyes; soreness and burning, or lacerative pain in the throat; burning, aching, drag- ging, or pinching pains in the chest; sharp, burning, or dragging pains in the shoulder; burning pain in suppurating abscesses. Pulse and Circulation. Weak, fluttering, and irritable, or weak and compressi- ble,— or again, feeble, small, and sinking, or totally imperceptible pulse, with stagnant circulation ; pulsation in different parts. Disposition. Despondency; tendency to be easily startled; dread of imagi- nary beings; intense anxiety and depression, especially towards night; great reluctance to exert one's self bodily or mentally; timid or forward, despairing or irascible temper; great mental depression after eating. Nervous System, Brain, Senses, &c. Sudden and complete prostration of strength, and general depression of vital or nervous energy, or sudden loss of physical power only; anxious or appalling dreams; or constant dreaming, with sudden starting from sleep and great, alarm, or without starting from sleep, but with violent and sudden changes of position; cloudiness of sight, accompanied with giddiness, and even sickness; confused state of the brain; retching and giddiness after sleeping; or giddiness induced by walking, moving the head, or stooping; shortness of sight; bitter, sour, or saltish taste in the mouth; deficiency of or morbidly ravenous appetite; twitching or jerking movements in the limbs, either in the daytime or during sleep ; rapid loss of muscular strength, and incapa- bility of clenching the hands tightly. Mouth, Gums, Teeth, &c. Excessive and spontaneous flow of water in the mouth ; or, on the other hand, intense heat and dryness of the mouth ; want of power to move the tongue; sensation as if the throat were raw, especially when detaching the phlegm, or when swallowing; protracted looseness of the teeth, the gums and teeth being easily provoked to bleed, and the former being spongy and ulcerated; swelling, cracking, or ulceration ofthe lips. Menstruation. Excess of discharge; return of the periods too frequently, or before the proper time, and generally preceded by thick, yellowish discharge, or more immediately by much irritation and soreness, with corrosive discharge. Bladder, Kidneys, &c. Dark, thick, muddy discharge of urine, often attended with a sensation of soreness; deep-red or brick-colored urine; spontaneous dis- charge during sleep ; cloudy, whitish, or clear, yellowish, and abundant discharge, or, on the other hand, deficient, or even very scanty discharge, not uncommonly attended with incessant urging. Best. Drowsiness in the daytime, which may be shaken off by exercise; •leeplenness, restlessness, and agitation at night, or disturbed and unrefreshing CAULOPHYLLUM THALICTROIDES— CAUSTICUM. 841 sleep, with cantinual shifting of position; or, again, inability to sleep until morn- ing, followed by heavy, drowsy sleep, and accompanied by hoarse, rattling res- piration. Body, Legs, and Arms. Stiffness of the neck and of the spine; stiffness of the thighs and knees; deadness of the feet, and even of the legs, with a sensation as if they were too heavy, but without sensation of pain ; dulness of sensation ia the feet; painful cramp in the soles of the feet, especially on turning the toea downwards ; or, also, generally in the legs, but particularly in the calves at night, occurring even during sleep, so as to awaken the patient. CAULOPHYLLUM THALICTROIDES. General Symptoms. Irregularities of the menstrual flow, with pains and suf ferings of a spasmodic character, with sympathetic cramps or spasms of neigh- boring parts or organs, such as the bladder or bowels; the periodical discharge is scanty ; deficient pains during labor, occurring as if the womb had no power to exert itself; passive hemorrhages from the womb, the blood slowly oozing away, with great debility of system; the lochial discharge lasts too long ; hys- terics, accompanied by many spasmodic symptoms; complete inability to sleep from nervous weakness; rheumatism, and rheumatic pains, particularly of the wrists and hands, or affecting only the finger-joints; rapidly shifting pains in the arms and legs; restlessness and nervousness, with hot and dry skin; dull, aching, or dragging pains in the small of the back. CAUSTICUM. Nervous System, Brain, Senses, &c. Spasmodic contraction of particular parts, or of several parts at once; rapid succession of contractions and relaxations, or alternations of rigid extension, with renewed agitation and convulsive efforts; snatching or twitching of particular muscles or tendons; grinding of the teeth ; or, again, want of control over the muscles of voluntary motion, or of power to exert them; jerking or other convulsive movements of the limbs, even during sleep, or frequent starting from sleep, occasioned by painful dreams; trembling twitchings of the eyelids; sensation of buzzing or drumming, or of loud noises, such as of thunder, in the ears; absence of the sense of smell; appearance as of flashes of light or fire-flies flickering before the eyes; or as if a dark but trans- parent veil or vapor were moving before the eyes; or as if a thin film obstructed the sight; very indistinct articulation after much effort; or, again, total inability to articulate; repugnance to food, from a sensation that it will be unpalatable ; or, again, rancid taste in the mouth, or particular distaste for sweets; difficult deglutition. Breathing, &c. Cough, chiefly prevalent at night or in the morning, or a harsh hoarseness at the same periods ; darting, cutting pains in the chest on drawing a deep breath, or pains of a similar character in the region of the heart, attended or not with a stiffing sensation, and violent beating of the heart; deep, hollow cough, which shakes the whole body, and is accompanied with a sensation as if the interior of the chest or lungs were raw; habitual or protracted hoarseness, with feeble and muffled sound in speaking, more especially apparent when the patient attempts to raise the voice; shortness of breath, or fits of almost inter- rupted breathing, with apparent incapability of expanding the chest to admit a 842 CAUSTICUM , sufficient inspiration; dry, hollow cough, with soreness in the ches , caused bj tickling and phlegm in the throat, with expectoration; cough, which is relievea by a swallow of cold water ; sensation of soreness and rawness in the windpipe • disposition to hawk up mucus; complete loss of voice. External Surface. Flushing of the face, with straining at stool; sour-smelling sweat at night, or profuse perspiration induced by every physical exertion, or even by walking quietly; sensation as if the scalp were not sufficiently expansive for the head; habitual or frequent excoriation of the skin, or chronic eruptions especially ofthe nature of itch; enlargement of the belly (scrofulous), dependent upon enlargement of the glands of the mesentery; swelling and commonly pre- vailing coldness of the feet; warts exceedingly sensitive of contact, &c, particu- larly on the face, arms, and hands; swelling of the veins of the legs, which occa- sions much inconvenience; itching eruptions on the skin, of the nature of tetters • swelling of the glands of the neck, as in Derbyshire neck; yellowish hue of the complexion, with livid or purplish tint of the lips, or with very red-colored pim- ples in different parts of, or all over, the face; sensation of pricking and itching in the soles of the feet and palms of the hands; excessive susceptibility of the whole external surface to draughts, chills, &c.; external swelling of the ears. Pains. Rheumatic or aching pains in the ankles, knees, thighs, and instep, or dragging pains in the arms and hands, especially at night; pains, with peculiar Btiffness, in the back and nape of the neck, or very severe rheumatic pains in the shoulder-blades; pains in the bowels, chiefly of a dull, aching description, iD the morning, with desire to stretch one's self; severe incisive pains in the loins during the menstrual periods, or pains in the hip-joint, provoked or aggravated by any sudden muscular effort; spasmodic or aching pains in the stomach, relieved by recumbency, and aggravated by movement; or pain (with piles) in the posterior passage ; heavy, dull headache throughout the head, or throb- bing pain in the temples, with or without the like suffering from the teeth, and even in the ears; dull, bruised, or stunned pain in the head, sometimes accom- panied with nausea, and chiefly prevalent in the morning on waking; pressive pains in the head, as if pinched; aching pain in the eyes, or as if the pupil were unduly expanded. Mouth, Throat, Gums, Teeth, &c. Collection of phlegm in the mouth and throat, which is hawked up from time to time, but which constantly gathers again; soreness of the gums, with extreme tenderness to the touch, and sensation as if the teeth met too soon, or were too long, and as if they were forced into the jaw by pressing one upon the other; bleeding of the gums, sometimes without apparent cause, and often from sucking at the teeth; the inside ofthe mouth is sometimes excessively dry, and there is a constant desire to swallow, but with a Bcnsation as if the throat were dry or closed by swelling of the surfaces, or as if the latter were grazed. Nose and Eyes. Habitual dryness, with heat of the nostrils, or stuffing of the nose, with disposition to discharges of blood from the nose, and sneezing, particu- larly in the morning; constant watering of the eyes; or chronic redness, heat, and swelling about the margins of the eyelids, and other inflammatory symptoms effecting the eyes ; ulceration of the anterior transparent portion of the eye. Digestive Organs and Evacuations. Constant and fruitless straining to relieve the bowels; habitual costiveness, or hard, detached, partial, knotty evacuations; CHAMOMILLA. 843 or, again, relaxation of the bowels towards and during the night, with slimy, adhesive, stringy, whitish, evacuations; swelling of piles, with constant itching, irritation, and even soreness, in the passage; or relaxed, but partial evacuations, followed by much suffering and uneasiness, and by a scalding sensation in the passage; spontaneous discharge of urine with any sudden muscular effort, or during the night, and even during sleep; sometimes, also, discharge of blood either before, after, or without reference to the urine; the urine is variable in quantity and color, sometimes being scanty (with frequent urging), and either very acrid, causing soreness of the orifice, or of a brownish or brick-dust color — or, on the other hand, increased, pale, watery, and limpid. Menstruation and Milk. Soreness and excoriation of the thighs, with discharge chiefly at night, and spontaneously (whites), during the intervals between the periods, which are generally after their time, but which are attended with increased discharge, and with an admixture of pure, but coagulated blood; defi- ciency or total absence of the supply of milk (with pains in the region of the womb, and stinging, cutting, or darting pains through the breasts, especially on the left side, and generally with soreness or cracking of the skin about the nipples). Body and Extremities. Faltering step, and incapability to sustain the weight of the body, especially in feeble and scrofulous children; tingling, itching, or indescribable irritation of the back; feebleness, and tremulous condition of the hands, and stiffness, or want of flexibility, or even of strength in the joints to sustain any muscular effort; stiffness of the legs, as if affected with cramp, and cramp-like rigidity of the soles of the feet when in a horizontal position, espe- cially if the toes be turned upwards; abscesses of the nature of whitlows on the extremities; sensation of dislocation in the joints; excessive languor, heaviness, weariness, and sensation of being borne down throughout the whole body, par- ticularly or only perceptible towards night; or even general paralysis, or gen- eral andfcndescribable uneasiness of the whole frame, with extreme depression. Disposition. Agitated, anxious, restless, and very desponding disposition, with extreme gloominess of anticipation, and unaccountable timidity; or deep, indom- itable gloom, and depression of spirits. CHAMOMILLA. Pains. Pain is usually very acute, and constitutes a prominent indication for this medicine when it is subject to the following particular conditions: —Exces- sive prostration immediately ensuing at the commencement of the pains; general, or local and acute aching or cutting pain, attended with flushing of the face, much increase of heat, and generally intense thirst; or dragging, aching pains, chiefly predominant, or aggravated at night, and alleviated by the external appli- cation of heat; excessive susceptibility, and impatience of pain; and sometimes local throbbing pain; drawing, aching pain in the hip, or aching pains in the arms at night, with loss of power in the limbs; very intense pain in 'he loins, or shoot- ing pains in the right and left sides of the chest; pain in the head, of which the patient is conscious even during sleep; cutting, gnawing, or clawing pains in the bowels, especially at, or just before, the menstrual periods, beating, darting pains in the head, especially on one side; bruised, or dull, heavy pain in the head; headache, chiefly prevalent in the morning, when the pa*ient awake*1 844 CHAMOMILLA. very acute \ ains in the stomach, with intense local pressure, or acute burning pain along the lower ribs on the right side, and at the pit of the stomach; shoot- ing, burning, and cutting pains in the region of the stomach, and in the belly, particularly felt when pressure is exerted on the part, or during any muscular effort; intense colicky pains; dragging, throbbing, pulling, and jerking pains in the teeth, jaws, and face; intolerable toothache, especially on one side, increased by loarmth, and worse when in bed; shooting, burning, smarting pains in the throat; pains in the ears; throbbing, smarting, and burning pains in the eyes; severe bearing-down, or forcing pains from the womb. Pulse and Circulation. Full, hard, quick, and frequent pulse; or small, hard, quick, and frequent pulse, with occasional attacks of palpitation of the heart. External Surface, Ac. Very great increase of heat, especially towards night; intense heat and redness of one cheek; feverish heat, with the cheeks red and flushed, and hot perspiration on the forehead and head, and amongst the hair; constant change of color in the face, or one cheek pale and the other red at the same time; deep-red, or purplish and puffed appearance of the face (with convul- sions) ; almost livid, inflammatory swelling of the face on one side; livid rings around the eyes; flatulent distension of the belly; itching, with great heat, in the feet; alternate flushes of heat, and chills affecting particular parts only. Nervous System, Brain, Senses, &c. Convulsions affecting the back, sometimes terminating in rigid bending backwards of the body ; convulsive agitation of the fingers, or even of the arms; or cramps, especially affecting the calves of the legs; convulsive distortion of the eyes, with twitching or tremulous state of the eyelids, and contraction of the pupils; delirium at night; the sleep is disturbed by dreams, which run upon alarming subjects, or upon disputes or disappoint- ments ; sudden interruption of the sleep by dreams, with starting, great agita- tion, and screams; excessive nervous irritability, and intolerance of pain; lameness or numbness of the affected parts, with constant inclination to move them; con- vulsive twitches of the lips, and muscles of the face, as well as of the "eyelids; excessive restlessness (sick children desire to be carried constantly); anguish, with tossing about, as if in despair; excessive intolerance of noise, and over- acuteness of hearing; fluttering, or buzzing noise in the ears; melody, even, aggravates the irritability ; misty sight, affecting both eyes, chiefly in the morn- ing; appearance ot flashes of light before the eyes; convulsive agitation of the tongue; attacks of giddiness, chiefly predominant in the morning, after eating, or in the evening; or giddiness, so severe as to end in fainting; fainting-fits, com- mencing with a sinking sensation in the region about the heart; sudden weak- ness, with stiffness, and sensation as of palsy of the legs and arms; reeling and tottering, upon first getting out of bed; morbid taste, often offensive, but gen- erally bitter, or foul; violent attacks of general convulsions of the nature of epilepsy, generally subsiding, after a while, into a drowsy, dull, sleepy state, or Betting in with cutting, clawing pains in the bowels; the sense of smelling is un- usually acute and sensitive. Rest and Motion. Drowsiness, with inability to sleep; restless, agitated, or interrupted sleep ; prevailing desire to assume or retain a recumbent position; total inability to sleep during the night. Organs of Digestion and Evacuations. Great thirst; vomiting of bitter, bilious •natter, or vomiting of acid matter; violent pressure at the pit of the stomach ; CHINA. 845 sour rising in the throat, and nausea, with general uneasiness, especially percep- tible or aggravated in the morning, and after taking food ; sensation of faintness, sinking, and emptiness in the bowels; loose discharge from the bowels, glutinous, frothy, and greenish, or like beaten eggs, these symptoms being chiefly apparent, or much aggravated at night; and sometimes soreness, cracking, &c, in the passage, attending upoft piles; the urine often having a yellowish tinge, and being very hot, depositing a yellowish-looking sediment. Breathing, &c. Difficulty and oppression of breathing accompanying the press- ure at the stomach; excessive anxiety, and oppression in the region of the'chest, and especially on the left side, the inspiration being sometimes arrested, by a sharp, pricking, cutting pain, and the patient at the same time having a very Btrong desire to draw a deep breath ; offensiveness of the breath, worse after eating ; during the night there is frequently a continual dry cough, which affects the patient even whilst sleeping, generally accompanied by other symptoms of common cold, or especially with hoarseness, and followed, not unfrequently, with the ejection of a bitterish phlegm; sensation of tightness, or like throttling, at the opening of the windpipe, and of oppression, extending throughout the chest. Mouth, Throat, and Tongue. Offensive smell from the mouth; eruption of small blisters in the mouth ; the mouth, throat, and tongue usually intensely dry, but sometimes covered with a very white mucus; the tongue is red and fis- Bured; or, in other instances, there is a dense yellow-tinted fur on the tongue; the glands of the throat, as well as those of the neck, below the ears, and under the chin, are swollen and hot; the act of swallowing solids is very painful. Eyes and Nose. Yellow suffusion of the white of the eye, or red, blood-shot appearance of the eyes, with great heat: the eyelids adhere in the morning on waking, and are red, hot, and sometimes extremely dry, especially after exposure to the air, or in the latter part of the day; the nostrils are dry, hot, stuffed, and red, or sometimes even sore, and there is much discharge of blood from the nose. Menstruation. Absence of proper menstrual discharge (with great general uneasiness, and commonly with acute, insupportable, bearing-down, and forcing pains) ; or frequently excessive and long-continued discharge of dark-colored blood from the womb, generally consisting of, or accompanied with, the discharge of clotted masses (and attended with excessive bearing-down, soreness, or burn- ing sensations), and not unfrequently preceded by whites. Disposition. Vexed, irritable, and hypochondriacal, or with much tendency to hysterical excitement. CHINA. Organs of Digestion and Evacuations. Thirst, after the cold stage (of the fever)v and during the sweating stage; hardness and swelling in the region ofthe liver; the food has a bitter taste, and the digestion is slow and feeble; great flatulency and offensive expulsion of wind; the appetite is fastidious and capricious, and the patient rarely feels hungry until he has begun to eat, or, on the other hand, the appetite is morbidly increased, whilst the capability of digesting food is in an equal degree deficient, and every meal is followed by rising of food conveying the taste of what has been eaten; great tightness of the stomach and at the bottom of the belly; much uneasiness, and generally accompanied by extreme languor. disinclination to exert one's self, or even drowsiness — or by insipid, bitter, 01 846 CHINA. BDur rising of tie contents of the stomach, and sensation of intense weight, with or without spasmodic feelings at the pit of the stomach and in the belly; relaxa- tion of the bowels and discharge of crude and undigested food; or whitish, watery, yellowish, or slimy evacuations, occurring generally after a meal, and being more predominant at night; sluggish and scanty, or sometimes very offen- sive evacuations containing bilious matter; or unusually frequent and frothy stools; dark-colored or cloudy urine, with reddish or whitish deposit, and some- times much urging, with suppressed or scanty discharge; or, again, spontaneous discharge during sleep; nausea; vomiting of mucus. Pulse and Circulation. At the onset the pulse may be full and quick, after- wards, however, and more generally, we notice small, weak, but very irritable pulse, readily excited to become exceedingly quick and frequent, and great sus- ceptibility to attacks of violent agitation and beating of the heart; and sometimes, during the menstrual periods, violent throbbing of the arteries of the neck. Periodicity. In the case of periodical or intermittent disorders, especially agues, there is a tendency to daily attacks, more frequently recurring towards night or in the latter portion of the day, or at a given time in the morning ; some- times, however, the attacks recur at intervals of forty-eight hours, commencing at noon and lasting till midnight. External Surface. The complexion is yellow and swarthy ; the face pale, and sometimes puffed and sunken ; the eyes hollow; and the nose sharp and meagre; the hairy scalp is painfully tender to the touch; the flesh falls away, especially on the legs and arms ; inflammatory or dropsical swellings may occur ; the skin over the whole body is characterized by yellow suffusion, and by extreme sensi- tiveness ; there is sometimes a greasy perspiration in the morning, but generally perspiration breaks out freely upon the least exertion, or during sleep, particu- larly about the nape of the neck and on the back, and sometimes the night-sweats are profuse and exhausting; the fever-fits commonly set in with general coldness, but local heat of the head, especially of the forehead, and with flushing of the face; there is usually much shivering, with predominant symptoms of derange- ment of the stomach at the onset of the fever-fits, followed by great increase of heat, sometimes with swelling of the veins, and terminating in profuse sweat; the skin may be loose and flaccid, but is usually dry, and sometimes harsh, and is affected with extreme irritation, with pricking, burning, or itching; the ex- terior of the ear and nose may be red and hot, the face flushed, and the glands under the jaw ^wollen; the belly hard, swollen, and tense, or inflated, or dis- tended by dropsical accumulation; the finger-nails are often livid ; the feet and knees swollen, and sometimes exceedingly hot and tender. Nervous System, Brain, Senses, &c. General debility, with tremulous condi- tion, especially observable upon attempting to exert the limbs ; nervousness, lameness, and tremulous weakness; anxious or agitating conceptions of the im- agination, which disturb or prevent rest; anxious and agitating dreams as soon as the patient dozes; weakness and dimness of sight, and ringing in the ears; bitter taste in the mouth, all food appearing to partake of this taste, or to convey no taste at all, or. again, to be nauseous; totally indifferent to what is going on, does not complain, and seems unconscious of much suffering, or of any appre- hension , determination of blood to the brain, with sensation of fulness and much local hen'; or dulness, and confused or muddled condition of the brain; bright or CHINA. 847 dark specks, like gnats flickering before the eyes; the faculty of speech is some- times suspended; the hearing is dull; excessive weariness of the joints, or numb- ness or deadness of the limbs when retained in one position ; or, again, a sensa- tion of discomfort in the limbs, which induces a continual desire to change the position. Pains. Contused pains of the bones in the joints, particularly when lying down, relieved by moving about; pains aggravated, particularly by contact, and at night; painful pressure between the shoulder-blades ; cutting and shooting pains along the course of the lower ribs, in the region of the liver, or about the navel; shooting and stitching pains in the chest and side ; bruised or tearing, jei'king pains at the bottom of the back, through the loins, in the shoulder-blades, and in the nape of the neck — or in the muscles and bones of the legs and arms, attended with lame- ness and weakness of the parts; bearing-down pains in the womb during exer- cise or exertion ; a tendency to spasmodic pains in the chest during the menstrual period; bursting or splitting headache; or pinching and sore pain in the head; intense pain in the head, becoming worse upon movement or exposure to a draught of cool air; sore, burning pains, or thrusting pains, in the eyes — or pains as if pressure were exerted on the eyeballs, with smarting of the eyelids; drag- ging, jerking, throbbing, or dull, continuous, aching pains in the teeth, especially in hollow teeth; toothache, aggravated at night, rendered more intense by touching the teeth lightly or gently, but relieved by clenching the teeth firmly together. Menstruation. Deficient menstrual discharge; discharge of blood from the womb and its appendages, with sensation of weight and fulness, and severe bear- ing-down or forcing sensations, and with discharge of offensive matter, or occa- sionally of mingled blood and watery fluid, with itching and soreness of adjacent parts; generally obstinate whites, especially preceding the flow ; determination of blood to the womb, with general disturbance, chiefly of the head, but also of the digestive functions. Breathing and Chest. The breathing is sometimes slow during sleep; fits of suffocating sensation, towards evening and at night, occasioned by phlegm in the upper part of the windpipe; or suffocative cough, during the night; difficulty and oppression of breathing, as if from the rush of fluid to the chest, the patient requiring to be propped up with pillows ; or intense oppression, with difficulty of breathing, or sometimes with short, hurried, anxious breathing, and a sensa- tion as if the stomach were overloaded ; shaking, convulsive cough, sometimes terminating in retching, or with a sensation as if vomiting were unavoidable, or in the ejection of blood-stained or white phlegm, with or without specks, having the appearance of soot. Mouth, Tongue, and Teeth. Dry or clammy mouth, or even oozing of blood from the mouth; the tongue much loaded with whitish, yellow, or brown deposit, or even fissured and dark-brown or black, or again swollen and indented by the teeth, more especially at the back part of the mouth, or characterized by the appearance of irritating pimples; the teeth on edge, or jarring upon contact, and sometimes loaded with a dark deposit; or, again, the mouth and lips hot and dry, and the latter cracked, dark-colored, and swollen, especially during the fever- cits. Nose and Eyes. Copious discharges of blood from the nose ; heat and redness 848 CICUTA VIROSA. or yellow suffusion of the eyes, or glassy, filmed, dull, and protruding eyes — or, again, suffused with water, and prominent. Rest. Drowsiness during the daytime, and sleeplessness at night; or disturbed, agitated, interrupted sleep, from which the patient awakes more weary and lan- guid than before. Disposition. Either totally listless (a bad symptom), or very anxious, uneasy, and desponding. * , , f < CICUTA VIROSA. Jt(iJ^i / * ■ " i'/ti f K Nervous System, Brain, Senses, &c. Involuntary discharge of urine, as if arising from palsy of the bladder; constant and vacant starting, as from absence of mind; foolish manifestation of craziness ; nervousness, the patient being very subject to become excited, alarmed, or violently^startled by the most trifling inci- dent ; giddiness and loss of sense, attended with darkening and vanishing of sight; darkness of sight; double sight; lockjaw, with grating of the teeth; con- vulsive jerkings of the arms or legs (more especially), the limb being sud- denly tossed up, particularly when the patient makes an effort to speak, the articulation being habitually indistinct, impeded, and difficult; toppling and reeling sensations in the head ; snatching and starting movements of the head and extremities; tremulousness of the limbs; moibid alterations of the sense of sight, all objects appearing to be surrounded by a lucid halo, or sudden attacks of giddiness, with immediate loss of sight when walking; swaying or agitation of objects upon which the eye is fixed; there is also a peculiarly distressing, vacant, fixed stare of the eye, which, Tvithout being expressive of pain, is some- times painfully indicative of helplessness and dependence; during actual spas- modic or convulsive fits the pupils become exceedingly contracted, and the eyes very tender of exposure to light, or, on the other hand, the pupils expand to the utmost, appearing to absorb the colored portion of the eye, and are mostly insen- sible, being unaffected and immovable, whatever object be introduced before them; spasmodic contraction of particular limbs in the most unnatural positions, and being insensible to pain; in some cases the whole frame is violently con- vulsed, or the face exhibits the most frightful distortions, in other cases, although the features may be appallingly disfigured by the convulsion, the frame is mo- tionless, and apparently lifeless, and consciousness of pain, even, is apparently suspended, and this condition sometimes continues after the convulsive symptoms have subsided, and the muscles have become relaxed; the faculty of hearing is much affected, being dull and confused; the throat is so effectually closed by the spasmodic contraction that swallowing is impossible; there may be very convul- sive, loud, and shaking hiccough, morbid desire to eat charcoal; the muscles of the chest are spasmodically contracted; the dreams are agitating, and generally active, and constantly disturb or interrupt the sleep; the body may be spasmod- ically bent backwards; the fingers thoroughly numb, and the joints of the lower extremities uncertain and faltering. External Surface. Oozing eruptions, forming scabs upon the scalp or upon the forehead; confluent pustular eruptions, with yellow scurfs ; oozing tetters or ring- worm ; burning sensations in the parts affected with such eruptions, or the like with intense irritation all over the body ; or pale, sunken cheeks, with dark ring surrounding the eyes, and coldness of the face and hands; extreme sensation rt chilliness and much shivering, with or without external sensation of cold; eruption « CIMICIFUG A RACEMOSA - - CINA 849 of oozing pustules, &c, around the ears, and on the external portion of the ears; incrustations in and about the nostrils ; puffing and deep redness, or purplish hue ofthe face; the patient crouches near the fire ; frequent sweats break out at night, when the sleep is disturbed, and generally allay the agitation for a time. Disposition. To distrust every one and avoid society ; or to be dissatisfied or feel aggrieved, with a morbid preference for gloomy or pathetic subjects, and yet to be much distressed and dejected by them; to complain loudly and bitterly, or to brood silently and moodily on supposed grievances. Organs of Digestion and Evacuations. Intense and insatiable thirst, more par- ticularly accompanying the spasmodic paroxysms; impaired appetite; vomiting of blood; violent attacks of vomiting intervening between the spasmodic par- oxysms ; accumulated flatulency in the stomach and bowels ; complete suspension of discharge of urine, or continual urging to pass water; liquid, generally small and scanty, but repeated discharge from the bowels; involuntary discharge from the bowels and bladder; frothy spittle in and about the mouth during the par- oxysms. CIMICIFUGA RACEMOSA. General Symptoms. Great sensitiveness to cold air; nervous weakness, and continual restlessness; bruised feeling, as if sore, particularly of the left side; burning, cramping, stitching pains in the muscles; rheumatism, affecting the fleshy parts of the muscles principally ; nervous prostration, similar to that resulting from an attack of delirium tremens; sleeplessness, particularly after mental excitement, imagining strange objects in the room, on the bed, &c, with trembling; vertigo, accompanied with deranged vision; strange, wild feeling in the head; heaviness and dulness of the head, relieved in the open air; headaches of drunkards, and of students; aching pains in the eyeballs; sensation as if the eye were enlarged ; profuse greenish, and slightly sanguineous discharge from the nose; the root of the tongue and back part of the throat are swollen ; sore- ness of the throat, with difficulty in swallowing ; hoarseness, roughness, and scraping in the throat; dry cough, from irritation and tickling at the lower part of the windpipe ; a dry spot in the throat occasions cough ; weak feeling in the Btomach; profuse discharge of pale and watery urine; disagreeable sensations, as from electric shocks, in various parts of the body; rheumatic or neuralgic affections of the muscles and tendons in the small of the back ; lumbago; difficult menstruation, attended with symptoms of a rheumatic or neuralgic character; rheumatism or neuralgia of the womb; after-pains, with great mental excitement and nervous irritability, sleeplessness, lowness of spirits, and sensitiveness. CINA. Nervous System, Brain, Senses, &c. General or local convulsions, or convulsions of the character of epilepsy, with bloated and livid appearance of the face, or blueness of the skin about the mouth; spasmodic affection of the chest, with sudden jerking or twitching movements, arrested breath, and convulsive cough; the legs rigidly and spasmodically stretched out, but usually convulsive contrac- tion of the arms and fingers, with starting movements; spasmodic closing of the throat against the introduction of liquids; violent agitation during the night, which prevents the patient from sleeping; general convulsions, with violent agitation of the limbs, or with rigid contraction of the body backwards, or in 54 850 COCCULUS. unnatural positions; undue expansion of the pupils; hazy, dazzled, or muddled sight when fixed attentively upon objects; feebleness of sight; tenderness of exposure to light; the patient is apt to grit or grind the teeth during sleep ; loss of consciousness. Organs of Digestion. Vomiting and purging immediately after a meal; nause- ous or offensive rising of the contents of the stomach; inordinate and voracious hunger, unsatisfied by eating, and further characterized by a general predomi- nance of thirst, or of thirst and hunger, with sinking and faintness, in alterna- tion; violent, almost convulsive, retching, followed by the ejection of mucus; longing for sour things, which are eagerly eaten; very relaxed, whitish, and pap-like evacuations, with the admixture of worms, or bilious matter; spontane- ous, loose discharge from the bowels, and discharge of whitish, thick, cloudy urine, or of urine which quickly becomes thick and cloudy after standing; dis- charge of urine often increased, and generally characterized by constant urging; involuntary discharge of urine at night, while asleep (in children). Pains. Pinching, gnawing, cramp-like, or clawing pains in the bowels, or agonizing forcing pains in the lower part of the belly; drawing pains in the ex- tremities ; pain in particular parts, as if in a vice ; the pains are chiefly prevalent or aggravated towards or during the night, and in the morning. Nose, Mouth, and Tongue. Continual boring at the nose, with stuffing in the nostrils ; flow of thin, watery, acrid discharge, which appears to pass over an ulcerated surface, and to scald as it flows; violent shaking attacks of sneezing, and constant tickling or irritation in the nostrils; harsh, dry, disagreeable feeling in the mouth; deficiency of spittle, the articulation being sometimes rendered difficult by insufficiency of moisture; the tongue is generally clean, but exhibits a morbidly bright-red color. External Surface. Cold perspiration breaks out on the hands and on the fore- head ; the eyes are surrounded with a bluish ring; the complexion is generally ghastly pale or cadaverous, or exhibits a slightly yellow hue; sometimes, how- ever, during the fever-fits or convulsive attacks the cheeks are flushed and puffed; during the fever-fits there is excessive and general heat, but especially in the head ; at other times the patient is habitually chilly, and appears incapable of being warmed; there may be alternations of heat, with flushing— and of coldness, with extreme pallor of the face; the whole surface is painfully sensitive, and the slightest touch appears to inconvenience the patient; attacks of shivering and shuddering, even when exposed to considerable heat. Periodicity. The fever-fits have a tendency to recur daily towards evening, Betting in with a shivering-fit towards night, and continuing during the night, or they may recur in the same manner at intervals of forty-eight hours. ■Disposition. There is a constant disposition to complain and to be dissatisfied, a wish being no sooner gratified than the interest excited in the object desired is satiated. COCCULUS. Stomach, Bowels, and Evacuations. Sudden and very severe fits of nausea and sickness, resulting in a fainting-fit; very intense oppression in the region ofthe Btomach; sickness, retching, and vomiting caused by passive motion—such aa the rolling of a vessel; profuse flow of water in the mouth, with nausea and urgent inclination to vomit; faint, empty, collapsed sensation in the bowels, or COCCULUS. 851 the belly puffed up with flatulency; very relaxed and putrid evacuations from the bowels, generally preceded by costiveness, with hard and difficult discharge, but attended with urging; during pregnancy, constant desire to effect a discharge of urine, with sensation of pressure ir the bladder, and discharge of clear, lim- pid urine; or acrid, yellow, scalding, and relaxed discharge from the bowels. Menstruation. Difficult, painful, scanty, or totally- suppressed menstrual dis- charge, with general derangement of the digestive functions; or very painful menstruation, with, however, copious discharge of clots; or, again, the men- strual discharge occurs before the proper time; thin and blood-stained discharge of whites during the interval between the periods, or discharge of thin, watery, and bloody matter from the womb after conception, and usually until the fifth month. Nervous System, Brain, and Senses. Reeling giddiness, with incapability of maintaining an erect position, or of walking straight; extreme debility and loss of strength after the least exertion, or sleepless rest; general cramps and con- vulsions, or the like, affecting particular limbs only; epileptic paroxysms ; con- vulsive yawning ; frightful visions, with starting from sleep, or jerking of the hands and arms during sleep; confused, dull, stupid sensation in the head; extreme nervous sensibility; prevalence of acid or mineral taste in the mouth ; complete loathing of food, especially of sour things ; confused humming or buz- zing sounds in the ears ; fantastic objects appear to be seen, or dark spots seem to flicker, or to descend before the eyes ; the eyeballs are convulsively rolled about or turned upwards, and the pupils are excessively dilated; reeling giddiness, terminating in a fainting-fit, with total loss of consciousness; complete loss of muscular power in the arms and legs, with deadness or torpor of the extremities; sensation of emptiness and hollowness of the head. Pains. Pain and burning sensation in the gullet; heavy, dull or cramp-like clawing or pinching pain in the stomach after eating; headache, as if caused by a tight band; one-sided pains; pains aggravated by touch, drinking, smoking, and passive motion; darting or cutting pains in the arms, or bruised pains in the bones of the arms and thighs; clawing, pinching, cramp-like pains in the Btomach and bowels; distressing pain in the decayed teeth during mastication; internal and general or local pains, like those occasioned by a bruise; heavy, aching, pressive pains in the eyes, as if they suffered from the effects of a blow. Pulse and Circulation. Hardness and frequency of pulse, generally, also, with fulness — or subsequent, small, wiry, quick and irritable pulse — in either case with tendency to violent beating of the heart from time to time, excited, as it were, by thinking of particular subjects, especially by apprehensions as to one's state of health. Disposition. To melancholy and anxious forebodings. External Surface. Color of the skin as in green-sickness ; heat and redness of the cheeks, with burning sensation; tendency to ruptural swelling in the groin; perspiration in the morning and evening ; evanescent flushes of heat in the face. Mouth, Throat, Tongue, and Teeth. Excessive deficiency of moisture in the mouth and throat, frothy saliva in the mouth, which is spluttered out in bubbles during the convulsions; the gums swollen and tender, and the palate extremely irritable; the teeth on edge, or loose and jarring; the tongue yellow and thickly ooated. 852 COFFEA CRUDA — COLCHICUM AUTUMNALE. COFFEA CRUDA. Nervous System, Brain, and Senses. Excessive nervous sensitiveness; nervous- ness, excitability, agitation, and extreme susceptibility to pain; painful sensitive- ness of the affected parts; excessive action of the muscles; dread of the open air, with aggravation of symptoms during a walk in the open air; incapability of sleeping, induced by excessive excitability both of mind and body; anguish with trembling; convulsive fits, characterized by coldness ofthe extremities and grit- ting of the teeth; unnatural keenness of sight, and distinctness or even tender- ness of hearing; uncertain grasp with the hands, which tremble violently when the patient attempts to hold anything firmly; spasmodic contraction of the soles of the feet upon turning the foot downwards; sometimes dulness or hardness ot hearing, with humming, confused sounds in the ears; excitement and activity of the imagination, with vivid alacrity of expression; excessive talkativeness, with great excitement or agitation; trembling of the feet; any derangement of the system which is characterized by a predominant and excessive irritability and susceptibility of the nervous system, and by extreme agitation or pains inordi- nately severe, with or without fever; derangements consequent upon sudden emotion, especially of pleasure, and attended with determination of blood to the head. Pains. Pain constitutes a very prominent and characteristic indication for the employment, of Coffea, being always more intense than the general disturbance of the system would seem to lead one to anticipate; pains deep in the brain, aa if lacerated, or as if a nail were driven into the head ; excessive pains, driving the patient to despair; darting, jerking, boring pains, almost intolerable, in one side of the head; intense bearing-down and forcing pains in the womb, or, more particularly, excessive labor-pains and after-pains ; clawing, shooting, pressive pains in the bowels; dreadful pains in the bowels, especially at or before the menstrual period. External Surface. Violent attacks of shivering, quickly followed by excessive flushing of heat, tightness and oppression about the chest, and a sensation as if something were fastened tightly round the stomach; flushing and excessive heat of the face. \ > / COLCHICUM AUTUMNALE. -J ft ;•■''<, V l\/ Organs of Digestion and Evacuations. Extreme tenderness ofthe stomach upon pressure; fixed or local sensation, either of great coldness or of intense heat in the stomach ; nausea while eating, or nausea, increased to an excessive degree by the scent of particular kinds of food; total repugnance to food as soon as it is set before one; sensation as of soreness or laceration in the stomach, and sim- ilarly in the intestines, with pressing, heavy, crushing sensation upon the blad- der ; accumulation of water in the belly; protrusion of the intestine, with strain- ing at stool, and discharge of quantities of frothy and slimy, whitish or trans- parent matter, mixed with blood and thread-like shreds, and burning sensation in the passage; dysentery; urging and straining in passing water, with discharge of dark urine in very small quantities; repeated and frequent calls to pass water, with discharge of limpid or blood-red, or very dark, brownish urine; and much scalding and straining, as also with a pressive, forcing sensation at the neck of ihe bladder. COLOCYNTH. 853 Breathing. Short, dry, and constant cough, more especially at night; cough, preceded and accompanied, and apparently provoked, by a tickling, irritative Bensation in the windpipe ; oppression of breath, with violent agitation and beat- ing of the heart. External Surface. Dropsical swelling of the belly and face, and especially of the lower eyelids; pricking, itching, tingling sensations all over the body, but especially in parts affected with the dropsical swellings; or sensations in the extremities, as of the numbness, tingling, and burning which ensue after the extremities have been exposed to excessive cold, and are coming to; great increase of natural heat at night; pale, drawn, and unhealthy appearance of the face; excessive tenderness, with feeling as of internal soreness in the left side of the belly when exposed to pressure; swellings, with much heat in the legs. Pains. Pains in the limbs of a drawing, aching description, accompanied with loss of muscular power ; darting, cutting, throbbing, or aching pains in muscular parts, or in the membrane investing the bones, recurring or becoming aggravated with every fall of temperature; gout and rheumatism; tearing pains on one side of the head; burning or lacerative pains in the stomach, bowels, and bladder, or cutting pains in the pit of the stomach ; lacerative, sore pain in the chest and in the loins, aggravated by any muscular effort, as by changing position, walk- ing, coughing, sneezing, &c. ; tearing, jerking pains in the arms, legs, hands, fingers, feet, and toes ; aching pains in the nose; very severe pains in the gums, and tearing pains in the teeth; or pain in the cheek-bones, as if they were crushed. Nervous System, Brain, Senses, &c. Great nervous irritability, which prevents sleep, or frequently disturbs it by alarming thoughts or dreams; exhaustion, or feeling as if the nervous energy was worn out by excessive application to mental labor at night; the patient appears unable to sustain his sufferings; the sense of smell is unnaturally keen; the tongue appears stiff, heavy, and devoid of feel- ing; the patient is troubled with incessant hiccough ; the palate conveys no taste — that is, there is loss of taste, all food having the same mawkish taste. Mouth, Teeth, and Throat. The mouth is hot, and sometimes there is a collec- tion of phlegm in the mouth and throat, of a grayish or greenish tint, with a sensation as if the orifice of the throat were swollen, or as if something were tied too tightly round the throat; the teeth are on edge, and appear to be pain- fully thrust into the jaw when their extremities come into contact; the lips are often cracked; and the tongue generally dry, and covered with a whitish coating. COLOCYNTH. Organs of Digestion and Evacuations. Great sensation of weight in the stom- ach ; habitual nausea, with unpleasant risings of the contents of the stomach; vomiting accompanied with purging; impaired appetite, with preference for fluid food or for beverages, without, however, a predominance of thirst; the patient cannot keep food on the stomach,' but it is thrown up together with greenish, bilious matter ; the belly is distended like a drum, and blown out with flatulency; discharge of blood at and after stool; the evacuations from the bowels are usu- ally very relaxed, frothy, greenish, tinged with blood, or slimy; the discharge from the bowels emits a sour or putrid smell, and is followed by a spasmodic closing of the passage; the relaxation of the bowels is often preceded by a on- 854 CONIUM MACULATUM. trary condition, and is accompanied by the sufferings described under the head of "Pains," or the discharge may be loose and yellow; motions like those of dysentery, mingled with blood and mucus; the pains are often relieved after the evacuations, coming on again, to be again relieved in the same way; the urine is offensive, and becomes thick and coagulated after standing; there is straining and urging at the neck of the bladder; or, again, there may be copious discharge of bright-colored urine ; usually, however, the discharge is scanty ; bubbling of flatulency in the intestines; sensation of emptiness and soreness in the bowels; weakness and prostration after every evacuation from the bowels. Pains. Spasmodic, constrictive colic (with a sensation as if the bowels were pressed between stones), attended with diarrhoea or constipation ; all kinds of severe colic ; colic, with cramps in the legs; nipping, pinching, cutting, clawing pains in the bowels after eating; cramp-like pains in the stomach after taking food; pains of the character of cramp, internally and externally; the pains in the bowels, particularly those of a very severe cutting nature, are frequently mitigated by bending forward and making pressure upon the belly ; pain on one side of the head, attended with vomiting; pain as if a heated brand were applied to the forehead and scalp ; pinching pains in the fore-part of the head, worse when the patient lies on his back or bends forwards ; shooting, cutting pains, which pierce from the head to the feet; pains shooting inwards in the eyes, and sometimes, also, in the forehead; clawing, stiffening pains in the hands; darting and cutting pains in the hips and loins; pains shooting downwards from the bot- tom of the back to the knees ; dragging, aching, or tensive pains in the back, neck, shoulder-joints, and shoulder-blades; pain, as from a bruise upon the cap of the shoulder; or aching pains in the arms; cutting, shooting, and burning pains in the eyes; darting, cutting, and burning pains on one side of the face; throbbing pains in the jaw and teeth on the left side; or pain as if the teeth were wrung out. External Surface. Scaling-off of the scarf-skin; during the fever-fits the face is puffed and of a dark-red hue; or generally there is puffing and redness of the left cheek especially; the expression is care-worn, and the face pallid and emaci- ated ; eruptions forming incrustations, especially on the face; scaly eruptions on the skin ; or dry, scurfy eruptions ; general heat and dryness of the surface; or excessive heat of the face, with coldness and shivering in the rest of the body. Extremities. Want of flexibility in the joints generally; stiffness ofthe knee- joint; the legs appear too heavy, and tremble or totter as the patient walks or assumes an erect position; repeated attacks of cramp in the calves of the legs; muscular contractions. t, t CONIUM MACULATUM. / ' t U'J*4 M<-^ Breathing, &c. Impeded and difficult breathing the first thing in the morning; short, hurried, anxious breathing upon the least exertion, sometimes accompanied with dry, convulsive cough; violent paroxysms of convulsive coughing, or of eough with protracted and noisy inspiration during the night, generally termi- nating in the ejection of blood-stained phlegm; local dryness and irritation of the windpipe, which occasions coughing; the cough is worse when in a recumbent position, and usually becomes aggravated towards night, and continues worse until morning; dry or suffocative cough (with flushing of the face); expectoration of yellowish and offensive matter after coughing. CONIUM MACULATUM. JM External Surface. Acrid, offensive sweats breaking out in particulav ^arts; predominant coldness of the body ; occasionally, however, with sensation o/ heat internally, or with general increase of heat, accompanied or followed by profuse perspiration; sweat breaking out as soon as the patient falls asleep, and con- tinuing more or less during the night; livid or purplish appearance of the skin; eruption of white blotches on the skin after violent exertion, the intervening surface being scarlet, hot, and itching; unhealthy ulcers in different parts, emit- ting a thin, bloodstained, and very offensive discharge; evanescent stains of a brownish hue upon the skin, generally developed by heat (as after violent exer- tion), and accompanied with intolerable itching and irritation; heat, redness, and swelling of different parts, with active inflammation of the skin; hard swell- ings of the glands in different parts, or dropsical accumulations, especially in the extremities; falling off of the hair; eruptions of the nature of tetters, with in- tense irritation in the face, or of pimples over the forehead; or of painful ulcers on the face, and, more particularly, unhealthy ulceration of the lip; yellow suffu- sion of the white of the eye, or a great predisposition to styes; the glands of the neck are much enlarged; the finger-nails exhibit a yellowish hue, or there may be yellow stains on the fingers; constant perspiration or excessive moisture in the palms of the hands; oozing eruptions, terminating in the formation of scabs in different parts of the body, and excessive irritation from the finger-nails to the knuckle-joints of the hands ; the feet are habitually cold, or are readily chilled ; and the patient is extremely susceptible of taking cold by chill or wetting of the feet; the breasts are flaccid, — or hard, knotty swellings are formed in them. Nervous System, Brain, Senses, &c. General nervous debility, with deficiency of vigor or activity; want of power to exert or to concentrate the intellectual faculties; weakness of the head, and tendency to be overcome by very small quantities of fermented liquor; extreme susceptibility to noise, the patient, can- not even bear to be spoken to, or that any one should speak within his hearing; the head feels dull, overloaded, and heavy, particularly in the first of the morn- ing ; reeling giddiness upon first assuming an erect position or lying down; ex- treme restlessness affecting the whole body; or, more particularly, incapability of retaining the legs long in one position; attacks of giddiness, or sinking and exhaustion terminating in a fainting-fit; horrid and terrifying dreams and deli- rium running upon frightful accidents ; the senses of smelling and hearing are intensely and painfully keen; or various noises, chiefly like the ringing of bells or rolling of wheels, or of distant thunder, in the ears; the prevailing alterations of taste are foul, bitter, or sour; the sight is subject to much variation; either the eyes are intolerant of the strong light of day, or objects upon which the eyes are fixed appear to oscillate, or look red, or appear much magnified, or, on the other hand, seem to be more distinct than they are; or, again, the patient sees objects more distinctly than is usual at a great distance, or can only distinguish objects which are close at hand, or sometimes sees objects multiplied; the patient complains of weakness and weariness of the knees, and of excessive weight and languor, with uneasiness of the legs; the feet and fingers become dead, or what is called "asleep," and the calves of the legs are sometimes affected with cramps, which return, and wake the patient several times during the night. Menstruation. The menstrual discharge is feeble, but occurs before its proper time; during the interval between the periods, or immediately before the periodi 856 CONIUM MACULATUM. cal discharge, there is an acrid discharge of whites, which induces soreness, and is attended with a scalding, smarting sensation; during the menstrual discharge there is much bearing-down and forcing; or the discharge may be suppressed. Organs of Digestion and Evacuations. Sour risings and water-brash, or disten- sion of the stomach and bowels after eating, especially after milk; noisy and flatulent eructations, or rising of the contents of the stomach, with a taste of what has been eaten, and a sour or acrid, scalding and rasped feeling in the throat and gullet: feeling of coldness in the stomach, and sensation of sorenesa in the same part; enlargement of the glands of the mesentery; rumbling and bubbling in the intestines; constant sensations of fulness or of soreness in the belly ; frequent or spontaneous discharge of urine at night, or constant urging to pass water, with copious discharge of limpid, clear urine; or, again, discharge of stringy, tenacious, slimy matter with the urine, which is attended with con- siderable effort and much pain; sensation as if something were squeezing the bladder, with violent urging to pass water, which is, however, discharged feebly, the discharge being arrested suddenly before the whole is passed; discharge of thick, cloudy, whitish urine; obstinate costiveness, with much urging and strain- ing at stool; or exhausting relaxation of the bowels (every motion being followed by great weakness, sensation of sinking and trembling, and by violent beating of the heart); or, again, relaxation of the bowels, with discharge of undigested, crude substances. Pains. Very severe, heavy, pressive, or digging pains in the chest; aching pains in the joints and limbs, as if from over-exertion; or elawing pains in dif- ferent parts of the body; dull, oppressive, stunned pains in the head, or bruised pain confined to one side of the head, or headache recurring daily during the costive state of the bowels; clawing or darting pains in the stomach; cutting pains along the lower ribs on the left side ; or oppressive, aching pain, as if the clothes were too tight, along the lower ribs on both sides; bearing-down or Bhooting pains in the region of the womb; aching pains around and above the hips, and across the loins, the latter relieved by leaning forwards; shooting, smarting pain, preceded by itching in the corners ofthe eyes; or dull, aching pains in the eyes while exerting the sight. Best. The patient is unable to keep his eyes open, and falls asleep in the evening, but sleeps badly during the night, the rest being disturbed or inter- rupted by dreaming or by nightmare; the patient becomes drowsy and disin- clined to rouse himself hp. the morning, and continues to be dull, heavy, or drowsy during the day. Disposition. Extreme languor, with general apathy or dread of any exertion, mental or bodily; sometimes, however, characterized by extreme irritability and ill-humor, or by sullen, gloomy mood. Nose, Ears, and Eyes. Constant irritation in the nostrils, and sneezing, or swelling and protracted obstruction of the nostrils, more especially apparent in the morning; collection of ear-wax in the ears, or of mingled ear-wax and matter; glassy, dull, filmed, and protruded eyes, with unsettled glance. Gums and Tongue. Swelling, bleeding, and unhealthy purplish color of the gums; and enlargement of the tongue, sometimes characterized by stiffness and •shing CROCUS SATIVUS — CUPRUM. 857 CROCUS SATIVUS. ••/# ^-fT^'M/ I $ Nervous System, Brain, Senses, &c. Attacks of giddiness, terminating in a fainting-fit; hysterical paroxysms, with tendency to laugh or to indulge in joy- ous gesture, rapidly alternating with the contrary condition, or with wailing; heaviness, weariness, and giving way of the limbs after very inadequate exertion; sensation ot something moving as if alive in the belly or in the chest; weariness, weight, and debility of the thighs when in a sitting posture; loss of muscular power, with deadness of the hands and arms, more particularly during sleep; sensation of weight and oppression at tho heart; trembling of the eyelids, or trembling of every limb; feeling in the eyes as if they were swollen, and the eyelids were stiff; the sight is hazy, and appears to be obstructed by a film gathering over the pupils, whereby the patient is constantly incited to blink, as it were to clear the sight; the sight is quickly wearied, and becomes hazy if exerted by candle-light; sensation as if the joints were giving way ; the sleep is either disturbed by alarm- ing dreams, or occupied by dreams of a pleasing or mirthful character; in either case the patient is not refreshed by sleep, but is either drowsy or weary in the morning, or suffers from a general aggravation of all the symptoms; ringing sounds occur in the ears, particularly when the patient assumes a recumbent position, or flashes of light appear before the eyes; the patient complains of a feeling as if the brain were loose in the skull, and were agitated by every move- ment ; anxiety about the chest, relieved by frequent yawning. Menstruation, &c. Copious discharge of blood from the womb, or flooding ; or excessive menstrual discharges occurring every fortnight, or barely ever sus- pended ; flow of very dark blood, or even black blood, which is viscid and stringy; sensation of weight and pressure, with determination of blood to the womb. External Surface. Cadaverous complexion ; red, itching, burning, or tingling swellings, like chilblains, on the joints of the toes and fingers; crimson hue of the skin. Eyes and Nose. Excessive dryness or watering of the eyes, with irritation or 'ingling in the eyelids; constant sneezing, which shakes the whole frame ; dis- charge of black, slimy, stringy blood from the nose. /-■' / / CUPRUM. \y^^-s"; Nervous System, Brain, Senses, &c. General and local spasms, inducing perma- nent or temporary rigidity, or rapid alternations of tension and contraction, with Budden muscular relaxation; jerking, twitching, or other convulsive movements of the body or of particular parts during sleep; spontaneous jerking of the limbs; acuteness of every sense; extreme and insuperable nervous or muscular debility; sensation in the head as if stunned and pressed down; or reeling giddiness, with sensation of imminent and precipitate falling; extreme nervous excitability; the body and the head rigidly bent backwards; or the head is fixed on one side, in an unnatural position; the pupils do not appear to convey a consciousness of the presence of objects; spasmodic stiffness of the jaws; convulsive distortion of the features; intensely lethargic sleep ; convulsive hiccough ; fingers and toes convulsed and distorted; the convulsions begin in the extremities; cramps in the calves of th« legs; frantic delirium; convulsive rolling or closing of the eyes , periodical con- vulsive attacks; convulsions, with piercing shrieks; drowsiness, with convul- sions. 858 DIGITALIS PURPUREA. Stomach, Bowels, and Evacuations. Intensely oppressive weight in the pit ana region of the stomach, which becomes worse on the least movement or the slightest touch; excessively violent retching, and vomiting of slimy or watery matter, or of bile or blood, or of greenish, frothy, whitish, or bluish matters, and accompanied by purging of similar matter, and dreadful cramps in the belly, extending up- wards to the chest; excessive purging, sometimes with the admixture of blood in the motions, hardness and tightness of the belly, with sense of weight, and the most unbearable spasms, accompanied with general convulsions; drinking relieves the vomits, but increases the cramps in the chest; the urine is suppressed, or dis- charge of dark-red, turbid urine, depositing a yellowish sediment. Breathing. Hurried and rattling breath, or breath suddenly arrested by spas- modic attacks in the chest, which amount almost to suffocation; dry, suffocative, convulsive cough, or cough and quick breathing, with rattling of phlegm on the chest. External Surface. Eruptions, such as those of leprosy and itch; excessive sweats at night; or cold perspiration, breaking out, either, all over the body, or especially on the soles of the feet or palms of the hands; bluish, crimsoned, puffed, or very hollow, haggard, cadaverous, pallid countenance, with livid rings about the eyes and mouth ; swelling of the hands; coldness, especially of the ex- tremities (accompanied with intense thirst). Mouth, Tongue, and Throat. The lips are blue or livid; collection of frothy or foamy spittle in the mouth, which is spluttered out and collects along the lips in the convulsions; the tongue is cold at the extremity, usually covered with a whitish and thick coating, and clammy to the touch; there is a cold, mawkish, insipid feeling in the mouth in the morning, and the act of swallowing liquids ia accompanied with a peculiar noise. Eyes and Nose. The eyes are red and inflamed ; or more especially protruded, and of dazzling and unnatural brilliancy, — or, again, dull, filmy and inanimate; and the nose discharges an acrid, watery mucus. 4 , DIGITALIS PURPUREA. f!f I r L[ f-i^J Pulse and Circulation. Feeble and very tardy pulse; or small, weak, and exces- sively irritable pulse,—that is, a very small, weak pulse, subject to become very frequent, quick and fluttering, upon the least excitement or exertion, with very rapid action of the heart (at the same time), and violent, audible beating ofthe heart; irregular and intermitting pulse, every other beat intermits. Breathing. Excessive tightness of the chest, with compressed, smothered respira tion, especially when the least exertion is attempted, or the patient lies down. External Surface. Blue, purplish, or livid color of the lips and eyelids; pur- plish hue of the skin; or extreme pallor of the face; casting off of the scarf- skin all over the body; complete jaundice; great coldness of the extremities; excessive and exhausting night-sweats; coldness of the whole frame, occasion- ally or even frequently attended with cold perspiration, either confined to ona side or to the forehead; dropsical swellings, ot the belly and of the legs; the swell ing of the legs gradually increases during the day, and subsides again at night, great loss of flesh, or continual puffiness; extreme tenderness of the region of the liver to pressure. Stomach, Bowels, and Evacuations. Convulsive efforts to vomit, without dia DROSERA ROTUNDIFOLIA. 858 charge; or insufferable nausea and vomiting of bile or of water, but more espe- cially of mucus; weight in the stomach, with burning sensation; desire to vomh (with extreme depression and anxiety); grayish-white or chalky-looking evacua- tions ; sensation as if the passage from the bladder was too small, when passing water, which is only discharged with much pain and difficulty, and after frequent calls and much urging; scanty, hot, and scalding discharge of urine, of a dark reddish brick-color; or, again, total suppression of urine, and discharge from the bowels as of dysentery, chiefly consisting of frothy, slimy matter, mingled with blood; loss of appetite, although the tongue be clean. Nervous System, Brain, Senses, &c. Unnatural alterations of the sense of sight; objects appear doubled, yellow, or greenish; or there is a haze of many colors before the eyes; mistiness of sight; the eyes are constantly turned towards one corner ; the sight becomes darkened or is lost; the head reels, and the extremi- ties tremble; or the head is flung backwards, or the brain seems to oscillate in the head; excessive prostration of strength after eating; or loss of strength, sudden and complete, and accompanied with copious sweat; the taste is mawkish, insipid, or bitter; sudden and total loss of muscular power ; and stiffness in the arms and fingers. Mouth, Tongue, and Lips. Soreness and harshness of the mouth, or soreness of the gums and tongue, with excessive flow of saliva, whether insipid, sweet, or offensive; the tongue swollen, slimy, and white, or livid or ulcerated; the lips Bwollen, or very dry. Eyes. Adhesion of the eyelids; extreme redness and heat, with smarting, grating, or burning sensation inside the eyelids.; and flow of scalding tears increased or p»ovoked by walking against the wind, or by a cool draught, or, more particularly, by exposure to bright light. DROSERA ROTUNDIFOLIA. (/^t^ jL&W..... Respiratory Organs. Cough attended with ejection of bright-red, or dark blood, creeping in the windpipe as from a soft body; hoarseness, and deep, low voice, attended with harsh and scraping sensation of dryness in the throat; spasmodic cough in the evening and during the night, attended with retching, discharges of blood from the nose and mouth, suffusion of blueness over the face, and fits of suffocative sensation; whooping-cough; expectoration of thick matter after coughing or hawking; cough in the morning, with bitter, nauseous expectora- tion ; fatiguing cough (or cough after the paroxysms of which the patient feels utterly exhausted), with whistling respiration, or a long shrill inspiration; offen- siveness of breath with the cough; arrest or oppression of breath; feeling as if the air-passages were not expansive enough for free respiration; cough, with vomiting, at first of food, and later, of mucus; dry, spasmodic cough, with gagging; or hard and barking cough; hard, harsh, and barking cough, after measles; feeling of roughness and dryness in the windpipe. Stomach. Retching and vomiting after the fits of coughing; or vomiting of food, or even of blood, during the attack or at its termination; rising of bitter matter from the stomach; bilious vomiting; slimy vomiting incidental to fits of coughing; general derangement of the stomach with fever; water-brash. Pains. Contused pains throughout the body with dread of being touched, and with paralytic weakness; pain in the windpipe, caused by talking; squeezing 860 DULCAMARA. pain, or pain with exceeding tightness or weight on the forehead; darling pa'na in the joints, or deep in the bones or muscles of the legs and arms; pains in the thighs as if they had been bruised, or pains in the arms, legs, loins, back, and joints, generally attended with stiffness, the pain being more particularly felt when an effort is made to move — and the patient still desiring to change position frequently;—pain as if there were a sore place under the breast-bone; cutting or jerking pains in the teeth, after having had something hot in the mouth— or pain in the throat as if something dry and rough were lodged there ; sore pains from side to side along the lower ribs, induced or aggravated by any muscular effort, and extremely severe on pressure. Eyes and Nose. Haze before the eyes, print looks pale when reading; distant objects appear to be confused and hazy; constant discharge of blood from the nose, especially in the evening; thin, watery discharge from the nose, with much sneezing. External Surface. Blueness over the face during the fits of coughing; chills, with coldness of the face, feet, and hands, and sickness at the stomach; or flush- ing of heat to the face and head, with intense coldness of the extremities, and gen- eral shivering and rigors, or even chattering of the teeth; sensation of soreness over the head, the hair appearing to be torn out when touched lightly, but relief following brisk friction or brushing; the lips dry and cracked, or the face hollow and pale, and the features drawn. DULCAMARA. ■' c f' ' l " "' " "' External Surface. Scrofulous swelling and hardening of single glands ; general dropsical swellings; ringworm ; vesicular eruptions; scarlet and purple-rash ; miliary nettle-rash; milk-scall; scrofulous swelling of the glands of the arm-pita and groin; moist or oozing eruptions, forming scabs; or dry, scaly, mealy, or scurfy eruptions; eruptions forming incrustations on the joints; thick scabs on the face of a brownish or yellowish hue; swelling of the glands along and under the jaw; chills followed by general flushing of heat, or even of burning sensa- tions ; flushing and crimson hue of the face, &c.; the perspiration emits an offen- sive smell; general and copious perspiration over the whole of the body, gen- erally and immediately preceded by parched and burning heat, with redness ofthe surface; sweat breaks out in the palms of the hands; patchy redness or flushing of the cheeks, with general pallor of the complexion; warts on the face; casting off of the scarf-skin on the feet, accompanied or preceded by intense tingling or itching; scaly, scurfy, or crusty eruption on the hands and about the knees; warts on the hands; dropsical swelling of the feet and ankles, and of the lower part of the legs; hardening and swelling of the glands of the neck; intense burning and tingling in the toes or all over the feet, especially in the ball of the foot. Pulse and Circulation. Powerful and shaking action of the heart (with intense oppression), occurring principally at night, and with a hard, quick, and com- pressed pulse. Stomach, Bowels, and Evacuations. Intense thirst; vomiting of stringy, adhe- sive phlegm ; discharge of slimy matter from the bowels, tinged with blood, and accompanied with excessive irritation in the orifice; watery discharge from the bowels during the night; or generally very relaxed discharge of brownish or EUPATORIUM PERFOLIATUM. 861 green matter, mingled with slime and froth; relaxation, frequently preceded by costiveness, and coming on suddenly; loose evacuations, with colicky pains after taking cold; diarrhoea from taking cold or getting wet; nocturnal watery evacuations when the weather suddenly becomes cool; spontaneous discharge of urine; or urine mingled with gelatinous, slimy matter, but generally clear; or thick, cloudy, and whitish urine; urine commonly scanty (sometimes only drop- discharge), generally offensive, and often suppressed. Mouth, Nose, Eyes, Tongue, and Throat. Ulcerations are developed in the mouth, or sometimes only elevations like pimples, which are very sore and tender; the gums are puffed, unhealthy, swollen, and appear to be separated from the teeth ; heat and stuffing of the nose, with constant but scanty flow of hot, acrid fluid, worse after exposure to the cold; discharge of bright, crimson, and very hot blood from the nose ; the eyes are inflamed, hot, and red ; the tongue is swollen, and difficult to be moved (articulation being impeded); or is white, slimy, and thick-coated, but more frequently very white, and quite parched; the throat is sore and very hot. Pains. Boring pains, seeming to issue from the centre of the head, or pains as if a heavy blow or fall had been suffered in the head, in either case worse on the least movement; aching pains, apparently seated in the stomach, but affect- ing the chest also ; very severe, aching, or boring pains in the small of the back; or pains, with stiffness in the arms, as if severe blows had been inflicted upon them; the pains are usually attended with coldness of the body, or of the part affected; aching or piercing pains in the eyes, provoked or aggravated by exert- ing the sight; cutting, clawing, or cramp-like pains in the belly, and especially about the navel; earache at night, more especially of a jerking or shooting de- scription ; the pains are generally worse in the evening or during the night, in the cold air or during wet weather. Menstruation. The menstrual discharge is commonly profuse, but occurs after the proper time ; suppression of the menstrual flow in consequence of taking cold, or getting wet. EUPATORIUM PERFOLIATUM. fJfa's'iUftv' Fever. Paroxysms of intermittent fever, which usually commence in the morn- ing ; chill, preceded for some time by thirst, which continues during the chill and heat; at the conclusion of the chilly stage, vomiting of bile, or vomiting after every draught of water; pains in the bones, as if broken, before the com- mencement of the chill; headache, backache during the chill; the chilliness is increased by cold drinks; great weakness, prostration, and headache during the fever; nightly perspiration, with chilliness. External Surface, &c. Heat, with slight sweat of the hands; feeling of heat in the soles of the feet, in the morning; dropsical swellings of the feet and ankles; redness of the face, with dryness of the skin ofthe face; soreness ofthe corners of the mouth; heat on the top of the head; the tongue is covered with a whitish fur; great soreness and aching in all the limbs, apparently in the bones, such as accompanies an attack of influenza; inability to lie on the left side. Stomach, Bowels, and Evacuations. Vomiting immediately after drinking; vomit- ing of bile, with great nausea and trembling, causing great prostration; inability to bear the pressure of the clothing; feeling of soreness in the right side, below 862 EUPHRASIA OFFICINALIS — FERRUM METALLICUM. the lower ribs; loose evacuations, only in the morning; emission of dark-brown, Bcanty urine, depositing a whitish, clay-like sediment. EUPHRASIA OFFICINALIS. l^^nrl Ul" Eyes, Nose, and Gums. Affections, whether of an ulcerative or inflammatory character, attacking the anterior transparent portion of the globe of the eye; ulcerative inflammation of the margins of the eyelids, often attended with head- ache ; inflammation of the whole of both eyes, with pink or bright-red suffusion of the eyes, and intense smarting of the eyes and eyelids; excessive discharge of hot, scalding water from the eyes, with the like flow from the nostrils; extreme soreness of the eyes, eyelids, and nostrils; or occasionally copious discharge or watery fluid from the eyes and nostrils, tinged with blood; enlargement and gluing of the eyelids; discharges of blood from the nose and gums; stuffing of the nose, with intense heat during the night, and return of the free, limpid dis- charge during the day, Organs of Respiration. Oppressed, impeded, and difficult breath, with very moist cough, or cough which arrests the breath; the cough is worse when at rest, or when walking in the wind. External Surface. The body is generally cold or very chilly; chronic discharges from wounds; figwarts; sudden swelling of the finger-joints; intense heat and redness of the skin on the face, and eruption of a very fine, grain-like rash after washing; sensation as if the skin of the face were too tight, whilst it is hot and sore, so that every movement of the muscles of the face produces smarting and a feeling as if the skin would give way ; abundant perspiration at night. Pains. Smarting, grating, aching, gnawing pains in the eyes ; heavy, bursting pain in the head, with very strong throbbing of the arteries of the head; heavy and shooting pain in the forehead ; aching or darting pains in the ears and lower teeth. Nervous System, Brain, Senses, &c. Dull, muddled, stunned sensation in the head, more painfully observable in the recumbent position; extreme sensitiveness of the sense of sight (the eyes cannot bear the light); sensation as if a force were weighing upon the eyes, and oscillation and cloudiness of the candle; interrupted, faulty, hesitating articulation ; starting up from sleep in a fright; the attention is distracted, the mind absent; numbness or deadness of the fingers, or of the extremities generally; sensation as if the tendons of the legs were too short. FERRUM METALLICUM. %f f\\/ External Surface. Cold, clammy, ami exhausting perspirations; predominant chilliness and shivering, even when in bed — or, on the other hand, burning, dry, parched skin; slow fever, with swelling of the veins, and dropsical swelling of the eyelids; brief attacks of shivering, followed by flushes of heat; habitual fever at night, or general heat towards night, with harshness and dryness of the skin; or heat, especially of the hands, towards evening; strong-smelling night- sweats ; general loss of flesh, and very pallid, clear, or transparent skin, so that the minute veins are seen through it in bluish traces; dropsical swelling or puffing of the feet, ankles, and knees, or of the lower part of the legs, as well as of the hands; sometimes with peeling off of the skin; cadaverous paleness of complexion, with flush-spots on either cheek, or on both cheeks; sunken, drawn FERRUM METALLICUM. 863 and pointed features, and want of color in the lips; or intense i edness, and occa- sional puffing of the face, especially about the eyes; the hair drops off on the slightest touch, and the head feels sore. Menstruation, &c. Menstrual discharges wanting, or very feeble and pale (pre- ceded by flushing of blood to the head); profuse and exhausting floodings (with bearing-down and forcing pains or throes); variable discharges of dark and clotted or very fluid blood (and flushing with deep redness of the face); habitual miscarriages, often very shortly after conception, and discharge of very white matter between the periods. Breathing. Breathing exceedingly difficult and oppressed, with a sensation of » weight and intense tightness in the region of the stomach and chest; strong expansion of the nostrils to get air, and very little expansion of the chest, &c, in the act of breathing; the difficulty of breathing is more especially trouble- some towards or during the night; convulsive cough the first thing in the morn- ing, and subsiding after the patient has eaten, the cough being accompanied or followed by the expulsion of clear, gelatinous phlegm; or, on the other hand, cough without expectoration, but terminating in the throwing up of the food, and occurring immediately after the patient has eaten; expectoration of matter, sometimes yellow, generally offensive, and often either streaked with blood, or of a greenish color; determination of blood to the chest, with oppression, and spitting of blood. Pulse and Circulation. Small, weak pulse, often quiet in the morning (about two hours after the first meal), but always fluttering, and much agitated by the least excitement or exertion, and growing more irritable, quick, and frequent towards night, — generally, at these periods, characterized by strong agitation and beating of the heart. Organs of Digestion and Evacuations. Rising of bitter matters after partaking of greasy food — or vomiting after eating or drinking anything acid — or sour risings from the stomach; vomiting of the food, preceded by sensation of weight and oppression at the stomach immediately after eating, and more particularly in the evening or during the night; sensation of weight and uneasiness, or as if a stone were in the stomach or chest after eating meat; capricious appetite in the morning, sometimes absent, sometimes voracious, and predominant thirst towards night; piles, with or without discharge; acrid, very relaxed, slimy or watery evacuations from the bowels, or discharge containing undigested food or thread- worms ; scanty, dark-colored urine ; painless diarrhoea, with great debility. Nervous System, Brain, Senses, &c. Drowsy, heavy, weary sensation of fatigue, with disturbed and agitated sleep; sensation of stiffness and weight in the limbs; extreme general weakness, and giving or bending of the knees; giddiness on stooping; sensation of buzzing or roaring in the ears; total want of strength in the thighs; alternate exhilaration and depression of spirits; confused sensation, and feeling of weight in the head ; sweetish taste in the mouth; rush of blood to the brain. Pains. Hammering pains in the head, recurring at given intervals, or irregu- larly from time to time; shooting and tearing pains in the shoulder-joint and arms; drawing pains in the limbs; aching pain in the stomach after eating; throbbing pains with rush of blood to the head; headache in the open air ; burn- 864 GELSEMINUM SEMPERVIRENS. ing pains in the eyes; clawing pains in the bowels, or also in the stomach, forcing labor-pains; darting pains in the chest. Eyes and Nose. Hazy, dull, inanimate eyes — or heat and redness in the eyes — or eyes suffused with water; discharge of blood from one nostril, or constant col- lection of clotted blood in the nostrils; profuse and habitual discharges of blood from the nose. / / ■■. GELSEMINUM SEMPERVIRENS. ■/£#*■'>" } '■ ft fa*u*U^ ' if Nervous System, Brain, Senses, &c. Great irritability, does not wish to be spoken to — or, exhilaration, followed by melancholy ; inability to command the thoughts, «o that an attempt to think about any subject is futile, and the effort is followed by dulness of the head; stupor, with inability to open the eyes; inability to ' control the muscles, so that on attempting to move they do not obey the will; vertigo, with obscuration of sight; chilliness, and quickened pulse; the sudden communication of exciting news causes diarrhoea; ill effects following fright or fear; staggering as if intoxicated when trying to move ; sensation as if the head were enclosed within a band; double vision, controllable by the strength of the will; dimness of vision, with appearance as of smoke before the eyes; aversion to light; complete blindness, of short duration ; objects present a greenish appearance; sudden, but transient, loss of hearing; drowsiness; long-continued, heavy sleep. External Surface, &c. Sensation as if the skin in the middle of the forehead were contracted; itching on the face, neck, and shoulders, worse at night, and preventing sleep; heavy, dull expression of the countenance; yellow color of the face; heat of the face, with fulness of the head, and cold feet; redness of the skin on the face and neck; stiffness of the jaws; the lips are dry, hot, and coated; coldness of the wrists and hands; the hands, especially the palms, are hot and dry; eruption resembling measles, especially on the face; dusky or dark- red appearance of the face. Pains. Rheumatic wandering pains in the bones and joints, particularly at night; feeling as if bruised in various parts; violent, sharp, stitching pains in the thighs ; pain as if sprained in the right wrist, or in the right elbow ; severe stitching pains in the right side of the chest; sensation of soreness in the mus- cles of the belly ; sudden spasmodic pains in the upper part of the belly, which are very severe, and leave a sensation as though the parts were constricted on passing off; dull pain in the back part of the head, in the morning, worse when moving or stooping. Stomach, Bowels, and Evacuations. Acid risings from the stomach; nausea, with giddiness and headache; feeling of emptiness in the stomach; burning in tne stomach, extending to the mouth; soft and pappy evacuations from the bow- els— nevertheless, they are passed with difficulty ; falling of the bowel during an evacuation; loose evacuations of a light-yellow color; frequent emissions of pale and watery urine, during headache, which affords relief. Respiration, &c. Weakness of the voice ; spasm of the glottis, threatening suffocation, and coming on in the evening; hoarseness, with feeling of dryness of the throat; dry cough, with feeling of soreness in the chest, and discharge of watery mucus from the nose ; frequent, short respiration. Fever, Pulse, &c. The pulse is slow, but is easily accelerated by slight motion; ohilliness in the upper part of the body only; chilliness, especially in the morn- GLONOIXE. 865 tng, or coming on every day at the same hour; chilliness, with coldness of the Hands and feet, and headache, and with weakness of the pulse; coldness of the feet, as though they were placed in cold water, with heat in the head and face at the same time; profuse perspiration relieves the pains. Mouth and Throat. Yellow-colored spittle accumulates in the mouth; sticky, t'everish feeling in the mouth; putrid taste and fetid breath; yellowish-white coating of the tongue; the tongue is red, raw, painful, dry, and inflamed in the centre ; paralysis of the tongue; dryness and burning in the throat; dry rough- ness in the throat when coughing; sensation as if a foreign body were lodged in the throat; difficulty of swallowing, apparently from paralysis of the throat. Eyes, Ears, and Nose. The eyes feel bruised; yellow suffusion of the whites of the eyes; great heaviness and drooping of the eyelids, or fulness and con- gestion of the lids; dilatation of the pupils; burning and itching of the ears; sensation of fulness at the root of the nose, extending to the neck. GLONOINE. uVlfTV ~ $£*•$ •*.. > .' W*J Nervous System, Brain, Senses, &c. Great feeling of fearfulneis; unusually bright and loquacious, with great flow of ideas; loses his way in well-known streets or places; feeling as if the chin were elongated; unsteady gait; giddi- ness when the head is moved ; heaviness in the head, principally in the forehead; fulness of the head, as though the brain were expanding and moving in waves ; pulsations in the forehead, in the temples, or on the top of the head, when walk- ing, every step is felt in the neck; sore and bruised feeling in the brain, worse on shaking the head; the pain, heat, and fulness in the head ascend from the chest, neck, or back part of the head; shaking the head, stooping, and ascend- ing aggravates the headache; the headache is relieved by pressure, by walking in the open air, or by uncovering the head ; headache, with accelerated pulse, red face, sweat in the face, and, finally, unconsciousness; sparks and flashes before the eyes ; black spots hover before the eyes, with obscuration of sight and fainting; sensation of fulness in and around the ears; ringing, singing in the ears; fainting, with consciousness; unconscious falling down; pulsations, ting- ling, thrills, and a peculiar sensation of warmth throughout the body, extending from above downwards; convulsions, from congestion to the head; bad effects of mental excitement, fright, fear, or from exposure to the rays of the sun. General Symptoms. Heat, especially in the face, ascending from the stomach; pulse accelerated, irregular, intermitting, full and hard, or small and rapid; weakness, as from loss of sleep; very heavy sleep; restlessness, weakness, and want of circulation in the limbs; sensation of weakness and numbness in the left arm; a beating as of many pulses is felt in the tips of the fingers, accom- panied by trembling of the fingers; fulness, tension, and pulsation in the neck; the neck feels weak and tired; desire to take a long breath; palpitation of the oeart, with heat in the face, quickened pulse, and throbbing ofthe large arteries in the neck ; during menstruation or pregnancy, congestion of blood to the head or chest, headache, and fainting; increased evacuation of pale urine, particularly at night; redness or paleness of the face; sensation as if the under lip were swollen. 55 86t GRAPHITES. GRAPHITES. ;:;.-'! | 1/ External Surface. A general unhealthy condition of the skin,/,ln which the slightest injury has a tendency to become an obstinate sore; itching on the Bcalp; oozing eruptions, with moist scabs on the head; intense and continual dryness of the skin; swelling and inflammation of the skin, with or without the formation of blisters ; scabs on the chin and around the mouth ; oozing eruptions, forming scabs, or merely excoriation, behind the ears; reddish spots upon the Bkin; excoriation or oozing eruptions between the fingers and toes, and upon the inner side of the thighs ; spreading or corroding vesicles on the extremities ; callousness of the skin; swelling and crookedness of the toes; swelling of the legs and feet; burning heat in the feet, or coldness of the feet when in bed; dis- torted, crooked growth of the nails ; the nails grow in ; the sweats are commonly, if not generally, offensive; perspiration, especially on the head, induced by the least exertion ; great loss of flesh ; enlargements of the joints generally ; shiver- ing all over the body, chiefly upon getting up, but also towards night, sometimes followed by flushing of heat, and generally by sweat; the face is affected with red, inflammatory swelling, or with erysipelas; the hair, and even the beard and whiskers, fall off over the whole of the head, or become gray; the complexion is usually of a dirty yellow; oozing pimples break out on the face, or the chin appears quite raw; the lips are cracked and ulcerated ; the liver is swollen, hard, and generally tender; the belly is blown out with flatulency; swelling of the glands of the groin ; the glands of the neck and beneath the jaws are enlarged; there is frequently offensive sweating ofthe feet; intractable ulcers break out in various parts, but chiefly on the legs ; extreme tenderness to pressure in the groins. Nervous System, Brain, Senses, &c. There is absolute and insuperable repug- nance to the least exertion; agitation, with anxious, distressing, and uneasy thoughts, which continue in the dreams during sleep; the head feels as if it were numbed; the brain is muddled, and there is a sensation of reeling either upon first getting up or lying down; embarrassment in the head; the hearing is obtuse; an offensive smell is constantly perceived in the nostrils; the sight is confused or contracted, and there is much sensitiveness to light; a sensation prevails as if a web were gathered over the face; there is want of sensibility in the skin about the extremities, and the limbs feel dull and heavy; rolling, or roaring, or ringing noises in the ears. Menstruation, &c. The menstrual flow is retarded, scanty, and pale, particu- larly in women who have an unhealthy skin, with pimples in the face; delay of the first appearance of the menses in young girls ; suppression of the monthly flow, with heaviness of the limbs, and determination of blood to the head; during the menstrual period there arc colicky pains, violent headache, with nausea, swelling of the feet, chilliness, and fatiguing cough ; profuse, white, thin leucorrhcea, with weakness in the back. Nose, Ears, Throat, and Gums. Stoppage and painful dryness of the nose; dis- charge of thick matter from the nose; or constant dry heat in the nostrils, espe- cially about the bridge of the nose; dry scabs on the nose ; offensive, thick dis- charge from the nostrils ; the nostrils are sore, or even ulcerated ana cracked ; discharge of very )ffensive matter from the ears, cr excessive, parched dryness HELLEBORUS NIGER. 867 within the ear; scraping sensation and habitual soreness of the throat; the gums are tumid and unhealthy, and bleed upon the least touch. Stomach, Bowels, and Evacuations. General weakness of digestion; habitual nausea, especially in the morning; the appetite is inordinate or fastidious, and there is dislike for cooked food; sensation of weight in the stomach; vomiting easily provoked by anything nauseating; empty, sour, or bitter risings from the stomach, or vomiting of sour matter ; great collection of or bloating of the bowels with flatulency, with much expulsion of very offensive flatulency; large swelling of piles in the passage, and soreness after stool; inveterate costiveness, with hard evacuations; very small evacuations of the size of a round-worm; half- formed stools, with incomplete discharge, or very soft evacuations; deficient discharge of dark urine, depositing a brickdust-colored or whitish sediment, and becoming cloudy after standing a very short time ; increased discharge of urine at night. Pains. Aching or cramp-like pains in the stomach ; shooting pains in the teeth after cold drinks ; aching or darting pains in the eyes; cramp-like pains in dif- ferent parts; tearing pains in the scalp; pain as from a plug in the throat; achitig pain in the stomach, relieved by lying down, and going off when in bed, but sometimes ending in vomiting; violent pain in the nape of the neck ; cramp- like and tearing pains in the hands, especially in the joints; aching, bruised, or clawing, wrenching pains in the loins. Eyes. Gluing of the lids, and flow of tears; accumulation of dry matter in crusts upon the eyelids and lashes; inflammation of the eyes, with redness of the white of the eye. Breathing. Breathing impeded, with sensation of strangling, when walking out, or when falling asleep; suffocative attacks, with intense oppression at night; squeaking voice; tenderness of the opening ofthe windpipe to pressure; attacks of coughing during the night, caused by drawing a long breath. HELLEBORUS NIGER. / /(/} *&. /f%f'. ,;' External Surface. Dropsical swellings, whether local or general, of sudden development, and attended with an inflammatory condition; loss of control over the mu-cles of voluntary motion; the limbs can only be exerted, or muscular movement can only be made by much effort of the will; the face is puffed and pallid; the whole surface of the head is sore to the touch, as if it had been beaten; the glands of the neck are much enlarged; the belly as if pulled up with dropsical accumulation; the skin is deficient of color, and is puffed up or cast off all over the body, or it is puckered and tender, generally cold, and often affected with shivering; sweats break out in the latter part of the night, and towards evening there is shuddering and trembling internally, with intense heat of the surface, particularly of the head; the forehead is wrinkled, and the complexion sometimes exhibits a yellowish hue. Breathing. The breathing is short, hurried, anxious, much impeded and oppressed, or deep and slow; there is sometimes much heat in the chest, with exceeding tightness and difficulty of breathing, or with a short, interrupted, dry, and hacking cough ; attacks of suffocation come on, with palpitation of the heart, and tightness of the chest and throat, and even obstruction of the nostrils. Nervous System, Brain, Senses, &c. There is total loss of nervous control; the 868 HEPAR SULPHURIS CALCAREUM. senses are generally obtuse; the feelings most anxious and desponding; the head feels stunned and stupefied; and there is dull, pressive sensation at the back of the head; the look is unconscious, fixed, and vacant, and sensitive of light during the day; the eyes are turned upwards, and remain half open during sleep; the dreams are anxious and confused, many incoherent thoughts presenting them- selves, and the patient is intensely drowsy; fainting-fits, or even convulsions, with local cramps occur; the head is sunk into the pillow; there is numbness of the tongue; the knees totter and fail, and the hands lose their grasp, or the fingers become stiffened with cramps. Pains. Darting pains in the joints ; acute and piercing pains; or, sometimes, dull, wavering pains in the joints, of the legs and feet in particular, as also in the joints of the arms, hands, and fingers ; similar pains in different parts of thq body, particularly emanating from the membrane investing the bones; the pains' have a tendency to be aggravated by exposure to the open air, by eating or drinking, or by fatigue, succeeding bodily exertion; pain pressing downwards in the eyes ; painful distension of the stomach. Eyes, Tongue, and Mouth. The eyes are heavy, the tongue swollen, and the roof ofthe mouth very dry, so that the tongue cleaves to it. Stomach, Bowels, and Evacuations. Sensation of weight, and inflation of the stomach ; the swelling and distension of the stomach are particularly inconvenient after eating, and cause oppression of breath ; there is nausea, sometimes also accompanied with inordinate hunger; general fastidiousness of appetite, and dislike to food; the motions are very frequent and watery; there is relaxation of the bowels, or severe purging, attended with nausea, and griping pains in the bowels; straining, followed or attended by discharge of glutinous phlegm or slime ; the urine is scanty, and of a dark color, but there is much urging to pass water ; or emission of a large quantity of pale, watery urine. HEPAR SULPHURIS CALCAREUM. External Surface. Inflammation of the skin (with red, hot, swelling); soreness of the parts affected upon contact; pimples or small tumors amongst the hair on the scalp, which are very tender and sore to the touch; unhealthy condition of the skin, with tendency to ulceration ; inflammatory or suppurative swellings of the glands, with chronic ulceration; ulcerative or eruptive affections of the skin, characterized by offensiveness of the discharge or oozing; eruption of white blotches, with redness of the surrounding skin, and excessive itching, tingling, and heat; cracking of the skin in various parts (chaps); knotty swellings of the joints, very sore and tender to the touch ; sweat is easily induced ; intense dry heat all over the body at night; or flying flushes of heat, accompanied or followed with sweats ; burning redness of the face, or inflammatory swelling (erysipelas) of the face; nettle-rash on the hands and fingers; chopping of the hands; hard swelling of the breasts; very offensive sweat in the arm-pits; heat, redness, and swelling of the ankles; oozing scabs on the head; incrustations behind the ears; red, hot swellings of the joints; sticky, sour perspiration; or perspiration especially at night and in the morning ; the hair falls off and the head becomes quite bald; redness and swelling of the nose, with much heat; the lips are swollen or ulcerated ; pimples break out on the forehead in doors, but vanish upon going into the open air; swelling and suppuration of the glands of the neck, arm-pits, and groin; swell HYOSCYAMUS NIGER. 869 Ings of the ankles, feet, and knees; chapping of the feet; yellowish complexion with livid rings around the eyes; boils and abscesses in various parts (this medi- cine hastens the suppurative process). Breathing. Weakness of the chest, and loss of voice or whispering when speaking; wheezing, hurried, rattling, or anxious breathing; or short breath, coughing, and copious expectoration; violent and suffocating fits of coughing, ending in convulsive retching; deep, stifled cough, with difficult breathing; obstinate hoarseness, with rattling, harsh voice; habitual night fever and extreme tenderness of the upper part of the windpipe ; croup; croupy cough; long, shrill inspirations between each cough; complete oppression or stifling of the breath, with throwing back of the head to relieve the obstruction of the windpipe ; the cough comes on immediately after swallowing fluid ; dry cough, accompanied with spasmodic retching and vomiting; or moist cough, attended with rattling of phlegm on the chest; feeling of suffocation in a recumbent position: dry, hoarse cough; cough arising from tickling in the throat, or from a sensation as of dust in the throat. Stomach, Bowels, and Evacuations. General derangement of digestion ; sensa- tion of extreme weight, with distension of the region of the stomach, even after the lightest and most sparing meal; rising of the contents of the stomach, with harshness and scalding in the throat; intense thirst; variable appetite, sometimes fastidious, in other cases voracious; vomiting of greenish, bilious, or sour mat- ter, mixed with phlegm ; urging to evacuate the bowels, with straining, sluggish, scanty, dry evacuations; or very relaxed blood-stained, clayey and slimy, or whitish and sour-smelling motions; very hot and dark-colored urine, chiefly dis- charged at night — or copious but cloudy, whitish urine, with sediment of the same color. Pains. Dragging, tearing, stitching pains in the limbs and joints, particularly felt when touched ; pricking pains in the throat, as if a splinter or fish-bone were lodged there; piercing, thrusting, digging, or boring pains in the head — or pain in the forehead, as if crushed or rent open; jerking, gnawing pains in the teeth; tearing, jerking pains in the bones of the face, spreading to the jaws, temples, iud ears; stitching or cutting pains in the region of the liver and spleen when the feet are put to the ground ; cutting or clawing pains in the bowels ; aching pains in the hams when sitting; shooting or bruised pains in the loins, or shoot- ing, cutting, stitching pains in the chest; the eyes are painful when moved. Eyes and Ears. Chronic inflammation of the eyes, eyelids, and ears; red, hot, inflammatory affection of the eyes; inflammation, with offensive discharge of matter from the ears; itching of the ears, or the ears externally red and swollen; glueing of the eyelids during the night; protrusion of the eyes, or the eyes spas- modically closed; flow of water from the eyes during or towards the night, and tenderness of light by day. Mouth, Throat, and Gums. Whitish-looking, curdy ulceration in the mouth, swelling, heat, and redness of the tonsils; the gums hot, ted, swollen, and tender, and bleeding readily; ulceration of the gums. HYOSCYAMUS NIGER. Nervous System, Brain, Senses, &c. Violent and general convulsions of the frame, with loss of consciousness; jerking of the limbs and twitching of the 870 HYOSCYAMUS NIGER. tendons; involuntary evacuations from palsy of nervous power; epneptic con- vulsions (with purple and tumid face); plucking at the bed-clothes; aberration of mind, with the prevailing idea that some calamity is impending, or that the patient is under restraint, from which he struggles to escape ; red, fixed, and con- vulsively distorted eyes; excessive expansion of the pupils and spasmodic closing of the eyelids; delirium which runs upon active avocations — or total lethargy, with plaintive cries, especially provoked by touching the patient: delirium run- ning upon the idea that mischief is meant to one; reeling giddiness ; spasmodic closing of the throat upon every attempt to swallow liquids; violent hiccough, especially after taking the least food; sudden falling, attended with shrieking and convulsions; paralytic incapacitation of one side of the body; drowsiness or heavy lethargic sleep, with convulsions — or wakefulness from anguish or nervous excitement; frenzy and rage, attended with preternatural physical strength; ridiculous laughing and chattering; conduct as of one possessed, furious, quarrelsome, and reproachful mood; total aberration of mind; melan- choly, from unfortunate love; delirium without consciousness, knows no one and has no wants; when spoken to, the answer is properly given, but unconscious- ness and delirium immediately return ; mania, with lasciviousness, and occa- sional muttering, or, with determination to uncover the whole body and lie naked; staring, vacant expression, objects appear magnified to the sight and assume a red hue; spasmodic affection of the chest; antipathy to liquids; paralysis ofthe tongue, all power of articulation is lost; the head rolls or oscillates from one side to the other; the patient squints spasmodically, or sees objects multiplied; the jaw is rigidly fixed, and the teeth are firmly set; gulping, gasping convul- sion of the throat and chest; the hands and arms tremble violently, the thumbs are drawn up and the fingers clenched; the knees, thighs, and legs are rigid, or relaxed and helpless ; the powers of smelling and tasting are suspended. Eyes, Face, Mouth, Tongue, and Throat. The eyes bright-red and protruded, or dull, inanimate, and drooping; the eyelids are swollen; the face is pale, with bluish hue, or bright blood-red, or brown-red and bloated; the tongue is red, dry, and parched; the mouth is full of frothy saliva, and emits an offensive odor, or it is completely parched, and the throat is swollen. Stomach, Bowels, and Evacuations. Vomiting of mucus, blood and food ; bowels confined or involuntarily relaxed; looseness of the bowels, with whitish, slimy, stools; urine suppressed, or characterized by involuntary discharge ; tenderness of the stomach to pressure; constant urging to stool and watery discharge. External Surface. Boils, gangrenous blisters, and brown spots or stains upon the skin; eruption of pimples like that of smallpox; harshness and dryness of the skin; great heat and irritation over the head; swelling of the hands and feet; intense and intolerable heat of the skin, particularly in the head and shoulders, running through the whole body. Breathing. Tightness and oppression at the chest, with anguish and shrieking, and dry, spasmodic cough at night, from continuous tickling in the throat, or as if the palate were too long (particularly in old people), chiefly when in a recum bent position, and relieved by sitting up. Pains. Pain in the head, as if it had been struck heavily; pain, shifting from the nape of the neck to the centre of the brain; strained pain in the muscles of .he belly; clawing, pinching, shooting, or cramp-like pains in the bowe^, espe- IGNATIA AMARA. 871 daily, with clawing about the navel; dull, aching pain about the liver; 01 burn ing, throbbing, and shooting pain in the stomach; aching pain in the lower part of the back. IGNATIA AMARA. Pains. Excessive bodily pains; intense, piercing pain in the head, as if a nail were thrust into it; digging, boring, or piercing pains on one side of the head, or in one eyebrow; pains as of bruises, particularly in the membranes investing the bones (especially the long bones), when lying on one side in particular, but relieved by lying on the back at full length; pains, exacerbated by smoking, or by drinking coffee or brandy; pains, lessened by lying on the back, or on the part affected; forcing, constrictive pains, like those of labor; wry violent pains, without, however, much general constitutional disturbance; insupportable pains in the bones and joints of the arms; spasmodic, aching, intense pain at the back and front of the head; pain in the eyes, as if there were sand in them; cramp- like pains in the womb, especially during the menstrual period; pains in the teeth, as if they were being broken asunder; aching pains, or shooting, tearing, and throbbing pain in the glands under the jaw; throbbing, beating, or hammer- ing pains in the head; violent, tugging, clawing pains in the small of the back. Nervous System, Brain, Senses, &c. Spasms, with the body rigidly bent back- wards, and attended with purple face, foaming at the mouth, spasms of the jaws, fit3 of suffocation, and loss of consciousness ; yawning, with excessive straining ofthe lower jaw, night-sleep restless and unrefreshing, and attended with moan- ing, dreaming aloud, and catching of the limbs ; disposition to whining, melancholy, grief, attended with moaning; temper headstrong and irritable, with impatience of contradiction ; stitches in the throat, and sensation as of a lump in the throat between the operations of swallowing; hysterical spasms, especially if caused by fright or grief; deep sighing ^.nd. sleep as the spasms subside; dizziness, with ap- pearance of sparks before the eyes ; throwing back of the head; general trem- bling of the body ; the human voice is most distinctly heard, to other sounds the hearing is less alive; jerking or twitching of the arms and legs; hysterical de- bility, with frequent fainting-fits; hiccough after every meal; feeling of weakness, sinking, and emptiness at the pit of the stomach ; mistiness of sight, or dread of light; convulsive twitching of the corners of the mouth; spasmodic tightness of the throat; bad effects following suppressed grief. Menstruation. Excessive and too frequent menstrual discharges; menstrua- tion recurs at intervals of a fortnight; general derangement, with excessive nervous susceptibility at the menstrual period, and with much pain and palpi- tation. Stomach, Bowels, and Evacuations. Aversion for milk and tobacco; appetite impaired and speedily satisfied; earthy taste in the mouth; risings, consisting of the food or of bitter fluid; sickness at the stomach, with great agitation and vomiting of food; confinement of the bowels, attended with urging to evacuate, and a tendency to protrusion of the lower intestine ; evacuations containing thread- worms; rumbling of the intestines, with loose evacuations, consisting chiefly of froth, slime, and blood ; or, on the other hand, large, yellow, or whitish and hard motions, expelled with much effort. Breathing, Chest, &c. Constriction of the throat and chest, accompanied by dry cough; sighing rapiration ; oppressed breathing (with palpitation of the heart 872 IPECACUANHA. at night, and on first waking in the morning, and coming on with the excitement of one's thoughts); anxious, oppressed, impeded breath, as if a very heavy pres- sure were exerted against the chest; hollow, spasmodic cough, as if caused by the vapor of sulphur or by dust in the pit of the throat, or by tickling above the pit of the stomach; the longer the coughing spell continues, the greater the irri- tation to cough becomes. External Surface. Nettle-rash, irritated and itching; sore places on the skin; alternately flushed and pallid, or livid and sunken face, with hollow eyes; great heat throughout the body, with redness chiefly of one cheek (and absence of thirst); perspiration breaks out whilst eating; shivering chills, affecting the back and arms in particular; tremulous state ofthe head ; swelling of the glands beneath the ears; shedding of the hair; knotty enlargements of the glands of the neck; hot and copious perspiration on the hands; excessive tenderness of the soles ofthe feet, as if blistered when walking. Mouth, Throat, Tongue, and Teeth. Great heat and redness, with more or less swelling of the surfaces inside the mouth and of the palate, and collection of phlegm in the mouth and throat; redness, heat, and swelling of the tonsils, or even small ulcerated spots on the tonsils ; the tongue thickly coated and white, but moist; or constant biting of the tongue whilst speaking or masticating; thn teeth often loose. IPECACUANHA. Breathing, Chest, tec. Gasping for breath, with spasmodic tightness (sensation of strangling) at the opening of the windpipe ; hurried, anxious, difficult, and impeded breathing; the least exertion leaves the patient quite out of breath; sensation as if the windpipe were choked up by the inhalation of dust; asthma, with spasmodic, suffocative paroxysms; rattling of phlegm in the air-tubes; suffo- cative attacks of coughing (attended with rigidity of the body, and blueness of the face); spasmodic or convulsive fits of coughing, with long, loud, or shrill inspirations; the cough is chiefly prevalent, or aggravated at night (and is accom- panied with complete loathing, or terminates in violent retching and vomiting) ; continuous cough, with perspiration on the forehead, streaks in the head, nausea and vomiting.' Stomach, Bowels, and Evacuations. Taste like that of blood in the mouth; antipathy to food; ■ vomiting of phlegm, bile, and food; vomiting of bright-red blood, or of clotted blood ; bilious vomiting, accompanied with purging ; the least cold drink induces convulsive retching, or heaving at the stomach; extreme uneasiness and indescribable discomfort, with feeling of emptiness and flaccidity in the region of the stomach; sickness at the stomach, with abundant flow of watery fluid in the mouth ; vomiting of very dark, or perfectly black, liquid, and putrid matter, with or without purging of similar matter; very copious and easy vomiting; constant nausea; loose evacuations from the bowels, containing white patches, or consisting only of froth, or of "froth and slime, tinged with blood, and followed or accompanied with violent urging or straining; discharge of pure bright-red blood at stool; looseness of the bowels, with yellow, slimy, or green, and perfectly putrid motions; stools resembling pitch, also perfectly putrid. External Surface. Pallid hue of the countenance, with blue rings around tne eyes; spasmodic paroxysms, in which the body is rigidly bent backwards, the features are distorted, the face red and bloated, and there is twitching of the KALI CARBONICUM. 873 muscles of the face, lips, and eyelids; red hue of the skin around the mDuth ; miliary eruption ; chilliness and coldness; sudden flushes of heat, attended witb perspiration; pale and bloated face, with livid circles round the eyes; yellow and livid complexion; excessive and very rapid loss of flesh ; intense heat in the palms of the hands, or general and very dry heat of body during the hot stage of the fever-fits, and immediately following the chills and shuddering; during the chills, the rigors are rendered only the more violent by the external application of heat; copious perspiration during the hot stage and as the fever advances; very profuse perspiration, with coldness of the hands and feet. Nervous System, Brain, Senses, &c. General or local spasms and convulsions, or total spasmodic rigidity of the body, with bending backwards; gnawing and agitation, and jerking of the limbs during sleep; the eyes only partially closed during sleep; deep, sullen, dissatisfied, and contemptuous humor, or excessive irritability and impatience of disposition; muddled sight, and dilatation of the pupils ; uncertain, oscillating gait, with reeling giddiness ; jerking and twitching of the muscles of the face, more especially about the lips, with tremulous condi- tion or quivering of the eyelids; fits of sudden weakness (atteuded with nausea and loathing); great general debility ; oppressive weight on the head. Pains. Bruised pains in the brain and skull, or similar pains in all the prin- cipal bones of the body; excessive pain in the region and pit of the stomach; disjointed pain in the hip; sore, lacerated pain deep in the chest; very severe bearing-down and forcing pains (of females); cramp-like, clawing, pinching, griping pains in the bowels, especially after eating, or drinking cold water; colicky pains of very young children (with wakefulness and agitation, and draw- ing up of the legs, and yellowish or greenish, or frothy evacuations); sudden attacks of wrenching toothache. Womb, Menstruation, &c. The menstrual discharge appears before the proper time, and is usually in excess, and too coagulable or clotted ; jioodings, with dis- charge of bright-red blood, in jets, or of bright blood which readily coagulates, with nausea and oppressed breathing. Nose, Eyes, Mouth, Tongue, &c. Cold in the head; discharge of bright-red coagulable blood from the nose; abundant flow of saliva, with soreness in the mouth ; clean and red, or thickly coated tongue ; tongue loaded with a whitish, quite white, or yellowish coating; collection of oozing matter in the corners of the eyelids, with redness and heat of the eyes. KALI CARBONICUM. Stomach, Bowels, and Evacuations. Craving for sweet or sour things; bitter taste in the mouth; greasy food and milk invariably disagree ; sense of fulness and weight, at the stomach after eating (as well as extreme irritability and ill- humor, dull pain in the head, heartburn, and distension of the belly); sickness at the stomach, with vomiting of sour matter and of food; great languor and sensation of faintness; constant sour risings from the stomach; extreme sickness at the stomach, with anxiety and desire to vomit; uneasiness and pressure in the belly; partial and incomplete, or very abundant expulsion of flatulency; cold- ness in the belly, and inactivity of the bowels ; great tightness ofthe belly, with costiveness. and evacuations of large motions with much effort or want of mus- jular contraction in the lower part of the bowels; great effcrt to evacuate with 874 KALI CARBONICUM. out effect, or with very snail and insufficient discharge , bleeding piles; eruption of pimples and soreness in the orifice; hot, scanty, scalding urine, with continual desire to make water; discharge of urine at very short intervals. Breathing, Chest, &c. Intense oppression at the chest, with impeded or hurried and anxious, or wheezing breath; choking sensation and want of breath in the morning, upon running or walking rather briskly; fits of coughing, sometimes very violent or even convulsive, occurring the first thing upon getting up, and continuing until phlegm or matter has been dislodged, which is only effected by much effort; the least physical impediment to free access of air induces a sensa- tion of stifling, or the least pressure on the throat or windpipe seems to choke the patient; harshness of the throat, with rough, continued hoarseness; cough without any expectoration, but dry and hacking at night; the movement of the arms induces coughing, or there is a constant irritation in the chest or windpipe, which induces a short, dry, hacking cough; the cough is worse after midnight, in the early morning hours. External Surface. Pale, or yellowish, haggard, sunken countenance, with hol- low eyes; pallid puffiness of the face ; or puffing, with red cheeks and eruption of pimples : no position seems easy, all parts appear sore and tender on pressure, even when lying down ; draughts of air — or even the open air simply —are dis- agreeable, and the least exposure induces cold; excessive dryness and harshness of the skin and hair ; perspiration cannot be induced; red or yellowish patches in various parts, which itch and burn, which the patient cannot resist scratching violently, and which emit a thin, pale-reddish humor after scratching; the hair falls off in large quantities; sweats sometimes break out at night, or when walk- ing, or during intense mental application; there is predominant chilliness, shiv- ering, and shuddering, which sometimes continues during the whole day, but which is chiefly prevalent towards night; oozing eruptions, forming scabs amongst the hair; red, hot swelling of the glands beneath the ears; swelling and ulceration of the lips; intense heat, redness and swelling of the nose, with eruption of pimples on the nose; the belly is enlarged and distended with drop- sical accumulation ; dropsical swelling between the eyebrows and of the eyelids; swelling and hardness of the glands of the neck and armpits; dropsical swelling of the feet, and even of the legs; very offensive sweat on the feet; the feet are constantly cold night and day, or numbed and torpid after eating; the hands are cold, harsh, and chapped; cracking and peeling of the lips, in large, scaly patches ; swelling of the cheek; the hands tremble when the patient attempts to write; the tips of the fingers are benumbed. Menstruation, &c. Feeble menstrual discharge, often occurring before the proper time; copious and habitual flooding during pregnancy; eruption, with itching, gnawing, and soreness between the thighs; and within the passage; con- tinual sensation of weight and pressure downwards in the womb and lower part of the belly; the menstrual discharge produces great soreness and a constant gnawing, itching sensation; discharge of whites, with yellowish matter and scald ing sensation during the intervals; the menstrual discharge is suppressed. Pains. Spasmodic pain in the chest, especially felt whilst coughing; cutting, darting pain through the chest; burning and shooting pains in the chest; shooting pains occasionally provoked by talking; dull, aching pain when talking; jerking tearing, aching pains in the teeth, particularly felt after going to bed at night, LACHESIS. 875 or occurring only when eating, or after drinking cold fluids — or constantly in the morning; continual bearing-down pains, more or less acute (in females) ; spasmodic, pinching, darting, or pressive and aching pain either affecting the ivhole region of the stomach, or one fixed spot; stitching, piercing pains in all parts of the bowels; violent pains in the lower part of the belly, like those of labor ; or pinching, clawing, griping, colicky pains; shooting pains, which appear to emanate from deep in the cavity of the ears, and to dart outwards; tearing, dragging pains in the limbs, worse when at rest— or only felt under such condi- tions ; drawing, tearing, or stitching pains in the head; intense frontal head- ache ; aching pain in the head, induced by coughing, or any other effort of the kind — or by the motion of a carriage; or very severe aching pain confined to one side of the head (sometimes attended with sickness), and rendered unbearable by the least movement; tearing, thrusting, and pressive pain in the eyes; tugging pains in the muscles and joints of the extremities generally, especially prevalent at night. Nervous System, Brain, Senses, &c. Want of muscular strength, or rather great languor in the arms; numbness, torpor, and insensibility of various parts, chiefly of the extremities; absolute paralytic weakness, general or local; fainting sen- sation, with trembling during exercise; stiffness (with coldness and numbness) ofthe arms, elbows, and feet; obtuseness ofthe sense of smelling; indistinctness and weakness of hearing; bright light and variegated colors in the eyes when closed; great tenderness of light, with complete dazzling by bright light, and bright flickering sparks before the eyes when intently fixed; giddiness when the head is suddenly turned; very extraordinary irritability; excessive timidity; heaviness and drowsiness in the day, with light sleep or very retarded sleep at night — or with agitated, interrupted, and disturbed sleep ; the memory fails; the hearing is sometimes very keen at night, when in the recumbent position. Mouth, Throat, Tongue, and Ears. Great accumulation of phlegm in the mouth and throat, or which adheres to the roof of the mouth, and is detached by hawk- ing; great difficulty in swallowing, the food passes down the throat slowly and with difficulty; red and hot swelling, and ulceration of the gums; offensive smell from the mouth; profuse collection of spittle in the mouth, which, nevertheless, feels very dry; eruption of small blisters throughout the mouth and on the tongue, with great soreness; internal inflammation of the ears, sometimes resulting in the formation of an abscess, and the discharge of thick, cloudy, or flaky matter, or of thin liquid ear-wax; oozing and soreness behind the ears. Nose and Eyes. Discharge of blood from the nose, occurring habitually in the morning; dryness and stuffing of the nose, or stuffing of the nose with accumula- tion of greenish-looking or yellowish mucus — there is watery discharge tinged with blood; rawness of the interior of the nostrils; constant watering of the eyes; or exudation of thick humor, with adhesion of the lids during the night; swelling of the eyelids, sometimes so great as o prevent their being opened; depressed and filmy look of the eyes; heat and redness, with or without swelling of the eyes and soreness — or small abscess in the corners of the eyes, with smarting when exerted by candle-light. LACHESIS. Nervous System, Brain, Senses, &c. Aversion to exercise or exertion; exsessive prostration ofthe mental and physical power, with great deterioration of men: ory, 876 LACHESIS. paralysis, with rigidity and a feeling of weight in the limbs ; con'ulsive or epilep- tic paroxysms, with clenching of the fists, shrieking, tossing of the limbs, ad loss of consciousness (with palpitation and reeling giddiness, and preceded by cold feet, belching of wind, flatulent distension of the bowels, and pallid counte- nance) ; fits of fainting (with difficulty of breathing, nausea, and cold perspira- tion) ; jealous, quarrelsome, and irritable disposition; anxiety, despondency, and despair of recovery; fantastical imagination; violent trembling of the hands; sensation as if a lump were in the throat, with convulsive arrest of the power of swallowing; violent agitation at night, and variable dreams, running on horrors, or on imaginative or voluptuous ideas; delirium, with constant muttering or talk- ing during the night; flashing of bright light before the eyes, or appearance of blueness in the light; hazy, veiled, darkened, or very weak sight, or generally extreme tenderness of light; total want of the sense of hearing, or very obtuse hearing, wifh sounds of a loud, rolling, or rumbling character in the ears; palsy or spasmodic rigidity of the tongue, with loss of the power of articulating; horror of liquids; violent convulsive hiccough; involuntary discharge from the bowels and of urine: spasmodic and suffocative attacks in the chest; chattering and grinding of the teeth. Stomach, Bowels, and Evacuations. Extreme tenderness of the pit of the stomach to pressure; excessive flatulency, attended with giddiness, eructations, and desire to vomit, or eructations and vomiting, by which the patient feels relieved ; total absence of appetite, or morbid craving for particular food; the tenderness of the stomach is so great that the patient cannot even bear the weight of the bed- clothes; the least food provokes a violent attack of vomiting, with discharge of greenish, bitter, or bilious matter, and sometimes even of pure blood, or of dark, bloody-looking matter, or of almost black matter; the bowels are puffed up with flatulency, and the belly is hard, tight, and full; very slimy, even black, or quite liquid evacuations of a dark color — or, again, soft evacuations, in any case very offensive, if not perfectly putrid; very loose motions immediately after taking food, or, in other cases, very intractable constipation, with hard, slow, and diffi- cult evacuations, or alternate costiveness and looseness of the bowels; liquid and quite involuntary discharge from the bowels;. thick, dark, brown, or bright- yellow and cloudy urine, with gritty or reddish sediment, with constant desire and urging, but very scanty, though frequent, discharge, and much scalding. Breathing. The upper part of the windpipe very susceptible to the touch; sen- sation as if suffocating, especially at night, in a recumbent posture, particularly when the bed-clothes obstruct or even approximate to the nostrils or mouth: the patient cannot bear anything round the throat; dry, short cough, or convulsive cough, as if something required to be cleared away from within the windpipe, but without effect; cough of a suffocative character always after sleeping—or immediately upon lying down, or even during sleep, or coming on during sleep with a suffocative sensation, which compels the patient to spring from bed, and rush to an open window for air; deep, stifled, hollow, harsh, guttural voice, with habitual hoarseness; extreme sensation of strangulation in the upper part of the windpipe; great shortness and difficulty of breathing, with an effort to obtain more breath ; attacks of impeded respiration after taking food ; offensive breath ; diphtheria; croup, which comes 'on or is aggravated afler sleeping. External Surface Swelling of the feet and hands, with redness or heat, but LACHESIS. 877 more generally with coldness, purplish, or even blackish hue; small swellings, pimples, warts, or nettle-rash; complexion of a yellowish hue; eruptions of the nature of itch on the extremities; whitlows at the ends of the fingers; extreme coldness ofthe extremities, especially ofthe feet; dry, mealy, itching eruptions, with large, yellow, or bluish-black blisters or blains ; ulcers on different part? without depth, but with a foul, corroding bottom ; hard tumors or abscesses : dry and intense heat, particularly at night, and especially of the hands and feet; or alternate flushes of heat, and coldness or chills; copious sweat after the heat, or particularly towards morning; cold, clammy sweats; abscess on the heels; much irritation of the arms, upon which pimples appear after scratching; the feet are as cold as ice, and generally covered with clammy sweat; scabs and sore places behind the ears ; angry, unhealthy sores (with other symptoms analogous to those of plague); hollow, drawn, cadaverous, leaden, or pallid face.; red, ting- ling swelling of the face; flush-spots on the cheeks; eruptions of bluish pim- ples or stains upon the face or elsewhere; carbuncles, with purple-colored sur- roundings, and small boils around the circumference; pains in, or bleeding from old wounds. Periodicity. The pains and fever-fits have a tendency, to return every nigfit, lasting until the morning, or every other night in the same way, or there may be partial diurnal remissions, with a more decided remission on alternate days, or, again, complete intermission of the symptoms during the intervals; the symp- toms generally are worse at night, or are aggravated after sleeping. Pulse and Circulation. Tremulous, intermittent, or scarcely perceptible pulse; or very feeble and quick pulse, or, again, irregular and sinking pulse; violent agitation, and beating, or fluttering, tremulous palpitation of the heart. Nose, Mouth, Tongue, Throat, and Gums. Dry, burning heat, with stuffing in the nose ; constant, dark, thick, or bright-crimson discharge of blood from tho nose; scabs in the nostrils ; copious flow of acrid, scalding, limpid fluid from the nose; the interior of the mouth hot, swollen, and dry; the tongue dry, vivid-red, and cracked, or glossy and red, or swollen, dark-brown, or 'even quite black; profuse flow of saliva in the mouth — drivelling; limited soreness of the throat, or soreness of the throat with swelling, heat, and bright redness of the tonsils, accompanied by soreness at the opening of the windpipe, in the ears, and over the gums ; pricking, or tickling continually felt in the throat; collection of sticky, stringy phlegm in the throat; the throat quite parched; the gums swollen, and extremely tender ; the tongue, mouth, and throat burn and smart, as if from red pepper. Eyes and Ears. The eyes dry and gritty ; very bright, and convulsively fixed or agitated; or yellowish, muddy, and inanimate; the ears intensely dry, with deficiency of ear-wax, and what there is, dry, crusty, and whitish. Pains. Tearing pain and contraction in the joints affected; aggravation or return of pain after sleeping; pains which have a tendency to return at stated periods; acute and dragging pains in the limbs, with a feeling as if contused, on movement; intense headache before the convulsions or before the declaration of the fever-symptoms — in the latter case continuing; aching pains in the bones; keen, drawing, rheumatic pains; pains deep in the brain-; aching, bursting, pressive pain in the head, as if the skull would be rent open; pains in the head jpon waking every morning, or towards the close of the day; violent, aching 878 LEDUM PALUSTRE. pains in the teeth (with heaviness of the limbs, headache, and alternate flushing and chills); intense, aching, and tearing pains in the stomach, and burning pain in the throat; aching pains in the bowels, with soreness and tenderness; burn- ing pain in the passage upon passing water, and pressing, forcing pain in the bladder; aching, drawing pains in the small of the back and hips, and cramp- like pains, especially at the menstrual period. Menstruation. Feeble, insufficient, slow menstrual discharge, with much suf- fering ; sufferings of females at the turn of life; labor-like pains during menstru- ation, t i h" LEDUM PALUSTRE. 'rflt-ff, 'H"\J.'-Vvv ,/^-J External Surface. Hard, knotty swellings, with distension of the skin, heat, and a glossy appearance of the joints, and especially of the knees; swelling and tenderness of the great toe; swellings, with stiffness of the elbow, knee, and finger-joints; dropsical puffing of the skin all over the body, or dropsical swell- ings of the feet and legs; intense heat of the whole body, but particularly ofthe limbs and joints, when in bed ; pallid and bloated face, or general paleness of the face, with occasional flushing; red eruptions, or dry, scaly, mealy eruptions on the face, with whitish scabs — which, when cast, leave the skin of a fiery red- ness ; very troublesome itching, as if from insects, even under the skin, which provokes the patient almost to lacerate the parts ; sour-smelling sweat; eruption of purple spots or stains on the skin; great flushing of heat and sweating alter- nately; great heat, especially at night — at other times, chiefly deficiency of warmth, or, more particularly, coldness of the limbs, and shivering, with a crawl- ing sensation; gnawing, itching of the scalp and forehead; swelling of the glands under the chin; gnawing, and very intolerable itching, with brownish or reddish spots on the chest, worse when heated — or fine rash on the chest; hot, red swelling of the legs and feet. Breathing. Gulping, gasping for breath ; intense oppression, and tightness of the chest, worse when moving, and attended with difficult, impeded respiration; fatiguing, hollow cough, followed by spitting of bright-colored blood; or, morn- ing cough, with expectoration of thick matter, or of offensive greenish phlegm, or sudden arrest of breath, followed by a violent fit of coughing. Organs of Digestion and Evacuations. Deficiency of appetite, and great thirst, generally attended with nausea, and with great weight in the stomach, after par- taking of the least food, although of the lightest description ; frothy, bloody evacuations, generally preceded by costiveness; frequent urging to pass water, with deficient discharge, or very copious discharge of limpid urine at short inter- vals (sometimes every hour). Eyes. Scalding flow of tears from the eyes; itching in the corners of the eyes. Nervous System, Brain, Senses, &c. The hearing is obtuse, the sight dull and confused, or affected with the appearance of flashes of light before the eyes; the taste is earthy, insipid, clammy, or bitter; the pupils are expanded; the head swims, especially when the patient attempts to stoop, or goes into the open air; the lower extremities and joints generally, especially those of the thigh and knee, are relaxed and infirm; the knees tremble and knock together; the hands tremble, and the grasp is relaxed and unsteady ; the mind is embarrassed and confused, and the brain appears to undulate. Pains. Pulling, digging, drawing, or shooting pains in the joints; very acute LOBELIA INFLATA — LYCOPODIUM. 879 pains, like those of gout or rheumatism; shooting, jerking, tearing, or boring pains in one tooth, or in the bones or nerves of the face, especially during the night; heavy and very severe, beating pains in the head, or very oppressive and perfectly stupefying pain over the top of the head ; pains, as of soreness in the soles of the feet; aching pains in the shoulders and elbows ; or darting, cutting, or tearing pains in the arms or shoulders; burning and aching pains in the eyes. LOBELIA INFLATA. Periodicity. The fever-symptoms have a tendency to recur at intervals of twenty-four, forty-eight, or seventy-two hours; but mare especially the first, commencing with a partial cold stage, towards noon, and subsiding with profuse perspiration, towards midnight, and succeeded by a perfect intermission during the interval; intermittent fevers, with predominant affection of the chest, and considerable disturbance of digestion, and with extreme lassitude and exhaus- tion. Breathing. Impeded, oppressed, and difficult breathing, with sensation of weight, tightness, and oppression at the chest; or short, hurried, anxious, and interrupted breathing; stifled breath, with efforts to draw more breath; feeling of difficulty of breathing, as if the air-passages were choked up ; the patient can- not hold the breath, and the inspiration is shortened by a sensation as if the lungs were full, which compels the patient to exhale. Stomach, Bowels, and Evacuations. Intense nausea, with profuse flow of water in the mouth; shaking hiccough; weight, as if a mass of lead were in the pit of the stomach; flatulent distension of the belly; soft, woolly, greenish, and loose evacuations, and increased discharge of urine, both in quantity and frequency. Mouth, Throat, and Tongue. Accumulation of stringy phlegm in the throat, and of water in the mouth; the tongue white, and thickly coated, more particu- larly on one side. Head. Uneasy sensation in the head, with great but obtuse pain in the back and top of the head. Nervous System. Weariness, exhaustion, and excessive languor, with heavi- ness of the limbs, and strong disinclination to move; great depression of spirits, and anxious foreboding. LYCOPODIUM. External Surface. Pallid and livid, or yellowish complexion ; itching of the skin over the whole body, or in particular parts, as soon as the patient becomes warm ; ringworm on the face ; pimples and freckles on the face; periodical appear- ance of large boils; eruptions, accompanied with much oozing on the scalp, and emitting an offensive odor; falling off of the hair; yellow hue of the skin on the nape of the neck; repeated attacks of coldness, as if the blood were chilled, or aa if the circulation were stagnant; general wasting away of the flesh; sore patches on the skin, or oozing and scabby eruptions, attended with great soreness; intense dryness and hardness of the skin ; swelling of the glands of the neck and arm-pits; constant dryness of the hands; the arms and fingers affected with numbness; enlargements and stiffness of the joints ; scrofulous swellings or general enlarge- ment of the knee; great predisposition to corns on the feet; the legs become swollen, and exhibit broad patches, which are red and intensely hot; the face is much wrinkled, and prematurely so ; swelling at the pit of the stomach, and 880 LYCOPODIUM. bloating of the bowels; evanescent flushes of heat; sometimes offensive, and sticky night-sweats, chiefly confined, however, to the back and chest; much Bweat on the face, easily induced. Nervous System and Senses. The senses of hearing, smell, and sight excessively sensitive; the head swims, and feels heavy and giddy when the patient leans forward; languor, with trembling; melancholy, sad, and whining disposition; anxious apprehensions in the evening, with fear of being alone; frenzy, attended with lofty aspirations; absence of mind, using one word for another in speaking, and mistaking letter for letter in reading; spasmodic extension and contraction of any one limb, and of the muscles. Stomach, Bowels, and Evacuations. The region of the stomach, about the course of the false ribs, is tightened as if encircled with a band; the appetite is very variable, now absent, now excessive and voracious; immediately after even a light meal, the belly is bloated; great appetite, but a small quantity of food (or drink) satiates, and gives rise to a feeling of fulness and bloatedness; thirst pre- vails at night; there is craving for sweet things, and milk turns sour on the stomach and purges; greasy and acrid, or scalding rising of matter from the stomach ; vomiting of bilious matter, mingled with half-digested food, the first thing in the morning or at night; bitter water-brash; pad-like inflation of one spot in the bowels, chiefly under the ribs, on the right side; rumbling in the intestines, and partial expulsion of flatulency; chronic constipation, sometimes accompanied with urging without evacuation; discharge of gravel or reddish grit with the urine; con- stant urging to pass water, which is discharged in small quantities, — of a deep or yellowish color, and depositing a reddish sediment, —at short intervals ; itching and tightness, or strained sensation in the orifice of the lower bowel. Pains. The affected parts are characterized by dragging, tearing pains, par. ticularly on alternate days, and in windy, damp weather; drawing and tearing pains at night; aching, gnawing, burning, or shooting pains in the eyes; acute pain in the head, as if a nail were thrust into it; tearing headache in the after- noon or at night; sudden, catching pains in the teeth when eating, or dull pains (with swelling of the cheek and gums) ; aching pain in the stomach after every meal; pinching, clawing pains below the ribs on the right side; incisive paina above the navel; constant, dull, aching pain in the chest; shooting pains in the left breast; when moving, pains in the back, or particularly in the small of the back ; cutting or darting pains in the latter part immediately after stooping; draw- ing and jerking pains in the arms and shoulders; dislocated pains in the legs, so that the patient cannot stand upon-them; pains in the bones of the arms; pressive and aching pains in the liver, especially after eating. Breathing, &c. Constant oppression at the chest, worse in the open air, with palpitation after eating ; constant, dry cough ; or obstinate, dry cough at night; or cough after drinking; cough, provoked by drawing a deep breath, and followed by expectoration of copious and greenish, or yellow, glairy, and saltish matter, or of abundant, thick, and curdy matter, sometimes mingled or followed by blood shortness of breath, with sensation of jerking, smarting, and shaking in the chest; and straining pains in the stomach whilst coughing. Menstruation. Menstrual discharge excessive in quantity, and too long in con- tinuance, with whites during the intervals, and immediately preceded by extreme depression ; before the menses, there are, bloatedness of the stomach and belly, chilliness, despondency, and melancholy. MERCURIUS SOLUBILIS. 881 Mouth, Tongue, and Teeth. Bitter or acid taste in the mouth in tlie morning; dryness of the mouth and tongue, and sometimes also harshness; the tongue habitually coated; dryness of the mouth without thirst, or dryness and burning heat of the tongue at night with much thirst; yellowness of the teeth; offensive odor from the mouth. Nose and Eyes. Dry heat and stuffing of the nose, or acrid flow from the nose; ulceration of the nostrils, and discharge of blood from the nose, induced by the least effort; burning heat of the eyes, at night in particular; the eyes are easily dazzled and irritated, and discharge much water during the day, or exude a thick matter, the lids becoming glued together during the night; the eyes smart •lpon the least exposure to light, wind, dust, or exertion of sight. Periodicity. Many, in fact, most patients, for whom this medicine is suitable, are worse in the afternoon and early part of the evening (from four to eight o'clock, P. M.), after which amelioration sets in. MERCURIUS SOLUBILIS. External Surface. Restless agitation and twitching of the limbs, attended with continual inclination to change their position; sensation of coldness in the parts affected; inflammatory swellings, attended with great heat,—the glands are swollen and inflamed, and suppurate; swellings, with inflammation, which sup- purate slowly ; perspiration readily provoked and constantly present during the attacks of pain ; crawling sensation of chilliness, especially at night; the skin is of a yellow hue; or it is characterized by the development of eruptions of the nature of itch; eruptions, which are easily provoked to bleed; moist and oozing eruptions, with itching or gnawing, and which form scabs ; ulcers of a spreading, corroding, and destructive nature; pimples and incrustations, with scaling-off of the scarf-skin; ulceration and decay of the bones ; excessive sweats ; flushing of heat and chills simultaneously; tenderness and sweating of the scalp; pallid and earthy complexion ; puffiness of the face ; cracks and ulcerative sores about the corners of the mouth ; swelling of the cheek; exceeding tenderness of the stomach and of the region of the liver to pressure; eruptions like that of itch on the hands; dry, itching, mealy, or scabby eruptions on the legs and thighs; burning, scaly eruptions about the wrist and up to the elbow; enlargement and hardness of the liver; unhealthy condition of the skin, with tendency not to heal, or to develop sores upon the least injury; suppuration of the breasts and of the glands of the groin ; swelling ofthe glands under the jaw. Pulse and Circulation. Quick, irregular, fitful, or frequent and strong, or feeble, unsteady, and slow pulse; fulness of the blood-vessels, and local determination, — and palpitation of the heart. Stomach, Bowels, and Evacuations. General derangement and weakness of digestion; but constant, craving hunger is felt, or there is excessive nausea, and utter loathing of all food; excessive, burning, and insatiable thirst; noisy belch- ing of flatulency, and sensation of pressure at the pit of the stomach, as from a stone; urgent desire to vomit; the belly is inflated and very tender; costiveness, with considerable but ineffectual urging to evacuate ; diarrhoea; loose discharge, with round or thread-worms; frothy, slimy, and greenish motions ; or acrid and corrosive eicuations of mingled slime and blood; looseness of the bowels from 56 882 MERCURIUS CORROSIVUS. exposure to a chill 01 to the damp, cold air of night, especially after n nch heat; excessive discharge of urine of a dark-red color, and very offensive; discharge of undigested food at stool, and protrusion of the intestine; putrid, saltish, acid, and slimy taste; dysentery, with straining and burning in the passage. Pains. Bruised pain in all the limbs, with stiffness, particularly in the thighs, pains in the bones throughout the body ; pains of a drawing, tearing, jerking character, aggravated at night; pains at night (attended with profuse perspiration, which affords no relief); all the sufferings are worse at night; pains of a titillat- ing, itching, burning character in the eyes, particularly upon exposure to the open air; great pain in swallowing (with great desire to swallow the saliva); tearing and distracting pain in the decayed teeth, which also affects the glands of the jaw and beneath the ears, and the temples ; the pain in the face and teeth becomes worse at night, and is aggravated by warmth ; great pain (with soreness) of the gums, especially at night; severe jerking, tearing, and shooting pains in the ears, worse at night, and aggravated by warmth; agonizing pains in the bowels, alle- viated by lying down; pain (with swelling) in the instep ; shooting pains in the back of the head; keen, cutting, or shooting pains in the hip, as well as in the shoulders and arms ; shooting pains in the bowels, and smarting pain in the throat; tearing pains in the muscles and bones of the face. Mouth, Throat, Teeth, Tongue, and Gums. The mouth emits an offensive smell, and is characterized by inflammatory swelling; blisters, aphthous vesicles, and ulceration of the interior of the mouth; excessive flow of saliva ; the tongue is hard, swollen, and much inflamed or ulcerated, or moist and covered with thick, tenacious, and whitish phlegm; the throat seems to contain a swelling which obstructs deglutition (with tenderness of the glands under the jaw, near the ears, and of the ears themselves); the throat is excessively dry and raw ; the act of swal- lowing is so painful that liquids are forced back through the nostrils; the uvula is enlarged, and the tonsils are ulcerated; the teeth feels as if loosened or shat- tered, or they are on edge; the gums are swollen, white, livid, ulcerated, or de- tached from the teeth, and very sore. Eyes, Ears, and Nose. The eyes are extremely sensitive of light, and represent sparkling appearances before them; the margins of the eyelids are ulcerated, and surrounded with scurfy incrustations; there is excessive flow of acrid tears; the bones of the nose are swollen; there is excessive flow of thin, watery, corroding fluid from the nostrils, or bleeding at the nose; inflammation and swelling of the interior of the ears, with thick discharge of matter. Menstruation. Excessive menstrual discharge (attended with colicky pains and great anguish). Breathing. Shortness of breath on ascending stairs; dry, fatiguing, and rack- ing cough, as if the chest (and head) would split. Nervous System. Great and rapid exhaustion and loss of strength, attended with indescribable inconvenience and discomfort; refractory, melancholy, and quarrelsome disposition. MERCURIUS CORROSIVUS. Organs of Digestion and Evacuations. Excessive, coiling, gnawing pains in the bowels, with incessant urging to stool, and cutting pains and agonizing straining at stool; discharge of intolerably offensive, generally very scanty brown or green MOSCHUS — NATRUM CARBONICUM. 883 Dr gelatinous and bloody evacuations, or slimy evacuations mixed with clots of blood : or discharge of thin, watery blood, instead of urine — or afterwards of thick, bloody matter, with intolerable burning and shooting pain in the passage — or, again, incessant straining to stool, and straining without discharge; excessive and insatiable thirst; dysentery, with predominant discharge of blood, straining, burning, and scanty or suppressed urine. External Surface. Shivering every time the patient moves; sensation of general coldness, or of coldness in the head, with stone-cold feet; the lips are swollen, or the upper lip, besides being swollen, is turned upwards, and the features are otherwise distorted; the belly is intensely tight, painful, and tender of the slightest touch MOSCHUS. uitiA^O Nervous System, Brain, Senses, &c. Spasms in the chest (with suffocation); convulsions and clenching of the teeth ; convulsive agitation of the hands and fingers; violent trembling of the legs when the patient sits down after much ex- ertion ; constant agitation of the legs ; loss of muscular power in the extremities ; general or local jerkings or trembling; giddiness, terminating in a fainting-fit, particularly in the evening or at night, or even in the open air; loss of muscular power, particularly perceptible during rest; intense excitability and sleepless- ness throughout the night; drowsiness, or even lethargy, during the day, with yawning; exciting dreams ; much complaint of suffering, without knowing where; agitation, with weakness of the hands and loss of grasp; crackling, or roaring noises in the ears; vacant fixedness of the eyes, with vivid brightness; sudden cloudiness of sight; hysteria ; fainting ; disposition to scold. Breathing. Sudden attacks of strangulation or of suffocative sensation, with spasmodic tightness of the windpipe and chest ; oppressed, difficult, and short breath, as if some one prevented the expansion ofthe chest; spasms ofthe open- ing of the windpipe. Pulse and Circulation. Small, quick, and frequent pulse, or full and hard pulse, with oppressive palpitation of the heart, and determination of blood to the head or chest, and womb. '" J* #' ■ NATRUM CARBONICUM. -,-■< ,» /;. - «' External Surface. Excessive tendency to take cold on the least exposure, or without apparent cause ; yellow rings upon the skin; perforating, gnawing dis- eases of the skin (as in leprosy) ; eruption of dry, scaly, mealy, or moist and itching patches on the belly ; soreness over the back; swelling of the feet, or more particularly of the soles of the feet; fissures between and under the toes, and ulcers on the heel; the skin constantly dry and harsh; hard, callous, scaly, or horny excrescences on the skin, cracked in various directions; sometimes there may be general coldness of the body, with continual oozing of clammy perspira- tion ; the hands and feet are usually, if not habitually, cold; blistering of the tips of the toes; stiff neck ; enlargement of the glands of the neck; swelling and dis- tension of the belly ; extreme tenderness of the stomach to the touch ; peeling off of the skin from the tip ani bridge of the nose; pallid complexion, with general loss of flesh and bloatedness of the face, or sometimes heat, puffing, and rednesa jf the face, or pallor, with blue rings round the eyes ; swelling and inflammation 884 NATRUM MURIATICUM of the legs, with numerous ulcers; shortening of the tenf.ons; crooked and un natural positions of the limbs; profuse sweat after the least motion. Nervous System, Brain, Senses, &c. Excessively alive to noise, or affected with obtuse hearing; continual debility; the patient prefers being alone, but is in- tensely depressed, startled at trifles, and exceedingly and constantly anxious ; vivid dreams during the night; the sleep is retarded at night, but is protracted and heavy in the morning, and the patient continues heavy and drowsy during the day; dread of going into the open air; instability of the body, with sensations of crawling in the muscles, and excessive susceptibility to be strained by the least exertion; the head is confused and embarrassed. Pains. Periodical tearing pains in the forehead ; aching pain, with giddiness, induced by exposure to the sun; habitual tendency to aching of the teeth; ach- ing pains in the shoulders; aching, heavy pain in the stomach after every meal; (breaking out of perspiration and attacks of trembling whilst the pains last;) shooting pains below the ribs on the left side; aching or shooting pain in the chest. Stomach, Bowels, and Evacuations. Prevailing thirst; sinking at the stomach, with 'sensation of emptiness in the morning, and ravenous hunger; habitual squeamishness and sickness at the stomach; constant bitterish taste in the mouth; partial and incomplete evacuations: continual urging to pass water, whether in the night or during the day, with increased discharge of very hot and scalding urine. Pulse and Circulation. Small, feeble, and irritable pulse — or hard, contracted pulse, with violent agitation, and beating of the heart. Menstruation. The menstrual discharge occurs before the proper time, and is accompanied with intolerable forcing and bearing-down, as if the contents of the belly would fall through. Breathing. Constant shortness of breath, and cough, with expectoration of greenish and saltish matter. Nose and Eyes. Habitual cold in the head, with greenish, thick discharge, or periodical discharge from the nose; ulceration of the transparent part of the globe of the eye, or of the corner of the eye; constant blinking and habitual heat, redness, and swelling of the eyelids, with heat, soreness, and smarting of the eyes. /' / / NATRUM MURIATICUM. r ' - ■-.•■ I i " Stomach, Bowels, and Evacuations. Constant weight at the stomach ; incessant thirst; absence of appetite, and intense repugnance to fat food ; the belly puffed up with accumulation of flatulency ; noisy gurgling and grumbling of flatulency in the intestines ; habitual diarrhoea and constipation; continual efforts to relieve the bowels without effect; burning sensation during and after stool; discharge of slimy matter after urine; predominant discharge of urine at night, or spon- taneous discharge; constant heartburn or water-brash; and sometimes voracious hunger; the food is thrown off the stomach. Menstruation. The menstrual discharge takes place too soon, and is very copious, or is delayed and scanty; or, ag%in, it is entirely suppressed; whites during the intervals; (gloomy and depressed spirits during menstruation, sullen tempe* before, and headache immediately preceding, and continuing until after the cessation of 'he discharge.) NATRUM MURIATICUM. 885 Nervous System. Weakness and heaviness of the arms and legs: the sleep is disturbed or is interrupted, and the patient cannot fall asleep again, or is totally enable to sleep during the night, and is drowsy during the day; the nearing is obtuse, and black spots, or minute, bright sparks seem to flicker before the eyes; the patient tries to fix the attention, but without success; gloomy forebodings; habitual melancholy or extreme irritability ; there is constantly a ringing in the ears, and embarrassment in the brain; the patient feels exhausted after talking, or much affected by disappointment; general debility and relaxation of physical as well as of moral vigor; spasmodic closing of the eyelids. External Surface. Eruption of pimples with intense irritation on the face, or dry, scaly, or oozing eruptions about the mouth ; dirty, sallow, swarthy, or pallid complexion; the lips are swollen; great scurfiness of the head and falling off of the hair; deficiency of natural heat, and predominant shivering; copious per- spiration on the least exertion, or in the morning; general loss of flesh; soreness and tenderness of the limbs; shooting, boring, and burning pains in the corna (to which the patient is very subject); scaly, mealy, or moist and itching erup- tions on the hams; habitual coldness of the feet, with occasional burning heat, and swelling; the finger-nails are faulty, and the skin becomes cracked around them; warts grow out of the palms of the hands; sweating of the hands; swell- ing of the glands under the jaw. Pains. Shooting or hammering pains in the forehead, or bursting headache (to which the patient is exceedingly subject); pains all over the body in the morning, as if bruised and fatigued ; pains shooting through the head from side to side or through the ears; throbbing pains in the cheek-bones when eating; shooting or cutting pains in the region of the liver or spleen ; cutting or pricking pains in the bowels everyday; shooting pains through the chest; halting pain in the hip, as if the joint were ajar ; halting pain in the small of the back, as if it had sustained a severe blow ; aching pains in the back at night; tearing, jerking pains across the hips. Pulse and Circulation. Violent and distressing agitation and beating of the heart when the patient lies on one side, or attempts sudden exertion, with habit- ual irregularity of pulse. Gums and Teeth. The gums are swollen and ulcerated, or perforated by fistulous tubes; inflammation with gangrenous tendency in the gums; hot or cold food or drink causes much suffering from the soreness of the gums, which bleed on the least touch ; the teeth feel on edge or loose when touched, or there is a drawing sensation in them when exposed to cold air (inhaled through them); the teeth are loose and much decayed. Fever. In the febrile paroxysms, chill predominates ; internal chilliness, with icy coldness of the hands and feet; flushes of heat, with violent headache ; great thirst during the febrile attacks; profuse and exhausting perspiration; inter- mittent fever, particularly if previously treated with large doses of quinine; the paroxysms usually commence in the morning, with chill and headache, after- wards heat with thirst, followed by gradually appearing sweats; blueness of the nails and chattering of the teeth during the chilly stage; the first sensation of chilliness sometimes commences in the feet. Eyes and Ears. Profuse watering of the eyes; corroding fluid flows from the 886 NUX MOSCHATA—NUX VOMICA. eyes; the eyes and eyelids are inflamed, and the lids glued up at night; dis- charge of matter from the ears. Nose. The nose is swollen'and sore on one side; obstinate stuffing with dry heat of the nose; constant, short, interrupted sneezing; dulness or loss of smell; habitual watery discharge from the nose; soreness of the nostrils inside. NUX MOSCHATA. <_fi .It t-T\C(y- Menstruation, &c. Irregular menstruation, sometimes anticipating the proper time; the menstrual discharge is dark and thin; pain in the small of the back, great weakness and faint feeling, pressure in the stomach, and water-brash, pre- cede and accompany the menstrual period; suppression of the menstrual flow by cold, or by getting wet; the menses are absent, with disposition to faint and fainting, dulness of the head and vertigo, and intolerable and irresistible drowsi- ness ; hysterical paroxysms. Pains. Drawing in the muscles of the neck; pain in the small of the back, as if broken or bruised; pain in the knee as if sprained, particularly in ascending; weakness and tottering of the lower limbs; great soreness of the parts upon which the patient lies; rheumatic pains incident to exposure to cold damp air; wandering pains, attacking only a small spot and lasting but a short time, but returning frequently; cutting pains in the belly, and screwing pain around the navel; sticking pains in the teeth, relieved by the application of warmth; sting- ing and tearing in the teeth, extending to the ears and temples, aggravated by touching the teeth, and by inhaling the cold air ; stinging pains in the right ear. Nervous System, Brain, Senses, &c. Very changeable disposition; hysteria, with sudden-changing disposition, great drowsiness and disposition to faint; very irresolute; absence of mind ; vanishing of thoughts while reading, disposition to go to sleep; great inclination to laugh at everything, especially in the open air, hysterical laughter; vertigo; giddiness as from intoxication, with delirium, or insensibility; reeling and staggering while walking in the open air ; fainting, with palpitation of the heart, followed by sleep; sensation as if the brain were loose, on shaking the head; illusions of vision, near objects appear far off; great drowsiness, and disposition to faint. NUX VOMICA. ' -V ' \ Vi -: !'; v Organs of Digestion and Evacuations. General derangement of digestion, with sour taste whenever one has eaten anything; foul taste in the mouth, and tight- ness round the waist and upper part of the stomach, with sensation as if the clothes were painfully tight; the muscles of the stomach feel as if bruised; cos- tiveness, conveying the idea of constriction of the lower bowel, and attended with fruitless urging; constant risings in the throat, of a bitter or sour taste; hic- cough ; the pit of the stomach is painfully sensitive to the touch; nausea, and inclination to vomit; retching; vomiting of bile, phlegm, sour matter, or undi- gested food; the vomiting is most prevalent in the morning, at night, or after eating (the vomiting is often attended with headache, cramps, anxiety, and trem- ulous debility); obstinate constipation, or alternate constipation and diarrhoea — the motions in each case being imperfect and insufficient; large, hard motions, or frequent evacuations, composed of slime and froth, and attended with urging; dyoenisry, dysenteric evacuations, with cutting pains in the region of the navel NUX VOMICA. 887 pressing and straining on the lower bowel, and evacuations mixed with bloody mucus ; the posterior passage is very painful; great tenderness of the pile swell- ings ; protrusion of the lower intestine, and piles; soreness of the bowels; sensation as if something alive were moving in the intestines; dragging sensation about the groins, as if rupture were imminent; urging to pass water without effect, or with drop-discharge attended with great suffering, and burning in the neck of the bladder, and thence downwards ; sensation of qualmishness, chiefly after eating, or at night (attended with weakness and anxiety); dark-colored, red urine, depositing a sediment like brick-dust. Nervous System, Brain, Senses, &c. Buzzing and tinkling sounds in the ears; the sleep is disturbed by constant, frightful, or anxious dreams (and followed in the morning by continued pain in the limbs, lassitude, disposition to remain lying, and to stretch one's self); inclination to sleep in the morning, after meals, or in the evening; heat, sleeplessness, and agitation, with crowding of thoughts, at night; goes to sleep late, wakes about 3 a.m., and lies awake for a long time afterwards, then falls into a deep sleep, full of dreams, awaking with tired and unrefreshed feeling; the patient is quickly wearied by mental labor; and there is a sensation of heaviness and intense pressure in the head, as if it would burst out, with confusion of ideas, and £>ddiness; spasmodic rigidity, heaviness, lassi- tude and prostrated debility of the limbs; spasmodic sensation in the muscles, as if something were moving in them; trembling of the limbs, with fluttering of the heart, and tremulous debility; paroxysms of spasms, and convulsions; lan- guor, lassitude, and dread of physical exertion; nervous debility, and acute ner- vous sensibility; great sensitiveness to noise, light, conversation, or smell; par- ticular dread of the open air ; aggravation, particularly of the nervous symptoms, by watching or mental labor; or by coffee, wine, or tobacco ; general exacerbation in the morning ; the eyes are particularly tender of exposure to light, especially in the morning; the disposition is vehement, malicious, melancholy, and anx itAis, with anguish; peevishness, ill-humor, vexed mood; numbness of the parts affected; feeling of oscillation in the brain; sometimes violent delirium, or low muttering delirium, when headache is usually a very prominent symp- tom. Pains. Pains like those of rheumatism, particularly in the muscles of the back, small of the back, loins, and chest; shooting pains through the whole body; pricking, wrenching pains in the joints, exacerbated upon changes of weather; pains, such as those of contusion in the limbs and joints, especially while moving, or after motion, or in bed ; tearing, jerking, drawing pains in the head — or pains in the head, as if a nail were thrust in; agonizing pain, chiefly in the hollow teeth, aggravated at night, after eating, or by hot or cold drinks; smarting, burn- ing pains in the eyes; drawing, tearing pains in the muscles ofthe face — or jerk- ing, piercing pains in the jaws and teeth, extending to the head, ears, and cheek- bones; piercing, beating pains in the ears; cramp-like, clawing pains in the stomach; colicky pains, with flatulency; clawing pains in the belly (particularly at the menstrual period); aching pain, as if something were lodged in the kidney (the patient being compelled to lie on the back); great pain during discharge of urine; pains (with swelling) in the knee; cramp-like, clawing, and bearing- down pains in the womb; sensation in the small of the back as if lame; the hands and arms go to sleep and feel dead; numbness and stiffness of the legs, they feel 888 opium. as if paralyze 1; cnmps in the calves of the legs, particularly at night; jerking pains, like electric shocks, through the limbs. Pulse and Circulation. Determination of blood to the head, and to the wtJib: full, hard, quick, and frequent pulse — or quick and feeble, or sometimes even intermittent pulse; small, wiry pulse; attacks of palpitation of the heart (with trembling). External Surface. Livid, sickly, pale, or yellowish complexion, especially around the mouth and nose, with bluish ring around the eyes; dirty, pallid, and yellowish, or sallow hue of the skin all over the body; soreness and irritation of the scalp, the hair seeming to be pulled on the least touch; complete yellow suffu- sion of the skin; purplish patches on the skin; chills over the whole surface, with shivering, principally upon moving, at night, in the morning, or after eat ing; predominant heat at night; rigors affecting the back and extremities espe- cially; peeling of the lips; chilblains on the hands and feet; hollowness of the eyes; swelling and redness, with dark spots on the legs; swelling of the knee; inflammatory swelling ofthe glands beneath the ears. Periodicity. The attacks of fever-symptoms are exacerbated or re-developed chiefly at intervals of twenty-four or forty-eight hours, with partial remissions in the intervening time, or with complete intermission and subsidence of all the symp- toms during the interval. In the case ot partial remissions there is commonly an imperfect alleviation every morning, with a more decided remission every other day — that is, a better and worse day. In the case of intermitting disorders, the attacks usually set in in the morning, but sometimes also in the evening. Mouth, Tongue, Gums, Nose, and Eyes. The mouth emits foul odors, particu- larly after eating, or before any meal in the morning; the tongue is white, coated, and slimy — or dry, cracked, and brownish, with blood-red edges; predominant sour or bitter taste, or tastelessness of all food taken; the gums are swollen, sore, painful, and putrid; the nose is stuffed at night, but there is usually a thin, watery, and excoriating discharge in the morning or during the day — or, again, complete stoppage of the nose; the eyes are suffused with a yellow hue, or the eyes and eyelids are red and inflamed, — the corners being particularly hot and red, and charged with matter; sometimes there is oozing of blood from the eyes; generally gluing of the lids at. night. Menstruation. The menstrual discharge is excessive, and of too long duration, and is usually accompanied with general derangement of digestion (nausea and sickness in the morning, and pinching, clawing, cramp-like, or bearing-down pains). Breathing. Alternately slow and hurried breathing, with whistling sound; dry cough (attended with vomiting of phlegm); tightness across the chest, such as that which characterizes asthma, and occasionally determination of blood to the chest, and palpitation; dry, tickling cough, aggravated by talking, reading, or by mental exertion; dry cough, with pain in the head as if it would burst, or with great soreness in the upper part of the belly; the cough is usually worse in the morning; hollow, barking cough, caused by a tickling in the throat. OPIUM. Nervous System, Brain, Senses, &c. Total absence of pain or sensation, and tomplete torpor; torpidity and complete prostration of the nervous system gen. PETROLEUM. 889* erally, and absence of susceptibility to medicinal action; jerking of the limbs, with general coldness; convulsions of the nature of epilepsy; apparent lifeless- neas, the patient lying prostrate, motionless, and not feeling anything; tremulous state of the whole body; absolute muscular rigidity of the entire frame, or of particular parts; violent trembling of the arms and hands; the body is rigidly bent backwards ; sudden jerking of the arms and legs; heavy lethargic sleep (with thick, noisy, slow, intermittent respiration); twitchings of the muscles about the mouth, the mouth and eyes being open; heavy drowsiness, with incapability of sleeping; total absence of consciousness or sensation; fits of giddiness; fixed, glaring, half-closed, protruding, and convulsed eyes; motionless and dilated pupils; stupid, vacant, and inanimate expression, all the muscles of the face seeming to be relaxed; the tongue paralyzed and motionless; the mouth convul- sively distorted; the throat convulsively closed, and the act of swallowing impos- sible (involuntary discharge from the bowels); picking at the bed.-clothes; wan- dering delirium. Pulse and Circulation. Violent throbbing of the arteries of the head and neck, and swelling of the veins of the neck and arms; full and slow pulse, or sometimes hard, quick pulse, or in other cases, again, intermitting pulse. External Surface. Pallid, dark-red, bluish, or bloated face, or paleness, with red spots on the cheeks; intense heat of the surface (when the pulse is quick and hard), accompanied or followed by hot sweat, or coldness of the whole body, but particularly of the feet and legs, and sometimes also of the arms and hands. Stomach, Bowels, and Evacuations. Vomiting of excremental matter and urine, flatulent distension of the stomach; (great pain in the stomach during the vomit;) sensation of intense weight at the stomach; constipation and obstinate costiveness; hard, lumpy, offensive, and black motions; or very dark, offensive, liquid, and unconscious discharge from the bowels; suppression of urine; intense thirst; dark, reddish-brown, very scanty urine, with much brownish-red sediment. Breathing. Difficult, or thick, snoring, and obstructed breathing; tightness of the chest, and cough in the act of swallowing, attended with suspension or interruption of breath (blue, livid suffusion of the face); constant rattling and hoarse breathing, as if the air-passages were choked with phlegm ; croaking breath ; spitting of blood after coughing; low, weak, and inaudible voice. Mouth, Throat, and Tongue. The mouth and throat perfectly dry and parched, and the throat sometimes swollen; the tongue parched and very dark, sometimes quite black. PETROLEUM. External Surface. Itching, burning, pustular elevations on the skin; intract- able ulcers, with oozing discharge and intense irritation in different parts; ulcere on the toes, with raised edges, emitting a thin, scanty discharge, and exhibiting a deep red centre; chapping of the hands, with oozing of blood; habitual coldness of the feet; predisposition to chilblains on the feet and hands, attended with purplish hue and intense irritation; warts on the hands, and corns on the sides of the feet and on most of the toes, and even under the toe-nails; pallid, dirty, Ballow, or yellowish complexion, and enlargement of the glands under the jaw ; dropsical swelling of the scalp; general wasting of the flesh; oozing, scabby er lptions or pimples amongst the hair, and dropping off of the hair; Itching, '890 PHOSPHORUS. oozing eruptions on the nape of the neck, chest, knees, and ankles; great itching and irritation of the skin when heated; flushes of heat after the least exertion; diseased conditions of the skin, characterized by cracks and fissures, which bleed readily. Stomach, Bowels, and Evacuations. General derangement of the stomach, with want of appetite — or voracious and insatiable appetite from time to time, gener- ally, however, attended with slimy, insipid, or putrid taste in the mouth, and characterized by noisy, flatulent eructations; weight and oppression at the stom- ach ; water-brash; inclination to vomit; reeling, giddiness, and darkening of sight, with faintness and sinking after every meal; sickness at the stomach, and giddiness whenever the patient rides in a carriage — or these symptoms induced by such condition; great flow of water in the mouth with the sickness ; disten- sion or sensation of sinking and emptiness in the stomach and bowels; scanty, detached, lumpy, hard motions — or loose, frothy, slimy stools, sometimes mingled with blood and followed by a burning sensation — or discharge from the bowels at short intervals during the day; frequent discharge of dark, scanty, and offensive urine, or discharge of urine during sleep. Menstruation. Gelatinous or acrid and corrosive oozing in the intervals, and constant itching of the parts; menstruation occurring before the proper time. Eyes. Habitual watering of the eyes, with symptoms such as those of fistula lachrymalis; chronic inflammation of the eyes and eyelids, and swelling of the glands at the inner corner of the eyes; sparkling before the eyes, and constant itching or smarting; mistiness of sight, as if the patient were looking through gauze. Ears, Occasional or protracted discharge of matter from the ears, sometimes streaked with blood ; oozing eruption, with rawness and redness behind the ears and excessive dryness within the ears; red, itching, and scabby eruptions on the ears; rolling or ringing sounds, or roaring in the ears with constant deafness, Nose, Mouth, Teeth, and Tongue. The nostrils constantly dry or stopped up; tendency to discharges of blood from the nose; the mouth very dry or filled with frothy spittle, or stringy phlegm in the mouth and throat; the tongue cov- ered with a white coating; the teeth seem to sink into the jaw when closed; the gums swollen and tender. Pains. Aching or drawing pains in the back and small of the back; throbbing headache, aggravated by thinking, and generally exacerbated by any excitement, towards night (after exercise), or occurring only in the morning and before a meal; drawing pains in the thighs, arms, and fingers, and tearing pains in the hands; burning, shooting pains in the heel; contractive, jerking pain in the ears; dull pain in the belly soon after eating; aching pain in the stomach; pinching, incisive, colicky pains (with relaxed motions) in the bowels. Disposition. Fearful, extremely depressed, or very violent and imperious; extreme difficulty of understanding the simplest things; the patient suddenly forgets what he was thinking about a few instants before, and fails to collect and concentrate the reflective faculties. PHOSPHORUS. Pulse and Circulation. The pulse is generally quick, hard, and wiry, sometimes very feeble and barely perceptible, and the patient suffer? from attacks of violent PHOSPHORUS. 891 beating of the heart, with extreme anguish; determination of blood to various organs, or tendency to discharges of blood. Breathing, Chest, &c. Difficulty of breathing, with sensation of anguish in the chest; sensation of pressure, fulness, and extreme tightness, with determination of blord to the chest; dry cough during the day ; habitual hoarseness, or even total loss of voice; great accumulation of phlegm on the chest; cough with expectoration of phlegm, or even flaky, curdy, stringy matter streaked with blood; constant sensation of tickling in the chest, which provokes a short, dry, barking cough, resulting in expectoration of saltish phlegm — or sensation as if the inside of the chest were raw, or would burst, with hoarseness ; cough excited by talking, reading aloud, or laughing, or by an irritative sensation in the pit of the stomach ; the windpipe is so painful that talking is dreaded; cough, with expectoration of tough, rust-oolored, and blood-streaked phlegm. Stomach, Bowels, and Evacuations. Desire for delicacies and cooling drinks; weakness and slowness of digestion, or imperfect digestion ; frequent eructations, with a sensation as if the upper part of the stomach were filled with air; sore- ness of the stomach when touched and when moving; frequent, soft, pap-like discharge from the bowels; slimy, bloody, or undigested motions; continued relaxation of the bowels; discharge of blood during stool; involuntary evacua- tions from the bowels; burning sensation in the stomach and bowels; copious discharge of watery, colorless urine ; belching of flatulency, with or without sour rising, after eating; acrid risings from the stomach; extreme sensitiveness ofthe pit of the stomach; ravenous hunger, unallayed by eating, and continuing during the night; sensation of sinking and emptiness in the belly; vomiting of bile; occa- sionally costiveness, and often piles, which bleed easily. External Surface. Soreness of the joints, especially of the knees; tremulous condition; wasting away of the flesh, with peculiar attenuation of the hands; copious discharges of blood from inconsiderable wounds; lymphatic abscesses in various parts, distinguishable by being perforated in all directions by fistulous tubes; tubercular formations (either in structures subjacent to the external sur- face or internal organs); hectic fever ; evanescent flushing of heat; predominant heat at night; habitual coldness of the limbs; tingling in the skin; shedding of the hair; wan, pallid countenance, with dirty complexion, and eyes deep-set and hollow, and surrounded by a blue ring; alternate paleness and redness of the face, or patchy flushing of one or both cheeks; pinched, sharp, and pointed fea- tures; bloatedness about the eyes; tendency to sweating in the morning, some- times profuse and exhausting; tightness of the skin over the face, or on one side of the face ; bluish color of the lips; numbness of the extremities of the fingers; coldness of the feet, and great soreness of the soles of the feet, as if blistered or raw when walking; trembling ofthe hands and arms, and swelling of the hands; abscess of the breasts, with burning and stinging pains, bluish color of the breasts, and fistulous openings; great heat in the hands ; mealy or scurfy erup- tions on the arms — or scabby eruption of oozing pimples on the face or amongst the hair; yellowish or brownish patches ilpon the skin ; large boils on the belly. Nervous System, Brain, &c. The body generally is oppressed with a sense of languor, want of motive-power, indolence, and nervous debility; sudden prostra- tion of strength; weariness, attended with hysterical irritability; the open air ia insufferable ; local paralysis, with the crawling or tingling sensation peculiarly 892 PHYTOLACCA DECANDRA. indicative of wasting vitality; the senses are acutely sensitive, and the sensitive aess is attenled with a disposition to be easily startled ; giddiness and dizziness, giddiness chiefly in the morning, in the evening, and when in bed; giddiness, with confusion of ideas — with melancholy despair, buzzing in the head (nausea, oppression of the head, and heat); determination of blood to the head ; the sleep is unrefreshing, and the patient lies awake and very restless for a long time with out falling asleep; disposition to sleep in the daytime, and wakefulness at night, or the sleep is restless and agitated, disturbed by anxious dreams, and seems, upon waking, to have been insufficient; dread of light; extreme tenderness of light. Pains. Darting pains in the chest, particularly on the left side; aching pain in the head in the morning; clawing pains in the bowels, with flatulency; aching pain in the pit of the stomach; acute pain in the stomach, induced by pressure or contact; very severe pains in the stomach, alleviated by drinking cold water; burning pain, with extreme tenderness all over the belly; nipping, cramp-like, contractive pains in the bowels; wrenching and shooting pains, like those of rheumatism or gout, after taking cold, and worse or present only at night, when in bed; pains which have a tendency to return, or to appear upon changes of weather. Eyes. Sensation as of sand in the eyes; inflammation (heat and redness) of the eyes; copious flow of tears, or watering of the eyes, upon exposure to the open air; difficulty of opening the eyelids in the morning; sudden loss of sight in the daylight; burning sensation in the eyes, or very keen smarting. Nose, Mouth, Tongue, and Throat. The nose is readily provoked to bleed ; keen susceptibility of smell; stuffing, with continual dryness and heat, as well as sore- ness in the nostrils; discharge of blood in blowing the nose ; oozing and scabs, or crusts in the nose; soreness of the mouth; the mouth is excessively dry, or overcharged with saliva; sliminess of the mouth; the tongue is dry and white, or loaded with sticky, stringy phlegm; harshness, or burning sensation in the tongue; the throat is painfully dry and harsh; phlegm is dislodged from the throat, and cast up in the morning with an effort. PHYTOLACCA DECANDRA. ff(.#.>#H * £A- Stomach, Bowels, and Evacuations. Bruised and sore feeling at the pit of the Btomach; gulping up of a sour fluid from the stomach ; sick feeling in the stomach, followed by nausea, and vomiting of greenish, watery mucus, or of bile, or even of blood; soreness and pain in the right side, beneath and below the lower riba (particularly in women, during pregnancy); constipation, the evacuations being hard and dry — or evacuations which are mixed with mucus, and accompanied by straining; soreness, ulceration, or fissures of the posterior passage; pains in the region of the bladder before and during the passage of urine ; violent urging to urinate ; copious emissions of urine at night; urine of a dark-red color, and leaving a stain on the vessel of a mahogany color. Mouth and Throat. Accumulation of large quantities of watery saliva in the mouth — or of saliva which has a yellowish hue and a metallic taste; rough feel- ing of the tongue; blisters on the tongue, or great redness of the tip of the tongue; pain at the root of the tongue on swallowing; sensation of dryness in the throat and posterior parts cf the mouth; sensation as though a lump were in PLATINA. 89S the throat, causing a continuous desire to swallow; the throat feels rough and raw; the throat feels dry and sore, especially on swallowing; inflammation ofthe throat, which has a dark or dusky-red hue, and is swollen; inflammation and enlargement of the tonsils ; frequent hawking, to rid the throat of mucus. General Symptoms. Great lassitude and tired feeling, with desire to lie down; pains in the bones, of a rheumatic character, particularly in persons who have suffered from syphilis, or from large doses of mercury; vertigo, with dimness of vision ; steady aching pain in the forehead ; headache, with sickness of the stomach, from walking; the menstrual flow is too profuse, and occurs too fre- quently ; inflammation, swelling, and suppuration of the breasts, in nursing women. PLATINA. The Womb and its Dependencies. Excessive menstrual discharges occurring before the proper time; excessive sensitiveness of the region of the womb, &c.; pressive sensation of weight and fulness (with determination of blood) in the womb; protracted and excessive menstrual discharge; premature labor-pains in the last months of pregnancy — or bearing-down and forcing throes, with immi- nent miscarriage at any period of pregnancy; flooding, with discharge of dark, purple blood, sometimes very thick; hardness of the womb to the touch. Pains. Bearing-down, or forcing pains, or insufferable headache (during the menstrual period); digging, boring, thrusting pains in the head, teeth, and ears ; cramp-like, pinching pains in the head, pit of the stomach, and bowels; aching, dull, pressive pains in the chest, or shooting pains on either side of the chest; cramp-like pains in the loins, feet, toes, and thighs; throbbing, aching pains in the fingers ; dull, shooting pains in the sides of the chest; digging, boring, throbbing pains in the jaws; aching pains in the stomach, especially after eating; spas- modic pajn round the cavity of the eyes, and aching pain in the eyes themselves; pains, whether in the head or chest, which grow gradually worse, or which come on by fits,—each attack being worse than the preceding, until the suffering is unbearable, and which then subside in the same way. Nervous System, &c. Sensation of numbness in various parts; attacks of ex- treme despondency, with crying, in spite of one's self, and without assignable cause; pride, and haughtiness of disposition; torpid feeling in the head; evanes- cent fits of giddiness ; the skin at the top of the head feels too tight; the patient suddenly wakes during the night, and does not know where she is; buzzing noises in the head, and rolling in the ears ; illusions of sight; diminutiveness of ob- jects ; numbness of one side of the face; strong desires and longings; languor and weariness ofthe legs and feet; paralytic feeling about the thighs and knees. Stomach, Bowels, and Evacuations. Shuddering and sinking sensation when at stool, or after a motion ; utter loss of appetite ; or greediness, with bolting of tho food: the patient feels very hungry, but is glutted after tasting food; incessant sickness at the stomach, with depression, anxiety, and languor; thick, cloudy urine, depositing a reddish sediment — or dark-colored urine, with fleecy matter floating in it. Breathing. Hurried, short, and impeded breath; extreme tightness of the chest, with short breath (and palpitation of the heart); sometimes croaking, or, again, very feeble voice, or total loss of voice, — the patient speaking only in whispers. 894 PLUMBUM METALLICUM. 0 PLUMBUM METALLICUM. X^?''!-' Organs of Digestion and Evacuations. Total loss of appetite, or appetite which becomes voracious shortly after eating; vomiting of long continuance, with dis- charge of bilioi.s, greenish, yellowish, or even very dark and blackish matters; rising of watery, sour, or sweetish matters from the stomach ; excremental vomit- ing ; throbbing or burning sensation in the belly ; loud rumbling of the intestines, with repeated pad-like inflation, and with occasional expulsion of very hot and putrid flatulency; constant want to relieve the bowels iwithout effect, and very inveterate and long-continued constipation; or protracted looseness, with very offensive yellow or bloody stools — or hard, sticky, lumpy motions, expelled only with great effort, and covered with glairy slime; urging and straining to pass water, with total suppression, or drop-discharge of urine. Breath. Oppressed, short, gasping, panting, anxious, and hurried breathing, or very difficult breathing ; spasmodic attacks, with arrest of breath; rough, harsh, croaking voice, or loss of voice ; lumpy, stringy, sticky, yellowish, greenish, ar transparent expectoration, in large quantities; cough, followed by spitting of blood, or of thick, curdy matter — or dry cough, with convulsive effort. Tongue. Yellowish, greenish, and furred tongue, or dry, brownish, and cracked tongue. External Surface. Sunken, cadaverous, pallid, or yellowish complexion and features; greasy glossiness ofthe skin, or puffed and bloated, dirty, sallow face; scaling off of the lips; yellowish or livid hue of the skin ; ulcerations on the surface, with unhealthy, livid appearance — or brownish patches on the skin; occasional, but rare, and evanescent flushing; constant coldness ; shivering, and clammy, offensive sweat; offensive sweat on the feet; intense dry harshness of the hair; all the eyelashes fall out; the hair falls off from the head and face; the feet swell; the fingers exhibit circumscribed swellings, with redness or purplish hue; the spine and toes are distorted. Nervous System, Brain, Senses, &c. Deep drowsiness or absolute lethargy; jerking of the limbs during sleep; the fingers are paralyzed and stiff; the feet feel as if dead when put to the ground ; the thighs and feet, and the joints ofthe feet, hands, and hips are paralyt.ically affected, and give way; the feet, and even the legs, are numbed and insensible; there is want of muscular power in the gullet to effect the act of swallowing, or there may be spasmodic tightness of the throat, or a sensation of a lump rising in the throat; the sense of smell is either suspended, or an offensive smell seems to be emitted by everything; the jaws suddenly become rigid, the eyelids spasmodically closed, and the eyes distorted; the eyelids hang down from palsy of the muscles, and the pupils are contracted; the head swims or spins, and fainting fits ensue; furious delirium ; taciturnity and deep despondency, with general disgust of life; the sight is imperfect or lost; the hearing extremely acute in general, but sometimes lost, or more fre- quently dull. Pains. Intolerable pains in the stomach; incisive,burning pains; pinching or clawing pains, or pains which pierce the body, emanating from the pit of the stomach ; extremely violent, clawing pains, with gathering-in of the navel; insup portable clawing, cramp-like pains in the bowels, as if they were drawn together %i the navel; piercing pain in the head and ears, or boring, tearing pains in the PODOPHYLLUM PELTATUM — PULSATILLA. 895 uead, ears, and jaw, especially the lower jaw ; drawing or tearing pains in the loins, between the shoulders, and in the hips, knees, and thighs, or even in the arms and fingers, aggravated by lying down. Eyes, Mouth, Teeth, Gums, and Nose. Yellowish suffusion of the eyes; stuffing of the nose, with adhesive, clogging matter in the nostrils, and coldness of the nose; profusion of sweetish spittle in the mouth, or excessive dryness ; the teeth are rotten, offensive, fall out or break away; accumulation of slimy, yellow, or even black deposit on the teeth; or actual discoloration of the enamel, or which shows through the enamel; hard, knotty elevations upon, or general puffing, with faint, unhealthy hue of the gums. PODOPHYLLUM PELTATUM. Stomach, Bowels, and Evacuations. Vomiting of food, which has a putrid taste; the food returns from the stomach to the mouth; diarrhoea, occurring after eat- ing or drinking; colicky pains in the belly, the abdominal walls being drawn in, and tense; feeling of fulness, with pain, in the right side, beneath the lower ribs; vomiting of food an hour or so after a meal, with feeling of hunger; diar- rhoea in the morning, the evacuations being green and sour, occurring, especially, in children during dentition ; enormous distension of the belly; loose evacua- tions which are accompanied by drawing, griping pains in the belly; loose, and very frequent evacuations, which, nevertheless, have a natural color; evacuations from the bowels are sometimes followed by falling of the lower bowel, which protrudes beyond the posterior outlet, particularly in young children; descent of the bowel after even slight exertion; pains in the back and belly during an evacuation, and continuing after it; evacuations having an excessively offensive, putrid smell; great weakness after evacuation; suppression of the urinary dis- charge ; involuntary discharge of urine during sleep. General Symptoms. The symptoms are usually worse in the morning ; restless sleep of children; moaning in sleep,' with the eyes half closed; rolling of the bead during the teething process; grinding of the teeth at night; sallow appear- ance of the skin; profuse secretion of saliva; great sleepiness during the day, especially during the morning; unrefreshing sleep, with feeling of fatigue on awaking; suppression of the monthly flow, in young girls, with bearing-down pains in the belly and in the lower part of the back, which are worse on moving about, and relieved by lying down ; falling of the womb, with pain in the lower part ofthe back, and bearing-down sensations; after-pains, with strong bearing- down ; depression of spirits. PULSATILLA. Stomach, Bowels, and Evacuations. Insipid, slimy taste, or foul taste in the mouth ; repeated and constant eructations, sometimes with bitter or sour taste, or, at other times, with taste of food; excessive nausea; bitter taste during mastication; sweetish taste; throbbing at the pit of the stomach; absence of thirst, dislike to food, and heartburn; hiccough; vomiting of greenish phlegm, or of sour, bitter, and bilious matter; intense desire to vomit; sometimes excessive thirst, pressure at the pit of the stomach, sickness, retching, and vomiting after a meal; excessive tenderness of the region of the stomach to pressure; vomiting of food; frequent inclination to relieve the bowels even during rest, and loose M^^yM 896 PULSATILLA. discharge from the bowels even during the night; evacuations consisting of greenish, slimy, or even bloody matter; copious discharge of watery urine; unconscious discharge of urine during sleep ; derangement of the stomach from eating rich, greasy food; capricious appetite; pulsations in'the pit of the stom- ach ; colic, with labor-like pains in pregnant women; colic, with suppression of the menstrual flow; nightly diarrhoea, the discharges being watery and green, and preceded by rumbling in the bowels; dysentery, with straining, and pain in the back. Womb, Menstruation, &c. (Feeble or suppressed labor-pains or excessive pains;) difficult menstruation; the periods set in (with chilliness, paleness of the face), and scanty discharge of thick, black blood; periods generally after the proper time, but sometimes too early — always irregular, and sometimes totally suppressed; sometimes pale and watery discharge (bearing-down 01 forcing pains) ; suppressed menstruation, from cold, or from getting the feet wet; delay of the first menstrual discharge, in young girls; hemorrhage from the womb, the discharge alternately flowing and ceasing; after-pains of too long duration; suppression of the lochial discharge; suppression, or very scanty secretion of milk; profuse discharge of whites, the discharge being acrid and corrosive, or resembling milk, and painless. Nervous System, Brain, Senses, tec. Tremulousness, with fear of death ; vertigo when rising from a seat, when stooping, or when looking upwards — or giddiness, with heat of the head, nausea, and loss of sight, in the evening; intellectual labor causes fatigue; fright, followed by diarrhoea; over-sensitiveness of the eyes to the light; mistiness before the eyes, which is removed by rubbing them; hardness of hearing, as if the ears were stopped up; humming in the ears; vio- lent attacks of palpitation of the heart, often accompanied by anguish and van- ishing of sight; attacks of fainting, with livid paleness of the face; epileptic attacks (especially after suppression of the menstrual flow). External Surface. Red spots like flea-bites on the skin; measles; itching, smarting, pricking irritation of the skin; inflammatory swelling and redness of the skin, with tingling sensation; sometimes also with the appearance of small blisters on the skin; eruptions of pimples upon the skin, which suppurate and become depressed at the centre —being then yellow at the flattened crown, and red round the edges—but which are rarely numerous; general coldness, sensa- tion of chilliness, and shuddering, sometimes running through the body and affecting internal parts; paleness, and sometimes puffing of the face; cheeks alternately red and pale ; inflammation and swelling of the skin of the face, with casting of the skin ; heat of one side and coldness of the other; or flushing of heat to particular parts, with coldness of the rest of the body; the skin is gen- erally hot and dry at night, but the patient feels cold immediately he is uncov- ered ; general heat with sweat on the face, sweats on one side, or general sweat in the latter part of the night with gradual subsidence of the symptoms; sweat, offensive and copious; oozing pimples amongst the hair ; eruption of small blis- ters between the fingers; throbbing in the extremity of the fore-finger; drop- Bical swelling of the feet towards night; swelling of the veins of the legs; tendency to thin, continued, mucous discharges. Pains. Keen pains in the limbs; wrenching, dragging, or jerking pains in the muscles, attended with numbness, lameness (and swelling) of the parts affected; PULSATILLA. 897 tnese pains are exacerbated at night, and by the warmth of a room, and allevi- ated on going into the open air ; the parts affected are subject to stitching pains, and to a sensation of coldness upon changes of weather; strained pains in the limbs, as if the tendons were too short; pains which constantly change their posi- tion, and shift quickly from one part to another (and are attended with swelling and redness of the joints); fitful attacks of pain (accompanied with chilliness, asthmatic symptoms, and paleness of the face); the sufferings have a tendency to grow worse at stated periods, as in the evening, before midnight, or on alternate evenings; the suffering is aggravated when sitting, rising from a seat, during rest, or when lying on one side; dull, heavy, pressive pain in the head, as if the patient had been intoxicated, or passed the night without rest; pain in the head, as if the forehead would open; boring, jerking pains in the ears and teeth. Eyes, Ears, and Nose. Stye on the eyelids, or pimply eruptions on the margins of the eyelids; inflammation of the eyes, with profuse flow of tears in the open air; redness and swelling of the eyelids; sensation as if sand were in the eyes; discharge of matter which accumulates in the corners of the eye; intense dryness of the eyes and eyelids, with heat; dimness of sight, such as would be caused by gauze before the eyes; copious discharge of matter from the ears, or of thick, yellow humor, or even of blood; difficulty of hearing, conveying the idea of some obstruction in the cavity of the ears; roaring in the ears; inflammation (heat, swelling, and redness) of the external part of the ear; collection of offensive, thick, yellowish, or greenish matter in the nostrils; discharge of blood from the nose; violent sneezing. Mouth, Throat, and Tongue. The mouth emits an offensive odor; there is copi- ous supply of watery saliva of a sweetish taste ; or the mouth is dry and parched; the throat feels raw; redness of the throat with great soreness, usually aggra- vated towards night; the throat is either dry, or clogged with thick, viscid phlegm; grayish, whitish, or yellowish-coated tongue. Breathing, Chest, &c. Asthmatic oppression of the breath when in a recumbent position; hoarseness; dry cough, on awaking from sleep, disappearing while sitting up in bed, returning on lying down; severe, dry cough, mostly in the morning, with straining to vomit; cough, with expectoration of dark and clotted blood (the menses being suppressed); whooping-cough; cough caused by itching or tickling, or by a sensation as of sulphur vapor in the windpipe; cough which is relieved by going into the open air, returning again on entering a warm room; shaking cough, with expectoration of clotted blood or of thick phlegm ; hawking up of white and lumpy or yellowish phlegm ; attacks of tightness of the throat and chest. Pulse and Circulation. Determination of blood to different organs, chiefly to the head, chest, and womb; quick and small, or full and sluggish, or weak and barely perceptible pulse; frequent attacks of very violent agitation and beating of the heart. Disposition. Melancholy disposition, with predisposition to weeping; or morose humor, with aversion to conversation; or timid and keenly sensitive temperament. Sleep. The sleep at night is only obtained late (it is attended with great dry- uess of the eyes); heavy, but uneasy sleep; tendency to sleep during the day- 57 898 RHEUM PALMATUM — RHUS TOXICODENDRON. time; great drowsiness; sensation during sleep or dreaming as if falling from an elevation; constant yawning. RHEUM PALMATUM. J A x.dr{^i{r—. Stomach, Bowels, and Evacuations. Fulness and distension of the stomach; sensation of faintness, sinking, and hunger, but no relish for food; the patient fancies particular food, but cannot eat it; sour, insipid, slimy taste in the mouth; great tightness and distension of the belly, with accumulation of flatulency in one spot; relaxed, liquid, or soft evacuations, having a very sour smell; much urging and straining before stool; continual urging to stool, increased by exer- cise, but without discharge; slimy, frothy, brownish stools; clay-colored or ash- tike looking motions; scalding sensation in passing water; the patient cannot retain the urine; copious discharge of yellowish, green, brownish, or brick-colored urine. Pains. Spasmodic pains in the stomach, and griping, coiling pains in the bowels; intense cutting and clawing pains in the bowels; the griping is so severe as to bend the body double; increase of griping pains upon the least muscular exertion, or immediately after taking food ; throbbing pains in particular muscles, or in the head and eyes — or smarting pain in the latter; boring or throbbing pains in the ears. Milk. The milk evidently disagrees with the infant, being constantly regurgi- tated ; discoloration of the milk; yellowish or pale yellowish-green color of the milk, and bitterish taste. Rest. The rest is constantly disturbed ; there are convulsive agitations of the muscles of the face, of the eyelids, and clawing or agitation of the fingers during sleep ; tossing and screaming, preceded by sudden starting from sleep; jerkings of particular muscles, especially of those of the thighs, arms, and fingers, during sleep, or immediately after starting from sleep. fcna^o Irak RHUS TOXICODENDRON. V OVO^T^J V MC- Pains. Pains of a drawing, tensive, lacerative character in the limbs, aggra- vated during rest, in the cold season, in bad weather, at night in bed, and often attended with numbness of the parts after motion ; pains (and other symptoms) generally aggravated, and more prevalent during rest or at night, and lessened by motion; tingling and creeping pains in the parts; strained pain and stiffness in the joints; smarting pains (in swollen parts) as if sore when touched; jarring pain in the joints on beginning to move; creeping pain in the head; pain in the head as if it would be torn; pain as of ulceration at the pit of the stomach; stitches in the chest and sides of the chest, worse when at rest and while sneez- ing and breathing; tingling or numb feeling in the chest, with sensation as if the muscles between the ribs were drawn too tightly ; bruised pain in the small of the back, especially when lying upon it; beating, shooting pains in the stomach — or pain in the stomach, with intense pressure, as if a stone were there ; aching pains in the eyes when moved; pains in the limbs (during the cold stage ofthe fever); tearing, shooting, aching, or jerking pains in the teeth, relieved by the applica- tion of heat; very violent pains in the limbs, with extreme weakness and low fever; violent, griping, clawing pains in the bowels at night; tearing and burn- ing pa'ns in the shculder, with paralytic weakness of the arm. RHUS TOXICODENDRON. 899 External Surface Eruptions of vesicles on the skin, wit'ii inflammatory swell- ing and heat; swelling characterized by bright, shining redness, and by smarting as if from soreness; excoriations of the skin and eruptions of pimples, which break and terminate in discharge of fluid; spreading and corrosive eruption of ringworm, or of oozing vesicles in rings, becoming confluent, forming thick scabs, and removing all the hair from the parts affected ; swelling of the head ; the formation of soft and small tumors on the scalp; inflammation and swelling of the parotid glands; the whole of one side is numbed and torpid, as if paralyzed ; pale, sickly appearance of the face, and eruptions of the character of pimples, espe- cially around the mouth and chin; swelling heat and redness of the skin over the face, with eruption of small, oozing blisters; itching and burning vesicles break out upon the skin, chiefly in the fall of the year — or pimples with red bases; aggravation or return ofthe fever-symptoms —setting in with a chill and severe rigors, succeeded by excessive heat, and, subsequently, profuse sweats — in the evening and continuing during the night; sensation of chilliness and shud- dering on the least movement; the lips dry and brown; the face intensely hot and flushed, or pallid and distorted; the belly puffed up, particularly after eat- ing ; gangrenous ulceration in the parts on which the vesicles have broken out; spots or stains of a dark, brownish, or blackish hue (with utter prostration) ; dry, mealy, or scurfy eruption on the scalp; eruptions on the scalp, discharging yellowish or greenish matter ; bright, vivid, fiery redness of the lower part of the belly; oozing eruptions forming scabs on the face ; cold perspiration (sometimes profuse") on the face; burning ulcers on the legs. Nervous System, Brain, Senses, &c. Wild fancies and delirium, sometimes vio- lent, generally low and muttering; sleep disturbed and agitated by dreams run- ning on the transactions of the day, of which there is a clear impression, or also by frightful, anxious dreams; palsy of the extremities; reeling giddiness, with wavering, uncertain gait; convulsive movements after immersion in cold water; complete prostration of nervous energy; muttering delirium, with extreme weak- ness and picking at the bedclothes; great restlessness, cannot sit or lie quietly; tossing about in the bed, with anxiety and apprehensiveness; extreme depression of spirits, with desire to be alone ; gloomy forebodings ; great tenderness of light; trembling, sinking sensations about the heart. Stomach, Bowels, and Evacuations. Relaxation of the bowels (with the evening fever); very loose and offensive discharge from the bowels at night (accompanied with excruciating pains in the bowels and limbs, and very severe headache) ; loose discharge from the bowels, mixed with blood, and sometimes preceded by a variable state of the bowels and alternate costiveness and relaxation ; very ob- stinate and protracted diarrhoea; thin, yellow, odorless, painless, and involun- tary evacuations from the bowels, as if the muscle guarding the orifice were paralyzed; inability to retain*the urine, with constant desire to pass water, and copious discharge; or suppression of urine; drop-discharge of blood-red urine; total absence of appetite, and constant, insatiable thirst. Eyes, Nose, Mouth, and Tongue. Gluing of the eyelids at night; heat and red- ness of the eyes and eyelids; bleeding at the nose; discharge of greenish and very offensive matter from the nose, or heat and dryness of the nose; extreme dryness, sometimes brownish hue, ofthe interior of the mouth and throat; affen- 900 RUTA GRAVEOLENS. sive smell from the mouth; dry, parched, and brownish, or even black, tongue — or glossy, red tongue. Breathing, Chest, &c. Shortness of breath and difficulty of breathing, arising from pressure and painfulness in the stomach ; sharp stitching pains in the heart, with painful lameness and numbness of the left arm; short, dry, and tickling cough, worse at night; cough, with vomiting of the contents of the stomach; cough, with expectoration of blood, or with pains in the belly; congh, with stitches in the chest, profuse general perspiration, and pains in the stomach. RUTA GRAVEOLENS. f',:*£f Pains. Dull, aching pains in the eyes upon straining the sight; intense pain in the head, affecting the whole interior of the head as if the brain had been vio- lently shaken, or as if a severe blow had been dealt to the top of the head; bruised and darting pains in the outer surface of the head or in the bones of the skull; pulsating, boring pain in the forehead ; gnawing, burning pains, or severe bruised pains in the bones or in the membranes investing the bones, aggravated by pressing the parts; bruised pains in the loins and small of the back, and in the back generally; gnawing or cutting pains in the breast-bone ; aching pains in the bones between the elbow and wrist; tearing pains in the elbows ; gnawing, aching, burning pains in the ankle-bones, instep, and bones of the toes; claw- ing, boring, aching, or bruised pains in the region of the liver, in the bowels, or round the waist; burning and gnawing pains in the stomach ; boring toothache and pains in the jaw-bones; or bruised pains in the cheek-bones, ears, and root of the nose. External Surface. Prevailing chilliness or actual coldness, with shivering — or coldness, more especially of the extremities; sores amongst the hair, or protuber- ances on the scalp; flushes of general heat every now and then; swelling, with heat and redness of the forehead; swelling of the veins, especially on the hands; perforating ulcers, small at the surface; enlargement of the spleen. Stomach, Bowels, and Evacuations. Sudden attacks of sickness at the stomach and vomiting, after eating; rising of the food from the stomach, with the taste of what has been taken; rising as of a lump in the gullet; hot or cold sensations in the bowels; round, hard, knotty, black motions, expelled with much difficulty and effort, and generally covered with glairy slime; protrusion of the intestines at stool; or constant desire to relieve the bowels, with small, insufficient, soft motions — or, again, very relaxed, slimy motions, preceded and followed by cos- tiveness; constant urging to pass water, renewed as soon as discharge has taken place; gritty urine; copious discharge of urine at short intervals, continuing night and day ; pressive, forcing sensation at the bladder, with urgent desire to pass water. Breathing, Chest, &c. Greafdifficulty and shortness of breath; cough as soon as the patient lies down at night, with retching and abundant dislodgment of stringy, sticky phlegm; free expulsion of matter after coughing ; or weariness at the chest, without coughing, preceded by hawking up of quantities of yellow and very thick phlegm. a Eyes and Mouth. Hazy, misty sight, as if gauze were before the eyes, and complete confusion of distant objects; opaque spots in the transparent part of the gl be of the e je; smarting and burning in the eyes when exerting the sight SABINA — SAMBUCUS NIGRA. 901 by candle-light— or smarting, with great irritation, in the corners of the eyes ; lights appear to be surrounded by a red halo; stickiness and sliminess of the moutn — or great dryness of the mouth, the tongue cleaving to the palate. SABINA. fU+^-fj^r Womb, Menstruation, &c. Acute forcing sensations in the womb, with bearing- down, weight, and pressure from determination of blood to the parts, and dis- charge of bright-crimson blood in clots; cramp-like sensations in the womb ; ex- cessive or suppressed menstrual discharge, and offensive, thick, gelatinous, or yellow discharge of whites during the intervals, with much itching of the parts; hemorrhage from the womb, of partly pale-red, partly clotted blood, or very thin blood, having an offensive smell—the flow is worse from the slightest movement; very offensive discharge of whites after the suppression ofthe menstrual flow. Pains. Violent bearing-down or forcing pains in the womb before and during the flow; wrenching pains in the teeth, aggravated by warmth, and worse in bed, or throbbing and aching pains in all the teeth; the pains in the teeth come on whilst eating ; drinking or inhalation of cold air induces a drawing or wrench- ing pain in the teeth; cutting pains from the jaw-bone to the cheek under the eyes ; darting pains as if in the marrow of the bones ; tearing, shooting pains (with heat and redness) in the joints; shooting, aching, throbbing, or boring pains in the head, coming on all at once, and subsiding by degrees. External Surface. Pallid complexion, with livid rings round the eyes; burning heat in the parts affected, more particularly perceptible when touched; bright- red, glossy swellings of the joints ; soreness of the muscles of the belly, they are tender of pressure; excessive flushing of the face, or heat in the head, with ex- treme coldness of the extremities; intense heat throughout the body, generally preceded by a chill, which sets in towards evening, and terminating in sweat at night. Mouth, Gums, and Tongue. Frothy spittle in the mouth, or spittle tinged with blood; very offensive odor from the mouth ; the gums extremely tender, swollen, or even ulcerated, and the tongue thickly furred and brownish or white; taste as if of blood in the mouth, or slimy, insipid taste. Breathing and Chest. Tremulous, agitated feeling in the lungs, with a degree of oppression of breath — or weight at the chest, with internal irritation and dry cough, or cough followed by spitting of blood. Stomach, Bowels, and Evacuations. Flatulent risings from the stomach; fulness at the stomach, with much nausea, heaving, and vomiting of food, or sometimes of bile; fulness and tightness of the belly ; bloatedness of the belly ; much expul- sion of flatulency at stool, followed by discharge of soft evacuations, or of motions which are first soft, and finish by being hard and firm; discharge of blood or of Blime after stool, and elevations or swellings, with great soreness about the ori- fice ; urging to pass water, with painful, scalding, drop-discharge of urine. SAMBUCUS NIGRA. // .&■€■/■. , ,■ ' , Breathing, &c. Sudden and spasmodic arrest of breath at night; wheezing, hurried breathing; extreme oppression ofthe chest (with pain under (he breast- bone, &c); inflammation ofthe windpipe; suffocating cough, or cough with copi- »ue expectoration of phlegm; attacks of suffocative cough in children, with cry- 902 SECALE CORNUTUM. ing; the cough is usually worse at, or soon after, midnight; nightly suffocative attacks, with great restlessness, crying, and throwing about of the arms ; quick, wheezing, crowing breathing ; sniffling, in children; breathing through the noso is impeded; hoarseness, with accumulation of quantities of tough, ropy phlegm; suffocative, hollow, deep cough, like whooping-cough; hoarseness and rattling of phlegm on the chest; very impeded breathing when in a recumbent position; sudden sensation of strangling; rough, hollow cough. External Surface. Pallid complexion or patchy redness of the cheeks, or puffing, with purple or livid hue of the face; tightness and numbness of the cheeks; in- tolerable and intense burning heat (during the fever-fits), but extreme dread of being uncovered; excessive perspiration at night, during or after the heat; gen- eral shuddering, with intense coldness of the extremities; extreme irritation and itching in the chest; dropsical swellings throughout the body, but especially of the feet, ankles, and lower part of the legs; shuddering upon lying down in bed; drawing sensations over the entire surface of the body. Pains. Boring pains at the top of the head, or gnawing pain in the upper jaw and cheek-bones; dull, heavy, pressive, and expansive headache; pressive and darting pains in the stomach, more severe upon pressure; tearing pains in the finger-joints, and darting pains in the wrists ; aching pain in the spine; drawing pains in the hands, extending to the elbows; darting pains in the shoulder-blades and loins. Nervous System, Brain, &c. Confusion in the brain, worse when moving; swimming of the head; partial sleep; the eyes are not closed when sleeping; pupils excessively dilated, sometimes after having been temporarily contracted. Nose, Mouth, and Throat, Determination of blood to the nose, with numbness, tingling, and sometimes a sensation of weight at the end of the nose; sticky, stringy, thick phlegm clogging the nostrils; irritation, with tingling or pricking in the throat, and feeling as if the inside of the mouth, or rather cheeks, were swollen. SECALE CORNUTUM. Womb and Menstruation. Violent contractive movements, with spasmodic ex- pulsive efforts, and fulness; determination of blood, and bearing-down in the womb; profuse and continued flooding, with contractive movements, and dis- charge of very liquid black blood (and great prostration of strength); flooding before or after delivery or miscarriage; feeble contraction of the womb, ensuing after premature delivery; excessive and long-continued menstrual discharges; expulsive efforts sometimes suddenly suppressed, or feeble and irregular, in labor ; very offensive and deficient menstrual discharges ; too profuse and long- lasting lochial discharge; severe and long-lasting after-pains. Nervous System, Brain, Senses, &c. Spasms in the upper and lower limbs; cramps of a distressing nature in the calves of the legs and soles of the feet; weakness, accompanied with torpidity and weight in the limbs; general debility; weariness and indolence; loss of consciousness; excessive anguish ; sad and melancholy disposition; confusion and giddiness of the head; distortion of the features and limbs; gritting or clenching of the teeth; great apprehension of a fatal result; wild appearance, immovable, staring, or convulsive rolling of the eyes; flashing of light before the eyes; objects appear multiplied or hazy; ting- ling or pricking sensations in the tongue, face, and other parts; imperfect articu- SEPIA. 903 lation, or hesitating, embarrassed, and feeble articulation; lethargic state, with jerking or starting of the limbs ; the fingers and toes spasmodically distorted ; the back is numbed, and affected with pricking or tingling sensations ; tingling in all the extremities. External Surface. Hollow, sunken, pallid, and yellow face, with bluish rings about the eyes; drawn, pointed features.and very hollow eyes; puckered, flabby, dirty-colored, or yellowish skin; tingling under the skin; very dark, unhealthy elevations on the skin; icy coldness of the belly, limbs, and back; rapid loss of the hair; violent heat, preceded by general shivering and shuddering, and fol- lowed by cold, clammy sweats; dark, purple spots on the face; tumid appearance of the face; crimson hue of the face; dense eruption of fine rash over the chest and nape of the neek; dark-colored elevations on the hands; trembling of the extremities; dropsical swelling about the hands, or below the elbow. Stomach, Bowels, and Evacuations. Frequent eructations; copious vomiting without much effort— or violent retching, with vomiting of undigested substances, or of bilious and frothy matter; inclination to eat at night, but repugnance tc food in the morning; unquenchable thirst; utter disgust for food, and vomiting, with purging; evacuations dark and liquid, mingled with thready matter, and severe urging; excessive relaxation of the bowels (with extreme and sudden prostration); suppression of urine; very watery or whitish urine — or scanty, hot discharge of urine; involuntary motions; evacuations of a brownish color, frothy or mixed with blood, and quite putrid. Pains. Pains like those of labor; very severe, forcing, expulsive, and cramp- like pains in the womb, &c; pricking and burning pains, piercing in different parts; burning pains in one spot, low in the back, or in the region of the liver; burning, fixed pain in the pit of the stomach; cramp-like pains in the bowels, with attacks of spasm or convulsion. Breathing. Excessive shortness of breath, and weight and tightness of the chest; hurried, anxious breathing, with deep croaking or very feeble voice; spasmodic pinching in the midriff, with suffocative attacks; gaspin&or gulping for breath, and spitting of blood. Pulse and Circulation. Very quick, and sometimes also hard and frequent pulse during the heat, followed by oppressed, very small, and feeble pulse, with contracted, interrupted, sharp beating of the heart, as if the thorough expansion of the large vessels were prevented by spasm. Mouth, Tongue, and Nose. Greenish, yellowish, or blood-stained froth in the mouth, which is spluttered out in the convulsions; the mouth intensely dry; the tongue swollen, coated with thick phlegm, tainted, brown or black; and profuse discharge of dark, liquid, or even slimy blood from the nose, or even also from the mouth. SEPIA. Womb, Menstruation, &c. Corrosive discharges of females at the critical age, attended with very troublesome lassitude and weariness of the limbs ; great lassi- tude during the menstrual periods; excoriations between the thighs; yellow or greenish-red discharge between the periods ; acrid discharge, with much itching of the parts; oppressive weight and fulness (with difficult respiration) in the region of the womb; great heat, within and without, in the region of-the womb and subjaoeni passages ; scanty, very weak periodical discharges, generally oc- 904 SEPIA. curr'ny V>efore the proper time — or delayed, or even suppressed menstrua'i flow — ov, 01 the other hand, too frequent and too copious menstruation; downward pressure in tl e region of the womb, as if the womb would be forced out; during th« menstrual period, depression of spirits, toothache, headache, bleeding from the nose, and feeling of soreness in the limbs. Breathing, Chest, &c. Habitual cough at night; dry cough (frequently attended with nausea and vomiting), more prevalent in the evening; cough, attended with the discharge of abundant phlegm, of a putrid or saltish taste, particularly in the morning and evening (the act of coughing provokes pains in the sides of the chest); oppressed and difficult breathing ; violent cough, which terminates in vomiting of the contents of the stomach; cough coming on after eating, with vomiting; determination of blood to the chest; loose cough after the least chill; shortness and difficulty of breathing, with intense oppression, as soon as the patient lies down, or when ascending stairs, &c.; oppressed breathing, caused by great col- lection of phlegm in the air-passages. Pulse and Circulation. The pulse is generally small, feeble, and very irritable, and commonly quick and wiry at night, but sometimes slow and soft; determina- tion of blood to the head, chest, womb, &c.; violent or intermittent beating of the heart; intermittent and irregular pulse. Stomach, Bowels, and Evacuations. Voracious, excessive appetite, with a trou- blesome sensation of hunger and sinking ; painful sensation of emptiness or weakness in the stomach and belly; general weakness or slowness of digestion; imperfect digestion ; the motions hard, imperfect, and attended with fruitless urging; almost invariably there is an intense weight at the stomach, as if at one spot, after eating, and weight, with a sensation of great distension in the belly — or evacuation ofthe bowels, with much flatulency and rumbling of wind immedi- ately after a meal; acid, bitter, acrid, or putrid risings from the stomach, or very loud belching of flatulency after eating or drinking; intense oppression at the pit of the stomach, with flatulent distension after eating, relieved on belching of wind, which is generally violent after drinking cold water; almost constant nausea, but chiefly after the least food, after carriage-exercise, or the first thing in the morning, sometimes terminating in the vomiting of food when one haa eaten ; pulsation or sensation of burning at the pit of the stomach ; soft, jelly-like evacuations — or putrid, or acid-smelling, greenish, and very loose discharge from the bowels — or oozing of slime from the passage before and after stool; swellings in the passage, with great heat and obstruction — or constant and ex- hausting relaxation of the bowels — and sometimes intense itching, with heat, followed by soreness and smarting around the orifice; frequent discharge of urine, sometimes chiefly at night, generally accompanied with smarting, often with pressive weight at the bladder, but varying in color, quantity, &c.; cloudy, thick, reddish, or sandy urine, with scanty discharge — or very copious discharge of offensive urine, depositing a bloody or flocky sediment — or a pinkish sedi- ment, which stains the vessel; unconscious discharge of urine during sleep. Head. Confused sensation in the head, with giddiness, especially apparent in the open air; heaviness of the head, or sensation as if a ball were rising into the brain; vertigo when walking in the open air, as if objects were moving in a cir- cle ; burning headache, from within outwards, relieved by closing the eyes, by pressure, or sleep ; feeling of coldness in the back of the head. SEPIA. 905 External Surface. Swelling of the limbs after much exertion, especially cf the legs ; throbbing sensations all over the body (attended with extreme restlessness); excoriation ofthe skin in the bend ofthe joints; patches of brownish or reddish, and mealy or scabby eruptions in various parts; oozing eruptions, forming scabs on the head amongst the hair; the scalp has a benumbed feeling, and is very Bensitive to contact; intense irritation and itching ofthe head amongst the hair; swelling of the extremity of the nose, and yellowness, or dirty, sallow hue of the face; burning heat of the feet, or great and constant coldness of the legs and feet, with occasional burning heat; oozing eruptions, forming scabs in various parts; perspiration breaks out when the patient sits down; the irritation from hollow teeth is apt to provoke inflammation of the face; a yellow line crosses the nose and cheek; habitual sweating, or oozing, scabby eruptions in the armpits; eruptions, either mealy and scurfy, or moist, oozing, and scabby at the back of the hands; constant, cold, clammy perspiration on the hands and feet; torpid and passive ulcerations at the extremities of the toes, or in the heels, without pain; the nails of the toes especially, and sometimes of the fingers, grow out of shape, or grow into the flesh; burning heat of the palms of the hands, especially towards night; swelling, with itching eruptions on the hands; permanent en- largement of the belly after child-bearing ; swelling of the forehead, and casting of the hair; sour-smelling perspiration in the morning, or profuse perspiration at night, or upon the least exertion; general want of sufficient warmth, and pre- vailing chilliness or actual coldness; redness and swelling of the eyelids; styes on the eyelids ; generally there is a dark circle round the eyes ; very inveterate eruptions, like that of itch, between the fingers, over the hands, and round the wrists; extreme susceptibility to take cold, violent and visible throbbing of the blood- vessels. Pains. Stitching and burning pains in various parts; all the pains have a tendency to be removed by strong exercise; very severe, tearing, boring, or jerking pains on one side of the head (sometimes attended with vomiting) ; shoot- ing pains in the shins and ankles; shooting pains in the wrists ; throbbing pain at the pit of the stomach ; expansive pain in the head as if it would burst; throb- bing pain at the back of the head; aching pain in the stomach after eating; burning pains in the stomach ; burning, clawing, shooting pain in the belly, principally, if not solely, on the left side ; incisive, coiling, cramp-like pains in the bowels after any exertion, such as walking; aching (dull or acute) pain in the lower part of the belly, right across, from side to side ; burning pain in the passage on passing water, or very pressive, aching pain in the bladder (with urging); pain in both sides of the chest, when breathing or coughing, or upon moving — or dull, aching pain in the chest, towards night; straining, drawing pain in the shoulder-joint, and tearing, or shooting pains in the hips, thighs, or shins; stitching, aching, boring, or throbbing pains along the lower ribs, or in the region of the liver when moving or during carriage-exercise ; aching pain in the ball of the eye. Nervous System and Senses. The limbs have a tendency to become numbed; extreme restlessness of the limbs, and constant change of position without relief; extreme susceptibility to the open air; fatigue attends the least exer- tion; prostration of energy; jerking of the limbs at night and in the day; rigiiity of the joints; fainting-fits, and general debility, with hyste-ical disposi- 906 SILICEA. tion; sadness and melancholy, with inclination to weep ; involuntary shaking oftht head; great tenderness of light, and partial loss of sight; the sleep is unrefresh- ing, and constantly broken, without any particular cause; the eyelids hang down from palsy of the muscles; stiffness of the back and nape of the neck ; loss of the sense of small; candles appear to shed a greenish light; black patches or lines of light appear before the eyes; the eyelids quiver; offensive smell in the nose; contracted pupils. Nose, Mouth, Gums, and Tongue. The nose is stuffed and painfully dry, and the interior of the nostrils is ulcerated, or covered with scabs; the nose is apt to bleed whenever the patient becomes warm with exertion, or when blowing the nose; painful eruption, forming a scab at the extremity of the nose; the mouth is dry and offensive; copious flow of salt saliva; the throat raw, and the tongue dry and thickly covered with a white coating — or the tongue is sore, and ex- hibits an eruption of blisters upon it; the gums are swollen, sore, or ulcerated, and readily provoked to bleed. Eyes. The eyes are dim and red; opaque spots or pustules appear on the transparent portion of the globe of the eyes; the eyes are swollen and inflamed, and the eyelids adhere at night. SILICEA. External Surface. Coldness and offensiveness of the feet, especially in the morning, with sweating and soreness between the toes; swelling of the glands of the neck; swelling and hardening of the glands beneath the ears; swelling, hardening, and suppuration of the glands generally; suppuration of soft parts ; elastic and colorless tumors on the knee; hot, red, painful, and suppurating tumors (with throbbing) at the extremities ofthe fingers; hard formations in im- portant structures, such as those which precede the development of cancer; en- largement and distortion of the spine ; abscesses in different parts (in glandular structures); profuse sweats at night; night-sweats of a sour smell; exceeding sensitiveness of the skin all over the body, or general itching of the skin; pallid complexion; eruptions, either dry, mealy, or scaly, or moist — oozing and form- ing scabs — upon the chin; swelling ofthe glands under the jaw, with or without ultimate ulceration; the lower lip is ulcerated; distension of the stomach (with heat); permanent enlargement, hardness, and distension of the belly; ruptural tumor in the groin, or pad-like inflation of the bowels in one particular spot; swelling of the glands at the nape of the neck ; boils break out on the thighs ; the feet are swollen; spreading, corrosive, putrid ulcers in various parts, or ulcers, with fistulous perforations, or with fungous excrescences; very malignant and intractable carbuncles on the limbs, especially on the shin, or in other parts; swelling and ulceration of the bone of the lower jaw ; sweating of the head to- wards night, or exhausting and general sweats in the morning; swelling and hardness in the region of the liver, with tenderness on pressure; susceptibility to cold; tendency to take cold; abscess in the breast, and inflammation of the nipple. Nervous System, Brain, Senses, &c. Giddiness in the morning, which makes one fall backwards; the patient is readily exhausted by mental application; the strong light of day is painful; sudden obscuration of sight, or momentary blind- ness ; the sleep is disturbed by frightful dreams, interrupted by starting, or at SILICEA. 907 tended with snoring or with twitching of the limbs; extreme and general nervous debility; great inclination to sleep, without the power; retarded sleep at night, or total incapacity to sleep, with great agitation and restlessness, and with much disturbance of the circulation and flushing of heat to the head; constant yawning; anxiety and uneasiness of mind; incapability of concentrating the re- flective faculties; much despondency, with extreme irritability of temper, and fearfulness; exertion of thought produces much exhaustion ; confusion of thought, and swimming of the head; confusion of type in reading; great obtuseness of hearing; fainting-fits, induced by lying on one side; total loss of the power of smelling; spasmodic affections of the jaw, with twitching ofthe limbs; exti-eme sensation of languor, with trembling of the limbs, especially in the morning; absence of taste. Stomach, Bowels, and Evacuations. Constant thirst; peculiar dislike for warm or cooked articles of food; habitual or prevailing nausea; sour risings; heart- burn ; distension and heat of the stomach ; copious flow of water into the mouth, followed by vomiting; vomiting after drinking; vomiting of food even during the night; sickness at the stomach every morning; weight and pressure at the stomach after eating; constipation, with ineffectual urging to stool; the motions are hard and bullety, and discharged with much straining; frequent discharge of urine, or unconscious discharge even during sleep; relaxation of the bowels before the menstrual period. Pains. Pressing, heavy, tensive pain in the head, as if it would split; aching pain in the chest; dragging, tearing, and shooting pains in the limbs; contusive pains; violent throbbing headache at night, with determination of blood to the head; aching, and even throbbing pains in the stomach ; headache every morn- ing ; hammering or tearing pains in the head; throbbing pains in the ears; tear- ing or shooting pains in the teeth at night; burning pains (with itching) in the eyes; the inhalation of cold air through the teeth, or the admission of hot liquids into the mouth, induces toothache; pinching, cramp-like, or incisive pains in the bowels (sometimes attended with diarrhoea); burning pains in the bowels; tear- ing and shooting pains in the back, and dull, aching pain in the small of the back; shooting, pressive, and tearing pains in the knee-joint and muscles of the thigh, or in the arms ; great pain in the teeth, with enlargement of the bone (and investing membrane) of the lower jaw; sore pains, with throbbing in the region of the liver. Womb, Menstruation, &c. During the intervals, very white discharge like milk, coming in gushes; floodings during nursing; menstrual discharges preceded by pains in the bowels, looseness, and general derangement; great heat and sore- ness of the parts; feeble or profuse, or sometimes suppressed menstrual dis- charge ; menstruation too frequent, or before the proper time ; discharge of mat- ter in passing water, or habitually acrid discharge of matter, which causes sore- ness of the adjacent parts, and of the passage, and is usually preceded by in- tolerable gnawing itching. Breathing, Chest, tec. Pressure at the chest, and impeded respiration; con- tinual cough night and day, with scanty expectoration of phlegm, and aggravated by exercise; suffocating cough at night, with abundant expectoration of jelly- like, clear phlegm, or of matter, with flaky, curdy lumps, or stringy shre is ; dif- 908 SPIGELIA. Acuity of breathing when lying on the back; hollow, spasmodic, suffocative cough, arising from tickling in the throat-pit. Nose, Eyes, Ears, and Mouth. Heat, redness, and soreness inside the nostrils; or red itching scabs at the extremity of the nose; ulceration of the nostrils; habitual, but interrupted sneezing; constant dryness and stuffing of the nose, Bometimes with burning heat; continual, thin, watery, and acrid discharge from the nostrils; discharges of blood from the nose from time to time; the ears are Btopped up or muffled; the stoppage of the ears is suddenly removed at times with a report, chiefly when blowing the nose; the eyes are red; the lachrymal glands swollen; flow of tears in the open air; constant watering of the eyes from obstruction of the lachrymal ducts and sac; adhesion of the lids at night; great cloudiness of sight; spots on the transparent portion of the eye ; soreness of the mouth, and rawness of the tongue ; pricking in the throat; constant accumu- lation of phlegm in the mouth. SPIGELIA. tlCuJc ftfl Pains. Violent shooting pains in the eyes, piercing the head; acute, aching pains deep in the eyes; burning, aching pains in the bones of the face; shooting pains about the heart; tearing pains in the chest when raising the arms ; spas- modic pain, commencing at the pit of the stomach and extending to the chest (with sensation as if strangled); pains of an aching, beating character in the face and teeth; very violent and distracting pains in the face, so that the patient can- not bear the least touch or movement; shooting pains in the region of the heart, with cramp-like pains of the chest (and imminent suffocation); tearing and shoot- ing pains in all the limbs; unbearable and distracting pains in the head, worse on the least motion; bursting pain in the head when speaking, coughing, or with any. other effort; burning pain over the outer surface of the head, especially about the forehead and at the temples; boring, tearing pains in the head; the least movement of the head induces headache, with swimming of the head (and nausea); aching pains in the eyes, as if the eyeballs were swollen, so as to press on all sides upon the walls of the cavity, and so that moving the eyes produces intolerable agony; tearing, jerking, boring, or throbbing pains in the ears. Breathing, Chest, &c. Extreme shortness of breath, especially when speaking (commonly attended with bright redness, or even blueness, of the face and lips); the recumbent position is almost impossible, owing to the extreme oppression of breath; impeded breathing when lying on the left side, compelling the patient to lie on the right side only — or difficulty of breathing, so great as to compel the patient to sit up; tremulous sensation in the chest; spasmodic arrest of breath ; the patient cannot move in bed, owing to the difficulty of breathing induced there- by ; attacks of imminent suffocation, with intense anguish and violent beating of the heart; sensation of burning at the heart. Stomach, Bowels, and Evacuations. Intense tightness and pressure in the region of the stomach, so that the patient cannot bear to keep his clothes fastened ; when the stomach is empty, sickness and feeling as if something rose and choked the patient; sensation about the navel as if a lump of lead were lodged there; very offensive flatulency; discharge of frothy slime from the passage, with or without evacuation from the bowels — or very liquid and soft stools, with abund- ance of froth and slime — or slimy, hard, and straining motions; desire to dis- SPONGIA. 909 charge urine too often, or constant dribbling of urine; whitish or cur Jy sediment in the urine. Eyes, Nose, Mouth, and Ears. Inflammation of the eyes, with bright redness of the white part; streaks or rays of light before the eyes; excessive heat, dryness, and burning in the eyes; profuse flow of tears; itching and tickling in the nose, with constant boring at the nostrils; very free discharge of thick, white, or creamy matter from the nostrils — or total stoppage, with intense dryness and heat of the nose; accumulation of frothy, dry, bubbling saliva in the mouth; very offensive odor from the mouth; hardness, tightness, and burning heat of the lips; red and fissured, or brown, cracked tongue — or the mouth and tongue very dry or slimy, and covered with whitish elevations or blisters; complete stop- page of the ears, with dulness of hearing, or even with complete deafness; attacks of deafness at certain stated periods. SPONGIA. Breathing, Chest, &c. The respiration is slow, deep, and attended with wheezing, hoarseness, whistling, or rattling of phlegm on the chest, or by a peculiar flap- ping or crackling sound as the air passes out; feeling as if the opening of the windpipe were choked up; hollow, dry, or rattling cough; continued cough, with a whistling sound; croup; coughing, with a sensation of burning and soreness in the chest; chronic cough, attended with hoarseness and expectoration of yellowish matter; hoarse and husky voice; extreme sensitiveness and tenderness of the upper part of the windpipe to pressure — or when the head is moved; burning sensation in the upper part of the windpipe, or in the whole extent of the wind- pipe ; weak voice, giving out when singing or talking. External Surface. The glands generally have a tendency to swell and to be- come hardened; the skin is extreme dry and hot; the hands, and especially the joints of the fingers, are red and swollen; sudden flushing of extreme heat per- vades the body; the expression is extremely anxious; the face sometimes red and swollen, or generally crimson or puffed, or very pale; the glands beneath the jaw are swollen, hard, and very tender; (excessive thirst, headache, and delirium attend the heat;) yellowish crusts on the eyebrows. Pains. Throbbing and very violent pain in the head; burning pain in the chest and at the opening of the windpipe ; pain in the head as if in a vice ; dull, aching pains on one side of the head; shooting pains in the eyes; pinching pains in the ears; pain, with heaviness in the limbs; dull, heavy, aching pain in the region of the stomach and at the pit of the stomach; clawing pains in the bowels ; pain, with muscular stiffness at the back of the neck ; dragging or aching pains from the fingers to the elbows, chiefly in the joints and muscles. Stomach, Bowels, and Evacuations. Frequent eructations; sour risings or sour taste in the mouth and great thirst; bitter taste in the mouth; rumbling of wind in the belly; excessive morbid hunger; the motions are hard and slow, also too unfrequent, or relaxed and whitish; urging and straining during the motion. Eyes, Nose, Ears, Mouth, Tongue, &c. The eyes are red and burning, and there is profuse flow of tears; discharge of blood from the nose upon the least effort; profuse flow of saliva in the mouth —or excessive dryness of the tongue and throat—or brownish, dry, and sometimes fissured tongue- impaired hearing, and ulceration in the internal cavity of the ears. 910 SQUILLA MARITIMA. Pulse and Circulation. Hard, quick, and very frequent pulse, with determina- tion of blood to the head and chest, and oppressed beating of the heart; palpita- tion of the heart before menstruation, with gasping respiration, and pain in the heart; violent palpitation of the heart awakens the patient after midnight, with a sense of suffocation, loud cough, great alarm, and agitation. Disposition. Extremely dejected ; agonizing despondency ; the patient cannot be reassured. SQUILLA MARITIMA. Breathing, Chest, &c. Excessive shortness and difficulty of breathing when lying down — or incapability of lying down, the patient being obliged to sit up, or to be propped up with pillows in bed; intense pressure, with oppression at the chest; hurried and anxious breathing; the patient is compelled to keep the mouth open to get sufficient air, and moans continually; fits of coughing, with extreme shortness of breath, and dislodgment of phlegm; breathing occasions a short, stifled cough, which is usually worse or more incessant at night; violent coughing, which ends in heaving at the stomach ; drawing a deep breath induces a fit of coughing, with suffocative arrest of breathing; shortness of breath, with stitches in the chest when breathing or coughing; the cough causes pressure to be made on the bladder, with spirting out of the urine. External Surface. A sensation of intense heat (under the skin), and of tingling, pricking, or itching is felt all over the body; the folds of limbs are apt to become sore, as if with friction; the body is usually very hot, but the extremities in- tensely cold — or there is a sensation of general want of heat; the patient feels excessively hot, but cannot bear the least exposure; the upper lids of the eyes are swollen; pinched and drawn appearance of the features; eruption of small, oozing, and excessively irritating elevations on the skin; habitual sweating of the armpits, and cold sweats on the feet; the expression is alternately very lively and intensely depressed; the face is generally pallid, especially after the fever- fits, but is also frequently of a deep crimson or purplish hue; flushing of heat in the face after the slightest exertion. Nervous System, Brain, Senses, &c. Spasmodic or convulsive affections of dif- ferent muscles; jerking movements of the arms and legs, particularly the latter; very agitated sleep, with much tossing, or incessant, uneasy dreaming ; or total inability to sleep; great agitation, especially of the limbs; sensation of weight and lassitude in the limbs; spinning of objects to the sight, and giddiness, (with sickness at the stomach,) and tendency to topple over sideways; mistiness of sight; the eyes are very wide open, and generally vacantly directed upon one ob- ject ; the pupils being either excessively dilated, or very much contracted; spin- ning and heaviness of the head on raising it from the pillow, especially in the first of the morning. Mouth, Throat, Tongue, and Teeth. Slimy phlegm in the mouth — or great dry- ness of the mouth and throat; the patient sleeps with the mouth open; the tongue is sometimes very dry, or, in other instances, slimy, and covered with whitish blisters; the teeth are very dark, sometimes quite black; and the lips usually of a dark brown, scaly, cracked, or quite black. Stomach, Bowels, and Evacuations. Inordinate appetite, with rapid bolting of food, or absolute loss of appetite ; aversion to all food; and constant, insatiable thirst, with incapability to drink deeply; feeble, slow, and imperfect digestion; STANNUM. 911 habitual sickness at the stomach, especially in the morning; and rising of bitter matter from the stomach; continual expulsion of flatulency from the bowels; and great tenderness of the whole belly, with constant rumbling of flatulency; very loose and dark evacuations — or very offensive, almost putrid motions containing undigested substances; on the other hand, habitual costiveness, with imperfect and difficult evacuations of hard motions; frequent urging to urinate, with pro- fuse discharge of pale urine; continuous, painful pressure on the bladder; in- ability to retain the urine. STANNUM. J Ov^ Breathing, Chest, &c. Empty, sinking sensations in the chest, with exhaustion; Budden attacks of oppressive tightness at the chest, often towards night — or habitual oppression at the chest; great shortness of breath, particularly towards night, with sensation of sinking at the pit of the stomach; impeded, difficult Dreathing, sometimes with a sensation of choking, more particularly when lying down, during the night, or even upon the least exertion during the day; the patient is much relieved, and feels exhilarated by drawing a deep breath, when he ia nble to do so, but is rarely able to effect this; walking exercise, but more espe- cially running or walking up a hill, or up stairs, produces an intense oppression and tightness at the chest; soreness in the chest; violent, shaking cough towards night, or during the night, or more especially in the morning—or attacks of coughing when the patient lies on the right ride; coughing and hawking, with profuse expectoration of phlegm, often quite liquid or jelly-like, or slightly tinged with blood, which accumulates in large quantities in the windpipe; tickling, rough, harsh sensation in the chest, which induces coughing, and is usually attended with hoarseness, loud rattling of phlegm on the chest, or wheezing; sweetish, saltish, lumpy, stringy, adhesive, or yellowish expectoration after coughing — or expectoration of greenish matter, or of clear and very offensive matter; very feeble, low, and indistinct voice. External Surface. Copious sweats in the morning — or exhausting night-sweats; predominant chilliness, with shivering, especially in the back, with crawling sen- sations, whether in the morning or evening, or both, the hands being generally cold — or great flushing of heat, with much anxiety at the chest on the least exer- tion— or excessive heat ofthe hands; extreme attenuation of frame, and general loss of flesh ; pallid, haggard countenance; general sensations of extreme uneasi- ness all over the body; perspiration readily provoked, and generally copious; hollowness of the eyes, and pointedness of the features; swelling of the glands under the jaw, and of the upper jaw and cheek; coldness, or very red and hot swelling of the hands and feet. Stomach, Bowels, and Evacuations. General prevalence of bitter taste in the mouth, which is conveyed to every kind of food; very slow, feeble, and imperfect digestion, and nausea habitually after eating; almost constant thirst, or continual craving for food, without allay of hunger by eating; sickness at the stomach, fol- lowed by vomiting of bitter, watery matter after eating; rising of sour or putrid matters from the stomach; excessive heaving at the stomach, followed by throw- ing up of food; great sensitiveness and distension of the bowels, with sensation of burning in the region of the liver; the bowels are usually perversely confined, with continual desire to evacuate, but without discharge, or with discharge only 912 STAPHYSAGRIA. of lumpy, very dry, insufficient, greenish evacuations — or, on the other hand, continued and very excessive looseness, with slimy or copious motions; urine commonly discharged at very short intervals, but deficient in quantity. Pains. Jerking pains (or aching) in the teeth, with flushing of heat after eat- ing ; dragging, heaving pains in the limbs ; very heavy or shooting pains in the head, or boring, piercing pains right through the head — or pulsating pains in the temples; aching, tearing, dragging pains in the ears; cramp-like, or very acute, aching pains in the stomach, with clawing pain about the navel — or cramp- like, pinching pains; darting pains in the chest, especially on the left side — or smarting, sore pain deep in the chest. Mouth, Tongue, Teeth, and Gums. Great accumulation of phlegm in the throat and mouth, or flow of saliva in the mouth ; very foul smell from the mouth ; ulcer- ated gums; sensation of jarring and lengthening of the teeth ; the teeth are loose in the gums ; the throat is dry and harsh ; the tongue commonly either natural in color, or unnaturally red, and sometimes dry and harsh. Eyes. The eyelids adhere at night; ulceration ofthe inner corner ofthe eyes; smarting, itching, and burning sensations in the eyes and eyelids ; styes or swell- ing and redness of the lids; the eyes are hazy, or filmy and inanimate. Nervous System, &c. Convulsive attacks, with violent movements of the hands and eyes, the head being flung back, the thumbs drawn up (and the face usually ghastly pale); extreme nervous excitement; feebleness of the hands, with trem- bling ; very agitated dreams and restlessness at night; the patient falls asleep very late, but sleeps heavily; the disposition is low and desponding ; the temper Bometimes very morose or irritable; the eyes and eyelids quiver — or the eyes are convulsed and protruded. STAPHYSAGRIA. External Surface. Bad skin — that is, such that the least injury may develop a troublesome sore ; knotty elevations on the surface, which emit a slow discharge, and cause a very troublesome itching; dry, scaly eruptions on the skin; enlarge- ments of the bones, and swelling, with hardness of the glands; putrid and exces- sive sweats at night; feverish attacks daily as evening sets in, characterized by shivering without heat; excessive heat of the extremities at night, so that the patient does not care to keep them under the bedclothes, and cannot sleep; some- times no heat causes perspiration, whilst, in other cases, sweat breaks out even when at rest; scurfy, mealy, and dry, or oozing and very offensive eruptions on the scalp, in either case attended with unbearable itching, and generally with loss of the hair; pale and hollow countenance, with livid circles about the eyes, and attenuated, pointed features; enlargement of the lips, and swelling, with hard- ness of the glands of the nether jaw (with much pain); scabs and ulcers on the lips; swelling and hardness of the glands of the groin, and permanent enlargement of the belly; swelling, and usually also hardness of the glands of the armpits and neck; burning heat, with unbearable itching or tingling in the toes; dry, scurfy, or scabby and moist eruptions on the hands; inflammatory swellings affecting the bones; blue-colored appearance of the face after violent emotions, especially anger. Nervous System, &c. Despondency respecting one's health; malicious and re- vengeful disposition; extreme irritability of temper and susceptibility to vexatious STAPHYSAGRIA. 913 impressions; sudden impulses; embarrassment and confusion of the intellectual faculties and incapability of clearing the thoughts; jerking of the limbs after having slept; incapability to sleep for several hours, owing to mental excite- ment; drowsiness and heaviness during the day ; flashes of light before the eyes, or very hazy, misty, and indistinct sight; dulness of hearing and of sight; tremu- lousness, with palpitation of the heart, easily induced by any excitement, by the least exercise or exertion of the mind or body; tremulousness and palpitation after sleeping in the daytime. Pains. Continual, gnawing, boring pains in hollow teeth, especially in the evening, or the first of the morning, or readily provoked or aggravated by in- haling cold air, eating or drinking cold fluids; acute, shooting, or throbbing pains in the bones; piercing pains in different parts; dragging pains in the joints; bursting headache upon stooping, or on the least movement of the head; piercing, thrusting pain on one side of the head; snooting, cutting pains in tho bones of the face; griping and cutting pains in the bowels; boring, piercing pains in the stomach; throbbing, piercing, and aching pain in the small of the back (with or without a visible tumor); aching, tearing, darting pains in the arms, Bhoulders, hands, feet, and shins; pains in the loins and thighs, as if broken, provoked, or aggravated by movement. " Mouth, Gums, Teeth, Throat, and Ears. Excessive dryness of the throat, palate, and mouth, with a feeling of soreness when speaking, or in the throat, especially when swallowing ; whitish elevations or blisters all over the interior of the mouth, or ulceration of parts of the mouth — or morbid growths on the gums, or on the inside of the cheeks; the teeth are very dark and brittle, giving way by pieces, and the gums very sore and swollen, and bleeding on the least touch; the tonsils and glands under the tongue are swollen; eruptions appear — generally dry and mealy, but sometimes moist and scabby, always itching unbearably — behind the ears. Nose and Eyes. Stuffing of one nostril, with profuse, thin, acrid, and watery, or thick, adhesive discharge from the nostrils, and watering of the eyes; ulcera- tion of the interior of the nostrils, with thick scabs and incrustations; redness, heat, and swelling of the margins of the eyelids, sometimes with itching, and knotty elevations or protuberances, and discharge of thick, sticky matter from the corners ofthe eyes; adhesion of the lids at night; inflammation of the eyes; eruption of pimples round the eyes; extreme dryness and heat, with redness of the eyes and eyelids; heaviness of the eyes, and smarting or excessively trouble- Bome itching deep in the corners of the eyes. Stomach, Bowels, and Evacuations. Tastelessness of food, with hunger; desire for liquid food ; inordinate or very fastidious and craving appetite; eructations, recurring very often; weight, oppression, and tightness in the region of the stomach and about the waist; desire to relieve the bowels, with very insufficient discharge; obstinate costiveness; difficulty in discharging the evacuations, with very hard but sometimes also soft stools; quite liquid and spontaneous motions; scalding sensation in passing water ; very painful, frequent, and scanty discharge, or even much urging and drop-discharge of deep-colored, reddish urine. 58 914 STRAMONIUM. STRAMONIUM. K'- ' **■'' V? -! 'if ".'..) Tr~tll Nervous System, Brain, Senses, &c. Convulsive attacks, with vi&lent and in- voluntary jerking of the limbs or of the body, recurring at intervals, and much aggravated or provoked by the sight of glistening or bright, reflective bodies, or of water; spasmodic rigidity of the jaws and clenching of the teeth ; convulsive hiccough; general or local spasms; rigid bending of the body backwards; sensa- tion as if the limbs were torn away; gradual contraction of the limbs, succeeded by exceedingly gradual relaxation — or gradual contraction of the limbs, ending in permanent rigidity — or the limbs are slowly stretched out, and become rigid; violent bursts of spasmodic laughter; sardonic grinning — or alternate whining, or moaning and laughter; constant alternation of serious, gloomy thoughts, gestures, and remarks, with delirious raving, and a multitude of fantastical ideas ; cease- less talking; delirium, running upon one prevailing thought; deep lethargic sleep (with noisy, snoring respiration), from which it is impossible to rouse the patient; violent trembling of the limbs; violent giddiness, succeeded by loss of conscious- ness, and positive rigidity of the whole body; spasmodic contraction of two or more, or all of the limbs at the same time; the knees are drawn up; deep melan- choly and gloomy thoughts, from which it is impossible to divert the patient's attention, and against which nothing can reassure him; wild frenzy, with de- structive disposition ; delirium, with the idea of ill-usage or of unjust restraint, and attempts to escape, the patient watching the nurse or attendant, and if atten- tion be for a moment diverted from him, springing suddenly from the bed, and attempting to leap from the window, &c.; illusions of sight, with ditoinutive appearance of objects; total forgetfulness of those about one; the most constant companions are not recognized, and when asked if he knows some one who ad- dresses him, the patient appears at a loss, names other persons, or shakes hia head in the negative — or if told the person's name, appears incredulous; ab- sence of all the senses; total unconsciousness of sounds, smells, or objects; con- vulsive agitation or jerking of the head; vacant, downcast stare; the eyes do not appear to convey a consciousness of objects passed before them; the eyes are con- vulsively turned in one direction (upwards or sideways); the pupils extremely dilated; the eyelids spasmodically closed; the teeth ground or gritted together; the throat spasmodically closed, so that the act of swallowing, especially of liquids, is impossible; the hands are distorted, and the fingers clenched; the limbs give way when the patient attempts to stand upright; the lips sometimes quiver; in- capability to articulate — or stuttering, embarrassed speech. External Surface. Occasional flushing of heat, with redness of the face; the features are wrung into the most hideous and unnatural positions; the face is of a deep crimson hue or ghastly pale, and usually much seared and wrinkled; bloated and purple face, with even an appearance like that of extravasation of blood over the face; general and intense coldness of the body, with or without heat of the head; icy coldness of the limbs, and especially of the feet and hands. Eyes, Nose, Mouth, and Tongue. Brilliant appearance of the eyes, with im- movable pupils; puffing, protrusion, and redness of the eyes; swelling and red- ness along the margins of the eyelids; frothy and bloody spittle in the mouth, oozing out on either side; immovable and swollen tongue; intense dryness of the mouth, or profuse accumulation and drivelling of saliva. SULPHUR. 915 Stomach, Bowels, and Evacuations. Intense thirst, with incapa; ility to swallow liquids; continual bit.er taste in the mouth; risings of sour matter from the Btomach; vomiting of green, bilious matter, or of frothy, greenish, and sour- smelling matters; distension of the stomach, the belly blown out with flatulency, hard and tight; rumbling and free expulsion of flatulency; involuntary flow of urine, or drop-discharge, with intense urging to pass water; the bowels are con. fined, and there is much straining and urging to evacuate — or the evacuations are loose and perfectly putrid; great tenderness of the stomach and belly to pressure. Breathing. Impeded breath, and intense anxiety; complete arrest of respira- tion with suffocation — or difficult, irregular, and gasping respiration. Pains. Throbbing pains at the top of the head; aching and sore pain in the stomach, aggravated by pressure ; violent, clawing, lacerative pains in the bowels, especially about the navel; drawing, lacerative, or boring pains in the back and loins, or pains in the back as if crushed. SULPHUR. External Surface. Eruptions of scattered and itching pimples, generally assum- ing a flattened shape, and containing yellowish or curdy matter, sometimes stained with blood — or oozing eruptions, of a yellowish or greenish color, in either case red at the base, and in the latter instance, especially, forming scabs; swelling of the hands; the veins on the hands are distended; perspiration on the hands; excessive irritation of the skin, and itching all over the body, and aggra- vated towards night, and especially during the night in the warmth of the bed; eruptions of all kinds, attended with burning and itching sensations; the forma- tion of ulcers, of which the centre is hollow, and which are surrounded by pim- ples; the glands generally are swollen, inflamed, hardened, and suppurating; sweating is profuse at all times; local sweating, generally very offensive, of par- ticular parts, as on the chest or back, in the armpits, and on the hands and feet in particular; there is a predisposition to sweat with every physical exertion, however slight; there is general and habitual chilliness — or heat predominates at night, in the morning, or in the evening; very intense, burning, and unbearable heat, with harsh dryness of the skin; red, hot, and tingling swelling of the breasts, or irritation and soreness of the nipples; scarlet hue of the skin all over the body, or even purple color, with unbearable heat; swelling heat and redness of the skin, like that of erysipelas, further characterized by very troublesome gnawing, itching, and tingling; fine, grain-like eruptions on the skin, but chiefly developed on the limbs; very red, hot, tingling, and itching swellings (chilblains) on the extremities, or the same proceeding to ulceration; knotty protuberances under the skin; chapping of the skin upon the least exposure (or provoked by merely washing the hands), with smarting sensation ; yellowish or brownish stains upon the skin in different parts ; scaly warts, dry and without sensibility, princi- pally on the knuckles; eruptions of vesicles, oozing a thin, pale, yellowish, red- dish, or greenish fluid, sometimes very corrosive and forming scabs, with con- stant gnawing itching; shivering-fits, which affect particular parts, chiefly the back and chest, with coldness of the feet and hands, and of the nose; sweats which emit a sour smell; pale and bloated face; livid complexion; blue rings round the eyes; roughness of the skin on the face; flushing of the face; red spota 916 SULPHUR. on the face; bh-ck pores on the nose, lips, and chin; extreme sensitiveness of the scalp at the roots of the hair; local or general coldness or flushing of heat in the head; eruptions of itching, gnawing pimples on the forehead and amongst the hair; rapid loss of the hair, which falls out by handfuls (especially after severe acute diseases); intense itching, with the formation of scaly, hard, dry, dense, and yellow-colored scabs amongst the hair, whence an offensive, thick, and yellow matter is discharged; swelling of the face, sometimes without altera- tion of color, sometimes very red; enlargement of the lips and swelling of the jaws; swelling of the glands under the jaw; hardness, with enlargement in the region of the liver, and often with extreme tenderness of pressure; soreness and extreme Bensitiveness of the region around the waist; curvature of the spine; enlarge- ment, with heat and redness, of the glands of the neck; and hard swelling and abscess of the glands of the armpits; considerable swelling, with glossy redness, of the fingers; itching, minute, red pimples on the hands and fingers; peeling off of the skin from the hands; and cracking of the skin, with hardness and dryness, especially at the back of the hands and around the wrists; numbness of the fingers; intractable ulcers, characterized by burning sensations, on the feet and legs; sweating of the feet, whether hot or cold, but generally when cold, and in- tensely dry when hot; swelling of the veins, with purple appearance—or knotty- looking, purple spots on the legs; clear, elastic, colorless swellings on the legs, or bright-red, hot, tense swellings; expansive, hard, tense, and glossy, red swell- ings on the toes, with unbearable itching; corns on the toes and sides of the feet, with intolerable shooting or burning sensations; dread of applying cold water to the skin; excessive loss of flesh, and attenuation of all parts of the body; extreme Bensitiveness to a draught of cold air, or to the open air. Stomach, Bowels, and Evacuations. Constant acidity; regurgitation; eructa- tions ; heartburn; inordinate and ravenous appetite; sensation of weight and pressive fulness at the stomach, especially after eating or towards night; throb- bing sensation at the pit of the stomach; flow of watery fluid to the mouth, with acrid, scalding sensation in the throat, especially in the morning or after eating; risings from the stomach, with bitter or putrid taste, principally towards night or after a meal; dainty, fastidious appetite, with dislike to sweets and acids; foul taste, or insipid, or bitter, or sour, or even sweetish taste in the mouth ; incessant thirst; extreme weakness of digestion; slow, feeble, and imperfect digestion — milk always disagreeing, and turning acid in the stomach; farinaceous articles disagree; animal food and all greasy food disagree; attacks of extreme sickness at the stomach (with faintness, &c), principally in the morning and towards night, and after eating, and which results in violent heaving, and then in vomit- ing of the food, or of sour or bitter matters, or sometimes of very dark- colored matter; noisy rumbling of flatulency in the intestines; tightness and sen- sation of weight in the regions ofthe stomach and liver, and in the belly; obsti- nate costiveness, with imperfect, lumpy, detached, hard motions, and with con- stant desire and urging to evacuate — or relaxation of the bowels, with frequent motions; spontaneous discharge from the bowels; whitish or greenish stools; profuse thin discharge from the bowels, early in the morning, so urgent that it ss with difficulty the clothing can be kept from being soiled; discharge of urine, painful, difficult, or suppressed — or profuse and spontaneous discharge of urine, even during sleep; greasy film forming on the top of the urine, after stand SULPHUR. 917 ing; thick, cloudy, dark-colored, reddish urine depositing a muddy, reddish sediment. • Breathing, Chest, &c. Habitual weakness of the chest; oppressed breathing; heaviness on the chest, as if of a lump or weight; short, impeded breathing, with sudden arrest of breath — or suffocative attacks at night upon lying down, or even during sleep; attacks of tightness and oppression at the chest in the open air, or the same induced by the least excitement, or even by talking; speaking exhausts the patient; anxious, hurried, short, quick, and wheezing breath; with almost inaudible cough, followed by spitting of blood; fatiguing, dry, shaking cough, often so violent as to provoke retching, and to end in vomiting of food or phlegm ; hollow, harsh, rattling, and sometimes very feeble and inaudible, whispering voice, in either case aggravated by a moist, raw state of the atmosphere; sore- ness at the chest after coughing; violent attacks of coughing on first getting up or going to bed, and after eating; loose, moist cough, attended with very copious dislodgment of thick, yellow, or whitish phlegm. Womb, Menstruation, &c. Great suffering from suppression of the menstrual discharge, or generally painful and often difficult menstruation, but more fre- quently excessive and before the proper time than otherwise, or afterwards gradually becoming more and more feeble; pale and sour-smelling discharge (general derangement of the nervous system, digestion, and organs of respira- tion and circulation on the approach of the periods); bearing-down and sensation of weight and fulness in the lower part of the belly; discharge of whites, gener- ally of a yellowish hue, and often very acrid, during the intervals, with much smarting and gnawing irritation; burning heat and excessive irritation of the passage. Pulse and Circulation. Full, hard, and frequent pulse; variable pulse; some- times very small, quick, irritable pulse, with much acceleration towards night, or even feeble and intermittent pulse, or very wiry, contracted pulse; determina- tion of blood to important organs, such as the brain, lungs, &c, and local con- gestions chiefly affecting the glands; constant palpitation of the heart induced by any exertion, and especially by ascending stairs or an acclivity, or by running or walking fast; shaking (but often also tremulous) palpitation of the heart; oppressed beating of the heart. Nervous System, Brain, Senses, &c. Weakness and numbness of different parts; weakness of the legs, and especially of the knees; sensation as if the legs gave way under one ; the back part of the thighs feels strained and stretched; the legs are characterized by a sensation of weight; the disposition is melancholy, sad, prone to tears, irritable, and inclined to anger — or prone to religious or philo- sophic reflections; abstractedness; confusion of the brain and of ideas, difficulty of collecting one's thoughts; dizziness, heaviness, fulness, and pressure in the head; delirium and snatching at the bedclothes; the eyes are extremely sensitive of light, especially of the glare of the sun; variations in the sense of smell— sometimes excessively acute, sometimes obstructed or smoky, and sometimes, again, totally suspended; yellow appearance of objects to the sight; flickering of black dots or of bright or white spots before the eyes; quivering of the eyes; misty, hazy, confused sight; staggering or reeling giddiness when sitting still after eating, or in the morning or evening, or even during the night, or on first rising from a seat, or, again, when ascending an acclivity, or simply walking, or 918 SULPHUR. invariably when stooping, convulsive attacks, with stiffness of the limbs, ana spasmodic rigidity of the jaws; jerking, throbbing sensations in the muscles; attacks of giddiness ending in fainting; trembling inside the body; tendency in the limbs to become numb and torpid; general and indescribable uneasiness; excessive restlessness ofthe limbs; extreme exhaustion and fatigue, very readily induced by the slightest exertion, or by talking. Pains Aching pains in the limbs; keen and drawing pains; the pains are aggravated by talking; pains of the nature of rheumatism about the loins; pain in the back induced by physical exertion; bruised pain in the chest; bruised and tearing pains in the loins; aching and throbbing pains in the inflammatory swell- ings, especially of the glands or joints; intermittent pain in the head, frequently excited by motion, the open air, or intense reflection; sore pain in the scalp ; bursting headache, especially felt through the forehead, from one temple to the other; keen, jerking pains through the head; local, aching, boring, or piercing pain, either on one side of the head, at the back, or in the crown of the head; return of the headache every morning, evening, or night, or in the same way every other day, or every day for four days, every month, or every eighth day; darting, piercing pains through the ears; boring, jerking, throbbing, or burning pains in sound or hollow teeth ; digging, shooting pains in the region ofthe liver ; griping, clawing, pricking, or shooting pains in the belly, relieved by leaning forward, chiefly occurring in the left side, and mostly after a meal, or after drink- ing, or at night, or, again, like the headache at stated periods; shooting pains in the chest, mostly on the left side, or under the breast-bone, piercing to the left side or to the back; shooting pains in the region of the heart; keen, jerking pains in the joints and muscles of the arms and legs, and of the fingers, and in the shoulder-joints; shooting pain in the hip at every step, as if severely strained or bruised. Mouth, Tongue, Teeth, and Throat. Aphthous vesicles in the mouth and under the tongue; intense dryness, with burning heat, in the mouth, extending to the throat, in which there is a harsh, grated sensation, whilst the tongue remains moist; feeling as if a ball were rising in the throat; collection of saliva in the mouth; sour or very offensive odor emitted from the mouth, especially in the morn- ing and after eating, but sometimes also towards night; the tongue is rough, dry, and fissured, or covered with a white coating; thick, sticky, brownish slime on the tongue; rawness of the mouth; the throat communicates a sensation of press- ure, as if tightly bound, or as if there were an obstruction or tumor within; the teeth are elongated, loose, excessively tender of pressure, and generally loaded with a brownish slime; and the gums are hard and swollen, sometimes also sup purating, and discharging a curdy, flocky, or thready matter tinged with blood. Nose, Ears, and Eyes. Red, hot swelling of the nose; burning, dry heat in the nostrils; ulcerative inflammation of the nostrils and scabby incrustations; scald- ing discharge from the nose, generally watery — or discharge of yellow, thick, flaky matter from the nose; chronic dry heat, or copious flow of watery matter from the nose; stuffing of the nose, especially of one nostril; constant and violent sneezing; discharge of blood from the nose, mostly in the morning, or sometimes when the nose is blown ; cracking sound in the ear as if something were burst; Boreness behind the ears; after blowing the nose, one ear appears to continue Btopped up, a burning sound, or sound like the flow of water in the ear remaining; THUJA OCCIDENTALIS. 919 chronic hardness of hearing; stuffing of the ears, or of one ear especially; the eyes are characterized by a sensation of titillation or itching in the lids and corners, as well as in the eyes; the margins of the eyelids are ulcerated ; intense dryness and heat in the eyes; especially out of doors or when walking against the wind; suffused redness and great heat of the eyes, with inflammation of the lids — or yellowish suffusion of the whites of the eyes. THUJA OCCIDENTALIS. 7VW' "Ylf'&JU General Symptoms. The veins of the hands are swollen; the instep and ex- tremities of the toes and fingers are hot and swollen; the joints of the feet, elbows, and knees crack when moved; the extremities feel heavy and stiff in motion; the hands and arms tremble when the patient writes; there is frequent, or even con- stant and profuse sweating between the thighs; the skin on the hands is dry and harsh; the extremities of the fingers are colorless, cold, and numbed, and the numbness sometimes extends to the elbows; there is sweating of the hands; chil- blains on the hands and feet; eruptions of pimples on the skin, which ripen after a few days, exhibit a depressed crown, and contain or exude a yellowish, or, sometimes, blood-streaked matter, form scabs, and sometimes leave a cavity or scar upon peeling, but always much redness and even rawness of the surface; extreme tenderness of the skin; morbid excrescences in the eyebrows; scabs, with much soreness of the nose and swelling of the wings of the nose; knotty, red protuberances on the skin; pimples break out on the lips and chin, or all over the face; greasy sweat on the face; evanescent or continued burning heat, with redness of the face; aphthous vesicles in the mouth; the tongue swollen and very tender, with morbid growths and ulceration on either side; the glands under the jaw and the tonsils are swollen; angry, chancrous ulceration of the throat; scanty menstrual discharge, with constant whites, and morbid excrescences in the passage; the urinary organs affected with morbid excrescences and angry ulceration ; thick, yellow discharge, with painful contraction of the parts; scald- ing in passing water, or constant itching in the passage, with a sensation as if a drop were oozing out; shooting pains, in the joints especially, or in the limbs generally; throbbing, ulcerative pains; the limbs are easily numbed; great agi- tation and dry heat, which prevent sleeping; extreme heat towards night and sweating during sleep; throbbing in all the arteries; want of readiness in expres- sion ; extreme reluctance to movement, or to every kind of labor, or even amuse- ment; ennui; swimming of the head upon lying down or first assuming an eiect position; determination of blood to the head, with dull, obtuse, or pressive head- ache ; the left side in particular is tender to the touch, and the scalp feels sor< when the hair is touched, even by laying the head upon the pillow; gnawing irritation over the head; clawing pains in the hollow teeth ; hard, red, and hot swelling of the eyelids, and burning heat, with crimson color of the eyes; the appetite craving, but easily glutted; clammy taste in the mouth, or rising of putrid or bitter matters from the stomach: predominant thirst in the morning and during the night; swelling, with heat and redness and much pain in the glands of the groin; heavy, dull pains in the stomach, bowels, and region of the groin, especially after eating — or throbbing at the pit of the stomach; frequent urging to stool, with continued costiveness or straining when at stool; large, hard, and slimy, or bloody evacuations, discharged with much effort; nrrbid 920 URTICA — VERATRUM ALBUM. excrescences in the passage; copious discharge of limpid urine during the nighty with continual desire to pass water; soreness and pain deep in the chest, and cough, with expectoration of yellowish phlegm —or cough induced by an irrita- tion in the windpipe, and which is most prevalent in the morning, and is followed by scanty spitting of yellowish or grayish lumps of phlegm or matter. URTICA. • ■■"! I ■-«■-' General Symptoms. Eruptions of an inflammatory, itching, tingling nature, with local heat and redness, but without much constitutional disturbance; the formation of large irregular blotches on the skin, which are very pale (or per- fectly colorless), but which are surrounded by bright redness of the adjacent surface; redness, with tingling and feeling of heat, or pricking in the skin ofthe swollen parts, and which feel sore when very lightly touched, but conveys no increase of pain upon more determined pressure; heat and local inflammation, with or without swelling of the parts, or with very little swelling; vesicular eruptions generally, which are of an uncomplicated kind, and which appear chiefly after the application of cold water, or exposure to cold air, and are unat- tended with decided variations of pulse, but sometimes produce a good deal of restlessness; mawkish, insipid, clammy taste in the mouth, with sliminess of the mouth, throat, and tongue, and glairy-looking phlegm on the tongue; dryness of the mouth and throat, with thirst, and harsh scraping sensation in the throat, more decidedly felt in the morning, and relieved after a meal or after drinking cold water; scraping sensation in the upper part of the nostrils, and thence to the throat, with dislodgment of gelatinous phlegm, by sniffing and hawking; smarting, with heat, but without external evidences of inflammation in the eyes; these symptoms appearing more especially in the morning and subsiding after a meal and movement; tingling sensation in the forehead and eyebrows ; crawling sensation, before or after, or without evacuation, in the orifice of the lower bowel; gnawing, itching in one nostril, which provokes the patient to squeeze and rub the nose; sometimes a degree of nausea lasting for a short time; or clawing pain in the stomach, which, however, also disappears quickly ; irritation around the knees and wrists; and sometimes also the ankles; loose evacuations without pain, but with a crawling sensation from the gullet to the orifice of the lower bowel. ' ,, VERATRUM ALBUM. flf/vA^ f^ULC. lOTTC* Stomach, Bowels, and Evacuations. Canine hunger; excessive nausea; as soon as anything has been swallowed there is violent vomiting and purging; extreme thirst, with desire for cold drinks; bitter taste in the mouth, as of bile; vomiting of very dark matters, like coffee-grounds; vomiting, with simultaneous purging, and pressure at the pit of the stomach ; vomiting of slimy or frothy matter; vomiting of white, yellowish, or green phlegm, or bilious matter; burning sensation in the belly, as if from a brand; the pit of the stomach and region of the stomach are extremely and painfully sensitive of touch or pressure; anguish at the pit of the stomach; obstinate constipation, as if the bowels were wholly inactive; violent and painful purging; the motions are green, watery,'cloudy, brownish, or blackish; cholera morbus ; Asiatic cholera; watery, greenish diarrhoea, mixed with flakes; evacuations consisting of blackish-looking matter; insensible evacuation from the VERATRUM ALBUM. 921 bowels while passing flatulence; great weakness, and even fainting during an evacuation from the bowels; paleness of the face, and cold sweat on the forehead during stool; urine deep-colored or greenish, and characterized by involuntary discharges; suppression ofthe urinary secretion; continuous urging to urinate; dark-red urine, discharged frequently, but in small quantities; ruptural pro- trusion ; violent hiccough, with extreme inclination to vomit, and rising of fluid, with a bitter, acrid taste, from the stomach, after the least food; sickness at the Btomach, with great inclination to eat, and intense weight at the pit of the stomach whilst eating. Mouth, Lips, Tongue, and Throat. Dryness and clamminess of the mouth; dis- charge of phlegm from the mouth; frothy saliva in the mouth and about the lips; dry, cracked, and blackish lips; dry, cracked, and blackish, or red and swollen tongue; yellowness ofthe tongue; soreness ofthe throat, attended with constric- tion, or sensation as of strangling; contraction of the swallow; unquenchable thirst, especially for cold water. External Surface. Heat, with redness of the face (and shuddering); pale, wan, ghastly, and sunken face, with sunken cheeks and sharpened nose, and blue rings round the eyes ; bluish or yellowish hue of the face; icy coldness of the nose, aa well as of the hands, feet, and legs, and of the crown of the head, with cold, clammy sweat on the face; colorless or whitish appearance of the skin; pallor of one cheek, and flushing, with redness of the other; bruised or beaten feeling over the back and in the small of the back; general chill, affecting the whole body, with cold, clammy sweats; and sometimes fever-fits, with great sensation of internal heat; flaccidity of the skin; sensation as if a block of ice were on the crown of the head. Pulse and Circulation. Slowness of the pulse, which is almost extinct — or small, quick, frequent, and intermittent pulse ; determination of blood to important organs, such as the brain, intestines, womb, &c.; violent palpitation of the heart, with great anguish. Periodicity and Remissions. The fever-symptoms, setting in with predominant and general chill, have a tendency to recur at intervals of twenty-four, forty- eight, and seventy-two hours, becoming aggravated, or setting in between sun- set and midnight, and subsiding between sunrise and noon, followed either by total subsidence of all the symptoms, and complete intermission, or by partial remission (with low lethargic state). In the case of the remissions, these are apt to be more decided on every second day; that is, there is a diurnal and very partial remission, followed by increased and excessive violence of all the symp- toms, and a more decided remission on the second day, with generally less vio- lence in the returning paroxysm; during the more decided remissions the patient craves for food, and, if allowed to eat, the remission is followed by the worst degree of aggravation. Menstruation, &c. The menstrual period sets in with attacks of chilliness and rigors, and with diarrhoea, or the menstrual flow is suppressed (especially by sudden emotion, such as that occasioned by fright, &c), and. results in great de- rangement of the brain, with delirium; suppression of the lochial discharge, or of the milk, in lying-in women, with delirium. Nervous System, Brain, Senses, &c. Rage and delirium for a short time (upon the attacks of pain); tremulous condition of the limbs; prostration of streng'w 922 VERATRUM VIRIDE. distinctly characterized by its sudden, general, and paralytic effect; shocks, like those produced by electricity (attended with copious perspiration); spasms and convulsions, attended with clenching of the palms of the hands, and contraction of the soles of the feet; cataleptic paroxysms, with loss of consciousness and rigid extension of the body, and with lock-jaw ;. anxious and hurried agitation and rest- lessness; excessively dejected melancholy, with anguish, as if from remorse of conscience; peculiar tendency to be frightened; aberration of mind; grinding of the teeth; the power of speech is lost; the eyes are convulsed and protruding; the pupils are closely contracted, or much dilated; the eyelids are paralyzed; the sleep is drowsy, heavy, lethargic, and insensible, or there is great drowsi- ness and incapability of sleeping; complete torpor and general insensibility; vio- lent cramps in the calves of the legs; disposition to faint, with frequent fainting- fits; intense giddiness, with spinning of the head. Pains. Sudden attacks of pain (with rage, &c.); pains, such as those caused by fracture, in the limbs, bones, and muscles; pains in the limbs, which are aggravated in bed, mitigated by getting up, removed by walking about, and which have a tendency to appear early in the morning; violent throbbing, press- ure, or bursting pains in the head, sometimes regularly periodical, and which generally come on very violently, from time to time, and by fits and starts; cutting pain in the crown of the head; lacerative, compressed pains in the eyes; violent, cutting, cramp-like, clawing, and pinching pains in the stomach and bowels; pains such as those of fracture in the back, loins, arms, and legs. Breathing, Chest, &c. Breathing obstructed and oppressed, or suddenly arrested by the spasms extending to the chest; deep, hollow cough, provoked by irritation deep in the bronchial tubes; convulsive cough, with long, shrill-sounding inspi- rations ; dry cough, with burning sensation in the chest and stomach, chiefly occurring in the evening, but sometimes also in the morning; extreme oppression at the chest, with difficult, short, anxious, and hurried breathing; cough occur- ring in the evening, and accompanied with profuse flow of saliva in the mouth. Eyes. Livid hue of the eyes, or bright crimson hue of the eyes; dull, filmy, watery, or yellowish appearance of the eyes; burning heat in the eyeballs; inflam- matory heat and redness, more particularly in the right eye, but sometimes in both eyes; copious discharge of tears, or intense .and constant dryness, with heat in the eyelids. , ; . * / VERATRUM VIRIDE. vAj;M /(/fiffffflY^. General Symptoms. Spasmodic twitchings of the muscles; convulsions, with disposition to bend the body backwards, with extreme rigidity of the limbs; sound sleep, with frightful dreams —or restless sleep, with dreams of drowning; chilliness, accompanied with nausea; coldness of the body, with cold perspira- tion, especially upon the hands and feet; feeble, irregular, scarcely perceptible pulse; headache in the afternoon, with feverishness; headache, which seems to ascend from the back of the neck; determination of blood to the head, in persons of full habit, or who are addicted to high living, or to the abuse of stimulants, or in children when teething; headache, with feeling of fulness in the head, and throbbing of the arteries of the head and neck; increased sensibility; convulsive twitchings of the face, the mouth is drawn down at one corner; dimness of vision; walking brings on blindness and faintness; the tongue feels as if it had been Bcalded; burning sensation in the throat, or feeling as if the throat were con VIOLA TRICOLOR—ZINCUM METALLICUM. 923 Btricted; excessive irritability of the stomach, with heartburn, and frequent risings of bitter, sour fluid from the stomach; cutting, aching pains in the belly, in the region of the navel, with rumbling in the belly, and desire for an evacua- tion; violent cutting, forcing, colicky pains, coming on bef&re the menstrual dis- charge ; feeling as though a heavy weight were pressing on the chest; oppression at the chest, with difficulty of breathing; constant burning, distressful feeling in the region of the heart; feeling of faintness on arising from a recumbent posture ; fluttering sensation of the heart; palpitation of the heart, with difficulty of breathing. VIOLA TRICOLOR. General Symptoms. Fine, grain-like eruption, with intense and gnawing irri- tation all over the body; eruptions on the face, with oozing of yellowish matter ; and the formation of scabs on the face, which induce intense, gnawing irritation, particularly during the night; flushing of one side of the face, particularly the uppermost side when in bed at night; tearful mood; great flow of ideas at night, by which sleep is delayed, and drowsy, heavy sleep in the morning; sensitiveness to draughts, or to the open air, with great chilliness; the thumbs drawn back; and jerking movements, with great heat and dryness over the whole body when asleep; sleepiness in the latter part of the day; great reluctance to exert one's self; sullen, silent disposition, with inclination to be alone, and dislike to con- versation ; embarrassment and bewilderment of the head; the skin is hard and thickened ; oscillation of the brain during movement; bitter taste in the mouth ; whitish coated tongue ; very offensive urine, or urging and straining at the bladder ; sensation in the forehead and face as if tightened; aching pain in the eyes, as if a hard body were lodged in the head; aching, pressive pain in the head, and especially at the root ofthe nose; pressive and aching pain in the eyes; very animated and voluptuous dreams; very cloudy, thick, or scalding urine; palpitation of the heart; with great anxiety and oppression at the chest on lying down; yielding of the knees when walking; pains in the limbs, as if crushed ; pinching pains between the shoulder-blades; intense oppression, with darting pains in the region of the heart when leaning forwards; the headache disappears in the open air; copious perspiration at night. ZINCUM METALLICUM. Nervous System, Brain, Senses, tec. General torpor, or numbness over the whole body (or violent throbbing of all the arteries); extreme reluctance to exert one's self, or even to move in the least degree; oppressive languor, heaviness, and total loss of strength in the limbs; sensation of tingling in the limbs; rapid oscillation in different muscles apparent to the sight — or twitching and jerking of particular muscles without movement of the limbs; sensation over the surface of the head, as if the hair were on end; appearance of illuminated vapors before the eyes; the upper lids (of one or both eyes) hang down from palsy of the muscles; the pupils are contracted; loss of scent; sounds in the ear as if flies were fluttering in them; permanent taste, like that of blood, or salt taste in the mouth ; involuntary discharge of urine, particularly during exercise; total palsy of the hands, or also of the feet; reeling, spinning giddiness, which seems to emanate from the top of the brain, and with a tendency to topple sideways; incoherency of thought, or confusion of thought, with difficulty of clearing the JO 924 ZINCUM METALLICUM. thought; capricious, changeable disposition; fretfulness, irritability, and reluo- tance to converse; revolting, absurd, or frightful dreams; sleep affords no rest at night; continued drowsiness. External Surface. Dry harshness of the skin, especially on the hands, with chapping; colorless skin on the hands (with total palsy); sensation as of burning heat in the feet, or tingling in the legs; chaps between the fingers; red, hot, glossy swelling (with aching pain) along the sides of the feet; pale, sallow, dirty complexion; external (and internal) swelling of the nose, especially on one side; ruptural tumor in the groin, excessive irritation, and soreness over the scalp; continual coldness or chilliness of the surface, with increased heat internally — or severe shuddering fits, with flushing of heat; crawling, shuddering down the spine; protuberances, with heat, irritation, and tingling on the surface; crawling, gnawing irritation — or intense, gnawing, tingling, and itching under the skin, especially in the palms of the hands; irritation and itching in the joints; copious perspiration at night; oozing eruptions on the skin, forming scabs, which fall off and leave the surface ulcerated ; complete loss of the hair. Menstruation, &c. Slimy discharge in the intervals between the periods; sup- pressed menstrual discharge (chiefly dependent upon sudden emotions, and at- tended with violent disturbance of the brain) ; difficult and painful menstruation; menstrual discharge before the proper time; suppressed menstruation, with pain- fulness of the breasts and genitals. Nose, Eyes, Mouth, Teeth, Gums, and Ears. External swelling of the nose, with stuffing and soreness, or constant flow of watery, corrosive fluid, with scald- ing in the nostrils; eruption of small vesicles, generally of a yellowish color, in the mouth and on the tongue; harshness, dryness, and scraping sensation in the throat; swollen, whitish, lardy, sore, ulcerated, and bleeding gums; teeth loosened and discharging blood; flow of very offensive matter from the ears; soreness, smarting, and itching, with redness and heat of the inner corners of the eyes; pressure on the eyes, as if pressed into the head. Pains. Pains which appear to emanate from beneath the skin; sore pains all over; tearing pains in the limbs, worse after motion or when heated; pressive frontal headache in the morning; tearing, shooting pains at the back of the head, on either side, through the temples, and across the fore part of the head ; throbbing pains in the head, worse in-doors; aching pain in the head (sometimes with sickness at the stomach), or even vomiting at night, or after taking wine, in however small a quantity; darting, tearing pains deep in the face; sore pain in the nose; dragging, tearing pains in the double teeth, or more particularly when eating; dull, aching pain in the stomach, or clawing, pinching, or griping pains in the bowels, with or without shooting pains in the region of the liver ; tearing, pinching, pressive pains in the chest, or pain in or under the breast- bone, which seems as if the shoulders were bound together in front, and expan- sion were impossible; aching, rheumatic pains in the back and loins, and darting or tearing pains in the nape of the neck, with incapability of turning the head; aching, drawing, tearing, or rheumatic pains in the legs and arms, and in the knee, elbow, finger, ankle, and wrist-joints — or wringing pain in the joints of the feet, &c. Breathing, Chest, &c. Excessive difficulty of breathing from spasm of the chest; very difficult and oppressed breathing, with weight at the chest; oppression of ZINCUM METALLICUM. 925 breath towards night, with irregular or violent beating of the heart, and almost arrest of breathing; rattling respiration from excess of phlegm in the air-passages; hawking and coughing, with ejection of clotted blood, or of very adhesive, stringy phlegm. Stomach, Bowels, and Evacuations. Sour risings from the stomach, especially after drinking milk; nausea, with retching and vomiting of bitter mucus, re- newed by the slightest motion ; hiccough, especially after breakfast; disagreeable sensation of heat in the upper orifice of the stomach, extending up the throat; constipated condition of the bowels, as if resulting from palsy of the lower bowel; the evacuations are hand and dry, and are only expelled by hard strain- ing; soft, pap-like evacuations, sometimes accompanied with discharge of thin blood ; the evacuations are passed involuntarily; feeling of soreness and of vio- lent itching of the posterior passage; when beginning to urinate, the flow is restrained; violent pressure in the bladder, with frequent desire to urinate; the urine is a long time in passing, and can only be discharged by sitting a long while, and by forcing; involuntary discharge of urine while walking, coughing, or sneezing. PART VI. THE REPERTOKY. The Repertory is to be used in connection with the " Characteristic Effects " contained in Part V., in order to facilitate the discriminative selection of the remedy. It will be observed that the abbreviated names of the medicines are printed in the Repertory in three kinds of type, viz.: common type, italics, and a large and heavy type. The first or common type is used for medicines having a very general reference to the symptoms with which they stand connected; the second kind, or italics, indicates medicines more specifically related to the same symptom, and claim a greater share of attention; while the third kind of type, the most conspicuous, indicates such medicines as have been found the most reliable for this particular symptom, by abundant clinical experience. MIND AND DISPOSITION. General Symptoms. Anxiety, fear: Aeon. Am. Ars. Aur. Bell. Bry. Calc. Cactus. Cham. Cocc. Gelsem. Glon. Hell. Ign. Lye. Nux vom. Opium. Puis. Stram. Sulph. Verat. alb. Verat. vir. Distrustful: Acid phos. Bar. Bell. Caust. Cic. Hell. Hyosc. Lye. Puis. Fitful mood: Acid sulph. Alum. Aur. Ferr. Graph. Ign. Kali. carb. Flat. Stram. Zinc. Gentle: Cocc. Croc. Ign. Lye. Puis. Sil. Sulph. Greedy: Ars. Lye. Natr. c. Petrol. Puis. Sep. Haughty: Lye. Plat. Stram. Ve- ratr. Hopeless: Ars. Aur. Calc. Caust. Cham. Con. Graph. Ign. Lye. Natr. c. Puis. Rhus. Sulph. Indifferent: Acid phos. Cactus. Chin. Cocc. Con. Ign. Natr. mur. Phos. Puis. Sep. Sil. Irritable mood: Aeon. Aur. Bell. Bry. Cactus. Cham. Coff. Ferr. Gel- Bern. Hyosc. Ign. N. vom. Phosph. Puis. Sep. Sulph. Verat. alb. Irascible : Aconit. Ars. Cham. Cupr. Gelsem. Hyosc. Lye. N. vom. Stram. Verat. alb. Jocose mood: Bell. Coff. Croc. Hy- osc. Natr. c. Nuxmosch. Op. Phosph. Plat. Puis. Stram. Peevish: Alum. Aur. Calc. Caust. Cham. Con. Gelsem. Hep. Ign. Ipec. Lye. Merc. Natr. c. Phosph. Plat. Puis. Sil. Staph. Sulph. Sad: Aeon. Bellad. Cactus. Cham. Gelsem. Graph. Ign. Lye. Natr. m Nux mosch. Plat. Puis. Rhus. Serious mood: Acid, sulph. Cocc. Gelsem. Thuj. Cloudiness. Cloudiness : Acid. phos. Aeon. Arn. Bell. Bry. Cactus. Cann. Canth. Chin. Cocc. Carb. veg. Caust. Cimicif. Hyosc. Ign. Ipec. N. vom. Op. Rhus. Sep. Sil. Verat. alb. Confusion: Acid. phos. Ant. cr. Ars. Bell. Bry. China. Euphr. Ferr. Gel- sem. Glon. Hell. Ign. Natr. carb. Nux vom. Phosph. Puis. Rhod. Rhus. Sec. corn. Spig. Staph. Zinc. Dizziness: Acid. phos. Acid. nit. Aeon. Alum. Apis. Ars. Bell. Bry. 926 MIND AND Cactus. Calc. Carb. veg. Caust. Cham. China. Coloc. Con. Gelsem. Glon. Graph. Lye. Natr. mur. N. vom. Op. Phosph. Puis. Sep. Sil. Sulph. Verat. Zinc. Dulness : Aeon. Calc. Canth. Cimicif. Hyosc. Petr. Sep. Stram. Sulph. Zinc. Intoxication: Antim. crud. Arg. Ars. Aur. Bell. Bry. Caust. Cham. Cic. Cimicif. Cocc. Coff. Con. Croc. Ferr. Graph. Hyosc. Ign. Ipec. Led. N. vom. Op. Puis. Rhus. Sec. corn. Sil. Stram. Verat. alb. Loss of consciousness: Acid. phos. Acid. nit. Ars. Bell. Calc. Canth. Hy- osc. N. vom. Rhus. Stram. Verat. alb. Stupefaction : Acid. phos. Aeon. Arn. Ars. Bell. Bry. Calc. Camph. Caust. Cham. Chin. Cin. Coff. Con., Dulc. Ferr. Graph. Lye. Hell. Hyosc. Ipec. N. vom. Opium. Phosph. Rhus. Sepia. Stram. Sulph. Vanishing of senses: Ars. Bell. Calc. Camph. Cic. Cimicif. Cupr. Graph. Hyosc. N. vom. Stann. Stram. Mental Weaknesses. Absence of mind: Am. Bell. Caust. Cupr. Glon. Hell. Hep. Hyosc. Ign. Lye. Merc. Natr. mur. Op. Rhus. Sep. Avarice : Puis. Comprehension, ready: Coff. Op. - heavy: Camph. Cham. Cocc. Con. Lye. Op. Spig. Zinc. Delirium: Acid. phos. Aeon. Antim. crud. Apis. Ars. Aur. Bell. Bry. Camphora. Canth. Cham. Cimicif. Cina. Con. Cupr. Dulc. Hyosc. Op. Phosph. Plat. Rhus. Sec. cor. Stram. Sulph. Verat. alb. - with frightful spectres: Bell. - nocturnal, raving about the day's business: Bry. - without consciousness: Hyosc. Puis. Stram. - loquacious, with open eyes: Coloc. Op. Verat. alb. Stram. - quiet, with stupefaction: Acid. phos. - with anxiety, fear of death, over- estimation of one's self: Plat. - bland, with loss of recollection: Rhus. - without consciousness, often termi- nating in rage: Sec. corn. Stram. - various, shameless, haughty: Stram. Hyosc. - religious, haughty: Verat.alb. hsposition. 927 Delirium, with disposition to escape: Bry. Cocc. Hyos. Stram. - with staring look: Bell. Derangement, mental: Bell. Canth. Cupr. Hyosc. Op. Plumb. Stram. Verat. alb. Excitement of the fancy: Aeon. Ant. crud. Arn. Apis. Bell. Chin. Coff. Hyosc. Lachesis. Op. Phosph. Pulsat. Stram. Exhaustion from mental labor: Aur. Cham. Colch. Gelsem. Natr. mur. N vom. Phosph. Puis. Sil. Spig. Spong Staph. - nervous : Aur. Bell. Calc. Dig. Iod Natr. c. N. vom. Phosph. Sep. Staph. Sulph. Zinc. Forebodings: Aeon. Spig. Foreboding of death: Aeon. Stram, Verat. alb. Fixed ideas: Acid. nit. Acid. phos. Carb. veg. Illusions of the fancy: Bell. Bry. Caust. Cimicif. Hell. Hepar. Hyosc. Op. Phosph. Rhus. Staph. Stram. Illusions of sense: Acid.phos. Bell. Cimicif. Op. Phosph. Plat. Sec. Stann. Stram. Insensibility: Acid. phos. Hell. Hyosc. Op. Sec. corn. Stram. Insanity: Aeon. Ant. crud. Ars. Bell. Cann. Canth. Caust. Cimicif. Coccul. Con. Cupr. Dulc. Hyosc. Opium. Sec. corn. Stram. Sulph. Verat. alb. Zinc. - with haughtiness : Hyoscyam. Platina. Stram. Verat. alb. - mirthful: Crocus. Ign. Stram. - mild : Croc. Veratr. - religious: Stram. Veratr. alb. - talkative: Stram. - furious: Hyosc. Stram. Laughter: Bellad. Crocus. Hyosc Nuxmosch. Stram. Veratr. Loss of recollection : Aeon. Alum. Arn. Bar. Bell. Bry. Calc. Camph Cannab. Cham. China. Con. Cupr Dig. Glon. Hell. Hyosc. Ign. Natr. mur. N. vom. Opium. Phosph. Plat. Rhus. Ruta. Sep. Silicea. Stann Staph. Stram. Loss of consciousness: Bell. Bry Canth. Cham. Cocc. Cupr. Hyosc Ipec. Nux vom. Op. Rhus. Stram. Verat. Mistakes in talking: Alum. Caust Cham. Chin. Con. Croc. Ign. Lach Lye. Natr. mur. N. vom. Puis. Sep Sil. Rage : Aeon. Ars. Bell. Camph. Cann 928 MIND AND DISPOSITION. Canth. Cham. Coccul. Croc. Cupr. Drosera. Hyosc. Lye. Opium. Petr. Plumb. Ruta. Sec. corn. Stram. Verat. alb. Shamelessness: Hyosc. N. vom. Op. Stram. Verat. Wandering ofthe mind : Acid. phos. Aeon. Arn. Aur. Bar. Bell. Caust. Canth. Cham. Cocc. Croc. Hell. Ign. Natrum. mur. Petr. Phosph. Plat. Sep. Stann. Sulph. Verat. alb. Defects of the Memory. Forgetful: Aeon. Alum. Arn. Ars. Bar. Bell. Calc. Canth. Caps. Colchic. Coccul. Dig. Gelsem. Glon. Hell. Hy- osc. Ign. Laches. Lye. Natr. mur. Petr. Phosph. Plat. Rhus. Sec. corn. Silic. Spig. Staph. Stram. Sulph. Verat. alb. Memory, defective: Aeon. Arn. Bell. Bryon. Calc. Camph. Cocc. Gelsem. Graph. Hyosc. Puis. Sep. Spigel. Stram. Sulph. Verat. alb. - feeble: Aeon. Alum. Ars. Aur. Bell. Bryon. Calc. Caust. Colch. Cupr. Dig. Graph. Hep. Hyosc. Ign. Lye. Natr. mur. Op. Plat. Pulsat. Rhus. Sep. Spigel. Staph. Stram. Sulph. Verat. alb. Emotions causing Disease. Anger, also with vehemence: Cham. - with fright: Aeon. - with feeling of coldness : Ars. - with subsequent ill-humor: Bry. - with silent grief: Ign. - with irascible mind: N. vom. - with mental derangement: Verat. alb. Anxiety and fright. - with subsequent anxiety and mental confusion: Bell. - with joyful surprise: Coff. - with subsequent starting during sleep: Hyosc. - followed by grief or spasms: Ign. - followed by anxiety or nocturnal pains: Merc. - with fear, heat of the head, and spasms : Op. - followed by mental confusion : Plat. - followed by diarrhoea: Gelsem. Puis. - with suffocative fits and bluish face : Samb. - with involuntary stool and icy cold- ness : Verat. alb - caused by mortification and followed by mental confusion : Bell. - with shame and suppressed anger: Ign. - with nocturnal anxiety and com plaints: Merc. - followed by spasms : Op. - with emaciation, drowsiness, and morning-sweats: Acid. phos. - with apprehensions for the future and day-drowsiness: Staph. Homesickness. - with nocturnal anxiety and sweat: Merc. - with emaciation and morning-sweat, drowsiness: Acid. phos. Jealousy. - with vehemence and delirium: Hy- osc. - insane, with distrust: Lach. Unfortunate love. - with thoughts of suicide : Aur. - with jealousy and loquacity: Hyosc. - with silent grief: Ign. - with desponding mood : Lach. - with emaciation and morning-sweat: Acid. phos. - with unmerited mortification: Staph. Wrath. - with cries and palpitation: Arn. - with loss of consciousness or deli- rium : Bell. - with flushed cheeks, thirst: Bry. - hot sweat about the head, spasms: Cham. - thirst, vomiting of bile, chilliness, heat: Nux vom. - laughter, weeping, anxiety : Plat. - with internal chilliness, no thirst, but dizziness: Puis. - on account of unmerited humiliation, whole body sore : Staph. Mental Derangements. Forebodings of death. - with foretelling of the day of death : Aeon. Forebodings of death, with anxiety and restlessness: Bell. - with fear of death and anguish: Plat. - alternating with fits of rage: Stram. Hysteria and Hypochondria. - with anxiety, disposition to suicide: Aur. - with fitful mood, sleeplessness : Ign. - of those who lead a sedentary life and revel at night, with constipation: N. vom. MIND AND DISPOSITION. 929 Hysteria and Hypochondria, after unmerited insults, with flatulency: Staph. Rage, - with haughty manners, and spasms : Cupr. - with furious jealousy : Hyosc. - with amorous tenderness and jeal- ousy : Lach. - silent, with religious melancholy: Lye. - with frightful visions, alternating with stupor: Op. - censorious, with trembling and spasms: Plat. - raving, with frightful visions: Stram. - with wicked imprecations: Verat.alb. Suicide, disposition to, - with nocturnal anguish and despair : Ars. - with religious melancholy : Aur. - with anxiety, restlessness, fright: Bell. - with silent anguish, fear of death: Puis. - with stupefaction of the head, rest- lessness: Rhus. Somnambulism : Aeon. Op. Phos. Vertigo. According to its nature. Generally: Aeon. Amm. mur. Apis. Arn. Ars. Bar. Bell. Bry. Cactus. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin. Cic. Cocc. Coff. Dig. Dros. Gelsem. Glon. Graph. Hell. Hep. Hyoscyam. Ipec. Merc. Mosch. Lye. Natr. mur. N. vom. Op. Petr. Phosph. Phytolac. Plat. Plumb. Puis. Rhus. Sec. corn. Staph. Stram. Stann. Sulph. Thuj. Verat. Zinc. As if falling: Aeon. Arn. Ars. Calc. Canth. Caust. Cham. Cic. Con. Croc. Hep. Ign. Ipec. N. vom. Op. Puis. Sec. corn. Sil. Spig. Sulph. Staph. Stram. As if falling backwards : Acid.phos. Bry. Camph. Chin. N. vom. Rhus. Spig. Stram. As if falling sideways: Arsen. Caust. Con. Euphr. N. vom. Puis. Staph. Sulph. As if falling right side: Aeon. Ars Calc. Rhus. Ruta. As if falling left side: Aur. Bell Spig. Zinc. As if falling forwards : Arn. Caust. Cic. Cupr. Ferr. Graph. Natr. mur Petr. Puis. Rhus. Sil. Spig. Sulph. Turning: Aeon. Alum. Arn. Bell Bry. Calc. Carb. veg. Caust. Cic. Cocc. Croc. Cupr. Ferr. Graph. Lye. Merc. Natr. mur. N. vom. Puis Rhod. Rhus. Sep. Sil. Turning in a circle: Aconit. Arn. Aur. Bell. Bry. Calc. Caustic. Cic. Con. Ferr. Hell. Kali. Merc. N. vom. Op. Puis. Rhus. Sep. Staph. Verat. alb Accompanying ailments. Anxiety: Ign. Op. Rhus. Eructations: N. vom. Colic: Coloc. Petr. Spig. Stram. Deafness: N.vom. Puis. Chilliness: Cocc. Plumb. Rhus. Ve- rat. alb. Fainting : Bar. Bryon. Canth. Cham. Croc. Hep. Ign. Laur. N. vom. Nuz moschata. Plat. Heat: Aeon. Bry. Croc. Glon. Gel- sem Ign. Led. Merc. N. vom. Puis. Stram. Headache : Aeon. Apis. Arg. Arsen. Aur. Bar. Bell. Cactus. Calc. Con. Canth. Cupr. Ferr. Graph. Hep. Ign, Lach. N. vom. Puis. Stram. Nausea : Aeon. Ant. crud. Apis. Arn. Bar. Bell. Bry. Chin. Coff. Calc. Coccul. Ferr. Graph. Hyosc. N. vom. Puis. Petr. Phosph. Sil. Spig. Nose, bleeding: Aeon. Bell. Ant. crud. Sulph. Obscured vision : Aeon. Amm. mur. Bell. Cactus. Canth. Cham. Cic. Cim- icif. Croc. Dulc. Ferr. Gelsem. Hyosc. N. vom. Natr. mur. Op. Puis. Phosph. Phytolac. Merc. Sec. corn. Stram. Sulph. Pale face : Puis. Sweat: Glon. Rhus. - cold: Ign. Verat. alb. Trembling: Dig. Vomiting : Calc. Graph. Hyosc. Yawning: Ignat. Petr. HEAD. Internal. Aa if the brain were distended: Bell. Arnic. Cin. Glon. Merc. Spig. 59 As if a band were around the head : Aeon. Cocc. Carb. veg. Gel- sem. Iod. Merc. Nitr. ac. Plat. Spig. Stann. Sulph. 930 HEAD. Beating: Acid. nit. Aeon. Aur. Bell. Bryon. Cactus. Calc. Caps. Carb. veg. Caust. Cham. Cocc. Hyosc. Ign. Ipec. Lye. Phosph. Puis. Rhus. Sep. Sil. Sulph. Verat. alb. As if the brain were moved: Aeon. Ars. Bell. Bry. Croc. Glon. Kali. Rheum. Spig. Rush of blood: Acid. nitr. Aeon. Ambr. Apis. Arn. Bell. Bry. Cactus. Camph. Cann. Canth. Chin. Coff. Calc. Carb. veg. Caust. Coloc. Dig. Ferr. Gelsem. Glon. Graph. Hell. Kyosc. Ign. Iod. Kali. Lach. Lye. Merc. Natr. mur. Nux vom. Op. Plumb. Puis. Phosph. Rhus. Sep. Sil. Sulph. Spong. Staph. Stram. Thuj. Verat. alb. Verat. vir. Boring: Ant. crud. Bell. Calc. Cocc. Chin. Dulc. Hepar. Ipec. Ign. Plat. Staph. Sep. Sil. Spig. Stram. Sulph. As if bruised: Aeon. Ars. A ur. Camph. Cham. Chin. Coff. Euphr. Glon. Hell. Ign. Ipec. Phosph. Nux vom. Puis. Rhus. Sep. Verat. alb. As if it would burst: Ant. crud. Bar. Bell. Calc. Cham. Chin. Coff. Con. Ign. Natr. mur. Nux vom. Phosph. Rhus. Sep. Sil. Spig. Spong. Sulph. Verat. vir. Burning : Aeon. Arn. Bell. Bry. Cupr. Hell. Ipec. Merc. sol. Natr. m. Nux vom. Phosph. Rhus. Sec. cor. Spig. Staph. Stann. Verat. alb. Buzzing: Caust. Cocc. Phosph. Sulph. Verat. alb. Crawling: Aeon. Arn. Bar. Cocc. Hyosc. Puis. Rhus. Sulph. Thuj. Digging: Aur. Bar. Bry. Dulc. Ign. Nux vom. Spig. Drawing: Aeon. Aur. Bell. Calc. Canth. Carb. veg. Cham. Cina. Coloc. Cupr. Dulc. Graph. Hell. Lye. Ipec. Nux vom. Petr. Plat. Puis. Rhus. Sep. Sil. Sulph. Verat. alb. Dull headache: Antim. crud. Bry. Calc,. Carb. veg. Cimicif. Chin. Camph. Cocc. Coff. Dulc. Gelsem. Hell. Ign. Natr. mur. Plat. Puis. Verat. vir. Zinc. Heaviness of head: Acid. phos. Acid. nit. Aeon. Arn. Alum. Ars. Bell. Bry. Cactus. Camph. Cann. Cham. Chin. Cic. Cimicif. Cocc. Coff. Croc. Cupr. Calc. Carb. veg. Caust. Con. Dig Dulc. Dros. Euphr. Ferr. Glon. Hell Hyosc. Ign. Ipec. Kali. carb. Lyc. Merc. Natr. mur. Nux vom. Op. Petr. Plurnb. Puis. Phosph. Plat. Sabin Sec corn. Spig. Spong. Staph. Stram. Sil. Stann. Sulph, Thuj. Verat. alb. Hammering: Calc. Chin. Coff. Lach. Natr. mur. Phosph. Sil. Sulph. Heat: Aeon. Alum. Arn. Bell. Bry. Calc. Camph. Canth. Caust. Chin. Coff. Dig. Dros. Dulc. Euphr. Gel- sem. Glon. Hell. Hyosc. Ign. Ipec. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phosph. Plumb. Puis Rhus. Sep. Sil. Stann. Stram. Sulph Verat. vir. As after intoxication: Bry. Cimicif. Merc. sol. Natr. mur. Nux vom. Puis. Jerks: Acid. mur. Bell. Bry. Calc. Dig. Natr. mur. Nux vom. Puis. Petr. Phos. Spig. Spong. Sep. Stann. Thuj. As from a nail (clavus): Aeon. Coff. Hep. Ign. Nux vom. Ruta. Thuj. Pressing asunder: Aeon. Bar. Bell. Bry. Calc. Ign. Lyc. Merc. sol. Natr. mur. Nux vom. Sep. Sil. Spig. Stann. Staph. Pressing together : Acid. phos. Alum. Bry. Calc. Cina. Cocc. Graph. Hell. Sil.-Staph. Pulsating, Throbbing: Aeon. Alum. Bell. Bry. Chin. Glon. Petr. Phosph. Puis. Rhus. Sulph. Pressure : Acid.phos. Acid. nitr. Aeon Arn. Ars. Aur. Bell. Bry. Calc. Camph. Caust. Cham. Chin. Cic. Cina. Cocc. Coff. Croc. Dig. Hell. Hyosc. Iod. Ign. Ipec. Lach. Merc. sol. Nux vom. Natr. carb. Natr. mur. Petr. Puis. Plat. Spig. Sep. Sil. Stann Staph. Sulph. Zinc. Roaring: Aur. Bell. Ferr. Graph. Phosph. Sulph. Stinging : Aeon. Apis. Arn. Alum. Ars. Bar. Bell. Bry. Canth. Cham. Chin. Cic. Calc. Caust. Con. Dulc. Ferr. Hep. Ign. Ipec. Natr. mur. Nux vom. Phosph. Plumb. Puis. Staph. Sep. Sil. Sulph. Thuj. Stupefying: Acid. mur. Ars. Ant. crud. Arn. Bell. Cic. Cina. Calc. Gelsem. Hyosc. Ign. Phosph. Natr. carb. Plat. Ruta. Sep. Stann. Staph. Zinc. Tearing : Acid. mur. Alum. Ant. crud. Arn. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin. Cocc. Coff. Coloc. Con. Ign. Ipec. Lyc. Natr. mur. Nux vom. Puis. Rhus. Sil. Spig. Sulph. Twitching: Acid. phos. Arn. Bell. Bry. Carb. veg. Caust. Chin. Ign Nux vom. Staph. Sulph. HEA Vibrating: Acid. nitr. Lyc. Nux vom. Sil. Stann. Whizzing: Acid. nitr. Acid. phos. Ferr. Kali. carb. Lyc. Nux vom. Puis. As if wind rushed through: Puis. Sabin. According to the part of the Head. Front part of the head: Aeon. Alum. Antim. crud. Arn. Ars. Aur. Bar. Bell. Bry. Camph. Calc. . Canth. Carb. veg. Caust. Cham. Chin. Cic. Cina. Cocc. Coff. Colch. Coloc. Con. Croc. Cupr. Dig. Dros. Dulc. Euphr. Ferr. Gelsem. Graph. Hell. Hyosc. Ign. Iod Ipec. Lyc. Merc. sol. Natr. mur. Nux vom. Phosph. Plat. Plumb. Puis. Rhus. Sabin. Samb. Sep. Sil. Spig. Spong. Staph. Stann. Sulph. Veratr. alb. Zinc. Temples: Acid. phos. Aeon. Alum. Ant. crud. Arn. Bell. Bry. Calc. Camph. Canth. Cham. Chin. Cina. Cocc. Con. Cupr. Dig. Euphr. Hell. Hep. Ign. Lach. Op. Phosph. Rheum. Rhus. Sabin, Spig. Spong. Stann. Staph. Top of the head: Aeon. Ant. crud. Arn. Aur. Bell. Bry. Cann. Canth. Caust. Chin. Cina. Cocc. Coff. Con. Croc. Cupr. Ferr. Gelsem. Glon. Graph. Hell. Ign. Iod. Ipec. Lach. Nux vom. Phosph. Plat. Sabin. Samb. Sep. Sil. Spig. Spong. Stann. Staph. Stram. Sulph. Thuj. Verat. alb. Back part of the head: Aeon. Arn. Aur. Bell. Bry. Calc. Camph. Canth. Carb. veg. Chin. Cic. Coff. Colch. Croc,. Cupr. Dig. Dros. Euphr. Glon. Gelsem. Hell. Hyosc. Ign. Ipec. Lyc. Merc. sol. Mosch. Nux vom. Op. Petr. Plat. Puis. Rhus. Sabin. Samb. Spig. Spong. Staph. Stann. Sulph. Thuj. Verat. vir. Right side: Acid.phos. Aeon. Alum. Ant. crud. Arn. Bell. Bry. Camph. Canth. Caust. Chin. Cin. Cocc. Colch. Croc. Dig. Dros. Euphr. Graph. Hep. Hell. Hyosc. Ign. Lach. Lyc. Natr. carb. Nux vom. Phosph. Plumb. Puis. Rhus. Sil. Spig. Spong. Stann. Staph. Sulph. Thuj. heft side: Acid. nitr. Aeon. Ant. crud. Arn. Aur. Bar. Bell. Bry. Calc. Camph. Carb. veg. Chin. Cic. Cin. Cocc. Coloc. Croc. Cupr. Dig. Dulc. Dros. Euphr. Ferr. Hell. Hyosc. Ign. Iod. Lach. Merc. sol. Nux vom. ld. 931 Plumb. Puis. Petr. Plat. Rhus. Sabin. Samb. Sec. cor. Sep. Spig. Spong. Staph. Stann. Sulph. Verat. alb. Externally. Blotches: Ant. crud. Ars. Aur. Hep Natr. mur. Nux vom. Petrol. Phosph. Sil. Thuj. Zinc. Bloating: Ars. Sulph. Burning: Arn. Ars. Bar. Bell. Bry. Carb. veg. Coloc. Dulc. Dros. Graph. Lyc. Phosph. Plat. Sil. Spig. Spong. Staph. Stann. Sulph. Verat. alb. Chilliness: Acid. phos. Bar. Calc. Carb. veg. Dulc. Kali. Nux vom. Spig. Staph. Verat. alb. Coldness: Acid. phos. Alum. Bar Calc. Phosph. Verat. alb. - feeling of: Cann. Lach. Verat. alb. Contraction of scalp: Bell. Carb. veg. Chin. Gelsem. Plat. Rhus. Spig. Stann. Drawing: Bar. Bell. Calc. Canth. Chin. Ign. Nux vom. Puis. Rhus. Staph. Eruptions: Alum. Ars. Aur. Bar. Calc. Carb. veg. Cic. Con. Graph. Hep. Merc. sol. Natr. mur. Petr. Rhus. Ruta. Staph. Hair falling out: Acid. nitr. Ant. crud. Ars. Aur. Bar. Bell. .Calc. Canth. Carb. veg. Caust. Con. Ferr. Graph. Hep. Ign. Iod. Kali. carb. Lyc. Merc. sol. Natr. mur. Petr. Phosph. Plumb. Sec. cor. Sep. Sil. Staph. Sulph. Hair as if pulled: Acid. mur. Acid. phos. Aeon. Alum. Arn. Bar. Bry. Canth. Lyc. Phosph. Rhus. Itching: Alum. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Carb. veg. Caust. Chin. Con. Dros. Graph. Hep. Kali. carb. Merc. sol. Lyc. Natr. mur. Petr. Phosph. Puis. Rhus. Ruta. Sep. Sil. Spig. Staph. Sulph. Thuj. Zinc. Pain as if contused: Arn. Ipec. Rhus. Ruta. Scraping: Lyc. Shivering: Bar. Cina. Cocc. Plat. Sil. Staph. Verat. alb. Scurfs: Ars. Bry. Calc. Ferr. Graph. Hep. Lyc. Merc. sol. Natr. mur. Petr. Phos. Rhus. Ruta. Sep. Sil. Staph. Sulph. As if the skin adhered : Arn. Sweat: A cid. phos. Bar. Bell. Bry Calc. Cham. Chin. Coloc. Ipec. Graph. Glon. Hepar. Nux vom, Merc. sol. Op. Petr. Phosph. Plumb, 932 EYES. Puis. Rheum. Rhus. Ruta. Sec. corn. Sep. Sil. Spig. Sulph. Verat. alb. Stinging: Alum. Ant. cr. Apis. Arn. Aur. Bar. Bell. Canth. Caust. Chin. Dig. Hep. Iod. Natr. mur. Phosph. Spigel. Staph. Sulph. Thuj. Verat. alb. Swelling: Apis. Ars. Bell. Cham. Caust. Cup. Dig. Op. Phosph. Puis. Rhus. Sep. Stram. Sulph. Tearing: Alum. Bar. Bell. Calc. Dig Graph. Lyc. Merc. sol. Natr. mur Rhus. Ruta. Sabin. Sep. Staph. Tendency to cold: Kali, carb Natr. mur. Tingling: Aeon. Arn. Ars. Carb. veg, Ferr. Nux vom. Spig. Trembling of head : Cic. Cocc. HI. EYES. Visual Power. Blindness : Acid. nit. Bell. Calc. Cann. Chin. Cocc. Dig. Dulc. Gel- sem. Hyosc. Merc. sol. Natr. mur. Phos. Plumb. Puis. Rhus. Ruta. Sec. corn. Sil. Spig. Stram. Sulph. Verat. alb. Verat. vir. Blurred: Amm.carb. Bell. Bry. Chin. Dros. Gelsem. Graph. Hyosc. Lyc. Natr. mur. Sil. Stram. Verat. vir. Dazzling: Acid. phos. Amm. carb. Con. Dig. Dros. Ign. Kali. carb. Lyc. Merc. sol. Sil. Stram. Sulph. Illusions of color: - pale: Dig. - blue: Bell. Stram. Sulph. Zinc. - checkered: Euphr. Kali. carb. Sulph. - colored streaks: Con. - fiery yellow: Acid. phos. - yellow: Alum. Ars. Canth. Dig. Kali. carb. Sulph. - gold-colored : Bell. Hyosc. - green: Gelsem. Dig. Merc. sol. - red: Bell. Con. Croc. Dig. Hep. Hyosc. Spig. Stram. Sulph. - black: Chin. Cic. Cocc. Merc. sol. Phosph. Staph. - white : Dig. Kali. carb. - halo around the light: Bell. Calc. Euphr. Gelsem. Phos. Sep. Zinc. Illusions of size, shape, distance. -seeing things double: Aur. Bell. Cic. Dig. Euphr. Gelsem. Graph. Hyosc. Merc. sol. Petr. Puis. Sec. corn. Stram. Sulph. Verat. alb. - seeing things half: Acid. mur. Aur. Calc. Lyc. Natr. mur. - larger: Hyosc. Staph. - brighter: Camph. Hyosc. Nux vom. - smaller: Hyosc. - slanting: Stram. - confused : Stram. Optical Illusions of things not present: - flashes: Amm. carb. Croc. Glon. Natr. Spig. Optical Illusions of things not present: - flashes, black: Staph. - gray covering: Phos. Sil. - threads: Con. - feathers: Calc. Lyc. Natr. mur. Spig. - fire: Bar. Bell. Bry. Dig. Dulc. Natr. mur. Spig. Staph. Stram. Ve- rat. alb. - spots, dark : Acid. nit. Amm. carb. Calc. Carb. veg. Caust. Con. Dig. Glon. Kali. carb. Lyc. Natr. mur. Petr. Phos. Sec. corn. Sep. Sil. Sulph. - gauze: Alum. Ars. Aur. Bry. Cactus. Caust. Cina. Croc. Dros. Euphr. Hyosc. Ign. Lyc. Natr. mur. Op. Petr. Phos. Plat. Rhus. Sabin. Sec. corn. Sep. Stram. Sulph. Thuj. - sparks: Ars. Aur. Bar. Bell. Bry. Calc. Caust. Coloc. Croc. Dig. Dulc. Glon. Kali. carb. Nux vom. Op. Petr. Sil. Spig. Verat. alb. - mist: Aeon. Alum. Bell. Bry. Caust. Croc. Dig. Gelsem. Graph. Kali. carb. Merc. sol. Natr. mur. Plat. Plumb. Puis. Ruta. Sec. corn. Spig. Staph. Stram. Sulph. Long-sighted: Alum. Bell. Bry. Calc. Caust. Con. Dros. Hyosc Lyc. Natr. mur. Nux vom. Petr Sil. Spig. Sulph. As if things -were moving: Bell Con. Cic. Euphr. Hyosc. Ign. Merc. sol. Stram. Dread of light: Acid. mur. Acid. nit. Acid. phos. Amm. mur. Aeon. Alum. Apis. Arn. Ars. Bell. Bry. Camph. Cham. Chin. Cic. Cina. Coff. Con. Croc. Euphr. Graph. Hell. Hep. Ign. Kali. carb. Lyc. Merc. sol. Nux vom. Puis. Sep. Sil. Sulph. Squinting: Alum. Apis. Bell. Gelsem Hyosc. Puis. Sec. corn. Stram. Shortsightedness: Acid. nit. Acid EYES. 933 phos. Calc. Carb. teg. Chin. Con. Euphr. Graph. Hyosc. Natr. mur. Phos. Plumb. Puis. Ruta. Stram. Thuj. Staring at one point: Cic. Cocc. Ruta. Stram. Vibrations: Ars. Bell. Calc. Carb. veg. Caust. Cham. Con. Dig Graph. Hell. Ign. Lyc. Nux vom. Petr. Phos. Puis. Sec. corn. Sep. Staph. Sulph. Vision, sudden blackness of: Aeon. Alum. Ars. Aur. Bell. Bry. Cactus. Calc. Curb. veg. Caust. Canth. Cham. Cic. Cina. Croc. Dros. Dulc. Ferr. Glon. Gelsem. Hep. Hyosc. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Phos. Plumb. Puis. Sabin. Sec. corn. Staph. Stram. Sep. Sulph. Ve- rat. vir. - dim: Alum. Bell. Cactus. Cham. Ruta. Sabad. Verat. vir. - pale: Chin. Croc. Dros. Glon. Petr. Puis. Rhus. Sil. - obscured: Aeon. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Camph. Caust. Cham Cic. Con. Cupr. Dig. Dros. Euphr. Ferr. Hyosc. Iod. Kali. carb. Lyc. Natr. mur. Nux vom. Op. Phos. Plat Puis. Ruta. Sil. Spig. Stram. Sulph. Thuj. - vanishing of: Bell. Calc. Cic. Con. Croc. Gelsem. Hep. Hyosc. Merc. sol. Natr. mur. • Nux vom. Op. Phos. Puis. Sec. corn. Spig. Staph. Stram. Verat. vir. - weak : Acid. nit. Acid. phos. Alum. Ars. Bar. Bell. Calc. Carb. veg. Chin. Con. Croc. Dros. Graph. Hep. Hyosc Iod. Lyc. Ign. Natr. mur. Petr. Phosph. Plumb. Rhus. Ruta. Sec. corn. Sep. Sil. Staph. Eye-balls and eyes generally. Agglutination: Alum. Bell. Bry. Calc. Carb. veg. Caust. Croc. Euphr. Hep. Ign. Kali. carb. Lyc. Natr. mur. Nux vom. Phosph. Plumb Puis. Rhus. Ruta. Sep. Sil. Stann. Staph. Sulph. Thuj. Burning : Acid. nit. Aeon. Alum. Amm. carb. Amm. mur. Ars. Arn. Aur. Bar. Bell. Bry. Calc. Canth. Col. Con. Cham. Chin. Cic. Croc. Dig. Dros. Euphr. Ferr. Graph. Hell. Ign. Kali.c. Lyc. N. vom. Phos. Plumb. Puis. Rhus. Ruta. Sep. Sil. Spig. Spong. Staph. Stram." Sulph. Thuj. Cornea, spots on: Apis. Ars. Aur. Calc. Con. Euphr. Hep. Lyc. Sep. Sil. Cornea, ulcers on: Euphr. Ruta. Dryness: Bar. Bell. Bry. Caust. Croc. Euphr. Kali. carb. Lyc. Natr. mur. Nux vom. Phos. Puis. Spig. Staph. Sulph. Verat. alb. Distortion : Aeon. Ars. Bell. Bry. Camph. Canth. Cham. Cic. Cocc. Cupr. Hell. Hyosc. Op. Petr. Plat. Plumb. Puis. Sec. corn. Spig. Stann. Stram. Sulph. Verat. alb. Eye-gum : Acid. nit. Alum. Calc. Caust. Cham. Chin. Con. Dros. Euphr. Graph. Hep. Lyc. Sil. Spig. Sulph. Inflammation: Acid. nit. Acid. phos. Aeon. Apis. Arn. Ars. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Cham. Chin. Con. Dig. Dulc. Euphr. Graph. Hep. Hyosc. Ign. Ipec. Kali. carb. Lyc. Merc. sol. Natr. mur. Nux vom. Phosph. Plumb. Puis. Rhus. Sep. Sil. Spig. Staph. Sulph. Verat. alb. Lachrymation: Aeon. Alum. Arn. Ars. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Chin. Cina. Coff. Coloc. Con. Croc. Dig. Euphr Graph. Hep. Ign. Kali. c. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Petr. Phos. Plat. Puis. Rhus. Ruta. Samb. Sep. Sil. Spig. Spong. Stann. Staph. Stram. Sulph. Verat. alb. Zinc. — smarting: Acid. phos. Aeon. Bell. Calc. Carb. veg. Con. Dig. Euphr. Graph. Kali. Lyc. Natr. mur. Rhus. Sabin. Spig. Staph. Sulph. Looks, - anxious: Stram. - staring: Aeon. Arn. Bry. Camph. Canth. Cic. Cina. Cocc. Cupr. Hell. Hyosc. Nux vom. Op. Sec. corn Spig. Stram. Verat. alb. - dim: Stram. - disturbed: Camph. Cupr. Op. Sec corn. Stram. Verat. alb. - wild: Cupr. Hyosc. Op. Sec. cor. Motions, convulsive: Apis. Bell. Canth. Cham. Cupr. Hyosc. Stram. - involuntary : Spig. Stram. Pain, simple: Aeon. Arn. Bar. Bell. Bry. Calc. Canth. Carb. veg. Cin. Croc. Dig. Euphr. Petr. Phosph. Plat. Plumb. Puis. Rhus. Ruta. Sabin. Sep. Sil. Spig. Stann. Staph. Verat. alb. Pellicle on eyes: Euphr. Puis. Ruta. Pressure, outward: Aeon. Aur. Calc. Camph. Canth. Con. Hell. Ign Rhus Spig. Staph. 934 EYES. Pressure, inward: Aur. Bry. Calc. Caust. Kali. carb. Spig. - as from a foreign body: Arn. Ars. Aur. Bar. Bell. Calc. Carb. veg. Caust. Chin. Cina. Cocc. Con. Croc. Hyosc. Ign. Kali. carb. Merc. sol. Natr. mur. Petr. Phosph. Plumb. Puis. Rhus. Sep. Sil. Spig. Stann. Protruded: Aeon. Am. Ars. Aur. Bell. Canth. Cin. Cocc. Con. Cupr. Hep. Hyosc. Op. Rhus. Spig. Spong. Staph. Stram. Verat. alb. Pupils, dilated: Acid. phos. Aeon. Arn. Ars. Aur. Bell. Calc. Camph. Canth. Caust. Chin. Cina. Con. Croc. Cupr. Dig. Dros Gelsem. Hell. Hep. Hyosc. Ign. Ipec. Nux vom. Petr. Plumb. Puis. Sec. corn. Spig. Stann. Staph. Stram. Verat. alb. Zinc. - contracted: Aeon. Arn. Ars. Aur. Bell. Calc. Camph. Canth. Cham. Chin. Cic. Cina. Cocc. Croc. Dig. Dros. Hell. Hyosc. Ign. Plumb. Puis. Sec. corn. Staph. Stram. Stann. Sulph. Thuj. Verat. alb. - immovable: Aeon. Brtl. Cham. Chin. Cupr. Dig. Ferr. Hyosc. Op. Plumb. Spig. Stram. Rush of blood to eyes: Aur. Bell. Gelsem. Hyosc. Plumb. Sep. Spig. Smarting: Acid. nit. Alum. Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust. Chin. Con. Croc. Dros. Euphr. Graph. Hep. Lyc. Merc. sol. Nux vom. Phosph. Rhus. Samb. Sep. Sil. Staph. Sulph. Thuj. Sparkling: Aeon. Bell. Bry. Hyosc. Op. Stram. Spots on eyes : Bell. Euphr. N. vom. Puis. Ruta. Zinc. Sunken: Camph. Chin. Cic. Cupr. Dros. Ferr. Hyosc. Op. Sec. corn. Spong. Staph. Verat. alb. Swelling : Ars. Bry. Carb. veg. Cimi- cif. Hep. Phos. Plumb. Rhus. Ruta. Stram. Sulph. Ulceration: Arn- Calc. Cham. Hep. Lyc. Phosph. Sil. Spong. Staph. Sulph. Veins engorged: Aeon. Amb. Euphr. Spig. Whites, yellowness of: Acid. phos. Aeon. An', crud. Ars. Bell. Bry. Canth. Cham. Chin. Cocc. Con. Euphr. Ferr. Gelsem. Ign. N. vom. Op. Phosph. Plumb. Puis. Rhus. Sep. Sulph. Without lustre : Acid. phos. Chin. Ferr. Hyosc. Merc. sol. Sabic Verat. alb. In the eye-brows. Drawing: Bell. Caust. Dros. Hell Rhus. Eruptions: Cupr. Kali. carb. Sil Spong. Stann. Thuj. Falling of lashes : Calc. Kali, carb. Plumb. Itching : Alum. Caust. Chin. Sil. Spig Sulph. Swelling: Kali. carb. Twitching : Caust. Kali. carb. Zinc. Warts: Caust. Eye-lids. Eye-gum: Dros. Ferr. Rheum. Rhus Staph. Agglutination: Acid, mur Aeon Bell. Bry. Calc. Caust. Cham. Con. Dig. Dros. Euphr. Ferr. Graph. Ign. Kali. carb. Natr. mur. Nux vom Phos. Plat. Puis. Rhus. Sep. Sil. Spig. Staph. Stram. Sulph. Verat. alb. Blueness: Dig. Burning : Acid. phos. Amm. mur. Ars. Bell. Bry. Con. Graph. Kali. carb. Nux vom. Rhus. Spig. Stann. Ecchymosis: Apis. Arn. Inflammation: Aeon. Apis. Ars. Bell. Bry. Calc Carb. veg. Caust. Cham. Dig. Euphr. Hep. Hyosc. Ign. Kali. carb. Lyc. Nux vom. Puis. Rhus. Sep. Spig. Spong. Staph. Stram. Sulph. Thuj. Verat. alb. Itching: Ars. Bell. Bry. Calc. Camph. Carb. veg. Caust. Cocc. Dros. Euphr. Kali. carb. Lyc. Nux vom Phosph. Rhus. Spong. Staph. Sulph. Verat. alb. Paralysis: Acid. nit. Bell. Cocc. Gelsem. Rhus. Sep. Spig. Stram. Verat. alb. Pimples: Hep. Lyc. Petr. Rhus. Sulph. Smarting : Camph. Carb. veg. Caust. Ign. Rhus. Spig. Spasm: Alum. Bell. Croc. Hyosc Sep. Sil. Stram. Styes: Apis. Dig. Ferr. Lyc. Puis Rhus. Sep. Sil. Stann. Staph. Swelling: Aeon. Apis. Arn. Ars. Bar. Bell. Bry. Calc. Caust. Cham. Euphr. Ferr. Hyosc. Ign. N. vom. Phos. Puis. Rhus." Ruta. Spong. Stram. Sulph. Tetter: Bry. Rhus. Sep. Ulceration: Colch. Croc. Ign. Lyo EARS. 935 Natr. mur. Nux vom. Phosph. Puis. Rhus. Sil. Spig. Staph. Stram. Corners of the eye. Burning: Acid. phos. Agar. Alum. Aur. Bar. Bell. Calc. Cina. Graph. Hell. Natr. mur. Phosph. Sep. Spig. Stann. Staph. Sulph. Eye-gum: Ant. crud. Calc. Caust. Dig. Euphr. Graph. Ipec. Natr. mur. Nux vom. Rhus. Sil. Staph. Thuj. Inflammation: Aeon. Alum. Ars. Boring: Alum. Aur. Bar. Bell. Caust. Euphr. Hell. Plat. Plumb. Sil. Spig. Stann. Discharge, of blood: Bry. Cic. Graph. Merc. sol. Petr. Phos. - of matter: Alum. Aur. Bell. Calc. Caust. Kali. carb. Lyc. Merc. sol. Petr. Puis. Sep. Sulph. Eruptions: Bar. Cic. Chin. Kali. c. Petr. Phosph. Puis. Sep. Sil. Spong. Sulph. - behind the ears: Ant. crud. Canth. Chin. Puis. Staph. Ear-wax, liquid : Merc. sol. - blood-red : Con. - deficient: Calc. Carb. veg. - increased: Calc. Con. Sep. Sil. Heat: Aeon. Alum. Ars. Bell. Bry. Calc. Canth. Carb. veg. Chin. Gelsem. Hep. Ign. Kali. carb. Merc. sol. Natr. mur. Petr. Puis. Sab. Sep. Sil. Itching: Acid. nit. Acid. phos. Alum. Arg. Bar. Bell. Calc. Carb. veg. Caust. Col. Con. Graph. Hep. Ign. Kali. carb. Lyc. Natr. mur. Nux vom. Petr. Phosph. Plat. Puis. Rhus. Samb. Sep. Sil. Spig. Stann. Sulph. Itching of external ear: Gelsem. Spig. Verat. alb. Inflammation : Acid. phos. Aeon. Bry. Kali. carb. Lyc. Merc. sol. Nux vom. Puis. Sil. Spong. Parotid glands, pains in: Bry. Cham. Chin. Cocc. Hyosc. Ign. Merc. sol. Phosph. Puis. Rhus. ~ pressure : Merc. sol. - inflammation: Cham. Merc. sol. Rhus. •- swelling Bar. Bell. Bry. Carb. veg. Cham. Cocc. Con. Dulc. Hyosc. Ign. Merc. sol. Phos. Puis. Rhus. Sep. Sil. Sulph. Calc. Cham. Euphr. Ign. Merc, sol Nux vom. Phos. Puis. Itching: Arn. Calc. Caust. Cina. Hell. Hyosc. Natr. mur. Plat. Puis. - int.: Bell. Caust. Con. Lyc. Nux vom. Puis. Ruta. Sep. Staph. - ext.: Ant. crud. Bry. Cina. Euphr. Hyosc. Puis. Sep. Smarting: Acid. mur. Carb. veg. Nui vom. Sep. Sil. - int.: Con. Graph. Hell. Kali. carb. Nuxvom. Puis. Staph. - ext.: Camph. Ign. Nux vom. Sulph. Parotid glands, hardness: Bar. Merc. sol. Rhus. - painfulness: Puis. - stitches: Bell. Chin. Con. Ign. Puis. Sep. Sulph. Stitches: Acid. phos. Alum. Amm. mur. Ant. crud. Apis. Arn. Ars. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Colch. Col. Con. Dros. Dulc. Ferr. Graph. Hell. Hep. Ign. Ipec. Kali. carb. Merc. sol. Natr. mur. Nux vom. Petr. Plat. Plumb. Puis. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Zinc. Swelling : Acid. nit. Acid. phos. Ant. crud. Apis. Calc. Caust. Kali. carb. Lyc. Merc. sol. Natr. mur. Puis. Rhus. Sep. Sil. Spong. Zinc. Tearing: Acid. phos. Aeon. Alum. Arn. Aur. Bar. Bell. Camph. Canth. Cham. Chin. Carb. veg. Caust. Con. Cupr. Dros. Dulc. Graph. Hyosc. Kali. carb. Lyc. Merc. sol. N. vom. Plat. Plumb. Puis. Stann. Spig. Sulph. Zinc. - behind the ears: Alum. Bar. Bell. Canth. Plumb. Rhus Sep. Sil. Ulcers: Alum. Camph. Kali. carb. Merc. sol. Puis. Ruta. Spong. Stann. Sulph. Hearing. Hard hearing: Acid. nit. Acid. phos. Ant. crud. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Caust. Cham. Chin. Cic. Cocc. Croc. Dulc. Dros. Graph. Hyosc. Ign. Iod. Kali. c. Lyc. Merc. sol. Natr. mur. Petr Phos. Puis. Ruta. Sec. corn. Sep. Sil. Spig. Spong. Stram. Stann. Sulph. Verat. alb. IV. 936 NOSE. Illusions of hearing. Roaring : Acid. nit. Aeon. Ant. cr. Arn. Ars. Aur. Bell. Bry. Cactus. Calc. Carb. veg. Caust. Cic. Cocc. Colch. Con. Glon. Graph. Ign. Kali. carb. Lyc. Merc. sol. Nux vom. Op. Phos. Plat. Puis. Rhus. Sec. corn. Sep. Sil. Staph. Sulph. Thuj. Verat. alb. Humming: Aur. Bell. Bry. Caust. Con. Lach. Lyc. Natr. mur. Nux v. Puis. Sep. Spig. Sulph. [nsensitive to music : Ign. Intolerance of music : Aeon. Cham. Coff. Ign Viol. od. Reports: Graph. Kali. carb. Natr. c. Rhus. Sil. Staph. Zinc. Rushing: Aur. Bar. Bell. Cactus. Cocc. Con. Cham. Dulc. Kali. carb. Natr. mur. Nux vom. Puis. Stann. Ringing : Aeon. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cic. Con. Dulc. V. I Black pores: Acid. nit. Sep. Sulph. Blood blown from the nose : Alum. Ars. Bar. Canth. Caust. Dros. Graph. Hep. Kali. carb. Lach. Lyc. Natr. m. Nux vom. Petr. Phos. Puis. Sep. Sil. Sulph. Boils : Alum. Lyc. Bone-pain : Aur. Hyosc. Lach. Merc. sol. Cancer: Ars. Aur. Calc. Sep. Sulph. Coldness: Arn. Bell. Chin. Dros. Ign. Nux vom. Plumb. Verat. alb. Discharge of matter: Acid. phos. Aur. Cina. Lach. Puis. Eruption, on the sides of the nose: Alum. Canth. Chin. Rhus. Spig. - on the nose : Ant. crud. Aur. Caust. - in the nose: Ant. crud. Arn. Canth. Cic. Cocc. Sil. Spig. - on the top of the nose: Caust. Sep. Spong. - in the corners ; Dulc. Euphr. Plumb. Rhus. Thuj. Inflammation : Apis. Arn. Ars. Aur. Bell. Canth. Lach. Merc. sol. Natr. mur. Plumb. Rhus. Sulph. Itching: Alum. Arn. Bell. Calc. Carb. veg. Caust. Col. Con. Chin. Cina. Hell. Kali. carb. Lyc. Ign. Lach. Merc. sol. Nux vom. Plat. Plumb. Glon. Graph. Kali. carb. Ign. Lyc Merc, sol Natr. mur. Nux vom. Op Petr. Plat. Puis. Rhus. Sep. Sil Stann. Staph. Sulph. Verat. alb. Sensitive hearing, excessive : Acid. phos. Bell. Carb. veg. Coff. Graph. Ign. Lyc. Nux vom. Phosph. Sep. Sulph. Sensitiveness to sound: Acid.phos. Aeon. Bell. Cactus. Chin. Coff. Colch. Con. Ign. Iod. Merc. sol. Natr. carb. Nux vom. Puis. Sil. Spig. Zinc. Sensitiveness to music : Aeon. Cac- tus. Cham. Coff. Ign. Thundering : Caust. Plat. Whizzing: Aeon. Alum. Arn. Ars. Aur. Bar. Bell. Bry. Cactus. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cupr. Ferr. Hep. Kali. carb. Lyc. Natr. mur. Nux vom. Op. Petr. Phos. Puis. Ruta. Sec. corn. Sep Spig. Sulph. Verat. alb. Zinc. Phos. Samb. Sep. Sil. Spig. Staph Zinc. Nose bleed: Acid. nit. Aeon Alum. Ant. crud. Arn. Ars. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cina. Coff. Colch. Con. Croc. Cupr. Dig. Dros Dulc. Ferr. Graph. Hep. Hyosc. Ipec Kali. carb. Lach Lyc. Merc. sol. Mosch. Natr. mur. Nux vom. Phos. Puis. Rhus. Ruta. Sab. Samb. Sec. corn. Sep. Sil. Spong. Stann. Sulph. Thuj. Verat. alb. Pimples: Acid. phos. Alum. Bar. Bell. Calc. Caust. Con. Dulc. Graph. Kali. carb. Merc. sol. Petr. Sep. Sil. Sulph. Zinc. Scurfs in nose: Alum. Ant. crud. Arn. Aur. Bry. Canth. Cham Cic. Cocc. Hep. Hyosc. Ign. Lach. Merc. sol. Nux vom. Puis. Sil. Spig Staph. Thuj. - under the nose : Bar. Kali. carb. Swelling: Apis. Arn. Ars. Aur Bell. Bry. Calc. Canth. Caust. Cham. Cocc. Lyc. Merc. sol. Natr. m. Phosph. Puis. Rhus. Sep. Spig. Stann. Stram. Zinc. Swelling of bones : Aur. Tetter: Rhus. Spig. Ulcerated nostrils: Acid. nit. Acid phos. Ant. crud. Arn. Aur. Bell FACE. 937 Bry. Calc. Cham. Cocc. Graph. Hep. Hyosc. Ign. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Puis. Sep. Spig. Stann. Staph. Zinc. Warts: Caust. Thuj. Smell. Smell of blood: Sil. - of brandy: Aur. - sensitive: Aeon. Aur. Bar. Bell. Cham. Chin. Cocc. Colch. Graph. Color and external appearance. Kali. carb. Lyc. Nux vom. Phos Plumb. Smell, putrid: Aur. Bell. Calc. Merc. sol. Phos. Sep. Sulph. - fine, extremely: Aeon. Aur. Bell, Chin. Cocc. Coff. Con. Nux vom. - deficient: Bell. Hep. Hyosc. Natr. mur. Op. Plumb. Puis. Ruta. Sec. corn. Sep. Sil. Zinc. - catarrhal: Graph. Merc. sol. Puis. Sulph. - as of burnt hair : Graph. Sulph, Complexion, red and bluish : Aeon. Apis. Bell. Bry. Hep. Merc. sol. Op. Phos. - red, burning cheeks: Aeon. Apis Arn. Bell. Bry. Cham. Chin. Cina. Cocc. Coff. Dulc. Hell. Ign. Kali. c. Lyc. Merc. sol. Nux vom. Op. Plat. Samb. Stann. Stram. - red on one side: Aeon. Arn. Canth. Cham. Chin. Ign. Ipec. Nux vom. Puis. Rheum. - red, erysipelatous: Apis. Bellad. Camph. Cham. Graph. Lach. Rhus, Ruta. Stram. - sallow: Ars. Bry. Canth. Chin. Cic. Euphr. Ferr. Hyosc. Ign. Ipec. Merc. sol. Natr. mur. Nux vom. Op. Plumb. Phos. Sec. corn. Sil. Eyes, sunken: Acid. nit. Acid. phos. Ars. Calc. Camph. Chin. Cic. Cupr. Col. Dros. Ferr. Hyosc. Jod. Lyc. Op. Phos. Sec. corn. Spong. Stann. Staph. Sulph. Verat alb. Features, altered: Ars. Bell. Camph Canth. Cham. Colch. Rhus. Spig Verat. alb. Freckles: Calc. Kali. carb. Lyc. Natr. carb. Phos. Pale: Acid. phos. Aeon. Ant. tart. Apis. Arn. Ars. Bell. Bry. Calc. Camph. Canth. Carb. veg. Cham. Chin. Cic. Cina. Col. Con. Cocc. Cupr. Dig. Euphr. Ferr. Graph. Hell. Hyosc. Ign. Jod. Ipec. Kali. carb. Lach. Led. Lyc. Merc. sol. Nux vom. Op. Plumb. Petr. Phos. Puis. Rhus. Sabin. Sec. corn Sep. Sil. Spig. Spong. Squilla. Stann. Stram. Sulph. Verat. alb Zinc. Spots, yellow: Calc. Hell. Lyc. Natr carb. Phos. - re*: Alum. Bell. Canth. Croc. Lvo. Blue : Aeon. Ars. Bry. Camph. Cham, Cic. Cina. Con. Cupr. Dros. Hyosc. Ign. Ipec. Merc. sol. Op. Samb. Spong. Stram. Verat. alb. - margins around eyes: Acid. phos. Ars. Calc. Cham. Chin. Cina. Cocc. Cupr. Graph. Hep. Ign. Ipec. Lach. Lyc. Phos. Rhus. Sabin. Sec. corn. Staph. Stram. Sulph. Verat. alb. Bloated: Aeon. Apis. Arn. Aur. Bar. Bell. Bry. Cham. Chin. Cina. Cocc. Cupr. Dig. Dros. Dulc. Ferr. Hyosc. Ipec. Kali. carb. Led. Lyc. Merc. sol. Natr. carb. Nux vom. Op. Phos. Plumb. Rhus. Sep. Spig. Spong. Staph. Stram. Complexion, jaundiced: Acid. nit. Aeon. Ant. crud. Arn. Ars. Bry. Calc. Caust. Canth. Cham. Chin. Cina. Con. Croc. Ferr. Graph. Hell. Hep. Ign. Jod. Kali. carb. Lyc. Merc. sol. Natr. mur. Nux v. Op. Petr. Plumb. Puis. Rhus. Sec. corn. Sep. Spig. Verat. alb. - shining : Aur. Cactus. Plumb. Rhus. ■ sickly: Acid. phos. Bry. Calc Canth. Caust. Chin. Cina. Colch. Cupr. Kali. carb. Nux vom. Plumb. Phos. Puis. Rhus. Sec. corn. Sil. Spig. Stann. Staph. Sulph. Verat. alb. red : Acid. mur. Aeon. Arn. Ars. Bar. Bell. Bry. Calc. Camph. Canth. Caust. Cham. Chin. Cic. Cina. Cocc. Coff. Croc. Cupr. Dig. Dros. Dulc. Euphr. Ferr. Gelsem. Hyoso. Hep. Ign. Ipec. Laur. Lyc. Merc. sol. Natr. carb. Nux vom. Op. Petr. Phos. Plat. Plumb. Puis. Rhus. Ruta. Sabin. Sep. Sil. Sec. corn Spig. Spong. Stann. Stram. Sulph Thuj. Verat. alb. Zinc. VI. FACE. 938 Merc. sol. Nux vom. Op. Phos. Samb. Sil. Sulph. Zinc. Spots, white: Ars. Merc. sol. Natr. carb. Swollen veins : Chin. Ferr. Op. Swelling: Alum. Apis. Ars. Bell. Bry. Cactus. Calc. Canth. Carb. veg. Cham. Dulc. Graph. Hell. Hyos. Kali. carb. Lyc. Natr. mur. Op. Petr. Phosph. Rhus. Samb. Sep. Stram. - of forehead : Ruta. Blotches: Ant. crud. Ant. tart. Canth. Cic. Hell. Lach. Led. Nux vom. Op. Puis. Viol. tr. Boils: Alum. Arn. Bell. Bry. Chin. Led. Bones, pains of: Colch. Ruta. Rhus. Samb. Spig. Staph. Coldness: Camph. Canth. Cham. Cina. Dros. Hyos. Ign. Ipec. Rhus. Ve>at. alb. Contraction : Acid. nit. Alum. Caust. Chin. Dulc. Rhus. Sep. Spong. Stann. Spasms: Bell. Calc. Camph. Canth. Cham. Cupr. Dig. Ipec. Phosph. Stram. Sulph. Crampy feeling: Bell. Caust. Cina. Cocc. Dig. Dulc. Hyosc. Kali. c. Plat. Rhus. Spong. Stann. Thuj. Milk crust: Aeon. Ars. Calc. Graph. Hep. Lyc. Merc. sol. Rhus. Sep. Staph. Sulph. Viol.tr. Distortion : Bell. Caust. Hyos. Stram. Drawing: Alum. Aur. Bell. Bry. Carb. veg. Dig. Dros. Dulc. Euphr. Graph. Kali. carb. Lyc. Natr. mur. Nux vom. Petr. Phos. Rhus. Sep. Sil. Spig. Stann. Staph. Sulph. Verat. alb. Viol. tr. Zinc. Eruption: Alum. Ant. tart. Ars. Aur. Bar. Calc. Carb. veg. Caust. Cham. Cic. Colch. Col. Con. Dulc. Graph. Kali. carb. Lach. Led. Lyc. Merc. sol. Natr. mur. Petr. Plumb. Rhus. Sep. Sil. Stann. Staph. Verat. alb. Viol. tr. around the mouth: Acid. phos. Ant. crud. Bar. Calc. Carb. veg. Graph. Petr. Phos. Rhus. Sep. Sil. Staph. Verat. alb. Zinc. - around the nose: Ant. crud. Bar. Caust. Dulc. Natr. carb. Sep. Sil. Sulph. Zinc. - around the ears: Acid. mur. Ant. c. Petr. Phos. Sulph. Zinc. - on the forehead: Acid.mur. Ant. c. Arn. Bar. Calc. Canth. Carb. veg. Cham. Cocc. Hell. Hep. Led. Natr. mur. Sep. Sil. Staph. Sulph. Erysipelas: Apis. Bell. Graph Rhus. Flashes of heat: Acid. nit. Arn. Bell Cocc. Graph. Lyc. Petr. Sulph. Thuj, Heat: Aeon. Alum. Ant. tart. Apis. Arn. Ars. Bell. Bry. Calc. Camph Canth. Carb. veg. Caust. Cham Chin. Cina. Cocc. Coff. Col. Con. Croc. Cupr. Dig. Dros. Dulc. Euphr. Ferr. Graph. Hell. Hep. Hyosc. Ign. Ipec. Kali. carb. Led. Lyc Merc. sol. Natr. mur. Nux vom Op. Petr. Plat. Plumb. Phos. Puis Kheum. Rhus. Ruta. Sabin. Samb. Sep. Squilla. Sil. Spig. Spong. Stann. Staph. Stram. Thuj. Verat. alb. Viol. tr. Itching : Alum. Arn. Aur. Bry. Calc Carb. veg. Caust. Col. Con. Dulc. Graph. Kali. carb. Lach. Lyc. Nux vom. Op. Petr. Phos. Plat. Plumb. Rhus. Ruta. Sabin. Sep. Sil. Sulph. Verat. alb. Zinc. Faceache: Acid. nit. Aeon. Alum. Aur. Bell. Bry. Calc. Chin. Cina. Colch. Col. Con. Gelsem. Graph. Kali. carb. Lyc. Nux vom. Phos. Sep. Spig. Stann. Staph. Verat. alb. Zinc. Tearing: Acid. nit. Alum. Aur. Bell. Bry. Calc. Carb. veg. Cina. Colch. Con. Dulc. Graph. Kali. carb. Led. Lyc. Merc. sol. Natr. carb. Plumb, Rhus. Sep. Sil. Spig. Spong. Staph. Sulph. Thuj. Zinc. Pimples: Acid. nit. Acid.phos. Ant. crud. Ant. tart. Ars. Bar. Bell. Calc. Carb. veg. Caust. Cocc. Con. Dros. Graph. Kali. carb. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Rhus. Sep. Sil. Sulph. Stann. Staph Verat. alb. Zinc. Stitches: Aur. Bry. Canth. Chin. Cocc. Con. Dig. Graph. Ign. Kali. c. Lyc. Merc. sol. Natr. mur. Petr. Phos. Plat. Plumb. Rhus. Sabin. Sep. Sil. Spig. Spong. Staph. Stann. Sulph. Thuj. Verat. alb. Sweat: Aeon. Am. Ars. Bell. Bry. Calc. Camph. Carb. veg. Cham. Chin. Cina. Cocc. Coff. Con. Croc. Cupr. DuTe. Dros. Hell. Hep. Hyos. Ign. Ipec. Led. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Petr. Plat. Puis. Rheum, Rhus. Samb. Sep. Spong. Staph. Stram. Stann. Sulph. Thuj. Verat. alb. - cold, on the forehead: Bry. Cina Cupr. Ipec. Rheum. Verat. alb. Tension: Aeon. Alum. Arn. Aur FACE. 939 Bar. Bry. Calc. Canth. Colch. Con. Led. Lyc. Nux vom. Petr. Plat. Phosph. Puis. Rheum. Rhus. Samb. Sep. Spong. Verat. alb. Vesicles : Acid. nit. Alum. Ant. crud. Ant. tart. Bar. Canth. Caust. Graph. Petr. Plumb. Phos. Rhus. Sep. Sil. Sulph. Zinc. Warmth, feeling of: Acid. phos. Canth. Chin. Cocc. Coff. Croc. Puis. Samb. The lips. Black: Acid. phos. Aeon. Bry. Chin. Merc. sol. Verat. alb. Blue: Ars. Caust Cina. Con. Cupr. Dig. Op. Phos. Strain. Verat. alb. Blisters, bloody: Natr. mur. - Bry. Ign. Kali. carb. Plat. Burning : Acid. mur. Acid. phos. Arn. Ars. Bry. Chin. Hyosc. Merc. sol. Nux vom. Phos. Rhus. Staph. Spig. Sulph. Thuj. Cancer: Ars. Clem. Con. Sil. Chapping: Alum. Arn. Bry. Calc. Carb. veg. Cham. Chin. Ign. Natr. mur. Nux vom. Phos. Puis. Staph. Verat. alb. Zinc. Dry: Aeon. Alum. Arn. Ars. Bar. Bell. Bry. Canth. Cham. Chin. Con. Croc. Dros. Graph. Hyosc. Ign. Merc. sol. Nux vom. Phos. Plat. Puis. Rhus. Stram. Thuj. Verat. alb. Zinc. Eruption : Alum. Canth. Natr. mur. Petr. Rhus. Sulph. - upper lip: Amm. mur. Ars. Carb. veg. Cic. Con. Graph. Hell. Plat. Sil. - lower lip: Aur. Bell. Bry. Carb. veg. Caust. Clem. Kali. carb. Laur. Natr. mur. Phos. Plat. Sep. Staph. Sulph. Glands, indurated: Con. Sulph. Zinc. - ulcerated: Ign. Pale : Ferr. Kali. carb. Lyc. Peeling off: Alum. Bell. Canth. Cham. Con. Kali. carb. Natr. mur. Nux vom. Plat. Plumb. Puis. Pimples: Acid. mur. Am. Bell. Bry. Chin. Dulc. Hyosc. Ipec. Kali. carb. Nux vom. Rhus. Sep. Sil. Staph. Thuj. Verat. alb. Rhagades: Amm. mur. #Arn. Bry. Kali. carb. Natr mur. Petr. Puis. Sep. Sulph Scurfs: Acid. mur. Ars. Bar. Bry. Cham. Ign. Nux vom. Petr. Sil. Staph. Sulph. Swelling: Acid. nit. Apis. Arn. Alum. Aur. Bell. Bry. Carb. veg. Chin. Dig. Natr. mur. Op. Puis. Rhus, Sep Stram. Sulph. Trembling: Arn. Con. Stram. Sulph. Twitching: Ars. Carb. veg. Cham. Dulc Verat. vir. Zinc. Ulcers : Acid. nit. Acid. phos. Ars. Bell. Cic. Con. Dulc. Graph. Merc. sol. Natr. mur. Nux vom. Phos. Sep. Sil. Staph. Sulph. Lower jaw and articulation of the jaw. Bone, swelling of: Sil. Burning: Aeon. Caust. Cramp: Alum. Bell. Cham. Cocc. Colch. Ign. Kali. carb. Merc. sol. Nux vom. Plat. Rhus. Spig. Spong. Stann. Sulph. - in the joint: Aeon. Arn. Bell. Bry. Calc. Camph. Canth. Cic. Colch. Con. Hyosc. Ign. Merc. sol. Nux vom. Op. Phos. Plat. Plumb. Rhus. Sec. corn. Spig. Stram. Sulph. Verat. alb. Cracking: Acid. nit. Rhus. Depression: Op. Pressure: Arn. Aur. Bry. Chin. Coff. Cupr. Dros. Ign. Led. Phos. Sabin. Spig. Verat. alb. Rigidity: Bell. Caust. Cocc. Euphr. Graph. Hyosc. Merc. sol. Nux vom. Petr. Sep. Thuj. Swelling: Aeon. Arn. Ars. Staph. Verat. alb. Tearing: Arn. Aur. Bar. Bell. Bry. Canth. Chin. Cocc. Coff. Colch. Dros. Graph. Merc. sol. Nux vom. Phos. Plumb. Puis. Spig. Stann. Sulph. Twitching: Arn. Bell. Bry. Canth. Chin. Cina. Con. Ign. Rhus. Sabin. Chin. Burning: Ant. crud. Canth. Caust. Rhus. Spong. Coldness: Verat. alb. Cramp: Bell. Drawing: Caust. Cupr. Itching: Alum. Con. Dig. Kali. carb. Lyc. Natr. mur. Op. Phos. Plat. Puis. Scill. Spig. Sulph. Zinc. Numb feeling: Plat. Pimples: Ant. crud. Bell. Calc. Canth. Caust. Cic. Clem. Con. Graph. Hep. Lyc. Merc. sol. Natr. mur. Nux vom, Rhus. Sabin. Sil. Spig. Spong. Sulph. Thuj. Verat. alb. Zinc. Pustules : Ant. tart. Hep. Merc, sol Rhus. Sabin. Zinc. 910 MOUTH. VII. TEETH Teeth. Black Ign. Merc. sol. Plumb. Sep. Staph. Bleeding: Acid. phos. Bar. Graph. Phos. Sulph. Zinc. Brittle : Lach. Plumb. Staph. Decay: Amm. mur. Amm. carb. Carb. veg. Merc. sol. Sil. Dull: Acid. nit. Puis. Spong. Staph. Falling out: Ars. Bry. Merc. sol. Nux vom. Plumb. Sec. corn. Fetid: Calc. Carb.veg. Graph. Kali. carb. Gritting: Aeon. Ant. crud. Ars. Bar. Bell. Canth. Caust. Cham. Cic. Coff. Con. Hyosc. Ign. Merc. sol. Plumb. Podoph. Sec. corn. Sep. Stram. Verat. alb. Loose: Aeon. Arn. Bry. Camph. Cham. Chin. Cocc. Hyosc. Merc. sol. Nux vom. Puis. Rhus. Staph. Teething: Aeon. Arn. Bry. Cham. Cic. Cina. Coff. Cupr. Hyosc. Ign. Ipec. Nux vom. Op. Puis. Rhus. Stram. Yellow : Acid. nit. Iod. Lyc. Gums. Bleeding: Acid. nit. Acid. phos. Alum. Bar. Bell. Calc. Carb. veg. Caust. Con. Euphr. Graph. Iod. Kali. carb. Lyc. Merc. sol. Natr. m. Nux vom. Phos. Ruta. Sep. Staph. Sulph. Zinc. Burning: Acid. mur. Bell. Cham. Merc. sol. Nux vom. Petr. Puis. Rhus. Sep. VIII. 1 Buccal cavity. Aphthae: Acid. nit. Acid, sulph. Ars. Merc. sol. Nux vom. Puis. Sulph. Blisters : Acid. nit. Calc. Canth. Jod. Merc. sol. Phos. Phytolac. Spong, Staph. Thuj. Blue : Cic. Merc. sol. Bleeding: Bell. Canth. Burning: Bell. Carb. veg. Canth. Cham. Cupr. Merc. sol. Petr. Phos. Plumb. Spong. Sulph. Verat. alb. Breath, sour: Nux vom. - bad: Aeon. Arn. Aur. Bell. Bry. Canth. Calc. Carb. veg. Cham. unin. Croc. Dig. Ferr. Graph. Kali. c. Hyosc. Ign. Ipec. Merc. sol. Nux AND GUMS. Corroded : Merc. sol. Staph. Growths : Staph. Gum boil: Calc. Canth. Caust. Lye Natr. mur. Petr. Sil. Staph. Sulph Heat: Bell. Lyc. Indented: Merc. sol. Inflamed: Iod. Merc. sol. Natr. mur Nux vom. Petr. Phos Sil. Pale : Acid. nit. Carb. veg. Meic. sol. Plumb. Sabin. Staph. Putrid : Nux vom. Staph. Receding : Acid. phos. Carb. veg. Graph. Lach. Merc. sol. Natr. carb. Phos. Rhus. Sep. Staph. Redness : Carb. veg. Iod. Merc. sol. Sep. Sensitive : Amm. mur. Ars. Carb. v. Caust. Natr. mur. Phos. Puis. Spongy: Bry. Graph. Merc. sol. Nux vom. Staph. Scurvy: Cic. Nux vom. Staph. Suppuration: Canth. Caust. Lach. Merc. sol. Petr. Swollen : Acid. nit. Alum. Bar. Bell Calc. Carb. veg. Caust. Cham. Chin Cocc. Graph. Hep. Jod. Kali. c. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phosph. Plumb. Puis. Sabin. Sep. Sil. Spig. Spong. Staph. Sulph. Ulcerated: Alum. Aur. Calc. Kali. c. Kali. bich. Lyc. Merc. sol. Nux vom. Phosph. Sabin. Stann. Staph. Zinc. v Vesicles: Bell. Calc. Canth. Nux vom. Petr. Sep. Staph. White: Merc. sol. Staph. vom. Petr. Plumb. Puis. Sep. Spig. Stram. Sulph. Zinc. Coldness: Aeon. Camph. Caust. Rhus. Verat. alb. Dryness: Acid. mur. Aeon. Amm. m Ars. Aur. Ant. crud. Arn. Bar. Bell. Bry. Calc. Carb. veg. Canth. Cham. Chin. Cina. Cocc. Croc. Ferr. Hyosc. Ign. Ipec. Kali. carb. Lach. Lyc. Merc. sol. Nux vom. Petr. Phos. Phytolac. Plumb. Puis. Sep. Sil. Spig. Stram. Sulph. Verat. alb. Foulness: Acid. nit. Arn Ars Aur. Bell. Bry. Carb. veg. Cham. Chin, Graph. Hyosc. Iod. Merc. soL Nux vom. Puis. Ruta. Sabin. Spig Staph. MOUTH. 941 Growths: Staph. Inflamed : Aeon. Canth. Colch. Ign. Merc. sol. Nux vom. Verat. alb. Rough : Carb. veg. Caust. Cina. Cocc. Dig. Ipec. Phytolac. Skin detached : Merc. sol. Swelling : Amm. mur. Caust. Canth. Merc. sol. Sep. Zinc. Ulcers: Acid. nit. Ars. Graph. Kali. carb. Merc. sol. Natr. mur. Nux vom Petr. Phos. Plumb. Sep. Sil. Staph. Zinc. Palate. Blisters: Acid. nit. Nux vom. Phos. Spig. Burning: Acid. mur. Carb. veg. Camph. Canth. Caust. Cocc. Phos. Spig. Staph. Thuj. Dryness: Cina. Cocc. Hell. Merc. sol. Nux vom. Op. Plumb. Samb. Sep. Staph. Stram. Sulph. Verat. alb. Elongated: Calc. Croc. Coff. Dulc. Iod. Kali carb. Lyc. Merc. sol. Inflammation: Bell. Merc. sol. Nux vom. Redness : Ars. Bell. Canth. Smarting: Carb. veg. Canth. Cham. Chin. Kali carb. Merc. sol. Zinc. Swelling: Apis. Ars. Bell. Chin. Merc. sol. Natr. mur. Nux vom. Stram. Ulcers: Acid. nit. Acid. phos. Apis. Aur. Kali carb. Merc. sol. Natr. mur. Sil. White : Merc. sol. Throat. (Not the windpipe.) Ball, hysteric: Calc. Caust. Graph. Ign. Kali carb. Natr. mur. Plumb. Sep. Sil. Sulph. Burning: Acid. nit. Aeon. Alum. Amm. carb. Apis. Ars. Arn. Bell. Calc. Camph. Canth. Carb. veg. Caust. Cham. Cocc. Con. Dig. Dros. Graph. Gelsem. Hyosc. Iod. Lach. Merc. sol. Nux vom. Petr. Phos. Puis. Stram. Sec. corn. Spong. Sulph. Verat. alb. Verat. vir. Contraction: Aeon. Alum. Ars. Bell. Calc. Caust. Chin. Cic. Hyosc. Merc. sol. Natr. mur. Phos. Stram. Sulph. Verat. alb. Verat. vir. Deglutition, difficult: Aeon. Apis. Arn. Bell. Bry. Calc. Canth. Carb. veg. Cham. Chin. Hyosc. Ign. Ipec. Kali carb. Lach Merc. sol. Natr. mur. Nux vom. Op. Phos. Phytolac Puis. Spong. Stram. Sulph. Thuj. Verat. vir. Deglutition, noisy: Arn. - desire for: Bell. Caust. Con. Ipec, Merc. sol. Thuj. - painful: Acid. phos. Aeon. Alum. Apis. Ars. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin. Cocc. Coff. Croc. Ferr. Graph. Hell. Hep. Ign. Ipec. Kali c. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Phytolac. Puis. Rhus. Ruta. Sep. Sil. Spig. Staph. Stram. Sulph. Zinc. Dryness: Acid. nit. Alum. Ant. crud. Apis. Ars. Bar. Bell. Bry. Calc. Canth. Caust. Cham. Cocc. Colch. Cupr. Gelsem. Hyosc. Ign. Ipec. Kali carb. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Petr. Phos. Phytolac. Plat. Plumb. Puis. Bhus. Sabin. Sec. corn. Sep. Sil. Spong. Stann. Staph. Stram. Thuj. Sulph. Inflammation: Aeon. Apis. Alum. Ars. Bar. Bell. Bry. Canth. Cham. Con. Iod. Lach. Lyc. Merc. sol. Phos. Phytolac. Puis. Rhus. Ruta. Sep. Lump in throat: Ant. crud. Arn. Ars. Bell. Calc. Caust. Croc. Gel- sem. Hep. Merc. sol. Natr. mur. Plumb. Phytolac. Sab. Sep. As if a plug in throat: Acid. mur. Amm. mur. Bar. Cham. Croc. Ferr. Gelsem. Hep. Ign. Merc. sol. Natr. mur. Nux vom. Phytolac. Sep. Sulph. Redness: Acid.nit. Aeon. Alum. Apis. Bell. Canth. Lach. Merc. sol. Phytolac. Spong. Rolling of drinks, audible: Cupr. Rough: Aeon. Ant. crud. Ars. Bar. Bry. Carb. veg. Caust. Chin. Cocc. Dros. Euphr. Graph. Hep. Hell. Hyosc. Ign. Ipec. Nux vom. Phos Phytolac. Plat. Plumb. Rhus. Spong. Stann. Staph. Sulph. Thuj. Verat. alb. Scraping: Alum. Ars. Bry. Carb. veg. Cocc. Croc. Dros. Dulc. Kali c. Hyosc. Nux vom. Phytolac. Puis. Rhus. Stann. Thuj. Verat. alb. Smarting: Carb. veg. Dros. Hyosc. Nux vom. Sep. Sore throat, chronic: Amm. carb, Bell. Bar. Caust. Dulc. Lach. Lyc Puis. Rhus. Zinc. - in measles: Carb. veg. Heat: Acid. nit. Beli. Cham. Dulc 942 MOUTH. Euphr. Ferr. Hyosc. Iod. Merc. sol. Phos. Sep. Stram. Spasm- Alum. Carb. veg. Con. Dig. Graph. Ipec. Phos. Sep. Stram. Sulph. Verat. alb. Swelling: Aeon. Bell. Bry. Carb. v. Cham. Chin. Cimicif. Hep. Hyosc. Iod. Ign. Lach. Lyc. Merc. sol. Petr. Phytolac. Spig. Stann. Sulph. Uvula inflamed : Apis. Bell. Merc. sol. Phytolac. Ruta. Zinc. - elongated: Calc. Croc. Coff. Dulc. Iod. Kali carb. Lyc. Merc. sol. - swollen: Bell. Calc. Chin. Coff. Dulc. Kali carb. Lyc. Merc. sol. Nux vom. Puis. Phytolac. Sil. Sulph. Zinc. Saliva. Froth at mouth: Bell. Calc. Camph. Canth. Cham. Cic Cocc. Cupr. Hyosc. Ign. Op. Plumb. Sec. corn. Stram. Verat. alb. - bloody : Canth. Hyosc. Sec. corn. Stram. Mucus, bitter: Arn. - bloody: Alum. Amm. mur. Iod. Lyc. Merc. sol. Phos. Sec. corn. Sulph. Stram. Thuj. Zinc. - foul: Bell. Calc. Carb. veg. Cham. Chin. Sep. Zinc. - yellow: Bry. Gelsem. Phytolac. Spig. - green: Carb. veg. Colch. Natr. mur. Plumb. Zinc. - salt: Alum. Amm. carb. Graph. Nux vom. Phos Rhus. Sulph. - sour: Plumb. - tasting badly : Merc. sol. - viscid: Acid.phos. Alum. Ant. crud. Bell. Bry. Cham. Iod. Ign. Merc. sol. Nux vom. Phos. Plumb. Puis. Rhus. Samb. Saliva, bitter: Arn. Ars. Merc. sol. Thuj. - frothy: Ant. crud. Apis. Bell. Bry. Camph. Canth. Cic. Cocc. Ign. Ipec. Phos. Plumb. Sil. Sabin. Sec. corn. Spig. Stram. - watery: Camph. Colch. Dig. Dros. Hell. Iod. Ipec. Lach. Nux vom. Phos. Phytolac. Plumb. Staph. - increased flow: Acid. nit. Aeon. Alum. Ant. crud. Apis. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin. Cocc. Colch. Dros. Dulc. Euphr. Graph. Hell. Hep. Hyosc Ign. Ipec. Lach. Lob. inf. Merc. sol. Natr. mur. Nux vom. Phos. Phytolac. Podoph. Puis. Rhus. Sep. Spig. Spong. Staph. Stram Sulph. Verat. alb. Tongue. Black: Ars. Chin. Op. Sec. corn. Blotches: Apis. Dros. Lyc. Phos. Blisters: Acid. nit. ■ Amm. carb. Ars Apis. Bar. Bell. Bry. Calc. Canth Carb. veg. Caust. Cham. Chin. Croc Graph. Hell. Kali carb. Natr. mur Nux vom. Phos. Phytolac. Puis Sep. Spig. Spong. Staph. Blue : Acid. mur. Ars. Dig. Lach. Burning : Aeon. Alum. Ars. Bar. Bell Bry. Calc. Canth. Carb. veg. Caust Chin. Coff. Col. Croc. Graph. Hyosc Ign. Kali carb. Lach. Merc, sol Natr. mur. Op. Phos. Plat. Plumb Rhus. Spig. Spong. Sulph. Verat. alb Verat. vir. Coated, brown: Ars. Bell. Bry Carb. veg. Plumb. Sabin. Sec. corn Sulph. - yellow: Aeon. Alum. Arn. Ars Bell. Bry. Cham. Chin. Cocc. Kali carb. Lach. Merc. sol. Sabin. Stann. Zinc. - like fur: Merc. sol. Puis. - slimy: Aeon. Bell. Canth. Cham. Chin. Cina. Ign. Merc. sol. Nux vom. Phos. Plumb. Puis. Sec. corn Sep. Sil. Stann. - dirty: Aeon. Ant. crud. Arn. Chin. - blackish: Ars. Bry. Merc. sol. Sec. corn. - white: Aeon. Alum. Ant. c. Ars. Arn. Bell. Bry. Calc. Canth. Carb. v. Cham. Chin. Cina. Croc. Dig. Euphr. Ign. Ipec. Lob inf. Merc. sol. Natr. mur. Petr. Phos. Plumb. Puis. Rheum. Spig. Staph. Sulph. Verat. alb. Zinc. Cracked: Acid. phos. Bar. Bell. Bry. Calc. Cham. Chin. Lach. Sec. corn. Spig. Dry: Acid. phos. Aeon. Apis. Arn, Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Cocc. Coff. Con. Dulc. Gelsem. Kali carb. Lyc. Hell. Hyosc. Ipec. Lach. Merc. sol. Op. Phos. Plumb. Puis. Rhus. Sep. Staph. Stram. Sulph. Verat. alb. Zinc. Heat: Aeon. Bell. Canth. Carb. veg. Plumb. Puis. Stram. Sulph. Heavy :• Acid. mur. Bell. Calc. Carb. veg. Merc. sol. Natr. mur. Plumb. Nux vom. Ruta. Indented : Merc. sol. Inflammation: Aeon. Apis. Arn. APPETITE. 942 Canth. Cham. Lach. Nux vom. Plumb. Paralysis: Acid. mur. Aeon. Bar. Cocc. Dulc. Gelsem. Ipec. Hyosc. Lach. Nux vom. Op. Rhus. Ruta. Sec. corn. Stram. Red : Bell. Cham. Gelsem. Phytolac. Rhus. Verat, alb. Roughness: Aeon. Alum. Bar. Calc. Carb. veg. Cocc. Dulc. Graph. Hyosc. Merc. sol. Phos. Sep. Stram. Sulph. Smarting: Aeon. Arn. Ars. Bell. Cham. Chin. Col. Croc. Dros. Ign. Ipec. Lach. Natr. mur. Op. Rhus. Sep. Sulph. Verat. vir. Zinc. Sore: Acid. nit. Ars. Canth. Cic. Dig. Kali carb. Lach. Lyc. Merc. sol. Natr. mur. Op. Phytolac. Sil. Swelling: Apis. Ars. Bell. Bry. Chin. Cic. Cimicif. Dig. Dros Glon. Lach. Merc. sol. Natr. mur. Plumb. Ruta. Sec. corn. Sil. Stram. Verat. alb. Trembling: Acid. phos. Bell. Lach. Stram. Ulcers : Acid. nit. Acid. mur. Amm. carb. Apis. Ars. Canth. Chin. Cic. Dros. Kali carb. Lyc. Merc. sol. Natr. mur. Op. Ulcers, at the edge of tongue: Acid. nit. Caust. Merc. sol. Thuj. - under the tongue : Lyc. White: Apis. Ars. Canth. Col. Hell. Kali carb. Nux vom. Op. Petr. Phos Puis. Sep. Sulph. Verat. alb. Withering: Verat. alb. Speech- Speech, impeded: Acid. mur. Aeon. Arn. Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cocc. Con. Dulc. Hyosc. Ign. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Plumb. Petr. Phos. Sec. corn. Spong. Stann. Stram. Sulph. Verat, alb. Zinc. - hurried: Aeon. Bry. Hep. Hyosc. Merc. sol. Stram. - slow: Thuj. - low tone : Bell. Canth. Cham. Chin. Hep. Nux vom. Op. Sec. corn. Staph. Verat. alb. - nasal: Bry. Kali carb. Speechless: Acid. mur. Arn. Ars. Bar. Bell. Bry. Chin. Con. Cupr. Hyosc. Lyc. Merc. sol. Nux vom. Op. Phos. Plumb. Puis. Ruta. Sec. corn. Stram. Verat. alb. Stuttering : Aeon. Arn. Bell. Cham. Hell. Op. Sec. corn. Stram. Verat. alb. Voice, low: Ant. crud. Canth. Ign. Nux vom. Op. Puis. Sec. corn. Spong. Verat. alb. - indistinct: Bry. Cocc. Hyosc. Sec. corn. Stram,. Verat. alb. - loss of: Ant. crud. Canth. Caust. Dros. Hep. Hyosc. Lach. Plumb. Ruta. Spong. Verat. alb. Lyc. Merc. sol. Nux vom. Natr. mur. Thuj. Hunger: Alum. Ant, crud. Ars. Aur. Bell. Bry. Calc. Canth. Carb. veg. Cham. Chin. Cina. Cocc. Coff. Graph. Hell. Hyosc. Ign. Lyc Merc. sol. Natr. mur. Nux vom. Op. Petr. Phos. Plat. Plumb. Puis. Rhus. Sec. corn. Sep. Sil. Spong. Staph. Verat. alb. Hunger, - without appetite: Ars. Bell. Bry. Calc. Chin. Dulc. Hell. Ign. Lyc. Natr. mur. Nux vom. Op. Puis. Rhus. Sil. Sulph. Verat. alb. - inordinate : Ars. Bry. Calc. Cham. Chin. Cina. Cocc. Graph. Hell. Hyosc. Iod. Lyc. Natr. mur. Nux vom. Op. Phos. Puis. Rhus. Sep. Sil. Spig. Sulph. Verat. alb. Thirst: Aeon. Ant. crud. Arn. Ars LX. API Loss of appetite: Aeon. Alum. Ant. crud. Arn. Ars. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cic. Cocc. Coff. Colch. Con. Croc. Cupr. Ferr. Graph. Hyosc. Ign. Ipec. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Phos. Plat. Puis. Rheum. Rhus. Ruta. Sec. corn. Sep. Sil. Stann. Staph. Sulph. Thuj. Verat. alb. Fastidious appetite: Aeon. Ant. c. Ars. Bell. Bry. Carb. veg. Caust. Cham. Chin. Cocc. Graph. Ign. Lach. Lyc. Natr. mur. Nux vom. Puis. Sep. Sulph. Loathing of food: Aeon. Ant. crud. Anl. tart. Ars. Bry. Canth. Caust. Chin. Cocc. Dros. Ipec. Lach Lyc. Merc. sol. Nux vom. Petr. Puis. Sep. Sil. Satiety when eating, sudden: Ign. 944 TASTE — ERUCTATIONS. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cina. Coff. Croc. Cupr. Dros. Dulc. Ferr. Hep. Hyosc. Ign. Kali carb. Merc. sol. Natr. mur. Nuxvom. Plumb. Rhus. Sec. corn. Sil. Stram. Sulph. Verat. alb. Thirst, loss of: Acid. phos. Apis. Ars. X. T Taste, bitter: Acid. nit. Aeon. Alum. Ant. crud. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Canth. Carb. veg. Cham. Chin. Cocc. Coff. Croc. Cupr. Dig. Glon. Hyosc. Ign. Ipec. Kali carb. Lyc. Merc. sol. Natr. mur. Nuxvom. Op. Petr. Phos. Puis. Rhus. Sabin. Sec. corn. Sep. Sil. Spong. Staph. Stram. Sulph. Verat. alb. - of blood: Alum. Ars. Canth. Ferr. Ipec. Kali carb. Rhus. Sabin. Zinc. - burnt: Bry. Puis. Scill. Sulph. - nauseous: Bry. Nuxvom. Puis. - earth: Puis. - flat: Alum. Ant. crud. Ars. Aur. Bell. Bry. Cht"n. Col. Ign. Ipec. Natr. mur. Puis. Rhus. Rheum. Sec. corn. Stann. Staph. - foul: Acid. mur. Acid. phos. Aeon. Arn. Ars. Aur. Bell. Bry. Cham. Con. Cupr. Ign. Kali carb. Lyc. Merc. sol. Nux vom. Puis. Rhus. Spig. Staph. Verat. alb. - of foul eggs: Aeon. Arn. Hep. XL ERU< Eructations, bitter: Alum. Arn. Ars. Bry. Cham. Chin. Calc. Carb. veg. Cocc. Dros. Hyosc. Ign. Kali carb. Lyc. Merc. sol. Nux vom. Puis. Sil. Spong. Stann. Sulph. Verat. alb. Verat. vir. - foul: Aeon. Am. Bell. Cocc. Merc. sol. Nux vom. Phos. Puis. Sep. Sulph. - after eating: Ant. crud. Bell. Bry. Chin. Cina. Cocc. Coff. Ferr. Graph. Ign. Natr. mur. Phos. Puis. Rhus. Sil. Sulph. Thuj. - bilious: Arn. Bry. Cocc. Dros. Hep. Nux vom. Puis. Spong. Verat. alb. - spasmodic: Ferr. Nuxvom. Phos. Ruta. - loud: Ant. crud. Caust. Carb. veg. Bell. Camph. Canth. Chin. Con. Hell Hep. Lyc. Nux mosch. Op. Puis Rhus. Sep. Spig. Spong. Staph. Thirst, with aversion to drink: Arn Bell. Canth. Caust. Hyosc. Lach. Lyc. Natr. mur. Nux vom. Rhus Samb. Stram. Taste, bilious: Aeon. Bry. Cham. Puis. Verat. alb. - insipid: Aeon. Alum. Ars. Bell. Bry Chin Ign. Kali carb. Petr. Phosph, Rheum. Sabin. Spig. Stann. Staph. - salt: Alum. Ars. Bar. Bell. Calc. Carb. veg. Chin. Coff. Croc. Iod. Merc. sol. Puis. Sulph. - sour: Acid. nit. Aeon. Alum. Ars. Aur. Bar. Bell. Calc. Canth. Carb. v. Con. Cham. Chin. Cocc. Graph. Ign. Kali carb. Lyc. Merc. sol. Nux vom. Phos. Puis. Rhus. Sep. Sil. Sulph. - slimy: Alum. Arn. Ars. Bell. Cham. Chin. Cocc. Dig. Hell. Hep. Lyc Merc. sol. Nux vom. Petr. Phos Rheum. Rhus. Sep. Sulph. - sweetish: Alum. Aur. Bell. Bry. Canth. Chin. Coff. Croc. Cupr. Ferr. Kali carb Lyc. Merc. sol. Nux vom. Phos. Plat. Plumb. Puis. Sulph. — lost: Alum. Ant. crud. Bell. Bry. Calc. Hyosc. Ipec. Kali carb. Lyc. Merc. sol. Natr. mur. Sec. corn. Sep. Sil. Stram. Sulph. Verat. Zinc. Con. Kali carb. Lyc. Petr. Phos. Plat. Puis. Eructations, empty: Aeon. Alum Ant. crud. Ars. Bell. Bry. Calc Canth. Carb. veg. Caust. Col. Con Cham. Chin. Cocc. Coff. Colch. Croc Dulc. Graph. Ign. Ipec. Lyc Merc. sol. Natr. mur. Nux vom Phos. Plumb. Plat. Rhus. Ruta Sabin. Sep. Sil. Spig. Spong Staph. Verat. alb. - sour: Acid, sulph. Ars Bar. Bell, Bry. Calc. Carb. veg. Cham. Chin Con. Dros. Dig. Gelsem. Graph. Ign. Kali carb. Lyc. Merc. sol. Natr. m. Nux vom. Op. Phos. Phytolac. Puis. Sabin. Sil. Stann. Sulph Verat. alb. Zinc. ISTE. HEART-BURN, REGURGITATION — NAUSEA, VOMITING. 945 Eructations, fetid: Cocc. Merc. sol. Natr. mur. Nuxvom. Sulph. Thuj. - suppressed: Aeon. Alum. Bar. Bell. Calc. Canth. Caust. Cocc. Con Hyosc. Ign. Kali carb. Nux vom. Phos. Plat. Plumb. Tuls. Sulph. XII. HEART-BURN, REGURGITATION. Heart-burn: Alum. Ant. crud. Arn. Ars. Bar. Bell. Calc. Carb. veg. Caust. Cham. Chin. Croc. Con. Dig. Dulc. Ferr. Graph. Iod. Ign. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Verat. vir. Regurgitation, bitter: Arn. Bar. Bry. Dros. Ign. Nux vom. Phos. Puis. Verat, vir. - salt: Arn. Lyc. Verat. alb. - sour: Acid.sulph. Alum. Cactus. Calc. Con. Dros. Gelsem. Nux vom. Petr. Plumb. Puis. Rhus. Sabin. Spong. Verat. vir. - of food: Amm. mur. Ant. crud. Arn. Bell. Bry. Canth. Carb. veg. Cham. Dulc. Ferr. Ign. Lyc. Merc. sol. Nux vom. Phos. Plumb. Podoph. Puis. Sep. Sulph. - of water: Acid, sulph. Aeon. Arn. Bar. Bry. Cann. Caust. Cina. Hep. Kali carb. Merc. sol. Nuxvom. Petr. Phos. Plumb. Puis. Rising: Alum. Bell. Calc. Chin. Phos. Puis. Rhus. Stann. - hot: Canth. Carb. veg. Cic. Coff. Croc. Dulc. Hell. Merc. sol. Nuxvom. Plat. Rising, cold : Verat. alb. - sweet: Aeon. Chin. Plat. Merc. sol. Stann. - burning: Ars. Calc. Carb. veg. Croc. Hep Hell. Lyc. Nux vom. Phos. Sabin. Sec. corn. Sep. Sil. Staph. Sulph. Thuj. Verat. alb. Zinc. Water-brash, bitter: Graph. Lob. inf. Nuxmosch. Sulph. Verat. vir. - sour: Bell. Cactus. Calc. Con. Natr. c. Sulph. Verat vir. - general: Acid. nit. Aeon. Alum. Ars. Bar. Bry. Calc. Canth. Carb. veg. Caust. Cic. Cina. Cocc Dros. Ferr. Hep. Ign. Kali carb. Lyc. Natr. mur. Nux vom. Petr. Phos. Puis. Sep. Sil. Spig. Staph, Sulph. Verat. alb. - with shuddering: Sil. - with hiccup: Aeon. Alum. Ant. c. Ars. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust, Cham. Cic. Cina. Cocc. Coff. Colch. Con. Cupr. Dig. Dros. Dulc. Euphr. Graph. Iod. Kali carb. Lob. inf. Merc. sol. Natr. mur. Nux vom. Op. Phos. Puis. Samb. Sep. Spong. Staph. Stram. Sulph. Verat. alb. XIII. NAUSEA, VOMITING. Loathing: Aeon. Ant. crud. Ant. tart. Arn. Bar. Bell. Bry. Canth. Cham. Chin. Cocc. Colch. Cupr. Dig. Dulc. Ferr. Hep. Ign. Ipec. Kali carb. Merc. sol. Nux vom. Op. Phos. Plumb. Puis. Sec. corn. Sep. Sil. Spig. Stram. Nausea, generally: Aeon. Alum. Ant. crud. Ant. tart. Arn. Ars. Bell. Bry. Cactus. Calc. Carb. veg. Cham. Chin. Cocc. Coff. Con. Croc. Cupr. Dig. Dros. Dulc. Enpat. perf. Glon. Gelsem. Hep. Ign. Ipec. Kali carb. Lob. inf. Lye. Mosch. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Phytolac. Puis. Rhus. Ruta. Sep. Sil. Staph. Sulph. Verat. alb. - in the throat: Acid. phos. Aeon. Ars. Bell. Chin. Cocc. Coff. Cupr. 60 Ferr. Merc. sol. Puis. Rhus. Spig. Stann. Staph. Sulph. Nausea, in stomach: Aeon. Arn. Calc. Canth. Cham. Chin. Cic. Cocc. Croc. Cupr. Hell. Ipec. Kali carb. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Podoph. Puis. Rhus. Sil. Sulph. Verat. alb. - in the abdomen: Bell. Bry. Cocc. Cupr. Hell. Hep. Puis. Rheum. Samb. Sil. Staph. Qualmishness: Acid. nit. Aeon. Arn. Ars. Bar. Bell. Bry. Cactus. Calc. Carb. veg. Caust. Cham. Chin. Cina. Coff. Croc. Dig. Euphr. Hep. Ign. Ipec. Kali carb. Lyc. Natr. C. Nux vom. Petr. Phos. Phytolac. Plat. Puis. Rhus. Sil. Staph Sulph. Thuj. Verat. alb. PIT OF STOMACH. 946 STOMACH, AND Retching: Aeon. Ant. crud. Ant. tart. Arn. Ars. Bell. Bry. Canth. Chin. Cocc. Cupr. Dig. Dulc. Glon. Hyosc. Ipec. Lyc. Natr. mur. Plumb. Puis. Sabin. Sec. corn. Sulph. Verat. alb. Vomit, inclination to: Aeon. Ant. tart. Ant. crud. Apis. Arn. Ars. Aur. Bell. Bry. Cactus. Canth. Cham. Chin. Cocc. Coff. Croc. Cupr. Dig. Ferr. Gelsem. Graph. Hep. Hyosc. Hell. Ign. Iod. Ipec. Lyc. Merc. sol. Nux vom. Op. Plat. Podoph. Plumb. Puis. Phytolac. Rhus. Sabin. Sec. corn. Sep. Sil. Spig. Spong. Staph. Stram. Sulph. Thuj. Verat. alb. Vomiting, generally: Ant. crud. Ant. tart Apis. Arg. Arn. Ars. Bar. Bell. Bry. Cactus. Calc. Camph. Canth. Cham. Chin. Cina. Cocc. Coff. Colch. Con. Cupr. Dig. Dros. Dulc. Eupat. perf. Ferr. Graph. Hell. Hep. Hyosc. Ipec. Iod. Kali carb. Lach. Lyc. Merc. sol. Nux vom. Phos. Phytolac. Op. Plumb. Podoph. Puis. Ruta. Sabin. Sec. corn. Sep. Sil. Sulph. Verat. alb. Zinc. - bitter: Bry. Canth. Cham. Chin. Cocc. Cupr. Ipec. Sec. corn. Sep. Sil. Sulph. Thuj. Verat. alb. - bloody: Aeon. Arn. Ars. Bry. Cac- tus. Camph. Canth. Chin. Cupr. Dros. Ferr. Hyosc. Ipec. Lyc. Nux vom. Op. Phytolac. Plumb. Puis. Rhus. Sep. Stann. Verat. alb. Zinc. • bilious: Aeon. Ant. crud. Apis. Ars. Bell. Bry. Canth. Cham. Colch. Con. Cupr. Dig. Dros. Dulc. Eupat. perf. Hyosc. Ipec. Iod. Kali carb. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Phytolac. Puis. XIV. STOMACH, AK Stomach. As if bloated: Alum. Bell. Bry. Carb. veg. Chin. Con. Croc. Dulc. Ferr. Hell. Iod. Lyc. Nux mosch. Nux vom. Op. Petr. Phos. Podoph. Rheum. Sabin. Stann. Zinc. Burning: Acid. phos. Aeon. Apis. Ars. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Chin. Cic. Colch. Con. Croc. Dig Graph. Ign. Sabin. Sec. corn. Sep. Sil. Stann. Stram. Verat. alb. Zinc. Vomiting, yellow: Ars. Bry. Colch, Iod. Ipec. Plumb. Verat. alb. - yellow-green: Ars. Bry. Dulc. Ipec Verat. alb. - of drinks: Ant. crud. Dulc. Ipec. - green: Aeon. Ars. Bry. Cham. Cupr. Dig. Hell. Hep. Hyosc. Ign. Ipec. Nuxvom. Op. Plumb. Puis, Stram. Verat. alb. - greenish black: Plumb. Petr. Phos. - of urine : Op. - of faeces: Bry. Nux vom. Op. Plumb - sour: Ars. Bell. Calc. Caust. Cham. Chin. Cooc. Ferr. Graph. Hep. Ipec. Lyc. Nux vom. Op. Phos. Puis. Sabin. Sec. corn. Stann. Stram. Sulph. Verat. alb. - frothy : Verat. alb. - of mucus: Aeon. Ant. crud. Apis. Ars. Bar. Bell. Bry. Cham. Chin. Cocc. Cupr. Dig. Dulc. Ferr. Graph. Hep. Hyosc. Ign. Ipec. Lyc. Merc sol. Nux vom. Phytolac. Puis Phos. Sec. corn. Sil. Stram. Sulph Verat. alb. - of food: Ant. crud. Ant. tart. Arn. Ars. Bell. Bry. Calc. Canth. Cham. Chin. Cina. Cocc. Coff. Col. Dig. Dros. Ferr. Graph. Hyosc. Ign. Ipec. Kali carb. Lach. Lyc. Merc. sol. Nuxvom. Op. Plumb. Puis. Podoph. Sabin. Sep. Sil. Stann. Sulph. Verat. alb. - fetid: Cupr. Ipec. Plumb. Podoph. Sec. corn. Verat. alb. - watery: Bry. Chin. Cupr. Dros. Ferr. Hyosc. Ipec. Phytolac. Puis. Stram. Verat. alb. - black: Arn. Calc. Camph. Chin. Hep. Ipec. Lach. Lyc. Nuxvom Op. Petr. Phos. Plumb. Sec. corn. Stram. Sulph. Verat. alb. Iod. Nuxvom. Petr. Phos. Sec. corn Sep. Sil. Sulph. Burning, as if something alive in it; Croc. Cold : Ars. Nux vom. Puis. Verat. alb. Coldness: Acid, sulph. Alum. Ars Bar. Con. Graph. Ign. Natr. mur. Phos. Sulph. Constriction: Aeon. Alum. Bry. Beh Calc. Carb. veg. Chin. Con. Cocc PIT OF STOMACH. STOMACH, AND PIT OF STOMACH. 947 Lyc. Nuxvom. Phos. Plumb. Sil. Sulph. Zinc. Cramp: Acid, sulph. Ars. Ant. crud. Arn. Bar. Bell. Bry. Calc. Carb. v. Caust. Cham. Chin. Cocc. Con. Cupr. Dig. Ferr. Hyosc. Iod. Ign. Ipec. Kali carb. Lyc. Merc. sol. Natr. carb. Natr. mur. Nux vom. Petr. Phos. Plumb. Puis. Sec. corn. Sep. Sil. Stann. Staph. Sulph. Thuj. Verat. alb. Cutting: Alum. Ant. crud. Ars. Calc. Canth. Cham. Col. Dig. Kali carb. Nuxvom. Petr. Phos. Stann. Sulph. Empty feeling : Acid. mur. Alum. Bar. Bry. Carb. veg. Caust. Chin. Cimicif. Dig. Gelsem. Graph. Ign. Ipec. Iod. Kali carb. Lyc. Natr. mur. Nux vom. Petr. Phos. Plat. Plumb. Rheum. Rhus. Verat. alb. Fulness, feeling of: Acid, sulph. Aeon. Alum. Am. Bar. Calc. Canth. Carb. veg. Cham. Chin. Cocc. Ferr. Hell. Iod. Kali carb. Ign. Lach. Lyc. Mere. sol. Nuxvom. Op. Petr. Phos. Puis. Rhus. Rheum. Sabin. Sep. Sil. Stann. Sulph. Griping: Bry. Caust. Cham. Graph. Natr. carb. Nuxvom. Phos. Rheum. Sil. Stann. Heat: Acid. mur. Aeon. Ars. Camph. Canth. Cocc. Con. Dig. Plumb. Phos. Sulph. Inflammation : Aeon. Ant. crud. Ars. Bell. Bry. Canth. Chin. Cic. Colch. Hyosc. Ipec. Nux vom. Phos. Plumb. Puis. Sec. corn. Stram. Verat. alb. Pinching: Apis. Arn. Bry. Canth. Con. Croc. Dulc. Hell. Rhus. Rheum, Sep. Stann. Sulph. Pressure : Acid. phos. Aeon. Ant. erud. Arn. Ars. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cic. Cocc. Col. Con. Cupr. Dig. Ferr. Hell. Hep. Ign. Ipec. Iod. Kali carb. Lyc. Merc, sol, Natr. mur. Nux vom. Op. Petr. Phos. Plat. Plumb. Puis. Rhus. Sabin. Sec. corn. Sep. Spig. Spong Staph. Stram. Sil. Stann. Sulph. Verat. alb. Pressure as from a stone: Aeon. Alum. Arn. Ars. Bar. Bry. Calc. Carb. veg. Cham. Dig. Ferr. Kalic. Lob. inf. Merc. sol. Nux vom. Op. Puis. Sep. Sil. Staph. Sulph. Rumbling. Arn. Ars. Carb. veg. Croc. Graph. Kali carb. Natr. carb. Phos. Sep. Stann. Zinc. Tearing: Arn. Ars. Puis. Weak digestion: Bar. Bry. Calc Canth. Carb. veg. Caust. Con. Chin Cupr. Dig. Graph. Hyosc. Ign. Lyc Merc. sol. Natr. carb. Nux vom. Op. Petr. Phos. Puis. Rhus. Verat alb. Zinc. Wrenching: Arn. Calc. Carb. veg Caust. Chin. Cocc. Lyc. Nux vom, Petr. Phos. Puis. Sulph. Pit of Stomach. Anxiety: Ars. Bry. Calc. Canth. Cham. Chin. Cic. Con. Ferr. Ign. Merc. sol. Nuxvom. Puis. Sabin. Sec. corn. Siram. Stann. Sulph. Burning: Ant, crud. Ars. Bry. Cham. Kali carb. Merc sol. Natr. mur. Nuxvom. Phos. Sec. corn. Sep. Sil. Verat. alb. Zinc. Constriction: Alum. Calc. Carb. veg. Dig. Dros. Kali carb. Merc. sol. Natr. mur. Plat. Rhus. Sulph. Zinc. Cramp: Hyosc. Kali carb. Phos. Cutting: Bell. Bry. Col. Dig. Kali carb. Merc. sol. Phos. Sulph. Digging: Arn. Chin. Cina. Kali carb. Natr. mur. Phos. Sulph. Gnawing: Glon. Oppression : Ars. Ant. crud. Bell. Bry. Chin. Cocc. Hyosc. Plat. Plumb. Rhus. Sec. corn. Staph. Pressure: Aeon. Arn. Ars. Aur. Bar. Bell. Bry. Carb. veg. Caust. Cham. Chin. Cocc. Cupr. Dig. Graph. Hell. Hyosc. Ign. Ipec. Kalic. Lyc. Merc. sol. Nuxvom. Natr. m. Petr. Phos. Plat. Puis. Rhus. Sec. corn. Sep. Spig. Stann. Staph. Sulph. Verat. alb. Sensitiveness: Alum. Apis. Arn. Bry. Camph. Canth. Carb. veg. Cupr. Ferr. Hell. Hyosc. Kali carb. Natr. carb. Nux vom. Sec. corn. Spong. Stann. Verat. alb. Stitches: Aeon. Arn. Bar. Bell. Bry. Canth. Chin. Cocc. Coff. Cupr. Dig. Dulc. Euphr. Graph. Ign. Iod. Ipec. Kali carb. Natr. mur. Phos. Plat. Plumb. Puis. Rhus. Sabin. Sep. Sil. Spig. Staph. Stann. Sulph. Zinc. Swelling: Ars. Aur. Bell. Bry. Calc. Carb. veg. Cham. Cic. Coff. Ferr. Hell. Kali carb. Lyc. Nux vom Natr. mur. Op. Sabin. Throbbing: Arn. Ars. Bell. Cact. Cann Carb. veg. Cham. Cic. Dros. Ferr Ipec. Phos. Puis. Rhus. Sep. Sulph. Tension: Aeon. Ars. Bry. Cham Cocc. Dros. Dulc. Hep.Kali carb.Lyc. Merc. sol.Puls.Phos. Rheum. Sabin Staph. Stann. Sulph. Verat. alb. 948 HYPOCHONDRIA — ABDOMEN. 3H0NDRIA. XV. L. signifies region of the liver (right B. both sides. Burning, L.: Acid. mur. Acid. phos. Aeon. Alum. Bry. Ign. Phos. Plat. Sec. corn. Sulph. - S.: Graph. Ign. Spig. - B.: Kali carb. Merc. sol. Sulph. Constriction, L. : Aeon. Dros. Ign. Distension, L.: Arn. Bry. Lyc. Merc. sol. Podoph. Sep. - S.: Merc. sol. Natr. carb. - B.: Calc. Cham. Ign. Flatulence : Cham. Chin. Colch. Ign. Nux vom. Puis. Verat. alb. Hardness, L.: Arn. Bry. Calc. Graph. Merc. sol. - S. : Iod. Inflammation, L.: Aeon. Bell. Bry. Canth. Cham. Cocc. Ign. Merc. sol. Nuxvom. Puis. Sec. com. - S. : Aeon. Ars. Chin. Dros. Ferr. Nuxvom. Plumb. - B.: Aeon. Canth. Nuxvom. Pressure, L.: Aeon. Arn. Ars. Bar. Calc. Carb. veg. Camph. Cham. Chin. Cocc. Con. Graph. Ign. Iod. Kali carb. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Phytolac. Podoph. Ruta. Sabin. Sep. Stann. Staph. Sulph. Verat alb. Zinc. - S.: Alum. Arn. Bell. Chin. Con. Ign. Alive, as of something: Cann. Croc. Hyosc. Ign. Merc. sol. Plumb. Spong. Thuj. Ball, ascending: Aeon. Ign. Plumb. Bloating: Acid. mur. Acid.phos. Aeon. A lum. Ant. crud. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cic. Cina. Cocc. Col. Con. Croc. Cupr. Dul-c. Euphr. Ferr. Graph. Hell. Hep. Hyosc. Iod. Ign. Ipec. Kali carb. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Petr. Phos. Plat. Plumb. Podoph. Puis. Rheum. Rhus. Ruta. Sabin. Sec. corn. Sep. Sil. Spig. Spong. Stann. Staph. Stram. Sulph. Thuj. Verat. alb. Zinc. Bounding, as of something : Croc. Bruising pain: Aur. Camph. Cina. side); S. region of spleen (left side) 5 Lyc. Natr. mur. Petr. Plat. Rheum Rhus. Sep. Stann. Zinc. Pressure, B.: Aeon. Alum. Am Camph. Cham. Chin. Cocc. Con. Ign. Nux vom. Sec. corn. Spong. Staph. Zinc. Stitches, L.: Aeon. Alum. Arn. Bell. Bry. Calc. Canth. Carb. veg. Caust, Chin. Cocc. Con. Dulc. Graph. Hyosc. Ipec. Iod Kali carb. Lyc. Mosch. Natr. carb. Nux vom. Phos. Plat. Plumb. Rhus. Sep. Sil. Spig. Spong. Sulph. Zinc. - S.: Acid. mur. Aeon. Arn. Ars. Aur. Bar. Bry. Caust. Chin. Glon. Hep. Ign. Ipec. Natr. mur. Plumb. Spig. Sil. Sulph. Swelling, L.: Cann. Chin. Nux mosch. Podoph. - S.: Ign. Nux mosch. Buta. - B.: Aeon. Alum. Arn. Ars. Bry. Canth. Chin. Ferr. Ipec. Phos. Plumb. Puis. Sil. Spig. Tension, L.: Ars. Bry. Calc. Carb. v. Caust. Ferr. Lyc. Nux vom. Podoph. Sulph. Verat. alb. - S.: Camph. Con. Merc. sol. Rhus. Zinc. - B.: Aeon. Ant, crud. Calc. Cham. Chin. Con. Ferr. Hell. Lyc. Nux vom. Op. Puis. Staph. Verat. alb. Cocc. Col. Con. Hell. Hep. Ign. Nux vom. Op. Phos. Phytolac. Puis. Samb. Sep. Staph. Stram. Sulph. Verat. alb. Burning: Acid.nit. Acid.phos. Aeon. Alum. Arn. Ars. Bell. Bry. Camph. Canth. Carb. veg. Caust. Cham. Cocc. Col. Cupr. Euphr. Graph. Ipec. Kali carb. Lach. Merc. corr. Merc. sol. Nux vom. Plat. Plumb. Puis. Rhus. Sabin. Sec. corn. Sep, Sil. Spig. Spong. Stann. Thuj. Verat. alb. Coldness: Alum. Ars. Kali carb Merc. sol. Phos. Plumb. Ruta. Sec • corn. Sulph. Zinc. Clothes too tight, as if: Nuxvom. Crampy feeling: Ars. Carb. veg. Cocc. Col. Con. Graph. Phos. Colic: Aeon. Alum. Arn. Ars. Aur. XVI. AB ABDOMEN. 949 Bar. Bry. Camph. Canth. Cham. Chin. Cocc. Coff. Col. Con. Cupr. Dig. Hyosc. Ign. Iod. Kali carb. Nux vom. Op. Plumb. Podoph. Puis. Rheum. Ruta. Sec. corn. Staph. Stram. Verat. alb. Verat. vir. Contraction : Acid. phos. Arg. Bell. Calc. Carb. veg. Chin. Cocc. Col. Con. Dig. Ferr. Graph. Hep. sulph. Ign. Ipec. Kali carb. Lach. Lyc. Nuxvom. Petr. Phos. Plat. Plumb. Podoph. Rheum. Rhus. Sec. corn. Sep. Spig. Sulph. Thuj. Cramps: Alum. Ars. Aur. Bell. Bry. Caust. Cham. Chin. Cocc. Coff. Ton. Cupr. Dig. Ferr. Hep. sulph. Hyosc. Ign. Ipec. Iod. Kali carb Mosch. Nuxvom. Plumb. Podoph. Puis. Rhus. Sec. corn. Spong. Stann. Staph. Stram. Thuj. Verat. alb. Cutting: Acid. mur. Acid.nit. Aeon. Alum. Ant. crud. Arn. Ars. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin Cina. Cocc. Coff. Col. Con. Croc. Cupr. Dig. Dros. Dulc. Graph. Hep. sulph. Hyosc Ign. Ipec. Iod. Lach, Lyc. Merc. sol. Natr. mur. Nux vom. Op. Petr. Phos. Plat, Plumb. Puis. Podoph. Rheum. Rhus. Sep. Sil. Spig. Spong. Staph. Sulph. Verat. alb. Verat. vir. Zinc. Digging: Acid. phos. Alum. Arn. Ars. Bell. Calc. Cina. Col. Con. Dig. Dulc. Graph. Kali carb. Phos. Rheum. Rhus. Sep. Spig. Spong. Stann. Drawing: Aeon. Ars. Bry. Calc. Carb. veg. Cham. Chin. Cic. Cocc. Con. Cupr. Dros. Graph. Hep. sulph. Ign. Lyc. Nux vom. Op. Plat. Plumb. Podoph. Puis. Rheum. Rhus. Ruta. Sabin. Sep. Spig. Stann. Staph. Stram. Thuj. Verat. alb. Dropsy: Aeon. Apis. Arn. Ars. Bry. Camph. Canth. Chin. Dulc. Ferr. Hell. Kali carb. Lyc. Merc. sol. Nux vom. Spong. Empty feeling: Acid. mur. Ant. crud. Arn. Carb. veg. Caust. Cham. Cina. Cocc. Col. Croc. Dulc. Kali c. Lach. Merc. sol. Nux vom. Phos. Puis. Rhus. Sep. Stann. Zinc. Flatulence, moving about: Ant. crud. Bell. Bry. Canth. Carb. veg. Caust. Chin. Cina. Coff. Croc. Dig. Hell. Hep. sulph. Lyc. Nux vom. Plumb. Podoph. Puis. Stann. Staph. Sulph. Fulness: Acid.phos. Acid. mur. Alum, Ant. crud. Arn. Ars. Aur. Bar. Calc. Camph. Canth. Carb. veg. Cham. Chin. Cic. Coff. Col. Con. Croc. Dig. Ferr. Graph. Hell. Hyosc. Ign. Kali carb. Lyc. Natr. mur. Nux vom. Phos. Plat, Plumb. Puis. Rheum. Rhus. Sil. Stann. Sulph. Thuj. Zinc. Gurgling: Alum. Carb. veg. Cham. Croc. Dig. Graph. Hell. Lyc. Merc. sol. Nux vom. Plat. Plumb. Podoph. Sep. Stann. Zinc. Griping: Aeon. Bell. Bry. Cham. Col. Con. Hep. sulph. Ipec. Nux vom. Phos. Plumb. Podoph. Puis. Rheum. Sil. Stann. Hardness: Alum. Ars. Bell. Calc. Carb. veg. Caust, Cham. Chin. Col. Con. Cupr. Ferr. Graph. Hep. Hyosc. Kali carb, Merc. sol. Phos. Plumb. Puis. Rheum. Sec. corn. Sep. Sil. Sulph. Verat. alb. Heat: Bell. Bry. Calc. Camph. Canth. Carb. veg. Cic. Cina. Dig. Graph. Ipec. Lyc. Phos. Plumb. Ruta. Sil. Spong. Stann. Sulph. Zinc. Heaviness: Aur. Bell. Camph. Ferr. Graph. Hell. Ipec. Merc. sol. Nux vom. Op. Puis. Rhus. Sec. corn. Sep. Staph. Inactivity: Camph. Cham. Kali. c. Nuxvom. Op. Staph. Inflammation: Aeon. Ars. Bell. Bry. Canth. Cham. Chin. Cic. Ipec. Nux vom. Phos. Plumb. Puis. Rhus. Sab. Spong. Stram. Verat. alb. Labor-like pain: Aeon. Aur. Camph. Carb. veg. Cham. Cina. Coff. Cupr. Ferr. Hyosc. Ign. Ipec. Kali carb. Nux vom. Op. Podoph. Puis. Rhus. Sabin. Sec. corn. Large: Ant. crud. Calc. Caust. Col. Hep. sulph. Kali carb. Sep. Staph. Thuj. Movements, internal: Col. Croc. Cupr. Dig. Iod. Nux vom. Thuj. Verat. alb. Nausea: Bry. Cic. Cocc. Croc. Cupr. Hell. Ipec. Rheum. Ruta. Samb. Sil. Stann. Staph. Pain, diarrhoeic: Ant. crud. Bell. Bry. Calc. Canth. Carb. veg. Cham. Chin. Coff. Dig. Graph. Hell. Ign. Kali c. Merc. sol. Merc. corr. Nuxvom. Op. Petr. Phos. Plat. Podoph. Puis Rhus. Sabin. Sec. corn. Sep. Spig Staph. Verat. alb. Zinc. 950 ABDOMEN. Pain, simple: Aeon. Ant. crud. Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust, Cham. Chin. Cic. Col. Con. Cupr. Dros. Euphr. Graph. Hell. Hyosc. Ign. Ipec. Iod. Kali carb. Lyc. Merc. sol. Nux vom. Op. Petr. Phos. Plat. Plumb. Puis. Rheum. Rhus. Ruta. Samb. Sec. corn. Sep. Sil. Spig. Stann. Sulph. Verat. alb. Zinc. Pinching : Acid. mur. Ant. crud. Ars. Aur. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cic. Cina. Cocc. Col. Coff. Croc. Cupr. Dig. Dros. Dulc. Graph. Hell. Hep. Hyosc. Ign. Ipec. Kali carb. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Plat. Plumb. Puis. Rheum. Rhus. Ruta. Samb. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Verat. alb. Pressure : Aeon. Alum. Ant. crud. Arn. Ars. Aur. Bell. Bry. Calc. Camph. Caps. Carb. veg. Chin. Cina. Cocc. Coff. Col. Con. Croc. Cupr. Dig. Ferr. Hep. sulph. Iod. Kali carb. Lyc. Merc. sol. Mosch. Nux vom. Op. Petr. Phos. Podoph. Plumb. Puis. Rheum. Rhus. Ruta. Sabin. Samb. Sep. Sil. Spig. Staph. Sulph. Verat. alb. Zinc. outwards: Aeon. Bell. Dulc. Kali c. Lyc. Merc. sol. Nux vom. Rheum. Thuj. - inwards: Bry. Bell. Rheum. Zinc. - as from a stone: Cupr. Hyosc. Nux vom. Op. Puis. Pulsation: Alum. Calc. Canth. Lyc. Merc. sol. Op. Zinc. Qualmishness : Bar. Calc. Carb. veg. Ipec. Phos. Plat. Spong. Verat, alb. Ring around navel, as if: Puis. Sensitiveness: Aeon. Arn. Bry. Canth. Cham. Cic. Coff. Dulc. Mosch. Puis. Sec. corn. Stram. Verat. alb. Shocks: Arn. Plat. Stann. Sore pain: Aeon. Alum. Arn. Ars. Bar. Bell. Calc. Carb. veg. Chin. Cic. Col. Con. Croc. Eupat.perf. Kali c. Natr. mur. Merc. corr. Nuxvom. Phos. Sep. Stann. Sulph. Zinc. Stitches: Acid. nit. Acid.phos. Alum. Ars. Bell. Bry. Calc. Cann. Canth. Caps. Caust. Cham. Chin. Cina. Cocc. Con. Croc. Cupr. Dig. Ferr. Graph. Heil. Ign. Ipec. Kali carb. Merc. sol. Nux vom. Phos. Plumb. Puis. Ruta. Sep. Spig. Stann. Staph. Sulph. Thuj. Verat. alb. Zinc. Swelling: Aeon. Amm mur. Ant crud. Ars. Bry. Canth. Cham. Chin. Col Con. Kali carb. Op. Plumb. Sec. corn, Sulph. Tearing: Alum. Arn. Ars. Aur. Bry. Calc. Canth. Carb. veg. Caust Cham. Chin. Cocc. Col. Con. Dig. Hell. Ign. Ipec. Iod. Kali carb. Lyc. Merc. sol. Nuxvom. Phos. Plumb. Puis. Rhus. Ruta. Samb. Sil. Spig, Stram. Thuj. Zinc. Tension: Aeon. Alum. Ant. crud. Arn. Ars. Bar. Bell. Calc. Carb. veg. Chin. Col. Graph. Hyosc. Ign. Iod. Lyc. Nux vom. Op. Petr. Plat. Plumb. Puis. Rheum. Sec. corn. Sep. Sil. Spong. Stann. Staph. Stram. Sulph. Thuj. Twitching: Aur. Canth. Caust, Chin. Coff. Con. Dig. Graph. Ign. Kali carb. ' Phos. Rhus. Urging: Ars. Bell. Calc. Carb veg. Col. Dig. Dulc. Graph. Ign. Iod. Kali carb. Merc. sol. Phos. Podoph. Puis. Sep. Thuj. Weak feeling: Aeon. Ferr. Ign. Phos. Plat. Rheum. Rhod. Sep. Stann. Zinc. Writhing: Alum. Ars. Bell. Bry Calc. Cina. Con. Dros. Dulc. Ipec Merc. sol. Plat, Plumb. Rhus. Ruta. Sabin. Sil. Staph. Verat. alb. Regions of the Abdomen. Abdomen, lower: Acid. phos. Alum. Ant. crud. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin. Cic. Cina. Cocc. Coff. Col. Con. Croc. Cupr. Dig. Dulc. Ferr. Hell. Hep.s. Hyosc. Ign. Iod. Kali carb. Lyc. Merc. corr. Merc. sol. Natr. mur. Nux vom. Phos. Plat. Plumb. Podoph. Puis. Rheum. Rhus. Ruta. Sabin. Samb. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Thuj. Verat. alb. Zinc. Abdomen, sides of: Acid. nit. Aeon. Alum. Ambr. Ant. crud. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin. Cina. Cocc. Coff. Croc. Dig. Dros. Dulc. Euphr. Ferr. Graph. Hell. Hep. sulph. Hyosc. Ign. Ipec. Iod. Kali carb. Lyc. Merc. sol. Mosch. Natr. mur. Nuxvom. Op. Petr. Phos. Plat. Plumb. Podoph. Puis. Rheum. Rhus. Ruta. Sep. Sil. Spig. Spong Stann. Staph. Sulph. Thuj. Zinc. Epigastrium: Aeon. Ant. crud. Arn. CATARRH. 95? Ars. Aur. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin. Cina. Cocc. Col. Con. Cioc. Cupr. Dig. Dros. Dulc. Euphr. Hell. Hep. Hyosc. Ign. Ipec. Iod. Kali carb. Lyc. Merc. sol. Mosch. Natr. mur. Nux vom. Op. Petr. Phos. Plat. Plumb. Podoph. Puis. Rhus. Samb. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Thuj. Verat alb. Zinc. Lumbar region : Acid. nit. Aeon. Ant. crud. Arn. Aur. Calc. Canth. Carb. veg. Cham. Chin. Cina. Cocc. Col. Dig. Ign. Iod. Kali carb. Lyc. Merc. Catarrh: Ant. critd. Ars. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Chin. Cina. Cocc. Dros. Euphr. Graph. Hell. Hep. sulph Ign. Iod. Kali carb. Lach. Lyc. Merc. sol. Nux vom. Natr. mur. Petr. Phos. Plat. Plumb. Puis. Rhus. Sep. Sil. Spong. Stann. Staph. Sulph. Thuj. Zinc. - on one side: Nuxvom. Puis. - alternately fluent and stopped: Nux vom. Puis. - in the daytime: Nux vom. Catarrhal fever: Aeon. Bell. Bry. Camph. Cham. Coff. Graph. Hep. sulph. Merc. sol. Nux vom. Rhus. Sulph. Catarrhal discharge delayed: Calc. Discharge from nose : Acid. nit. Aeon. Alum. Aur. Ars. Bell. Bry. Calc. Camph. Carb. veg. Caust. Cham. Chin. Coff. Con. Dulc. Graph. Hep s. Ign. Ipec. Kali carb. Lyc. Mosch. Natr. mur. Nux vom. Phos. Plat. Puis. Samb. Sep. Sil. Spig. Spong. Stann. Sulph. Thuj. Zinc. - one side: Nux vom. - of infants : Samb. Coryza, evening and morning: Nux vom. Dry nose : Acid. nit. Bar. Bell. Bry. Calc. Canth. Cic. Con. Dulc. Graph. Hyosc. Ign. Ipec. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Sep. Sil. Sulph. Zinc. Dry nose without being stopped: Sep. - front nostrils : Spig. - feeling in the nose: Ipec. Petr. Phos. Sil. Verat alb. sol. Nuxvom. Plumb. Puis. Rheum Rhus. Ruta. Sabin. Sec. corn. Sep Spig. Spong. Staph. Sulph. Thui Zinc. Umbilical region : Acid. m. Acid phos. Aeon. Alum. Ant, crud. Arn Bell. Bry. Calc. Canth. Carb. veg Caust, Cham. Chin. Cina. Cocc. Col Con. Dig. Dulc. Graph. Hep. Hyosc. Ign. Ipec. Iod. Kali carb. Merc. sol. Mosch. Nux vom. Op. Phos. Plat. Plumb. Podoph. Puis. Rheum. Rhus. Ruta. Sabin. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Thuj. Verat. alb. Zinc. Nasal mucus, corrosive: Acid. nit. Ars. Nux vom. Sil. , - smarting: Ars. Rhus. Sulph. - bloody : Acid, nit, Bar. Canth. Caust Graph. Kali carb. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Puis. Sep. Sil. Spig. Sulph. Thuj. - burning: Ars. Puis. Sulph. - thick: Acid. mur. Acid. nit. Alum. Ant. crud. Aur. Bar. Calc. Graph. Natr. mur. Puis. Staph. Sulph. - thin: Camph. Rhus. Staph. - purulent: Aur. Calc. Cina. Con. Graph. Lach. Merc. sol. Puis. ---and yellow : Calc. Cic. Con. Sulph. - yellow: Cic. Puis. - yellow-green: Aur. Natr. mur. Phos. Puis. ---and bloody: Sep. - yellowish: Acid. nit. Alum. Ant. crud. Bar. Bell. Graph. Puis. Spig. ---and watery: Sep. - greenish: Puis. Spig. - acrid water: Acid. mur. Ars. Lach. Lyc. Nuxvom. Sil. - odor of catarrh: Puis. - fetid: Acid. nit. Aur. Bell. Calc. Caust. Graph. Hep. sulph. Lyc. Merc. sol. Puis. Sep. - watery: Alum. Bell. Chin. Coff. Con. Euphr. Graph. Ign. Iod. Lach. Merc. sol. Nux vom. Phos. Plumb. Rhus. Staph. Sulph. - tenacious: Alum. Canth. Graph. Sep. Spig. Sneezing: Acid. nit. Alum. Ant. crud. Arn. Ars. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Chin. Cina. Cocc. Con. Croc. Dros. Dulc. Euphr. Graph. Hell. Hep. sulph. Iod. Ipec, XVH. CATARRH. ARRH. 952 cat. Kali carb. Lach. Lyc. Merc. sol. Natr. mur. Nut vom. Petr. Phos. Rhus. Ruta. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Thuj. Zinc. Sneezing, violent: Aeon. Bar. Chin. Merc. sol. Puis. Rhus. - spasmodic: Rhus. - after tingling in nose: Acid. nit. Carb. veg. Dros. Puis. Spig. Zinc. - without catarrh: Alum. Ars. Calc. Carb. veg. Caust. Cic. Con. Dros. Hyosc. Iod. Lyc. Merc. sol. Phos. Stann. Staph. Zinc. - desire for: Acid. mur. Carb. veg. Phos. Sil. Sulph. Zinc. ---ineffectual: Canth. Carb. veg. Caust. Hell. Lyc. Phos. Plat. Plumb. Sil. Sniffling: Samb. Sep. Stoppage of nose : Acid. nil. Alum. Ant. crud. Aur. Bar. Bell. Bry. Calc. Carb. veg. Caust. Cham. Chin. Cic. Cina. Con. Graph. Ign. Iod. Kali carb. Lach. Lyc. Merc. sol. Mosch. Natr. mur. Nux vom. Op. Petr. Phos. Plumb. Puis. Rhus. Samb. Sep. Sil. Spig. Stann. Staph. Stram. Sulph. Thuj. Zinc. - by ulceration every night: Lyc. Accompanying Ailments. Abdomen, burning in: Carb. veg. - rumbling in: Phos. - stitches in: Carb. veg. Back-ache: Kali carb. Cheek, redness of one: Cham. Nux vom Stupefaction: Hell. Chest, simple pain in: Aeon. Bry. Caust. - roughness: Bry. Carb. veg. Sulph. - stitches: Merc. sol. Kali carb. - pain, as if flying to pieces: Bry. Sil. - constriction of: Phos. Chilliness : Aeon. Caust. Graph. Sulph. Cough: Bell. Bry. Cupr. Merc. sol. Nux vom. Sulph. Dry larynx: Nuxvom. Phos. Dry mouth: Nuxvom. Drowsiness: Cham. Nuxvom. Petr. Sulph. Dull feeling in head: Cham. Hell. Sulph. - pains in the: Arn. Lach. Puis. Eyes, pain in the: Bry, Euphr. Sep. - red : Verat. alb. - weeping: Alum. Carb. veg. Chin. Euphr. Nux vom. Staph. Verat. alb. - closed by gum • Caust. - smarting in corners of: Carb. veg. Face, blrated, Nuxvom. Staph. Face, hot: Bell. Bry. Nux vom. Head, burning in: Bell. Calc. Heli Lyc. Nux vom. Phos. - simple pain in: Aeon. Bry. Calc Caust. Chin. Cic. Cina. Euphr. Graph Hell. Kali carb. Lach. Lyc. Nuxvom. Phos. Puis. Sep. Spig. Thuj. - cloudiness: Staph. - dull: Chin. Dulc. Euphr. Hell. Lyc. Phos. Hoarseness: Acid. nit. Apis. Ars. Caust. Hep. sulph. Kali carb. Nuxvom. Puis. Spig. Hot hands and feet: Nux vom. - at night: Lyc. Languor: Caust. Graph. Nux vom Sep. Sulph. Limbs, pains in the: Bry. Calc. Caust Ipec. Merc. sol. Rhus. Lips, chapped : Cham. Hell. Staph. Loss of appetite: Phos. - of smell: Arn. Cina. Cocc. Hell. Nuxvom. Puis. Spig. Staph. - of taste : Puis. Nausea: Graph. Nose, sensitive: Calc. Chin. Nux v - burning: Arn. Puis. - inflammation: Lyc. Merc. sol. Stann. - biting in the : Carb. veg. Euphr. - ulceration: Cham. - swelling: Bry. Cham. Puis. Rhus. Spig. - heat: Nuxvom. - itching: Nuxvom. Spig. ---under the nose : Hell. - titillation: Carb. veg. Nux vom. Puis. Sep. Staph. - soreness: Lach. Nux vom. Puis. Spig. Nostrils, ulcerated: Bry. Calc. Cocc, Ign. Lyc. Merc. sol. Petr. Puis. Photophobia: Puis. Sick feeling all over: Phos. Sleeplessness: Ars. Thighs, drawing in the : Sep. Thirst: Ars. Cham. Graph. Lyc. Throat, inflamed: Bell. - creeping in: Kali carb. - simple pain in : Nux vom. - feeling of roughness: Caust. Hep. t Nuxvom. Phos. - stitches in: Nitr. ac. - scraping in : Nuxvom. - mucus in: Nuxvom. Toothache: Chin. Lach. Upper lip, inflamed : Lyc. Urine, flow of: Verat, alb. Vertigo : Bell. Bry. Chin. Nux vom Sulph. Whining mood: Puis. Spig. Yawning : Bry. Cupr. HelL BREATHING, RESPIRATION. 953 XVIH. BREATHII Asthma: Acid nit. Aeon. Amm.mur. Ant. crud. Ant. tart. Arn. Ars. Aur. Bell. Bry. Cactus. Calc. Cham. Chin. Cic. Cocc. Con. Cupr. Dig. Dros. Euphr. Ferr. Graph. Hyosc. Ign. Ipec. Iod. Kali carb. Lob. inf. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Phos. Plat. Plumb. Puis. Ruta. Samb. Sabin. Sec. corn. Sep. Sil. Spig. Stann. Staph. Sulph. Thuj. Verat. alb. - spasmodic: Aeon. Caust. Cham. Chin. Coff. Cupr. Ferr. Ipec. Kali carb. Mosch. Nuxvom. Op. Puis. Samb. Verat. alb. Breathing, moaning: Ipec. - anxious: Aeon. Arn. Ars. Bell. Bry. Cactus. Camph. Cham. Coff. Ferr. Hep. sulph. Ign. Ipec. Lob. inf. Nuxvom. Op. Phos. Plat. Plumb. Puis. Rhus. Samb. Sec. corn. Spig. Spong. Staph. Stram. Thuj. Verat. vir. - intermittent: Camph. Op. - wheezing: Ant. tart. Cham. Chin. - hurried: Ipec. Samb. - labored: Ant. tart. Aeon. Ign. Spong. - hot: Aeon. Ant. crud. Bry. Cham. Coff. Ferr. Natr. mur. Plat. Rhus. Sulph. - cold: Carb. veg. Chin. Rhus. Verat. alb. - panting: Acid. nit. Arn. Camph. Cupr. Ipec. Op. Phos. Sil. Spong. Stann. - slow: Aeon. Camph. Chin. Cic. Hyos. Ign. Nux. vom. Op. Spong. Staph. — deficient: Ant. tart. Bell. Camph. Canth. Caust. Cic. Cocc. Dig. Ferr. Hell. Ign. Ipec. Iod. Merc. sol. Nux vom. Plat. Puis. Rhus. Spig. Spong. Stann. Staph. Verat. alb. - wheezing: Ant. tart. Cham. Chin. Cina. Cocc. Hep. sulph. Iod. Ipec. Kali carb. Lyc. Natr. mur. Nuxvom. Phos. Plumb. Samb. Sep. Spong. Sulph. - fetid: Acid. nit. Aeon. Apis. Arn. Aur. Bar. Bell. Bry. Camph. Canth. Caps. Carb. veg. Cham. Chin. Croc. Ferr. Graph. Hyosc. Ign. Ipec. Kali carb. Merc. sol. Nux vom. Petr^. Plumb. Puis. Rheum. Sep. Spig. Stann. Stram. Sulph. Zinc. - short: Aeon. Ant. tart. Apis. Arn. Ars. Aur. Bar. Bellad. Bry. Cactus. Calc. Camph. Canth. G, RESPIRATION. Carb. veg. Caust. Cham. Chin Cic. Cina. Cocc. Coff. Col. Con. Cupr. Dig. Euphr. Ferr. Hep. sulph, Hyosc. Ign. Ipec. Kali carb. Lob inf. Lyc. Merc. sol. Natr. mur, Nuxvom. Op. Petr. Phos. Plat. Plumb. Puis. Rhod. Rhus. Ruta. Sabin. Samb. Sec. corn. Sep. Sil. Spig. Spong. Stann. Stram. Sulph. Verat. alb. Zinc. Breathing, heavy: Aeon. Alum. Arn. Ars. Aur. Bar. Bell. Bry, Calc. Camph, Canth. Carb. v. Caust. Chin. Cic. Cina. Cocc. Con. Croc. Cupr. Dig. Dros. Ferr. Graph. Hell. Hep. s. Hyosc. Iod. Kali c. Lyc. Merc. sol. Nux vom. Op. Phos. Plat. Plumb. Puis. Rhus. Sec. corn. Sep. Sil. Spig. Spong. Stann. Staph. Stram. Sulph. Thuj. Verat. alb. - deep: Ant, crud. Arn. Aur. Bell. Bry. Camph. Cham. Chin. Cic. Dig. Dros. Hell. Hep. sulph. Ign. Ipec. Kali c. Mosch. Nuxvom. Op. Phos. Plat. Plumb. Rhus. Spong. Stann. — disposed to draw a long breath: Croc. Cupr. Hell. Ign. Lach. Mosch. Rhus. Stram. Breath, stoppage of: Bell. Chin. Cic. Coff. Dros. Mosch. Op. Puis. Ruta. Zinc. - incarceration of: Aeon. Arn. Bar. Bell. Bry. Calc. Camph. Canth Cina. Cocc. Croc. Cupr. Dros. Euphr. Ipec. Kali carb. Lob. inf. Mosch. Natr. mur. Op. Phos. Plat. Plumb. Puis. Rhus. Ruta. Sabin. Sep. Sil. Spig. Spong. Staph. Stram. Sulph. Verat. alb. Breathing, oppressed: Acid. mur. Acid. nit. Aeon. Alum. Amm. mur. Ant. crud. Ant. tart. Arn. Ars. Aur. Bar. Bell. Bry. Cactus. Calc. Camph. Canth. Carb. veg. Caust Cham. Chin. Cina. Cocc. Coff*. Col. Con. Croc. Cupr. Dig. Dros. Dulc. Ferr. Graph. Hell. Hep. s. Hyosc. Ign. Ipec. Iod. Kali carb. Lyc. Lob. inf. Mosch. Natr. mur. Nux vom. Op. Petr. Phos. Plat. Plumb. Puis. Rhus. Ruta. Samb. Sec. corn. Sep. Sil. Spig. Stann, Staph. Stram. Sulph. Thuj. Verat. alb. Verat. vir. Zinc. Expiration, blowing: Chin. - slow: Arn. Camph. Cham. Chin. HelL Ign. - quick: Chin. Ign Stram. 954 BREATHING, RESPIRATION. Expiration, sniffling. Rhus. - difficult: Ipec. - strong: Caps. Chin. - groaning: Bell. Bry. Cham. Cina. Cocc. Cupr. Ign. Kali carb. Nux vom. Op. Sec. corn. Stram. - unequal: Cocc. Ign. Ipec. Op. Sec. corn. - imperceptible: Verat. alb. - irregular: Bell. - interrupted: Aeon. Cham. Cic. Cina. Cupr. Ign. Lob. inf. Op. Puis. Phos. Inspiration, slow: Ferr. Ign. Op. Staph. Stram. - quick: Arn. Camph. Cham. Ign. - difficult: Chin. Cina. Cocc. Ferr. Ign. Staph. Verat. alb. - rattling: Aeon. Ant. tart. Arn. Bell. Bry. Calc. Carb. veg. Caust. Cham. Chin. Cina. Croc. Cupr. Ferr. Hyosc. Ipec. Lyc. Op. Petr. Samb. Sep. Spong. Stann. Stram. - hiccuping: Op. Sec. corn. - stertorous: Bell. Cham. Chin. Cocc. Cupr. Hep. sulph. Ign. Kali carb. Natr. mur. Nuxvom. Op. Petr. Sep. Stann. Stram. Sulph. - painful: Aeon. Arn. Ars. Bry. Chin. - quick: Aeon. Bell. Bry. Cupr. Dig. Hell. Hep. sulph. Ign. Ipec. Nux vom. Op. Samb. Sec. corn. Spong. Stram. Verat. alb. - sniffling: Arn. Chin. Nuxvom. Rhus. Sabin. - sighing: Ant. crud. Chin. Cocc. Op. Sec. corn Stram. Suffocating fits : Aeon. Ant. tart. Ant. crud. Ars. Bell. Bry. Cactus. Camph. Caust. Cham. Chin. Cocc. Coff. Con. Cupr. Dig. Hep. sulph. Hyosc. Ign. Ipec. Lach. Lob. inf. Mosch. Nuxvom. Op. Plat. Plumb. Puis Rhus. Samb. Sec. corn. Spong. Staph. Sulph. Verat. alb. Verat. vir. Causes of the impeded Respiration, and Concomitant Symptoms. Abdomen, flatulence in: Cham. Ign. - simple pain: Arn. Ars. Bry. Ign. Ruta. Stann. - swelling: Bry. Carb.veg. Lyc. - pinching: Rhus. Spig. - cutting: Puis. - weight like a stone: Amm. mur. Nux vom. - stitches: Croc. Dros. Mosch. Nux vom. Puis. Ruta. Abdomen, fulness: Cham. Chin. Phos. - compression: Staph - jerks in: Calc. Anxiety: Aeon. Arn. Cactus. Croc Nuxvom. Puis. Rhus. Ruta. Verat. alb. - fits of: Ars. Lyc. Stann. Arms above the head, raising the: Amm. mur. Cupr. Back-ache : Lach. Ruta. Sep. Staph. - stitches in: Nuxvom. Puis. Bladder, stitches in: Aur. Breathing, nasal: Puis. Chagrin: Ars. Cham. Chest, oppression in: Aeon. Apis. Arn. Cactus. Cic. Cina. Cocc. Coff. Dros. Ign. Lob. inf. Merc. sol. Nux vom. Puis. Rhus. Spig. Verat. alb. Verat. vir. - pressure in the : Arn. Bell. Camph. Caust. Cham. Chin. Cic. Ign. Nux vom. Rheum. Ruta. Samb. Spig Staph. Stram. - spasm in the: Petr. - empty feeling: Stann. - faintness in the : Stann. - heaviness in the : Plat. - as if oppressed by a load: Lob. inf. Rheum. Spig. - ulcerative pain : Staph. - pressing in : Ign. Verat. alb. - weight in : Ign. Bhus. - tension in: Cactus. Cic. Cocc. Merc. sol. Puis. Rhus. Staph. - stitches in: Aeon. Bry. Canth. Chin. Dros. Plumb. Ruta. Spig. Staph. Verat. alb. - fulness in: Aeon. Ant. crud. Puis. Ruta. Verat. alb. - as if bruised: Nuxvom. - drawing in: Nux vom. - contraction in: Arn. Cactus. Canth. Chin. Cocc. Cupr. Hell. Ipec. Mosch. Nuxvom. Op. Spig. Staph. Verat. alb. Cough: Ars. Bry. Cactus. Cocc. Cupr. Dros. Nux vom. Petr. Rhus. Sil. Spig. Verat. alb. - dry: Cupr. Ipec. Nux vom. Rhus. Sep. Cramp in left side: Merc. sol. Epigastrium, pain in: Ars. Cocc. Hell. Puis. Sep. Staph. Heart, stitches in the: Cactus. Cham. Petr. Puis. Spig. - region of, pain in the: Cactus. Nux vom. Puis. Spig. Hypochondria, swelling in: Cham Ign. COUGH. 955 Hypochondria, pain in: Chin. Puis. Staph. Nausea: Rhus. Samb. Nose, dry: Canth. Stomach, anxiety in pit of: Ferr. Stram. - pressure in pit of: Arn. Bry. Camph. Cham. Chin. Cic. Cocc. Hell. Hyosc. Ign. Mosch. Nux vom. Rhus. Samb. - cramp in pit of: Phos. Sulph. - simple pain in pit of: Arn. Cina. Hell. Nuxvom. Puis. Rhus. Ruta. - feeling as if swollen in pit of: Rhus. - stitches in pit of: Chin. Phos. Spig. - warmth in: Ars. Bry. - digging in: Chin. Stomach, fulness in : Chin. Cocc. Like vapors of Sulphur: Croc. Ign. Mosch. Windpipe, obstacle in: Lob. inf. Spong. - mucus in : Ant. tart. Chin. Cupr. Ipec. Spong. Verat, alb. - tickling: Rhus. - contraction of: Canth. Ipec. Puis. Throat, constriction: Canth. Nux vom. Puis. Verat. alb. - like a foreign body in : Cic. Spong. - mucus in : Aur. - dryness: Petr. - contraction: Cham. Cocc. Throat-pit, constriction in : Rhus. XIX. COUGH. Cough, in general: Acid. mur. Acid. nit. Acid. phos. Aeon. Amm. mur. Bell. Cactus. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cina. Cocc. Col. Con. Dig. Dros. Ferr. Gelsem. Graph. Hep. sulph. Ign. Iod. Ipec. Kali carb. Lyc. Merc. sol. Natr. mur. Op Petr. Phos. Plumb. Puis. Rhus. Ruta. Sabin. Sep. Sil. Spig. Spong. Staph. Sulph. - with expectoration: Acid. phos. Ant. tart. Ant. crud. Ars. Bar. Bell. Bry. Cactus. Calc. Carb. veg. Caust. Cham. Chin. Cic. Cina. Con. Dros. Euphr. Ferr. Gelsem. Graph. Hep. sulph. Ipec. Kali carb. Lyc. Merc, sol Nux vom. Natr. mur. Petr. Phos. Plumb. Puis. Rheum. Rhus. Ruta. Sabin. Sec. corn. Sep. Sil. Spig. Spong. Staph. Sulph. Verat. alb. - with difficult expectoration: Ars. Aur. Bry. Camph. Canth. Caust. Cham. Cina. Dros. Euphr. Hyosc. Ign. Iod. Kali carb. Nuxvom. Phos. Plumb. Puis. Sep. Stann. Staph. Sulph. Zinc. - without expectoration: Aeon. Alum. Ant. crud. Arn. Ars. Bar. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Coff. Col. Con. Croc. Cupr. Dig. Dros. Ferr. Graph. Hell. Hep. sulph. Hyosc. Ign. Iod. Ipec. Kali carb. Lyc. Merc. sol. Nuxvom. Op. Petr. Phos. Plat. Plumb. Puis. Rheum. Rhus. Sep. Sil. Spig. Spong. Stann. Sulph. Verat. alb. Zinc. - anxious: Aeon. Cina. Coff. Rhus. Cough, fatiguing: Cocc. Croc. Ipec Nux vom. Rhus. - barking: Bry. Dros. Spong. - suffocative: Aeon. Bry. Cactus. Cham. Cupr. Ipec. Op. Spig. Spong. - violent: Bell. Bry. Cina. Con. Dros, Hep. sulph. Ign. Ipec. Merc. sol. Nuxvom. Phos. Ruta. Spig. Spong. Stann. - hoarse: Aeon. Brom. Chin. Cina. Dros. Hep. sulph. Phos. Samb. Spong. Verat. alb. - hollow: Aeon. Bell. Caust. Cina. Hep. sulph. Ign. Ipec. Op. Phos. Samb. Spig. Spong. Verat. alb. - hacking: Aeon. Alum. Ars. Canth. Chin. Coff. Col. Cupr. Dros. Hell. Hyosc. Kali carb. Natr. mur. Op. Phos. Plumb. Rhus. Stann. Sulph. Thuj. - - and dry: Alum. Arn. Ars. Bell. Canth. Caust. Cina. Con. Graph. Ign. Phos. Sabin. Sulph. Verat. alb. Zinc. - irritating: Coff. Ign. - spasmodic: Aeon. Ambr. Bell. Bry Cactus. Carb. veg. Chin. Cina. Con. Dros. Ferr. Hyosc. Ign. Ipec. Nux vom. Phos. Plumb. Puis. Sep. Sil. Staph. - short: Aeon. Alum. Arn. Ars. Aur. Bell. Canth. Carb. veg. Caust. Coff. Ign. Ipec. Merc. sol. Nux vom. Natr. mur. Phos. Plat. Puis. Rhus. Spig. Spong. - scraping: Nuxvom. Puis. - deep: Ars. Dros. Hep. sulph. Petr, Phos. Samb. Spong. Stann. Verat alb. UGH. 956 coi Cough, unceating: Cupr. Dros. Hyosc. Ipec. - titillating: Alum. Arn. Calc. Canth. Caust. Cham. Chin. Con. Hyosc. Iod. Kali carb. Merc. sol. Nux vom. Natr. mur. Nitric ac. Phos. Puis. Rhus. Stann. Staph. Sulph. — with vomiting: Alum. Ars. Aur. Bry. Calc. Carb. veg. Cina. Cocc. Coff. Dig. Dros. Dulc. Iod. Ipec. Phos. Plat. Puis. Rhus. Sep. Spong. Stann. Staph. Zinc. whooping: Aeon. Arn. Ars. Bell. Bry. Cactus. Cham. Chin. Cina. Con. Cupr. Dros. Euphr. Hep. s. Hyosc. Ign. Ipec. Kali carb. Mosch. Nux vom. Op. Phos. Puis. Rhus. Ruta. Sep. Spong. Sulph. Verat. alb. Expectoration. Acrid : Puis. Bitter: Acid. nit. Ars. Cham. Dros. Puis. Bloody: Acid. mur. Acid. nit. Aeon. Arn. Ars. Bell. Bry. Cactus. Calc. Canth. Chin. Con. Croc. Cupr. Dig. Dros. Dulc. Ferr. Hep. sulph. Hyosc. Ipec. Merc. sol. Op. Phos. Plumb. Puis. Rhus. Sabin. Sec. corn. Sil. Stram. Sulph. Blood, coagulated: Acid. nit. Arn. Bry. Canth. Nux vom. Puis. Sep. - bright-red: Arn. Canth. Chin. Dros. Hyosc. Rhus. Sabin. Sep. Sil. - frothy: Arn. Dros. Ferr. - black: Acid. nit. Arn. Canth. Chin. Croc. Nux vom. Puis. Tasting of old catarrh: Ign. Puis. Sulph. Zinc. Cool: Cann. Phos. Sulph. Copious: Alum. Bry. Cactus. Caust. Cic. Cina. Dros. Euphr. Ferr. Graph. Kali carb. Lyc. Puis. Sep. Sil. Stann. Sulph. Having a foul taste : Calc. Carb. v. Cham. Cupr. Ferr. Phos. Puis. Sep. Stann. Zinc. Frothy: Op. Phos. Plumb. Sil. Stann. Green: Ars. Carb. veg. Ferr. Hyosc. Lyc. Puis. Sep. Stann. Thuj. Having a metallic taste: Hep. sulph. Ipec. Merc. sol. Mucus, bloody: Alum. Arn. Ars. Bry. Cactus. Chin. Con. Dros. Ferr. Iod. Ipec. Op. Phos. Sabin. Sec. corn. Sil. Spong. Zinc. - transparent: Ars. Chin. Sil. - yellow: Bry. Dros Puis - blackish: Lyc. Mucus, dry : Bry. PLimb. - white: Cina. Phos. Rhus. Sep. Spong. Stann. - tenacious: Ant. crud. Ars. Bell. Bry. Cactus. Canth. Carb. veg. Caust. Cham. Cocc. Euphr. Iod. Kali carb Nuxvom. Phos. Puis. Ruta. Samb. Sep. Staph. Zinc. Nauseous: Dros. Puis. Purulent: Acid. phos. Bell. Calc. Chin. Con. Dros. Ferr. Lyc. Kali carb. Natr. mur. Phos. Puis. Ruta. Sep. Sil. Staph. Zinc. Salt: Alum. Ars. Bar. Carb. veg. Dros. Graph. Lyc. Phos. Puis. Sep. Stann. Sulph. Sour: Calc. Phos. Slimy: Alum. Ars. Aur. Bar. Bell. Bry. Calc. Caust. Cham. Chin. Cina. Dig. Euphr. Ferr. Hep. sulph. Hyosc. Ipec. Merc. sol. Natr. mur. Op. Phos. Plumb. Puis. Rhus. Sabin. Sec. corn. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Zinc. Having a bad smell: Ars. Calc. Stann. ---taste: Ars. Stann. Like starch: Arg. Bar. Sweetish: Calc. Ferr. Nux vom. Phos. Stann. Tenacious: Alum. Ars. Carb. veg. Caust. Dulc. Iod. Kali carb. Phos. Sep. Stann. Zinc. Thick: Ipec. Lyc. Phos. Stann. Sulph. Zinc. Yellow : Ars. Bry. Calc. Dros. Ign. Lyc. Phos. Puis. Sep. Spong. Stann. Staph. Thuj. Exciting Causes of Cough. In open air: Bry. Cocc. Ipec. Nux vom. Rhus. Spig. By getting angry : Cham. From ascending: Nuxvom. By baring one self: Nuxvom. By drawing a long breath: Amm. mur. Dulc. Hep. sulph. Breathing: Bell. Col. Dulc. Graph. Hep. sulph. Natr. mur. Sulph. After chagrin: Aeon. Bry. In cold air: Aeon. Bry. Carb. veg. Hep. sulph. Phos. Spong. By taking cold: Bry. Cupr. Dros. Hep. sulph. Ipec. Op. Nuxvom. Phos. Rhus. By contraction of abdomen : Dros. By getting cool: Arn. Rhus. After crying: Arn. After drinking: Aeon. Amm. mur COUGH. 957 Ars. Bry. Cocc Ferr. Hep. sulph. Lyc. Nux vom. Op. Phos. From feeling of dryness: Cimicif. Merc. sol. After eating : Amm. mur. Bell. Bry. . Chin. Ferr. Nux vom. Op. Puis. Ruta. Staph. Zinc. When eating: Carb. veg. Cocc. Puis. Sep. By emotions: Aeon. Arn. Bry. Cham. Nuxvom. Op. Rhus. Staph. As from feather-dust: Bell. Calc. Cina. Ign. Sulph. By getting heated: Aeon. Bry. Ipec. Nuxvom. Thuj. As from a hair on the tongue: Sil. By an irritation in the windpipe : Aeon. Alum. Arn. Ars. Bar. Bry. Cactus. Canth. Carb. veg. Cham. Cina. Cocc. Coff. Dros. Hep. sulph. Ign. Iod. Ipec. Merc. sol. Nux vom. Puis. Sep. Sil. Spong. Staph. Sulph. From irritation in the stomach: Bell. Bry. Merc. sol. Phos. By laughing : Chin. Stann. By loss of breath: Aur. Cocc. Dros. Euphr. Hep. sulph. Ign. Ipec. Nux vom. Spig. After lying down: Apis. Nuxvom. Puis. Rhus. Ruta. Staph. When lying down : Ars. Bell. Cham. Cocc. Con. Dros. Ferr. Hyosc. Ign. Ipec. Nuxvom. Puis. Rhus. --on the back: Amm. mur. Nux vom. ---on left side: Aeon. Bry. Ipec. Phos. Puis. ---on right side: Aeon. Amm. mur. Ipec. From mental labor : Ign. Nux vom. By motion: Arn. Ars. Bry. Ferr. Nuxvom. By mucus on chest: Caust. Stann. By mucus in windpipe: Cactus. Bry. Ipec. Kali carb. Nuxvom. While nursing: Chin. Ferr. During pregnancy: Ipec. Puis. By reading: Nuxvom. By reading loud: Acid. nit. Phos. Stann. In rest: Dros. Ferr. Hyosc. Phos. Puis. Rhus. Samb Before rising : Nux vom. In the warm room: Bry. C oc. Puis. Spig. By screaming: Arn. By shocks: Nuxvom. When sitting : Hell. Phos. During sleep: Arn. Bell. Calc. Cham. Lach. Sep. When smoking: Aeon. Bry. Col. Ferr. Hell. Ign. Nux vom. Petr. Spong. Staph. When stepping in water: Spig. By stitches: Aeon. Bry. Kali carb, Nuxvom. By suffocative fits: Cham. Ipec. Puis. As from vapor of Sulphur: Carb. v. Chin. Ign. Lyc. Puis. From swallowing: Op. From talking: Bar. Cham. Chin. Hep. sulph. Ign. Ipec. Phos. Stann. Rhus. When teething: Cham. Cina Hyosc. Ipec. Rhus. Throat, roughness in: Bry. Nux vom. Plumb. Puis. Rhus. - stitches in : Cham. Stann. - dryness in: Bry. Dros. Puis. Rhus Stann. Throat-pit, tickling in : Acid, phos Bell. Cham. Cimicif. Cocc. Ign Nuxvom. Puis. Stomach, tickling in pit of: Bar. Bell Bry. Hep. sulph. Natr. mur. Phos. By titillation in throat: Bry. Calc Caust. Chin. Hep. sulph. Iod. Zinc On waking: Ign. Nuxvom. Puis. Rhus. When walking; Alum. Ars. Carb. v. Ferr. Nux vom. After walking in the open air Ferr. Ipec. When getting warm in bed: Cham. Nuxvom. Puis. By ■weakness: Stann. By yawning : Arn. Nux vom. Accompanying Ailments. Abdomen, pain in: Dros. Lyc. Nux vom. Phos. Sil. Verat. alb. - cutting in: Verat. alb. - stitches in : Ars. Sep. Verat. alb. - shocks in: Natr. mar. - bruised in: Ars. Nuxvom. Puis. - contraction: Dros. - pain in muscles of: Hyosc. - stitches in sides of: Arn. Abdominal ring, stitches in: Nux vom. Verat. alb. Anxiety: Aeon. Cina. Coff. Rhus. ; Asthma: Arn. Carb. veg. Canst. Coco, Dig. Ferr. Ipec. Natr. mur. Phos. Rhus. Sep. Verat. alb. Back, stitches in: Aeon. Chin Merc. sol. Puis. Sep. 958 COUGH. Bladder, pain in: Puis. Squilla. Choking: Carb. veg. Dros. Hep. s. Ipec. Nuxvom. Puis. Sep. Sulph. Chilliness: Calc. Carb. veg. Con. Phos. Sulph. Colic: Ars. Canth. Col. Con. Dros. Ipec. Lyc. Nux vom. Phos. Sep. Stann. Verat. alb. Concussing the body: Ant. crud. Ipec. Puis. Rhus. Crying: Arn. Bell. Cina. Hep. s. Chest, oppression in: Bry. Rhus. Verat. alb. - burning in: Ant. crud. Carb. veg. Caust. Cina. Phos. Spong. - pressure in: Acid. phos. Carb. veg. Chin. Iod. Sil. - as if shaken: Rhus. - ulcerative pain : Staph. - as if hollow : Sep. Zinc. - coldness in: Zinc. - cramp in: Cina. — scraping in: Ruta. Staph. - roughness : Arn. Carb. veg. Kali carb. Lyc. Sep. - rattling: Ant. tart. Bell. Caust. Cham. Ipec. Puis. Verat. alb. - pains generally: Acid. nit. Acid. phos. Ars. Bell. Bry. Carb. veg. Caust. Cham. Cina. Coff. Dig. Dros. Kali carb. Lyc. Merc. sol. Nux vom. Natr. mur. Phos. Puis. Sep. Spong. Sulph. Verat. alb. - relieved by pressure: Phos. - cutting: Natr. mur. Sulph. - excoriated, as if: Bry. Carb. veg. Lyc. Phos. Sep. Spong. - heaviness: Zinc. - tension in : Phos. Rhus. - stitches in: Aeon. Arn. Ars. Bell. Bry. Chin. Coff. Con. Dros. Merc. sol. Nux vom. Natr. mur. Puis. Rhus. Sep. Zinc. - as if sore: Acid. nit. Alum. Arn. Carb. veg. Caust. Cina. Hep. sulph. Ipec. Lyc. Nuxvom. Phos. Sep. Sil. Spig. Spong. Stann. Sulph. - pain as if bruised : Arn. - as if flying to pieces: Ars. Bry. Merc. sol. Zinc. - drawing: Caps. - contraction: Dros. Ear-ache: Nux vom. Epigastrium, pain in: Bry. Dros. Nuxvom. - stitches in: Sep. Erethism, vascular: Arn. Cactus. Chin. Eructations: Verat.alb. Eyes, obscured: Coff. Eyes, sparks before: Kali carb. - tears in: Cina. Puis. Face, blue: Ipec. Op. Verat. alb. - pale: Cina. - hot: Bell. Ipec. Sulph. - sweat in: Ipec. - distorted: Spong. Fauces, burning in: Acid.phos. Caust - sore feeling in: Caust. Forehead, cold sweat on : Verat. alb Hands, swelling of: Aeon. Puis. - coldness of: Sulph. Head, pressure in: Acid. nit. Alum Bry. Con. Phos. Ruta. - as if shaken : Rhus. - heat in: Ars. Ipec. Sulph. - tearing in: Alum. Calc. Sep. - pain generally: Aeon. Bell. Bry, Chin. Con. Lyc. - stitches in: Alum. Arn. Bry. Calc. Carb. veg. Con. Ruta. - shocks in: Ars. Bry. Dros. Ipec. Lyc. Natr. mur. Rhus. - as if bruised: Sulph. - as if flying to pieces: Bry. Natr mur. Nuxvom. Phos. Sep. - contractive pain in: Petr. Heat: Arn. Bell. Nux vom. Hoarseness: Aeon. Chin. Cina. Dros. Hep. sulph. Phos. Samb. Spong. Stann. Ill-humor: Bell. Spong. Mouth, dry: Cocc. Nape of neck, pain in : Bell. Nausea: Bry. Dros. Ipec. Merc. sol. Nuxvom. Puis. Ruta. Nosebleed: Aeon. Bell. Dros. Merc. sol. Puis. Pain in arm: Dig. Puis. Palpitation of heart: Arn. Cactus. Calc. Pain as from hernia: Petr. — as from fatigue: Puis. - generally: Dros. Nuxvom. - tension: Hell. - stitches: Aeon. Ars. Bry. Phos. Sulph. - as if bruised: Bry. - in hip: Ars. Bell. Caust. Rhus. Pressure in hypochondria: Cocc. Spong. - on bladder: Squilla. Rectum, stitches in: Acid.nit, Restlessness: Aeon. Coff. Rhus. Samb. Ribs as if bruised: Arn. Saliva, bloody: Dros. Screaming: Op. Samb. Shortness of breath: Bry. Shoulder, stitches in: Puis AIR-PASSAGES — WINDPIPE. 959 Shoulder-blade, stitches in: Merc. sol. Sep. Side, stitches in: Aeon. Bry. Puis. Zinc. Sleeplessness: Hyosc. Lyc. Nux vom. Puis. Rhus. Sneezing: Bell. Bry. Hep. sulph. Small of back, pain in: Merc. sol. - stitches in: Aeon. Arn. Start, tendency to: Aeon. Stomach, pressure in: Lyc. - pain in: Bry. Hell. Ipec. Lyc. Phos. Puis. Rhus. Ruta. Sep. - stitches : Ars. Bry. Phos. Sulph. - qualmishness: Ign. Ipec. - sore pain : Bry. - as if bruised: Stann. - contraction: Ars. Suffocative fits : Aeon. Bry. Cham. Cupr. Hep. sulph. Ipec. Op. Samb. Spig. Spong. Sweat: Ars. Dig. Hep. sulph. Ipec. Rhus. Spong. Taste in mouth, as of blood: Bell. Rhus. Teeth, gritting of: Bell. Con. Trembling of whole body : Phos. Throat, bitter taste in : Rhus. - burning in: Acid. mur. Phos. - inflammation: Aeon. Cham. Ipec. Nuxvom. Puis. - as if swollen : Merc. sol. Puis. - titillation: Bry. Kali carb. - scraping: Bell. Bry. Croc. Hep. sulph. Burning: Canth. Cham. Phos. Spong, Sulph. Choking: Cupr. Dros. Constriction: Ars. Camph. Cham. Cocc. Coff. Ign. Ipec. Mosch. Nux vom. Puis. Rhus. Spong. Verat. alb. Contraction: Cocc. Lach. Spong. Staph. Contusive pain: Ruta. Cough, desire to : Aeon. Arn. Bry. Canth. Cham. Chin. Cina. Cocc. Coff. Dros. Hyosc. Ign. Ipec. Nux vom. Puis. Sabin. Spong. Staph. Crampy feeling: Cham. Nuxvom. Croup: Aeon. Ant. tart. Cham. Chin. Dros. Hep. sulph. Lach. Phos. Samb. Spong. Dryness: Alum. Carb. veg. Caust. Con. Throat, roughness: Caust. Hep. sulpL Kalic. Phos. Sep. Spong. - pain generally: Hep. sulph. Natr.m. Phos. Sil. Sulph. - stitches in : Acid. nit. Bry. Phos. - dryness: Puis. Rhus. - sore pain : Phos. Sep. Throat-pit, pain in: Nux vom. Throbbing in arteries: Calc. Tossing about: Aeon. Arn. Rhus. Urinate, urging to: Ipec. Squilla. Urination, involuntary: Ant. crud. Bry. Puis. Spong. Squilla. Staph. Verat. alb. Urine, retention of: Ipec. Vertigo: Aeon. Coff. Vomiting in general: Ant. crud. Ant. tart. Arn. Bry. Calc. Carb. veg. Con. Cupr. Dros. Hep. sulph. Iod. Ipec. Kali carb. Nuxvom. Puis. Sep. Vomiting, bitter: Cham. Sep. - of food : Bry. Dros. Ferr. Natr. mur. Rhus. - of mucus: Dros. Hyosc. - sweet: Calc. - of water: Dros. Waterbrash: Ars. Bry. Spig. Staph. Weakness: Chin. Ferr. Veratr alb. Windpipe, pain in: Carb. veg. Camph. Ign. Kali carb. Phos. Spong. - as if sore: Ant. crud. Bry. Caust. Hep. sulph. Ign. Kali carb. Natr. mur. Sep. Stann. - tickling in: Cham. Ign. Nux vom, Sulph. ES—WINDPIPE. Hyosc. Nux vom. Natr. mur. Petr Phos. Puis. Spong. Sulph. Zinc. Food gets into the larynx: Aeon Rhus. Verat. alb. Hawking up mucus: Alum. Ant. c. Bry. Calc. Canth. Carb. veg. Caust, Cham. Chin. Cina. Cocc. Croc. Dig. Dulc. Hyosc. Iod. Kali carb. Lach. Lyc. Nux vom. Natr. mur. Phos. Plumb. Puis. Rhus. Sabin. Samb. Spig. Stann. Staph. Sulph. Heat: Ant. crud. Canth. Iod. Hoarseness: Acid.mur. Acid. phos. Aeon. Arn. Ars. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust, Cham. Chin. Cic. Coff. Con. Croc. Cupr. Dig. Dros. Ferr. Gelsem Graph. Hep. sulph. Iod. Kali carb. Lach. Lyc. Merc. sol. Nux vom. Natr. mur. Op. Petr. Phos. Plumb, XX. AIR-PASSAG 960 EXTERNAL NECK AND NAPE OF THE NECK. Puis. Rhus. Samb. Sec. corn. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Thuj. Verat. alb. Zinc. Inflammation: Aeon. Dros. Ipec. Nux vom. Puis. Spong. Itching: Con. Nuxvom. Puis. Mucus, accumulation of: Alum. Ars. Cactus. Calc. Carb. veg. Caust. Cham. Chin. Cina. Cocc. Coff. Dig. Hyosc. Iod. Kali carb. Lyc. Nux vom. Natr. mur. Phos. Samb. Sep. Stann. Numb feeling: Aeon. Phthisis of larynx : Calc. Carb. v. Caust. Cupr. Dros. Hep. sulph. Ign. Iod. Lach. Merc. sol. Nux vom. Puis. Spong. Stann. Sulph. As of a plug : Bar. Kali carb. Pressure : Bar. Bell. Carb. veg. Cic. Graph. Puis. Roughness: Alum. Ars. Bell. Canth. Carb. veg. Caust. Chin. Kali carb. Nix vom. Natr. mur. Phos. Plumb. Puis. Rhus. Sil. Spong. Stann. Sulph. Zinc. As if scraped : Nux vom. Puis. Rhus. Verat. alb. Scraping : Acid. nit. Alum. Carb. veg. Hep. sulph. Ign. Kali carb. Natr. mur. Rhus. Spong. Stann. Staph. Sensitiveness: Bell. Hep.s.Iod. Lach. Phos. Sep. Spong. Sulph. Zinc. XXI. EXTERNAL NECK 1 Boils: Arn. Caust. Sep. Burning: Ferr. Ign. As if bruised: Arn. Cic. Hep. sulph. Sabin. Cold feeling: Phos. Cramp: Cic. Cutting : Graph. Ruta. Samb. Drawing : Aeon. Ant. crud. Arn. Bell. Bry. Camph. Canth. Chin. Cic. Cocc. Croc. Dulc. Graph. Kali carb. Nux vom. Natr. mur. Puis. Sabin. Spig. Spong. St:tph. Verat. alb. Eruptions: Ant. crud. Ars. Aur. Bry. Canth. Dig. Hep. sulph. Merc. sol. Puis. Spig. Spong. Staph. Thuj. Verat. alb. Glands, boring in: Bell. Merc. sol. Puis. - pressure in: Aur. Bell. Chin. Cina. Cocc. Ign. Merc. sol. Rhus. Stram. - simple pain in: Acid. nit. Acid. phos. Alum. Arn. Bry. Calc. Carb. veg. Caust. Chin. Cic. Con. Graph. Simple pain: Aeon. Canth. Hep. fl Iod. Lach. Nuxvom. Spong. As of a soft body : Dros. Sore feeling : Bry. Carb. veg. Caust. Chin. Graph. Ign. Iod. Kali carb. Natr. mur. Puis. Sep. Stann. Spasm : Gelsem. Mosch. Verat. alb. Stitches: Bar. Bell. Chin. Dros. Hyos. Iod. Ipec. Kali carb. Phos. Spig. Zinc. As if stopped up: Rhus. Spong. Like vapor of Sulphur: Ign. Mosch. Puis. Swelling: Iod. Sil. As if swollen : Iod. Tearing: Ign. Tension: Spong. Tickling: Aeon. Arn. Calc. Carb.v. Cina. Con. Ferr. Hep. sulph. Ipec. Merc. sol. Nux vom. Puis. Rhus. Sabin. Verat. alb. Zinc. Tingling: Arn. Calc. Carb. veg. Con. Dros. Graph. Iod. Kali carb. Lyc. Natr. mur. Phos. Plat. Sep. Stann. Thuj. Zinc. Voice, raised: Stann. - imperfect: Bar. Carb. veg. Caust, Graph. Merc. sol. Natr. mur. Sulph. - loss of, complete: Bell. Carb. veg. Caust. Hep. sulph. Natr. mur. Phos. Plat. ND NAPE OF THE NECK. Hell. Hep. sulph. Ign. Kali carb. Lyc. Merc. sol. Nux vom. Natr. m. Phos. Puis. Rhus. Sep. Sil. Spig. Spong. Stann. Staph. Thuj. Glands, suppuration of: Bell. Hep. sulph. Iod. Merc. sol. Sil. - sensitiveness : Arn. Aur. Iod. Spong. - inflammation: Acid. nit. Bar. Bell. Calc. Canth. Hep. sulph. Kali carb. Merc. sol. Plumb. - swelling: Acid. nit. Acid. phos. Alum. Am. Aur. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Cham. Chin. Con. Dulc. Ferr. Graph. Hep. sulph. Ign. Iod. Lyc. Merc. sol. Natr. mur. Petr. Phos. Puis. Rhus. Sep. Sil. Spong. Stann. Staph. Sulph. Thuj. ---feeling of: Spong. Staph. — hard swelling: Bar. Cocc. Plumb. Rhus. Spig. Staph. Goitre: Calc. Caust. Iod. Kali carb. Lyc. Natr. mur. Spong. EXTERNAL NECK AND NAPE OF THE NECK. 9^1 Head drawn to one side: Chin. Cupr. Hyosc. Heat: Calc. Caust. Cham. Ign. Sep. Sulph. Itching: Alum. Bry. Carb. veg. Ign. Natr mur. Op. Puis. Rhus. Stann. Thuj. Pain, laming: Cocc. - rheumatic : Aeon. Iod. Rhus. Staph. - as if sore: Bry. Cic. Verat. alb. - in lower vertebrae: Con. - simple : Bell. Bry. Calc. Caust. Ferr. Graph. Kali carb. Lach. Nux vom. Phos. Sil. Zinc. Pressure: Acid.phos. Aeon. Ant. crud. Arn. Bell. Calc. Carb. veg. Caust. Ign. Kali carb. Lach. Lyc. Sabin. Spong. Staph. Spots, yellow: Iod. - red: Apis. Bell. Carb. veg. Cocc. Nuxvom. Rhus. Sep. Stann. Stiffness: Alum. Ars.'Bell. Bry. Calc. Camph. Caust. Chin. Cic. Cocc. Croc. Dig. Lyc. Merc. sol. Natr. mur. Rhus. Sil. Staph. Thuj. Zinc. Stitches: Aeon. Ant. crud. Bry. Canth. Cocc. Cupr. Dig. Graph. Hep. sulph. Kali carb Phos Samb. Spig. Spong. Staph. Thuj. Zinc. Sensitive of pressure : Lach. Swelling : Acid, nit Alum. Ars. Bell. Calc. Caust. Cic. Iod. Lyc. Merc. sol. Phos. Rhus. Sil. Zinc. Tearing: Arn. Aur. Carb. veg. Cham. Cupr. Iod. Kali carb. Lyc. Merc. sol. Phos. Plumb. Sabin. Spong. Staph. Sulph. Zinc. Tension: Arn. Bar. Bell. Bry. Calc. Camph. Caust. Cic. Dig. Graph. Iod. Plumb. Puis. Rhus. Spig. Spong Staph. Sulph. Zinc. Throbbing of carotids: Bell. Glon. Hep. sulph. Spong. Twitchings: Canth. Phos. Spong. Zinc. Veins, swelling of: Op. Thuj. Weakness: Arn. Cocc. Glon. Staph. Verat, alb. As from a wrong position: Dulc. Thuj. Zinc. Nape of the Neck. Beating: Con. Blotches: Hep. Boils: Arn. Sil. Boring: Bar. Burning: Acid.phos. Arn. Bar. Calc. Carb. veg. Ign. Merc. sol. 61 Coldness, feeling of: Sulph, Contraction: Puis. Cracking: Spong. Cramp: Ant crud. Crampy feeling : Thuj. Sil. Crampy stiffness: Zinc. Crawling: Dulc Cutting: Dig. Drawing: Alum. Ant. crud. Bill. Camph. Chin. Col. Con. Dig. Hyosc. Kali carb. Lyc. Merc. sol. Mosch. Nux vom. Plumb. Puis. Rhus Ruta. Sep. Staph. Sulph. Thuj. Zinc. Eruptions: Bar. Bell. Bry. Caust. Cham. Hep. sulph. Lyc. Sep. Sil. Staph. Heat: Ign. Lach. Phos. Itching: Acid. nit. Carb. veg. Rhus Sep. Sil. Staph. Laming pain: Cina. Nux vom. Spig, Staph. Verat alb. As if the flesh were loose : Aeon. - stiff: Acid. nit. Aeon. Bar. Bell Bry. Calc. Camph. Canth. Caust. Col. Dig. Dros. Dulc. Graph. Dell. Hyosc. Ign. Kali carb. Lach. Lyc. Nuxvom. Natr. mur. Petr. Phos. Plat. Puis. Rhus. Sec. corn. Sep. Sil. Spig. Spong. Staph. Sulph. Thuj. Verat. alb. Zinc. Pain, crampy: Arn. - rheumatic: Aeon. Bry. Graph. Iod. Merc. sol. Nux vom. Puis. Rhus. Staph. Verat. alb. - simple: Aeon. Bry. Chin. Dulc. Graph. Hyosc. Ipec. Merc. sol. Nux vom. Natr. mur. Phos. Sep. Spig. Stann. - as if tired : Glon. Rhus. - ulcerative: Puis. Pressure: Bar. Bell. Bry. Carb. veg. Cocc. Col. Dig. Graph. Lach. Lyc Merc. sol. Mosch. Natr. mur. Phos. Rhus. Samb. Spong. Staph. Thuj. Pulling in muscles : Col. Pustules: Staph. Sensitiveness: Lach. Nuxvom. As if gone to sleep: Rhus. Spig. Spots, yellow: Iod. - red: Carb. veg. Sep. Stann. Stitches : Aeon. Arn. Bar. Bell. Calo; Camph. Chin. Cocc. Graph. Ign Puis. Rhus. Sep. Stann. Staph, Sulph. As if strained: Dulc. Nuxvom. Puis, Rhus. Zinc. As if swollen: Sep. Tearing: Camph. Canth. Carb. veg. 962 CHEST. Graph. Ign. Kali carb. Nux vom. Phos. Plumb. Sil. Spig. Silph. Tension: Aeon. Arn. Aur. Bar. Bry. Calc. Canth. Caust. Con. Dig. Glon. Graph. Hyosc. Iod. Ipec. Kali carb. Internal Chest. Anxiety: Aeon. Arn. Bry. Cactus. Camph. Chin. Cocc. Ign. Lach. Mosch. Nux vom. Puis. Rhus. Samb. Sec. corn. Spig. Spong. Staph. Verat, alb. As if a band around: Cactus. Sabin. Sulph. Blood, erethism of: Alum. Carb. veg. Nux vom. Plumb. Sep. Spong. Thuj. As if bounding: Croc. Boring: Acid.mur. Aeon. Alum. Cina. Kali carb Rhus. Spig. Staph. Thuj. Burning: Acid. phos. Aeon. Alum. Ant. crud. Arn. Ars. Bar. Bell. Bry. Cactus. Calc. Canth. Carb. veg. Caust, Cham. Chin. Cic. Cina. Cocc. Coff. Con. Dros. Ferr. Graph. Hyosc. Ign. Iod. Lach. Lyc. Merc. sol. Mosch. Nuxvom. Phos. Plat. Ruta. Sabin. Sec. corn. Sep. Spong. Stann. Sulph. Zinc. Chilliness: Bry. Natr. As if concussed : Rhus. Cooling, pleasant: Ruta. Constriction : Aeon. Alum. Arn. Ars. Bell. Cactus. Cham. Cocc. Col. Cupr. Dig. Dros. Ferr. Hell. Ign. Mosch. Nux vom. Natr. mur. Op. Phos. Puis. Plat. Rhus. Ruta. Spig. Stann. Stram. Sulph. Verat. alb. Contraction: Aeon. Alum. Ars. Cac- tus. Canth. Caust, Cham. Cocc. Cupr. Dig. Ferr. Hell. Ign. Ipec. Lyc. Mosch. Nuxvom. Op. Puis. Rheum. Samb. Spig. Stann. Staph. Sulph. Verat. alb. Crampy feeling: Acid. mur. Aeon. Bell. Bry. Canth. Cham. Cina. Dulc. Hyosc. Kali carb. Nux vom. Plat. Stann. Thuj. Verat. alb. Cutting: Acid. mur. Alum. Arn. Aur. Bell. Calc. Caust. Chin. Con. Dig. Dulc. Kalicarb. Lyc. Merc. sol. Puis. Ruta. Sabin. Samb. Spig. Spong. Stann. Sulph. Zinc. Digging: Arn Cina. Dulc. Ferr. Petr. Stann Mosch. Plat. Plumb. Puis. Rhus, Sep. Sil. Staph. Sulph. Thuj, Zinc. Weight: Nuxvom. Petr. Phos. Rhus Sabin. Samb. As if dilated : Bry. Stann. Dislocation-pain : Caust, Dulc. Lyc. Petr. Plat Spig. Sulph. Thuj. Dropsy: Aeon. Arn. Ars. Bry. Carb. veg. Chin. Dig. Ferr. Hell. Ipec Kalicarb. Op. Rhus. Spig. Squilla. Verat. alb. Dryness, feeling of: Alum. Canth. Ferr. Phos. As if empty: Cocc. Stann. Fermenting: Phos. Fulness: Aeon. Ant, crud. Arn. Bar. Con. Ferr. Ign. Lyc. Mosch. Phos. Puis. Rhus. Ruta. Sep. Sulph. Verat. alb. Gnawing : Ruta. Griping : Verat. alb. Gurgling : Cina. Kali carb. Natr. mur Ruta. Hammering: Phos. Heat: Acid. nit. Arn. Ars. Aur. Bell. Bry. Calc. Caust. Chin. Cic. Nux vom. Op. Puis. Rhus. Ruta. Spong. Stann. Sulph. Heaviness: Aeon. Alum. Bar. Bry. Calc. Iod. Phos. Plat. Samb. Sep. Staph. Sulph. Verat, alb. Inflammation: Aeon. Arn. Bry Cann. Hyosc. Nux vom. Phos. Puis. Rhus. Spong. Stram. Itching: Carb. veg. Kalicarb. Phos. Jerks: Croc. Con. Lyc. Languor: Acid. phos. Alum. Calc Carb. veg. Cocc. Nux vom. Natr. mur Phos. Stann. Sulph. As of something living : Croc. As of something loose : Bry. Lungs, inflammation of: Aeon. Bell Ant. tart. Bry. Lyc. Phos. Puis. Rhus. Sep. Sulph. - phthisis of: Ars. Bry. Calc. Carb veg. Chin. Con. Dulc. Ferr Graph. Iod. Kali carb. Lyc. Natr mur. Phos. Puis. Ruta. Samb Sep. Spig. Stann. Pain as if excoriated: Acid, mur Ars. Bry. Calc. Carb. veg. Caust. Cic. Cina. Ipec. Kalicarb. Lyc. Nat*, mur. Phos. Rhus. Sep. Sil. Spong Stann. Staph. Sulph. XXH. CHEST. CHEST. 903 Pain, as if bruised: Aeon. Alum. Arn. Bry. Caust. Cham. Con. Kali carb. Merc. sol. Phos. Spong. Stann. Zinc. - as if flying to pieces: Bry. Cina. - drawing: Acid. nit. Cactus. Carb. v. Cham. Chin. Con. Dig. Dulc. Kalic. Nuxvom. Op. Puis. Sil. Spig. Spong. Stann. - simple: Acid. mur. Arn. Ars. Bar. Calc. Carb. veg. Caust. Cham. Chin. Cina. Col. Con. Croc. Dulc. Ferr. Graph. Iod. Lyc. Mosch. Phos. Puis. Sep. Sil. Spig. Spong. Stann. Sulph. Verat. alb. Pinching: Alum. Bell. Cactus. Carb. veg. Cina. Dulc. Ign. Kali carb. Samb. Spig. Spong. Thuj. Pressing : Acid. nit. Alum. Bry. Graph. Ign. Phos. Sulph. Verat. alb. Pressure from without: Cactus. Chin. Cocc. Ign. Nuxvom. - - within: Bell. Bry. Cina. Dulc. Verat. alb. Zinc. - as from a load: Bry. Nux vom. Rheum. Samb. Spig. Verat. vir. Raw, as if: Arn. Ars. Bry. Chin. Cocc. Dig. Hell. Nuxvom. Natr. m. Rhus. Zinc. Rattling : Aeon. Ant. crud. Ant. tart. Bry. Dros. Dulc. Hep. sulph. Ipec. Merc. sol. Mosch. Nux vom. Puis. Rhus. Samb. Squilla. Sil. Sulph. Verat. alb. Rush of blood: Aeon. Arn. Bell. Bry. Carb. veg. Cocc. Cupr. Ferr. Hyosc. Nuxvom. Natr. mur. Puis. Sep. Spong. Thuj. Shocks: Aeon. Calc. Croc. Dulc. Plat. Ruta. Shuddering : Aeon. Spasm: Acid.nit. Aeon. Bry. Calc. Cham. Cina. Cocc. Coff. Cupr. Dig. Ferr. Ipec. Kali carb. Lyc. Mosch. Petr. Phos. Puis. Sec. corn. Sep. Sulph. Thuj. Zinc. Stitches, in left side: Aeon. Alum. Ant. tart. Am. Bell. Bry. Cactus. Calc. Camph. Canth. Caust. Chin. Cic. Cina. Cocc. Con. Dig. Dulc. Hell. Ign. Ipec. Kali carb. Lyc. Merc. sol. Natr. mur. Phos. Plat. Plumb. Puis. Rhus. Ruta. Samb. Sep. Spig. Spong. Stann. Staph. Sulph. Thuj. Zinc. - in right side: Aeon. Alum. Ant. tart. Arn. Bell. Bry. Cactus. Canth. Carb. veg. Caust. Chin. Cina. Cocc. Col. Con. Dig. Dulc. Ign. Kali carb. Merc. sol. Natr. mur. Op. Phos. Rhus. Sep. Sil. Spig. Spong. Stann. Sulph. Thuj. Verat. alb. Zinc. Stitches, in middle of chest: Aeon. Alum. Ant. crud. Bry. Cham. Chin. Iod. Phos. Plumb. - in diaphragm : Spig. — in breast bone: Aeon. Arn. Bell, Bry. Calc. Canth. Caust. Con. Dulc. Hep. Lyc. Natr. mur. Phos. Sabin, Spig. Sulph. — from the chest through the back< Aeon. Bry. Canth. Carb. veg. Chin. Cocc. Ferr. Lyc. Plumb. Sabin. Sil. Spig. Sulph. As if stopped up : Bry. Tearing : Canth. Carb. veg. Caust. Con Dulc Graph. Kali carb. Natr. m. Op. Petr. Phos. Puis. Rhus. Spig. Stram. Zinc. Tension: Ars. Bell. Bry. Caust. Cic. Cocc. Con. Dig. Dulc. Ign. Lyc. Nux vom. Natr. mur. Phos. Puis. Rhus. Ruta. Sabin. Sep. Spig. Stann. Staph. Sulph. Zinc. , Throbbing: Aeon. Bar. Bell. Bry. Cham. Coff. Dig. Graph. Ign. Nux vom. Phos. Sil. Sulph. Thuj. Zinc. Tickling: Bar. Cham. Chin. Kalic. Phos. Stann. Verat. alb. As if too tight: Cactus. Hell. Puis. Spig. Sulph. Tightness, feeling of: Cactus. Puis. Tingling: Acid phos. Aeon. Ars. Col. Sep. Spig. Spong. Stann. Thuj. Trembling: Kali carb. Phos. Ruta. Sabin. Twitching: Col. Dulc. Kali carb. Lyc Natr. mur. Sep. Spig. . Ulcerative pain: Bry. Puis. Staph. Warmth: Bry. Coff. Hell. Nuxvom, Verat. alb. Weakness: Iod. Kali carb. Plat Rhus. Stann. Sulph. . - feeling of: Carb. veg. Chin. Plat. . Stann. Staph. As if weary: Arn. Carb. veg. Spong. . Wrenching : Samb. External Chest. . Boils : Arn. Chin. Burning: Acid. mur. Apis. Ars. Bar Bell. Canth. Dig. Dros. Ferr. Nus vom. Phos. Plat. Rhus. Sulph. Zinc. Contraction: Arn. Bry. Dig. Op. Plat. Rhus. Spig. . Contusive pain : Ant. crud. Arn. . Crampy feeling: Acid. nit. Aeon Calc. Cham. Dig. Dulc. Plat Sep. . Creeping : Arn. Dros. 964 chi Creeping chill: Nuxvom. Drawing : Acid. mur. Aeon. Carb. veg. Cupr. Dig. Dulc. Lyc. Nux vom. Puis. Rhus. Spig. Stann. Zinc. Eruptions: Ars. Caust. Hep. Lach. Lyc. Merc.sol. Petr. Plumb. Staph. Sil. Sulph. Gnawing: Arn. Calc. Ruta. Spong. Heat: Cham. Cic. Dig. Puis. Itching: Alum. Ant. crud. Bar. Calc. Canth. Carb. veg. Caust. Kali carb. Lyc. Natr. mur. Phos. Puis. Sep. Spong. Staph. Sulph. Verat. alb. Pain, as if contused: Acid. mur. Con. Dulc. Merc. sol. Natr. mur. - as if sprained: Arn. Cocc. - as if sore: Apis. Bar. Bry. Sep. Staph. Verat. alb. - as if bruised: Apis. Arn. Bry. Chin. Ign. Merc. sol. Nux vom. Natr. mur. Phos. Rheum. Spig. Staph. Sulph. - simple: Ant. crud. Bry. Dulc. Natr. mur. Phos. Puis. Rhus. Sep. Sil. Staph. Sulph. Verat. alb. Pimples: Ant. crud. Ant. tart. Bry. Canth. Cocc. Con. Hep. Plumb. Rhus. Staph. Pressure: Arn. Aur. Bry. Camph. Canth. Chin. Dulc. Dros. Nuxvom. Rhus. Ruta. Spig. Stann. Staph. Sulph. Verat. alb. Redness: Aur. Bell. Bry. Rheumatic pain : Bry. Spig. Shuddering: Chin. Cina. Nux vom. Plat, Ruta. Spig. Staph. Gone to sleep: Merc. sol. Spasms: Cic. Puis. Stram. Verat. alb. Spots, brown: Carb. veg. - yellow: Ars. Phos. - red: Apis. Bell. Carb. veg. Cocc. Lyc. Rhus. Stitches: Arn. Acid. mur. Bell. Bry. Calc. Camph. Canth. Caust. Chin. Con. Dros. Dulc. Nux vom. Phos. Puis. Rhus. Ruta. Spig. Spong. Stann. Staph. Sulph. Sweat: Arn. Bell. Calc. Canth. Chin. Cocc. Hep. Ipec. Lyc. Merc. sol. Phos Plumb. Rhus. Sec. corn. Swelling: Bry. Calc. Dulc. Iod. Rhus. Sep. Sil. Sulph. Tearing: Bry. Camph. Dulc. Kalicarb. Lyc. Merc. sol. Nux vom. Sabin. Spig. Tension: Cham. Chin. Dig. Dros. Dulc. Ferr. Iod. Merc. sol. Nuxvom. Natr. mur. Phos. Puis. Rhus. Sabin. Spig. Stann. Thuj. Twitching : Merc. sol. Spig. Ulcers : Ars. Hep. Sulph. Ulcerative pain : Bry. Puis. Warmth: Bry. Nux vom. Phos. Rhus. Arm-pits. Burning: Carb. veg. Crawling: Con. Drawing: Bell. Sil. As if excoriated: Con. Inflammation : Acid. nit. Petr. Phos, Sulph. Itching: Carb. veg. Caust. Con. Dig Kali carb. Phos. Sep. Pain generally: Acid.nit. Bell. Carb veg Con. Sil. Stitches: Arn. Con. Sulph. Suppuration : Calc. Col. Hep. sulph. Petr. Sil. Sulph. Sweat: Dulc. Kali carb. Natr. mur. Phos. Sep. Sulph. Swelling: Acid. nit. Bell. Calc. Iod. Hep. sulph. Lyc. Natr. mur. Petr. Phos. Sep. Sulph. Mamrnse (Breasts). Blotches: Bell. Calc. Carb. veg. Cham. Con. Dulc. Graph. Lyc. Phos. Ruta. Sil. Sulph. Contusion: Arn. Rhus. Crawling: Con. Drawing : Cham. Erysipelas : Aeon. Bell. Bry. Graph Phos. Sil. Sulph. As if excoriated : Con. Hardness : Bry. Cham. Con. Phos Phytolac. Plumb Sil. Sulph. Heat: Bell. Bry. Phos. Inflammation : A con. Arn. Bell. Bry. Carb. veg. Cham. Con. Phos. Phy- tolac. Puis. Sil. Sulph. Itching: Caust Con. Kalicarb. Nux vom. Plumb. Rhus. Milk, bitter and yellow : Rheum. - bluish: Lach. - too fat: Puis. — setting in: Puis. - fever: Aeon. Arn. Bry. Cham. Cofl. Ign. Puis. Rhus. - excessive flow of: Aeon. Chin. - vanishing of: Bry. Calc. Cham. Puis. Rhus. Sec. corn. Zinc. - increase of: Bry. Nuxvom. Puis. - stoppage of: Bell. Calc. Puis. Pain, simple: Bry. Cham. Col. Con. Merc. sol. Sil. Verat, alb. Shuddering: Cocc. Nuxvom. Stitches: Alum. Bar. Bell. Con Nux I v,m. Natr. mur. Plumb. Sep. Zinc. CHE Suppuration : Bry. Hep. sulph. Phytolac. Phos. Sil. Sulph. Swelling: Bell. Bry. Cham. Con. Dulc. Merc. sol. Phos. Phytolac. Plumb. Puis. Ruta. Sabin. Sil. Sulph. Tearing: Bar. Cham. Tension: Puis. Ulcers:-Hep. Merc. sol. Phos. Sil. Sulph. Ulcerative pain : Merc. sol. Withering: Cham. Con. Iod. Nipples. Burning : Cic. Graph. Sulph. Creeping : Sabin. Discharge of blood and humor: Lyc. Plumb. Hardness : Bry. Merc. sol. Inflammation: Aeon. Bry. Cham. Phos. Puis. Sil. Sulph. Itching: Con. Puis. Rhus. Pain, simple: Graph. Nux vom. Sulph. Rhagades: Arn. Graph. Petr. Sulph. Soreness : Arn. Calc. Cham. Graph. Lyc. Puis. Sil. Sulph. Zinc. Stitches: Acid. mur. Camph. Ign. Lyc. Rheum. Sabin. Sulph. Heart and Region of the Heart. Anxiety: Aeon. Alum. Ars. Aur. Cactus. Calc. Canth. Cham. Cina. Cocc. Croc. Cupr. Ferr. Graph. Hell. Lyc. Nux vom. Op. Phos. Plumb. Puis. Rhus. Sec. corn. Sep. Sil. Spong. Stram. Sulph. Verat. alb. Verat. vir. Beats of the heart, intermittent: Aeon. Bry. Cactus. Chin. Dig. Kalicarb. Natr. mur. Sep. Sulph. - slow: Arn. Dig. - quick: Aeon. Ant. tart. Amm. mur. Ars. Bar. Sabin. Sulph. Zinc. - imperceptible: Bry. Rhus. Verat. alb. - stronger: Acid. mur. Ant. tart. Ars. Aur. Calc. Chin. Dig. Dulc. Hyosc. Phos. Sabin. Spig. Verat. alb. - full: Aeon. Bell. Burning : Carb. veg. Op. Puis. Verat. vir. Contusive pain : Cactus. Natr. mur. Drawing: Canth. Excitement, vascular: Aeon. Cactus. Carb. veg. Glon, Nux vom. Rhus. Sulph. ST. 965 Heart, trembling of: Ars. Bell. Calc. Camph. Cic. Lach. Rhus. Sep. Spig Staph. - throbbing in the region of the: Ars. Bar. Cactus. Calc. Hell. Lyc. Phos. Sep. Sil. Spig. Sulph. Zinc. Humming: Spig. Inflammation: Aeon. Ars. Bry. Cactus. Cocc. Puis. Bhus. Spig. Jerking: Arn. Nuxvom. Plumb. Oppression: Bell. Cactus. Cham. Nux vom. Spig. Palpitation, ■generally: Acid. nit. Acid. phos. Aeon. Alum. Arn. Ars. Aur. Bar. Bell. Bry. Cactus. Calc. Camph. Canth. Carb. veg. Caust. t Cham. Chin. Cocc. Con. Croc. Cupr. Dig. Glon. Graph. Hell. Ign. Iod. Ipec. Kali carb. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Puis. Rhus. Sabin. Sec. corn. Sep. Sil. Spig. Spong. Staph. Sulph. Thuj. Verat. alb. Verat. vir. Zinc. - with anguish: Aeon. Ars. Cactus. Calc. Cham. Chin. Cocc. Dig. Graph. Kali carb. Lyc. Mosch. Natr. mur. Nux vom. Phos. Plat. Plumb. Puis. Sec. corn. Sep. Sil. Sulph. Spig. Thuj. Verat. alb. - without anxiety: Ipec. Sulph. Thuj. Zinc. - audible : Cactus. Dig. Spig. - spasmodic: Sec. corn. - visible: Cactus. Con. Dulc. Graph. Iod. Rhus. Sec. corn. Spig. Sulph. Thuj. Pressure : Aeon. Arn. Ars. Bell. Cac- tus. Canth. Cham. Con. Graph. Kalic. Lyc. Natr. mur. Nuxvom. Puis. Rhus. Spig. Verat. vir. Rush of blood : Aeon. Cactus. Carb. veg. Cham. Ferr. Lyc. Nux vom Phos. Puis. Sep. Sulph. Stitches : Acid. mur. Acid. nit. Arn Aur. Cactus. Calc. Canth. Carb. v Caust. Cham. Chin. Croc. Ign. Nux vom. Petr. Plumb. Rhus. Sep. Spig. Sulph. Zinc. Tearing: Cactus. Canth. Lyc. Weak feeling: Rhus. Weight: Cactus. Croc. Puis. Symptoms of the Chest and Heart, according to situation and cir- cumstances. Aggravated. In the open air: Bry. Caust. Chin, Cocc. Coff. Con. Graph. Ign. Lyc. 966 CHEST. Natr. mur. Nux vom. Rhus. Sep. Spig. Stann. Staph. When ascending: Bell. Graph. Nux vom. Rhus. Sep. Staph. Thuj. Zinc. When breathing : Acid. nit. Aeon. Ant. crud Ant. tart. Arn. Ars. Bry. Calc. Cham. Chin. Cina. Cocc. Dulc. Dros. Graph. Hep. sulph. Hyosc. Lyc. Merc. sol. Natr. mur. Puis. Sep. Spig. Stann. When drawing a long breath: Bry. Calc. Merc, soft Natr. mur. After a cold: Aeon. Bry. Carb. v. Cham. Nux vom. Rhus. In cold air: Aeon. Bry. Carb. veg. Cocc. Rhus. Spong. By contact: Acid.phos. Aeon. Arn. Bar. Bry. Calc. Canth. Carb. veg. Cham. Chin, Cocc. Cupr. Dros. Dulc. Graph. Nux vom. Phos. Plumb. Rhus. Ruta. Sabin. Spig. Staph. Sulph. Verat. alb. After contusions : Arn. Puis. Rhus. Ruta. When coughing: Acid. nit. Acid. phos. Aeon. Alum. Ant. crud. Arn. Ars. Bar. Bry. Calc. Carb. veg. Caust. Cham. Chin. Cina. Coff. Con. Dig. Dros. Ferr. Iod. Kali carb. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Puis. Rhus. Ruta. Sabin. Sep. Sil. Spig. Spong. Stann. Staph Verat. alb. In damp weather: Bry. Carb. veg. Calc. Dulc. Rhus. During digestion: Lyc. After drinking: Arn. Chin. Cocc. Con. Cupr. Nux vom. Verat. alb. By cold drinks: Thuj. ---wine: Ant. crud. Nuxvom. When eating: Arn. Chin. Cocc. Ign. Phos. After eating: Aeon. Ant. crud. Arn. Bry. Canth. Caust. Cham. Chin. Cocc. Con. Ferr. Hyosc. Ign. Lyc. Merc. sol. Nux vom. Phos. Puis. Rhus. Ruta. Sep. Thuj. Verat. alb. By getting warm in bed: Cham. Puis. Rhus. By bodily exertions: Bry. Nuxvom. Rhus. Spong. After expectorating : Stann. Zinc. When falling asleep: Sulph. After a fright: Aeon. Cham. Ign. Op. Between the inspirations: Ign. Merc. sol. Spig. When lifting: Bar. Kalicarb. Lyc. When lying down: Ant. crud. Cactus. Calc. Can.h. Carb. veg. Cham Ferr. Hyosc. Natr. mur. Puis. Rhus Sulph. By mental labor: Ign. Nux vom. Sep. Before the menses: Cupr. Puis Spong. During the menses: Bell. Caust, Cham. Graph. Phos. Puis. During motion: Aeon. Alum. Arn Bell. Bry. Cactus. Calc. Camph. Chin. Con. Dig, Ferr. Graph. Hep. Ign. Iod. Lyc. Mere. sol. Natr. mur. Nuxvom. Phos. Puis. Samb. Sep. Spig. Spong. Stann. Staph. Sulph. Zinc. When moving the arms: Dig. Plumb. Puis. By external pressure: Ant. crud. Bry. Chin. Cina. Nux vom. Ruta. Spong. Staph. When raising one's self: Aeon. Bry. Cic. Dig. Ign, Stann. Staph. When rising from bed: Ant. crud. Plat. Stann. Staph. ---from a seat: Sil. After rising: Nux vom. Puis. Rhus. Spig. When reading: Chin. ---loud: Cocc. Stann. During rest: Acid.phos. Arn. Bell. Cham. Chin. Ferr. Natr. mur. Puis. Rhus. Ruta. Samb. Stann. In the room: Bry. Croc. Puis. Spig. By running: Bry. Cina. Nux vom. Sil. By singing: Stann. When sitting : Bell. Calc. Carb. veg. Chin. Cina. Dros. Dulc. Ferr. Phos. Puis. Rhus. Ruta. Spig. Spong. Stann! Staph. Sulph. Thuj. After sleeping: Aeon. Ambr. Bry. Calc. Chin. Cocc. Ign. Lach. Nux vom. Op. Rheum. By smoking: Cic. Ign. Spong. Staph. When sneezing: Aeon. Bry. Cina. Merc. sol. Sil. By making a wrong step: Bry. Puis. Spig. By stimulants: Nuxvom. Stann. When stopping the breath : Dros. Merc. sol. Spig. When expiring air: Acid.phos. Ant. crud. Ant. tart. Ars. Aur. Bry. Carb veg. Cham. Chin. Cic. Cina. Ign. Iod. Ruta. Sep. Spig. Stann. Staph Zinc. When inspiring air: Acid. phot. Aeon. Arn. Ars. Aur. Bar. Bxj Calc. Camph. Canth. Caust Cham. Chin. Cic. Cocc. Col. Con. Dulc. Hell. Hyosc. Iod. Kali carb. Lyc. Merc. sol. Natr. mur. Phos. Plat. Plumb. Puis. Rhus. Ruta. Sabin. Sep. Sil. Spig. Spong. Stann. Sulph. Verat. alb. Zinc. When drawing a long breath: Aeon. Arn. Bry. Canth. Cina. Dros. Ign. Puis. Rhus. Sabin. Spig. When stooping: Acid. phos. Aeon. Bry. Carb. veg. Chin. Cocc. Col. Dig. Dros. Hell. Ign. Merc. sol. Nux vom. Phos. Puis. Rhus. Sil. Spig. Spong. Stann. Staph. Zinc. When straining: Rhus. When talking: Bry. Canth. Chin. Cocc. Ign. Puis. Rhus. Stann. When talking loud: Acid. mur. Carb. veg. Kali carb. Natr. mur. Stann. By tight clothes: Nuxvom. Spong. When waking: Ant, crud. Arn. Dig. Euphr. Ign. Nuxvom. Puis. Rhus. When walking: Aeon. Arn. Bry. Cactus. Camph. Chin. Cic. Cocc. Ferr. Ign. Nux vom. Ruta. Spig. Spong. Staph. Verat. alb. After walking: Puis. Rhus. When walking in the open air: Bry. Chin. Coff. Nuxvom. Rhus. Spig. Spong. Staph. After walking in the open air: Ferr. Nux vom. Rhus. When walking fast: Chin. Spig. When ■writing: Chin. Cocc. Relieved. In the open air: Bry. Natr. mur. Puis. XXIH. Scapula (Shoulder-blades). Boils : Amm. mur. Led. Burning: Aeon. Bar. Carb. veg. Iod. Lyc. Sep. Sil. Sulph. Verat. alb. Chilliness : Alum. Ars. Rhus. Contraction : Chin. Lach. Lyc. Rhus. Viol. tr. Crampy feeling : Bar. Bell. Kali carb. Merc. sol. Rhus. Cutting: Acid, sulph. Calc. Rhus. Dislocation-pain : Acid. mur. Chin. Col. Petr. Plumb. Rhus. Eruptions: Bell. Bry. Caust. Graph. ck. 967 By warm air : Carb. veg. By bending back: Aeon. Cann. Nux vom. Puis. By drawing a long breath: Dig. Stann. After drinking: Bry. Ferr. After eating : Bry. Rhus. After eructations: Canth. Carb. veg. Kali carb. Lyc. Nux vom. Petr. Sep. Zinc. By friction: Calc. When lying down: Alum. Bry. Canth. Iod..Nuxvom. Zinc. ---on one side : Alum. ---on the back: Arn. Bry. Ign, Puis. ---on the painful side: Arn. Bry. Cham. Ign. Nuxvom. Puis. ---on the painless side: Ign. Nux vom. By motion: Acid.phos. Arn. Cham. Cina. Dros. Puis. Rhus. Sep. By pressure externally: Bry. Chin. Cina. Dros. Ign. Puis. Verat, alb. During rest: Arn. Bry. Chin. Nux . vom. Sabin. Staph. By rising: Canth. Dulc. Nux vom. Puis. Rhus. In the room : Bry. Cham. Nux vom. Puis. By sitting up: Alum. Chin. Dig. Puis. Spig. ■When sitting: Alum. Bry. Nuxvom. When standing: Chin. Cic. Ruta. By stooping: Chin. Ign. After sweat: Canth. Cham. Nux vom. Puis. When walking: Chin. Cic. Dros. Ferr. Mosch. Plumb. Puis. Rhus. Ruta. Staph. BACK. Hep. sulph. Lyc. Merc. sol. Phos. Sep. Squilla. Gnawing: Acid. phos. Alum. Merc. sol. Heat: Acid.mur. Puis. Itching: Amm. mur. Arn. Bell. Merc. sol. Spig. Sulph. Pain, bruised: Bar. Chin. Hell. Kali c. Merc. sol. Natr. mur. Nuxvom. Sulph. Thuj. Pressure: Arn. Bell. Bry. Calc. Caust. Chin. Sil. Stann, Sulph Zinc. Rigidity: Bell. Caust. Led Stitches: Acid. mur. Alum Amm. mur. 968 BACK. Bry. Be.1. Canth. Caust. Cocc. Colch. Dulc. Ferr. Hep. Kali carb. Lach. Natr. mur. Nux vom. Plumb. Puis. Samb. Spig. Stann. Thuj. Tearing and drawing: Alum. Aur. Calc. carb. Carb. veg. Caust. Cham. Dulc. Lach. Phos. Rhus. Sep. Tension: Alum. Bar. Col. Colch. Kali carb. Kreos. Rhus. Sep. Sil. Sulph. Throbbing: Bar. Kali carb. Merc. sol. Phos. Tingling: Dulc. Sil. Twitching : Calc. Phos. Rhus. Squilla. Back. As if something alive : Plumb. Boring : Aeon. Cocc. Spig. Thuj. Burning: Acid.nit. Aeon. Arn. Ars. Bar. Carb. veg. Lyc. Merc. sol. Nux vom. Phos. Plat. Sep. Sil. Sulph. Verat. alb. Chill: Bell. Calc. Dulc. Lach. Lyc. Nux vom. Phos. Rhus. Sep. Sil. Stann. Sulph. Cold feeling: Acid. mur. Carb. veg. Con. Crampy feeling: Carb. veg. Euphr. Puis. Crawling: Aeon. Bell. Graph. Sec. corn. Curvature of the spine: Calc. Lyc. Merc. sol. Rhus. Sil. Staph. Sulph. Cutting: Calc. Sep. Sil. Digging: Aeon. Sep. Dislocation-pain: Arn. Calc. Cocc. Rhus. Sulph. Eruptions : Ant. crud. Bar. Bell. Calc. Carb. veg. Caust. Cocc. Graph. Led. Merc. sol. Natr. mur. Puis. Rhus. Sil. Sep. Sulph. Heat: Acid. phos. Con. Merc. sol. Natr. mur. Puis. Sulph. Itching: Acid.nit, Alum. Amm. mur. Bar. Calc. Caust. Kali carb. Lyc. Merc. sol. Natr. mur. Phos. Sil. Sulph. Thuj. Jerks: Calc. Staph. Lameness: Arn. Bry. Cocc. Dulc. Natr. mur. Phos. Rhus. Staph. Sulph. Muscles, twitching of: Carb. veg. Pain, as if bruised: Alum. Amm. mur. Arn. Ars. Bry. Chin. Dros. Lach. Merc. sol. Natr. mur. Nux vom. Rhus. Ruta. Stann. Staph. Stram. Verat. alb. - simple: Alum. Ars. Aur. Calc. Hyosc. Kreos. Lyc. Hep. Lach. Natr. mur. Nuxvom. Op. Petr. Sep. Sil. Sulph. Verat. alb. Pressure: Aeon. Arn. Bell. Calc. Carb. veg. Caust. Cocc. Dulc. Graph. Kali carb. Lyc. Natr. mur. Nuxvom. Puis. Rhus. Sep. Stann. Staph. Zinc. As if gone to sleep: Merc. sol. Phos. Shuddering: Bell. Canth. Cocc. Colch. Graph. Lach. Led. Natr. mur. Nut vom. Puis. Rhus. Staph. Sulph. Thuj. Spots: Sep. Carb. veg. Stiffness: Alum. Bry. Carb. veg. Caust. Dulc. Kali carb. Led. Nux vom. Petr. Puis. Rhus. Sep. Sulph. Stitches: Aeon. Ant. crud. Arn. Bry. Calc. Caust. Chin. Colch. Con. Dulc. Kali carb. Lach. Plat. Puis. Rhus. Sil. Spig. Sweat: Chin. Ipec. Lyc. Nux vom. Phos. Puis. Sep. Stram. Sulph. Tearing and drawing: Aeon. Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust, Cina. Cham. Cocc. Ferr. Hep. Kalicarb. Lach. Led. Lyc. Natr. m. Nux vom. Op. Phos. Puis. Rhus Sep. Sil. Stann. Strain. Sulph. Tension: Amm. mur. Bell. Con. Hep. Mosch. Natr. mur. Sulph. Zinc. Throbbing: Bar. Bell. Lyc. Phos. Puis. Trembling: Coff. Merc. sol. Weakness: Acid.nit. Arn. Carb. v. Lach. Lyc Nux vom. Petr. Phos. Plat. Puis. Sep. Sec. corn. Sulph. Small of the Back. Boring: Aeon. Burning : Acid. mur. Aeon. Nux vom. Phos. Rhus. Sep. Thuj. Chilliness: Lach. Lyc. Puis. Sabin. Coldness : Carb. veg. Spong. - feeling of: Hell. Contusive pain: Arn. Ruta. Cracking: Sulph. Zinc. Crawling: Alum. Sulph. Crampy feeling: Bry. Caust. Chin, Nux vom. Cutting : Bell. Canth. Natr. mur. Puis Zinc. Eruptions: Calc. Natr. mur. Sep Sulph. Thuj. Gnawing: Amm. carb. Canth. Phos. Sulph. Itching: Carb. veg. Caust. Kalicarb, Merc. sol. Natr. mur. Sulph. Lameness: Cocc. Dulc. Lach. Natr. m Nuxvom. Sil. Numb feeling: Carb. veg. Plat, Spong. Pain, as if dislocated: Arn. Rhus Sulph. STOOL AN Pain, as if sore: Acid, sulph. Caust, Natr. mur. ---bruised: Aeon. Amm. mur. Arn. Aur. Bry. Caust. Cham. Cina. Graph. Ign. Lach. Nux mosch. Nux vom. Plat. Rhus. Ruta. Sulph. Thuj. Verat. alb. - simple: Aeon. Amm. mur. Arn. Bar. Bry. Calc. Kali carb. Ign. Led. Lyc. Nuxvom. Puis. Petr. Rhus. Ruta. Sep. Sulph. Zinc. Pressure : Aeon. Bry. Carb. veg. Caust. Graph. Lach. Lyc. Mosch. Puis. Rhus. Sep. Spong. Staph. Sulph. Verat. alb. Pulsations : Caust. Natr. mur. Spasmodic pain: Bell. Cocc, Sil. Sulph. Stiffness: Aeon. Amm.mur. Bar. Bell. Bry. Carb. veg. Caust. Kali carb. Lach. Lyc. Puis. Rhus. Sil. Sulph. Character of Stool. Acrid: Ars. Bry. Cham. Lach. Merc. sol. Puis. Rheum. Verat. alb. Ash-colored: Dig. Rheum. Bilious: Ars. Cham. Chin. Dulc. Ipec. Merc. sol. Nux vom. Puis. Sulph. Verat. alb. Black: Ars. Calc. Camph. Chin. Cupr. Hep. Merc. sol. Op. Squilla. Stram. Verat. alb. Bloody : Acid.nit. Ant. crud. Ant. tart. Apis. Arn. Ars. Bry. Canth. Carb. v. Chin. Cupr. Dulc. Ipec. Lyc. Merc. corr. Merc. sol. Nux mosch. Nux vom. Phos. Puis. Rhus. Sep. Sil. Verat. alb. Brown: Arn. Bry. Chin. Merc. corr. Merc. sol. Podoph. Rheum. Sec. corn. Squilla. Sulph. Verat. alb. Bright-colored : Carb. veg. Caust. Burning: Ars. Lach. Merc. corr. Merc. sol. Cadaverous smell: Ars. Carb. veg. Lach. Clayey: Calc. Constipated: Aeon. Amm. mur. Arn. Aur. Bar. Bell. Bry. Cactus. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cina. Cocc. Col. Con. Ferr. Gelsem. Graph. Lach. Lyc. Merc. corr. Merc. sol. Mosch. Natr. mur. Nux vom. Op. Plat. Plumb. Puis. Rhus. Sep. Sil, Staph. Stram. Sulph. Thuj. Verat. alb. Zinc. D ANUS. 969 Stitches. Aeon. Ant. tart. Arn. Bell Bry. Can:h. Carb. veg. Caust. Chin. Cocc. Con. Graph. Ign. Iod. Lach. Lyc. Natr. mur. Nux vom. Puis. Rhus. Sep. Sil. Thuj. Tearing and drawing: Alum. Ars. Bar. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cocc. Hep. Kalicarb. Kreos. Lach. Lyc. Natr. m Nux vom. Rhus. Sep. Sil. Spong. Stann. Stram. Tension: Acid. nit. Aeon. Bar. Carb. veg. Caust. Nuxvom. Sil. Thuj. Throbbing: Graph. Ign. Nux vom. Natr. mur. Sep. Twitching: Calc. Caust. Chin. Con. Puis. Staph. Weakness: Ars. Bell. Cooc. Lach. Merc. sol. Natr. mur. Nux vom. Phos. Puis. Sep. . AND ANUS. Diarrhceic: Acid. nit. Acid. phos. Aeon. Amm. mur. Ant. crud. Ant. tart. Apis. Ars. Bell. Bry. Calc. Carb. veg. Cham. Chin. Col. Cic. Cocc. Coff. Cupr. Dulc. Ferr. Graph. Hep. Hell. Hyosc. Ign. Ipec. Lach. Lyc. Merc. sol. Natr. mur. Nux mosch. Nux vom. Op. Petr. Phos. Podoph. Puis. Rheum. Rhus. Sec. corn. Sep. Spig. Spong. Squilla. Stann. Staph. Stram. Sulph. Verat. alb. Zinc. Diarrhoea, from cold: Bell. Bry. Cham. Dulc. Merc. sol. Nuxvom. Puis. Rhus. Sulph. - after eating: Ars. Chin. Col. Lach. - after getting heated : Bry. Nux vom. - in damp weather: Bry. Dulc. Rhus. - after a fright: Aeon. Gelsem. Op. Verat. alb. - after a fit of joy: Coff. Op. - with vomiting: Ant. tart. Ars. Cupr. Ipec. Nuxvom. Phos. Rheum. Verat. alb. - after eating fruit: Ars. Chin. Puis. - after drinking milk: Bry. Lyc. Sulph. - after a cold drink: Ars. Bry. Carb. veg. Puis. - after drinking: Ars. Nuxvom. - of children: Aeon. Cham. Ipec, Merc. sol. Podoph. Rheum. Sulph. - chronic : Acid. nit. Acid. phos. Ars. Calc. Canth. Chin. Graph. Ipec. Phos Rhus. Sulph. - nocturnal: Ars. Bry, Cham. Chin, XXIV. STOOI 970 STOOL AND ANUS. Dulc. Kali carb. Merc. sol. Phosph. Puis. Rhus. Sulph. Verat. alb. Diarrhoea, dysenteric: Apis. Ars. Carb. veg. Col. Cham. Colch. Merc. sol. Nux vom. Op. Podoph. Puis. Rhus. Sulph. Verat. alb. - frothy: Calc. Chin. Rheum. Rhus. Sulph. - painless: Ars. Carb. veg. Cham. Chin. Ferr. Hyosc. Lyc. Op. Phos. Sec. corn. Sulph. - watery: Ant. crud. Ant. tart. Ars. Calc. Cham. Chin. Cupr. Ferr. Hell. Hyosc. Ipec. Merc. corr. Natr. mur. Nux vom. Petr. Phos. Puis. Rhus. Sec. corn. Sulph. Verat. alb. - spirting: Ars. Merc. sol. Nux vom. Sulph. Difficult: Amm. mur. Ant. crud. Arn. Bar. Bry. Canth. Carb. veg. Chin. Cocc. Graph. Hep. Ign. Kali carb. Lyc. Natr. mur. Nux mosch. Nux vom. Petr. Phos. Plat. Puis. Ruta. Sil. Staph. Sulph. Thuj. Fermented : Cham. Ipec. Rheum. Fetid: Acid. nit. Apis. Ars. Bry. Calc. Carb. veg. Chin. Lach. Merc. sol. Podoph. Puis. Sil. Sulph. Grayish : Acid. phos. Dig. Merc. sol. Rheum. Greenish : Amm. mur. Apis. Ars. Aur. Bell. Cham. Cupr. Dulc. Ipec. Lob. inf. Merc. sol. Phos. Podoph. Puis. Stann. Sulph. Hard: Acid, sulph. Amm. mur. Amm. c. Ant. crud. Aur. Bar. Bell. Bry. Cactus. Calc. Carb. veg. Caust. Cham. Cina. Cocc. Con. Graph. Hyosc. Hep. Ign. Kalicarb. Lyc. Merc. s. Natr. mur. Nux vom. Op. Petr. Phos. Phytolac. Plumb. Puis. Rheum. Rhus. Ruta. Sec. corn. Sep. Sil. Spong. Stann. Staph. Sulph. Thuj. Hard and loose alternately : Ant. c. Ars. Iod. Nuxvom. Insufficient: Alum. Arn. Ars. Calc. Chin. Hep. sulph. Kali carb. Lach. Lyc. Natr. mur. Nux vom. Sep. Sil. Sulph. Involuntary: Acid. phos. Bell. Calc. Chin. Hyosc. Lach. Natr. mur. Nux vom. Op. Phos. Rhus. Sec. com. Sulph. Verat. alb. Loose : Apis. Ant. crud. Canth. Chin. Eupat. perf. Ign. Merc. sol. Nux mosch. Puis. Rheum. Sep. Sulph. Lumpy: Alum. Bar. Bell. Graph. Lach. Nux vom. Op. Plumb. Sil. Sulph. Thuj. Papescent: Acid. phos. Ant. crud. Ant. tart. Arn. Bell. Chin. Gelsem Lach. Podoph. Puis. Rheum. Sil Sulph. Pitch, like: Hep. sulph. Lach. Merc. sol. Purulent: Am. Canth. Iod. Lach Merc. sol. Sulph. Slimy: Amm. mur. Ant. crud. Arn. Ars. Bell. Canth. Cham. Carb. veg. Chin. Col. Colch. Dulc. Graph. Hell. Hyosc. Kali carb. Ipec. Merc. corr. Merc. sol. Natr. mur. Nuxvom. Phos. Phytolac. Puis. Rheum. Rhus. Ruta. Sec. corn. Staph. Sulph. Verat. alb. Smarting: Merc. sol. Puis. Rheum. Smelling sour: Calc. Cham. Dulc. Hep. sulph. Podoph. Rheum. Soft: Acid. nit. Acid. phos. Aeon. Amm. mur. Ant. crud. Bry. Calc. Carb. veg. Chin. Cocc. Con. Dulc. Gelsem. Graph. Kali carb. Lob. inf. Natr. mur. Phos. Podoph. Puis. Sep. Sulph. Verat. alb. Viol. tr. Zinc. Stirred eggs, like : Cham. Chin. Merc. sol. Nux mosch. Puis. Rhus, Sulph. Viol. tr. Tenacious: Ars. Caust. Hell. Kalic. Lach. Merc. sol. Plumb. Zinc. Undigested: Acid. nit. Acid. phos. Ant, crud, Arn. Ars. Bry. Cham Chin. Ferr. Lach. Merc. sol. Phos Sulph. Verat. alb. Whitish: Aeon. Ars. Caust. Cham. Chin. Colch. Dig. Iod. Merc. sol. Nux vom. Plumb. Phos. Puis. Rhus. Rheum. Sec. corn. Spong. Sulph. Verat. alb. With •worms: Aeon. Calc. Cham. Chin. Cina. Graph. Merc. sol. Nux vom. Spig. Sulph. Yellowish: Apis. Ars. Calc. Cham. Chin. Col Cocc. Dulc. Gelsem. Merc. sol. Petr. Phos. Podoph. Puis. Rhus. Verat. alb. Accompanying Ailments. Before Stool. Back-ache: Verat. alb. Colic: Amm. carb. Amm. mur. Ant tart. Ars. Bry. Canth. Chin. Croc. Dig. Kali carb. Ign. Merc. sol. Nux vom. Petr. Puis. Rheum. Rhus. Stann. Staph. Sulph. Verat. alb. Chilliness: Merc. sol. Nux vom. Verat. alb. Flatulence, distress from: Acid.phos, Amm. mur. Arn. Calc. Carb. veg. Dulc Ferr. Phos. Puis. Spig. Stront. STOOL an: Heat: Apis Men. sol. Thos Nausea: Aeon. Rhus. Verat. alb. Pains in the anus: Apis. Colch. Kali carb. Lach. Merc. corr. Phos. Plat. Rectum, pain in: Nux vom. Puis. Rhus. Small of back, pain in : Dulc. Sulph. Rush of blood to the head: Op. Screaming of children: Cham. Rheum. Rhus. Sweat: Aeon. Bell. Urging to stool: Apis. Cocc. Con. Lach. Merc. corr. Merc. sol. Rheum. Rhus. Sil. Staph. Thuj. Verat. alb. Vomiting : Ant. tart. Apis. Verat. alb. During Stool. Back-ache : Puis. Chilliness: Verat. alb. Colic : Amm. carb. Amm. mur. Ant. c. Arn. Ars. Bry. Canth. Carb. veg. Cham. Cupr. Dulc. Dros. Ferr. Graph. Hep. Ign. Ipec. Merc. corr. Merc. s. Natr. mur. Nux vom. Phos. Plumb. Podoph. Puis. Rheum. Rhus. Sep. Spig. Sulph. Verat, alb. Drowsiness: Nux mosch. Heat: Rhus. Sulph. Labor-like pain: Op. Sec. corn. Nausea: Acid. nit. Ant. tart. Apis. Ars. Cupr. Hell. Merc. sol. Sulph. Verat. alb. Palpitation of heart: Acid. nit. Ant. tart. Rectum, pain in: Calc. Merc. corr. Merc. sol. Nuxvom. Puis. Sabin. Sulph. Verat. alb. - falling of: Ars. Calc. Gelsem. Ign. Merc. sol. Nux vom. Podoph. Puis. Ruta. Sep. Sulph. Rumbling in bowels: Acid. phos. Acid sulph. Ars. Calc. Lyc. Phos. Rush of blood to the head: Rhus. Shuddering : Acid. nit. Bell. Rheum. Verat. alb. Sweat: Bell. Mere sol. Stram. Verat. alb. Tenesmus: Aeon. Apis. Ars. Colch. Merc. corr. Merc. sol. Nux vom. Op. Podoph. Rhus. Rheum. Sulph. Verat. alb. Thirst: Ars. Cham. Chin. Varices, protrusion of: Meic. sol. Nuxvom. Podoph. Sulph. Vertigo: Cham. Verat. alb. Vomiting: Ant. tart. Ars. Cupr. Ipec. Rheum. Sulph. Verat. alb. Weakness, feeling of: Chin. Verat. alb. D ANUS 971 After Stool. Anxiety: Caust. As if bruised: Calc. Chilliness: Canth. Puis. Colic: Amm. mur. Carb. veg. Con Dros Dulc. Iod. Lyc. Nuxvom, Natr. mur Op. Phos. Puis. Rheum. Stann. Sulph. Verat. alb. Congestion of the head: Lach. Drowsiness: Nux mosch. Eructations: Bar. Merc. sol. Flatulence, discharge of: Calc. Carb. veg. Hep. Lyc. Nux vom. Phos. Puis. Sulph. Thuj. Languor: Arn. Ars. Bry. Calc. Chin Col. Cupr. Ferr. Hyosc.. Ipec. Lach, Lyc. Phos. Podoph. Puis. Sec. corn. Verat. alb. Mucus, discharge of: Merc. sol. Phos. Stann. Sulph. Nausea: Aeon. Caust, Verat. alb. Small of back, pain in : Puis. Palpitation of the heart: Caust Con. Rectum, pressure in: Hell. Ign. Podoph. - pain in: Cham. Merc. corr. Nux vom. - constriction of: Nuxvom. - prolapsus of: Ign. Merc. sol. Podoph. Sweat: Aeon. Caust. Tenesmus : Ipec. Merc. corr. Merc sol. Phos. Rheum. Rhus. Sulph. Staph. Thirst: Ars. Caps. Merc. corr. Vomiting : Verat. alb. Anus and Rectum. Bleeding between stools: Alum Ant. crud. Carb. veg. Merc. sol. Phos. Puis. Sabin. Sep. Sulph. Burning in the anus: Amm. mur. Ant. tart. Apis. Ars. Bar. Bry. Carb veg. Chin. Cocc. Col. Graph. Iod. Ipec. Kali carb. Merc. corr. Merc= sol. Natr. mur. Nux vom. Phos. Phytolac. Puis. Sep. Sulph. Verat. alb. - in the rectum: Acid. mur. Acid. nit. Alum. Apis. Ars. Aur. Calc. Chin. Con. Lyc. Natr. mur. Petr. Phos. Puis. Sep. Sulph. Verat. alb. Contraction in anus: Acid. nit. Alum. Cocc. Graph. Ign. Nux vom. Plumb. Sec. corn. Sep. Sulph. - in rectum: Amm. mur. Bell. Calc. Chin. Col. Ferr. Ign. Nuxvom. Phos, Sep. Thuj. Creeping : Calc. Colch. Croc. Kali e. Nuxvom. Plat. Rhus. Sep. Zinc. 972 STOOL AND ANUS. Cutting in anus: Ars.Chin. Caust. Kali carb. Lyc. Nux v. Phos. Staph. Sulph. — in rectum: Canth. Caust, Chin. Lyc. Nuxvom. Phos. Sep. Sulph. Excoriation in anus: Alum. Amm. carb. Ars. Graph. Hep. sulph. Merc. sol. Nux vom. Phos. Puis. Verat. alb. - in rectum: Acid. phos. Camph. Natr. mur. Phos. Phytolac. Puis. Figwarts: Acid. nit. Sabin. Thuj. Fistula: Calc. Caust. Petr. Sil. Sulph. Gnawing : Merc. sol. Phos. Itching in anus: Acid, nit. Aeon. Alum. Ant. crud. Bar. Bell. Bry. Calc. Carb. veg. Caust. Chin. Cina. Ign. Kalicarb. Lyc. Merc. sol. Nuxvom. Op. Phos. Tlat, Rhus. Sep. Sil. Stann. Staph. Sulph. Thuj. Zinc. - in rectum : Acid. nit. Aeon. Bell. Cina. Chin. Ferr. Ign. Nux vom. Ruta. Sep. Sil. Spig. Stann. Sulph. Mucus, discharge of, between stools : Ant. crud. Chin. Colch. Hell. Graph. Merc. sol. Phos. Puis. Rhus. Sep. Spig. Sulph. Pinching: Merc. sol. Natr. mur. Pressure in anus: Acid, nit. Aeon. Bar. Cactus. Calc. Nuxvom. Petr. Phos. Podoph. Puis. Staph. Sulph. - in rectum: Acid. nit. Arn. Bell. Chin. Kali carb. Lyc. Nux vom. Op. Phos. Podoph. Stann. Sulph. Prolapsus of rectum : Ant. crud. Ars. Bry. Colch. Dulc. Ign. Lach. Merc. sol. Natr. mur. Nux vom. Podoph. Ruta. Sep. Sulph. Soreness: Acid. nit. Ars. Caust. Graph. Hep. sulph. Merc. sol. Phos. Phytolac. Sep. Sulph. pain as of: Amm. carb. Ars. Caust. Graph. Hep. sulph. Ign. Natr. mur. Nux vom. Phos. Phytolac. Puis. Sep. Spong. Sulph. Verat, alb. Spasm in anus: Colch. Lach. - in rectum: Calc. Caust. Chin. Colch. Lach. Lyc. Stitches in anus: Aeon. Ars. Bry. Canth. Carb. veg. Chin. Con. Croc. Graph. Ign. Ipec. Kali carb. Lyc. Natr. mur. Nux vom. Phos. Plat. Sep. SiL Sulph. - in rectum : Alum. Ant. tart. Bell. Caust. Chin. Graph. Ign. Lyc. Natr. mur. Nux vom. Phos. Vuls.Rula.Sep. Sil. Sulph. Swelling : Camph. Graph. Hep. sulph. Ign. Nux vom. Tearing in the anus: Colch. Kalicarb. Nuxvom. Phos. Sep. Thuj. - in rectum: Carb. veg. Chin. Lyc. «».alj car i. Nux vom. Phos. Ruta. Tenesmus: Acid. nit. Aeon. Arn. Ars. Bell. Calc. Canth. Colch. Ipec. Merc. con. Merc. sol. Nux vom. Phos. Plat. Rheum. Rhus. Ruta. Sep. Staph. Sulph. Verat. alb. Zinc. Throbbing: Lach. Natr. mur. Torpor: Alum. Carb. veg. Chin. Ign. Kalicarb. Lyc. Natr. mur. Nux vom- Op. Ruta. Sep. Staph. Thuj. Verat, alb. Zinc. Ulcers: Caust. Phytolac. Urging to stool: Alum. Arn. Ars. Bar. Bell. Calc. Camph. Canth. Carb. veg. Caust. Cocc. Colch. Col. Con. Ferr. Graph. Hep. sulph. Hyosc. Lach. Lyc. Merc. sol. Natr. mur. Nuxvom. Petr. Phos. Podoph. Puis. Rheum. Rhus. Ruta. Sep. Sil. Staph. Sulph. Thuj. Verat. alb. - with emission of flatulence: Carb. v. Lach. - with falling of rectum: Ars. Merc. sol. Podoph. Sulph. - ineffectual: Aeon. Arn. Bell. Calc. Carb. veg. Caust. Colch. Con. Graph. Ign. Lach. Lyc. Merc. sol. Natr. m. Nux vom. Phos. Plumb. Puis. Rheum. Rhus. Ruta. Sep. Sil. S^ig. Stann. Staph. Stram. Sulph. Thuj. Verat. alb. Piles: Acid. mur. Acid. nit. Acid, sulph. Amm. mur. Ant. crud. Ant. tart. Ars. Bar. Bell. Cactus. Calc. Carb. v. Caust. Col. Ferr. Graph. Hell. Ign. Lach. Lyc. Merc. sol. Nalr. mur. Nux vom. Podoph. Phos. Plumb. Puis. Rhus. Sep. Sulph. Thuj. Verat. alb. - protruding: Calc. Caust, Ferr. Graph. Merc. sol. Nuxvom. Puis. Sep. Sulph. Thuj. - blind: Ars. Cham. Ign. Nux vom. Puis. Sulph. Verat. alb. - bleeding: Aeon, Amm. mur. Ant. crud. Bell. Calc. Carb. veg. Chin. Cupr. Ferr. Ipec. Ign. Merc. sol. Nuxvom, Phos. Puis. Sabin. Sep. Stram. Sulph. - burning: Acid.nit. Acid, sulph. Ant. crud. Ars. Calc. Graph. - inflamed: Aeon. Ars. Nux vom. Sulph. - swollen: Alum. Calc. Carb. veg. Graph. Nuxvom. Podoph. Puis. - ulcerated: Nuxvom. Puis. Sulph. - itching: Aeon. Graph. Phos. Sulph. - humid: Sulph. - stinging: Apis. Ars. Bar. Caust. Puis. - suppressed flow of Carb. veg Nux vom. Sulph. URINE AND URINARY ORGANS. 973 XXV. URINE AND Urine. Quality. Acrid: Ant. tart. Arn. Calc. Canth. Caust. Graph. Hep. Iod. Kali carb. Merc. sol. Natr. mur. Rhus. Thuj. Verat. alb. Ammoniacal: Acid. nit. Amm. carb. Amm. mur. Carb. veg. Iod. Mosch. Petr. Phos. Bloody: Aeon. Ant. tart. Arn. Ars. Calc. Canth. Carb. veg. Chin, Col. Con. Hep. Ipec. Lyc. Merc. sol. Nux vom. Op. Phos. Puis. Sec. corn. Sep. Squilla. Sulph, Zinc. Brown: Acid.nit. Aeon. Arn. Ars. Bell. Bry. Calc. Caust, Colch. Dig. Eupat. perf. Merc. sol. Petr. Phos. Puis. Rheum. Sep. Sulph. Burning: Aeon. Ars. Camph. Canth. Dig. Hep. sulph. Merc. sol. Phos. Staph. Verat. alb. Blackish: Colch. Clear: Amm. mur. Euphr. Hyosc. Lach. Squilla. Stram. Copious: Acid. mur. Acid.nit. Acid. phos. Aeon. Alum. Amm. mur. Apis. Arn. Ars. Bar. Bell. Bry. Cactus. Canth. Carb. veg. Cic. Cimicif. Col. Dig. Euphr. Hyosc. Ign. Kreas. Led. Lob. inf. Lyc. Merc. sol. Petr. Phos. Phytolac Puis. Rhus. Sabin. Spig. Squilla. Staph. Sulph. Thuj. Verat. alb. Viol. tr. Dark: Aeon. Ant. tart. Arn. Bell. Bry. Carb. veg. Chin. Colch. Dig. Eupat. perf. Hell. Hep. Ipec. Lach. Lyc. Merc. sol. Op. Phos. Phytolac. Rhus. Sep. Staph Sulph. Verat. alb. Diminished: Acid. nit. Aeon. Amm mur. Ant. tart. Apis. Arn. Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust Cham. Chin. Cocc. Coff. Colch. Con. Cupr. Dig. Dulc. Graph. Hell. Hep. Hyosc. Iod. Ipec. Kalicarb. Led. Lyc. Merc. corr. Merc. sol. Nux mosch Nux vom. Op. Petr. Phos. Plumb. Puis. Ruta. Sec. corn. Squilla. Stann. Staph. Stram. Sulph. Verat. alb. Like flour: Calc. Graph. Natr. mur. Frothy: Lach. Lyc. Greenish : Ars. Camph. Iod. Kali carb. Rheum. Ruta Verat. alb. Hot: Aeon. Ars. Bry. Canth. Cham, Colch. Dulc. Hep. sulph. Lach. Light-yellow : Chin. Sec. corn. URINARY ORGANS. Little at a time : Aeon. Bell. Canth, Caust. Colch. Dig. Hell. Hyosc. Iod Led. Merc. sol. Nux vom. Op. Petr Phos. Puis. Rhus. Ruta. Sil. Staph. Sulph. Verat. alb. Loam-colored: Canth. Ign. Sep Sulph. Zinc. Milky: Acid. phos. Aur. Carb. veg. Dulc. Iod. Opalescent: Iod. Phos. Puis. Pale: Acid.phos. Acid, sulph. Alum. Apis. Arn. Aur. Bell. Cactus. Canth, Chin. Cimicif. Cocc. Colch. Col. Con. Dig. Gelsem. Hep. Ign. Iod. Lach. Nux vom. Phos. Puis. Rhus. Sec. corn. Staph. Stram. Sulph. Zinc, Purulent: Canth. Clem. Lyc. Nuxvom. Sabin. Sep. Red: Aeon. Ant. crud. Ant. tart. Apis. Arn. Bell. Bry. Calc. Camph. Canth. Carb. veg. Chin. Colch. Col. Con. Dig. Hep. sulph. Ipec. Merc. sol. Nux vom. Op. Phos. Plumb. Puis. Rheum. Sep. Sil. Squilla. Staph. Sulph. Sedimentous : Acid. nit. Acid. phos. Acid, sulph Aeon. Alum. Ant. crud. Arn. Ars. Aur. Bar. Bry. Cactus. Calc. Camph. Canth. Carb. veg. Caust. Cham. Chin. Cic. Colch. Col. Con Dulc. Eupat.perf. Graph. Hep. Hyosc. Iod. Ipec. Kalicarb. Kreas. Lach. Lyc. Merc. sol. Natr. mur. Nux mosch. Petr. Phos. Phytolac. Puis. Rhus. Ruta. Sep. Sil. Spong. Squilla. Sulph. Thuj Zinc. Smelling like cat's urine: Viol. tr. - like garlic : Phos. - sour: Calc. Graph. Merc. sol. Natr. mur. - pungent: Merc. sol. — like sulphur: Ptios. — foul: Acid.nit. Acid.phos. Carb. veg. Dulc. Merc. sol. Puis. Sulph. Viol. tr. - like violets: Nuxmosch. Tenacious: Acid. phos. Canth. Cupr. Dulc. Kreas. Thick: Acid, sulph. Camph. Con. Dulc. Iod. Nuxvom. Plumb. Turbid: Acid. nit. Acid, sulph. Ant. tart. Ars. Aur. Bell. Canth. Chin Cina. Colch. Col. Con. Dig. Dulc. Hep. Ign. Iod. Lach. Lyc. Merc. sol. Mosch. Phos. Plumb. Puis. Rhus. Sep. Sulph. Verat. alb. Zinc. - becoming: Acid. phos. Arn. Bry Caust. Cham. Cina. Con. Dig. Graph BINARY ORGANS. 974 URINE AND UI Hep. sulph. Iod. Merc. sol. Petr. Rhus. Sep. Sulph. Thuj. Whitish: Acid.phos. Arn. Aur. Carb. veg. Cina. Con. Iod. Merc. sol. Phos. Rhus. Sulph Whitish-yellow: Amm. mur. Phos. Yellow: Ant. crud. Arn. Ars. Bell. Bry. Canth. Cham. Chin. Hyosc. Iod. Ipec. Lach. Led. Petr. Rheum. Samb. Verat. alb. Zinc. Sediment. Sediment, bloody: Acid. phos. Acid, sulph. Aeon. Calc. Canth. Col. Dulc. Lyc. Merc. sol. Puis. Sep. Zinc. - brown: Lach. thick: Camph. Merc, sol. Sec. corn. Spong. Sulph. - dark: Iod. -purulent: Canth: Con. Lyc. Puis. Sep. - fibrous: Canth. Cham. Merc. sol. Zinc. - flocculent: Acid. nit. Cham. Merc. sol. - gelatinous: Puis. - yellow: Acid, sulph. Amm. mur. Bry. Cham. Chin. Cupr. Lyc. Phos. Spong. Sulph. Zinc. - of yellow sand: Sil. - gray : Ant, tart. Con. Spong. - gravelly: Acid, nit. Ant. crud. Calc. Canth. Chin. Lach. Lyc. Natr. mur. Nux mosch. Nuxvom. Op. Phos. Puis. Ruta. Sep. Sil. Thuj. Zinc. - clayey: Acid, sulph. Amm.mur. Kali. carb. Sep. Sulph. Zinc. - floury: Acid. phos. Ant. tart. Calc. Graph. Merc. sol. Hyosc. Natr. mur. - reddish : Acid. nit. Aeon. Amm. mur. Ant. crud. Arn. Bell. Cactus. Canth. Chin. Col. Con. Dulc. Graph. Iod. Ipec. Kalicarb. Lach. Lyc. Natr. m. Op. Petr. Phos. Phytolac. Puis. Sec. corn. Sep. Sil. Squilla. Thuj. - like red sand: Acid. nit. Cactus. Lyc. Natr. mur. Sep. Sil. - slimy: Ant crud. Ars. Aur. Bry. Calc. Carb. veg. Caust. Chin. Cina. Col. Con. Dulc. Hep. Ipec. Merc. sol. Natr. mur. Nux vom. Phos. Puis. Rheum. Sulph. - whitish: Amm. mur. Bar. Bell. Calc. Canth. Colch. Col. Con. Dulc. Eupat. perf. Graph. Hep. Ign. Petr. Phos. Puis. Rhus. Sep. Spig. Spong. Sulph. Zinc. - whitish-turbid: Con. Eupat. perf. Rhus. - cloudy : Acid.phos. Alum. Bry. Caust. Kalicarb. Merc sol. Petr. Plat. Thuj. Sediment, brick-dust: Aeon. Arn. Thin. Ipec. Lyc. Puis. Sep. Flow of Urine. Flow of urine, nocturnal: Amm. mur. Arn. Ars. Bell. Bry. Calc. Canth. Cina. Con. Graph. Iod. Lach. Lyc. Natr. mur. Podoph. Puis. Rhus. Ruta. Sep. Sil. Sulph. Thuj. Zinc. - too frequent: Acid.mur. Acid. phos. Aeon. Ant. crud. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Camph. Canth. Caust. Chin. Coff. Con. Graph. Hell. Hyosc. Ign. Iod. Kali carb Lach. Led. Lob. inf. Lyc. Merc. sol. Natr. rjur. Nuxvom. Petr. Phos. Phytolac. Plumb. Rhus. Sil. Spig. Spong. Squilla. Staph. Sulph. Thuj. Verat. alb. - difficult: Aeon. Bell. Cactus. Camph. Canth. Cic. Dig. Hyosc. Hep. sulph. Nux mosch. Op. Phos. Plumb. Puis. Sec. corn. Thuj. - too seldom: Aeon. Amm. mur. Apis. Arn. Ars. Aur. Bell. Bry. Camph. Canth. Carb. veg. Chin. Cic. Colch. Cupr. Dig. Graph. Hep. sulph. Hyosc. Led. Merc. sol. Nuxvom. Op. Phos. Plumb. Puis. Ruta. Sec. corn. Squill. Staph. Stram. Verat. alb. - drop by drop: Arn. Bell. Cactus. Camph. Canth. Caust. Chin. Con. Dig. Dros. Dulc. Graph. Nuxvom. Petr. Puis. Rhus. Ruta. Sil. Staph. Stram. Sulph. Thuj. - interrupted: Acid.phos. Caust. Con. Dulc. Led. Op. Puis. Sulph. Thuj. Zinc. - involuntary: Acid. nit. Acid. phos. Aeon. Ant. tart. A»rn. Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust. Chin. Cic. Cina. Dig. Dulc. Ferr. Hep. s. Hyosc. Iod. Kreas. Lach. Led. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Podoph. Puis. Rheum. Rhus. Ruta. Sep. Sil. Spig. Squilla. Stram. Sulph. Verat, alb. ---when coughing: Bry. Caust. Natr. mur. Puis. Squilla. Verat. alb. ---at night, in bed: Aeon. Ars. Bell. Bry. Carb. veg. Caust. Cham. Cina. Con. Op. Podoph. Puis. Rhus. Ruta. Sep. Sil. Stram. Sulph. ---in the first sleep: Sep. - painful: Aeon. Arn. Aur. Bell. Camph. Canth. Chin. Cic. Col. Con. Dig. Graph. Hyosc. Lvo. Nuxvom. Op. Podoph. Puis. Kuta. Sabin. Stram. Sulph. Zinc URINE AND URINARY ORGANS. 975 Stream ilmble: Canth. - thin: Camph. Canth. Chin. Led. Merc. sol. Puis. Spong. Staph. - scattering: Canth. - slow: Camph. Merc. sol. Plat. Tenesmus of bladder: Aeon. Arn. Camph. Canth. Colch. Merc. corr. Nux vom. Puis. Sabin. Squilla. Sil. Viol. tr. Urging to urinate : Acid. mur. Acid. phos. Aeon. Alum. Amm. mur. Ant. tart. Arn. Ars. Bar. Bell. Bry. Cactus. Calc. Canth. Caust. Cham. Cocc. Colch. Col. Con Dig. Dulc. Graph. Hell. Hyosc. Ign. Iod. Ipec. Kreas. Lach. Lyc. Merc. corr. Merc. sol. Nux vom. Petr. Phos. Phytolac. Plumb. Puis. Rhus. Ruta. Sabin. Samb. Sep. Sil. Spig. Squilla. Stann. Staph. Sulph. Thuj. Verat. alb. Zinc. - with scanty'discharge: Aeon. Ant. crud. Ant. tart. Bell. Bry. Calc. Canth. Carb. veg. Caust. Colch. Con. Dig. Dros. Hell. Hyosc. Iod. Merc. sol. Nuxvom. Phos. Plumb. Puis. Ruta. Samb. Staph. Sulph. Verat. alb. - with copious discharge : Alum. Ant. tart. Apis'. Ars. Bell. Cactus. Calc. Cina. Kreas. Lach. Natr. mur. Rhus. Spig. Squilla. Stann. Sulph. Viol. tr. - with delaying discharge: Arnica. Camph. Plumb. Stram. - in the evening : Amm. mur. Bell. - anxious: Aeon. - with pains in the bladder: Hell. Nux vom. Puis. Ruta. - with thirst: Caust, Verat. alb. - with heat: Acid.phos. - at night: Ant. tart. Merc. sol. Rhus. Sulph. — painful: Aeon. Canth. Puis. Sabin. Sec. corn. - irresistible: Acid. nit. Acid. phos. Bar. Bell. Bry. Calc. Chin. Ign. Merc. sol. Phos. Puis. Rhus. Ruta. Squilla. - ineffectual: Acid. phos. Aeon. Arn. Camph. Canth. Caust, Cham. Chin. Dig. Hell. Hyosc. Nux vom. Petr. Plumb. Puis. Sabin. Sec. corn. Sep. Squilla. Sulph. Accompanying Ailments. Before Urination. Burning in the urethra: Apis. Arn Cactus. Nuxvom. Puis. Zinc. Cutting in the urethra: Canth. Nux vom. Phos. Cutting in the abdomen : Puis. Generally: Acid.phos. Arn. Bry. Bell. Canth. Chin. Cic. Col. Dig. Dulc. Hep. Nux vom. Phytolac. Plumb. Puis. Rhus. Sulph. Pain in the bladder: Nux vom, Phytolac. Stinging in the bladder: Apis Canth. During Urination. Burning in bladder: Aeon. Camph. Lach. Staph. - in urethra: Acid. phos. Apis. Ars. Cactus. Canth. Caust. Cham. Chin. Colch. Dulc. Ferr. Hep. sulph. Ipec. Merc. sol. Nuxvom. Puis. Rheum. Sep. Staph. Sulph. Thuj. Verat. alb. Generally: Acid. nit. Acid, phos. A con. Apis. Ars. Bell. Bry. Calc. Camph. Canth. Carb. veg. Caust. Chin. Clem. Colch. Con. Cupr. Dig. Dulc. Graph. Hell Hep. sulph. Ipec. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Phytolac. Puis. Rhus. Sec. corn. Sep. Spig. Staph. Stram. Sulph. Thuj. Verat. alb. Zinc. Itching in urethra: Alum. Arn. Canth. Lyc. Natr. mur. Nux vom. Thuj. Cutting in urethra: Acid.phos. Ant. crud. Calc. Canth. Con. Dig. Graph. Merc. sol. Puis. Zinc. - in bladder: Canth. Lyc. Phytolac. Thuj. - in renal region : Canth. Merc. sol. Pressure in bladder: Acid. nit. Aeon, Con. Spig. Staph. Verat. alb. Zinc. - in the urethra: Canth. Puis. - in renal region : Bell. Lyc. Stitches in bladder: Canth. Lyc Sulph. - in urethra: Bry. Canth. Chin. Clem. Con. Cupr. Graph. Ign. Lach. Merc. sol. Natr. mur. Sulph. Thuj. - in kidneys: Acid. phos. Aeon. Bell. Canth. Hep. sulph. - in bowels: Acid. nit. After Urination. Burning in urethra: Acid.nit. Con. Graph. Lyc. Merc. sol. Thuj. Cutting in urethra: Canth. Con. Staph. Sulph Dribbling of urine : Bry. Calc. Lach. Petr. Thuj. Generally: Ant. tart. Arn. Bell. Calc. Canth. Chin. Col. Con. Dig. Hep. a 976 URINE AND URINARY ORGANS. Kali carb. Kreas. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Plat. Puis. Ruta. Sep. Stann. Staph. Sulph. Thuj. Verat. alb. Zinc. Itching in urethra: Canth. Lyc. Soreness in urethra: Nuxvom. Thuj. Stitches in urethra : Acid. mur. Arn. Merc. sol. Phos. Verat, alb. Tearing in urethra: Carb. veg. Lyc. Urethra, as if a drop in: Thuj. Urging to urinate: Bar. Canth. Dig. Merc. sol. Puis. Ruta. Stann. Staph. Zinc. Urinary Organs. Bladder, Burning: Acid. phos. Aeon. Ars. Canth. Lach. Nuxvom. Puis. Staph. Constriction : Acid. phos. Cic. Puis. Cutting: Canth. Kalicarb. Lyc. Nux vom. Puis. Thuj. Generally: Acid. nit. Acid.phos. Aeon. Alum. Ant. crud. Arn. Ars. Aur. Bell. Bry. Calc. Camph. Canth. Carb. veg. Chin. Cic. Coff. Clem. Colch. Dig. Dulc. Graph. Hyosc. Ign. Lyc. Merc.sol. Natr.mur. Nuxvom. Phos. Puis. Rhus. Ruta. Sabin. Sep. Staph, Sulph. Thuj. Zinc. Inflammation : Aeon. Camph. Canth. Dig. Merc. sol. Nux vom. Puis. Squilla. Sulph. Pressing: Alum. Carb. veg. Chin. Colch. Nuxvom. Pulsation: Canth. Pressing: Hyosc. Pressure : Acid. nit. Bell. Bry. Camph. Carb. veg. Con. Ign. Lach. Natr. mur. Puis. Sep. Squilla. Staph. Zinc. Spasms: Acid. phos. Camph. Canth. Caps. Cauloph. Sep. Stitching: Aur. Canth. Cham. Lyc. Puis. Rhus. Suppuration: Canth. Puis. Swelling of neck of bladder: Puis. Thickening: Dulc. Urethra. Burning: Acid.phos. Apis. Ars. Calc. Canth. Caust. Colch. Cupr. Ipec. Lyc. Merc. sol. Petr. Phos. Sep. Staph. Sulph. Thuj. Cutting: Acid.phos. Ant. crud. Calc Canth. Carb. veg. Colch. Con. Cupr. Dig. Ign. Lyc. Nux vom. Sulph. Thuj. Drawing: Colch. Kali carb. Lyc. Puis. Sujph. Zinc. Generally : Acid. nit. Acid.phos. Aeon. Alum. Ant. crud. Ant, tart. Arn. Aur. Bry. Calc. Canth. Caust. Chin. Coff. Colch. Con. Cupr. Dulc. Ferr. Graph, Hep. sulph. Ign. Kali carb. Lach Lyc. Merc. sol. Natr. mur. Nuxvom Phos. Puis. Rhus. Sabin. Sep. Staph Sulph. Thuj. Zinc. Inflammation : Aeon. Bell. Canth. Dig Hyosc. Merc. sol. Nux. vom. Puis. Squilla. Sulph. Itching: Arn. Bry. Canth. Lyc. Merc. sol. Natr. mur. Nuxv&m. Sulph. Thuj. Pressure: Canth. Colch. Nux vom. Puis. Pulsating : Canth. Merc. sol. Stitching: Arn. Bry. Canth. Con. Ign. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Squilla. Sulph. Thuj. Swelling : Canth. Merc. sol. Rhus. Tearing: Carb. veg. Colch. Lyc. Sulph. Kidneys. Burning: Bell. Generally: Acid. nit. Acid.phos. Aeon. Alum. Bell. Canth. Carb. veg. Clem. Colch. Hep sulph. Kali carb. Lyc. Nux vom. Phos. Puis. Rheum. Sep. Sulph. Thuj. Zinc. Gravel: Alum. Calc. Canth. Lyc. Nux vom. Petr. Phos. Ruta. Sil. Sulph. Inflammation : Aeon. Bell. Canth. Hep. Lyc. Nuxvom. Puis. Jerking: Canth. Pulsations : Canth. Pressure: Thuj. Zinc. As if sore : Zinc. Spasmodic pains : Sulph. Stitches: Acid. phos. Aeon. Bell. Canth. Hep. Kalicarb. Zinc. XXVI. AILMENTS INCIDENT TO PARTURITION, MENSTRUATION, ETC. After-pains too violent, long: Arn. Bry. Bell. Cauloph. Cham. Cimi- cif. Coff. Cupr. Ferr. Ign. Kali carb. Nux vom. Podoph. Puis. Rhus. Ruta. Sabin. Sep. Sec. corn. Sulph. PARTURITION, MEI Injury of parts during delivery: Arn. Pains, spurious: Bell. Cham. Cocc. Coff. Hyosc Ign. Ipec. Kali carb. Nux mosch. Nux vom. Op. Puis. Sec. corn. Sep - - with urging on the rectum: Nux vom. Podoph. - - violent: Aeon. Coff. ---with contraction of the womb: Bell. Sec. corn. - too feeble: Arn. Bell. Camph. Carb. veg. Cham. Chin. Cocc. Coif. Graph. Ign. Kalicarb. Lyc. Mosch. Natr.mur. Nux mosch. Nux vom. Op. Puis. Rhus. Sec. corn. Sep. ---after a fright: Aeon. Op. ---of feeble persons : Sec. corn. - too strong: Aeon. Arn. Aur. Bell. Cham. Cocc. Coff. Con. Hyosc. Nux vom. Sec. corn. Sep. Placenta adhering : Bell. Puis. Sec. corn. Spasms: Bell. Cham. Cic. Cocc. Hyosc. Ign. Ipec. Mosch. Plat. Stram. Verat, alb. Uterine haemorrhage : Bell. Cauloph. Cham. Chin. Croc. Ferr. Ipec. Plat. Sabin. Sec. corn. Menstruation. Menses, pale, watery: Bell. Calc. Carb. veg. Ferr. Graph. Ipec. Kreas. Lyc. Natr. mur. Nux mosch. Phos. Plat. Puis. Sabin. Sec. corn. Sep. Sulph. - brown: Bry. Calc. Carb. veg. Con. Rhus. - thick: Arn. Croc. Nux mosch. Nux vom. Plat. Puis. Sulph. — dark, black: Amm. mur. Ant. crud. Arn. Bell. Cham. Chin. Croc. Kreas. Lach. Nux vom. Plat, Puis. Sec.corn. Sep. Sulph. - too soon.: Acid, sulph. Alum. Amm. carb. Amm. mur. Arn. Bell. Calc, Canth. Carb. veg. Cham. Chin. Cocc. Con. Croc. Ferr. Graph. Ign. Ipec. Kali carb. Natr. mur. Nux vom. Phos. Phytolac. Plat. Puis. Sabin. Sec. corn. Sep. Sil. Sulph. Verat. alb. - light-colored: Ars. Bell. Bry. Calc. Canth. Carb. veg. Dulc. Hyosc. Phos. Rhus. Sabin. Sec. corn. - too short : Amm. mur. Con. Dulc. Graph. Lach. Merc. sol. Phos. Plat. Puis. Sulph. - too long: Acid, sulph. Ars. Calc. Canth. Carb. veg. Caust. Chin. Croc. 62 NSTRUATION, ETC. 977 Dulc. Ferr. Ign. Lyc. Natr. mur. Nux vom. Phos. P/ytolac. Plat. Puis. Sabin. Sec. corn. Sil. Menses, acrid: Acid.nit. Acid, sulph. Amm. carb. Ars. Canth. Carb. veg. Graph. Iod. Kali carb. Phos. Puis. Sil. Sulph. - too scanty: Alum. Amm. carb. Apis Arn. Bry. Carb. veg. Caust. Cauloph. Cocc. Con. Dulc. Ferr. Graph. Iod. Kali carb. Kreas. Lach. Lyc. Merc. sol. Natr. mur. Phos. Puis. Ruta. Sec. corn Sep. Sil. Staph. Sulph, - too late: Amm mur. Bry. Caust. Cham. Cocc. Con. Croc. Cupr. Dulc. Ferr. Graph. Iod. Kali carb. Lach. Lyc. Natr. mur. Nux mosch. Petr. Phos. Puis. Rhus. Sabin. Sep. Sil. Sulph. - too copious: Acid. nit. Acid, sulph. Aeon. Amm. mur. Ars. Bell. Calc. Canth. Carb. veg. Chin. Croc. Ferr. Ign. Iod. Ipec. Kreas. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Plat. Sabin. Sec. corn. Sil. Verat. alb. - too copious at night: Amm. carb. - lumpy : Amm. carb. Arn. Bell. Canth. Cham. Chin. Croc. Ferr. Ipec. Plat. Puis. Rhus. Sabin. - suppressed: Aeon. Alum. Amm. carb. Apis. Ars. Bry. Calc. Caust. Cauloph. Cham. Chin. Cocc. Con. Croc. Cupr. Dulc. Ferr. Graph. Ign. Kalicarb. Lyc. Merc. sol. Natr. mur. Nux mosch. Petr. Phos. Podoph. Puis. Bhus. Ruta. Sep. Sil. Staph Sulph. - of young girls, delaying : Calc. Caust. Cocc. Con. Dulc. Graph. Kalicarb. Lach. Lyc. Natr. mur. Petr. Podoph. Puis. Sabin. Sep. Sulph. - repeating: Alum. Bry. Ferr. Natr. mur. Nux vom. Phos. Puis. Rhus. Sep. Verat. alb. Accompanying Ailments. Previous to the Menses. Abdomen, distended: Amm. mur. Kreas. Lyc. Anxiety: Amm. mur. Cocc. Con. Merc sol. Natr. mur. Stann. Back-ache: Amm. carb. Bar. Calc. Caust. Cimicif. Hyosc. Mosch. Nux mosch. Nuxvom. Spong. Breasts swollen : Bry. Calc. Con. Catarrh : Graph. Puis. Chilliness: Amm. mur. Kali carh. Lyc. Puis. Verat. alb. 978 PARTURITION, MENSTRUATION, ETC. Chilliness, with cold feet: Lyc. Chill and heat: Lyc. Colic: Amm. carb. Amm. mur. Bell Calc. Cauloph. Cham. Nuxvom. Puis Sep. Verat. vir. - labor-like: Hyosc. Sec. corn. - with fainting: Sep. Nux mosch. - with vomiting: Puis. Cough: Graph. Sulph. Delirium: Lyc. Hyosc. Diarrhoea : Bry. Sil. Verat. alb. Dim sight: Bell. Dreams: Calc. Caust. Con. Drowsiness : Nux mosch. Puis. Sulph. Bars, humming in: Verat. alb. Excited nerves: Kreas. Cimicif. Lyc. Eruption in nape of neck: Carb. veg. Expectoration, bloody: Phos. Eructations : Kreas. Lach. Puis. Eyes, weak: Calc. Merc. sol. Sil. Face hot: Alum. Lyc. - pale: Puis. - blue: Verat. alb. - bloated: Chin. In general: Alum. Amm. carb. Amm. mur. Bry. Calc. Carb veg. Caust. Cham. Chin. Cocc. Coff. Con. Cupr. Ferr. Glon. Graph. Iod. Kali carb. Kreas. Lach. Lyc. Merc. sol. Natr. mur. Nux mosch. Nux vom. Phos. Plat. Puis. Rhus. Sep. Sulph. Verat. alb. Head, congestions of: Apis. Bell. Calc. Chin. Ign. Iod. Merc. sol. Nux mosch. Phos. Headache: Carb. veg. Cimicif. Cupr. Ferr. Iod. Lach. Natr. mur. Sulph. Verat, alb. Heartburn : Lach. Nux mosch. Puis. Sep. Sulph. Heat: Calc. Inclination to vomit: Cocc. Verat. alb. Labor-like pain: Podoph. Rhus. Plat. Verat. vir. Languor: Alum. Nux mosch. Laughter: Hyosc. Legs weary and heavy: Bar. Lyc. Nuxvom. Rhus. Sulph. Limbs as if bruised: Acid.nit. Cim- icif. Rhus. Melancholy: Caust. Lyc. Natr. mur. Nausea: Cocc. Verat.alb. Nosebleed: Bell. Sulph. Verat. alb. Palpitation of heart: Alum. Cupr. Iod. Puis. Sep. Spong. Peevish: Cham. Natr.mur. Restlessness: Cimicif. Kali carb. Rush of blood : Alum. Cupr. Gelsem. Merc. sol. Rush of blood to the head: Bell Merc. sol. Sensitiveness : Sep. Cit Bcif. Shuddering: Sep. Sleep, restless: Alum. Spasms: Cham. Coca Coff. Cupr Hyosc. Merc. sol. Stram. - hysteric : Cimicif. Hyosc. - in abdomen : Carb. veg. Cham. Urging to urinate : Amm. mur. Phos, Puis. Vertigo : Bell. Puis. Verat. alb. Vomiting: Kreas. Puis. Water-brash: Amm. carb. Nux mosch Puis. Weakness: Alum. Calc. Caust. Chin Nux vom. Weariness, excessive: Calc. Cauloph. Sulph. Yawning: Puis. At the appearance ofthe Menses. Colic: Graph. Staph. Diarrhoea : Verat. alb. Flatulence : Staph. In general: Aeon. Bry. Caust. Cham. Graph. Hyosc. Ign. Iod. Merc. sol. Natr. mur. Plat. Puis. Sep. Sil. Headache : Hyosc. Nausea: Hyosc. Pains in limbs: Sep. Spasms: Aeon. Cham. Coff. Plat. Sweat: Hyosc. Vomiting: Carb. veg. Phos. Puis. During the Menses. Abdomen distended: Alum. - coldness in: Kalicarb. - pinching in: Alum. - pressure in: Cocc. Con. Nux vom. Sec. corn. - cutting in : Sulph. Anxiety : Bell. Natr. mur. Zinc. Back-ache: Amm. carb. Amm. mur. Caust, Lyc. Burning in anus: Amm.mur. Zinc Burning in the hands and feet: Calc. Carb. veg. Colic: Alum. Amm. carb. Amm. mur Bar. Bell. Calc. Carb. veg. Cauloph. Cham. Cimicif. Cocc. Con. Graph. Ign Lach. Lyc. Nux vom. Phos. Plat Sec. corn. Sil. Sulph. Zinc. Constipation: Natr. mur. Nuxvom. Sil. Delirium: Hyosc. Diarrhoea: Amm.mur. Cauloph. Discharge of blood at stool: Amm mur. Podoph. PARTURITION, MENSTRUATION, ETC. 979 Eais, humming in : Petr. Verat. alb. Eructation : Bry Graph. Kali carb. Eyes, agglutinated: Calc. - black before the: Gelsem. Puis. Face, pale: Amm. carb. Graph. Lyc. Puis. - blue : Verat. alb. - color of, changing: Zinc. — jaundiced : Caust, Fainting: Ign. Lyc. Natr. mur. Nux mosch. Nuxvom. Sulph. Fever (chill and heat): Natr. mur. Phos. Chill: Graph. Natr. mur. Nux vom. Puis. Flatulence: Carb.veg. Cocc. Kalic. Lyc. In general: Aeon. Alum. Amm. carb. Amm. mur. Bell. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cocc. Coff. Con. Cupr. Graph. Hyosc. Ign. Kali carb. Kreas. Lach. Lyc. Natr. mur. Nux vom. Phos. Plat. Puis. Sabin. Sep. Sil. Stann. Sulph. Zinc. Gums swollen : Acid, nit, Merc. sol. Head, congestion of: Apis. Bell. Calc. Caust, Cliin. Con. Gelsem. Glon. Iod. Merc. sol. Phos. Sulph. - ache: Alum. Bell. Bry. Calc. Carb. veg. Gelsem. Graph. Hyosc. Kali carb. Lyc. Natr. mur. Nux vom. Phos. Plat. Puis. Sep. Sulph. Verat. alb. - heat in: Bell. Calc. Cham. Languor: Alum. Carb. veg. Graph. Ign. Iod. Kali carb. Nux vom. Petr. Puis. Phos. Sec. corn. Zinc. Legs, languor in the: Sulph. Limbs as if bruised: Bry. Phos. Rhus. - pain in : Bry. Con. Graph. Nux vom. Sep. Verat, alb. Body as if bruised: Arn. Con. Petr. Rhus. Small of back as if bruised: Caust. Cauloph. Rhus. Sec. corn. Melancholy : Cimicif. Natr. mur. Sep. Mental derangement: Bell. Cimicif. Hyosc. Verat. alb. Nausea: Amm. carb. Calc. Graph. Lyc. Nux vom. Phos. Puis. Verat. alb. - with water-brash : Puis. Pain, labor-like Cauloph. Cham. Graph. Hyosc. Lach. Sabin. Sep. Sec. corn. Palpitation of heart: Ign. Iod. Phos. Puis. Sep. Pressing downwards: Amm. carb. Bell. Cauloph, Puis. Sec. corn. Restlessness: Cimicif. Plat. Rhus. Sep. Rush of blood to the head: BelL Calc. Chin. Con. Sulph. Sleep, restless: Alum. Calc. Kalicarb Sleeplessness: Amm. carb. Cimicif • Sep. Small of back, pains in: Amm. carb Amm. mur. Bell. Calc. Carb. veg. Cauloph. Cham. Cocc. Croc. Graph. Ign. Iod. Kali carb. Kreas. Lach. Lye. Nux vom. Phos. Puis. Sec. corn. Sulph. Spasms: Aeon. Cham. Cimicif. Cocc. Coff. Cupr. Hyosc. Ign. Lach. Nux vom. Puis. Stomach, pressure in: Amm. carb. Bry. Puis. Swollen feet: Calc. Graph. Lyc. Toothache : Amm. carb. Calc. Cham. Carb. veg. Kali carb. Phos. Sep. Trembling : Hyosc. Sil. Urinate, urging to: Canth. Puis. Sabin. Vertigo: Bell. Calc. Caust. Con. Gelsem. Iod. Phos. Puis. Verat. alb. Vomiting: Ant. crud. Amm. mur. Carb. veg. Ipec. Lyc. Phos. Whining mood: Plat. Zinc. After the Menses. Colic: Graph. Lyc. Nuxvom. Exhaustion: Acid.phos. Alum. Chin. Sulph. Faintness: Alum. Phos. Plat, In general: Acid. phos. Alum. Bry Calc. Carb. veg. Con. Graph. Kalic Kreas. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Plat. Puis. Sep Sil. Stram. Verat. alb. Zinc. Head, heavy : Natr. mur. Leucorrhcea: Acid. phos. Alum. Amm. mur. Canth. Kreas. Merc. sol. Puis. Sep. Sulph. Parts, pain in the: Kreas. Natr. mur. Small of back, pain in : Puis. Rhus. Sep. Leucorrhcea. Leucorrhcea: Acid. nit. Acid, sulph. Alum. Amm. carb. Amm. mur. Ant. crud. Ars. Bell. Bry. Calc. Carb. v. Caust. Cham. Chin. Cocc. Con. Ferr, Graph. Iod. Kalicarb. Kreas. Lyc. Merc. sol. Natr. mur. Nuxvom. Petr. Phos. Puis. Sabin. Sep. Sil. Squilla. Stann. Sulph. Thuj. Zinc. - smarting: Cham. Ferr. Lach. Phot, Merc. sol. - blistering: Amm.mur. Iod. Phos. - bloody: Acid. nit. Acid, sulph. Canth Carb. veg. Chin. Cocc. Kreas. Sep. - brown: Acid.nit. Amm. mur. 980 UPPER EXTREMITIES. Leucorrhcea, burning: Acid, sulph. Calc. Caib. v. Con. Iod. Kreas. Puis. - thick: Ars. Natr. mur. Puis. Sabin. - thin : Carb. veg. Puis. Sulph. - transparent: Acid, sulph. Amm. mur. Sep. Stann. - purulent: Calc. Chin. Cocc. Ign. Krsas. Merc. sol. Sabin. Sep. - flesh-colored: Acid.nit. Cocc. - yellow: Alum. Ars. Cham. Kali carb. Kreas. Lyc. Nux vom. Sabin. Sep. Stann. Sulph. - greenish: Carb. veg. Lach. Merc. sol. Sep. - ichorous, corrosive : Amm. carb. Iod. Kreas. Sabin. - itching: Alum. Ars. Calc. Kreas. Merc. sol. Natr. mur. Sabin. Sep. - milky : Amm. mur. Calc. Carb. veg. Ferr. Lyc. Phos. Puis. Sil. Sabin. - reddish Acid. nit. Calc. Chin. Cocc. Phos. - in fits and starts : Calc. Cham. Lyc. - acrid: Alum. Amm. mur. Ars. Carb. veg. Cham. Con. Iod. Kreas. Lyc. Merc. sol. Natr. mur. Phos. Puis. Ruta. Sep. Sil. Sulph. - slimy: Alum. Amm. mur. Calc. Cocc. Ferr. Graph. Lach. Merc. sol. Natr. / Upper. Axilla. Burning: Carb. veg. Cimicif. Cocc. Phos. Plumb. Puis. Rhus. Sep. Eruption : Alum. Ant. crud. Kali carb. Sulph. In general* Aeon. Alum. Amm. mur. Bell. Bry. Carb. veg. Caust, Colch. Kali carb. Lach. Led. Lyc. Merc. sol. Nux vom. Phos. Puis. Rhus. Sep. Sil. Stann. Sulph. Thuj. Viol. tr. Zinc. Heaviness : Aeon. Arn. Phos. Puis. Itching: Caust. Ign. Pain as if bruised : Aeon. Alum. Am, Cocc. Ferr. Ign. Lyc. Plumb. Spig. Sulph. Zinc. Pain, simple: Bry. Graph. Kalicarb. - laming: Acid. mur. Chin. Nux vom. Pressure : Arn. Bell. Bry. Caust. Colch. Lyc. Rhus. Sep. Staph. Sulph. Zinc. mur. Nuxvom. Puis. Sabin. Su.ph Thuj. Leucorrhcea, painless: Kreas. Nuj vom. Puis. - excoriating: Amm.mur. Alum. Iod. Kreas. Natr. mur. -fetid: Acid.nit. Chin. Kreas. Nux vom. Sabi?i. Sep. - watery : Amm. mur. Ant, tart. Carb. veg. Cham. Graph. Kreas. Merc. sol. Puis. Sep. Sil. Accompanying Ailments. Abdomen, distended: Amm. mur. Sep. - pains in: Amm. mur. Bell. Caust. Con. Ign. Kreas. Lyc. Puis. Sil. Sulph. ---labor-like: Bell. Cauloph. Puis. Sec. corn. Face, pale: Ars. Puis. Sep. In general: Alum. Amm. carb. Amm. mur. Ars. Bell. Calc. Carb. veg. Caust. Cham. Cocc. Con. Ferr. Graph. Ign. Kalicarb. Kreas. Lyc. Merc.sol. Natr. mur. Puis. Sabin. Sec. corn. Sep. Sil. Sulph. Zinc. Small of back, pains in: Caust. Graph. Kalicarb. Sep. Sulph. Weakness: Acid.phos. Alum. Chin Kreas. Sep. Sulph. Gone to sleep: Ferr. Glon. Stitches: Aeon. Alum. Bell. Bry. Calc. Caust. Cic. Cocc. Ferr. Graph. Ign. Kali carb. Lach. Lyc. Phos. Plumb. Puis. Rhus. Sil. Staph. Stann Sulph. Thuj. Zinc. Verat. alb. Tearing: Aeon. Bell. Bry. Caust. Canth. Carb. veg. Chin. Graph. Iod. Lyc. Natr. mur. Nux vom. Phos. Rhus. Zinc. Tension: Dig. Hyosc. Kalicarb. Petr. Zinc. Arms. Beating: Glon. Blue skin: Cupr. Lach. Sec. corn. Verat. alb. Bone-pains: Acid. nit. Bar. BelL Led. Lyc. Merc. sol. Thuj. Burning: Aur. Cimicif. Carb. veg. Dulc. Kalicarb. Lach. Nuxvom. Phos. Rhus Sep. Zinc. Coldness : Bell. Camph. Cham. Hyoso Rhus. Verat. alb. XXVII. EXTREMITIES. UPPER EX1 Coldness, feeling of: Graph. Rhus. Sec. corn. Contraction: Calc. Rhus. Contusive pain: Arn. Bry. Rhus. Creeping: Bell. Cactus. Cocc. Sec. corn. Sep. Eruptions: Acid. phos. Ant. crud. Carb. veg. Dulc. Graph. Kali carb. Natr. mur. Phos. Sep. Sil. Sulph. Erysipelas: Bell. Rhus. In general: Amm. mur. Ant. crud. Bell. Bry. Cactus. Canth. Carb. veg. Cauloph. Cocc. Con. Cupr. Dig. Ferr. Hep. Ign. Iod. Kali carb. Lach. Lyc. Natr. mur. Petr. Plumb. Phos. Puis. Rhus. Sep. Sil. Stann. Staph. Sulph. Feeling of heat: Acid. nit. Bry. Graph. Staph. Itching: Dulc. Lach. Nuxvom. Ruta. Sulph. Thuj. Lameness : Acid. phos. Cauloph. Caust. Cocc. Glon. Kali carb. Lach. Nux vom. Staph. Muscles, twitching of: Cocc. Numbness: Aur. Bell. Cactus. Cham. Cocc. Glon. Iod. Plat. Puis. Verat. alb. Pain, simple: Bar. Bell. Bry. Calc. Cupr. Graph. Puis. Zinc. - laming: Bell. Cham. Dig. Natr. mur. Rhus. Sil. Zinc. - as if dislocated: Arn. Bry. Rhus. - as if bruised: Arn. Bell. Cauloph. Cocc. Hep. Natr. mur. Plat. Plumb. Puis. Sep. Sulph. Thuj. Verat. alb. Paralysis: Bell. Caust. Lach. Rhus. Pressure: Amm. mur. Bell. Calc. Camph. Led. Nuxvom. Petr. Puis. Stann. Staph. Sulph. Gone to sleep: Bar. Cactus. Cham. Cocc. Croc. Glon. Graph. Ign. Kali carb. Lach. Lyc. Nux vom. Petr. Rhus. Sec. corn. Sep. Sil. Spasms: Bell. Cupr. Ipec. Sec. corn. Spots, red: Plat. Rhus. Sulph. Stiffness: Amm. mur. Caust. Nux vom. Oleand. Rhus. Stitches: Aeon. Alum. Ant. crud. Arn. Bell. Bry. Canth. Cimicif. Cocc. Con. Dulc. Ferr. Kali carb. Nux mosch. Phos. Puis. Rhod. Rhus. Stann. Staph. Sulph. Thuj. Swelling: Ant. crud. Apis. Bell. Bry. Cactus. Hell. Rhus. Swelling of bones: Rhus. Sil. Sulph. Tearing : Acid. mur. Amm. mur. Arn. Bell. Bry. Canth. Cauloph. Caust. Chin. Cini. Con. Dig. D-os. Ferr. DREMITIES. 981 Kali carb. Led. Lyc. Nux vom. Phos. Plumb. Puis. Rhus Sil. Stann. Staph. Sulph. Zinc. Trembling: Ars. Bry. Caust. Hyosc. Phos. Puis. Rhus. Sil. Spig. Sulph. Verat. alb. Shoulder-joint. Beating: Merc. sol. Thuj. Contusive pain: Arn. Dros. Rhus. Feeling of weakness : Dros. Calc. - of heaviness : Puis. In general: Am. Bry. Calc. Carb. veg. Caust. Croc. Dros. Ferr. Ign. Kali c. Lach. Lyc. Led. Merc. sol. Natr. mur. Nux vom. Puis. Rhus. Staph. Sulph. Verat. alb. Zinc. Inflammation : A con. Bry. Led. Puis. Rhus. Jerking : Colch. Puis. Sil. Lameness : Lyc. Puis. Rhus. Stann. Pain as if dislocated: Alum. Arn. Croc. Ign. Natr. mur. Petr. Puis. Rhus. Sabin. Sep. Spig. Thuj. - as if bruised: Arn. Ferr. Ign. Nux vom. Rhus. - simple: Aeon. Calc. Croc. Ign. Natr. mur. Phos. - laming: Nuxvom. Puis. Staph. Pressure: Bry. Calc. Dros. Led. Staph. Stiffness : Caust. Rhus. Staph. Stitches: Bry. Calc. Cocc. Ign. Led. Merc, sol, Puis. Staph. Thuj. Swelling: Aeon. Bry. Hep. Rhus. Tearing : Bry. Carb. veg. Caust. Ferr. Graph. Ign. Led. Merc. sol. Phos. Puis. Rhus. Sabin. Sulph. Arm-pit. Eruptions : Acid. nit. Lyc. Merc. sol. Natr. mur. Petr. Sep. Glandular swellings: Bar. Bell. Calc. Hep. Iod. Merc. sol. Natr. m. Rhus. Staph. Sulph. Sweat too profuse: Hep. Kali carb. Lach. Merc. sol. Phos. Rhus. Sep. Elbow-joint, In general: Alum. Ant. crud. Arn. Bell. Bry. Calc. Caust. Chin. Dulc. Graph. Hep. Kali carb. Led. Lyc. Merc. sol. Nux mosch. Nuxvom. Petr. Phos. Puis. Rhus. Sep. Staph. Sulph. Thuj. Verat. alb. Zinc. Bone-pain, nocturnal: Lyc. Burning: Carb. veg. Calc. Merc, sol, Phos. Rhus. Sulph. Bruising pain: Caust. Dulc. Puis, Ruta. Sulph. Verat. alb. CTREMITIES. 982 UPPER E3 Contraction : Caust. Puis. Sec. corn. Contusive pain: Caust. Ruta. Tearing: Chin. Colch. Kalicarb. Lyc. Merc. sol. Nux mosch. Puis. Rhus. Ruta. Sil. Sulph Zinc. Dislocation-pain: Arn. Rhus. Eruption: Dulc. Merc. sol. Sep. Staph. Sulph. Itching: Alum. Caust. Merc. sol. Natr. mur. Phos. Rhus. Sulph. Pain, simple: Acid, sulph. Cupr. Dig. Phos. Puis. - laming: Bell. Cham. Cocc. Sabin. Staph. Stiffness : Kali carb. Merc. sol. Rhus. Sulph. Thuj. Stitches: Bell. Bry. Cocc. Col. Kali c. Merc. sol. Nux mosch. Phos. Sabin. Spig. Spong. Thuj. Swelling: Bry. Hep. Lach. Rhus. Verat. alb. Weakness: Staph. Sulph. Bend of the Elbow. In general: Amm. mur. Arn. Bell. Canth. Caust. Con. Cupr. Dros. Graph. Kali carb. Lyc. Petr. Phos. Puis. Sep. Spig. Sulph. Thuj. Zinc. Tip of the Elbow. In general: Acid. phos. Alum. Bry. Caust. Graph. Hep. Merc. sol. Rhus. Sabin. Spong. Stann. Wrist-joints. Cold feeling: Rhus. Dislocation-pain: Arn. Bry. Calc. Cauloph. Caust. Graph. Ign. Lyc. Nuxvom. Rhus. Ruta. Staph. Sulph. Eruptions: Merc. sol. Calc. Rhus. Sulph. In general: Aeon. Amm. mur. Arn. Ars. Bry. Calc. Carb. veg. Cauloph. Caust. Colch. Euphr. Graph. Hep. Hyosc. Iod. Kali carb. Led. Lyc. Merc. sol. Phos. Puis. Rhus. Ruta. Sep. Sil. Staph. Sulph. Thuj. Itching: Amm. mur. Want of mobility: Sep. Nodes, gouty : Calc. c. Lyc. Spots: Kalicarb. Petr. Stiffness : Bell. Caust. Cauloph. Lach. Led. Lyc. Puis. Rhus. Ruta. Sabin. Sep. Sulph. Thuj. Stitches: Alum. Arn. Bry. Calc. Caust. Con. Graph. Kali carb. Natr. mur. Nux vom. Sep. Sil. Sulph. Swelling: Bry. Calc. Tearing: Bar. Calc. Carb. veg. Cauloph. Kalicarb. Lach. Puis. Sabin. Sulph. Tension : Amm. carb. Spong. Zinc. Trembling: Aeon. Twitching : Bar. Rhus. Sulph. Pain, laming: Aeon. Cauloph. Kali o Led. Nuxvom. - as if sprained: Arn. Calc. Puis Rhus. Sulph. - as if bruised: Acid. nit. Arn. Calc Cauloph. Caust. Puis. Ruta. Weakness: Merc. sol. Phos. Plumb. Hands. Blisters : Amm. mur. Bell. Canth. Hep. Kali carb. Lach. Natr. mur. Rhus. Sep. Squilla. Sulph. Blueness: Aeon. Apis. Camph. Cupr. Lach. Nuxvom. Rhus. Samb. Verat. alb. Boils: Calc. Hep. Lyc. Merc. sol. Burning: Aeon. Calc. Canth. Chin. Kalicarb. Lach. Nux mosch. Nuxvom. Op. Phos. Sec. corn. Sep. Stann. Staph. Sulph. Zinc. Brittle, skin: Ars. Graph. Natr. mur. Sep. Sil. Chilblains : Acid. nit. Petr. Phos. Puis. Stann. Sulph. Coldness: Aeon. Apis. Arn. Bar. Bell. Calc. Camph. Caust. Cham. Chin. Cupr. Dig. Dros. Ferr. Hell. Iod. Ipec. Nux vom. Phos. Puis. Rhus. Samb. Sec. corn. Spig. Sulph. Thuj. Verat. alb. Verat. vir. Contraction : Cann. Cina. Merc. sol. Nuxvom. Sec. corn. Crampy feeling: Aeon. Aur. Calc. Euphr. Graph. Merc. sol. Nux vom. Plat. Sil. Spig. Spong. Stram. Creeping: Arn. Ars. Bell. Caust. Croc. Lach. Nux vom. Phos. Ruta. Sec. corn. Spig. Sulph. Verat. alb. - as if gone to sleep: Bry. Deadness: Calc. Con. Lach. Nuxvom. Phos. Rhus. Sec. corn. Sil. Zinc. Desquamation of skin: Acid. phos. Amm. mur. Bar. Ferr. Merc. sol. Sep. Sil. Sulph. Dislocation-pain: Bar. Rhus. Dry palms of hands : Ars. Petr. Sep. Sulph. Dryness: Lyc. Natr.mur. Sulph. Emaciation : Graph. Eruptions: Acid. mur. Acid. nit. Alum. Ant. crud. Ars. Canth. Carb. veg. Hep. Lyc. Merc. sol. Rhus. Sec. corn. Staph. Sep. Sulph. Zinc. Erysipelas: Rhus. In general: Aeon. Amm. mur. Arn. Ars. Aur. Bell. Bry. Calc. Carb. veg. Caust. Cham. Chin. Cocc. Cupr UPPER EXTREMITIES. 983 Dulc. Graph. Hep. Kalicarb. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Puis. Rhus. Sec. corn. Sep. Sil. Stann. Staph. Sulph. Zinc. Heat: Aeon, Bry. Carb. veg. Cocc. Eupat. perf. Graph. Hep. Led. Lyc. Nuxvom. Phos. Sep. Stann. Staph. Zinc. Insensibility: Bell. Carb. veg. Lach. Lyc. Natr. mur. Rhus. Sec. corn. Stann. Zinc. Itching: Acid. nit. Acid. phos. Aur. Caust. Cina. Cocc. Hep. Kali carb. Plat. Plumb. Rhus. Sulph. Verat. alb. Paralysis: Cupr. Lach. Natr. mur. Nux vom. Phos. Plumb. Rhus. Sil. Zinc. Parched skin: Acid.phos. Ars. Lyc. Sil. Redness: Dulc. Nux vom. Staph. Rhagades: Graph. Petr. Sulph. Rough: Acid. nit. Acid. phos. Alum. Amm. mur. Kali carb. Gone to sleep: Croc. Graph. Lach. Lyc. Natr. mur. Nuxvom. Phos. Puis. Sec. corn. Sil. Verat. alb. Bruised, pain as if: Arn. Carb. veg. Rhus. Ruta. Spots: Acid. nit. Ant. tart. Sep. - red: Merc. sol. Sep. Stiffness: Arn. Ars. Bell. Caust. Cham. Merc. sol. Rhus. Zinc. Sweat: Ant. tart. Calc. Cham. Cocc. Con. Eupat, perf. Natr. mur. Nuxvom. Phos. Sulph. Verat. alb. Verat. vir. - cold: Sep. Verat. vir. - in palm of hands: Aeon. Bar. Calc. Con. Dulc. Ign. Merc. sol. Nuxvom. Swelling: Aeon. Apis. Ars. Bell. Bry. Cactus. Calc. Caust. Chin. Cocc. Dig. Ferr. Hep. Lach. Lyc. Merc. sol. Nux vom. Phos. Puis. Rhus. Ruta. Sec. corn. Sulph. Tearing and drawing : Amm. mur. Arn. Ars. Aur. Bell. Calc. Canth. Carb. veg. Caust. Cham. Colch. Graph. Kalicarb. Lach. Led. Lyc. Natr. mur. Petr. Phos. Plumb. Rhus. Sabin. Sep. Spig. Stann. Sulph. Zinc. Trembling: Ant.tart. Ars. Bell. Bry. Calc. Caust. Chin. Cic. Cocc. Coff. Ferr. Hyosc. Iod. Kalicarb. Lach. Led. Op. Phos. Plat. Plumb. Rhus. Sil. Spong. Strain. Sulph. Zinc. Twitching: Bell.Cina. Cupr. Graph. Ign. Lach. Op. Plat. Sep. Stann. Ulcers: Ars. Hep. Lyc. Sep. Sil. Sulph. Varicose veins : Arn. Calc. Nux vom. Puis. Sulph. Thuj. Warts: Calc. Caust. Dulc. Hep. Rhus. Sep. Thuj. Weakness : Calc. Carb. veg. Caust. Chin. Cupr. Hell. Nux vom. Phos. Sil. Zinc. Fingers. Blotches: Lach. Lyc. Staph. ■ Burning : Acid. nit. Calc. Caust. Con. Dig. Lach. Nux vom. Plat. Sil. Sulph. Verat. alb. Chapping: Natr. mur. Petr. Sil. Chilblains: Acid. nit. Canth. Nuxvom Petr. Puis. Rhus. Sulph. Coldness: Ant. tart. Cham. Dig. Hell. Lyc. Sulph. Thuj. Contraction: Ant. tart. Calc. Caust. Colch. Col. Graph. Lyc. Merc. sol. Nux vom. Plat. Rhus. Ruta. Sec. corn. Sep. Sil. Contraction of tendons : Caust. Crampy feeling: Acid. mur. Arn. Ars. Calc. Cina. Cocc. Euphr. Graph. Ign. Lyc. Mosch. Nux vom. Phos Plat. Rhus. Stann. Staph. Sulph. Verat. alb. Creeping: Aeon. Amm. mur. Ars. Calc. Caust. Cina. Croc. Graph. Natr, mur. Plat. Rhus. Sec. corn. Sep. Sil. Sulph. Thuj. - as of ants: Sec. corn. - as if gone to sleep: Acid. mur. Desquamation of the skin: Amm. mur. Dislocation-pain: Bell. Cham. Ign. Natr. mur. Phos. Spig. Sulph. Eruptions: Acid.nit. Acid.phos. Ant. crud. Bar. Canth. Caust. Graph. Lach. Lyc. Plumb. Puis. Rhus. Spig. Squilla. Verat. alb. Zinc. . - between the fingers: Acid, sulph. Graph. In general: Aeon. Alum. Amm. mur. Arn. Ars. Bar. Bell'. Bry. Calc. Canth. Carb. veg. Caust. Cham. Cocc. Colch. Croc. Dros. Ferr. Graph. Hell. Hep. Ign. Kali carb. Kreas. Lach. Lyc. Merc. sol. Mosch. Natr. mur. Nuxvom. Phos. Puis. Rhus. Ruta. Sec. corn. Sep. Sil. Spig. Stann. Staph. Sulph. Thuj. Verat. alb. Zinc. . Itching: Alum. Aur. Calc. Camph. Caust. Con. Lach. Lyc. Nux vom. Phos. Plumb. Puis. Verat. alb. Zinc. Nodes, arthritic: Graph. Lyc. . Numbness: Calc. Caust. Con. Cina. Euphr. Ferr. Graph. Lach. Lyc. Phos. Plat. Rhus. Sec. corn. Sil Staph. Sulph, 984 LOWER EXTREMITIES. Pain, as if bi lised: Acid. nit. Amm. carb. Arn. Cina. Natr. mur. Redness: Nux vom. Rigidity : Ars. Merc. sol. Going to sleep: Aeon. Amm. mur. Aur. Bar. Calc. Cham. Cina. Croc. Dig. Glon. Graph. Iod. Kali carb. Lach. Lyc. Natr. mur. Nux vom. Petr. Phos. Plumb. Puis. Rhus. Sec. corn. Sep. Sil. Staph Sulph. Thuj. Sore between the fingers: Graph. Stitches: Acid, sulph. Aram. mur. Arn. Carb. veg. Caust. Colch. Croc. Graph. Kalicarb. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Rhus. Stann. Staph. Thuj. Zinc. Swelling : Amm. carb. Ars. Bell. Bry. Calc. Hep. Iod. Lach. Lyc. Merc. sol. Nux vom. Phos. Puis. Rhus. Sil. Sulph. Thuj. - feeling as of a : Bell. Tearing: Amm. mur. Ars. Bell. Carb. veg. Caust. Colch. Hell. Ign. Kalic. Lach. Lyc. Merc. sol. Natr. mur. Plumb. Sil. Spig. Stann. Staph. Sulph. Zinc. Throbbing: Carb. veg. Glon. Sil. Thumb clenched: Bell. Cham. Hyos. Ign. Rhus. Stram. Twitching : Acid, sulph. Amm. mur. Bry. Caust. Cham. Cic. Cupr. Ign. Lyc. Merc. sol. Phos. Plumb. Rhus. Stann. Sulph. Ulcers: Alum. Ars. Caust. Lyc. Natr. mur. Sil. Sulph. Warts: Caust. Lach. Lyc. Petr. Sep. Sulph. Thuj. Yellow, turning: Chel. Finger-joints. Dislocation-pain : Cauloph. Natr. m. Phos. Sulph. Dry, as if: Puis. In general: Acid. nit. Acid, sulph. Amm. carb. Bell. Calc. Carb. veg. Cauloph. Caust. Cham. Chin. Con. Graph. Hep. Ign. Kali carb. Led. Lyc. Merc. sol. Natr. mur. Nux vom. Plat. Puis. Rhus. Ruta. Sep. Sil. Spig. Spong. Staph. Sulph. Nodes, gouty: Calc. Hep. Lyc. Staph. Pain : Kalicarb. Sil. Sulph. - laming: Bell. Calc. Cauloph. Stiffness : Aur. Ars. Carb. v. Cauloph. Caust. Graph. Hep. Lyc. Rhus. Sep. Sulph. Stitches: Acid.nit. Am. Bar. Bry. Carb. veg. Cauloph. Con. Hell. Ign, Rhus. Sabin. Sep. Swelling: Acid, nit Euphr. flcp. Lyc Puis. Rhus. Tearing: Acid.phos. Bell. Bry. Carb veg. Cauloph. Caust. Colch. Led Lyc. Puis. Rhus. Ruta. Sabin. Samb Spig. Staph. Sulph. Tips of Fingers. In general: Amm. mur. Ant. tart, Calc. Croc. Hep. Lach. Phos. Puis. Rhus. Sec. corn. Sep. Sil. Spig Staph. Sulph. Thuj. Verat. alb. Finger-nails. Blue: Chin. Cupr. Dig. Nuxvom. Petr. Verat, alb. Distortion : Graph. Sep. Sulph. Exfoliation : Graph. Merc. sol. Sulph. In general: Acid. nit. Alum. Ant. crud. Ars. Calc. Caust. Colch. Con. Graph. Hep. Kali carb. Iod. Lach. Merc. sol. Natr. mur.' Nux vom. Phos. Puis. Sep. Sil. Sulph. Thuj. Hang-nails: Natr. mur. Rhus. Stann. Sulph. Nails, brittle: Graph. Merc. sol. Thuj. - growing in: Sil. Sulph. Thickening: Graph. Ulcerated: Ars. Bar. Calc. Con. Hep. Lach. Lyc. Mere. sol. Natr. mur. Petr. Phos. Sep. Sil. Sulph. Thuj. Lower. In general: Acid. mur. Apis. Arn. Bell. Bry. Cactus. Calc. Carb. veg. Cauloph. Caust. Chin. Colch. Dig. Eupat. perf. Gelsem. Graph. Ign. Iod. Kali carb. Lach. Led. Lyc. Merc. sol. Mosch. Natr. mur. Nux vom. Plat. Plumb. Puis. Rhus. Ruta. Sabin. Sep. Sil. Spig. Spong. Staph. Sulph. Thuj. Viol.tr. Thighs. Blotches: Calc. Lach. Mere. sol. Staph. Boils: Arn. Hep. Lyc. Sep. Sil. Boring: Arn. Rhus. Staph. Burning: Ars. Carb. veg. Kali carb. Nux vom. Phos. Plumb. Rhus. Sil. Sulph Zinc. Coldness: Acid.nit. Ars. Bell. Calc. Camph. Carb. veg. Led. Lyc. Nui vom. Op. Puis. Sec. corn. Sep. Sulph, Verat. alb. - feeling of: Camph. Carb. veg. Chin. Merc. sol. Natr. mur. Sec. corn. LOWER EXTREMITIES. 985 Contusive pain. Arn. Led. Nux mosch. Rhus. Ruta. Cramps: Bell. Chin. Colch. Cina. Cupr. Lach. Nux vom. Rhus. Sec. corn. Stram. Crampy feeling: Arn. Calc. Graph. Hyosc. Lyc. Phos. Rhus. Sep. Verat. alb. Creeping : Ars. Bell. Rhus. Sec. corn. Cutting: Alum. Bell. Bry. Graph. Lyc. Sil. Dislocation-pain: Arn. Carb. veg. Caust. Led. Natr. mur. Rhus. Emaciation : Ars. Calc. Chin. Iod. Lach. Merc. sol. Nux vom. Eruptions: Graph. Kali carb. Lyc. Merc. sol. Natr. mur. Rhus. Staph. Sil. Sulph. External side: Acid. phos. Bell. Caust. Cocc. Merc. sol. Nux vom. Rhus. Stann, Sulph. Zinc. Posterior side : Acid.phos. Alum. Ant. crud. Calc. Canth. Carb. veg. Caust. Con. Graph. Ign, Led. Lyc. Merc. sol. Phos. Rhus. Sep. Stann. Staph. Sulph. Zinc. Internal side: Acid. nit. Ant. crud. Calc. Carb. veg. Caust. Graph. Hep. Iod. Kali carb. Merc. sol. Petr. Sabin. Stann. Staph. Sulph. Thuj. Anterior side: Acid. mur. Acid.phos. Bar. Chin. Dig. Kali carb. Lyc. Natr.mur. Nuxvom. Puis. Sabin. Sil. Spong. Stann. Thuj. Formication : Bell. Nux vom. Sec. corn. In general: Ant. tart. Arn. Bell. Bry. Calc. Carb. veg. Caust. Chin. Cocc. Colch. Graph. Hell. Hep. Ign. Kali c. Lach. Led. Merc. sol. Mosch. Natr. mur. Nux vom. Puis. Rhus. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Thuj. Zinc. Heat: Aeon. Bry. Caust. Sulph. Heaviness: Alum. Bry. Calc. Carb. veg. Gelsem. Glon. Graph. Hell. Ign. Iod. Kalicarb. Lach. Natr. mur. Nux vom. Puis. Rhus. Ruta. Sep. Spig. Stann. Sulph. Insensibility: Ars. Carb veg. Lach. Lyc. Op. Rhus. Sec. corn. Itching: Acid. nit. Ant. crud. Ars. Calc. Carb. veg. Graph. Lach. Led. Merc. sol. Natr. mur. Nux vom. Sec. corn. Sil. Spig. Staph. Sulph. Thuj. Verat. alb. Zinc. Jerks: Acid, sulph. Ant, tart. Calc. Cic. Euphr. Merc. sol. Phos. Stram. Sulph. Lameness: Bell. Bry. Caust. Cocc. Dig. Gelsem. Iod. Lach. Natr. mur. Nuxvom. Rhus. Ruta. Sec. corn Sep. Sil. Sulph. Zinc. Muscles relaxed: Calc. Carb. veg Ferr. Iod. Men..sol. Nuxvom. Nodes, gouty: Ant. crud. Calc. Lyc. Rhus. Staph. Sulph. Numbness: Calc. Carb. veg. Coco. Glon. Graph. Iod. Kali carb. Lach. Merc. sol. Nux vom. Plat. Rhus. Sulph. Verat. alb. Pain : Acid, nit, Arn. Aur. Calc. Carb. veg. Cupr. Graph. Lyc. Phos. Rhus. Sil. Stann. Sulph. - laming: Am. Carb. veg. Caust. Cina. Cocc. Ign. Natr. mur. Nuxvom. Rhus. Sep. - as if sore: Am. Calc. Chin. Eupat perf. Graph. Kali carb. Led. Lyc. Nuxvom. Rhus. Staph. Sulph. - as if bruised: Arn. Bry. Bell. Calc. Caust. Cocc. Cupr. Eupat. perf. Gelsem. Graph. Hep. Led. Nux vom. Plat. Puis. Ruta. Sep. Sil. Spig. Sulph. Verat. alb. Gone to sleep: Aeon. Arn. Canth. Cham. Cocc. Croc. Mosch. Nux vom. Puis. Rhus. Sec. com. Verat. alb. Soreness between the thighs: Graph. Kalicarb. Merc. sol. Sulph. Spots, red: Graph. Merc. sol. Stiffness: Arn. Calc. Gelsem. Graph Ign. Merc. sol. Natr. mur. Rhus. Sep Stitching: Aeon. Arn. Bell. Bry Calc. Caust. Cocc. Con. Euphr. Gelsem. Graph. Hyosc. Nux vom. Phos. Rhus. Sep. Spig. Spong Stann. Staph. Sulph. Thuj. Viol. tr. Zinc. Stretchy feeling: Acid. phos. Bell. Eupat. perf. Sweat: Carb. veg. Merc. sol. Nux vom. Phos. Sep. Rhus. Thuj. Swelling: Apis. Ars. Bry. Cactus. Calc. Carb. veg. Chin. Colch. Dulc. Hell. Lyc. Merc. sol. Sec. corn. Sep. Sil. Sulph. Tearing and drawing: Alum. Amm. mur. Arn. Aur. Bell. Bry. Calc Canth. Caust. Cham. Chin. Cimicif. Cocc. Colch. Dulc. Graph. Kalicarb. Lyc. Merc. sol. Natr. mur. Nux vom Plat. Plumb. Puis. Rhus. Sep. Sil. Stann. Sulph. Zinc. Tension : Acid. nit. Arn. Calc. Carb, veg. Lyc. Merc. sol. Petr. Rhus Sabin. Throbbing: Ant. tart. Bell. Bry. Kali carb. Natr. mur. Phos. Rhus Ruta. Sulph. 986 LOWER EXTREMITIES. Trembling: Aum. mur. Arn. Calc. Carb. veg. Caust. Cic. Con. Dig. Graph. Lach. Merc. sol. Natr. mur. Nux mosch. Nux vom. Plat. Plumb. Puis. Rhus. Sil. Twitching : Arn. Caust. Chin. Graph. Lach. Lyc. Nux vom. Phos. Puis. Rheum. Rhus. Sep. Sil. Staph. Sulph. Ulcers: Acid, nit, Calc. Carb. veg. Graph. Lyc. Merc. sol. Natr. mur. Petr. Rhus. Sil. Sulph. Uneasiness : Ars. Carb. veg. Caust, Chin. Con. Graph. Lach. Merc. sol. Nux vom. Phos. Plat. Ruta. Sep. Sulph. Varicose veins: Arn. Ars. Calc. Carb. veg. Ferr. Graph. Lyc. Puis. Sulph. Zinc. Weakness: Acid. nit. Agar. Alum. Ambr. Amm carb. Amm. mur. Ars. Asar. Bell. Bry. Calc. Cann. Caust. Chin. Con. Croc. Graph. Hell. Ign. Ipec. Lach. Laur. Led. Lyc. Nux mosch. Nuxvom. Phos. Plat,Plumb. Puis. Rhus. Ruta. Sec. corn. Sep. Sulph. Zinc. Legs. Boils: Arn. Hep. Merc. sol. Lyc. Nux vom. Sil. Sulph. Boring: Aur. Merc. sol. Staph. Burning: Ars Carb. veg. Caust. Kali carb. Lyc. Nux vom. Rhus. Sep. Zinc. Cold feeling: Mosch. Puis. Cramp (in calves): Ars. Calc. Camph. Carb. veg. Cham. Col. Cupr. Dulc. Ferr. Graph. Hep. Hyosc. Ign. Lach. Lyc. Natr. mur. Nux vom. Rhus. Samb. Sec. corn. Sep. Sil. Stram. Sulph. Verat. alb. Zinc. Creeping : Bell. Ipec. Nux vom. Rhus. Sec. corn. Erysipelas: Arn. Rhus. Sulph. Eruptions: Calc. Lyc. Plumb. Staph. Sulph. Zinc. Flesh loose, as if: Nuxvom. Rhus. In general: Acid.phos. Aeon. Amm. mur. Ant. crud. Ant. tart, Ars. Bell. Bry. Calc. Carb. veg. Canth. Caust. Cham, Con. Cupr. Ferr. Graph. Hyosc. Ign. Ipec. Kali carb. Lach. Led. Lyc. Merc. sol. Nux vom. Phos. Plumb. Puis. Rhus. Sec. corn. Sep. Sil. Spig. Staph. Sulph. Verat. alb. Heat: Aeon. Bell. Bry. Hyosc. Heaviness. Ars. Bell. Camph. Ferr. Ign. Ipec. Lyc. Rhus. Verat. alb. Itching: Aur. Calc. Dulc Kali carb. Lyc. Nuxvom. Op. Sabin. Sil. Staph, Sulph. Nodes, gouty: Ant. crud. Rhus. Staph. Sulph. Numbness: Alum. Gelsem. Graph Kalicarb. Nuxvom. Sil. Pain, as if bruised: Alum. Am. Calo Caust. Croc. Dig. Ferr. Gelsem. Phos, Plumb. Sep. Gone to sleep: Aeon. Bell. Ign. Nux vom. Plumb. Samb. Zinc. Spots, blue: Arn. Lach. - yellow: Stann. - red: Acid, sulph. Aeon. Calc. Con. Merc. sol. Stitching: Amm. mur. Ant. crud. Arn. Bell. Bry. Calc. Caust, Chin. Graph. Hell. Ign. Kali carb. Natr. mur. Nux vom. Phos. Plat. Plumb. Rhus. Ruta. Spig. Staph. Sulph. Swelling: Aeon. Apis. Ferr. Led. Puis. Rhus. Sulph. Tearing and drawing: Alum. Ant. tart. Arn. Ars. Bell. Bry. Calc. .Carb. veg. Caust. Cham. Cimicif. Colch. Croc. Dulc. Ferr. Graph. Ign. Lach. Lyc. Nux vom. Phos. Puis. Rhus. Sep. Sil. Staph. Sulph. Zinc. Tension: Bry. Calc. Cham. Cocc. Graph. Ign. Puis. Rhus. Twitching: Ars. Bell. Cina. Cupr. Graph. Hyosc. Lyc. Op. Petr. Plumb. Ulcers: Ars. Calc. Graph. Lach. Lyc. Ruta. Staph. Weakness: Natr.mur. Nuxvom. Plat Stann. Heels. In general: Amm. mur. Ant. crud. Arn. Calc. Caust. Col. Graph. Led. Lyc. Merc. sol. Petr. Puis. Rhus. • Sabin. Sec. corn. Sep. Sil. Stann. Sulph. Viol. tr. Feet. Boils : Calc. Merc. sol. Burning: Arn. Ars. Calc. Canth. Cocc. Graph. Hep. Lyc. Merc. sol. Natr. mur. Puis. Rhus. Sec. corn, Sep. Sil. Stann. Chilblains: Acid. nit. Ant. crud. Canth. Cham. Nuxvom. Petr. Phos. Puis. Rhus. Sulph. Coldness : Acid. mur. Amm. mur. Ant. crud. Ant. tart. Arn. Bell. Calc. Caust. Chin. Con. Graph. Ign. Ipec. Kalicarb. Lach. Lyc. Nuxvom. Petr. Phos. Puis. Rhus. Samb. Sep. Sil. Squilla. Stann. Sulph. Verat. alb. LOWER EXTREMITIES. 987 Corns: Ant. crud. Arn. Calc. Caust. Ign. Lyc. Nux vom. Puis. Rhus. Sep. Sil. Sulph. Thuj. Crampy feeling : Calc. Caust. Graph. Hep. Lach. Lyc. Natr. mur. Petr. Sil. Sulph. - in the soles: Calc. Ferr. Natr. mur. Sil. Sulph. Creeping: Arn. Bell. Caust. Dulc. Graph. Ign. Nux vom. Phos. Rhus. Sec. corn. Sep. Stann. Eruptions: Ars. Graph. Petr. Sep. Sulph. Erysipelas : Nux vom. Dulc. In general: Aeon. Arn. Ars. Aur. Bar. Bell. Bry. Calc. Camph. Carb. veg. Caust. Cham. Con. Cupr. Ferr. Graph. Hep. Ign. Kali carb. Led. Lyc. Merc. sol. Natr. mur. Nux vom. Petr. Phos. Plumb. Puis. Rhus. Ruta. Samb. Sec. corn. Sep. Sil. Stann. Sulph. Verat. alb. Zinc. Gout: Arn. Bry. Colch. Graph. Lach. Led. Lyc. Nux vom. Rhus. Ruta. Sabin. Heat: Aeon. Arn. Bry. Calc. Led. Nuxvom. Phos. Puis. Sep. Sulph. Itching: Bell. Calc. Canth. Cocc. Lach. Lyc. Puis. Stann. Sulph. Numbness: Acid. phos. Bry. Calc. Carb. veg. Con. Nuxvom. Op. Rhus. Sec. corn. Pain, as if sprained: Arn. Bry. Carb. veg. Rhus. Gone to sleep: Alum. Amm. mur. Ant. tart. Bar. Cocc. Graph. Kali carb. Lach. Lyc. Nux vom. Plumb. Sep. Sil. Stitches: Acid.mur. Acid.nit. Alum. Arn. Bell. Bry. Calc. Carb. veg. Chin. Graph. Ign. Kali carb. Natr. mur. Phos. Sep. Sil. Sulph. Sweat: Amm. mur. Bar. Calc. Carb. v. Cupr. Graph. Ipec. Kalicarb. Led. Lyc. Merc. sol. Plumb. Puis. Sep. Sil. Squilla. Sulph. Swelling: Amm. carb. Apis. Arn. Ars. Bell. Bry. Calc. Caust. Cham. Chin. Cocc. Dig. Eupat. perf. Ferr. Graph. Lach. Led. Lyc. Merc. sol. Natr. mur. Petr. Phos. Puis. Rhus. Sec. corn. Sep. Sil. Stann. Staph. Sulph. Tearing and drawing: Acid. nit. Acid. phos. Alum. Ant. crud. Arn. Bell. Carb. veg. Caust. Chin. Colch. Ferr. Graph. Hep. Lach. Lyc. Merc. sol. Natr. mur. Sil. Spig. Stann. Stram. Sulph. Tension: Bry. Lei. Rhus. Sulph. Twitching: Arn. Chin. Cupi. Graph, Ign. Ipec. Phos. Sep. Verat. alb. Ulcers: Ars. Ipec. Lach. Merc. sol. Ruta. Sec. corn. Sulph. Uneasiness: Arn. Bar. Carb. veg. Nuxvom. Rhus. Ankle-joints. Bend, liable to : Acid. nit. Natr. mur. Nuxvom. Rhus. Burning : Calc. Sulph. In general: Acid. nit. Arn. Ars. Bry. Calc. Caust. Dros. Graph. Hep. Ign. Kalicarb. Led. Lyc. Merc. sol. Natr m. Petr. Phos. Puis. Rhus. Ruta. Sep Sil. Spig. Staph. Sulph. Zinc. Pain, as if sprained: Arn. Bry. Carb. veg. Caust. Led. Nux vom. Rhus. Sulph. - as if bruised: Calc. Hep. - as from weariness: Croc. Gelsem. Nux vom. Rhus. Stiffness : Caust. Ign. Led. Lyc. Petr. Rhus. Ruta. Sep. Sulph. Stitches : Arn. Ars. Bry. Caust. Kali carb. Rhus. Spig. Sulph. Swelling: Apis. Ars. Bry. Calc. Eupat. perf. Led. Lyc. Merc. sol. Rhus. Sulph. Tearing and drawing: Arn. Ars. Colch. Merc. sol. Puis. Rhus. Spong. Zinc. Tension : Bry. Lyc. Sep. Zinc. Weak feeling : Calc. Carb. veg. Merc. sol. Dorsum of Feet. In general: Acid. mur. Bry. Caust. Hep. Lyc. Merc. sol. Puis. Rhus. Spig. Sulph. Thuj. Zinc. Soles of Feet. In general: Acid. mur. Acid. phos. Arn. Ars. Bell. Bry. Calc. Carb. veg. Caust. Cupr. Eupat. perf. Lyc. Merc. sol. Petr. Phos. Plumb. Puis. Rhus. Sil. Sulph. Nates. In general: Acid.phos. Anl. crud. Bar. Caust. Con. Graph. Kalicarb. Lyo. Merc. sol. Phos. Rhus. Sep. Staph. Sulph. Zinc. Hip and Hip-joint. Boring : Arn. Cina. Merc. sol. Burning: Bell. Carb. teg. Hell. Rhus Ruta. Sep. 988 LOWER EXTREMITIES. Crampy feeling: Bell. Plat. Sulph. Cutting: Alum. Calc. Col. In general: Acid. phos. Aeon. Amm: carb. Amm. mur. Ant. crud. Ant. tart. Arn. Bell. Bry. Calc. Carb. veg. Caust. Cocc. Col. Ferr. Hell. Ign. Ipec. Kalicarb. Led. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Puis. Rhus. Ruta. Sep. Sil. Stram. Sulph. Verat. alb. Hip-disease: Acid.phos. Bry. Calc. Caust, Col. Hep. Iod. Merc. sol. Rhus. Ruta. Sil. Stram. Sulph. (See Limping, spontaneous.) Limping, spontaneous: Aeon. Bell. Calc. Caust. Col. Lyc. Merc. sol. Rhus. Ruta. Staph. Stram. Sulph. Zinc. (See Hip-disease.) Numbness: Lach. Staph. Pain, simple: Aeon. Bell. Cham. Led. Nuxvom. Rhus. Ruta. - laming: Am. Bell. Cina. Cocc. Lach. Natr. mur. Rhus. - as if sprained: Amm. mur. Arn. Bry. Caust. Cham. Ipec. Natr. mur. Nuxvom. Rhus. - as if bruised: Alum. Arn. Bry. Caust. Croc. Ferr. Lach. Natr. mur. Rhus. Ruta. Sep. Zinc. Stiffness: Bell. Caust, Cham. Ign. Led. Rhus. Sep. Staph. Stitches: Alum. Bell. Bry. Calc. Caust. Col. Ferr. Graph. Ign. Led. Natr. mur. Nuxvom. Rhus. Sil. Zinc. Tearing and drawing: Alum. Ant. crud. Arn. Bry. Carb. veg. Caust. Con. Dulc. Kali carb. Lyc. Merc. sol. Natr. mur. Rhus. Sep. Zinc. Tension : Acid. nit. Bell. Lyc. Natr.m. Puis. Rhus. Weariness, feeling of: Thuj. Knee and Knee-joint. Boring: Caust. Canth. Burning: Acid. mur. Carb. veg. Lyc. Phos. Sulph. Coldness: Aeon. Ars. Chin. Puis. Sep. Sulph. Verat, alb. Contraction: Carb. veg. Lyc. Merc. sol. Rhus. Sil Sulph. Contractive feeling in ham- strings : Acid. nit. Con. Rhus. Ruta. Sulph. Verat. alb. Creeping: Rhus. Eruptions: Calc. Graph. Hep. Kalic. Lyc. Natr. mur. Nux vom. Petr. Phos. Sulph. Thuj. In general: Acid.nit. Aeon. Amm m. Ant. c. Arn. Ars. Bry. Calc. Carb. v Caust. Chin. Con. Fen. Graph. Hep. Iod. Lach. Led, Lyc. Merc. sol. Natr. mur. Nux mosch. Nux vom. Petr. Phos. Plumb. Puis. Rhod. Rhus. Ruta. Sep. Sil. Staph. Sulph, Verat. alb. Zinc. Giving •way, liable to: Arn. Bell. Camph. Caust. Chin. Nuxvom. Rhus. Ruta. Sulph. Itching: Acid.mur. Acid.nit. Caust. Kalicarb. Lyc. Nuxvom. Pain as if dislocated : Acid. nit. Arn. Caust. Ipec. Phos. Rhus. Staph. - as if sore : Caust. Nux vom. Sulph. - as if bruised : Amm. carb. Arn. Ars. Aur. Graph. Hep. Led. Nux vom. Rhus. Ruta. Stann. Verat. alb. Zinc. Gone to sleep : Carb. veg. Spots, red: Lyc. Petr. Rhus. Sprain, liable to: Calc. Nux vom. Rhus. Stiffness: Amm. mur. Ars. Bell. Bry. Calc. Caust. Col. Graph. Hell. Ign. Led. Lyc. Natr. mur. Nuxvom. Petr. Phos. Puis. Rhus. Sep. Stann. Sulph. Stitches: Alum. Ant. crud. Arn. Bell. Bry. Calc. Caust. Cocc. Con. Graph. Hell. Kali carb. Lach. Led. Natr. mur. Petr. Phos. Puis. Rhus. Sep. Sil. Stann. Staph. Thuj. Verat. alb. Sweat: Calc. Led. Swelling: Acid. mur. Acid. nit. Apis. Ars. Bry. Calc. Chin. Cocc. Ferr. Graph. Hep. Iod. Lach. Led. Lyc. Nux vom. Phos. Puis. Rhus. Sep. Sil. Sulph. Tearing and drawing: Acid. mur. Aeon. Alum. Arn. Bell. Bry. Calc. Canth. Caust. Cham. Chin. Colch. Iod. Kali carb. Lach. Led. Lyc. Merc. sol. Phos. Puis. Rhus. Sep. Sil. Sulph. Zinc. Tension: Am. Bry. Caust. Graph. Lach. Led. Nux vom. Phos. Puis. Rhus. Sep. Sulph. Twitching : Bell. Caust. Chin. Plumb Sulph. '■ at. alb. Unsteadiness : Aeon. Arn. Carb. veg. Nuxvom. Rhus. Weak feeling: Acid. nit. Aeon. Arn. Bry. Caust. Chin. Con. Cupr. Ferr. Ign. Lach. Led. Lyc. Merc. sol. Natr. mur. Plat. Puis. Stann. Staph. Sulph. Verat. alb. Weariness: Cocc. Con. Nux mosch. Puis. Ruta. SKIN AND EXTE Calves. In general: Acid. nit. Alum. Ant, crud. Ars. Bry. Calc. Canst. Cham. Col. Croc. Cupr. Ferr. Graph. Hyosc. Ign. Led Lyc. Merc. sol. Natr. mur. Nuxvom. Petr. Puis. Rhus. Sec. corn. Sep. Sil. Spig. Stann. Staph. Sulph. Verat. alb. Toes. Blisters : Sulph. Burning : Acid. nit. Am. Bry. Dulc. Nux vom. Staph. Chilblains: Acid. nit. Amm. carb. Ant.crud. Canth. Caust. Nuxvom. Petr. Phos. Puis. Rhus. Sulph. Coldness: lyc. Sulph. Contraction: Cham. Ferr. Hyosc. Nux vom. Lyc. Merc. sol. Plat. Crampy: Amm. carb. Arn. Bar. Calc. Caust. Ferr. Hyosc. Ign. Lyc. Mosch. Nuxvom. Plat. Sulph. In general: Amm. carb. Arn. Aur. Cnlc. Carb. veg. Caust. Colch. Graph. Merc. sol. Natr. mur. Petr. Phos. Plat. Sabin. Sec. corn. Sil. Sulph. Itching : Hep. Nux vom. Puis. Staph. Sulph. XXVIIT. SKIN AND E Abscesses, acute: Apis. Ars. Bell. Hep. Lach. Merc. sol. Phos. Puis. Sil. Sulph. - chronic: Acid nit. Calc. Con. Hep. Lach. Iod. Lyc. Merc. sol. Phos. Sil. Staph. Sulph. Thuj. Bed-sores: Acid, sulph. Arn. Bar. Calc. Carb. veg. Caust. Chin. Cic. Ferr. Graph. Hep. Ign. Kreas. Lach. Lyc. Merc. sol. Petr. Puis. Rhus. Ruta. S»p. Sil, Sulph. Biting of the skin : Ant. crud. Apis. Bar. Canth. Cham. Dig. Graph. Kali carb. Led. Lyc. Nuxvom. Plat. Puis. Rhus. Ruta. Spong. Staph. Verat. alb. Bloating: Ant. crud. Apis. Ars. Bell. Bry. Calc. Cupr. Dulc. Ferr. Graph. Kali carb. Lyc. Merc. sol. Mosch. Op. Puis. Rhus. Spig. Staph. Sulph. Bloody tumors, blisters: Ars. Canth. Sec. corn. Sulph. Boils: Acid. mur. Acid. nit. Ant. crud. Arn. Bell. Calc. Hep. Lach. Led. LNAL SYMPTOMS. 989 Numbness: Arn. Phos. Puis. Sec corn. Redness: Carb. veg. Gone to sleep: Cham. Nux vom. Rhus. Soreness: Graph. Natr. mur. Sil. Stiffness : Sec. corn. Sil. Sulph. Stitches: Am. Calc. Carb. veg. Caust. Cocc. Graph. Lyc. Natr. mur. Puis. Sil. Zinc. Sweat: Arn. Sil. Swelling: Acid.nit. Arn. Carb. veg Graph. Merc. sol. Phos. Sabin Sulph. Tearing and drawing: Amm. mur. Arn. Ars. Camph. Caust. Chin. Cic. Hep. Lach. Led. Lyc. Phos. Puis Rhus. Sil. Sulph. Zinc. Twitching: Chin. Cupr. Merc.sol. Ulcers: Ars. Caust. Graph. Petr. Sep. Toe-joints. In general: Arn. Aur. Calc. Caust Cham. Chin. Con. Graph. Hep. Kalic Led. Lyc. Merc. sol. Phos. Puis. Rhus Ruta. Sabin. Sep. Sil. Staph. Sulph, Zinc. VERNAL SYMPTOMS. Lyc. Merc. sol. Phos. Sec. corn Sep. Sil. Staph. Sulph. Thuj. Blotches : Ant. crud. Apis. Ars. Bell. Bry. Calc. Caust. Con. Dulc. Graph. Hep. Iod. Lach. Led. Lyc. Natr. m. Petr. Phos. Puis. Rhus. Ruta. Sec corn. Sep. Sil. Staph. Sulph. Thuj. Verat. alb. Burning of skin: Aeon. Apis. Arn. Ars. Aur. Bell. Bry. Calc. Camph. Carb. veg. Caust, Cic. Cocc. Cupr. Dig. Ferr. Hep. Ign. Kalicarb. Kreas. Lach. Lyc. Merc. sol. Nux vom. Op. Phos. Puis. Rhus. Sec. corn. Sep. Sil. Spig. Staph. Sulph. Verat. alb. Viol. tr. Color of the skin, blue : Acid. phos. Apis. Ars. Bell. Cina. Con. Cupr. Dig. Lach. Merc. sol. Op. Sec. com Verat. alb. - - pale: Bell. Calc. Chin. Cocc. Ferr. Graph. Kalicarb. Lyc. Nuxvom Plat. Puis. Sep. Spig. Sulph. ---yellow: Ars. Bell. Bry. Canth Carb. veg. Cham. Clin. Con. Fen 990 SKIN AND EXTERNAL SYMPTOMS. Ign. Lyc. Merc. sol. Nux vom. Op. Plumb. Puis. Rhus. Sep. Spig. Sulph. Verat. alb. Color of the skin, red: Acid. phos. Aeon. Arn. Bell. Bry. Canth. Dulc. Graph. Lyc. Merc. sol. Nux vom. Op. Rhus. Ruta. Sec. corn. Stram. - sallow: Calc. Ferr. Iod. Lach. Merc. sol. Phos. Podoph. Sec. corn. Sep. Contusive pain: Acid, sulph. Arn. Rhus. Ruta. Cracking of the skin: Acid, nit. Alum. Arn. Calc. Cham. Hep. Kalic, Kreas. Lach. Lyc. Natr. mur. Petr. Puis. Rhus. Sep. Sil. Sulph. Zinc. Crusta lactea: Ars. Calc. Carb. veg. Dulc. Graph. Lyc. Merc. sol. Phos. Rhus. Staph. Sep. Sulph. Damp skin: Acid. nit. Alum. Ars. Calc. Carb. veg. Cic. Dulc. Graph. Lyc. Merc. sol. Petr. Rhus. Sep. Sil. Sulph. Desquamation: Acid. phos. Aeon. Amm. carb. Amm. mur. Ars. Aur. Bell. Caust. Dulc. Graph. Hell. Iod. Merc. sol. Phos. Puis. Rhus. Sec. corn. Sep. Sil. Staph. Verat. alb. Eruptions. In general: Acid. nit. Acid. phos. Acid. sulph. Aeon. Amm. carb. Amm. mur. Ant. crud. Apis. Arn. Ars. Aur. Bar. Bry. Cactus. Calc. Canth. Carb. veg. Caust, Cic. Con. Cupr. Dulc. Ferr. Gelsem. Graph. Hell. Hep. Ipec. Kali carb. Lach. Lyc. Merc. sol. Natr. m. Nux vom. Petr. Puis. Rhus. Sep. Sil. Spig. Staph. Sulph. Thuj. Viol. tr. Zinc. Eruption, peeling off: Amm. mur. Bell. Led. Merc. sol. Phos. Sep. Sil. Staph. - smarting: Bry. Calc. Caust. Lach. Led. Natr. mur. Puis. Sil. Spong. Sulph. - vesicular: Acid.nit. Amm. mur. Ant. crud. Apis. Ars. Bry. Canth. Caust. Dulc. Graph. Hell. Hep. Kalicarb. Lach. Natr. mur. Phos. Rhus. Sec. corn. Sep. Sulph. - - gangrenous: Ars. Carb. veg. Lach. Sec. corn. purulent: Ant. tart. Ars. Calc. Dulc. Hep. Lyc. Merc. sol. Natr. mur. Puis. Rhus. Sec. corn. Sep. Sil. Staph. Sulph Zinc. - humid: Acid. nit. Alum. Ars. Carb. veg. Caust, Dulc. Graph. Hep. Lach. Lyc. Petr. Rhus. Sep. Sil. Staph Sulph. Eruption, corrosive: Acid. nit. Ars Bar. Calc. Cham. Con. Graph. Hep. Kali carb. Lach. Merc. sol. Petr Rhus. Sep. Sil. Staph. - yellowish: Acid. nit. Kreas. Merc. sol. - miliary: Apis. Ars. Cactus. Carb. v. Graph. Hep. Led. Natr. mur. Nux vom. Zinc. - itching: Acid. nit. Aeon. Ant. crud. Ant. tart. Apis. Ars. Bry. Canth. Caust. Cham. Graph. Ign. Kalicarb. Lach. Merc. sol. Rhus. Sep. Sil. Staph. Sulph. Verat. alb. - coppery: Acid.nit. Ars. Carb. veg. Kalicarb. Kreas. Lach. Merc. sol. Rhus. Verat. alb. - nettle-rash: Aeon. Apis. Ars. Bell. Bry. Calc. Caust. Dulc. Hep. Ipec. Lyc. Natr. mur. Puis. Rhus. Sec. corn. Petr. Sep. Sulph. Verat. alb. - scurfy: Alum. Amm. carb. Amm. mur. Ant. crud. Bell. Cactus. Calc. Carb. veg. Cic. Con. Dulc. Graph. Hep. Lyc. Merc. sol. Puis. Rhus. Sep. Sil. Sulph. - scaly: Amm. mur. Ars. Aur. Bell. Bry. Cactus. Calc. Dulc. Graph. Led. Lyc. Merc. sol. Phos. Puis. Rhus. Sep. Sulph. - dry: Bar. Cactus. Calc. Carb. veg. Dulc. Graph. led. Lyc. Merc. sol. Phos. Sep. Sil. Staph. Verat. alb. Tetters, generally: Acid. nit. Alum Ars. Bry. Calc. Carb. veg. Caust. Con. Dulc. Graph. Hep. Kali carb. Kreas. Lach. Led. Lyc. Merc, sol Natr. mur. Petr. Rhus. Phos. Sep Sil. Staph. Sulph. - suppurating: Ars. Dulc. Hep. Lyc. Merc. sol. Rhus. Sep. Sil. Sulph. - humid : Acid. nit. Calc. Con. Graph. Hep. Lach. Lyc. Rhus. Sep. Sil. Sulph. - spreading: Ars. Calc. Graph. Lyc. Merc. sol. Petr. Rhus, Sil. Sulph. - scurfy: Ars. Calc. Dulc. Graph. Sep. Sil. Sulph. - crusty : Amm. mur. Bar. Calc. Con. Dulc. Graph. Lach. Lyc. Merc. sol. Rhus. Sep. Sulph. - pustulous: Ant. tart. Kreas. Merc. sol. Sulph. - ring-shaped: Ars. Natr. mur. Phos. Sep. - scaly: Ars. Dulc. Merc. sol. Phos. Rhus. Sep. Sulph. - dry: Ars. Calc. D ilc. Graph. Led. SKIN AND EXTERNAL SYMPTOMS. 991 Lyc. Merc. sol. Rhus. Sep. Sil. Sulph. Verat. alb. Measles: Aeon. Ars. Bell. Bry. Coff. Dulc. Dros. Ipec. Merc. sol. Phos. Puis. Rhus. Sulph. Pimples: Acid, nit. Ant. crud. Apis. Ars. Bry. Calc. Canth. Caust. Cham. Con. Dulc. Graph. Merc. sol. Natr. mur. Phos. Puis. Rhus. Sep. Sil. Staph. Sulph. Thuj, Zinc. Purple-rash: Aeon. Bell. Coff. Puis. Rhus. Sulph. Pustules : Acid. nit. Ant. crud. Ant. tart. Arn. Ars. Bell. Bry. Caust. Clem. Dulc. Hyosc. Rhus. Sil. Staph. Sulph. Rash: Aeon. Ant, crud. Ant. tart. Arn. Ars. Bell. Bry. Canth. Carb. v. Caust, Cham. Coff. Graph. Ipec. Lach. Merc. sol. Puis. Rhus. Staph. Sulph. Verat. alb. Scarlet-rash: Aeon. Apis. Bell. Bry. Coff. Dulc. Ipec. Merc. sol. Phos. Rhus. Sulph. Small-pox: Ant. crud. Ant. tart. Apis. Arn. Ars. Bell. Canth. Merc. sol. Puis. Rhus. Sil. Sulph. Spots, blue: Acid, sulph. Arn. Ars. Bry. Con. Lach. Nux mosch. Nux vom. Op. Phos. Rhus. Sec. corn. - bloody: Acid, sulph. Arn. Ars. Bell. Bry. Calc. Con. Ferr. Hyosc. Lach. Led. Nux vom. Phos. Puis. Rhus. Ruta. Sec. corn. Sep. Sil. Sulph. - yellow: Arn. Ars. Con. Ferr. Iod. Lach. Lyc. Petr. Phos. Sep. Sulph. - greenish: Arn. Con. Ruta. Sep. -liver-colored: Acid. nit. Ant. crud. Arn. Calc. Carb. veg. Con. Dulc. Ferr. Lyc. Merc. sol. Nux vom. Phos. Sep. Sulph. - red: Acid. nit. Acid, sulph. Amm. carb. Apis. Arn. Bell. Bry. Calc. Carb. veg. Cocc. Dulc. Graph. Kalic. Lach. Lyc. Merc. sol. Phos. Rhus. Sep. Sil. Sulph. ■ black : Lach. Sec. corn. - white : Alum. Ars. Phos. Sep. Sil. Sulph. Shingles: Ars. Graph. Merc. sol. Rhus. Sil. Sulph. Excrescences, etc. Warts. Acid. nit. Ars. Bar. Bell. Calc. Caust. Dulc. Hep. Kalicarb. Lach. Lyc. Petr. Rhus. Ruta. Sep. Sil. Staph. Sulph. Thuj. Warts, bleeding: Acid, nit Acid, sulph. Thuj. - burning: Ars. Petr. Rhus. Thuj. - suppurating: Caust. Hep. Sil. - inflamed: Acid.nit. Calc. Natr. mur. Rhus. Sil. - flat: Calc. Dulc. - pedunculated: Dulc. Lyc. Sabin. Thuj. - horny: Ant. crud. Natr. mur. Sulph. Thuj. - small: Calc. Rhus. Sulph. - painful: Acid. nit. Calc. Sulph. Thuj. - split: Acid. nit. Acid. phos. Lyc. Thuj. Erysipelas: Aeon. Apis. Arn. Ars. Bell. Bry. Calc. Camph. Canth. Graph. Hep. Iod. Lach. Merc. sol. Phos. Puis. Rhus. Sep. Sulph. - vesicular: Ars. Bell. Canth. Graph. Lach. Phos. Puis. Rhus. Sep. Sulph. - flying: Bell. Puis. Rhus. - smooth: Aeon. Amm. carb. Bell. Merc. sol. Sulph. - with swelling: Acid.nit. Amm. carb. Apis. Ars. Bar. Bell. Bry. Calc. Graph. Hep. Lyc. Merc. sol. Phos. Rhus. Sulph. Formication : Acid. phos. Am. Bar, Bell. Carb. veg. Lyc. Nux vom. Puis. Rhus. Sec. corn. Sep. Staph. Sulph. Freckles: Alum. Ant. crud. Calc Graph. Lyc. Merc. sol. Natr. mur Puis. Sep. Sulph. Gangrene, humid: Ars. Chin. Hell. Lach. Phos. Sec. corn. - hot: Ars. Carb. veg. Lach. Sec. corn. - cold: Ars. Carb. veg. Lach. Plumb. Sec. corn. Sil. Hang-nails: Calc. Merc. sol. Natr.m. Rhus. Stann. Sulph. Itch : Acid. phos. Ant. crud. Ars. Calc Carb. veg. Caust. Dulc. Graph. Lach Merc. sol. Rhus. Sep. Sulph. Itching: Acid.mur. Acid, sulph. Aeon Alum. Ant. crud. Apis. Bar. Calc Canth. Carb. veg. Caust. Con. Ferr Graph. Hep. Ign. Kali carb. Lach Led. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Phos. Plat. Puis. Rhus. Ruta. Sep. Spig. Spong. Staph. Sulph. Thuj. Numbness: Acid. phos. Aeon. Lach. Lyc. Nuxvom. Phos. Plat. Puis. Rhus Sec. corn. Sulph. Pain, as if sore: Alum. Arn. Bry. Canth. Caust. Cic. Colch. Graph, 992 SKIN AND EXTERNAL SYMPTOMS. Hep. Ign. Natr. mur. Petr. Phos. Puis. Rhus. Sep. Sulph. Zinc. Pores, black: Acid. nit. Ars. Graph. Natr. mur. Sep. Sulph. Skin, dry: Acid. phos. Aeon. Amm. carb. Arn. Ars. Bell. Bry. Calc. Chin. Colch. Dulc. Graph. Hep. Hyosc. Iod. Kali carb. Led. Lyc. Natr. mur. Nux mosch. Op. Phos. Puis. Rhus. Sec. corn. Squilla. Sil. Staph. Sulph. - hard : Ant. crud. Ars. Dulc. Graph. Lach. Phos. Rhus. Sep. Sil. - rough: Apis. Bell. Calc. Iod. Merc. sol. Natr. mur. Rhus. Sep. Sulph. - wrinkled: Acid. phos. Ant. crud. Calc. Camph, Cupr. Hell. Iod. Lyc. Rhus. Sec. corn. Sep. Spig. Verat. alb. - relaxed: Calc. Chin. Cocc. Cupr. Ferr. Graph. Hell. Iod. Lach. Lyc. Merc. sol. Natr. mur. Sec. corn. Sulph. Verat. alb. - sensitive: Acid. nit. Ars. Bell. Calc. Carb. veg. Caust. Chin. Ferr. Hep. Ign. Lach. Led. Lyc. Natr. mur. Nux vom. Petr. Puis. Rhus. Sil. Spig. Thuj. Verat. alb. ---to humid air: Amm. carb. Calc. Carb. veg. Dulc. Nux mosch. Puis. Rhod. Rhus. ---to cold air: Amm. carb. Calc. Carb. veg. Caust. Lyc. Nux vom. Sec. corn. Sep. ---to warm air: Calc. Puis. Sep. Swelling in general: Acid. nit. Ant. crud. Apis. Arn. Ars. Aur. Bell. Bry. Calc. Canth. Chin. Colch. Con. Dig. Dulc. Ferr. Hell. Iod. Kali carb. Lach. Led. Lyc. Merc. sol. Op. Phos. Plumb. Puis. Rhus. Ruta. Samb. Sep. Sil. Sulph. - pale: Apis. Arn. Bry. Calc. Chin. Ferr. Lach. Lyc. Merc. sol. Puis. Rhus. Sep. - inflamed: Acid. nit. Aeon. Apis. Ars. Bell. Bry. Caust. Hep. Lach. Merc. sol. Puis. Rhus. Ruta. Sil. Sulph. - hard: Arn. Ars. Bell. Bry. Caust. Con. Hep. Lach. Phos. Puis. Rhus. Sabin. Sulph. - cold: Ars. Chin. Con. Lach. Puis. Sec. corn. - erysipelatous: Apis. Bell. Merc. sol. Rhus. - dropsical: Ant. crud. Apis. Ars. Aur. Bell. Bry. Cactus. Canth. Chin. Con. Dig. Dulc. Ferr. Hell. Iod. Kali carb. Led. Lyc. Merc. sol. Phos. Puis. Rhus. Samb. Squilla Sep. Sulph. Ulcers. In general: Acid.nit. Acid.phos. Ant. crud. Ars. Aur. Bell. Bry. Calc. Carb. veg. Caust. Cham. Con. Hep Iod. Kali carb. Kreas. Lach. Lyc. Merc. sol. Nux vom. Petr. Phos. Puis. Rhus. Ruta. Sec, corn. Sep. Sil. Staph. Sulph. Thuj. Ulcers, bleed, liable to: Acid, sulph Ars. Carb. veg. Con. Hep. Lach Lyc. Merc. sol. Phos. Puis. Sil Sulph. - burning: Acid.nit. Ars. Bell. Carb veg. Caust. Hep. Lyc. Merc, sol Nux vom. Phos. Puis. Rhus. Sil Sulph. - fistulous: Acid.nit. Ant. crud. Apis Bell. Calc. Caust. Con. Lyc. Merc sol. Phos. Puis. Sil. Sulph. - flat: Ars. Lach. Sil. - with swelling: Acid. nit. Ars. Bell, Bry. Hep. Kali carb. Merc. sol. Puis. Rhus. Sep. Sil. Sulph. - hard swelling: Ars. Bell. Calc. Con. Hep. Lach. Lyc. Merc. sol. Puis. Sil. - margins everted: Ars. Hep. Merc. sol. Petr. Rhus. Sil. Sulph. - itching: Acid. nit. Acid. phos. Ant. tart. Ars. Caust. Chin. Hep. Lyc Puis. Rhus. Sil. Sulph. - mercurial: Acid.nit. Alum. Carb veg. Hep. Lach. Lyc. Sulph. Thuj - painful: Acid. nit. Arn. Ars. Carb veg. Caust. Cham. Con. Graph Hep. Kreas. Lach. Lyc. Merc, sol Petr. Phos. Puis. Sabin. Sep. Sil Sulph. - painless: Acid.phos. Ars. Bell. Carb veg. Cic. Con. Hyosc. Lach. Lyc Phos. Puis. Sec. corn. Sulph. - with ash-colored base: Acid, nit Merc. sol. Thuj. - spongy: Ars. Carb. veg. Lach. Mere sol. Petr. Phos. Sep. Sil. Sulph. Thuj. - lardaceous: Acid. nit. Hep. Merc sol. - stitches in ulcers: Acid. nit. Ars Bell. Bry. Carb. veg. Graph. Hep Kali carb. Lyc. Merc. sol. Petr. Puis Sil. Sulph. - deep: Acid. nit. Calc. Con. Hep Lach. Lyc. Merc. sol. Puis. Sil Sulph. - suppurating: Acid. nit. Ars. Calc. SLEEP — DREAMS. 993 Canth. Carb. veg. Caust. Con. Graph. Hep. Lyc. Merc. sol. Puis Rhus. Ruta. Sec. corn. Sep. Sil. Staph. Sulph. Ulcers: with proud flesh: Ars. Graph. Drowsiness, in the evening: Acid. phos. Ant. tart, Ars. Bell. Calc. Chin. Cina. Con. Croc. Ign. Kali carb. Lach. Natr. mur. Nux vom. Phos. Puis. Rhus. Sil. - in the morning: Acid. phos. Ant. crud. Arn. Calc. Caust. Con. Graph. Kalicarb Merc. sol. Natr. mur. Nuxvom. Phos. Podoph. Puis. Rhus. Sep. Sil. Spig. Stram. Sulph. - in the afternoon: Caust. Chin. Coff. Croc. Graph. Ign. Kalicarb. Lach. Lyc. Natr. mur. Nux vom. Phos. Puis. Rhus. Sep. Sil. Staph. Sulph. Thuj. Viol.tr. Zinc. - in the day-time: Amm. carb. Ant. crud. Ant. tart. Ars. Aur. Bell. Bry. Calc. Carb. veg. Caust. Cham. Chin. Cocc. Con. Croc. Dulc. Ferr. Graph. Hell. Ign. Kali carb. Led. Lyc. Merc. sol. Mosch. Natr. mur. Nux mosch. Nuxvom. Op. Phos. Podoph Puis. Rheum. Rhus. Sep. Sil. Stram. Sulph. Verat. alb. Viol. tr. - excessive: Acid.phos. Ant. tart. Coff Croc. Nux mosch. Op. Sulph. Falling asleep too late : Alum. Ars. Bell. Bry. Calc. Carb. veg. Caust. Chin. Graph. Ign. Lach. Led. Lyc. Merc. sol. Natr. mur. Nuxvom. Petr. Phos. Puis. Rhus. Selen Sep. Sil. Spig. Stann. Sulph. Sleep, with nightmare: Bell. Puis. Sulph. Verat vir. - with starting up: Ars. Bell. Cham. Cina. Coff. Grnph. Ign. Ipec. Lyc. Op. Rheum. Samb. Sulph. - with screaming: Ant. tart. Apis. Bell. Cham. Op. Rheum. Zinc. with eyes half open: Cham. Cina. Ipec. Op. ■ stupid: Ant. tart. Bell. Calc. Camph. Cic. Con. Croc. Graph. Ign. Led. Nux mosch. Nuxvom. Op. Phos. Puis. Sec, corn. Spig. - with throwing off the cover: Cham. Con. Puis. 63 Hep. Kreas. Lach Merc. sol. Petr. Sep Sil. Sulph. Veins, swelling of: Apis. Arn. Bell, Carb veg. Chin. Croc. Ferr. Graph. Hyosc. Lyc. Phos. Puis. Sulph. Thuj Sleep, tossing about.: Ars. Bell. Cham Cina, Dulc. Hep. Lach. Podoph. Puis Bheum. Rhus. Verat. alb. Verat vir. - too long: Arn. Bell. Calc. Carb. veg Cocc. Hyosc. Kali carb. Ign. Merc. sol. Nuxvom. Phos. Plat. Sep. Verat alb. - too light: Ars. Bry. Carb. veg. Chin Ferr. Ign. Merc. sol. Nuxvom. Sil. - with talking: Alum. Arn. Bell. Cham, Nuxvom. Puis. Rhus. Sil. Sulph. - with snoring: Camph. Cham. Chin, Dulc. Graph. Hyosc. Op. Sil. Sulph, Stram. - with moaning: Alum. Cham. Ign, Merc. sol. Op. Podoph. - unrefreshing: Aeon. Alum. Ant. tart, Bell. Bry. Calc. Carb. veg. Caust. Chin. Cic. Con. Croc. Ferr. Graph. Hep. Ign. Lach. Lyc. Natr. mur. Nu2 vom. Op. Petr. Phos. Podoph. Puis. Rbu?. Sec. corn. Sil. Sulph. Sleeplessness: Aeon. Ars. Bell. Bry, Cactus. Calc. Camph. Caust, Cham. Chin. Cimicif. Cina. Coff. Con. Dig. Dulc. Ferr. Graph. Hep. Hyosc. Ign. Kali carb. Lach. Led. Lyc. Merc. sol. Mosch. Natr. mur. Nux vom. Op. Phos. Puis. Rhus. Sep. Sil. Squilla. Sulph. Verat. alb. - before midnight: Ars. Bell. Bry. Calc. Carb. veg. Chin. Con. Graph. Ign. Lach. Lyc. Merc. sol. Nuxvom. Phos. Puis. Rhus. Selen. Sep, Sil. Sulph. - after midnight: Ars. Coff. Hep. Hyosc. Kali carb. Lach. Lyc. Nux vom. Plat. Puis. Rhus. Samb. Sep. Sil. Sopor: Acid.phos. Ant. crud. Ant. tart. Arn. Bell. Camph. Cic. Con. Croc. Graph. Hell. Ign. Mosch. Nux mosch. Op. Plumb. Puis. Sec. corn. Verat. alb. Waking, too early: Acid.phos. Ars Bry. Calc. Coff. Croc. Dulc. Hep. Ign. Kalicarb Lyc. Nux vom. Sep Sil. XXIX. SLEEP —DREAMS. 994 GENERAL SYMPTOMS. Waking : frequent: Ant. crud. Arn. Ars. Bell. Calc. Caust. Cham. Chin. Cic. Coff. Dig. Graph. Hep. Kali carb. Lyc. Merc sol. Nux vom. Phos. Puis. Rhus. Ruta. Samb. Sep. Sil. Staph. Sulph. Zinc. - too late: Acid. phos. Calc. Caust. Chin. Con. Graph. Kali carb. Lach. Nux vom. Phos. Puis. Sep. Sil. Sulph. yawning: Ant. tart. Ars. Bell. Bry. Calc. Caust. Cham. Cina. Cocc. Croc. Ferr. Hell. Ign. Natr. mur. Nux vom. Op. Phos. Puis. Rhus. Sep. Sil. Stann. Staph. Sulph. Verat. alb. - with stretching: Ars. Calc. Caust. Cham. Ign. Ipec. Nux vom. Puis. Rhus. Spong. Staph. - spasmodic: Ign. Plat. Rhus. Aggravation of the Symptoms. Aggravation, in the afternoon : Acid. nit. Alum. Ant. crud. Bell. Canth. Carb. veg. Cocc. Ferr. Hell. Ign. Lach. Lyc. Nuxvom. Puis. Sil. Thuj. - in the open air: Acid. nil. Cham. Chin. Cocc. Nux mosch. Nux vom. Rhus. Sil. Spig. Stram. ■■ before breakfast: Calc. Croc. Ign. Iod. Lyc. Spig. Staph. - by changing one's position: Bry. Ferr. Phos. Puis. - when chewing: Amm. carb. Bry. Chin. Hep. Ign. Phos. Puis. Rhus. Sep. Thuj. Zinc. - in the cold: Amm. mur. Ars. Bar. Camph, Caust. Dulc. Hell. Hep. Kali carb. Mosch. Nux vom. Rhus. Sil. - by contact: Acid. nit. Acid. phos. Ant. tart. Bell. Bry. Carb. veg. Cham. Cocc. Hell. Hep. Hyosc. Led. Lyc. Nux vom. Sabin. Sec. corn. Sep. Spig. Stram. - by a draught of air: Bell. Calc. Cham. Chin. Hep. Kalicarb. Puis. Sep. Sil. - drinking coffee: Caust. Cham. Ign. Nuxvom. Sulph. - - cold liquids: Ars. Graph. Ign. Lyc. Nux mosch. Nux vom. Rhus. Sulph. Verat. alb. Dreams. In general: Acid. nit. Acid. phos. Aeon. Alum. Ant. tart, Arn. Bell Bry. Calc. Carb. veg. Cham. Chin Cic. Con. Croc. Graph. Hell. Hep Ign. Kalicarb. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Phos. Puis. Rhus. Sec. corn. Sep. Sil. Stann. Staph. Stram. Sulph. Thuj, Verat. vir. Anxious: Aeon. Ars. Bell. Calc. Carb. veg. Caust. Cham. Chin. Con. Graph. Ign. Kalicarb. Lyc. Natr. mur. Nux vom. Op. Phos. Puis, Rhus. Stram. Thuj. Verat. alb. Vexing: Ars. Cham. Con. Ign. Nux vom. Phos. Rhus. Staph. Sulph. Pleasant: Calc. Carb. veg. Coff. Kali carb. Lach. Merc. sol. Natr. mur. Nux vom. Op. Puis. Sep. Staph Sulph. Viol. tr. Aggravation: after drinking: Ant tart. Ars. Bry. Cham. Cocc. Croc. Ign. Natr. mar. Nux vom. Puis. Rhus. Sil. Verat. alb. . - while drinking: Ars. Bell. Bry. Canth. Hyosc. Iod. Lach. Phos. Stram. . — by drinking warm liquids: Bry. Cham, Kalicarb. Phos. Puis. Spig. ---wine: Ant. crud. Calc. Lyc. Nux vom. Op. Sil. Zinc. — while eating: Acid. nit. Bar. Carb. veg. Cocc. Kali carb. Natr. mur. Puis. Sep. . — after eating: Acid. mur. Acid, nit, Amm. mur. Ars. Bry. Calc. Cham. Chin. Con. Graph: Kalicarb. Natr. mur. Nuxvom. Phos. Sep. &!. Zinc. - by eating fat: Carb. veg. Ferr. Puis. Sulph. Thuj. . - in the evening: Acid.nit. Ant. tart. Ars. Bell. Bry. Caust. Colch. Hell. Hyosc. Ign. Lach. Merc sol. Phos. Plat. Puis. Rhus. Zinc. — during expiration: Bry. Caust. Dig Ign. Spig. ---inspiration: Arn. Bry. Calc. Hyosc. Ipec. Lyc. Rhus. Squilla. Spong. Sulph. . — in bright light: Acid. phos. BelL Calc. Con. Croc. Euphr Lyc. Phot. Puis. Sil. Spig. Stram. XXX. GENERAL SYMPTOMS. GENERAL SYMPTOMS. 995 Aggravation, when looking down: Calc. - - up: Calc. Puis. --sideways: Bell. - - lying down: Acid. mur. Amm.mur. Ars. Aur. Canth. Cham. Dros. Dulc. Ferr. Kali carb. Lyc. Plat, Puis. Rhus. Samb. Stann. ---in bed : Acid. nit. Ars. Aur. Cham. Col. Dros. Ferr. Iod. Led. Lyc. Merc. sol. Puis. Rhus. Sep. Spig. Sulph. - - on the back: Ars. Caust. Cham. Iod. Nux vom. Phos. Sep. ---on the side: Aeon. Bry. Calc. Ferr. Kali carb. Lyc. Nux vom. Puis. Stann. ---on the painful side: Acid. nit. Acid. phos. Aeon. Ars. Bar. Hep. Iod. Kali carb. Nux mosch. Phos. Sil. ---on the painless side: Bry. Cham. Col. Kalicarb. Rhus. Stann. , - after lying down in the evening: Ars. Aur. Cham. Dulc. Ferr. Hyosc. Kali carb. Lyc. Plat. Puis. Rhus. Samb. Sep. ■ in the morning: Ant. crud. Ant. tart. Aur. Calc. Carb. veg. Cocc. Croc. Euphr. Ign. Kalicarb. Lyc. Nux vom. Phos. Rhus. Squilla. Staph. Verat. alb. - during motion : Acid. nit. Acid, sulph. Arn. Bell. Bry. Carb. veg. Cocc. Colch. Hell. Led. Natr. mur. Nux vom, Phos. Sec. corn. Spig. - at the beginning of motion: Con. Lyc. Phos. Rhus. - at night: Acid. nit. Ant. crud. Ant. tart. Arn. Ars. Bell. Camph. Canth. Cham. Chin. Coff. Colch. Con. Dulc. Ferr. Hep. Iod. Kali carb. Lach, Lyc. Merc. sol. Op. Phos. Plumb. Samb. Sil. Staph. - by .-u]ipres.--ed perspiration: Bell. Calc* Cham. Chin. Lyc. Merc. sol. Phos. Rhus. Sep. Sil. Sulph. - by external pressure: Bar. Bry. Carb. veg. Cina. Hep. Iod. Lyc. Natr. mur. Rut". Sep. Sil. -raising the body: Ars. Bell. Bry. Ferr. Nuxvom. Op Rhus. Squilla. - during rest: Acid.phos. Con. Dulc. Ferr. Ign. Lyc. Mosch. Puis. Rhus. Samb. Sep. Viol. tr. - when rising from a seat: Ant. tart. Bell. Bry. Carb. veg. Cocc. Con. Frrr. Ign. Lach. Lyc. Nux vom. Phos Puis. Rhus. Spig. in the Fom: Alum. Ant. crud. Croc. Graph. Lyc. Paos. Puis. Sabin. Verat. alb. Aggravation, when sitting: Acid-. phos. Con. Dulc. Lach. Lyc. Puis. Rhus. Sep. Viol. tr. - when standing: Acid.phos. Aur. Con. Lyc. Puis. Rhus. Sep. Sulph. Verat. alb. - when stooping: Bry. Calc. Cocc. Croc. Glon. Ipec. Petr. Plumb. Sep. Spig. - in the sun: Aeon. Ant. crud. Bell. Camph. Euphr. Glon. Lach. - when swallowing: Bell. Bry. Cocc. Croc. Hep. Merc. sol. Nux vom. Phos. Staph. - when talking: Acid. phos. Calc. Chin. Cocc. Dulc. Iod. Lyc. Natr. mur. Phos. Rhus. Stann. Sulph. - after uncovering one's self: Aur. Cham, Nuxvom. Puis. Rhus. Samb. Sil. - on waking: Acid. phos. Ars. Calc. Caust. Chin. Graph. Hep. Ign. Kali carb. Nux vom. Phos. Puis. Rhus. Sep. Staph.'Sulph. - in warmth: Ant. tart. Cham. Dros. Iod. Led. Lyc. Natr. mur. Puis Sec. corn. Sep. — after getting wet: Bry. Calc. Colch. Dulc. Lyc. Nux mosch. Puis. Rhus. Sep. Sulph. - by a change of weather: Bry. Calc. Dulc. Nux mosch. Rhus. Sil. - damp weather: Amm. mur. Calc. Chin. Dulc. Lyc. Merc. sol. Nux mosch. Rhus. Spig. Sulph. Verat. alb. - in dry weather : Bell. Bry. Carb. veg. Hep. Ipec. Nuxvom. Phos. Sil. Spong. Amelioration of the Symptoms. In the open air: Alum. Aur. Croc. Glon. Hell. Iod. Lyc. Phos. Puis. Sabin. Verat. alb. Before breakfast: Caust. Cham. Con. Kalicarb. Natr. mur. Nux mosch. Sil. Zinc. By deep breathing: Ign. Lach. Spig. In the oold: A,.t. tart. Iod. Led. Lyc. Merc. sol. Puis. Sec. corn. Sulph. Verat. alb. In the dark: Acid.phos. Bur. Bell, Calc. Con. Croc. Euphr. Gelsem. Graph. Lyc. Natr. mur. Phos. Puis Sil. After drinking: Bry. Phos. Sil. 996 GENERAL SYMPTOMS. After eating: Calc. Ferr. Ign. Iod. Phos. Verat. alb. By eructations: Ant. tart. Carb, veg. Cocc Graph. Ign. Kalicarb. Lach. Lyc. Nuxvom. Sil. Sulph. By cold food: Bry. Kalicarb. Phos. Puis. By warm food: Ars. Graph. Ign. Lyc. Nux vom. Rhus. Verat. alb. By cold water : Caust. Phos. Puis. Sep. By warm water: Nuxvom. When lying down : Bell. Bry. Calc. Canth. Colch. Croc. Iod. Natr. mur. Nux vom. Sec. com. Squilla. Stram. ---on the back: Bry. Calc. Ign. Kali carb. Lyc. Nux vom. Stann. ---on the side: Arn. Cham. Iod. Nux vorn. Phos. Rhus. ---on the affected side : Bry. Kali carb. Puis. ---on the painless side: Bell. Hep. Iod. Nux vom. Sil. ---with the head high: Ant. tart Ars. Chin. Hep. Puis. Spig. - - bent double: ©ol. Puis. Rheum. By motion: Acid.phos. Cham. Con. Dulc. Ferr. Lach. Lyc. Puis. Rhus. Sep. By external pressure: Amm. mur. Bry. Col. Con. Glon. Graph. Phos. Rhus. By raising one's self: Ars. Calc. Ign. Kalicarb. Puis. Samb. Sep. . In rest: Am. Bell. Bry. Carb. veg. Caust. Colch. Croc. Ferr. led. Merc. sol. Nux vom. Phos. Squilla. Staph. In the morning after rising: Ant. tart. Bell. Ferr. Ign. Iod. Lye. Nux vom. Puis. Rhus. Sep. In the room: Carb. veg. Cham. Chin. Cocc Con Ferr. Lach. Nux mosch.. Nuxvom. Sil. When sitting: Bry. Cham. Coff. Merc. sol. Nux vom. Phos. Squilla. Sec. corn. When standing: Acid. mur. Bell. Hep. Iod. Ipec. Phos. In swallowing: Ign. Lach. Nuxvom. Spong. Ill sweating: Cham. Graph. Hep. A'ux vom. Rhus. Verat. alb. By the warm stove: Aw. Ign. Kalicarb. Nuxvom. Rhus. In damp weather: Caust. Hep. Ipec. Nux vom. In dry weather: Calc. Dulc. Lyc. Merc. sol. Nux mosch. Puis. Rhus. In warmth: Ars. Bur. Bell. Camph. Caust. Cocc. Dulc. Hep. Ign. Mosch. Nuxvom. Phos. Rhus. Sil. Staph Verat. alb. Apoplexy: A con. Ant. tart. Arn Bell. Caust. Chin. Cocc. Coff. Dig. Ferr. Glon. Hyosc. Ipec. Lach. Lyc. Merc. sol. Nux vom. Puis. Rhus Sil. Stram. Verat. alb. Atrophy: Ars. Bar. Bell. Calc. Chin. Cina. Iod. Ipec. Lach. Merc. sol. Nuxvom. Rhus. Sil. Sulph. Bones, affections of, in general: Acid. nit. Aur. Bell. Calc. Carb veg. Chin. Con. Dulc. Graph. Hep. Iod. Lach. Lyc. Merc. sol. Phos. Puis. Rhus. Ruta. Sil. Staph. Sulph. Thuj. - pains: Acid. nit. Acid. phos. Ars. Aur. Bar. Calc. Chin. Lach. Lyc. Merc. sol. Phos. Plumb. Rhus. Ruta. Sil. Staph. Sulph. - curvature: Bell. Calc. Hep. Iod, Lyc. Merc. sol. Phos. Plumb. Rhus. Sil. Sulph. - caries: Acid. nit. Acid, phos. Ars Aur. Calc. Hep. Lyc. Merc, sol Phos. Ruta. Sep. Sil. Sulph. Bounding, as of something: Croc. Chagrin, consequences of: Acid.phos Aeon. Ars. Bry. Cham. Chin. Coff. Col. Nuxvom. Phos. Plat. Staph. Chamomile, excessive use of: Aeon Cnff. Ign. Puis. Nuxvom. China, ailments from abuse of: Arn Ars. Bell. Calc. Canth. Carb. veg. Con. Ferr. Ipec. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Sep. Puis. Sulph. Verat. alb. Choleric temperament: Acid. nit. Aeon. Bry. Caust. Cham. Cina. Cupr. Hyosc. Lach. Nuxvom. Op. Phos. Cold, taking: Aeon. Ant. crud. Ars. Bell. Bry. Calc. Caust. Cham. Coff. Dulc. Hep. Ipec. Merc. sol. Nux vom Phos. Puis. Rhus. Sil. Sulph. Cold, liable to take: Acid.nit. Aeon. Bell. Bry. Calc. Carb. veg. Caust. Cham. Chin. Dros. Dulc. Hep. Lyc. Merc sol. Nux vom. Puis. Rhus. Sep. Sil. Sulph. Complaints, periodical: Arn. Ars. Bell. Bry. Carb. veg. Chin. Ign, Ipec. Natr. mur. Nux vom. Puis. Rhus. Spig. Sulph. Congestions of blood : Aeon.. Amm. carb. Arn. Aur. Bell. Bry. Cactus calc. Carb. veg. Chin. Croc. Cupr Dig. Ferr. Gelsem. Graph. Hyosc Kali carb. Lyc. Merc. sol. Natr GENERAL SYMPTOMS. 997 mur. Nux vom. Op. Phos. Puis. Rhus. Sep. Sil. Stram. Sulph. Verat. alb. Viol. tr. Contusions: Acid, sulph. Aeon. Arn. Cic. Con. Led. Petr. Puis. Rhus. Ruta. Sulj h. Debility, nervous: Acid. phos. Arn. Bell. Calc. Carb. veg. Cham. Chin. Coff. Cupr. Graph. Hyosc. Ign. Iod. Ipec. Lach. Lyc. Merc. sol. Natr.mur. Nux mosch. Nuxvom. Phos. Plat. Puis. Rhus. Sec. corn. Sil. Stann. Stram. Verat. alb. Drunkards, ailments of: Aeon. Ars. Bell. Calc. Carb. veg. Cimicif. Hyosc. Ign. Lach. Natr. mur. Nux vom. Op. Puis. Rhus. Sil. Stram. Sulph. Emaciation: Acid. nit. Acid. phos. Ars. Bar. Bry. Calc. Carb. veg. Chin. Cina, Dulc. Ferr. Graph. Hep. Ign. Iod. Lach. Lyc. Natr. mur. Nuxvom. Phos. Plumb. Puis. Sec. corn. Sil. Stann. Staph. Sulph. Verat. alb. Excesses, consequences of: Acid. phos. Ars. Calc. Carb. veg. Chin. Con. Lach. Natr. mur. Nux vom. Phos. Puis. Rhus. Sec. corn. Sep. Sil. Staph. Sulph. Thuj. Verat. alb. Fainting: Acid. phos. Aeon. Ant. tart. Arn. Ars. BelL Bry. Calc. Camph. Carb. veg. Cham. Chin. Cocc. Coff. Dig. Ferr. Glon. Hep. Hyosc. Ign. Ipec. Kreas. Lach. Mosch. Nux mosch. Nux vom. Op. Phos. Puis. Rhus. Sec. corn. Sep. Sil. Spig. Stram. Verat. alb. Verat. vir. Fat, tendency to get: Ant. crud. Ars. Calc. Ferr. Graph. Lach. Lyc. Merc. sol. Puis. Sulph. Fear, consequences of: Aeon. Bell. Gelsem. Hyosc. Ign. Lach. Op. Puis. Verat. alb. Fluids, ill effects of loss of: Acid. phos. Calc. Carb. veg. Chin. Lach. Lyc. Natr. mur. Nux vom. Sulph. Verat. alb. lever, according to particular Symptoms. Burning: Aeon. Ars. Bell. Bry. Cactus. Rhus. Verat. alb. C hilliness in general: Acid. phos. Anl. tart. Arn. Ars. Bry. Cactus. Calc. Canth. Cham. Chin. Cin. Colch. Cupr. Eupat. perf. Ferr. Graph. Hep. Ign. Ipec. Lach. Lyc. Merc. sol. Natr. mur. Nux. vom. Phos. Puis. Rhus. Sep. Sil. Spig. Sulph. Thuj, Verat. alb. Verat. vir. Chilliness in general, external: Arn. Chin. Lyc. Merc. sol. Nux vom. Phos. Rhus. Verat. alb. - internal: Ars. Bell. Bry. Calo. Cham. Chin. Eupat, perf. Hell. Ign. Ipec. Lach. Lyc. Nux vom. Phos. Puis. Squilla. Sep. Thuj. Verat. alb. Verat. vir. - with shaking : Aeon. Ars. Bry. Cham. Chin. Eupat, perf. Ign. Ipec. Nux vom. Rhus. Verat. alb. Heat in general : Acid, nit, Acid. phos. Acid, sulph. Aeon. Amm. mur. Ant. tart. Arn. Ars. Bell. Bry. Cactus. Calc. Canth. Carb. veg. Caust. Cham. Chin. Cin. Coff. Con. Eupat. perf. Ferr. Graph. Hell. Hep. Ign. Ipec. Kali. carb. Lach. Merc. sol. Nux vom. Op. Phos. Puis. Rhus. Sil. Squilla. Stann. Staph. Stram. Sulph. Verat, alb. Verat. vir. — external: Acid. mur. Aeon. Ars. Bell. Bry. Calc. Camph. Carb. veg. Cham. Cocc. Coff. Col. Dig. Dulc. Eupat. perf. Hell. Hyosc. Ign. Lach. Lyc. Merc. sol. Nux. vom. Op. Phos. Puis. Rhus. Sep. Sil. Squilla. Stram. Sulph. Zinc. - flashes of: Aeon. Arn. Bell. Calc. Chin. Graph. Iod. Lyc. Natr. mur. Nux vom. Phos. Plat. Puis. Rhus. Ruta. Sep. Stann. Sulph. Thuj. Verat. vir. - semi-lateral: Arn. Bell. Bry. Croc. Ign. Lyc. Nux vom. Phos. Puis. Rhus. Sulph. - internal: Acid. phos. Aeon. Arn. Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Chin. Col. Con. Graph. Hell. Ipec. Lyc. Nux vom. Phos. Puis. Rhus. Samb. Sec. com. Spig. Spong. Stann. Verat. alb. Zinc. Loss of consciousness: Aeon. Acid. phos. Bell. Bry. Carb. veg. Gelsem. Hell. Hyosc. Lach. Op. Rhus. Stram. Pulse, intermittent: Acid.phos. Aeon. Apis. Ars. Bry. Cactus. Dig. Kali carb. Lach. Natr. mur. Op. Sec. corn. Stram. Sulph. - large: Aeon. Bell. Bry. Cactus. Cupr. Dig. Ferr. Glon. Hyosc. Ign. Merc. sol. Nux vom. Phos. Spig. Stram. Verat. alb. - hard: Acid. phos. Aeon. Arn. Bar. Bell. Bry. Cactus. Canth. Chin. Dig. Ferr. Glon. Hyos. Ign. Merc. sol. Nux vom. Sab. Samb. Si). Stram Verat. alb. 998 GENERAL SYMPTOMS. Pulse, small: Acid, sulph Aeon. Ant, tart Apis. Ars. Bar. Bell. Calc. Camph. Carb. veg. Chin. Cina. Cocc. Cupr. Iod. Ipec. Kali carb. Lach. Merc. sol. Natr. mur. Op. Plat. Puis. Sec. corn. Sil. Stram. Sulph. Verat. alb. - slow: Ant, crud. Ant. tart. Ars. Bell. Camph. Canth. Con. Dig. Hell. Ign. Mosch. Op. Puis. Sec. corn. Sep. Stram. Verat. alb. -quick: Acid.phos. Aeon. Ant. tart. Arn. Ars. Bell. Bry. Cactus. Carb. veg. Col. Croc. Dig. Hyosc. Ign. Lach. Merc. sol. Nux vom. Phos. Puis. Rhus. Samb. Sil. Spong. Stann. Stram. Sulph. Verat. alb. Zinc. - imperceptible: Aeon. Ars. Carb. veg. Cocc. Cupr. Ferr. Ipec. Lach. Op. Sec. corn. Sil. Stann. Verat. alb. Verat. vir. -irregular: Acid.phos. Ant. crud. Ars. Chin. Dig. Hyosc. Lach. Natr. mur. Op. Plumb. Sec. corn. Stram. Sulph. Verat. alb. Verat. vir. • soft: Ant. tart. Ars. Bar. Bell. Carb. veg. Chin. Cocc. Cupr. Kali carb. Merc. sol. Op. Phos. Plat. Sec. corn. Verat. alb. tremulous: Ars. Calc. Cactus. Phos. Rhus. Spig. Shivering: Aeon. Ars. Bell. Canth. Cham. Chin. Cocc. Croc. Eupat. perf. Ferr. Gelsem. Graph. Hep. Ign. Kali carb. Merc. sol. Nux vom. Puis. Rheum. Rhus. Sec. corn. Sep. Staph. Verat. alb. Verat. vir. Stretching : Ars. Ipec. Nux vom. Rhus. Sweat, in general: Acid.nit. Acid. phos. Aeon. Amm. mur. Ant, tart. Ars. Bar. Bell. Bry. Cactus. Calc. Canth. Carb. veg. Caust. Cham. Chin. Coff. Con. Dig. Dros. Eupat. perf. Ferr. Glon. Graph. Hep. Hyosc. Ign. Kali carb. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Puis. Rheum. Rhus. Samb. Sep. Sil. Staph. Stram. Sulph. Verat. alb. Generalities. Irritability, bodily: Aeon. Arn. Aur. Bell. Bry. Canth. Cham. Chin. Coff. Cupr. Ferr. Hyosc. Ign. Lach Merc. sol. Nux vom. Phos. Puis. Rhus. Sil. Spong. Staph. Verat, alb. » want of: Acid. phos. Ars. Calc. Camph. Carb. veg. Con. Croc. Dulc. Ferr. Graph. Hyosc. Ign. Ipec. Lach. Lyc. Nux mosch. Op. Sec. corn. Sep. Staph. Stram. Sulph. Joy, consequences of, excessive : Aeon Coff. Op. Languor: Acid. phos. Ant. crud. Calc Carb. veg. Cham. Cocc. Ign. Kalicarb Lach. Lyc. Merc. sol. Mosch. Natr mur. Nuxvom. Op. Phos. Plat. Puis Sulph. Thuj. Laziness: Acid.phos. Ars. Bry. Chin Kalicarb. Lach. Merc. sol. Natr. mur Nuxvom. Puis. Sec. corn Sep. Zinc. Limping: Bell. Calc. Caust. Col. Merc. sol. Puis. Rhus. Sep. Sulph. Marasmus of old people : Acid. phos. Ant, tart, Ars. Bar. Calc. Con. Op. Phos. Rhus. Sec. corn. Melancholy temperaments : Acid. phos. Ars. Aur. Bell. Calc. Chin. Graph. Ign. Lach. Lyc. Merc. sol. Nux vom. Puis. Sep. Sil. Verat. alb. Motion, dread of: Ant. tart. Arn. Ars. Bar. Bell. Bry. Chin. Dulc Hell. Ign. Lach. Lyc. Merc. sol. Natr. mur. Nuxvom. Sulph. Thuj. Muscular twitchings: Bell. Col. Croc. Cupr. Graph. Iod. Kali carb Lach. Natr. mur. Plat. Rhus. Sec. corn. Sil. Spong. Stram. Sulph, Verat. vir. Viol. tr. Zinc. Heated, consequences of getting: Aeon. Bell. Bry. Calc. Carb. veg Gelsem. Glon. Lyc. Nuxvom. Puis. Sil. . Hunger, ill effects of: Ant. crud. Ars. Bry. Calc. Chin. Ipec. Puis. Sulph. Indurations: Arn. Ars. Aur. Bell. Calc. Camph. Cham. Chin. Con. Dulc. Ferr. Graph. Hep. Iod. Lach. Lyc. Phos. Puis. Sep. Sil. Sulph. Thuj. Nervous excitement: Acid. phos. Aeon. Bell. Calc. Cham. Chin. Coff. Ferr. Gelsem. Glon, Iod. Merc. sol. Nux vom. Phos. Puis. Rhus. Sep Sulph. Verat. alb. Verat. vir. Neuralgia: Aeon. Arn. Ars. Bell. Bry. Calc. Cham. Cocc. Coff. Colch. Col. Gelsem. Hep. Ign. Kali carb. Merc. sol. Nux vom. Puis. Rhus. Spig. Staph. Sulph. Thuj. Verat. alb. Nodes, gouty: Ant. crud. Arn. Bry. Calc. Caust. Graph. Hep. Led. Lyc Merc. sol. Nux vom. Puis. Rhus, Staph. Sulph. Pains, wandering: Arn. Bell. Chin. Nux mosch. Puis. Rhus. Sabin. Sep. Sulph. Paralysis : Arn. Bar. Bell. Bry. Calc. Carb. veg. Caust. Chin. Cocc. Con Dulc. Ferr. Hyosc Ign. Lach GENERAL SYMPTOMS. 999 Lyc. Merc. sol. Nuxvom. Op. Phos. Plumb. Puis. Rhus. Sec. corn. Sil. Stann. Stram. Sulph. Verat. alb. Zinc. Phlegmatic temperaments: Bell. Calc. Chin. Iod. Lach. Merc. sol. Natr. mur. Puis. Sulph. Plethora: Aeon. Arn. Aur. Bell. Bry. Calc. Chin. Dig. Ferr. Graph. Hyosc. Kali carb. Lyc. Natr. mur. Nuxvom. Phos. Puis. Rhus. Stram. Sulph. Riding in a carriage, ailments from: Ars. Carb. veg. Cocc. Colch. Ferr. Ign. Petr. Puis. Sil. Sulph. Salt, ill effpets of eating too much: Carb. veg. Merc. sol. Nuxvom. Sanguine temperament: Acid, sulph. Aeon. Arn. Bell. Bry. Cham. Hyosc. Ign. Nux vom. Rhus. Sulph. Verat. alb. Zinc. Scurvy: Acid. mur. Acid. nit. Acid. sulph. Amm. mur. Ars. Aur. Calc. Carb. veg. Hep Iod. Kreas. Merc. sol. Natr. mur. Nux vom. Sil. Staph. Sulph. Sea-sickness: Ars. Cocc. Ipec. Kreas. Petr. Rhus. Sulph. Verat. alb. Sedentary habits, ill effects of: Aeon Carb. veg. Cilc. Ign. Natr. m. Nuxvom. Puis. Sulph. Semilateral ailments, left side: Acid, sulph. Aeon. Alum. Amm. mur. Ant. tart. Apis. Arn. Bry. Calc. Chin. Colch. Col. Croc. Cupr. Dulc. Ign Iod. Lach. Lyc. Merc. sol. Nux mosch. Nux vom. Petr. Phos. Sep Spig. Sulph. Thuj. Verat. alb. - right side: Acid, sulph. Alum. Bar. Bell. Bry. Canth. Caust. Cina. Con. Dig. Dros. Hep. Ign. Kalicarb. Led. Mosch. Plumb. Rhus. Ruta. Sabin. Sil. Spong. Staph. Thuj. Sensation, as if blown upon by wind: Nuxvom. Rhus. Stram. - as if growing larger: Bell. Ign. Phos. Puis. Rhus. - as of a hair : Lyc. Natr. mur. Sulph. - as of growing smaller : Calc. Croc. ■ as of something alive: Croc. Ign. Lach. Merc. sol. Sec.corn. Sulph.Thuj. Spasms, generally: Aeon. Ant. tart. Arn. Ars. Bell. Bry. Calc. Camph. Caust. Cham. Cina. Cocc. Coff. Con. Croc. Cupr. Gelsem. Hell. Hyosc. Ign. Ipec. Lach. Lyc. Merc. sol. Mosch. Nux mosch. Nux vom. Op. Plat. Plumb. Puis. Rhus. Ruta. Sec. corn. Stann. Stram. Sulph. Verat. alb. Verat. vir. Ziuc Spasms, with anxiety : Ars. Bell, Calc. Cham. Cina. Cupr. Hyosc. Ign. Lach Puis. Verat. alb. - with dyspnoea: Ant. tart. Ars. Bell. Camph. Cupr. Ign. Ipec. Nux vom. Op. Puis. - with staring eyes: Bell. Hyosc. Nux vom. Op. Sec. corn. Stram. - with contortion of the eyes: Aeon, Bell. Cocc. Cupr. Hyosc. Ign. Lach. Stram. - with eyes closed : Bell. Cham. Cocc. Croc. Hyosc. Merc. sol. Natr. mur. Op. - after repelled eruptions: Calc. Caust. Cupr. Lach. Nuxvom. Sulph. - with bloated bowels: Calc. Cham. Cina. Merc. sol. - with violent movements: Calc. Cina. Cupr. Hell. Hyosc. Op. Stram. - with loss of senses: Bell. Camph. Cic. Cina. Cupr. Hyosc. Ign. Ipec. Lach. Nuxvom. Op. Sil. Stann. Stram. - with nausea: Ant. tart. Ipec. Nux vom. Puis. Verat. alb. - with clenched thumb: Bell. Hyosc. Ign. Lach. Merc. sol. Stram. - with delirium: Bell. Hyosc. Op. Stram. - with vomiting: Ant. tart. Cupr. Ipec. Nuxvom. Puis. Sec. corn. - with danger of suffocation: Cupr. Ign. Nuxvom. Op. - with yawning: Ign. Verat, alb. - after emotions: Bell. Coff. Hyosc. Ign. Nux vom. Stram. - with blue face: Camph. Cina. Cupr. Op. Verat. alb. - red face: Bell. Hyosc. Ign. Op. Stram. - with cold sweat in the face: Cocc. Verat. alb. - with distorted features: Bell. Cham. Cocc. Ipec. Stram. Verat, alb. - with involuntary emission of urine : Bell. Caust. Cocc. Hyosc. Zinc. - hysteric: Aur. Bell. Caust. Cham. Cocc. Coff. Cupr. Ign. Ipec. Mosch. Nuxvom. Plat. Puis. Stram. Verat, alb. - internal: Calc. Caust. Cocc. Col. Graph. Ipec. Stann, Stram. - with coldness ofthe body: Ars.Cina. Hyosc. Puis. Verat. alb. - with coldness of the limbs: Caust, Hyosc. Op. Verat. alb. - with locked jaw: Bell. Con. Hyosc, Lach. Nux vom. Op. Plat, Verat. alb, - with movements of the head: Bell Cham. Hell. Lach. Op. Stram. 1000 GENERAL SYMPTOMS. Spasms, preceded by head-ache : Bell. Hyosc. Lach. Nux vom. - succeeded by head-ache: Bell. Cina. - with contraction of the limbs: Hyosc. Stram. - with laughter: Bell, Calc. Caust. Ign. Lach. Stram. Spirits of camphor, ill effects of: Coff. Op. Straining by lifting, ill effects of: Acid, sulph. Arn. Bry. Calc. Cocc. Con. Graph. Lyc. Nux vom. Phos. Rhus. Ruta. Sil. Sulph. Sweat, cold: Acid phos. Aeon. Amm. mur. Ant. tart. Arn. Ars. Bry. Calc. Camph. Carb. veg. Chin. Cupr. Dulc. Hell. Hep. Ign. Ipec. Lach. Lyc. Nux vom. Puis. Rheum. Rhus. Sec. corn. Sep. Staph. Sulph. Verat. alb. - exhausting: Acid. nit. Acid. phos. Ars. Bry. Calc. Chin. Dig. Ferr. Hep. Iod. Lyc. Merc. sol. Natr. mur. Nux vom. Phos. Samb. Sep. Stann. Sulph. Verat. alb. fetid: Amm. mur. Bar. Canth. Con. Dulc. Ferr. Graph. Hep. Kali carb. Led. Lye. Merc. sol. Nux vom. Phos. Puis. Rhus. Sep. Staph. Verat. alb. - ill effects of suppression of: Aeon. Bell. Bry. Cham. Chin. Dulc. Lach. Nux vom. Puis. Sil. Sulph. - sour smelling: Acid.phos. Arn. Calc. Cham. Ferr. Hep. Ign. Iod. Ipec. Lyc. Merc. sol. Rhus. Sep. Sil. Sulph. Verat. alb. Tea, ill effects cf: Chin. Ferr. Lach. Puis. . Thirst: Aeon. Ars. Bell. Bry. Canth Cham. Eupat. perf. Ipec. Merc. sol. Nux vom. Natr. mur. Puis. Rhus. Sulph. Verat. alb. Tobacco, ill effects of: Cham. Cocc. Nux vom. Puis. Uneasiness, bodily: Aeon. Ars. Bell : Bry. Cactus. Calc. Carb. veg. Cham Chin. Cimicif. Coff. Croc. Cupr. Ferr. : Graph. Hyosc. Ign. Iod. Lyc. Merc. sol. Nux vom. Op. Phos. Plat. Rhus. Samb. Sep. Sil. Staph. Stram. Sulph. Verat. alb. Vascular erethism: Aeon. Arn. Aur Bell. Bry. Cactus. Calc. Carb. veg. Caust. Chin. Con. Ferr. Gelsem. Glon Hep. Iod. Kreas. Kali carb. Lyc Natr. mur. Nux vom. Op. Petr. Phos. Rhus. Sep. Sil. Stann. Sulph. Verat vir. Walk, difficulty of learning to walk: Calc. Merc. sol. Sil. Sulph. Weakness, general: Acid.phos. Amm. carb. Arn. Ars. Bell. Cactus. Calc. Carb. veg. Chin. Cocc. Con. Ferr. Gelsem. Graph. Ipec. Kali carb. Lach. Lyc. Merc. sol. Natr. mur. Nux vom. Op. Phos. Plat. Puis, Rhus. Sec. corn. Sep. Sil. Staph. Sulph. Verat. alb. Weariness: Ant. tart. Arn. Ars. Bell. Cactus. Calc. Caust, Chin. Cocc. Coff. Con. Croc. Ferr. Gelsem. Graph. Hep. Ign. Ipec. Kali carb. Lyc. Merc. sol. Nux vom. Phos. Plat. Puis, Rhus. Spong. Sulph. Thuj. Verat alb. GLOSSARY OF MEDICAL TERMS ABDOMEN. The belly. It is bounded above by the diaphragm or midriff and below by the pelvis, and contains the stomach and intestines, liver, spleen, kidneys, &c. ABERRATION. A deviation from that which is normal or natural, as an aberration of intellect. ABLUTION. Cleansing, as by a bath. ABNORMAL. Not natural; not ac- cording to rule ; irregular. ABORTION. The premature expul- sion of the foetus from the womb. ABRASION. A superficial wound or sore produced by the rubbing off of the skin or other tissue. ABSORBENTS. The system of vessels which take up substances for the nu- trition of the body, as the lymphatic vessels. ABSORPTION. The act of absorbing or taking up nutritious elements, as performed by the absorbent system. ACCLIMATIZED. Inured to the ef- fects of a foreign climate. ACRID. Sharp, pungent, or biting to the taste. ACUTE. An acute disease is one in which the symptoms rapidly arrive at a crisis, or at their utmost severity; opposed to chronic. AGGRAVATION. The act of becom- ing worse. ALBUMEN. The white of egg is al- most pure albumen. It is an essential constituent of animal bodies. ALIMENT. Food; any substance which is capable, when introduced into the system, of nourishing it, and repairing its losses. ALIMENTARY. Pertaining to food; having the quality of nourishing. AMELIORATION. Becoming bet- ter; improvement in the stages of a disease. AMYLACEOUS. Of a starchy or starch-like nature. APATHY. Want of feeling; insensi- bility to mental or bodily pain. APERIENT. A mild laxative or med- icine which opens the bowels gently. APHTHOUS. Belonging to or compli- cated with Aphthae, which is a disease of the lining membrane of the mouth, commonly called Thrush. ARTERY. One of a series of vessels which carry the blood from the heart to the various parts of the body, as distinguished from the veins which carry blood to the heart. ARTICULATION. The union of bones with each other, as at the joints. The utterance of syllables and words by the human voice. ASPHYXIA. Suspended animation, attended with an imperceptible pulse and an apparent or real want of action of the lungs, as from drowning, suffo- cation, &c. ASSIMILATE. To convert nutritious substances furnished by the food into flesh or other tissues of the body. ATROPHY. A general wasting away ofthe substance ofthe body. AUSCULTATION. The art of listen- ing to the sounds produced by the heart, lungs, &c, in order to judge of the existence or progress of diseases of these organs. AUXILIARY. Helping, aiding, or assisting; as auxiliary treatment is that which assists the strictly medici- nal treatment. AXILLA. The armpit; hence axil- lary, pertaining to the armpit. BENIGN. Diseases of a mild charac- ter are so called; a benign tumor is one which is not malignant. BEVERAGE. Drink. ( 1001 ) MEDICAL TERMS. 1002 GLOSSARY OF 3 BILIOUS. A term generally used to designate the result of an excessive secretion of bile bv the liver. BRONCHIAL. Pertaining to the ramification of air-tubes of the lungs. CACHEXIA. A deranged state of the body, arising from vitiated blood. CADAVEROUS. Death-like or corpse- like; ghastly; wan. CALLOUS. Hard; indurated. CAPILLARY. Like a hair; capillary vessels, minute hair-like vessels, espe- cially pertaining to the veins and arteries. CARIES. Ulceration of a bone. CARMINATIVE. A medicine which expels wind from the body; a remedy for flatulence and colic. CATAMENIA. The menses, or monthly discharges of women. CAUTERIZE. To burn or otherwise acton a diseased part by heat, caustic, &c. CELLULAR. Consisting of cells; most of the tissues of the body are formed of cells, or are cellular. CEREBRAL. Pertaining to the brain. CERU M EN. The ear-wax. CHALYBEATE. Containing iron in solution, as occurring in mineral springs. CHOLERIC. Easily irritated; inclined to anger. CHRONIC. Continuing for sometime; inveterate, or requiring long treat- ment; in distinction from Acute. CICATRIX. A scar left from a healed wound. CIRCULATION. The passage of the blood to and from the heart through the body, by means of the arteries and veins. CLIMACTERIC. A term generally applied to the time at which the menses finally cease. CLYSTER. An injection into the bowels for promoting an evacuation and relieving costiveness. COAGULATION. A change from a fluid to a solid condition, as in the coagulation of the blood. COAGULUM. A clot of blood. COLLAPSE. Sudden failure or pros- tration of the vital functions. COLLIQUATIVE. A term applied to various discharges which produce rapid exhaustion. COMA. Lethargy; unnatural propen- sity to sleep; stupor. COMATOSE. Affected with coma. CONCRETION. A hard substanca gradually formed in any part of the body. CONCUSSION. A violent shock, as of the brain. CONFLUENT. Running together-, spreading over a large surface, as confluent small-pox. CONGENITAL. Disease which in- fants have at birth. CONGESTION. An accumulation of blood in a part, resulting from a deprivation of circulating power. CONGLOMERATE. Heaped together. CONSTITUTION. A particular ten- dency of the body. CONSTRICTION. Contraction or drawing together. CONTAGION. The communication of diseases by contact; popularly ap- plied to diseases known to be " catch- ing," as small-pox.' CONTUSION. A bruise; an injury of the external part of the body short of abrasion. CONVALESCENT. Gradual return to health after disease; gaining strength. CORROSIVE. Having the power to eat away or destroy the tissues. COSTIVENESS. Difficulty in having evacuations from the bowels; consti- pation. CRANIUM. The skull, comprising the bones which inclose the brain and form the head. CRISIS. The culmination of the symp- toms of a disease, either for recovery or death. CRITICAL. Pertaining to a crisis; applied especially to days in fevers, &c, and to symptoms. CRUCIAL. Cross-like. CUTANEOUS. Belonging to the skin, as a cutaneous disease. CYST. A bag or sac containing mat- ter or other fluids. DEGLUTITION. The act or power of swallowing. DELETERIO US. That which is hurt- ful. DELIRIUM. A condition in which the patient has confused ideas of past and present circumstances. DEMARCATION. A lino of separa- tion ; a limit or boundary ascertained and fixed. DEMULCENT. A term applied to GLOSSARY OF MEDICAL TERMS. 1003 medicines which have a softening or mollifving effect. DEPLETION. Diminution of the quantity of blood by bloodletting or other process. DESQUAMATION. Scaling off or separation of the outer layer of the skin (epidermis) in small scales. DIAGNOSIS. The act of distinguish- ing diseases by svmptoms. DIGESTION. The conversion of food into proper condition to supply nour- ishment for the body. DILATATION. The act of spreading or expanding in all directions. DISLOCATION. The displacement of a bone out of its socket. DORSAL. Pertaining to the back. DRASTIC. Violently purgative. DYSCRASIA. A bad habit of body, producing generally a diseased condi- tion of the svstem. DYSPHAGIA. Difficulty of swallow- ing. EBULLITION. The motion of a liquid by which it gives off bubbles of vapor, as in boiling. ECCHYMOSIS. Extravasation of blood, as occurs in bruises; livid spots on the skin of a bruise-like character EFFERVESCENCE. The escape of gas from a fluid, as in the so-called " soda-water.4' EFFLORESCENCE. As applied to disease this term refers to an eruption upon the skin whichresemblesablush. EFFUSION. An escape of the blood or any other fluid of the body from their natural position into the tissues or cavities of the body. EGESTA. The excrement of the body, as the faeces. ELIMINATION. Discharged from the body, as by the pores of the skin. EMBRYO. The early stage of the foetus. EMESIS. Vomiting. ENAMEL. The exterior coating of the teeth. ENCEPHALON. The whole of the brain. ENCYSTED. Inclosed in a cyst or sac. ENDEMIC. A disease which is of local and not of general occurrence; also applied to diseases dependent on the season of the year. ENEMA. A clyster or injection, espe- cially to move the bowels. I ENERVATION. A loss of nervous tone and reduction of strength. EPHEMERAL. Of short duration. EPIDEMIC. Disease prevalent in 9 district or country, not necessarily, but usuallv, dependent on local causes. EPIDERMIS. The scarf skin; the outer layer of the skin. EPIGASTRIC. Pertaining to the re- gion of the stomach or upper part of the bellv. ERADICATE. To entirely remove, as to eradicate a disease. ERETHISM. Morbid energetic action or irritability. EROSION. Eating away; corrosion. ERUCTATION. Ejection of wind from the stomach through the mouth. ERYSIPELATOUS. Having the character of erysipelas. EVACUATION. Movement of the bowels, or passage of urine from the bladder; discharging a fluid from the body, as pus from an abscess. EXACERBATION. Increase in the severity of a disease; exacerbations are generally periodical. EXANTHEMA. An eruptive disease, with fever, as small-pox, measles, &c. EXCISION. The cutting out of a part. EXCORIATE. To abrade; to strip off the skin in shreds. EXCREMENT. Effete matter cast out from the body, especially applied EXCRESCENCE. An abnormal or unnatural growth of a part, as a wart or tumor. EXCRETION. A waste product of life to be thrown off from the system. EXFOLIATE. Scaling or peeling off; separation of decayed from living bone. EXHALATION. Emission of vapor, air, gas, &c. EXOSTOSIS. An unnatural growth from a bone ; a bony tumor. EXPECTORATION. Discharge of phlegm, mucus, or saliva from the mouth. EXTRAVASATION. Escape of the fluids of the body, as the blood, from their natural canals, and diffusion in the surrounding tissue, as in a bruise. EXUDATION. Perspiration; sweat; moisture on the skin; flow of fluid from the blood into a sore. FAECAL. Pertaining to the faeces. IEDICAL TERMS. 1004 GLOSSARY OF Id FAECES. The stools ; excrementitious matter discharged from the bowels; the alvine evacuations. FARINACEOUS. Containing starch, as farinaceous food, starchy food. FAUCES. The cavity between the mouth and throat, bounded by the tongue, the uvula and tonsils, and the pharynx; it leads to the pharynx or commencement of the throat. FEBRILE. Pertaining to fever; fe- verish. FETID. Having a stench or offensive odor. FISSURE. A groove, cleft, or narrow opening. FLACCID. Soft, yielding to the touch; wanting tone, as a flaccid muscle. FLATULENT. Affected with wind or gas generated in the stomach and bowels, through imperfect digestion and other causes. FLOCCULENT. In the form of flocks, like bits of raw cotton or wool. FLOODING. Profuse flow of blood, as flooding after a miscarriage. FLUCTUATION. The undulatory movement of a fluid collected in a natural or artificial cavity of the body, which is felt by pressure. FLUENT. Flowing. F03TUS. The product of conception ; the embryo when in the womb. FOMENTATION. External applica- tion of hot, moist flannels, &c, to ease pain or excite action in parts. FOREARM. That part of the arm between the elbow and the wrist. FORMICATION. A creeping sensa- tion felt on the body, as though ants were crawling over it. FUNCTION. The active condition or object of an organ, as respiration is the function of the lungs. FUNGOUS. Like an excrescence or fungus, as a fungous growth is a fun- gus-like tumor. FUROR. Madness; frenzy. FURRED. Coated with an unnatural substance, as a furred tongue. GANGRENE. Mortification or death of a part. GASTRIC. Belonging to the stomach. GLAND. A soft body, the function of which is to secrete some fluid; the liver is a gland. GLANDULAR. Of the nature of or pertaining to a gland. GLUTINOUS. Viscous ; tenacious; like glue or gluten. GRANULATION. The healing of a wound or ulcer by the formation of grain-like fleshy masses. GRAVEL. A term popularly applied to diseases characterized by the form- ation of calculus or stone in the bladder. GRUMOUS. Thick; clotted; concre- ted ; as grumous blood. GUTTURAL. Pertainingtothethroat; a guttural tone or voice is one which comes from the throat. HABIT. A particular state or temper- ament of the body. HECTIC. A condition pertaining to a slowly-wasting disease, as consump- tion ; a fever which gets worse and better, attended with chilliness, heat, and perspiration. HEMORRHAGE. Loss of blood; bleeding. HEPATIC. Pertaining to the liver. HUMORS. The fluids of the body. HYGIENE. The means of preserving health. HYPERTROPHY. Unnatural en- largement of a part or organ of the body. HYPOCHONDRIA. The sides of the abdomen under the Lower ribs. ICHOR. A thin watery humor flowing from ulcers. IDIOPATHIC. A primary disease, not dependent on any other. IDIOSYNCRASY. Peculiarity of temperament of an individual. INCIPIENT. Commencing. INCISION. Separation of surfaces by a sharp instrument; a cut. INCONTINENCE. Inability to re- tain discharges, as incontinence of urine. INCRUSTATIONS. Deposits like crusts. INDURATED. Hardened. IN PECTIOUS. Capable of being com- municated by contact or otherwise. INFILTRATION. The entering of a fluid into a porous part of the body. INFLAMMATION. A redness or swelling of any part of the body, usually attended with heat, pain, and fever. INFLATION. Swelling up, especially by air or any gaseous body. GLOSSARY OF MEDICAL TERMS. 1005 INHALATION. The art of inhaling or breathing in. INSATIABLE. Not to be satisfied. INSOLUBLE. Not capable of being dissolved. INSIDIOUS. Coming on stealthily and imperceptibly. INTEGUMENT. A covering; the skin. INTERMITTENT. Ceasing at inter- vals. INTESTINES. The bowels. INVERMINATION. Becoming af- fected by worms. IRRITABILITY. An excess of ner- vous excitement. ISOLATED. Cut off from surround- ings or associates. JACTITATION. Tossing of the body ; restlessness. JOINT. The junction of two or more bones; articulation. LACERATED. Torn asunder. LACHRYMAL. Pertaining to the tears. LACTATION. Nursing; giving suck. LACTEAL. Pertaining to milk; a name given to small vessels pertain- ing to the digestive system. LANCINATING. Piercing, as with a sharp-pointed instrument; hence, lancinating pain. LANGUOR. Feebleness ; weakness ; lassitude of body. LARYNGEAL. Pertaining to the larynx or windpipe. LASSITUDE. A morbid sensation of languor, frequently preceding and accompanying disease. LAVEMENT. Clyster; enema; an injection to move the bowels. LAXATIVE. A mild purgative. LEPROUS. Pertaining to leprosy, which is a cutaneous scaly disease. LETHARGY". Preternatural drowsi- ness ; a kind of coma. LIENTERY. A diarrhoea in which the food passes almost unchanged. LIGAMENT. Membranes which as- sist in holding the joints together. LIGATION. The art of tying a vessel. LIGATURE. A thread for tying bloodvessels io prevent hemorrhage. LIVID. Black and blue; of a lead color. LOCHIAL. Pertaining to the dis- charges which follow childbirth. LUMBAR. Pertaining to the lower part of the back. LUXATION. A dislocation; out of joint. LY'MPH. A humor of the body, sep- arated from the blood, and carried by the lymphatic vessels. LYMPHATIC (vessels). Fine tubes pervading the body; (temperament), a characteristic condition of an indi- vidual of fair complexion and with much lymph. MALADY. A disease. MALFORMATION. A wrong or im- proper formation, as of a part or or- gan of the body. MALIGNANT. Virulent; dangerous. MANIPULATION. The mode of handling anything, or conducting an operation by hand. MARASMUS. Atrophy; wasting awav from various causes. MASTICATION. The act of chewing the food. MATERIA MEDICA. That branch of science which treats of the articles used in medicine and pharmacy. MATTER. Pus collected in or emitted from an abscess, pustule, &c. MATURATION. The formation of matter in an ulcer, pustule, &c. MECONIUM. The first faaces of an infant voided shortly after birth. MEMBRANE. A thin flexible sub- stance investing many internal and some external parts of the body. MEMBRANOUS. Pertaining to or consisting of membrane. MENSES. The periodical or monthly flow of women; the courses. MENSTRUAL. Pertaining to tho menses. MESENTERY. A membrane in the cavity of the abdomen, which sustains and encompasses the intestines. METASTASIS. Removal of disease from one part of the body to another.' MIASM. An unhealthy effluvia, as marsh miasm. MICTURITION. Passing urine. MIDRIFF. The diaphragm; a mus- cular dome stretched across the body, and separating the cavity of the abdo- men from the cavity of the thorax or chest. MILIARY. Like millet-seeds, as a miliary eruption. MORBID. Diseased; sickly; unsound; MEDICAL TERMS. L006 GLOSSARY OF I a term applied to unnatural condi- tions and appearances. MORTIFICATION. Death of a part of the body; gangrene. MUCOUS. Pertaining to or resem- bling mucus. MUC US. A viscid fluid that lubricates the interior surfaces of the cavities and organs of the body. MUSCLE. Flesh; the fleshy parts of the body which cause motion, or by which movements are accomplished. NARCOTIC. An opiate; anything inducing sleep. NARES. The nostrils. NASAL. Pertaining to the nose. NAUSEA. " Sickness at the stomach;" disposition to vomit. NECROSIS. Mortification of bony parts. NOCTURNAL. Occurring at night. NODOSITY. Any concretion, especi- ally calcareous, as in gout. NOSTRIL. The aperture of the nose. NUTRIMENT. Nourishing food; that which repairs the waste of the system. NUTRITION. The process of promot- ing growth, or repairing the losses of the system. OBSTIPATION. Costiveness; con- stipation. OBTUSE. Blunt; dull; not sharp- ened. OCCIPUT. The back part of the skull. 03DEMA. Swelling; tumor. OLFACTORY. Pertaining to smell- ing. OPACITY. Imperviousness to light. OPHTHALMIA. Inflammation of the eye. OPIATE. A preparation of opium for producing sleep ; it is commonly ap- plied to any medicine capable of pro- ducing sleep. ORBITS. The two cavities in which the eyes are placed. ORGAN. Such structures of the body as are essential to the carrying on of some process, as the lungs are the organs of respiration. ORGANIC. Pertaining to an organ. ORIFICE. An opening. OSSEOUS. Bony. OSSIFICATION. The formation of bone or bony matter. PABULUM. Food. PAIN. The sensation of discomfort arising from injury or disease of any of the nerves of the body. PALATE. The partition separating the cavity of the mouth from that of the nose ; the uvula is the hanging palate. PALLIATIVE. A medicine which mitigates or lessens the severity of a disease or of suffering without being curative. PALLOR. Unusual paleness ; death- like paleness. PALPATION. The method of exam- ining disease by pressing upon or touching the diseased part. PALPITATION. Unnatural action of the heart, in which it beats too rap- idly and too stronglv. PAPESCENT. Like pap; having the qualities of pap. PAPILLA. Various nipple-shaped elevations, as on the tongue ; it is also applied to elevations on the skin. PAPILLARY. Like a papilla; be- longing to the papilla. PARALYSIS. Palsy; a loss of sensa- tion, motion, and sometimes of intel- lect, affecting one or more parts of the body. PARASITE. Animals which live in or on the bodies of other animals; intestinal worms are parasites. PAROXYSM. Intermittent attacks of a disease, as a paroxysm of ague. PARTURITION. Labor; childbirth. PATHOLOGY. That part of medicine which treats of the cause, nature, &c, of disease. PELLICLE. A thin film or skin. PELVIS. A bony cavity forming the lower portion of the abdomen. PERCUSSION. The mode of exam ining disease by striking upon or over diseased parts, and judging by the sounds made thereby. PERIOSTEUM. A fibrous membrane investing bones. PERITONEUM. A thin, smooth membrane that invests the whole in- ternal surface of the abdomen and the organs contained in that cavity. PHLEGM. Mucous matter ejected from the fauces, and secreted on the lungs. PHLEGMATIC. Cold, heavy, dull, as a phlegmatic temperament or con- stitution. PHOTOPHOBIA. Dread of light, owing to extreme sensibility of the retina. GLOSSARY OF M PLASTIC. Easily moulded. PLETHORA. Repletion; too great fulness of the vessels of the body ; hence a plethoric habit of body. PNEUMONIC. Relating or pertain- ing to the lungs. POROSITY. The condition of a body containing pores, as a sponge. POTENTIAL. Having power. PRECURSORY. Preceding and indic- ative of something to follow, as the precursory svmptoms of a fever. PREDISPOSITION. Previous incli- nation or propensity to anything; as predisposition to a certain disease. PREGNANT. With child. PREMONITORY. Giving previous warning or notice, as the premonitory symptoms of a disease. PROGNOSIS. A judgment formed as to the future progress and termina- tion of a disease. PROLAPSUS. Falling down, as of the womb. PROTRUSION. Thrust, or project- ing forward or outward. PROTUBERANCE. A swelling, pro- jection, or tumor ofthe body. PSORIC. Pertaining to a diseased condition of the system consequent on previous disease, as of the itch. PUBERTY. The period of life in which young people of both sexes are "fit to marry " and to procreate. It varies greatly in different climates and under different circumstances. PUERPERAL. Belonging to child- birth. PULSE. The beat or throbbing of the heart and arteries, usually felt at the wrist above the ball of the thumb. PUNCTURED. Perforated with a sharp, fine instrument. PUNGENT. Powerful; pricking; bit- ing. PUPIL. The aperture of the eye through which light passes. PURGATIVE. A medicine which purges or causes undue and profuse evacuation from the bowels. PURGING. The effect of purgatives. PURIFORM. Having the form and appearance of pus or matter. PURULENT. Consisting of pus or matter. PUS. Yellowish-white matter, found in abscesses, &c. PUSTULE. An elevation of the skin, having an inflamed base, and con- taining pus. iEDICAL TERMS. 1007 PUTREFACTION. Decay and de- struction of organized matter by de- composition. PUTRESCENT. Becoming putrid; pertaining to the process of putrefac- tion. PUTRID. Of the character of or per- taining to putrefaction. PYROSIS. Waterbrash; heartburn; pain in the region of the stomach and vomiting of watery fluid. QUALMISH. Sick at the stomach; affected with nausea and languor. QUARTAN. The fourth, as quartan ague, which has a paroxysm every fourth dav. QUOTIDIAN. Daily; as quotidian ague, having a paroxysm daily. RADICAL. Pertaining to the root or origin. RAMIFICATION. Extension in a branch-like form, as of an artery. RAMOLLISSEMENT. Softening of an organ or part. RECTUM. The termination df the intestines at the fundament is so called, the outlet being termed the anus. RECUMBENT. Leaning5 reclining. RECUPERATE. To recover health and strength. RECURRENT. Constantly returning, as recurrent pains. REGIMEN. The rational and method- ical use of food and of everything essential to life, both in a state of health and disease. REGION. A part of the body, as the lumbar region. REGURGITATE. To be passed back, to rise from the stomach back into the mouth, as food or drink. RELAXATION. Loosening; as relaxa- tion of the bowels. REMEDIAL. Affording a remedy or cure. RE MEDY. A medicine which restores health or lessens disease. REMITTENT. A disease which pre- sents remissions, but does not entirely cease, as distinguished from intermit- tent, in which there are periods of complete cessation of symptoms. REPERCUSSION. Driving back ; re- pelling. REPERTORY. An index to the symp- toms of diseases and their remedies, in which they are arranged in an 1008 GLOSSARY OF MEDICAL TERMS. orderly manner, so that they may be found without trouble. RESOLUTION. Disappearance of a tumor or of inflammation by a gradual process, without suppuration. RESPIRATION. The act of breath- ing; inhaling and exhaling air by the lungs. RESPIRATORY. Pertaining to res- piration. RESUSCITATION. Reviving from apparent death, as from drowning, &c. RETCHING. Attempting to vomit. RHAGADES. Fissures or chaps in the skin or mucous membrane. REVACCINATION. Second or re- peated vaccination. RICKETY. Pertaining to the rickets. RIGID. Non-pliable, as the limbs, &c, in many affections of the body or death. RIGOR. Sudden sense of chilliness. RUPTURE. Hernia; an unnatural protrusion of the intestines. SAC. A small bag or cyst. SACCHARINE. Sweet; pertaining to sugar. SALINE. Salt like. SALIVA. The spittle; the secretion of the salivary glands of the mouth, that serves to moisten the mouth and aids mastication, swallowing, &c. SALIVATION. Production of an ex- cessive flow of saliva, as by mercury. SANGUINE. (Temperament.) One characterized by warmth of tempera- ment SANGUINEOUS. Abounding with blood ; of the nature of blood. SANIES. A thin, often purulent dis- charge from wounds or sores; hence sanious. SARDONIC. (Laugh.) A convulsive affection of the muscles of the face ac- companying some spasmodic diseases. SCABIES. The itch. SCALE. A thin crust covering the skin. SCALP. The skin of the top of the head. SCARF-SKIN. The epidermis or outer laver of the skin. SCORBUTIC. Pertaining to scurvy. SCROFULOUS. Pertaining to scrof- ula. SECRETION. The products of vari- ous organs of the body ; as bile is the secretion of the liver. SEDENTARY. Accustomed to sit much. SEDIMENT. The deposit from urine, which sinks to the bottom of the vessel when the urine is allowed to stand. SEROUS. Having the nature of serum. SERRATED. Having teeth like a saw. SERUM. The liquid portion of the blood that separates from the red blood. SEQUELAE. The after-effects of cer tain diseases. SHOCK. Sudden or instantaneous de- pression of the vital power. SINAPISM. A mustard poultice or plaster. SINGULTUS. Hiccup. SLOUGH. The part that separates from a wound. SLOUGHING. The separation of sloughs SLUGGISH. Of slow movement. SOLVENT. That which dissolves a substance. SOMNOLENCY. Sleepiness, heavi- ness, short of coma. SPASM. An involuntary contraction of the muscles. SPASMODIC. Of the nature of a spasm. SPORADIC. Diseases, such as colds, as are neither endemic nor epidemic. SPUTA. The matter expectorated. SQUAMOUS. Scaly. STERTOR. The deep-snoring breath- ing which accompanies some diseases, as apoplexy. STERTOROUS. See Slertor STOOL. The alvine evacuations; the excrement from the bowels. STRANGULATION. Compression of a part by which it cannot return to its proper position, and the blood can- not circulate freely through it, as a strangulated hernia or rupture. STRANGURY. Difficult and painful expulsion of urine. STRICTURE. Unnatural contraction of any passage of the body. STRUMA. Scrofula. STRUMOUS. Pertaining to struma or scrofula. STUPOR. Insensibility; suppression of the senses. STYPTIC. An astringent; an appli- cation which restrains bleeding. SUBACUTE. Between acute and chronic, partaking somewhat of the nature of both. GLOSSARY OF MEDICAL, TERMS. 1009 SUBMAXILLARY. Under the jaw; the submaxillary bone is the lovvar jawbone. SUDORIFIC A medicine which pro- motes sweating. SUFFUSION. Overspreading with a fluid or a color SUGGILLATION. A bruise; livid mark ; ecchymosis. SUPPOSITORY. A substance, me- dicinal or otherwise, in the form of a cone or cylinder, intended to be in- troduced into the rectum, to favor or restrain evacuations, or to ease pain. SUPPRESSION. Stoppage of a nat- ural, periodic, or other discharge. SUPPURATION. Formation of pus. SWOONING. Fainting. SYMPTOMATIC. Pertaining to symptoms. SYMPTOMS. The manifestations ot disease to the senses; it is by the ag- gregate and succession of symptoms that disease is detected. SYNCOPE. Fainting or swooning SYNOVIA. A lubricating fluid se- creted in the joints of the bones SYNOVIAL. Pertaining to the syn- ovia. TABES. Consumption, or wasting awav. TEMPERAMENT. Individual con- stitution ; a name given to the re- markable differences that exist be- tween individuals, in consequence of the variety of relations and propor- tions between the constituent parts of the body. TAMPON. A plug, used for plugging a bleeding orifice. TENDON. A fibrous cord attached to the extremity of a muscle. TENESMUS. Painful but useless urg- ing to evacuation. TENSE. Rigid; hard; stiff; drawn tightlv. TENSION. Tenseness. TERTIAN. Occurring each third day, as a tertian fever. THORACIC. Pertaining to the chest. THORAX. The chest. THROBBING. Beating with unusual force. TISSUE. The various constituent parts of the body are called tissues, as bony tissue, muscular tissue, brain tissue, &c. TONSILS. Glands situated on each side of the throat. I TOPICAL. Local, applied to the spot, as a topical application. TORMINA. Severe qriping pains. TORPOR. Numbness; inactivity; lo« of motion. TOXICOLOGY. The study of the de- tection, antidoting, &c, of poisons. TRAUMATIC. Pertaining to a wound. TREMOR. Involuntary shaking. TRISMUS. Lockjaw. TUBERCLE. A pimple, swelling 01 small tumor; also applied to deposits in the lunjjs of consumptives. TUBERCULAR. Pertaining to tu- bercle. TUMEFACTION. A swelling or tu- mor. TURGID. Excessively full and dis- tended, as turgid bloodvessels. TYMPANITIS. A gaseous distension of the abdomen. TYMPANUM. The drum of the ear. TYPHOID. Relating to or resembling typhus. TYPHUS. _ A form of low nervous fever, malignant, infectious, &c. TYPE. The characteristic order in which the symptoms of a disease ex- hibit themselves, as of a fever, making it continued, intermittent, or remit- tent, &c. ULCER. A sore on any soft part of the body, attended with discharge of pus. UMBILICAL. Relating to the navel. UMBILICUS. The navel. URINATE. To pass water from the bladder. URINE. Water evacuated from the bladder. UVULA. A soft spongy hanging body, situated above the tongue and between the tonsils. VASCULAR. Full of bloodvessels. VEHICLE. Means of administering medicines. VEINS. Vessels that receive blood from the arteries and return it to the heart as venous blood. VENESECTION. Bleeding. VENOUS. Relating to the veins. VERTEX. The crown of the head. VERTIGO. Giddiness or swimming of the head. VESICANT. Blistering. VESICLE. A little bladder of water formed under the skin. 1010 GLOSSARY OF MEDICAL TERMS. VESICULAR. Like or pertaining to V6SiCi6S. VICARIOUS. Taking place in one part instead of another. VIRULENT. Extremely injurious, malignant, poisonous. VIRUS. Active or contagious matter. VISCERA. The bowels; the organs contained in the abdomen. VISCID. Glutinous; sticky; tenacious. VISION. Sight. VITAL. That which pertains to 01 involves life. VITALITY. Life; animation. VITIATE. To render impure. YAWNING. Gaping. ZYMOTIC. Contagious; infectious; such diseases as may be inoculated. INDEX. Abdomen, pain in the (bowels), 37 Abdominal deformity after labor, 734 typhus, 102 dropsy, 574 Abortion (see Miscarriage), 713 Abrasions of the skin of children, 770 Abscess (suppurative inflammation) of the liver, 298 general article on acute and chronic, 433 varieties of and symptoms of acute, 433 symptoms of chronic, 434 treatment, local and constitutional, of acute, 434 treatment, local and constitutional, of chronic, 435 scrofulous (of the glands) and inveterate cases of, 436 removal of the cicatrices or scars left by, 437 diet and regimen for, 437 lumbar, 475 op the liver, in hot climates, 627 of the breasts, 738 Abscesses after typhus, 113 Abuse of cantharides in blisters, &c, ill- effects of, 320 cinchona, ill-effects of, in agues, 132 ardent spirits, causing brain fever, 420 mercury, near sight after, 491 blood-stained discharge from the ears caused by, 506 sulphur, blood-stained discharge from the ears caused by, 506 mercury, deafness from, 509 causing swelling of the nose, 514 spirituous iiquors, swelling of the nose from. 514 mercury, offensive breath from, 522 nerve-pain in the face from, 523 Accessory and palliative treatment, 64 treatment of fever, 92 and precautionary treatment during the prevalence of typhus, 118 measures in small-pox, 175 for mothers not suckling their in- fants, 740 case of suspended animation of in- fants, 743 Accessory measures for inflnmmation of the eyes of infants, 754 against convulsions of children, 776 against infantile remittent fever, 791 in miliary fever, 177 in the treatment of sore throat, 188 in the treatment of ulcerated sore throat, 189 in the treatment of mumps, 195 against vomiting of blood, 241 against constipation, 247 in casual cases of colic, 260 against dysentery, 272 treatment of cholera, 284 general precautions during cholera, 285 measures tor coughs, 358 in the treatment of croup, 369 for the treatment of apoplexy, 415 appliances for ulcers or sores, 457, 458 measures for bleeding of the nose, 513 against headache, 556 against dysentery in tropical cli- mates, 594 for the ardent fever of India, 599 during yellow fever, 607 for swelled veins during pregnancy, 711 against or in cases of miscarriage, 717 for enlarged or dangling belly after labor. 735 Accidents (see Casualties), 636 Accumulation of watery fluid in the knee, 482 Aching pains in the back (Lumbago), 473 Acid, oxalic, immediate treatment of poison- ing with, 675 Prussic, immediate treatment of poison- ing with, 677 Acidity, flatulence, &c, of infants, 756 Acidum muriaticum, characteristics of, 807 nitrieum, characteristics of, 808 phosphoricuni, characteristics of, 810 sulphuricum, characteristics of, 811 Aconitum napellus, characteristics of, 813 (ion) 1012 INDEX. Aconitum, tincture of, as an external appli- cation, 67 Active or second stage of low and inflamma- tory typhus, 94 or acute dropsies, general causes of, 571 acute, or inflammatory dropsy of the cellular tissue, 576 Acute disease, preventive treatment against, 78 inflammation of the liver, 295 of the stomach, 305 of the bowels, 309 of the brain and its tissues, 415 abscess, local and constitutional treat- ment of, 434 inflammation of the eyes, and causes of, 484 of the eyelids, 493 • of the spinal cord and its mem- branes, 533 or active dropsies, general causes of, 571 active or inflammatory dropsy of the cellular tissue, 576 hepatic dysentery of hot climates, 595— 598 dropsy of the brain, symptoms of, and the low, torpid, or insidious form of, 780 active or inflammatory form of, 781 Acuteness of hearing, excessive, 47 of tbe sense of smell, 48 Administration, selection, and repetition of the medicines, 57 of the medicines, systematic table of rules for, 73 Advanced or malignant stage of putrid fever, 115 stage of cholerine, 287 Affections to which a patient is especially liable, 8 of the ears after scarlet fever, 157 asthmatic, after small-pox, 174 sympathetic, resulting from derange- ments of digestion, 198 of the knoe, 481 various, of the nose, 514 of the womb, face-ache incidental to, 521 chronic, of the liver of hot climates, 631 of the gall-bladder and ducts of hot climates, and treatment of, 631 peculiar to women, 681 Africa, western coast of, endemic and epi- demic fevers of, 613 endemic fever of, 614 accidental or climatorial fever of, char- acteristics and causes of, 616 After-effects of typhus, 112 intermittent fevers, dropsical swellings, or protracted debility, 131 6carlet fever, 154, 155 scarlet rash, 162 measles, 166 small-pox, 173 suppressed dysentery, 272 After-effects of cholera, 282 inflammation of the uppor part of the windpipe, 343 influenza, 373 inflammation of the brain, 421 sea-sickness, and diet, Ac., for, 661 After-pains following delivery (see Labor), 721 After-treatment of spitting of blood, 400 Age, and the conditions which qualify it, 6 Aged persons, constipation of, 246 Ague or nerve-pain in the face, 521 Agues (see Intermittent Fevers), 119 Air and exercise during pregnancy, 701 important in the eradication of chronic disease, 85 Alarm (see Mental Emotions), 678 Aliments, precautions respecting for the pre- vention of disease, 80 allowable under treatment, .89 prohibited under treatment, 90 Allowable articles of diet under treatment, 89 Alterations of the pulse, &c, 11 Alternation of constipation and looseness, 245 Alumina, characteristics of, 814 Amenorrboea, suppression of the menses, 684 Ammonium carbonicum, characteristics of, 816 Ammonium muriaticum, characteristics of, 818 Anatomical or structural state of the parts, in dropsy, symptoms yielded by the, 571 Animal fluids, near sight after loss of, 491 paralysis from loss of, 540 poisons, treatment for, 677 Animation, suspended (see Death, Appa- rent). 662 of infants, suspended (see Stillborn), 742 Annual intermittent fevers, 124 Antecedents of the patient's family, 5 Anthony's (St.) Fire (Erysipelas), 424 Antidotes, 66 Antimonium crudum, characteristics of, 819 tartaricum, characteristics of, 820 Anxiety, discomfort, and pain, sensations of, and what they indicate, 44 Aperients, abuse of, producing diarrhoea, 264 Aphthae, thrush, characteristics, causes of, 759 external applications for, 759 constitutional treatment for, 760 Aphthous sore throat, quinsy, &o., 183 Apis mellifica. characteristics of, 822 Apoplectic constitution, 2 symptoms in ague fits, 124 Apoplexy, general article on the treatment of, 408 characteristics and premonitory symp- toms of, 408 symptoms of the confirmed attack of, 409 issue and results, and predisposing and exciting causes of, 409 INDEX. 1013 Apoplexy, treatment of the premonitory stage of, 410 indications for the treatment of afforded by particular causes, Ac, 410, 411 paralysis, resulting from, 415 accessory measures for, 415 Apparel, precautions respecting, for the pre- vention of disease, 80 Apparent death (see Death, Apparent), 662 Appearance, healthy, of the urine, 18 varying, of the tongue, 29 Appetite and its indications. 27 absence of natural, or excess of, 27 want of, as a specific derangement, 222 Appliances external and accessory, for ulcers or sores, 457 Application, mental, excessive, causing brain fever, 421 external, for thrush, 759 mental, excessive, fainting from, 548 local and preventive, against hydropho- bia, 669 Applications, external, remarks respecting, 66 of the nature of poultices, 66 of the nature of fomentations, 66 external and local, to incised wounds, 642 Apprehension (see Mental Emotion), 678 Ardent spirits, abuse of, causing brain fever, 420 or inflammatory fever of India (hot sea- son), 599 Arnica, tincture of, as an external applica- tion, 67 Arnica montana, characteristics of, 823 Arsenic, white (see Arsenicum alb.), 825 immediate and after-treatment of poi- soning with, 674 Arsenicum album, characteristics of, 825 Arsenicum, tincture of, as an external ap- plication, 70. Arthritis, gout, 460 Art of feeling the pulse, 11 Arteries, wounds of (see Incised Wounds), 642 Articulation, loss of the power of, and what it indicates, 52 Artificial (supplementary) diet of infants, 748 Asiatic, malignant, or epidemic cholera, 276 Aspect of typhus fever, 97 Asthma, characteristics, premonitory and general symptoms and varieties of, 566 issue, and results, and treatment of. 567 of Millar, in children, 785 Asthmatic affections after small-pox, 174 Atmospheric vicissitudes as causes of scro- fula, 587 and other local influences, 9 Atrophy, or emaciation of children, general causes and treatment of, 793 diet and regimen for, 797 Attack, confirmed, of apoplexy symptoms and treatment of, 409 Attacks, bilious (Bilious Vomiting), 237 Attenuations, potencies, or dilutions, 62 Aurum metallisum or foliatum, character. istics of, 827 Average standard of the pulse in health, 12 Back, aching pain in the (Lumbago), 473 and loins, pains in the, during preg- nancy, 712 Bandages for ulcers or sores, 458 Baryta carbonica, characteristics of, 829 Bastard or spurious pleurisy (see Pleurisy), 394 Batavian endemic fever, 610 Bath, remarks and regulations respecting the, 70 for infants, temperature of, 73 Bathing, cold, when to be avoided and when beneficial, 71 precautions to be observed in, 71 Beating of the heart (Palpitation), 525 Bed-sores after typhus, 112 external treatment of, 112 constitutional treatment of, 112 Bed, wetting the, of young children, 768 Belladonna, characteristics of, 830 Belly, pain in the (bowels), 37 tenderness, distension, griping and con- tinuous pains in the, in Typhus, 102 dropsical swellings of the, after agues, 131 membrane lining the cavity of the (Pe- ritoneum), inflammation of the, 316 dropsy of the, premonitory and general symptoms o-f, 574 deformity, enlargement, or hanging down of the, after labor, 734 Beneficial effects of cold bathing, 71 Biliary incipient derangements of hot cli- mates, symptoms and treatment of, and diet and precautions against, 593 Bilious constitution, 2 or gastric fever, 132 predisposing and exciting causes and symptoms of, 132 complaints, 195 vomiting, bilious attacks, 237 or sporadic cholera, 274 Remittent Fevers of hot climates, 609 Birth, treatment immediately after, 742 Bite of a mad dog (see Hydrophobia), 667 of serpents (envenomed wounds), 671 Bitterish expectoration, 53 Blackish, dry, furred, and tremulous tongue, 29 Bladder, inflammation of the, and causes of, 321 inflammation of the, associated with stone or gravel, 323 suppurative inflammation of the, 323 chronic inflammation of the, 323 catarrh of the, 323 gall aDd ducts, affections of the, of topi- cal climates, 631 1014 INDEX. Bleeding of the gums, 518 periodical determination of blood to the head treated by, 405 of the nose, treatment of, and indica- tions afforded by the cause of, 510 diet and accessory measures for, 513 Blindness, sudden attacks of, 492 in the evening, 492 Blisters, ill-effects of, 320 Blood, condition ofthe, as an important sign of the nature of disease, 16 spontaneous discharges of, 18 expectoration (spitting) of, 53 vomiting of, 239 premonitory symptoms of, 239 determination of, to the head, with con- stipation, 247 copious loss of, with piles, 250 determination of, to the chest, 374 discharge of, from the lungs, spitting of, 395 spitting of, various forms and charac- teristics of, 395, 396 very severe cases of, 398 after-treatment of, 400 determination of, to the head, 401 caused by loss of blood, 404 loss of, causing rush of, to the head, 404 determination of, to the head, previously treated with periodical bleeding, 405 determination of, to the head, from ex- ternal injuries, 405 determination of, to the bowels, 483 determination of, deafness from, 507 discbarge of, from the nose, 510 discharge of, from the gums, 518 fulness of, before labor, 719 » Bloodletting, periodical, causing determina- tion of blood to the head ; or cases of de- termination of blood to the head previously treated by, 405 Blood-sbot eye, 490 Blood-stained discharges from the ears, simply, or from abuse of mercury, 506 discharge from the ears from abuse of sulphur, or from ulceration of the small bones, 506 Bloodvessel, rupture of a, 396 Blotches, milk-, inilk-scab, Ac, 757 Blue or livid complexion, 52 Body, state of the (heat), in tropical cli- mates, 590 Boils, treatment of, after typhus, 113 general article on the treatment of, 429 constitutional susceptibility to, 429 Bones, small, of the ear, bloody discharge from ulceration ofthe, 506 Bones ofthe spine, lumbar abscess from dis- ease of, 475 ofthe nose, ulceration ofthe, 515 affected by Scrofula, 584 Bowel complaints (see Bowels), of infants, 762 Bowels, pain in the (plinful evacuations), Bowels, pain and looseness in typhus, 103 looseness ofthe, after measles, 166 looseness of the, after small-pox, 174 stoppage of, confinement of, 241 looseness of the, alternating with cos tiveness, 245 muscular inertness of the, causing con- stipation, 245 looseness of the, general article on th« treatment of, 260 looseness of the, with constitutional de- bility, 264 looseness ofthe, from abuse of aperients, AC, 265 looseness of, diet for, 266 inflammation of the, 308 inflammation of the, causes, results, and complications of, 309 acute inflammation of the, symptoms and treatment of, 309 chronic inflammation of the, treatment of, 310 obstinate and chronic inflammation of the, 313 inflammation of the, with worms, 315 determination of blood to the, 483 confinement of the, during Pregnancy, 706 looseness ofthe, during pregnancy, 707 state ofthe, before Labor, 719 looseness ofthe, of lying-in women, 733 flatulent distension ofthe, of infants, 757 confinement of the, of infants, 760 looseness of the, of infants, 762 general causes and distinctive symp- toms of, 762, 763 treatment for, 763-765 Brain, nerves, sensations and senses, and their indications, 29 disturbance of the, incidental to de- ranged digestion, 218 inflammation of the, and its tissues, brain fever, 415 distinctive characteristics, causes, and results of, 415-417 inflammation of the, from the check of an eruption, or from sunstroke, 419 . from violent chill in the head, 420 from suppressed discharge from the ear, 420 from external injuries and abuse of ardent spirits, 420 from excessive mental application, 421 protracted chronic cases of, 421 after-effects of, 421 irritation of the, from worms, 332 concussion of the, 636 dropsy of the, 780 acute—the low, torpid, or insidious form of, 781 acute, active and inflammatory form of, 781 chronic, symptoms of, 782 INDEX. 1015 Brain, dropsy of the, issue and results, com- plications and distinctive symp- toms of, 782, 783 acute, treatment of, 783 ohronic, treatment of and diet, Ac, for, 785 Breaking of a bloodvessel, 396 Breast, contusions ofthe, 647 Breasts, preparation ofthe, before labor, 718 inflammation of the, 738 abscess of the, 738 swelling of the, of infants, 772 Breath, in health, 21 difficulty of drawing the, from sup- pressed cold in the head, 347 offensive, 521 Breathing, the function of, its variations and their indications, 21 state of the, in health, 21 frequent, slow, and quick, 22 tardy, deep or long, small or short, diffi- cult, moaning or sighing, oppressed, panting, suffocative, warm, cold, un- equal, noisy, oppressed with sense of weight, fetid, Ac, and what is meant by these terms, 22 difficulty of, caused by suppressed cold in the head, 348 Bronchial tubes, inflammation ofthe mucous membrane ofthe, 377 acute inflammation ofthe, 377 inflammation of the, favorable and un- favorable results and signs in, 377 insidious variety of inflammation of the, 378 inflammation ofthe, of children, 378 chronic inflammation ofthe, 383 Bronchitis (see Bronchial tubes), 377 in children, 378 Bronchocele, goitre, 528 Bruises in general, 644 definition of (contused wounds), 644 external, and constitutional treatment of, 647 Bryonia alba, characteristics of, 832 Bunions and other swellings from pressure or contusion, 647 Burns or scalds, external treatment of, 652 constitutional treatment of, 654 very severe cases of, 655 Buzzing or humming in the ears, 505 Cactus grandiflorus, characteristics of, 834 Calcarea carbonica, characteristics of, 835 Calendula officinalis, tincture of, as an ex- ternal application, 67 Calves ofthe legs, cramps in the, 527 Camp fever (contagious typhus), 117 Camphor, characteristics of. 837 Cancer, chimney-sweeper's, 427 Cancerous tumor and ulceration of the lips, 499 Canker or scurvy in the mouth, 515 Cantharides, tincture of, an external appli- cation, 68 Cantharides, ill-effeots of abuse if in blis- ters, Ac, 320 characteristics of, 837 Carbo vegetabilis, tincture of, as an external application, 70 Carbo vegetabilis, characteristics of, 839 Carbuncle, symptoms and treatment of, 429 Casualties, general articles on concussions, bruises, strains or sprains, wounds, dislo- cations, and fractures, Ac, Ac, 636 Catarrh of the bladder, 323 common cold, feverish cold, 333 Catarrhal or rheumatic constitution, 2 fever, feverish cold, 333 inflammation of the eyelids, 493 or mucous discharge from the ears, 506 or rheumatic deafness, 508 Caulophyllum thalictroides, characteristics of, 841 Cause of disease as a point in investigation, 10 disease in general, 10 fever, 92 Causticum, characteristics of, 841 tincture of, as an external application, 69 Cellular tissue, dropsy of the, local or gene ral, 576 Cephalalgia, headache, 549 Cerebro-spinal meningitis, spotted fever, 538 Cerebral system, derangements of the, 401 Chafing, excoriation of the skin of infants, 770 Chamomilla, characteristics of, 843 Change, sudden and total, of the complexion (color), 52 or turn of life in females, 692 Characteristics of the individual, 7 distinctive, of bastard pleurisy, 394 of various forms of spitting of blood, 395, 396 of apoplexy, 408 of inflammation ofthe brain, 415 of nettle-rash, 437 of rheumatism, 465 of inflammation of the spinal cord, 533 of rupture, 543 of epilepsy, 560 of asthma, 566 distinctive, of varieties of dropsy, 571 general of scrofula, 580 of hereditary scrofula, 585 ofthe inflammatory fever of India, 599 ofthe typhoid fever in India, 600 ofthe yellow fever, 601 of plague, 607 ofthe endemic Batavian fever, 610 ofthe accidental or climatorial fever of Africa, 616 of Indian marsh-remittent fever, 619 general of leprosy, 622 general of abscess of the liver in hot climates, 627 of whites, 693 of false-pains, 720 1016 INDEX. Characteristics of thrush, 759 of dropsy of the brain, Ac., 780 of spasm of the opening of the windpipe (asthma of Millar), in children, 785 of infantile remittent fever, 789 Characteristic effects and indications of the medicines referred to in this work, 807 Check ofthe eruption of scarlet-rash, 161 of measles, 165 of small-pox, 173 of chicken-pox, 175 of miliary fever, 177 of an eruption, brain fever from, 419 ofthe eruption of nettle-rash, 439 Chest, oppression of the, 22 sounds ofthe, clear and dull on percus- sion, 51 determination of blood to the, 374 (respiratory organs) when chiefly af- fected by rheumatism, 470 dropsy of the, general symptoms and results and issues of, 571 concussion or contusion ofthe, 637 Chicken-pox, 175 check of the eruption in, 175 Chilblains, and external treatment of, 430 Children, toothache of, 182 casual derangement of the stomach of, 216 acute bronchitis of, symptoms and treat- ment of, 378 sleeplessness of, 750 not suckled by the mother (see Mothers), 740 and infants, treatment of, 742 stillborn (see Stillborn), 742 new-born, crying, wakefulness, and colic of, 755 bowel complaints of, 762 jaundice of, 771 derangements of, during teething, 763- 765 convulsions of (see Convulsions), 775 Chill, sensations of, 44 violent, in the bead, brain fever from, 420 Chills and heat and sweating in agues, 123 Chimney-sweeper's cancer, 427 China, cinchona, characteristics of, 845 Choice of habitation for health, 82 of a nurse, 746 Choking, apparent death from, 663 Cholera, bilious or sporadic (depending on casual causes), 274 malignant or Asiatic or epidemic, 276 after-effects of, 282 accessory treatment of, food and drink in, 284 general accessory precautions during, 285 preservative measures during the pre- valence of, 285 preventive medicines and clothing against, 285 diet during, 286 Cholera, synopsis ofthe principal indications for the remedies employed in the treat- ment of, 292 in India and precautions against, 593 Cholera Infantum, summer complaint, characteristics of, 765 issue and results of, 766 treatment and diet, Ac, for, 766-768 Choleric temperament, 4 Cholerine, incipient stage of, 286 advanced stage of, 287 Chronic, dry cough, 48 disease, repetition of the doses in, 76 eradicative treatment of, 83-88 and inveterate cases of ague in un- healthy subjects, 131 fevers, 141 inflammation of the liver, or liver com- plaint, 299 cases of jaundice, 301 enlargement and induration of the spleen, 304 or subacute inflammation of the lining membrane of the stomach, 308 or subacute inflammation of the bow- els, 310 and very obstinate inflammation of the bowels, 313 inflammation ofthe kidneys, 320 inflammation ofthe bladder, 323 worm affections, 332 inflammation of the upper part of the windpipe, 342 hoarseness, 344 protracted cases of inflammation of the bruin, 421 protracted cases of erysipelas, 427 abscess, local and constitutional treat- ment of, 434 cases of nettle-rash, 439 and obstinate cases or irritation, Ac, of the skin, 446 cases of sores or ulcers, 456 cases of gout, intermediary and eradi- cative treatment of, 461 rheumatism, symptoms and treatment of, 472 inflammation of the eyes, 486 inflammation of the eyelids, 496 discharge from the ears, from suppres- sion of an eruption of long standing, 506 eruption, sudden suppression of a, deaf- ness from, 508 inflammation of the spinal cord, symp- toms of, 534 asthma, 566 hepatic dysentery of hot climates, 595 affections of the liver of hot climates, 627 inflammation ofthe liver of hot climates, 631 dropsy of the brain, symptoms, Ac, of, 782 Cicatrices left by ulceration of the glands,437 INDEX. 1017 Cicuta virosa, characteristics of, 848 Cimicifuga racemosa, characteristics of, 849 Cina, characteristics of, 849 Cinchona officinalis (see China), 865 Cinchona, tincture of, as an external appli- cation, 70 abuse of, in intermittent fevers, which become chronic, 132 Clean tongue, 29 Cleanliness, value of, in the prevention of disease, 79 for the eradication of chronic disease, 86 Clear sound, on percussion ofthe chest, 51 Climate, its modifications and their influ- ence, 71 hot, intermittent fevers of a, 123 and season in the tropics, effects of the, 592 Climates, tropical, diseases peculiar to, gen- eral precautions against, Ac, Ac, 589- 592 Climatorial or accidental fever of Africa (see Africa), 616 Clothing and habits, general regulations re- specting, 57 precautions respecting, for the preven- tion of disease, 80 precautions respecting during cholera, 285 during pregnancy, 702 Coated, thickly (or furred) tongue, 29 and slimy tongue, 29 Cobra di capello, bite of a (envenomed wounds), 671 Cocculus, characteristics of, 850 Coffea cruda, characteristics of, 852 Coffee, sleeplessness induced by, 531 Colchicum autumnale, characteristics of, 852 Cold in the head of infants, 754 Cold, common, 333 sensations of, 42 inflammation ofthe eyelids from, 493 fresh- and salt-water bath, 70 bathing, conditions in which it should be avoided, 71 when beneficial, and precautions in, 71 stage of intermittent fevers, 119 susceptibility to, aftor scarlet fever, 154 common with fever (catarrh, catarrhal fever), 333 predisposition to feverish, or to taking, 336 first sign of having taken, 333 in thr head, 345 ill-effects of suppressed, 347 susceptibility to, 348 of infants, 754 discharge from the ears, caused by (mu- cous), 506 deafness from, catarrhal or rheumatic, 508 nerve-pain in the face from (rheumatic), 521 Cold feet, sleeplessness from, 530 season of India, and congestive or ty> phoid fever of the, 589 Coldness ofthe feet, sleeplessness from, 530 Colic, crying and wakefulness of new-born infants, 755 Colic (pain in the bowels), and its indica- tions, 37 Colic, 253 predisposition to, 259 with worms, accessory measures in casual attacks of, and diet and regi- men for, 259, 260 Colocynth, characteristics of, 853 Colorless swellings of the knee, 482 Common cold, feverish cold, cold with fever, 333 leprosy, 622 Complaints, bilious, 195 bowel, of infants, 762 Complexion, and its indications, 51 red, florid, deep yellow, and pallid, 51 patchy redness of, sudden and total change of, blue or livid, or with livid spots in the, 52 Complicated forms of scarlet-fever, 153 cases of scarlet-rash, 159 cases of cough, with teething, worms, disordered stomach, Ac, Ac, 358 cases of inflammation of the lungs, 388 cases of whitlow, 444 cases of rheumatism, 470 forms of scrofula, 585 fractures, 653 Complications occurring with small-pox, 173 in dysentery, 267 of inflammation of the stomach, 305 of inflammation ofthe bowels, 309 with worms, 325 of dropsy of the belly, 574 of dropsy ofthe brain, 782 Compound fractures, 651 Concussion in general, and concussion of the brain, 636 ofthe chest, 637 Condition ofthe blood, as an important sign ofthe nature of disease, 6 healthy, ofthe urine, 18 Conditions of importance respecting age, 6 Confinement ofthe bowels (see Constipation), 241 of the bowels during pregnanoy, 706 duration of after labor (see Labor), 724 Confluent small-pox, 171 Congestive stage of intermittent fevers, 119 or typhoid fever of the cold season oi India, 600 Conglobate glands, disease of the, 433 Conium maculatum, characteristics of, 854 Consciousness, loss of, delirium, fainting, and their indications, 30 Consecutive treatment, 63 Consideration, general, of fevers, 91 Constipation, costiveness, 241 from obstruction of the bowels, 245 1018 INDEX. Constipation, alternating with looseness, 245 from muscular inertness of the bowels, 245 of aged persons, 246 in travelling, 246 caused by purging, 246 caused by vapor of lead (of painters), 246 with determination of blood to the head, 247 accessory measures against, 247 diet appropriate to, 247 during pregnancy, 706 of infants, 760 Constitution, and its varieties, 2 plethoric (sanguine), 2 feeble, 2 bilious, apoplectic, nervous, dry, and wiry, lax, lymphatic or mucous, ca- tarrhal or rheumatic, 2 in which the skin is liable to become diseased (psoric), 2 consumptive, 2 Constitutional taint, eradication of, 83-88 treatment of bed-sores after typhus, 113 debility, with diarrhoea, 264 debility, with dysentery, 271 treatment of inflammation of the peri- toneum, caused by external injuries, 317 susceptibility to cold in the head, 348 susceptibility to boils, 429 susceptibility to whitlows, eradication of the, 446 susceptibility to styes, eradication of the, 496 susceptibility to bleeding of the nose, 512 and local treatment of thrush, 759 Consumption, tendency to, after influenza, 374 Consumptive constitution, 2 Contractions of limbs and joints from gout, contused, Ac, 463 Contused wounds or bruises, definition of, 644 wounds, external and internal treatment of, 644 Contusion, swelling of the nose caused by, 514 of the chest, 637 bunions and other swellings from, 647 ofthe breast, 647 Convalescence and debility, stages of, after typhus, 111 Convulsions of children, general causes, pre- monitory and confirmed symptoms, du ration and results of, 775, 776 accessory measures against, 776 general precautions and remarks re- specting, 776 treatment of, and indications afforded by the cause of, 777-780 Convulsions and spasms, general or local, and what they indicate, 34 Convulsive or second stage of hooping-tougn, 362 nervous or dry asthma, 566 stage of hydrophobia, 667 Cord, spinal, inflammation of the (see Spi nal), 533 Corns, palliative treatment of, 432 eradicative treatment of, 432 Corporeal or mental fatigue (see Fatigue), 656 Corrosive sublimate, immediate treatment of poisoning with, 675 characteristics of, 882 Costiveness (see Constipation), 241 during pregnancy, 706 of infants, 760 Cotton (raw) as an external application, 69 Cough, 349 indications afforded by, 48 condition of perfect health as regards, 48 short and dry, painful, hacking, predis- position to, chronic dry, 48 after measles, 166 after small-pox, 174 general article on the causes and treat- ment of, 349 complicated cases of, stomach cough, cough with teething, cough from worms, Ac, 358 nervous, 358 accessory measures and diet, Ac, for, 358 hooping or whooping (see Hooping), 359 spasmodic, after influenza, 374 Coup-de-soleil, sunstroke, 658 Coxnlgia (see Hip disease), 479 Cracked, furrowed, fissured, and swollen tongue, 29 Cramps in the calves ofthe legs, Ac, 527 Critical sweats, 50 Crocus sativus, characteristics of, 857 Croup, characteristics of, Ac, 365 predisposing and exciting causes of, 365 symptoms and incipient stage of, 366 inflammatory stage of, 366 eradicative treatment against the he- reditary or inherent susceptibility to, ■ 3B9 Crust-milk, milk-scab, milk-blotches, 757 Crying, wakefulness, and colic of new-born children, 755 Cuprum aceticum and metallicum, charac- teristics of, 857 Cutaneous diseases, 424 Cuticle, falling off of the, in scales, 446 Cuts (see Wounds and Incised Wounds;, 641 Dangling of the belly after labor, 734 Day, time of the, at which the fever fits oc- cur in ague, 125 Deafness after scarlet fever, 157 from determination of blood, or nervous, 507 from cold, catarrhal or rheumatic, 508 INDEX. 1019 Deafness from suppression of a chronic erup- tion, 508 from eruptive fevers, 509 from abuse of mercury, enlargement of the tonsils, or from nervous fevers, Ac, 509, 510 Death, apparent, general and special treat- ment of, 662 from hunger, 662 from a fall, suffocation, hanging, pressure, Ac, 663 from lightning, 663 from drowning, 664 Marshall Hall's method in, 664 Sylvester's method in, 665 from being frozen, 665 precautions in case of, 666 Debility and convalescence, stages of, after typhus, 111 accessory measures during do. do., Ill stages of, after malignant typhus, 115 protracted, after agues, 131 constitutional, with diarrhoea, 264 constitutional, with dysentery, 271 after delivery, 735 Deductions from the state of the pulse, 11 Deep breath, 21 yellow complexion, and what it indi- cates, 51 Deficiency ofthe sense of smell, 48 of saliva in the mouth, 53 or suppression ofthe milk (see Milk), 740 Definition of dropsy, 571 of hydrophobia, 667 Deformity, abdominal, after labor, 734 Degree ofthe injury in a wound, 641 Delirium, fainting, Ac, and their indica- tions, 30 Tremens, and exciting causes of, 557 premonitory and confirmed symp- toms and treatment of, 557, 558 occasioned by vapor of lead, 559 Delivery, treatment after (see Labor), 720 weakness after, 735 Denominations of the varieties of pulse, and what should be understood by them, 13 Dentition, coughs connected with, 358 derangements during (see Teething), 773-775 Depression of spirits resulting from derange- ments of digestion, 218 Derangement, general, ofthe system, 460 Derangements, functional or organic, of the stomach, 196 sympathetic, of other organs, resulting from disordered digestion, 198 affecting the mucous membrane of the Btomach, general symptoms exhibited by, 202 affecting the nerves of the stomach, gen- eral symptoms exhibited by, 203 affecting the mucous membrane and nerves, 206 of digestion, including hysterical or hypochondriacal affections, 219 Derangements of the cerebral syttem, 401 ofthe stomach, causing giddiness, 408 of digestion, face-ache complicated with, 521 of the stomach, palpitation of the heart from, 525 incipient biliary, of hot climates, 593 during pregnancy (see Pregnancy), 705 during teething, 773-775 Derbyshire neck, 528 Determination of blood to the head, with constipation, 247 blood to the chest, 374 blood to the head, 401 from loss of blood, 404 which has been treated with peri odical bleeding, 405 from external injuries, 405 blood to the bowels, 483 blood, deafness from, 507 Diarrhoea, with griping, in typhus, 102 after measles, 166 after small-pox, 174 alternating with constipation, 245 general article on the treatment of, 268 causes of, in general, 260 from constitutional debility, 264 from abuse of aperients, 265 diet and regimen for, 266 during pregnancy, 707 of lying-in women, 733 of infants (see Bowels), 762 Diet and regimen, general regulations re- specting, 55 precautions respecting, for the preven- tion of disease, 80 precautions respecting, for the eradica tion of disease, 85 synopsis of the rules for, 89 in fever, 92 during Pregnancy, 703 after delivery, 721 for mothers not suckling their infants, 741 during nursing, 747 supplementary, of infants, 748 of the infant at the period of weaning, 749 Difficult breathing, description of, 22 caused by suppressed cold in the head, 348 Difficult and painful menstruation, 688 Difficulty of breathing, caused by suppressed cold in the head, 348 Digestion, weakness of, after typhus, 114 derangements of, 196 disordered, inducing hysterical and hypochondriacal affections, 219 derangement of, causing face-ache, 521 derangement of, palpitation ofthe heart from, 525 Digestive functions, and the indications which they afford, 24 Digestive system, diseases of organs coo nected with the, 179 1020 INDEX. Digestive system, disorders of, inducing hys- terical and hypochondriacal affec- tions, 219 primary organs of, affected by Scro- fula, 584 Digitalis purpurea, characteristics of, 858 Dilutions, potencies or attenuations, 62 Diphtheria, general history of, 797 characteristics and general symptoms of, 798 treatment for, 799 laryngeal, description and symptoms of, 801, treatment for, 801 malignant, treatment for, 802 local treatment for, 802 diet and regimen for, 803 paralysis following, 803 Disappointment (see Mental Emotions), 678 Discharge, offensive, from the nose, after scarlet fever, 154 from the ears after measles, 166 copious, of blood, with piles, 250 of mucus with piles, 251 of blood from the lungs, 395 suppressed from the ear, brain fever from, 420 from the ear, 506 from the ear, owing to suppression of a chronic eruption, to cold, mucous or catarrhal, or of matter from the ear, 506 offensive or bloodstained, from the ear, 506 bloodstained, from the ears, from abuse of sulphur, or ulceration of the small bones, 507 suppressed, from the ear,ill effects of, 507 of blood from the nose, 510 of blood from the gums, 518 periodical or menstrual, of female (see Menstruation), 684 lochial, irregularities of the, 731 lochial, excessive, 731 lochial, suppressed, 732 offensive lochial, 733 Discharges, spontaneous, of blood, 18 Discomfort, sensations of, and what they in- dicate, 37 Disease, rabid (see Hydrophobia), 667 method of distinguishing the state of, 1 investigation of, 9 causes of, in general, 10 acute, preventive treatment against, 78 chronic, eradicative treatment of, 83 symptoms and character, distinctions and treatment of, 91 general regulations for the treatment of, 91 in general assuming an intermittent type, 132 of the conglobate glands (abscess), 433 of the spinal bines, lumbar abscess from, 475 Disease ofthe hip (see Hip), 479 Scrofulous, history, progress, Ac, oft^ 582 Diseased skin, constitution in which it it likely to occur, 2 Diseases of organs connected with the diges- tive system, 179 of organs connected with the respiratory system, 333 ofthe skin in general (cutaneous). 424 peculiar to tropical climates, 589-632 preliminary remarks on, 589 general precautions against, 589-592 peculiar to women, and their treat. ment, 681 following parturition (see Labor), 724 of infancy, 753 Disinclination ofthe infant to suckle, 736 Dislocations in general, 650 Disorder of the stomach, causing giddiness, 408 Distension, tenderness, and continuous pain in the belly in typhus, 102 Distension, flatulent, of the stomach and bowels of infants, 757 Distinct small-pox, 169 Distinctions respecting sex, in inquiring into the nature of disease, 6 character, symptoms, and treatment of diseases, 91 Distinctive characteristics of bastard pleu- risy, 394 inflammation ofthe brain, 415 varieties of dropsy, 571 leprosy, 622 symptoms of bowel complaints of infants, 762 symptoms of derangement during teeth- ing, 773 symptoms of dropsy ofthe brain, 780 Disturbance, functional or organic, of the mucous membrane or nerves of the stomach, 196 Division of doses and solution, 60 Disziness, giddiness, 401 occasioned by disordered stomach, 408 Dog, mad, bite of a (see Hydrophobia), 667 Doses of internal medicines, 60 of tinctures and triturations appropri- ate to age, 60 division of, and solution, 60 recurrence, suspension, Ac, ofthe, 62 adapted to constitution, temperament, habit of body, Ac, 60 of globules adapted to different ages, Ac, 60 precaution to insure appropriate, 65 repetition ofthe, systematic table illus- trative of, 73 repetition of the, in acute not critical disease, 73 in acute and critical, and in chronio disease, 75, 76 repetition, appropriate for eradicative treatment, 88 INDEX. 1021 Double sight, 47 quotidian and tertian ague, 123 Drainage important for the prevention of disease, 81 Dress, precautions respecting, for the pre- vention of disease. 80 in tropical climates, 590 Dressing of incised wounds, 642 Drink and food, precautions respecting, for the prevention of disease, 80 for the eradication of disease, 86 allowed and prohibited, 89, 90 excess of, causing vomiting, 234 during cholera, 284 in tropical climates, 589 Dropsical swellings of the feet and belly after agues, 131 after scarlet fever, 155 ofthe knee (watery fluid in), 482 Dropsies (see Dropsy), 571 Dropsy, definition of, and general view of the subject of, 571 general causes of—predisposing and ex- citing of active or acute, and of pas- sive or chronic, 571 symptoms and investigation of, 571 yielded by the structural condition of the parts in, 571 yielded by the state and operation of the functions of parts affected by, 571 yielded by the general state in, 591 issue and results of, 571 distinctive characteristics of, varieties of, 571 ofthe brain, and ofthe chest, 571 of the belly, premonitory and general symptoms, Ac, of, 574 general—general symptoms of, 575 of the cellular tissue, local or general, 576 of the brain or head (see Brain), 780 acute, symptoms of, 781 chronic, symptoms, issue, complica- tions, Ac, of 782 acuie, treatment of, 783 chronic, treatment of, 785 Drosera rotundifolin, characteristics of, 859 Drowning, apparent death from, precautions in case of, nnd treatment for, 664, 665 Drowsiness, lethargic, characterizing agues, 123 Drowsy delirium, 31 Drunkards, morning sickness of, 559 Dry constitution (wiry), 3 red and glassy, or dry, darkly-furred and tremulous tongue, 29 short cough, or chronic cough, 49 scall, 442 nervous or convulsive asthma, 566 Dryness of the skin (deficiency of transpira- tion), sleeplessness from, 530 Dulcamara, characteristics of, 860 Dull sound on percussion ofthe chest, 51 Dulness or over-acuteness of hearing, 47 of the sense of smell, 48 Duration of confinement after delivery (sei Labor), 724 suckling, 749 Dwelling, choice of, for health, 82 Dysecoia, deafness, 507 Dysentery, 267 complications and causes of, 267 treatment of, 267 with constitutional debility, 271 suppressed, 271 accessory measures against, 272 after-effects of suppressed, 272 preventive measures during the prev alence of, 272 diet for, 273 in hot climates—diet precautions, and accessory measures against, 694 hepntic, acute, of tropical climates, 595 hepatic, chronic, symptoms and treat- ment of, 597 Dysmenorrhoea, difficult or painful menstrua- tion, 688 Dyspepsia, 196 Ear, suppressed discharge from the, causing brain fever, 420 Earache, 504 nervous or rheumatic, 504 Ears, dulness or sensitiveness of, buzzing or humming in the, Ac, Ac, 48 affections ofthe, after scarlet fever, 157 inflammation of the, and discharge from the, after measles, 166 inflammation ofthe, 502 humming or buzzing in the, 505 discharge from the, from suppression ol chronic eruptions, 506 discharge from the,catarrhal or mucous, 506 of matter from the, 55)6 offensive, from the, 506 bloodstained, from the, 506 from the, suppressed, ill effects of, 507 Eating, offensive breath after, 521 Eczema, 443 Effects of the climate and season in tropical climates, 592 and indications, characteristic of tha medicines referred to in this work, 807 Elephantiasis, lepra, leprosy (see Leprosy), 622 Emaciation, loss of flesh, 63 or atrophy of children (see Atrophy), 793 Emotions, mental, sleeplessness from, 538 fainting from, 547 general treatment of, 678 during pregnancy, treatment of, 703 miscarriage induced by, 717 milk fever induced by, 727 affecting the milk, 749 1022 INDEX. Employment of the mind during pregnancy, 703 Empty pulse, description of, 13 Endemic fever of Batavia (see Batavian), 610 and epidemic fevers of Africa (see Af- rica), 614 Enlargement and induration, chronic, ofthe spleen, 304 scrofulous, of the glands (and ulcera- tion), 365 knotty, of joints from gout, 462 and suppuration, scrofulous, of the knee, 482 ofthe tonsils, deafness from, 510 neck (glands, Ac, of the), goitre, 528 liver of hot climates, and treatment ment of, 631 belly after labor. 734 Envenomed wounds (see Wounds, Serpents, Ac), 671 Ephemeral or simple fever, 93 Epidemic and endemic fevers of Africa (see Africa), 613 Epidemic quinsy or sore throat, 189 malignant or Asiatic cholera, 274 Epilepsy, characteristics, general symptoms and results, Ac, of, 560 treatment of, and indications afforded by the cause of, 561 accessory measures against, 565 Epistaxis, bleeding from the nose, 510 Eradication of chronic disease or constitu- tional taint, 83-88 Eradicative and preventive treatment, 83- 88 diet, air, exercise, water, cleanliness, habits of regularity in, 85, 86 medicinal resources, 87 measures in the treatment of predisposi- tion to sore throat, 189 measures«against the predisposition to croup, 369 and preventive measures against scro- fula, 587 and preventive treatment of hysterics, 696 Eructations, 217 Eruption, check ofthe, of scarlet-rash, 161 measles, 165 on the skin after measles, 166 check of the, in small-pox, 173 chicken-pock, 175 miliary fever, 177 check of an, brain fever from, 419 check ofthe, of nettle-rash, 439 of itch, sudden disappearance ofthe, 441 suppression ofthe, 441 or cf long standing, causing dis- charge from the ears, 506 chronic, deafness from suppression of, 508 Eruptive fevers, 149 deafness from, 509 | Erysipelas, 424 imperfectly evolved, 427 terminating in ulceration, 427 obstinate and protracted cases of, 427 susceptibility to, in the face, 427 Eupatorium perforatum, characteristics of, 861 Euphrasia ofiBcinalis, characteristics of, 862 Europeans, precautions to be observed by, in tropical climates, 589 Evacuations, indications afforded by the, 25 costive, very hard, dark, 25 relaxed, copious, 25 spontaneous, involuntary, diminished, with straining, painful, 25 painful, pain in the bowels, 37 Evening, sudden attacks of blindness in the, 492 Excess of food or drink, causing vomiting, 234 spirituous liquors, swelling of the nosa from, 514 appetite, indications afforded by, 27 saliva in the mouth, 53 Excessive lochial discharge, 731 secretion of milk after delivery, 725 perspiration after delivery, 726 mental application, brain fever from, 421 mental application causes fainting, 547 menstruation (see Menstruation), 686 Excitement, nervous, of irritable persons, sleeplessness from, 530 Excoriation of the nipples an obstacle to suckling, 736 galling, or abrasion of the skin of in- fants, 770 Exercise, value of, in the prevention of dis- ease, 79 for the eradication of chronic disease, 85 in tropical climates, 591 and air during pregnancy, 701 of infants, 752 Expectoration and its indications, 53 critical or symptomatic, 53 jelly-like, transparent, stringy, sticky, like matter, of blood, Ac, Ac, 53 yellow or bitterish, 53 Exposure to heat, 658 Expression, languid, indications afforded by a, 46 staring, indications afforded by a, 46 Expulsion ofthe meconium, 745 External remedies, application of, remarks on the, 66 treatment of bed-sores, 113 injuries which cause vomiting, 235 causing inflammation of the peri- toneum, 317 or local treatment of inflammation of the peritoneum, 317 injuries causing inflammation of the kidneys, 319 determination of blood to the head, 405 INDEX. 1023 External injuries, causing brain fever, 420 or local treatment of carbuncle, 429 chi blains, 430 whitlows, 446 appliances for ulcers or sores, 457, 458 injury, inflammation of the eyes from, 487 inflammation of the ears, 502 injuries, nerve-pain in the face from, 521 injuries, inflammation of the spinal marrow from, 533 causes of scrofula, 586 treatment of incised wounds, 641 lacerated wounds, 644 contused wounds or bruises, 644 punctured wounds, 648 gunshot wounds, splinters, Ac, 649 dislocations, 650 burns or scalds, 652 enlarged or dangling belly after labor, 734 application for thrush, 759 Extremities, puffiness and swelling of the, after scarlet fever, 155 Eye, indications afforded by the, 46 Eyelids, acute inflammation of the lining membrane ofthe, 493 predisposing and exciting causes, and treatment of, 493, 494 chronic inflammation ofthe, 495 scrofulous inflammation of the, 496 Eyes, sunken and retracted, indications af- forded by, 47 protruding or prominent, indications afforded by, 47 dark spots before the, 47 copious watering of the, 52 inflammation ofthe, after influenza, 373 acute inflammation ofthe, 484 chronic and scrofulous inflammation of the, 486 inflammation ofthe, caused by external injury, 487 fistula lachrymalis in the, 488 weeping or watery, 489 blood-shot, 490 inflammation of the, of infants, 753 Pa«e, paralysis ofthe muscles ofthe, 541 rawness ofthe, after scarlet fever, 154 puffiness and swelling of the, after scar- let fever, 154 erysipelas in the, susceptibility to, 427 warts on the, 501 pain in the, face-ache, face-ague, 521 FaoA-ache, complicated or symptomatic, in- cidental to disordered digestion, worms, or to affections of the womb, 521 complicated with gout, or caused by abuse of mercury, 622 caused by mechanical injuries or rheu- matism, 523 Facial neuralgia, 521 Faint yellow complexion, and what it indi- cates, 51 Fainting, delirium, Ac, and their indica- tions, 30 general article on the treatment of, 547 general management of the patient when, • 547, 548 precautions against, and diet, Ac, for, 548 and hysteric fits during pregnancy, treatment and diet, Ac, for, 707 Fall, apparent death from a, 662 Falling-off of the cuticle in scales, 446 ofthe hair after labor, 735 Falling sickness, epilepsy, 560 False pains before labor, 720 Family ofthe patient, 5 Fat, unhealthy accumulation of, 53 Fatigue, mental or corporeal, 656 from long watching, 657 Fatty tumors, 436 Fear (see Mental Emotions), 678 Feeble constitution, 2 pulse, description of, 11 Feeling the pulse, art of, 11 Feet, swelling ofthe, after typhus, 114 dropsical swellings of, after agues, 131 sweating ofthe, 530 coldness of the, sleeplessness from, 530 heat of the, sleeplessness from, 530 Felon.(see Whitlow), 444 Females, nervous and hysterical, palpitation ofthe heart of, 525 treatment of affections peculiar to, 681 derangement of menstruation of (see Menstruation), 684 Ferrum metallicum, characteristics of, 862 Fever, infantile remittent, 789 general treatment of, and diet in, 92 inflammatory or synochal, 94 nervous, slow, or typhus, 96 putrid or pestilential (malignant ty- phus), 115 jail, camp, petechial (contagious ty- phus). 117 intermittent, ague, 119 simple and double quotidian, sim- ple and double tertian, and sim- ple quartan, 124 annual, 124 thirst, attendant in the fits of, 125 time of day of the attacks of, 125 after-effects of—dropsical swellings of the feet and belly, and pro- tracted debility after, 131 inveterate chronic cases of, 131 from abuse of Ciucfuma, 132 bilious or gastric, 132 predisposing and exciting Ofcusee and symptoms of, 132 chronic, 141 slow symptomatic, 142 slow nervous (chronic), 144 hectic, 144 eruptive—scarlet, 149 1024 INDEX. F«ver, scarlet, complicated forms of, 150 miliary, 176 remarks on, and accessory measures in, 177 check of the eruption, and diet and regimen in, 177 with cold (catarrhal fever), 333 stage of feverish cold, 335 brain, 415 eruptive, deafness from, 509 nervous, deafness from, 509 spotted, cerebro-spinal meningitis, 538 inflammatory or ardent, of India (see Ardent), 599 typhoid or congestive, of the cold season of India (see Typhoid), 600 yellow (see Yellow), 601 bilious remittent, of hot climates, 609 endemic, of Batavia, 610 endemic and epidemic, and climatorial or accidental of the western coast of Africa, 613, 619 marsh-remittent of India (see Marsh), 619 after delivery (Milk fever), 727 Feverish cold (catarrhal fever, Ac), 335 or first stage of hooping-cough, 360 Fevers, general consideration of, 91 intermittent—agues, 119 Fish, poisonous, treatment against, 678 First or feverish stage of hooping-cough, 360 or incipient stage of croup, 697 period or stage of the simple form of Scrofula, 582 Fissured and swollen tongue, 29 Fistula lachrymalis, 488 Fits, hysteric, predisposition to, 696 preventive and eradicative treatment of, 696 treatment ofthe actual, 696 epileptic (see Epilepsy), 560 hysteric, during pregnancy, treatment and diet. Ac, 707 Flatulence, acidity,.Ac, of infants, 756 Flatulency (wind in the stomach and intes- tines), indications afforded by, 26 treatment of (as a specific derangement), 226 precautions to be observed by those who are subject to, 226 diet and regimen for, 226 Flatulent distension of the stomach and bowels of infants, 757 Flesh, loss or unhealthy increase of, 53 general loss of (see Atrophy), 793 Flooding (see Excessive Menstruation), 686 with miscarriage (see Miscarriage), 718 after labor (see Labor), 722 Florid, red complexion, and its indications, 51 Flour as an external application, 69 Fluid, watery, accumulation of in the knee, 482 Flush of blood to the head, 401 Fluttering of he hea.i, palpitation, 525 Flux, monthly, of females (see Menstrua- tion), 684 Food and drink, precaution"* respecting, for the prevention of disease, 80 respecting, for the eradication of disease, 86 allowed and prohibited, 89, 90 excess of, which causes vomiting, 234 during cholera, 284 in tropical climates, 589 Food ofthe infant at the period of weaning, 749 Form of the medicines, globules, tinctures, and triturations, 60 Foul taste, 47 Foulness of the stomach, which causes vom- iting, 234 Fractures in general, 651 Frequent pulse, description of, 13 breathing, do., 22 Fresh-water bath, 71 Fright, diarrhoea of infants caused by, 762 fainting caused by, 547 general treatment of (see Mental Emo- tions), 678 Frost (see Frozen), ill-effects of being exposed to, 431 Frozen limbs, 431 apparent death from being, and treat- ment of, 665 Full pulse, description of, 13 Fulness of blood before labor, 719 Function of breathing, its variations, and the indications thereby afforded, 21 of digestion, and the indications which they afford, 24 Functional or organic derangement of the mucous membrane or nerves of the stom- ach, 196 Furred, thickly, or coated tongue, 29 and slimy tongue, 29 Furrowed and swollen tongue, 29 Gall-bladder and ducts, affections of the, of hot climates, 631 Galling, excoriations, Ac, of children, 770 Gangrenous, ulcerated, putrid, or malignant sore throat, 189 Gaol fever (contagious typhus), 115 Gastric or bilious fever, 132 predisposing or exciting causes of 132 symptoms of, 132 Gelseminum sempervirens, characteristics of, 864 General inferences deducible from the pulse. 13 regulations respecting diet and regimen, 55 respecting clothing and habits, 55 for the treatment of disease, 91 consideration of fevers, 91 treatment of fever, 92 INDEX. 1025 General causes of chronic fevers, 141 derangement ofthe system, 460 precautions to be observed by Europeans in tropical climates, 589 habits in tropical climates, 592 observations on pregnancy, 700 management after delivery, 721 Giddiness, general article on the treatment of, 401 occasioned by disordered stomach, 408 Glands, swelling of the, after scarlet fever, 155 swelling of the, after small-pox, 174 conglobate, diseases of the (abscess), 433 scrofulous enlargement, hardening, and ulceration ofthe, 436 ulceration of the, removal of the scars left by, 437 ofthe neck, enlargement of the (goitre), 528 lymphatic, affected by scrofula, 585 Glassy, dry, red tongue, 29 Globules, remarks respecting, 60 Glonoine, characteristics of, 865 Goitre, 523 Gout, predisposing and exciting causes and symptoms of, 460 tendencies of, 460 treatment of chronic cases, intermediary and eradicative, 461 wandering, 462 knotty enlargement of joints in, 462 contraction of limbs and joints by, 463 of persons exposed to work in water, 463 sudden transition of, to superior organs, 463 diet and regimen for, 464 in the hip—simple and suppurative, 478 Gouty enlargements of joints, 462 contractions of limbs, and joints, 463 Graphites, characteristics of, 866 Gravel, inflammation of the kidneys asso- ciated with (stone), 320 inflammation of the bladder associated with, 323 Green-sickness, predisposing causes and treatment of, 681 Grief (see Mental Emotions), 678 Griping, tenderness, distension, and continu- ous pain in the belly, in typhus, 102 Grippe (see Influenza), 369 Groaning, yawning, sneezing, Ac, and their indications, 53 Groin, rupture ofthe, of infants, 745 Gumboil, 518 Gums, bleeding ofthe, 518 Gunshot wounds, definition of, 649 external and constitutional treatment of, 649 Habitation, choice of, for health, 82 Habits, genera], and method of living of the patient, 8 and clothing, general regulations for, 57 Habits, general, of living for the prevention of disease, £ 1 of regularity fcr the eradication of chronic diseases, 86 irregularities of, Ac, as a, cause of Scrofula. 585 general in tropical climates, 592 during pregnancy, 703 Habitual cosliveness of infunts, 760 Hacking and painful cough, 48 Haemoptysis (see Spitting of Blood), 395 Haemorrhoids (see Piles), 247 Half sight, indications afforded by, 47 Hair, falling off of the, after labor, 735 Hands, warts on the, 501 Hanging, apparent death from, 663 down ofthe beily, after labor, 734 Hard pulse, description of, 13 cancerous tumor on the lips, 499 Hardening and enlargement, chronic of the spleen, 304 Hardness of hearing, nervous, or from deter- mination of blood, 507 from cold (catarrhal or rheumatic), from suppression of a chronic eruption, or from eruptive fevers, 508 from abuse of mercury, from enlarge- ment of the tonsils, or from nervous fevers, Ac, 509, 510 Head, back ofthe, pains in, 41 fore part, do., 41 determination of blood to the, with con- stipation, 247 Cold in the, 345 suppression of, its ill-effects, 347 aching pain in the, caused by suppressed cold in the. 347 cold in the, constitutional susceptibility to, 348 determination of blood to the, general article on. 401 from loss of blood, 404 which has been treated by periodi- cal bleeding, 405 from external injuries, 405 violent chill in the, brain fever from a, 420 swelling ofthe, of infants, 743 cold in the, of infants, 754 dropsy ofthe (see Dropsy ofthe Brain), 780-785 Headache, from suppressed cold in the head,347 general article on the treatment of, 549 diet, Ac, and accessory measuresfor, 556 Health, method of investigating the stata of, 1 standard ofthe pulse in, 12 state ofthe breath in, 21 Healthy condition ofthe urine, 18 ofthe breath, 21 or natural appetite, 27 transpiration from the skin, 49 Hearing, dulness, or over-acuten iss of 47 hardness of deafness, 507 1026 INDEX. Heart, palpitation of the, 12 diseases ofthe, incidental to disordered digestion, 198, 525 when chiefly implicated in rheumatism, 471 palpitation of the, general article on the treatment of, 525 Heartburn. 234 Heat, sensations of, 42 actual increase of, 42 in the anterior part of the stomach, in the hands, fugitive, Ac, 43 with chills or sweating, in agues, 123, 124 with redness, swelling and tingling of the skin (erysipelas), 424 ofthe feet, sleeplessness from, 530 variations of, as a cause of Scrofula, 586 in tropical climates, 589 prickly in tropical climates, 594 exposure to, 658 spots of children, causes and treatment of, 771 Hectic fever, 146 Helleborus niger, characteristics of, 867 Hemorrhage from the womb during miscar- riage, 718 during or after labor, 722 Hepar sulphuris calcareum, characteristics of, 868 Hepatic dysentery (see Dysentery) of hot cli- mates, 595-598 Hereditary disease, or debility, eradication of, 83-88 Scrofula, characteristics of, 585 Hernia, or rupture, 542 characteristics and varieties of, general symptoms, issue, and results, 543 mechanical treatment of, 544 medicinal treatment of, 545 neglected and serious cases, 546 Herpetic, or vesicular ringworm, 448 Hiccough of infants, 754 Hiccup, or hiccough, 36, 754 Hip, pain, rheumatism, or gout in the, 478 disease, 479 premonition, progress, results, age and sex, and causes (predisposing and exciting) of, 479 treatment and diet for, 480, 481 History, progress, Ac, of Scrofulous dis- ease, 582 of plague, 607 of leprosy, 622 Hives, nettle-rash of infants and children, 771 Hoarseness, 343 chronic, 344 Homoeopathic diet and regimen,general regu- lations for, 55 medicines, rules for the preservation, Ac, of, 65 method of treatment especially applica- ble to the prevention of acute, and eradioation-of chronic diseases, 78 Homoeopathic treatment, rules for diet under synopsis of the, 89 medicines referred to in this work, char. acteristio effects, Ac, of, 807 Homoeopathy, applicable to the preventioa and eradication of disease, 78 Hooping-cough, 359 first, or febrile stage of, 360 second, or convulsive stage of, 362 third, or nervous stage of, 364 obstinate, inveterate cases of, 364 Hordeolum, stye, 496 Hot, fresh-water bath, 71 stage of intermittent fevers, 120 season of India, and inflammatory fever of the, 599 Housemaid's knee, 482 Humid scall, 443 moist, or pituitous asthma, 566 Humming, or buzzing in the ears, 505 Hunger, apparent death from, 662 Hydrocephalus, water in the head, dropsy of the brain (see Brain), 780-785 Hydrophobia, definition and symptoms of the first, second, and third stages of, 667 general causes of, 668 preventive, accessory, and medicinal treatment against, 669 general treatment of the attack of, 670 Hyoscyamus niger, characteristics of, 869 Hypochondriacal affections, resulting from disordered digestion, 219 Hysterical affections, induced by disordered digestion, 219 and nervous females, palpitation of the heart of, 525 persons, sleeplessness of, 535 Hysterics, predisposition to and fits of, 696 preventive and eradicative treatment of, 696 treatment of the fits or attacks of, 697 accessory measures for, 700 fits and fainting during Pregnancy, 707 Ignatia amara, characteristics of, 871 111 effects of the abuse of mercury on the nose, 514 of excess of spirituous liquors on the nose, 514 of abuse of cantharides in blisters, Ac.j 320 of abuse of cinchona in agues, 132 of suppressed cold in the head, 347 of periodical bleeding, for determination of blood to the head, 405 of abuse of mercury on the sight, 491 on the ears, 506 of suppressed discharge from the ears, 507 on the hearing, by the abuse of mer- cury, 509 Immediate treatment of poisoning with mineral substances, and with arsenio especially, 674 INDEX. 1027 Immediate treatment of poisoning with ox- alic acid, 675 treatment of poisoning with lead, verdi- gris, and corrosive sublimate, 675 treatment of poisoning with vegetable and narcotic substances, 676 treatment of poisoning with mushrooms, animal poisons, mussels, arid poison- ous fish, 677, 678 treatment of poisoning with prussic acid, 677 Imperfect evolution of erysipelas, 427 Inactivity of the bowels, causing constipa- tion, 245 Incipient stage of hydrophobia, 667 cholerine, 286 or first stage of croup, 366 symptoms of whitlow, 444 biliary derangements in hot climates, treatment and symptoms of, and diet, . Ac, for, 593 Incised wounds, 641 Incontinence of uvine of young children, 768 precautions against and treatment of, 769 of urine after delivery (see Labor), 723 Increase, unnatural, of heat, 42 unhealthy, of flesh, 53 of saliva in the mouth, 53 Incubus, nightmare, 532 Indented tongue, 29 India, hot and dry. wet and rainy, and cold seasons of, 589 cholera in, precautions against, 598 inflammatory or ardent fever of (see Ardent), 599 typhoid, or congestive fever of the cold season of (see Typhoid), 600 marsh-remittent fever of (see Marsh), 619 Ind'cations and effects, characteristic, of the medicines referred to in this work, 807 afforded by the particular causes and conditions of epilepsy, 561 by variation ofthe pulse, 11, 14 by varieties of urine, 18, 19 by variations of the breathing, 21 by the digestive functions, 24 by the evacuations, 25 by flatulency, 26 by nausea and vomiting, 26 by the appetite and thirst, 27, 28 by the tongue, 29 by the brain, senses, nerves, and sensations, 29 by fainting, delirium, loss of con- sciousness, Ac, 30 by motion, rest, Ac, 32 by the sensations of pain, discom- fort, anxiety, Ac, 37, 42 by the organs of sense, the eye, 45 by the sight, bearing, taste, and tmell, 46, 47, 48 bv coughs, 48 Indications afforded by the sweat, Ac, 49 by the complexion, 51 by the sounds of the chest on per cussion, 51 by the voice and speech, 52 by tearfulness and laughter, 52 by loss or unhealthy increase ol flesh, 53 by sneezing, yawning, groaning, Ac, 53 by the saliva, 53 by the expectoration, 54 by the particular causes, in apo- plexy, 410, 411, 413 Indigestion, 196 predisposing and exciting causes of, 196 sympathetic derangement of other or- gans with, 198 Individual characteristics, 7 Induration ofthe liver, of hot climates, and treatment of, 631 Induration and enlargement, chronic, ofthe spleen, 304 Inertness, muscular, of the bowels, causing constipation, 245 Infancy, diseases of, 753 Infant, disinclination ofthe, to suckle, 736 precautionary treatment of the, in case of weaning, 748 food ofthe, do., do., 749 Infants not suckled by the mother (see Mo thers), 740 and children, treatment of, 742 stillborn, 742 swelling of the head of, 743 navel-rupture of, mechanical and medi cinal treatment of, 744 rupture of the groin of, 745 expulsion ofthe meconium of, 745 suckling of, 746 choice of nurse for, 746 diet during the nursing of, 747 supplementary diet of, 748 duration of suckling, 749 weaning of, 749 food of the, during, 749 sleep, sleeplessness of, 750 exercise of, 752 retarded strength of the limbs of, 753 inflammation ofthe eyes of, 753 crying, wakefulness and colic of, 755 bowel complaints of, 762 jaundice of, 771 convulsions of (see Convulsions), 775 temperature ofthe bath for, 73 Infantile remittent fever, characteristics, premonitory symptoms, confirmed symp- toms, issue and results of, 789 Inferences in general deducible from the pulse, 11 Inflammation ofthe windpipe after measles, 166 ofthe ears after measles, 166 of the upper part of the vindpipe, after small-pox, 173 1028 INDEX. Inflammation, acute, of the liver, 295 suppurative, of the liver, 298 chronic, of the liver, 298 ofthe spleen, 302 ofthe stomach, 305 subacute or chronic of tbe lining mem- brane ofthe stomach, 308 of the bowels, acute, subacute, and chronic, 309 chronic ofthe bowels, 313 of the bowels, associated with worms, 315 of the peritoneum, or membrane which lines the cavity of the belly, Ac, 316 of the peritoneum, caused by external injury, local and constitutional treat- ment of, 317 of the kidneys, symptoms, causes, and treatment of, 318 of the kidneys, occasioned by external or mechanical injuries, 319 chronic, ofthe kidneys, 320 suppurative, of the kidneys, 320 or irritation of the kidneys, induced by the use of cantharides in blisters, Ac, 320 of the kidneys associated with stone, 320 ofthe bladder, 321 chronic ofthe bladder, 323 of the bladder, associated with stone or gravel, 323 suppurative ofthe bladder, 323 acute, of the upper part of the windpipe, 340 chronic, ofthe upper part of the wind- pipe, 342 of the upper part of the windpipe, after- effects of, 343 of the eyes, after influenza, 373 acute, of the raucous membrane of the bronchial tubes, 377 acute, insidious, do., do., 377 acute of do , do., in children, 378 chronic, ofthe bronchial tubes, 383 of the lungs, 388 exciting and predisposing causes of. 388 uncomplicated and complicated cases of, 388 issue and results of, 389 ofthe pleura, 392 bastard or spurious, 394 of the brain and its tissues, 415 characteristics, results, and causes of, 415, 417 from check of an eruption, 419 from sunstroke, 419 from violent chill in the head, 420 from suppressed discharge from the ear, 420 from external injuries, and ardent spirits, 420 from mental application, 420 protn>ted, or chronic cases of, 421 Inflammation, after-effects of, 421 of the skin, with redness, heat, swelling and tingling (Erysipelas), 424 of the psoas muscle, symptoms, issue, and treatment of, 474 suppurative, of the psoas muscle, 475 ofthe synovial membrane of the knee, 481 acute, ofthe eyes, and causes of, 484 chronic, and scrofulous of the eyes, 48* ofthe eyes, from external injury, 487 acute, of the eyelids, 493 chronic, of the eyelids, 495 scrofulous, of the eyelids, 496 ofthe ears, 502 ofthe tongue, 519 acute, of the spinal cord and its mem branes, 533 acute, of the spinal cord, general symp toms, causes, and varieties of, 533 chronic, ofthe spinal cord, 534 chronic, of the liver, of hot climates 631 of the breasts, 738 of the eyes of infants, 753 Inflammatory pains and their peculiarities 39 or synochal fever, 94 typhus fever, 104 or active form of acute dropsy of th* brain, 781 jaundice, 301 stage of croup, 366 fever of India (see Ardent), 599 Influences of the atmosphere and of locality, • Influenza, 369 incipient stage of, 370 influmfnatory stage of, 370 neglected or protracted cases of, 373 after-effects of, 374 spasmodic cough, tendency to pulmo- nary consumption, inflammation of the eyes, Ac, after, 374 Injuries, external, which cause vomiting, 235 external, causing inflammation of the peritoneum, 317 mechanical, causing inflammation of the kidneys, 319 external, causing determination of blood to the head, 405 external, causing brain fever, 420 external, inflammation of the eyes, from, 487 external, nerve pain in the face from, 523 external, inflammation of the spinal marrow from, 492 Injury, degree ofthe, in a wound, 641 Insects, stings of, iiiternal and externa] treatment of, 659 in the mouth, 659 Insidious form of acute dropsy in the brain, 781 variety of bronchitis, 378 IND3 Intermittent pulse, description of, 13 pain, and what it indicates, 37 fever or ague, 119 Intermittent fevers, cold or congestive, hot and sweating stages of, 119 causes of, 119 method of treatment peculiar to, 122 medicines especially adapted to differ- ent forms of, 122 of spring, summer, and hot climates, 123 with three distinct stages, 123 with two distinct stages, only, 123 with heat and sweating, chills and sweating, lethargic drowsiness, apo- plectic or paralytic symptoms, or fainting fits, 123 simple and double quotidian, simple and double tertian, and simple quar- tan, 124 annual, 124 thirst attendant on the fits of, 125 time of the day of the attacks of, 125 after-effects of—dropsical swellings of the feet and belly, protracted debility, Ac, after, 131 inveterate, chronic cases of, especially in persons of unhealthy habit of body, 131 chronic cases, degenerating from excess of Cinchona, 132 Intermittent type assumed by other diseases, 132 Internal remedies, remarks respecting, and doses of, 60 Intestine, protrusion ofthe, 252 Intestines, wind in the (flatulency), indica- tions afforded by, 26 Intractable and obstinate cases of whooping- cough, 364 Introductory remarks respecting the treat- ment of infants and children, 742 Introduction, 1 Invermination, 324 symptoms, exciting and predisposing causes, and results or complications of, 324, 325 with threadworms, treatment of, 326 with threadworms, palliative measures for, 328 with round worms, 328 with tapeworms, 331 chronic, 332 diet and regimen for, 332 Investigating the condition of the patient, method of, and of distinguishing a state of health from disease, 1 ?Investigation, general, ofthe patient, 1 of disease, 9 ofthe urine, time and method of, 19 of disease, generalities regarding the,48 [nveterate chronic cases of ague, in un- healthy subjects, 131 cases of scrofulous enlargement and ulceration of the glands, 437 1029 Inveterate eases of irritation, Ac, of th« skin, 446 Involuntary (paralytic) discharge from the bowels, 25 Ipecacuanha, characteristics of, 872 Irregularities of the lochial discharge, 731 Irritable and nervous persons, sleeplessness of from nervous excitement, 530 Irritability of the stomach, which causes vomiting, 234 Irritation of the mucous membrane of the stomach, symptoms exhibited by, 202 of the nerves of the stomach, do., do., ■ 204 ofthe brain, caused by worms; 332 and itching of the skin, 446 Itch, 440 Itching, sensations of, and their indications, 42 or irritation of the skin, 446 Jail fever, 117 Jaundice, symptoms and causes of, 300 inflammatory, 301 obstinate cases of, 301 of infants, causes and treatment of, 771 Jaw, locked (tetanus), 421 Jelly-like expectoration, 53 Joints, knotty enlargements or contractions of, from gout, 462 rheumatism ofthe, 465 synovial membranes and bones of, af fected by Scrofula, 584 Joy, excess of (see Mental Emotions), 678 Kali carbonicum, characteristics of, 873 Kidneys, inflammation ofthe, 318 inflammation of the, caused by me- chanical injuries, 319 chronic inflammation ofthe, 320 irritation or inflammation of the, in duced by cantharides in blisters, Ac, 320 suppurative inflammation ofthe, 320 inflammation of the, associated with stone, 320 Knee, affections ofthe, 481 inflammation of the synovial membrane of the, 481 scrofulous enlargement of the, 482 enlargement and suppuration ofthe, 482 accumulation of watery fluid in the, 482 housemaid's, 482 Knotty enlargements of joints from gout, 462 Labor, treatment before, 718 preparation of the breasts before, 718 preparation for, 719 fulness of blood before, 719 state of the bowels before, 719 false-pains before, 720 treatment after (delivery), 720 restlessness after, 720 • general management and diet after 721 after-pains following, 721 1030 INDEX. Labor, flooding after, 722 retention and incontinence of urine after, 723 duration of confinement after, 724 disease following, 724 suppressed secretion of milk after, 724 excessive secretion of milk after, 725 suppression and excess of perspiration after, 726 milk-fever after, causes and treatment of. 727 childbed fever after, characteristics, causes, issue and results of, 728 treatment and diet for, 729-731' irregularities of the lochial discharge after, and causes of, 731 excessive lochial discharge after, 731 suppressed lochial discharge after, 732 offensive lochial discbarge after, 733 diarrhoea after, 733 pendulous state of the belly (abdominal deformity) after, 734 falling off of the hair after, and causes of, 735 weakness after, 735 Lacerated wounds, 644 local and constitutional treatment of, 644 Lachesis, characteristics of, 875 Lachrymal sac, obstruction or fistula of the, 488 fistula, 488 Languid expression, indications afforded by a, 46 Large pulse, description of, 13 Laryngeal diphtheria, 801 Larynx, inflammation of the (see Windpipe), 340 chronic inflammation of the, 342 after-effects of inflammation of the, 343 Laughter and tearfulness, and their indica- tions, 52 Lax, lymphatic, or mucous constitution, 2 Lead, vapor of, causing constipation, 246 paralysis, 545 delirium tremens caused by, 559 poisoning with, immediate and after- treatment of, 675 Ledum palustre, characteristics of, 878 Legs, cramp in the, 527 Leprosy, history of, 622 varieties of, age and sex susceptible to, and general characteristics of, 622, 624 general causes and treatment of, 625 Lethargic drowsiness in ague fits, 123 Leucorrhcea—the whites, 693 Levantine plague (see Plague), 607 Liability to disease of the skin, constitu- tional (psoric habit), 3 of a patient to particular affections, 8 to take, cold, 336 to cold in the head, 348 • to erysipelas in the face, 427 Life, ch&nge or turn of (in females), treat ment of, 692 Lightning, apparent death from, 663 Limbs, frozen, 431 contractions of from gout, 463 retarded strength of the, of infants, 753 Lining membrane of the eyelids, inflamma- tion ofthe, 493 Lips, scrofulous swelling of the, 498 hard cancerous tumor and ulceration of the, 499 cancerous ulceration of the, 499 Liquors, spirituous, swelling of the nose from abuse of, 514 Liver complaint, 295 acute inflammation ofthe, 295 suppurative inflammation (abscess) of the, 298 chronic inflammation ofthe, 299 abscess of the, in tropical climates, 627 chronic affections ofthe, of hot climates, 631 Livid spots in the complexion, 52 and blue complexion, 52 Living, method of, and habits, 8 habit of, for the prevention of disease, 81 Lobelia inflata, characteristics of, 879 Local and atmospheric influences, 9 treatment of inflammation of the peri- toneum, caused by external injuries, 317 treatment of carbuncle, 429 chilblains, 430 acute abscess, 434 chronic abscess, 435 whitlows, 446 ringworm of the scalp, 453 applications to incised wounds, 641, 642 treatment of lacerated wounds, 644 contused wounds or bruises, 644 punctured wounds, 648 gunshot wounds, splinters, Ac, 649 dislocations, 650 burns or scalds, 652 thrush, 760 application against hydrophobia, 669 Localities, healthy and unhealthy, in trop- ical climatos, 593 Lochial discharge, irregularities of the, 731 excessive discharge, 731 suppressed discharge, 732 offensive discharge, 733 Lockjaw (tetanus), 421 Loins and back, persistent pain in the, 37 pains in the, general article on the treat. ment of, 473 pains in the, and back, during preg, nancy, 712 Long and deep breath, 22 Long-standing eruptions, suppression of, dis charge from the ears caused by, 506 watching, fatigue from, 659 INDEX. 103! liooseness of the bowels, with griping, Ac, in typhus, 102 After measles, 166 after small-pox, 174 alternating with costiveness, 247 general article on the treatment of, 260 with constitutional debility, 264 from abuse of aperients, Ac, 265 di.et for, 266 during pregnancy, 707 Loss of consciousness, delirium, fainting, and their indications, 30 of muscular power (paralysis), 35 absence, or want of taste, 47 of voice, and its indications, 52 ofthe power of speech, 52 or unhealthy increase of flesh, 53 copious, of blood with piles, 250 or roughness of the voice (hoarseness), general article on the treatment of, 343 or roughness of voice, chronic, 344 of blood, causing rush of blood to the head, 404 of animal fluids, near-sight after, 491 paralysis from, 540 of blood, Ac, palpitation of the heart from, 525 of flesh, general (see Atrophy), 793 Lotions, medicated, for ulcers or sores, 458 Lumbago, 473 Lumbar abscess, 475 Lungs, affections of the, incidental to dis- ordered digestion, 198 • tendency to consumptive disease of the, after influenza, 374 inflammation of the, predisposing and exciting causes of, 388 inflammation ofthe, uncomplicated and complicated cases of, 388 inflammation of the, issue and results of, 389 treatment for, 389-392 membrane investing the, inflammation ofthe (pleurisy), 292 discharge of blood fromthe, 395 affected by scrofula (tubercles in the), 585 Luxations or dislocations, 649 Lycopodium, characteristics of, 879 Lying-in women, looseness of the bowels of, 733 Lymphatic, lax, or mucous constitution, 2 tumors (abscess), 433 glands affected by scrofula, 585 Mad dog, bite of a (see Hydrophobia), 667 Malignant typhus (putrid or pestilential fever), 115 diphtheria, 801 scarlatina or scarlet fever, 150 ulcerated or gangrenous sore throat, 189 Asiatic or epidemic cholera, 276 Uammae, inflammation of the, 738 Management and preservation ofthe homoe- opathic medicines, rules for the, 65 precautionary for those who are apt tfl take cold, 336 general, of the patient during a fainting fit, 547 after delivery, 721 and precautions, general, against, rick- ets, 787 Mania-a-potu, delirium tremens, 557 causes and premonitory symptoms of,557 symptoms of a confirmed attack of, 557 treatment of a slight attack of, 558 of a confirmed attack of, 558 occasioned by vapor of lead, 559 Marasmus of children, 795 diet and regimen for, 797 Margins of the eyelids, inflammation of the, 496 Marrow, spinal, inflammation of the, from external injuries, 533 Marshall Hall's method, in drowning, 664 Marsh-intermittent fevers, 119 remittent fever of India, characteris- tics and premonitory symptoms of, 619 Matter, discharge of, from the ears, 506 offensive, from the ears, 506 putrefied, wounds poisoned with, 671 Matter-like expectoration, 53 Means, mechanical, for the reduction of rupture, 544 Measles, 162 check of the eruption of, 165 after-effects of, 166 cough, inflammation of the windpipe, looseness of the bowels, Ac., after, 166 inflammation of, or discbarge from the ears, mumps, tenderness of the skin, eruptions on the skin, Ac, Ac, after, 166 preservative treatment during the prev- alence of, 167 Mechanical injuries, causing inflammation of the kidneys, 319 means, for the reduction of rupture, 544 for the treatment or dressing of incised wounds, 642 measures, for the treatment of frac- tures, 651 in cases of suspended animation of infants, 742 treatment of navel rupture of infants, 744 against rickets, 788 Meconium, expulsion of the, 745 Medicated lotions for ulcers or sores, 458 Medicinal preventive resources, against prevalent diseases, 82 eradicative resources, 87 treatment, of those who are apt to laid cold, 336 of rupture, 544 of fractures local and constitu tional, 652 preventive measures against hydropho bio, 669 1032 INDEX. Medicines, selection, administration, and repetition of the, 57 internal,, remarks, Ac, respecting, and doses of, 60 which are particularly effective after certain others, 63 when they should be taken, 65 indispensable rules for the preservation of, 65 u.«pd for external application, and how, 66 administration and repetition of the, systematic table illustrative ofthe, 73 preventive, 82 eradicative, 87, 88 preventive, during the prevalence of typhus, 118 during the prevalence of cholera, 285 for those who are apt to take cold, 336 referred to in this work, characteristic effects, Ac, of, 807 prescribed in this work, table of the, other names by which they are known, and abbreviations of, xiv Melancholic temperament, 5 Meningitis, cerebro-spinal, spotted fever,538 Menorrhagia, excessive menstruation, 686 Menses (see Menstruation), 684 Menstrual or monthly disebarge, or flux of females, suppression of the (see Menstru- ation), 684 Menstruation, suppression of, 684 excessive, 686 painful and difficult, 688 final cessation of (change, or turn of life), 692 Mental emotions, affeeting the milk, 740 application, excessive, causing brain- fever, 421 emotions, causing sleeplessness, 530 fainting from, 548 application, excessive, causes fainting, 548 or corporeal fatigue, 656 from long watching, 657 emotions, general treatment of, 678 during pregnancy, 703 causing m.scarriage, 717 causing milk-fever, 727 Mercurius corrosivus, characteristics of, 882 solubilis, characteristics of, 881 Mercury, abuse of, near-sight after, 491 causing bloody discharge from the ears, 506 offensive breath from, 521 nerve-pain in the face from, 521 Method of investigating the patient, and of distinguishing between health and disease, 1 of living, of the patient, 8 of investigating the urine, 19 of treatment peculiarly adapted to in- termittent fevers, 122 Miliary fever, 176 check of the eruption, and diet, Ac, is. 177 remarks on, and accessory measures in, 177 Milk-fever, 727 Milk, suppressed secretion of, after delivery, 724 excessive secretion of, after delivery, 725 mental emotions, affecting the, 740 doficiency, or suppression of the, 740 re.urgitationof, acidity, Ac, of infanta, 756 scab, milk-crust, milk-blotches, 757 Mind, employment ofthe, during pregnancy, 703 Mineral poisons, treatment of, 674 neids, treatment of poisoning with, 676 Miscarriage, peculiarities, issue and results, exciting and predisposing causes, and general incipient symptoms of, 713 predisposition to, treatment of th», 714 the actual attack of, treatment of, 715 induced by mental emotions, 717 accessory measures, precautions against, and diet, Ac, for th© predisposition to, Ac, 717 flooding during, 718 Mischievous effects of abuse of cantharides in blisters, Ac, 837 Moaning or sighing breath described, 22 Modification of climate, and attention re- quired thereto, 71 Modified small-pox, 173 Monthly flux, or periodical discharge of females, suppression of the, 684 discharge of females, excessive, 686 Morbus coxarius (see Hip Disease). 479 Morning, offensive breath in the, 521 sickness of drunkards, 559 during pregnancy, treatment and! diet for, 705 Moschus, characteristics of, 883 Mosquitoes, stings of, 659 Mother, precautionary treatment of the, in cases of sudden weaning, 740 Mothers not suckling their infants, treat- ment of and accessory measures and diet for, 740 Motion, or muscular action, rest, and their indications, 32 Mouth, canker or scurvy in the, 515 wounds in the, 642 stings of insects in the, 659 Mucous, lax, or lymphatic constitution, 2 membrane of the stomach, disturbance of the, 202 ofthe stomach, symptoms exhibited by irritation of the, 202 of the stomach, subacute or chronic inflammation of the, 305, 308 of the bronchial tubes, inflamma- tion of the, 377 INDEX. 1033 Mucous membrane of the eyelids, inflam- mation ofthe, 496 discharge from the ears, 506 membrane affected by scrofula, 584 Mucus, piles with discharge of, 251 Mumps after scarlet fever, 156 after measles, 166 in general, as a distinct disease, 193 resulting from other diseases, 195 accessory measures for, 195 Muscles of the face, paralysis of the, 540 Muscular action or motion, rest, and their indications, 32 power, loss of (Paralysis), 35 inertness of the bowels, causing consti- pation, 245 Mushrooms, poisonous, treatment against, 677 Mussels, treatment of poisoning with, 678 Narcotic and vegetable poisons, treatment against, 676 Natrum carbonicum, characteristics of, 883 muriaticum, characteristics of, 884 Natural or healthy appetite, 27 Nature of disease, determination of the, 1 Nausea and vomiting, and their indications, 26 resulting from derangements of diges- tion, 217 Navel rupture of infants (see Infants), 744 Near-sight, near-sightedness (see Short- sightedness), 491 Neck, enlargement of the, Derbyshire neck, goitre, 528 Nerve-pain in the face, 521 Nerves, brain, sensations, senses, and their indications, 29 of the stomach, disturbance of the, 204 of the stomach, general symptoms ex- hibited by irritation of the, 218 Nervous constitution, 2 pains, and their peculiarities, 37 slow or typhus fever, 96 slow fever (chronic), 144 or putrid type of scarlet rash, 161 system, sympathetic derangement ofthe, incidental to disordered digestion, 218 coughs, 358 or third stage of hooping-cough, 364 or rheumatic earache, 504 deafness, 507 and hysterical females, palpitation of heart of, 525 excitement, sleeplessness from, of irri- table persons, 530 dry or convulsive asthma, 566 system, shock to the, from an accident, 638 (fettle-rash, characteristics, causes,premoni- tory symptoms and treatment of, 437 check of the eruption of, treatment for, 439 chronic cases and diet for, 439 of infants, hives, 771 Neuralgia in the face (tie douloureux), 521 New-born children, crying, wakefulness, and colic of, 755 Nightmare, 532 Nipples, soreness of tho (excoriation), an obstacle to suckling, 736 soreness of, precautions and accessory measures against, 736 Noisy breathing or respiration, 22 Nose, offensive discharge from the, after scarlet fever, 164 soreness of the, after scarlet fever, 154 bleeding of the, 510 indications afforded by the cause, for the treatment of, 510 susceptibility to, 512 accessory measures and diet, Ac, for, 513 swelling and other affections ofthe, 514 ulceration of the bones of the, 515 affected by scrofula, 584 Numbness and deadness of particular parts, 42 Nurse, choice of a, 746 Nursing, diet during, 747 Nux moschata, characteristics of, 886 vomica, characteristics of, 886 Obscuration of the sight, 47 Observations, general, on pregnancy, 700 Obstacles to suckling, disinclination of the infant, soreness of the nipples, Ac, 736 Occupations, Ac, employment of the mind during pregnancy, 703 Offensive breath, 21, 521 discharge from the nose after scarlet fever, 154 discharge of matter from the ears, 506 lochial discharge, 733 Old people, constipation of, 246 Opening of the windpipe, spasm of the, in children, 785 Ophthalmia, 484 acute, 484 chronic, 486 scrofulous, 486 consequent upon injury, 487 Opium, characteristics of, 888 Oppressed breathing, or oppression at the chest, 22 Oppression at the chest, or oppressed breath- ing, 22 Organ or part particularly susceptible, 8 Organs of sense, and their indications, 45 connected with the digestive system, dis- eases of, 179 connected with the respiratory system, diseases of, 333 superior, sudden transition of gout to, 463 of respiration, especially affected by rheumatism, 470 primary, of digestion, affected by scbo> fula, 584 Ostensible cause, vomiting without, 235 )EX. 1034 Otalgia, earache, 504 Otorrhosa, discharge from the ears, 506 • ill effects of suppression of, 507 Overheating, exposure to heat, 658 Oxalic acid, immediate treatment of poison- ing with, 675 Pain in the chest, or painful respiration, and what it indicates, 37 casual stitching or persistent stitching, 37 in the bowels, 37 absence or sudden suppression of, 37 intermittent, and what it indicates, 37 remittent and what it indicates, 37 inflammatory and nervous, 37 spasmodic, partial, at the back of the head, pressing in the forehead, in the back and loins, in the fore part of the stomach, stitching and pricking, Ac, 37 in the hip, 478 rheumatic or nervous, in the ear, 504 in the nerves of the face, 521 Painful and difficult menstruation, 688 evacuations, 25 breathing, pain in the chest, 22 and hacking cough, 48 Pains aching in the back (lumbago), 473 in the back and loins, during preg- nancy, 712 false, before labor, 720 after delivery (see Labor), 721 Painters, constipation of, 246 Palliative and accessory treatment, 64 measures for threadworms, 328 treatment of corns, 432 Pallid complexion, and what it indicates, 51 Palpitation ofthe heart, 525 Palsy, and what it indicates, 35 resulting from apoplexy, 415 or paralysis, general article on, 540 Panting breath, description of, 22 Paralysis, and what it indicates, 35 resulting from apoplexy, 415 or palsy, general article on, 540 following diphtheria, 803 Paralytic symptoms attendant on agues, 124 Part or organ especially susceptible, 8 Partial pain and its indications, 37 Parturition, treatment before (see Labor), 718 diseases following (see Labor), 720 Patchy redness ofthe complexion, 51 Pathological causes of Scrofula, 586 Patient, condition of the, method of inves- tigating the, 1 investigation of the, in general, 1 liability of the, to particular affections,8 general management of the, when faint- ing, 547 Patient's family, antecedents of the, 5 Peculiarities of miscarriage, 713 Pendulous abdomen after delivery, 734 Percussion, sounds elicited from the ehesl by, 51 Periodical bloodletting, cases of determina- tion of blood, treated by, 405 pain in the face, face ache, face ague, 521 discharge of females, suppression of the, 684 discharge of females, excessive, 686 discharge of females, painful and diffi cult, 688 Peritoneum, inflammation of the, 316 Persons of advanced age, constipation of, 246 who work in water, gout of, 463 irritable, sleeplessness of, from nervous excitement, 530 hysterical or hypochondriacal, sleep- lessness of, 530 aged, sleeplessness of, 530 Perspiration, suppressed and excessive, after delivery, 726 Pestilential fever (putrid fever or malignant typhus), 115 Petechial fever (contagious typhus), 115 Petroleum, characteristics of, 889 Phlegm, jelly-like, transparent, matter-like, blood-stained, stringy, sticky, Ac, ex- pectoration of 53 Phlegmatic temperament, 5 Phosphorus, characteristics of, 890 Phytolacca decandra, characteristics of, 892 Piles, 247 predisposing and exciting causes, 247, 248 with copious loss uf blood, 250 with discharge of mucus, 251 Plague, Levantine, history, characteristics, premonitory and general symptoms, re- sults and treatment of, 607, 608 Platina, characteristics of, 893 Plethoric constitution, 2 Pleura, inflammation of the (see Pleurisy), 392 Pleurisy, ordinary and exceptional, or com plicated cases of 392 bastard or spurious, characteristics of, 394 Plumbum metallicum, characteristics of,894 Pneumonia (see Inflammation of the Lungs), 388 Podophyllum peltatum, characteristics of, 895 Poisoned wounds, definition of, 671 treatment of (see Hydrophobia), 667 treatment of, from serpents, Ac, 671 treatment of, from putrefied matter, 671 Poisoning (see Poisons), 673 Poisonous mushrooms, 677 fish, 678 Poisons, general remarks on, 673 mineral, immediate treatment of, 674 arsenic, immediate and after-treatment of poisoning with, 674 INDEX. ' , 1035 Poisons, oxalic acid, immediate treatment of poisoning with, 675 lead, immediate and after-treatment of poisoning with, 675 verdigris and corrosive sublimate, im- mediate treatment of poisoning with, 675 vegetable, immediate and after-treat- ment of, 676 mineral acids, poisoning with, 676 caustic alkalies, poisoning with, 676 prussic acid, immediate and after-treat- ment of, 677 poisonous mushrooms, immediate treat- ment for, (177 animal, immediate and after-treatment of poisoning with, 677 mussels and poisonous fish, immediate and after-treatment of, 678 Position of the patient during rest, and what is thereby indicated, 33 repeated change of, 33 Potencies, dilutions, or attenuations, 62 Power, muscular, loss of (paralysis). 35 Precaution to insure a proper dose, 65 to be observed in bathing, 71 as to exercise, cleanliness, ventilation, apparel, and aliments, in the preven- tion of disease, 79, 80 as to the habits of living, drainage, modifications of climate, choice of habitation, Ac, for the prevention of disease, 81, 82 in toothache, 183 to be observed by those who are subject to flatulency, 226 to be observed by those who are subject to spasms of the stomach, 229 to be observed against dysentery, 272 general accessory, during cholera, 285 against taking cold when predisposed to it, 336 important in acute rheumatism, 472 Precautionary treatment during the preva- lence of typhus, 118 of scarlet fever, 153 of measles, 167 of dysentery, 272 of cholera, 285 management to obviate a predisposition to taking cold, 336 measures to be observed by Europeans in tropical climates, 589 measures, in case of weaning, 749 measures against galling, or soreness of the skin of children, 770 Precautions to be observed against spitting of blood, 400 against fainting, for those who are sub- ject to it, 548 general, to be observed by Europeans in tropical climates, 589-592 against dysentery, in hot climates, 594 general, in the case of fractures, 651 Precautions, in case of apparent death from drowning, 664 in case of apparent death from being frozen, 666 against miscarriage, 717 against sore nipples, 718, 736 against wetting the bed of young chil- dren, 768 general, against convulsions of children, 776 general, against rickets, 787 Predisposition to cough, 48 to sore throat, eradicative treatment of, 188 to piles, 247 to colic, 259 to take cold or to feverish colds, 336 to croup, eradicative measures against the, 369 to erysipelas ofthe faoe, 427 to boils, 429 to chilblains, eradicative treatment of, 430 to whitlow, eradicative treatment of, 446 to styes, eradicative treatment of the, 496 to fainting, precautions against a, 548 to hysteric fits, 696 to miscarriage, treatment of the, and precautions against, 714, 717 Pregnancy, general observations on, 700 air and exercise during, 701 clothing during, 702 diet, employment of the mind, influence of external objects, and mental enio tions during, 703 derangements during, morning sickness. Ac, 705 constipation during, 706 diarrhoea during, 707 fainting and hysteric fits during, 707 toothache during, 709 urinary difficulties during, 710 swelling of the lower limbs during, 710 varicose or swelled veins during, 711 miscarriage (see Miscarriage), 713 pains in the loins during, 712 Preliminary remarks on the characterises effects and indications of the medicines, 807 Premonitory and incipient stages of typhus, 98 stages of putrid fever, or malignant ty- phus, 115 symptoms of vomiting of blood, 239 stage of feverish cold, or common cold, or catarrh, 333 symptoms of apoplexy, 408 symptoms of nettle-rash, 437 symptoms of hip-disease, 479 stage of delirium tremens, 557 symptoms of asthma, 566 symptoms of dropsy ofthe belly, 594 1036 INDEX. Premcaitory symptoms of acute hepatic dys- entery in hot climates, 595 of yellow fever, 602 of plague, 607 of convulsions in children, 775 of rickets, 787 of infantile remittent fever, 789 Preparation ofthe breasts before labor, 718 for labor, 719 Preservation, Ac, ofthe homoeopathic medi- cines, rules for, 65 Preservative, general, measures during the prevalence of typhus, 118 treatment during the prevalence of measles, 167 treatment during the prevalence of small-pox, 173 treatment during the prevalence of cholera, 285 Pressing pain in the forehead, 37 Pressure or contusion, bunions, and other swellings from, 647 apparent death from, 663 Prevention of acute and eradication of chronic disease, especial applicability of homoeopathy to the, 78 Preventive and eradicative treatment, 78- 89 medicines, 82 treatment and remedies during the prevalence of typhus, 118 measures during the prevalence of dys- entery, 272 medicines during the prevalence of cho- lera, 285 medicines for those who are apt to take cold, 336 and eradicative measures against Scro- fula, 587 treatment against yellow fever, 607 treatment of Indian marsh-remittent fever, 619 treatment, local and medicinal, against hydrophobia, 669 and eradicative treatment of hysterics, 696 Prickly-heat of hot climates, 594 Primary organs of digestion affected by Scro- fula, 584 Prohibited articles of diet under treatment, 89 Prominent or protruding eyes, indications afforded by, 47 Proof-spirit of wine as an external applica- tion, 70 Protruding or prominent eyes, indications afforded by, 47 Protrusion of the intestine, 252 Prussic acid, immediate and after-treatment of poisoning with, 677 Psoas muscle, inflammation of the, 474 issue and results, and treatment of, 474 suppurative inflammation of, 475 Psoriasis, 442 Psoric constitution, 3 Pufllness and swelling of the face and el tremities after scarlet fever, 155 Pulmonary consumption, tendency to, aftei influenza, 374 Pulsatilla, characteristics of, 895 Pulse, the variations of, and their indica tions, 11 art of feeling the, 11 healthy, its average standard, 12 general inferences deducible from the, 12 in what way it is distinctive, 12 various denominations or alterations of the, 13 slow, quick, sluggish or tardy, hard, soft, strong, feeble, large, smail, full, empty, unequal, and intermittent, and what is meant by these terms, 13 indications of the disease afforded by each of these varieties, 14 Punctured wounds, definition of, 648 external and constitutional treatment of, 648 Purging, constipation occasioned by, 246 Pustular ringworm, 449 Putrefied matter, wounds poisoned by, 671 Putrid fever, pestilential fever, or malignant typhus, 115 or nervous type of scarlet-rash, 161 malignant or gangrenous (ulcerated) sore throat, 189 Quartan ague, simple, 124 Quick pulse, description of, 13 breathing, do., do., 22 Quinsy, 183, 188 suppurative, 188 malignant, ulcerative, putrid, or gan- grenous, 189 epidemic and malignant, 189 Quotidian ague, simple and double, 124 Quinine, ague resulting from excessive doses of, 132 Rabies canina, hydrophobia, 667 Rabid disease (see Hydrophobia), 667 Rash, scarlet, 159 Raw cotton, as an external application, 69 Rawness ofthe face, after scarlet fever, 154 Recurrence, suspension, Ac, of the doses, 62 Red, dry, and glassy tongue, 29 complexion, 51 Redness of complexion, patchy or circum- scribed, 51 heat, swelling and tingling of the skin (erysipelas), 424 with swelling ofthe nose, 514 Reduction of rupture, mechanical means for the, 544 Regularity, habits of, for eradicative treat ment, 86 Regulations, general, for diet and regimen, 55 INDEX. 1037 Regulations and remarks respecting internal remedies and doses, 60, 63 and remarks respecting external reme- dies and applications, 66 respecting the bath, 70 general, for the treatment of disease, 91 Rugurgitation of milk, acidity, Ac, of in- fants, 756 Relaxation ofthe bowels during pregnancy 707 ofthe bowels of lying-in women. 733 Relaxed sore throat, 188 Remedies and doses, remarks, Ac, respect- ing, 60, 63 external, and applications, remarks, Ac, respecting, 66 preventive, during the prevalence of typhus, 118 Remittent, infantile fever (see Fever), 789 pain, and what it indicates, 37 bilious fevers of hot climates, 609 endemic fever of Batavia, 610 endemic and epidemic fevers of Africa 613 marsh fever of India, 619 Removal of the scars or cicatrices left by ulcerated glands, 437 Repetition, selection and administration of the medicines, 57 Respiration, its variations, and their indica- tions (see Breathing), 21 painful, 22 Respiratory system, diseases of the organs connected with the, 333 organs, when chiefly affected by rheu- matism, 470 Rest and motion (see Muscular Action), and their indications, 32 position during, 33 in tropical climates, 592 Restlessness, 33 after delivery, 720 Retarded strength of the limbs of infants, 753 Retention of urine of young children, 769 after delivery (see Labor), 723 Retracted or sunken eyes, indications af- forded by, 47 Rheum palmatum, characteristics of, 898 Rheumatic or catarrhal constitution, 2 fever (see rheumatism), 464 or nervous earache, 504 deafness, 508 face ache, 521 Rheumatism, acute, symptoms and charac- teristics of, 465 chronic, symptoms of, Ac, 465 predisposing and exciting causes of, 465 complicated and serious cases of acute, 470 when the respiratory organs are chiefly affected, 470 when the heart is especially implicated, 471 ohronic, treatment of, 472 Rheumatism, important precaution in, 472 in the back, lumbago, 473 in the hip, 478 Rhus toxicodendron, tincture of, as an ex- ternal application, 67 characteristics of, 898 Rickets, progress, premonitory symptoms, general symptoms, and issue and re- sults of, 787 general precautions against, and man- agement for, 787 mechanical measures, and medicinal treatment for, 788 Rigidity, spasmodic, of the body, or of parta (tetanus), 421 Rigors (chills), sensations of, 42 Ringing or buzzing in the ears, 48 Ringworm, vesicular or herpetic, 448 of the scalp, or pustular ringworm. 449 other varieties of, 453 Rose, erysipelas, 424 Roughness, or loss of voice (Hoarseness), 343 Round worms, general treatment of, 330 Rules indispensable for the preservation and management of homoeopathic medi- cines, 65 for repeating the medicines, systematic table of, 73 Rupture, of a bloodvessel, 396 general article on, characteristics and varieties of, 542 general symptoms, predisposing and ex- citing causes, and issue and resulta of, 543 mechanical means for the reduction of 544 medicinal treatment- of, 544 neglected and very serious cases of, 548 of the navel of infants (see Infants), 744 of the groin, of infants, 745 Ruta graveolens, characteristics of, 900 Sabina, characteristics of, 901 Saliva, and its indications, 53 increase and deficiency of, 53 Salt-water bath, cold, 72 Sambucus nigra, characteristics of, 901 Sanguine constitution, 2 temperament, 4 Scab, milk, milk-crust, Ac, 757 Scabies, itch, 440 Scalds and burns, external and local treat- ment of, 652 constitutional do., 654 very severe cases of, 655 Scall, dry, 442 Scalp, ringworm of the, 449 Scaly tetter, 442 Scarlatina, simple and malignant, 149 Scarlet fever, 149 simple and malignant, 150 complicated forms of, 153 after-effects of, rawness of the face, sus- ceptibility to cold, offensive discharge from the nose after, soreness ■( t,h» 1038 INDEX. nose, swelling of the glands, puffing of the face and extremities after, 154, 155 Scarlet fever, dropsical swellings, mumps, affections of the ears, Ac, after, 155- 157 deafness after, 157 precautionary treatment during the prevalence of, 157 Bcarlet rash, 158 complicated cases of, 159 of nervous or putrid type, 161 check of the eruption of, 161 after-effects of, 162 Scars, removal of the, left by scrofulous ul- ceration of the glands, 437 Sciatica, symptoms and treatment of, 476 Scilla maritima (see Squilla). 910 Pcrofula, eradicative treatment of, 85-88 general article upon, and characteristics of, 579, 580 history and progress of, 582 simple form, first and second stages of, 582 third period or stage of, 583 • complicated forms of, affecting the mu- cous and serous membranes, the nose, the primary organs of digestion, and the synovial membranes of the joints and bones, 584 complicated forms of, affecting the lym- phatic glands, and the lungs (Tu- berculous), 585 general causes of, and characteristics of hereditary, 585 pathological and external causes of, 586 diet, habits, local influences, light, heat, and atmospheric vicissitudes, as causes of, 586, 587 general preventive and eradicative measures against, 587 general treatment of, 588 Scrofulous habit of body, 5 eradication, Ac, of, 85 enlargement and ulceration of the glands, inveterate cases of, 436 enlargement and suppuration of the knee, 482 inflammation of the eyes, 486 inflammation of the eyelids, 496 subjects, styes in, 496 swelling of the lips, 498 and cancerous ulcerations of the lips, Ac, 500 disease, history and progress of, 582 tubercle in the lungs, formation and progress of the. 585 in other organs, 585 Scurvy in the mouth, 515 general article on the symptoms, pre- disposing and exciting causes and i treatment of, 516 diet, Ac, for, 518 Sea bathing, 72 Sea-sickness, genoral article en, 600 after-effects of, and diet, Ac, for the, 661 Season, effect of the, and climate in th« tropics, 592 Seasons, the change of, in tropical climates, 592 Secale cornutum, characteristics of, 902 Second or active stage of low and inflamma- tory typhus, 104 or convulsive stage of hooping-cough, 362 or inflammatory stage of croup, 366 stage or period of the simple form of scrofula, 582 Secretion of milk, suppressed, after deliv- ery, 724 excessive, after delivery, 725 Selection, administration, and repetition of the medicines, 58 of a nurse, 746 Sensations, senses, brain, nerves, and their indications, 29 in particular, and what they indicate, 37 of pain, discomfort, and anxiety, 37 of discomfort in particular, 42 of heat and cold, 42 of numbness or deadness, 42 of itching, 42 of chill (varieties of), 42 of anxiety, 42 Sense, organs of, and their indications, 45 of smell, hearing, taste, sight, Ac, 45,48 Senses, sensations, brain and nerves, and their indications, 29 Sepia, characteristics of, 903 Serous membranes affected by ScrofulA,584 Serpents, bites of (envenomed wounds), 671 Sex, susceptible to hip-disease, 479 Sexes and their distinctions, 6 Shivering (chill), sensations of, 42 Shock to the nervous system from an aoei dent, 638 Short or small breath, 22 dry cough, 48 sight, short-sightedness, 491 Short-sigbtedness, when a sequel of inflam- mation of the eyes, 491 Shuddering (chills), sensations of, 42 Sickness at the stomach (nausea), and vom- iting, indications afforded by, 26 in the morning, of drunkards, 559 in the morning during pregnancy, 705 at sea (sea-sickness), 660 after-effects of, and diet, Ac, 661 green, predisposing causes and treat- ment of, 681 Sighing or moaning breath described, 22 Signs, favorable and unfavorable, in acut« bronchitis, 377 Sight, distorted or squinting, indications af forded by, 47 double, half, obscured, of imaginary objects, Ac, 47 INDEX. 1039 Sight, derangements of the, incidental to de- ranged digestion, 198 short or near, 491 Silicea, characteristics of, 906 Simple or ephemeral fever, 93 Situation, site, Ac, of the dwelling, impor- tant to health, 82 Situations and localities, healthy and un- healthy, in tropical climates, 593 Skin, constitution in which it is likely to become diseased (psoric), 3 transpirations from the (sweat), and their indications, 49 the condition of, in health, 49 tenderness of the, after measles, 166 eruption on the, after measles, 166 diseases in general, 424 inflammation ofthe, with swelling, red- ness, heat and tingling (Erysipelas), 424 itching, or irritation of the, 446 soreness, galling, Ac, of the, of chil- dren, 770 Sleep, its variations and their indications, 34 of infants, 750 duration of, in health, 34 relation of, to disease, 34 in tropical climates, 592 Sleeplessness, 530 of infants, and treatment of, 750 and crying of new-born children, 755 Slimy, coated tongue. 29 Slow pulse, description of, 13 breathing, do., do., 22 nervous or typhus fever, 96 symptomatic fever, 142 nervous fever (chronic), 144 Sluggish pulse, description of, 13 Small pulse, description of, 13 or short breath, do., do.. 22 Small-pox, 167 distinct. J 69 confluent, 171 check of the eruption in, 173 modified, 173 preservative treatment during the prev- alence of, 173 complications and after-effects of, 173 inflammation of the upper part of the windpipe, boils, glandular swellings, cough, asthmatic affections, looseness of the bowels, Ac, after, 173, 174 diet and regimen for, 174 accessory measures during, 175 8mell, sense of, variations to wbich it is sub- ject, 48 peculiar and unnatural, dull or over- acute, 48 Snake, bite of a (Envenomed Wounds), 671 Sneezing, yawning, groaning, and their in- dications, 63 Soap plaster us an external application, 69 Soft pulse, description of, 13 Solution of (he medicine and the division of doses, 6) Sore nipples, precautions and accessory measures against, 736 throat, aphthous, Ac, 183 suppurative, 188 relaxed, 188 ulcerated, malignant, or gangre- nous, 189 epidemic, 189 Soreness ofthe nipples (excoriation), an ob- stacle to suckling, 736 the nose after scarlet fever, 154 Sores or ulcers, 455 chronic cases of, 456 external and accessory appliances for, 457 bandages and medicated lotions for, 458 varicose, 458 constitutional treatment for, 459 Sorrow (see Mental Emotions), 678 Sounds, clear and dull, evinced by the chest on percussion, and their indications, 51 Spasm of the opening of the windpipe in children, asthma of Millar, 785 of the stomach, 228 age, sex, Ac, subject to, complications of predisposing and exciting causes of, 228 precautions to be observed by those who are subject to, 229 Spasmodic pain, and its peculiarities, 37 cough, after influenza, 374 . rigidity of the body, or of parts (teta- nus), 421 asthma, 566 Spasms and convulsions, internal and exter- nal, general and local, and what they indicate, 34 of children (see Convulsion), 775 Speech and voice, and their indications, 52 loss of the power of, 52 Spinal bones, disease of the, lumbar abscess from, 475 cord, acute inflammation of the, varie- ties, symptoms, causes, Ac, 533 chronic inflammation of the, 534 Spine, disease of the, lumbar abscess from, 475 Spigelia, characteristics of, 908 Spirits, depression of the, from deranged di- gestion, 218 ardent, abuse of, causing brain fever, 420 swelling of the nose from abuse ot, 514 Spitting of blood, 395, 396 very severe cases of, 398 after-treatment of, 400 Spittle and its indications, 53 Spleen, inflammation of the, 302 chronic enlargement and induration of the, 304 Splinters, gunshot wounds, Ac (see Qua- shot), 649 Spongia, characteristics of, 909 1040 INDEX. Spontaneous discharges of blood, 18 or unconscious discharge from the bow- els, 25 Sporadic or bilious cholera, 274 Spotted fever, cerebro-spinal meningitis, 538 Spots, dark, before the eyes, 47 livid, in the complexion, 52 heat-, of children, 771 Sprains or strains in general, 639 Spurious or bastard pleurisy (see Pleurisy), 394 Squilla maritima, characteristics of, 910 Squinting, or distorted sight, indications afforded by, 47 article on the treatment of, 488 Stabs, punctured wounds, 648 Stammering, and what it indicates, 52 St. Anthony's fire (Erysipelas), 424 Standard ofthe pulse in health, 12 Stannum, characteristics of, 911 Staphysagria, characteristics of, 912 Staring expression, indications afforded by a, 46 Starving (see Death, apparent, from hun- ger), 662 State ofthe body (heat) in tropical climates, 592 Sticky expectoration, 53 Stiffness, spasmodic, of the body, or of parts, (tetanus), 421 Stillborn children, 742 mechanical measures in case of, 742 medicinal and accessory means for, 743 Stings of insects (see Insects), 659 Stitching pain in the chest, 37 or pricking pains, 37 Stomach, wind in the (flatulency), indica- tions afforded by, 26 pain in the anterior part ofthe, 37 mucous membrane or nerves of the, disturbance of the, 196 derangement of the mucous membrane ofthe, symptoms of, 202 irritation of the nerves of the, symp- toms of. 204 combined derangement of the nerves and membrane of the,-and symptoms of, 206 derangement of the, arising from casual causes, 212 foulness of the, which causes vomiting, 234 irritability of the, which causes vomit- ing, 236 sickness at the (nausea), 166 spasm ofthe, 228 conditions of age, sex, Ac, subject to, origin, and exciting causes of, 228 precautions to be observed by those who are subject to, 229 inflammation of the, its causes, results, complications, symptoms, and treat- ment, 305-308 coughs, 358 Stomach, derangement of the, causing gid diness, 408 derangement of the, palpitation of th« heart from, 525 and bowels, flatulent distension of tho. of infants, 759 Stone, inflammation of the kidneys associ- ated with, 320 bladder associated with, 323 Stoppage ofthe bowels, constipation, 241 Strabismus, squinting, 488 Straining to evacuate, 25 Strains or sprains in general, 639 Stramonium, characteristics of, 914 Strength of the limbs of infants, retarded, 753 Stringy expectoration, 53 Stroke ofthe sun, brain fever from, 419 Strong pulse, description of, 13 Stupor, typhus characterized by, 110 Stye, predisposing and exciting causes and treatment of, 496 Subacute or chronic inflammation of the stomach, 308 inflammation of the bowels, 310 Suckling of the infant, 746 duration of, 749 obstacles to, disinclination of the infant, soreness ofthe nipples, Ac, 736 Sudden and total change of color in tha complexion, 52 transition of gout to superior organs, 463 attacks of blindness, 492 suppression of a chronic eruption, deaf- ness from, 508 suppression of itch, or of other erup- tions, causing chronic discharge from the ears, 506 weaning, precautions when this is neces- sary, 749 Suffocation, apparent death from, 663 Suffocative breathing described, 22 Sulphur, tincture of, as an external applica- tion, 70 administration of, in chronic disease, 76 value of, for eradicative treatment, 87 characteristics of, 915 Summary, in a table, of rules for repeating the doses, 73 Summer complaint of children (see Cholera Infantum), 765 Sun-stroke, brain fever from, 419 general article on, 658 Supplementary diet of infants, 748 Suppressed dysentery, 271 cold in the head, ill effects of, 347 discharge from the ear, ill effects of, 607 Suppression, sudden, of pain, 37 of dysentery, 271 after-effects pf, 272 of cold in the head, ill effects of, 347 of the monthly flux of females (see Menstruation), 684 INDI Suppression, ofthe milk, after labor. 740 of perspiration, after delivery, 726 ofthe lochial discharge, 732 of discharge from the ear, brain fever from, 420 ofthe eruption of itch, 440 of the eruption of itch, or of other erup- tions, causing chronic discharge from the ears. 506 sudden, of a chronic eruption, deafness from, 508 ofthe milk (see Milk). 725. 740 Suppurating incised wounds, 641 Suppuration and enlargement (scrofulous) of the knee, 482 Suppurative sore throat, 189 inflammation ofthe liver, 299 kidneys, 320 bladder, 323 psoas muscle, 475 of the breasts, 738 Susceptibility of a particular part or organ, 8 to cold after scarlet fever, 154 to cold in the head, 348 to croup, eradicative measures against the,369 to erysipelas in the face, 427 constitutional, to boils, 429 to whitlows, eradicative treatment of, 446 to bleediDg ofthe nose, 510 Suspended animation of infants (see Still- born), 742 Suspension, recurrence, Ac, of the doses, 62 of animation (apparent death), 662 Sweat, and its indications, 49 symptomatic and critical, Ac, 50, 51 Sweating stage of intermittent fevers, 121 of the feet, 530 Swelling ofthe feet after typhus, 114 dropsical, of the feet and belly, after agues, 131 ofthe glands, after scarlet fever, 154 and puffines^ of the face and extremities after scarlet fever, 154 dropsical, after scarlet fever, 154 of the veins during pregnancy, treat- ment of, 711 glandular, after small-pox, 173 with redness, heat, and tingling of the skin (Erysipelas), 424 dropsical, ofthe knee, 482 scrofulous, ofthe lips, 498 ofthe tonsils, deafness from, 510 ofthe nose, 514 of the neck (goitre), 528 such as bunions, from pressure or con- tusion, 647 ofthe head of infants, 743 ofthe breasts of infants, 772 Swollen, cracked, and furrowed or swollen and indented, swollen and red tongue, Ac, 29 Swooning, fainting (see Fainting), 547 3X. xlMi Sylvester's method in drowning, 665 Symptomatic sweat, 50 slow fever, 142 Symptoms of disease, 9 character, distinction, and treatment of diseases, 91 Synochal, or inflammatory fever, 94 Synopsis of the rules for diet under treat ment, 89 of the principal indications for the rem- edies employed in the treatment of cholera. 292 Synovial membrane of the knee, inflamma- tion of the, 481 membranes of joints affected by Scro- fula, 584 System, digestive, diseases of organs con- nected with the, 179 respiratory, diseases of organs connected with the. 333 cerebral, derangements ofthe, 401 nervous shock to the, from an accident, 638 Systematic tables illustrative of the rules for repeating the doses, 73 Table, systematic, forming a summary ofthe rules for the repetition, Ac, of doses, 73 Taint of constitution, eradication of a, 83- 88 Taking cold, predisposition to, 336 Tapeworms, general treatment of, 331 Tardy breathing, 22 Taste, indications afforded by variations of, 47 foul, absence of, keenness of, 47 Tearfulness and laughter, and their indica- tions, 52 Teething, coughs connected with, 358 derangements during, distinctive symp- toms of, precautions as to diet, Ac, against, and treatment of, 773-775 Temperament, sanguine, 4 choleric, melancholic, 4, 5 phlegmatic, 5 constitution, habit of body, Ac, con- sidered in relation to the quantity and repetition of doses, 60 Temperaments and their varieties, 4 Temperature, variations of, as causes of Scrofula. 586 of the bath for infants, 73 Tendency to pulmonary consumption after influenza, 374 Tenderness, distension, Ac, of the belly in typhus, 102 ofthe skin after measles, 166 Tertian ague, single and double, 124 Tetanus, 421, 422 causes and symptoms of, 422 Tetter, scaly, 442 Thickly furred or coated tongue, 29 Thirst and its indications, 28 attendant upon the fever fits in ague, 125 1042 INDEX. Threadworms, general treatment of, 326 palliative measures for, 328 Throat, sore, aphthous, Ac, 183 relaxed, 188 ulcerated, 189 Thrush, aphthae, characteristics and causes of, 759 local and constitutional treatment of, 759, 760 Thuja occidentalis, characteristics of, 919 Tic Douloureux, 521 Time, Ac, for investigating the urine as a clue to the nature of disease, 19 especially appropriate for taking medi- cine, 65 Time ofthe day at which the fever fits occur in ague, 125 Tinctures, remarks respecting, 60 Tingling, with swelling, heat and redness of the skin (Erysipelas), 424 Tissue, cellular, general or local dropsy of the, 576 Tissues ofthe brain, inflammation ofthe, 415 Tongue, inflammation of the, symptoms, pre- disposing and exciting causes of, treat- ment, Ac, 519 various appearances of, and their indi- cations, 29 thickly furred or coated, furred and slimy, yellow, clean, dry, red and glassy, swollen and coated, swollen and red, cracked, furrowed, and swol- len, indented, tremulous, blackish, dry and furred, Ac, 29 Tonsils, enlargement of the, deafness from, 510 Toothache, 179 of children, 182 accessory measures for, 183 during pregnancy, treatment and diet, Ac, for, 709 Transition, sudden, of gout to superior or- gans, 463 Transparent expectoration, 53 Transpirations from the skin and sweat, and their indications, 49 condition of, in perfect health, 49 Travelling, constipation during, 246 Tremens, delirium, general article on, and exciting causes of, 557 Tremulous, simply, or tremulous, blackish, dry and coated tongue, 29 Triturations, remarks respecting, 60 Tropical climates, diseases peculiar to, and general precautions against the, Ac, 589-592 precautions to be observed by Europeans in, 589 effects of the climate and season, 592 incipient biliary derangements, and prickly heat of, 593, 594 Tubercle (scrofulous), formation and pro- gress of the, in the lungs, and in other organs, 585 Tuberculous leprosy (see Leprosy), 623 Tumor, hard and cancerous, on the lips,499 Tumors, Ivmphatic (abscess), 433 fatty,* 436 Typhoid or congeptive fever of the cold sea- son of India, 600 characteristics, general oxuses and symptoms of, 600 Typhus, nervous or slow fever, 96 causes of various forms of, 96 aspect of, 96 division and treatment of, 98 premonitory and incipient stages of, 98 abdominal, 102 second or active stage of low or inflam- matory, 104 characterized by stupor, 110 stages of debility and convalescence after, 111 after-effects of, 112 bed-sores after, 112 abscesses, boils, swelling of the feet and weakness of digestion after, 112 general derangements of psorio subjects after, 114 malignant (putrid or pestilential fever), 115 contagious (jail fever, camp fever, pe- techial fever), 115 accessory and precautionary treatment during the prevalence of, 118 Ulcerated, malignant, gangrenous sore throat or quinsy, 189 epidemic sore throat, 189 Ulceration of the small bones of the ear, bloody discharge from. 506 of the bones ofthe nose, 515 erysipelas terminating in, 427 scrofulous, of the glands, and scars left by the, 437 scrofulous, ofthe lips, 499 Ulcers, Ac. (see Sores), 455 chronic cases of, 456 external and accessory appliances for, 457 bandages and medicated lotions for, 458 varicose, 458 cancerous, on the lips, 499 Unequal pulse, description of, 13 breath, do., do., 22 Unhealthy increase or loss of flesh, 53 Unnatural taste, sight, smell, or hearing, 47 Upper part of the windpipe, inflammation of the, after measles, 166 inflammation of the, afler small-pox, 173 inflammation of the, general article on the symptoms, results, and treatment of, 340 chronio inflammation of the, 342 after-effects of inflammation of the, 343 Urine, its varieties, and their indications, 18 healthy appearance ofthe, 18 proper time and method of examining the, 19 INDI Urine, variations in the, as to quantity, color, Ac, and the indications de- rived therefrom, 19 retention of, after delivery (see Labor), 723 incontinence of, after delivery (see La- bor), 723 of children (wetting the bed), 768 precautions against, and treatment of, 769 retention of, of infants, 769 Urticaria, 437 Urtica Dio'ica, or urens, as an external ap- plication, 68 characteristics of, 920 Uterine hemorrhage after miscarriage, 718 after labor, 722 Vaccination, 804 Vapor of lead, causing constipation, 246 delirium tremens caused by, 559 Variations of the pulse, and their indica- tions, 11 apparent in the urine, and their indica- tions, 19 Varicose ulcers, 458 veins during pregnancy, and treatment of, 711 Varieties of constitution, 2 temperaments, 4 the pulse, and indications thereby af- forded, 11 the urine, and indications derivable therefrom, 18 Various denominations of pulse, 13 appearances ofthe tongue, 29 Vegetable and narcotic poisons, treatment for, 676 Veins, wounds of (see Incised Wounds), 642 swelled, or varicose, during pregnancy, 711 Ventilation, value of, in the prevention of disease, 79 Veratrum album, characteristics of, 920 viride, characteristics of, 922 Verdigris, immediate and after-treatment of poisoning with, 675 Vesicular, or herpetic ringworm, 448 Vessel, blood, rupture of a, 396 Vexation (see Mental Emotions), 678 Viola tricolor, chararteristics of, 923 Violent chill in the head, brain-fever from a, 420 Viper, bite of a (Envenomed Wounds), 671 Voice and speech, and their indications, 52 loss of, hoarse, Ac, 52 roughness or loss of the, general article on the treatment of (Hoarseness), 343 chronic roughness, or loss of the, 344 Fomiting and nausea, indications afforded by, 26 as a specific derangement, and treat- ment of, 2-34 occasioned by excess of food or drink, 234 1043 Vomiting, occasioned by foulness of tho stomach, 234 external injuries, 235 passive motion, 235 without ostensible cause, 235 occasioned by irritability of the sto- mach, 236 bilious, 237 of blood, 239 premonitory symptoms of, 239 accessory measures for, 241 Wakefulness, sleeplessness, 530 and crying of new-born children, 755 Walking, infants slow at, 753 Wandering gout, 462 Want of appetite, indications afforded by, 27 loss, or absonce of taste, 27 of appetite as a specific derangement, 222 Warm-bath for infants, 73 Warm breath, description of, 22 fresh-water bath, 70 Warts in general, 501 Wasting away (see Atrophy), 793 Watching, long, fatigue from, 657 Waterbrash, 234 Water, free use of, in the eradication of chronic disease, 86 persons who work in, gout of, 463 in the head, characteristics, causes, va- rieties, Ac, of (see Dropsy of the Brain), 780-785 Watering, copious, ofthe eyes, 52 Watery fluid, accumulation of the, in the knee, 482 or weeping eye, 489 Weakness of digestion after typhus,114 after delivery, 735 Weaning, 749 precautionary measures in, as regards the mother and infant, 749 food of the infant at the period of, 749 Weeping and tearfulness, 52 or watery eye, 489 Wetting the bed of young children, 768 Whites, characteristics, predisposing and ex citing causes, and treatment of, 693 Whitlow, 444 incipient symptoms, ordinary cases, and complicated cases of, 444 eradicative and external treatment of, 446 Whooping-cough, 359 first, or febrile stage of, 360 second, or convulsive stage of, 362 third, or nervous stage of, 364 obstinate inveterate cases of, 364 Wind in the stomach and intestines (flatu- lency), and the indications which it af- fords, 26 Windpipe, inflammation of the,after measles, 166 upper part of the, inflammation of, aftei small-pox, 173 )EX. 1044 ini Windpipe, upper part of the, inflammation of the, general article on the symp- toms, results, and treatment of, 340 chronic inflammation of the upper part of the, 342 after-effects of inflammation of the upper part of the, 343 spasm of the opening of the, in chil- dren, 785 Wiry or dry constitution, 2 Women, and their peculiar diseases, treat- ment of, 681 Work in water, gout of persons who, 463 Worm colic, 259 Worms, inflammation of the bowels associa- ted with, 315 general article on the treatment of, 324 symptoms, exciting and predisposing causes, and results or complications with, 324, 325 thread, treatment for, 326 palliative measures for, 328 round, 328 tape, 331 chronio affections with, 332 diet and regimen for, 332 Wounds in general, 641 incised, lacerated, contused (or bruises), punctured, gunshot, and poisoned, 641 degree of injury from, 641 incised, or cuts, external treatment of, 641 mechanical means for dressing, 642 of arteries or veins, 642 in the mouth, 642 Wounds, incised, local applications to, 64J constitutional treatment of, 642 suppurating incised. 643 lacerated, local and constitutional treat- ment of, 644 contused, external and constitutional treatment for, 644 contused, of the breast, 647 punctured, external and constitutional treatment of, 648 gunshot (splinters, Ac), local and con- stitutional treatment of, 649 treatment of, when fever, gangrene, Ac, ensue, 649 poisoned (envenomed), from serpents, treatment of, 671 by putrefied matter, treatment, diet, Ac, for, 671 Yawning, groaning, sneezing, and their in- dications, 63 Yellow tongue, 29 complexion, faint and deep, 51 or bitterish expectoration, 53 fever, characteristics, varieties, and pre- disposing causes of, 601 exciting causes of, susceptible age, condition, Ac, to, premonitorj and general symptoms of, 602 issue and results, and treatment of 602 preventive treatment against and accessory measures for, 607 Zincum metallicum, eh wW»*tw of, 923 New Catalogue (1887) of the Hahnemann Publishing House. F. E. BOERICKE'S (late boericke & TAFEL) jiomoeopatliic Publications, PHILADELPHIA. ALLEN, DR. TIMOTHY F. The Encyclopedia of Pure Materia Medica; a Record of the Positive Effects of Drugs upon the Healthy Human Organism. With contributions from Dr. Richard Hughes, of England; Dr. C. Hering, of Philadelphia; Dr. Carroll Dun- ham, of New York; Dr. Adolph Lippe, of Philadelphia, and others. Ten volumes. Price bound in cloth, $60.00; in half morocco or sheep, $70.00 This is the most complete and extensive work on Materia Medica ever attempted in the history of medicine—a work to which the homoeopathic prac- titioner may turn with the certainty of finding the whole pathogenetic record of any remedy ever used in homoeopathy, the record of which being published either in book form or in journals. " "With the Volirmes IX. and X. now before us—Allen's Encyclopedia op Pure Materia Medica—is completed. It comprises all remedies proved or applied by Homoe- opaths. "With truly wonderful diligence everything has been carefully collated from the whole medical literature that could be put under contribution to Homceopathy, thus enabling anyone who wants to make a thorough study of Materia Medica, or who wants to read up a special remedy to find what he needs and where to look for it. . . . As regards printing, paper, and general get-up, the house of Boericke & Tafel has fully upheld its old established reputation."—From the Allgemeine Homceopathische Zeitung. ALLEN, DR. TIMOTHY F. A General Symptom Register of the Homoeopathic Materia Medica.—1,331 pages. Large 8vo. Cloth, . . .......812.00 Half morocco or sheep,........$14.00 This valuable work was eagerly welcomed by the homoeopathic profession, and a large portion of the edition has already been disposed of. The work can be obtained through every homoeopathic pharmacy, and those desiring to secure a copy should send in their orders without delay, as but a limited number of copies remain available. " The long hoped for ' Index' has come, and now lies before us in all the glory of a comely volume of 1,331 pages, beautifully printed on good, clear paper, and bound in cloth. 2 F. E. BOERICKE'S "Every scientific practitioner in the world will heartily thank the indefatigable author for crowning his pharmaco-encyclopedic edifice so promptly with a workable repertoria) index. The thing we are most thankful for is that the arrangement is strictly alphabetical. First, the part affected ; second, the sensation, conditioned or modified. No fads or fancies, theories or hypotheses. Of course everybody has a copy of the ' Encyclopedia/ and now everybody will get a copy of the Index. We cannot pretend to review such a work. It bears every mark of care, capability and conscientiousness, and to hunt about for specks of dirt on such a grand picture is not the kind of work for us. The only piece of advice we offer to intending purchasers is that they ask for it bound in leather, for common cloth binding, no matter how nice to the eye, soon begins to tear at the back, and becomes the source of endless annoyance. This applies, of course, to a work for frequent reference, and Allen's ' Index' is practically a dictionary to his ' Encyclopedia/ and as such will be used many times a day."—From the Homoeopathic World. ALLEN AND NORTON. Ophthalmic Therapeutics. See Nor- ton's Ophthalmic Therapeutics. ALLEN, WILLIAM A. Repertory of the Symptoms of Inter- mittent Fever. Arranged by William A. Allen. 107 pages. 12mo. Cloth. Price,..........$1.00 We give a letter of Timothy F. Allen, M.D., recommending the publication of this little work: " I have carefully examined the repertory of Dr. Wm. Allen, of Flushing, and assure you that it is exceedingly valuable. It should be printed in pocket form. I should use it constantly. Dr. Allen has a large experience in the treatment of intermittents, and his own observations are entitled to great respect." BAEHR, DR. B. The Science of Therapeutics according to the Principles of Homceopathy. Translated and enriched with numer- ous additions from Kafka and other sources, by C. J. Hempel, M.D. Two volumes. 1387 pages. Half morocco, .... $9.00 "The descriptions of disease—no easy thing to write—are always clear and full, some- times felicitous. The style is easy and readable, and not too prolix. Aoove all, the rela- tions of maladies to medicines are studied no less philosophically than experimentally, with an avoidance of abstract theorizing on one side, and of mere empiricism on the other, which is most satisfactory."—From the British Journal of Homoeopathy. BELL and LAIRD, DRS. The Homoeopathic Therapeutics of Diarrhoea, Dysentery, Cholera, Cholera Morbus, Cholera Infantum, and all other Loose Evacuations of the Bowels; by James B. Bell, M.D. Second edition. 275 pages. 12mo. Cloth, . . . . $1.50 " This little book, issued in 1869, by Dr. Bell, has long been a standard work in Homoeopathic Therapeutics. We feel quite within bounds in asserting that it has been the means under our law, of saving thousands of lives. Than this no greater commendation could be penned. ... In this second edition, Dr. Bell has been assisted by Dr. Laird, of Maine; also by Drs. Lippe, William P. Wesselhoeft and E. A. Farrington. Thirty- eight new remedies are given; the old text largely re-written; many rubrics added to the repertory; a new feature, the'black type,' for especially characteristic symptoms, introduced. "This is a typical homoeopathic work, which no homoeopathic physician can afford to be without. The typographical setting is worthy of the book."—From the Homoeopathic Physician. BERJEAU, J. PH. The Homoeopathic Treatment of Syphilis, Gonorrhoea, Spermatorrhoea, and Urinary Diseases. Revised, with numerous additions, by J. H. P. Frost, M.D. 256 pages. 12mo. Cloth,........... $1.50 "This work is unmistakably the production of a practical man. It is short, pithy, and contains a vast deal of sound practical instruction. The diseases are briefly described; the directions for treatment are succinct and summary. It is a book which might with profit be consulted by all practitioners of homoeopathy."—North American Journal. HOMCEOPATHIC PUBLICATIONS. 3 BREYFOGLE, DR. W. L. Epitome of Homoeopathic Medi- cines. 383 pages,........ $1.25 We quote from the author's preface: It has been my aim, throughout, to arrange in as concise form as possible, the leading symptoms of all well-established provings. To accomplish this, I have compared Lippe's Mat. Med.; the Sym torn en-Codex; Jahr's Epitome; Bcenninghausen's Therapeutic Pocket- Book, and Hale's New Kemedies. BRIGHAM, DR. GERSHAM N. Phthisis Pulmonalis, or Tuber- cular Consumption. Pp.224. 8vo. Cloth. Price,. . $2.00 This interesting work on a subject which has been the "Opprobrium Med- icorum" for generations past, has met with a favorable reception at the hands ofthe profession. It is a scholarly work and treats its subject from the stand- point of pure homceopathy. "Just now a fresh move of interest in consumption is passing over the world, and hence we may say Dr. Brigham's monograph comes apropos; but on the other hand it comes too early, as the parasitic nature of phthisis is now the great phthisiological question which be- littles and dwarfs every other. "Our author's work must be pronounced as decidedly able, and its principal defects are those of the subject itself in its present state of development. In our opinion the whole question is still involved in too much doubt and difficulty to admit of its being handled very lucidly at present. Dr. Brigham tries very hard to clear the deck of all notions that might be in the way of handling the subject scientifically, but he does not quite succeed even in defining clearly one single form of phthisis. Why? because in the present state of the sub- ject it is impossible for any man to do so, and we question whether a much better book on phthisis is possible at present."—From The Homoeopathic World, for October, 1882. BRYANT, DR. J. A Pocket Manual, or Repertory of Homoeo- pathic Medicine, Alphabetically and Nosologically arranged, which may be used as the Physicians' Vade-mecum, the Travellers' Medical Com- panion, or the Family Physician. Containing the Principal Remedies for the most important Diseases; Symptoms, Sensations, Characteristics of Diseases, etc.; with the principal Pathogenetic Effects of the Medicines on the most important Organs and Functions of the Body, together with Diagnosis, Explanation of Technical Terms, Directions for the Selection and Exhibition of Remedies, Rules of Diet, etc. Compiled from the best Homoeopathic authorities. Third edition. 352 pages. 18mo. Cloth, $1.50 DR. BURNETT'S ESSAYS. Ecce Medicus; Natrum Muriati- cum; Gold; The Causes of Cataract; Curability of Cataract; Diseases of the Veins; Supersalinity ofthe Blood. Pp. 296. 8vo. Cloth. Price,....... . $2.50 Dr. Burnett's essays were so favorably received in this country, that they would undoubtedly have commanded a very large sale, had they not been so high in price. As it was the six essays would have cost over five dollars, and in order to bring them within reach of the many we reprinted them, by special arrangement with the author, who contributed a new essay, " The Causes of Cataract," not hitherto published, and a general introduction to the volume. The book is printed in good style on heavy toned paper and well bound, and we are able to furnish it at less than half the price ofthe imported volumes. We feel sure that these suggestive and sprightly monographs will be highly appreciated by the profession at large. BUTLER, DR. JOHN. A Text-Book of Electro-Therapeutics and Electro-Surgery; for the Use of Students and General Practitioners. By John Butler, M.D., L.R.C.P.E., L.R.C.S.I., etc., etc. Second edition, revised and enlarged. 350 pages. 8vo. Cloth, $3.00 4 F. E. BOERICKE'S " Among the many works extant on Medical Electricity, we have seen nothing that comes so near ' filling the bill' as this. The book is sufficiently comprehensive for the stu- dent or the practitioner. The fact that it is written by an enthusiastic and very intelligent homceopathist, gives to it additional value. It places electricity on the same basis as other drugs, and points out by specific symptoms when the agent is indicated. The use of elec- tricity is therefore clearly no longer an exception to the law of similia, but acts curatively only when used in accordance with that law. We are not left to conjecture and doubt, but can clearly see the specific indications of the agent, in the disease we have under observa- tion. The author lias done the profession an invaluable service in thus making plain the pathogenesis of this wonderful agent. The reader will find no difficulty in following both the pathology and treatment of the cases described. Electricity is not held up as the cure- all of disease, but is shown to be one of the most important and valuable of remedial agents, when used in an intelligent manner. We have seen no work which we can so heartily recommend as this."—Cincinnati Medical Advance. BUTLER, DR. JOHN. Electricity in Surgery. Pp. 111. 12nio. Cloth. Price,........# . • $1.00 This interesting little volume treats on the application of Electricity to Surgery. The following are some ofthe subjects treated of: Enlargement of the Prostate ; Stricture ; Ovarian Cysts ; Aneurism ; Naevus ; Tumors ; Ulcers; Hip Disease; Sprains; Burns; Galvano-Cautery ; Hemor- rhoids ; Fistula ; Prolapsus of Rectum ; Hernia, etc., etc. The direc- tions given under each operation are most explicit and will be heartily welcomed by the practitioner. DUNHAM, CARROLL, A.M., M.D. Homceopathy the Science of Therapeutics. A collection of papers elucidating and illustrating the principles of homoeopathy. 529 pages. 8vo. Cloth, . . $3.00 Half morocco, . . . . . . ... . . $4.00 "More than one-half of this volume is devoted to a careful analysis of various drug- provings. It teaches us Materia Medica after a new fashion, so that a fool can understand, not only the full measure of usefulness, but also the limitations which surround the drug. . . We ought to give an illustration of his method of analysis, but space forbids. We not only urge the thoughtful and studious to obtain the book, which they will esteem as second only to the Organon ia its philosophy and learning."—The American Homceopathist. DUNHAM, CARROLL, A.M., M.D. Lectures on Materia Medica. 858 pages. 8vo. Cloth,.....$5.00 Half morocco,..........$6.00 " Vol. I. is adorned with a most perfect likeness of Dr. Dunham, upon which stranger and friend will gaze with pleasure. To one skilled in the science of physiognomy there will be seen the unmistakable impress of the great soul that looked so long and steadfastly out of its fair windows. But our readers will be chiefly concerned with the contents of these two books. They are even better than their embellishments. They are chiefly such lectures on Materia Medica as Dr. Dunham alone knew how to write. They are preceded quite naturally by introductory lectures, which he was accustomed to deliver to his classes on general therapeutics, on rules which should guide us in studying drugs, and on the therapeutic law. At the close of Vol. II. we have several papers of great interest, but the most important fact of all is that we have over fifty of our leading remedies presented in a method which belonged peculiarly to the author, as one of the most successful teacheis our school has yet produced. . . . Blessed will be the library they adorn, and the wise man or woman into whose mind their light shall shine."—Cincinnati Medical Advance. EDMONDS on Diseases Peculiar to Infants and Children. By W. A. Edmonds, M.D., Professor of Paedology in the St. Louis Homoeo- pathic College of Physicians and Surgeons, etc., etc., etc. 1881. Pp. 300. 8vo. Cloth,..........$2.50 This work meets with rapid sales, and was accorded a flattering reception by the homoeopathic press. ' This is a good, sound book, by an evidently competent man. The preface is as manly as it is unusual, and engages one to go on and read the entire work. In the chapter on the HOMCEOPATHIC PUBLICATIONS. 5 examination of sick children we read that 'no physician will ever have full and comfort- able success as a psedologist who has a brusque, reticent, undemonstrative manner. It is indispensable that a physician having children in charge should convince them by his manner that he likes them, and sympathizes with them in their whims, foibles and peculi- arities. Their intuitions as to whom they ought to like and ought not to like are marked and wonderfully accurate at a very tender age.' The physician who writes thus is a born pa?dologist, and most assuredly a very successful practitioner............ " Alter the examination of children has been dwelt upon, our author proceeds to dis- cuss of the hygiene of children in a very able and sensible manner. He then discourses upon the various diseases of children in an easy and yet didactic manner, and any one can soou discover that he knows whereof he writes."—From the Homoeopathic World. EGGERT, DR. W. The Homoeopathic Therapeutics of Uterine and Vaginal Discharges. 543 pages. 8vo. Half morocco, $3.50 The author here brought together in an admirable and comprehensive arrangement everything published to date on the subject in the whole homoeo- pathic literature, besides embodying his own abundant personal experience. The contents, divided into eight parts, are arranged as follows:—Part I. Treats of Menstruation and Dysmenorrhea. Part II. Menorrhagia. Part III. Amenorrhea. Part IV. Abortion and Miscarriage. Part V. Metror- rhagia. Part VI. Fluor albus. Part VIL Lochia, and Part VIII. General Concomitants. No work as complete as this, on the subject, was ever before attempted, and we feel assured that it will meet with great favor by the profes- sion. GUERNSEY, DR. H. N. The Application of the Principles and Practice of Homceopathy to Obstetrics and the Disorders Pe- culiar to Women and Young Children. By Henry N. Guernsey, M.D., Professor of Obstetrics and Diseases of Women and Children in the Homoeopathic Medical College of Pennsylvania, etc., etc. With numerous Illustrations. Third edition, revised, enlarged, and greatly improved. Pp. 1004. 8vo. Half morocco,.......$8.00 In 1869 this sterling work was first published, and was at once adopted as a text-book at all homoeopathic colleges. In 1873 a second edition, considerably enlarged, was issued; in 1878 a third edition was rendered necessary. The wealth of indications for the remedies used in the treatment, tersely and suc- cinctly expressed, giving the gist of the author's immense experience at the bed- side, forms a prominent and well appreciated feature of the volume. " This standard work is a credit to the author and publishers. ***** The instructions in the manual and mechanical means employed by the accoucheur are fully up to the latest reliable ideas, while the stand that is taken that all derangements incidental to * gestation, parturition and post partum are not purely mechanical, but will in the majority of cases, if not all, succumb to the action of the properly selected homoeopathic remedy, shows that Prof. Guernsey has not fallen into the rut of methodical ideas and treatment. ..........The appendix contains additional suggestions in the treatment of suspended animation of newly-born children, hysteria, ovarian tumors, _ sterility, etc., suggestions as to diet during sickness of any kind, etc., etc. After the index is a glossary, a '•""rfiil appendix in itself. Every practitioner should have a copy of this excellent work, even if he has two or three copies of old school text-books on obstetrics and diseases of women."—From the Cincinnati Medical Advance. GUERNSEY, DR. E. Homoeopathic Domestic Practice. With full Descriptions of the Dose to each single Case. Containing also Chap- ters on Anatomy, Physiology, Hygiene, and abridged Materia Medica. Tenth enlarged, revised, and improved edition. Pp. 653. Half leather, $2.50 HAGEN, DR. R. A Guide to the Clinical Examination of Patients and the Diagnosis of Disease. By Richard Hagen, M.D., Privat 6 f. e. boericke's docent to the University of Leipzig. Translated from the second revised and enlarged edition, by G. E. Gramm, M.D. Pp. 223. 12mo. Cloth, $1.25 " This is the most perfect guide in the examination of patients that we have ever seen. The author designs it only for the use of students of medicine before attending clinics, but we have looked it carefully through, and do not know of 223 pages of printed matter any- where of more importance to a physician in his daily bedside examinations. It is simply invaluable."—From the St. Louis Clinical Review. HAHNEMANN, DR. S. Organon of the Art of Healing. By Sam- uel Hahnemann, M.D. Aude Sapere. Fifth American edition. Trans- lated from the fifth German edition, by C. Wesselhoeft, M.D. Pp. 244. 8vo. Cloth,..........$1.75 "To insure a correct rendition of the text of the author, they (the publishers) selected as his translator Dr. Conrad Wesselhoeft, of Boston, an educated physician in every respect, and from his youth up perfectly familiar with the English and German languages, than whom no better selection could have been made." "That he has made, as he himself declares, 'an entirely new and independent translation of the whole work,' a careful com- parison of the various paragraphs, notes, etc., with those contained in previous editions, gives abundant evidence; and while he has, so far as possible, adhered strictly to the letter of Hahnemann's text, he has at the same time given a pleasantly flowing rendition that avoids the harshness of a strictly literal translation."—Hahnemannian Monthly. HAHNEMANN, DR. S. The Lesser Writings of. Collected and Translated by R. E. Dudgeon, M.D. With a Preface and Notes by E. Marcy, M.D. With a Steel Engraving of Hahnemann from the statue of Steinhauser. Pp. 784. Half morocco, .... $3.00 This valuable work contains a large number of Essays of great interest to laymen as well as medical men, upon Diet, the Prevention of Diseases, Venti- lation of Dwellings, etc. As many of these papers were written before the dis- covery of the homoeopathic theory of cure, the reader will be enabled to peruse in this volume the ideas of a gigantic intellect when directed to subjects of gen- eral and practical interest. HALE, DR. E. M. Lectures on Diseases of the Heart. In three parts. Part. I. Functional Disorders of the Heart. Part II. Inflamma- tory Affections of the Heart. Part III. Organic Diseases of the Heart. Second enlarged edition. Pp. 248. Cloth, . . . . $1.75 " After giving a thorough overhauling to the lectures of Dr. Hale, with the full inten- tion of a close criticism, I acknowledge myself conquered. True there are text books on the same subject of thrice the number of pages—more voluminous, but not so concise; and in this very conciseness lies the merit of the work. Students will find there everything they need at the bedside of their patients. It fills just a want long felt by the profession, and we can only congratulate Dr. Hale to have found in Messrs. Boericke & Tafel, pub- lishers who have done their work equally well."—North American Journal of Homoeopathy. HALE, DR. E. M. Materia Medica and Special Therapeutics of the New Remedies. By Edwin M. Hale, M.D., Professor of Materia Medica and Therapeutics of the New Remedies in Hahnemann Medical College, Chicago, etc., etc. Fifth edition, revised and enlarged. In two volumes—Vol. I. Special Symptomatology. With new Botanical and Pharmacological Notes. Pp. 770. 1882. Cloth, . . . $5.00 Half morocco,..........$6.00 " Dr Hale's work on New Remedies, is one both well known and much appreciated on this side of the Atlantic. For many medicines of considerable value we are indebted to his researches. In the present edition, the symptoms produced by the drug investigated, and those which they have been observed to cure, are separated from the clinical observa- tions, by which the former have been confirmed. That this volume contains a very large HOMCEOPATHIC PUBLICATIONS. 7 amount of invaluable information is incontestable, and that every effort has been made to secure both fulness of detail and accuracy of statement, is apparent throughout. For these reasons we can confidently commend Dr. Hale's fourth edition of his well known work on the New Remedies to our homoeopathic colleagues."— From the Monthly Homoeopathic Review. HALE, DR. E. M. Materia Medica and Special Therapeutics of the New Remedies. By Edwin M. Hale, M.D. Late Professor of Materia Medica and Therapeutics of the New Remedies in Hahnemann Medical College, Chicago; Professor of Materia Medica in the Chicago Homoeopathic College, etc. Fifth edition, revised and enlarged (thirty- seven new remedies), in two volumes. Vol. II. Special Therapeutics. With illustrative cases. Pp. 901. 8vo. Cloth, . . . $5.00 Half morocco,..........$6.00 "Hale's New Remedies is one of the few works which every physician, no matter how poor he may be, ought to own. Many other books are very nice to have, and very desir- able, but this is indispensable. This volume before us is an elegant specimen of the printers' and binders' art, and equally enjoyable when we consider its contents, which are not only thoroughly scientific, but also as interesting as a novel. Thirty-seven new drugs are added in this edition, besides numerous additions to the effects of drugs, previously dis- cussed. ***** 'We must say and reiterate if necessary, that Dr. Hale has hit the nail on the head in his plan for presenting the new remedies. It does well enough to tabu- late and catalogue, for reference in looking up cases, barren lists of symptoms, but for real enjoyable study, for the means of clinching our information and making it stand by us, give us volumes planned and executed like that now under consideration."—From the New Eng- land Medical Gazette. HALE, DR. E. M. Medical and Surgical Treatment of the Dis- eases of Women, especially those causing Sterility. Second edition. Pp. 378. 8vo. Cloth,........$2.50 " This work is the outcome of a quarter of a century of practical gynaecological experi- ence, and on every page we are struck with its realness. It is one of those books that will be kept on a low shelf in the libraries of its possessors, so that it may be found readily at hand in case of need. It is a work that soon will be wrell-thumbed by the busy practitioner who owns it, because in many a difficult obstetric case he will pace his study, tug at the favorite button a little nervously, and suddenly pause and exclaim, ' Let us see what Hale says about it!' and in seeing what Hale does say about it he will feel strengthened and com- forted, as one does after a consultation with a hidfreicher colleague in a difficult or dangerous case, in which the enormous responsibility had threatened to crush one. "In many obstinate uterine cases we shall reach this book down to read again and again what this clinical genius has to say on the subject. We have never seen Professor Hale in the flesh, but we have had scores of consultations with him in the pages of his New Remedies, and he has thus feelessly helped us cure many an obstinate case of disease. " When we get a good book we mentally shake hands with the author, and think grate- fullv of him for giving us of his great riches. This is a good book, and thus we act and feel"towards its gifted author, Professor Hale.' —From the Homoeopathic World, London. HART, DR. C. P. Diseases of the Nervous System. Being a Treatise on Spasmodic, Paralytic, Neuralgic and Mental Affections. For the use of Students and Practitioners of Medicine. By Chas. Porter Hart, M.D., Honorary Member of the College of Physicians and Sur- geons of Michigan, etc., etc., etc. Pp. 409. 8vo. Cloth, . $3.00 "This work supplies a need keenlv felt in our school—a work which will be useful alike to the general practitioner and specialist; containing, as it does, not only a condensed compilation of the views of the best authorities on the subject treated, but also the author a own clinical experience; to which is appended the appropriate homoeopathic treatment of each disease. It is written in an easy, flowing style, at the same time there is no waste of words ***** We consider the work a highly valuable one, bearing the evidence of hard work considerable research and experience."— Medico-Chirurgical Quarterly. " We feel proud that in Hart's 'Diseases of the Nervous System' we have a work up 8 f. e. boericke's to date, a work which we need not feel ashamed to put in the hands of the neurologist or alienist for critical examination, a work for which we predict a rapid sale."—North Ameri- can Journal of Homoeopathy. HELMUTH, DR. W. T. A System of Surgery. Illustrated with 568 Engravings on Wood. By Wm. Tod Helmuth, M.D. Third edition. Pp. 1000. Sheep,.......$8.50 This standard work, for many years used as a text-book in all homoeopathic colleges, still maintains its rank as the best work ever brought out by our school on the subject. Ever since it was issued the necessity, for the student or prac- titioner, to invest in allopathic works on the subject ceased to exist. It is up to date, and abounds in valuable hints, for it gives the results of the author's ripe and extensive experience with homoeopathic medication in connection with sur- gical operations. In elegance of diction our author has never been approached. . . . . " We have in this work a condensed compendium of almost all that is known in practical surgery, written in a terse, forcible, though pleasing style, the author evidently having the rare gift of saying a great deal in a few words, and of saying these few words in a graceful, easy manner. Almost every subject is illustrated with cases from the doctor's own practice; nor has he neglected to put before us the great advantage of homoe- opathic treatment in surgical diseases. The work is in every respect up to the require- ments of the times..... " Taken altogether, we have no book in our literature that we are more proud of. " One word of commendation to the publishers is naturally drawn from us as we com- pare this handsome, clearly-printed, neatly-bound volume with the last edition. The dif- ference is so palpable that there is no necessity of making further comparisons."—Homoeo- pathic Times. HELMUTH, DR. W. T. Supra-Pubic Lithotomy. The High Operation for Stone — Epicystotomy — Hypogastric Lithotomy — "The High Apparatus." By Wm. Tod Helmuth, M.D., Professor of Surgery in the N. Y. Horn. Med. College; Surgeon to the Hahnemann Hospital and to Wards Island Homoeopathic Hospital, N. Y. 98 quarto pp. 8 lithographic plates. Cloth. Price,......$4.00 A superb quarto edition, with lithographic plates, printed in five colors, and illustrated by charts and numerous wood-cuts. HEINIGKE, DR. CARL. Pathogenetic Outlines of Homoeo- pathic Drugs. By Dr. Carl Heinigke, of Leipzig. Translated from the German by Emil Tietze, M.D., of Philadelphia. Pp. 576. 8vo. Cloth,...........$3.50 " The reader of this work will gain more practical knowledge of a given drug from its pages in the same space of time than from any other book on the same subject. " The publishers' part of the work has been executed with the usual elegance, neatness and durability which characterizes all their publications which we have seen. " To the English reading portion of our colleagues, this book will be a boon to be appreciated, in proportion that it is consulted, and will save them many weary researches when in doubt of the true homoeopathic remedy."—American Homoeopath. HEMPEL, DR. C. J., and DR. J. BEAKLEY. Homoeopathic Theory and Practice. With the Homoeopathic Treatment of Surgical Diseases. Designed for Students and Practitioners of Medicine, and as a Guide for an intelligent public generally. Fourth edition. Pp.1100. $3.00 HERING, DR. CONSTANTINE. Condensed Materia Medica. Second edition, more Condensed, Revised, Enlarged and Improved. 806 pages, large 8vo. Half morocco,......$7.00 This, the most complete work issued from the pen of the late illustrious author, has a very large sale, having been adopted from its first appearance as Text-book in all Homoeopathic Colleges in the United States. HOMCEOPATHIC PUBLICATIONS. 9 ,n This work, the author tells us, is made up from the manuscript prepared for the Guiding bymptoms,' and is intended to give the student an idea of the main features of each drug in as-narrow a compass as possible. It is, in fact, the ' Guiding Svmptoms' boiled down. It has ^therefore a value of its own in enabling the student or practitioner to see quickly the chief symptoms of each medicine. Its name indicates its nature exactly, the condensation being more valuable from the hands of Dr. Hering than it might be' from f>thers of smaller experience. To those who wish to have such an aid to the Materia Medica beside them, we can recommend it."—Monthly Homoeopathic Review tor September, " The favor with which this work lias been received, and the rapiditv with which it has been adopted as a text-book in all the homoeopathic medical colleges, attests most fully its value. Embracing the rich experience'and the extensive learning of the author, its author- ity is unquestioned. The relationship of the drugs is peculiarly valuable, and can be found nowhere else outside of Bcenninghausen. The schema is according to Hahnemann, simi- larity in symptoms being clearly indicated. Hering's Materia Medica has now become the leading work of its kind in our school. Its broad pages lie invitingly before you. You read over the symptomatology of each drug with the consciousness that each and every line has been well considered before incorporation, and that it is a storehouse of wealth from which every worker can draw his supplies. The appearance of the work reflects credit upon the publishers, who have already gained their reputation as book publishers of the first rank."—Homoeopathic News. HERING, DR. CONSTANTINE. Domestic Physician. Seventh American Edition. 464 Pp....... . $2.50 The present editor, Claude R. Norton, M.D., a former assistant of Dr. Hering, undertook, at his desire, the task of superintending the publication of the work. Some additions to the text have been made, a few remedies intro- duced, and, at times, slight alterations in the arrangement effected, but the well- known views ofthe author have been respected in whatever has been done; but for unavoidable reasons, the issue of the present edition has been delayed until this time. HOMCEOPATHIC POULTRY PHYSICIAN (Poultry Veteri- narian) ; or, Plain Directions for the Homoeopathic Treatment of the most Common Ailments of Fowls, Ducks, Geese, Turkeys, and Pigeons, based on the author's large experience, and compiled from the most reliable sources, by Dr. Fe. Schroter. Translated from the German. 84 pages. 12mo. Cloth,..........$0.50 We imported hundreds of copies of this work in the original German for our customers, and as it gave good satisfaction, we thought it advisable to give it an English dress, so as to make it available to the public generally. The little work sells very fast, and our readers will doubtless often have an oppor- tunity to draw the attention of their patrons to it. HOMCEOPATHIC COOKERY. Second edition. With additions by a Lady of an American Homoeopathic Physician. Designed chiefly for the Use of such Persons as are under Homoeopathic Treatment. 176 pages. $0.50 HULL'S JAHR. A New Manual of Homoeopathic Practice. Edited, with Annotations and Additions, by F. G. Swelling, M.D. Sixth American edition. With an Appendix of the New Remedies, by C. J. Hempel, M.D. 2 vols. 2076 pages, . . . . . $9.00 This first volume, containing the symptomatology, gives the complete pathogenesis of two hundred and eighty-seven remedies, besides a large number of new remedies added by Dr. Hempel, in the appendix. The second volume contains an admirably arranged Repertory. Each chapter is accompanied by copious clinical remarks and the concomitant symptoms of the chief remedies for the malady treated of, thus imparting a mass of information, rendering the work indispensable to every student and practitioner of medicine. 10 F. E. BOERICKE'S JAHR, DR. G. H. G. Therapeutic Guide; the most Important results of more than Forty Years Practice. With Personal Observations regard- ing the truly reliable and practically verified Curative Indications in actual cases of disease. Translated, with Notes and New Remedies, by C. J. Hempel, M.D. 546 pages,.......$3.00 "With this characteristically long title, the veteran and indefatigable Jahr gives us another volume of homoeopathies. Besides the explanation of its purport contained in the litle itself, the author's preface still further sets forth its distinctive aim. It is intended, he says, as a 'guide to beginners, where I only indicate the most important and decisive points for the selection of a remedy, and where I do not offer anything but what my own indi- vidual experience, during a practice of forty years, has enabled me to verify as absolutely decisive in choosing the proper remedy.' The reader will easily comprehend that, in carry- ing out this plan, I had rigidly to exclude all cases concerning which I had no experience of my own to offer.....We are bound to say that the book itself is agreeable, chatty, and full of practical observation. It may be read straight through with interest, and referred to in the treatment of" particular cases with advantage."—British Journal of Homoe- opathy. JAHR. DR. G. H. G. The Homoeopathic Treatment of Diseases of Females and Infants at the Breast. Translated from the French by C. J. Hempel, M.D. 422 pages. Half leather, . . . $2.00 This work deserves the most careful attention on the part of homoeopathic practitioners. The diseases to which the female organism is subject are de- scribed, with the most minute correctness, and the treatment is likewise indicated with a care that would seem to defy criticism. No one can fail to study this work but with profit and pleasure. JONES, DR. SAMUEL A. The Grounds of a Homoeopaths Faith. Three Lectures, delivered at the request of Matriculates of the Department of Medicine and Surgery (Old School) of the University of Michigan. By Samuel A. Jones, M.D., Professor of Materia Medica, Therapeutics, and Experimental Pathogenesy in the Homoeopathic Medical College of the University of Michigan, etc., etc. 92 Pages. 12mo. Cloth (per dozen, $3),........- . . $0.30 The first Lecture is on The Law of Similars; its Claim to be a Science in that it Enables Perversion. The second Lecture, The Single Remedy a Necessity of Science. The third Lecture, The Minimum Lose an fnevitable Sequence. A fourth Lecture, on The Dynamization Theory, was to have finished the course, but was prevented by the approach of final examinations, the prepara- tion for which left no time for hearing evening lectures. The Lectures are issued in a convenient size for the coat-pocket; and as an earnest testimony to the truth, we believe they will find their way into many a homoeopathic house- hold. JOHNSON, DR. I. D. Therapeutic Key; or Practical Guide for the Homoeopathic Treatment of Acute Diseases. Tenth edition. 347 pages. Bound in linen,........ . $1.75 Bound in flexible leather cover,......2.25 The same including twelve insets properly lined and headed for daily visits, $3.25, or the insets separately at $1 per set of twelve. Each inset will be found sufficientfor a month's visits in ordinary practice and well supplies the usual visiting list, and this without a perceptible increase in bulk. This has been one of the best selling works on our shelves; more copies being in circulation of this than of any two other professional works put to- gether. It is safe to say that there are but few homoeopathic practitioners in this country but have one or more copies of this little remembrancer in their possession. HOMOEOPATHIC PUBLICATIONS. 11 " This is a wonderful little book, that seems to contain nearly everything pertaining to the practice of physic, and all neatly epitomized, so that the book may be carried very com- fortably in the pocket, to serve as a source for a refresher in a case of need. " It is a marvel to us how the author has contrived to put into 347 pages such a vast amount of information, and all of the very kind that is needed. No wonder it is in its tenth edition. " Bight in the middle of the book, under P, we find a most useful little chapter, or article, on 'Poisonings,' telling the reader what to do ia such cases.—Homoeopathic World, London. JOHNSON, DR. I. D. A Guide to Homoeopathic Practice. De- signed for the Use of Families and Private Individuals. 494 pages. Cloth,.......' . $2.00 This is the latest work on Domestic Practice issued, and the well and favor- ably known author has surpassed himself. In this book fifty-six remedies are introduced for internal application, and four for external use. The work con- sists of two parts. Part I is subdivided into seventeen chapters, each being devoted to a special part of the body, or to a peculiar class of disease. Part II contains a short and concise Materia Medica. The whole is carefully written with a view of avoiding technical terms as much as possible, thus insuring its comprehension by any person of ordinary intelligence. "Family Guides are often of great service, not only in enabling individuals to relieve the trifling maladies of such frequent occurrence in every family, but in the graver forms of disease, by prompt action to prepare the way for the riper intelligence of the physician. "The work under notice seems to have been carefully prepared by an intelligent physi- cian, and is one of the handsomest specimens of book-making we have seen from the house of Boericke & Tafel, its publishers."—Homoeopathic Times. LAURIE and McCLATCHEY. The Homoeopathic Domestic Medicine. By Joseph Laurie, M.D., Ninth American, from the Twenty- first English edition. Edited and revised, with numerous and important additions, and the introduction of the new remedies. By R. J. Mc- Clatchey, M.D. 1044 pages. 8vo. Half morocco, . . $5.00 " We do not hesitate to endorse the claims made by the publishers, that this is the most complete, clear, and comprehensive treatise on the domestic homoeopathic treatment of dis- ease extant. This handsome volume of nearly eleven hundred pages is divided into six parts. Part I is introductory, and is almost faultless. It gives the most complete and exact directions for the maintenance of health, and of the method of investigating the con- dition of the sick, and of discriminating between different diseases. It is written in the most lucid style, and is above all things wonderfully free from technicalities. Part II. treats of symptoms, character, distinctions, and treatment of general diseases, together with a chapter on casualties. Part III. takes up diseases peculiar to women. Part IV. is devoted to the disorders of infancy and childhood. Part V. gives the characteristic symptoms of the medicines referred to in the body of the work, while part VI. introduces the reper- tory."—Hahnemannian Monthly. # ... " Of the usefulness of this work in cases where no educated homoeopathic physician is within reach, there can be no question. There is no doubt that domestic homoeopathy has done much to make the science known; it has also saved lives in emergencies. The prac- tice has never been so well presented to the public as in this excellent volume."—New. Eng. Med. Gazette. LILIENTHAL, DR. S. Homoeopathic Therapeutics. By S. Lilienthal, M.D., Editor of North American Journal of Homoeopathy, Professor of Clinical Medicine and Psychology in the New York Homoe- opathic Medical College, and Professor of Theory and Practice in the New York College Hospital for Women, Etc. Second edition. 835 pages. 8vo. Cloth,..........So.00 Half morocco,..........b-UJ " Certainly no one in our ranks is so well qualified for this work as he who has done it, and in considering the work done, we must have a true conception of the proper sphere 12 F. E. BOERICKE'S of .such a work. For the fresh graduate, this book will be invaluable, and to all such we unhesitatingly and very earnestly commend it. To the older one, who says he has no use for this book, we have nothing to say. He is a good one to avoid when well, and to dread when ill. We also hope that he is severely an unicum."—Prof. Samuel A. Jones in American Observer. , " .... It is an extraordinary useful book, and those who add it to their library will never feel regret, for we are not saying too much in pronouncing it the best -work on therapeutics in homoeopathic (or any other) literature. WTith this under one elbow, and Hering's or Allen's Materia Medica under the other, the careful homoeopathic practitioner can refute Kiemayer's too confident assertion, 'I declare it idle to hope for a time when a medical prescription should be the simple resultant of known quantities.' Doctor, by all means buy Lilienthal's Homoeopathic Therapeutics, It contains a mine of wealth."—Frof. Chas. Gatchel in Ibid." LUTZE, DR. A. Manual of Homoeopathic Theory and Practice. Designed for the use of Physicians and Families. Translated from the German, with additions by C. J. Hempel, M.D. From the six- tieth thousand of the German edition. 750 pp. 8vo. Half leather, $2.50 MALAN, H. Family Guide to the Administration of Homoeo- pathic Remedies. 112 pages. 32mo. Cloth, . . . $0.30 MANUAL OF HOMCEOPATHIC VETERINARY PRACTICE. Designed for all kinds of Domestic Animals and Fowls, prescribing their proper treatment when injured or diseased, and their particular care and general management in health. Second and enlarged edition. 684 pages. 8vo. Half morocco, ........ $5.00 " In order to rightly estimate the value and comprehensiveness of this great work, the reader should compare it, as we have done, with the best of those already before the public. In size, fulness, and practical value it is head and shoulders above the very best of them, while in many most important disorders it is far superior to them altogether, containing, as it does, recent forms of disease of which they make no mention."—Hahnemannian Monthly. MARSDEN, DR. J. H. Handbook of Practical Midwifery, with full Instructions for the Homceopathic Treatment of the Dis- eases of Pregnancy, and the Accidents and Diseases incident to Labor and the Puerperal State. J. H. Marsden, A.M., M.D., 315 pages. Cloth, . . ... . . . . . . $2.25 " It is seldom we have perused a text-book with such entire satisfaction as this. The author has certainly succeeded in his design of* furnishing the student and young prac- titioner, within as narrow limits as possible, all necessary instruction in practical midwifery. The work shows on every page extended research and thorough practical knowledge. The style is clear, the array of facts unique, and the deductions judicious and practical. We are particularly pleased with his discussion of the management of labor, and the management of mother and child immediately after the birth, but much is left open to the common sense and practical judgment of the attendant in peculiar and individual cases."—Homoeo- pathic Times. MORGAN, DR. W. The Text-book for Domestic Practice; being plain and concise directions for the Administration of Homceopathic Medi- cines in Simple Ailments. 191 pages. 32mo. Cloth, . . $0.50 This is a concise and short treatise on the most common ailments, printed in convenient size for the pocket; a veritable traveler's companion. NORTON, DR. GEO. S. Ophthalmic Therapeutics. By Geo. S. Norton, M.D., Professor of Ophthalmology in the College of the New York Ophthalmic Hospital, Senior Surgeon to the New York Ophthalmic Hospital, etc. With an introduction by Prof. T. F. Allen, M.D. Sec- ond edition. Re-written and revised, with copious additions. Pp. 342. 8vo. Cloth,......... $2.50 homoeopathic publications. 13 The second edition of Allen & Norton's Ophthalmic Therapeutics has now been issued from the press. It has been re-written, revised and considerably en- larged by Prolessor Norton, and will, without doubt, be as favorably received as the first edition—out of print since several years. This work embodies the clinical experiences garnered at the N. Y. Ophthalmic Hospital, than which a better appointed and more carefully conducted establishment does not exist in this country. Diseases of the eye are steadily on the increase, and no physician can afford to do without the practical experience as laid down in the sterling work under notice. RAUE, DR. C. G. Special Pathology and Diagnosis, with Thera- peutic Hints. Second edition, re-written and enlarged. Pp. 1,072. Large 8vo. Half morocco or sheep,......$7.00 This second edition is brought down to date, and, rendered in Dr. Raue's own pregnant, terse style. These thousand pages will be found to be encyclopedic as to the comprehensiveness, and epitomatic as to the condensed form of the in- formation imparted. " . . . . The first edition has 644 pages; this new has 1,072, and if Raue has added 428 pages it was because four hundred and twenty-eight pages of something solid had to find a place in this universe.....The present edition is written up to date, tersely it is true, but so far as I have read, in consonance with the latest teachings.....I envyy the practitioner who can read this second edition without learning something; and I would say to the young graduate, in an expressive Western phrase, ' Tie to it.' It has become a platitude to compliment publishers, but, really, Boericke & Tafel, and the Globe Printing House, may well be proud of this book."—S. A. Jones in American Observer. REIL, DR. A. ACONITE, Monograph on, its Therapeutic and Physiological Effects, together with its Uses and Accurate Statements, derived from the various Sources of Medical Lit- erature. By A. Reil, M.D. Translated from the German by H. B. Millard, M.D. Prize essay. 168 pages,.....$0.60 " This Monograph, probably the best which has ever been published upon the subject, has been translated and given to the public in English, by Dr. Millard, of New York. Apart from the intrinsic value of the work, which is well known to all medical German scholars, the translation of it has been completed in the most thorough and painstaking way; and all the Latin and Greek quotations have been carefully rendered into English. The book itself is a work of great merit, thoroughly exhausting the whole range of the subject. To obtain a thorough view of the spirit of the action of the drug, we can recom- mend no better work."—North American Journal. RUSH, DR. JOHN. Veterinary Surgeon. The Hand-book to Veteri- nary Homoeopathy; or, the Homoeopathic Treatment of Horses, Cattle, Sheep, Dogs and Swine. From the London edition. With numerous ad- ditions from the Seventh German edition of Dr. F. E. Gunther's " Homoeo- pathic Veterinary." Translated by J. F. Sheek, M.D. 150 pages. 18mo. Cloth,..........• $0.50 SCHAEFER, J. C. New Manual of Homceopathic Veterinary Medicine. An easy and comprehensive arrangement of Diseases, adapted to the use of every owner of Domestic Animals, and especially designed for the farmer living out of the reach of medical advice, and showing him the way of treating his sick Horses, Cattle, Sheep, Swine and Dogs, in the most simple, expeditious, safe and cheap manner. Translated from the German, with numerous additions from other veterinary manuals, by C. J. Hempel, M.D. 321 pages. 8vo. Cloth, .... $2.00 SHARP'S TRACTS ON HOMCEOPATHY, each, . . 5 Per hundred,..........$3.00 14 F. E. BOERICKE'S No. 1. What is Homoeopathy ? No. 7. The Principles of Homoeopathy. No. 2. The Defence of Homoeopathy. No. 8. Controversy on No. 3. The Truth of " No. 9. Eemedies of No. 4. The Small Doses of " No. 10. Provings of " No. 5. The Difficulties of " No. 11. Single Medicines of " No. 6. Advantages of " No. 12. Common sense of SHARP'S TRACTS, complete set of 12 numbers, . . . $0.50 Bound,...........80.75 SMALL, DR. A. E. Manual of Homceopathic Practice, for the use of Families and Private Individuals. Fifteenth enlarged edition. 831 8vo. Half leather,.......$2.50 ----Manual of Homceopathic Practice. Translated into German by C. J. Hempel, M.D. Eleventh edition. 643 pages. 8vo. Cloth, $2.50 STAPF, DR. E. Additions to the Materia Medica Pura. Trans- lated by C. J. Hempel, M.D. 292 pages. 8vo. Cloth, . $1.50 This work is an appendix to Hahnemann's Materia Medica Pura. Every remedy is accompanied with extensive and most interesting clinical remarks, and a variety of cases illustrative of its therapeutical uses. TESSIER, DR. J. P. Clinical Remarks concerning the Homoeo- pathic Treatment of Pneumonia, preceded by a Retrospective View of the Allopathic Materia Medica, and an Explanation of the Homceo- pathic Law of Cure. Translated by C. J. Hempel, M.D. 131 pages. 8vo. Cloth,..........$0.75 TESTE. A Homceopathic Treatise on the Diseases of Children. By Alph. Teste, M.D. Translated from the French by Emma H. Cote. Fourth edition. 345 pages. 12mo. Cloth, . . ' . . $1.50 This sterling work is by no means a new applicant for the favorable con- sideration of the profession, but is known to the older physicians since many years, and would be as well known to the younger had it not been out of print for nearly eight years. However, as orders for the work were persistently re- ceived from all quarters, we concluded to resurrect the book as it were, and purchasing the plates from the quondam publishers, we re-issued it in a much improved form, i. e., well printed on excellent paper. Dr. Teste's work is unique, in that in most cases it recommends for certain affections remedies that are not usually thought of in connection therewith; but, embodying the results of an immense practical experience, they rarely fail to accomplish the de- sired end. VERDI, DR. T. S. Maternity, a Popular Treatise for Young Wives and Mothers. By Tullio Suzzara Verdi, A.M., M.D., of Washington, D.C. 450 pages. 12mo. Cloth, . . . $2.00 " No one needs instruction more than a young mother, and the directions given by Dr. Verdi in this work are such as I should take great pleasure in recommending to all the young mothers, and some of the old ones, in the range of my practice."—George E. Ship- man, M.D., Chicago, III. "Dr. Verdi's book is replete with useful suggestions for wives and mothers, and his medical instructions for home use accord with the maxims of my best experience in prac- tice."— John F. Gray, M.D., New York City. ----Mothers and Daughters: Practical Studies for the Conservation of the Health of Girls. By Tullio Suzzara Verdi, A.M., M.D. 287 pages. 12mo. Cloth,........$1.50 HOMCEOPATHIC publications. 15 The people, and especially the women, need enlightening on many points connected with their physical life, and the time is fast approaching when it will no" longer be thought singular or ' Yankeeish' that a woman should be instructed in regard to her sexuality," its organs and their functions.....Dr. Verdi is doing a good work in writing "such books, and we trust he will continue in the course he has adopted of educating the mother and daughters. The book is handsomely presented. It is printed in good type on fine paper, and is neatly and substantially bound."— Hahnemannian Monthly. VON TAGEN. Biliary Calculi, Perineorrhaphy, Hospital Gan- grene, and its Kindred Diseases. 154 pages. 8vo. Cloth, $1.25 " Von Tagen was an industrious worker, a close observer, an able writer. The essays before us bear the marks of this. They are written in an easy, flowing, graceful style, and are full of valuable suggestions. While the essay on perineorrhaphy is mainly of interest to the surgeon, the other essays concern the general practitioner. They are exhaustive and abound in good things. The author is especially emphatic in recommending the use of bromine in the treatment of hospital gangrene, and furnishes striking clinical evidence in support of his recommendation. " The book forms a neat volume of 150 pages, and is well worthy of careful study."—■ Medical Counselor. WILLIAMSON, DR. W. Diseases of Females and Children, and their Homceopathic Treatment. Third enlarged edition. 256 pages,...........$1.00 This work contains a short treatise on the homoeopathic treatment of the diseases of females and children, the conduct to be observed during pregnancy, labor and confinement, and directions for the management of new-born infants. WILSON, DR. T. P. Special Indications for Twenty-five Reme- dies in Intermittent Fever. By T. P. Wilson, M.D., Professor of Theory and Practice, Ophthalmic and Aural Surgery, University of Michi- gan. 1880. 53 pages. 18mo. Cloth, . . . . _ . $0.40 This little work gives the characteristic Indications in Intermittent Fever of twenty-five of the mostly used remedies. It is printed on heavy writing paper, and plenty of space is given to make additions. The name of the drug is printed on the back of the page containing the symptoms, in order that the student may the better exercise his memory. WINSLOW, DR. W. H. The Human Ear and Its Diseases. A Practical Treatise upon the Examination, Recognition and Treatment of Affections of the Ear and Associate Parts, Prepared for the Instruction of Students and the Guidance of Physicians. By W. II. Winslow, M.D., Ph.D., Oculist and Aurist to the Pittsburg Homceopathic Hospital, etc., etc., with one hundred and thirty-eight illustrations. Pp. 526. 8vo. Cloth. Price,..........$4-50 "It would ill-become a non-specialist to pass judgment upon the intrinsic merits of Dr. Winslow's book, but even a general reader of medicine can see in it an author who has a firm grasp and an intelligent apprehension of his subject. There is about it an air of self- reliant confidence, which, when not offensive, can come only from a consciousness of know- in- the matter in hand, and we have never read a medical work which would more quickly lead us to give its author our confidence in his ministrations This is always the conse- quence of honest and earnest and inclusive scholarship, and this author is entitled to his meed."— Dr. S. A. Jones in American Observer. WORCESTER DR. S. Repertory to the Modalities. In their Re- lations to Temperature, Air, Water, Winds, Weather and Sea- sons. Based mainly upon Hering's Condensed Materia Medica, with ad- ditions from Allen, Lippe and Hale. Compiled and arranged by Samuel Worcester, M.D., Salem, Mass., Lecturer on Insanity and its Junspru- 16 F. e. boericke's dence at Boston University School of Medicine, etc., etc. 1880. 160 pages. 12mo. Cloth,........$1.25 "This Repertory to the Modalities is indeed a most useful undertaking, and will, without question, be a material aid to rapid and sound prescribing where there are prominent modal- ities. The first chapter treats of the sun and its effects, both beneficial and hurtful, and we see at a glance that strontium carb., anacardium, conium mac, and kali bich. are likely to be useful to patients who like basking in the sun. No doubt many of these modalities are more or less fanciful; still a great many of them are real and of vast clinical range. "The book is nicely printed on good paper, and strongly bound. It contains 160 pages. We predict that it will meet with a steady, long-continued sale, and in the course of time be found on the tables of most of those careful and conscientious prescribers who admit the philosophical value of (for instance) lunar aggravations, effects of thunder-storms, etc. And who, being without the priggishness of mere brute science, does not ?"—Homoeopathic World. WORCESTER, DR. S. Insanity and Its Treatment. Lectures on the Treatment of Insanity and Kindred Nervous Diseases. By Samuel Worcester, M.D., Salem, Mass. Lecturer on Insanity, Nervous Dis- eases and Dermatology, at Boston University School of Medicine, etc., etc. 262 pages,.........$3.50 Dr. Worcester was for a number of years assistant physician of the Butler Hospital for the Insane, at Providence, R. I., and was appointed shortly after as Lecturer on Insanity and Nervous Diseases to the Boston University School of Medicine. The work, comprising nearly five hundred pages, Avill be wel- comed by every homoeopathic practitioner, for every physician is called upon sooner or later to undertake the treatment of cases of insanity among his pat- ron's families, inasmuch as very many are loth to deliver any afflicted member to a public institution without having first exhausted all means within their power to effect a cure, and the family physician naturally is the first to be put in charge of the case. It is, therefore, of paramount importance that every homoeopathic practitioner's library should contain such an indispensable work. " The basis of Dr. Worcester's work was a course of lectures delivered before the senior students of the Boston University School of Medicine. As now presented with some alter- ations and additions, it makes a very excellent text-book for students and practitioners. Dr. Worcester has drawn very largely upon standard authorities and his own experience, which has not been small. In the direction of homoeopathic treatment, he has received valuable assistance from Drs. Talcott and Butler, of the New York State Asylum. It is not, nor does it pretend to be, an exhaustive work; but as a well-digested summary of our present knowledge of insanity, we feel sure that it will give satisfaction. We cordially recommend it."—New England Medical Gazette. NLM001050123