% J "& t&P ^f) *pZ& h, ^yo ,,y^^ 2j J / b*£r+A<^r- -*^—' thus: Aeon. * Bell." + The reader will see at a glance that this work is an eminently practical treatise, and that both laymen and beginning practitioners may derive great benefit from its use. Dr. Lutze uses throughout the 30th potency of Hahnemann. The publisher has deemed it sufficient to make this general statement in his Announcement, instead of repeating it on every page. The translation has been carefully prepared by competent hands, and all that now remains for the publisher to do is to plead in justification of his undertaking his firm conviction that Lutze's work will prove a most useful and interest- ing addition to the popular literature of our School. WM. RADDE, Jr. 1861. Philadelphia. PREFACE. There are still many who have not the remotest idea of Hahnemann's true greatness and of his doctrine. Some only know him as a great physician and discoverer of a new system of cure, others as a medical reformer whom they range side by side with other reformers of the sciences and believe to have sufficiently honored by comparing him to Newton, Galilai, Copernicus, etc. But what have all these discoverers accomplished in com- parison with Hahnemann ? They have indeed discovered new laws, conquered old prejudices, removed abuses, and announced unknown truths; but they were enabled to continue that which had been begun by their predecessors, and to improve existing knowledge. Hahnemann, on the contrary, had to overthrow the present and was not even able to make use of the ruins of the past; he had to create every thing anew, and, like a phoenix above the ashes, his new doctrine hovers over the ancient chaos of errors, prejudices and fatal abuses 2 17 18 MANUAL OF HOMOEOPATHY. which have tortured poor humanity for nearly two thousand years, and have prepared premature graves for thousands of victims. Finally Hahnemann's doctrine affects the very life of the whole human race. It not only blesses a few, a certain class, the learned, but all men; learned and unlearned, rich and poor, kings and beggars, even animals, enjoy the fruits of Hahnemann's discovery. Hahnemann nurses and promotes the belief in God, and in his in- scrutable Providence by showing that even the smallest and almost imperceptible quantity of a medicine may produce great and astonishing results. Samuel Hahnemann has discovered the irrefutable law, which proves true without exception, in every science and in all our relations of life. Like can only act upon and promote like, in speech, act or medicine. This law pervades all nature like a shining meteor. We see how only animals and plants that are alike, support and fecondate each other, how only like forces and passions combat each other: a teacher can only teach with effect, if he accommodates his instruction to the capacities of his pupils ; a preacher can only exer- cise a powerful effect upon the minds of his hearers, if his discourse is adapted to the nature and compre- hension of his hearers; even the mechanician and the naturalist can only act with forces that are alike ; only similar poles can attract each other, only like hearts can realize a happy union. PREFACE. 19 That which is entirely dissimilar, opposite, like the same poles of a magnet, repels its contrary, and may even produce disaster and ruin like the allceopathio practice of medicine which ignores or denies the uni- versal law of homoeopathy. But what would avail all theory in medicine; of what use would it be to the world and to the human race, if the theory were not confirmed by the brilliant achievements of experience. Our practice and theory go hand in hand, and it is because our accumulated and brilliant cures furnish the most indubitable evidence of the truth of Hahnemann's discovery: that it becomes our sacred duty not to be idle spectators of this new order of things, but to insti- tute active inquiries until we too are favored with a Knowledge of the truth which remains hidden from no one who earnestly seeks it. To many minds it is both a problem and a stumbling- block that the infinitesimal, imponderable and imper- ceptible, but highly refined doses should act more powerfully, more intensely and more penetratingly than the crude material of these same drugs; but let us con- sider that the nervous system likewise is refined and enfeebled; that a sound, a blow, even the ticking of a clock may cause one to start, and may excite a feeling of fright and anxiety; how much more powerful are the most refined homoeopathic doses than these vibra- tions of the air, true nothings to the healthy organism, but 20 MANUAL OF HOMOEOPATHY. the causes of considerable aggravations, and even of death in severe diseases. By curing a number of otherwise incurable suffer- ings, homoeopathy furnishes the proof that every dis- ease has its main seat and origin in the nervous system; a medicine is to act upon the nerves, this exceedingly subtile fluid which has never yet been perceived by the senses. Should we not, then, operate with the most refined medicinal preparations which are most adapted to the nerves, and has not the discoverer of homoeopathy realized these preparations ? It is only such exceedingly minute doses that are assimilable to the affected nerves; a cure can only take place where such an assimilation exists; in the same way nutrition can only take place by the food being assimilated to the digestive organs. The diges- tive process is to food what potentization is to drugs. Arthur Lutze. INTRODUCTION. The law of Homoeopathy, " sitnilia similibus" or " like by like,'''' has been verified since its discovery by Samuel Hahnemann in the year 1790, in all the depart- ments of life, as an irrefutable law of nature, one of those laws which enable us to look into the internal economy of nature, and to observe the connection between cause and effect. It is a sad thing that this great law which should not only govern the treatment of diseases but social life, and more particularly the education of children, is still comprehended and ac- knowledged by such a small number. But since the homoeopathic healing art is spreading so rapidly, it may be supposed that the law of homoeopathy will likewise become more and more deeply-rooted in life, although the progress of the law has so far been com- paratively slow and is still retarded by imbecility, indolence, and arrogance until, like the sun piercing the mist, it shall conquer all obstacles and illumine the horizon like a shining star. Lichtenberg says: "When Pythagoras had discovered his theorem, a hundred oxen were sacrificed to the gods; since then all oxen tremble at every new discovery." 21 22 introduction Section II. Any one wiio is still unacquainted with the meaning of homoeopathy, may read my " Halmemann's Todttn- feier^ (Hahnemann's funeral solemnities,) where the homoeopathic doctrine is explained in a popular man- ner. After that, Hahnemann's Organon may be studied, which is instructive to physicians and teaches the science of homoeopathy. Section III. After having mastered the principle of homoeopathy and comprehending the truth that a disease can only be cured by a remedy which is capable of producing a similar disease in healthy organisms, it then becomes a matter of importance to learn the symptoms of the different remedies The first provings of our drugs are found in Hahne- mann's "Materia Medica Pura," and in his "Chronic Diseases." But inasmuch as the student of homoeopathy is fairly inundated with symptoms in these works, and the symptoms of the various drugs are so frequently alike, that it is almost impossible to find out the char- acteristic action of each drug, it has frequently hap- pened that these difficulties have caused physicians to abandon the study of homoeopathy which they had commenced. For this reason I have extracted the characteristic symptoms of every drug, so that they can be studied and remembered without difficulty. Any one who has mastered this knowledge, will find it easy to study further; but it is only in this way that these studies can be continued with success and advantage. ARRANGEMENT. 23 Section IV. If I have not arranged the symptoms of the most approved remedies according to the parts of the body, it is because it was my design to premise the most important.particulars in the case of each drug; in the case of Aconite, for instance; " vascular erethism, dry heat, alternate chilliness and heat (fever), restlessness, anxiety, palpitation of the heart, irritable mood.'11 If these few symptoms were all that we know of Aconite, they would be of the utmost importance, since no remedy has been found* more adapted to vascular erethism and inflammation than Aconite. Nux vomica commences with " cardialgia, oppression of the stomach with sour eruc- tations, sour vomiting, water in the mouth, distension of the abdomen, backache, costiveness," etc. For among one hundred cases of cardialgia, eighty are cured with Nux, because this agent acts principally upon the nerves of the stomach, back and abdomen, and this simple knowledge is sufficient to cure numbers with Nux. In the case of Pulsatilla we read first: "Menses retarded and scanty; suppression of the menses, especially in consequence of taking cold; chlorosis; irregu- lar menstruation, pains and cramps in the abdomen, previous to or during the appearance of the menses;" for most uterine derangements are cured with Pulsa- tilla, and these few symptoms make it one of our most important remedies. Sulphur commences with these words : "Principal remedy for psora ; herpes and eruptions of every kind; itch;'" these few statements contain the gist of the remaining 1079 symptoms; for Sulphur is required in all diseases depending upon or conneck-d with psora, and it alone secures their radical and comprehensive cure. 24 introduction. These are the reasons of my arrangement, and which 30uld not operate in the case of new drugs, such as mancinella, pyrocarbon, etc., with which I myself am but imperfectly acquainted. The "Characteristic Symptoms" owe their existence to the fact that a physician who studied homoeopathy under my direction, requested me to make him ac- quainted with the most thoroughly tested effects of drugs, and which I dictated to him in my leisure hours from memory. The polychrests have been marked with an *. Section V. If the beginner has mastered these particulars, and should desire to have a more detailed knowledge of each drug, he may obtain it by studying Boenning hausen's "Affinities of Homoeopathic Medicines," and the more comprehensive treatise: Possart's " Character- istics of Homoeopathic Medicines." After this work has been studied, " Jahr's Symptomen-codex"f may then be consulted, and "Boenninghausen's Therapeutic Manual;" these works will enable one to get along in the most complicated cases. For the treatment of acute diseases the beginner is in need of a treatise like the present one, where the course of every disease is described and the appropriate reme dies are fully indicated, previous to using which the whole image of the disease has to be fully considered ■ind the most strictly corresponding drug to be chosen with great care. t Both works may be had in English, with considerable additions. of W. Radde, 635 Arch St., Philadelphia. ACUTE AND CHRONIC DISEASES. 25 - My first resource was Hering's Domestic Physician, first edition, and I am thankful to Providence that such a genuine homoeopath has been my first teacher, for to him I am indebted for my first reputation as physician. Wnat I then missed so keenly, I have endeavored to add in the present work, I mean the size and repetition of doses, concerning which I offer the following general remarks: Section VI. We have to distinguish acute and chronic diseases. 1. Acute diseases, violent, breaking out suddenly, and frequently endangering life, running a rapid course, such as inflammations, croup, cholera, acute fevers, etc. In all such cases I give the medicine in water, which has been found advantageous even at Hahnemann's time. I fill a clean tumbler with one or two cupfuls of well-water, into which I drop from three to five pel- lets of the appropriate remedy. I stir the mixture with a horny spatula or a silver spoon which should be care- fully wiped after being used; the tumbler is covered with a clean saucer or plate. The solution should be kept in a cool place. The repetition of the dose is regulated by the violence of the disease. In acute fevers I give a teaspoonful or a swallow every hour or two hours; in croup every ten or fifteen minutes; in cholera every five minutes; in erysipelas every two to four hours ; if an improvement takes place, the repetition is less frequent. In fever- and ague I give the remedy morning and evening, during the apyrexia, for four or five days, after which I discontinue the medicine, for, if the remedy is properly 26 INTRODUCTION. chosen, the disease will either be arrested at once, or will disappear in the course of eight or twelve days. I may mention that violent pains are sometimes very speedily relieved by simply smelling at a vial containing a few pellets of the appropriate remedy. In this way toothache for instance, is cured in a very speedy man- ner, also headache, or violent pains caused by contusions or wounds. If smelling should only produce temporary relief, the same medicine may then be given in water. If it should be inconvenient to take the medicine in water, when traveling, for instance, the pellets may be taken dry on the tongue, placing no more than one pellet on the tongue and allowing it to dissolve. In all diseases beginning with dry heat, glowing cheeks, hurried respiration, full pulse, restlessness and anxiety, we first give Aconite in water, as stated above, one teaspoonful every hour or even more frequently. If another remedy is indicated whose symptoms are not covered by Aconite, the two may be given in alterna- tion. This alternation of drugs in acute diseases is very convenient, provided both drugs are indicated at the same time; in typhus, for instance, Byronia and Rhus; in pneumonia, Aconite and Bryonia; in meningitis, Aeon, and Belladonna, or Aeon, and Hyoscyamus; in cholera, Cuprum and Veratrum, or Veratrum and Arsen.; in croup, Aeon, and Hepar, Hepar and Spongia, Brom. and Iodine, or Aeon., Hepar and Bromine; as the stages of a disease can never be sharply circumscribed, but lap over into each other, so the remedies which are administered in alternation, form the transition from one stage into another, even to a cure. ACUTE AND CHRONIC DISEASES. 27 2. It is different in the cases of chronic diseases, or diseases which run a long course, have existed for years, and deeply taint the organism; for instance: deafness, blindness, gout,-paralysis, old eruptions., open sores and old ulcers, fistulae, herpes, curvatures of the back and bones, caries of bones. In such chronic affections the medicine should never be frequently repeated, nor should the same medicine be given twice in succession. Each dose should be allowed suffi- cient time to develop its full effect, since it is the sub- sequent action of the drug that achieves a cure. Formerly I gave a pellet of the indicated remedv and in two or five months thereafter a pellet of some other remedy ; but it seemed that also in chronic cases the medicine acted more penetratingly, if given in water. which may be accounted for by the fact that the medi- cinal water presents a more extensive surface of contact to the absorbent mucous membranes, and the torpid nerves are more frequently and hence more perma- nently touched by the repeated administration of the drug. On this account I have adopted the practice of dissolving three to five pellets of the thirtieth potency in a cupful oj fresh water, of which I give a swallow morning and even ing for four or five days, after which I allow the medicine to act for three or four months, sometimes even for five or six months, or even longer, if the improvement continues; if it should cease, and three months should have elapsed I then give another remedy. The reason why I do not give another remedy undei three months (except in case acute symptoms super- vene,) is because I have noticed that the primary action of the drug is sometimes not developed under two or 28 INTRODUCTION. three months, after which a cure takes place, which could not have been accomplished, if I had not waited a sufficient length of time to allow the medicine to manifest its full action, or if Ihad interfered with it by the untimely repetition of the dose. The curative process should not be viewed as materi- ally as it is very frequently done. The properly selected remedy starts the cure, the natural curative power finishes it. If the pendulum of a clock is once set in motion, it keeps moving as long as the clock is wound up; if we kept starting the pendulum every now and then, its vibrations would soon become disordered, and would finally be arrested. If I hide an apple-seed in the ground, it will germinate and sprout in due time, will penetrate to the light of day, and slowly but surely will grow up to the tree, according to Nature's behest. If man, becoming impatient, should undertake to lay one seed above the other, the former would become choked, no tree would grow, because Nature had been inter- fered with by short-sighted man. This remark applies to chronic diseases which gene- rally arise from some acrid matter, from some heredi- tary or externally inoculated dyscrasia. In order to expel this, the natural curative power of the organism only requires to be started, after which this powrer achieves the cure as certainly as earth and sun accom- plish the unfolding of the tree from the seed. If we unwisely interfere with these mysterious rulings of Nature, a cure can no more take place than a tree can be developed from the seed. Although Hahnemann has taught these truths most satisfactorily, yet we only become fully conscious of them, if we have experienced them in our own practice. ACUTE AND CHRONIC DISEASES. 29 Years ago I had adopted the practice of not giving another dose in chronic affections under several months; but the following case taught me a different Wesson. Louise B., of H., 16 J years old, of a scrofulous L ibit, became so distorted after a fall which she had in h.--r seventh year, that the cervical vertebrae stood out m an almost horizontal direction, and the sternum had nssumed a similar direction in front, the head was twisted backwards. She had continual pain in the spine, sternum, and in both thighs. The latter had become weaker and weaker ever since her eighth year. At first she was only able to drag her lower extremi- ties, but gradually she lost the use of her limbs entirely and had to be carried like a child. In this condition she was brought to my clinique where the treatment was commenced with a pellet of Sulphur 30. The mother returned in two months and a-half, stating that the pains had considerably increased. I gave a pellet of Silica 30. In three months and a-half I was in- formed that the sufferings of the patient had gone on increasingly. On Dec. 30th, 1847, I gave a pellet of Calcarea 30. No change having occurred in three months, I began to suspect that I had given my reme- dies too soon one after another, thus destroying the primary effect of each. I now gave powders of sugar of milk, and a favorable change took place, and con- tinued from month to month. The pqins abated more and more, the spine became straighter, the limbs more vigorous, so that, six months after taking the Calc, she was able to be led a few steps. Eight months after the cure, the father wrote: "Last Friday my daughter Louise walked a few steps alone, without being sup- 30 INTRODUCTION. ported." A few months afterwards a tumor formed under the right scapula which terminated in an abscess and discharged after Hrpar 30. The pus being thin and fetid, I gaye Asafetida 30, after which it soon became yellow and thick. The suppuration weakened the patient so much that she again lost the use of her limbs; but the psoric poison having been removed from her organism, she was enabled to go to church with her parents in the spring of the same year, and to take short walks. At the end of May she took a pellet • of Lycopodium 30, after which she improved so rapidly that she was able to walk for miles in the summer, and to do the housework; she considered herself cured. A cure would probably have been effected more rapidly, if I had allowed the former remedies to act more fully. I trust that this case will prove a warning to my col- leagues, and that every one who only gives low doses, will ask himself whether he has ever performed such a cure by means of them. Another case. Mr. H., from Holstein, had been suf- fering for years. He sought my advice in writing. Age 40 years. Almost constant pains in the left side of the chest; frequent yawning, sneezing and eructa- tions. Occasional pain and swelling in the pit of the stomach, empty eructations when pressing upon this region. Deaf of the left ear from his infancy. Swelling at times of the left cheek, at other times of the mouth, nose and eye. Stiffness in the nape of the neck. Drawing pains in the left thigh. Weakness of the stomach and nerves. In former years, inflammation of the glands and lungs. He had the itch when young, which had been removed with an ointment. I sent him four powders, to be taken in eight weeks, No. 1 contain- ACUTE AND CHRONIC DISEASES. 31 ing four pellets of Sulphur 30, which were to be dissolved in a cupful of water, a swallow to be taken morning and night for four days. After eight weeks the following re- port was sent to me : A few weeks after taking the medi- cine, all the symptoms grew worse, but in three weeks a general improvement set in. The left ear began to discharge again, which had not been the case for years, and the flatulence and pains in the chest have abated, so that the patient feels much better. I sent four pow- ders of sugar of milk, for the effect of Sulphur now first began to show itself. The next report being still more favorable, I continued the non-medicinal powders. Twelve months after the commencement of the treat- ment I received the following report: The hearing of the left ear which had been deaf these thirty-two years, Is restored, and I am cured except a small swelling near the left eye, and some stiffness of the nape of the neck. Another non-medicinal dose completed the cure. One dose of Sulphur 30, did all this in the space of four months. Another case is Lady H., 67 years old. For forty years this patient had attacks of hemicrania which deprived her of her senses for three and more days every two or three weeks. She felt as if her brain were torn and sore. She constantly complained of nausea, rush of blood to the head, throbbing and shooting pain in the temples, tOAvards the ear, worse on one side. Roaring and whizzing in the head and ears, so that she was not able to hear during the attack, and was unable to open her eyes in consequence of the extreme sensitiveness of her eyes. She was, moreover, affected with backache, and pains in the limbs, haemorrhoidal tumours and such an obstinate constipation that very frequently she had 32 INTRODUCTION. only a hard and painful stool every fortnight in spite of all injections. After a careful examination I considered Sulphur 30 the best remedy, and gave her one pellet, informing her at the same time that the medicine would probably excite former ailments, the first of which was an obsti- nate constipation which lasted a fortnight, and was followed by regular stool. This, however, may have been promoted by the magnetized water which is very apt to remove such difficulties. In the fourth week she had an attack of hemicrania, where every symptom was most intense, but I gave no medicine, confident that I must allow the Sulphur full time to act. Every two or three weeks some former ailment made its appearance. Ten years ago the patient had had violent pains in the left side; these set in for two days, after which they disappeared. Four weeks later the patient was troubled with asthmatic complaints which she had had fifteen years ago; these, too, disappeared again in a few days. Now an inflammation of the liver showed itself which had troubled the patient twenty years ago for eight weeks, and had brought her to the brink of the grave. The inflammation increased to such an extent that I had to give her two pellets of Aconite in water, after which the inflammation disappeared in two days. Two months after this time she was attacked for two days with cox- agra, an attack of which she had twenty years ago. Soon after she had a pain at the left elbow which had preceded the former complaint during the first attack. In the mean while the attacks of hemicrania became less frequent and violent, until during the sixth month she had an eruption about the head and on other parts of the body, after the removal of which, she was per- ACUTE AND CHRONIC DISEASES. 33 fectly cured seven months after the beginning of the cure. What is interesting to know in this case is that this patient had had nothing but homoeopathic treatment for twenty years past; but her physicians had not cured her because they did not allow the medicine to develop its full effect. At a consultation of homoeo- pathic physicians it had been agreed that Sulphur was the right remedy, and Dr. Rau had ordered her to take one pellet every fourth evening. This had no effect foi the simple reason that one dose destroyed the other, and the frequent repetition of the same medicine pre- vented the natural remedial power of the organism from improving the start imparted by the appropriate remedy for the purpose of achieving the cure. This precaution being duly observed, Sulphur not only developed its full curative power, but likewise excited all her previous ailments which had only been suppressed heretofore, and gradually effected a perfect cure in the space of seven months. It seems as though every physician of intelligence and good-will should feel disposed to follow this example. These cases show that no second dose of a remedy should be given as long as the first dose has not ex- hausted its action, and in cases where no effect is observed, as in the case of deaf and dumb patients, to allow a dose to act at least for three to five months, since it is impossible to know what is going on in the interior of the organism, and it is so easy to injure the salutary action of a drug by the untimely exhibition of another remedy, of which we have had repeated in- stances in the case of externally perceptible ailments. 3 34 INTRODUCTION. Section VIII. In answer to the questio'-, how sacn a small dose can produce such wonderful effects, I repeat what I wrote in 1849, for 1 have nothing better or clearer to offer ■ Explanation Of the efficacy of homoeopathic potencies by means of animal magnetism. Nobody has known heretofore how it happens that homoeopathic potencies act so powerfully, and the most diversified theories have been offered in explanation. Some years ago I made the discovery, and have since verified it by repeated observations, that animal mag- netism is the vivifying, efficient power of our potencies. Every one who frequents my clinic, has seen that the most violent pains often yield to a pass with my hand, to a breath, to a mere word, hence to the power of the will; that even ailments which had lasted for years, frequently cease suddenly and even permanently. This is a gift of God which cannot be acquired by study or comprehended by the reason, but which has a real existence although depending upon faith and the will. We have to believe that man is capable of such a power, and that it is bestowed upon him by God's omnipotence. If this faith is accompanied by the firm will of relieving an afflicted brother, I may then either impose my hand or make a pass, or simply extend the hand, or breathe upon him, or only speak a word, and the pain will cease. If relief is not procured, it must be because the magi etiser was deficient in faith or will-power, or he SMALL DOSES. 35 must have fe'it that he ought not to have afforded any help in this case ; powerfully-magnetic individuals are conscious of this, as though it were whispered to them by an invisible power. The zoo-magnetic power may likewise be transmitted to natural objects, pure water, pulverised sugar, wood, etc. I have the most striking proofs showing that a powder of sugar upon which I had breathed, or a glass of water which I had touched purposely, has produced the most marvelous effects. A most striking example is afforded by Mr. Moses Philipps, of Dessau, aged 72 years. For the last six months he had vomited whatever food he swallowed, first after the lapse of twenty-four, then after twelve, and finally after six hours, and for the last eight days immediately after swallowing food, so that he was unable to walk in consequence of his debility, and the most distinguished physicians gave up the thought of saving his life. He was brought to me in this condi- tion, and said: "I am a dead man unless you help me, I know you can help me!" I took a glass of water in my left hand, magnetised it with my right by placing it upon the tumbler, and told him to drink it. To his astonishment he kept the water on his stomach, whereas he had rejected even fluids neretofore; soon after he experienced hunger, and I had him eat a plate of soup with some wheat bread; this, too, was retained, and he was able to eat more soJid food and never vomited after this. The violent c-irdialgia with which he had been constantly afflicted, had likewise disappeared; and in a fortnight he re- turned to Dessau quite well. A few years after his return he wrote me that he continued in excellent 36 INfRODUCTION. health, that he was able to digest the heaviest aliments and that he had grown quite stout. This and many other similar cures induced me to draw the following inference : If mere water, by a mere imposition of hands, is rendered so medicinal that it will cure at once a severe affection of years' standing. how much more must this medicinal power be imparted to a properly attenuated agent whose peculiar effects we have become acquainted with by experience and provings upon the healthy, by continued shaking with the hand! This inference seems quite plain, but it would have remained problematical, if daily experience had not demonstrated its correctness. The thing happens in this wise : The noxious constituents of the drug, for instance of poisons, is removed by attenuation ; but the peculiarly specific principle which constitutes, so to say, the soul of the drug, remains, and is wonderfully excited during the shaking by the magnetic influence, and by it is ren- dered capable of curatively affecting the disordered nerves, which would have been overwhelmed by the coarse material. The selection of the appropriate remedy in a given case depends upon the law that the drug must be capable of producing in its coarser form, on healthy individuals, the very symptoms which the potentized agent is ex- pected to cure. This is the law of similarity which Hahnemann has discovered, and which has given rise to the name homoeopathy. Even Paracelsus makes mention of this law, and Hippocrates alludes to it in this proposition: Fevers are sometimes most readily cured by remedies which induce fever. SMALL DOSES. 37 This affords an explanation why the improperly- selected remedy has no injurious effect upon the body. By virtue of the law of similarity the remedy can only act upon a condition of the nervous system analogous to the drug; where this analogy is wanting, the highly potentized remedy can hurt no more than a magnetic pass hurts a person in health, which will sometimes cure a diseased individual in an instant. Many persons may have rejected homoeopathy because they were unable to comprehend its law. We have furnished an explanation and support it with undeniable facts. Although the phenomena of animal magnetism can- not be accounted for, yet its effects are seen, and are only denied by a small number. Every body possesses it more or less ;* for what else is it but the vital power which is extinguished only by death. It is undermined by irregular and licentious living, by excesses of the body or mind. It is preserved and fortified by a careful observance of the laws of health, by self-control, and by an increasing conscious- ness that the body is only the envelope of an immortal spirit. * Hence any body may prepare homoeopathic medicines ; but their power will depend upon the degree of magnetic power which he pos- sesses. This is probably the reason why some who use my prepara- tions, assert that the medicines prepared by me, act more powerfully than those prepared by other persons. This seems to have been veri- fied by a number of experiments. The experiments which I havn instituted with Jenichen's high potencies in chronic affections, have satisfied me that they act less intensely than my own preparations, without accomplishing any more; and that in the case of all poten- cies the main point is to allow each dose to act to the end. I use throughout the 30th potency which I prepare with 60 strokes of the arm. 38 INTRODUCTION. It is in us that the divine spark slumbers which enables us to attain by faith and will to whatever is not beyond the boundaries of Nature. He who believes and wills this, and steps to his sick brother's bedside with a loving heart, will behold, not without amazement, the wonder of fulfilment. Section IX. 1 have shown that in acute diseases the dose may be repeated quite frequently, and in chronic diseases- much less frequently; and that a change in the symptoms, in the case of acute diseases, necessitates a change of re- medy, or the alternate use of two remedies. In acute cases it is generally more expedient to alternate than to combine remedies, because one may be withdrawn and another substituted in its stead. In meningitis, for in- stance, with dry and burning heat, I give Aeon, and Bell. 30 in alternation, every hour or half hour ; but as soon as the heat is over, and sweat sets in, I discontinue the Aeon., and give Bell, alone, or alternate this remedy with Bryon., in case the patient should move the jaws as when chewing; if the sweat should cease, and the burning heat should return, I have again recourse to Aeon. In this way the dangerous symptoms of a violent disease may be controlled speedily and safely; but care must be had not to give too much of a remedy, and not to continue it after it has removed the symptoms for which it was selected. I have likewise shown that an entirely different method has to be pursued in chronic cases that the trifling incidental symptoms of an acute character need not be considered, and that the totality of all the symp- REPETITION OF DOSES. 39 toms has constantly to be kept in view, if a cure is to be effected. This proceeding is followed by many of my colleagues who admit that they had failed in obsti- nate cases until they pursued the course indicated by me. A homoeopath of 20 years' standing who had been in the habit of repeating the dose, or changing the re- medies in four or eight days, writes as follows: "lam more and more confirmed in the conviction that reme- dies should be allowed full time in all chronic affections to exhaust their action. I am now curing a case of salt- rheum where the pains under the former rash change of remedies inflicted the most excruciating sufferings upon the patient. After returning from your clinic I again besought the patient to accept my help. I gave her 5 pellets of Sulphur 30 in water, and this dose has already been acting for four months. At first the pains disappeared entirely; an itch-like eruption has made its appearance (she had the itch in former times), and the sores are healing perceptibly, so that this affection wrhich has lasted for years, will yield to one dose." I have likewise given a chapter on the combination of remedies, which is so important in chronic cases, and I have endeavored to account for the action of high potencies by means of the influence of animal mag- netism. Although this may enable the beginner to determine the size and repetition of the dose in a given case, yet he is not yet acquainted with the best method of select- ing the appropriate remedy. Much, and in many cases every thing, depends upon the similarity of the morbid symptoms to those of the drug, but it is likewise important to find out the more immediately-existing cause of the disease, and to keep 40 INTRODUCTION. in view the constitution, the age, temperament and dis- position of the patient. A young girl, for instance, had bilious vomiting for several months past, with violent pains in the stomach, which were moderated by gentle exercise. The menses were scanty and retarded; stool normal, sometimes papescent, slimy; little appetite; no thirst, gloomy mood. Feeble frame, face pale. Gentle disposition.— The first cause of the vomiting was a violent attack of anger. The symptoms as far as the first dash correspond with Pulsatilla; frame, disposition and age indicate this drug; but the cause points to Chamom. which likewise cures vomiting of bile. Puis, and Cham. 30 would therefore have to be given in alternation, and such a case would speedily and radically yield to such alternate remedies. It is therefore important that a physician should first be acquainted with the characteristic symptoms of dru^s, and that he should gradually obtain a knowledge of all our remedies, because in many" cases we neither know the cause of the disease, nor the other points upon which the selection of a remedy depends. In the next place, a physician should have a ready knowledge of the remedies which correspond with the most common exciting causes of diseases, such as Opium for fright; Coffee for a joyful surprise; Aconite for fright and anger; Cham, for anger; Nux vomica for violent indignation; Ignatia and Phosph. ac. for silent grief, unfortunate love, suppressed mortification ; Hyos- cyamus for jealousy and homesickness; for a violent cold: Aeon., Nux vom., Dule, Bell., Cham.; for exposure in water or dampness: Calc. carb. or Rhus tox.; for the REPETITION OF DOSES. 41 consequences of a blow,- shock or concussion generally: Arnica or Rhus tox.; for loss of animal fluids, China. If the physician knows the exciting cause, which should always be inquired into, the remedy which is in relation with this cause, should always be given first; or else, if it does not cover the totality of the symptoms, the remedy which is indicated next, or the two in alternation. In the third place, in selecting a remedy the physician should have regard to the patient's constitution. He has to observe whether the patient is scrofulous, dis- torted, in which case Sulphur should never be omitted; likewise, whether the patient is now or has been afflicted with eruptions, tetter, ulcers, itch, caries, in which case Sulphur has always to be given alone, or in alternation with some other remedy. If the patient is bloated, in- quiry has to be made whether the bloat is the result of dropsy (China, Arsen.,) or of an excessive deposit of fat (Calc. carb.) In a case of emaciation Ars. and China have to be given; heat in the head requires Bell.; preg- nancy points to Sepia, Ipecac, Bell., China. In the fourth place the patient's age has to be con- sidered, and in the case of infants the experienced phy- sician will first think of Aeon, and Cham.; in the case young girls between the ages of 13 and 17, Puis, and China are very frequently required; in the critical age, between the years of 46 and 52, Sepia and Lachesis are required; old age is benefited by Bar. carb. and Opium. Of course, age is no criterium for the selection of a re- medy ; in comparing remedies, these remedies should not be overlooked, if they are otherwise indicated by the symptoms. Fifthly, the temperaments and disposition have to be 42 INTRODUCTION. considered. In the case of gentle and quiet, and gener- ally also in the case of pale, blond, blue-eyed persons, we generally think of Puis., Chin., Lach.; in the case of violent, irascible, and dark-complexioned persons, with red and full faces, we think of Nux. vom., or Bell. ; in the case of persons who are disposed to weep, of Ignat., Puis., etc.; these indications, however, are not binding, but may suggest a remedy; they are only to be followed, if other marked symptoms are wanting, and a choice is to be made between two remedies of an opposite character. A lady of a sanguine temperament, for instance, who had been full of life and of a vehement disposition, lapsed into a derangement of the mind which induced a constant disposition to weep; all the other Lodily functions were carried on with regularity, and no pre- cise exciting cause could be discovered. I gave Nux vom. because it was indicated by the temperament (and Nux. has " weeping" among its symptoms); if the pa- tient had been of a quiet or gentle disposition, I should nave given Puis, or Ignat.; she was speedily restored. Every patient should furnish his physician an exact description of his symptoms, either orally or in writing. The latter should not content himself with a superficial statement of the case, for in our practice the most trifling accessory symptoms are sometimes of the utmost im- portance. In a case of hemiplegia, for instance, without any more precise indications, I should be unable to pre- scribe, unless I knew whether the left or right side is affected; for if the right side is affected, I give Causti- cum, Crotalus or Rhus tox.; if the left side, Lachesis or China.' It is likewise of importance to know when and by what REPETITION OF DOSES. 43 cause a symptom is made worse or better; aggravation, for instance: in the evening (Puis.) or in the morning (Nux), at night (Sulph., Merc), or in the day-time after a meal (Nux vom.), in the open air (Nux vom.), or in a warm room (Puis.), during rest (Rhus tox.), or during motion (Bry.), in the warmth of the bed (Sulph., Rhus tox., Merc, Lye), by dampness and wet (Calc carb., Rhus tox., Chin.); improvement, in the warmth of the bed (Caust., Nux vom., Bry.), in the open air (Puis.), etc.; again, improvement or aggravation by certain kinds of food, work, exertions, mental exertions, (Nux vom.), or bodily (Am., Rhus tox), and other similar indications which are of the utmost importance to the genuine homoeopath. Next to the history of the disease and all the accessory symptoms, the ordinary bodily functions have to be considered, such as stool and urine, appetite and thirst, sleep, respiration, cutaneous exhalations, catamenia; the absence or presence of one of these functions frequently determines the selection of the remedy. The catamenia constitute in most cases the characteristic symptom. Deafness or hardness of hearing, for instance, if no other accessory symptoms are known, or the exciting cause cannot be ascertained, can only be cured in the case of females by ascertaining all irregularities in the sexual sphere and selecting the remedies which are indicated by them. In general, this point should never be over- looked in selecting a remedy, otherwise we might be unable to effect any satisfactory result. In order to facilitate the examination of a case, I have established the following seven points which I send to all patients at a distance who have sent me an imperfect report, and who are desirous of obtaining my advice. 44 INTRODUCTION. A FEW HINTS TO PHYSICIANS AT A DISTANCE REGARD ING THE MANNER OF TAKING DOWN THE TOTALITY OF THE SYMPTOMS OF A DISEASE. 1. Name, age, condition, residence, street, number of the house; if the patient resides in a village, the mail-station has to be indicated from which letters are sent to the village. 2. Correct description of the disease, duration and pro- bable exciting cause of the same. If pains exist, the seat of the pains should be correctly indicated, indica- tion of the period when the pains are either less or worse, whether in the day-time or at night, in the morn- ing or evening, by cold or warmth, during rest or mo- tion, etc. 3. Temperament and disposition, whether cheerful or gloomy, gentle or vehement, disposed to weep, etc., whe- ther this has always been the case, or has set in with the disease. 4. Frame of body, whether tall or small, stout or thin, robust or delicate, with red cheeks or pale and sickly. 5. Bodily defects: hernia, prolapsus, defects of hearing or sight, whether distorted, lame, etc Causes thereof. 6. Stool and Urine, appetite and thirst, sleep, respi- ration, cutaneous secretions; chilliness, heat, sweat (fever); in a case of fever and ague, whether and when thirst is present; whether the menses appear regularly ■ duration of the same, color, consistence (pale, red or dark); coagulated, tenacious ; profuse or scanty, with or without pain; leucorrhoea, its character 7. Whether an eruption has ever existed, even in infancy, glandular swellings, herpes, ulcers, itch or any METHOD OF RECORDING SYMPTOMS. 45 other acrid humors; whether the patient has been guilty of self-abuse or other excesses. It should be ascertained whether the patient had been bled frequently, had taken much calomel or china, etc., or had indulged in coffee, wine, brandy, etc. In examining a patient, this order of questions should never be departed from. The patient should first be allowed to relate his case without interruption; cross-questions are very apt to cause patients who have not much power of concentra- tion, to forget various points which may be of great importance to a physician, and which would have to be ascertained at the next visit. Let the patient speak slowly so that every thing can be noted down. After ne has said every thing, he may then be questioned more specifically, but in such a manner that the answers are not suggested to him; for instance: he should never be asked, have you headache? but, have you any other painful sensations? If he should say: Yes, I suffer with headache, we should not ask: in the temples Or forehead, stinging or boring ? but we should say : describe the headache more minutely. After this, we do not ask : is it worse in the evening or morning ? but: at what time of the day or night is it worse? Again, we do not ask: is it made worse by cold or heat, by sitting or moving about, by loud talking, etc., but: by what influences or changes in the temperature is the headache made better or worse ? We should never omit inquiring into the condition of the sexual sphere; this can be done without any difficulty by a physician* who knows how to win his patient's confidence by an earnest and sympathising manner. The physician should know most positively 46 INTRODUCTION whether the patient had been guilty of masturbation. Every apparently trifling symptom is important to the proper selection of a drug ; the statements of hypochon- driac and hysteric patients, however, should be sub- jected to a careful criticism. Every thing bearing upon the case is to be carefully noted in this manner, and to be transferred to the clin- ical journal which every physician should keep with conscientious care. Any one who applies for it, can obtain such a paper from me, containing seven divi- sions : 1. The number of the journal; 2. Date ; 3. Name, condition, residence, age; 4. Symptoms of the disease; 5. Remedy, potency and prescription; 6. Result; 7 Particular remarks. I have kept such a journal for six to eight years; but my practice increasing so much that I had to employ several assistant physicians and secre- taries for my foreign correspondence,. I arranged a so- called flying journal. I had sheets, of the size of a third part of a common sheet of letter paper, printed as follows: To be avoided during the treatment. Coffee, tea, strong beer, wine, gin, rum, acids, spices, herb3 and roots, fat pork, fat meat and vapors of sulphur. All other ordinary aliments are permitted. Dissolve a pow- der in a cupful of fresh water, and keep it well cov- e>ed. First. No. 1. J In dissolving Take everyday, morning and ■ the powder, stir evening, a dessertspoonful, so: the mixture with as to finish the whole in four i a horny spatula, days ; then wait seven days. •; or a goose-quill ; but no metal- ;spoon. This paper has to be preserved, and brought or sent to me at every consultation. Ccethen. DR. ARTHUR LUTZE. My clinic is open every day, except Sunday, from 8 to 1 o'clock and from 4 to 7 in the afternoon. METHOD OF RECORDING SYMPTOMS. 47 In the middle space I write the date, name, condition and residence of the patient. On the reverse blank page are found the symptoms of the patient, his age, the duration of the malady, a general description of the same, and finally the most particular symptoms. The symptoms of the disease of which, if sent in writing, the assistant physicians make an extract, are followed by my prescription, which is inclosed in the paper, after which the whole is sent off by mail, or handed to the patient if present. Example: Mrs. F., 31 years. Cardialgia for seven years past, caused by a cold. A spasmodic pain com- mences in the stomach, extends to the small of the back, and upwards between the shoulder-blades. These symp- toms are accompanied by sour eructations, gulping-up of sour water, sometimes vomiting. Worse in the morn- ing and after eating. Violent temperament, irascible; slender and looking well. Stool hard, every two or three days. Little appetite, restless sleep. Menses regular, profuse and dark. Had never any eruption. Nux vom. 30., 4P This last expression signifies that only the first pow- der contains five pellets, and that the other powders are non-medicinal. If the two first powders contained medicine, I should express it thus: Nux vom. 4 P. When sending off medicine, I wrap these four pow- ders in the printed envelop, so that they fill exactly the middle space, and in six weeks the report and the en- velop are sent back to me; the case is continued in the same paper; as soon as this paper is filled, a second paper is attached to it, and the flying journal is com- posed of these papers, which every patient takes good care of, for he knows that they are important. 48 INTRODUCTION. This arrangement has enabled me to make in the year 1853 eighty thousand prescriptions by mail, and twenty thousand to thirty thousand in my clinic This fact has been doubted, until physicians came to my clinic and convinced themselves by ocular demonstration of the truth. Let no beginner neglect to read Hahnemann's Orga- non, §§ 84-99, where the investigation and description of the symptoms of a case are more particularly ex- plained. SECflON X. One of the most important chapters is that of diet for a cure may not only be promoted, but also prevented by it. As a general rule, the following articles should be absolutely forbidden, both during and some time after a homoeopathic cure: coffee, vinegar, lemon-juice, pun- gent and aromatic condiments in food or drink, wine, spirituous beverages, strong and stupefying perfumes or odors, such as the smell of sulphur and phosphorus in lighting matches. As regards coffee, it is generally known that it excites the nerves, but few are acquainted with the fact that coffee is the cause of most of the ruling ailments, espe- cially among females. All sorts of cardialgia and ab- dominal complaints, haemorrhages, headache and tooth- ache, sur-excitation of the senses and nerves, owe their existence to the abuse of coffee. This beverage should never be used by children and women, more particularly if they are affected with rush of blood to the head and chest. Every homoeopathic physician should prohibit coffee DIET. 49 from the following three reasons- First, because it is more or less hurtful in every case; second, because it antidotes most of our homoeopathic preparations; third, because the patient who is anxious to recover his health should bo willing to suffer a trifling privation, in order to be placed in possession of this precious gift of God. Such a pi ivation will induce him to be very particular in following the directions of his physician; he ought to be carefully reminded of the fact that he is sick, for an ever-present consciousness of this fact will keep the desire of recovering his health keenly alive in his heart, and will facilitate the operations of the medical adviser. These are the moral reasons, imposed by common sense and duty, why coffee should be avoided. As regards tea, I do not prohibit the absolute use of it, but I allow the so-called black tea, which is not inju- rious to homoeopathic preparations, except China and Pulsatilla. But even black tea should be strictly forbidden, if patients are not accustomed to its use; for it excites the nerves, especially those of females; whence it may be inferred that the use of tea has a deleterious effect upon the nerves of those who experience the least stimulat- ing influence from it; such persons should abstain from the use of tea altogether. Instead of coffee and tea, fresh milk should be used immediately after it is drawn; this is a most whole- some and natural beverage, more particularly for chil- dren. A beverage prepared from roast corn and sweet car- rots may likewise prove a good substitute for coffee. Pure chocolate or ground cocoa may likewise be re- sorted to, but not the so called prepared chocolate with- 4 50 INTRODUCTION. out the oil, which is recommended by ignorant traders, but is of difficult digestion. Cocoa-shells likewise afford a wholesome and pleasant beverage, or a plain soup, such as our ancestors were in the habit of eating at breakfast or supper, and is still used in many parts of Germany and France. Vinegar and lemon-juice are forbidden because they interfere with the action of most homoeopathic prepara- tions. If not under treatment, mild acids may now and then be used with the food by persons in health ; such acids should be used very sparingly by children, but should be rigorously avoided by chlorotic girls, or by girls of a chlorotic habit of body, who have frequently a strong desire for acids, which should not be gratified inasmuch as such gratifications may be followed by dis- astrous results. Sourkrout, without vinegar, may be eaten by chronic patients whose digestive organs are in good condition: curd may likewise be eaten by those who are not incom moded by it. Sharp and aromatic spices heat the blood, on which account both healthy and sick persons should abstain from them, but especially the latter. The custom of spicing the food so as to cause the mouth to burn for hours has been very generally abandoned ; it is a most unwholesome practice. Cinnamon causes a tendency to haemorrhage, and should be prohibited ; parsley excites the urinary or- gans, and celery the sexual organs ; for this reason these two articles should be avoided in affections of these organs respectively; on the other hand, in chronic af- fections of other organs, a cure is not interfered with if patients should now and then eat a little parsley or eel DIET. 51 ery, or some other simple herb, in the soup or vegeta- bles. Wine should be prohibited during homoeopathic treat- ment ; it interferes with the operation of many drugs, stimulates the circulation, and is more especially preju- dicial to rheumatic and arthritic individuals. Healthy persons should use wine in moderate quanti- ties, if they do not wish to be injured by it. This is particularly advisable in the case of young persons. The proper way would be to drink wine only on extra- ordinary occasions of rejoicing, when it may contribute to promote hilarity; it should not be used as a common beverage. It may do good when drank after eating heavy or fat food, on journeys, more particularly when the weather is cold and damp; at such times a little wine is craved by the natural instinct, which should always be obeyed by persons in health. Wine proves true medicine after debilitating diseases, such as typhus. In such cases a teaspoonful of it should be taken at a meal. Wine, taken at dinner, proves in- vigorating to old people. On the other hand, wine will prove injurious to health if used immoderately, without due regard to hygienic laws. Spirituous beverages, such as brandy, rum, grog, punch, liquors, etc, should not only be rigorously abstained from by patients, but likewise by persons in health, for such things destroy life and peace. It has been ascertained by recent investigations that all fermented liquors contain alcohol, which does not act as a sudden poison, but slowly and very gradually undermines health and weakens the vital power. Most 52 INTRODUCTION. drunkards die of delirium tremens, and some are even said to have perished by spontaneous combustion. This termination of a drunkard's fate occurs so rarely that its occurrence is doubted by many. The Prince E. Gagarin, of Odessa, has assured me that he has witnessed several such casualties with his own eyes. An examination of the stomachs of recently-deceased drunkards has shown that the inner coat of these organs has a reddish color, arising from the congested condition of the capillaries. The stomach of a drunkard who gets intoxicated several times a week has a blueish ap- pearance, and the blood-vessels are very much distended with blood. The stomach of a drunkard is intensely inflamed, and scarcely able to retain food; the stomach of one who died of delirium tremens, or of schirrus of the stomach induced by drinking, has an offensive look. He who considers these things must be aware that even the moderate use of brandy is not innocuous, as is sup- posed by many ignorant persons, who fancy that brandy is necessary to those who are exhausted by hard labor. All that brandy accomplishes is to excite the nervous system, and inasmuch as these artificial stimulations lead to excessive waste, every drop of brandy is de structive to health and life. Instead of spending money for the deleterious brandy, even poor people might pro- cure for themselves strength and comfort, if they would buy meat instead of liquor. Sensible people should constantly endeavor to im press these teachings upon the minds of the uneducated masses, who could easily be made to understand such a simple and important matter. . Look at a drunkard: not only his physical strength is ruined, but likewise his moral energies. All his finer DIET. 53 feelings are blunted; the sense of honor and shame, the love of that which is great and good, have disappeared; the only desire that is not extinguished in his soul is the desire for brandy. Hufeland says: "I do not know anything that is more capable of begetting a character of beastly brutality, and of destroying the divine fea- tures in man's nature, than the abuse of brandy. Other .vices still leave the hope of improvement, but the vice of drunkenness ruins man throughout, for the reason that it destroys his sensibility. It seems to me that these considerations should engage the attention of the public authorities, and should induce them to devise measures to diminish the consumption of brandy, in- stead of allowing gin-shops and brandy-distilleries to be multiplied. A country where this vice becomes uni- versal must perish, for industry, virtue, humanity, so- briety, moral sentiment, and all the other qualities with- out which no country can preserve its existence and growth, are banished by this horrid vice. History shows that the introduction of brandy among savage tribes is the beginning of their physical weakness and degradation, and that this disastrous gift by the white man secures their subjugation much more readily than gunpowder and artillery." * The best evidence of the correctness of these state- ments is furnished by the following words addressed years ago by a delegate of many Indian tribes to the President of the United States: " We pray thee to grant us ploughs and other tools, and to send us black- smiths who can teach us to mend them. But, my father, whatever we undertake will prove without avail, unless the assembled Congress of the sixteen States forbids the sale of brandy and other spirituous bever 54 INTRODUCTION. ages to the red man. Father, the sale of this poison has been forbidden in our fields, but not in our cities where many of our hunters not only sell their furs for this poison, but likewise their rifles and blankets, and return to their families in a state of nudity. Father, thy children are willing to labor, but the introduction of this deleterious poison keeps them poor. Thy children have not yet learnt to govern themselves as thy people have. When our white brethren first came to our country, our ancestors were numerous and happy; but since the arrival of the white man, and since the introduction of this deleterious poison they are less numerous, and less happy." What a joyful message it must be to the unfortunate victims of the vice of drunkenness, that the new healing art offers means of salvation even to them, not by secret remedies, but by enabling man to mend his ways by his own free will; for man's feeble strength can only be supported and his ruin can only be prevented, if he is willing to accept help. I have frequently suc- ceeded in saving a poor unfortunate from the conse- quences of drinking; even two years ago I rescued the father of a family whom the vice of drunkenness had well nigh led to the brink of ruin; since then he has not touched a drop of brandy, and the members of this family now form a happy and comfortable group. In regard to ah, I have been in the habit of for- bidding it, because it is most generally mixed with a little alcohol, especially when brought from a distance, for a little alcohol is then added by the brewer in order to secure its better preservation ; but pure beer made from malt and hop may be drank in moderate quanti- ties without injuring the medicine. DIET. 55 A Bavarian brewer once informed me that he had been in the habit of mixing his beer with quassia, lolium temolentum, centaury, and even nux vomica; although these poisonous ingredients are only added in small quantity, yet their continued use must neces- sarily have a deleterious influence upon the human body. In more than one case of insanity, it has been traced to the constant use of this adulterated ale. The public authorities in every country should see to it that such adulterations do not take place. Although fresh water is undoubtedly- the most whole- some beverage, yet a glass of pure beer need not be interdicted; more particularly in the case of an indus- trious laborer who uses beer as a substitute for brandy. Children, however, should abstain from beer, or should drink it only exceptionally. Cider had better be avoided by persons under treat- ment ; if perfectly pure and not acid, it may be drank occasionally by chronic patients whose digestive organs are not affected by it. All strong and stupefying odors should be carefully avc ided. Nevertheless it is unnecessary to follow this rul j with pedantic anxiety. Nobody, for instance, need be afraid of the perfume of flowers in the open air; •era .jrant flowers, however, should not be kept in a close ro m, much less in a bed-room, because the exhalations ii, itted by such Sowers may cause death. The perfum- ing of rooms and linen, which fashionable persons were ft rmerly in the Labit of resorting to, is likewise injuri- es to the nerves which are weakened by such in- diences. Fumigations in rooms for the purpose of dispelling bad odors, are likewise condemnable; they only tend to increase the bad air. The only proper 56 INTRODUCTION. mode of purifying the air in rooms, is to ventilate them, more especially sick-rooms the windows of which should be opened several times a day, if such a thing is feasible, and currents of air should be induced by large fans. In lighting matches, care must be taken to avoid the vapors of sulphur and phosphorus which are even in- jurious to persons in health. The best place to light matches is in the stove or fire-place, where the vapors can ascend into the chimney without affecting the atmosphere in the rooms. In public rooms, bar-rooms, etc., a little flame should be kept burning with paper- matches ; the common phosphor-matches are especially to be avoided when lighting cigars or pipes. Tobacco injures the health on account of its narcotic power. Persons with weak nerves are even affected by the smell of tobacco; they, as well as those who are suffering with sore throat, pulmonary and ophthalmic complaints, should avoid the use of tobacco as much as possible. Chewing tobacco is a bad practice which should never be permitted. Smoking not only induces a waste of saliva, but spoils it, and deranges the natural process of digestion. Hence tobacco will prove injurious to persons affected with abdominal and nervous complaints. Nicotine, the active principle of tobacco, when pre pared from fresh leaves, destroys life almost as speedily as prussic acid; yet the vapors of such a poison are inhaled by the mouth and nose. The action of homoeopathic medicines is impaired b\ smoking and taking snuff; hence tobacco should be strictly avoided during treatment. Patients whose physician permits them to smoke, DIET. 57 should not smoke cigars, which are always injurious, but should use pipes with long stems, and smoke light tobacco, but never immediately before or after a meal. Smoking is very much abused now-a-days by young persons. Even boys are seen walking about the streets with cigars in their mouths. Parents and guardians should put a stop to this reprehensible practice which enfeebles the rising generation, and gives rise to the diminutive stature, and to the many pulmonary affec- tions of young people, that were never so frequent in former times. Hufeland who was as humane as he was experienced, writes: " Smoking spoils the teeth, dries up and ema- ciates the body, causes paleness of the face, weakens the sight and the memory, causes determinations of the blood to the head and lungs, predisposes to head and chest-affections, and may cause haemoptysis and pulmo- nary phthisis in those who have a hectic habit of body. Moreover the habit of smoking is an additional want, and the more wants a man has, the more his freedom and happiness are limited. For this reason, I warn every body of the vile practice of smoking, and shall deem myself happy, if my remarks should contribute ever so little to its decrease. Taking snuff is not much better, and much worse in point of uncleanliness. Moreover it irritates the nerves, weakens them in the end, and gives rise to. headache and sore eyes. What increases the injury caused by smoking and taking snuff, are the acrid and often poisonous ingre- dients which are mixed up with the tobacco by the venders of this weed, for the purpose of increasing the desire for it by artificial means. I am unable to com 58 INTRODUCTION. prehend why life-insurance companies which institute such rigorous inquiries into all other things that may prove injurious to health, are not more particular in regard to the use of tobacco, for in the end it is the same whether a person is poisoned by swallowing 01 by smoking and snuffing up poison. Let me instance a single fact, the occurrence of which is well known to me. It was the custom in a snuff-factory to mix up the tobacco leaves with vermillion, in order to impart to them a beautiful red color, and an increased weight. In this case the persons who used this snuff, snuffec up every day a quantity of the most deleterious, but slowly-acting poison. Is it to be wondered, if many kinds of snuff induce incurable blindness, nervous dis- orders, (instances of which have occurred to me,) and is it not time to expose these dangerous adulterations, and not to permit the sale of snuff or smoking tobacco until it has undergone a chemical examination, and has been declared pure and innocuous by the public authori- ties?" Symptoms of lead-poisoning have occurred from snuff being packed in lead-foil (staniole). So far I have only mentioned the articles which should be forbidden during treatment; these constitute the smaller number, for as a general, rule, patients may be guided by this proposition : During homoeopathic treatment patients may use all ordi- nary articles of diet, both solid and liquid, not mixed up with forbidden spices, condiments, acids. I shall afterwards allude more especially to particular articles of food. As a matter of course every body should pay atten- tion to that which agrees or disagrees with him, since DIET. 59 different organisms, especially when sick, are differently affected by different aliments. In all dietetic regulations it is a supreme law: Never eat unless thou art hungry, and stop eating as soon as the hungry stomach ceases to crave food. Never eat from habit, or from fear of offending by refusing the proffered food. This is foolish politeness ; so is the custom of drinking with each other at table, which is only kept up among uneducated people. We should endeavor, by obeying the laws of Nature, t-o re-awaken the instinct which man seems to have lost, and which should be obeyed whenever it prompts us to abstain from any kind of food or beverage. The stomach is not only deranged by mixing up quantities of food, but such a derangement may even be caused by eating a single morsel which is repulsive to the stomach. It should not be touched, nor should the least effort be made to eat it. This rule should likewise be followed in the educa- tion of children. They should be accustomed to regu- larity, but should never be compelled to eat if they are not hungry; for this might make them sick. All eating between meals, especially cakes, candies, etc., should be prohibited. It is well known that meat is more nourishing and heating than vegetables. For this reason meat should be eaten sparingly by persons of a plethoric, bilious habit, and irascible temperament,; and is especially adapted to chlorotic, cold, lax, phlegmatic and nervous individuals. The best method is to eat a proper admixture of meat and vegetables; however it is easier to live exclusively on vegetables than meat, an excess of which deterior- 60 INTRODUCTION. ates the fluids. In the war against Spain, after the vegetables, bread, etc., had all been eaten, and the army had to live on meat alone, the first consequence was that the soldiers were attacked with diarrhoea, after which a most devastating putrid fever set in, which continued until vegetables J.nd bread were procured. Full-grown chickens, and all kinds of flying fowl, if not too old and tough, or too young, are comparatively of easy digestion; young pigeons, for instance, are not advisable. Rabbit and deer-meat, if tender, is very digestible and nourishing. Likewise tender and young beef. Mutton is not quite as digestible, but wholesome, and is especially useful when a disposition to diarrhoea pre- vails. Veal should only be used if the calves are large and not too young; but it is neither as digestible nor as nourishing as mutton ; if too young, it frequently causes diarrhoea and cardialgia. Pork is more difficult to digest than any other kind of meat; if eaten in too large a quantity, it causes im- purities ; hence it should be strictly avoided- by all those who are affected with phlegm, acridities, eruptions, ulcers, etc. Persons of a nervous temperament, and those who take much active exercise in the open air. such as day laborers, digest it more readily than others. These remarks likewise apply to goose-flesh, whereas duck is rather more digestible. Eggs contain the nutriment matter in a concentrated form. A fresh and soft-boiled egg is equivalent to one- third of a pound of common boiled beef. Hard boiled eggs are hard to digest, constipating, and less nourishing DIET. 61 baked in butter, they are the most indigestible. Bad eggs may cause a good deal of mischief. Milk, especially when fresh from the cow, is a most wholesome beverage, and exceedingly nourishing and easily digested. It may be said to occupy a mean rank between meat and vegetables. It is particularly useful to children, enfeebled persons, consumptive indi- viduals, and persons who are inclined to cough and other chest affections. It is less suitable to hypochon- driacs and to persons with acid stomachs, unless such individuals take much exercise in the open air. Tri- fling ailments which may be caused by the use of milk, may be removed by homoeopathic medicines. Cheese is nourishing when fresh, but old cheese is in- digestible, and irritates rather than nourishes. If eaten in qaantity, it causes much phlegm, constipation, acrid humors, diseases of the skin and kidneys. Old cheese ha3 often caused symptoms of poisoning; in overload ing the stomach, it may act as a medicine; hence it may prove useful after a copious dinner. Fresh butter is the mildest of all kinds of fat, but is easily digested only if a thin layer of it is spread on bread. Old or fried butter is hard to digest, acrid, and should be avoided by all persons under homoeopathic treatment. Cold-blooded animals, such as fish and conchylia, are less nourishing and generally harder to digest than the meat of warm-blooded animals. The most wholesome kind of fish is that which lives in flowing water, with a bottom of sand or gravel; fish from stagnant water is less wholesome. Sea-fish is more nourishing than fresh-water fish. The more easily the flesh of fish is crumbled between 62 INTRODUCTION. the fingers the more easily it is digested; the fatter and more tallowy the flesh, the harder it is to digest. The most wholesome kinds of fish are trout, young pike, cod-fish, haddock, perch, shad, black-fish, white-fish from Lake Michigan, carp, flounders, etc. Halibut and salmon are not adapted to delicate stomachs. The flesh of fish being easily decomposed, it should always be eaten fresh, and sufficiently salted, especially by persons under homoeopathic treatment. Boiled fish should be eaten with fresh butter and potatoes. Other- wise it might prove very indigestible, and cause fever and ague, especially in those whose stomachs are turned by eating this kind of food. For this reason it is not well to make a meal exclusively of fish. Fresh oysters are easily digested and nourishing, and may be eaten by patients, but without lemon-juice. Fried or baked oysters are hard to digest. Vegetables, being less nourishing and heating than meat, they should be recommended to all robust, ple- thoric individuals of sanguine temperament and irasci- ble disposition. Vegetable-diet favors a mild disposition, meat-diet a vehement and irascible temper. Vegetable diet is less favorable to putridity, and should be chiefly resorted to by all who are inclined to scurvy, carcinoma, etc On the other hand, vegetables are more flatulent, and give rise to acidity more readily than meat and eggs ; for this reason vegetable diet has to be used cautiously by hypochondriacs and by per sons who are disposed to acidity. In summer, and in hot climates, people should live chiefly on vegetables and fruit, whereas the people of DUTY OF A PHYSICIAN. 63 the North require meat, especially during winter. These facts are even taught by an unsophisticated instinct. Section XL The duty of a physician not only consists in prescrib- ing the necessary medicines, but likewise in regulating tlie diet adapted to each case. This includes not only tLe diet, but the whole mode of life, clothing,* distribu- tion of the day's work, rest, etc. But even this does not limit the functions of a true physician; on the contrary, after all this has been attended to, the most important matter still remains to be done—watching the state of the mind. If all these various duties are properly attended to, the physician will be able to fulfill the highest object of his calling, which is to prevent diseases. All truly humane physicians seek to accomplish this noble task. In this respect physicians should go hand in hand with teachers and ministers. Among the ancients the priests were likewise physicians; it was only at a later period when medicine ceased to •be limited to a knowledge of a few popular remedies, and became a vast reservoir of nauseous decoctions and health-perverting poisons, that physicians became a distinct class. Homoeopathy, which is destined to upset the whole allceopathic plunder, will likewise restore the union between medicine and theology, for a physician should attend to the welfare of the soul as well as the body, both of which are inseparable. * How often his too tight lacing laid the foundation of incurable diseases, affections of the heart, etc-1 64 INTRODUCTION. Even if physicians and ministers still constitute two distinct classes, yet every true physician is anxious to ascertain whether the soul is in any manner involved in the production of the bodily disease; this knowledge may be the first indispensable stepping-stone to a cure How often do both mental and physical derange ments arise from a want of faith and love !* It is the duty of the physician as well as of the minis- ter to kindle these living fires in the patient's soul, the extinction of which may cause diseases and death. To be a true physician, one must understand and do these things. As love is the alpha and omega of Christianity, which induces the apostle Paul to say: " If I had faith, and could remove mountains, and had not love, I should be nothing;" so love should be the main motive of a physi- cian's doings. It is only when the patient knows and feels this that he will follow his physician's instructions with perfect confidence; he will even listen to kindly- meant censure, and the physician will become both the helper and the friend of his patient. Physicians whose hearts are full of love, are honored with a confidence which is alone capable of restoring health. I must not omit to mention an instance which has fre- quently incited me, at a time when I was not yet accus- tomed to physical fatigue; to make renewed efforts in behalf of poor sufferers; for the poor are more in need of advice than those who are more fortunately endowed. * Insanity, for instance, is very frequently caused by anxious care, grief, religious scruples, pride, greediness, etc. DUTY OF A PHYSICIAN. 65 One evening when old Dr. Heim had retired to rest before his accustomed hour, the bell rang; his wife who was anxious not to disturb the doctor's rest, sought to send the inquiring invalid away; but the old doctor who had heard the sound of the bell, called out: " Who is there?" His wife replied: "Never mind, the old watchman is sick, and his wife may call in some other physician." " No," said Heim, " nobody will visit this poor man at night, he is an old patient of mine, I must get up and see him." He rose from his bed, and visited his poor patient. In return for his many acts of kind- ness Heaven has blessed him with a long life and a happy age. This example should be an admonition to every physician to go and do likewise. If this truly Christian feeling which is not manifested by turning up the eyes, by praying and fasting, but by deeds of love, and by a firm and unshakeable faith that nothing can happen to us which is not ordained by the Providence of God, shall have penetrated the hearts of men; then these two important offices of the ministry and medicine, will be again filled by the same person, for every pastor should be a physhian, and every physician a pastor. 5 CHARACTERISTIC SYMPTOMS *Aconitum Napellus. (Monk's-hood; wolf's-bane.; A remedy for the blood. Vascular excitement, dry and burning heat, alternate chills and heat (fever). Restlessness, anxiety, palpitation of the heart, excite- ment ; consequences of sudden chagrin and fright, such as: trembling, inflammations of every organ, where the treatment is always commenced with Aconite, such as: pneumonia, pleurisy, etc.; croup; measles, purple-rash, jaundice, stye ; violent rheumatic pains in the limbs, with sensations in the whole body as if bruised, after taking cold, with heat and chilliness, or only heat (stiff- ness of the limbs); gout, with feverish symptoms. Arthritic, rheumatic and nervous toothache, with restless- ness and anxiety, vertigo and fainting fits. Short and hurried breathing. Paroxysms of anxiety and suffoca- tion. Asthma; apoplexy; pulmonary hsemorrhage, with frequent pulse, anxiety, expectoration of fluid blood when hawking, the blood comes up with a sensation of scraping or burning in the chest. Short and dry, or hollow and hoarse cough, especially in the case of children after taking cold, also with fever. Vomiting, especially of drinks, cardialgia, constipation, colorless stools. Anxious urging to urinate. Suppression of the urinary secretions. Brown, dark, burning, scanty urine. (67) 68 CHARACTERISTIC SYMPTOMS. Uterine haemorrhage, miscarriage with fever; typhoid fever, with dry skin and burning heat (together with Bell., Bry. and Rhus.); burning swelling of injured parts; unquenchable thirst; intermittent fever with heat and thirst prevailing (in the case of scrofulous individuals give Silicea); sleep'essness, owing to mentaJ anxiety, also with wandering of the mind. Anxietj and restlessness, even until the patient is beside himself Apprehensive mood. If fever is present, Aconite should be given in every case and should invariably initiate the treatment. Agaricus muscarius. ("Bug-agaric.; Rheumatic tearing pains in the limbs, worse during rest, less during motion (in conjunction with Rhus); ailments which break out cross-wise, for example ; in the right arm and left leg; epilepsy; aversion to work; feeling of icy-coldness on top of the head (together with Calc. carb. and Sepia); contraction of the eye-lids which seem less widely apart; twitching of the eyelids; short-sightedness, also with dimness of both eyes, as through a gauze; muscse volitanks; cold urine ; many symptoms are worse after singing. Agnus castus. ("Chaste-tree.; Deficiency of milk, in the case of lying-in women (in conjunction with Pulsat.); chronic distortions of the joints (after Arn. and Rhus); arthritic nodes; sadness, apprehension of near death; swelling and induration of the spleen ; chronic gonorrhoea, with suppression of the sexual instinct and deficient erections ; swelling ALUMINA.—AMBRA. 69 and induration of the testes, also after suppression of gonorrhoea; sterility. Alumina. (Argilla, oxide of alumen.) Trembling of the extremities; involuntary motions and twitching of the limbs; humid scurfs and spread- ing herpes; inability to think coherently ; falling and dryness of the hair; cold feeling in the eyes ; squint- ing of the eyes ; vibrations and sparkling before the eyes ; purulent discharge from the right ear; swelling and redness of the nose; sore and scurfy nostrils, with discharge of a thick, yellowish mucus; ulceration of the Schneiderian membrane; tubercular blotches in the face; swelling and cracking of the lips, also with blisters and crusts on the same; painfulness of the teeth when chewing, the teeth feel loose and elongated; swelling and bleeding of the gums ; sore throat when swallowing, and pressure under the sternum when swallowing, as if the oesophagus were contracted ; pota- toes cause unpleasant symptoms; protrusion and in- carceration of existing hernia; constipation of pregnant females and infants; fluent piles; premature, scanty and short-lasting menses; acrid leucorrhcea during and after the menses. The skin on the hands is rough, chapped, bleeds readily. Whitlow. At night the legs go to sleep. Ambra grisea. Ailments of old people (in conjunction with Baryta and Opium); tearing or crampy pains in the muscles, also in the joints, often on one side of the body only. 70 CHARACTERISTIC SYMPTOMS. In the evening, when lying down, or in the warmth the pains are worse; they abate during a walk in the open air or by lying on the affected part; talk- ing fatigues. The skin feels numb all over ; itching and burning of the skin, as from the itch ; brings the suppressed itch and tetter out again; burning herpes; disconsolate loathing of life ; aversion to talking and laughing; embarrassed manners in company; rush of blood to the head when listening to music ; the hail feels sore when touched, it falls out; roaring, whizzing in the ears ; drawing pains in the teeth, especially in hollow teeth, worse by eating warm food, abating when touched by cold things, disappearing after eatiug ; fetid breath; sore throat; sour mouth after eating milk, hiccough after smoking; sour or suppressed eructa- tions ; tasting of the ingesta; nausea and vomiting ; burning pressure and spasm in the stomach; pressure in the region of the liver; pressure, crampy or cutting pains, cold feeling in the bowels ; urging to urinate, inability to retain the urine, secretes three times as much urine as the quantity of liquid taken followed by dull pains in the region of the kidneys; sour odor of the urine; premature menses; discharge of blood between the catamenia; lucorrhcea; spasmodic cough, especially in the case of thin persons; nightly trembling in the chest; stiffness of the small of the back, after sitting; the arms incline to go to sleep, especially when lying upon them; tearing and drawing in the arms, trembling of the arms ; continual coldness of the hands; tearing in the legs : unpleasant coldness of the legs; cramp in the legs, almost every night; swelling or coldness of the feet burning of the soles AMMONIUM CARBONICUM. 71 Ammonium carbonicum. (Carbonate of Ammonia.) Stinging and tearing, abating in bed (with Causti- cum); pains in the joints as if sprained ; glandular swellings; chronic rash ; the skin is scarlet-red; scarlet- fever (after Bell.); warts ; nightmare when about to fall asleep; dreams of death and dead bodies; anxiety every afternoon as if one had committed a crime; loathing of life; fearful disposition; forgetfulness, inability to collect one's ideas; throbbing headache; falling off of the hair ; ophthalmia, nightly agglutina- tion of the lids; diplopia at a distance, shortsighted- ness, catarrh; hardness of hearing; nosebleed, espe- cially when washing in the morning; chronic dryness of the nose; itching eruption in the face; ulcerated corners of the mouth; chapped lips; dullness or long lasting looseness of the teeth ; even sound teeth (all out; blisters on the tongue ; swelling of the tonsils, rendering deglutition difficult; aversion to milk ; ex- cessive desire for sugar ; cardialgia ; burning, boring stitches, pressure and soreness in the region of the liver; when stepping, pain in the abdomen as from shaking; excoriating and sore hsemorrhoidal tumors; discharge of blood from the anus during and between stool; flowing piles; wetting the bed at night, espe- cially when occurring towards morning; frequent emissions, almost every night; menses premature and profuse, the discharge taking place principally at night, in lumps ; toothache during the menses ; acrid leucor- rhoea; dry cough, excited .by titillation in the wind- pipe; cough with expectoration of mucus, especially in the morning in bed; shortness of breath, especially when going up stairs; numbness of the arms and finger ; the legs go to sleep ; swelling of the feet. 72 CHARACTERISTIC SYMPTOMS. Anacardium. (Malacca-bean.; Pressure in various parts of the body, as from a plug; sensitive to cold and to currents of air; the skin is insensible to external stimuli; deep and long sleep, finds it hard to wake in the morning; dreams of fire; apprehensive for the future, dread of men; the moral sense seems blunted; sensation as if mind and body were disconnected; pain in the back part of the head, when making a wrong step; dimness of sight, as from cobwebs and spots before the eyes; hardness of hear- ing, roaring in the ears; discharge of brown pus from the ears; pale complexion, sickly look; fetid breath, excited sexual instinct; cough, with vomiting of the ingesta; haemoptysis ; trembling of the hands; burning of the soles. Antimonium crudum. (Crude antimony.; Lienteria ; eructations tasting of the ingesta; nausea vomiting of bile and mucus (together with Ipec and Puis.,) cardialgia, derangements caused by overloading the stomach ; mucous haemorrhoids; fungus articularis; intermittent fever with mucous diarrhoea and gastric ailments, especially in the morning; twitching pain in decayed teeth; indurated, horny skin; adiposis (after Calc); spongy swelling of the knee. Apis mellifiea. (Honey-bee.) Consequences of suppressed, repelled or imperfectly developed acute eruptions, such as measles, scarlatina, urticaria, etc. Consequences of stings of insects espe APIS MELLIFICA. 73 dally of bees ; ophthalmia ; obscuration and cicatrices of the cornea; staphyloma; styes; fistula lachrymalis; cedematous swelling of the face ; erysipelas of the face especially of a pale, livid color; inflammation and swelling of the tongue; ulcers on the tongue ; carci- noma of the tongue ; inflammation of the palate, mouth, fauces ; inflammation of the abdominal organs; diabetes ; gonorrhoea ; affections of the ovaries and uterus, espe- cially dropsy of these organs, without thirst; menstrual difficulties, swellings of the labia ; miscarriage ; metror- rhagia ; induration of the mammae; hydrothorax; pericardia; rheumatism, nodous gout; oedema of the extremities ; swelling of the knees ; furuncles, etc. Vertigo when standing, sitting, lying, closing one's eyes, with obscuration of sight, nausea, headache, sneez- ing ; fullness, heaviness; pressure in the head, especially when rising from a sitting or lying position, worse in a warm room, less when compressing the head; sharp, stinging pains in the temples; headache, with sensitive- ness to the light or redness of the eyes; weakness of the eyes, with dread of straining them ; twitching of the eye-ball, especially at night; heaviness, fullness and pressure in the eyes and lids; cutting, burning and redness of the eyes. Weeping of the eyes, and sensa- tion as if they were full of mucus; agglutination and swelling of the lids; dropsical, erysipelatous swelling around the eyes; itching, redness and swelling of the nose ; burning stinging in the face, with sensation of fullness, heat and redness,, desire for cold water; livid, blueish-red color of the face; swelling of the lips; tongue as if scalded, especially along the edges, where it is blistered; the blisters burn and sting ; dryness, fiery redness, burning stinging and swelling of .the tongue; 74 CHARACTERISTIC SYMPTOMS. dry mouth, fauces and throat, with pain as if scalded; ptyalism ; difficult deglutition, with burning, excoriating and stinging sensation; inflamed, swollen and painful tonsils; no appetite; absence of thirst in dropsy, with dryness of the throat, and heat; eructations tasting of the ingesta, worse after drinking water; nausea, vomit- ing, with dizziness, fainting, prostration, when these symptoms accompany other ailments ; pressure, sting- ing, soreness and burning in the stomach; contused feeling under the ribs; colic, in the morning, with urging to stool; burning and soreness in the abdomen which is sensitive to the least pressure; greenish- yellow, watery or mucous diarrhoea, without pain, especially in the morning; scanty or suppressed secre- tion of urine, very painful; increased urination, day and night; burning and smarting in the urethra as if ' scalded ; pains in the ovaries as if strained, or cutting, drawing, stinging pains, with pressure downwards; pressing downwards in the uterine region, as if the menses would appear; swelling of the labia; metror- rhagia, with expulsion of the fetus; hoarseness, with sensitiveness in the larynx, roughness in the throat, drynt-ss; slow and difficult respiration, with constriction of the throat; fullness in the chest, obliging one to sit up; pressure in the chest, especially in the upper part; stitches, especially in the left side of the chest; coldness and heat in the chest; stitching pains in the region of the heart, impeding respiration; pulse hurried, full and strong, or hard, small and quick; pains under the scapulae, worse during motion; stiffness in the small of the back; pains from the shoulders through the arms, drawing pains to the tips of the fingers; the arms go to sleep; burning and stinging of the hands, with ARGENTUM. 75 redness, heat. and swelling; itching, burning and chapping of the hands; the nails seem loose; falling off of the finger and toe nails; lupus; pains in the knee, or swelling of the knee, with burning and sting- ing; burning of the feet and toes; swelling of the feet; itching blotches in the joints; excessive sensitiveness of the flesh to pressure; the symptoms are made worse by warmth; cold water diminishes the pains in the inflamed parts; this agent chiefly affects the left side Argentum folia turn. (Silver-foil.) Tearing and drawing in the bones, with pressure; profuse nose-bleed, especially after blowing the nose, or preceded by tickling and creeping in the nose ; mer- curial sore throat; nocturnal emissions; affections of the larynx, in the case of preachers, teachers, actors, singers; the pains are worse every day at noon. Argentum nitricum. ("Nitrate of silver.; Aching or stinging, semi-lateral pains; epilepsy with dullness of mind; semi-lateral paralysis; dropsy depend- ing upon affections of the liver; itch-like eruptions ; catarrhal and syphilitic ophthalmia; fiery bodies and flashes before the eyes; black, carious teeth; the sound teeth are exceedingly sensitive to cold water; loose, readily bleeding gums; colicky pains in the case of hypochondriac or hysteric persons; thin brown stools having a foul smell; bloody and mucous diarrhoea; inflammation and stricture of the urethra; haematuria; deficient sexual desire, with shrinking of the parts; chancrous ulcers on the prepuce; cough induced by 76 CHARACTERISTIC SYMPTOMS. violent titillation in the larynx; nightly palpitation of the heart. *Arnica montana. (Leopard's bane.; Haemorrhage and injuries of internal and external organs, by blows, a fall, strain, sprain, contusion; ecchymosis, boils, varices, (in alternation with Puis.,) arnica may be used externally as a lotion ; bed-sores, (externally and internally;) nose-bleed; cough after every exertion, after crying; paroxysms of whooping- cough, commencing with crying; violent coughing fit ceasing after eating; sensation of tenesmus in the rec turn, after stool; anasarca and ascites (after Aeon.;) car- dialgia, pleuritis after a strain or an effort; intermittent fever after abuse of cinchona, with rheumatic pains in the limbs, aggravation by motion, talking or noise; aggravation or supervention of the pains when exposed to the vapor of coal. * Arsenicum album. (Arsenious acid.) Burning pains in internal and external parts; sudden -prostration of strength; watery diarrhoea, painless or else with burning in the bowels and anus; fetid diarrhoea, with constant coldness; white diarrhceic stools, bloody, also with tenesmus, brown and black ; violent vomiting of the ingesta and of liquids, also of brown and black substances; aversion to farinaceous food; Burning pains in the stomach, relieved for a short time by warm drinks- gastritis, carcinoma of the stomach ; Asiatic cholera, last stage, with cold breath or pains in the region of the spleen (after Cuprum or Veratrum;) anasarca, ascites, ARSENICUM.—AsAFCETIDA. 77 hydrothorax, especially after abuse of cinchona; con- striction of the chest during motion, with dyspnoea; dry titillating cough during a walk in the open air, as if caused by the vapors of sulphur ; spasmodic asthma; nocturnal palpitation of the heart, with great anguish; Ichorous ulcers, with burning pains, or with everted margins, having a foul smell, (carcinoma;) warts, sur- rounded by an ulcerated circle with hard, everted border; anthrax; gray tetter; greenish. complexion ; spontaneous limping; intermittent fever, with absence of thirst during the chill, great prostration, trembling or also paralysis of the extremities, or dropsical bloat of the body, especially after abuse of cinchona; with intense thirst and burning heat, frequent drinking, though little at a time; typhus; extreme emaciation; atrophy of child- dren with large abdomens and glandular swellings; affections of the spleen and liver, after abuse of cin- chona ; phthisis laryngea (in connection with Carbo veg., Hep., Phosph., Spong;) mucous phthisis (in con- nection with Stannum ;) illusions of smell, as if one smelled pitch: the pains are made worse by smoking, relieved by eating a copious meal; consequences of animal poisons that have been introduced into the stomach or have become absorbed into the blood. *Asafoetida. Ulcers and caries, with thin, fetid ichor; hysteric complaints; intermittent, pulsative, stinging, tearing pains, they are felt from within outwards and are changed to other pains by contact; bone-pains after suppression of syphilis, aggravated by the warmth of the bed; cough with expectoration tasting of onion 78 CHARACTERISTIC SYMPTOMS. Asarum europseum. (Common asarabacca.J Headache with nausea, even unto vomiting, made worse by thinking; hemicrania on the left side, every afternoon at five o'clock; burning in the eyes, in the evening, with continual lachrymation; inflamed, weep- ing eyes; constant nausea; unsuccessful efforts to vomit, causing all the pains to be worse; vomiting, with great anxiety, or accompanied by diarrhoea, or vomiting of mere water; soreness in the region of the spleen ; lien- teria, potatoes are passed undigested; discharge of thick, black blood at stool; protrusion of the rectum,- Menses premature and long lasting, with black blood; stitches in the lungs, especially when drawing breath some symptoms abate while washing one's face. *Aurum foliatum. (Leaf-gold.; Hernia, prolapsus of the uterus (after Nux v., in con- nection with Bell., Kreas., Lye, Plat., Sep., Sil.;) nightly bone-pains; caries; syphilitic and mercurial affections of bones; ulcerated nose, with fetid discharge; swelling and suppuration of the inguinal glands; induration or swelling of the testes; melancholy, longing for death, oppressive anxiety, especially in the praecordia, as if one should die; mania of suicide; jumping of the heart, palpitation during motion; feels better in the open air. Baryta carboniea. (Carbonate of baryta.) Affections of old .people (in connection with Ambra and Opium;) scrofulous ailments ; atrophy of children, with large bowels and glandular swellings; paralysis BARYTA.—BELLADONNA. 79 after apoplexy; nocturnal twitching of the muscles; swelling and induration of glands; warts; steatoma, sarcoma; tearing, stinging, twitching, throbbing in the head, especially in the forehead, over the eyes (in con- nection with Bell.;) falling off of the hair; baldness (with Graph, and Lye.;) humid and dry scaldhead; inflammation of the eyes and lids, especially in the case of scrofulous persons, with photophobia; muscae voli- tantes; eruption on and behind the ears; scurfs under the nose; eruption in the face ; inflamed throat, with suppuration of tonsils, especially when frequently recurring after the use of the other remedies; weak digestion; violent singultus; pressure in the stomach as from a stone, even after eating the least quantity of food; weakness of tlie male organs; aversion to sexual intercourse (in females, with Caust.;) painful stiffness of the back and nape of the neck; rheumatic tearing in the limbs; ulcers on the legs; fetid sweat on the feet; the pains are chiefly felt in the left side of the body, when sitting, they pass off during exercise in the open air. "Belladonna. (Deadly night-shade.) A medicine acting chiefly on the brain Vertigo, meningitis, hydrocephalus (after Aeon.;) delirium; screaming of children, without any apparent cause, all the time, when carried or lying; headache, over the eyes, stitches in the temples; headache, with sensation as if the brain were balancing to and fro; hemicrania, especially on the right side; prosopalgia, toothache, with heat and swelling of the cheek, or gums, the pains are lancinating or tearing, affecting the whole side, 80 CHARACTERISTIC SYMPTOMS. sometimes it is impossible to point out the affected tooth, the pains extend to the temples, cold air, contact, chewing or hot drinks aggravate the pains, the teeth feel elongated; hot, red, shining swelling, erysipelas, especially of fleshy parts; scarlatina and sequela?, such as hardness of hearing, otorrhoea difficulty of speech, stuttering; glandular swelling, especially with heat and stinging, also stiffness of the neck and nape of neck, glandular indurations; chilblains, with bright-red, ery- sipelatous appearance; ophthalmia (after Aeon.;) swell- ing of the eyelids, aversion or bleeding of the lids, thickening of the conjunctiva, spots, obscuration of the cornea; weak sight; dilated pupils; diplopia; hemer- alopia; amaurosis ; rush of blood to the head and chest apoplexy; paralysis; palpitation of the heart; oppression of the chest, angina pectoris; convulsions, spasms, epilepsy with screams, delirium, laughter, worse by the least contact; tetanus; chorea ; mental derangement after a fright or chagrin, illusions of the fancy, insanity; spasmodic cough as if the head would burst; paralysis of single parts; stitches and lameness of the hip-joint (with Caust.;) wetting the bed; intermittent fever, with delirium, headache over the eyes, or setting in in the afternoon, with violent chilliness and thirst, aversion to drink; discharge of blood between the menses; fetid metrorrhagia; prolapsus and induration of the uterus the pains improve while the patient is lying on a hard couch, or when looking out in a straight line; this remedy is particularly adapted to stout, plethoric indi- viduals. Borax. Ailments in consequence of taking cold during damp BORAX.—BROMINE. 81 and chilly weather; unhealthy skin; tetter; twisting of the hair as in plica polonica; inflammation of the eyes, and especially of the lids, with inversion of the lids; the eyes are sensitive to the light of lamps or can- dles ; otorrhoea; tearing pains in decayed teeth, in cold and damp weather; the gums are swollen and bleed readily ; aphthae, as in stomatitis; hiccough, especially of infants; vomiting of sour phlegm ; menses premature and profuse; chronic, corrosive leucorrhcea; sterility; galactirrhcea ; cough, with musty expectoration; the pains are worse during a dance or when swinging. Bovista. (Puff-ball; Humid, scurfy tetter; objects seen nearer than they are; chronic fetid diarrhoea; scurfy nostrils; eruption in the corners of the mouth; scrofulous swelling of the lips; drawing, digging, boring pains in decayed teeth ; chronic backache, with stiffness after stooping; the pains are made worse by the vapors of coal. Bromine. Very drowsy in the day-time; starting during sleep ; violent chill, with stretching of the arms, as during an attack of fever and ague; sensation of burning in the whole body, as if surrounded by hot vapor; small, accelerated pulse; cool and damp hands; sweaty palms; small, moveable glandular swellings on the neck and nape of the neck; goitre; vertigo when crossing a stream; hemicrania on the left side; headache after drinking milk; lachrymation, also with sensitiveness of the eyes to the light; photophobia, with pressure in 6 82 CHARACTERISTIC SYMPTOMS. the eyes when moving them; stitches in the ears, with heat in the same; soreness and scurfs in the nose; pains in decayed teeth, they are sensitive to cold water; inflammation of the fauces and uvula; sore throat, with swelling of the tonsils, difficult deglutition, pains when swallowing a drink; pains in the stomach, made worse by pressing upon the part; pains in the region of the liver, especially when pressing upon the same also when riding in a carriage; slimy or papescent, diar- rhoeic stool; menses premature and too copious, pre- ceded by frontal headache and accompanied by pain in the small of the back ; stitching constriction in the larynx; inflammation of the larynx and trachea ; hoarseness, feeble low voice ; rough, hollow, dry cough, with weariness, or with paroxysms of suffocation, or with wheezing sound and rat- tling breathing; or with croupy sound; croup, even in the last stage; swelling of the mammae; stitches in the chest, especially on the right side, during a rapid walk, worse during an inspiration; violent palpitation of the heart, especially in the evening, not permitting one to lie on the left side; the pains are worse in the even- ing until midnight, they abate during a walk in the open air. "Bryonia alba. (White bryony.; Acts chiefly upon the joints. Erysipelas of joints ; rheu- matic and arthritic pains in the joints, especially with redness of the affected parts, aggravated by motion, relieved by rest; stitches and rigidity of joints • rash especially of lying-in females and infants, also miliaria alba (with Arsen.;) purpura haemorrhagica; intermittent fever, especially quotidian and tertian, with chilliness BYR0NIA.—CALCAREA. 83 prevailing, thirst during the chilly and hot stage, and dry cough with stitches in the chest; typhus with burning heat and thirst, dryness of the skin (after Aeon.;) deli- rium, especially on waking ; throbbing headache, worse during motion ; meningitis (after Ac^n. and Bell.; cough, with pleuritic stitches, worse when entering a warm room and drawing a long breath; pneumonia, pUurisy (after Aeon., Arm, Nux. vom.;) cardialgia when walking; ascites (after Aeon.;) difficulty of breathing when walk ing fast, with continual disposition to draw a long breath; obstinate constipation (after Nux vom.;) nose- bleed in the place of the menses; toothache, aggravated by warm food, relieved by lying on the affected side, momentarily relieved by cold water, the teeth feel as if loose, worse in a warm room, in the evening and at n'ight, or when walking; the pains are less in gloomy weather. *Calnes; swelling and curvature of bones, 120 CHARACTERISTIC SYMPTOMS. (rickets;) suppurating sores of various kinds, panaritia (in alternation with Hep.;) proud flesh; spongy excre- scence in ulcers; gangrenous sores; ganglia; suppura- tion of the mammae in the case of nursing females (in alternation with Hep. and Merc.;) inflammation of the nipples ; carcinoma of the mamma ; phthisis pulmonalis, especially of sculptors and stone-cutters, (with Calc.;) hectic cough with purulent expectoration ; pulmonary fistula; fistula of various kinds, especially when bones are involved ; glandular swellings, hard, painful, sup- purating ; tetter and eruptions with abscesses ; yellow, brittle, distorted finger-nails (after Sulph.) Ulceration of the big toes ; suppression of sweat on the feet; swelling of the knee ; deafness; otorrhoea ; cataract; inflammation and swelling of the eyes • vomiting after drinking; intermittent fever, with pre dominance of the hot stage, (after Aeon.) Spigelia anthelmia. (Pink-root.; Periodically-recurring headaches and face-ache of the left side, aggravated by motion and noise; carditis enlargement of the heart; hydrothorax caused by organic disease of the heart; worms. *Spongia marina tosta. (Burnt-sponge.; Croup (in alternation with Hep.); goitre, with pressure and tingling in the swelling (with Iodine, also when a sensation of constriction is felt); hoarseness after singing; laryngeal phthisis. Squilla maritima. (Squills.; Fever with internal chilliness and external heat- SQUILLA.—SULPHUR. 121 oough, with stitches in the side at every turn of cough, also with bloody expectoration; pleurisy and pneumonia. Stannum. (Tin.) Spasms during dentition ; epilepsy in the evening; mucous phthisis Staphysagria. (Stave's acre.; Chronic mercurial ailments; lupus; glandular swell- ings ; cuts which refuse to heal; toothache in decayed i tumps, with swelling of the cheeks; excrescences on the gums; small boils in the lids or along the edges. *Stramonium. (Thorn-apple.) Dementia, (especially of drunkards;) illusions of the fancy; delirium; lascivious mania; proud mania; alter- nate ludicrous gesticulations and sad expression of the countenance; rage, with great violence; kicking and howling, crowing voice; catalepsy. *Sulphur. Chief remedy for psora; herpes and eruption of various kinds; itch; rough and chapped skin; warts; sarcoma; acne; hepatic spots; ulcers; pancritia; spongy excrescences in sores ; boils, (especially on the nates. with nitric acid;) intolerable itching; continually recur ring erysipelas; anasarca; bone-pains, as if the flesh were detached ; inflammation and swelling of bones; caries; rickets; arthritic tearing in the limbs, worse at night; paralysis; glandular affections; goitre; affections 122 CHARRCTERISTIC SYMPTOMS. of the eyes, ears, head, chest; vascular erethism, sweat, sour night-sweats; sweaty feet; intermittent fever of psoric patients; dry catarrh, or with discharge of burn- ing water; hernia, prolapsus uteri (with Nux.;) pro- lapsus of the rectum; swelling of the scrotum; hydro- cele ; swelling and painfulness of the labia pudendi and of the vagina when sitting; labor-like pains above the os pubis; frequent urination; wetting the bed; irregular menstruation ; acrid leucorrhoea ; piles (with Nux, Carbo veg., Puis.. Sep., Nitri ac;) haemorrhoidal colic ; rum- bling in the bowels; incarceration of flatulence with pressure in the sides of the abdomen; itching, stinging or burning in the anus; hard, lumpy stool; dysenteric stools with violent tenesmus; chronic diarrhoea; asca- rides; inflammation and induration of the liver; pneu- monia, stage of hepatization. Cardialgia, burning in the stomach, digging in the pit of the stomach; loud or sour eructation ; nausea, vomiting, heartburn; sweetish-foul or sour taste in the mouth; ravenous appetite; thirst all the time; vertigo, especially when sitting; epileptic convulsion, with creeping sensation proceeding from the anus or back. This agent is especially indicated, if the patient had been at some former period troubled with the itch, or with ulcers, eruptions or suppurating sores. The pains are worse at night, in changes of weather, especially in damp and cold weather. The pains are relieved by warmth. Sulphuric acid. Consequences of bruises, contusions, etc., with echy- mosis of the injured part; aphthae of infants; weakness SULPHURIC ACID.—THUYA. 123 and trembling after smelling coffee; incarcerated hernia; profuse menstruation; metrorrhagia; haemoptysis; pain- ful chilblains on the lingers. Symphytum officinale. (Common comfrey.) We apply the tincture diluted with water externally, (giving the potencies internally;) this agent is very efficacious in fracture of bones, contusions or injuries of bones and of the periosteum. Tartar emetic. (Stibium.; Pock-shaped eruption; intermittent fever with ab- sence of thirst and sopor; vomiting of sour and bitter substances, also with diarrhoea and great debility. Terebinthina. ('Spirits of turpentine.) Eruption resembling scarlatina; anasarca after scarlet fever, with discharge of dark urine, having the odor of violets ; nephritis ; haematuria. Teucrium marum verum. (Wall germander.) Nasal polypi; ascarides and ailments caused by their presence. Thuya occidentalis. (Arbor vitae.; Figwarts, fig wart-gonorrhoea; rough, shaggy and crusty warts, bleeding readily and having an offensive look; mercurial or mercurial-syphilitic ulcers; syphilis- slow recollection of ideas; indurations in the abdomen (with Lye. and Lach.;) excrescences on the gums (with Staphys. and Lach.) 124 CHARACTERISTIC SYMPTOMS. Urtica urens. (Nettle.; Itching blotches ; urticaria with headache and fever ; anarsarca after suppression of cutaneous eruptions; swelling of the head; useful in burns, externally applied before blisters are raised. Valeriana officinalis. (Valerian; Pains which set in suddenly, with a racking fury, in n state of apparent health ; morbid nervousness, with -a feeling of lassitude pervading the whole body ; inter- mittent fever with slight chill, followed by constant heat and dullness of the head, especially in the after- noon, and attacking children who have worms; hyste- ria ; headache and faceache, breaking out suddenly, ir. paroxysms. Variolin. It is proposed to employ this agent as a remedy for small-pox and as a substitute for vaccination. Veratrum album. (White hellebore.) Cramps in the calves; whooping-cough, the children are weak, have some fever with cold sweat on the fore- head, small, feeble and hurried pulse, great thirst; urine spirts out during the paroxsyms; pains in the chest, abdomen and groin ; the children do not recover their natural brightness between the paroxysms, they are unable to hold their heads erect, they feel chilly, and are averse to talking. (All this is different when Dro- sera is indicated); aversion to warm feed; great desire VERATRUM.—VIOLA. 125 for fruit and foi sour things; unquenchable thirst; sudden prostration of strength. Debility and tremb- ling. Debility after abuse of China (also removed by Ferrum). Coldness, numbness and formication of the extremities. Tearing in the extremities, aggravated by damp and cold weather and by the warmth of the bed. Pains in the lower limbs, ascending to the abdomen, or else in the opposite direction ; tetanic spams, the palms of the hands and the soles of the feet becoming bent inwards. Cholera (in alternation with Cuprum). Catalepsy, with flexibility of the limbs; epilepsy; intermittent fever, the coldness being only external, with internal heat, and violent desire for cold water. Delirium. The memory is almost entirely gone. Confusion of mind, dementia, especially religious or amorous mania, with absurd acts; fancies himself a hunter, prince, minister, is proud of it; she boasts of being pregnant, etc. Paroxysms of pain causing deli- rium and mania for a short period. Bad consequences of fright. Vinca minor. (Wintergreen.; Tangling of the hair, with gnawing itching; plica polonica. Viola tricolor. (Pansy.) Crusta lactea with burning itching at night, and dis- charge of tenacious, yellow pus. The urine smells like cat's urine. 126 CHARACTERISTIC SYMPTOMS. Zincum metallicum. (Zinc.) Chronic eruptions of various kinds, especially tetter, and ulcerated tetter; ganglia; discharge of blood from the urethra, after urinating; pain in the chest when riding in a carriage. Chorea. REMEDIES ACTING MORE ESPECIALLY ON THE RIGHT OR LEFT SIDE. Left. Right. Aconite, Agaricus, Apis, Alumina, Arnica, Belladonna, Asarum, Cantharis, Calcarea carb. Causticum, China, Crotalus, Colchicum, Drosera, Colocynthis, Hepar sulph., Crocus, Ignatia, Iodine, Moschus, Lachesis, Plumbum Mercurius, Rhus tox., Nitric acid, Ruta, Nux vom., Sabadilla, Rhododendron, Sabina, Spigelia, Sanguinaria, Sulphur, Staphysagria. Sulphuric acid SPECIAL DIRECTIONS FOR THE TREATMENT OF ALL LEADING DISEASES. Cholera. (Asiatic cholera.; • INTRODUCTORY REMARKS. The homoeopathic treatment of cholera having pro- duced such brilliant results, it seems very strange indeed, that it should not have been universally adopted. This is not owing to ill will, or to the jealousy of Old- School physicians, we cannot believe such meanness on the part of our professional opponents possible, when the object of our endeavors is to save human life,—no, it is simply owing to the old want of faith and to the old pride. Physicians cannot comprehend, and there- fore refuse to believe, that such small agencies should produce such great effects. They imagine that their own wisdom is superior to nature's laws, and the result of their profound cogitations is the lamentable fact, as corroborated by the published mortality-bills of our city-authorities that fifty and even more of every hun- dred patients attacked with cholera, die. (127) 128 TREATMENT of leading DISEASES. Under homoeopathic treatment one thousand foul hundred and sixty-four patients out of one thousand five hundred and fifty-seven recovered in nineteen dif- ferent cities, ninety-three only died, or six per cent. (See Dr. Buchner's " Results of alloeopathic and homceo pathic treatment according to official statements.") Where the spirits of Camphor and the higher potencies of homoeopathic preparations were employed, only one in a hundred died as a general rule. The official lists of cholera-patients in the district of Tischnowitz from November 7th, 1831, to February 5th, 1832, show that, under alloeopathic treatment three hundred and thirty-one patients two hundred and twenty-nine were cured and one hundred and two died under homoeopathic treatment of two hundred and seventy-eight patients, two hundred and fifty-one were cured, twenty-seven died. Dr. Baer of Prague lost under alloeopathic treatment of one hundred and nineteen patients forty-seven—and cured seventy-two; under homoeopathic treatment of eighty patients, he did not lose any. Of seventy-one patients who were treated with Cam- phor without any other medicine, sixty were cured, eleven died. Count Nadasdy of Daka in Hungary, in the absence of professional aid, treated his subjects with the spirits of Camphor. Of one hundred and sixty-one who were attacked, he only lost fifteen. Dr. Schulz who had been my assistant in Ccethen, treated sixty-eight patients during the epidemic cholera of 1848, in Potsdam, and only lost nine, among whom were several scrofulous children and old men who had been diseased for some time ; whereas the alloeopathic cholera. 129 physicians lost seventy in one hundred, and many died of other diseases following in the wake of cholera, especially typhus which was probably induced by the quantities of heroic and badly chosen medicines. Why should physicians hesitate to try the truly cura- tive method established by Hahnemann ! If physicians should continue to decline such experi- ments, laymen will institute them, and by their brilliant successes will cover the professional quacks with shame. I will show them in simple language how such brilliant results can be accomplished by Hahnemann's teachings. Any one who follows this advice, may cure his friends without first waiting for a physician, and will save their lives even if his hopes should have been very feeble. PREVENTIVES AGAINST CHOLERA. The best preventives against cholera are Cuprum and Veratrum, not Camphor. If they should cause rumbling in the bowels and even diarrhoea, these symptoms soon pass off again. It is, therefore, not advisable that persons in perfect health should take these medicines. They may be used during epidemic cholera as soou as the first unpleasant sensation is experienced in the bowels, such as rumbling, pinching or diarrhoea. In such a case six globules of Cuprum may be dissolved in six tablespoonfuls of water, of which a small swallow should be taken every few hours until the uneasiness ceases. If diarrhoea is present, the medicine may be taken after every attack. On a journey a globule may be taken dry on the tongue, instead of the watery solution. During this period all acids should be carefully . 9 130 TREATMENT OF LEADING DISEASES. avoided; otherwise it is well to continue one's regular mode of life, to eat and drink moderately, to avoid violent emotions, to overcome disturbing passions, to observe cleanliness and especially frequent washings with cold water, which strengthen and fortify the body. An attack may be provoked by any violent and sudden change of diet, by the use of spirits of patent cholera-cordials, teas, etc. Travelers should endeavor to be perfectly regular in their meals and to use nourish- ing and simple food in moderate quantities. Every body should keep the spirits of Camphor on hand (one part of Camphor to be dissolved in twelve parts of alcohol); this will afford the best help at the commencement of an attack, especially if tetanic spasms should be present, as will be more fully shown here- after ; the vial should be kept carefully closed lest the smell should injure the other homoeopathic prepara- tions. During cholera, children are sometimes attacked quite suddenly with vomiting and diarrhoea, but with- out spasms; such an attack is speedily arrested by Ipecacuanha, five globules in six tablespoonfuls of water, of which a dessertspoonful may be given every fifteen minutes; the attack will cease in a few hours. The medicine should be given less frequently as soon as an improvement sets in, and should finally be dis- continued. If Ipec should be without effect, Asarum may be given; this cures vomiting of water with anxiety and diarrhoea without cramps. But if these symptoms should be complicated with cramps in the calves or bowels, Cuprum should be given as stated above; this will prevent the full development of cholera CHOLERA. 131 If cholera should actually break out, Cuprum and Vera- trum may be given in alternation every fifteen minutes, and the danger may be averted. ' If persons should be subject to continual attacks of diarrhoea or to a disposition to such attacks, without being much weakened thereby, the trouble may be arrested by Phosp/ioric acid. The attack is sometimes ushered in by vertigo which may be removed by the following remedies; vertigo during a walk, especially when turning about: Ipecac; vertigo obliging one to lie down, with heaviness in the head: Secale; vertigo when looking up, aggravated by motion, relieved by lying down: Cuprum; vertigo, everything seeming to turn around: Veratrum ; vertigo, with disposition to fall, only when walking or when closing the eyes : Arsenic. DIRECTIONS FOR THE MANAGEMENT OF CHOLERA. The attacks of cholera are not always alike, but gen- erally commence with tetanic spasm, without vomiting or diarrhoea ; this may be termed the first stage. This stage has been less frequently noticed since 1849, when the attacks set in with the second stage and the use of Camphor became therefore unnecessary. The patient suddenly loses his strength he is unable to stand, his features become altered, the eyes look sunken, the face and hands look bluish, they are cold as ice, the rest of the body is likewise cold ; his countenance has an ex- pression of despondency and anguish as if he should suffocate; half stupefied and insensible, the patient moans and utters cries with a hoarse and hollow tone of voice, without making any distinct complaints unless 132 TREATMENT OF LEADING DISEASES. asked; burning in the stomach and oesophagus, and cramp-pain in the calves and other muscles; he shrieks when the pit of the stomach is touched; he has no thirst, no nausea, vomiting or diarrhoea. At this stage Camphor may still prove available pro- vided it is employed at once by those present. The patient is placed into a warm bed, and takes a drop of the spirits of Camphor every five minutes, on a lump of sugar or in a small spoonful of water. The arms and legs of the patient are at the same time rubbed with the spirits of Camphor from above downwards, likewise the pit of the stomach and the abdomen. An injection of Camphor may likewise be administered, mixing two dessertspoonfuls of the spirits of Camphor in two tablespoonfuls of tepid water. The spirits of Camphor may likewise be evaporated from time to time upon a heated brasier, especially if the mouth is spasmodically closed, in which case the inhaled vapors may take the place of medicine taken by the mouth. The more attentively these precautions are attended to, the more quickly and certainly the patients will re- cover. His warmth, strength, consciousness, quiet and sleep return : he is saved. If this first favorable period should have been over- looked or neglected, the Second Stage Sets in, where Camphor generally proves unavailing. This stage is characterised by frequent watery dis- charges mixed with whitish, yellowish or reddish flocks; violent vomiting of quantities of similarly- looking watery substances, unquenchable thirst, loud rumbling in the bowels, increasing anguish, moaning CHOLERA. 133 and yawning, icy-coldness of the whole body, even of the tongue, mottled blueness of the arms, decreased action of all the senses, slow pulse, excessively-painful cramps in the calves and arms, and in the bowels. If these symptoms are present, Camphor is of no avail, and it is best to remove the smell of Camphor, in case it should have been used previously, as much as possible by letting in fresh air, and thus preventing the Camphor from interfering with the medicines which will have to be prescribed at this stage. Cuprum and Veratrum, six pellets of each, are now to be dissolved in separate tumblers of water, each con- taining about eight tablespoonfuls, and a small spoon- ful is to be given alternately every five minutes, or, in bad cases, even more frequently. If the watery solu- tion should be inconvenient, a pellet may be given dry on the tongue, at a dose. As soon as the patient begins to feel better, the dose should be repeated less fre- quently, and if sweat and sleep should set in, all medi- cine is to be discontinued. In some cases, after the disappearance of the dan- gerous symptoms, the skin becomes hot and the pulse full and bounding; in such a case Aconite should be given, six pellets in eight tablespoonfuls of water, a small spoonful every ten minutes; very soon the skin will be drenched with perspiration, sleep and recovery take place. In cases where the attack seemed more obstinate, and the passages remain perfectly colorless, recovery has been effected by means of Secale alone, or in alternation with Cuprum or Veratrum. If burning pains in the epigastric region or in the region of the spleen (on the left side below the ribs,) 134 TREATMENT OF LEADING DISEASES. or in the bowels or anus were present, the above-men- tioned remedies were unavailing; Arsenic had to be given, six pellets in water, a small spoonful every five minutes ; if the patient complained of cramps in the calves, in alternation with Veratrum. Some physicians have proposed Iatropha curcas for the following symptoms: projectile vomiting of quanti- ties of a watery or albuminous substance, with spas- modic constriction of the region of the stomach, or burning in the stomach ; watery diarrhoea, cramps in the calves, coldness of the skin. Dissolve six pellets in water, giving a spoonful every five minutes. Hydrocyanic acid has been found adapted to the fol lowing symptoms in the last stage: 1. If the patient spits continually without expectorating much, (without this agent death soon sets in.) 2. Heat in the head, with coldness of the limbs, vomiting of a black fluid, involuntary stools. 3. Dry cholera, without vomiting or diarrhoea, cramps at times in the arms and calves, at others in the masseter muscles, so that the mouth i.s firmly closed ; accompanied with frequent involuntary shrieking and subsequent prostration or fainting. 4. Apparent cessation of all vital functions, collapse of pulse, in the paralytic stage ; tetanus. Of course no other means, such as coffee, tea, fumiga- tions, bleeding, or other medicines should be resorted to. During the attack the patient should be kept warm, and the pit of the stomach, bowels and extremities should be rubbed with warm flannel or woolen cloth. In many cases the patient feels relieved after a few doses of the right remedy, vomiting and diarrhoea cease. The desires of the patient should then be grati- fied with moderation. The best drink during and after CHOLERA. 135 the attack is a de oction of oatmeal or fresh water, which should only be given in spoonful doses. Another characteristic sign of Asiatic cholera is the los; of all tonicity of the skin which, if pinched up, remains without returning to its former condition. Cases occur, where, after the second stage has run its course, and the patient is about to die, tetanic spasms set in and the patient seems quite dead. Here Hydro- cyanic acid or the spirits of Camphor may be given ; the latter should be rubbed upon the skin with the palm of the hand, from above downward, and upon the pit of the stomach. Patients apparently dead have likewise been restored to consciousness by means of an injection of tepid water and Camphor in the rectum, or by bathing the inner mouth with a mixture of oil and Camphor. Sometimes cholera is transformed into a sort of typhus with delirium, especially under the use of violent and improper medicines. In such a case Bryo- nia and Rhus tox. should be dissolved in separate tum- blers, six pellets of each in eight tablespoonfuls of water, a small spoonful to be given every thirty minutes alternately, and less frequently if symptoms of improvement should become apparent. If typhoid symptoms should set in under homoeo- pathic treatment, with stupid insensibility, optical illu- sions, confusion of the senses, Acidum phosplior., six pellets in water, a spoonful every fifteen or thirty minutes, may be given. For dry heat, full and bound- ing pulse, anxiety, give Aconite alone, or in alternation with the former remedies. Nobody should abandon himself to slavish fear, for fear alone brings on sickness and destroys all mental 136 TREATMENT OF LEADING DISEASES. energy, No man should suffer the divine spark in him to be quenched by fear; every body should rely in full confidence upon the ruling Providence who governs the destiny of each of us. The mind, until it is absolutely prostrated by the disease, should sustain the body with vigor and by a strong and living faith. Let the physi- cian, animated by this hope and intense faith, step to the bedside of the patient, and he will be able to effect wonderful changes for the better. Croup. (Angina membranacea.) INTRODUCTORY REMARKS. In an attack of croup, it is of the utmost importance to afford help before the dangerous stage has set in. The mother who has the best opportunity of watching her child, may avert the danger by pursuing the treat ment indicated in the following pages. If a homoeopathic physician should be at hand, he may be sent for, but the mother should at once admin- ister the appropriate remedy, for by so doing she may pave the way for the physician's management without ever interfering with it. If no physician should be near, she may undertake the treatment in perfect con- fidence, being assured that thousands of children have been saved by the means which we here propose. It may be a satisfaction to every mother to know that the treatment which I recommend, has enabled me to save the life of every patient I have had charge of, and that, if, in accordance with the inscrutable designs of Provi- dence, a little patient should die, he will not have been sacrificed by violent and destructive agencies. Many of our most experienced physicians have sanctioned CROUP. 137 my treatment, and I urge every mother never to lose a moment's time in adopting the means of cure which I here propose. TREATMENT. True membranous croup is not near as frequent as some persons imagine; most cases of croup would remain without any danger, if the proper treatment were at once pursued. An attack of croup which sets in after midnight, may terminate fatally in a few hours, unless the proper remedies are at once resorted to. If children are attacked with a hollow, barking cough, mothers are very apt to imagine that an attack of croup is impending. This is very frequently the case, and Aconite, six pellets in water, a small spoonful every hour or two hours, should at once be given. Less dangerous is a scraping cough with roughness of the air-passages, which attacks children in cold or wet weather, especially in winter, when children get their feet wet by running in the snow. Sometimes a watery, greenish, fetid diarrhoea sets in. These symp- toms yield to Chamomilla, a few pellets in eight table- spoonfuls of water, a small swallow morning and night. But if the child should feel feverish, hot, or first chilly and then hot, restless and anxious, with heat about the head and forehead, heat of the palms of the hands, etc, Aconite may be substituted for Chamomilla, to be given night and morning, or even every hour, if the fever should be very violent. If the cough has a hol- low or wheezing sound, Hepar sulph. may be given alone, or, if fever-symptoms should be present, in alternation with Aconite, Dose, six pellets of each in eight spoon 138 TREATMENT OF LEADING DISEASES. fuls of water, a small spoonful every two or four hours in alternation. The child should be kept uniformly covered so as to prevent exposure and stoppage of the perspiration. At such times children should never be left alone, nor should they be permitted during the winter to sleep in a very cold room, lest they should kick off the bed- cover and be attacked with a croupy cough, in which case the remedies which I have recommended, should at once be given. Persons who have once heard the croup-cough will never forget it; those who have not heard it may know it by the following signs: It is very much like the hoarse barking of a common cur, sometimes shrill, crowing, sometimes deep and hollow, but rough. It is an anxious sound, and the cough occurs in paroxysms. The inspirations.are long and labored, the expirations are interrupted and jerking. The little patients fre- quently toss about the bed in great agony, stretch their necks and bend their heads backwards. This should not be prevented, especially during the last stage, when the patients might suffocate in consequence of their heads being raised too high The pulse is feverish, the urine deep-red. These symptoms require Aconite, six pellets in a cup- ful of water, a small spoonful every ten or fifteen minutes, until the patient feels easier, after which the medicine may be repeated after every new paroxysm of cough. Warm and gentle perspiration is a good symptom. If the child falls asleep, let it sleep until morning, when a spoonful of a solution of six pellets of Hepar sulph. in a cupful of water may be given, to be repeated at night. CROUP. i39 If Aconite produces no favorable change, the Second Stage Sets in, when the child complains of burning in the throat or grasps at the larynx which is sensitive, and sometimes swollen and hot. Suffocative paroxysms frequently set in, accompanied by fever and thirst. Sometimes the children fall asleep, but wake suddenly with aggravated symptoms. During the sleep the breathing is anxious and panting, and the head is bent backward. Do not wrap any woolen cloth around the neck, for this might cause renewed irritation, and aggravate the symptoms. The head should be kept free, the feet may be kept warm. If Aconite produces no favorable change in one or two hours, Hep. sulph. and Spongia should then be given in alternation, six pellets of each in a separate cupful of water, an alternate dose every ten or fifteen minutes, and less frequently or only after a paroxysm, in case the general condition of the patient seems more satis- factory. In the case of scrofulous children, with hard glandu- lar swellings on their necks, Iodine should be given in alternation with Aconite, six pellets of each in separate cupfuls of water, a spoonful every ten or fifteen minutes. Ill order to prevent the contact of cold, the spoonful of water may be poured into a larger spoon containing tepid milk, after which this medicated milk may be swallowed by the patient. If children desire it, they may drink warm milk sweetened with sugar, or rice and oat-meal gruel as much as they please. If the symptoms should get worse in spite of the 140 TREATMENT OF LEADING DISEASES. foregoing remedies, Bromine, six pellets in water, a spoonful every ten or fifteen minutes, should at once be administered. This is our chief remedy in the Third Stage. The pulse is small and accelerated. The breathing is exceedingly anxious, frequently wheezing or rattling at every inspiration the abdominal walls are violently raised and depressed. During a paroxysm of cough, which is almost without any -resonnance, the gagging frequently terminates in vomiting. The children look pale, the face is bloated and has a blueish look, the eyes protrude and are expressive of anxiety, the little patients seek to grasp at every thing near them. If the patient - had been treated homceopathically from the start, Bromine may then still save the child's life. , If the child should be very weak, or if violent alloeo pathic treatment should have prostrated the patient, Phosphorus and Bromine may be given in alternation, six pellets of each in separate cupfuls of water, a spoon- ful every ten or fifteen minutes, until an improvement sets in, after which the medicines should be given less frequently, until they can be discontinued SUBSEQUENT TREATMENT AND DIET. After the cure, and more particularly, if the child had been under alloeopathic treatment, a feeling of weakness is very apt to remain behind. This will yield to China, six pellets in water, a spoonful morning and evening. If hoarseness remains, Hep. sulph. or Bromine should be given in a similar manner. CROUP. 141 As a matter of course, all kinds of food or drink which are opposed to homoeopathic medicines, should be avoided during and even for a week after the treat- ment of croup, more especially coffee, tea, wine, acids, spices, roots, etc. These things should always be kept away from chil- dren with strict uniformity ; children will never grow up to healthy and happy men, until the use of all un- natural compounds and spices is strictly and absolutely forbidden. Every intelligent mother knows or should know that it is exceedingly improper to feed children on coffee or chamomile-tea; these beverages predispose the nervous system to all sorts of ailments, such as spasms during dentition, colic, etc. An excellent antidote to convul- sions produced by chamomile-tea is black coffee, of which a few drops may be administered every few minutes until the spasms cease. The best nourishment for children who are brought up by hand, during the first six months is a beverage composed of half milk and water, sweetened with a little sugar. Very weak children should -have even less than half the quantity of milk, for the emaciation of children is very often owing to over-feeding or the use of too rich food. Very robust children may have a gradually-increased quantity of milk, and, if this should not satiate them, they may eat a little stale bread soaked in hot water, and slightly sweetened with sugar, and at times some very weak meat-broth without any fat. More solid food should not be given until the in- cisors are through. Washing with warm water, which is still adhered to by so many mothers, is very weakening to children 142 TREATMENT OF LEADING DISEASES. and sho-jId be abandoned. Children should be washed every day with fresh and cool water; this is truly in- vigorating. A fortnight or three weeks after the birth of the child, the use of warm water should be discon- tinued little by little, so that cold water is exclusively used at the age of five or six weeks. In the morning the back should be washed first by pressing water out of the sponge and causing it to flow down the spine; this may be repeated a dozen times, and the sponge may be passed over the back at the same time. After this proceeding the back is carefully dried, and if a mother wishes to strengthen her feeble infant, she may breathe upon its back from the head all the way down the spine; this will prove a pleasant stimulation to the tender nerves. The rest of the body should be washed in the same way by passing the sponge over it from above downward, and afterwards drying it carefully; after washing the back, the face, arms, chest and abdo- men, and lastly the lower extremities should be washed in the same way. This mode of washing takes a little more time than bathing, but it is much more invi^orat ing; and should not a mother be willing to make every effort to secure the health and vigor of her children ? This natural system of education not only serves as a preventive against diseases, but, if the children should be attacked by illness, it will be found to be more man- ageable, because the nervous power had been adequately prepared to resist the inroad of disease. Mothers should likewise be watchful in preventing their children from touching the private parts, or from putting their hands under the cover at night; for this might easily lead them to the dreadful practice of onan- ism.which destroys both body and soul, and frequently T00THACE. 143 entails incurable maladies, spasms, paralysis, epilepsy, consumption, upon its unhappy victims. Let every mother keep the remedies which I have recommended for cholera and croup, in her house. How quietly may a mother retire to rest, if she knows that help is near in case her little darling should be attacked by these'dangerous diseases ! How many children are sacrificed by the use of violent emetics and by venesec- tions ! How many chronic ailments are entailed upon children by the use of large doses of Calomel! If croup is apparently cured by such remedies, the dispo- sition to this disease is not removed, as may be inferred from the frequent recurrence of attacks of croup undei alloeopathic treatment. A mother should undertake the treatment with perfect confidence, otherwise she might neglect something. The result is undoubtedly in God's hand; if he has decreed the end of human existence, all human art and science must prove futile, and every true Christian will cheerfully and trustingly submit to the inscrutable, but wise counsels of Providence. It will be a consolation to a mother's heart to know that, if it should have been impossible to avert a fatal result, such remedial agents had been employed in her child's case as would have ?aved the patient's life, if this had been possible. Toothache. INTRODUCTORY REMARKS. Those who are never afflicted with toothache, may Jeem it a very small matter, that much should be said on the subject; but persons liable to attacks of tooth- ache will thank me for the trouble I have taken to 144 TREATMENT OF LEADING DISEASES. show them the means of obtaining speedy relief from their sufferings. In my clinic at least twenty patients are treated every day for toothache, and scarcely one in a hundred is not immediately relieved by smelling of the specific remedy. This successful mode of treating toothache requires a careful knowledge of the Materia Medica, for an apparently trifling circumstance sometimes points to the right remedy. If a decayed tooth, for instance, is affected, and the pain is a throbbing and digging pain, involving even the eye, I hold the little vial containing Pulsatilla under the nostril of the affected side, and cause the patient to snuff un the emanations from the open vial with con siderable force. In almost every case the pain yields at at once. If the toothache should be inveterate, and a second attack should set in, two or three pellets may then be dissolved in eight tablespoonfuls of water, of which a dessertspoonful may be taken every two or four hours, and after a while every morning and even- ing for some days only, lest the curative reaction should be interfered with. If the pain should affect the whole left side as far as the ear, the tooth feeling loose and elongated, and exposure to a draught of air having caused the trouble, Cliamomilla will relieve it. If the patient is unable to point out the affected tooth; if the pain seems to affect the whole row of teeth, if they feel sensitive and elongated, and the head is hot, Belladonna will afford relief, either by smelling or in water. The rule is, that if smelling should not be sufficient, a few pellets are to be dissolved in half a tumblerful of TOOTHACHE. 145 water, of which solution a small spoonful should be taken every two to four hours, and, after a few doses, every morning and evening for a few days only, avoid- ing all other remedies lest the proper reaction should be disturbed. If more than one remedy seems indi- cated, the two may be given in alternation. The tumbler should be covered, and placed in a dark spot; the spoon should be dried after being used. If the water becomes turbid, the solution should be renewed. All kinds of food or drink which interfere with the operation of homoeopathic agents, should be avoided : meat, except fat pork, all ordinary vegetables, milk, simple farinaceous dishes, eggs, sweet fruit, etc, are permitted. Coffee, tea, strong ale, spirits, acids and spices are forbidden. Perfumes should be avoided. I know by experience that the first spoonful of coffee may bring back the toothache after it had been appeased by treat- ment. Persons afflicted with frequent attacks of headache or toothache, should never use coffee which is apt to excite these sufferings. Milk, cocoa, simple soups are far preferable. Perfumed toothpowders or chemical tinctures for cleaning teeth should never be used; they remove the tartar, but they destroy at the same time the enamel. The best substance to clean the teeth with, is sugar of milk or pulverised charcoal which removes all the impurities without affecting the teeth. Morning and evening and after every meal the mouth should be carefully rinsed with fresh water; this will prevent the decay of animal matter between the teeth, and the formation of tartar. 10 146 TREATMENT OF LEADING DISEASES. The abuse of Kreasote and Opium during an attack of toothache should be guarded against; they may blunt the pain, but they at the same time attack and destroy t'^e teeth. It is very foolish to have a tooth pulled out for no better reason than because it aches or begins to decay. Proper homoeopathic treatment may render this opera- tion unnecessary. I once treated a lady who had had all her teeth pulled out and was afterwards affected with the most intolerable pain in her jaws which yielded to treatment. If the patient should not succeed in removing the pain, a good homoeopathic physician should be con- sulted. In opening a vial, it should be closed again as soon as the patient has performed the operation of smelling. The first four of the following remedies are most frequently used: Staphysagria. a. If the pains proceed from decayed teeth or from stumps, even the head and ears are involved, the cheek is swollen but not hot, the pain is caused by inspiring cold air or by cold drinks; worse during or after eating, by touching the affected tooth, or only at night or after midnight. b. Sudden blackness or decay, exfoliation of the teeth. c. Tubercles or painful excrescences on the gums, liability of the gums to bleed (Compare sulphur.) Belladonna. a. IS several teeth on one side are affected, so that it is impossible to point out the exact tooth; if the'pain shifts about (rheumatic pain,) the teeth feel elongated, as if they would start out of their sockets. TOOTHACHE. 147 b. The pain is aggravated by contact, or by cold or warm things. c. There is determination of blood to the head.. d. Inflammatory or erysipelatous swelling of the cheek, when the medicine should be taken in water, as indicated in the introductory remark. e. Simultaneous presence of neuralgic pain in one side of the face, especially the right side. /. Glandular swellings, which disappear under the use of Belladonna. g. Teething, the gums being swollen and red, the children are sometimes delirious. Spasms and convul- sions may likewise be present. Chamomilla. a. The pain is caused by a draught of air, by sudden suppression of sweat; it affects the ear, causing earache. b. The teeth feel loose and elongated. c. The cheek and' gums are swollen, the skin is not very red, (give the medicine in water.) d. The pain is aggravated by warm drinks. e. Teething, with watery, greenish, fetid diarrhoea, spasmodic symptoms. Aconite. a. Throbbing pain, with vascular erethism and ner- vousness, feverish symptoms. b. If there are frequent attacks of vascular irritation, with heat and restlessness, the medicine should be taken in water as stated in the introductory remarks. c. This should likewise be done when children are teething, and great heat and restlessness are present. Arnica. a. Arthritic-rheumanic toothache when caused by 148 TREATMENT OF LEADING DISEASES. sudden suppression of perspiration, a cold, wet, (see Rhus tox.) b. The toothache is caused by a flow or contusion. c. Toothache with pale and hard swelling of the cheek. d. Pains subsequent to the extraction or filing off of teeth. In such cases great relief will be derived from rinsing the mouth with a solution of Arnica, the same as that recommended for internal use in the introduc- tory remarks. In using this and other remedies, the patient should carefully abstain from all exposure to draughts of air, wind, etc., which might check the perspiration. Pulsatilla. a. Throbbing or digging-pain, extending from the decayed tooth to the eye. b. The toothache occurs while the menses are too feeble or suppressed; (in cases of menstrual suppression a few doses of Puis, may be taken in water.) c. The pains are worse in the evening, in a warm room and at night in bed, especially before midnight; cold air relieves the pain. Nux Vomica. a. The pain is caused by the excessive use of coffee, wine or spirits. b. Obstinate constipation. s. Drawing and boring pain in a decayed tooth, as if wrenched out, with violent stitches now and then, which rack the whole body, especially when drawing in air, or if the pains commence or return in the morning d. It is an important remedy for all persons who lead a sedentary life and perform much mental labor. TOOTHACHE. 149 China. a. The toothache sets in in consequence of great weakness, after loss of blood, before or after parturition, or while nursing. This remedy will often strengthen the nerves, if deli- cate females take it under the foregoing circumstances ; it is also useful for the consequences of venesections and losses of animal fluids. b. Tearing and drawing in the upper teeth, or stitch- ing in the front-teeth, aggravated by the simple contact of the tongue. Hepar sulphur is. a. The pain is caused by an incipient gumboil. b. Fully developed gumboils are removed by taking Hepar in water, a small spoonful morning and evening. c. Fistula dentalis (with Puis.) d. Looseness of the teeth, especially after abuse of Mercury. Sulphur. a. Chronic toothache, tearing, drawing, jerking, bor- ing, stitching, with or without swelling of the cheeks. The teeth feel dull, loose, elongated. Aggravation at night. b. The gums become detached and diseased (in alter- nation with Mercury, in water.) c. Frequent bleeding of the gums. d. Suppression of cutaneous eruptions by ointments or washes. Mercurius. a. Toothache with profuse ptyalism (not induced by Mercury). b. Violent scraping pain in the cheekbones; fre- 150 TREATMENT OF LEADING DISEASES. quently the remains of some morbid matter which had ■been treated allceopathically (syphilis.) c. Foul ulcers in the mouth, when the medicine may be given in water. d. The pains are worse after midnight, frequently with profuse sweat which does not afford any relief. Causticum. a. Tearing, drawing and stitching in the teeth, espe- cially when cold air is inhaled, with spasmodic closing of the jaws, like lockjaw. b. The whole side of the face is affected, teeth, gums and cheeks, is especially adapted to the right side ; less at night in bed. These twelve remedies will be found sufficient to cure almost every case of toothache, provided the medicine has been well chosen. I will add three other remedies : Bryonia, for stinging and throbbing toothache, yield ing for a while to the application of cold water; relief is obtained by lying on the affected side, aggravated in the warmth. Sepia for the toothache of pregnant females (with China and Bell.), sudden decay and exfoliation of the teeth (with Staphysagria). Kreasotum for drawing pains, especially in decayed teeth, extending to the temples and inner ear; also flashing downwards or towards the eyes (as in the case of Puis), especially in the left side of the face; early on waking. Phthisis. (Consumption.) This general name is applied to a disease which may affect various organs. It is most frequently observed PHTHISIS. 151 m the larynx and trachea, in the lungs, stomach, liver, bowels, mesenteric glands, kidneys, bladder and uterus. Whatever organ may be affected, there is always a waste of the tissues and a sinking of the bodily strength. Emaciation may likewise take place in other maladies ; hence the necessity of ascertaining the true nature and seat of the malady. This is rather difficult for the lay- practitioner who is not acquainted with the structure of the human body. The following hints will enable him to see the danger to which the neglect of certain de- rangements may expose the sick. X. Phthisis of the larynx and trachea. (Phthisis laryngea et trachealis.j Consumption of the larynx and trachea generally occurs together, scarcely ever separately, and then only at the commencement of the disease, sometimes even after a simple, but neglected catarrh, especially in con- sequence of neglected influenza, or of badly-managed syphilis. The patient complains of a prickling, stinging or burning feeling at one spot in the larynx, as from the contact of a burning coal; sometimes the sensation is a feeling of pressure and constriction. If an ulcer has actually formed, deglutition becomes difficult, and the patient experiences a feeling as if an obstacle were in the way of the food. A continual irritation and ir clination to cough sets in which is still increased by talking. The voice loses its resonance, becomes husky, and finally the patient loses his voice altogether and is only able to barely utter a sound. As the hoarse- ness increases, the cough increases likewise, the patient raises pus mixed with much mucus and saliva, which 152 TREATMENT OF LEADING DISEASES has a saltish or sweetish, bitter or foul taste. The in- spirations become anxious and wheezing, with a pecu- liar rattling sound; the expirations are comparatively easier. Little by little the deglutition becomes stili more painful, suffocative fits frequently set in, until finally the food taken into the stomach is ejected again with violent fits of cough. The patient is generally pale, and his looks are expressive of great agony. With the increasing emaciation hectic fever sets in, with a slight chill in the afternoon, violent heat towards evening, night-sweats and great thirst. The pulse is generally accelerated and the sleep restless. Towards the end the hair falls out, the feet swell, exhausting diarrhoea sets in. If the disease is properly treated at the onset, a single dose of the appropriate remedy may frequently arrest it. Phosphorus will be found adapted to the following symptoms: Great painfulness and sensitiveness of the larynx, hoarseness which is made worse by talking, complete aphonia; cough excited by titillation and scraping in the throat and chest, most frequently excited by drinking or laughing. Cough with expec- toration of a quantity of mucus, of a white or greenish color, purulent in the more advanced stage of the disease, when it has a saltish or sweetish taste. Hepar sulphuris calc. The larynx is very much affected, the voice is hoarse and faint, feverish chilliness down the back, flushed cheeks, sleeplessness, anguish, nervousness and emaciation. Cough caused by titilla- tion in the throat, or by pain in the larynx, aggravated by talking or stooping, increasing towards evening and then ceasing all at once. There is a pricking sensation in the throat as from a bone. PHTHISIS. 153 In a case of syphilitic phthisis of the larynx, when the original syphilis had first been treated with Mer- cury, this medicine may be given first, and allowed to have its full effect, after which Nitric acid may be given. Carbo vegetabilis. Hoarseness morning or evening, with inability to talk loud, the voice giving out when making the attempt; scraping and tingling in the throat; dry cough with pain in the upper part of the rhest, or racking cough, with oppression and burning in the chest; cough with expectoration of purulent mucus having a whitish-yellow or greenish color. It may be given after the abusive treatment with Mercury. Iodine. Pressure in the region of the larynx as from some swelling; the larynx is painful to external pres- sure. Hoarseness, especially in the morning after rising. Constant inclination to hawk up tenacious mucus, with creeping and tickling in the larynx. Cough caused by violent tickling in the throat and chest, with anxiety previous to the attack and great emaciation. Mucous rattling in the chest. This remedy will probably be chosen first, if the disease springs from a scrofulous origin, especially if glandular swellings and indurations are present. Causticum. Chronic hoarseness, also with complete loss of voice; cough caused by tickling in the throat or stooping, with soreness, rattling of mucus in the chest, and inability to raise the apparently loose mucus. This remedy may prove useful, if the disease owes it origin to neglected influenza. Calcarea carbonica. Roughness of the throat or hoarseness, especially in the morning ; accumulation of mucus in the chest or larynx, dry cough at night, or 154 TREATMENT OF LEADING DISEASES. titillating cough as from fine feather-dust; cough with expectoration of yellow mucus, having a salt or sweetish taste, worse in the morning. Stitches in the head when coughing, soreness in the chest or sensation in the throat as if something were torn loose. Arsenicum album. Rough and hoarse voice; feeling of dryness and of burning in the larynx; continual irritation and tickling in the larynx; short and dry cough as if caused by the vapors of Sulphur, with smarting in the chest as if excoriated, or soreness from the pit of the stomach upwards, with labored breathing, or with suffocative sensation and constriction in the larynx; all these symptoms are aggravated by drinking, especially by drinking without feeling thirsty. The medicine adapted to each group of symptoms, should be given in water, six pellets in eight table- spoonfuls, of which a small spoonful may be given morning and night for four or five days, until the patient feels better; but if no improvement should take place after using the same remedy for several weeks another medicine may be given. If fever should set in, with hot skin, thirst and a full and bounding pulse, Aconite should be given. 2. Pulmonary phthisis. (Phthisis pulmonalis.) This disease which is frequently accompanied by laryngeal phthisis, involves a destruction of the pul- monary tissue. It has three stages which are not always clearly marked. In the first stage, the symp- toms are frequently so obscure that it is not an easy matter to recognize the existence of pulmonary phthisic. In peisons who are predisposed to this disease, breath- PHTHISIS. 155 ing is not always easy, and becomes panting and hurried when such persons go up stairs or walk rapidly. They find talking and singing difficult, and a dry cough is frequently present which sometimes increases to violent attacks racking the head and chest and causing great prostration. After such paroxysms a feeling of fullness and oppression on the chest remains ; many patients complain of drawing and stinging pains in the .chest which suddenly come and go. After eating a flush is seen on the cheeks and ears, and the palms of the hands become hot and red. These symptoms are evanescent, but return frequently and become more and more obsti- nate. The oppression gradually becomes more percep- tible and finally remains permanently, so that the patient complains of it all the time. The mouth and throat are frequently very dry, especially in the after- noon, after which tenacious mucus is hawked up in the morning. The cough is generally worse at night; in the day-time the condition of the patient is more toler- able. The appetite generally continues good and the digestion is undisturbed. Towards the end of this stage the voice becomes husky, and even hoarse. The mus- cular debility increases. The pulse becomes more frequent. The second stage is ushered in with fever which makes its appearance at noon or towards even- ing. The skin is dry and hot, the pulse hurried, a cooling perspiration breaks out in the morning. Gradually the cough becomes more violent, worse in a horizontal posi- tion of the body, and is frequently accompanied by pain in the chest and vomiting. The expectoration accom- panying the cough is tenacious, opaque, and gradually assumes a greenish or yellowish tinge. The fever be- comes more continuous, and during the paroxysm the 156 TREATMENT OF LEADING DISEASES. cheeks of the patient exhibit a circumscribed bright-red flush. The breathing becomes more and more hurried The voice is not so much hoarse as husky and hollow The expectoration becomes ash-colored, has a foul smell, an acrid taste, and is frequently streaked with blood. In twenty-four hours the patient frequently raises a quart. Haemorrhage from the lungs is not infrequent in this stage, and often terminates fatally. The body wastes away, the eyes become hollow, nose and chin become more prominent. The patients secrete a small quantity of dark urine which is sometimes frothy, and at other times is covered with an oily pellicle, and deposits a bran-like sediment after standing. The menses are either suppressed or scanty and irregular. The appetite generally continues good, although the digestion becomes irregular. The thirst torments the patients mostly only during the fever. The younger the patient, or the more rapid the course of the first and second stages, the sooner the third stage makes its appearance. The fever and perspiration now generally abate, in the place of which an exhausting diarrhoea sets in, which becomes watery and has a fetid smell. The strength decreases visibly, the pulse becomes soft, empty, exceedingly quick, the voice is thin, husky or hollow. The patient seems nothing but skin and bones. The breathing becomes shorter and shorter, and the cough more and more racking. At the same time the expectoration becomes less, and in- its place the patient is tormented by excessive anguish. The tongue becomes cracked and covered with aphthaa, which impede deglutition. At times a sort of rash is seen on the chest. The diarrhoea becomes more and more frequent, alternating with night sweats. In spite PHTHISIS. 157 of these discouraging symptoms the patients still con tinue to 'form plans for the future. Finally the feet become dropsical, and gradually the whole body is invaded by this change. Bedsores render the con- dition of. the patients still more intolerable. Little by little the extremities become cold, the pulse becomes feebler and the patient passes away quietly in the full possession of his consciousness. Like most other diseases, pulmonary phthisis is often curable if attended to in season, more especially by means of the following remedies : Pulsatilla. If the fever is not yet fully developed, and the patient is not yet troubled with thirst. This emedy is likewise indicated, if the disease was caused by menstrual suppression; the patient is of a quiet, anxious, weeping mood, with pale complexion, oppres- sion of the chest, shortness of breath, palpitation of the neart, cough with expectoration of bitter, sweetish, salt- ish or foul mucus, worse in the evening, at night or in the morning, less in day-time, sometimes accompanied with an inclination to vomit or actual vomiting. Dur- ing the cough the patient complains of stitches in the shoulder, side or back. Hoarseness or very faint voice. China, if the disease arose after venesections, or in consequence of excessive nursing or the loss of other animal fluids. Cough with expectoration of blood- streaked mucus, or of whitish mucus with blackish points ; haemoptysis ; pulmonary haemorrhage. This remedy may arrest the diarrhoea in the last stage of the disease when a cure is no longer possible, especially if the food passes off undigested; it is likewise useful, if the bedsores become gangrened. Phosphorus. This agent is useful in the beginning of 158 TREATMENT OF LEADING DISEASES. phthisis as well as when the disease is fully developed, and patients still show a desire for sexual intercourse. Cough writh expectoration of saltish and greenish mu- cus ; watery, exhausting diarrhoea; general emaciation. Calcarea carbonica. Especially indicated if. the left lung is attacked, less adapted to the right lung, with stitches in the left side during a deep inspiration or when bending toward the right side ; cough with expec- toration of sweetish or saltish pus of a yellowish color, foul, worse in the morning ; frequent attacks of haemop- tysis. Phthisis of stone-cutters, (see Silicea) Carbo animalis. Adapted to the right lung. Cough with expectoration of greenish or any other kind of •pus; worse when lying on the right side. Kali carbonicum. Suitable to women who have had many miscarriages, or who have nursed many children. (See China.) Racking cough, inducing vomiting, (espe- cially after midnight.) Cough with purulent expectora- tion. This remedy is well adapted after Nitric acid or Silic. has been given, or in cases where the disease can be traced to neglected pneumonia. Lycopodium. Likewise suitable if the disease can be traced to neglected pneumonia Cough with expectora- tion of saltish mucus or pus, having a gray or oreenish color, (suitable after Calc, Phosph., Silic.) Millefolium. The disease commences with, or is ac- companied by occasional haemorrhage from the lungs. Chlore may likewise prove adapted to this condition. Silicea. The disease is caused by the inhalation of stone-dust, stone cutter phthisis, (with Calc.) Stannum. Mucous phthisis, with expectoration of quantities of colorless mucus. PHTHISIS. 159 Sambucus nigra. In cases characterised by profuse and exhausting sweats. Sulphur. The disease is traceable to the suppression of some cutaneous eruption or sore. If the patient is very weak, give China first, or in alternation with Sulphur. Aconite should always be given, if acute fever symp- toms develop themselves. In no case should the medicines be given in too rapid succession; I generally allow a month and even two months to pass by before resorting to a new remedy. 3. Consumption of the Stomach. This disease may be caused by the use of cold drinks. while the body is heated, and likewise by the abuse of acrid medicines. The following symptoms have come under my own observation: Oppression of the stomach, generally continuous, but worse after eating; vomiting of the ingesta, afterwards vomiting of bitter, tenacious, whitish mucus; the region of the stomach is swollen and sensitive; cough sets in, which soon becomes per- manent, with expectoration of a little yellowish mucus, which gradually changes to quantities of purulent mucus, and lastly to vomiting of liquid pus. The principal remedy in this disease is Pulsatilla, although Coccus cacti may be useful at the commence- ment when no pus is yet raised. 4. Consumption of the Liver. This not very frequent disease is generally traceable to neglected inflammation of the liver. The liver is swollen, but not hard. If the abscess is seated on the 160 TREATMENT OF LEADING DISEASES. surface of the liver, a soft tumor may be felt which fluctuates on pressure. The abscess may discharge in various directions, and thus endanger the patients life, If the pus is discharged into the lungs, it is expelled by cough. The pus is qualitatively distinguished from that of other organs. . It is friable like wine-dregs, and contains an admixture of bile. General symptoms are: Jaundiced color of the skin, rapidly-increasing emacia- tion of the whole body, and a fever peculiar to hepatic phthisis, setting in every other day and sometimes twice on the same day. If the disease is curable, Sulphur is the main remedy; this is to be followed by Silicea, next by Mercurius and lastly by Lachesis. Each medicine. is dissolved in water, six pellets in half a tumblerful, of which a small spoonful is taken morning and night for six days in succession, after which no medicine is taken for several months, unless an acute attack should render some intermediate remedy necessary. 5. Intestinal phthisis. (Consumption of the howels.; This disease is recognized by the following symptoms. The patients complain of periodical paroxysms of colicky pains in the bowels. The pain is generally burning and is mostly felt during the night. The pain is aggravated by pressure upon the abdomen. A char- acteristic symptom is nocturnal diarrhoea with copious discharges. Afterwards the diarrhoea likewise takes place in the day-time, but the nocturnal attacks are always more violent The nature of the discharges is characteristic. If received in a tumbler, they deposit flocks of blood-streaked or dark-red or brown-red pus, PHTHISIS. 161 and have a very fetid smell. The other symptoms peculiar to phthisis develop themselves with great rapi- dity, but especially the emaciation becomes so great that the patient is often reduced to a skeleton in one fortnight. The disease is likewise characterised by a filiform and rapid pulse, and by night-sweats. The main remedy in this disease is Arsenicum. If this remedy has exhausted its action, China or a few doses of Phosphorus may be given. Mercurius, Pulsa- tilla, Antimonium crudum may likewise be given. 6. Mesenteric consumption. (Phthisis meseraica.j Scrofulous children are especially liable to this disease. It is characterised by distention and hardness of the abdomen, increasing emaciation of the whole body, more particularly of the extremities. The skin of such patients is strikingly pale, wrinkled, and scales off in the shape of fine, shining scales. Upon examining the abdomen, moveable tumors are distinctly felt, which are somewhat painful to pressure. At first the patients complain of costiveness, but afterwards diarrhoea sets in, and is particularly troublesome at night. The dis charges are frequently mixed with whitish flocks. The fever is considerable, and the pulse frequently rises to one hundred and twenty beats. The main remedy in this disease is Arsenicum, which removes the danger in most cases. The disease being looted in a scrofulous disposition, it will be found im- possible to effect a cure without the alternate use of Sulphur and Calcarea, provided that each of these reme- dies is allowed to act for several months. 11 162 trea :ment of leading diseases. 7. Renal consumption. (Phthisis renalis.) This disease is characterised by the following symp- toms : The patients complain of aching pain either in one or both kidneys; very rarely however in both kidneys; in which case the pain in one kid- ney is, nevertheless, more acute. The pain is worse during motion, especially on bending forwards. An examination frequently reveals an elastic swelling of the region of the kidney. The pain which is dull and drawing, extends through the ureters down to the blad- der. The emission of urine is attended with a burning and pressing pain. The urine is mixed with pus which is distinctly visible through a microscope. The sedi- ment is frequently mixed with blood. The symptoms characteristic of consumption generally, are also present, such as, frequent pulse, violent heat towards evening exhausting diarrhoea, rapid emaciation and prostration The most appropriate remedy for this disease, which has indeed been cured by means of it, is Cantharides Next we recommend Terebinthina, and the treatment may be closed with Lycopodium. In treating consumption, it is of importance to allo"W a dose of the right remedy to act its full length of time. By dose I understand three to five pellets dissolved in a small tumblerful of water, of which a dessertspoonful should be taken morning and evening for five days. If acute symptoms should show themselves, they will have to be met by specific intercurrent remedies Inflammation of the brain. (Meningitis, phrenitis.) This disease is exceedingly dangerous, not only be- cause its issue is dubious, but because it is so easily confounded with other diseases. A mistake in the INFLAMMATION OF THE BRAIN. 163 treatment may be productive of fatal consequences. By carefully observing the existing symptoms and selecting a remedy accordingly, it will not be difficult to save the patient's life. Like other inflammations, the disease sets in with chilliness followed by heat, or with violent boring pains and heat in the head, beating of the carotids and tem- poral arteries, deep redness of the face, anxiety, restless- ness, sadness, sometimes, however, striking mirthfulness, disposition to laugh and sing, a remarkable degree of listlessness, shyness or boldness. Other symptoms are: A wild or staring look, or else obscuration of sight, vertigo or restless, unrefreshing sleep, general emacia- tion, trembling of the limbs, loss of appetite, nausea and vomiting, occasionally nosebleed. The fever has the character of a violent inflammatory fever, attended with continual, burning, tensive, tearing or lancinating constrictive, throbbing pains, either on the surface or it the interior of the brain, but chiefly in the occiput or at the vertex. These pains frequently extend to the nape of the neck and even down the spine. The patient bores with the head into the pillow, is extremely sensi- tive to light and noise. The pupils are contracted, the eyes look fiery and red, the look is wandering, the eyes are rolled wildly in their sockets ; the patient complains of humming and buzzing in the ears, there is wild deli- rium, or constant talking, screaming, howling, laughing sometimes there are spasms or convulsions, more par- ticularly spasms in the oesophagus and other hydropho- bic symptoms. Some cases of meningitis resemble typhus. The patient complains of a dull pain or excessive weight in the head, moans, grasps at the head, tosses his limbs, or 164 TREATMENT OF LEADING DISEASES. seems unconscious, in a state of torpor or bland delirium. The symptoms of local paralysis are sometimes present, as if the patient had been struck with apoplexy. These symptoms often set in at the onset, or else follow the first mentioned symptoms, or alternate with the latter. Meningitis is frequently accompanied by severe gastric symptoms, such as frequent and violent vomiting of acrid mucus or of green fluid bile, constipation and retention of urine. The last-mentioned symptoms may lead an inexperi- enced observer to overlook the inflammation of the brain, and to mistake the disease for a severe gastric disorder. This disease may be induced by a variety of causes which should be carefully considered in the treatment. The determination of blood to the brain which is so frequently present during dentition, is one of the causes of meningitis. The symptoms are those above mentioned ; the children moreover thrust their fingers into their mouths, or move the jaws as if they were masticating. Aconite, six pellets in a cupful of water, a dessertspoonful every hour, is frequently sufficient to remove the danger in twelve hours. If no change for the better takes place in six to eight hours, Aconite and Belladonna should be given in alternation every hour, Bellad., to be prepared like Aconite.. Children who have worms, frequently manifest symp- toms resembling meningitis, with dryness and heat of the skin, hurried and soft pulse, sopor with the eyes half open, spasmodic twitching of the arms and hands, boring with the finger in the nose until it bleeds. China, a few pellets in water, may be prescribed, to be preceded by a few doses of Aconite until the skin has become INFLAMMATION OF THE BRAIN. 165 moist. But if the above symptoms are accompanied by perspiration at the onset, Mercurius should be given. In hot weather, persons whose bare heads are ex- posed to the rays of the sun, are frequently attacked with inflammation of the brain. This is termed sun- stroke. The disease often terminates fatally in less time than it required to develop it. In such a case the spirits of Camphor should be given, a few drops every five or ten minutes until the danger is over. Each dose is to be given in a spoonful of water or on sugar. After this, Belladonna is often indicated by the modified symptoms. An inflammation of the brain may likewise be caused by the influence of intense cold. In this case Aconite and Bryonia may be given in alternation every fifteen minutes, in water, according to the above described rule. If meningitis is caused by the sudden retrocession of erysipelas, Belladonna has to be given in a case of the common, smooth erysipelas, and Cantharides, if the ery- sipelas was of the vesicular variety.* Meningitis induced by the sudden retrocession of scarlatina, yields to Belladonna; by the retrocession of measles, to Pulsatilla; the last-mentioned remedy is likewise required, if the disease arises from the suppres- sion of otorrhoea. The medicine should be repeated every hour. Meningitis induced by a blow or fall on the head, * In such a case Rhus tox. is recommended by most practitioners. Cantharides are far more homceopath'c to such a form of meningitis. as may be seen by any one who chooses to consult his Materia Medica. I have not only cured vesicular erysipelas with Cantharides, but like- wise with Euphorbium, especially if the patient felt rheumatic p una ifhich abated during motion. 166 TREATMENT OF LEADING DISEASES. requires Arnica, which may be alternated with Aconite every hour. In order to facilitate the selection of a remedy, I subjoin the symptomatic indications of each particular drug : Aconite, at the commencement of the disease; chill followed by continual dry heat, burning skin ; full, hard pulse, congestion of blood to the head, heat and redness of the face, fullness and oppressive weight in the fore- head, with sensation as if the forehead should split; lancinations and throbbing in the head; burning pains in the head as if the brain were agitated by boiling water; delirium; vomiting of green bile. Belladonna. Boring with the head into the pillow; excessive sensitiveness to noise and light; stinging, boring, burning, lancinating, throbbing pains in the head; red, sparkling eyes, with furious look; red, bloated face; visible throbbing of the carotids; sopor, with half open eyes and distorted eyeballs; loss of consciousness and speech, or inarticulate muttering, violent delirium with howling and screaming; small, quick, intermittent pulse; spasmodic movements of the limbs, spasm in the oesophagus with impeded deglutition; vomiting, invo- luntary emission of urine and discharge of faeces. Bryonia. Chill, followed by violent heat, unquench- able thirst; redness and puffiness of the face; tossin^ about, sopor with delirium and frequent starting; sud- den and frequent starting from sleep, with a shriek; vertigo and extreme weakness when rising in bed; excessive weight and violent pain in the head, burning and aching, or compressive from temple to temple, also with dull pains in the occiput; dark redness of the eyes bilious vomiting, constipation or diarrhoea, unconscious INFLAMMATION OF THE BRAIN. 167 discharge of urine, quick and feeble pulse. A charac- teristic indication for Bryonia is a movement o'' the jaws simulating mastication, a dangerous symptom when occuring after the period of dentition. Cantharides. Meningitis after the sudden retroces- sion of vesicular erysipelas; violent aching, tearing, pulling, lancinating pains in the head, with sensation as if the head were pressed from behind forward, and if the brain would press out at the forehead; rush of blood to the head, with redness and puffiness of the face; protruded and sparkling eyes, with fixed and staring look ; sleeplessness with tossing about, or start- ing up from sleep ; delirium; spasm in the oesophagus with impeded deglutition, especially when attempting to swallow liquids; aversion to liquids; vomiting with violent straining; constipation and retention of urine ; full and hard pulse. Glonoine. Sunstroke, violent determination of blood to the head, throbbing in the forehead, temples and ver- tex ; soreness of the brain, especially when shaking the head; redness of the face, sweat on the forehead, hur- ried pulse, eyes protruded, fierce look. Hyoscyamus. Constrictive or stupefying pain in the forehead, or undulating throbbing sensation in the brain ; red eyes, dilated pupils, diplopia; delirium, at times bland, at others violent, the patient talks about his affairs ; sopor, starting of the limbs, grasping at flocks; spasmodic constriction of the throat, with ina- bility to swallow; aversion to drinks ; vomiting of bile , retention of urine, with constipation; hurried, inter- mittent pulse. Opium. Weight in the head, especially in the occi- put, causing the head to fall backward; tension in the 168 TREATMENT OF LEADING DISEASES. head, or pain as if the brain were torn; pressure in the forehead from within outward; rush of blood to the head, throbbing of the arteries; red, staring and glis- tening eyes ; dark redness and bloating of the face; sopor with the eyes half open; frequent vomiting, reten- tion of stool and urine, quick and hard pulse. Stramonium. Violent throbbing headache, with lush of blood to the head and sparkling eyes ; restless sleep, the patient wakes crying and moaning; delirium with frightful spectra; redness and puffiness of the face; spasm of the oesophagus, impeding and even preventing deglutition; aversion to liquids; vomiting of bile, with starting of the limbs; constipation, retention of urine intense heat of the skin, small and quick pulse. Sulphur may be given as an intercurrent remedy every, three or four hours, in the case of scrofulous subjects, provided the symptoms justify its use. Asthma, Dyspnoea. This disease manifests itself in various forms, because it may be induced by a variety of causes. It may be caused by a defective structure of the thorax, by curva- ture of the spine, or it may be symptomatic of some other disease, such as hydrothorax. In such a case the asthma cannot be cured unless the cause is removed Sometimes the disease exists independently of any other disorder, and its dangerous character is proportionate to the peculiar form or intensity of the paroxysms. Without complicating my remarks by the names and pathological distinctions of Old School physicians, I will content myself with indicating the various symp- tomatic forms of this disease, and their appropriate treatment. ASTHMA. 169 1. Asthma from determination of blood to the chest is chiefly observed among plethoric young people, among girls whose catamenia have become arrested, or among females in consequence of the suppression of the lochia. The patients complain of difficulty of breathing during exercise, of pressure, fullness and constriction of the chest, of anxiety, and palpitation of the heart, and noctural aggravation of all the symptoms. Very fre quently cough with dark-brown or bloody expectora- tion is present; the patients feel easier after raising mucus. The pulse is generally full, the face red and puffed. Headache is almost always present. Aconite is here the chief remedy, if the attack is in- duced by the least emotion, characterised by the pre- sence of heat and restlessness, inability to take a long breath; the attack befals children who are suddenly roused from sleep by a paroxysm of suffocative cough, with a barking, hoarse sound of the voice, spasmodic constriction of the throat and chest, and labored breathing. Belladonna, suitable for the same symptoms as Acon- ite, or in case Aconite should not be sufficient, with vertigo when rising from a recumbent position. Bryonia; the patient is disposed to draw a long breath, but is unable to do so, with stitches in the chest when making the attempt. The symptoms are worse when the patient is lying down, talks or moves about; momentary relief when rising from a recumbent posture. Pulsatilla. Suitable to females, when the asthma is complicated with, or can be traced to, menstrual sup- pression or scanty and delaying menses. This remedy is generally useful, if the symptoms are better in the open air. \70 TREATMENT OF LEADING DISEASES. Nux vomica, suitable to persons who lead a sedentary life, undergo much mental labor, use much wine, coffee •pirits, or in whom the attack sets in after suppression •f the piles. The menses are profuse and too frequent. 2. The spasmodic asthma of adults is a paroxysmal disease without fever. The paroxysms generally set in at night, but they announce themselves even in the afternoon by a feeling of fullness in the stomach, rest- lessness, anxiety, headache, and heaviness in the ex- tremities. Towards evening the pulse becomes more frequent, the breathing more labored, and a violent and dry cough frequently supervenes. The anxiety in- creases until midnight, when it reaches the highest degree. The patient experiences a constrictive sensa- tion across the chest, pants, gasps for air, and is unable to remain in bed. The breathing becomes wheezing, rattling. The pulse becomes small, intermittent, the hearts beats violently and irregularly. The limbs become cold and perspire. Fainting fits, vomiting, cough with frothy and bloody expectoration frequently supervene. At the commencement of the disease, the paroxysms only last a few minutes, but recur for several nights in succession, after which they cease for three or six months; but if the disease con- tinues, the paroxysms become more violent and con- tinuous, until they finally take place every night. They terminate with cough and mucous expectoration, trie pulse again becomes regular, the skin warm and moist, and the watery again assumes its normal color. Unless proper remedies are employed very speedily, other disorders may supervene, until hectic fever, apoplexy, suffocative catarrh terminate the patient's sufferings. ASTHMA. 171 The following remedies are suitable for this affection- Arsenicum; cough as from the vapor of Sulphur, with a feeling of suffocation in the bronchial tubes, obliging the patient to sit up. Moreover labored breathing, panting and wheezing, with great anxiety, restlessness, violent palpitation of the heart and cold perspiration, small and intermittent pulse, aggravation in a warm room, or by exercise, such as getting into bed ; the attacks are excited by rough weather. Belladonna; dry and spasmodic cough at night. labored breathing, with stitches under the sternum, constant gasping for air; constriction and painfulness of the larynx when turning the neck, with suffocative sensation, expression of anxiety in the face, and con- vulsive movements of the limbs. Bryonia; labored breathing, especially at night and towards morning, with stitches in the chest and urging to stool, frequent coughing and pain in the hypochondria. Cocculus ; the paroxysms intermit for some days, and then recur with renewed violence after midnight, with constrictive sensation in the region of the larynx; anxiety, racking cough, moaning, disposition to start, tremulous weakness (especially suitable to hysteric females.) Cuprum; the paroxysms set in during the menstrual period, with spasmodic constriction of the chest, mucous rattling in the air-tubes; labored, hurried, wheezing breathing, with suffocative paroxysms and short and spasmodic cough ; chiefly suitable to hysteric females. Nux vomica; the paroxysms set in every fortnight, or at every change of moon, with anxiety, heat, palpi- tation of the heart, racking and dry cough which be comes somewhat loose towards morning; spasmodic 172 TREATMENT OF LEADING DISEASES. constriction of the lower portion of the chest, relief from the distress in a recumbent possure. Pulsatilla; spasmodic constriction of the throat and chest as from the vapor of Sulphur, worse when lying on the back, less when sitting up; the attacks may have been caused by the vapors of Sulphur. If the existing paroxysms have been shortened by the specific homoeopathic agent, the treatment had better be continued for some time longer in order to perfect the cure. The patient may take Sulphur, five pellets in a cupful of water, of which a dessertspoonful may be taken morning and night for six days. This remedy is especially indicated, if the patient had been treated for the itch or some other eruption with oint- ments or washes. This remedy should be allowed to act for several months. 3. Asthma Millari, which attacks children between the years of two and eight (seldom infants at the breast and full-grown persons), is very similar to cramp. The attack almost always sets in in winter, in consequence of a cold, first at night, suddenly, without any distinct premonitory symptoms, and sets in at once with the most violent symptoms of suffocation, without any rattling or wheezing. The pulse is hurried and small. If cough sets in, it is short, rough, without gagging or expectoration; the voice is hoarse, deglutition difficult. However the child does not complain of a local obstacle in swallowing or breathing, or of pain in the larynx or trachea, but of a dull pain or spasmodic drawing throughout the whole chest, as if caused by suffocating vapors. Slight spasms and changes of color are noticed, a general erethism of the circulation and nervous system, scanty and pale urine having a sweetish odor. ASTHMA. 173 The patient is suddenly roused with a fearful cry and an expression of anxiety in the altered features. The voice is deep, barking, hollow-sounding, husky, very rarely wheezing or crowing. During the convulsive movements of the chest, the labored inspirations are suddenly followed by a noisy expulsion of the air. The face becomes dark-colored, the eye becomes staring and protruded, the veins of the neck and temples swell. If the attack does not destroy life, it ends in a few hours with sneezing, eructations and vomiting. The breath- ing becomes easier, the peculiar sound disappears, and amid a general subsidence of the symptoms the children fall into a quiet slumber, from, which they wake ex- hausted and desponding. Generally a second attack sets in in the following night, more violent than the former, with increasing fever. The danger of suffoca- tion is greater, the face and lips become blue, mottled, the shoulders are raised, and all the muscles of the thorax are violently worked. The face becomes more and more distorted, the nostrils dilate, the pulse is very rapid and intermits. The patient tosses about, is cov- ered with cold or lukewarm perspiration, faeces and urine are passed involuntarily, but the consciousness is undisturbed; finally the patient dies of suffocation amid convulsions. Only a few children survive more than one attack; death almost always sets in during the third or fourth attack. The attacks never terminate with expectoration. Asthma Millari cannot well be confounded with croup, if we remember that in croup the larynx is always sensitive to pressure, and that the patients bore their heads into the pillow, whereas in this disease the children sit erect, and do not complain of pain in the 174 TREATMENT OF LEADING DISEASES. larynx, but of spasmodic constriction of the chest, in croup the breathing is fine and crowing, in asthma Mil- lari it is deep and hollow. If the disease is speedily recognized, subsequent attacks may be averted, and existing attacks may be alleviated by one of the follow- ing remedies: Ipecacuanha; sudden paroxysms of suffocation at night, with a sensation of violent constriction in the chest; short and anxious inspirations, and sudden aDd jerking expirations ; pale, bloated face with blue mar- gins around the eyes; peevish mood. Sambucus nigra; sudden starting up from sleep with a shriek, anxiety and trembling; sudden wheezing in- spirations which sometimes intermit; deep, hollow, rough or else crowing voice; blueish puffiness of the face and hands; protruded eyeballs with the mouth half open; anxious tossing about, heat without thirst, hur- ried and tremulous pulse; torpor towards the end of the attack, and copious, mostly cold sweat. On comparing these indications with the symptoms of the disease, it is readily seen that Ipecac, can only be given at the commencement of an attack, and that, if the disease attains to its full development, Sambucus has to be given. If the attack should set in again in the night following, nothing can be expected of this agent, and it will be advisable to give Arsenicum. All these remedies have to be given in the form of a watery solu- tion, every five to ten minutes. Other varieties of asthma can be most frequently controlled by Arsenicum. For asthma caused by the inhalation of the vapors of Sulphur, we give Pulsatilla. Asthma caused by a fit of anger or by a cold yields SCARLET FEVER. 175 to Chamom. or Nux vcm., the latter being more particu- larly indicated by a vehement disposition. For asthma caused by the inhalation of stone-dust, in the case of stone-cutters, sculptors etc., we give Calc. carb., Silic or Sulph. Calc. carb. is a main remedy for chronic asthmatic complaints, with disposition to draw a long breath, and sensation as if the breath were arrested between the shoulder-blades. The distress is relieved by raising the shoulders. Mere stooping causes the breath to give out; frequent paroxysms of dry cough, especially at night. In attacks of acute asthma, mesmerism sometimes proves exceedingly useful. A robust and healthy man makes a pass with the extended hand over the chest from above downwards, and likewise over the back of the patient some ten or twelve times, after which the effect should be watched. See mesmerism at the close of the work. The medicines should be administered in water, six pellets in a cupful, of which a dessertspoonful is to be taken morning and night for six days. Scarlet-fever. (Scarlatina.) This disease is more especially a disease of childhood. Full-grown persons are only attacked by this disease if they had remained free from it in their childhood. The disease is somewhat similar to the smooth form of ery sipelas, and may appear under various modification which expose the inexperienced practitioner to the danger of confounding scarlatina with some other dis- ease. In whatever form, the scarlet-exanthem may 176 TREATMENT OF LEADING DISEASES. show itself, it always sets in with certain precursory symptoms. The patients complain of heaviness and dullness of the head, nausea, vomiting and chills. These chills frequently alternate with flashes of burning heat which finally become permanent. This heat ia burning and dry, and often accompanied with a trouble some prickling in the palms of the hands. The pulse varies, but in most cases it is full, moderately hard and extremely hurried, (one hundred and twenty beats, sometimes double-beating.) ' In this stage the patient complains of vertigo, headache, pains in the limbs, thirst. The patients feel exhausted, are irritable and very restless. The fever increases towards evening. The heat reaches its acme and is accompanied with occasional delirium. Mouth, tongue and fauces are dry tense and hot. Deglutition and speech are very much impeded. The submaxillary or parotid glands begir to swell and become painful. By giving Aconite and Belladonna in water, an alternate dose every hour, the course of the disease will be very much modified. Nose bleed sometimes sets in at this period, to the great relief of the patient. The alvine discharges are gene- rally retarded. The urine deposits whitish clouds, some of which adhere to the bottom of the vessel; or the urine may be dark-colored and has a strong smell. Some patients are troubled with a constant urging to urinate, without discharging much urine. The cuta- neous exhalations have a peculiar odor, which it is difficult to describe, and which some physicians com- pare to the odor of herring-brine or musty bread. An experienced practitioner may recognize the existence of scarlet-fever by its smell, which is exceedingly characteristic. SCARLET FEVER. 177 Amid a progressive increase of the pains, an exan- them makes its appearance on the third day (seldom sooner, and still less frequently later,) consisting of bright-red, diffusive spots. These spots are somewhat angular, rounding, not raised, they disappear under pressure, but the redness reappears as soon as the pres- sure ceases, from the margin to the centre. These spots first break out on the uncovered or slightly covered parts of the body, the face, neck, chest, and thus down to the feet; the skin is dry and hot, and this dryness is characteristic. The peculiar smell is most fully per- ceived during this period; it lasts from three to six days, during which the redness gradually disappears in the order in which it broke out, from above down- wards. The fever abates in the same proportion, and finally ceases with the other symptoms. As soon as the redness appears, we give Belladonna, six pellets in a cupful of water, a teaspoonful every hour or two hours, and if the fever is intense, we alter- nate this drug with Aconite. The skin now begins to peel off, and this constitutes the third period of the disease. Soon after the disap- pearance of the redness, and in some cases even a con- siderable length of time after this takes place, the skin peels off in large flakes, sometimes several times in succession. The patients seldom complain of any pain during this period, except of a troublesome itching of the skin. The disease does not always run such a regular course as we have described; its development is some- times arrested by external influences, or the disease is complicated with inflammation or dropsy of the brain, croup, typhoid-fever, etc. These diseases set in at the 12 178 TREATMENT OF LEADING DISEASES. onset or in the second stage of the disease, and prevent the regular appearance of the exanthem which some- times remains entirely suppressed. Even after the regular termination of the disease the patient is still in danger, until the desquamation is accomplished. Until then, the patient should not be taken into the open air, or be permitted to sit on the floor. I will now mention the more prominent forms of scarlatina, and their appropriate treatment 1. Smooth scarlatina. (Scarlet fever.; The redness is smooth and shining, without any un- evenness; arising from small, red spots, wrhich keep increasing in size until they run together; the redness is at first of a rose-color, gradually changes to that of boiled lobster, and finally becomes of a dark scarlet. The chief remedy in this form is Belladonna, as stated above, to be alternated with Aconite, if the fever is very high 2. Scarlet Hash. The whole body, or the larger part of it, first becomes red, and soon after rough and uneven. A careful ex- amination shows a very fine vesicular rash, the vesicles being sometimes closely grouped together. The vesi- cles may likewise spring up on parts of the skin which are not red. In this form, Belladonna is not sufficient, and has to be alternated with Aconite, both in water, every hour or two hours. Dulcamara may likewise prove useful. SCARLET FEVER. 179 Pustulous Scarlatina. Small vesicles spring up upon the spots, which gradu ally run together, assuming the appearance of vesicular erysipelas. They are filled with a yellowish fluid, break in about eight days, and then form crusts. This form requires the alternate use of Aconite and Belladonna, and, if the pustules are fully formed, Rhus tox. 4. Masked Scarlatina. (Scarlatina larvata.; This form varies. Some patients pass through the first stage, but no eruption appears, only a violent itch- ing, after which the skin peels off in patches. Other patients exhibit the following symptoms: Depression of spirits, dull, staring look, obscuration of sight, cold and pale face, lameness of the extremities, difficulty of swallowing, with stinging pains in the parotid glands, headache, etc In other cases the exanthem is entirely wanting, but the disease takes the form of a violent angina, with swelling and bright red inflammation of the tonsils, uvula and fauces. These symptoms require Belladonna in water, every hour or two hours, and for the violent angina Belladonna and Merc, in alternation, sometimes Arsenicum, (see below.) If the eruption comes out too slowly or retrocedes,. Bryonia may be given in water every hour, and if it does not suffice, it may be alternated with Apis. If the fever is high, we give Aconite; scrofulous patients require Sulphur. If the eruption remains pale and faint, and the chil- dren toss about in great anxiety, we give Arsen. If the 180 TREATMENT OF LEADING DISEASES. exanthem looks blueish, Veratrum is required ; if the breath is cold, Carbo veg. Other modifications of the above-mentioned forms may take place; in order to facilitate the selection of a suitable remedy in such cases, I subjoin the following symptomatic indications: Aconite; ary heat with thirst; full and hurried pulse ; congestion of blood to the head, with red and puffed face; vertigo which is worse when raising the head after lying down ; throbbing headache ; delirium and sudden starting up from sleep ; colic with bilious vomit- ing; painful and anxious urging to urinate, with dif ficult discharge of small quantities of dark urine; pain- ful, dry cough ; nose-bleed, haemoptysis. Belladonna; smooth scarlatina, the affected parts are hot and swollen. Vertigo with obscuration of sight, nausea, worse when rising from a recumbent posture; violent headache, lancinating or tearing, worse when looking at the light; inflamed eyes; inflammation of the tonsils, uvula and fauces, with stinging and constrictive pain; violent fever, with delirium, intense thirst, also aversion to liquids; inability to swallow liquids; sleep- lessness, restlessness; frightful spectra when closing the eyes; sudden starting up from sleep; this remedy is a preventive against scarlatina, if children take a few pellets every evening for five days in succession, and then again after a pause of a fortnight. In scarlet-rash Belladonna and Aconite have to be taken on alternate evenings. Ammonium carbonicum; in smooth scarlatina, if the upper half of the body is attacked, the lower half re- maining free, with heat in the head, cold feet and moder- ate sore throat. SCARLET FEVER. 181 Arsenicum album; violent vomiting at the onset of the attack, sudden prostration, burning heat and thirst, or else absence of thirst and cold hands; anxiety, altered features; gangrenous angina; foul, burning ulcers ; desquamation of the skir. in large flakes, with ourning itching; also in dropsy after scarlatina (also Apis.) This powerful medicine has sometimes to be given in the first stage, but more frequently in the third, when it will carry the patient through all danger. Bryonia; this remedy is indicated, if only a few spots make their appearance here and there, after which the eruption becomes arrested, and is superseded by pneu- monia (see this article ;) Bryon. may also be given after the retrocession of the eruption (with Apis). Mercurius; violent angina, with swelling of the glands, ptyalism, ulcers in the mouth; also with swell- ing of the inguinal glands which sometimes takes place in scarlet-fever (in alternation with Arsen.) Phosphorus; tongue and lips are dry and hard, cov- ered with blackish crusts; loss of speech and hearing; difficult deglutition; inability to retain his urine ; fall- ing off of the hair. Rhus tox.; small vesicles spring up upon the scarlet spots; they gradually increase in size, become filled with a yellowish fluid. Sulphur; this remedy may be given whenever a cor- rectly selected remedy is not followed by an improve- ment, especially in the case of scrofulous persons (it may be repeated every two, four or six hours, in alter- nation with Aeon., if the fever is high); it is also indicated by obstruction of the nose, by a dry, cracked, red tongue, or a tongue lined with brownish mucus. 182 TREATMENT OF LEADING DISEASES. After-diseases (sequelae) of Scarlet-fever. Chief remedies for these ailments are: Bell., Hep. sulph., Merc, and Apis. One of the most common after-diseases of scarlet- fever is dropsy, the main remedy for which is Arsen. in water, a spoonful four times a day. Sometimes the disease seems to get worse under the use of this remedy for the first few days, but after this period an improve- ment begins to set in. This agent is particularly suitable in ascites depending upon enlargement of the liver or spleen. It will also be found serviceable in hydrothorax and anasarca. If Arsen. does not effect a cure, Helleborus will be found suitable. In dropsy of the brain after scarlatina, Belladonna remains the chief remedy; if it has no effect, Helleb. may be given ; some recommend Apis. Dropsical swellings of the scrotum and penis yield to Rhus tox. For otorrhoea and otitis, Bell, is the main remedy if insufficient, Merc, and Hepar sulph. may be given. Inflammation and swelling of the parotid glands re- quire Merc, and Bell, in bad cases Sulph. and Baryta carb. For glandular abscess, Calc. carb. is suitable; for open abscesses, Kali carb. is recommended by Dr. Hering of Philadelphia. Ulceration of the Schneiderian membrane and of the nasal cartilages requires Aurum. Inflammation of the eyes yields to Bellad., in alterna tion with Aeon.; if the cure is not complete, Apis and Sulphur may be given. In regard to diet and hygiene, I have to observe WHOOPING COUGH. 183 that the temperature of the room should be regulated by the intensity of the fever; if this is high, the room should be kept cool, at a temperature of fifty degrees F.; if the fever is moderate, the room may be a little warmer, say sixty degrees. Care must be taken to prevent the patient from uncovering himself. During the period of desquamation, every exposure and wash- ing with cold water should be carefully avoided. For the latter purpose bran-water should be used with great precaution. Fresh linen should not be put on the-patient without having been previously aired by the fire. Fresh water may be allowed at all times during the disease, but in moderate quantities at each imbibition; water and milk may likewise be used, or water and strawberry-juice, water and sugar, thin oatmeal-gruel, rice-water, cracker-soups, etc. Sweet apple-sauce or baked apples may be used, but nothing fat. The sick-room should be kept comfortably dark from the commencement of the disease. The room should be ventilated several times a day. During this time the patient's bed may either be carried into an adjoining room having the same temperature, or else the patient may be covered with a cloth as long as the windows are open and even a few minutes after they are closed again, until the former temperature of the room is restored. It is well to favor the movement of atmos- pheric currents in the room, by agitating the air with a handkerchief. All the natural wants of the patient should be grati- fied in the bed, by means of appropriate utensils. Whooping-cough. (Tussis convulsiva, pertussis.; This cough generally 'asts eighteen weeks, and under 184 TREATMENT OF LEADING DISEASES. bad treatment with quantities of medicine, still longer it may even pass into larygnitis, pneumonia, croup, etc; its course may be shortened or its intensity moderated by proper homoeopathic treatment. The first or catarrhal stage, which is characterised by peevishness, depression of spirits, irritable temper, catarrhal cough, redness and weeping of the eyes, slight fever, etc., is often arrested by one of the follow- ing remedies : Aconite; dry, shrill or wheezing cough, most violent at night, sometimes attended with fever and dry heat, burning pains in the wind-pipe. Dose: three to five pellets in a cupful of water, a spoonful every few hours. Pulsatilla; loose cough with scanty expectoration, hoarseness, vomiting of the ingesta or of a fluid white mucus ; worse towards evening; mucous diarrhoea. Dose same as for Aeon., but only twice a day for five days, then stop. Nux vom.; dry, racking cough, worse after midnight and in the morning, with vomiting, anxiety, suffocative symptoms, bleeding from the nose and mouth. (Same dose as Puis.) Ipecacuanha; cough with great anxiety, suffocative symptoms, blueish face, vomiting of mucus, the symp- toms are the same at all periods of the day. (Same dose). Coccus cacti; cough excited by constant tickling in the windpipe, coming in paroxysms, terminating in tlie expectoration of quantities, of an albuminous, tenacious, ropy mucus, sometimes attended with gagging, and vomiting of food after a meal. Urinary difficulties are often present. Arnica; paroxysms of whooping cough commencing WHOOPING-COUGH. 185 with weeping or crying; this continues often during the attack. Carbo veget.; suitable when the cough passes into the second stage; frequent paroxysms of spasmodic cough in the day-time, especially in the evening until midnight, also with gagging and vomiting, painful stitches through the head, redness and irritation in the throat, pain on swallowing, soreness and burning in the chest. (Same dose.) If this remedy does not arrest the passage into the second stage, and no other remedy is indicated, Kali carb. may afford relief. Second or spasmodic stage. (Whooping-co igh in a more particular sense.) The cough breaks out in repeated paroxysms in longer or shorter intervals. The inspirations are long and anxious, of a panting and spasmodic character, fol- lowed by five or six shrill turns of cough, during which the inspiration of air becomes impossible. Finally, while the rima glottidis is spasmodically con- tracted, the patient succeeds in performing a long, anxious and wheezing inspiration, after which a second and even a third series of coughing fits may take place, until the whole paroxysms, which sometimes lasts two or three minutes, terminates in vomiting of mucus and food, and blood is sometimes discharged from the nose and mouth. At the onset of the paroxysms the chil- dren rise in great anxiety, run to the mother, or hold on to something as if in great distress, in order to support the upper part of the body. The paroxysms are frequently excited by emotions 18b' TREATMENT OF LEADING DISEASES. and after meals ; hence it is necessary to treat such patients with great kindness, and to overlook many of their derelictions. They should eat light but nourish- ing food, such as boiled rice, stewed apples, gruel, sago, stewed fruit sweetened with sugar, milk fresh from the cow in any quantity, or milk diluted with tepid water. If the weather is unfavorable, and the children have to be kept in the house, the room should be frequently ventilated, or else they have to be frequently taken from one room into another. When in the open air, they should take moderate exercise, not get heated by running and jumping, lest the paroxysms should return. The following remedies seem to be best adapted to the spasmodic stage of whooping-cough : Veratrum album; the children are very much ex- hausted, do not recover entirely after an attack, have to lean the head against something for support. Fever with cool or cold perspiration, especially on the fore- head, intense thirst, small and quick pulse; emission of urine during the paroxysms; they return when rising from bed, cease on lying down; vertigo, with pain in the head, chest and abdomen, especially in the inguinal region. Give three to five pellets in water, a small spoonful morning and night for five days, then stop. By this means I have cured children who were near death, and had become reduced to skeletons. Drosera; after the most violent paroxysm the chil- dren recover perfectly, jump about as if nothing were the matter; they feel better when moving about than during rest; no thirst during, but after the chilliness. The perspiration is warm or hot, and breaks out mostly at night. The cough has a shrill sound, the children become red and blue in the face during the paroxysm, WHOOPING COUGH. 187 they are threatened with suffocation; pain under the ribs as if violently constricted, the children obtain re- lief by pressing upon these parts, generally the paiox- ysms terminate in vomiting of blood or nose-bleed. One dose of this remedy, two pellets dry on the tongue, is sufficient. Cuprut.% metallicum; the paroxysms are quite fre- quent, the children become blue in the face, quite rigid, lose their breath, until vomiting of mucus sets in, with trembling of the limbs, and continued mucous rattling in the air-passages. The paroxysms frequently occur at night quite suddenly, amid convulsions. Give the medicine in water, five pellets in a cupful, a spoonful morning and night for five days. Cina ; the children become stiff during the paroxysms, gasp for air, turn pale, a gurgling sensation is heard from the throat to the stomach. This remedy is especi- ally indicated when worms are present, as may be inferred from the existence of great paleness, bloated abdomen, frequent colic, itching of the anus and nose, canine hunger, rising of water, vomiting of mucus, flatulence. To be taken like Cuprum. Cina and Bellad. are said to be efficient, when -given in alter- nation. In this stage the following remedies have sometimes proved useful: Coccus cacti; when a ropy mucus is coughed up. Arnica, if the attacks begin with crying. Conium, in the case of scrofulous children, the at- tacks are very violent, with flushed face and bloody expectoration. Compare also Hyoscyam., Bell., Ignat. and Ipec Of the third stage, that of expectoration, scarcely 188 TREATMENT OF LEADING DISEASES. any thing is known in homoeopathy, If much mucus should be expectorated, and the cough should continue an undue length of time in consequence of careless management, we may have recourse to Hepar sulph., if the larynx is very sensitive to cool air; the cough is dry, has a hollow and rough sound, with disposition to vomit after the attack; there is oppressed breathing, chills along the back, hot cheeks and hands, emaciation. Dose : Same as for Verat. Sulphur, when the larynx is sensitive to damp and cold weather; racking cough, with gagging, vomiting, pain in the larynx. The voice is husky, with wheezing breathing and oppression on the chest. The children look pale and haggard; it is especially suitable to scrofulous and rickety children. (Same as Verat.) Compare Sepia, Puis., Carbo veg., Dulc. Physicians will do well to institute frequent examina- tions of the chest, especially in obstinate cases, when the cough will be frequently found complicated with pneumonia, pleuritis, pericarditis, tuberculosis, etc A change of air is particularly beneficial after the cough has ceased; mountain or sea-air, or at least pure country-air is of great use in removing the habitual irritation of the nervous system, and completing the restoration of health. Affections of the Liver. These affections manifest themselves either in an acute form, or else in a chronic form which takes the place of the former. We are most frequently called upon to treat AFFECTIONS OF THE LIVER. 189 1. Inflammation of the Liver. (Hepatitis.) This inflammation is recognized by a continuous, seated, stitching pain in the right side under the short ribs, sometimes ascending "to the right shoulder, and causing both in the right arm and right lower extremity a sensation of numbness. The more the inflammation spreads, the. more the lungs become in- volved, and the lancinating pain is not only aggravated by motion, but likewise by deep breathing, sneezing and coughing. The pain is not always a stitching, but sometimes a tensive, lancinating, burning or aching pain. Intense fever is generally present, consisting of dry heat, thirst, accelerated pulse, restlessness, anxiety. When placing the hand upon the region of the liver, a throbbing is perceived. The patient feels somewhat relieved when lying on the back. As a general rule, acute hepatitis is speedily cured by Aeon, in alternation vf'iihNux vom., or Sulph., or Merc, but other remedies are sometimes required, a list of which will be found subjoined; six pellets of each remedy may be dissolved in a cupful of water, a des- sertspoonful to be given every hour, and, as soon as the symptoms begin to abate, every two or four hours. Aconite; violent heat with thirst, restless tossing about, fear of death, stitches in the region of the liver. Nux vomica; stinging and throbbing pains in the region of the liver, aggravated by motion and contact; bitter and sour taste, nausea or vomiting, pressure, in the hypochondria and stomach, short breathing, thirst, red urine, headache, vertigo, paroxysms of anxiety. Mercurius; pain in the region of the liver with sensi- tiveness to contact; stitches in the liver, impeded respi- 190 TREATMENT OF LEADING DISEASES. ration and eructations; painful pressure from within outwards, the patient is unable to lie on the right side; continual chilliness, jaundiced color of the skin and sclerotica ; bitter taste, loss of appetite. China; aching and stinging pains, worse every other day; swelling and hardness of the region of the stomach and liver, headache, bitter taste and coated tongue. Chamomilla; dull aching pains in the liver not modi- fied by external influences, oppression of the stomach, jaundiced color of the skin, yellowish coating of the tongue, bitter taste. If the disease is caused by a fit of chagrin, Cham, may be given in alternation with Aeon. Belladonna; aching pains in the region of the liver extending to the stomach, chest and right arm; head- ache with congestion of blood to the head, twinkling before the eyes, thirst; restless tossing about. Bryonia; aching pains, tension in the hypochondria oppression of the chest with hurried, anxious breathing, yellow coating of the tongue, constipation, aggravation by motion. Pulsatilla; stitches in the region of the liver as from an ulcer; frequent attacks of anxiety, especially at night, with diarrhoea, consisting of green mucus. Ten- dency to vomit, bitter taste, coated tongue, absence of thirst, oppression of the chest, tension in the hypo- chondria, pressure at the stomach. Lachesis; stitches in the right side, with contractive sensation, as if a lump were forming; in obstinate cases this remedy may be given in alternation with Merc or Bellad. Sulphur; this remedy may be given in water, four doses a day, if the inflammation does not readily yield to the above-mentioned remedies or if the patient is AFFECTIONS OF THE LIVER. 191 scrofulous or affected with eruptions; it is indicated by pressure in the liver immediately after eating, and at night (with yellowish color of the sclerotica), stitches in the liver and right groin, especially when walking; pinching and boring pain ; throbbing and twitching from time to time, also on one of the lower ribs, relieved for a while by external pressure; burning and burning stitches on the lower ribs when bending forward while sitting. Lycopodium; excoriation-pain in the region of the liver, when stooping sideways, or drawing a long breath; contractive pain; clutching pain, dislocation- pain; painless twitching in the region of the liver, when coughing; itching in the liver. In chronic hepatitis the doses should of course be repeated much less frequently than in the acute form, more especially when such powerful agents as Sulphur and Merc, are administered. 2. Swelling and Induration of the Liver. These disorders may arise from a variety of causes, such as mechanical injury by a blow, fall, or improper treatment of acute hepatitis with large doses of Calomel, or mismanaged fever and ague. If the liver is enlarged and indurated, the patient feels an uncomfortable full- ness in the right side, and a dull pain is caused by pressure. If the liver is simply swollen, it yields to pressure with the hand, whereas an indurated liver resists pressure. Such an affection is generally com- plicated with other disorders, such as bitter taste, eruc- tations, oppression of the stomach, constipation. The following medicines have proved most useful in this affection: 192 TREATMENT OF LEADING DISEASES. Arnica; if the affection is caused by a fall or blow, and the pains are hard and aching as if a stone were pressing on the liver, the pains are particularly felt when lying on the left side, both during an inspiration and expiration. Arsenicum; induration of the liver after the abuse of cinchona; pressing in the liver when walking in the open air. Calcarea carb.; swelling and induration of the liver after abuse of cinchona pressure in the liver when making a step, or stitches in the liver when stooping. China; swelling and induration of the liver after treat- ing hepatitis with venesections ; pressure and stitches, made worse by contact. Nux vomica; swelling and induration, the patient complains of bitter taste and bitter eructations, oppres- sion of the stomach, constipation, morning-aggravation of the symptoms ; also after abuse of cinchona. This remedy is especially adapted to drunkards, and savants who lead a sedentary life. Mercurius; swelling and induration, with jaundice; for these conditions Merc, affords speedy relief; but if it had been taken in large doses under alloeopathic treatment, it must not be given, but Sulphur will have to be administered. Sulphur; chronic hepatitis, swelling and induration of the liver. Jaundice; pressure, stitches and tension in the region of the liver; also useful after abuse of ci n- chona; this medicine may also be given after other remedies, to complete the cure. In all chronic cases the medicine should be given in water, a dessertspoonful morning and evening for five days, then stop. DROPSY OF THE BRAIN. 193 3. For abscess of the liver, the most important reme- dies are Hepar sulph., Merc, Lach. and Sil., (Compare Ulcers.) 4. For biliary calculi give Sulph., Calc, Hepar. sulph., Sil, Lach. Acute Dropsy of the Brain. (Hydrocephalus.) Thic disease may befall persons of all ages and sexes, but children ar.e especially liable to it, It consists in an effusion of serum and coagulable lymph into the ven- tricles of the brain, consequent upon a previous deter- mination of blood to the meningeal membranes and blood-vessels, such as occurs in all acute inflammations. Acute hydrocephalus may be induced by a variety of causes, such as : Violent treatment of the head during delivery; the abuse of Opium or Morphine in diseases; too tight bandaging of children; dentition or worms; ooncussion of the brain ; suppression of cutaneous erup- tions by external means; abuse of Opium, Hyoscyamus, Belladonna and other narcotic medicines, abuse of spirits. In the course of this disease we observe four stages: 1. The congestive stage. 2. The inflammatory stage. 3. The stage of exudation; and 4. The stage of par- alysis. First stage.—Children who are habitually cheerful. become irritable, averse to company, even to objects and persons of whom they used to be fond. The healthy color of the face begins to fade, the eye becomes dim, the muscles lose their tone, the body becomes more angular and the motions become awkward and heavy; 13 194 TREATMENT OF LEADING DISEASES. and if the second stage sets in with much violence, the face exhibits even at this period an increased redness. The appetite is less, the alvine and urinary discharges are less frequent and copious. The patients wake from their restless slumber more exhausted than before. On rising from bed, or when sitting up in bed, older chil- dren complain of vertigo and a passing stupefaction, whereas younger children express this vertigo by balancing the head to and fro, or by a sudden science in the midst of their cries. Older children likewise complain of rheumatic pains, especially in the nape of the neck, in the calves and soles of the feet; younger children indicate this distress by moving their hands to the occiput, and by crying. The pulse, which as yet does not vary much from its ordinary rhythm, some- times slackens by a few beats, or intermits entirely. It is generally the seventh, ninth, sixteenth, seventeenth or thirty-first beat, which is felt by the exploring finger, or which beats more feebly than the rest. The skin even now is perfectly dry. The children now fre- quently look as if they were sunk in reverie, from which they are roused with a deep inspiration, when they look round with an expression of anxiety or con- cern and amazement. At times the color of the face undergoes frequent changes, and they complain alter- nately of flashes of heat and creeping chills. Their gait is vacillating, labored, like that of a drunken person; when making a step forward, they sometimes raise the leg as if they would step over a high object. In the case of young children it is much more diffi- cult to recognize this stage of the disease than in the case of older children, since very young children fre- quently vomit and start from sleep without being very DROPSY OF THE BRAIN. 195 sick. Sopor may supervene in consequence of a simple derangement of the stomach, and the pulse may be altered without any striking cause. The following S3 mptorus may reveal the presence of the disorder even in very young children : sleeplessness, constant scream- ing until the.breath gives out, head and -trunk being beat backwards: the gentlest contact causes them to start; excessive sensitiveness to light and noise, the slightest noise rouses the little patients from their slum- ber ; they refuse the breast; they cry when gently moved, and they become suddenly silent when the movement is sudden and violent; frequent grasping at the occiput; scanty urine, darker than usual; less copious passages which assume a dark-green tint soon after the evacuation ; deficient emission of flatulence, increased warmth on the forehead and back of the head, or of the whole head. These symptoms most frequently characterise hydro- cephalus in little children; sometimes however the symptoms are much more violent. After a sudden feeling of lassitude, stupefaction, vertigo, violent head- ache, gastric disorders, white-coated tongue, disposition to vomit, the children are suddenly attacked with fever, with a full and hard pulse and generally attended with spasmodic symptoms. Second stage.—The symptoms of the previous deter- mination of blood now disappear, and the symptoms of an inflammatory affection are fully developed. Older patients complain of violent aching pains in the fore- head, extending to the neighbourhood of the temples, are most violent above the eyes, and change about with colicky pains in the bowels. Other symptoms super 196 TREATMENT OF LEADING DISEASES. vene, such as pains in the limbs, tension in the nape of the neck, and an internal anxiety which deprives the patient of all rest. The look becomes wandering, the eyeball retreats into its socket, squints upwards, the eye is half closed as if afraid of the impinging rays of light; it is entirely open only in the dark. The patient's head is hotter than heretofore, especially on the forehead and occiput; the carotids throb violently. The face now looks pale, sunken, in few cases puffed ; in either case the features are characteristically altered. The nose and the chapped lips are dry, the latter look pale or pale-red. The tongue has a dirty-whitish or brown coating. The appetite is generally gone, but the thirst is unquenchable in all violent cases. In the course of twenty-four hours the patients vomit four or six times the vomiting does not continue long, but may be in- creased by motion and by raising the head. The region of the liver and stomach exhibits signs of pain when strongly pressed upon. The abdomen which was large and distended before the attack, now caves in, which is likewise characteristic of acute hydrocephalus. The bowels are obstinately constipated, and the scanty passages are like glue, tenacious and brown. The urine is voided only in small quantities, is dark-colored, and deposits a whitish, slimy sediment. The breathing is frequently interrupted by moaning. The ear is exceed- ingly sensitive. During a restless slumber the patients grit their teeth, and cry out. The pulse is slow and intermittent, but sometimes quite regular in patients of only a year old. The dry skin becomes quite relaxed, and assumes a dingy-white color. As a rule the patients now like to lie on their side, with the hand of the side upon which they are resting, under the head, the ether DROPSY OF THE BRAIN. 197 hand being at times extended, and at other times moved towards the.forehead and vertex, at other times again hidden between the thighs as if to cover the private parts. Third stage.—Many of the symptoms which we have described so far, now give way to opposite conditions, other symptoms become still more marked. The pa- tients are no longer able to leave their beds, or to sit up. They continually lie on their backs, kicking oft' the cover with one foot or the other. They continue to grasp at the head, mouth or nose ; while boring with the finger in the last-named organ, their legs vacillate to and fro. All the senses become blunted, except the hearing which still continues sensitive. The eyes which had been sensitive to the light and turned up, are now turned down, with the pupils dilated, and insensible to the light. The visual power is moreover feeble and illusory ; the patients see double or fancy the objects more remote than they really are, in consequence of which they miss objects when attempting to seize them with trembling hands. Sometimes they suddenly open their eyes quite wide, but close them again as suddenly. Almost at every inspiration the patients moan and groan, and their features express a sombre earnest. The emaciation now increases at a fearful rate, so that the patients often resemble a mere skeleton. The skin con- tinues dry, except in some parts which exhibit signs of moisture. The urine is voided involuntarily, but the alvine discharges cease. The pulse becomes more and more irregular and feeble, the breath is foul, and the general debility increases. The sopor from which they 198 TREATMENT OF LEADING DISEASES. no longer wake as heretofore, with a cry, now increases to complete stupor and loss of consciousness. Fourth stage— At the close of the third stage the consciousness returns for a moment, after which the patient again relapses into the previous stupor, and the following symptoms likewise supervene: general con- vulsions which are soon followed by paralysis (most frequently of the right side), violent spasm which draws the head backwards and causes a horrible distortion of the face and limbs; violent fever with irregular, inter mittent, but exceedingly hurried pulse. The burning head is drenched with sweat, while the rest of the body is cool. The visual power is extinct, the eyeball in spasmodic motion, the pupil is exceedingly dilated (but sometimes very much contracted), and cornea is gener- ally covered with mucus; the eyeball is no longer as deeply sunken as before. Deglutition is more difficult; the urine is voided involuntarily, and has a deep-yellow color. The pulse becomes smaller and smaller, wiry, at last imperceptible; the inspirations likewise become shorter and more hurried, and the breath becomes cold. The feet now begin to swell, and death puts an end to all these sufferings. Although all ages and sexes are liable to this disease, yet it most frequently attacks children, but often re- mains unrecognized. In many cases where children are said to have died of convulsions from teething, hydro- cephalus was the cause of their destruction, the timely removal of which might perhaps have saved the child's life. It is true, there are diseases with which hydrocepha- lus migh+ be confounded ; but this can never take place, DROPSY OF THE BRAIN. 199 if not single symptoms but the totality thereof are con- stantly held in view. It is very frequently confounded with worm-fever, the characteristic differences of which two diseases I will now proceed to describe. Acute hydrocephalus never terminates before the thirteenth and very rarely after the twenty-first day, generally attacks florid, and healthy children, never shows a marked remission of the symptoms, is charac- terized by a striking alteration of the features, sets in with violent frontal headache, loss of appetite, constipa- tion, scanty discharge of a milky, turbid urine, and is accompanied by sleeplessness or restless sleep. At first the pulse continues regular, then slackens and becomes intermittent, and lastly assumes a lebrile type. The patients are very restless, toss about, grasp at their heads. At the commencement of the attack the eyes are sensi- tive to light, but afterwards lose this sensibility entirely. Almost during the whole course of the disease the hearing remains very acute, but becomes dull towards the end of the disorder. The nose remains dry, the head hot. The patients become visibly thinner, a pecu- liar eruption makes its appearance around the mouth and on other parts, and in every case the abdomen becomes depressed. The worm-fever, on the contrary, runs an irregular course, sometimes continuing beyond thirty days ; it mostly attacks sluggish, over-fed children with large bowels; the features remain unaltered; the pain is strikingly limited to the bowels; the patients eat a good deal, have copious stools; the sleep is sound; the pulse is from the start irregular, feverish, never slower than in healthy days; the children lie quiet; the eyes are not abnormally sensitive to the light, nor do they lose this 200 TREATMENT OF LEADING DISEASES. Bensibility; the hearing is not unnaturally acute, the nose is moist and. itches; the patients do not become thin, and the abdomen increases in size. TREATMENT For many years I have found the following treatment of this disease the most successful: In the first and second stages I give Aconite and Belladonna, alternately every two hours, commencing with Aconite, a dessert- spoonful of a solution of six globules of each in a small tumblerful of water, until an improvement sets in. If the patient comes under my treatment at the close of the second, or at the commencement of the third, stage, I have frequently succeeded in effecting a cure by the alternate exhibition of Belladonna and Mercurius every fifteen minutes. At the close of the third or in the fourth stage, a cure is rarely possible; the symptoms may however be moderated by the alternate use of Belladonna and Opium. In order to facilitate the selection of a specifically- appropriate remedy, I here subjoin the symptomatic indications of each particular drug. Aconite: Sleeplessness with restlessness and constant tossing about rushes of blood, or frequent chills with dry heat of the skin; heat in the head; peevish and irritable temper; dread of men, tendency to start, appearance as if sunk in reverie; vertigo, with or with- out nausea, worse when raising the head ; frontal head- ache, photophobia; sensitiveness to noise ; colicky pains in the abdomen; suppression of stool and urine; rheu- matic pains in the nape of the neck when moving the neck; vacillating gait. Belladonna: Sleeplessness with tossing about, start- DROPSY OF THE BRAIN. 201 ing up from sleep with a shriek, or sopor; chilly creep- ing when touched by the least current of air; heat in the head, with throbbing of the carotids and temporal arteries; pulse full and slow, or small and slow; ten- dency to start, apathetic mood ; vertigo when rising from a couch, or when walking about, with tendency to stagger as if drunk; frontal headache, over the eyes; spasmodic bending of the head backwards; photopho- bia, the eyeballs are distorted or spasmodically rolled about; diplopia; intolerance of noise; excessive dry- ness of the nose; paleness of the face, with distortion of the features; dry and chapped lips, they look dark-red ; vomitins of mucus or bile; colicky pains; constipation, suppressed or retarded secretion of urine ; rheumatic pains in the limbs and nape of the neck. Bryonia: Sleeplessness or restless sleep, starting when on the point of falling asleep ; heat in the head; frontal headache; vertigo when sitting up in bed, with nausea as if the patient should faint; photophobia, dry nose, pale and bloated face, dry and chapped lips, bilious or watery vomiting, especially directly after drinking; constipation; discharge of urine with colicky pain ; moaning breathing. I have found this remedy useful in hydrocephalus only if the face was pale and bloated, and the vomiting, which is peculiar to this disease, set in directly after drinking. Helleborus: Sopor, with the eyes half open and turned upwards; heat of the whole body, especially the head; slow and small pulse; staring at one point; pale face, forehead drawn into wrinkles; scanty discharge of stool and urine. Mercurius: Eestless sleep, gritting of teeth; alternate 202 TREATMENT OF LEADING DISEASES. chills and flashes of heat, heat in the head, pressing pain, in the occiput and forehead; pulse feeble, slow and tremulous ; the eyes are sensitive to the light, pupils dilated; twitching of the lids; pale face, altered features, livid nose, perspiration on and around the nose and lips; the tongue is thickly coated with white mucus ; vomit- ing of bitter mucus; sensitiyeness of the region of the stomach and liver to pressure; constipation ; white and cloudy urine, as if flour had been stirred in it; rheu- matic pressure in the nape of the neck, increased by moving the neck; drawing pain in the thighs and legs ; emaciation, prostration. This remedy may not only be indicated in the second and third stage, but sometimes even in the first, espe- cially during the period of dentition, when it may have to be given in alternation with Aconite and Belladonna. Opium: Stupor, sopor, depression of the lower jaw, moaning, hurried breathing and feeble pulse; sunken and altered features, distortion of the muscles of the face; the eyes are partially closed, pupils dilated and insensible to light, (may palliate the symptoms in the fourth stage.) Sulphur: Indicated if the disease is owing to sup pression of an eruption, whether spontaneous or by external applications; it should be given at once in alternation with Aconite, both in water, giving Sulphur every fourth dose, and a dose of Aconite every hour. All these medicines have to be given internally; but if the disease is caused by external injuries, a fall, blow, etc., Arnica may be given internally and externally Six drops of the strong tincture may be mixed in a cupful of water, and a cloth soaked with this solution may be applied to the head fresh every two hours; DROPSY. 203 internally the pellets should be given every two hours; in water, in small spoonful doses. Stool may be promoted by daily injections of tepid water, and the urinary discharges may be facilitated by frictions on the lower abdomen with the palm of the hand. If the patient has to be moved, it should be done gently, and the head should always be supported with the hand; all noise must be avoided, and the room is to be kept dark. If these dietetic and therapeutic indications are pro- perly and seasonably attended to, a cure may be expected in almost every case. Dropsy. (Hydrops.; By dropsy we understand an effusion of the water in the tissue or in the interior of organs. Such an effusion is most commonly the result of some other derange- ment, which has to be carefully ascertained, if a cure is to be expected. Diseases of the brain, lungs, liver, spleen, ovaries, uterus, may terminate in dropsy; acute eruptions may likewise change to this disease. We distinguish the following forms of dropsy: L. Hydrocephalus. (Chronic Dropsy of the Brain.; By hydrocephalus we understand any morbid accu- mulation of fluid under the scalp, or in the cavities of the brain; the former is designated as external, and the latter as internal hydrocephalus. In the external form, the water is either in the cellu- lar tissue of the scalp, or else between the pericranium and the bones. 204 TREATMENT OF LEADING DISEASES. In internal hydrocephalus the water is either in the cerebral tissue or else in the cavities of the brain. This disease either runs an acute or chronic course. The acute internal form has been described in the preceding chapter, which may therefore be consulted; acute external hydrocephalus is generally the result of external injuries, and appears in the shape of an exter- nal swelling, involving the whole head, and sometimes even the forehead and nape of the neck. This form requires Arnica internally and externally, as stated under acute hydrocephalus. Chronic hydrocephalus affects only children, between the ages of one and seven years ; it is a symptom of scrofulosis, and may be a congenital disease. The dis- ease is known by the following symptoms: The chil- dren become peevish and dull \ if they had commenced using their legs, they lose their power, and their speech likewise becomes inarticulate ; if they had not yet ac- quired the faculty of walking and talking, they do not acquire it at all. Such children are unable to hold their heads erect, which fall forwards or sideways; if the head is raised suddenly, vomiting is frequently the result. Striking changes are perceived about the head. The fontanelles do not close, but present fluctuating tumors. Pressure on these tumors may provoke spasms. Proceeding from these localities the size of the head increases uniformly in every direction, until it protrudes beyond the line of the face, which assumes an oldish, sunken appearance. Symptoms of paralysis gradually supervene, and are first noticed in the sensual organs. The eye is turned downwards, the pupils become dilated and vision becomes extinct. Taste and smell likewise vanish, the sense of smelling remains DROPSY. 205 longest. The extremities likewise lose their motor power. The patients are unable to stand or walk ; the feet are turned inwards. At a later period the rectum and bladder become involved in the paralytic weak- _ ness. Towards the last the patients are seized with suffocative fits about dusk, during which the breathing becomes short, panting, rattling, the face looks bluish, until the patients are relieved by vomiting tenacious mucus. If this disease, which may last several months, or even years, is not too far advanced, it is curable, pro- vided the right dietetic and therapeutic means are strictly used against it. The first remedy to be given is Sulphur, six pellets in a cupful of water, of which a dessertspoonful is to be given morning and evening for five days, after which the medicine is discontinued until a change in the symptoms indicates some other remedy. This is generally Calcarea carb., which is given in the same way as Sulphur. Children who are very much emaciated, with afternoon or evening-fever, may take Silicea sifter Calcarea. This treatment will most gener- ally arrest the further accumulation of fluid, and pave the way for a cure. But other medicines may have to be given, in case the disease should assume a more dangerous and acute form. In such a case we may have to resort to Arsenicum, for excessive sw 7 ,ng of the head, pale and old-looking face; general emaciation and prostra- tion ; vomiting is provoked by the least attempt to *ii try ln bed; retention of stools and urine, or else involuntary discharges. Suffocative fits in the evening or night. Wrinkled skin. Th vomiting on sitting up in bed, and the suffoca- 206 TREATMENT OF LEADING DISEASES. tive paroxysms are characteristic indications for this drug, A spoonful of a watery solution of six pellets may be given every six hours, until an improvement takes place. Belladonna.; the disease manifests itself suddenly, and the symptoms resemble those of acute hydrocephalus in the second or third stage. In such a case, this medicine will only afford temporary relief, and should be given in water, every two hours. Hlleborus; at a later period of the disease, if the fol- lowing symptoms make their appearance: sopor, with the eyes half closed, pupils turned upwards; tossing about in bed ; loss of consciousness; complete suppres- sion of stool and urine; spasmodic movements of the limbs, paralysis; rash. The medicine should be given in water, a dose every two, four, six or twelve hours, according as the symp- toms are more or less violent. Mercurius; the swelling of the head is considerable, and the patients are troubled with profuse sweats which afford them no relief. This remedy is given in the same way as the former, morning and evening, unless the acute character of the symptoms should require a more frequent exhibition of the drug. 2. Hydrothorax. (Dropsy of the chest.; This is an accumulation of water in the chest, either in one part or in the whole chest; it is acute or chronic. In the acute form, violent dyspnoea may set in quite suddenly, sometimes in a few hours. This soon in- creases to such a degree that the patients can only breathe in a sitting posture and by stretching their HYDROTHORAX. 207 necks forward. The intercostal spaces very frequently swell, and bulge out. A violent cough supervenes which is generally dry, or at most results in the expec- toration of a small quantity of albuminous mucus. The lips and cheeks look bluish, and the features are expressive of the great anguish which the patients experience in consequence of the want of air. At first the skin is burning-hot, the pulse full, hard and tense, thirst very great; afterwards the skin of the extremities becomes cold, the pulse small, feeble, compressible. The skin now becomes dry, except on the forehead where it is covered with cold, clammy sweat. The dark-red, fiery urine is secreted in small quantities. Acute hydrothorax may prove fatal in twelve to twenty-four hours, but may last four to seven days. In conducting the treatment we have first to moderate the fever by means of Aconite, six pellets in a cupful of water, of which a dessertspoonful may be given every half hour, until the fever abates; if no such improve- ment should take place in a few hours, one of the fol- lowing remedies should be selected at once, and should either be given alone, or in alternation with some other suitable remedy. Arsenicum; excessive anguish, with dread of dying; dullness and heaviness of the he;id altered features, expressive of anguish; bluish lips; thirst, the patient drinking frequently, but little at a time; suppression of the urinary secretions, or scanty urine ; suffocative dyspnoea, with superficial breathing which can only be accomplished by bending the chest forward ; palpita- tion of the heart; small, feeble, intermittent pulse; clammy sweat This remedy is most useful, when the disease has 208 TREATMENT OF LEADING DISEASES. reached its acme, and then only, if it can be traced to the sudden and violent suppression of a cutaneous erup- tion ; it is scarcely ever applicable at the onset of the attack. We give it in the same way as Aconite. Bryonia; generally after Aconite, if the fever is not modified by the latter, or if the disease depends upon previous inflammation of the lungs, or is complicated with it. For the symptomatic indications we refer the reader to " pneumonia." Cahinca; hydrothorax setting in after scarlatina or measles, with hot skin which feels dry and unyielding like parchment, accelerated pulse, unquenchable thirst; scanty urine ; shortness of breath when lying down, relieved by sitting up ; quick beating of the heart, with suffocative distress when lyiiig down ; drawing, pressing and tension in the left breast. This remedy is frequently suitable after Aconite, and should be given in water. Digitalis; the ordinary symptoms of hydrothorax are accompanied with increased action of the heart and slowness of the pulse. Dose : every hour, in water. Helleborus ; dyspnoea, the patient gasping for air; it may be repeated in water, every fifteen minutes, until the patient feels easier. Spigelia ; hydrothorax after inflammation of the heart; the least motion, raising the arm, brings on a suffoca- tive fit. In water, every half hour Chronic hydrothorax comes on very gradually. At first the patients complain of dyspmea, but only after fatiguing exertions, going upstairs, or talking continu- ally. Other patients are periodically troubled by a severe dyspnoea which increases towards evening and distuibs their sleep. This may continue for weeks and HYDROTHORAX. 209 months, it may pass off again with expectoration and profuse perspiration, but returns again worse than before, and finally remains permanently. The patients find it impossible to lie down, have to sit up in bed, and finally are compelled to sit on the edge of the bed with their legs hanging out. Cough supervenes, at first dry, but afterwards with expectoration of large quantities of tenacious, purulent mucus. The patient's face has a bluish cast, especially the cheeks and tongue, sometimes also the hands. These local symptoms finally become complicated with the symptoms of general anasarca. The feet swell, and the swelling speedily spreads to the private parts. The skin remains dry, and is cold, espe- cially on the extremities. The urine is generally secreted in small quantities, is dark-red and deposits a thick sediment. The treatment of hydrothorax is accompanied with many difficulties. The course of the disease cannot always be correctly ascertained, and the perceptible symptoms are so little characteristic that it is very difficult to select the right remedy In all such cases it is of great importance that the prescribing physician should gather all the information concerning the disease which the patient's relatives or friends are able to impart. It may even be necessary to trace the whole history of the patient as far back as his earliest child- hood, to find out what diseases he had been attacked with, what impressions they had left upon his body and mind, and to determine the share they may have had in bringing about the present derangement. After these preliminary remarks I subjoin a list of the most appro- priate remedies in hydrothorax; they may be given in witer six pellets in a cupful, a dessertspoonful morning 14 210 TREATMENT OF LEADING DISEASES. and evening for five days, after which we discontinue the medicine until a change in the symptoms calls for a new remedy or a repetition of the former. Arsenicum; the same symptoms as those of acute hydrothorax, especially in cases where the disease arose after the excessive use of Cinchona; both the hands and legs are swollen, and a burning distress is experienced in them, the extremities at the same time feel cold to the touch, the skin looks shallow, the symptoms are periodically worse or better. China ; the disease develops itself after frequent deple- tions, and the patient has frequent attacks of suffocation; wheezing and rattling breathing ; nocturnal paroxysms of suffocative cough, with aching pain in the chest and scapulae, difficult expectoration of a partly, tenacious and sometimes blood-streaked mucus; violent palpita- tion of the heart; scanty, dark-colored urine with brick-dust sediment. Dulcamara; the disease has a catarrhal origin, and the patient feels worse in damp weather. Kali carbon.; oppression of the chest, labored breath ing, pressure and stitches in the back, especially in the rena region (a chief-symptom); the dry cough is worse after midnight. Senega; dry cough with expectoration of tenacious mucus; oppression as if the chest were too narrow ; stitches in the chest, especially when coughing and drawing a long breath ; burning soreness in the chest, drowsiness and chilliness in the day-time ; the pains are worse in the day-time. This remedy is especially indicated, if the disease sets in after mismanaged catarrh. Sulphur; this remedy may be given whenever the ASCITES. 211 disease sets in after the spontaneous or artificial sup- pression of a cutaneous eruption, or in cases where remedies, although apparently homoeopathic, have no effect. 3. Ascites. (Dropsy of the Abdomen.; In a general sense we understand by ascites any accu- mulation-of fluid in the abdominal cavity, no matter what organ may be the seat of it. This general defini- tion, however, is too vague for curative purposes; for a cure cannot be achieved unless we know the starting point of the disease. Hence we have to be acquainted with all the morbid phenomena immediately preceding the disease, and with the exact organ where the de- rangement was first experienced by the patient. If the disease had its beginning in the kidneys, the treatment has to be conducted with different remedies than if the disease originates in the liver or spleen. This inquiry into what is the primarily-affected organ, is of great importance, for the simple reason that the symptoms do not always reveal it at a more advanced period of the disease. Ascites is characterised by the following striking symptoms ; gradually the abdomen swells from below upwards, the swelling varying with the position of the body; in a standing posture the swelling presses down- wards and forwards; if the patient lies on the back, the swelling shifts to the groin, directly above the crest of the ilium. If the patients make a rapid motion, they as well as those near them hear the murmur of the fluid. The constitutional symptoms which are gene- rally present in dropsy, now begin to supervene, such 212 TREATMENT OF LEADING DISEASES. as diminished quantity and altered quality of the secre tions, swelling of the lower extremities, etc. At first, when the accumulation of fluid is not yet considerable, it is not very easy to diagnose it. In order to obtain some certainty regarding its presence in the abdomen, we cause the patient to stand with the trunk bent for- ward, so that the trunk is at a right angle with the pelvis, or else the patient may kneel down, supporting himself upon his hands. Placing one hand upon one side of the abdomen, and striking the other side gently with the other hand, the fluid in the cavity is felt like a wave striking against the abdominal integuments. This examination should never be omitted, lest a simple swelling of the abdomen should be mistaken for dropsy These symptoms may be accompanied by many others, according as the disease, is more or less obsti- nate or depending upon other organs. The disease in its acute form assumes symptoms differing a good deal from those in its chronic form. In acute dropsy the patients complain of burning and stinging pains in the abdomen, which are not, however, very severe. The abdomen becomes dis- tended, the swelling being rather moderate, but the tension of the integuments quite considerable. The abdomen is quite sensitive to the touch. Percussion yields an indistinct fluctuation of the fluid which is accumulating in the abdominal cavity. Constipation, disposition to vomit and actual vomiting supervene. The skin is dry, warmer than usual, the abdominal integuments are sometimes even quite hot. The pulse is hurried, rather hard, either large or small, spasmodi- cally contracted. The lower extremities are swollen and hard. The urine is scanty, dark-red. fiery or ASCITES. 213 brt"«m. Tbe tongue exhibits a whitish coating, the thirst is latere. This form o' dropsy is frequently met with in connec- tion with oth*,r forms of dropsy, and most frequently occurs in consequence of the sudden suppression of some cutaneous eruption. In most cases we commence the treatment with Aconite, or Aconite and Bryonia alternately. They may be given in water, an alternate dessertspoonful every two hours. If no improvement takes place after a few doses, we may have to resort to Belladonna, especially if an acute cerebral affection had preceded the disease, and if the extremities become cold, Arsenicum should be given in water, a dessertspoonful every two to four hours. The following medicines may likewise have to be used in the treatment of acute ascites. Arnica, if the disease is caused by a blow or fall upon the abdomen, or by suppression of the cutaneous exha- lation. Aconite and Arnica may be given in alternation. I continue these medicines every two to four hours alternately for eight days, then wait eight days, and resume the same treatment unles another remedy should be indicated; but if the improvement should be very marked, I wait even longer. Cahinca; hot, tense and dry skin, quick pulse, violent thirst; nausea or vomiting with aching pain deep in the right hypochondrium. Painful distention of the region of the liver; drawing and pressing in the kid- neys from within outwards; painful distention of the abdomen, with pressure upwards, as if there were not room enough ; scanty secretion of urine. If the ascites sets in after suppression of an acute 214 TREATMENT OF LEADING DISEASES. eruption, or after neglected hepatitis, this medicine will be found very serviceable; (see Sulphur.) China; dropsical swelling of the abdomen, with swelling and induration of the liver and spleen or dropsy brought on by copious depletions. The urine is dark-red, deposits a brick-dust sediment, there is cough and dyspnoea. This medicine may be given in alternation with Arsenicum. Helleborus; the ascites is accompanied by stinging pains in the limbs, diarrhoea, partial suppression of urine, sopor. Dulcamara ; ascites caused by the suppression of the cutaneous exhalations in consequence of exposure to wet and damp weather. Mercurius; ascites after mismanaged inflammation of the liver, with swelling and hardness of this organ; heat all over, violent sweat, short and racking couch, scanty and dark urine. Ascites that had been treated with large doses of calomel, has to be treated with China, or with China and Mercurius in alternation. Chronic Ascites. The abdomen swells from below upwards very slowly; gradually a feeling of tension and coldness in the abdomen supervenes, especially if the patient stands up ; the lower portion of the abdomen seems to be pressed forwards and sideways. Upon examin- ing the patient in the manner indicated for the acute form of ascites, fluctuation is soon perceived. The digestive functions are disturbed at the very com- mencement of the disease; for besides a feeling of pres- sure and tension in the abdomen, the patient complains ASCITES. 215 of eructations, flatulence and sluggish stool alternating with diarrhoea. The lower extremities swell in the day time, the swelling goes down again over night At a later period the swelling remains permanent; gradually the swelling spreads beyond the calves and reaches the private parts. In the case of females the lips of the vulva swell, and in the cases of males the scrotum. The skin of the extremities is cold and pale. At first the urine is secreted in the usual quantity, but its quality is very much altered. The urine looks pale and greenish, an analysis yields a quantity of albumen; the pulse is small, feeble, empty, wiry. Besides the remedies which have been recommended for acute ascites, and which may likewise be used in the chronic form, if indicated by the symptoms, the following medicines may likewise be required in some cases: Kali carbonicum; excessive dryness of the skin; pres- sure in the abdomen as from a load; chilliness and flue tuating sensation in the abdomen as if full of water; hard or loose stool; pale, greenish urine, with burning during and after a discharge; pulse slower than usual. Lycopodium; ascites preceded by swelling of the feet; flatulence with aggravation of the symptoms. I have cured several cases of ascites with Lycopodium, which commenced with swelling of the feet or had resulted from the drying up of old sores on the legs; the symp- toms seemed worse in the afternoon, and the patients felt better in the open air. Sepia; ascites from menstrual suppression, especially at the critical age. Sulplur; ascites preceded by suppression of cuta- neous eruptions. 216 TREATMENT OF LEADING DISEASES. Ovarian Dropsy. On one side of the abdomen, generally on the right side, where the horizontal ramus of the pubic bone joins the crest of the ilium, a tumor with drawing-stinging pains, gradually shows itself, causing at first only a feeling of pressure and weight, and being scarcely felt through the abdominal integuments, until it increases in size when it becomes distinctly perceptible, and causes an irregular distention of the abdomeu. The tumor is immovable, and the patients, if turning rapidly from one side to the other, experience a sensa- tion as if a globular body were rolling from side to side, which is caused by the changes in the position of the ovary resulting from a corresponding change of posi- tion of the body. A vaginal examination shows that the uterus is pushed out of place to the opposite side, so that the fundus of the uterus is pressed towards the left side if the right ovary is the seat of the dropsy, and vice versd. The uterus is always drawn up, so much so that it is sometimes impossible to reach it with the finger. With this change in the shape and situation of the abdominal viscera, other symptoms gradually be- come combined, such as a feeling of numbness in the extremity of the affected side, which sometimes alter- nates with a drawing and tearing pain; nausea, vomit- ing, frequent urging to urinate, difficulty of urinating, constipation, flatulence, etc. After the disease has lasted some time, the patient's face looks pale, the pulse is small and quick, the skin feels dry, and finally the legs and private parts begin to swell. Until recently our efforts to cure this disease, have been crowned with but limited success, even in the OVARIAN DROPSY. 217 sphere of homoeopathy. Apis may perhaps prove valu- able in this disease. A patient who had been treated by two alloeopathic physicians and was given up to die. was cured by me by taking Apis, five pellets in a small tumblerful of water, a dessertspoonful morning and night for eight days; the improvement which set in pro- gressed uninterruptedly without any further treatment, and the patient has been perfectly well for more than a year. The symptoms were: distinctly perceptible swelling of the right ovary, with sensation of pain and swelling when pressing upon the part; when the pa. tient lies on her back, the right half of the abdomen is perceptibly raised; nausea and frequent disposition to vomit; frequent urging to urinate, scanty discharge of slimy urine; hard stool only every six days ; complete dryness of the skin; small, hurried pulse; prostration; menstrual suppression. Dulcamara and Sabina have been recommended by same physicians. Dropsy of the Uterus. This affection manifests itself with the following symptoms: The menses cease, after which the abdo- men begins to swell. This swelling does not increase progressively as during pregnancy, but much more rapidly, so that in a few weeks the abdomen is as large as in the seventh month of pregnancy. If the dropsy proceeds more gradually, the increase is nevertheless more irregular than in pregnancy. An exploration shows that the vagina is cold, the womb is pushed out of its place, higher up into the larger, or lower down into the smaller pelvic cavity. On making pressure 218 TREATMENT OF LEADING DISEASES. upon the lower side of the uterus, the fluid contained in its cavity is distinctly felt. Gradually the lower extremities, and finally the lips of the vulva swell, the extremities become cold, the skin is brittle, the urinary secretion is diminished, the pulse small, feeble, filiform and empty. The disease most frequently befals women who have had many children in quick succession, or who have been debilitated by great uterine losses. Hence China is a main remedy for this disease, especially if the dis- ease is caused by severe uterine haemorrhages, and assumes an acute form. Sabina may be given, if the patients complain of contractive pains in the uterus, with pressing downwards from the small of the back, resulting in discharge of blood, or if the disease sets in after a miscarriage. Sepia may prove useful, if the effusion sets in after menstrual suppression at the criti- cal period, or in cases where other medicines had effected relief, but no perfect cure. In one case of five months' standing, where the disease set in after arti- fical delivery, Sepia effected a cure within six weeks. 4. Anasarca, or general Dropsy. This is an accumulation of watery fluid in the subcu- taneous cellular tissue. In proportion as this accumu- lation increases, the cells become distended and increase in size. The consequence is that the affected part be- comes enlarged, having a soft and doughy feel. The skin loses its elasticity, so that it remains pitted on pressure. It becomes pale, transparent, and feels cold and dry. The water transuding into the interior of the sheaths and substance of muscles, diminishes their ANASARCA. 219 motor power, whence it is that the patients become indolent and are averse to motion. As in other forms of dropsy, so in this form, the excretions and secretions are very much diminished in quantity. As a general rule the dropsical effusion does not take place uniformly over the whole body, and one side alone is first affected, the swelling beginning at the ankles and gradually travelling upwards until it reaches the private parts. General dropsy of the whole body does indeed occur, but generally only in connection with some other disease. If anasarca sets in suddenly, it is accompanied by fever; the chronic form is without any marked fever. It must be the first object of treatment in this disease to restore the cutaneous action, for no cure is possible without a free and unimpeded action of the skin Hence, if the skin is dry and the pulse hurried, Aconite will have to be administered in water every two hours. If the disease is caused by the suppression of some cutaneous eruption, with coldness of the skin and es- pecially of the extremities, Arsenicum should be admin- istered in water, a dessertspoonful four times a day. Bryonia is to be given in this same manner, if the dropsy sets in suddenly, the skin looks red, and Acon- ite is found insufficient. Dulcamara may be adminis- tered in this manner if the affection is caused by exposure to damp and cold weather. If Arsenic only produces partial relief. Helleborus may be given, and if the disease becomes chronic, and develops itself after the suppression of a cutaneous eruption, Sulphur may be given in alternation with some other remedy, if necessary. The diet to be pursued in this disease, should be con- 220 TREATMENT OF LEADING DISEASES. formable to the general rules laid down for patients under homoeopathic treatment. Dropsical patients may drink as much cold water as they please ; it is cruel to deprive them of the beverage and liquids generally which they so much crave. Milk fresh from the cow is very beneficial; meat-broth and all kinds of light but nourishing food are perfectly proper and advisable. Typhus. By typhus we understand fevers of a continuous type where the nervous system is chiefly involved. It is sometimes impossible to point out the precise cause of such fevers. We distinguish various forms of these fevers, each of which is characterised by peculiar symptoms. A pathognomonic sign of all these fevers is the frequent change and antagonism of the symptoms, such as: dry mouth without thirst, full development of the disease without any distinct consciousness of the same. We distinguish 1. Acute typhus. This form is characterised by symptoms which point to the brain as the chief seat of the disorder. It attacks most frequently plethoric young subjects. After having complained for some days of dullness of the heacL ver- tigo, headache, restless sleep with uneasy dreams, the patient is attacked with creeping chills followed by heat over the whole body, which continues all the time and is accompanied by dryness of the skin. This heat L generally attended with delirium, a disposition to escape, dread of visionary figures, or with sopor. On TYPHUS. 221 waking the patient shows a certain hurriedness in all his motions, and complains of buzzing in the ears. The pulse is variable, at times full and not much accelerated, at other times small, feeble, soft and hurried. These symptoms might lead us to confound the disease with meningitis, but a careful comparison of their re- spective symptoms will enable us to avoid such a mis- take. At the very onset of the attack Aconite is the best remedy, if the following symptoms are present: great heat, with burning dryness of the skin ; it can only be exhibited until the fever abates. If this result is not speedily obtained, one of the following remedies will have to be prescribed in accordance with the existing symptoms: Bell, Bry., Rhus, Phosphoric ac, Hyosc, Op., Slram., Verat., Cham., Lycop., Mur. ac, Nux vom., Camph. Of the selected remedy we dissolve six pellets in a cupful of water, and give a dessertspoonful every two to four hours. If two remedies are to be given in alter- nation, the same remedy may be repeated every four hours, giving a dose of medicine every two hours alter- nately. 2. Lentescent typhus. This form of typhus runs an indefinite course, which may however be distinguished into two stages. The first stage is very easily overlooked on account of the imperfectly marked character of the symptoms: At first the patients feel tired and heavy, and do not exactly know how to account for it; the face looks pale and puffed ; the breathing becomes short and anxious 222 TREATMENT OF LEADING DISEASES. the pulse is variable, generally hurried. Sleep is rest- less, so that the patient does not always know whether he slept at all. The second stage commences with chills which alter- nate with hot flashes. Fainting fits set in, during which cold sweat breaks out; diarrhoea likewise supervenes Towards evening the symptoms get worse; the fever becomes more intense, the pulse more hurried, the re- spiration impeded, the sleep more restless. Even at this period the prostration of strength is very great, the features are somewhat altered, and express anxiety and restlessness. In the further course of the disease the consciousness which had been undisturbed heretofore, becomes impaired. The eyes are dim and without lustre, the tongue is dry and tremulous. The last named organ and the lips become gradually covered with a brownish crust. Even where the disease assumes a favorable turn, a crisis is seldom witnessed. The patients recover slowly, sleep and appetite return, the tongue cleans off, and a moderate perspiration breaks out over the whole body. This form of typhus requires principally Mur. ac. Lach., Ars., Op., Rhus, Verat., China, Cocc, Nux vom., Am., Sulph, Merc. I here subjoin a few general remarks on typhus. Every catarrhal, inflammatory fever of the mucous membranes may pass into typhus, although it is fair to assume, in such a case, that the typhoid character existed from the very commencement of the attack. If the typhoid type threatens to set in, it generally an- nounces its advent by the following group of symptoms: Weariness even after rising, with heaviness in the limbs, irresistible drowsiness and disposition to lie TYPHUS. 223 ao4*.; u\s p.\tient is sad, seems apathetic or absorbed in lfiwie. Oppressive headache, especially in the forehead, ^gravated by thinking. Several paroxysms of heat and chilliness every day. Blue margins around the eyes. Loss of appetite, aversion to food and drink. Eructations tasting of musty air. Nausea, distention of the abdomen. Drawing and tearing in the bowels, especially low down, from right to left. Frequent small passages having a foul smell. Pains in the limbs as if bruised. As soon as these symptvurs show themselves, Cocculus should at once be given, to be accompanied with an occasional dose of Aconiit, ]2 dry heat and a full and hard pulse are preset. If typhus is epidemic, Ccct\ius may be taken as a preventive ; it should be taken only if the least indis- position is experienced. The jnosence of the above group of symptoms, urder such c'.-cumstances, would be an additional indication for Cocculus. The disease commences with a chill which is first felt in the spinal column, whence it sprcau-j over the whole body, alternating with hot flashes foi six or twelve hours, after which the heat becomes permanent. The organs of the senses lose their power, tue eyes become dim, the pupils fixed and dilated, the vo;ce husky and hollow. The hearing is dull. The features lose their expression, the skin is hot, covered with a clammy, fetid perspiration. The occiput feels heavy, the dizziness of which the patient complains, proceeds from this part of the brain. Sopor and delirium set in, stool and urine are passed involuntarily. Finally the patients begin to grasp at flocks, the senses and respiratory organs be- come paralysed. 224 TREATMENT OF LEADING DISEASES. Warm weather, humidity of the air and want of cleanliness seem, to favor the development of typhus. This is the reason why typhus so frequently breaks out in crowded hospitals, in prisons, on ship board and in narrow and damp, dirty dwellings. If typhus prevails the usual mode of life should not be departed from ; but no cathartics should be taken which only tend to weaken the body ; artificial tonics and stimulants should like- wise be avoided, and persons should take a good deal of exercise in the open air. If a violent and destructive epidemic prevails, the rooms should be fumigated every day with vinegar, and ventilated in order to secure an abundance of fresh air. All fear of contagion should be banished and perfect faith and confidence should be had in the ruling of an all-wise Providence. As regards the treatment of the different forms of typhus, it is of importance to bear in mind that these forms are mere modifications of the general type, and that therefore the same remedies are applicable to all. I shall indicate the chief remedies in the order of their importance, and the others alphabetically. If the cause of the disease is known, it should be carefully considered. If the disease is caused by the continued abuse of spirits, by long watching, by exces- sive emotions, the most important remedy is perhaps Nux vomica. If care, grief, disappointed love are the determining causes, we give Acidum phosphor. Among the medicines which may be required by the various modifications of this disease, the following may be found sufficient: Acid, phosph., Cocc, Laches., Lycop., Nux vom., Op., Verat, Phosphor., Puis., Hyoscyam., China, Ignat., Canth., Carbo veg. TYPHUS. 225 Although it may be well to treat every case of uyphus agreeably to its own particular symptoms, yet it will often be possible, in cases where the cause of the disease cannot be fully ascertained, and where the symp- toms are as yet indistinctly developed, to arrest the disease by the alternate use of Bryon. and Rhus, which may be given in alternate doses every two to four hours, in water, and less frequently if an improvement takes place* Before proceeding to enumerate the remedies which are used in this disease, I will allude to the manage- ment of bedsores which so frequently occur in this disease, and affect more especially the parts which sup- port the weight of the body, viz.: the back and sacral regions, sometimes also the heels. We gain a good deal by preventing the breaking out of this disorder as long as possible, for we do not always succeed in preventing it entirely. To this end we place a basin of fresh water under the patient's bed, which has to be renewed every day ; if it can be had, a deerskin may be laid under him, with the tail downwards. Care should be had to spread the bed-sheets very evenly and to avoid all wrinkles. If bedsores should break out in spite of these precautions, linen compresses should be dipped in a solution of five drops of the tincture of Arnica in a * In prevailing epidemics, one medicine will sometimes be found to contain among its effects the whole series of phenomena which char- acterise the various modifications of the disease; but it requires an experienced eye in order to ascertain this specific curative agent. In 1853, I succeeded in curing every case of fever and ague which came under my notice in the district of Coethen, by means of Rhus tox., except two cases, one of which yielded to Bryonia, the other to Tartas emetic. 15 226 TREATMENT OF LEADING DISEASES. cupful of water, and should be applied to the sores, taking care to prevent the dripping and to rene 7." them frequently in the course of the day. If this does 'lot heal the sores, on the contrary, if they should become suppurating and offensive, the linen compresses should be moistened with a solution of five pellets of China in a cupful of water. If the sores become gangrenous, a weak decoction of Peruvian bark may be applied. If the patient has made himself unclean by the involuntary passage of faeces or urine, his sheets should at once be changed, but no fresh sheets should be used unless they are perfectly dry, well aired and soft. Let us now pro- ceed to study the symptomatic indications of the medi- cines which may have to be used in this disease: Aconite ; at the commencement of the disease, if the symptoms present an inflammatory type, with great heat, burning dryness of the skin, violent thirst, red face, or else alternate redness and paleness of the cheeks, nervousness, restless tossing about, moaning, anxiety, rush of blood to the head, vertigo and fainting fits when sitting up in bed. Nocturnal delirium. Ten- dency to start, apprehension of dying ; obscured vision. dilated pupils ; photophobia; painful sensitiveness of the abdominal integuments to pressure. If no improve- ment takes place in twenty-four hours, or if new symptoms supervene, one of the following remedies will have to be chosen. Belladonna ; alternate chills and heat, or else general heat with flushed face. Furious delirium, dread of visionary figures which the patient fancies he sees near him, disposition to escape ; sleeplessness, tossing about, or sopor with grasping at flocks ; the pulse is either full and strong, or small and hurried; vertigo on raising TYPHUS. 227 the head ; violent headache, especially in the forehead ; sparkling eyes, with dilated pupils ; photophobia; biz- zing in the ears, hardness of hearing; impeded or pain- ful deglutition; chapped lips, ulcerated corners of the mouth ; tongue dry and red, or covered with yellow mucus; loss of appetite, loathing of food ; constipation; scanty, bright-yellow urine, the urine is scarcely ever dark or brown-colored; hurried, anxious breathing; faint, indistinct speech ; lassitude, pains in the limbs ; petechial spots on the skin. Bryonia; chills followed by dry heat all over, with flushed face and thirst; violent delirium, the patient talks about his business and seeks to escape; quick, irregular aud even intermittent pulse; sleeplessness, sopor, grasping at flocks; vertigo on raising the head ; frontal headache, aggravated by moving the eyes ; dim, glassy eyes, or sparkling and weeping eyes; hard hear- ing as if the ears were stopped; dry tongue, having a brownish coating; chapped and ulcerated lips; loss of appetite, loathing of food; constipation, also involuntary stool; scanty, red or brown urine; hurried breathing; stitches in the chest or sides; paralytic weakness of the limbs as if bruised ; rash and petechias. Rhus tox.; restless sleep, or sopor with stertorous breathing, muttering delirium, grasping at flocks; dry heat, anxiety; small and quick pulse; delirium, desire to escape, occasional clearness of consciousness; vertigo when turning about; flushed or pale face, with sunken cheeks, blue margins around the eyes, painted nose; hard hearing ; parched lips, with brown crusts on the lips; dry red or brown tongue; bloated bowels ; violent colicky pains ; diarrhoea ; dark urine; prostration; paind in the limbs; petechias. 228 TREATMENT OF LEADING DISEASES. Phosphori acidum; slow typhus, caused by grief, care, disappointed love, loss of animal fluids, with the follow- symptoms: alternate chills and heat, or heat all over without much thirst; irregular pulse, moaning during sleep, picking at flocks, at times sad, and at others smiling expression of the countenance, with distortion of the partially opened eyes. Apathy, aversion to talk; optical illusions, spectra when closing the eyes, head- ache on waking made worse by noise ; dim, staring look, the eyes have lost their lustre ; ringing and hum- ming in the ears; blue margins around the eyes; pale face, dry tongue, watery diarrhoea mixed with undi gested food ; dark urine which deposits a sediment, prostration ; if the disease originated in loss of animal fluids, this medicine may be usefully alternated with China. Muriatis acidum; the patient lies on his back, and settles downwards in the bed; every third beat the pulse in- termits; tongue heavy and if too long, so that the patient is scarcely able to raise it; dryness of the mouth and fauces ; prostration, fetid urine. Lachesis ; dry heat with small pulse ; sopor, muttering delirium, collapse of features, parched and cracked tongue, impeded deglutition, white-coated tongue. Nux vomica; the fever is caused by the continued abuse of spirits, watching, mental labor, with the fol- lowing symptoms: starting during sleep, or sleepless- ness ; burning heat in the whole body; small and even intermittent pulse; muttering delirium; sensitiveness to noise and light; irritable temper ; vertigo and frontal headache; pale, haggard countenance; parched and blackish tongue, dry lips, loss of appetite, aversion to food and drink; bitter or foul taste; pressure in the TYPHUS. 229 stomach; constipation; red urine with brick dust sedi- ment ; laming and bruising pain in the limbs. Cocculus; slow typhus, when resulting from severe diseases such as cholera; anxious starting in sleep, with hurried breathing, spasmodic motions of the head, eyes and hands; dry heat and small, hurried pulse; frontal headache; frequent fainting fits; hiccough; nausea, oppression of the stomach, laming weakness of the limbs. Arnica ; the patient lies motionless, or in a state of sopor with delirium and picking at flocks; starting during sleep, involuntary passage of stool and urine. Arsenicum; tossing during sleep, or sopor with deli- rium, picking at flocks ; starting and loud moaning during sleep; dry, burning heat; pulse small and hurried, also intermittent; sunken features, pale face, depression of the lower jaw; dry, cracked, black lips; parched, trembling, black tongue; involuntary stool and urine; watery diarrhoea; prostration ; parchment- like dryness and coldness of the skin ; petechiae. Camphor; cadaverous face, with open and staring eyes, or violent delirium with dullness of the head, cold and clammy skin, prostration, clammy and exhausting sweats, disposition to diarrhoea; feeble pulse. This remedy is sometimes suitable after Rhus tox., but has to be repeated every fifteen minutes on account of the shortness of its action. Cantharides; dry heat, hurried, small pulse, pale and sunken face, dry mouth and lips, tremulous voice, aver- sion to liquids, bloated and sensitive abdomen, watery and bloody stool, or consisting of bloody mucus; reten- tion of urine. Chamomilla; after a fit of chagrin, when the ordi- 230 TREATMENT OF LEADING DISEASES. nary symptoms of typhus are accompanied by spas- modic colic, diarrhoea. China; the disease is caused by loss of animal fluids diarrhoea, onanism, sexual excesses, etc., with the fol- lowing symptoms: Alternate chilliness and heat, weak- ness of the lower limbs; feeble and rather slow pulse; apathy, intolerance of noise, vertigo; headache, hum- ming in the eE.rs, pale and sunken features; parched lips, blackish tongue ; loss of appetite ; watery or yel- lowish diarrhoea mixed with blood; maybe given in alternation with Acid, phosph. Carbo vegetabilis; in the last stage of typhus, when the bowels are bloated, and the patient passes foul wind and cadaverous stool; coldness of the tongue, with cold breath. Lycopodium; constipation, peevish mood, or ner- vousness, with hot head, flushed cheeks, prostration, sweats which do not afford any relief. Mercurius; sleeplessness, starting and moaning during sleep ; alternate chilliness and heat; hurried pulse, little or no delirium; listlessness; frontal headache; dim eyes without any lustre; buzzing in the ears; livid complexion, altered features; dry lips, brown-coated tongue; foul taste; aversion to solid food ; desire for cold drinks; great sensitiveness of the pit of the stomach, of the region of the liver and abdomen; pressure in the right side of the abdomen, inability to lie on this side, the bowels feel as if pressed upon; diarrhoea, consisting of bloody mucus, green, yellow, also watery, spirting out; dark, red or brown urine • burning dryness of the skin, or copious, clammy, exhausting sweats. Mercurius, if given at the rio-ht time, will sometimes prevent the ulcerative process TYPHUS. 231 in the intestines; unfortunately this medicine is seldom indicated at the onset of the disease. Natrum mur.; prostration, loss of consciousness, un- quenchable thirst, dry tongue. Opium; muttering delirium; sopor and stupor with stertorous breathing, the mouth being open and the eyes distorted. Phosphorus; restless sleep, from which the patient wakes with a shriek; constant heat, small and hurried pulse; vertigo, stupor, headache ; hard hearing, dim- ness of vision, pale face and sunken eyes, dry and cracked lips and tongue, loss of appetite, copious urine with whitish clouds, dyspnoea, stinging and rattling in the chest, oppressive cough with discharge of blood. Pulsatilla; loss of recollection, delirium, sopor, cry- ing as if in great distress, small pulse. Stramonium; the whole body feels hot; small, hur- ried, tremulous, intermittent pulse; violent delirium, frightful spectre, disposition to escape ; illusions of sight and hearing; the patient sings and prays with a devout mien, or talks in a foreign language; throbbing head- ache, especially on the top of the head, dilatation and insensibility of the pupils; altered features, impeded deglutition, dry and rough tongue, it trembles when put out; inarticulate speech ; suppression of stool and urine. Sulphur; if previously administered and well chosen remedies have no effect, which may be the case if the disease originates in the suppression of some cutaneous eruption, of is complicated with some other chronic affection. It is indicated by the following symptoms: Dry heat with thirst and hurried pulse, worse in the evening. Sleeplessness; delirium, with the eyes wide open ; picking at flocks ; pale and haggard face, with 232 TREATMENT OF LEADING DISEASES. blue margins around the eyes; dry and brownish tongue; hard stool; scanty, dark-red urine, soon becom- ing turbid. Veratrum album.; last stage of lentescent typhus, with coldness of the skin, and cold sweats covering the skin of the whole body: pulse slow and almost extinct; cold, cadaverous countenance, with pointed nose and sunken cheeks; sopor; almost imperceptible breathing; deli- rium, the body being cold, the eyes open and the face having a cheerful look; mental alienation, amorous or religious mania, thinks himself a preacher, prince, hunter; feins blindness, a cancerous disease, pregnancy etc. This remedy is often suitable after or in alter- nation with Arsenic. The patient's wants have to be attended to with great care, especially during the time of convalescence, when an indiscretion in diet may bring on a relapse. The patient should be restricted to light, readily-digested food, and should avoid all stimulating drinks. If the weakness of the patient should continue obstinate, he may take for four days a dose of China, morning and night. The following cases show that typhus may be cured with a few doses of the specific remedy. Two persons in different parts of our city were taken sick at the same time. I was informed by their friends that they complained of a dry, glowing heat, flushed *nd bloated face, and that they had had violent deli' rium over night, and had to be kept in bed by force. They had humming in the ears, weariness, luminous vibratory appearances before the eyes; lips and mouth were dry, the tongue red and burning; they had violent thirst, and the deglutition was impeded; bowels bloated TYPHUS. 233 and the abdominal integuments sensitive to contact, Frequent diarrhoeic stools. I gave Aconite and Bella- donna in alternation every hour. Towards evening '1 visited the patients and found that the delirium had subsided and that a gentle perspiration had broken out. I ascertained that one of these patients, on closing his eyes, saw a confused collection of luminous circles and points, and the other a multitude of forms which came and went. Both took Phosphoric acid in water, a spoon- ful every two hours, and on the following morning both felt well, and were able to rise and eat something, but had to walk with canes; but after the lapse of three days they paid me a visit and were able to attend to their business. Mrs. B., residing in an adjoining village, was taken ill quite suddenly. She had a violent cough, which became worse at night, with expectoration of yellow, blood-streaked mucus; watery diarrhoea preceded by violent urging and spirting out with violence, dry and glowing heat. I sent her Pulsat., Merc and Aeon., to be taken in alternation. Next morning the diarrhoea had ceased, the cough was much less, not blood- streaked, but violent delirium had set in; the patient was constantly talking about her business; the tongue cracked and blackish, likewise the lips and nostrils; there was restless tossing about; the eyes looked glassy; the skin was dry as parchment; the lower jaw depressed, the speech heavy and inarticulate, with picking at flocks; hard hearing; stitches in both sides of the chest; the body keeps settling downwards in bed, she lies on her back with her knees bent double and pointed upwards; frequent starting. I gave Arseni- cum, Bryonia and Muriatic acid in alternation, every hour. 234 TREATMENT OF LEADING DISEASES. Two days after, the following change was reported tongue moist and clean, the black color of the lips and nostrils had left; the lips were moist, the eyes bright, speech intelligible, the picking at flocks had ceased, the hearing was better, the lower jaw was no longer depressed, and the body did no longer settle down. She feels stronger, is still slightly delirious morning and evening, and when coughing she complains of stitches in the side. These few symptoms yielded to Bryonia. Yellow Fever. This disease is peculiar to tropical countries, and manifests itself with the following symptoms: Chills nausea, headache, especially in the forehead, generally precede the breaking out of the disease, the tongue speedily becomes coated with a thick layer of mucus, although it remains comparatively clean in some cases. The bowels at first are constipated, after which the stomach becomes so irritable that any thing the pa- tients eat is expelled again by the mouth or rectum. After these symptoms have lasted three or four days, blood begins to ooze from the gums, nose and other orifices of the body, the face assumes an expression of reverie, the sclerotica has a dingy-red look, the eyes look glassy as in the case of drunkards; the breath is foul, almost cadaverous, the blood becomes brownish and viscid, sometimes almost black, and often has a bad smell. The unacclimated residents of tropical regions are more especially liable to being attacked by this scourge. Among the determining causes we notice more particu- larly the hot days followed by cool and damp nights : YELLOW FEVER. 235 abuse of spirits, overloading the stomach with food to which one is not accustomed, such as pine-apples, ba- nanas, etc The disease may also be engendered on ship-board, if the air becomes vitiated in consequence of deficient ventilation, overcrowding, the use of bad water, unwholesome food, etc. In localities where the disease prevails, Arsenicum in water, a small spoonful every few hours, may serve as a preventive, against the invasion of the disease, if taken as soon as the premonitory symptoms ire experienced. If the disease should break out nevertheless, and the patient should complain of heat, and be restless, anxious, toss about, Aconite should be given in water, five pellets in a cupful, a dessertspoonful every ten to fifteen minutes. If delirium sets in, with heat in the head, frontal headache, wild and anxious expression of the counte- nance, Belladonna may be given in alternation with Aconite every fifteen minutes, and less frequently if an improvement takes place. Very often this treatment proves sufficient to arrest the further progress, of the disease. If it should progress toward the subsequent stages, the medicines which have been recommended for typhus, may be consulted, with any of which Aconite may be given in alternation, whenever the skin becomes excessively dry and hot. The following medicines may prove more especially useful: Nux vomica, for nausea, vomiting, constipation, and excessive irritability of the stomach. Arsenicum album, for burning in the epigastric region with great prostration ; vomiting of a blackish or brown fluid, (a spoonful of five pellets in a cupful of water may be given every five minutes.) 236 TREATMENT OF LEADING DISEASES. Veratrum album, for coldness of the extremities and the rest of the body (may be alternated with any of the other medicines, if necessary, every five to ten minutes.) Mercurius may be serviceable, when the gums, nose, etc., bleed. Crotalus is recommended by some physicians. A friend has sent me the following notice of an attack of yellow fever, which is very apt to be brought about by exposure to wet, by excessive labor, etc. The commencement of the attack varies: In some it sets in with headache; in others with a feeling of weariness, soreness and lameness in the extremities, sometimes with creeping in the tips of the fingers, blueness of the nails. Excessive prostration. Consti- pation in many cases, with disposition to vomit. Sopor delirium, congestion of blood to the brain ; hurried pulse (one hundred to one hundred and twenty beats). If vomiting sets in, it is always mixed with bile. After the fever is cured, foreign residents retain a sal- low complexion and remain debilitated for a long time; this weakness very frequently terminates in fever and ague. For the premonitory symptoms, such as: tingling in the tips of the fingers, blueness of the nails, etc., Rhus tox. is recommended by this writer, in water, a spoonful every two hours. If the fever breaks out, and the pulse is hurried, with delirium, determination of blood to the head, hard stool, Bryonia may be given every hour. For bilious vomiting Ipecac, or Nux vomica may prove serviceable, or Pulsat., if there is an absence of thirst. If great weakness remains, China may be ad- ministered in water, a spoonful morning and evening for five days. SEA-SICKNESS. 237 Sea-sickness. This disease is caused by the balancing motion of the ship, and is characterised by nausea, headache, heat in the head, or paleness of the face, vertigo, vomiting 01 diarrhoea ; all these ailments disappear of themselves as soon as the passenger lands on firm ground. This disease may not only be moderated, but some- times prevented by homoeopathic agents. Similar symptoms are sometimes induced by riding in a carriage. These symptoms can be controlled by Coc- culus, five pellets in a cupful of water, of which a few spoonfuls may be taken some hours previous to the moment of departure, and likewise on the journey as soon as the traveller begins to feel sick at the stomach. A few pellets may be kept dissolved in a well corked vial and a small swallow may be taken whenever the least nausea is experienced. If this should not be sufficient, and a watery diar- rhoea should set in, Arsen. may be given in alternation with Cocculus. If nausea sets in without vomiting or diarrhoea, with stinging pains in the occiput, buzzing in the ears, aver- sion to meat and boiled food, with a feeling of weakness, Petroleum may be given in the place of Cocculus. Sulphur has been recommended for similar symptoms, with trembling of the hands and feet; and for vomit- ing of water and mucus, if the patient complains of heat and pressing in the forehead, with cold hands and feet, Kreasotum may prove most efficient. Persons should not leave port with empty stomachs ; they should take their meals regularly, eat good and nourishing food, remain on deck as much as possible, 238 TREATMENT OF LEADING DISEASES. and look upwards at the sky rather than at the sea, especially if the motion of the ship is more violent than usual. Strength of will is a most essential requisite in com- bating or preventing the disorder. All fear must be banished, the mind should always preserve its sway. Inflammation of the lungs. CPneumonia.) This disease occurs most frequently in dry and cold weather, especially in mountainous districts, it is a most dangerous disorder, which may be excited by a keen north or north-east wind, by taking a cold drink when over-heated, by violent emotions, excessive exertions of the lungs, such as loud talking, especially against the wind, singing, running, dancing, carrying of heavy burthens, injuries, etc. Pneumonia sets in with a violent chill which is fol- lowed by a continuous dry heat. Pain in the chest soon supervenes, especially towards the left side. A peculiar oppression deep in the chest, which afterwards changes to a stinging or aching pain, renders the breathing short, hurried and anxious. The expired air is burning hot. The face is very much flushed, and the carotids are distended. If both lungs are inflamed, the thorax is either little or not at all raised during an inspiration ; if only one lung is inflamed, the thorax on the sound side is alone raised. In such a case the stinging or lancinating pain is only felt in one side of the chest, whereas, if both lungs are inflamed, the pain is felt in the whole cavity of the thorax; the inflamed portion is hotter than the other. The patient is unable to draw a INFLAMMATION OF THE LUNGS. 239 long breath, because this causes violent stitches in the lungs; he prefers performing the act of inspiration with the abdominal muscles which are indeed visibly raised during it. At first the cough is dry, after a while a transparent, tenacious, and frequently reddish mucus is expectorated. The bowels are constipated; the urine is burning, and has a reddish or brownish color. This is the first stage, in which Aconite is given, six pellets in a cupful of water, a dessertspoonful every two hours, or more frequently according as the disease is more or less violent. The use of Aconite is continued, until the fever is moderated, and sweat breaks out. In order to obtain a correct knowledge of the inten- sity and extent of the inflammation, it is indispensable to institute a physical exploration of the chest. Per- cussion is performed by placing a thin tablet of ivory, or two fingers of the left hand upon the patient's chest, and striking upon them with the right index-finger. The tissue of sound lungs being filled with air, it must necessarily yield a clear sound on percussion ; if this is not the case, they are either filled with blood, as in the second stage of pneumonia, termed the stage of hepati- zation, or with pus as in tubercular phthisis. The duller the sound, the more the lungs are filled with blood. For purposes of auscultation, the ear is likewise a much better instrument than the stethoscope. All physical signs should be principally observed on the back part of the patient's chest; for, independently of some forms of pneumonia, such as the asthenic form, occurring principally in the posterior portion of the lungs, the hepatized lungs, (or lungs which have become infiltrated with blood), especially on the right side, like- 210 TREATMENT OF LEADING DISEASES wise naturally incline by their own weight to press towards the posterior wall of the thorax. The more the cells of a portion of lung become filled with blood instead of air, the more the ordinary respi- ratory murmur which resembles the crepitation of common gold-foil, will disappear, and will be replaced by the so called bronchial murmur, a sound which may be aptly compared to the slow enunciation of the German guttural "ch" and which seems to proceed from a greater depth in proportion as the disease increases in intensity and extent. If the presence of these physical signs is announced by an increasing dyspnoea and an increasing desire to draw a long breath, if the stitches become more and more violent and the expectoration accompanying the short and hacking cough, is more and more tinged with blood, the second stage of pneumonia has set in, and we now give Bryonia in alternation with Aconite, both in water, an alternate dose every hour or two hours, until the expectoration ceases to be bloody. Bryon., may already be given before this time, as soon as the fever begins to abate under the use of Aconite. If in the progress of the disease the expectoration assumes the color of rust, we give Phosphorus in water, a spoonful every half hour, and less frequently as the symptoms improve. In case there should be an excessive accumulation of mucus on the chest, with much rattling, dyspnoea, dan- ger of suffocation, Tartar emetic may be substituted for Phosphorus. For pneumonia resulting from the suppression of a cutaneous eruption, we give Aconite and Sulphur in alternation, in such a manner that Aeon., is given every INFLAMMATION OF THE LUNGS. 241 fifteen to'thirty minutes, and Sulphur every four hours. If the patient is able to resume his business, but still complains of a feeling of weight and weakness on the lungs, we may derive much benefits from the use of Sulphur, Lycopodium or Phosphorus, according to cir- cumstances. If the fever should not yield to Aeon, and Bryon., and violent delirium should set in, Bell, is very fre- quently of great use, and produces even an abatement of the fever. If typhoid symptoms should supervene, Rhus tox. must not be lost sight of. If we should be called to a pneumonic patient who nad been bled for this disease by an alloeopathic physi- cian, we may give him China, one globule upon the tongue, and afterwards give China and Aconite in alter- nation, in teaspoonful doses of a watery solution every two hours. Old-school physicians describe two forms of pneu- monia which deserve a mention in this place, pneumonia notha and malignant pneumonia. Pneumonia notha or spurious pneumonia is characterised by the following •symptoms: soft but hurried and small pulse, slight stinging pain in the side which is only felt when draw- ing a long breath; great anxiety and feeling of weight in the lungs, bloody expectoration, which increases from day to day ; faint sound of the voice, and interruption of the speech by frequent paroxysms of cough. In this disease our first remedy is Aconite, to be followed at a later period by Mercurius, as soon as an aggravation of the symptoms take place. For a dry and hacking cough, with constrictive sen sation in the chest, we give Charnom., and if thore ia 16 242 TREATMENT OF LEADING DISEASES. hurried and anxious breathing, Ipecac, should be exhi bited. Veratrum is called for by coldness of the limbs, with great anxiety and constriction of the chest. Arsen. is sometimes suitable for such symptoms, especially if the prostration continues to increase. The remedies mentioned in the subsequent paragraphs may likewise be consulted. The malignant or lentescent form of pneumonia has the following symptoms : Several days before the actual breaking out of the disease the patient begins to com- plain, without exactly knowing what is the matter. In a few days the patient has a chill, which is followed by shortness of breath and pressure in the chest. These symptoms are accompanied by great heat, cold and clammy sweat, dry and blackish tongue, muttering during sleep. The urine and faeces are passed involun- tarily. The debility is increasing, yet the patient does not seem to be conscious of danger. The principal remedies are Bry., Rhus, Op., Am., Ars., Verat. Favorable signs of a successful termination of pneu monia are: Copious and vaporous perspiration, in- creased calm of the pulse and the respiratory move- ments, returning moisture at the nostrils, copious. sediments of urates, loose expectoration. The physical exploration of the chest should not be neglected, in order to make sure that these symptomatic indications go hand in hand with the resorption of the effused fluid ; the absence of fever is not always a sign that the danger is over. A bad sign is the extension of the inflammation in both lungs, great anxiety and distress for breath, a fre- quent and small and finally compressible pulse ; heavy, hurried and rattling breathing; breathing exclusively INFLAMMATION OF THE LUNGS. 243 with the abdominal muscles (the pit of the stomach sinking in at-the same time during an inspiration); pale and sunken countenance, the patient settles down in bed, lies on his back without being able to help himself, etc. For the benefit of the reader I here subjoin the symp- toms of each particular remedy : Aconite; chill followed by dry heat, with burning dryness of the skin and violent thirst; anxious breath- ing, stitches in the chest, dry cough, hurried and full pulse, vertigo on raising the head; bright red, hot urine. Arnica; pneumonia caused by an injury; stitches in the chest aggravated by coughing. Belladonna; violent congestion of blood to the head, with flushed and bloated countenance ; obscured vision; delirium; burning heat of the whole body ; full and hurried pulse ; labored, short and anxious breathing • lancinating stitches in the chest, cough with expectora tion of bloody mucus ; dark or brown-red urine. This medicine may be given after Aconite, if this remedy has no effect. m Bryonia; dry skin, violent thirst; hurried pulse, delirium, anxious, almost subdued breathing, with desire to draw a long breath ; stitches in the lungs made worse by coughing and drawing a long breath ; cough with expectoration of blood-streaked or rusty- colored mucus ; hot urine, dark-red or browm Tartarus emeticus; catarrh of the air-passages with co- pious expectoration of mucus, mucus rale ; or great dvspncea on account of impeded expectoration of mucus, increasing to suffocative distress; incipient oedema of the lungs, with threatening paralysis of the lungs. 244 TREATMENT OF LEADING DISEASES. China ; if the patient had been bled, to be given in alternation with Aconite, if the heat continues consider- able, and the pulse is hard and quick. This remedy is indicated by a soft and thin pulse, and general debility; painful, short and hurried breathing; rattling in the air- passages, stitches in the chest. Mercurius; heat in the whole body, violent thirst with desire for icy-cold drinks; fetid night-sweats; hurried pulse, stitches in the chest aggravated by sneez- ing, breathing, etc.; cough with bloody expectoration dark, red or brown urine. Nux vomica; pneumonia of drunkards, or after sud- den suppression of haemorrhoids, to be alternated every four hours with Aconite; also indicated by obstinate constipation. Phosphorus; heat with anxiety; pulse hurried, hard and wiry; anxious breathing, oppression on the chest as from a load; stitches in the chest; cough with rusty sputa; the urine is dark and soon becomes turbid. Pulsatilla; pneumonia after menstrual suppression, to to be alternated with Aconite. The patient moans, feels anxious and listless ; the pulse is quick and soft, rattling breathing, stitches in the lungs, cough with expectora- tion of coagulated masses, erratic rheumatic pains in the extremities. Rhus tox.; the ordinary symptoms of pneumonia are complicated with dryness of the mouth and intense thirst; cloudiness of the brain, excessive anxiety, lame- ness of the limbs and small of the back; rigidity of the joints. Sulphur; pneumonia after suppression of some cuta- neous eruption, when the disease is still imperfectly developed. It may be given in alternation with Aconite, INFLAMMATION OF THE PLEURA. 245 especially if the following symptoms are present. Hard, quick and full pulse; difficulty of drawing a . long breath ; weight on the chest, stitches in the chest, dry cough with sensation in the chest as if little vesi- cles were breaking; cough with blood-streaked expec- toration : dark urine. If some trouble in the chest remains after the disease seems cured, a few doses of Lycopodium may suffice to remove the whole of it. If pneumonia should take the form of typhus or phthisis, the remedies which have been recommended for these diseases, have to be consulted. Inflammation of the Pleura. (Pleuro-pneumonia, pleuritis, pleurisy.) This disease runs a course somewhat similar to that of pneumonia. These two diseases sometimes co exist, in which case their respective symptoms form one com- mon series. Pleurisy is characterised by a violent stinging which is felt in the walls of the thorax rather than in the interior of the chest. In some cases this pain extends to the spine, is made worse by sneezing, drawing a long breath, etc The parts between the ribs feel sore when pressed upon. The cough is dry or accompanied by scanty expectoration of mucus, or by expectoration of blood and mucus, if the pulmonary pleura is inflamed. The breathing is short, but the expired air is not hot. The pulse is hard and hurried, but not intermittent or irregular. The skin feels hot all over, the thirst is intense. The patient feels most comfortable when lying on his back. Aconite, a few spoonfuls of a solution of six pellets in 246 TREATMENT OF LEADING DISEASES. a cupful of water, is sometimes sufficient to cure thia severe disorder; if it should not yield to Aconite, this remedy may be alternated with Bryonia an alternate dose every two hours; in more protracted cases, a dose of Sulphur may be interpolated every now and then. If the disease sets in after heavy lifting or other severe labor, Aeon, and Rhus may be given in alterna- tion every two hours. There is a spurious pleurisy which sometimes creeps along in a very insidious manner. The disease is some- times preceded by lassitude and heaviness of the limbs, until the patient .complains of aching, stitching and burning pains in the chest, which are considerably aggravated by going up stairs and by other exertions. The cough is generally dry, but frequently very rack- ing as though head and chest should fly to pieces. There is very little if any fever, and the general health of the patient is pretty fair. A leading remedy against this disease is Arnica, to be given in water every four hours. In some cases Bryonia is preferable, if the patient is restless and feels feverish. Inflammation of the Air-passages. ("Bronchitis.) The same causes which may bring on an inflamma- tion of the lungs, may likwise result in inflammation of the air-passages. The patients complain of a stinging and burning pain under the sternum, or of a feeling of anxiety and oppres- sion. This is accompanied by cough which is at first dry, but afterwards is attended with expectoration of bloody mucus. The breathing is exceedingly labored, INFLAMMATION OF THE AIR-PASSAGES. 247 and the patient has no ease except when sitting up. The face looks pale, the skin is dry, the pulse hard and nurried, the tongue has a coating of a gray or yellowish mucus, the urine is red and scanty. If the disease is not arrested in this stage, a general prostration of strength supervenes. The dyspnoea be- comes excessive, the lips look purplish, the pulse becomes less hard but more accelerated, the skin feels cool and moist, the forehead and chin are covered with cold perspiration. The expectoration decreases in quantity, and finally ceases altogether, after which death takes place by suffocation, either because the air- tubes become closed by spasm or by exuded lymph, or else because the intensity of the inflammation results in paralysis. If the disease is correctly diagnosed and managed from the very commencement, the dyspnoea soon ceases, the constriction across the chest abates, the cough becomes loose and is attended with a copious, thick expectoration. The pulse and skin become more natural, and the patient is very speedily out of danger. In the case of children, acute bronchitis is still more dangerous than if full-grown persons are attacked with this disease. In the case of children the disease is char- acterised by the following symptoms: The breathing is more accelerated than usual, and a sort of panting mur- mur is heard during the inspiration; the breathing, however, does not seem much impeded, nor does the child seem to obtain much relief by sitting up. The attack seems to resemble a violent catarrh and may very readily be mistaken for it. The cough is not very marked, nor is it accompanied by expectoration. In some patients the tongue is coated, in others it is quite 248 TREATMENT OF LEADING DISEASES. clean; the proffered nourishment is very seldom refused by the little patients. In many cases the fever is incon- siderable. A striking symptom is the pale complexion which is observed at the very onset of the disease. In most cases the pulse which is at first hard, becomes soft, but remains hurried. In the course of the disease the breathing sometimes becomes so easy that it seems as though the child was in full tide of recovery; but suddenly the dyspnoea again becomes so violent that the patient seems threat ened with suffocation. The attack passes off', but another similar attack soon takes place, and the whole course of the disease is marked by a continuance of such paroxysms. Between the paroxysms the child generally dozes, and is not much troubled with cough. If the disease increases in intensity, the dyspnoea be- comes more violent and the remissions are much less frequent. Sopor supervenes ; the lips assume a slightly blackish-yellow hue, which is likewise seen to some extent on the cheeks. Not infrequently we observe spasmodic twitchings of the limbs, especially on one side of the body. Even at this stage signs of recovery sometimes deceive the anxious parent; but suddenly the child dies in a fit of suffocation. The disease runs a course of five to seven days; acute cases may end in a few hours. It is difficult, and not always possible to distinguish bronchitis from pneumonia; the following characteristic distinctions may be kept in view. In bronchitis the face is generally pale, in pneumonia it is otherwise. In acute bronchitis the dyspnoea is much more marked than in pneumonia; hence the anxiety is much greater in the former than in the latter. The panting murmur INFLAMMATION OF THE AIR-PASSAGES. 249 which almost always exists during an inspiration in bronchitis, is seldom heard in pneumonia. The pulse is accelerated, but it is less hard and tense than in pneu- monia. A physician will always be able by means of he physical signs to obtain a correct diagnosis. The leading remedy is likewise Aconite which is given - m the same manner as in pneumonia, in water, a spoon- ful every fifteen minutes. If no improvement sets in in a few hours, we alternate it with Bryonia in water. This remedy is particularly indicated, if the patient has to sit up in order to obtain relief. In the case of scrofu- lous individuals, and of persons who are subject to chronic affections of the respiratory organs, and to fre- quent attacks of catarrh of the air-passages, these two remedies are not sufficient; in such cases we may have to give Phosphorus every hour, until an improvement sets in. Other remedies may likewise be indicated, the symptoms of which I here subjoin. Aconite is given at the commencement of the disease, if the pulse is hard and quick, the skin hot and dry, the cough dry and short, and the breathing hurried, moan ing and anxious. Scanty and fiery urine. Bryonia ; for the same symptoms as those which have been indicated in pneumonia, especially if the patient has to set up to obtain relief. Phosphorus; pale face, hard and hurried, or else feeble and quick pulse; loud, panting breathing; dry cough, with expectoration of bloody mucus. Arsenicum; small, hurried pulse; pale face; dry cough, with expectoration of blood-streaked mucus; burning sensation under the sternum; suffocative dysp ncea, prostration. 250 TREATMENT OF LEADING DISEASES. Carbo reget.; pale or sallow complexion, dry cough dyspnoea not relieved by sitting up. Drosera; bronchitis after measles. Hepar sulph.; -cough with a barking sound, if the upper portion of the air-passages is affected. Chronic bronchitis may moreover require the use of Calc. carb. ; Caust.; Ldine; Nitric ac.; Puis.; Senega, Spongia; Stann.; Sulph. Compare laryngeal phthisis. In all cases of disease of the respiratory organs the air which the patients inhale, should be very pure The patient should not be exposed to the fumes of tobacco, to perfumes or strong odors of any kind. Sore throat, quinsy. ("Angina faucium.j By sore throat unprofessional people generally mean an inflammation of the fauces, velum tonsils and uvula. As far as the treatment is concerned, it is immaterial what part is inflamed; if we desire to find this out, all we have to do is to press down the tongue with the handle of a spoon, and to look into the cavity by turn- ing the patient's face towards the light. Generally such patients complain of dryness of the throat, stinging and burning pains in the throat; deglu- tition is impeded, and some fever is always present. If the fever is considerable, with dry heat, restless- ness, full pulse, etc., we give Aconite in water, a spoonful every half hour. This treatment is sometimes sufficient to arrest the disease; if we should not succeed in this, we may then resort to one of the following remedies, which may eithet be given alone or in alternation with Aconite. Mercurius; swelling and burning in the fetuses, as if a SORE THROAT.— QUINSY. 251 hot vapor were rising from the pharynx; violent thirst; painful dryness or else copious ptyalism ; sting- ing pains when swallowing, with constant urging to swallow; stinging in the tonsils and submaxillary glands ; sensation as if something were sticking in the throat, which has to be detached. Bellad.; stitches in the. throat, shooting as far as the ear, with constant urging to swallow; spasmodic con- striction of the fauces, with inability to swallow any thing; liquids return by the nose. Chamomilla; sore throat with swelling of the parotids, hoarseness, pain on swallowing as if a plug were stick- ing in the throat; excellent in the catarrhal sore throat of children. Pulsatilla ; feeling of swelling and contraction of the throat during deglutition ; dryness of the throat after midnight, with tenacious mucus in the morning. Hepar sulph.; stitches in the throat, when drawing breath or turning the neck. Ignatia; feeling as of a lump in the throat between he acts of deglutition, or soreness during deglutition; stitches in the throat, almost always between the acts of swallowing, or passing off by continued swallowing, Bry., Rhus, Cocculus, Laches s, Sulphur, China may have to be used in exceptional cases. An inflammation of the oesophagus scarcely ever accurs except as a'consequence of injuries; it is not visible in the throat, the pain is felt lower down and posteriorly near the spine. Arnica may be required together with the above named remedies. A chronic disposition to sore throat may be extir- pated by Mercurius and Sepia, and in scrofulous indivi- duals, Sulphur. A dose of the appropriate remedy may 252 TREATMENT OF LEADING DISEASES. be taken morr.ing and night for four or five days. A strict diet has to be observed. In all cases of chronic sore throat compare the reme- dies recommended for laryngeal phthisis. In acute angina the patient may drink much warm milk, or slimy decoctions. Gruel, farina, rice, etc., may be used as nourishment. The sick-room should be ventilated several times a day, of course with the re- quired precaution, in order to avoid exposure. Mumps. (Paroti tis.) This is a swelling and inflammation of the paiotid gland under the ear. Sometimes the whole cheek and neck are involved in the swelling, so that the patient is unable to chew or swallow, and a little tepid milk has to be introduced by means of a small spoon, goose-quill, etc. This affection is not dangerous, unless it should shift to the private parts, to which it is disposed. Hence it is necessary to keep the patient warm and to protect him from exposure. The swollen parts may be covered with a simple strip of linen. A great remedy in this affection is Mercurius in water a spoonful every two to four hours. If the inflammation assumes an erysipelatous charac- ter, and the patient becomes delirious and lapses into sopor, Bellad. may be administered;' and if the jaws are spasmodically locked, Hyoscyam. should be given, some- times in alternation with Merc.; if there is much fever, heat, we give Aconite. If much Calomel had been administered, or if the swelling becomes hard, and a slow fever sets in, Carbo veg. should be resorted to. INFLAMMATION OF THE BOWELS. 253 If the submaxillary glands are swollen, Calc. carb. may be given. If the disease shifts to the scrotum, we may give Pulsatilla, sometimes Nux vom. The following remedies may likewise have to be con- sidered : Aur., Chain., Conium, Dulc, Hepar s., Rhus tox. Inflammation of the bowels. (Enteritis.) Acute enteritis is readily confounded with other diseases, according as one or the other portion of the bowels is the seat of the disease. It is a most dangerous affection, and may readily terminate in gangrene in the hands of a careless or ignorant practitioner. The disease announces itself with the following symp- toms : violent burning, cutting or stitching pain in the abdomen; proceeding from a given point, it spreads over the whole abdomen, is continuous, increasing from time to time, but never ceasing entirely like colic. The abdomen is hot, distended, and extremely sensitive to the least contact. The pains increase after eating or drinking ever so little. These symptoms are accom- panied by almost unceasing eructations, frequent vomit- ing of a green fluid, sometimes even vomiting of faeces, and singultus. Most generally the patients complain of constipation, but sometimes a greenish diarrhoea sets in, with anxiety in the abdomen, violent urging to stool, retention of urine which is voided only in drops and has a fiery redness. The patient is tormented by the presence of an intense, continuous and increasing fever, with internal heat, a small, soft, frequent, intermittent, and but rarely full and hard pulse, dry tongue, intense thirst, excessive anxiety, restlessness and sleeplessness. Very speedily delirium supeivenes, with wild looks, 254 TREATMENT OF LEADING DISEASES. spasmodic twitchings of the facial muscles, contraction of the pupils, obscuration of sight, supor stupor, cold- ness of the extremities, violent burning in the bowels, rapid prostration, fainting fits, etc. If the inflammation has its seat in the lesser intes- tines, where it is most frequently located, pains are then most violent in the umbilical region, accompanied with fever, nausea, restlessness, vomiting, dry tongue, intense thirst, singultus. If the pain commences below the umbilicus, invading this region of the bowels at a later period, we may assume that the larger bowels are pri- marily attacked by the inflammation. In cases where the symptoms are chiefly located in the hypochondria, assuming the form of pleuritis or hepatitis, the colon or ccecum is the chief seat of the affection. If the pain is felt deep in the groin, the patient experiences frequent urging to stool, passing only some tenacious mucus, the rectum is the locality where the inflammatory process has taken up its abode. If typhoid symptoms are present, the diagnosis of the disease is much obscured. The phenomena of typhoid enteritis are much less marked than those of the simple acute form of this disease; not infrequently the exist- ence of the disease is only fully and satisfactorily revealed by a post-mortem examination. The pulse is very small and quick, sometimes rather soft than hard and contracted, the features sunken and altered, the eyes dim, the abdomen puffed. Soon the extremities become paralyzed, stool and urine are passed involun- tarily, the power of speech and deglutition becomes extinct. If the disease is consequent upon the sudden suppression of a flow of blood from the uterus or bowels, the symptoms assume at once a most dangerous INFLAMMATION OF THE BOWELS. 2o5 character; the pains and vomiting are excessive, the pulse is small, contracted, wiry and nervous. Violent deliruim and spasms are generally present. By contrasting the symptoms of enteritis with the symptoms of maladies with which it might possibly be confounded, we shall be enabled to establish a correct diagnosis of the disease. Its characteristic symptoms are: More or less intense pain in some portion of the abdomen, aggravated by mere contact, and considerably so by pressure; distention of the abdomen ; coldness of the extremities, sudden prostration, altered features, small and irregular pulse; obstinate constipation. The disease may run its course in three days, and seldom lasts longer than nine days; slight cases may last a fortnight; in its most acute form it may terminate fatally in a day. Enteritis may be superinduced by a variety of causes: abuse of cathartics and stimulants ; mechanical injuries inflicted upon the bowels by the introduction of some deleterious substance, acids, pointed bodies, etc.; cold drinking while the body is over-heated; violent sup- pression of diarrhoea or habitual losses of blood : lifting heavy weights; exposure of the bowels and feet to taking cold; suppression of existing cutaneous erup- tions; gout, rheumatism; mechanical injuries of the the abdomen; childbed; inflammation of neighboring organs; incarceration of hernia, etc Season and cli- mate, and the changes of temperature incidental to locality, have likewise much to do with the develop- ment of enteritis. The small intestines are more fre- quently invaded in spring and summer; the larger bowels more frequently at the beginning of fall. We commence the treatment with Aconite, six pellets 256 TREATMENT OF LEADING DISEASES. in a cupful of water, a dessertspoonful every hour, until the patient feels more comfortable. If given at the very commencement of the attack. Aconite will suffice in many cases to control the disease, but if the exhibition of this agent is delayed, one of the following remedies may afterwards have to be resorted to. Arsenicum; cutting, tearing, burning pains in the bowels; restlessness and anxiety; vomiting, sunken features; coldness of the extremities; small, quick, inter- mittent pulse; bloody stool. Belladonna; the ordinary symptoms of enteritis are accompanied by delirium or spasms, (may be alternated with Arsen. every half hour in water.) Bryonia; after Aconite, if the fever is less, but the abdominal integuments continue very sore and sensi tive, the pains are aggravated by the least motion, or if a typhoid character develops itself. It may be repeated every three or four hours. Chamomilla; enteritis of children during dentition, with foul diarrhoea, slimy or watery (in alternation with Aeon, every half hour.) Mercurius; cutting and burning in the bowels, sensi- tiveness to pressure, quick pulse, rheumatic pains in the limbs. Chiefly indicated in the fall, when dysentery, violent colics or rheumatic pains in the extremities prevail. Nux vomica; enteritis from sudden suppression of haemorrhoids, with stinging, tension and burning in the bowels, also with eructations, and disposition to vomit. It is especially useful, if drunkards are attacked with the disease in which case Nux and Aeon, may be given in alternation every hour. CRAMP OF THE STOMACH. 257 Pulsatilla; enteritis after menstrual suppression, with tearing pains in the bowels, coming on in paroxysms p.nd being attended with chilly creepings (in alternation i-3 O f b © Ifatrum tnur. Nitri acid. Nux vomica. Opium. Pulsatilla. Rhus tox. Sabadilla. Sambucus ni- gra. With without thirst One hour, without thirst Sometimes slight, at other times severe, with thirst for beer. With or without thirst. No thirst. Thirst. Slight thirst, Chill before bedtime. Thirst, and violent aohe. head All over, without thirst. Sometimes predominat- ing, or slight thirst for beer Thirst. Thirst Thirst Slight thirst, Dry, with dread of expo- sure. On the soles of the feet All over, for two hours. After the heat, or none at all. Warm. After oi with the heat. After the heat. With heat the Excessive, exhausting. Bone-pains, backache, sallow complexion, headache, debility, bitter mouth, sore corners of the mouth, pressure in the pit of the stomach. Constipation ; suitable to persons whose habits are sedentary, who are addicted to the use of spirits, who perform much severe mental labor, are afflicted with piles, etc. Sopor, stertorous breathing, spas- modic twitchings of the limbs, sup- presssed secretions. During the chill: pale face, ver- tigo, stupefaction, painfulness and heaviness of the head, anxiety, op- pression of the chest, vomiting of mucus. This remedy is suitable to females whose menses are suppress- ed, or are delaying and scanty. Pains in the limbs during the chill, headache, vertigo, nausea, urticaria. Cough during the chill, headache during the heat. The sweat continues >ven between the paroxysms. Quotidian, After abuse tertian j fore- of Quinine. noon. Afternoon. ►3 IS W Quotidian, After abuse e tertian, after- of Quinine, M noon, evening with indura- ►3 or at night. tion of the !2j liver. ►3 ►S o IS Quotidian, After abuse w tertian, quar- of Quinine. »s IS tan, afternoon or evening. < IS > Quotidian, % tertian, dou- b ble-quotidian. Quotidian, 0 tertian, quar- M tan. Evening. to 00 CO Remedies. Chill. Heat. Silicea. Burning. Sepia. Thirst Sulphur. Thirst and other ailments. Thirst. Tartarus sme- No thirst. No thirst ticus. Veratrum al-bum. Thirst. Continued heat with thirst, after al-ternate chills and heat. Sweat. Accompanying ailments. Type. Particular remarks. Slight Suitable to scrofulous children Forenoon, with burning heat all over, flushed continuing un- and puffed face, hard glandular til evening, or swellings along the sides of the from midnight neck, bloated bowels, diarrhoea; until morning. between the paroxysms the children are exceedingly obstinate and peev- ish, and cry even when touched or looked at. Forenoon. After abuse of Quinine. Sweat in the Suitable to scrofulous, rickety Quotidian, After abuse morning. persons, or who are troubled with every evening. of Quinine, es- eruptions. pecially after the violent suppression of cutaneous dis- orders. Sopor (next to Opium.) Cold sweat. External coldness only, or only Quotidian, After abuse internal heat with dark urine. tertian, quar-tan, morning or before mid-night. of Quinine 00 INTERMiT/ENT FEVER, FEVER AND AGUE. 285 Since the treatment of intermittent fever by means of large doses of Quinine is still kept up in many districts, it may be well to quote in this place Hahnemann's warn- ing advice against this practice. It may be found in the third volume of his Materia Medica Pura, p. 103 : "It is true, the patients can no longer complain that the paroxysm of their fever and ague makes its appear- ance regularly at certain hours of the day; but behold! how sallow their puffed faces, how dim their eyes! Be- hold their oppressed breathing, their distended bowels, their swollen loins, their impaired appetite, their foul taste, the oppression of the stomach caused by food, the abnormal character of their alvine evacuations mingled with undigested food; behold their anxious and unre- freshing sleep! Behold, how languidly, despondingly, peevishly or stupidly they go about, tormented by a much larger number of ailments than had been caused by the fever and ague. And such a china-cachexia, how long does it often last, until life becomes a perfect burthen! Is this health ? I admit that it is not fever and ague, nor is it health, but another disease worse than the original fever, a cinchona-cachexia which had to be worse than the fever and ague, otherwise this disease would not have been conquered by the artificial disease. If the organism recovers from this cinchona-disease, the fever and ague, which had been held in suspense until now, breaks out again with more intensity than formerly, for the simple reason that the organism had been weakened by bad management." The p*incipal remedies for such a cinchona-cachexia are: Ipecacuanha, Ars., Nux vom., Sulph., Pulsatilla, Verat., Carbo. veg., Arnica, Bellad., Calc carb., Caps., Cina. Ferr., Mercur., Natr. carb.,, Natr. mur., Sepia. 286 TREATMENT OF LEADING DISEASES. Erysipelas. This is an inflammation of the skin, where the swol len parts feel hot and have a rose-colored appearance, with a prickling and itching sensation, a feeling of ten- sion in the inflamed part, and a great deal of distress A characteristic sign of this inflammation is the disap- pearance of the redness under the pressure of the finger, which returns again as soon as the pressure is removed. Erysipelas is generally preceded by fever, loss of appetite, nausea, also vomiting. As long as the fever and the dry heat continue, we give Aconite, six pellets in a cupful of water, a small spoonful every two hours. We distinguish several forms of this disease. The most common form is: Erysipelas of Muscular Parts. Eose-colored, smooth and shining, also radiating. The remedy is Bellad., same as Aconite, or only every four hours, for four or six days. Erysipelas of Joints. This requires Bryonia. "Wandering Erysipelas. Tending to shift from one part to another; the re- medy is Pulsatilla. Vesicular Erysipelas, Affects chiefly the face, and invades even the hairy scalp. This form is generally accompanied by a vio- lent fever with bilious symptoms. The affected parts are red, swollen and hard. The vesicles are filled with VESICULAR ERYSIPELAS. 287 a watery, milky or yellowish fluid of various sizes, which frequently run into each other like small pox, and cause much itching, burning and a feeling of ten- sion. The remedy is Rhus tox. If the patient complains of violent urging to urinate, we may give Cantharides. If the inflammation is attended with boring, gnawing, digging pains, and if the vesicles contain a yellow fluid, Euphorbium may be administered. The gastric symptoms which sometimes set in with this disease, such as cardialgia, sour eructations, consti- pation, etc., require Nux vom. In this, as in all other diseases, the secondary symp- toms have to be well considered. Persons with a psoric taint, will do well to take a dose of Sulphur, which may eradicate the disposition to erysipelatous inflammation; we may give a spoonful of a watery solution of six pellets, morning and evening, for four days. During the first months of their existence infants are sometimes attacked with an erysipelatous inflammation in the region of the umbilicus, which spreads over the abdomen, towards the chest and back. Aconite, and Bellad., in alternation, are the best remedies, six pellets in a cupful of water, a spoonful every two hours. Com- pare Apis, Bry., Rhus, Hep., Sulph. For the erysipelatous inflammation of the scrotum, to which chimney-sweeps are chiefly liable, we recommend Arsenicum, also Mur. ac, Kreasot., Secale corn., Sepia. Zona or Zoster, (shingles,) holds a middle place be- tween erysipelas and herpes. It frequently manifests itself in the shape of a fiery band or zone about the width of the hand, generally encompassing in a semi- 288 TREATMENT OF LEADING DISEASES. circle one side of the body, most frequently under the breast, in the middle of the abdomen, or even the neck or one of the extremities; it never shifts to the opposite parts. Upon the red skin small, pea-shaped pustules spring up, which become filled with a yellowish fluid and cause a violent itching, burning and stinging. A main remedy is Mercurius, also Rhus tox., Graph.' C ust. for itching, burning pains. Nitr. ac. Arsen Euphorb., Sulphur, may likewise be considered. A main rule for the external treatment of erysipelas is not to apply any thing wet or grease to the swelling but to keep the parts warm, and to prevent their coming in contact with cold air, dampness, etc., lest this sort of exposure should induce a metastasis (shifting or trans- fer) of the inflammation to more noble organs, such as the brain, which might readily terminate fatally The best mode of keeping the parts protected, is to wrap them up in thin strips of cotton wadding, or in warmed cushions containing rye flour or wheat. If the rules which I have laid down for the manage- ment of this disease are carefully followed, the disease will prove perfectly tractable; but if these rules are neg- lected, the inflammation may terminate in induration suppuration or gangrene. In this condition Arsen., Carbo veg., Lach., China, Sabina, Secale corn., Sulph., may prove serviceable. Under proper homoeopathic treatment erysipelas may run its course in three, or at the latest, in six days, the skin loses its shining appearance, becomes opaque, and peels off. INFLAMMATION OF .rfE EAR. 289 Inflammation of the Ear. (Otitis.') In connection with erysipelas we will mention the treatment of otitis or inflammation of the ear. The inflammation generally extends to one ear. It is very painful, and if very acute, may become dangerous, by spreading to the brain and giving rise to erysipelatous inflammation of the meningeal membranes. In acute otitis the ear looks red and swollen, is exceedingly painful when touched, and if the inner ear is involved in the inflammation, it feels as if it were cut up with knives, or as if the ear were to be torn out of the head. There is violent throbbing, a burning distress in the ear, horrid noises in the ear and head, excessive sensitive- ness to noise ; most generally the pain in the ear is accompanied by headache, dizziness; the patient is unable to remain quiet, and the stomach is very often disturbed sympathetically by nausea and even vomiting. When the ear begins to discharge, the pain abates somewhat so as to become tolerable. If erysipelas of the brain sets in in consequence of the inflammation of the ear, the brain feels as if knives were cutting through it, the head looks swollen and inflamed, the eyes are often closed by the swelling, a horrid aching and throbbing is complained of, the fever is very high, tongue thickly coated, urine dark and fiery. The chief remedies for this form of meningitis are Aconite and Belladonna, 6 pellets of each to be dissolved in half a tumblerful of water separately, and to be given in half tablespoonful doses alternately every half hour. The patient should not sleep on a feather pillow,—and be kept removed from all noise and in a partially 19 290 TREATMENT OF LEADING DISEASES. obscured room. A dose of Rhus tox. may be given with the other medicines in alternation three or four times a-day. This treatment will effect a cure in every curable case. The principal remedies for otitis are Aconite, Bella- donna, Mercurius and Pulsatilla. Aconite and Bella- donna in alternation, if the fever is very high, with vio- lent throbbing, burning, tearing and shooting pains in the ear; these medicines to be given as for erysipelas of the brain. Pulsatilla alternately with Aconite, if the ear looks pale-red, shining, with discharge of blood and pus. Mercury, if the ear and the surrounding bones look swollen and the pain is much worse at night. For acute earache, Aconite and Mercury are the principal remedies. For discharges from the ears, see the Eepertory. Cough. (Tussis..) This is such a common disorder that most persons are disposed to neglect it and let it run its course. And yet a neglected cough may entail dangerous con- sequences, and may lead to haemoptysis, pulmonary consumption, etc. One reason why people have acquired a habit of neglecting a cough is, that the Old-school treatment is really insufficient to do any thing for such a disorder. All that can be done by the usual Old-school routine, is to palliate the cough, a proceeding which any person of common sense can do as well .as a physician. Violent medicines simply lead to the setting up of artificial ail- ments in the patient's constitution, without helping him any. COUGH. 291 Homoeopathy cures every sort of cough which has not yet resulted in the destruction of organs, with per- fect certainty; but in order to accomplish this result, it is necessary that every symptom which is peculiar to the case, should be carefully noted. For this reason I here subjoin first the more im- portant remedies, and afterwards those which are less important, although occasionally demanded by extra- ordinary symptoms. It is impossible to exhaust this subject here, inasmuch as cough is very frequently a mere symptom of some other more deep-seated disease. In the winter-season patients afflicted with cough, should not be away from the open air altogether; on the contrary, in fine weather they should walk out at noon when the sun is bright. Eough and keen winds, draughts of air, etc., should be guarded against. A cough is either dry, without expectoration, or else loose, with expectoration. Dry cough is sometimes exceedingly troublesome. Drinking thin gruel of rye or oat-meal, not too salt, affords much relief; an excel- lent drink may likewise be prepared by boiling two ounces of clarified sugar in one pint of water pretty thoroughly, and then stirring up in this solution half a tablespoonful of potato-starch; a teaspoonful of this jelly may be taken cold every now and then; it will prove exceedingly agreeable as a means of relief for the cough and the dryness in the mouth. Patients should try as much as possible to control the cough by their will; for this reason it may be well to tell children that they must not cough so much, lest coughing should become a habit and the lungs should become unnaturally and unnecessarily irritated. The following are the orincipal remedies for cough: 292 TREATMENT OF LEADING DISEASES. Aconite; cough with inflammatory character ; heat, restlessness, fever; short, rough, dry,.hollow cough, for instance at the commencement of croup, laryngitis influenza. Nux vomica; dry cough, with roughness and tickling in the larynx, which feels raw; tenacious mucus in the chest, with headache as if the head would fly to pieces, bruising pain in the epigastrium and hypochondria; it is worse from midnight till morning; dry cough with inclination to vomit, tenacious phlegm, especially in the case of plethoric individuals; aggravated by reading, thinking and moving about. Chamomilla; especially suitable to children; scraping catarrhal cough, particularly in the winter*; constant tickling under the sternum or in the larynx, oppression and hoarseness; worst at night, also during sleep; cough after crying a good deal; suffocative cough after mid- night, also with watery, tenacious, bitter expectoration. Pulsatilla; loose cough, or first dry and then loose; copious expectoration of white, yellow, or greenish blood-streaked mucus, bitter or salt; racking, dry cough with suffocative sensation as from the vapor of Sulphur, or as if the stomach would burn ; with retch- ing and gagging; painful stitches in the chest, or sides of the chest; relieved in the open air; suitable to pale individuals, afflicted with anaemia, scanty menses; hoarseness. Bryonia; catarrhal or inflammatory cough, tickling in the larynx, disposition to draw a long breath, stitches in the chest and pit of the stomach, vomiting of food after coughing, also with stitches in the head, or a3 if the head would fly to pieces; moist cough, with CROUP 293 yellowish or rusty-colored expectoration; cough aggra- vated when the patient enters a warm room. Belladonna; spasmodic cough, with dyspnoea, rush of blood to the head and chest, shooting stitches in the region of the hip ; tickling in the larynx as after swal- lowing dust, especially after midnight; with suffocative constriction, aphonia. Arnica; cough, with burning pain in the chest and under the ribs; most cough, with expectoration of fluid blood, or coagulated blood, with dyspnoea, palpitation of the heart, periodical flashes of heat; the cough is eased by eating. Ipecacuanha; spasmodic cough with rattling of mucus, even unto vomiting or suffocation; in the case of chil- dren, they turn blue and red in the face, and become quite rigid; cough, with pain in the umbilical region, or spirting of urine; bloody cough. China; suitable to persons who have become weak- ened by loss of animal fluids; dry cough as from inhaling the vapors of Sulphur, night and morning after rising, with pain in the chest and between the scapulae. Violent cough directly after eating or laugh- ing ; watery or tenacious, purulent, blood-streaked ex- pectoration ; suitable to persons who are subject to haemorrhage. Phosphorus ; dry cough, with tickling, roughness in the air-passages, horseness, aphonia; viscid, rusty, bloody, purulent expectoration, having a salt, sweetish, foul or sour taste, (see pneumonia, croup, bronchitis, where many other remedies for cough may be found mentioned.) An excellent drink for persons who are afflicted with cough, is the following: Boil a quart of water in a well-glazed earthen vessel, then sprinkle a dessertspoon- 294 TREATMENT OF LEADING DISEASES, ful of rye-flour upon the same, without stirring it, remove the vessel from the fire as soon as the sprink- ling is done, cover the same well and let the liquid cool. This being accomplised, pour the liquid into a bottle very carefully so as to keep the floury sedi- ment in the vessel, and let the patient drink the whole of this in the course of a day; this should be repeated every day, as long as the patient derives benefit from it; it is an old popular remedy,, and many cases of chronic cough, even incipient phthisis, have been cured with it. Fresh milk, mucilaginous soups and drinks are allow- able and highly useful in cough; but all salt, fat and heavy nourishment should be avoided. Smoking is likewise hurtful. Bloody Cough, Vomiting of Blood, Pulmonary Haemor- rhage. (Haemoptysis, Haematemesis.) A great remedy for this disorder is China, a spoonful of a watery solution of six pellets every two hours. This may be given in alternation with any medicine that seems to be more specifically adapted to the cause of the attack. If the attack is caused for instance by a strain, reach- ing too high, lifting heavy weight, etc., Arnica may be given in alternation with China. If a fit of chagrin was the cause, give Chamomilla ; if fright, Opium. If the attack is attended with fever, restlessness, anxiety, palpitation of the heart dry heat, etc., Aconite is the remedy, which may likewise be given, if the attack is caused by fright, or some violent excitement of the feelings. UTERINE HEMORRHAGE. 295 Belladonna, for congestion of blood to the head, flushed and puffed face, sparkling eyes, frontal head- ache. Opium is suitable to drunkards, and Nux vomica to coffee-drinkers. A capital remedy for haemorrhage of arterial blood is Millefolium, in alternation with China every two hours. Ipecacuanha, and Phosphorus, the latter in cases of great debility, are likewise important remedies. Vomiting is frequently a symptom of ulceration or cancer of the stomach. Belladonna, may be given, if blood is lost by the mouth and rectum at the same time, in the place of the menses. The patient should lie quietly on his back; every excitement, talking, noise, excessive warmth of the room should be avoided. The nourishment which the patient takes, should be cold rather than warm. The sick room should be frequently ventilated; pure air is indispensable to such patients; acids, and all such stereotyped domestic remedies have to be abandoned. These remarks likewise apply to Uterine Haemorrhage. This is frequently the precursor of miscarriage, which can be prevented if proper treatment is at once resorted to. The remedy may be given in water, six pellets in a cupful, a dessertspoonful every hour, or even more frequently in dangerous cases. Aconite, if there is fever, restlessness, anxiety, palpita- tion of the heart; also after violent emotions. China, excessive prostration, coldness of the limbs, 296 TREATMENT OF LEADING DISEASES. pale or bluish color of the face; the blood is expelled by fits and starts, with cramp-pains in the bowels, urg ing to urinate, convulsive shocks through the bowels. Arnica, if the attack is caused by a strain, heavy lift- ing, etc., also after the removal of the placenta. Belladonna; suitable to persons who are subject to rushes of blood to the head; feeling of constriction in the bowels ; pressure over the pudendum from within outwards, pains in the loins, the sacrum feels as if bruised; blood bright red, especially after a miscan iage or after parturition. Chamomilla, dark-red, or black, lumpy, fetid blood, coining off by fits and starts; labor-like pains in the abdomen, thirst; cold limbs, weakness, obscured vision buzzing in the ears. Also after a fit of chagrin. Secale; suitable to feeble, exhausted females, with cold limbs, livid complexion, small pulse, restlessness, dread of death, fetid smell of the blood ; adhesion of the placenta, (also Pulsatilla. Crocus, dark blood, coagulated, viscid, foul; sensa- tion as if something living moving about in the bowels, anxiety, palpitation of the heart. Sabina, may prevent the miscarriage; bright-red, fluid blood, rheumatic pains in the limbs, labor-like pains, especially after parturition and miscarriage, (see Bellad) Millefolium, bright-red blood, an excellent remedy. Ipecacuanha, suitable to pregnant females; fluid, bright-red blood, colicky pains, nausea, chilliness, diarrhoea, disposition to lie down, especially after the removal of the placenta. Pulsatilla, the haemorrhage returns with redoubled violence after a short pause; blood coagulated, dark • in cases of placental adhesion. MISCARRIAGE. 297 Nux vom., constipation and gastric'symptoms, blood dark and coagulated, feeling of weight in the bowels. Platina, thick, dark blood; sensation as if the uterus were drawn down ; violent sexual irritation and excite- ment of the sexual instinct. Hyoscyamus, labor-like pains, drawing sensation in the loins, kidneys, limbs ; heat in the abdomen, full pulse, swelling of the veins, restless and disturbed fancy and nerves; the limbs go to sleep, the senses are dull; delirium, subsultus tendinum, twitching of the limbs, alternating with rigidity. Ferrum, vascular excitement, flushed face, full and hard pulse, labor-like pains. Sepia, at the critical age, when complicated with in- duration of the uterus; cramp-pains over the puden- dum, shooting stitches through the same. Miscarriage. (Abortus.) As soon as a pregnant woman is attacked with press- ing pains in the uterus, accompanied with discharge of blood and mucus, drawing in the small of the back and sides of the abdomen, she must lie down at once so that the small of the back is firmly supported at every point; every excitement has to be carefully avoided. The remedies named in the preceding chapter, are likewise applicable for miscarriage ; at the same time we have to endeavor to discover the cause of the acci- dent, and seek to. prevent it. One frequent cause of miscarriage is tight lacing, dancing during pregnancy, which is a most improper exercise. Women who have had one miscarriage, have to be 298 TREATMENT OF LEADING DISEASES. doubly careful lest inattention to the necessary precau- tionary rules should bring on another attack. Every sudden motion, every effort by raising the leg too high in going upstairs, or spreading the legs too far apart, has to be carefully avoided. The abdomen should be kept warm, and if too large, it has to be supported by a suitable bandage. For the details I refer the reader to the chapter on " pregnancy." If a miscarriage takes place in the third month of pregnancy, Sabina will prevent another miscarriage, especially in the case of plethoric females whose men strual losses are profuse and long-lasting, provided the remedy is taken at the commencement of pregnancy, or as soon as the pains are felt in the abdomen. Calc carb. is a preventive in the case of plethoric individuals subject to profuse and premature menstrual discharges; also if affected with leucorrhoea, painful nipples, colic, pain in the loins, varices on the pen- dendum. China, suitable to debilitated females who have lost much blood, milk, etc. Ferrum, for chlorotic individuals, with leucorrhoea, suppression of the menstrual discharge ; also for ple- thoric females, with vascular excitement, full and hard pulse. Lycop., profuse menses, with itching, burning and varicose swellings on the pudendum, also dryness of the vagina ; disposed to melancholy. Sepia, suitable to feeble constitutions with delicate skins, leucorrhoea, itching of the pudendum, scanty menses, subject to hemicrania. Carbo veg. and Puts., scanty menstruation, varices of the pudendum. MENSES. 299 Sulphur, scrofulous disposition, disposed to eruptions, tetter, piles ; leucorrhoea, itching and burning of the pudendum. Nux vom., haemorrhoidal tumors, constipation, profuse menstruation ; alternately with China, Sulphur or Lye. Some females seek to prevent miscarriage by wearing a small magnet on their bare skin, below the umbilicus, with the poles upwards; this may tend to keep the attention of the wearer fixed on the object of the magnet, and there may be some salutary influence emanating from the magnet, but a strict homoeopathic preventive treatment should not be neglected under any circumstances. Menses, catamenia. (Monthly period.) Menstruation is a function which shows that females have attained to the age of puberty; in the countries of middle-Europe it sets in between the years of four- teen and seventeen, in the South at a still earlier, and in the North at a later period. This function is tempo- rarily suspended during pregnancy and during the period of nursing; it ceases entirely at the critical age, between the years of forty-eight and fifty-two. The regular course of the menses corresponds with the course of the moon, recurring every twenty-eight days on the very day, on which it had appeared four weeks previous. The average duration of the menses is from four tc five days, the quantity of the blood lost is five ounces. At the commencement the blood is rather watery, in a day or two it becomes like pure blood, and at the conclusion it again assumes a serous consistence, that is 300 TREATMENT OF LEADING DISEASES. to say watery, without fibrin. It is exuded from the mucous membrane of the uterus and vagina, and is dis- tinguished from common blood in this that it does not coagulate, contains a good deal of carbonic acid, and not so much fibrin. It has the general character of venous blood, is somewhat viscid, and has a peculiar more or less pungent odor. No animal is subject to the menstrual function, ex- cept monkeys. The appearance of the menses is generally preceded by peculiar ailments, such as feeling of heaviness in the body, lassitude, restlessness, heat, swelling and tension of the breasts, leucorrhoea, pains in the abdomen, desig- nated as menstrual pains. Deviations from this regular or normal form must be regarded as morbid phenomena which yield very readily to the restorative influences of homoeopathic treatment; the violent drastics of the Old-School have to be carefully avoided. It may be well to allude to the delay which some- times takes place in the first appearance of the menses. Anxious mothers often expect too much in this re- spect ; instead of counting merely by years, they should consider whether the body is sufficiently developed. The chief sign is the full and rounded form of the breasts ; the menstrual function cannot be expected to set in before this condition has been attained. If a girl is fully developed, and the menses do not appear, or the above mentioned ailments set in, Pulsa- tilla should be given for four days, and in four weeks China or Sulphur. It is of great importance that young girls should keep their stomachs warm; for in thousands of cases AMENORRHEA 301 the menses remain suppressed in consequence of expo- sure of the abdomen to cold. I need hardly suggest the propriety of wearing drawers which protect the abdo- men from the influence of cold and damp air. Even poor people may find means to procure this comfort. 1. Amenorrhoaa, menstrual suppression, scanty men- struation. Pulsat.; this remedy helps in numberless cases, where the menses are suppressed, scanty, pale; suitable to females with pale complexions and inclined to chilli- ness, desponding and weeping mood : labor like, draw- ing tension in the abdomen, loss of appetite, vomiting of mucus, slimy and papescent diarrhoea. Leucorrhoea, Hemicrania; toothache, shifting from side to side. An efficient remedy, if the menses have become suppressed in consequence of exposure to wet; suitable for irregu- larities regarding the time and course of the menses. (Take a spoonful of a solution of six pellets in a cupful of water morning and evening.) Cocculus; at the time of the menstrual period the patient is attacked with abdominal spasms, nervous and hysteric symptoms, restlessness, anxiety, sadness, moaning, oppression on the chest, etc. Laming weak- ness, the patient is scarcely able to talk. What little blood appears is blackish, is discharged in drops. China, menstrual suppression from excessive debility, frequently after loss of fluids, profuse suppurations, onanism. Emaciation; chlorotic appearance, blue mar- gins around the eyes, throbbing of the carotids. Drop- sical swelling of the feet. Nervous irritability, sexual excitement Occasionally the menses are copious, biit 302 TREATMENT OF LEADING DISEASES. watery. (Like Puis., with which it may be given in alternation.) Sulphur, suitable to scrofulous, rickety persons with tetter, eruptions, etc.; piles, itching and burning in the pudendum (like Puis.; if given in alternation with Puis, it sometimes produces the most marvelous effects.) Veratrum, amenorrhoea, with cold hands and feet, bluish face, hysteric fainting fits, headache, nausea, vomiting, diarrhoea; frantic sexual excitement. Natrum mur.; amenorrhoea of chlorotic and hysteric females; melancholy, listless mood. Cuprum, cramps at the time of the menses, with con- gestion of blood to the head, gagging, epilepsy. Graphites, scanty or no menses, with herpetic erup- tions. Ferrum, anaemia, chlorosis, puffiness of face and feet Kali carb., dyspnoea, palpitation of the heart, pale face alternating with flushes. Conium, suitable to hysteric and chlorotic females; nervousness with involuntary laughter and tears; abdominal cramps with stinging pains in the bowels. Opium, amenorrhoea from fright; congestion of blood to the head, with sopor and convulsive motions. Sepia, scanty menses, at the critical age. Sepia is analogous in its action to Puis., and is indicated by hemicrania, toothache, nervousness; disposition to mel- ancholy, sallow complexion or sallow spots in the face. Silicea, suitable to scrofulous and rickety females, scanty or no menses. Bryon.; nosebleed in the place of the menses ; swell- ing of the joints. Bell., vomiting of blood and bloody discharge from the rectum, in the place of the menses. PROFUSE MENSTRUATION, MENORRHAGIA. 303 2. Profuse menstruation, menorrhagia. Nux vom., coagulated blood, pressure downward; the advent of the menstrual discharge is accompanied by cramp-pains in the abdomen, nausea pains in the stomach and small of the back, headache, constipation, urging to stool and pressure upon the bladder; drawing pains and lassitude in the limbs; choleric temperament. Ignatia, profuse and premature menses, also scanty, consisting of coagulated and fetid blood ; uterine con- tractive spasms, with anxiety, palpitation of the heart. lassitude, headache, photophobia; useful after an attack of silent grief or suppressed chagrin. Calc. carb., profuse menses, with boring headache, stupefaction, vertigo, fullness in the hypochondria, lassitude, swelling of the knee-joints, suitable to feeble, scrofulous or fleshy females. Bellad., profuse discharge of bright-red, or fetid blood, with pressing towards the pudendum, palpitation of the heart, rush of blood to the head. Charnom.; profuse menses, dark and coagulated blood, colic, pressing downwards in the small of the back, greenish, watery stools, nausea, vomiting, thirst, irri- table mood. Platina, suitable to hysteric persons, with anxious and desponding mood, sexual excitement, voluptuous tingling in the pudendum. Arnica, menorrhagia induced by a strain, blow, etc., blood thick and coagulated. Crocus, thick, black, viscid blood. Coffea, profuse menses, with colicky pains, nervous irritability, spasms, coldness of the extremities. China, menorrhagia from excessive weakness of the parts, the blood is watery, anaemic. 304 TREATMENT OF LEADING DISEASES. 3. Menstrual colic. The menses are sometimes preceded or accompanied by spasmodic pains, with tossing about, moaning, con- vulsions, tetanic spasms. The chief remedies are: Charnom., if caused by a cold or a fit of anger, pressure in the small of the back. Nux vom., violent pains in the small of the back, chilliness, nausea, vomiting ; constipation. Puis., scanty menses, with weight in the bowels, pressure on the rectum, pale face, whining mood, oppression on the chest. Ignatia, uterine spasms, after grief or suppressed anger, with contractive pressing on the uterus, followed by purulent, smarting leucorrhoea, or spasms arresting the breathing, relieved by pressure and by turning to the back. Coffea, excessive restlessness, anxiety, nervousness, excessive sexual excitement; if these symptoms are induced by the frequent and copious use of coffee, Charnom. has to be given. Platina, suitable to hysteric females and to women who are afflicted with induration of the uterus; bearing- down in the pudendum, with chilliness internally, sexual excitement. Aconite, dry and burning heat, full and hurried pulse, anxiety, palpitation of the heart. Of the indicated remedy we dissolve six pellets in a cupful of water, and give a dessertspoonful every fifteen minutes or half hour, lengthening the intervals in pro- portion as the violence of the symptoms abates. Females who are afflicted with menstrual colic, should MENSTRUAL COLIC. 305 be very particular in keeping their abdomen warm, and avoiding all flatulent food. If the attack sets in, the patient must at once lie down in bed, and have warm clothes applied to her bowels; if she wakes in the morning with these pains, she must not leave her bed until the attack is entirely subdued. A most efficient means of relief is animal magnetism. By applying the hand upon the affected part with the firm desire of affording relief, the pains will soon abate and finally cease. A patient of mine has been afflicted with menstrual colic for many years, for which she had been using every imaginable remedy. Shortly before the period" when th'e menses were to appear, I resorted to this proceeding, and for the first time in many years she not only menstruated without any pain, but never had the least difficulty during the subsequent periods. Chlorosis. This disease attacks girls from the tenth year up- wards. It manifests itself by the following symptoms : pale complexion, sometimes with a sallow, bluish and greenish hue ; cold and relaxed skin; paleness of the lips, gums, tongue. Blue margins around the eyes. Palpitation of the heart, pulse one hundred and twenty to one hundred and forty, small, feeble, filiform ; the cu- taneous veins are purple-colored, pale ; the muscles are very much relaxed, and the patient becomes exhausted after the least fatigue. The patients are lazy, want to rest, complain of weakness of the breast, although they are able to expand the chest. Other symptoms are: loss of appetite, deranged digestion, distention of 20 306 TREATMENT OF LEADING DISEASES. the abdomen, constipation, nausea, anxiety, dropsical swelling of the feet towards evening, bloating of the face and lids in the morning. A peculiar sign of chlorosis is a peculiar buzzing in the jugular veins, especially in the jugular vein of the right side, which continues all the time and is much louder at intervals. If it is well marked, it feels like the vibration of a chord in the piano under the finger. This disease is frequently caused by loss of fluids, venesection, onanism; by the abuse of drugs, mineral waters, acids ; grief; irregular mode of living, abuse of coffee and wine, starvation, unwholesome nourish- ment ; sojourn in damp and ill-ventilated, dark dwell- ings, sedentary habits ; fatiguing studies, excitement of the fancy by sexual desires. Add to this the effect of an unnatural system of education tending to produce an effeminate race and to develop the mind at the expense of the body. Before resorting to medicinal agents, we have to regu- late the diet and hygiene of chlorotic patients. First of all things we recommend fresh air and sun- shine ; hence the country will prove the best place for such patients ; fresh milk and milk-diet generally are their best nourishment. In general they should con- fine themselves to a simple, natural diet, light but nourishing; the patient should not take food unless prompted to do so by actual hunger, which should only be stimulated by out-door exercise and moderate labor ■ for nourishment of any kind, which is not seasoned by hunger, oppresses the stomach and deranges the diges tive process. The patient must not be burthened by mental labor, and the anxieties of business; must bo kept free from unpleasant emotions as far as possible CHLOROSIS. 307 A simple mattress and light blankets should be used in the place of a bed ; feather-beds have to be abandoned or, at most, to be placed under the mattress. It is of great importance that the patient should rise early. Fresh milk and fresh water should constitute the daily beverage of the patients. If the diet is carefully attended to, the remedies will likewise have a good effect. We give China, especially if the patient is very much bloated, the eyes are dull, surrounded by blue margins, the bowels are distended, digestion is slow, the patient com- plains of drawing and tensive pains in the abdomen, capricious appetite. Useful after losses, by bleeding, self-gratification, etc., and if the nerves are very weak. Pulsat., the chief remedy, if the chlorosis can be traced to menstrual suppression or irregularities. Sulphur, suitable to scrofulous persons, or females who are afflicted with tetter, etc.; produces striking results, if given in alternation with Pulsat., or China. Platina, if the disease is caused by sexual excitement. Ignatia, after grief, disappointed love, suppressed anger or chagrin. Natrum mur., frequent tendency to the appearance of the menses, but ineffectual; sad and anxious mood, hot face in the evening, toothache, burning and heaviness in the lower abdomen, also after losses by onanism. Sepia, menstrual suppression with pressing down- wards, discharge of mucus ; shooting stitches in the vagina, discharge of a little blood, swelling and burn- ing of the pudendum. Cocculus, menstrual suppression, with cramps in the uterine region. 308 TREATMENT OF LEADING DISEASES. Conium, no menses but extreme sensitiveness of the pudendum and internal parts at the time when the menses should appear ; dry heat without thirst; anxious dreams, restless and whining mood, stitches in the region of the liver, debility for some days. Phosphorus, similar symptoms, with a show of blood, nausea, sour vomiting, oppression, vertigo and sexual excitement. Phosph. ac, especially after losses by self-gratification. Ferrum, has been found useful for chlorotic patients these thousands of years ; hence it is that the moderate use of chalybeate waters has frequently cured chlorosis. Such waters may, however, be used to excess, and fail of doing all the good that is derived from small doses. Beside these remedies, those which have been recommended for menstruation, may likewise be con- sulted ; they are to be used in the same manner as has been directed for menstruation. These medicines will likewise be found adapted to poor and watery blood or ansemia, or more correctly olichsemia, which may affect both boys and girls even at a tender age. Leucorrhoea, fluor albus, whites. This is a mucous, watery or purulent discharge from the vagina or womb arising from an irritation of the mucous membrane of these organs. If leucorrhoea lasts too long, it is weakening, and no female should keep such a weakness from her physi- cian's knowledge. A physician should never undertake the treatment of leucorrhoea without instituting full inquiries as to its cause and character, especially if the LEUCORRHOEA. 809 patient's eyes appear sunken, with blue margins around the same, the skin is pale and relaxed, the patient shows signs of a premature old age, or complains of a feeling of weakness, back-ache, pains in the small of the back, etc. If children are affected with leucorrhoea, we may safely infer that they are addicted to self-gratification ; sometimes, however, such a discharge may be caused by the presence of ascarides in the vagina, which crawl into this passage from the anus; hence, as soon as children complain of itching and smarting in the vagina, their mother should at once cleanse it with a soft sponge dipped in water. Cold water not only serves as a cleansing means, but it likewise fortifies the mucous membrane. Leucorrhoea may be caused by excessive sexual in- tercourse, debility, excessive sexual excitement, by the contagium of gonorrhoea, of sycosic condylomata, syphilitic ulcers. In some cases leucorrhoea depends upon organic affections of the uterus, inflammations, indurations, polypi, fistulae, prolapsus; it may also break out as a symptom of latent constitutional psora, or in conse- quence of the metastatic transfer of si>me other mucous discharge, such as catarrhal discharges from the nose, sweaty feet, or even of suppressed catamenia. The most important remedies are : Mercurius, whenever a syphilitic taint is suspected; the discharge is purulent, greenish or of a pale-yellow color; smarting and corrosive; of a sweetish smell burning and itching in the parts ; inflammatory irrita- tion and swelling of the pudendum. Sulphur, suitable to scrofulous females, or in cases 310 TREATMENT OF LEADING DISEASES. where the discharge can be traced to suppressed erup tions; the discharge is corrosive, of a greenish color; complicated with abdominal derangements. Nitri ac, corrosive, mucous, foul leucorrhoea, greenish or flesh-colored; also cherry-brown. Indicated by the presence of secondary syphilis or mercurial poisoning. Kreasotum, foul, corrosive, itching discharge, of a yellowish-green, yellow or flesh-water color. Indura- tions and ulcerations of the uterus may cause r.he discharge. Calc. carb.. discharge like milk, by fits and starts burning and itching in the pudendum, pale face, adapted to scrofulous and chlorotic, also phthisicky patients. Sepia, leucorrhoea after the disappearance of the menses at the critical age; yellowish or watery mucus, corrosive, with stitches in the uterus; induration of this organ. Arsenicum, thick, yellowish, corrosive leucorrhoea dropping out; carcinoma of the womb, great prostration. China, suitable to debilitated, chlorotic and dropsi- cal persons; bloody or sero-sanguineous leucorrhoea, with painful pressing towards the womb and anus. Occasional discharge of black coagula or of a fetid, purulent substance, with troublesome itching and spas- modic contraction in the internal parts. Nux vom., leucorrhoea staining the linen yellow, also foul-smelling ; complicated with gastric derangements, constipation, haemorrhoids. Pulsat., discharge of a thick, white mucus, milky or thin and acid ; worse in the evening and at nio-ht, also before and during the menses, with cutting pains in the Wwels; sad and desponding; suitable in cases where the menses are scanty or suppressed. LEUCORRHOEA. 311 Graphites, leucorrhoea arising from, or complicated with scrofula, tetter, etc. Iodine, inveterate, corrosive, thin leucorrhoea, most copious at the time of the menses, with soreness of the thighs; adapted to scrofulous females (like Merc, and Kreasot.) Lycopodium, by fits and starts, milky, blood-colored, preceded by cutting pains in the bowels ; with organic disease of the parts. Natrum mur., acrid, greenish leucorrhoea, especially copious during a walk; with headache, disposition to slimy diarrhoea; copious leucorrhoea, transparent, whitish, thick ; adapted to chlorotic patients. Phosphorus, milky leucorrhoea, or acrid, excoriating ; complicated with painful tumors in the breast, erysipe- jatous inflammation, ulceration of the breasts. Sabina, discharge like milk, or serous, ichorous, foul- smelling. Conium, excoriating, bloody, complicated with painful induration of the breasts and uterus. Carbo anim.; burning, smarting, watery, with indu- rations of the breasts or uterus. Platina, albuminous leucorrhoea, in the case of hysteric females, complicated with sexual excitement. Thuja, complicated with, or depending upon sycosic condylomata; discharge of mucus from the urethra. For other kinds of leucorrhoea we refer the reader to the repertory. The selection of a remedy very often depends upon the character of the menses; hence this article will have to be consulted. The medicine is taken in water, six pellets in a 312 TREATMENT OF LEADING DISEASES. cupful, a dessertspoonful every night and morning, for four days; after this period we wait for some time. The parts should be kept clean, and washed quite frequently with cold water; astringent or acrid injec- tions should be avoided. The diet should be light, but nourishing, especially in the case of feeble patients. Fresh milk and milk- diet are very useful. Induration and cancer of the uterus. (CMrcinoma uteri.) The indurations generally commence at the neck of the uterus ; they are either superinduced by local con- tusions and injuries, or by continued haemorrhages which had finally changed to leucorrhoea. Such dis- organizations are most frequent at the critical age. Cancer of the uterus may develop itself in two dif- ferent forms, as a cauliflower or" strawberry-shaped excrescence, or in the form of a phagedenic ulcer of the uterus which gradually eats away the uterine substance, and even spreads to the vagina, the rectum, bladder and even the peritoneum, so that the uterine cavity resembles a vast cloaca. At this stage all curative means will prove futile, and all we can do, is to palliate the patient's sufferings. At the onset of the disease, when no local disorgani- zation has yet taken place, homoeopathy may effect a cure, provided all external caustic applications are carefully avoided. Cleanliness, and the washing out of the uterus with water at summer-heat, are greatly to be commended. An incipient carcinoma uteri is very frequently over- looked, but should be thought of, if the menses become disturbed, or if leucorrhoea sets in in the place of the INDURATION AND CANCER OF THE UTERUS. 313 menses, especially at the critical age, if the menses which had been suppressed, suddenly break out again in the shape of a haemorrhage. At the same time the patient complains of a feeling of weight and drawing in the pelvis, bearing down in the pudendum, or pains during bodily exercise, concussion, a sensual embrace, or by contact. An examination shows that the vaginal portion is harder, swollen, altered in shape, even knotty, sensitive to pressure and readily bleeding; the lips of the orifice are enlarged, indented, and further apart than usual. Soon after violent pains are experienced, especially at night, a bearing down, stitching, burning, lancinating pain, not only in the pelvis, but also down the loins and thighs, either continuous or breaking out in fits and starts. Characteristic symptoms of this disease are the violent burning and stitching-boring pains over the pubes and in the small of the back, down the hips and thighs, rendering walking and even sitting painful. A quantity of a pungent, badly-colored ichor of a brownish-red color and resembling wine dregs is discharged from the vagina, causing a good deal of itching and burning at the external pudendum. Now and then profuse losses of blood take place, containing coagulated lumps and fibrinous substances, and the patient's prostration in- creases from day to day. At this period the carcino- matous ulcer is generally fully formed, and can be felt by the exploring finger. The color of the face changes to a pale livid hue, and the features reveal the existence of a deep-seated affection. If hectic fever supervenes, death is not far off. The development of this disorder may be arrested by the following remedies: 314 TREATMENT OF LEADING DISEASES. Bellad., one of the most important remedies in the incipient state of induration, with pressing fullness in the internal parts making it difficult for the patient to stand; pain in the sacral region: colicky pains in the uterus; anxiety, determination of blood to the head. Platina, induration of the uterus, with spasmodic shooting and pressing pains, discharge of bloody ichor, or of a thick, black blood; voluptuous excitement of the organs. Conium, induration with stinging pains and derange- ments as in pregnacy, such as nausea, vomiting, anxiety. sadness, etc., the breasts are relaxed, the patient's nerves are very weak. Kreasotum, induration with shooting stitches in the vagina, burning and swelling of the external and inter- nal labia; profuse discharge of dark, foul, coagulated blood, or of a pungent, bloody ichor, preceded by pain in the small of the back; nocturnal aggravation of the pains, fainting fits on rising from bed;, slight chills at the time of the menses, livid complexion, sad, irritable mood. Graphites, swelling and induration of the neck of the uterus, with violent, lancinating stitches through the uterus down the lower extremities; complication with ovarian disease. Carbo anim., suitable in all cases of uterine schirrus; injections of weak charcoal-water may be occasionally made into the vagina. Arsen., burning pains in the vagina and deep-seated in the uterus, worse after midnight; with intolerable anxiety in the chest, which drives the patient about and is accompanied by excessive thirst; constant discharge of an acrid, corrosive, foul ichor; prostration, emaciation FALLING OF THE WOMB AND VAGINA. 315 Tliuya. induration with cauliflower excrescences, readily bleeding, having an offensive, pungent odor; daily injections of a solution of five drops of the strong tincture in a cupful of water, may be resorted to. Iodine, carcinoma of scrofulous females, with profuse long-lasting losses of blood, even at every stool, lanci- nations in the abdomen, pain in the small of the back and loins; emaciation, atrophy of the breasts, brown- yellow complexion, debility, disposition to faint. The medicines may be given in water, six pellets in a cupful, a spoonful every hour, two or four hours, according as the distress is more or less acute; if there is considerable improvement, the intervals should then be lengthened. If the complaint is complicated with syphilis, Merc, Staphys., Nitri ac, may be given as inter-current remedies ; the remedies which have been recommended for uterine haemorrhage, may likewise be employed. Palling of the womb and vagina. (Prolapsus uteri et vagin»J Such a disorder arises either from weakness or is caused by external injuries, such as leaping, falling, heavy lifting, making a wrong step, etc. Pregnant females have to guard more particularly against such accidents. Such a weakness can only be thoroughly cured by homoeopathic remedies. In recent cases the cure is often very speedy; in inveterate and bad cases, the patient cannot expect, h )wever, to be cured unless she abstains for a season from all domestic concerns. The greater part of the day she has to be confined in a hori- zontal position, the head slightly raised; .she may likewise be a little more elevated than the uterine Sit) TREATMENT OF LEADING DISEASES. region. If the uterus descends whenever the patient attempts to stand up, the horizontal position has to be kept up all the time; but if the uterus remains in place, the patient may sit up every now and then, and may even take a walk across the room, but_ cautiously, lest a descension should again occur. In some cases the descension is so trifling that wojnen are able to perform all their domestic duties. The use of a pessary is perfectly proper, and may be safely and advantageously resorted to. Patients who wish to use such an instrument, will have to apply to a careful practitioner for advice. The principal remedies for prolapsus of the vagina, are: Nux vom., Arnica, Lycop., Merc, Kreasot., Carbo veg., Ferrum. The remaining remedies for prolapsus of the uterus are: Nux vom., Aurum, Sepia,, Bellad., Calc.carb.; Arnica Cham., Plat, China. The chief remedy with which I have cured thousands is Nux vomica; in recent cases, if given at night, it often effects a cure in twenty-four to thirty-six hours, but the patient must not' leave her bed during this period. In inveterate cases this remedy should be given in water, six pellets in a cupful, a spoonful morn- ing and night for four days, after which no medicine should be taken for some weeks. If the patient is very feeble, we give Nux vom. and China in alternation ; if the accident is caused by a strain, Arnica or Arnica and Nux in combination may be administered. In few cases only Aurum had to be given after Nux for in most cases Nux alone, or in alternation with some other remedy was found sufficient. STERILITY. 317 The selection of a remedy is sometimes determined by a secondary symptom; Sepia, for instance, is indi- cated by a feeble menstrual discharge ; Calc. carb. by a tendenc}r to obesity In this affection the lower potencies are generally much lesss efficacious than the higher potencies up to the thirtieth. Sterility. The happiest married couples sometimes remain childless ; yet the capacit}'" of bearing children exists, it is only interfered with by the accidental indisposition of one or more organs, the normal condition of which is essential to the process of utero-gestation. Such indispositions yield perfectly to proper homoeo- pathic treatment. If an examination should reveal constitutional diffi- culties, they have to be removed. A lady, for instance, who had been married nine years, had no children. During all this time she had been afflicted with severe attacks of cardialgia. They yielded to a dose of Nux, and a few months later she became pregnant and gave birth to a healthy child. Another lady wa3 troubled with nervous debility caused by repeated depletions; nobody believed that she ever would have children; a dose of China restored her nerves, and she too became a mother. If menses are irregular, or leucorrhoea is present, we give the remedies recommended for these weaknesses, particularly Sepia, Con., Graphit., Caust., Anim. carb.; if the menses are too profuse, we give Calc. carb., Natrum mur., Sulph. ac, and Sulphur. If sterility is caused by an excess of sexual passion. 318 TREATMENT OF LEADING DISEASES. Platina or Phosph. may help, and if the sexual passion is deficient, Caust. In the absence of irregularities, and if both parties are in good health, a dose of Calc. carb., Mercur., Sabina or Cannabis, taken by both husband and wife, has fre- quently produced the desired result; but the remedies should not be given too soon one after another; a few weeks or even months may have to elapse before a new remedy is resorted to. Diet is a most important circum- stance, which should be carefully attended to. The absence of children is not always owing to uterine sterility. The husband's weakness may like- wise be the cause of such a disappointment. Sometimes conception is prevented by the ignorance of the parties, and by the neglect of the necessary rules to be observed during and after sexual intercouse. In such a case the confidential advise of a good physician will have to be relied upon. Each remedy may be taken as usual, six pellets m water, a spoonful morning and night for four days. Hernia, Rupture. This is a protrusion of a portion of intestine between the abdominal muscles, forming a soft and painless tumor, which is differently named according as it is located in this or that part of the abdomen. Among children hernia may occur in consequence of violent screaming; among full-grown persons it may be caused by leaping, lifting heavy weights, pushing a load from one place to another, stretching the legs apart, pressing upon the rectum at stool, falling, blow- ing on wind-instruments, etc. We distinguish HERNIA. 319 1. Inguinal hernia, located in the groin. 2. Crural hernia, on the inner side of the thigh ; 3. Umbilical hernia, through the umbilical ring or a fissure in the linea alba near the ring. 4. Abdominal hernia, through a fissure in the abdomi- nal muscles. There is a spurious hernia, by which we mean swell- ings occurring in the region where hernia usually takes place, such as fatty tumors, varicose or aneurismal swellings, hydrocele, etc. Swollen inguinal glands are sometimes mistaken for hernia, even by physicians ; such mistakes may cause a great deal of mischief, in consequence of the pressure made upon an irritated gland by a truss. If we wish to institute .an examination, the patient nas to lie on his back with the knees raised and the legs drawn towards the abdomen. In this position the nernia either recedes, or can be easily replaced by making gentle pressure with the fingers, after which no swelling is any longer visible; if it is a gland, the swelling remains unaltered in any position of the body. In dubious cases the patient should be examined early in the morning, in bed, for the warmth of the bed dis- poses the hernial protrusion to yield more readily to suitable manipulations with the fingers. Before applying a truss, every hernia has first to be replaced. A truss only fulfils its object, if it keeps the hernia in place without causing any pain by pressure. If a portion of the hernia protrudes, the truss has to be altered which is often accomplished by simply enlarg- ing or otherwise altering the pad. The truss has to be applied in a recumbent posture, and must not be removed in the evening until the 320 TREATMENT OF LEADING DISEASES. patient is lying in bed; this precaution is necessary to prevent the hernial sac from again protruding. Inter- nal treatment cannot effect a cure unless these precau- tions are properly attended to. Children under two years of age scarcely evei require a truss; a simple pad may be applied to pre- vent the hernia from protruding when the children cry. The principal remedies are Nux vom , Aurum, Sulph. ac, Sulphur, Lye, Ammon. mur., Verat., also Cocculus, Cham., Nitri ac, Phosph., Sepia, Silic, Rhus tox., Clem., Bellad., and the north-pole of the magnet. The main remedy is Nux vom., of which I give five pellets in a cupful of water, a dessertspoonful morning and evening for four days. If the hernia is kept in place-in the mean while, this dose will effect a cure. If the hernia should protrude again, Nux and Aurum may be given in alternation, and if the patient has been afflicted with the itch, or with some other cutaneous eruption, Sulphur may be administered. With a single dose of Nux I have cured a lady of seventy-three years, who had been afflicted with ingui- nal hernia for twenty-one years, the last seven of which the hernia was very painful. After taking Nux, the pains increased for a fortnight, after which thev ceased entirely, and the hernia remained in place with' out a truss, although the old lady attended to all her domestic concerns. In another case a cure was effected by animal mag- netism. A girl of seventeen years had had inguinal hernia for three years. An examination showed that the hernial sac protruded to the size of a hen's egg, and yet she wore no truss because it was very painful. HERNIA. 321 [ promised to procure a suitable truss for her, and to give her the required medicines. When on the point of leaving her, the patient informed me that she was suffering with a distressing pain on the top of the head. I at once applied the palm of my hand which is my custom, for by means of the magnetic power of which I am possessed, I am able to relieve such a pain in an instant. Upon asking whether the pain had left her, she shook her head, saying that the pain had left that particular spot, but that there was still some soreness in the surrounding parts. I made a few passes over them, when she suddenly exclaimed : the pain is all gone and it feels likewise as if the hernia had receded. An examination showed that such was the fact. 1 cautioned her to be careful, and the headache and hernia never returned. I mention these cases, because many physicians are unwilling to believe that hernia can be cured by the thirtieth potency of Nux vomica or by animal magnet- ism. An old physician, upon hearing of these cures, was willing to admit that magnetic passes and the dynamizations of homoeopathic remedies might be capable, by their action upon the sympathetic nerve, and through it upon the peristaltic motion of the bowels, of affecting hernial protrusions much more certainly than the massive doses of alloeopathic physi- cians which so often prove inefficient. A hernia may exist without its presence being re- vealed by an external protrusion ; an otherwise un- accountable vomiting alone may point to it. In one case a dose of Nux vom. increased the vomiting for a while, after which the hernia made its appearance. Persons afflicted with hernia should confine them- 21 322 TREATMENT OF LEADING DISEASE?. selves to a light, but nourishing diet; all heavy and flatulent food must be avoiaed. Coffee, wine, spirits and acids antidote- most of the remedies which I have recommended for hernia, and should therefore be care- fully avoided during the treatment. A neglect of the precautionary rules which I have suggested in the preceding chapter; the absence of a truss, immoderate eating and drinking, may superin- duce an incarceration of the hernial sac. Incarcerated hernia, Is a dangerous accident which should be attended to without loss of time. Whether the incarceration is caused by the intrusion of faecal matter into the hernial sac, or by a spasmodic constriction of the ring, incar- ceration interferes with the digestive process, inasmuch as a portion of intestine is incapac'tated from assisting in the onward movement of the contents of the bowels ; this induces an inflammation which must necessarily terminate in inflammation and gangrene, unless the accident is remedied without loss of time. The first symptoms of incarceration are : loss of appetite, nausea, vomiting of bile and lastly of faecal matter, restlessness, anxiety, violent pains in the hernial region, heat, quick, inflammatory pulse. We give at once Aconite and Nux vom. in alternation. Of each remedy we dissolve six pellets in a separate cupful of water, and give a dessertspoonful of each every five to ten minutes. The patient should lie in his bed, with the thighs drawn up, warmly covered • if the pain does not abate in thirty minutes, and the hernia has. not been replaced, we may administer injec- INCARCERATED HERNIA. 323 tions of oat-meal mucilage and sweet oil, and at the same time apply to the incarcerated sac warm oat-meal poultices, which must always be kept warm. If spas- modic symptoms, heat in the head, etc., are present, Bellad. may be given in alternation with Aeon. If no abatement takes place soon, we give Opium, even at the onset, if a flushed face, distention of the abdomen, foul eructations are present; especially if vomiting of faecal matter begins to set in. If the vomiting is accompanied with cold sweat and coldness of the limbs, we give Veratrum. Sulphur may be given, if the bilious vomiting changes to sour. If no favorable change takes place, within six hours, an experienced surgeon should at once be called upon to perform the operation. If performed in season, and with proper care, it may save the patient's life. If we should be sent for at a period when it is too -ate to undertake the operation, on account of the hernial sac having become gangrenous, we may give Lachesis and Arsenic in alternation, and if the patient feels very weak, a dose of China may be interpolated every now and then ; the medicines may be given in water as usual, in spoonful doses every five minutes. Even at this stage of the accident, the above-mentioned remedies have sometimes effected a cure. In some cases it may be advisable to use the same remedy in different potencies ; I have obtained fine results from this mode of proceeding. Recently I treated a case of incarcerated hernia which had been abandoned by the alloeopathic surgeon as hopeless on account of the great age of the patient who was a lady of seventy-five years. I was sent for 324 TREATMENT OF LEADING DISEASES. two hours after the incarceration had taken place The patient suffered excruciating agony, vomiting and other violent symptoms. I gave Aeon, and Nux alter- nately in water, every five minutes. In twenty minutes the pains abated, the vomiting had already ceased before; in one hour the patient was quiet, half an hour later .the hernia was replaced, and the patient is still in the enjoy ment of excellent health, three years after the a< cident first happened. Scrofula, scrophulosis. By this designation we understand a legion of 6/seases all of which proceed from some acrid miasm which is either hereditary or acquired by inoculation. Vacci- nation has contributed a great deal to the spread of this disease. Vaccine should always be obtained from a cow, and if this cannot be had, physicians should be extremely cautious in procuring vaccine virus from perfectly sound children; otherwise all sorts of erup tions, tetter, excrescences, scrofulous diseases, and even syphilis may be transmitted to the infantile organism without the parents ever being able to account for the breaking out of such diseases among their offspring. These disorders may likewise be communicated by a nurse, on which account it is far preferable to bring up children by hand, which can be done with perfect success. The scrofulous disease may likewise be developed by unwholesome diet, such as: heavy bread, potatoes, farinaceous compounds and such like indigestible nour- ishment, premature abuse of brandy (even the use of swill-milk may be pernicious) in damp and close dwell- ings without a sufficient supply of fresh and pure air; SCROFULA. 325 want of cleanliness on the part of the mothers who omit daily ablutions with fresh water; premature mental labor at the expense of the bodily development, bad habits, secret indulgences may likewise result in the development of the scrofulous taint. In childhood the scrofulous disease first announces itself by the following symptoms : excessive size of the head, especially the occiput; short and thick neck, compressed temples, large jaws, puffed face, swollen upper lip and nose, blond hair, blue eyes with large pupils, white and fair skin with red cheeks, fleshy appearance, but the muscles being relaxed, spongy, or else general emaciation with hardness and distention of the abdomen; frequent nose-bleed, excessive secretion of mucus on the chest, irregular stool, at times constipa- tion, at other diarrhoea, quick mind, deficient bodily development, slow teething, retarded use of the lower extremities, etc. In the course of the disease the following symptoms make their appearance: glandular swellings and indura- tions, first on the neck, under the jaw and in the nape of the neck, afterwards in other regions where glands are located, in the axillae, groins, etc.; at first the swellings are soft and painless, afterwards they increase in size, become painful, inflamed, suppurate and form scrofu- lous abscesses. Similar glandular swellings form in the interior of the body, especially in the mesentery, also in the lungs, liver, spleen, brain. Scrofulous ophthal- mia, inveterate leucorrhoea and cutaneous diseases, especially tetter, likewise supervene. The abdomen is constantly distended, lymphatic enlargements, extra- vasations, indurations, schirrous tumors, enlargements of bones, caries, take place. 826 TREATMENT OF LEADING DISEASES If the disease does not break out in the second or third year, it then generally shows itself at the period of pubescence, and is considerably influenced by the spring-season and the increase of the moon. In order to combat this disease, it is of the utmost importance to regulate the patient's diet both at the outset and in the progress of the disease. The best kind of nourishment is fresh drawn milk; children whose digestive organs are very weak, may use the milk boiled, mixed with an equal quantity of boiling water; they are unable to digest pure, fat milk. Older children may eat at noon meat broth, and if their digestive system is in good order, they may eat some meat and roast with fresh vegetables, also ripe but sweet fruit, with a little wheat-bread. Let every thing be well chewed, for mastication facilitates the process of digestion ; for this reason it is best to eat the bread dry, instead of soaking it in milk or tea. Next to diet, the principal thing to be attended to, is cleanliness ; daily ablutions with fresh, cold water, cpld bathing in the open air (of course in warm weather) are indispensable. The enjoyment of pure open air is indispensable; in the summer especially, scrofulous children should be out of doors all day, for the warm sunshine fortifies and quickens the body. Playing upon sand-hills that have been thoroughly warmed by the sun, is extremely beneficial. Even in winter the rooms should be ventilated several times a day, nor should exercise in the open air be neglected. Feather-beds are absolutely condemnable; children SCROFULA. 327 should sleep upon horse-hair mattresses, and their heads should rest upon horse-hair pillows; woolen blankets make the best bed-covers, to which a com forter may be added in winter. The woolen blankets should be washed every four weeks. Scrofulous children should not be compelled to study too hard; after their health is restored, they can easily make up for lost lessons. Parents and teachers should watch the private habits of children with the utmost care; self-indulgence is a most destructive vice, which may lead to incurable disorders. The principal remedy for the scrofulous disease is Sulphur, six pellets in a cupful of water, a spoonful morning and night for four days. This remedy should be allowed to act for several months, after which Calc. carb. may be given, to be followed after a similar pause by Sil., Mercur., Bellad., to which I shall refer more fully hereafter. All these remedies are given for the purpose of searching out the morbid principles slumbering in the body, and afterwards expelling them from the tissues. If acute symptoms supervene during this treatment, we have to meet them by suitable remedies. For dry heat after a cold we give Aconite which will speedily pro- duce a favorable change. If children should look pale after the use of Sulphur, we give China ; these intercur- rent remedies do not injure, on the contrary, assist the action of the leading drug. If scrofulous suppurations induce debility in consequence of the loss of fluids, we may produce a favorable change by China. Phosphoric acid is likewise an excellent intercurrent remedy in this disease. For scrofulous ophthalmia I give Sulphur and Bella- 828 TREATMENT OF LEADING DISEASES. donna in alternation, and if the eye looks red, I give Aconite until the inflammation seems to have subsided. The same treatment is pursued in the ophthalmia of newborn infants ; under this treatment I have never yet lost a single patient. Scrofulous children have been sent to me, whose faces from the forehead to the mouth and chin were covered with a crust, so that not even the eyes could be discovered, and pus was occasionally discharged from fissures in the crust. In such cases I have been in the habit of giving Sulphur and Bellad. in alternation, with Aeon, every two or four hours as an intercurrent remedy, lengthening the intervals between the doses of Aeon, as soon as the fever-heat begins to moderate, and allowing the former remedies to act for a longer time without repetition. Upon the crust becoming detached in four to six weeks, the eyes are found preserved with- out the least blemish, whereas under alloeopathic treat- ment they are frequently ruined. Another mode of treating scrofulous ophthalmia is to give Sulphur and Belladonna in alternation, a few doses in water, and frequent doses of Aeon, as an inter- current remedy which is afterwards continued alone. If the patient complains of violent burning in the eyes, we give Arsenicum; for stitches in the eyes, we give Bellad., and if a syphilitic taint can be suspected, we give Mercurius, a spoonful in water morning and nio-ht for four days. This remedy may likewise be given, if the inflammation was preceded by gonorrhoea which had been suppressed or imperfectly cured. If the disease is complicated with sycosis, we must not forget Thuja ; with all these remedies Aeon, should be given and con- tinued as an intercurrent remedy. RICKETS OR RHACH1TIS. 329 If children are slow to walk, or are afflicted with large stomachs, we give a dose of Calc. carb., and if atrophy or marasmus is present, we give Arsenic. I have restored children that seemed quite reduced, by giving them China morning and night for four days, and repeating this in four weeks ; at the same time not neglecting daily ablutions of the back with cold water. In whatever form the scrofulous disease may show itself, as glandular swellings, cutaneous eruptions, tinea capitis; herpes, ulcers, enlargement of the bowels, which may proceed from swelling of the mesenteric glands, or as an affection of the bones, under the name of Rickets or rhachitis. Which may assume various forms, such as enlargement of joints, curvature of the spine or hollow bones, swelling of bones, distortion of joints, etc., let it be understood that all such disorders can only be cured slowly, but may be cured with.certainty, if the follow- ing remedies are given: Sulphur, Calc. carb., Silic, Merc, Arsen., Lycop., Bellad., Iodine, Asa., Aur., Baryta, Hepar, Phosphor., Staphys. Each of these remedies should be allowed several moifcths to exhaust its action; Aconite and China may always be given as intercurrent remedies, the former if the patient complains of fever, the latter, if debility is present. I have allowed Calcarea to act eight months with the most brilliant results. I have never been obliged to use the above-mentioned list of remedies in one case; scarcely one-half is ever required. 830 TREATMENT OF LEADING DISEASES. In the case of children of four to six years old, I have seen club-foot, yield to one dose of Sulphur in six weeks. I accompany the treatment with cold ablutions of the spine, which will be described under curvature of the spine, but use no external means of force, shoes, straps, but the child has to lie on a mattress or sit up, and has to avoid standing or walking. The contracted tendons may at most be rubbed with horse-marrow, and if this cannot be had, ox-marrow may be used. In curvatures of the spine, the washing of the spine is done as follows: The patient sits on a chair so that the arm is supported by the back of the chair. A table with a basin full of fresh water is placed behind him. The washing is done by means of a soft sponge by a robust and healthy person. Placing the left hand upon the patient's stomach, or rather pit of the stomach, where it must remain during the whole time that the washing lasts, in order to keep the stomach warm, the washer then takes the sponge, first squeezes out the water, and passes the sponge slowly along the back from the base of the skull to the os coccygis, and re- peats these passes with the sponge nine or twelve times. At every pass the sponge has to be dipped in afresh and the water has to be squeezed out before passing the sponge over the back. These passes having been npade the washer now takes a towel, dries the back, and then makes several passes over the whole length of the spine from above downwards with his left hand, which had been warmed by its contact with the skin, These passes are exceedingly agreeable. This is the ordinary method of washing the back. Now follows the second operation in the treatment of spinal curvatures. RICKETS OR RHACHITIS. 331 Placing his left hand, a second time upon the pit of the stomach of the patient, the washer then presses and works with his right hand the curvature, but no longer than five minutes. If the patient's head should rest close on the shoul- ders, the washer places himself as near as possible to the patient, and with both his hands draws the head several times gently upwards. All these operations can only become useful by frequent repetitions day after day; neither patients nor their medical attendants must lose their patience in going through this treatment. In the winter the washing is done near a stove, but not immediately after rising, in order to give the body a chance of cooling off. During the washing every part of the body may remain covered as much as possible, but so as not to interfere with the operation. If the patient can have the benefit of a medical adviser who has a knowledge of the movement-cure, he ought by all means to take advantage of the oppor- tunity. At the same time that these external means are applied, the remedies which I have recommended for rickets, are given internally; for even in cases where curvature is induced by external injury, the develop- ment of the disease is attributable to internal causes, a psoric miasm which prevents the normal growth of the muscles and ligaments. Starting from this supposition, I have succeeded in curing lateral curvature where the upper portion of the. spine deviated one inch to the right, and the lower one inch to the left, in the space of eight weeks; the patient was a girl of seventeen years. Of course such rapid results cannot be expected in every case. But even if the case had become in- 332 TREATMENT OF LEADING DISEASES. curable, the treatment which I here recommend is never without some beneficial result to the general health of the patient. Glandular Swellings. These swellings are sometimes acute. The glands, especially on the neck, suddenly swell, become painful and inflamed. In such a case we give Bellad., and if much fever is present, with Aconite in alternation. If there is ptyalism, we give Merc, also in alternation with Bellad. If the glands begin to fluctuate, and it is evi dent that they will break, we give Hepar and Merc, ir alternation, and after the breaking a few doses of Silic If the patient is very weak, Phosph. ac. or China ma_y be given. A girl of nineteen years in my neighborhood had s glandular swelling on the neck which was larger than her head, and which covered her shoulder. The swel- ling was perfectly hard. I gave Sulphur, which I allowed to act for six months; then she took Bellad. for a head- ache, and next Calc, which likewise acted six months. The swelling now decreased in size so much that I allowed Calc. to act for eight months; I then gave Silic, Merc, Lye at the same long intervals; and after a treat- ment of four years the swelling was so completely gone that even the skin was perfectly smooth and elastic, and has remained so. Ulcers. Ulceii. "^ing generally the result of some acrid mattei which the organism tries to expel, it is exceedingly irra- ULCERS. 333 tional to treat all ulcers indiscriminately with ointments and plasters. It has often happened that the closing of a sore by means of a salve or wash has caused sudden death; the morbid process which had found an outlet that protected the internal economy from all harm, now throws itself upon some internal organ, such as the lungs or brain, and very often puts an end to life. Old sores upon the legs are of frequent occurrence. I have seen the bones laid bare by the ulcerative pro- cess, and yet I have succeeded in restoring the recup- erative powers of the parts, and effecting a perfect cure; several years are sometimes required, for this purpose. Formerly I was in the habit of applying cold water compresses to these sores ; but I have abandoned this practice on account of the erysipelatous inflammation which the water sometimes superinduces. I now apply linen rags covered with a thin layer of cerate or even common tallow which is warmed and then spread on with the finger, so that the rag looks as if soaked with oil; the tallow should bs deer or mutton-tallow, not the common candle-tallow, for this is often obtained from deceased animals; fresh, unsalt butter will likewise answer. For the internal treatment we use the same remedies that have been recommended for the scrofulous disease generally; they should be given at long intervals. A homoeopathic physician who attended my clinic, complained to me that he never succeeded in healing these old sores, and that he happened just then to treat one without the least success. He had repeated the dose every fortnight. On his return home, he gave Sulphur 30th, and allowed this dose to act for six 334 TREATMENT OF LEADING DISEASES. months, giving unmedicated powders in the mean while. The sore was healed perfectly. If the patient suffers much pain, a few magnetic passes may be made over the limb from above down- wards, when the pain will disappear speedily and permanently. The palm of the hand is slowly passed over the limb at the distance of about an inch, and these passes are repeated from three to nine times, until the pain ceases. Every day before applying a fresh rag with tallow, the ulcer has to be carefully cleansed of pus and other impurities by means of a soft sponge dipped in tepid water. We commence the treatment with Sulphur, and, if, after several months, the patient still complains of burning, and the edges of the sore are hard and swollen, Arsen. may then be given ; this is followed by Calc. carb. and the other remedies, until the ulcer is healed; but it is important not to give a new remedy under six months, or even a longer period. If the ulcers are deep, with profuse suppuration, unclean and ash-colored base, Mercurius is to be given; violent burning and tendency to bleed point to Carbo veg.;.if they show a tendency to spread, Lachesis may be given. The patient should rest the leg as much as possible, in a horizontal posture. Caries, necrosis. This disorganization of the osseous tissue is treated m the same manner as ulcers. Leading remedies are: Sulphur, Calc. carb., Silic. For caries of the palate, we give Bellad. For caries of the lower jaw: Phosphorus. BOILS. 335 tor carieb of the nasal bones, especially when caused by abuse of Mercury, Aurum. If the pus is thin, ichorous, fetid, we give Asafi; for cancerous, foul, gangrenous sores we give Arsen., Lach. Spongy ulcers with proud flesh require Sil., Ars., Lach. Proud flesh need not be touched by caustic, or sprinkled with sugar, for it will gradually disappear under the use of the above mentioned remedies. Boils, furuncles. These sores yield readily to internal treatment with- out pain, while the treatment with drawing salves is often distressingly painful. No external application need be used, but as soon as the parts begin to look red and cause pain, we give Arnica in water every two to four hours. If the swell- ing increases, we give Arnica and Hepar in alternation every two to four hours. If the surrounding parts are red, inflamed and painful, Bellad. may be used as an intercurrent remedy. If the tumor fills with pus, Hepar and Mercur. may be given in alternation, and if the sore assumes a bluish appearance, Lachesis may be given as an intercurrent remedy. If the tumor will not discharge, becomes very painful, and begins to fluctuate, an incision may be made with a lancet, after which the pain will cease, and the pus run out. Poultices of bread and milk must not be applied too soon, lest the natural development of the tumor should be interfered with. This is the reason why many per- sons are afflicted with fresh boils every six to eight weeks; the acrid matter is not permitted to be fully expelled from the organism. 336 TREATMENT OF LEADING DISEASES. The use of drastics is still more reprehensible ; their effect is to leave the body weak, and to carry off the best fluids, leaving the morbid matter most frequently behind. Pork and fat food have to be avoided by persons who are constitutionally liable to the invasion of sores ; this taint can be eradicated by a dose of Sulphur which is permitted to act for several months. Panaritia, whitlow. Whitlows or run-arounds are treated with alternate doses of Hepar and Merc, and if the sore has discharged, we give Silic. A cure is generally effected in eight days. A panaritium which had already destroyed the bone under alloeopathic treatment, was cured by me in one fortnight by giving Mercur. and Silic. in alternation. Suppurating breasts are treated in the same manner, as will be seen afterwards. Carbuncle, anthrax. A carbuncle is a malignant boil which terminates in gangrene unless properly managed. Among old people a carbuncle that is seated in the nape of the neck, may become very dangerous. It may likewise be located on the shoulders or buttocks. It does not discharge bv one, but by several openings, like a sieve. Its pres- ence is revealed by the co-existing fever, until then the treatment is like that of common boils If fever breaks out we give Aconite, and occasionally an alternate dose of Merc, and Ars., until the fever is subdued. If it SMALL-POX. 337 discharges, Ars. and Sil. may be given in alternation, and if fever is present, Aeon, is to be continued. Pustula maligna is treated in the same manner as anthrax. This disease may be inoculated by animals that are affected with it, or by flies which transfer the poison to man. Ars. is a great remedy for it. Small-pox, variola. During the course of epidemic small-pox Variolin may be taken morning and evening in water, six pellets in a cupful, a teaspoonful morning and evening. If then the disease breaks out nevertheless, it will cer- tainly have a milder form than if no Variolin had been taken. In vaccinating children the greatest care must be had to procure perfectly reliable matter, for scrofula, syphilis and other diseases may be innoculated by vac- cination. If it can t>e had, cowpox virus should be used in the place of vaccine matter from other children Precursors of variola. If during the presence of epidemic small-pox the patient is attacked with headache, drowsiness, irritable temper, dry heat and fever, drawing in the limbs, nose- bleed, delirium, spasms and colic in the case of children, we may rest assured that small-pox is impending. As soon as the fever breaks out, we give Aconite six pellets in a cupful, a spoonful every two hours. For drawing in the limbs, Rhus and Aeon, in alter- nation. For delirium and spasms: Bellad. in alternation with Aeon. 22 338 TREATMENT OF LEADING DISEASES. For pleuritic stitches, and stitches in the chest, nose bleed, we give Bryon. and Aeon. Scrofulous persons affected with tetter or other erup- tions, will do well to take a dose of Sulphur every now and then. If the symptoms for which a remedy is given, cease, its use should be discontinued; if perspiration, for in- stance, sets in, the Aeon, must be stopped. Development and Course of Small-pox. As soon as small red tips or stigmata are seen in the face, we may presume that the eruption is im- pending. As soon as this is ascertained we darken the room, unless this should have already been attended to on account cf the patient's sensitiveness to light. If this is neglected, the eyes may become* permanently injured; the face is likewise more likely to remain pitted. The patient should be kept in an uniform tempera- ture, and should not be exposed to cold. For this reason it is advisable to wrap the patient in woolen blankets which absorb the perspiration, and prevent it from becoming unpleasant to the patient. The patient will have to use a bed-pan, he must not be permitted to uncover himself, or leave the bed. The room should be frequently ventilated; while the windows are opened, a blanket may be thrown over the patient, and the air should be agitated with a hand- kerchief. A few minutes will suffice to renew the when the patient may be uncovered again after first closing the windows. In the first days the diet must consist of cracker SMALL-POX. 339 soups, milk and water or light cocoa-shells. As a beverage the patient may use fresh water, oatmeal- gruel, thin barley or rice gruel, or other mucilaginous decoctions especially if the throat is very sore. The little stigmata increase from hour to hour; they are distinguished from measles, petechiae, etc., by a dark-red point in the centre of each stigma, which in twenty-four hours rises to a papula surrounded by a red areola. As soon as this symptom appears, we dissolve in two separate tumblers full of water, six pellets of Variolin, and six of Mercurius, and give the patient an alternate dessertspoonful of these solutions every two to four hours, beginning with the former, until the disease is removed. Those who are anxious to have more information on the subject, may study the following pages with becom- ing attention. The eruption first appears on the face and head, afterwards on the chest and arms, and lastly on the abdomen and lower extremities; homoeopathic treat- ment has the effect of hastening the general appearance of the eruption; this stage is designated as the erup- tive stage. As a general rule the pains cease with the appearance of the eruption. If some intercurrent remedy should be required, it may be given at the same time as we give Variolin and Mercur. in alternation ; if fever appears, we give Aconite, if deglutition is much impeded, or if deli- rium is present, Bellad. and Arsen. The regular course of the eruption is as follows: The red papula changes to a vesicle filled with lymph. At the tip we observe a blackish depression, termed umbi- 340 TREATMENT OF LEADING DISEASES. licus. The previously clear contents of the vesicle now change to thick pus, giving rise to the pustule. This is the stage of suppuration or suppurative stage, during which the fever reappears and the skin swells; Aconite and China may be given in alternation, occa- sionally a dose of Variolin and Mercurius. On the tenth day the pustules begin to dry up, form- ing yellowish or blackish crust; this is the stage of dessiccation or desquamation. The scurfs gradually fall off, and the new skin be- comes visible, and if the suppuration had been very profuse, a cicatrix or pit is often left behind. The fever now generally disappears, amid copious, strong-smelling sweats, copious sediments in the urine, and secretion of a thick, purulent mucus, (critical stage.) The most dangerous period is the stage of desquama- tion ; it is during this period that the danger of infection is greatest and that the patient himself is most liable to a fatal termination. Under homoeopathic treatment however, this danger is much less. After the removal of the disease the skin still remains very sensitive; in order to strengthen it, it should be washed every day for the first few days with tepid, and afterwards with cold water, before the patient goes out Malignant Small-pox. Small-pox does not always run a regular course; the fever sometimes assumes a typhoid character. We dis- tinguish Typhoid Small-pox. The eruption is preceded by fainting fits, delirium convulsions, epileptic spasms, headache, backache; the SMALL-POX. 341 small-pox breaks out in irregular patches, is liable to recede, the pocks become filled with a lymphatic fluid instead of pus, or they remain empty, and the attack terminates fatally in from ten to twelve days. Under homoeopathic treatment a cure is most generally effected by the use of Bryon., Rhus, Bellad., Arsen., also Variolin and Mercurius in alternation. Putrid Small-pox. Profuse ptyalism, fetid sweat, diarrhoea, haematuria, hasmorrhage; the pocks do not come out all over, are but partially filled, are pale or bluish, without the red areola. Before the suppurative stage sets in the pocks become filled with blood and gangrenous. Arsen., and China are the main remedies, with Variolin and Mercurius in alternation. Confluent Small-pox. The pock forms a large, suppurating sore, which only occurs in very acute forms of the eruption and fre- quently terminates in a malignant ulcer. The whole body sometimes swells, especially the head and eyes. Arsen. and China with Variolin and Mercurius in alter nation, will prove very efficient. Sycosic, or Condylomatous Small-pox, Yields to Thuya in alternation with Variolin and Mer- curius. Thuya is recommended by several practitioners for small-pox geuerally. Unforeseen Accidents. One is the sudden retrocession of the pocks, whether in consequence of a cold or of other unknown influences. 342 TREATMENT OF LEADING DISEASES. A main remedy in such a case is Bryonia in alterna- tion with Aconite, every hour or two hours. Variolin may be given as an intercurrent remedy. Sequelae of Small-pox. Under homoeopathic treatment they scarcely ever exist, but they may occur under alloeopathic treatment. The principal remedy for these sequelae are: Mercur., Sulphur and Thuya. After an attack of small-pox a child had ophthalmia, for which it took Aeon., Bellad., Arsen, and other remedies in vain. Upon finding out that the inflamma- tion had set in several years ago, I gave Variolin and Aconite in alternation, and the child was cured in a fort- night. Morbid symptoms breaking out in consequence of vaccination, may likewise require Aconite and Variolin. After vaccination, if we should have reason to doubt the genuineness of the lymph, a dose of Sulphur wiil sometimes prevent all evil consequences. Conclusion. Mary persons forget that every eruptive disorder characterises an effort on the part of Nature, to purify the body of the indwelling acrid principles; in sup- pressii g such an eruption we arrest a purifying process of nature which avenges every encroachment upon her rights. Dare not, feeble man, interfere with the laws of Provi- dence, whose decrees should be honored and submitted to in confidence and faith! A time may come when even vaccination may be con- CHICKEN • POX.- -OPHTHALMITIS. 343 sidered injurious in its consequences upon the general vigor of the human race. Trust in God, and obedience to the laws of health are the best preventives against disease; he who possesses the former, and obeys the latter, need not fear the dan- ger of epidemic diseases, and may safely employ his best energies in the service of his suffering brethren. Chicken-pox, Varicella. Varicella resembles variola in 'appearance, but runs an exceedingly mild course, most frequently without the interference of art. This eruption first breaks out upon the back and chest, or on the whole body simultaneously within twenty-four hours; the pustules are like those of small- pox, filled with lymph at their tips. If fever is present, we may give Aconite, and if the child is delirious, Bellad. in alternation with Aconite If the pocks are large and filled with pus, we give Mercurius, also in alternation with Variolin. The patient is generally restored to health in five to eight days; but he will have to guard against exposure and errors in diet, especially if the digestive organs are weak. Ophthalmitis, or Inflammation of the Eyes. We call an eye inflamed, if it looks red, and a feeling of heat, pressure or pain is experienced in the organ. Accompanying pains are: Fever, photophobia, lachry- mation, agglutition of the lids, headache, etc. The principal remedy in all cases of acute ophthal- mitis is Aconite, six pellets of which may be dissolved 344 TREATMENT OF LEADING DISEASES. in a cupful of water of which solution a teaspoonful should be taken every hour or two hours, and even less frequently in proportion as the inflammation abates. Ophthalmia of New-born Infants. (Neonatorum.) This inflammation is frequently the result of a too sudden exposure of the eyes to the light; if a child is born in the day-time, the room should be sufficiently darkened to guard the child against the glare of the daylight, and, if born at night, the child's face must be turned away from the candle or gas-light, because an incautious exposure may result in incurable weaknesses of the child's eyes. Parents have entailed the most ruinous consequences upon the child, simply because an improper curiosity of ascertaining the color of the child's eyes, induced them to hold the candle quite near them. Dust, smoke, etc., must be kept away from the child, nor should any thing be within reach of the child by which it might injure his eyes. The inflammation is known by a slight redness and swelling of the lids, photophobia, and secretion of an acrid, whitish fluid or thick mucus. The latter should always be carefully removed by washing the eyes gen- tly with a soft sponge dipped in tepid water. The room should be kept dark in order to avoid the irritat- ing action of the light. Internally we give Aconite as stated under ophthalmitis, which may be administered to the mother, and a few drops of which may be dropped into the child's mouth every now and then. If the disease continues, we give Ignatia and Aeon, in alternation. If a fetid, greenish diarrhoea is present, we give Charnom., and if the inflammation still con OPHTHALMIA OF NEW-BORN INFANTS. 345 tinues, we give Aeon, and Apis in alternation, Some give Hepar in the place of Apis. Hepar is excellent, if the disease assumes a chronic form, and a psoric taint is evidently present. Aeon, may be given every now and then while Hepar is allowed to act. If syphi- lis is the cause of the disorder, we give Aeon, and Mercur. in alternation, and if a sycosic taint is present, Thuja should be administered. Catarrhal and rheumatic ophthalmia. The distinction between these two forms of ophthal- mia is unimportant in practice; we select a remedy in accordance with existing symptoms, without omitting even the accessory symptoms which characterise single cases. Aconite is the main remedy; the eyes look red, in- jected, the patient complains of stitches in the eyes, great pain especially when moving the eyes, photopho- bia, lachrymation, dryness of the lids, styes. Bellad., for intense redness of the eyes, congestion of blood to the head, burning tears and disagreeable dry- ness of eyes, painful photophobia, aching and lancinat- ing pains in the eyeball, penetrating into the brain, aggravated by moving the eyes: erysipelatous swelling of the lids, eversiou of the same, headache, vertigo, stupefaction, obscuration of sight, sparks, muscae voli- tantes, diplopia, dilatation of the pupils, spots or ulcers on the cornea, Aeon, and Bellad. every two hours in alternation cure most cases of ophthalmia. Arsenicum, burning pains as from hot coal, anxiety driving the patient out of bed ; nocturnal agglutination 346 TREATMENT OF LEADING DISEASES. of the lids, spots and ulcers on the cornea, redness. photophobia, aggravation by moving the eyes. Apis, may be given in alternation with Aeon., it is an untried remedy. Euphrasia, catarrhal ophthalmia with copious secre- tion of mucus, ulceration of the lids, smarting in the open air as from, hot water. Nux vom., inflammation of the canthi, soreness; pres- sure and burning as by some acrid substance; pho- tophobia and lachrymation, especially early in the morning; catarrh with headache, stoppage of the nose, constipation ecchymosis of the eye, irritable mood. Pulsatilla, pressure in the eyes as from sand, stinging, copious lachrymation, secretion of mucus, pale swelling of the lids, stye, red, inflamed spot near the cornea, dimness of sight, fiery circles, weeping mood; worse at night and in the evening. Ignatia, almost like Puis., suitable to persons afflicted with silent grief, or who are suffering from the effects of suppressed anger. Hepar sulph., stitches in the eyes, erysipelatous in- flammation of the lids, with soreness when touched ; ulcers and spots on the cornea, pimples and scurfs around the eyes. Mercurius, similarly to Hepar sulph.; aggravation at night, in bed ; sensitiveness to light, nocturnal aggluti- nation, pustules on the cornea, ulcers and scurfs. Sulphur, itching and burning of the eyes and lids, especially in the case of scrofulous persons, sensitiveness to light, opacity of the cornea, ulcers on the cornea, styes. Conium, traumatic ophthalmia (with Arnica), twitch ing of the upper lids, tremulous look; diplopia, obscu- ration of vision, cataract produced by an injury. CATARRHAL AND RHEUMATIC OPHTHALMIA. 347 Arnica, traumatic ophthalmia, contraction of the pupil, ecchymoses. Spigelia, sensation as if the eyes were too large, digging and boring in the eyes. Chamomilla, inflammation, agglutination in the morn- ing, excessive pains, vibratory movements of the light, dimness of sight with chilliness. Calcarea carb., pressure, itching and burning of the eyes, muscae volitantes, dim vision. Dulcamara, inflammation after taking cold, lameness of the upper lid. Ophthalmia induced by the insertion of foreign bodies, dust, a splinter, insects, etc., or by mechanical injuries, blows, a fall, contusion, or by an operation, etc., with or without ecchymosis, requires Aeon, and Am. in alternation, a spoonful of a watery solution of six pellets every two hours alternately. Nux vom. and Conium may likewise have to be given in alternation. Arnica and Nux vom. are leading remedies for ecchymo- sis without heat or inflammation. Conium is useful for the resolution of cataract induced by an injury. After performing the operation for cataract I always give Aconite, even before the operation, if the patient is anxious and nervous, but always afterwards, and if in- ternal parts have become injured, in alternation with Arnica. If the patient who had been operated upon, experiences deep-seated pains in the brain, I give Aeon. and Bellad. in alternation, sometimes Conium or some other suitable remedy. For an inflammation induced by straining the eyes, we employ Bell, Nux vom., Ruta and China, also Carbn veg. and Spig. Ophthalmia after measles requires Puis', or Carbo veg.; 348 TREATMENT OF LEADING DISEASES. after scarlatina Bell, or Hepar sulph.; after small-pox Mercur. or Sulphur, also Variolin ; after suppression of a cutaneous eruption Bryon. and Apis; if heat and fever are present, these remedies should always be given in alternation. The chief remedies for weeping eyes are Bell, Eu- phras., Crocus, Digit, Graph., Phosph., Spig. For blear-eyedness Euphras., Mercur., Puis., Rhus tox. For paralysis of the eyelids Bell. Plumb.. Sepia Verat, Zinc. For squinting Plum., Bell. Puis., Cina, Hyosc Stramon. Scrofulous ophthalmia has been treated in the chapter on Scrophulosis, to which the reader is referred. The principal remedies for syphilitic ophthalmia are A con., Mercur., Nitri ac, Thuja, Kali bichr., Sanguin. Apis, Aurum. For gonorrhceal ophthalmia consequent upon sup- pression of gonorrhoea, we use Aeon., Merc, Puis., Nitri ac, Thuja, Sulph., Cannabis. The Egyptian ophthalmia requires Aeon, and Apis in alternation. Scorbutic ophthalmia requires A con. and Merc, in alternation, also Apis and other remedies recommended for scurvy. For arthritic ophthalmia compare the remedies for gout, more especially: Aeon., Apis, Hepar, Merc, Led. Lye, Rhus, Ars., Bell. Colch., Spig., Sulph. Inflammation of the eyelids. For this affection all the remedies may be given that have been recommended for scrofula. If there is mu^h STYES. 849 heat, and the eyes are red, we give Aeon.; in general we use Bell, Sulph., Calc, Sil, Rhus. If the lids are swollen: Apis. For ulcerated lids : Hepar and Merc. If the eyes are closed by ulceration, and hot, we give Aeon, in alternation with one of the above mentioned remedies. Styes. If a stye is forming, we give Aeon, which generally disperses it; if not, we give Aeon, and Puis, in alterna- tion. If the styes form frequently, we give Sulph. or Calc., or Sil. Indurated styes require Staphys. For hard tubercles in the lids, if a scrofulous taint prevails, we give Sulph.; also Calc. carb., but these remedies must be allowed a very long action. Some- times the tubercles increase after these medicines, but in the end they always disappear. Weak eyes, amblyopia. This affection may arise from various causes. If the eyes feel weak after the least effort, reading, sewing, etc., the patient must take great care not to strain the organ, especially at twilight. The main remedies are Bell, and China, more par- ticularly after the loss of animal fluids, also Euphr. Cann., Ruta, Apis. No patient with weak eyes must wear spectacles upon his own responsibility; but should always first consult an intelligent physician. As a general rule spectacles should only be worn by persons who are afflicted with short-sightedness or far-sightedness, but whose eyes are 350 TREATMENT OF LEADING DISEASES. sound. But an intelligent optician should always be consulted before spectacles are used. The remedies for particular symptoms, such as diplo- pia, black p'oints, fiery circles, etc., short-sightedness or far-sightedness may be found in the Kepertory, under the heading "Eyes." Persons whose visual powers begin to grow weak, and who cannot afford to consult a physician, may find relief by the use of the following domestic remedy. In a two ounce vial filled with distilled water, drop six drops of fennel water, and wash the closed eyes morn- ing and night with the finger or with a soft rag, so that the internal canthi are likewise touched; the surrounding parts may likewise be washed with this solution, which will be found to have a strengthening effect upon the eyes. If the inner eye looks unclean, covered with mucus or the conjunctiva is puckered up or ulcerated, dissolve a pinch of pulverized sugar in four tablespoonsfuls of water, and moisten the eye twice a day with a drop of this water; it is the best remedy for this trouble. Amaurosis. If the sight is entirely gone, and the eyes continue to look clear and natural, we call this condition amau- rosis. The pupil is generally dilated, which imparts to the eyes an appearance of darkness. We distinguish erethic and torpid amaurosis; the former, if the pupil is still sensitive to the light, the latter, if the. sensitiveness is entirely lost. The main point, however, is to understand the cause . of the difficulty, and to observe the totality of the symp- CATARACT. 351 toms. A boy was brought to my clinic who had been afflicted with tinea which was suppressed by a salve. The consequence was amaurosis. His sight was re- stored in a few months by a single dose of Sulphur. Another child lost its sight by sitting on the cool floor while the body was heated. A dose of Bellad. soon restored the sight. A woman lost her sight in conse- quence of menstrul suppression. Puis, restored it. The following remedies have been found the most appropriate in this disease: Bell, Calc, Cannab., China, Con., Hyosc, Merc, Nitric ac, Phosph., Puis., Rhus, Sec, Silic, Stram., Sulph., Aur., Caust., Coca, Dig., Dulc, Lye, Natrum mur., Nux v., Op., Plumb., Euta, Spig., Verat., but the medicine should nerver be given at short .ntervals. Cataract. Cataract is a thickening or induration of the crystal- ine lens or its capsule, which is seen behind the pupil like a gray body, having the appearance of mother-of- pearl, or sometimes like the moon in the day-time. If the cataract looks streaked or like a net, it is named accordingly; but the operation and treatment are not influenced by these various appearances, We name it central cataract, if the centre or nucleus of the lens is alone hardened, and the sight is not altogether obstructed. Under homoeopathic treatment it is sometimes pos- sible to effect the absorption of cararact without an operation. In one case of recent cataract I effected resolution by means of a dose of Sulphur. It was accomplished in six months ; at the end of three months the lens began 352 TREATMENT OF LEADING DISEASES. to resume its transparency; a dose of Bellad. perfected the cure so completely that at the end of six months the patient was again able to earn a living by sewing. A cure cannot always be effected by internal treatment; in such cases an operation is unavoidable. The principal remedies, by means of which resolution can be effected, are Sulph., Calc. carb., Sil, Puis., Euphras., Caust, Con., Hepar, Phosph., Baryt, Bell. Can- nabis, Hyosc, Nitric ac, Op., Euta. For cataract caused by a blow or other externa. injury, we give Arnica, and if the lens has become quite hard, Con. Of the former we give a teaspoonftu of a watery solution of six pellets in a cupful of water and of the latter a spoonful of a similar solution morn- ing and night. Ammon., Euphras., Puis., Rhus, Ruta, are likewise recommended. If the cataract does not yield to internal treatment in the course of a year, the operation should then be per- formed by an operator of skill and experience. The operation is sometimes rendered painless by magnetizing the .eye, for which purpose I breathe upon the eye several times previous to and after an opera- tion, the consequence of which is that some patients do not even feel the puncture with the needle. Immediately after the operation I give Aeon, and Am., in alternation, and if patients are nervous and restless, I give them a few spoonfuls of a watery solu- tion of six pellets of Aeon, previous to the operation. If there is pain deep in the brain, Bell, and Aeon. may be given in alternation; Conium may likewise be required. Glaucoma Is generally the result of deep-seated arthritic inflam BLINDNESS. 353 mation. The vitreous humor and the lens seem altered, so that the whole inner eye, if seen through the dilated pupil, has a sea-green or bluish-green appearance, and the visual power is extinct. This disorder may be relieved by the internal use of Phos. and Pub. Blindness By spots or obscurations of the cornea, or by staphy- loma. 1. Dimness, spots of the cornea. (Leucoma;) Arising from effusion of coagulable lymph between the layers of the cornea, imparting to the eye an appearance like chalk or mother-of-pearl; this is generally a rem- nant of inflammation, and scarcely ever arises under homoeopathic treatment. The remedies to which this disorder will yield, are Sulph., Bell, Calc. carb., Apis., Sil, Lye, Con., Euphr., Puis. A ny of these remedies should be allowed to act for several months ; we give of each a dessertspoonful of a solution of six pellets in a cupful of water, morning and night for four days. Spots disappear very speedily, but even complete leucoma has been cured. 2. Staphyloma [s often the result of mismanaged inflammation; it is a globular bulging out of the cornea, which becomes opaque, of a bluish-white or grayish-blue appearance. also with rose-colored margins. The surface is gene- rally smooth, sometimes studded with little protuber- ances, and these protuberances generally have a darker hue. If the staphyloma is complete, the visual npwer 23 354 TREATMENT OF LEADING DISEASES. is entirely extinct; in partial staphyloma it may still exist to a limited extent. The removal of a staphyloma by an operation has proved very unsatisfactory. Apis seems to have had a good effect in some cases. Headache, Cephalalgia. This is very seldom an independent derangement; most frequently it is a symptom of a more general dis- order. If this should be the case, the headache can only be cured by removing the more general affection. Headache generally depends upon derangements of abdominal organs; or upon a deranged condition of the vascular system, as in rheumatism, gout, nervous debility. The first thing to be done towards a cure of headache is, that patients should not eat unless they are hungry, and then only in moderate quantities, and only such nourishment as agrees with them. Coffee is a frequent cause of headache; hence it has to be avoided by those in whom it produces this effect. Acids, wine, spirits, spices have to be avoided by others. Animal magnetism sometimes produces palliative re- lief in headache. With both hands we make a few passes over the head, from the centre of the head down to the shoulders and even down the arms, applying the hands gently to the scalp or holding them at a short distance from the same ; or we breathe upon the painful spot, or blow over it as if we would blow something out of the way. I will now enumerate the various causes which may produce headache, and also the treatment required by them. HEADACHE. 355 1. Derangement of the stomach after fat: Puis., Ant. cr., Carb. veg., Ipec; after fruit, Arsen. Puis., Bryon., China, Verat; after wine, spirits, beer, coffee, Nux vom., Op., Arsen.; after acids, Ant. crud. 2. Determination of blood to the head : Aeon., Bellad., Bryonia, Glon., Arnica, Nux vom., Sulph., Calc. carb. * Sil, Plat 3. External injuries by a blow, fall, etc.: Arnica inter- nally, and linen compresses moistened with a solution of six drops of the tincture of Arn in a cupful of water, externally; these compresses need not be moistened fresh more than three times a day. If there is much fever and heat, we give Arsen. and Aeon, in alternation; and if the headache becomes violent, Bellad. In chronic cases we may have to give Calc. carb., Con., Cicuta, Rhus, Hepar and Sulph. ac. 4. Sudden cold: Nux vom., Cham., Dulc, Aeon., Arnica,, Mercur., Puis. 5. Mental labor, watching, etc.: Nux vom., Coc, China. 6. Excesses in eating and drinking spirits: Nux vom., Opium, Arsen. 7. Emotions ; chagrin : Cham., Nux vom.; fright, Opium; sudden joy, Coffee; chagrin and frigh ttogether, Aconite; suppressed anger or grief, Ignatia; anxiety and fever, Aeon., Arsen, Bellad.; consult the Eepertory. 8. Anaemia, chlorosis: China, Puis., Natr. mur., Calc. carb., Plat, Ferrum. See Chlorosis. 9. Eheumatism and gout: Aeon., Cham. Bryon., Rhus, Am., Sep., Puis., Aur., Merc, Nitric ac, Sulph., Calc. carb.. Lye, Sil, Spig., etc. (Compare rheumatism and gout.) 10. Nervous headache, hemicrania: Sep., Bellad., Sang., Spig,, Lye, Sulph., Calc. carb., Calc. Caust, Glon., Aur. Siln Coffea., Mosch, Plat, Puis., Nux vom., and others. 356 TREATMENT OF LEADING DISEASES. 11. Hysteric headache: Plat, Sep., Ignatia., Aur., Coc- culus, Valer., and the remedies mentioned under No. 10. Symptomatic indications of a few of the chief remedies for Headache. Aconite, determination of blood to the head, throb- bing pains, dry Jieat all over, swelling and throbbing of the veins on the neck; flushed and bloated face, burn- ing in the forehead, nervousness, sleeplessness; full and hurried pulse; aggravation of the pains by motion and stooping ; relief by lying down. Belladonna, sense of fullness in the head, the head feels as if it would fly to pieces, or as if the brain would fall out at the forehead. The scalp is sensitive, the patient complains of an undulating sensation in the head as of moving water, with buzzing in the ears, obscuration of sight. The pain, which is intense, is aggravated by moving the eves or looking in the light. Frequently the pain is only felt in the forehead, over the eyes, and becomes so intolerable that the patient loses his consciousness and becomes delirious. Bryonia; shooting pains on one side, or compressing pains, with rush of blood, heat all over, aggravation by stooping, walking. Calc. carb.; hemicrania with nausea, throbbing, cold feeling in the head, cloudiness as if the head were in a vice ; suitable to scrofulous persons. Calc, Caust; stitches through the head, pressure from the vertex downwards. Chamomilla; headache after the sudden suppression of sweat by a draught of air; tearing in one side of the head, with redness of one cheek and paleness of the other, stitches and throbbing in the head, hot sweat, even of the scalp. HEADACHE. 357 China; headache with sensitiveness of the scalp, caused by excess and loss of fluids; made worse by a draught of air. Coffea; hemicrania with sensation as if a nail were pressed into one side of the brain ; sensitiveness to noise, music, etc. Colocynthis ; hemicrania with nausea and vomiting. Glonoin; rush of blood to the head, pressure from within outwards ; the brain feels bruised. Ignatia; stitching and boring pains deep in the brain; sensation as if a nail were sticking deep in the head, with nausea, obscured vision, photophobia, watery urine. The pain is aggravated by coffee and brandy. Mercurius; tearing in one side of the head, the teeth are affected, the patient experiences stitches shooting to the ears, aggravation in bed; copious perspiration, which affords no relief. Moschus; pain as from a heavy load on the head ; drawing pain in the head here and there; sensation as if a string were firmly tied round the head; sensation as if a portion of the skull were cut through; sensation as if a nail were driven into the occiput. Nux vomica ; headache, with nausea and some vomit- ing ; the head feels heavy, the headache is made worse by moving the eyes; drinking coffee, brandy, etc. Pulsatilla ; tearing and stitching pains in one side 01 the head, with nausea and vomiting of bile and mucus; the attack is accompanied with chilliness, obscuration of vision, buzzing, stitching in the ears, anxiety, crying mood, loss of appetite, palpitation of the heart; aggra- vation in the evening; (suitable to females with scanty menses.) Sanguinaria ; periodical hemicrania on the right side, 858 TREATMENT OF LEADING DISEASES. with nausea, vomiting, chilliness, fullness of the head, digging pains which suddenly shoot through the head or through the forehead. Sepia; stinging and boring headache, with nausea and vomiting, tearing and drawing in one side of the head, with photophobia; heaviness of the upper lid. Silicea; throbbing headache, with heat and rush of blood to the head, in alternation with Aconite; tearing or lancinating pains on one side, every morning or after- noon, as if the head would fly to pieces. Spigelia; digging, tearing and throbbing in the left side of the head, also involving the eye, malar bone teeth, attended with palpitation of the heart. Sulphur; headache after the violent suppression of tetter or some other eruption, or after the violent sup- pression of sweat; tearing, stitching, jerking or drawing pains in one side of the head; fullness and weight over the eyes; periodical paroxysms of headache, with nau- sea and vomiting; aggravation by thinking, walking, etc. Veratrum, headache with nausea, vomiting, diarrhoea, fainting weakness, chilliness and cold sweat over the whole body ; throbbing and aching pain on one side of the head, so violent that the patient becomes delirious ; sensitiveness of the scalp. The so-called antipsoric medicines: Calcarea, Sepia, Silicea and Sulphur always act best if given after the attack, when they will modify and gradually end the disorder. If the symptoms of the attack should render it necessary to give one of them during the attack, a globule may be placed upon the patient's tongue after which the result should be awaited for twelve to twenty- four hours. The modified symptoms may then require another remedy. VERTIGO. 359 If other symptoms or ailments which have not beer> mentioned in this chapter, should occur, these will have to be treated with the remedies recommended in the chapters devoted to these ailments. Vertigo. This disorder is generally symptomatic of some more deep-seated affection. The Eepertory may be consulted under vertigo; I will moreover mention some remedies for this weakness. Aconite, vertigo on raising the head, when stooping, with nausea, turning the head, with dullness of the head, the patients are unable to look up. Bellad., vertigo with anxiety, stupefaction, vibrations before the eyes, rush of blood, flushed face, worse during motion. China, vertigo caused by debility, after loss of blood worse on raising the head. Cocculus, vertigo after swinging or riding in a carriage, or on board a ship ; hollow and dull feeling in the brain. Conium, vertigo on looking round, the patient fails to one side. Nux vomica, vertigo after eating or studying; early or during a walk, or when lying on the back, humming in the ears, flatulence, piles, constipation. Opium, vertigo after a fright, with trembling and weakness, stupefaction as after strong drink, with sopor, red and staring eyes, dilatation of the pupils, obscured vision, pale face. Phosph.; after a meal and when sitting, with rush of blood to the head, vanishing of mind, after excesses. Puis., vertigo on looking up, with pale face, chilliness, nausea, headache, in chlorotic cases. 360 TREATMENT OF LEADING DISEASES. Rhus, vertigo on lying down, with fear of dying, sensation as if the brain were loose. Sepia, vertigo on raising the head, as if things were moving about. Sulphur, vertigo when going up an eminence; when crossing flowing water, in chronic cases when patients are tainted with psora. Veratrum, vertigo with nausea, vomiting, diarrhoea, anxiety, sunken countenance, cold sweat, cold extremi ties. The medicines may be taken in water, six pellets in a cupful, in spoonful doses every two hours; or in chronic cases morning and night for four days. Prosopalgia, tic douloureux. This pain is generally felt on one side of the face, sometimes suddenly, or preceded by a tensive, itching or tingling sensation. It is seated in the branches of the trigeminus under the eye, at the wing of the nose, around the inner canthi, on the forehead and cheek, especially in the region of the malar bone, in front of the ear, on the chin, in the teeth, also in the orbital, nasal and buccal cavity. The distressing lancinating. stitching, tearing, burning, boring or crushing pain is generally excited by talking, chewing, sneezing, or by the least contact, continues for several minutes, hours, or even days, and frequently ceases suddenly, in conse- quence of bodily motion, in order to reappear at indefi- nite intervals. The pain is not always felt at the same place, but often suddenly shifts to some other locality, causing the facial muscles to twitch, and inducing a feeling of rigidity. Generally the affected part is red PROSOPALGIA. 361 and hot, but sometimes the face is pale and cold. The patients experience a sensation of formication, twitching of the eyelids, of the labial muscles, tension in the nose, or as if one-half of the nasal cavity were filled with dust, feeling of numbness in one-half of the tongue, humming in the ears and head, excessive sensitiveness to noise, sensation as if blown upon by air ; it is a terrible pain which drives the patients besides them- selves. Under homoeopathic treatment this distressing affec- tion is perfectly curable, provided the specific remedy is chosen with care and is permitted to act its full time, without its action being disturbed by pernicious in- fluences. The principal remedies are: Aeon., flushed, hot face, feverish restlessness, thirst, dry heat, tingling, stinging and twitching pain, with a feeling as if the parts were swollen. Bellad., the pain is chiefly near the eye, the eye is red and weeps; aggravated or excited by pressure and motion, or by rubbing the diseased part. Tearing, lancinating pains in the bones, jaws and malar bones, with rigidity of the nape of the neck. Spasm of the eyelids. Convulsive twitching of the facial muscles, distortion of the mouth. Eedness and heat of the face. Spigelia, flashing tearing, burning and tension in the malar bones, the part is shining and swollen, the parox- ysms recur regularly like fever and ague; aggravated or excited by contact, motion, cool weather; restless- ness, praecordial anguish before and during the attacks. China, pecking, jerking-stitching or cutting-burning pain, with pale face, anaemia; recurring at regular inter- 362 TREATMENT OF LEADING DISEASES. vals, aggravated or excited by pressure, relieved by eating. Colocynthis, tearing, tensive, burning and stitching pains with swelling and redness ; worse during rest. Conium, nocturnal tearing and stitching pains. Hepar, tearing and drawing pains in the facial bones, made worse by contact. Mercur., tearing and stitching pains, especially at night, in the warm bed, with ptyalism, swelling involv- ing even the head, temples, teeth, restlessness and sleeplessness, sweat on the head and face, also when arising from syphilis. Mezereum, boring and stupefying pains, especially in the left malar bone, flashing to the eye, temples, ear, teeth, neck and shoulders; complicated with syphilitic affection of the bones, ptyalism, burning in the throat stiffness of the masseter muscles. Nux vom., suitable to coffee and brandy-drinkers, or after mental labor, watching, etc. ; tearing, drawing pains to the ear, with swelling of the cheeks, flushed face, also of one cheek only, with sallow tinge around the nose and mouth; tingling in the face and muscular twitching ; numbness of the affected parts. Phosphorus, tearing pains, tension and itching of the skin, sticking pain as if a nail were sticking in the part, swelling and paleness of the face, also with rush of blood to the head, buzzing in the ears, aggravation by moving or touching the affected part. Platina, suitable to hysteric females, crampy pains, with tingling and numbness of the parts. Puis., suitable to chlorotic females, whose menses are insufficient, with chilliness, nausea, palpitation of the heart, absence of thirst, jerking and siitching pain PROSOPALGIA. 363 striking even to the ear; aggravation in the evening and at night, relief by cold air or water. Rhus tox., drawing and tearing at night, aggravated by rest, relieved by warmth. Stramonium, spasmodic tearing and jerking of the head and facial muscles, trismus of the jaws, stupefac- tion of the head. Staphysagria, pressure and throbbing in the teeth, tearing, stitching and burning in the malar bones, often proceeding from decayed teeth; also suitable for affec- tions of bones, and for mercurial symptoms, attended with a feeling of swelling, cold hands, cold sweat in the face. Stannum, pressure and drawing in one side of the face, especially at night, crampy pain, numb, gradually Increasing and decreasing. ^ Thuja, twitching in the cheeks during a walk in the open air, boring in the malar bone, worse in the evening and afternoon. Verbascum, flashing twiuges, stupefying pressure at the malar bone, burning and pinching or stitching in the left temporal bone, aggravated by pressure and a draught of air. We may likewise compare Ars., Aurum, Btryt, Bryon., Calc. carb., Cham., Coffea, Sil, Sulph., Verat Animal magnetism relieves this pain often sud- denly, but always after a while, by moving the palm of the warm hand over the affected part from above downwards, at a short distance, or by breathing gently into the ear of the affected side. Placing the hand gently upon the affected part, often affords relief. If there is violent rush of blood to the head, with redness and heat of the head we often afford relief by producing a feeling of coolness by blowing upon the affected part. 364 TREATMENT OF LEADING DISEASES. Pregnancy and confinement. These conditions are not diseases as is so often erro- neously supposed; hence it is absurd to use any medi- cines for them. Pregnant women may be and often are in the enjoy- ment of excellent health, and the fact of giving birth to a human being, may be unaccompanied by any unto- ward accidents. Section I. Precautionary rules. Every pregnant female should be solemnly impressed vvith the important obligations that Nature has imposed upon her; she should abstain from all frivolous amuse- ments which might endanger the well-being of her offspring, from the pernicious habit of tight lacing which so often proves fatal to the unborn child. Even in performing the domestic duties, the future mother must avoid every thing that might inflict an injury upon her uterine system, such as lifting heavy weights, reaching too high or otherwise straining the uterus; such exertions have often given rise to miscar- riage or to the twisting of the umbiblical cord around the neck of the fetus. Pregnant females who have miscarried on previous occasions, should wear a bandage of fine flannel, or a linen bandage in the summer, if the weather is hot. It should be composed of two pieces fitted to the abdomen and affording it support, of the following shape, and having three hand's breadth : DIET.—DRESS. 865 The two ends on this diagram are stitched together; posteriorly the bandage may be narrower than in front; it is attached by means of three or four strings at each end. Where these strings are tied, a linen strip may be attached co prevent the strings from slipping together. Such a bandage is useful in another respect; it protects the abdomen from the wind and cold. Section II. Diet. If a pregnant female is liable to rush of blood to the head, vascular erethism, flashes of heat, etc., she will have to abstain from the use of coffee which is always hurtful in this condition of the female organism, and from the use of all heating and stimulating drinks, spices, etc.; her diet should be simple and nourishing, instead of coffee she may use light cocoa, milk, and she may drink as much fresh water as she craves. Every day she ought to take exercise in the open air and wash all over with cold water, unless she should have an insuperable disinclination against it. Ablutions of the back with cold water, as have been described in tho chapter on spinal curvature, will prove invigora- 366 TREATMENT OF LEADING DISEASES. Section III. Dress. Tight lacing during pregnancy has a pernicious influence upon the process of parturition and the future health of mother and child. Tight lacing not only causes a compression of the lungs and heart, which may result in incurable diseases of these important organs, but likewise of the liver and spleen, and more particularly a pressing downwards of the uterus, which may result in a disposition to miscarriage, and may lay the foundation for severe labor. It may likewise give rise to destructive diseases of the new offspring, such as emaciation, curvature, imbecility, idiocy, Tight lacing is particularly injurious to growing girls they should at most wear simple corsets which may sup- port the chest without injuring the heart and lungs by compression. Garters are likewise an object of importance. Little girls should never wear any. In early infancy socks should be worn, which may be replaced at a later period by stockings fastened to the under jacket by means of tape. Full-grown girls may, indeed, wear knit gaiters; but they should be provided with an opening at one end, through which the other end can be drawn. A garter should always be worn close under the knee so that the finger can readily be inserted be tween it and the leg. Tight garters compress the blood-vessels, and arrest the circulation, which may not only give rise to varices, but likewise superinduce heart-disease. A pregnant female should dress accord- ing to health, neither too lightly nor too warmly; the DRESS. 367 patient should never neglect proper care towards her- self, lest the increased sensitiveness of the skin should expose the pregnant female to taking cold; hence the necessity of wearing extra covering on going out at night. Section IV. An important chapter are the nipples which have to be prepared for their office a good while before they are used. I have had charge of young mothers whose nipples were so small that they were unable to nurse their offspring. If this should be the case, or if the nipple should be sunk in instead of protruding, it has to be drawn out by means of some suitable instrument in the shape of an exhausting pump which may be pro- cured in the shops. After the nipples have been drawn out, they have to be gently pressed and worked with the fingers, in order to harden them, lest the delicate skin should be injured by the sucking of the infant. During the two months preceding the period of confinement, the nipples should be washed or simply touched every day with cold water,'not with rum or brandy. As a matter of course the whole breast should be washed every day with cold water, more especially during pregnancy. If an eruption breaks out on the nipples, Sulphur has to be administered in water, a spoonful morning and evening, after which the eruption generally disappears. But if it is nothing but dried up perspiration, it has to be removed by washing the nipples with tepid water and soap. 368 TREATMENT OF LEADING DISEASES. Section V. The external organs have likewise to be seen to, they should be washed every day with fresh water; this will keep them vigorous and healthy. Although Nature is the best provider during the act of parturition, especially in the case of robust females, yet much may be done to ease the pain incidendal to this function. This is especially the case with young women who bear for the first time or with women of a more advanced age and with a less yielding fibre. Such persons are liable to the danger of having the perineum (or bridge between the vagina and anus) ruptured. In order to guard against such an accident, a pregnant female will do well to rub this part every day with sweet oil, goose-grease or lard. In order to moderate the pains or the extreme sensitiveness of the highly stretched skin, the following process may be resorted to: Take half an ounce of bitter, and one ounce of sweet almonds; remove the skin by soaking them in warm water, and then pound and rub the almonds well in a mortar with hot water. The fluid thus obtained is strained through white muslin, so that all the thick mass remains behind, and with the almond-milk thus obtained the female washes her private parts twice a day for four days, provided the milk has not soured in the mean while, for sour milk must not be used. After a pause of eight days the same proceeding may be repeated, and should be continued in this order until the period of her confinement. After washing the parts, the perineum may be rubbed with grease or oil, in order to promote its elasticity. SIGNS OF PREGNANCY. 369 For older persons injections of warm milk or sweet oil are recommended, which frequently afford great relief. Also, tepid sitz-baths of milk and water, for half an hour every day, for four to six weeks before confinement; these last, however, may be dispensed with, provided the other suggestions are heeded. If the bowels should be constipated during preg- nancy, they will have to be regulated as much as possible by diet; no cathartics should be used, for they will prove injurious to mother and child. (See Section VIII., No. 5.) As the period of pregnancy advances, the urinary discharges become more and more frequent, because the bladder is pressed upon by the distended uterus. Nothing can be more injurious to a pregnant female than to keep back the urine, which may tend to painful retentions and fatal inflammation of the bladder; hence the necessity in which every female who is near her confinement is placed of avoiding all assemblages which cannot be left at any moment without causing a sensa- tion or unpleasant interruption. Section VII. Signs of pregnancy. The common signs of pregnancy are: Suppression of the menses, though there are cases where the menses continue during the first half of pregnancy; involun- tary spitting all over, especially early in the morning; loathing of food, especially meat; nausea, inclination to vomit, and actual vomiting; fitful desire for kinds of food that were distasteful before pregnancy; feeling of debility in the whole body, great nervousness, chillv 370 TREATMENT OF LEADING DISEASES. creeping over the skin; rheumatic pain«: occasional attacks of toothache; restless sleep ; altered color of the skin; frequent urging to urinate, etc. The abdomen gradually swells up, and the region in the hips becomes enlarged ; the breasts likewise become larger, and itch- ing and stinging pains are sometimes experienced in them; the nipples become surrounded with a dark- colored areola, and a milky fluid is occasionally dis- charged through them. Favorite amusements and tastes very frequently become disagreeable, and give way to the most opposite caprices and desires. These do not, however, constitute reliable signs of pregnancy, and physicians must not suffer themselves to be de- ceived by accidental or morbid symptoms. Pregnancy may be regarded as established, if the movements of the fetus begin to be felt in the seventeenth or twen- tieth week, which must not be confounded with the motions of the intestines. First they are sharp, jerk- ing, feeble shocks against the abdominal integuments, which may be distinctly felt by placing the palm of the hand upon the bare abdomen. The feeling is as if a fish were striking against them with its tail. Section VIII. Morbid phenomena. 1. If the nausea and vomiting become excessive, we give Ipee, a solution of six globules in a cupful of water, a spoonful four times a day. Tabacum is likewise recom- mended, if the patient raises an acrid fluid, and the pains are less in the open air. Some recommend Con. and Nux vom., the last named medicine should not be repeated too often. MORBID PHENOMENA DURING PREGNANCY. 371 2. The chief remedy for toothache of pregnant females and of nursing mothers is China in water, Ipec, Sepia, Bellad., Bryon., Merc, have likewise been given. (See Toothache.) If restlessness, rush of blood, dry heat are present, we give Aeon. 3. Heartburn occurs very frequently during preg- nancy, and is met by China, or if caused by the use of greasy food or pastry, by Puis. If sour taste is com- plained of, Nux vom. is a good remedy, which may be alternated with China. 4. For the ptyalism of pregnant females Merc, is the remedy; Bellad. and Puis, have likewise proved cura- tive. 5. Constipation is not as important a derangement as it has seemed, and should never be treated with cathar- tics. If it is not particularly troublesome, all that need be done for it, is to regulate the diet; let the patient par- take of liquid rather than solid food, and drink a tum- blerful of cold water before bedtime and early on rising. If the constipation becomes troublesome, injections of thin oat-meal mucilage may be administered, beaten up with a little sweet oil, somewhat tepid, and if these do not produce the desired effect, China may be taken in alternation with Bryon. every two to four hours. 6. Flatulence, which should be controlled by d.et, may be treated with China, also with Puis., Bryon. and Sepia. 7. If the movements of the fetus become too violent and painful, and disturb the mother's sleep, we give Crocus in water, and if they are complicated with flatu- lence, we likewise may give China and Sepia in alter- nation. 8. For varicose veins, especially if they itch and feel 372 treatment of leading diseases. very tight, we give Calc. carb. or Zinc, in water, a spoon- ful morning and night, for four days. The diseased limb may be protected by means of a bandage which must not be too tight, but sufficiently so to protect the limb and to prevent the veins from rupturing in consequence of some injury; this might lead to violent and injurious haemorrhage. Haemorrhage may be arrested by means of small pieces of pure sponge, which may be obtained of druggists, after which compresses moistened with a solution of six drops of Arnica-tincture in a cupful of water may be applied, and China and Arnica given internally in alternation. Arnica and Puis, alternately are likewise useful for acute varices. 9. For debility and nervousness China, morning and night in water for four days, is the best remedy. 10. Painful retention of urine or spasm of the blad der requires Cantharides, a spoonful every two hours of a solution of six pellets in a cupful of water, the region of the bladder is to be kept warm, and to be exposed to the vapors of hot water, which have a very soothing effect if spasms are present. 11. Leucorrhoea with violent pressing upon the parts, and debility, yields to China, a dose morning and night; if it is milky, and comes by fits and starts, Calc. carb. has to be given; if it is slimy, watery or yellowish, smarting, we give Sepia, and if there is much sexual irritation, Platina. If a female complains very much of colic and back- ache, if the abdomen is distended and stretched to the utmost, the skin may be rubbed with goose-grease, or by any other mild grease. If colic has been caused by a fall, blow or some other mechanical injury, straining, pressure of the child upon CONFINEMENT. 373 the right or left side, by which means the nerves with which the organs are supplied, become compressed and wounded, or if the child presses too hard upon the bladder, Arnica if given in water, six pellets in a cupful, every two or four hours, will prove sufficient to remove this difficulty Section IX. Confinement. 12. If a loss of blood occurs during pregnancy, which is often the precursory signs of pregnancy, we find China and Sabina in alternation, every two to four hours, indicated. If the loss occurs in consequence of a strain by reaching or lifting, we give Arnica. The female under such circumstances should never remain about, but lie down at once.. As a general rule all the ailments incident to pregnancy are relieved by a horizontal posture and by rest. 13. Hernia and prolapsus should be removed previous to the occurrence of pregnancy. If this should have been neglected, the pregnant female may then wear a suitable truss which must not psess upon the bowels since hernia, during the first period of pregnancy, is apt to become incarcerated. Females who are afflicted with both hernia and prolapsus, must remain quiet, avoid lifting, carrying, dancing, and lie down as much as possible. In the latter months of pregnancy this caution is less necessary, because the uterus is raised and the bowels are supported by it. Internally we give China, with Sepia or Aurum alternately. If proper care has been observed during the period of pregnancy, an easy confinement may be looked for, but not without observing the laws of Nature which 374 TREATMENT OF LEADING DISEASES. ignorant mid wives, and arrogant physicians are so much inclined to violate. Every confinement should take place in bed, because the female is then in a state of perfect rest, and an uni- form temperature of the body can thus be preserved. Dr. Jcerg, professor of obstetrics in the University of Leipsic, says in this respect: " The animal which gives birth to its young ones much more easily than man, lies down on the ground, or retires to its nest as soon as it begins to experience the pains of labor. If man feels pain, he lies down, his feelings prompt him to do so. It would be absurd and cruel to force the parturient female into so-called confinement-chairs, as a substitute for the bed, a most horrid violation, of Nature's laws which some German accouchurs have attempted without success." Section X. Precursory signs of parturition. A few days, or even a fortnight previous to confine- ment the uterus begins to descend. Until the thirty eighth to the thirty-ninth week of pregnancy the uterus keeps rising in the abdominal cavity, so that the epi- gastric region becomes quite distended and the breath- ing is very much interfered with. As soon as the uterus begins to descend, the breathing becomes freer and the pit of the stomach again becomes visible; but now the uterus presses upon the pelvis like a heavy burden, and the female feels as if her hips would come apart. The small of the back is particularly affected, by the pressure of the child's head against the internal surface of the sacrum which sometimes feels bruised and numb in consequence. CONFINEMENT-BED 375 A second sign of impending parturition is the fre- quent and anxious urging to urinate, induced by the increasing pressure upon the bladder by the descending uterus. The last and most reliable sign of parturition is the appearance of the first labor-pains which may set in some days previous to the act of parturition, but which generally are not felt until a few hours before this event. I may call the reader's attention to the fact that there are spurious pains which should not be confounded with genuine pains. By spurious pains we understand continued colicky pains in the abdomen which may continue a whole or half an hour, and have nothing whatsoever to do with the contractions of the uterus. Genuine }.ains never last long, they pass off quickly, but soon recur again. Section XL Confinement-bed. If the means allow, this bed had better be arranged a few day a previous to confinement, since at the last moment something might be forgotten, or a needful article might be wanting; the hurry and the anxiety of finding things are likewise unpleasant and injurious to the parturient female. The best thing for the female to lie upon is a simple mattress which should be slightly raised towards the head. The nates should rest upon a cushion of horse- hair about a hand high, which may be covered with leather, or a common sofa-cushion may be used for this purpose ; the object is to raise the trunk slightly above the thighs, and to procure the necessary space for an 376 TREATMENT OF LEADING DISEASES. examination and for the reception of the infant. The bed must be so arranged that every part of the body from the nates to the head is adequately supported; there must not be a gap any where, and if it exists it must be filled up by means of little pillows. The trunk being firmly supported, the following rules have to be observed for the thighs and legs. The space between the nates and feet must be just sufficient to enable the legs to be stretched, so that the soles of the feet can press hard against the foot-board. In the winter the foot-board should be covered with a woolen blanket to prevent the feet from getting chilled; in case they perspire the blanket will absorb and keep up the perspiration. If the labor-pains should set in suddenly before a suitable bed is prepared, and the bed at hand should happen to be too long, a foot bench may be placed in the bed with the legs against the foot-board the patient may press against this bench, without bend- ing her knees or drawing up the thighs which must by all means be avoided. At both ends of the foot-board a cord or sheets have to be attached, which the female may hold in her hands during the pains; for the hands are often spasmodically contracted during the pains, and it affords the female great relief to hold something firmly in her hands at such a time. Holding another person's hands likewise affords relief to the female, The cords or sheets must be short enough to enable the female to pull upon them, but not so short as to compel her to raise herself in pulling. In winter the parturient female may be covered with an ordinary counterpane, and in summer with a woolen blanket, according to the previous habits of the patient; PARTURITION. 377 but she must not uncover herself, so that she remains in the same temperature and the perspiration is not checked. A cold during the act of parturition may have bad consequences. Persons of means arrange the confinement-bed by the side of the regular bed, into which they may be lifted shortly after the act of parturition is accomplished. They must not be uncovered during the transfer from one bed into another; the covering of the mother should be left upon her. Those who cannot afford a separate bed, must protect the mattress by some impervious cloth against the blood and water lost by the mother and child. Even after the act of parturition is accomplished, and the sheets are changed, this impervious cloth (oil silk or India-rubber) has to remain, because the loss of blood continues for some time. Section XII. Parturition. During the first pains the female may remain dressed and out of bed; a certain unrest drives her from place to place, and it would be inexpedient to confine her to her bed. But all things should be made ready, the accoucheur should be sent for, a tub with warm water be at hand. Upon a table in the sick-room the infant's linen, bandages, and little strips of linen should be kept all ready; likewise a pair of scissors and two pieces of linen tape, about one-third of an inch wide and each about half a yard long. Besides the attending physician and nurse, a friend may likewise be present in the sick-room, in order to 378 TREATMENT OF LEADING DISEASES. comfort and quiet the sufferer. But all superfluous persons, children, must be kept away. If the pains become stronger, the female lies down. The bag of water now breaks, which takes place with a feeble report. A young woman who has never borne children must be warned of this event, lest she should get frightened by the suddenness of the occurrence. Nothing should be done, by irritating the neck of the uterus, dilating the os uteri, or by any other artificial means, to'hasten the moment of delivery. This is the business of Nature, who knows best when the right time has come for ushering the child into the world Every artificial interference is contrary to law, and is more hurtful than useful. Of course all these remarks only apply to natural labor; in preternatural labor the conduct of the accoucheur depends entirely upon his own tact and knowledge. The parturient female may adopt any position that is most comfortable to her, on the side, back, with her legs stretched out or raised; but she must not bear down during a pain until the right time for it has come. Premature bearing-down may result in distress- ing weaknesses of the womb; for not only the child, but the whole organ is pressed down by such efforts. No bearing-down should be resorted to until the mouth of the womb is dilated to the extent of four inches, and the head of the child is out at least one-half. At this period the parturient female may assist Nature by bear- ing down during a pain, with her head stooping for- ward (lest she should give rise to the formation of goitre.) During the passage of the head the perineum must be properly supported; at each pain the ac coucheur places the ball of the hand against the peri PARTURITION. 379 neum, without, however, making any pressure against it, until the perineum remains hard and globular even between the pains. At the right time the parturient female may contribute a great deal to a rapid and suc- cessful delivery by a suitable position of the body. As soon as the head shows a tendency to pass through the vulva, the parturient female should remain quietly on her back, with her feet firmly pressed against the foot- board, and the legs extended and stretched apart equi- distant about a foot from a straight line with the trunk. At this stage all bearing-down may cease lest a too rapid delivery of the head should rupture the perineum. After the head is born, and the shoulders are still within the vagina, a short pause generally takes place, which must not be broken by any improper pulling on the head, which may give rise to fatal dislocation of the vertebrae. Supporting the head with one hand, the abdomen may be gently rubbed with the other, in case the pains should not come on again with sufficient speed. The parturient female may now rest assured that, by assist- ing the remaining efforts of Nature, delivery will soon take place. It is proper to state in this place that I condemn the use of chloroform in labor most emphatically; it should never be allowed, even if delicate females insist upon it. Quite recently the wife of a Berlin banker took chloro- form during labor; she soon became unconscious, was delivered, but never revived. Conscientious physicians become more and more opposed to this practice. Inasmuch as it has happened that parturient females, while compressing the teeth during a hard pain, have broken off a portion of the tooth, or have lost the whole 380 TREATMENT OF LEADING DISEASES. of it, the parturient female should always have a clean handkerchief placed near her, which she may crowd into her mouth, as soon as a pain is approaching; or, if she should be surprised too suddenly, one of her atten dants must do this office for her. Section XIII. Place of the accoucheur at the bedside. As soon as the labor-pains assume an expulsive char acter, the accoucheur should not leave the bedside of the patient. We may assist the female either standing or sitting, according as is most convenient for him; the patient should not be uncovered until the head begins to protrude, and the perineum requires to be supported; •out even then the thighs and legs have to remain covered as much as possible, in order to prevent the patient from taking cold. Section XIV. Homoeopathic remedies during parturition. 1. If the pains are arrested, or not sufficiently strong, we may assist nature by homoeopathic treatment. If the pains are too feeble, we give Puis., six pellets in a cupful of water, in spoonful doses; as a rule the pains reappear after one dose; if the pains are very torpid, Secale may be given in the same way, and this proceeding is repeated as often as the pains begin to flag; in most cases, however, delivery takes place after the first doses. If debility is the cause of the cessation of the pains, we give China. REMEDIES DURING PARTURITION. 381 2. If great debility or a sort of fainting makes its appearance during the act of parturition, China and sometimes Phosph. ac, in water, are the best remedies. For great exhaustion, cold perspiration, squinting upwards, slow pulse, much yawning, trembling, spasms of the hands, bilious vomiting, Nux vom. is the best remedy. If profuse haemorrhage sets in during parturition, we give China, also in alternation with Secale, every half hour, or more frequently; if caused by external injury, Arnica. 4. Vomiting during or after confinement yields to Ipecac; if not, we may give Ipec and Bellad. every half nour in alternation. 5. Spasms during parturition, eclampsia, require Bell. and Hyosc. every half hour in alternation. Spasmodic symptoms sometimes appear even during pregnancy which are not important, if of an hysteric character; if arising from chagrin, we give Cham.; if after a fright Opium; if after a paroxysm of grief or suppressed anger, Ignatia. This remedy is likewise indicated by spasmodic weeping or laughing. Spasms arising from congestion of blood to the brain during parturition, are much more dangerous. They announce themselves by frontal headache, vertigo, heat in the head, (often pre- ceded by a chill,) optical illusions, ringing in the ears, decrease of visual power; we immediately give Bellad.. which has proved the most efficient remedy under these circumstances, and if the pulse is full and bounding, we give it in alternation with Aconite These remedies are especially suitable to robust, plethoric individuals who are more than others exposed to these spasms, which are very dangerous, especially if they occur before the head 882 TREATMENT OF LEADING DISEASES. has passed through the mouth of the womb. The above- mentioned symptoms sometimes increase to the follow- ing group: Feeling of lameness through the whole body, difficulty of articulating, spasmodic twitchings, delirium spasms with cries, distortion of the eyes. stretching of the limbs, opisthotonic spasms, etc., some times a soporous condition with stertorous breathing. If these symptoms occur, I always give Bellad. and Opium in alternation, even if the tetanic character of the spasm prevails. In obstinate cases we may employ Hyoscy. and Slram., in alternation. Laurocerasus is recommended, if robust females are suddenly attacked with eclampsia before or during labor, without any pre- cursory symptoms, and with loss of consciousness inter- mingled with violent convulsions every fifteen minutes. We may suggest as a measure of precaution that the sick-room should not be kept too warm, and that the parturient female should remain covered with a blanket lest the salutary action of the skin should be disturbed. 6. If the labor is protracted, and the female, should feel hungry between the pains, she may eat a little bread and butter, milk, light broth. A little nourish- ment should always be kept on hand, lest this interval of repose should pass by and the patient should be unable to refresh herself with a little food. If she wants to drink while excited and heated by her pains, she must content herself with a little tepid milk, muci- lage, light cocoa; but after delivery, or some time after a pain she may partake of these beverages to her owi. satisfaction. 7. I must caution the patient against impatient moan- ing, tossing about, etc., which interferes with the quiet and regular course of labor. Patience will hasten the AFTER DELIVERY. 388 delivery of the parturient female, and het composure and gentle resignation make a favorable impression upon friends and attendants. Section XV. After delivery. The first thing to be done aftery delivery, is to separ- ate the child from the mother by cutting the umbilical cord with a pair of scissors. This should not be done until the child has given signs of life by its cries or vigorous breathing, for by cutting the cord too soon, the life of the child may be extinguished. Nor should the cord be cut until it has ceased to pulsate. If these conditions are fulfilled, the cord is tied at the distance of about four inches from its foetal attachment by means of a piece of narrow tape, pretty firmly, to guard against haemorrhage, which might prove detrimental to the child; two inches from this ligature, another liga- ture, is applied, and the cord is then cut between the two ligatures with a pair of scissors. If the child is born pulseless and apparently lifeless, we at once employ proper means to reanimate it. The first thing to be done is, to cleanse the child's mouth from the mucus with which it is filled ; if a few gentle blows on the nates are insufficient to produce animation, the chest, back, and soles of the feet may be rubbed with a brush that is not too rough; these parts may likewise be sprinkled with cold water, and after- wards rubbed pretty vigorously with warm clothes. Magnetic parses from the head to the toes are likewise proper; top nose and palate may be tickled with a 884 TREATMENT OF LEADING DISEASES. feather, and air may be breathed into these parts. The child should likewise be covered with warm flannel, to guard it against cold; injections of luke-warm water with a little wine may likewise be administered. If the cord ceases to beat while these proceedings are going on, the cord is then cut and the child is placed in a warm bath, where the efforts to excite animation are continued. In cases where a midwife is employed, an experienced accoucheur should at once be sent for, if the labor does not proceed in "proper order. Section XVI. First attendance on the child. The child being severed from the mother, it should at once be placed in a tepid bath. The mother may now be left to herself for a few moments, with her thighs closed, and calmly awaiting and enduring the after-pains. It would be very wrong to leave the child uncared-for, for any exposure at this early stage of its existence may entail disease and speedy death. The temperature of the water should be about eighty degrees Fahrenheit, no more. The child having been properly washed and cleansed of all adhering impuri- ties, the next thing to be done is to dry it carefully all over, under the arms and in the groins, to tie up the navel and enclose it between two folds of linen so that it rests on the left side of the child, and finally to apply a bandage, but so that the motions of the child's legs are not interfered with, and that it is not prevented from drawing them up to the abdomen; this motion having become natural to the child in the mother's womb. The arms should remain free. The child is placed in a crib. first attendance on the child. 385 and warmly covered, the eyes being carefully protected from the light; an untimely exposure to a strong glare has often caused the destruction of a child's sight by exciting a violent inflammation. This accident may be avoided by giving the child six pellets of Aeon, in water, a small spoonful every few hours, as scon as the eye begins to look red. Such an inflammation is frequently caused by the introduction of sand or other impurities which fre- quently adhere to the sponge, and irritate the eyes. They should be washed with a little rag of fine cambric and nothing else. For some time after its birth the child must be kept warm lest the difference between the temperature of the womb and that of the air should have an injurious effect; but it is unnecessary to increase the warmth by warm bottles or bricks, especially in the summer. The most natural means of warming the child is, to place it in its mother's arms where it rests most safely and com- fortably. The attending nurse must see to it that the child, while reposing in its mother's arms, is not injured by her in consequence of a change of position during sleep. If the child's skin feels cold to the hand, it must be warmed by artificial means. For this purpose two bottles filled with warm water may be laid on each side of the crib, at some distance from the child; they are to be removed as soon as the child has acquired its natural temperature; if the child is some months old, all artificial means of warming the child, have to be abandoned, in order to afford its natural temperature a chance of sustaining its normal degree* * I may take this opportunity of observing that a mother should keep at least four dozen linen and two dozen woolen diapers (flannel,) 25 886 TREATMENT OF LEADING DISEASES. Section XVII. Delivery of the Placenta or after-birth. The child having been provided for, the mother must now be seen to. If the placenta has been expelled, it is removed and the mother made comfortable; but if it has not yet been detached, no violence should be used to take it away. Indiscreet pulling at the cord has produced the most pernicious consequences to the mother, such as: inflammation of the uterus, childbed- fever, fatal haemorrhage, eversion of the uterus, pro- lapsus and incurable pains in the abdomen. As a general rule the placenta is only expelled some ten, fifteen or thirty minutes after the delivery of the child, and the placenta should not be taken from the vagina until it has been detached from the uterine walls. The premature and violent removal of the placenta is improper and injurious, nor will any discreet practi- tioner be guilty of such a violation of Nature's laws. After the child has been seen to, the midwife or accoucheur has to ascertain by placing his hand upon the abdomen of the mother, whether the womb has sufficiently contracted, and whether any blood has been discharged from the vagina. If both these changes have taken place, one or at most two fingers may be introduced into the vagina for the purpose of ascertain- ing whether the placenta has come down ; if so, slight traction may be made upon the cord, and the placenta in order to be enabled to keep the child always c'ean and dry. No dia- per should be put on the child unless it is perfectly clean and dry nor should a diaper be Used a second time without having been pieviously washel. It is extremely injurious for the child's health tw pat on damp or unwashed diapers. THE ACCOUCHEUR. 387 may be removed, without, however, ever introducing the whole hand into the uterine cavity. If the placenta does not seem disposed to come away, a dose of Puis, may be administered, which will be generally found sufficient to effect the detachment and expulsion of the after-birth. Cases are on record where the after-birth has remained attached twenty-four hours, after which its expulsion was effected by a spontaneous effort of the womb. Section XVIII. The accoucheur. The accoucheur should be a skilful, experienced and consciencious man ; only such a one will prove truly useful in trying emergencies. A man without con- science or experience causes more mischief in the lying-in chamber than he does good. The mania of operating, arrogance, improper haste, reckless abandon- ment of the patient lead such a professional pretender into all sorts of mistakes and even crimes. Section XIX. Bandaging the abdomen. It is a most dangerous practice to permit recently- delivered females to leave their beds and stand upon their feet; the most distressing and dangerous conse- quences may result from such a practice ; haemorrhage, prolapsus, etc., have resulted from it. In regard to the use of bandages, it is a great mistake to suppose that they are necessary, much less useful. 388 TREATMENT OF LEADING DISEASES. By compressing the uterus they have given rise to uterine congestion? and inflammations, and by com- pressing the bowels and abdominal organs generally, they interfere with the abdominal circulation. The skin of the abdomen generally recovers its normal elasticity in the first seven days, and where this is not the case, it may be gently washed with a weak solution of rum and vinegar morning and evening, but this will only be required in a few cases. Section XX. The lying-in female should not stand, but should be lifted into the bed. I have already stated how dangerous it is for the lying-in female to stand upon her legs immediately after delivery; this practice should be interdicted under all circumstances. As soon as the after-birth has been delivered, the nurse should wash the parts with a soft sponge so^Ved in tepid water, and immediately after the washing the parts should be dried with soft and warm towels. Under no circumstances should the mother's linen be changed at this stage of the proceedings. If it has become wet, dry and warm, cloths must be slipped between the skin and the wet garments. Thousands of lying-in females have been fatally injured by having damp fresh linen put upon them by imprudent nurses ; the linen should never be used unless it has been care- fully dried and warmed by the fire previously. After the mother has been washed and dried, she is then lifted with all her covering into a fresh bed which FIRST REST OF THE LYING-IN FEMALE. 389 had been previously warmed ; or if no separate bed is had, all the wet cloths should be removed from under the young mother, and she should be made to feel comfortable and happy in the enjoyment of her bliss. Changing the linen must at all times depend upon the condition of the mother; if she happens to be perspir- ing, the perspiration should never be interfered with; she should never be obliged to leave her bed in order to gratify her natural wants. Section XXI. First' rest of the lying-in female. After the female has been put to bed, she may be left to the undisturbed enjoyment of rest. It is well, however, to watch her countenance during sleep; if it should become pale, or the breathing should become anxious and moaning, the existence of haemorrhage may be suspected, and the remedies indicated for haem- orrhage will have to be resorted to. The mother should not be disturbed by visitors ; all inquiries after her health may be answered in the parlor ; rest is absolutely required for the restoration of the violently shaken nerves. Section XXII. When may the child be put to the breast? Even before delivery the breasts secrete a milky fluid, the genuine milk is only secreted after delivery; but the first milk is of a serous consistence, resembling a good deal the amniotic fluid. S90 TREATMENT of leading diseases. In some countries it is the fashion to draw off this first milk, and to feed the child in the mean while on soups, etc.; but this is a most irrational and inhuman practice; moreover nothing is more calculated to facili- tate the expulsion of the meconium than this first milk which has a slightly loosening effect upon the child's bowels; an injection of tepid water and milk, or of oat- meal mucilage may at most be administered for this purpose. After having had a few hours' rest, the mother may take a little nourishment, if she should desire it; tepid milk, a little cracker-soup, but no meat-broth, eggs, meat, &c. After this the child may be put to the breast, and it will get along satisfactorily, provided the nipples are in good order. If the child was born in the even- ing or night, the child need not be put to the breast until morning, especially if the mother sleeps. Often both mother and child sleep until morning; but if the child should wake up and become restless, it may be fed on a few spoonfuls of water and sugar, which will serve to wash the remaining mucus out of its mouth. Under no circumstances should the mother'or child be fed on chamomile or catnip tea; the former induces spasms and other accidents and the latter may be replaced by milk and water. Coffee is absolutely improper. As long as the mother is heated, she had better confine herself to tepid drinks; but as soon as she is cool and calm, she may have a swallow of cold water which may gradually be increased to a larger quantity. If the water is not pure, containing earthy matters, it may first be boiled and cooled again before it is used, A CHILD SHOULD NOT BE NURSED AT NIGHT. 391 Section XXIII. A Child should not be nursed at night It is indispensable for the health of mother and child that both should have their nightly rest, and that it should not be interfered with. In both full-grown persons and children the desire for food is felt at regular hours A person who has been in the habit, while traveling, of eating supper at midnight, or of taking a cup of coffee at three o'clock in the morning, will likewise experience these wants when not on a journey; but he who is in the habit of sleeping all night, will not wake with a sensation of hunger, for the additional reason that by a wise arrange- ment of Nature no perfectly healthy person feels hungry during the regular hours of sleep. Why should not mother and child enjoy the benefit of these wise provisions of Nature ? Simply on account of the erroneous notion that the poor little thing will starve to death unless it is fed every two or three hours at night. The child may be accustomed to wake every two hours and cry for food, but it may likewise be ac- customed to sleep all night, provided this is done from the start. If the child should cry, and feel thirsty, it may have a little water and sugar, and if nothing else is given it, it will soon go to sleep again. In this way even children who had been in the habit of nursing all night, may be made to do without it; of course it is much more difficult to break them of this habit than to accustom new-born infants to the opposite. Many infants perish in consequence of nursing at night, which is a mere habit, deranges their stomachs, renders them puny, and finally destroys them. 392 TREATMENT OF LEADING DISEASES. Nursing should be regulated as much as possible with the same strictness as the meals of older children, and portioned out to them at regular hours; it would be a pernicious practice to let them eat for no better reason than because they see a thing. It is only when infants are put to the breast at regu- lar periods that they accustom themselves to empty the breast entirely; this is much better than to give the breast to children every time they cry, for their cries are often excited by different causes. It is of course impossible to indicate the precise order according to which children should be fed, because a good many ac- cessory circumstances have to be taken into considera- tion, but the following general rules may be given in this respect. If the child has emptied the breast between the hours of half-past nine and ten-' o'clock in the evening, both mother and child should then retire to rest, and the child must net again be nursed until five o'clock in the morning; if the child cries, its diaper or position may be changed, 01, if the lips are dry, it may have a tea- spoonful of cold water, hut it must not be nursed until the regular hour has come. It may empty the breast at five o'clock, then again at nine, at one in the after- noon, at five, and lastly again at half-past nine o'clock in the evening. Section XXIV. Every healthy mother should nurse her own offspring. Every mother of sound bodv should nurse her own offspring. It is cruel to allow a stranger to perform the sacred office of mother, unless an absolute necessity NURSE THEIR OWN OFFSPRING. 893 should render such an unnatural proceeding imperative. Among persons of high standing it has been considered vulgar for a mother to nurse her own offspring; but such prejudices will be removed by the power of the higher instincts and refined emotions of a mother's heart. In his lectures to the women of the higher classes, Professor Jcerg of Leipsic, uses the following language: "Every healthy mother should nurse her own offspring. My reasons for giving you this advice, are not obtained from the domain of moral philosophy, which has very little claim on the attention of those who reituse to nurse their own offspring, but they are drawn from the nature of the female organism, on which account they will un- doubtedly make a deeper impression than moral suasion. You have often heard that Nature, after the birth of the child, continues to secrete an excess of nutrient matter in the female organism, and that this excess is transferred from the uterine system to the breasts where it is secreted in the form of milk for the support of the young offspring. You will soon be told that the period of nursing should at least be fixed at nine months, and you will become persuaded that the mother's office to nourish her offspring, is only half finished after par- turition. Eighty weeks is the period during which the child should be supported by the mother, half of which time is to be spent within, and the other half without the uterine cavity. It is not more irrational to deprive a child of the mother's support during the last forty weeks than it would be absurd to attempt to substitute artificial nourishment during the fcetal life of the child. The duties and functions incident to pregnancy, cannot be assumed by a stranger, though I suppose manv 394 TREATMENT OF LEADING DISEASES. mothers would be glad to enjoy the pleasures of mater nity without previously incurring the preliminary re- sponsibilities and dangers which are unavoidably con- nected with this condition. Persons who violate Na- ture's laws, must bear the consequences of their trans- gression. Nature is averse to sudden transitions; the mother is very gradually fitted by Nature for the busi- ness of nourishing her offspring, and it is only very gradually that this office should be discontinued by her. At the commencement of pregnancy the child is very small, and does not require any considerable portion of the mother's substance; but the more the child in- creases in size, the more nourishment it requires and the more the motherly organism will have to provide At the period of birth the child has acquired a consider- able size, and therefore requires a considerable portion of the mother's substance. This continues even for some time after birth; and it is not till the child begins to consume other nourishment, after the first six months of its existence, that the mother's milk gradually de- creases in quantity. Such a course of Nature is not injurious to the female; but if the process of nutrition is interrupted at the very period when the female organism is endeavoring to supply the greatest amount of nourishment to the child, the mother must needs suffer from such a violent change. The excess of milk which is secreted by the breast, becomes a source of irritation that may lead to the most dangerous disor ders, such as: metastasis to the brain, puerperal-fever, internal and external inflammations, suppurations of the breasts and other diseases. You perceive, then, that young mothers who entrust strange nurses with the business of nursing their children, for fear lest they NO WET-NURSE. 395 should lose their own beauty and youthful appearance, run much more risk to lose these advantages than those who fulfill their maternal duties with becoming care and devotion. " The omission of nursing one's own offspring, is not always punished during the period of confinement by the diseases to which the excess of the milky secretion gives rise, but the consequences may occur more re- motely. Dangerous losses of blood from the uterus, a troublesome leucorrhoea, indurations and cancer of the womb, are very often the consequences of neglecting this sacred duty. Nature, which has designed the female organism for important and exciting functions in the sexual sphere, has wisely contrived that the organs of generation and the breasts should relieve each other in the performance of their duties. During pregnancy the breasts have rest, and the responsibility of taking care of the infant devolves upon the uterus. After birth, this responsibility is transferred from the uterus to the breasts, and the uterus is to rest for a num- ber of months from the severe labor of utero-gestation." Section XXV. No wet-nurse. The use of a nurse is absolutely condemnable, be jause with the nurse's milk the child becomes tainted with all her hereditary tendencies and even constitu- tional disposition. Syphilitic eruptions in the child are very frequently traceable to similar diseases with which the nurse had been affected at a former period. A short time ago I treated a child of twelve years for the gout. I found that her nurse had been similarly afflicted, but that the 396 TREATMENT OF LEADING DISEASES. parents were ignorant of the pernicious consequences of this disease to their offspring. Many such cases are on record in the annals of medicine. The influence which wet-nurses exercise upon the moral nature and the mind of children, is particularly to be dreaded. Such nurses are generally taken from the ranks of the poor, and it not unfrequently happens that they are addicted to lying, stealing and excesses of various kinds. Who would want to confide his off- spring to the care of such persons for more than a year ? The mischief which is thus done to the child, is often irreparable. Section XXVI. With what kind of nourishment should a child be brought up ? If a child is deprived of the mother's milk, it has to be brought up by hand. Its nourishment may be a mix- ture of half water and half cow's-milk, sweetened with sugar of milk. If the milk can be had fresh from a young cow, it is all the better. If this cannot be had, the milk should be boiled, especially in the summer, in order to prevent it from souring. Pulverised sugar- of milk may be had in every drug-shop; in order to free it from all adventitious odors, it may be warmed upon a stove before being used. A teaspoonful of sugar may be dissolved in a cupful of water, which may be given to the child in the place of the mother's milk, and of the same temperature. The milk may be drawn from a bottle provided with a glass nipple, such as may be had in every good drug-shop. After using the bottle, it must be rinsed with warm water, and then placed in cold water before it is again used. NURSE. 397 If these precautions are neglected, children may be made sick by the acidity created in the bottle. The older the child the less water need be mixed with the milk, and the more the child can digest. If diarrhoea sets in, we combat it with the remedies that will be indicated in the subsequent chapter, and we likewise change the child's diet, feeding it on thin barley-flour boiled in milk. If children are no longer content with milk, we feed them on stale bread and milk, or on light broth, in which a little bread may be soaked; and if the child should _ose its appetite after this change, we change, the diet to a light one. It is a great mistake to suppose that it is an impor- tant matter to have children grow fat; on the contrary, the least indisposition reduces this fat again to nothing, and fat children are moreover liable to becoming sore. As long as children have not cut their teeth, they must not be fed on any thing but liquid food; after the teeth are cut, a more solid nourishment may be given. Emaciated and sickly children are killed by fat food, even if somewhat advanced in age; they should be fed on milk and water, take the required medicines, and not omit the above-described ablutions of the spine. Section XXVII. How long ought a mother to nurse? Nature indicates this period. The ninth month after confinement the breasts begin to grow thinner and more relaxed; as a general rule the menses which remain suppressed for nine months after delivery, re- 398 TREATMENT OF LEADING DISEASES. appear; at the end of the ninth month the teeth begin to show themselves, and impede the process of nursing. Nine months is the proper period for nursing, which cannot be continued beyond this period without vio- lating the laws of Nature. Some mothers have to wean their children at an earlier period in consequence of experiencing general debility, vertigo, tearing head or backache. If these symptoms set in, the breast should be given to the child less frequently, and the nourishment indi- cated in section twenty-four may be resorted to. If the mother should become pregnant while she is nursing her other infant, she is likewise bound to wean her babe, lest she should withdraw the required suste- nance from the newly conceived being. A mother need not wean her baby in case the menses should show themselves within the first six months after her confinement. However the child may be fed on a little cow's-milk every now and. then, in order to make up for the loss of substantial nourishment which is sometimes absorbed from the milk by the menstrual functions. At such times the mother should try to remain quiet, and to supply the loss of fluids by nour- ishing food. If she feels debilitated, she may take a dose of China in water, morning and night. Section XXVIII. Sore nipples. In Section IV. of this chapter I have shown the necessity of preparing the nipples for their new func- tion. In spite of all care, however, the nipples some- times become sore three, four or six days after con- SORE NIPPLES. 399 finement, especially if the skin is very fine and deli- cate. This is a most distressing affection, for the sore places are lacerated whenever the child undertakes to nurse, and it often takes four to six weeks before the nipples are healed. Formerly sore nipples were greased with lard, butter, pomatum, but these applications have proved unavailable and cannot be relied upon. An excellent remedy for sore nipples is a solution of four drops, of the tincture of Arnica in a cupful of water, with which a small strip of linen may be moist- ened and applied to the nipple. This rag is tied around the nipple, so as not to press it down, which would give the child additional trouble in drawing it out. If the child is to nurse, the nipple may be first washed with a little fresh water, in order to remove the taste and odor of Arnica, and after the nursing the strip is reapplied, Internally, Arnica may be taken six globules in a cupful of water, a spoonful two or three times a day, and if the nipples are much inflamed, Charnom. If the nipples are deeply fissured and ulcerated, Sulphur should be given, a dose morning and night, for five days, and after a pause Calc. carb. If the nipples are very sore, ulcerated, and distress- ingly painful, we may resort to the so-called nipple- glasses or shields which protect the nipples from all pressure by the child's lips, and yet do not interfere with the nursing. Some children are not averse to this shield; in the case of others, however, it is necessary to tie a little sponge in front of the orifice, which must be washed out as soon as the child ceases to nurse; it should be fastened to the nipple with great care, in order to prevent it from being swallowed by the child. Sore nipples, generally, heal in a few weeks, and I 400 TREATMENT OF LEADING DISEASES. caution all young mothers against giving up nursing, which might entail much more distressing consequences, inflammation and suppuration of the breast, etc. If the mother gives up during her first confinement, she will not be more successful in her subsequent preg- nancies, whereas by persevering from the start, she may get along without any further trouble, especially if she takes a dose of Sulphur, and permits it to act its full time. Section XXIX A mother should nurse her infant in a recumbent posture. In many families it is the fashion for the mother to sit up in bed while nursing her offspring. This is a bad practice, for a lying-in female is not sufficiently strong to sit up, which may cause dizziness, pain in the small of the back, and then, if she should perspire and the room be rather cool, she may contract a cold which may have pernicious consequences. This shows the necessity why the mother should nurse her infant in a recumbent posture, at least during her confinement. For this purpose she lies on one side, and has the infant placed beside her, taking care to have her back protected from exposure by adequate covering. In this way the business of nursing will become easy to her and may be attended to without any danger. Section XXX. Weaning the child. The child should not be suddenly deprived of the NOURISHMENT. 401 breast, which might have unpleasant consequences both to the mother and child, but it must be weaned gradu- ally, in accordance with the true meaning of the term. Unless sickness or debility should render it necessary to wean the child at an early period, this process may be commenced at the seventh month, and maybe gradu- ally ended at the termination of the ninth. First the breast is kept from the child once a day, gradually twice a day, and finally altogether. Instead of giving the child the breast, we feed it on cow's milk, pure or diluted with water. If the child is reduced to one nursing a day, the milk is secreted in such small quantities that there will be no difficulty in depriving the child altogether of the mother's milk, and substituting cow's milk to which it has become accustomed by this time. If the mother should, nevertheless, be inconvenienced by the milk, she may take Bellad. in water, a spoonful every two to four hours; or, if there is much anxiety, restlessness, etc. Aconite may be given in alternation with the former. Section XXXI. At what period may a child take solid nourishment. The child should not partake of solid food until it has cut some teeth; it may likewise drink cold water, or water and milk. The meals should now be taken regularly. Morning and evening milk remains the principal nourishment, or some light soup or gruel; at noon the child may have a little meat and wholesome vegetables which must only be sparingly salted, like- wise a slice of stale, well-baked bread. Between meals, 26 402 treatment of leading diseases. if the child should crave nourishment, a slice of bread, or a little fruit and bread may be given. The best beverage is fresh water. By bringing a child up with this care and regularity, and never forcing it to eat if it has no appetite, we may be sure that the child's stomach will be preserved in good order. Section XXXII. First diet of lying-in females. I have already stated in Section XXII. that immedi- ately after delivery the mother should only partake of tepid and light drinks, such as milk, cracker-soup, stale bread, farina, but no stimulating beverage such as coffee wine, beer, etc. For some days after her confinement this diet has to be kept up, milk, bread and butter, or bread with a little apple-sauce, but no meat broth, or meat, eggs, etc. If the child nurses well, and no untoward accident has occurred, the mother may partake of a little broth with rice or vermicelli as early as the fourth or fifth day of her confinement; on the sixth she may eat a piece of fowl and may gradually resume her accustomed diet. A lying-in female cannot be too careful; many a mother has lost her life by prematurely eating meat or indigestible food, which has given rise to gastric de- rangements, fever and ague has terminated fatally. A nursing mother should abstain from flatulent vegetables and heavy, indigestible food; she ought to avoid acrid, salt or sour food which may make the infant sick. As a general rule she ought to limit her- self to a natural diet, simple but nourishing. diet of lying-in female. 403 If the child should die, the mother will have to con- tinue her light diet for some four or five days longer, in order to weaken the secretion of milk. It is well to support the breasts by soft cloths and to cover t.hem with wadding which will have to be changed whenever it should have got wet. If the milk causes trouble, the mother should at once take Bellad. in water, a small spoonful of a solution of six pellets in a cupful of water every two to four hours, and if fever-symptoms are present, Bell and Aeon, in alternation. No lying-in female should leave her bed before the ninth day. This caution is so frequently neglected that it cannot be repeated too often; it is especially strong and healthy females that have to be warned against undue haste in leaving their beds ; sickly women remain quit and patient without much advice or admo- nitions. After the ninth day, the mother may sit up a couple of hours, may do some little work in the room, but must refrain from all severe mental or bodily labor. Violent emotions have likewise to be avoided, chagrin, sudden anger, etc., have a most pernicious effect upon the mother and child. The first walk or ride out of the house depends a good deal upon the season. In the summer she may go into the open air soon after she leaves her bed, provided, of course, the weather is warm and beautiful; in the winter she may have to remain confined for six weeks. As a matter of course, all dampness and draughts of air have to be carefully avoided. 404 TREATMENT OF LEADING DISEASES Section XXXIII. Lochial discharge. By the detachment of the placenta from the inner sides of the womb, this organ is wounded, and for some days after confinement the vessels discharge blood ; in six to eight days this changes to a serum, and finally to a white, purulent mucus. This is the lochial discharge In the case of nursing females it lasts about two to three weeks; in the case of females who do not nurse, some- what longer. Six weeks after confinement the menses reappear, as a sign that the uterine system is prepared to resume its functions ; if the mother nurses, the menses, of course. do not appear. Properly speaking the period of confinement is ended, if the lochia have reached a natural termination ; in the case of some females the lochia may not cease to be secreted under six weeks. It is exceedingly weakening if a female becomes pregnant soon after her previous confinement; hence it is that Nature has wisely ordained that a mother should nurse for nine months, during which period the womb has rest, and no new pregnancy generally takes place. Section XXXIV. Milk-fever. If a female has observed the proper precautions during her pregnancy, the feverish state of the vascular system which naturally is incidental to the increased action of COFFEE IS INJURIOUS. 405 the secretory functions of the mammae, will be found to be very trifling This fever may be heightened by the premature use of substantial food by the mother; by sudden and violent" emotions, excessive talking, suppres- sion of the cutaneous exhalation by exposure or by a change of fresh and damp linen. Fright and anger have brought many a nursing mother into her grave. Chamomile tea and coffee, premature rising from bed, etc., likewise bring on or increase the fever. The medi- cines required by such feverish conditions, will be found indicated, Section XXXIII. Section XXXV. Coffee is injurious. Few are aware that coffee is injurious to pregnant or lying-in females; I must therefore request the privilege of directing their attention to it. Hahnemann regarded coffee as a medicine, because it acts like one. Who, for instance, does not know that coffee first produces a pleasant stimulation, sends the blood to the head, causes restlessness and anxiety in the whole body? If the stomach has been overloaded, coffee acts as an emetic; a spoonful of strong, black coffee is generally thrown off again by little children. The experiments which have been instituted with coffein (the active principle of coffee) upon animals show in a most unequivocal manner that coffee is not only a drug, but may even act as a poison. Dr. John Stuhlmann, in his Essay, entitled " Contri- butions to a knowledge of the effects of Coffein," has shown by experiments upon rabbits, pigeons, frogs and other animals, that coffein is a genuine poison. Cats died in 406 TREATMENT OF LEADING DISEASES. eight minutes, and others in five hours and eighteen minutes; dogs in eight minutes, and others in two hours and forty-seven minutes; rabbits in one to two hours; pigeons in one to three hours; frogs in one to two hours; fishes in ten to thirty minutes; owls, crows likewise died in a short time. From his experiments Dr. Stuhlmann derives the following conclusions: 1. Coffein is poison, not an aliment; 2. By applying coffein to certain parts, it causes the death of the most varied animals in a short period and in comparatively small doses. 3. Coffein does not destroy life by decomposing the blood, but by paralyzing the nervous system when brought in contact with it. This last proposition is demonstrated by special ex- periments. If a certain substance is so poisonous to animals that it destroys them, it must certainly be of dubious pro- priety for man to introduce it into his own organism, and rather than to expose it to the dangerous effects of this poison, is it not better to do without it ? A mother, having this knowledge, will certainly be willing to renounce its use, if, by so doing, she can benefit her offspring. The use of coffee during pregnancy is in a great mea- sure the cause of the many sleepless nights, the restless- ness, constipation and other ailments with which many women are afflicted. These disorders must necessarily react upon the child to its great detriment, and should induce the mother to abandon the use of such a delete- rious beverage as coffee proves to be in so many cases. But not only during pregnancy, but at all other times COFFEE IS INJURIOUS. 407 coffee is injurious; this is shown by the effects of coffee upon the animal organism generally, as we find them described in the " Encyclopedia of General Medicine." We read, page 232: The effect of coffee, especially roast coffee, is penetrating, and depends upon the pres- ence of coffein and coffeic acid. This effect is first per- ceived by the nerves and vessels of the abdomen, and consensually by the sensorium. Hence, soon after the use of coffee, we perceive an increased action in the ab- domen, an increase of peristaltic motion, of the secre- tions and digestive functions, emission of flatuence, discharge of stool, a more active circulation, increase of the urinary, cutaneous, and milky secretions, and like- wise an increased action of the uterus.* Larger quan- tities produce restlessness, flashes of heat; vascular ex- citement, congestions, anxiety, palpitation of the heart, vertigo, haemorrhage, mental excitement, sleeplessness, fancies, etc. The continued use of coffee produces op- posite conditions, such as: gastric derangements, loss of appetite, flatulence, cramp of the stomach, languor, muscular debility, trembling of the limbs, weakness of the male sexual system, sterility, irregularities in the * In his "Essay on Coffee," Hahnemann uses this language: Even the sexual instinct which is cultivated in our age with so much refinement, is excited by the primary action of coffee more than by any other artificial stimulant. Suddenly the most voluptuous fancies flash through the mind, a state of ecstatic excitement is irresistibly superinduced, and an emission of the seminal fluid is the unavoidable consequence. The use of coffee induces a premature development of the seminal instinct to the great detriment of morality and health, not to speak of the impotence it leads to. The stimulating effect of coffee upon the uterus may have some- thing to do with cancer of the uterus ; it must certainly favor the origin of this malady. 408 TREATMENT OF LEADING DISEASES. circulation, disposition to miscarry, abnormal manifes- tations of the nervous system, weakness of sight (accord- ing to Linnaeus), paralysis (according to Percival), hysteric and hypochondriac ailments (according to Tissot), vertigo, an intolerable fearfulness, haemorrhage from the nose, lungs, uterus (according to Zimmerman), childbed-rash (according to Hoffmann). The coffee of Bourbon readily excites vomiting. Professor Schulz-Schulzenstein, in his work entitled, " Bej uvanescence of human life," has shown that by the use of coffee one stage in the process of digestion is leaped Over. Hence it is that after a cup of coffee upon a full stomach we experience an instantaneous feeling of relief, for the reason that a portion of the undigested food is prematurely driven into the intesti- nal canal by the stimulating action of coffee. This, however, is not much better than the act of Vitellius who took an emetic after eating in order to enable him- self to resume his debauch. Such an interference with the regular evolutions of Nature cannot remain unpun- ished, and coffee fulfils this office by causing spasms, pains, and paralysis." Toothache is but too often the result of the use of coffee; and even the universally developed hemicrania, which commences with sunrise, increases steadily until relief is obtained by vomiting, is in a great measure owing to the use of coffee; it is certainly aggravated and rendered more obstinate by this beverage. Cramps of the stomach, with which so many females are afflicted, nervous debility or excitement, excessive sensitiveness of the sensorium, are but too often the direct result of the action of coffee. If persons who are addicted to the use of coffee live INJURIOUS EFFECTS OF ROCKING CHILDREN. 409 to an old age, this is no reason why they should not live more vigorously by abstaining from the use of coffee; thousands and millions live to the age of seventy or eighty years, without having many days of genuine health, and all that I contend for is, that coffee is one of the causes of the many infirmities with which the human family is afflicted. A robust man who is constantly working in the open air, may be able to overcome the action of coffee without experiencing any of its deleterious effects, but persons who lead a se- dentary life, literary men, tailors, seamstresses and others, must necessarily feel the effects of coffee in all their force. It is certainly unpardonable to feed child- ren, boys or girls, on coffee, and to expose them to the destructive effects which this beverage produces. Frederick the Great contented himself with a plate of beer-soup for breakfast, and our ancestors partook of a vegetable or farinaceous soup instead of coffee ; why not imitate their example ? There are so many harmless, useful and nourishing beverages that may be used in the place of coffee that there is no excuse for continuing its employment in families that desire to live in accordance with the laws of health and common sense. Section XXXVI. Injurious effects of rocking children. The great mortality of children has invited the most serious inquiries into the causes of this social evil, and the universally established custom of rocking them, is assigned as one of the many causes which contribute to swell the bills of mortality among the rising generation. 410 TREATMENT OF LEADING DISEASES. By rocking or swinging children we induce a sort of vertigo or stupefaction which procures only an uneasy sleep. Hence the frequent waking and screaming which has to be appeased by renewed rocking. The child's brain is still very soft, and hence the rocking induces nausea, vomiting, and very often meningitis and hydrocephalus, more especially if the cradle strikes against the floor, thereby inducing a concussion which must needs be injurious. How would we full-grown people feel, if we were to be rocked or swung to and fro after having filled our stomachs! and yet infants are expected to bear this infliction, after having nursed and at a time when they desire and require to be left quiet. Children who are accustomed to being rocked, wan- to be constantly carried in the day-time, and rocked or balanced on the arm. If this does not quiet them nurses resort to the pernicious practice of patting them on the back or buttocks, which induces a voluptuous concuss'on of the sexual organs and may remotely lead to the most pernicious consequences at a subsequent period. Some nefarious nurses seek to quiet children by tickling their private parts; mothers should watch the nurses whom they employ for their children; they should not allow them to carry the little ones with the bare skin touching the nurse's hand; the dress should always intervene. In districts where the people are still backward in civilization, children are fed on an infusion of poppy- heads to quiet them; or the poppy-heads are boiled in the milk on which the children are fed ; if this practice does not destroy the little ones; it makes them idiotic. INJURIOUS EFFECTS OF ROCKING CHILDREN. 411 Although it is perfectly proper that a child should rest by the side of its mother in the first days of its existence, yet it is decidedly improper that this practice should be continued after a certain age; the exhalations of older persons are injurious to infantile organisms, and often cause them to fade away by this paralysing torpor. Children who are accustomed to sleeping with the mother, are afterwards afraid of sleeping alone; the mother very often has to go to bed much sooner than she would like, and if the child should be taken sick, it wants the mother to lie down by its side, much to her annoyance, and the little patient frets and cries, if such unreasonable demands are not complied with. Children should under no circumstances be permitted to sleep with their grand-parents, for they would ex- haust the vitality of the little being, and reduce it to a state of emaciation, and sickly appearance. The bedstead should have high side-boards to prevent the child from falling out. Children should sleep on horse-hair mattresses, or on corn-husks or even a straw-palliasse. Tow linen or cotton sheets may be spread over them. The bed must be kept dry, children should never be allowed to lie on wet sheets. The pillow should be of horse-hair, about two inches high, covered with leather over which a linen or cotton pillow case may be drawn. For cover- ing we use a simple woolen blanket, one or more accord- ing to the season, or a wadded counterpane. Feather beds should be entirely abolished; they cre- ate an artificial exhalation of the skin, and predispose to spinal curvature in consequence of the back not being evenly supported. For this reason the child's 412 TREATMENT OF LEADING DISEASES. couch should be rather hard, horizontal, and should only be a little raised under the head. If the child is used to this mode of sleeping, the full-grown man will not desire any thing different; and how much more easily is such a one accommodated on extraordinary occasions, the soldier in camp, the traveler in a strange place. In order to protect children from flies or mosquitoes, a common mosquito-bar is the best means that can be used for such a purpose. The bedstead may be pro- vided with rollers which facilitates the business of moving it about, in case the sun, an open window or some other circumstance should render such a change necessary. During sleep the body should lie from North to South, not from East and West; this is particularly advisable in sickness. Section XXXVII. Midwives. In most civilized countries the office of a midwife has been superseded by the more responsible and elevated duties of an accoucheur. Nevertheless it is eminently desirable that intelligent women belonging to the better classes of society, should have an opportunity of making themselves acquainted -with the ordinary duties of an accoucheur, and of fitting themselves by this knowledge for many acts of kindness which a female nurse is so frequently called upon to perform. Indeed there is no reason why the science of utero-gestation should not be carefully and comprehensively studied by intelligent and philanthropic women, and why the responsible morbid conditions after delivery, etc. 413 office of an accoucheur should not be filled by them within the limits of their physical abilities. Section XXXVIII. Morbid conditions occurring after delivery, and their homoeopathic treatment. 1. First let me say what is to be done in case the perineum should have been ruptured by the passage of the child's head In spite of all the precautionary rubs which I have mentioned in Section XII., the perineum is often ruptured more or less. Small ruptures are of not much consequence, but larger ruptures extending to the anus, belong to the most distressing accidents of confinement, for they not only cause pains and fever, but likewise prolapsus of the vagina and other incon- veniences. Unprincipled or ignorant practitioners often hide such an accident from the mother's knowledge, make her believe that it is all right, etc., and thus near- lect the best time to do something for the patient's relief. If the mother feels as though the parts below were open; if in a few hours she experiences a violent pain, the pain prevents her from sitting, the urine causes a distressing smarting and burning at the external puden- dum, a careful examination should at once be instituted, and the edges be united by a suture. At all events the patient must keep her thighs closely together, even after the wound is dressed; during her sleep she may have a soft bandage tied loosely round her knees to prevent the limbs from spreading and the edges of the wound from being torn apart. The wound may be dressed with a compress moistened with a solution of four drops of the tincture of Arnica in a cupful of 414 TREATMENT OF LEADING DISEASES. water. This compress should be slightly warmed before being applied, and may be moistened fresh two or three times a day. Internally the patient may take Arnica, six pellets in a cupful of water, a spoonful every two hours, and if fever is present, Aconite in alternation with the former. By this treatment large ruptures extending even to the rectum may be healed without a suture; this, how- ever, must be left to the judgment of the accoucheur. 2. If feverish motions set in, with rushes of blood, dry heat, restlessness, anxiety, palpitation of the heart, we at once give Aeon, in- water, every hour, until a moderate moisture breaks out. If the fever is caused by a fit of chagrin, we first give Cham.; after a fright: Opium; after an excess of joy: Coff.; after grief or suppressed anger: Ignatia, and if the patient does not soon recover, we give Aeon, in alternation with one of these remedies. This treatment has restored a number of lying-in females for whom there did not seem to be the least hope. 3. If the female is very nervous, but the pulse remains quiet and soft, a globule of Coffea dry on the tongue, or six globules in a cupful of water, a spoonful every half hour, will soon quiet the patient. 4. If the patient has lost much blood, and feels weak and nervous in consequence, China, Avill prove the best restorative; give six globules in water, a spoonful every half hour or hour. Nux vom. has proved useful after China, if the patient feels exhausted mentally and physically, with large and slow pulse, sleeplessness or restless sleep. 5. After-pains. Slight after pains do not require any treatment. But if they become so violent as to disturb MORBID CONDITIONS AFTER DELIVERY, ETC. 415 sleep, we may trace this disorder to an injury of the parts, to premature delivery of the placenta, rough management, etc. If the parts have been injured, we give Arnica internally every half hour or hour; if the patient feels excited and anxious, we give Coffea or Aeon.; also Chamsmd Nux. If the pains continue long at a time, and last for several days, we may give Puis. and Secale. 6. For haemorrhage after delivery the chief remedies are : Chum and Arnica every half hour in alternation,, and if the patient is feverish, anxious, restless, Aeon. If this is not sufficient, if the blood which is discharged, is bright-red, the patient is exhausted, pale, with cold .imbs, we give Secale; if the blood is dark, coagulated, with heaviness in the abdomen as if it would fall off, N~ux vom. is the remedy; Ipec. is required for colic, nausea, diarrhoea, especially after the removal of the placenta. Millefolium has done good service. Compare the chapter on •' Uterine haemorrhage." 7. Soreness of the nipples has been treated of in Section XXVIII. 8. Inflammation, induration and suppuration of the breasts is apt to set in, if the breasts are not entirely emptied by the child, or if the mother neglects to have them emptied by some other full-grown person. If this accident is caused by an emotion, fright, anger, etc., consult Section II. If the breasts are very much swollen, our first care must be to support them by means of soft clothes. The breasts may be kept warm, but no ointment or liniment should be rubbed in. If the patient complains of much tension in the breast3, or of stinging pains in the hard and frequently 416 TREATMENT OF LEADING DISEASES. burning swelling, we first give Bryon., and if erysipe- latous symptoms appear Bellad., both in alternation, a spoonful of a watery solution of six pellets every two hours. If fever, dry heat, anxiety are present, Aconite may be added to this number. If the induration does not yield in two or three days, we give Merc, and Hepar sulph. in alternation every two hours, after which suppuration sets in very soon, and without much pain. If the breast begins to discharge, we give Sil., or in alternation with Merc, if local indura- tions are still present. If the fistulous ulcers have hard edges, we give Phosphorus, also in alternation with Sil Externally the abscess vasiy be dressed with linen rags upon which a thin layer of mutton-suet or deer-grease is spread; this will prevent their sticking. We dress the breast several times a day, according as more or less pus is discharged. If induration set in after an injury, blow, fall, etc., we give Arnica internally every two to four hours, and if the hardness has become painful, Conium every four hours. Also Carbo animalis. 9. If the milk is not secreted in sufficient quantity, we first give Puis., morning and evening, and if the milk does not increase after this, Agnus castus. An excessive flow of milk, and the consequences resulting from it, require Bellad.; if the milk flows too fast, give Calc carb. If the milk is yellowish and bitter, Rheum. If the milk is too fat and thrown up, Puis. If the milk inclines to curdle, Borax. 10. If the milk ceases to flow, we must try to ascer- tain the cause. If it is caused by a sudden emotion, we resort to the medicines indicated in No. 2. If a cold is the cause, wo give Dule, also Bellad. Puis., Cham., and MORBID CONDITIONS AFTER DELIVERY, ETC. 417 if fever is present, Aconite in alternation with the other medicines. As soon as a stagnation of milk takes place, we give Bellad. and Bryon. in alternation, every hour or two hours, and if fever is present, Aconite. Sometimes Rhus tox. may be useful, and if the delirium continues, we may give Bellad. or Aeon, in alternation with Apis. 11. Continued pains in the interior of the breast or in the back, also a painful drawing and tension in the nape of the neck, or violent toothache, show that the nursing wears upon the mother; if this is the case, we give China, six pellets in a cupful of water, a spoonful four times a day, and if a change does not speedily take place, Bellad. in alternation. If the pains recur, never- theless, we give the same medicine to the child, and if the pains do not cease in a few weeks, the child has to be weaned. Before resorting to this extreme measure, it may be well to first try Nux vom. in water, a spoon- ful morning and night, for four days; the dorsal ablu- tions with cold water should never be omitted; more- over they should be performed by a person in good health and of a robust frame. 12. Constipation will take care of itself, and does not require any medicine; if the bowels have been weak- ened by cathartics, and the patient is inconvenienced by this state of the bowels, China may be given, six pellets in water, a spoonful every two hours, or else Nux vom. and Bryon. in alternation, a spoonful of a watery solution of six pellets every four hours. An injection of oat-meal mucilage beaten up with a little sweet-oil, may likewise be administered. But unless constipation causes pain or inconvenience, nothing need be done for it in the way of therapeutic treatment. 27 418 TREATMENT OF LEADING DISEASES. 18. Retention of urine, spasm of the bladder. During the passage of the child's head out of the uterus, it is sometimes pressed against the neck of the bladder with so much force, that it causes an irritation and inflamma- tion of this organ. This condition is attended with retention of urine, spasm of the bladder. The best remedy is Arnica. Next to Arnica, we have Nux vom. or Canth., a dose every half hour, especially if the urine passes off drop by drop, and the discharge causes pain. It may likewise be well to steam the parts, for the warm vapors have a relaxing power. If the' urethra is closed to such an extent that no urine can pass, a catheter has to be introduced. 14. Puerperal miliaria generally sets in with fever restlessness, heat, and the body, or a portion of the body, is covered with red little tips. We first give Aeon., six pellets in water, a spoonful every hour or two, also in alternation with Bry.; and if diarrhoea, colic, fainting fits are present, Ipecac. For miliaria alba we give Arsenic, if it is characterised by burning itch- ing. If the miliaria suddenly recedes, we give Bry, every two hours, in alternation with Bell, if the patient is delirious. Of course, she should be be kept warm. 15. Dietetic transgressions, a cold, a violent emotion, may cause inflammation of the womb (metritis). It is indicated by a pain in the region of the uterus, especi- ally when touching it, or when touching the uterus through the vagina; this last-named organ feels hot and dry, since the lochial discharge generally ceases; the patient complains of fever, thirst, loss of appetite. At the first outbreak of this disease, we give Aeon, and Bell, in alternation every half hour this will be suffi MANAGEMENT OF THE CHILD. 419 cient to cure a disease which so often terminates fatally under the old treatment. 16. Inflammation or cramps of varicose veins require Am. and Puis, every half hour in alternation; if fever is present, Aeon, may be added. See § 8, No. 8. Section XXXIX. Management of the child. Jcerg writes with as much beauty as truth : " The child is like a little graft capable of growing up to a tree. Its body and mind are as undeveloped as helpless, but are capable of an extraordinary expansion. As the bud gradually unfolds beautiful blossoms which ripen to fruit, so the child is so organized in body and mind that it may attain the highest degree of human per- fection. The child carries an incomparable treasure within itself, but it has to be gradually unfolded." The first thing to be done is to take care of the development of the body, for it is only in a sound body that a sound soul can dwell. 1. Cold ablutions of the back. The first attendance upon the child has been dwelt upon in Sections XVI., XXIL, XXVI. and XXXI.; as regards the bathing of children, tepid water may be used for this purpose with children under two months of age twice a day; but at a later period the bathing in tepid water becomes inju- rious, and the cold wash must be gradually substituted. Children of eight weeks old may be washed with cold water entirely. In the morning the back is washed first. For this purpose the child is placed upon a soft blanket, with the back up, and a sponge, from which the water \s» 420 TREATMENT OF LEADING DISEASES. first squeezed, is passed along the spinal column from the base of the skull to the end of the spine; this is repeated some nine or twelve times, the sponge being soaked and squeezed out previous to each operation.; after this the back is dried carefully with a towel, and the mother may then breathe along the spine very gently, for the purpose of strengthening it. This is especially beneficial in the case of feeble children. Next, the other parts are washed in the same way, first the head and arms, then the chest and abdomen, and lastly the lower extremities; each part being first care- fully dried separately before proceeding to another. When the child is washed and dried, it is then dressed as speedily as possible, and the internal temperature of the organism now begins to become excited and to exercise its vivifying influence upon the child. This natural mode of bringing up children, not only protects them from diseases, but likewise prevents these latter from reaching that fearful height which they never fail to manifest in children brought up without care or sense. Some mothers entertain the opinion that cold water will give children a cold. This is a great mistake. It is warm washing that begets a liability to taking cold. Many a full grown person has undoubtedly made the observation that after washing with tepid water in the morning, and walking into the open air, a chilly creep- ing passes over one, which is not the case after pre- viously washing with cold water. Cold water begets internal warmth, warm water coldness; the former strengthens, the latter debilitates: now take your choice. 2. The enjoyment of fresh air is not less important to little children, than the use of cold water. In the MANAGEMENT OF THE CHILD. 421 summer little children are taken out as a matter of course, to the open squares where there are trees and fresh grass;. there it is that the air has such a quicken- ing impression upon the body, more especially in the open country. But in winter likewise, a child should be carried out into the open air every day, were it only for half an hour; cold washing prepares them for exposure to cold air; the best safeguard against taking cold, is to get used to cold air. In stormy weather, when a cold and keen norther or northeaster prevails, an exception should be made from the general rule; at all other times fresh air is truly and really both food and medicine for a little child. 3. Clean linen. A child's linen should be changed every day, if possible several times. The copious exha- lations from their skin, and their natural inability to keep themselves clean, render these frequent changes absolutely necessary. Hufeland informs us that he has cured many children of the rickets simply by having their linen changed twice a day, after previously care- fully drying it by the fire. The air which children inhale, should likewise always be fresh and pure. The nursery should be a room of some size and with a high ceiling and a southern exposure; nothing is more hurt- ful to children than small, damp and close rooms ; the nursery should not be used as a bedroom, linen should not be dried in it, the vessels should always be kept clean and sweet; nor should impure vapors be per- mitted to render the air thick and heavy. If children nave to sleep in the nursery, the room should be fre- quently ventilated, and previous to the children being 422 TREATMENT OF LEADING DISEASES. put to bed, an abundant supply of fresh air should be allowed to pass into the room through the widely- opened windows. While the windows are open, the children have to be taken out in order not to be ex- posed to the draught, or, if they are sick, they have to be covered with a sheet; in half a minute the air is thoroughly changed, especially if it is agitated with a handkerchief, and the doors and windows can then be closed again. 4. Head-covering. Although it is absurd to' keep the child's head covered with a fur-cap as our ancestors were in the habit of doing, yet the following rules may be observed in regard to the most suitable mode of protecting the child's head : In the first six or eight weeks, when the child's head is still very bare, it should never be suddenly exposed from the warm bed to the cold air at the door or win- dow, for this may give rise to hardness of hearing or blindness. For this reason, on taking the child out, the head should be covered with a cap or bonnet, suited to the season; but as soon as the hair begins to grow, the child may be taken out without any covering, except when the weather is bad or the sun is too hot. A straw-hat is the best protection against the sun's rays. The head must not be kept warm with too much care; the skull acquires more firmness by being ex- posed to the open air. Hufeland directs our attention to Herodotus' statement that after the battle of the Persians against the Egyptians the skulls of the former were recognized by their extreme softness, so that they might be readily broken with a stone; and the skulls of the latter were distinguished by an extraordinary firmness so that they could not even be broken with a MANAGEMENT OF THE CHILD. 428 heavy stone • the cause of this difference is supposed to be that Egyptians had their scalps shorn shortly after birth, and always went with their heads bare in any kind of weather; whereas the Persians were in the habit of keeping their heads always warmly covered. 5. The rag or sugar titties which some mothers are still in the habit of putting into their children's mouths, are extremely injurious. In spite of the greatest pre- caution a certain amount of acidity is unavoidable, and the constant habit of sucking is extremely hurtful and leads to weakness of the digestive system which very often begets chronic and even fatal derangements. It has even happened that children have been suffocated by swallowing the titty in the absence of proper at- tendance. 6. If a child makes its first attempts to raise itself, it is wrong to assist it by artificial means, such as the old fashioned leading-strings; this method leads to com- pression of the chest, abnormal elevation of the shoulder-blades, spinal curvature, etc. It is likewise ill-advised to place a child against a chair, where they often remain standing for hours, and contract crooked legs, injuries of the hip-joints, etc. All this has to be left to Nature ; the child may be placed upon a carpeted floor, or, in the summer-season, upon a grass-plot which must of course be dry and free from any thing that might injure the child. The child first learns to crawl after its playthings, and, if it should fall, it learns to protect itself with its hands. The child will have to be watched, of course ; it must be taught to use both sides of the body, and not shove itself along by one extremity merely, but by both at the same time. This crawling strengthens the 424 TREATMENT OF LEADING DISEASES. muscles of the thighs and arms; after a while it com- mences to get up alone without any help, perhaps by holding on to a chair, and the best thing which can now be done by the child, is to let it alone. Sometimes it suddenly happens that a child refuses to stand or walk, and that it suddenly sinks to the floor, if an attempt is made to stand it up. This is frequently owing to the process of teething which deprives the lower extremities for a short time of their full strength, though it returns again after a time. A dose of China or Arsen. acts as a tonic under these circumstances. If this accident should happen in the second year, and the child refuses to use his lower limbs, there is a strong presumption that rhachitis is impending, the treatment of which is explained in the next chapter. 7. Mothers must see to it that little children do noc play with their private parts; larger children must be absolutely forbidden to place their hands under the bed-cover, lest they should be tempted to practice the horrible soul and body-destroying vice of self-pollution, which often leads to paralysis, spasms, consumption and the like results more horrid than death itself. For these reasons children should never be permitted to ride on hobby horses, sticks, to glide down banisters, etc. All these practices irritate the sexual organs, and lead to onanism. 8. Diet of children. We have seen in Section XXXI. that a child should not eat solid food until a few teeth are cut; in the second and third year the following system may be adopted for the regulation of the child's meals. At seven o'clock in the morning it may have two cups of tepid milk, if possible fresh from the cow • ac- DISEASES OF CHILDREN. 425 eompanied with a slice of stale bread. The child must not be fully satiated, lest it should be made heavy and torpid; moreover at no time of day the child's stomach is more irritable and empty than early in the morning. If it is entirely filled early in the morning, the digestive power is so heavily taxed that the other functions of the body and mind are interfered with. At nine or ten o'clock a slice of stale bread with a very little butter, honey or apple-sauce. At noon or at one of clock, the child may have a plateful of broth with rice, gruel, vermicelli, etc., to be followed by a small quantity of meat and easily-digested vegetables. It is not well to feed children on too much meat, whereas broth is allowable. As beverage: fresh well-water; beer should be for- bidden, it excites and thickens the blood. Begular meals are essential to the children's health. Nothing is more pernicious to children, than to feed them on dainties between hours; cakes, pastry, etc., are sometimes given to children by persons who cannot well be refused; but such articles should at once be handed over to the parents who may distribute them after dinner. Section XL. Diseases of children. 1. Ophthalmia neonatorum, inflammation of the eyes of new-born infants. This subject has been treated of before under ophthalmitis. 2. Soreness. The use of astringent washes in this dis- ease is exceedingly dangerous; the best mode of man 426 TREATMENT OF LEADING DISEASES. aging soreness is, to frequently wash such children with cold water, and never to allow them to remain lying in damp or wet diapers; as soon as they wet themselves they should be changed, washed, and carefully dried, and if warm water happens to be at hand, they may be washed with tepid water. If these proceedings do not soon arrest the soreness, Chamomilla may be'tried inter- nally for four days, a spoonful of a solution of six glo- bules in a cupful of water. As a matter of course the sore places must not be dried with an ordinary towel, but with soft, old cambric, and if the soreness does not disappear in a fortnight, a dose of Sulphur may be given, and if the child is feeble and emaciated, Calc. carb. or China may be required. 3. Milk-crust (Crusta lactea) arises from small vesi cles which become filled with a thin, yellowish lymph after which they break, forming a crust or scurf, which frequently disfigures the child's face. The scurf fre- quently covers even the eyes, but this need not give any uneasiness, only the crusts must not be picked off Some fever being generally present, Aeon, should be given in water, six pellets in a cupful, a teaspoonful every two hours, after which Rhus tox. may be given. If the eyes remain closed, the Aeon, may be continued four times a day, and the Rhus morning and evening. If the trouble does not disappear in a few weeks, we give Sulphur and Mercurius, in alternation for four days, continuing the Aconite as long as the eyes are closed. Generally speaking, the children feel very well after having got rid of these impurities. 4. The treatment of every infantile eruption, rash, measles, etc., is commenced with Aconite, but a physi- cian had better be consulted. DISEASES OF CHILDREN. 427 If pustules, scurfs, etc., form, Sulphur is generally the first remedy, and if the eruption is humid, Merc; both may be given in alternation, but they ought to be given at long intervals. 5. Jaundice of new-born infants is not dangerous, and yields to Merc, and China in alternation, every two to four hours a small spoonful of a solution of six pel- lets in a cupful of water; if there is fever, add Aeon, to the number. If much Ehubarb has been given, Nux vom. will do the most service. After a cold, give Charnom.; if lasting too long, give a dose of Sulphur. 6. Cyanosis or blue-disease generally depends upon organic disease of the heart. The children have a blu- ish hue, show great indolence, are disposed to haemor- rhages and fainting fits especially when lying on the left side. The distress is relieved by Aeon., and by lying on the right side, by which means life has often been preserved for a time. Digitalis and Laurocerasus are likewise recommended. 7. If the children refuse the breast after having nursed well so far, if they turn away from the mother, scream- ing and resisting, etc., we dissolve six pellets of Mer- curius in a cupful of water, and give both mother and child a teaspoonful of it, or, if the child is too small, we may place a pellet upon its tongue, after which it will no longer refuse to take the breast. This is very curious and inexplicable, but I have tried this practice in innumerable cases, and have never found it wanting. If the child is too feeble to nurse, we may give it China, a small dose every six to twelve hours. 8. If the tongue is tied, the fraenum must be loosened with a pair of scissors; otherwise the child is unable to nurse, and would afterwards be unable to talk. The 428 TREATMENT OF LEADING DISEASES. operation is trifling, but should be performed by an expert person. 9. In cases of umbilical hernia, whether congenital or brought on by loud crying, a compress of fine linen has to be placed upon the tumor, and a wide bandage tied around it, in order to keep it in place. Internally we give Nux vom., six pellets in water, a spoonful morn- ing and night for four days. In the case of small chil- dren, this method suffices even for the cure of the inguinal hernia, without bandage. At the same time we must manage to keep children as quiet as possible- If the child has had an eruption, we give first Sulphur and then Nux vom. 10. If a child is born with a tumor on the scaip which is generally owing to pressure on the scalp during par- turition, we give Arnica in water, six pellets in a cupful, a spoonful four times a day, and we may bathe the swelling with this same solution. If no improvement is obtained, we give Arnica and Rhus in alternation. If a small bag of pus remains, we open it, and give Sil., internally, in water, morning and night, for four days. 11. Swelling of the mammse is frequently caused by the abominable practice of compressing the nipples, the best remedy is Arnica. If the breasts are red, Charnom., and if the swelling will not yield, Bellad. and Bryon., every two to four hours in alternation. If sup- puration sets in, we give Hepar and Mercur., in alterna- tion, and after the abscess has discharged we give Sil, in water, morning and evening for four days. 12. Hiccough frequently arises from a change of tem- perature, it is not dangerous and the best remedy for it is to place the child close to the warm breast and to warm it thoroughly. The child may likewise be given DISEASES OF CHILDREN. 429 a little water and sugar, or a little pulverised sugar on the tongue. If these means do not help, Nux vom. may be given. 13. Dry coryza or stoppage of the nose not only inter- feres with the breathing, but likewise with nursing, and the child should be strictly guarded against this trouble. Cold washing is a preventive. The nose may be rubbed with a little goose-grease or almond-oil, and Nux vom may be given internally, and Sulphur if the child has had an eruption; the mother should take these medi- cines likewise. For fluent coryza we give Puis, or Charnom.; if the nose and upper lip are made sore by it, we give Arsen.; if the symptoms are made worse whenever the child is exposed to the cool air, Dulc 14. Constipation is generally the result of errors in diet which have to be mended. If the constipation becomes troublesome, we give the child an injection of tepid milk and water, to which a little salt may be added in order to make the injection more certain. If the constipation is obstinate, mother and child may take Nux vom. in alternation with Bryon., every four to six hou.-s, in water; in obstinate cases Opium and Plumb may be given. 15. The crying of children is a sign that they do not feel well; otherwise children under one year of age would not cry. When the child begins to teeth, it will likewise begin to acquire force, and temper shows itself. It would be barbarous to punish a little child on ac- count of its cries, to toss it about, shake it, and the like, as some brutish mothers do. They had better ex- amine whether the child is not wet, feels chilly, or whether it may not wish to be changed about, whether ji is too tightly bandaged, pricked by a pin, or whether 430 TREATMENT OF LEADING DISEASES. it may not perhaps feel thirsty, and would like to be refreshed by a drop of water. Care and love easily dis- cover the cause of the child's cries, and a good mother never loses her patience. If a child is restless, with dry heat, we give Aconite, six pellets in water, a spoonful every hour; if there is no heat, Coffea, especially if children have drank much chamomile tea; if otorrhoea causes the crying, we give Cham.; for continued crying, with heat in the head: Bellad.; with ptyalism : Mere; with flatulence : China and Puis.; Puis, is also indicated by diarrhoea and colic Cham.by bilious diarrhoea; Rheum by sour stool: Nux vom. by hard stool. If the children will not be quiet unless carried, we give Cham. 16. Sleeplessness is often caused by similar circura stances; sometimes the children lie with their heads too high, or too warm, or the mother has eaten or drank something hurtful. If the children are wide awake, Coffea will sometimes help ; if the face is flushed, Bell.; also Opium; the latter also when children are drowsy but cannot sleep ; Cham., if children are kept awake by colic, flatulence; if coming on after being weaned, Bell will help. 17. Retention of urine generally yields to Aeon.; if occasioned by a fall, we give Arnica; if the region of the bladder is painful, we give Puis ; if the urine comes out in drops, and the child cries a good deal when uri- nating, we give Cantharides. ).8. Aphthae, can only be cured by internal remedies, though some make a solution of a little bit of borax in a cupful of tepid water, and gently wash the tongue and mouth with a little piece of fine sponge or cambric * dipped in this water. Internally Mercurius may be DISEASES OF CHILDREN. 431 given in water, four times a day, for three or four days. If the aphthae recur frequently, a dose of Sulphur may be given. 19. Liver-grown, is generally caused by exposure to the wind. The region under the ribs is distended, as if filled with air. The children are short of breath, anxious, and the breathing is sometimes interrupted. A leading remedy is Chamomilla in water, a small spoonful every two hours. Passing the warm hands over the bloated region from above downwards is likewise beneficial. 20. Asthma. New-born children are sometimes unable to fetch their breath, they turn blue in the face. Ipecac. should be given at once. If the paroxysm recur, Ipecac. and Sambucus may be given in alternation, every half hour; if the body is cold, Arsm. may be given. The same treatment prevails in asthma Millari which is distinguished from croup by this, that the children, when attacked by the asthma, sit erect with their features distorted, whereas during an attack of croup they are extended upon their backs, and push their heads back- wards into the pillow. See Asthma Millari, page 172. 21. For croup which may be known by the short, hollow and hoarse cough with dry heat, we pursue the treatment indicated on page 136. 22. Diarrhoea may be avoided by washing the child- ren every day in cold water, and observing a natural diet. For diarrhoea and vomiting we give Ipec, a spoonful of a watery solution of six pellets after every passage. If the children draw up their legs, and the stools are greenish, and smell like foul eggs, and look as if stirred up, Cham, may be depended upon. If the diarrhoea is watery, if the children become feeble, and ^a.e, emaciated, or if the diarrhoea sets in after cold 432 TREATMENT OF LEADING DISEASES. drinking, Arsen. may be given. If there is great urging and the stools spirt out with a noise, Merc, is to be given. For discharge of undigested food we give Antim., and China, if the children are very weak. Puis, is suited for papescent diarrhoea with colic, also after eating cake, fat pies, etc. For diarrhoea in cool weather, with pain which passes off after the discharge, we give Dulc, If the diarrhoea recurs in the summer, and is attended with violent thirst, we give Bry.; if this helps only for a short time, we then give Carbo veg.; if the diarrhoea smells sour, we give Rheum; if diarrhoea causes soreness or is attended with a rash, Sulphur may prove useful ; for continued diarrhoea, Calc carb. 23. Convulsions of little children are not always dan- gerous, and often pass off without any treatment. If they recur frequently, Cham, may be given, unless the mother should have used chamomile tea to excess, in which case Coffea may be given; Ignatia, has likewise proved useful; convulsions from fright require Opium.; for violent children, Nux vom. is suitable ; if worms are suspected, we give Cina or Mercurius; if the convul- sions are of a tetanic character, Bellad. may be tried ; if the teething is far advanced, Calc carb.; the above- mentioned remedies are likewise given for dental con- vulsions. The celebrated Canstatt recommends a sympathic remedy which has proved efficient in many cases. If the convulsions increase in intensity, the anus of a young pigeon is pressed against the anus of the child. until the spasms cease. An experienced physician placed the neck of the pigeon under the child's hand, in such a manner' that the hand grasped the pigeon's neck. The convulsions at once ceased. Those who a~n DISEASES OF CHILDREN. 433 willing to try such simple agencies, may do so without risking to interfere with the operation of homoeopathic remedies. (See Canstatt's Manual of Medicinal Clinic. Handbuch der Medizinischen Klinik.) 24. The process of Teething, generally takes place regu- larly and without any violent distress, provided the children have been washed with cold water every morn- ing from the third month, and have been allowed to run about bareheaded in the open air; but many child ren are the victims of prejudice, and dentition becomes a distressing function in consequence of the spoiling ignorance of aunts and old mammas. The teeth begin to be felt in the fifth and sixth months, which is sometimes known only by a feeling of tension, ptyalism and occasionally some pain. In the eighth to the tenth months the teeth are cut. If this happens before this period, Nature's efforts are premature, because the irritability of the infantile nerves is too great, and spasms and other nervous com- plaints may be the result. An excellent accompaniment to teething is a slight diarrhoea which should not be disturbed; if it becomes excessive, it may be checked by homoeopathic remedies without the least danger of injuring the patient. For a greenish, fetid diarrhoea the best remedy is Cham., a teaspoonful of a solution of six pellets every three to four hours; if there is much ptyalism, and the passages are slimy, watery, bloody, spirting out, Merc, is the remedy; if there is much prostration, we give China; if there is cough with much mucus on the chest: Puis. or Tart, emet, also Ipec, the last, if there is vomiting of milk or mucus; if there is dry heat, Aeon., a teaspoon- ful of a watery solution of six pellets, every hour; if 28 434 TREATMENT OF LEADING DISEASES. the patient starts, is restless, Coffea, also, if the child has had much chamomile-tea ; if there is a burning heat about the head and abdomen: Bellad., also in alter- nation with Aeon, every hour. Calc. carb. facilitates the cutting of the teeth, so also Sulphur, if children have had an eruption. If convulsions set in, we refer to the previous chapter, and also to the chapter on " acute hydrocephalus," and " meningitis." The best means of facilitating the cutting of the teeth is the mother's breast; for this reason the mother should not wean her infant until the first teeth are cut. The children may wear a ring of ivory, upon which they may press with their gums; this often promotes the coming through of the teeth. In the order of Nature the eight incisors come through first, after these the eight molars, then the four cuspidati, and lastly the posterior molars. The two corresponding teeth on each side always come through together. In order to show to the lay-reader how the teeth are formed, and how the subsequent teeth are already exist DISEASES OF CHILDREN. 435 ing, I here give the diagram of a child's upper and lower jaw chiseled out from within. The single numbers indicate the milk-teeth, are shed at the second dentition; 1 and 2 are the incisors or front- teeth ; 3, cuspidati, 4 and 5 molares; V, 2', 3' (3' is not visible), 4', 5' are the corresponding permanent teeth; (»' the first permanent molars, 7' the subsequently coming second large molars. Dentition marks the child's ascent to a higher stage of mental culture, and the brain now manifests a more intense activity; this requires vigor, and experience shows that all vigorous children pass through this period without any untoward accident, whereas weakly children that have been accustomed to warm bathing, very frequently succumb, especially if the teeth do not come through in the regular order, but a number of them at once, which taxes the brain in an extraordinary degree and which no medicine can prevent. 25. Worms. Worms are supposed to be the cause of a great deal of mischief, and children are drenched with vermifuge medicines in order to expel them. Almost every child has worms; but they will not cause the least inconvenience, provided the child is not stuffed full of heavy potatoes, farinaceous compounds, fat pork, etc. If a child vomits, we give it Ipecac.; if it has eaten pastry or fat, we give Puis, or Carbo veg.; if its bowels are very loose, we give China ; if they are con- stipated, Nux vom. If lumbrici are passed, the abdomen is large, if the children rub their noses, we give Cina which is the chief remedy for worm troubles, and which cures the morbid tendency of the organism to multiply worms. If dry heat is present, we first give Aeon., or also alter- 436 TREATMENT OF LEADING DISEASES. nately with Cina. If these two do not remove the difficulty, we give Merc, and if this is not sufficient, Sulphur. If the patients become delirious, start vio- lently, we give Bellad.; the irritation caused by worms may induce all the symptoms of meningitis, which re- quire Cina. For the little ascarides at the anus which often cause an intolerable itching, Nux vom. is. often an excellent remedy, and if there is fever or heat, Aeon, may be given in alternation. Ignat and Teuerium verum arc likewise recommended. If the child is scrofulous, Merc. and Sulph. in alternation have proved useful. Calc. carb may be given, but must be allowed to act a long time Cina is likewise efficient. The presence of taenia cannot be positively ascertained until pieces of it come off. Many cures are proposed for the expulsion of taenia, some of which are exceed- ingly' dangerous and hurtful. And, moreover, taenia is often expelled for a time, but grows again, for the dis- position to taenia has to be cured. This can only be done by homoeopathic remedies which either expel the worm by destroying it first, or else effect its conversion into a dissolved mass, which passes off with the intesti- nal mucus. This is most frequently accomplished by Nux vom., in many cases by Sulph. and Mere in alter- nation ; also by Calc. carb.; the selection of these medi- cines respectively in given cases has to be determined by the physician. 26. Marasmus very often results from the use of im- proper food, heavy farinaceous compounds and other nourishment which the child's stomach is unable to digest. This state of emaciation cannot be cured by feeding the children on rich broth stirred with eggs, or DISEASES OF CHILDREN. 437 on thinly shaved meat, as some ignorant parents and even physicians are in the habit of doing. These wretched little ones have to be fed on half milk and water, sweetened with a little sugar of milk; they must be washed with cold water every morning, must live a good deal in the open air; it is by such means that their feeble frames will be strengthened. Internally we give China and Arsen., and if the abdomen is already quite hard, Calc. carb. in water, a spoonful of a solution of six pellets every morning and night for four days, after which we suspend all active medication for several months. If there is papescent diarrhoea, we give Puis., for constipation: Nux vom., and if fever is present, Aeon. By this treatment I have restored the most emaciated children. Sugar-titties must be utterly banished. 27. Falling. After a fall on the stomach I have seen children lose their speech ; Arnica will bring it back, if given in water, a spoonful of a solution of six pellets every two hours. A child which had always been cheerful and playful, had a fall after which it became taciturn, dreamy, without, however, uttering any com- plaints. This had been its condition for two years when I was consulted. Being informed of the fall, I gave Arnica, and in a fortnight the child's usual cheer- fulness was entirely restored. This shows what an important part Arnica plays in removing the consequences of a fall; whenever we sus- pect concussion of the brain or of some other important organ in consequence of a fall, Arnica should be given internally, and if the muscular fibre has become bruised or contused, we may apply compresses moistened with a solution of six drops of Arnica-tincture in a cupful of water. 438 TREATMENT OF LEADING DISEASES. 28. Spontaneous limping, (coxarthrocace,) is a symptom of scrofulosis, and may arise without any external cause. As soon as the child begins to complain of pain, it should remain quietly lying upon a mattress. Gene- rally there is fever and pain, also in the knee, for which we give Aconite, in alternation with Arnica, if the trouble was excited by a fall; repeating the medicines every two hours. The specific remedies for this complaint are: Aeon., Bell, and Merc, which may be given in alternation for several months, and will effect a cure in almost every case. Rhus tox., Sulpih. and Calc may be required in some cases, about which the physician will have to decide. It may be necessary to institute a consist- ent treatment for the eradication of the scrofulous taint. 29. Stammering is a habit of which children have to be cured as soon as it is perceived. Scolding or snub- bing is the very worst means of curing them of such an infirmity. Sometimes the stuttering is caused by a fright, in which case the habit will yield to Opium; if caused by a fall, we give Arnica, and if this is insufficient, Bellad., for it may arise from partial concussion of the brain. Platina and Euphrasia have been recommended by some physicians. If the weakness is congenital, or a symptom of a scrofulous disposition, the alternate uss of Sulph. and Merc, may be recommended. The internal treatment must be accompanied by the following proceeding. Every day, for an hour, or less or more, as the case may be, and taking care to observe the utmost kindness and patience, we cause the child to take a long and slow inspiration, and then a long and slow expiration. During the latter the child is made to clao its hands. After this exercise it is made DISEASES OF CHILDREN. 439 to articulate a few words slowly and distinctly during the expiration; this proceeding should be repeated several times in succession every day. The child may likewise be requested to read loud and distinctly, and to recite a chapter which had been committed to memory. By these means the habit of stammering will soon be overcome. If the tongue is heavy and is too easily depressed by its own weight, the patient must be taught to press the tip of the tongue against the upper teeth previous to articulating. 30. Wetting the bed. Although this practice cannot be helped in the case of very small children, yet after they have reached a certain age, say one year, they can be accustomed to'manifest their wants by signs. In older children this weakness points to a weakness of the sphincters of the bladder, and it would be very cruel to punish children for it. The principal remedies for this weakness are: Bell, if the children are flushed in the face, and symptoms of rush of blood to the brain are present. Puis., if they are pale, of a weeping and desponding disposition. China, if the children have become debilitated by dis- ease, loss of fluids, or if they are emaciated. Cina, if worms may be suspected, if the children rub their noses, bore in their noses. Sulphur, if the children are scrofulous, or afflicted with eruptions, tinea, glandular swellings, etc. Calc carb. may likewise prove useful, if the children are emaciated, weak. Opium will arrest the weakness, if it is brought on by a fright. We give a spoonful of a solution of six pellets in a 440 TREATMENT OF LEADING DISEASES. cupful of water, morning and evening for four days, and then await the effect. The child should be washed with cold water every morning as shown in Section XXXIX.; such children must not drink any thing at supper, and eat solid rather than liquid food. 31. Vaccination. I have already alluded, in former paragraphs, to the importance of selecting good and reliable vaccine for this operation. The only perfectly reliable virus has to be obtained from a cow. Incalcu- lable mischief is being done all the time by careless or unprincipled physicians who inocculate children with scrofula, syphilitic and other diseases by the reckless manner in which they use virus taken from other child ren. I would advise parents to give their children, immediately after they have been vaccinated, Sulphur, and Mercurius in alternate doses, a spoonful of a watery solution of six pellets, every four hours, for four days; this will tend to neutralize the morbid matter which may have adhered to the virus. Measles. (Morbilli.j This eruptive disease which often assumes an epidemic form in the spring of the year, scarcely ever attacks the same individual more than once, and generally runs a benign course. It most commonly attacks children, and breaks out ten days or a fortnight after the recep- tion of the contagium. Shortly before the disease breaks out, catarrhal symptoms make their appearance, such as: coryza, cough, sensitiveness and slight inflammation of the eyes, lachrymation, photophobia, swelling of the eyelids; sore throat, hoarseness and dyspnoer, frequent moan- ing, roughness and excoriation of the fauces ; frontal MEASLES. 441 headache, occasional delirium, spasms, diairhcsa, etc. The tongue has a white coating, its edges are red ; con- tinued fever and dry heat. Aconiit is indicated by these symptoms. We dissolve six pellets in a cupful of water, and give a small spoon- ful every two hours. If the catarrhal symptoms are very prominent, Puis, may be alternated with Aeon.; if the patient is delirious, Bellad. If the child is scrofu- lous, Sulphur may be alternated with Aeon, and Puis. Great nervousness requires Coffee; dyspnoea and moan- ing breathing require Ipec; photophobia requires Bellad. and Rhus tox. This stage is called the stage of irritation, febrile stage. Under the action of Aeon, the eruption comes fully out first in the face and on the arms, next on the chest, abdomen and lower extremities. This is the eruptive stage Pale-red tips or spots, like flea-bites, lentil-shaped and slightly raised. In the centre of each spot a little vesi- cle is «een, generally with a little hair. The redness disappears under the pressure of the finger, but returns again from the centre to the periphery. In scarlet fever the opposite takes place, the redness reappearing from the periphery to the centre. The red spots gradually form irregular semilunar efflorescences, look- ing very much like strawberry stains. As soon as the measle-symptoms are fully apparent, the room should at once be sufficiently darkened to protect the eyes from the glare of the sun-light; to regulate the temperature of the room which should always be the same, night and day, more particularly in winter, and to use no fresh linen without first drying it by the fire. We feed the patient on cracker-soup 442 TREATMENT OF LEADING DISEASES. milk and water, like cocoa, fresh water. By observing these rules, and giving Aconite as directed above, the eruption runs a mild and safe course. Of eighty-five children which were treated by me last year for epidemic measles, every one was perfectly cured and at school again on the twelfth day after being attacked, whereas the thirty-six children who were treated allceopathi- cally, were kept from school for six weeks, and then complained of weak eyes, sore ears, etc. For the gastric symptoms which appear during the symptoms, we give Puis, in alternation with Aeon. If the eruption recedes in consequence of exposure to a draught of air, to avoid which the bed should be removed as far away as possible from doors and win- dows, we give Bryon. and Aeon, in alternation. After-diseases, such as slimy diarrhoea, sore eyes, sore ears, otorrhoea, hardness of hearing, whooping-cough, pneumonia, pulmonary affections, catarrhal affections, sore throat, affection of the brain, yield more or less to Puis, in alternation with Carbo. veg. and Sulphur. I refer the reader to the specially named affections in the body of this work, such as opthalmia, otorrhoea, etc. Puis, and Aeon, are said to act as preventives. This may be so, but the danger of measles under homoeo- pathic treatment is so trifling that parents need not have any concern about it. Rubeolae. This eruption is intermediate between measles and scarlatina; it is attended with fever, sometimes invades the respiratory organs, but, like scarlatina, inclines more to attack the organs of deglutition; because the tonsils are generally swollen and inflamed. RU B^OhJE—CATARRH. 443 The eruption consists of detached, flat or slightly raised, red, lentil or hazelnut-siz^d spots, between which a wide-spread redness of the skin is sometimes observed. The chief remedies are Aeon, and Bellad. in alternation, at first every hour and afterwards less frequently; Aeon. is continued as long as there is any trace of the erup- tion. If ptyalism is present, we give Mercurius; if the eruption recedes, Bryon. and Aeon. Otherwise we pro- ceed as under scarlatina and measles. Catarrh, Influenza. Catarrh is an affection of the mucous membrane of the nose, throat, chest and frontal cavity, and is the result of exposure to a draught and similar causes. It commences with slight chills, creeping over the skin, especially in the evening. The pulse is accelerated, but soft; there is thirst, a feeling of languor and dullness of the head, painful pressure over the eyes, nose stopped or running, tongue coated, taste altered, digestion de- ranged, urine turbid, dark-colored, voice rough, hoarse; there may be dyspnoea and irritation with desire to cough. We generally begin the treatment with alternate doses of Aeon, and Nux vom. in water, every hour or two hours. The last-named often cuts the disease short, if we take it immediately after the first invasion of the disease. If the cough is especially troublesome at night, we give Chamomilla, more particularly in the case of children. If the brain is very much involved, with pain over the eyes and in the orbits, as if the eyes were to be pressed out, with delirium, Bellad., is the remedy; for fluent coryza, with discharge of yellow or green mucus from the nose (or hard and green chunks smell- 444 TREATMENT OF LEADING DISEASES. ing like old cheese,) with crying mood, worse at night we give Puis.; if there is much sneezing, secretion of mucus, fetid night sweats, ptyalism, sensitiveness to cold air, Merc should be given, likewise if the catarrh comes on again after exposure to the open air, or only one nostril is stopped up, and the headache is made worse by motion. If much fever is present, we always give Aeon, in alternation with some other remedy. There is a kind of catarrh where the redness, hea. and thirst do not prevail, the patient rather craves warmth, drinks little, is very feeble, restless and anxious, complains of internal heat and burning, the discharge is acrid and excoriating, and the symptoms are relieved by warmth and motion; the first remedy here is Arsen., but Dulc, Nux vom. and Ipee may like- wise prove useful. If the eyes run a good deal, we give Euphras., also Puis. For other symptoms consult the Repertory under " Catarrh." Suppressed catarrh requires Aeon, and Puis, in alter- nation ; dyspnoea requires Ipee or Bry.; at the same time the patient may drink hot milk with water and sugar, and may draw up the vapors through his nostrils. For chronic catarrh, when the attacks return quite frequently, we may give Sil. for four days, a spoonful of a watery solution of six pellets every night and morning. Inveterate chronic coryza yields to Sulphur which must be allowed to act for months. Influenza is distinguished from common catarrh by its breaking out as an epidemic, and attacking a num- ber of persons at the same time. Beside the ordinary symptoms of catarrh we observe in influenza great prostration, listlessness, laziness, disturbed temper, troublesome pain in the thighs down to the bends of INFLAMMATORY FEVER. 445 the knees, especially in the case of females. Influenza inclines to pass into typhus, pneumonia, croup 01 whooping-cough. Some pretend to have cut short the disease by causing patients to smell of the 3rd potency of Camphor, and giving a higher potency of the same drug internally. If the disease breaks out fully, we give the medicines recommended for catarrh; especially Nux, and Aeon., for pain in the limbs with chills, re- lieved by warmth, aggravated by motion, worse at night, heat all over ; feeling of rawness aud excoriation in the chest; China for great prostration, after nose- bleed, diarrhoea and sweat. For disposition to pneumonia or bronchitis : Aeon., Bry., Phosph., every .hour in alternation. For a disposition to assume a typhoid form: Rhus and Bry. in alternation, or Cocc, Nux vom., Phosph. ac, according to the symptoms, for which see " typhus." For a disposition to pass into croup : A con., Hepar s., Spongia in alternation ; or Brom. and Iodine. For a disposition to assume the form of whoopin^- cough: Puis., Cocc. and Verat, the last named if the patient feels very cold and prostrated. For affections of the brain: Bell and Carbo veg. The debility which sometimes remains after influenza, yields to Cliina, and if a dull aching pain on the top of the head remains, Calc. caust. may be given. Catarrhal fever is a catarrh, with the feverish irrita- tion predominating. This requires Aeon, or Mercurius, six pellets of each in a tumblerful of water, a spoonful every two hours. Inflammatory fever. It is characteri ed by burning heat, flushed face, 446 TREATMENT OF LEADING DISEASES. glistening eyes, redness, heat and dryness of the skin dryness of the lips, mouth and nasal cavity, red and coated tongue, great thirst, loss of appetite, constipation, The urine is scanty and red, pulse quick, full and hard, breathing hurried. Aeon, is to be given in water, every two hours; if there is a tendency of the blood to the brain, we give Aeon, and Bell, in alternation ; Bry. and Rhus may like- wise be required, see " Typhus." Bilious fever. The tongue has a yellowish-brown coating; taste in the mouth bitter; nausea, vomiting of a bilious sub- stance having a greenish or yellow color, or bilious eructations; the eyes, wings of the nose and corners of the mouth have a yellowish cast. The bowels are either constipated, or loose with tenesmus; violent chill, burning heat with rapid, full, intermittent and sometimes double- beating pulse; urine dark-brown; if the fever has an erethic character, the brain, lungs or liver may become inflamed; if the fever-type is that of torpor, the face looks sunken, pale, altered, the tongue is thickly coated, brown or dry ; stool dark-brown, abdomen distended, prostration, excessive irritability of the senses, delirium, grasping at flocks, subsultus tendinum, the skin is cov- ered with ecchymotic spots. The disease frequently passes into a gastric fever. Aeon, is the main remedy which may be given in alternation with any of the more specifically indicated remedies. Chamomilla is required, if the fever was caused by a fit of anger; Puis, is indicated by vomitinf distilled water and shaking the whole very thoroughly. If more convenient, or on a journey, dark soap may be used for this process; after the friction the body is to be thoroughly washed with tepid water. ACUTE ITCH. 4o5 Together with these frictions with vinegar and the water of Kreasote, we commence the internal treatment. dissolving five pellets moistened with the alcoholic tinc- ture of Sulphur, in a cupful of water, of which we give a spoonful morning and night for four days, and repeat this proceeding after a pause of two days, until the eruption has disappeared; after this I give Sulphur in water, in the same manner, only once, and allow it to act; by this means I cure both the eruption and the psoric miasm. These rules likewise apply to the dry itch, scabies papulosa, whether recent or more chronic, provided the acarus is present. If much S ilphur had been taken under a previous alloeopathic treatment, or if the dry itch reappears after it had been suppressed by external means. Sepia will be found an excellent remedy. Others recommend Carbo veg., Dulc, Lye, Arsen., Calc. carb., etc. These means will not prove sufficient in a case of pu- rulent itch. In this disease large yellow pustules show themselves on the fingers or wrists, which terminate in suppuration. Next to Sulphur the chief remedies in this form of the itch are: Mercur. and Caust.. which may be given in alternation. In obstinate cases Thuja has helped. These different exanthems are not always dis- tinguished by definite lines of demarkation, and the intelligent physician will then have to determine for himself whether other medicines may be required or in what order the above-mentioned remedies should be given. The suppression of the iA.ch by Mercurial or Sulphur ointment is of incalculable disadvantage. True, this proceeding is not always immediately followed by 456 TREATMENT OF LEADING DISEASES. other diseases, though this is frequently the case ; but an indefinable feeling of uncomfortableness which often takes a definite form in after-years, generally dates from this period, and patients trace their subsequent infirmities to the suppression of the itch. If these con- sequences are denied by alloeopathic physicians it is because they are in the habit of discharging their patients as cured as soon as the eruption is driven from the skin, and, losing sight of their patients, are not afforded an opportunity of tracing subsequent ailments to the suppression of the itch. Sometimes Nature assists such patients in curing them of the psoric disease. A week or a fortnight after the suppression of the itch, pustules, tetter or large ulcers break out, which I have often cured with homoeopathic medicines, thus relieving the sufferer of the whole trouble. What else could such secondary eruptions have been but the itch-disease, mingled per- haps with some Sulphur-symptoms? What horrid dis- eases I have been called upon to treat, arising from the suppression of the itch! Chronic ophthalmia, blind- ness, cataract, asthma, tubercular affections of the lungs, disease of the heart, induration of the liver, all sorts of abdominal derangements, not to mention thousands and tens of thousands of inveterate ulcers of the legs, salt- rheum and phagedenic herpes of the most varied forms! Even at this day physicians do not entertain the re- motest suspicion that these ailments constitute a rem- nant of their much vaunted method of suppressing the •tch by ointments One dose of Sulphur will cure this whole series of disorders, provided we will allow it to act for eight or even twelve months; if necessary, a dose of Mercur., or a dose of Sil. or Calc. carb. may be VENEREAL DISEASES. 457 given after Sulphur, but each dose must be permitted to act for a number of months; if this method is carried out, we shall see ulcers of forty years standing disap- pear and heal very gradually, previous to which they will discharge large quantities of pus. Dr. Gross died of induration of the liver, which he distinctly traced to suppression of the itch, with which he had become in- fected in his childhood. I have just received a letter from a man of sixty years, wherein he informs me that he had the itch in his child- hood, the suppression of which by ointments had been immediately followed by hardness of hearing. In his forty first year he contracted the disease a second time, and, after a second suppression by ointments, he at once became totally deaf, and had remained so. Venereal disease, syphilis. This is one of the most frightful diseases, especially if it is suppressed by external treatment, after which the secondary and tertiary forms of this poisonous malady disorganize the human frame with the most frightful intensity and fierceness. Syphilis first shows itself upon the private parts in the form of ulcers or gonorrhoea, and may be commu- nicated by sexual intercourse, by the contact of sores with the syphilitic poison, or by the contact with ob- jects to which the syphilitic virus has adhered, such as: pipes, cigars, wind-instruments, drinking utensils, spoons, tooth-brushes, syringes, bathing tubs, sponges, towels, water-closets, etc. Even a kiss may communi- cate the infection, if the lips or inner mouth are invaded by syphilitic sores. 458 TREATMENT OF LEADING DISEASES. The period between the infection and the breaking out of the disease is from twenty-four hours to sever. weeks; the first symptoms of the disease generally show themselves on the fourth or eighth day. This de- pends principally upon the greater or less sensitivenesi of the subject. Homoeopathy possesses sure remedies against syph ilis, which cure without destroying. A safe and rapid cure depends upon the following circumstances: 1. Uniform temperature of sixty to seventy degrees Fahrenheit, since it is demonstrated by experience that this disease is most rapidly cured in the summer, and in warm climates, probably because the skin is then most active; and pure air which may even be procured in winter by frequent ventilation. 2. Strict diet; the patient must abstain from coffee acids, wine, brandy, liquors, and all heating and spiced food and drinks. Some physicians interdict even the use of meat; I never do this, except in the case of robust and corpulent individuals who can do without meat for a season, without being weakened by this loss; my general rule is to recommend simple food without much meat; for debility induced by deprivation of food certainly impairs the recuperative powers of the organ ism and its ability to overcome disease. If the syphilitic disease is complicated with scrofula, aud fever is present, it is absolutely necessary to abstain from meat, and to confine one's-self to the simplest fare, such as stale bread, .thin farinaceous soups, milk, etc. These trifling privations will be productive of the best results. 3. Mental and bodily rest,"cleanliness. The patient VENEREAL DISEASES. 459 must walk slowly, riding on horseback or in a carriage must be omitted; a quiet life in a warm place is best adapted to a cure. Tight clothes must be avoided. The best means of keeping an ulcer clean, is to apply little linen rags dipped in tepid water; these are preferable to lint. In a case of phymosis, tepid water should be injected several times a day. 4. The chancrous ulcer breaks out on the glans penis, on the inner or outer surface of the prepuce, on the scrotum or on the labia pudendi; it is of the size of a small pea to that of a dime. A common chancre commences with a vesicle which soon breaks and forms a crust, which, when detached, leaves an excavated ulcer with a lardaceous, dingy-* yellow or brown base; the raised edge is formed by a reddish, sharply-defined, everted ridge of the skin. The ulcer is surrounded by a rose-colored areola. We distinguish several forms of chancre, raised chancre, indurated or ring-shaped chancre, etc.; but the treatment of all these different forms of chancre being the same, I will at once proceed to describe it. The chief remedy for the syphilitic disease is Mer- curius. Alloeopathic physicians have created so much mis- chief by their enormous doses of Mercury, that they have undertaken to cure syphilis without it, by the use of drastics, or by burning the ulcer with* caustic, or applying Iodine. But if the ulcer seems healed by these means, the disease soon breaks out again in a secondary form, for which Mercury has to be employed in the end. Hence the great advantage of the homoeopathic preparation of Mercury, which can be given at all times safely and with the certainty of effecting a cure. 460 TREATMENT OF LEADING DISEASES. Some profess to cure syphilis by nothing but water or stale bread. But although I am friendly to cold water, and am fully convinced that it contributes power- fully to the restoration of an organism that had been weakened by chronic disease, yet I assert most emphat- ically that water is insufficient to cure syphilis. Such patients have informed me again and again that they experienced the strengthening effects of a dose of Mer- curius 30th potency more and more from week to week and month to month, and we have every reason' to thank God for Hahnemann's discovery which enables us to cure even this frightful disease with perfect cer- tainty and safety to the patient. Primary syphilis. I have cured innumerable cases of chancre with one dose of Mercurius 30th within the space of six weeks, of which I dissolve six pellets in a cupful of water, and give a spoonful morning and evening for four days after which I give no more medicine for a fortnight. If no improvement becomes manifest within this period, the disease is undoubtedly complicated with psora or sycosis, and it may be necessary to give a dose of Sul- phur or Thuja; or else the patient's susceptibility to the action of Mercury is but limited, and it may be necessary to give one of the first three triturations of Mercury. I generally administer a powder of the third every night for three evenings in succession, and then one every other evening for eight days, after which no more medicine is needed in the vast majority of cases. Inveterate chancres which had been treated with SECONDARY SYPHILIS. 461 alloeopathic doses of Mercury, have to be treated with Nitri acidum, which may likewise be given in alterna- tion wiu_ Mercurius 30, or Mercurius 3. Very torpid natures may require Mercurius 1 or 3, but I consider it good practice to alternate these triturations. In raised chancres Cinnabaris 3 is very excellent, in difficult cases the 2d or 1st trituration may be given. All medication must be discontinued as soon as an improvement is per- ceived, but the treatment has to be resumed as soon as the improvement ceases. Secondary syphilis Takes place if the primary chancre is removed by oint- ments, washes or caustic, or by derivative means, dras- tics or by Iodine, and the ulcer breaks out in the mouth or nasal cavity. In these cases we give Nitri ac, if the patient had taken large doses of Mercu^, otherwise Mercurius which is the main remedy in this form of the disease. Kali bichromicum has likewise aided in achiev- ing a cure. The syphilitic and the mercurial poisons combined have destroyed the uvula, palate and nose. The timely use of homoeopathic remedies prevents and even arrests these ravages. Thuja (if sycosic complications are pre- sent), Lachesis and Aurum have likewise proved useful Buboes yield to Mercurius, or, if it had been given in large quantities by alloeopathic physicians, Nitri ac may be given. Aurum and Carbo. veg. are likewise useful. Tertiary or constitutional syphilis, if the poison has impregnated the blood, yields to Nitri ac, Kali bichromi- cum and Sanguinaria. After the use of these remedies Mercurius may be given. We may likewise recommend 462 TREATMENT OF LEADING DISEASES. Aurum, Lach., Thuja, Sulphur, Carbo veg., Clam., Hepar sn Phosphori. ac, Sassap., etc. Syphilitic or mercurial bone-pains require Aur., Lach., Merc; brown spots and herpes, and syphilitic ophthal- mia requires Merc, Nitri ac, Lach., Thuja. I must take this opportunity of holding up to public censure the priestly office which Ricord fulfils day after day in the temple of Baal. Every morning some seventy women are operated on by him with caustic. Each woman ascends the rostrum, the speculum is in- troduced and the ulcer is washed with a solution of the nitrate of silver. This process is repeated for several mornings in succession, and if the ulcer is finally sup- pressed by this proceeding, the women are dismissed as cured. If they afterwards return with the chancrous ulcer broken out afresh, they are accused of having caught a fresh infection. It is incredible that physicians should witness such proceedings day after day without rebelling against such monstrous violations of Nature and common sense. Many of these patients afterwards apply to homoeopathic physicians to be cured. I have been assured of this fact during my attendance on Ricord's lectures. * Gonorrhoea is the second form in which the syphilitic disease shows itself. Most recent cases of gonorrhoea have yielded in my hands to Mercurius in water, six pellets in a cupful, a spoonful morning and night. If there is pain and in- flammation, I give Aeon, and Merc, in alternation, or in combination ; if retention of urine and painful erections are present: Cantharides. If alloeopathic treatment has preceded, I give Nitri ac, and if figwarts are seen, Thuja. Chronic gonorrhoea, if Merc, does not help I SYCOSIS. 463 give Cannabis in water, six pellets in a cupful, a spoon- ful every evening for nine or twelve days. Caps., is indicated by a thick, whitish discharge, like milk or cream, with burning during urination. Clap generally disappears after Sulphur 30. Strictures require Sulphur, Petrol, Clem., Puis., Rhus, Carbo veg., etc. I will conclude this chapter with the following case. A paralytic man of sixty years was attacked with diarrhoea which yielded to Mercurius; in the place of the diarrhoea a gonorrhoea showed itself on the second day, and the patient now informed me that he had had a gonorrhoea in his seventeenth year which had been suppressed by injections in six days. This Shows how long this disease may remain suppressed in the organ- ism ; in this case it had been suppressed forty-three years. It has often happened in my practice that chancres which had been suppressed ten or twenty years ago, reappeared after a dose of Mercurius, and then healed forever. Sycosis. This disease constitutes a specific disease which re- quires for its treatment Thuja. Mercurius very seldom affects it as a curative agent. The infection is chiefly communicated by intercourse Several days or weeks after the infection has been com- municated, excrescences or condylomata break out upon the glans and upon or under the prepuce, or, if a female is infected by the virus, upon and around the labia. They are seldom dry, wart-shaped, generally soft and spongy, secreting a fetid moisture and bleeding readily, sometimes pedunculated, in the shape of small 464 TREATMENT OF LEADING DISEASES. figs (hence the name sycosis), sometimes in the form of a cock's crest or of cauliflower. If is in vain to tie, burn or cut them; they always reappear. A man applied to me who had had his fig- warts removed by a Berlin Professor seven times, each time by a different method, but they always reappeared worse than before. He took Thuja ; in a few weeks the warts dropped off while washing the parts, and in a few days later he was well and has remained so. A traveling clerk took from me Thuja 200 ; he had been operated on several times without the least perma- nent benefit. I heard nothing of him for a year, when he called on me while passing through Ccethen, and told me that three weeks after taking the medicines, the warts all dropped off, and left him perfectly restored. Most figwarts of this character yield to Thuja 30, internally. If they have not disappeared in three to four weeks, we give a lower potency of Thuja, and touch the warts with the tincture, ten drops in a cupful of water, with which the warts may be moistened twice a day by means of a linen rag soaked with this solution: If Thuja does not cure the warts, we may use Nitri ac. 30 or a lower potency; the pedunculated warts require also Lye, and the flat warts Sulph. and Sassap. In some cases, where the warts are complicated with syphilis, we give-Merc, one or three, and Thuja. Some recommend Euphras. and Cinnab.; but these medicines should at least be allowed a fortnight to act. Sycosic gonorrhoea requires Thuja, sometimes also Merc Note : I may mention here what is to be done to get rid of the crab- lice which often infect unclean persons, and manifest their presence by %a intolerable itching in the hairy parts of the genital organs, especi- EPILEPSY. 465 Spasms, convulsions. These are movements of the muscles beyond the con- trol of the will, and involuntarily distorting, contract- ing or twisting single limbs, the face, or the whole body, or occasioning rigidity, startings, leaping, danc- ing, crying, laughing, singing, screaming or the like. These phenomena are seldom lasting, but occur most frequently in paroxysms which, after passing off^ leave a languor, after which the patient seems well again. The seat of these paroxysms is in the brain, spinal marrow and solar plexus. The disease is frequently occasioned by onanism, mental exertions, emotions, especially fright or chagrin. Most commonly it is only nervous, excitable, delicately-organized, sensitive indi- viduals who are attacked by this disease; hence it is that females are more frequently attacked than males. The worst form of convulsions is Epilepsy. It is impossible to determine a reliable prognosis in ally on the mons Veneris, from which they speedily travel to the axillae, the beard, eye-brows. This insect burrows under the skin, so that only a black and raised point is perceived, yet the louse can be extracted with the finger-nails. Persons who discover such insects upon themselves, may be certain that they exist wherever an intolerable itching torments the victim. Many i*re prevented by a false shame from applying for help which is so readily afforded. The itching parts are rubbed with the mercurial oint- ment which may be had in any drug-shop, and of which a quantity about the size of a common bean may be consumed, the best time for which is the evening ; this destroys the lice over night. Next morn- ing the body is carefully washed with soap, and the linen and sheets are changed. One friction is sufficient, provided every part hua been touched. 30 466 TREATMENT OF LEADING DISEASES. this disease, which is so frightful for the reason that we cannot feel safe from it a single moment; for it breaks out suddenly in the midst of a pleasant conversation, on a walk, at work, throwing down its victim ; some- times with, sometimes without, a cry, but generally with tonic or clonic spasms, the former contracting the muscles and causing an immovable rigidity ; the latter causing a violent jerking and striking of the limb. Sometimes the attack is attended with involuntary dis- charge of the urine, faeces or even semen. A characteristic symptom of epilepsy is to suspend during the attack all activity of the internal as well as external senses, so that the patients wake from an attack as from a dream, and do not know what has happened. A precursor of the attack is the epileptic aura, a nervous affection of which the patient is conscious, which seems to radiate towards the brain or pit of the stomach, and at the same moment terminates with loss of consciousness. It frequently announces itself only as a warm or cool breath ascending from the lower parts, or as a creeping sensation along the arm, or as formication, titillation or prickling, or as cloudiness of the sight, seeing of sparks, ringing in the ears, illu- sion of smell. In very many cases the patient has no precursory admonitions of an attack, but falls down suddenly as if struck dead. The paroxysms either recur at regular periods, or else at indefinite intervals, which, however, has no influence upon the treatment. The first rule is, that nothing should be done to the patient during the paroxysm; the limbs should not be held, nor should the thumb be forced open. This last- EPILEPSY. 467 mentioned operation may shorten the present attack, but the subsequent attacks-become all the more fright- ful. All that should be done is to prevent the patient :'rom bruising his head or arms, for which purpose he nay be surrounded with pillows and blankets. I have often arrested the spasms, and, by repeating the proceeding, cured them permanently, by throwing a black silk handkerchief over the patient's head at the beginning of the attack, so that the whole head is wrapt up in the handkerchief. I am unable to account for such result. We have it in our power to cure epilepsy by homoeo- pathic remedies, one dose of the correctly chosen remedy being sometimes sufficient. But in spite of the care with which the case is considered symptomatically and pathologically, we often fail in achieving a cure. For some }*ears I have succeeded in curing thirty to forty epileptic patients in the course of a year, but many cases remain uncured. Most cases of epilepsy owe their existence to onanism, some to fright, a cold, or to some violent emotion. Bellad. has proved a capital remedy in my hands. It is particularly suitable to plethoric persons, with the following indications: Rush of blood to the head, ver- tigo, red and bloated face, renewal of the attacks by contact, spasms of the fauces and oesophagus, dyspnoea, distortion of the eyes, with dilatation of the pupils, full, hard and hurried pulse, sudden starting from sleep with a cry and fear, obstinate, malicious temper, desire to tear every thing, to bite, spectra which cause anxiety, fear; deep sleep, with smiles and distortion of the features. « Opium, if the attack is caused by fright, or if the 468 TREATMENT OF LEADING DISEASES. patient falls down with a cry, after which sopor and stertorous breathing come on. If after fright the symp- toms point to Bellad., we give Opium and Bellad., in alternation; a single dose of this alternate remedy often suffices to effect a permanent cure. Dissolve six pellets in a cupful of water, and take a spoonful of this solution morning and night for three or four days. Ignatia, in the case of children and young persons, if violent grief or injured feelings are the cause. Suit- able to sensitive natures, with variable and impressible dispositions, quickly passing from the excess of joy to sadness and tears; likewise suitable to persons whose sexual passion remains ungratified. The head is bent backwards, the face flushed or bluish, or alternately pale and red. Involuntary screaming, alternate weep- ing and laughing. Soporous condition, yawning (espe cially after the attack,) also deep moaning. Pulsat., suitable to the same individuals as Ignatia, with pale face, the nu. -.=, are suppressed, the attacks set in at the time of the menses. Causticum, gritting of the teeth, involuntary discharge of urine, the attacks are excited by cold water. Calc. carb., suitable to persons who work in the wet, especially if the attacks come on at night, with cries; suitable to scrofulous persons who incline to grow fleshy. Arsen., aura along the spine, falling down without consciousness, burning in the stomach and spine; the arms are tossed up, the attack ends with a shock through the whole body; during the attack the pa- tient lies as if dead, with a pale face, imperceptible breathing, twitching of the clenched hands, slowly rais- ing and lowering the shoulders and arms. ST. VITUS'-DANCE. 469 Cuprum, the spasms commence in the fingers or toes, moving upwards until the* speech is gone; ptyalism, flushed face and red eyes ; the paroxysms return every month, especially after the catamenia. Hyoscyam., bluish and bloated face, froth at the mouth, protruded eyes, anxiety, screaming, gritting the teeth, emission of urine, gnawing in the pit of the stomach ; the attack is caused by jealousy. China, when worms are the cause. Chamon., the attack is caused by anger, colic pre- cede the attack. Stramom., the attack sets in with a cry, furious or devout motions, frightful visions, moaning, singing, de- sire to escape; the attack is renewed by contact by the sicht of shining objects. Silic, the attack recur at the new-moon; the body is first stretched, then tossed up. Sulphur, when caused by the suppression of the itch, suitable to scrofulous persons. Sulphur may be given in alternation with some other suitable remedy. If the disease is attended with great weakness, after loss of fluids, China has to be given in alternation with some other suitable remedy. Compare Cicuta, Coccul, Lye, Platina, Nux vom., St. Vitus'-dance, Chorea. In this disease the consciousness is not affected, ex- cept partially in violent cases. Chorea consists of involuntary motions of the most various parts of the body, generally only partially and on one side. It is most frequent from the tenth to the fourteenth year, does not terminate fatally, and is generally cured by homoeopathic remedies. 470 TREATMENT OF LEADING DIS1 VSES. Sometimes there is only a spasmodic jerking of one arm or leg, so that the patient often falls when walking ; or a shaking or twisting of the head, with twitching and contortion of single muscles of the face; often the patient utters inarticulate sounds, like the braying of an ass, but shorter and more detached, or like the bark- ing of a dog. Sometimes the motions become so vio- lent that the patient grasps firmly whatever he touches, and tears things, for instance his clothes, sheets, etc. In the higher grades of the disease the patients dance about in the room, bounding as if they were thrown, jump on chairs, tumble down, without, however injuring themselves. I have seen a young girl jump up on the top of the stove, jump down again, seize two chairs in her arms, and incline her body over their backs, so that it was first bent forwards and then backwards, giving rise to the most horrid contortions. The attack ended with spasmodic clenching of the teeth and inclination to bite, so that she bit her own arm until blood came. After the attack she felt weak and slept. Such attacks occur at regular or irregular periods. The remedies which I have recommended for epi- lepsy, are likewise suitable for chorea. My main remedy is Bellad., which I give as in epilepsy: but we must not repeat the dose too hastily. In the foregoing case a second dose which I gave soon after the first, the aggravation of the symptoms was so violent, that the patient tore several dresses and sheets all to fragments. She became quiet in four weeks, and in three months she was cured entirely. A knowledge of the exciting cause is of great import- ance. If it is fright, we give Opium in alternation with Bellad. ECLAMPSIA.—CATALEPSY. 471 If worms are the cause, we give Cina or Calc. carb. After grief or subdued passion, we give Ignatia, which is in all respects a chief remedy. China, and Bellad. in atlernation, if onanism or loss of fluids is the cause. Puis., if suppression of the menses had excited the attack. Plat, for similar reasons, with sexual excitement. Lachesis, for an attack of the left side. Causticum, for one of'the right side. Hyoscyam., if the patient's motions are hurried, and he talks hurriedly and a good deal between the attacks. Stram., violent attacks, the limbs are attacked cross- wise, with opisthotonos, tetanus ; spasms of the oesopha- gus, with inability to drink water. Nux vom., the affected parts are numb, go to sleep; constipation. Sulphur, when caused by scrofula, suppression of cutaneous eruptions, also in alternation with Bell. Compare Calc. carb, Crocus, Cuprum, Rhus tox., etc. Eclampsia, Has already been treated of under confinement, No. 5. For Eclampsia of little children. See "Diseases of children," No. 23. Catalepsy. This disease comes in paroxysms. The functions of the mind are suddenly arrested, the functions of the ex- 472 TREATMENT OF LEADING DISEASES. ternal and internal senses are likewise suspended, some- times, but rarely, some consciousness remains, and, if this is the case, such apparently dead persons feel every thing, see every thing, and hear what is said by those near them. Voluntary motion has ceased, and the limbs retain any position in which they are placed, as if they were made of wax. The face generally is pale, sometimes flushed; the pulse continues, but is slow and feeble, and is sometimes imperceptible. Such a condi- tion sometimes lasts a few minutes, and at other times a few hours, days and even weeks. Persons in this con- dition having been taken for dead and buried, it should be made a rule never to bury a body until signs of cor ruption have actually made their appearance. After the paroxysm the patient feels like one waking from a dream, and he continues his speech where he had left off, sometimes in the midst of a sentence. Precursory symptoms of the disease are: headache, loss of appetite, paleness of the face, watery urine, gloomy mood, restless sleep. The surest sign of recognizing the disease is the waxy flexibility of the limbs. Magnetic passes with the palm of the hand, at the distance of an inch from the body, from the head down to the toes, are exceedingly beneficial, and facilitate the awakening from the rigid state of the nerves. The chief remedy is Opium in water, six pellets in a cupful, a few drops of which are dropped into "the mouth. If the jaws and lips are spasmodically closed, some of this solution is rubbed upon the temples or the open vial containing the pellets is held under the patient's nose. Next we may mention Ignatia, also Platina, if the TETANUS TRISMUS.—CRAMPS. 473 menses are deranged and the sexual organs very much excited: Bell, Hyosc, Stram., Verat, Cham., Ipee, Sic, Agar. Tetanus, trismus, Is a symptom or sequel of some other disease, and is always dangerous. Generally it sets in after a wound, or in consequence of poisoning. The main remedies are : Aeon., Bell, and Nux vom. For opisthotonos Nux vom. may be required. We may likewise consult Cam- phora, Moschus, Secale. Cramps of the calves Are often caused by tight garters. Mothers should never allow their children while growing up to wear garters, but should make them fasten their stockings as recommended under '' Dress," page 366. Veratrum may be given six pellets in a cupful of water, a spoonful morning and night for four days. Rhus tox. may be given to remove the disposition to cramps, especially if they come on after an exertion, or after a long walk. Momentary relief is obtained by pressing a large key against the calf, or rubbing it with a little saliva. Cramps of the fingers Often set in in consequence of writing for a length of time in succession. They yield to Bell, and Caust. A preventive are thick pen-holders of the size of a finger. During the treatment the hand should be spared as much as possible. 474 TREATMENT OF LEADING DISEASES. Nightmare, incubus. This is a sort of spasm of the chest which only occurs during sleep, the person dreaming that some man or animal is sitting upon him, oppressing his chest* and causing a suffocative anguish until he wakes with a cry. A characteristic sign is that the attack takes place while the sleeper is half awake; the external senses are r.t rest, but the patient preserves his consciousness and often knows that his sensation is only imaginary. Nightmare is most generally caused by overloading the stomach; those who are subject to such attacks, have to be very careful regarding their diet, and should content themselves with a light supper, a light soup or fresh milk. Washing the breast and back with fresh cold water is likewise an excellent practice. During the attack the patient himself is powerless, but should be roused by others who are made aware of the attack by his anxious looks, his moaning, anxious breathing, etc. One of the main remedies is Nux vom., especially if the attack is easily provoked by the use of coffee, spirits and the like, or if sedentary habits have led to it, give a pellet in water for four nights. Aconite, if the attack is characterized by heat, thirst, spasms, of the heart, hurried breathing and pulse, rest- lessness, anguish. Take a pellet directly after the attack. Opium, for severe attacks, the patient lies with his eyes half open, likewise open mouth, his breathing is stertorous, intermittent, the features express anguish, the face is covered with cold sweat, jerking of the iimbs. SPASMODIC LAUGHING OR CRYING. 475 Puis., dyspnoea as from the vapors of Sulphur, the patient lies on his back with his hands laid crosswise on the abdomen, and the legs drawn up. Anxious and sad dreams, crying, dreams about black animals; espe- cially suitable to females. If the attacks should return in spite of these remedies, we give Sulphur, six pellets in water, a spoonful morn- ing and night for four days, and we allow this to act for several months ; patients with a scrofulous taint* may be relieved by Calc. carb., or Sil Spasmodic laughing or crying. This is generally a symptom of a more general disease; but it may occur as an independent malady, in which case we give Ignatia, especially if the attack arise from grief; Opium, from fright; Cham., after a fit of anger ; Puis., if the menses are suppressed. See "Epilepsy." Cicuta virosa is an important remedy for epilepsy, chorea, catalepsy, tetanus, trismus ; it is indicated by the following symptoms : bluish or jaundiced complex- ion ; distortion of the limbs and head ; screams, frothy ptyalism ; coldness of the body ; dilatation and insensi- bility of the pupils; dryness of the eyes; spasmodic swallowing; desire for cold drinks, praecordial anguish; after the attack the patient lies as if dead, unconscious, without sensibility; tetanus; trismus. Rheumatism, arthritis or gout. These affections which are most commonly charac- terised by similar symptoms and require a similar treat- ment, are distinguished from each other by this, that 476 TREATMENT OF LEADING DISEASES. in gout the pain is seated in more or less solidified depositions and nodosities, whereas rheumatism consists in a more or less inflammatory painfulness of the mus- cular and fibrous tissues, either without swelling, as in muscular and neuralgic rheumatism (ischias, for in- stance), or with swelling, as in acute articular rheumat- ism, where the swelling depends upon a watery exuda- tion of the fibrous tissues. Arthritic depositions are generally seen in the fol- lowing localities: the ball of the great toe and the heel (podagra); around the knee joint (gonagra) ; around the wrist (chiragra). This kind of gout is most fre- quently witnessed among people who eat and drink well, lead a comfortable and sedentary mode of life, the nodes most generally consist of urater (arthritis divi- tum). Another kind of gout is that which occurs among dyscrasic, scrofulous, poorly living people in the country, and has its seat in the knuckles of the hand, less frequently at the extremities of other bones ; the articular extremities become enlarged by the depo- sition of earthy matter, and becomes rough and irregu- lar, in consequence of the loss of articular cartilage, and the joint finally becomes immovable and contracted* (arthritis nodosa pauperum). The gout is generally rooted in a condition of the system that has become vitiated by hereditary taint or * Among this class of diseases we have to number the gradually supervening rigidity of the hip or shoulder-joint which is so often observed among otherwise healthy persons at a later period of life, and depends upon a similar roughness of the articular extremity, the extremity itself becoming emaciated in consequence of the loss of motion caused by the painfulness and the creaking (arthroner. t>U malum coxae senile. RHEUMATISM —GOUT. 477 by long-lasting deleterious influences ; it depends upon a so-called dyscrasia or constitutional irregularity (psora), and for this reason it is often difficult and even impossible to cure it. Rheumatism, on the contrary, is more accessible to treatment, and is caused by the too rapid cooling of the heated and perspiring body, in consequence of which matter which ought to have been excreted with the perspiration, is retained in the blood, and acts upon this fluid and upon the organism generally as a poison. Rheumatism is not confined to particular portions of the body; it attacks all parts where muscles and fibrous tissues are found, especially the small of the back (lum- bago), and the region of the sciatic nerve (ischias ner- vosa) ; often it wanders about, and attacks the most various organs (rheumatismus vagus). It is mostly dangerous only, if in the form of acute articular rheumatism it attacks the fibrous membranes and ligaments which lines the cavity of each articula- tion ; for this form of rheumatism is attended with the most intense fever, the joints swell in consequence of the effusion of serum into the cavity, sometimes they break open and suppurate, or become entirely relaxed by the too long continuance of the exudation; bui what heightens the danger is the fact that acute articu- lar rheumatism is very frequently complicated with inflammation of the external or internal covering of the heart, which, under alloeopathic treatment becomes the most fruitful source of incurable disease of the sub- stance and valves of the heart. We should never omit, in articular rheumatism, to apply the ear to the region of the heart, in order to ascertain whether the sounds of the heart have a normal resonnane.e, or 478 TREATMENT OF LEADING DISEASES. whether a blowing or sawing murmur is heard which indicates an affection of the heart that requires pecu- liar treatment. Some cases of rheumatism without fever have the peculiarity that the pains are not in- creased by contact, whereas acute rheumatism, and more especially acute rheumatism of the joints shows its inflammatory character by the great sensitiveness to pressure of the affected parts. As peculiar modifications of rheumatism and gout we may mention the so-called gonorrhceal gout, by which we understand an effusion into the joints, most fre- quently into the right knee-joint, affecting persons of a sensitive fibre, and occasioned, but in few cases only, by the gonorrhceal virus; and further the apparently rheu- matic pains occasioned by syphilis and by abuse of Mercury, but which betray their dyscrasic origin and character by the fact that they yield to Mercurius and Aurum. Gout is superinduced by the excessive use of wine and spirituous beverages, rich food, especially roast meat, etc., abuse of sexual intercourse, irregular mode of living, onanism. It is often hereditary, or a rem- nant of the syphilitic disease, complicated with psora. This must never be lost sight of, for psora and syphilis may give rise to the most inveterate arthritic disease which will not yield until the focus of the complaint is extinguished. Climate and weather have a marked in- fluence upon the gout; cloudy and damp stormy or wet and variable weather is very injurious to gouty patients. We distinguish acute and chronic gout, according as it is either permanent or comes on in paroxysms. Attacks of gout are attended with some fever, de ranged appetite, disturbed digestion and nervous action- RHEUMATISM.—GOUT. 479 a peculiar languor and want of mobility generally super- vene. As a general rule the pains increase towards evening. The urine is dark and is only secreted in small quantity. Signs of improvement are : sweat all over, especially on the diseased limbs and joints, increased secretion of urine with copious sediment, itching of the skin on the affected parts, and occasional peeling off. Aconite, is the first remedy for rheumatism and gout; it is indicated by dry heat, fever, thirst, flushed cheeks, or changing complexion ; tearing and stinging pains, abating during rest, intolerable at night, with com- plaints and lamentations ; redness and shining swelling of the affected parts, with sensitiveness to contact and motion. Aggravation and the renewal of the affection by the use of wine, or other heating beverages, by emotions; also suitable for affections of the heart, pleura and brain. Aconite is not only suitable for these symptoms, but also for chronic affections which had commenced with such a group of ailments. Twenty years ago a patient consulted me who, for eight years past had been afflicted with gout and swelling of the joints. For the last six months the pains had become so violent that she had been unable to work. The right hand was immovable; the fingers were contracted and the joints were swelled up to the size of pigeon-eggs. Upon being informed that this affection had commenced with fever, I gave Aeon., not dreaming that I should obtain any favorable result. After the lapse of five days the girl visited me completely cured. On the second day the pains left her, the swelling went down very rapidly, and the patient has remained well ever since, to this day. Similar 480 TREATMENT OF LEADING DISEASES. cases have likewise been perfectly cured with the same brilliant success by means of a dose of Aeon. Bryon. is the next chief remedy ; it is indicated by tensive and tearing pains, with stitches in the affected parts, especially in the joints whenever they are moved; red, shining or tense swelling, with stiffness; aggrava- tion at night and during motion ; bilious or gastric symptoms, irritable mood, sour sweat all over; it may be given in alternation with Aeon., or Rhus tox. in lum- bago, coxagra, etc. Rhus tox, tearing, burning and tensive pain especially on the right side; laming and dislocation-pain and tingling in the affected parts; bruising pain as if the flesh were detached from the bones; rigidity and con- traction, or else red and shining swelling of the joints, with stitches in the parts when they are touched ; aggra- vation at night, during rest; the attack comes on by getting wet and in a change of weather; suitable foi coxagra, lumbago, also in alternation with Nux vom. Arnica, dislocation-pain or as if contused, laming and creeping pains; hard red, shining swelling, obliging the patient to move the parts, with sensation as if they had been lying too hard. Pulsat, wandering rheumatism, tearing and jerking pains, numb and laming pains; with paleness of the face, chilliness, loss of thirst; suitable to sensitive, phlegmatic persons; worse at night, in bed, and when changing one's position; relieved in the open air and when uncovering the parts; adapted to white swelling of the knee. Bellad., stinging and burning pains with red, shining and widely diffused redness, erysipelatous; rush of blood to the head, flushed face, red eyes, also fever with RHEUMATISM.—GOUT. 481 throbbing of the carotids ; shifting rheumatism, flashing and jerking pains; after abuse of China and lead; worse at night and by moving. Mercurius, suitable for syphilitic dyscrasia or sup- pressed gonorrhoea; stinging, tearing, burning pains in the muscles, joints, and bones; feeling of coldness in the affected parts; sweat on these parts, which affords no relief; oedema of the parts; restlessness, aggrava- tion in damp air, or at night, in bed. Nux vom., the pains are excited by abuse of spirits, with gastric symptoms, constipation shiverings, tensive and jerking pains down the back, in the loins, chest; numb and laming pains, spasms in the muscles, lum- bago ; suitable to choleric individuals. Chamomilla, rheumatism caused by exposure, with nervous restlessness, tossing about, burning heat in the affected parts, shivering; numb and laming pains, worse at night, relieved by sitting up ; one cheek is red. Arsenicum, tearing and burning pains, worse at night, and in the cold, relieved by warmth. China, after depletions and loss of fluids, poriodical attacks, laming weakness of the affected part, with pro- fuse sweat. Antim. crud., drawing, also stitching and tensive pains, worse in the warm air, relieved by rest and cool air. Calc. carb., gout with tendency to relapses, caused by exposure to wet and damp ; affection of bones in scrofu- lous and weakly persons. Calc. phosph., for arthritic nodes, with violent pains in the thumb, hips, knees and back, worse by moving about. Colchicum, affection of joints without swelling or red 31 482 TREATMENT OF LEADING DISEASES. ness; tearing, stinging and drawing pains in paroxya mal shocks, deep through to the bones, lameness ; tear- ing in warm, stitching pains in cold, weather; in the evening the pains become intolerable; nervousness, sallow complexion, scanty and dark urine, suitable to sensitive individuals disposed to perspire and to be troubled with acidity. Rhododendron, arthritic nodes, contraction of nodes, drawing and tearing pains worse in stormy weather, also backache through to the testes and the abdominal ring. Ruta, rheumatic lameness of the tarsal and carpal joints. Sabine, gout, red and shining swelling; bone-pains wandering gout, tearing and stitching pains in the swollen joints, with lameness; relieved when cool air blows upon the parts. Kali bichrom., mercurial and syphilitic rheumatism. Thuja, rheumatic, tearing, throbbing pains compli- cated with sycosic taint. Sulphur, has to be interpolated if a psoric taint exists, or if the itch, herpes, ulcers, etc., had been repelled or dried up, burnt out. Compare Sepia, Graph., Verat, Benz. ac. Consult the Repertory for a knowledge of the special parts upon which the remedies act. If the rheumatic or arthritic affection suddenly shifts to the brain, eyes, lungs, stomach, we pursue the treat- ment indicated for the resulting disease; for instance, if the gout shifts to the stomach, causing intense fever horrid pains in the stomach, we give Aeon, and Nux v. in alternation ; Count Basedow, who was suffering from such a metastasis, and had been given up by his physi- PILES, HAEMORRHOIDS. 483 cians, was saved by this treatment in ten hours; the pains re-appeared in the knee, and he got along well, MODE OF ADMINISTRATION. In the acute form of rheumatism and gout tAe propel remedy is taken in water, six pellets to be dissolved in a cupful, and a spoonful to be taken every hour or two hours, according to the intensity of the attack. Aconite should always be continued in connection with any other remedy, as long as the fever continues. In chronic gout we give the remedy in water, six pellets in a cupful, a spoonful morning and night, for four days, after which the remedy is allowed to act for several months; if necessary, an intercurrent remedy may be interpolated for acute symptoms. The following is a harmless domestic remedy which often alleviates the pain in rheumatism. Cut some horse-chestnuts in fine pieces, and mix them with bran, one chestnut to about a handful of bran, and tie up this mixture in linen-bags which are warmed and then applied to the affected parts. They are removed in the morning and exposed to the open air until even- ing, when they are replaced upon the sore parts. 1 he contents are renewed every five or six days. This will do for persons who must have something applied to the parts; wadding or a calf's skin may likewise be applied. Piles, haemorrhoids. A good deal is supposed to constitute piles which has no claim to this name. The existence of piles is only known with certainty by the tumors which are dis- tinctly perceptible around the anus. Close under the 484 TREATMENT OF LEADING DISEASES. mucus membrane of the rectum, around the border small veins are situated which surround the anus like a wreath. These veins often become enlarged at certain intervals of time, forming a row of knotty swellings which are designated as baemorrhoidal tumors, and acquire the size of a pea to that of a pigeon-egg. The disposition to piles is either hereditary or else the disorder is excited by the use of rich food, heating beverages, coffee, wine, spirits; by sedentary habits, by tight dresses, lacing the epigastric region of the abdo- men, tight garters and other causes by which the regu- lar course of the circulation is interfered with. Sleep- ing upon feather-beds, sitting upon soft chairs, obsti nate constipation, abuse of cathartics, local irritation of the rectum, by riding, ascarides, etc., may likewise give rise to piles. As a general rule, piles are ushered in with the fol- lowing precursory symptoms: Vertigo, dull headache, coldness of the extremities, flashes of heat, heaviness, bloating of the abdomen, flatulence, throbbing in the abdomen, constipation, palpitation of the heart, weari- ness, heaviness of the limbs, desponding and irritable mood, disposition to melancholy; desire to urinate and have sexual intercourse, pains in the loins and small of the back, weak digestion, loss of appetite, eructations, oppression of the stomach, heartburn, mucous coating on the tongue, burning in the abdomen and anus; dis- position to vomit; alternate diarrhoea and constipation violent itching of the anus and perineum, eruption on these parts. If these symptoms are wanting or only partially pre- sent, and the veins of the anus are swollen, we apply to these veins the designation of blind piles ; if these turbid PILES, HEMORRHOIDS. 485 vessels bleed, which takes place at more or less regular periods, and is attended with relief from all these dis- tressing sensations, we apply to these discharges of blood the term of fluent piles. If a purulent mucus is secreted in the place of blood, we call this mucous piles. Most piles being fed or caused by latent psora, we treat them with Sulphur, which has to be allowed a long action. We may give it in alternation or combination with Nux vom., which not only removes the troublesome abdominal infractions but likewise restores the sup- pressed hasmorrhoidal flow. Nux vom., suitable to choleric dispositions, persons who lead a sedentary life, and are addicted to the use of coffee, spirits, etc., also in the case of pregnant females, worms; the patient complains of stinging, burning and itching of the anus; stitches and shocks in the small of the back, with bruising pain, so that the patient is unable to raise himself; frequent constipation, with unsuccessful urging to stool, as if the anus were closed or contracted; congestion of blood to the abdomen and head, bloating of the pit of the stomach and hypochon- dria, heaviness in the head, inability to think, vertigo; retention of urine; discharge of blood and mucus from the anus. If the hsemorrhoidal tumors become swollen and in- flamed, so that the patient experiences violent pains and is unable to sit, Aeon, and Nux vom. may be given in alternation, six pellets in a cupful of water, a spoon- ful every two hours; the pains will soon abate, and the tumors will shrink. If the loss of blood is suddenly arrested, and a violent burning is experienced in the anus or rectum, Carbo. veg. may be given, which is likewise adapted to a discharge 486 TREATMENT OF LEADING DISEASES. of burning mucus from the rectum, and indicated by bluish tumors. If the blood is burning, with stinging pain in the tumors, heat, restlessness, prascordial anguish, burning in the vein, Arsen. may be given, also in alternation with Carbo veg. Bellad., flowing piles, with violent pains in the small of the back as if the back should break, (also in alter- nation with Hepar) Calc. carb., for flowing piles, in the case of plethoric persons, also if the piles have become suppressed, with affection of the heart. The principal remedies for mucous piles are: Mercut. Antim crud., Puis. If the piles bleed violently, we give Aeon., China, Calc. carb., Ipee, Bellad., Phosph. The pains in flowing piles, if induced by a fit of anger, are moderated by Cham., if by grief, by Ignatia. Muriatic acid, for inflamed, swollen, bluish-red and sensitive hemorrhoidal tumors. For haemorrhoids of the bladder see next chapter. Washing with cold water and cold-water injections are injurious; likewise ointments; the cutting off of hemorrhoidal tumors has often given rise to cancer of the rectum. Ulcerated tumors require Sulphur, Mercur., Arsen. Sil. The principal remedy for fistula of the rectum is Sil.' this should be given before an operation is attempted. Fig-warts at the anus are sometimes confounded with hemorrhoidal tumors, especially by ignorant laymen ■ hence in the statement of their case, the physician should always examine for himself, and not depend upon the statement of his patients. AFFECTIONS OF THE BLADDER AND KIDNEYS. 487 Affections of the Bladder and Kidneys. Inflammation of the Bladder. (Cystitis. J It is indicated by a pain in the region of the bladder, which is increased by pressing upon the region over the pubic bone, upon the perineum, and, in the case of females, through the vagina. There is retention of stool, which causes much distress, especially to males. Urging to urinate, the urine passes off drop by drop, and causes intense pain; it is dark-red, generally turbid, and mixed with mucus, pus or blood ; drawing pains up the ureter, vomiting, fever, dry heat. These are the symptoms of acute cystitis: The chronic form is characterised by frequent urging to urinate, and alternate spasms of the bladder and colicky pains. The eatheter can be introduced without difficulty, and there is generally a good deal of urine. Aconite is the main remedy, to which all the symp- toms generally yield; give six pellets in a cupful of water, a spoonful every hour or two hours. If the retention of urine continues, and the discharged urine is bloody, with much burning, Aeon, and Cannabis should be given in alternation, every two hours. If the disease is caused by the application of a Can- tharides, blister to the region of the bladder, with re- tention of urine, or a slow, thin stream, burning in the urethra, we give Camphor. This remedy may also be given in alternation with Aeon, or Puis. Cantharides is indicated by violent and unsuccessful urging to urinate, or discharge of a few drops of dark urine, stinging and burning pains in the region of the bladder, especially before and after urinating; cutting pain from the kidneys to the bladder; bloated abdomen, 488 TREATMENT OF LEADING DISEASES. which is sensitive to contact, especially in the region of the bladder. Bloody urine; urine full of mucus and sandy sediment; chill, icy coldness of the hands and feet; urging to stool, vomiting, violent thirst, small pulse, flushed and hot cheeks. Nux vom. is suitable to persons who are addicted to the use of coffee or spirits, also if the attack is attended with hemorrhoidal difficulties. Urging to urinate, with violent pains during and after the emission of urine, which is discharged in drops; gravel. A number of calculi have often been discharged after taking Nux. Spasmodic stricture, Colic, vomiting, urging to stool, constipation. Drawing in the testes and spermatic cords. The patient feels worse when sitting. Puis., especially when patients complain of menstrual difficulties, and suitable to pregnant females; tenesmus of the bladder, with burning and stinging in the neck of the bladder; painful discharge of slimy purulent bloody, viscous urine, with similar sediment; contrac- tion and cutting in the small of the back and in the umbilical region ; papescent stool (in chronic cases also Sepia) Bellad., spasm of the bladder and paralysis of the same, especially after a cold, fright, with rush of blood to the head, delirium, etc., stinging burning in the lum- bar vertebre, extending to the bladder, worse at inter- vals ; urine passing off with painful urging; anxiety, restlessness, especially at night. Dulc ; after a cold, milky, slimy urine with burning in the urethra; slimy sediment in the urine, also mixed with bloody coagula. After Dulc. we may give Kali carb. Arnica, after concussion, a strain. CATARRH OF THE BLADDER. 489 Arsen.; cystitis, with albuminous urine; lameness of the bladder with organic disease, such as dropsy ; burn ing urine, with great anguish ; uremia (poisoning of the blood by the absorption of urine.) Calc. carb.; suitable to scrofulous persons, greenish, fetid, also bloody urine, with discharge of polypous masses of mucus. Phosphorus, bloody, watery urine, with brick-dust or whitish and cloudy sediment. Mercurius, with copious sweat, or if a syphilitic taint is present. Lycopodium, urine with chalky sediment, it contains small calculi. Opium, spasmodic retention of urine, especially after a fright; also for renal colic. Terebinthina, burning and drawing pain in the region of the kidneys, spasmodic urging in the bladder; urin. ating is preceded by cutting pains and tenesmus of the bladder; intolerable burning in the bladder and urethra when urinating; urine red, bloody, slimy, or else watery and copious; the urine smells like violets. Sulphur, suitable to scrofulous, arthritic, hemorrhoidal constitutions, also to hypochondriac individuals; burn- ing, cutting and stinging when urinating; urine bloody, slimy, with a sediment resembling flour or brick-dust. Catarrh of the Bladder. The mucous membrane of the bladder is affected, the scanty urine is mixed with mucus, pus, epithelium, blood. In the region of the bladder, pubes, perineum an abnor- mal sensation of pressure and cutting is experienced, increased by motion and the introduction of the cathe- ter; nr/\Tifi r.» urinate, pain when urinating and at stool. 490 TREATMENT OF LEADING DISEASES. The chief remedies are: Aeon., Puis., Nux vom., Dulc, Sulph., Calc. carb., Lye, Mercur., Phosph., Cohcynth. The latter is suitable for acute catarrh of the bladder, with colicky pain, obliging one to bend double, and recurring periodically. Hemorrhoids of the Bladder. They occur simultaneously with either common he morrhoids, or else after the disappeaarnce of the latter, especially in the case of old men. They constitute varicose enlargements under the mucous membrane at the neck of the bladder. They recur periodically, and are characterised by pains during urination, pain in the neck of the bladder and by a deposit of mucus, pus and blood in the urine. The remedies are the chief remedies which have been recommended for piles: Aeon., Nux vom., Puis., Sulphur Spasm of the Bladder, More or less, accompanies the above-mentioned com- plaints, and is removed by Bellad., Puis.. Sep., Tereb., Asa., Canth., Caps^, Phospor. ac. It some times proceeds from Strictures of the Urethra, Which has to be explored by means of a bougie. The frequent introduction of a bougie, which has to remain for a time, is extremely adapted to the purpose. Inter- nally we may give Merc, Clem, or Sulph. For Paralysis of the Bladder, We give Aeon., Ars., Lach., Dulc, Bellad.. Canth., Ch'cuta Hyoscyam., Lauroc. INFLAMMATION OF THE K.1DNEYYS, ETC. 491 Polypi of the Bladder. The main remedy is Calc. carb., which must be allowed to act for months. We may likewise consider Phosph., Tliuj., Con., Merc, Sil. Inflammation of the Kidneys. (Nephritis.) It is indicated by pain in the region of the kidneys, down the ureters, as far as the bladder. Scanty dis- charge of urine, painful urination, dark, hot and bloody urine; numbness and laming heaviness of the thigh of the affected side, difficulty of lying on the back, spasms of the bladder, inclination to vomit, vomiting, constipa- tion, violent fever. It either terminates in abscess or it leaves a hard cicatrix. The abscess either breaks externally, or opens into the urinary passages, whereby a large quan- tity of pus is discharged with the urine. Chief remedies are: Aeon., Bellad., Canth., Nux vom., Puis., the same which have been indicated for inflam- mation of the bladder. In affections of the bladder the difficulty of urinating is very much eased by filling the chamber half with hot water, so that the warm vapors come in contact with the abdomen, and especially with the region of the bladder. Phthisis of the Kidneys, Has been treated of, page 162. Bright's disease. (Morbus Brightii.) Altschuhl condenses a description of this disease in 492 TREATMENT OF LEADING DISEASES. the following statement: According to Frerichs this disease, which has been investigated by recent explorers with much care, consists in a sub-inflammatory process extending over the whole parenchyma of both kidneys, by which the albumine is excreted with the urine, (^albuminuria,) and coagulated fibrin is likewise found in the albuminous urine. In the course of the disease the anatomical changes in the kidneys take place, where hypersemia is observed in the first stage of the renal disorganization; exudation and the incipient trans- formation of the exudation in the second stage, and finally in the third stage the retroversion, absorption or atrophy when larger or smaller portions of the renal tissue are destroyed. According to Bright the striking alteration of the renal substance consists in this, that the cortical sub- stance which increases in size at the expense of the medullary substance, has no longer a smooth, but a granular and discolored surface. The acute form which arises after a cold or after scarlatina, exhibits the following symptoms: Dull pain in the region of the kidneys, which is aggravated by pressure and by bending double, commencing with .chilliness, fever and nausea; the frequent urging to urinate results in the discharge of a brownish-red urine, which, after standing, deposits a reddish flocculent sedi- ment. The quantity of this urine is almost always smaller than the quantity of the liquid drank; its speci- fic gravity is greater than the normal figure. The sedi- ment contains a number of epithelial cells of the urinary passages, together with blood-corpuscles and fibrinous casts of. the uriniferous tubuli, and very frequently urates. In many cases the blood is not seen in the BRIGHT'S DISEASE. 493 urine, but this fluid always contains albumen, epithe- lial cells and coagula. The skin is hot and dry. Very soon the oedematous swellings are perceived. The morbid process often ends favorably by an increased secretion of urine and by copious sweats; but it may likewise destroy life by uremia, acute oedema of the lungs, cedema of the glottis, pneumonia, pleuritis and pericarditis. The chronic form arises from the acute form and has the following characteristic . symptoms : The larger number of impoverished individuals or such as are tor- mented by organic diseases of the heart and lungs, have a pale and bloated appearance, a cool and dry skin, they feel languid, and emit a greenish-yellow urine in large quantity. Its specific gravity is less than the natural figure, and when boiled, the urine deposits a copious sediment of albumen ; the microscope reveals fibrinous coagula; the nightly rest is disturbed by frequent urg- ing to urinate, the pressure on the region of the kid- neys causes pain ; finally dropsical swellings set in, with derangements of the digestive and respiratory organs, dropsy and death, especially by uremia. In making a chemical analysis, nitric acid renders the best service. This disease not only occurs in consequence of a cold, but also as a result of dyscrasia, of tuberculosis and abuse of spirits; as an attendant upon typhoid cholera, after scarlatina, measles, variola, typhus, during the course of heart-disease or during pregnancy. For albuminuria, which is in reality only a symptom of Bright's disease, Coloc and Dulc. have been recom- mended ; but in the stage of hyperemia Aeon, has to be given, and when exudation has taken place, Bry, Arsen. Colch., Mercur., Digit, and Nitric ac. have been proposed £94 TREATMENT OF LEADING DISEASES. Bry. and Mercur. are rather suitable for the acute form, and Arsen. for threatening uremia. Diabetes insipidus. Secretion of an increasing quantity of urine, the com- position of which is likewise altered (most frequently, containing sugar,) and by which the bodily strength decreases more and more. This disease is very seldom recognized at the outset; hence the necessity of attending to the precursory symp- toms which consist in deficient digestion, disposition to acidity, heartburn, ravenous appetite and violent thirst. As the disease increases the thirst becomes most intense and cannot be quenched, especially at night. This in- duces an enormous secretion of urine, but the urine, in spite of its specific gravity, is watery or of a pale-yellow color, either tasteless, insipid, (hence the name diabetes insipidus,) or having asweetsh smell and taste, (diabetes mellitus, glycosuria, raellituria, polyuria saccharata, sugar-urine.) Diabetes mellitus. The presence of sugar in.urine, even if the urine has no sweetish taste, is most readily ascertained by causing it to ferment in a warm place; for, under such circum- stances, it does not acquire an ammoniacal, foul taste like healthy urine, but a taste like that of new wine or malt-beer, horse urine. By evaporating the diabetic urine, it acquires a syrupy consistence. Diabetes most frequently attacks male individuals of middle years or an advanced age. Remote causes of DIABETES MELLITUS. 495 the disease are: An irregular mode of life, excesses or else the opposite, deprivations, exclusive use of farina- ceous or sour food, new and acid wines, fermenting beer, etc.; abuse of drugs, sexual excesses, fatigue, a cold, exposure to chilly and damp air, suppression of reaction in rheumatic inflammations, suppression of cutaneous eruptions. Very frequently diabetes is in re- lation with tuberculosis, and sometimes attacks several persons of the same family, as though it might be an nereditary disease. In the case of individuals affected with pulmonary phthisis; or in the case of old persons exhausted by disease or excesses, or poisoned by abuse of spirits, or afflicted with albuminuria or dropsy, the prognosis is very unfavorable. In a few cases I have succeeded in effecting a cure by Phosphor, ac. The burning thirst is often relieved by Arsen. We likewise recommend Ledum, Dulcam., Natr. mur., Nux vom., Puts., China, Carbo. veg. and Anim., Ammon., Squilia, Verat, Argent, Calc. carb., Sulph. A Dutch homoeopathic physician has undertaken to tre?*t the disease isopathically by boiling an ounce of the urine that had been voided early in the morning, un* 1 it had become inspissated like syrup; of this sympy substance he makes triturations in the usual way, and gives a patient a grain of the second or third every evening and morning, until an improvement takes place. All saccharine food and drink, especially farinaceous and mucilaginous food, vegetables and the like should be avoided; the patient had better confine himself to meat, broth, the yolk of eggs, bran-bread, etc. Such patients should wear flannel on the bare skin 496 TREATMENT OF LEADING DISEASES. and live m warm climates if possible; frequent frictions of the skin, gymnastic exercises, dry and wet wrap- pings of the body, frictions with lard and the like, are to be commended. Bloody Urine, hematuria. Discharge of a dark, mostly rose-colored blood, which is intimately mixed with the urine. The quantity is often quite considerable, a pound even, without pain in the bladder, spasmodic pain in the renal and lumbar and renal regions, the testicles are drawn to the ab- dominal ring. Constipation, rigidity of the back: urging to urinate; congestion towards the kidneys. The chief remedies are: Aeon., Canth. and Puis.; also. Am., Ars., China, Ipee, Mezer., Nux vom., Lye, Secale, Calc. carb., Sep., Phosh., Caps., Zinc, Sulph., Merc, Millef. Hematuria after a blow or fall, requires Am., Con., Puis., Rhus. After suppression of herpes, or other cutaneous erup- tions, Sulph., Calc. carb., Con., Merc. After badly managed gonorrhoea, Cann., Canth., Puis., Merc , Sulph., Thuja. If complicated with renal ailments, Canth., Puis., Nux vom., China, Lye, Terrebinth., Sulph., etc. After abuse of coffee and spirits, Nux vom., Ars., and if great debility is present, China, Phosh. If a few drops of blood are discharged after urinating, Mez. Nose-bleed, epistaxis. Nose-bleed takes place at the conclusion of many dis- NOSE-BLEED. 497 eases, and is a spontaneous effort of Nature to relieve herself. Hence if it is not excessive, a genuine hemor- rhage from the nose, nothing need be done for it; it is certainly not advisable to snuff up cold water, or water and vinegar, brandy, Kreasote, and the like, or to stop up the nose with a sponge, cloth or blotting paper, for this may have the most pernicious consequences and may even result in apoplexy. If medicines are required, the following may be used : For violent epistaxis we may give Aeon, and Bry., in alternation. Puis., if the menses are scanty or suppressed, (also Sep. or Sec) Arnica, if caused by a blow, fall or concussion, (also Rhus, Calc. carb) China, if great weakness has resulted from the nose- bleed, (also Sec, Carbo. veg., Ferr) If complicated with worms, Cina., (also Merc, Sulph) After heating drinks, coffee, spirits, Nux vom., also suitable to females who menstruate profusely. After an excitement, with restlessness, anxiety, palpi- tation of the heart, flashes of heat, Aeon. With rush of blood to the head, Bell, also Hyosc. If the blood coagulates after being discharged from the nose, Merc The disposition to nose-bleed is relieved by Calc. carb., Sulph., Carbo veg., Sep., Sil, also Sabina, Nitri acidum. If these remedies are not at hand or seem inefficient the bleeding may be stopped by placing a piece of blotting paper under the tongue in front, or laying a cloth dipped in cold water and then wrung out, between the shoulder-blades, and then covering it with a dry rloth; but the head must not be bent forward. The 32 498 TREATMENT OF LEADING DISEASES. true cure has to be effected by the right homceopathio remedy. Cancerous and other disorganizations. Swelling of the Nose. After external injury, Am., Rhus tox. After abuse of mercury, Nitri ac, Aur., Hep. Mercur., Sulph., Asa., Bell. For scrofulous individuals, Sulph., Calc. carb., Hep.. Merc, Aur., Sil, Phosph., Bell, Puis., Bry., etc. For persons addicted to drinking, Ars., Calc. carb. Sulph., Nux vom., Merc. If the tip of the nose is red, Carbo an., Carbo veg., Sep. Nitr. ac, Rhus, Calc carb., Sulph. For red spots, Phosph. ac, Sil: For copper-redness, Arsen., Carbo an., Verat., etc. For black pores, Graph., Natr., Sulph., Calc carb. For scurfs at the tip of the nose, Carbo veg., Natr. mur., Sep., Sil, Nitri ac For old warts on the nose, Thuja, Caust. Suppuration and ulceration of the Nose. (Ozaena.) For discharge of pus from the nose, the main remedy is Merc, except in cases of syphilitic ozena, where Mer- cury had been given in large doses; here we give Aur., Nitri. ac, Hep., Lach., Asa., Puis., Calc. carb., Sulph., Thuja, Alum., Con., Kali bichr. For ulceration and scurfs of the nostrils, with secre- tion of indurated nasal mucus, which has the smell of old cheese, with fetor from the nose, the main remedies are Puis, and Aur.; but the other remedies may like- POLYPUS OF THE NOSE.—SNEEZING, ETC 499 wise have to be used; if the smell is like that of horn, we give Graph.; if sweetish Nitric ac. All these reme- dies should be allowed to act a long time. Polypus of the Nose. I have cured most nasal polypi with Calc carb. and Phosph.; we may also have to use Puis., Staph., Sep., Sil. Polypi that are torn out generally grow again in a very short time after the operation. As an external remedy for drying up polypi, I recom- mend the snuffing up of pulverized horse-chestnuts. A pinch of this powder is snuffed up four times a day. If the nose is stopped up so completely that no powder can be snuffed up, some other person has to blow up the uowder into each nostril by means of a small paper funnel, so that it adheres to the polypus. Sneezing. For excessive or incomplete sneezing, Sil is a good remedy; Carbo veg., if the sneezing is suppressed and a violent tingling and itching in the nose accompanies the desire; also, Puis. Excessive sensitiveness of the olfactory nerves. Some persons manifest an extraordinary sensitive- ness to tobacco-smoke, the perfume of flowers, etc.; this may be modified by Bell, or Lye, also by Aur., Nux vom.. Phosph., Sep. Loss of Smell. Remedies: Sil, Sep., Bell, Calc. carb., Hyoscyam. Plumb., Puis. For other other symptoms consult the Repertory under " Nose." 500 TREATMENT OF LEADING DISEASES. Schirrus, carcinoma, cancer. It begins with a hard swelling of glandular organs, having an uneven surface. The centre is raised, but there is no fluctuation. Afterwards the epidermis be- comes detached, and a thin acrid ichor is discharged as from a sieve which augments the pain and causes the ulcer to spread, and frequently gives rise to wart-shaped excrescences, or causes deep-seated disorganizations resulting in a hideous disfiguring of the parts. The edges of the sore look padded, and are hard and painful; the pain is mostly burning and lancinating; lancinating stitches frequently flash through the ulcer. The base of the ulcer, like the surrounding margin, is hard and studded with wart-shaped, readily-bleeding fleshy excres- cences. The ichor is thin, acrid, corrosive and spread- ing, having a foul smell. Sleep, appetite and digestion are deranged; emaciation, diarrhoea, hectic fever or violent hemorrhages take place which finally put an end to life. These tortures are frequently complicated with a sort of rheumatic pains, (cancerous rheumatism.) Although experienced Old School physicians have for a long time past laid down the maxim, that a can- cerous tumor should not be touched with the knife, yet many persist in sinning against common sense by extir- pating the tumor with the knife or with a poisonous paste. But these illusory proceedings are soon followed by a renewed and fatal outbreak of the disease which is not confined to the one tumor but has its seat in the whole mass of the vital fluids. This disease can only be met by internal treatment, and here we recommend first and foremost Arsen. Every cancerous ulcer depends upon a cancerous dys SCHIRRUS OR CANCER OF THE BREAST. 501 crasia which still continues even after the removal of the local symptom. Its pathognomonic signs are: con- tinued emaciation, prostration, languor, sallow com- plexion and color of the skin, dryness and exfoliation of the skin. The deeply-furrowed face shows an ex- pression of pain and sorrow. Add to this the above- mentioned symptoms developed in the last stage of the disease, hectic fever, chills, etc. The most penetrating remedies for the cancerous dys- erasia are: Arsen. and Silic Schirrus of the stomach and cancer of the womb have been treated of in their respective chapters; we now come to Schirrus or cancer of the breast. No organ is more frequently attacked by this disease than the mamma, which is frequently owing to tight lacing or dressing; pressure upon the mamma may induce an induration, especially in the case of scrofulous females, and this induration may readily assume the character of schirrus. Such indurations of the mamma are often met with even among little girls ; if they are traceable to pressure, or some contusion, Arnica will remove them; if the cause is unknown, we give Puis, or Cham.; if there is ery- sipelatous inflammation, we give Bell. We may like- wise consider Bry., Clam, and Merc. Indurations in the case of older persons, if caused by pressure, a blow, fall, contusion of some kind, yield to Arnica internally, and a wash of the tincture externally. If shooting stitches flash through the tumor, Con. is the specific remedy, even in inveterate cases. In one case 502 TREATMENT OF LEADING DISEASES. the right mamma exhibited an induration of the size of a hen's egg, with frequent lancinations depriving her of sleep. After a dose of Conium 30 in water, six pellets in a cupful, a spoonful four times a day, the pains dis- appeared in two days, the smooth and hard tumor divided into several hard glandular swellings which likewise disappeared in three months, and the whole mamma became as soft as the left, the patient has re- mained well. We may accomplish good results with Calc. carb. and Carbo an., with the latter especially, if the pains are burning and tearing, the patient complains of dyspnoea and anxiety, and is low spirited and desponding. In dangerous cases we have to resort to Arsen., Bellad.. Clem., Kreasot, Phosph., Lachesis. The indicated remedies may be given in alternation, for three or four days we give Arsen., sifter a pause of four to seven days Kreasot, and so on. Acute burning pains require Carbo an. and Arsen., which have to be repeated quite often. Kreasot. if the whole breast is hard, bluish-red, studded with protuberances, which are covered with scurfs, and bleed when the scurfs are detached. Lachesis, the ulcer has a bluish or dark-red base, which is covered with black streaks of coagulated blood. Phosph., feeble chest, with disposition to tuberculosis, sensitiveness to cool air, increase of the pains during a change of weather; also if the fleshy adjoining parts and the axillary glands are involved. We also recommend: Ferrum acet, Graph., Hepar, Sulph., Lye, Aur., Baryta, Nitri ac, Sepia, Sil If the disease is very obstinate, different potencies of CANCER OF THE NOSE. 503 the same remedy may be given, for four days; for in- stance, we give the 30th, and after a pause the 5th or 15th. The proper remedy may likewise be applied ex- ternally ; for instance, Conium 30 internally, and exter- nall}'' compresses moistened with a solution of four drops of the tincture of Con., in half a cupful of dis tilled water. In a case of open cancer we may give Ars. 30 inter- nally, and externally scatter a layer of the 5th or 6th trituration of Ars. upon the ulcer, or else cover it with a fine linen rag upon which we previously spread a layer of arsenical ointment consisting of the previously mentioned trituration rubbed up with fine wax or sweet oil. These cancerous ulcers have to be cleaned every day, by washing them with soft rags and sponges dipped in tepid water; but care should be taken not to touch the ichorous parts with unprotected hands lest the ichor should communicate with some sore on the finger; it is therefore advisable to hold the rag with a pair of pincers. Cancer of the nose. This is properly speaking a phagedenic tetter de- stroying first the wings of the nose, the tip of the nose, and the adjoining portions of the skin, which ulcerate, form scurfs, and finally disappear in consequence of repeated ulceration. This disease is also named lupus. It rests upon a scrofulous or syphilitic base. Some- times the destruction communicates itself to the bones and cartilages; I have treated cases where a portion of the septum had disappeared. 504 TREATMENT OF LEADING DISEASES. Thirteen years ago I treated a female whose nose- had been entirely destroyed, so that the frontal cavity was laid open. The profuse suppuration had induced great prostration, so that the physicians only allowed her four weeks to live. The burning pains in the ulcerated edges of the sore deprived the patient of all sleep. I gave her Arsen., six pellets in a cupful, a spoonful four times a day for twelve days, after which period I dis- continued the medicine on account of the excessive increase of the discharge of pus, and of her debility. The pains soon disappeared, the strength returned, and in five months the edges were almost healed. The cure was completed by a dose of Sulphur. The woman is still living; every two or three years there is a ten- dency to suppuration, which is always arrested by a dose of Arsen. I have cured a number of cases of lupus with one dose of Sulphur, six pellets in water, a spoonful morn- ing and night for four days, and then allowing it to act for a long time. If there is much burning pain, Arsen. may be given in combination with Sulph. We may also compare Mercur., Sil, Calc. carb., Aur., Sep., Carbo an., Kreasot, Kali bich., allowing each remedy to act a long time. If any thing is to be applied externally, it should be a fine soft rag upon which some mutton tallow is spread. Cancer of the lips. This is often caused by the pressure of a pipe. As soon as a swelling is perceived, we give Arnica, and the pipe must be abandoned. If the induration does hot CANCER OF THE TONGUE. 505 yield to Arnica, we may try Conium in water, a spoon- ful two to four times a day. If there is much burning, we give Con. and Arsen. in alternation. If there is a psoric taint, we give Sulph. or Calc. carb. These remedies, and those which have been recom- mended for cancer generally, are sufficient to cure, and most commonly do cure cancer of the lips, except where it is operated upon; for then it generally breaks out again on the neck, in the neighborhood of the carotids, and is seldom cured, though the same remedies have to be given. Cancer of the Tongue Is generally caused by biting the tongue or contusing it, and at the outset is readily cured by Aur., Con., Arsen., Mercur. If the cancer bleeds, the remedies -ecommended for cancer have to be used. An opera- tion with the knife should be avoided. Spongy excrescences, fungi. Fungus hematodes requires Ars., Sil, Carbo an., Phosph., Calc. carb., Lach., Merc, Sulph., Nitr. ac. Fungus medullaris, Bell, Phosph., Carbo an., Thuja, Sil, Sulph. Fungus articularis, Antim., Lach., Sil, Arsen., Kreas., Iod., Phosph., Staphys. As a palliative and partial curative remedy I recom- mend the application of pulverized chestnuts to the fungus, which has the effect of drying it up. Struma, goitre. This is a swelling of the thyroid body which covers the larynx, and which, when swollen or indurated, 506 TREATMENT OF LEADING DISEASES. presses upon or pushes the larynx and trachea out of their places, causing a difficulty of breathing, with loud snoring or wheezing inspirations, especially if the swell- ing extends to behind the sternum. A goitre scarcely ever develops itself in tuberculous individuals. This disorganization may result from lifting or carry ing a heavy burden up hill, whence goitre is often en demic among persons who inhabit mountainous slopes; it may also be caused during confinement in conse- quence of the head being stretched backward, or by the continued use of lime-water. This disease is easily cured at the outset, when the tumor is not very considerable; the main remedies are, Calc carb., Spong., Iod., Brom.; also, Con., Natr. carb. Sulph., Sil, Staph., Lye If the goitre is not cured at once, the accompanying distress of breathing very soon disappears; but the cure has to be continued one or two years. The following domestic remedy may be used, but I never allow it, without previously using homoeo- pathic treatment for at least six or nine months: Pre pare a mixture of three parts of pulverized candi, two parts of pulverized roast sponge, and one part of pul- verized egg-shells. All these ingredients may be had of a good druggist, and should be rubbed together very thoroughly. Of this powder the patient takes every evening, during the declining moon, as much as will cover the point of a knife, for seven days. This is repeated at every decline of the moon, at which period goitres are very apt to decrease. By this proceeding I have cured a young lady in the space of six weeks wh» had two goitres of the size of a child's head each, and who had been for several years under homoeopathic treatment without the least benefit. MENTAL DERANGEMENTS. 507 If I should be accused of giving homoeopathic reme- dies differently from what the routinists of the Homoeo- pathic School are in the habit of doing, I reply to them that it is neither my desire nor duty to carry out a theory to the detriment of a patient, but that I consider it of primary importance to achieve a cure. Iodine should be used with great care; the improper use of this agent may induce emaciation, and may prove otherwise dangerous. Mental derangements. All derangements of the mind and of the emotive sphere, originate in some bodily disease, (were it a most trifling alteration of the nervous system,) or they arise from a metastasis of such a disease to the brain or to the nerves, which more directly affect the functions of the mental or moral sphere. This must appear evident to any one who considers what an influence every disease has upon the mind and temper of the patient; a similar influence is perceived under the operation of drugs, and thus it is plain that mind and body are connected in a series of actions and reactions, and that the one cannot be affected without the other sympathising with these changes. Hahnemann says in this respect in the Organon: 'How often does it not happen that we meet persons Afflicted with the most painful diseases, and yet ex- hibiting a mild and gentle temper, which is at once dissipated as soon as they get better and gives way to ingratitude, hardness of heart, malice, and the most revolting and disgraceful caprice. " Patients who are weak and gentle in health, when diseased often become obstinate, irritable, desperate; 508 TREATMENT OF LEADING DISEASES. modest females exhibit vile and immodest desires. A bright intellect often becomes dull, and a weak-minded person frequently seems cunning and ingenious; per- sons of slow comprehension often show much presence of mind and decision," etc. As soon as we discover traces of mental or moral derangement in a person, we have to ascertain in the most correct manner his physical condition, especially such as it existed previous to this stage, whether the patient had been afflicted with eruptions, syphilis or the itch. Next we have to find out by the friends and rela- tives of the patient, by what signs the abnormal con- dition of the mind has manifested itself and is now characterized; and the combination of all these symp toms will be the exact reflex of a series f drug-symp toms characterizing the action of one or the other medicine, which medicine will prove the remedy for this mental disorder. I have often succeeded in curing an inveterate menial disorder with a single dose of the appropriate remedy sometimes in a short, and in other cases in a much longer period. A youth of seventeen years was sent to my clinic, with a certificate by the Royal Prussian Lunatic Asy- lum, that his idiocy was incurable and that it was marked with an occasional erethism. The first symp- toms of mental derangement had shown themselves several years ago, after the suppression of a tinea, with which he was afflicted, by means of an ointment. First he was attacked with sleeplessness, after that with frightful spectra, delirium, paroxysms of rage with desire to escape. Finally the patient became taciturn, peevish, and lastly idiotic and completely apathetic, so MENTAL DERANGEMENTS. 509 that he was unconscious of his natural wants, and sul- lied his bed and linen worse than a brute creature. Sulphur being indicated by the cause and Bell, by the symptoms, I gave both medicines in alternation, in the 30th potency, six pellets in a cupful of water, a spoonful morning and evening for four days; already on the eighth day a marked change took place, he made his wants known; in four weeks he gave a ra- tional answer every now and then. After the lapse of three months, he expressed himself coherently, played a social game, wrote letters to his friends, and dicovered mistakes in the accounts of an employee. This one dose completely restored his health, which no other treatment had been able to do. A female who had always manifested an irascible tem- per, suddenly became quiet, and sank into a species of reverie and melancholy of which nobody knew the reason. She frequently confounded things, put sand into the soup instead of salt, so that for years past she had been unable to take any part in the domestic con- cerns. She made no complaints, but her relatives stated that her bowels were very much constipated, and that her menses were too frequent and too profuse. I gave her Nux, the effect of which was that she was completely restored in a few weeks, and was able to attend to the affairs of her household as in former years. A very pious and gentle lady, whose manners had always been unexceptionable, suddenly became deranged and raving mad. She expressed her contempt for others, showed a high opinion of herself, and expressed desires which showed an intensely abnormal excitement of the sexual organs. Platina restored the patient in eight days. 510 TREATMENT OF LEADING DISEASES. A young girl lost her menses in consequence of a cold; she became melancholy, taciturn, peevish, dis- posed to cry, complained that she was pregnant, was troubled with religious scruples, and expressed all sorts of absurd thoughts. Her sleep was entirely gone. With reference to the cause and symptoms of her case, I gave her Puis, and Verat. in alternation, and her improve- ment set in at once; first her sleep returned, and hei fancy became quiet; after the lapse of eight weeks, the menses returned and the cure was then perfect; joyful and happy the patient returned home. Mental derangement may be induced by some emo- tion with reference to which the medicine has to be chosen. I will here' mention the main remedies for emotions; the Repertory may likewise be consulted page 1. After fright and its consequences the main remedy is Opium, after a joyful surprise, Coffea. After fright and mortification, and great excitement, Aeon. After a fit of chagrin the main remedy is: Cham.; after a fit of chagrin and anger: Nux vom.; after a fit of wrath: Staphys. After suppressed anger, silent mortification, grief, unhappy love: Ignatia, also Phosphori ac After fear and anxiety : A con., Bell, Arsen. If diar- rhoea ensues, or hands and feet are cold, we give Verat; if the abdomen is hot and the extremities cold : Puis. Prominent symptoms and their chief remedies, all of which I give in the BOth potency. 1. Relating to the moral sphere. PROMINENT SYMPTOMS, ETC. 511 Weariness of mind : Aur., Bell, Ignat, Lye, Natr., Phosph., Phosph. ac, Plat., Puis., Verat. Anxiety: Aeon., Arsen., Bell, Puis., Verat. Irascible temper: Aeon., Anac, Cupr., Nux vom. Boldness: Ignat, Opium. Serious mood: Cocculus. Swearing, scolding: Anac, Bell, Hyosc, Lye, Stram., Verat Joyful mood: Coff., Croc, Natr., Op. Irritable mood: Aeon., Aur., Cham., Coff., Nux vom Indifference: Phos., Phosph. ac, Puis., Sep. Greediness : Puis. Haughtiness: Lye, Plat., Verat. Despondency: Aur., Ignat Mistrust: Bor., Caust, Cie, Lye, Puis. Gentleness : Puis. Sadness: Aeon., Ignat., Natr. mur. Out of humor : Calc. carb., Lye, Sulph. Amorous: Canth., Hyosc, Phosph., Plat, Verat. ^Fitful mood: Alum., Ferr., Ignat, Plat, Sulph. ac^ Zinc 2. With reference to the understanding: Forebodings: Aeon., Spig. Weariness of mind: Bell, Hyosc, Lach., Lye, Op Phosph. ac, Sep., Stram., Verat Excited mind : Aeon., Coff., Opium. Easy comprehension : Coff., Op.; difficult comprehen- sion : Con., Lye, Natr., Op., Phosph. ac Loss of consciousness : Bell, Phosph. ac. Idiocy : Bell, Hyosc, Natr., Phosph. ac, Stram., Sulph. Delirium: Ars., Bell, Bry.,Hyosc, Op., Stram., Verat. Fixed ideas: Bell, Cocc, Ignat, Phosph. ac, Sulph. Verat. 512 TREATMENT OF LEADING DISEASES. Ecstasis: Aeon, Op., Phosph. Religious mania: Lach., Stram., Verat. Rage: Bell, Hyosc, Lye, Stram., Verat. Absence of mind : Caust, Cham., Puis., Sepia. 3. Referring to the memory. Quick : Bell, Hyosc. Feeble: Anac, Bell, Hyosc, Lye, Verat. Lost: Bell, Hyosc, Verat. Characteristic symptoms of some of our chief remedies taken from the recorded provings. Aconite: Inconsolable anguish, with apprehensions despondency, loud moaning and lamenting, bitter com- plaints and reproaches. Despair of one's recovery. Apprehensions of approaching death. Anguish of death. Sensitive and peevish mood, disposition to complain of the least joke. Tendency to start. At times mirthful and disposed to sing, at other times dis- posed to cry. Delirium at night, also with desire to escape (compare Bell) Boldness of speech with spark- ling eyes. Vascular erethism, palpitation of the heart. Vertigo with obscuratiton of vision and nausea. Bellad. Derangement of the emotive sphere after suppression of erysipelas, after meningitis, typhus, apoplexy. Despondency, wishes to die. Moaning. Crying mood, anxiety during a walk in the open air. Restless, cannot remain quiet in any one place. Pre- cordial anguish. Longs to die. Tendency to start, feels timid, is disposed to cry, hide himself, escape; is mistrustful, apprehensive of imaginary things ; he fears to die or to rot with his living body. Apathy, is averse to talking, seeks rests and wants to be alone. Exces- CHARACTERISTIC SYMPTOMS, ETC. 513 sive sensitiveness of all his senses, is irritable. Howls and screams, is quarrelsome, breaks out in rage with convulsions and gritting of the teeth. Staring look, he does not recognize his own relatives, is in a state of rage, tears things, bites, spits, strikes about (Hydropho- bia.) Excessive mirthfulness, frantic singing, whistling, laughing, or smiling, etc. Fitful mood. Illusions of the senses, visions of beautiful or frightful images, ghosts, black dogs, etc. Delirium, crazy acts; delirium tremens. Hyoscyamus. Anxiety and fear; is apprehensive of being poisoned, sold, or bitten by animals. Loquacious. Jealous. Hydrophobia. Frenzy, rage; he thinks he is possessed of the devil, undresses himself, exhibits himself all naked; gesticulates, makes grimaces, taps upon his head and nose, acts as if he were cracking nuts, etc. Nux vom. After the excessive use of coffee, wine, spirits, consequences of nocturnal debauch, of excessive mental labor. After suppression of hemorrhoids. Suit- able when the bowels are constipated, the menses are too frequent and copious, the stomach is deranged, the temper is irritable. Sad and desponding. Anguish and restlessness, desire to destroy himself. Hypochon- driac mood, is apprehensive of death, of not getting well. Excessive sensitiveness to noise, odors, etc.; also to light, music, song. Moaning and scolding dur- ing the pains. Is inconsolable even on account of trifles. Is offended at every little difficulty, is disposed to cen- sure, quarrel. Delirium tremens (with Opium). Opium. Sopor, stupor, loss of consciousness. Rage with fixed ideas. Delirium, visions, frightful spectra of mice, scorpions. Convulsive motions, trembling. 33 514 TREATMENT OF LEADING DISEASES. Inability to sleep in spite of the greatest weariness. Constipation, with bloating of the abdomen, flushed face, delirium tremens. Lachesis. Religious mania, anxiety, dread of death. Platina. Excited sexual instinct; immodest ges- tures. Over estimation of one's own merit. Sadness, precordial anguish; • spectra, imagines that men are devils, talks about past things like a crazy person, sings, laughs, makes faces (hysteric spasms). Stramonium. Frightful spectra and visions. He imagines that his body is cut through in the middle, that his hand is going to drop off, that he is going to be slaughtered, roasted, eaten; he screams about dogs and cats which are approaching on all sides. Loquacious mania, immodest talk and manners, religious mania with devout manners, he kneels down. Jumps out of bed at night. Paroxysms of indomitable rage; the person strikes about with frightful cries; wants to bite, tear, even his own limbs. Desire for light and com- pany, feels worse in the dark and when alone. Changes from ludicrous grimaces to sad thoughts. Veratrum. Desponding; anguish as if he had com mitted some wrong act. Apathy, taciturn mood alter- nating with singing, laughing, swearing. Loss of mem- ory. Delirium, religious and amorous mania. He rep- resents himself as a hunter, priest, prince, shows pride; she says she is blind, deaf and dumb, pregnant, has a cancer, expects to be confined; kisses every body (shortly before the menses); laughs all the time, or the laughing alternates with weeping. Sings at night, claps her hands. Aurum. Desponding and melancholy, thinks of de- stroying himself. Precordial anguish, fitful mood. CHARACTERISTIC SYMPTOMS, ETC. 615 Calc. carb., crying mood, anxiety in the evening; ap- prehensive and irritable mood; delirium tremens, with talk about fire, murder, rats, mice ; trembling of the limbs. Arsenicum. Religious melancholy violent attacks of anguish, restlessness in the whole body, with heat, also at night, with tossing about in bed', nausea and inclina- tion to vomit: anxiety as from an evil conscience; fear of ghosts, thieves, death; disposed to blame every body and every thing; apathy. Cantharides. Paroxysms of rage, like hydrophobia; also with convulsions, which are renewed by touching the throat, pressing upon the painful parts in the abdomen, the sight of water, broth. Excitement of the e.exual sphere. Silicia. The attacks are worse during the increasing moon. Sulphur. The attacks seem to depend upon some psoric dyscrasia. As a measure of precaution an insane person should never be left unguarded, lest the inclination to commit suicide should be awakened in the patient while left alone, and should be carried out. We must take care not to be deceived by such patients, for they sometimes use the most wonderful cunning in imposing upon their keepers. A female patient, though apparently quite rational, sought to hide a knife in her bed ; in the night, while her keeper was sleeping, she plunged the knife into her own throat and bled to death. Another female endeavored to hang herself by the bell rope, while her keeper had absented herself for a few moments. A nurse should 516 TREATMENT OF LEADING DISEASES. always be replaced by another, were it only during a temporary absence. The conduct to be observed towards the insane, should always be consistent, earnest and dignified as well as cheerful and full of kindness. Kind and gentle treatment does a great deal more than vehemence. Paroxysms of rage should be witnessed by the physi- cian with the most perfect composure, and met with un- shakeable firmness; both his hands and lower arms may be grasped, and the patient may be steadily looked in the face; this treatment will make force-jackets un necessary, which, like all other fetters, should be avoided as much as possible. Injuries, wounds, burns. For cut-wounds, bruises and contusions, Arnica-tinc- ture is the best remedy. Four drops of this tincture are poured in a cupful of water, and compresses moist- ened with this solution, are applied to the wound which should always be first cleansed of all impurities by means of a soft and clean sponge dipped in water. If the wound had been caused by glass or wood-splinters, it has to be carefully examined and washed before it is dressed. In the first two or three days the compress may be moistened four times a day, but afterwards only twice a day, and if it helps to unite the edges of the wound, the compress need not be removed, but may be moistened from without, but not too frequently lest too much moisture should become injurious. Internally Arnica should be given in the 30th or a lower potency, particularly in the case of congestions, effusions of blood, bruises, etc. INJURIES, WOUNDS, BURNS. 517 If a child has had a violent fall, it is well to give a few doses of Arnica internally to prevent the bad effects of a concussion that might have taken place. A child lost his speech after a fall upon his stomach, and was entirely unable to articulate. After a dose of Arnica the speech returned at once. If the Arnica had been taken at once, such power of articulating would never have been lost. The treatment of sore nipples with Arnica has already been described under the head of " Sore Nip- ples." While the Arnica-tincture is applied externally, Aconite may be taken internally. If the Arnica should induce a rash which may happen once in a thousand cases, we substitute fresh water for Arnica, cooling the nipple every time the child has had the breast, by ap- plying a compress of cold water. If fever or the least vascular excitement sets in after an injury, we give Aconite and Arnica in alternation first every hour, and afterwards every two or four hours. If headache or pain in the eyes should set in, we may alternate A con., Am., and Bell, or Con. 2. In the case of large, deep and shaggy wounds which bleed a good deal owing to the laceration of the fibre and vessels, or where whole pieces of flesh have been torn out, the tincture of Calendula may be substi- tuted for Arnica. 3. For the violent and continued pain like the tooth- ache pain which is sometimes caused by punctured or cut-wounds, and spreads to the adjoining parts, espe- cially in an upward direction, the tincture of Hypericum perforatum may be used, in the same manner as Arnica. The 30th potency is at the same time used internally, and if there is much fever, we give Aeon, in alternation. 518 TREATMENT OF LEADING DISEASES. 4. If the bones or the periosteum are injured, frac- tured or contused, Symphytum officinale has to be used. Ten drops of the tincture may be mixed in a cupful of water, and compresses moistened with this solution may be applied, in the same manner as has been re commended for Arnica. In cases of fractures, the first bandage should be moistened with this sclution, and things may be so arranged in dressing the limb, as to make it possible to moisten the bandage every now and then without deranging the dressing. Symphytum should at the same time be given inter nally, if necessary, in alternation with Aconite. By this means I have healed fractures in half the time that is generally required for these accidents, since the deposition of callus is hastened a good deal. Of course the surgeon must be fully able to do his duty A foot which had been completely smashed by a club was cured perfectly with Symphytum in one week, and a finger which had been almost completely severed by the blow of an axe, and hung by a narrow piece of skin, was likewise entirely united and healed in the same space of time. 5. In the case of burns much depends whether they are large and deep, or small and superficial. Cold water and cooling applications generally are very injudicious. They afford a momentary relief, but make the pain so much worse afterwards, and delay the cure. In the case of small burns the best plan is to hold the burnt part as near the fire as one can bear, near a flame or hot stove; the pain is worse for a short time, but soon after it abates and ceases. Hot spirits, or the tincture of Urtica urens or Can- INJURIES, WOUNDS, BURNS. 519 tharides may likwise be applied to the burn as warm as can be borne. Of the tincture of Cantharides and Urtica urens, foui to five drops may be mixed in three to four ounces of common alcohol and warmed. If these article are not at hand, we make a paste of Castile soap, and spread a layer of it as thick as the back of a knife, upon a linen rag which is applied to the burn. If these applications are made in time, the formation of blisters is prevented. If blisters have been raised, we proceed as follows: The blisters are opened with a pair of sharp scissors, and the skin is carefully cut off without tearing the sound skin. To this wound we apply the tincture of Arnica as to any other injury. Immediately after burning or scalding a part, we give Arsen. internally, first every half hour and then every hour: this will moderate the burning pain. If there is much fever we give Aeon, and Arsen. in alternation, and if the periosteum and bones are injured by the fire, we give Symphytum internally in alternation with Aeon. and Arsen., using the tincture of Symphytum likewise externally. A few magnetic passes with the palm of the hand from above downward close over the burn, afford mo- mentary relief. APPENDIX. The Human Body. It being very important even to lay people to have at least a partial knowledge of the human body, I recom- mend Quitzmann's " Popular Anatomy," published by Muller, Stuttgard, or Chr. Kolb's "Great Atlas of Natural History," published by Krais and Hoffmann, of Stuttgard, from which I make the following ex- tracts : Man uniting within himself most of the animal organs, so that, according to Oken's statement, he has to be considered as the complex of all animal organs and as the type of anatomy, and as the synoptical re'sume' of the whole animal kingdom, we chiefly take the human structure for our basis in reviewing the animal system. I. Motion is controlled by, and depends upon, muscles and bones, sensation upon the animal and vegetative nerves. 1. The muscles are composed of delicate fibres, which unite in muscular fibres, and are invested with cellular membrane. The muscular fibres again coalesce into elongated bundles, which are thin at their origin and swell up in the middle; these are called muscles and are likewise invested with cellular membrane. These fibres run parallel to each other and resemble a bundle of threads soaked in glue. In the more highly or- ganized animals the muscles which form the flesh of (521) 522 APPENDIX. animals, are attached to the bones, in the other animals to the integuments. The attachment of muscles to the hard articulated bones is contrived by means of a fibrous substance which penetrates the muscles and bones, and by means of which the muscles are enabled to act upon distant parts of the body. These muscular continuations are termed tendons which laymen very frequently confound with nerves. Muscles have the power to contract in the direction of their fibres, by which means their two ends, and the parts to which they are attached, necessarily approxi- mate; hence under the influence of the will and nerves, they become the organs-of motion. The muscles belong- ing to the vegetative sphere are active participants in the processes of respiration, digestion and distribution of the nutritive juices, and are in part attached to the mucous membranes of the interested organs. Their activity is involuntary, neither depending upon the will of the individul nor appealing to its consciousness. According to their functions the muscles are termed antagonizing, co-operating, flexors and extensors, ab- ductors or adductors, and rotating muscles. The most powerful and extensive muscles are those of the thigh and calf; the most delicate and admirable muscles those of. the eye. Among those of the contractile animals, worms and snails, the whole body performs the function of a muscle. The muscles of the vertebrata are for the most part on the outside, among the invertebrata they are situated within crusts and scales. According to Ehrenberg, even the infusoria are provided with muscles. The principal substance of the more perfect animals, the flesh, consists of muscles of which the human body THE HUMAN BODY. 523 has about two hundred and fifty pairs, no less than forty-six of which, laid upon and crossing each other, form the human countenance, and are chiefly instru-. mental in the wonderful play of the features. The flesh of the hand consists of more than twenty larger and smaller muscles: On the extremities the muscles are attached above and below the joints; the extensor mus- cles are situated on the extensor-surface of the limb, and the flexor-muscles On the flexor-surface; the tendon extends over the joint itself. The muscles are per- meated by cellular tissue, in which fatty matter is de- posited which lubricates the muscles and promotes their flexibility. The muscular apparatus of the different animals is suited to their respective modes of life, and differs therefore more or less from the muscular apparatus of man. The hand of the monkey has a much more sim- ple muscular structure than that of man, whereas the muscles of the skin of a horse or hedge-hog are much more developed than those of man, The crawling of many worms, of the leech for instance, takes place without any joints, by the immediate action of the muscles; the numberless motions of the more perfect animals, walking, bounding, climbing, flying are carried out by means of their different muscular apparatuses: legs, wings, fins, etc. 2. The bones are formed of tissues which acquire a stony consistence by means of the phosphate of lime that is deposited in them. They protect the more noble organs, support the body, and act as levers during motion. All together they constitute the skeleton. The single pieces of bone are either firmly inserted into each other, like the bones of the skull, or moveable and 524 APPENDIX. provided with articulations. According to their form, the bones form shells like those of the skull; or they are flat like those of the shoulders and hip ; tubular like the bones of the arms and lower limbs; straight and elongated like the bones of the lower arm'; curved like the ribs. A vascular membrane, termed periosteum, surrounds the bones, the interior of which is either loose, dense or hollow, in which case it is filled with marrow. The bone-cells contain lime and glue. The vertebrata, with the exception of the turtle, pos- sess a peculiar skeleton which is surrounded with mus- cles, etc., and is therefore an internal structure. The shells and coverings of crabs, beetles, muscles, and echinus may be regarded so to say as an external skeleton. The bony structure is divided into head, trunk and extremities. a. The head is composed of the bones of the skull and face. The skull forms a large, egg-shaped box containing the large and small brain, the walls of which consist of eight thin and flat bones of a very firm texture. In front we have the frontal bone (os frontis) a, above are the two parietal bones (ossa parietalia) b, on both sides the temporal bones (ossa temporum) d, pos- teriorly we have the occipital bone (os occipitis) h, in- feriorly the wedge bone (os sphenoides), and the sieve- bone (os ethmoideum). In younger children the skull is composed of several pieces, between which two soft places may be felt even long after birth, and which are termed fontanelles. Every bone is formed of a gelatin- ous mass which first is converted into cartilage and lastly into bone. The facial bones are the superior THE HUMAN BODY. 525 maxillary bones /, the palatine-bones, the zygomatic and malar or cheek-bones, the lachrymal bones, the nasal bones, the turbinated or lower nasal bones, the plough- shear bone or vomer, the lower maxillary bones with the ascending rami. The lower maxillary bone is so articulated with the skull below the zygomatic process that it can not only be raised and lowered, but also moved laterally. The two halves of these bones are united below at the place where the so-called dimple of the chin is seen. There are in all fourteen bones of the face which are immovable except the lower maxillary, and which form spacious cavities for the organs of sight, smelling and hearing. The teeth are bony bodies inserted in distinct cavities or alveole, and are distinguished into root, body and crown. With the exception of the root, every part thereof is covered with a hard polish which emits 526 APPENDIX. sparks wnen struck against a steel. Injuries inflicted upon this enamel cannot be repaired. By their shape and position we distinguish three kinds of teeth: inci- sores or front-teeth, provided with a sharp, chisel-shaped edge ; conical cuspidati at the corners of the mouth, the upper pair of which is denominated the eye-teeth, and the lower two of which are very long, have almost double roots, and are sometimes named canine-teeth ; and lastly molar teeth with crowns that have several protuberant points and two or three roots. A full- grown man has four incisors in each jaw, two of which are broader, and two narrower than the other pair. Next to these comes right and left a cuspidatus with a somewhat pyramid-shaped crown ; next in order we see on each side above and below five molar teeth, the last of which, or so-called wisdom tooth, does not make ita appearance until man has reached his twentieth or even fortieth year, but which sometimes does not appear at all. Hence the whole number of teeth is thirty-two in two rows, sixteen of which belong to each, closely set together. Many of the mammalia are not provided with cuspi- dati, others lack the incisors, others again the smaller molars. Teeth whose enamel form folds that penetrates into the substance of the teeth, are called enamel-folded; teeth consisting of several fragments cemented together by the enamel, are denominated lamellated teeth. The structure and arrangement of the teeth show what peculiar mode of life mammalia are designed for. Incisor-teeth working upon each other like chisels are designed for the mastication of meat; teeth provided with acuminated protuberances, that join into each other, are given to insect-eaters; if these protuberances THE HUMAN BODY. 527 are dull, we may infer that they are designed for the consumption of meat and vegetables, and broad, flat teeth with rough surfaces for the consumption of plants. b. The trunk consists of the vertebral column con- taining fifty eight short, round bones which form the ground work of the skeleton, with which all the other bones ramify. The column forms the posterior mesian line of the body, encloses the spinal marrow and sup- ports the skull upon the first vertebra named Atlas. The cerebral mass passes into the spinal marrow which must be regarded as the continuation of the brain. The seven upper vertebre are termed cervical, to which are joined the twelve dorsal and lastly the five lumbar after which comes the os sacrum or sacral bone with five, and lastly the os coccygis with four smaller verte- bre. Into the twelve dorsal vertebre are inserted twelve pair of ribs, or bones which are curved forward and inward, the upper seven of which, or true pec- toral ribs, are united to the sternum. The five lower, or short, false or abdominal ribs, do not join the sternum, and enclose a portion of the abdominal cavity. At the upper portion of the trunk we have the shoulder-bones to which belong the shoulder-blades, (scapule), which are triangular, spade-shaped long blades. Into their outwardly turned extremity the globular extremity of the upper arm-bone is inserted. The clavicles situated near the neck in a horizontal direction, unite the shoulder-blades to the sternum. The pelvis serves as a basis of support to the vertebra] column and as a protection to the abdominal viscera. It is composed of the os ileum or iliac bone, and the hip- bone with its processes ; of the os ischium and the pubic bones the last-named of which are united by cartilage 528 APPENDIX. Bull. Seven cervieal j vertebra, j Pelvis. Cina. Carpal bones Metacarpal) bones. ) f Sternum, wtA < seven pairs ( true ribs. 12 pairs ribs, inserted into 12 dorsal ver- tebras. Five pairs of false ribs. Sacrum, ( Great trochan- Knee-pan. Tibia. Fibula. Seven tarsal bone*. J Five metatar- ( sal bones. Heel-bone. THE HUMAN BODY. 529 at the lower base of the abdomen and form the pubic arcade. The shoulders and pelvis may also be considered as parts of the extremities. c. The extremities are the upper and lower, or com- monly termed arms and legs. The upper arm-bone (humerus) is a strong long bone, the lower arm.consists of two bones of different strength : of the radius situate in the direction of the thumb, and of the much feebler ulna. The wrist or carpus is composed of eight small movable obtusely-angular bones in two rows ; the hand is composed of the metacarpal bones, and of the three phalangeal bones of the fingers and the two phalanges of the thumb, all of which are connected with and rotate upon each other like hinges. Into the pelvis the globular head of the femur is in- serted, to which bone the bones of the leg, the larger tubular bone or tibia and the calf-bone or fibula are attached. The knee-joint is covered with the round lens shaped pan or patella which communicates with the femur and tibia. The tarsus is composed of seven short obtusely-angular pieces of bone, next to which come the metatarsal bones, the three phalanges of the smaller toes and the two of the big toe. Without the teeth the human skeleton numbers twenty-one skull-bones, fifty-eight bones of the trunk, and one hundred and twenty-eight bones of the extre- mities, sixty-six of which go to the arms, sixty-two to the lower limbs, in all two hundred and seven bones. II. Sensation as well as voluntary motion depend upon the nervous system which, like the gray substance of the brain and spinal marrow and the ganglionic plexuses, is partly composed of a series of nervous cells placed side by side, and which partly, like the nerves 530 APPENDIX. and the white substance of the brain and spinal marrow, consists of the continuations or fibres proceeding from these cells, a number which of coalesce into bundles forming the true nervous cords which are visible to the naked eye. Both the nervous cells and the nervous fibres are composed of an enveloping membrane and of a marrow- like substance. a. The animal nerves or the cerebro-spinal axis which supplies nerves to the organs that are subject to the will, and mediates the vital action which the plants have not: voluntary motion and sensation. These nerves proceed from the brain and spinal marrow, and ramify into the substance of the muscles and into the organs of sense. The brain is an externally gray and an internally white substance which is enveloped in membranous folds, fills up the cavity of the skull, and is grouped into several symmetrically arranged globular masses. The spinal marrow forms a thick cord which may be divided into two halves, passes through the occipital foramen, fills up the cavity of the vertebral column, and terminates in the lumbar and sacral nerves. The numer- ous nerves proceeding from the spinal marrow are di- rectly instrumental in elaborating motion. b The vegetative or ganglionic nervous system pro- vides the organs over which the will has no control, with nerves (lungs, heart, stomach, intestines), and is composed of a number of small knots or ganglia which give rise to a number of plexuses, like the solar plexus. The vegetative nerves do not proceed from the cerebro- spinal system, but are variously connected with it. The mvertebrata are only supplied with this system of THE HUMAN BODY. 531 nerves, some animals seem to be without nerves alto- gether. The common action of all the nerves going to the surface of the body, and susceptible to external stimuli (temperature, electrical tension), gives rise to the census communis. This common activity of the nerves is most prominently manifest by the sense of tact which is less developed in animals, and is replaced by other organs, the proboscis, lips, the skin on the bill of many birds, but especially by tentoria, papule, and the tongue. The strength and functions of a part cease, if the nerves that go to it are destroyed. The seat of tact is the whole surface of the body, pro- vided it is not covered with too hard integuments. In the corium which is still covered with the epidermis, terminate a multitude of nerves in the shape of small, very sensitive prominences or papille. The epidermis is insensible, semi-transparent and is composed of several layers. The lower layer is the colored mucous net, called rete Malpighii. These most external layers of the epidermis prevent the immediate contact of the nerves by which painful sensations are always caused. The seat of taste is the soft, fleshy tongue which can be protruded from the mouth which is never dry. The mucous membrane of the tongue is dotted with papille of the most varied structure. The tongue of the mammalia is similarly formed; that of. the birds is somewhat cartilaginous and the sense of taste is there fore less marked; in many fishes it is garnished witl teeth, in the reptiles it is cleft. The sense of smell has its seat in the mucous mem- brane of the nose which is abundantly provided with nerves; in the human nose three convoluted bony la- 532 APPENDIX. mine are arranged, called the turbinated bones, which receive impressions of vapory or gaseous volatile sub- stances. The amphibious animals are provided with special organs for the sense of smell, although a very delicate sense of smell is likewise met with among the Crustacea, such as crabs, mollusca and insects. The sensations of the sense of smell are very similar to those of the sense of taste, for many things taste as they smell. By means of the sense of sight we obtain the sensa- tion of light and of its varieties, and recognize the shape, situation and size of objects. Next to tact this sense is the most common and is manifested by means of a pair of artistically constructed organs. The eye is already met with among infusoria aud worms, and many animals have several pairs of eyes. The eyes of crabs are pedunculate, those of insects are composed of thousands of small eyes; those of the vertebrata are in pairs, and invested with three membranes, one within the other. The eyes of fishes are of enormous size pro- portionally. The human eye has the shape of a bulb with a slight prominence, and rests in the orbit lined with cellular tissue and fat. The external covering of the eyeball is in front of the transparent cornea, which is inserted into the sclerotica commonly termed the white of the eye. Beneath the sclerotica we have a second coat termed jchoroid coat, which is lined with a black, slimy matter. Anteriorly the continuation of this mem- brane is termed iris which forms a ring around the pupil and has a gray, bluish or brown color. The pupil is the opening in front of the eyes and surrounded by the iris. Under the choroid coat we have the retina, a reticular expanse of the optic nerve at the bottom of THE HUMAN BODY. 533 the orbit, which encloses the vitreous body. This is the true seat of vision with the image of the object impressed upon it. Behind the pupil is a lenticular body, the crystalline body and its capsules. In differ- ent individuals the iris has different colors; among the inhabitants of hot climates it is dark-blue or black, among the people of Northern climes it has a sea-green, bluish-green, or bluish tinge. The eyes of the vertebrata are movable and all of the same structure; but among the arachnidea, the Crus- tacea and the insects, the eyes differ a great deal. The eyes of the mammalia and birds are protected by two movable cutaneous folds, which are accompanied in many animals by the winking membrane, an aponeu- rotic fold under the lid. The sense of hearing enables us to perceive sounds and to distinguish them from each other. Its organ is the ear. The outer ear which collects the acoustic rays, reverberates and strengthens the sound, directing it into a channel which becomes narrower as it proceeds towards the brain, (the meatus auditorius), whose ex- tremity is closed by a thin, elastic membrane, the tym- panum, and leads to the drum which is in communica tion with the mouth through the Eustachian tube. Within the drum are arranged three small bones forming a chain ; the malleus or hammer which is attached to the tympanum, the anvil and the stirrup openings which are closed by membranes lead to the internal seat of the sense of hearing, the cochlea and the labyrinth, three semi-circular canals to which the tremulous move- ments of the tympanum, which are occasioned by the vibrations of the air, are continued. The sense of hearing exists even among many lower 534 APPENDIX. animals although we may not discover an organ spe- cially instrumental in performing its offices. In the case of many birds the cochlea is replaced by the peculiar arrangement of the feathers around the meatus audito- rius; amphibious animals and fishes have not got it. The lowest organizations, such as the zoophytes, are entirely deprived of the sense of hearing. The activity of the organs of sense and motion alter- nates with a condition of rest, termed sleep; the gangli- onic nerves on the contrary remain uninterruptedly active; respiration, circulation and digestion are con- tinued even during sleep. Light and warmth manifest a great influence upon the maintenance of the animal life, during the night, man and most of the higher ani- mals sleep, and the birds and insects especially are strictly governed by the time of day. " The sleep of man is a state of return into the bosom of universal nature, an absence of all consciousness of a difference between himself and her, a return to her as the integral whole." Sleep serves to recuperate and strengthen the nerves and muscles. A continuance of the activity of the brain which seems likewise to take place among some animals, is designated by the term dream. As the winter's cold increases, many animals of the frigid and temperate zones sink into their winter-sleep or state of hibernation, during which the vital activities are re- duced to a minimum. No animal of warm climes, no bird hibernates; the hibernial sleep should not so much be accounted for by the absence of the warmth which is required for the maintenance of animal life, but by some peculiar constitutional arrangement. A drought and the continuance of a high temperature bring about in tropical countries a lethargy resembling winter- THE HUMAN BODY. 535 sleep, and termed summer-sleep by Alexander v Humboldt. Nutrition provides for the support of the animal body, for the repair of waste and for the growth of the new tissues by the reception and transformation of food, and by the processes of digestion and sanguifica- tion. In the mouth aliments are first comminuted by means of the teeth, the mammalia masticate them and mix them with saliva, by means of which the useful substances are separated, converted into blood in the angs, and transmitted to the current of the circulation. This office is respectively performed by the intestines, blood-vessels and respiratory organs. 1. The main parts of the intestinal or digestive sys- tem are the oesophagus, stomach and bowels. The oesophagus is an elastic closed pouch, which is dilated by the descending food and closes behind it. It passes through the thorax and diaphragm, which separates the thoracic from the abdominal organs, into the abdominal cavity, where it expands into the stomach. The human stomach is pear-shaped; its walls are composed of three layers, a cellular, muscular and mucous membrane. The stomach is located in the upper region of the abdo- men, horizontally from the left to the right side. On the right side it is covered by a large, vascular gland, the liver, upon the left side by the spleen. The food is dissolved by the juice which is secreted by the mem- branes of the stomach, into chyme, after which it is transferred to the intestines on the right side. The intestinal canal, which is about seventy feet long in the case of man, has two principal divisions, the smaller intestine, which is about an inch wide and thir- teen to twenty seven feet long, and which is again 536 APPENDIX. divided into the duodenum, the jejunum and the ileum, and the larger intestine, which is about one and a half inches to two inches wide and five feet long, and whose parts are likewise distinguished by three different names: ccecum, colon and rectum, the last of which is closed by the sphincter ani. The liver elaborates a bitter, soapy fluid, the bile, which passes through the duct of the gall-bladder into the duodenum for the pur- pose of promoting the digestion. The pancreas which is situated close to the stomach sends the pancreatic juice into the intestinal canal, where the chyle is secreted from the chyme, which the lymphatic vessels that form the mesenteric glands, take up in the cells of ileum after which it is transmitted into the blood-ves- sels. A muscular expanse, the diaphragm, separates the thoracic from the abdominal organs. The folds of the peritoneum encompass with their folds the single intestines, forming the omentum. Two bean-shaped glandular bodies on both sides of the vertebral colum, the kidneys, secrete the urine from the blood, trans- mitting it to the urethra into the bladder, resting in the pelvis. The organs of nutrition in most animals receive their nourishment through the mouth, which is located in the head, and the intestinal canal terminates with the anua at the other extremity. In some animals mouth and anus constitute the same orifice. They continually secrete watery vapors and carbonic acid gas from the blood, and through the whole of the epidermis, but par- ticularly the sudoriferous follicles, watery and gaseous particles are excreted, by which means the animal heat is at the same time moderated. 2. The vascular system consists of long membranous THE HUMAN BODY. 537 tubes ramifying from their centre, the heart. The heart is a fleshy, hollow muscle, which, in mamma- lia a^d birds, contains distinct cavities or compart- ments. A vertical septum divides it into a right and left half, each of which is again divided by a transverse septum into two spaces, the ventricles and auricles. On the posterior surface of the heart the aorta is sent forth from the left ventricle, measuring about three-quarters of an inch in diameter; and by means of its ascending and descending ramifications, it supplies every part of the body, the digestive organs and the lower extremi- ties, with fresh blood. From the capillary vessels of the arteries arise the veins which gradually coalesce into larger vessels and carry the blood back to the heart. It is these veins which shine through the skin in many parts of the body, and have a bluish color. They finally discharge their contents through two large vessels into the right auricle. This is called the systemic or greater circulation, in contra-distinc tion from the pulmonic or lesser circulation, by which the dark-red blood is sent from the right auricle to the right ventricle, thence through the pulmonary artery into the pulmonary vessels, whence it passes as arterial blood into the left auricle. An append- age to the systemic circulation is formed by the portal system. From the capillary vessels of the ab- dominal organs the blood is sent into larger venous trunks. These unite, forming the portal vein. Through the portal vein the blood in transmitted to the cells of the liver where the vein ramifies in fine vessels. These anite again and send the blood to the lower vena cava through which it courses into the right auricle. The blood of the arteries and veins of the living body 538 APPENDIX. is somewhat tenacious and glutinous; it consists of a watery liquid, (liquor sanguinis,) and of red corpuscles scarcely three one-hundredths of an inch in thickness, (cruor.) The blood contains all the materials out of which the solid parts of the body are formed, and by which they are preserved. On cooling, the blood separates into a yellowish liquid, serum, and a firm coagulum, the clot. In the lungs the blood is oxy- genated, and in the kidneys it is purified of effete matter. The mass of the blood of a full grown person amounts at an average to twenty-eight to thirty pounds. By the contraction of the two ventricles (systole), which is immediately followed by their dilatation (dias- tole), the blood is pressed into the arteries, and the beating of the heart and the pulse are produced. In children the pulse beats ninety to one hundied and forty times in the minutes, and in full-grown persons sixty to eighty times, averaging about five pulsations to one inspiration. From the rapidity and intensity of these pulsations the healing art draws important infer- ences. The temperature of the blood of cold-blooded animals always exceeds by some degrees the tempera- ture of the surrounding medium; in men and the mammalia it is 28° R., and in the birds 30° R. 3. The organs of respiration are the trachea and the lungs. During an inspiration and expiration the chest rises and descends, the air flashes into the capillary vessels of the lungs, where the blood absorbs the atmos- pheric oxygen, and gives off its carbonic acid gas, by which process the lungs become the focus of animal heat. A healthy man performs about sixteen respira- tions in the minute. The trachea is a pouch a few inches long and formed of cartilages, which commences THE HUMAN BODY. 539 *vith the larynx. The larynx is like the mouth-piece of a wind-instrument. The small entrance through which the air passes in, called the rima glottidis, is furnished with a moveable cover termed epiglottis. 3n both sides are the vocal chords. The trachea bifur- cates in the chest into two branches which ramify in ti- the lungs and end in small air-cells. The lungs, the heart encompassed by the substance of the lungs, with its large vessels, and the oesophagus fill up the whole space of the thoracic cavity. The lungs consist of a fibrous tissue, and interlacements of air and nutrient vessels. They are enveloped by two membranous sacks and are in close contact with the walls of the thorax. Most of the vertebrata have lungs, but the fishes and many amphibious animals have gills which constitute the lowest order of respiratory organs, are destined to breathe in the water, and seem like laminated or knotty processes. They consist of variously arranged bundles of fine blood-vessels which absorb the air of the water swallowed by the animal and cause the oxygen to be absorbed by the blood. Insects breathe through air- vessels, trachee, which ramify through the whole body without any central organ. The breathing of the cold- blooded animals is carried on with less regularity, and is frequently interrupted for a long time in the case of many amphibious animals. Among the lowest order >f animals the office of respiration is confined without any special apparatus to the general surface of the body. 4. By the process of propagation or multiplication, v nature which has only allotted a certain period of time to each animal for its existence, has provided for the preservation of the species. Sexual generation takes 540 APPENDIX. place by the fecundation and detaching of the germ. There are two sexes: in the one we find the germs en- closed in the sometimes grape-shaped ovaries, the other sex is endowed with the fecondating sperm. Snails, tenias, and other animals of a low order fecundate themselves like plants; among the bees and ants, on the contrary, the sexual functions are distributed among several individuals. The young of mammalia are born more or less developed, whereas, among birds, this development has to be accomplished by incubation, and among cold-blooded vertebrata by the heat of the sun. The eggs are composed of the yolk and albumen. The eggs of the frogs and fishes are small, soft and enveloped in mucus, others are larger and have a coriaceous cov- ering as among many amphibious animals; birds' eggs have a calcareous shell. Many animals after slipping out of the shell, pass through a metamorphosis during which they lose some parts of their bodies which are replaced by more per- fect parts that had been formed in the meanwhile. In the chrysalis of the butterfly the legs, feelers and wings of the butterfly are already present. In the tadpole the legs of the frog are already concealed. In various ways the generation by means of eggs and germs takes place without the mediation of sexual organs, which begin their metamorphosis in the exter- nal world, like the radiata, polypi, meduse, and likewise the processes of budding and division, by which the young, without any sexual act, sprout forth, become detached and then continue an independent existence, or by which the individual is severed into parts which afterwards grow up to self-existing beings. The being which proceeds from the egg, in many cases is not yet ANIMAL MAGNETISM. 541 like its parents, but, without any sexual operation, it first engenders from buds or sprouts a posterity which becomes like the egg-laying parents either at once, or only in the second or third generation. In cases where the existence of parental action cannot be traced or comprehended, as in the case of paste and vinegar mites, or of the acarus, many adopt the theory of spontaneous generation. The probability that animals can originate by the decomposition of organic substances, seems the more equivocal the more varied are such animals in the different stages of their metamorphosis, during which many intestinal worms pass from one body into another. Ehrenberg found myriads of animals, scarcely perceptible, microscopic germs floating in the water and air, each of which brings forth in one hour, by division and the laying of eggs, millions of infusoria which it is his opinion never start into existence by spontaneous generation. Animal Magnetism. Animal magnetism which has been systematically established by Mesmer, and, in honor of his name, has been termed Mesmerism, contains a hitherto un- known and unsuspected curative power which inheres in every man, and which he has the power of trans- mitting to other feeble and sickly individuals, provided his heart is full of benevolence and a genuine love of humanity. The exercise of this power is very simple; in a case of pain, it consists in the imposition of the palm of the hand upon the painful part, or in slow passes from the vertex to the feet with the palm of the hand turned 542 APPENDIX. towards the body. In making these passes the palm Df the hand may either gently touch the skin, or else be approached to the distance of a few inches from the skin, according as it is more or less pleasant to the pa tient. A slight covering does not weaken the action, hence a patient lying in his bed may be mesmerized through the covering on the bed. In a case of headache and- toothache we place the hand upon the painful spot, and make a few passes with the hand from above downwards; the same proceeding is employed in the case of pains in the stomach, liver and bladder. In backache the hand is passed over the whole back from above downwards; by this proceeding an attack of lumbago is rapidly cured, or the pain and rigidity are at least moderated. To relieve pain in the arms we place the hand upon the shoulder, making passes down to the hands; and if the pain is seated in the extremities, we pass the hand from the hip to the toes. In making passes to the toes or fingers, we should not immediately remove the hand on arriving at the tips of the toes or fingers, but we first close the hand, and then remove it. This is likewise done if the hand is passed over the body at. some distance from the skin ; by neglecting this precaution, nervous or sensitive indi- viduals might be disagreeably affected by the passes. It is a remarkable fact that these long and slow passes from the vertex to the toes (also termed positive passes), which strengthen and calm the patient, intensify or re-excite the curative power of homoeopathic remedies. This was observed already by our master Hahnemann,. and I have been informed by eye-witnesses that he was in the habit, in all dangerous cases, of making a few ANIMAL MAGNETISM. 543 magnetic passes. Some time ago I treated a lady fo: compound pneumonia. I was sent for at one o'clock at night; all her symptoms had become worse, after a pre- vious abatement produced by the medicine. The reme- dies having been correctly chosen, I contented myself with making three long passes over the bed-cover, and then left her. Next morning I was informed that in about ten minutes after, my departure the whole'condi- tion of the patient had become altered, and that to- wards morning, the patient had slept a couple of hours. In a few days she was completely restored. How beneficially may not mothers or nurses assist thi$( efforts of the physician by the exercise of this poWer! A rush of blood to the head disappears after a few p,asses from above downwards. Cold feet are warmed by such passes, and this effect is hastened by allowing after each pass the warm hands to rest upon the feet. In a case of apparent death the patient is most speedily roused by a few rapid passes from the vertex to the toes. Such rapid passes are termed negative passes they effect, as it were, a discharge of the accumu- lated fluid. I must here warn against ignorant persons who make their passes from below upwards, which may give rise to distressing accidents. At the close of his Organon, fifth edition, Hahnemann relates: A robust boy of ten years was magnetized for some trifling indisposition with the points of both thumbs from the pit of the stomach along the lower ribs, several vigorous passes being made; he immediately grew pale as death, and lost his senses and power of motion. I requested his older brother to make a rapid negative pass from the 544 APPENDIX. vertex to the toes, and he at once recovered his senses and was cheerful and well. I must not forget to mention the magnetic water which may be obtained by holding for some seconds, over a tumbler or bottle full of fresh water, the tips of the fingers of the right hand; or placing the palm of the hand upon it. If this operation is performed by power- fully magnetic persons, the water is changed, it no longer becomes foul like ordinary water, but remains fresh, cool and clear, a positive proof that there is power in animal magnetism. This magnetized water agrees with patients much better than ordinary water; the effect of such. water is, moreover, heightened, and every ailment is more speedily cured, or at least miti- gated by it, if the operation of magnetizing the fluid has been performed with a benevolent heart and a vig- orous will; for already Paracelsus has said: "Thou must have the will to help, and the Spirit of Truth will guide thee rightly." LIST OF ALL THE REMEDIES USED IN THIS WORK 35 (546) 546 LIST OF THE REMEDIES USED IN THIS WORK Latin. 1 Aconitum napellus. 2 Agaricus muscarius. 3 Agnus castus. 4 Alumina. 5 Ambra grisea. 6 Ammonium oarbonicum. 7 Anacardium. 8 Antimonium crudum. 9 Apis mellifica. LO Argentum foliatum. LI Argentum nitricum. 12 Arnica montana. 13 Arsenicum aibum. 14 Asafcetida. L5 Asarum europaeum. 16 Aurum foliatum. 17 Baryta carbonica, 18 Belladonna. 19 Borax. 20 Bavista. 21 Bromium. 22 Bryonia alba. 23 Cahinca. 24 Calcarea carbonica. 25 Calcarea caustica. 26 Calcarea phosphorica. 27 Calendula officinalis. 28 Camphora. 29 Cannabis sativa. 30 Cantharides. 31 Capsicum annuum. 32 Carbo animalis. 33 Carbo vegetabilis. 34 Causticum. 35 Cepa. 36 Chamomilla vulgaris. 37 China. 38 Cicuta virosa. English. Monk's-hood, wolf s-bane. Bug agaric Amanita. Chaste-tree. Argilla, Clay, Ox. of Alumen Ambergris. Carbonate ef Ammonia. Malacca-bean. Crude Antimony Honey-bee. Silver-foil. Nitrate of Silver. Leopard's bane. Arsenic. Asafcetida. Common Asarabacca. Gold. Caibonate of Baryta Deadly Nightshade. Biborate of Soda. Puff-ball. Bromine. White Bryony. Cahinca-root. Caibonate of Lime. Caustic Lime. Phosphate of Lime Marsh Marigold. Camphor. Hemp. Spanish Fly. Black Pepper. Animal Charcoal. Vegetable Charcoal, Caustic Tincture. Common Onion. Common Chamomile. Peruvian Bark, Water Hemlock. LIST OF THE REMEDIES USED IN THIS WORK. 547 Antidotes. 1 Vinegar, Coffee. 2 Wine, Coffee. 3 Camphor. 4 Ipecacuanha. 5 Camphor. 6 Camphor. 7 Camphor, Coffee. 8 Pulsatilla. 9 Vinegar, Arnica. 10 .fWs. J/erc. 11 Kitchen Salt. 12 Camphor, Vinegar. 13 Sesquioxide of Iron. 14 Camphor. 15 Camphor, Vinegar. 16 Mercurius. 17 Sulphate of Soda. 18 Coffee, Camphor. 19 Co/ee. 20 Camphor. 21 Ammonia, Coffee. 22 -4com"fe. 23 24 Nitric Acid. 25 Bryonia. 26 27 28 Opium, Vinegar. 29 Lemonade. 30 Camphor. 31 Camphor. 32 Camphor, Arsenic. 33 Camphor, Arsenic. 34 Cojfee. 35 36 Aconite, Cocculus. 37 Arsenic Veratrum 38 Tabacum. German. Sturmhut, Eisenhut. Fliegenpilz. Keuschbaum. Thonerde. Amber. Kohlensaures Ammonia. Malaccanuss. Schwefelspiesglanz. Honigbiene. Blattsilber. Salpetersaures Silber. Wohlverlei. Arsenik. Stinkender Asand. Haselwurz. Blattgold. Kohlensaure Schwererde. Tollkirsche. Borax. Bovist. Brom. Zaunriibe. Oachincawurzel. Kohlensaure Kalkerde. Aetzkalk. Phosphorsaure Kalkerde. Goldblume. Kampfer. Hanf. Spanische Fliege. Spanischer Pfeffer. Thierkohle. Holzkohle. Aetzstoff. Fwiebel. Feldkamille. Peruvianische Rinde. Wasserschierling. 548 LIST OF THE REMEDIES USED IN THIS WORK Latin. 39 Cina. 40 Cistus canadensis. 41 Clematis erecta. 42 Cocculus indicus. 43 Coccus cacti. 44 Coffea cruda. 45 Colchicum autumnale. 46 Calocynthis. 47 Conium maculatum. 48 Crocus. 49 Crotalus horridus. 50 Crotonis oleum. 51 Cuprum. 52 Daphne indica. 53 Digitalis purpurea. 54 Drosera. 55 Dulcamara. 56 Euphorbium. 57 Euphrasia. 58 Ferrum. 59 Ferrum aceticum. 60 Graphites. 61 Helleborus niger. 62 Hepar sulphuris. 63 Hydrocyani acidum. 64 Hyoscyamus niger. 65 Hypericum perforatum. 66 Iatropha cureas. 67 Ignatia amara. 68 Iodium. 69 Ipecacuanha. 70 Kali bichromlcum. 71 Kali carbonicum. 72 Kreasotum. 73 Lachesis. 74 Laurocerasus. 75 Lodum palustre. 76 Lycopodium clavatum. English. Worm-seed. Rock Rose. Virgin's Bower. Seeds of Cocculus. Cochineal. Raw Coffee. Meadow Saffron. Bitter Cucumber. Spotted Hemlock. Saffron. Rattlesnake Poison. Croton Oil. Copper. Indian Daphne. Fox-glove. Sun-dew. Bittersweet. Spurge. Eye-bright. Iron. Acetate of Iron. Black-lead. Christmas Rose. Sulphuret of Lime. Prussic Acid. Black Henbane. St. John's Wort. Barbadoes' Nut. St. Ignatius' Bean. Iodine. Ipecac. Bichromate of Potash Carbonate of Potash. Creasote. Lachesis. Cherry Laurel, Marsh-tea. Club-moss. LIST OF THE REMEDIES USED IN THIS WORK. 549 Antidotes. German. 39 Ipecac. Cinasamen. 40 Steinrose. 41 Bryonia. Brennwaldrebe. 42 Camphor. Kockelsamen. 43 Cochenille. 44 Aconite. Kaffee. 45 Vinegar, Honey. Herbstzeitlosp. 46 Camphor. Holoquinthen. 47 Coffee. Fleckenschierling. 48 Aconite. Saffran. 49 Arsenic, Ammonia. Klapperschlangengift. 50 Demulcents, Opium. Crostonol. 51 WTiite of Egg«. Kupfer. 52 Bryonia, Rhus. Indischer Seidelbast. 53 Acids, Camphor. Fingerhut. 54 Camphor. Sonnenthau. 55 Camphor. Bittersliss. 56 Camphor. Wolfsniilch. 57 Camphor. Augentrost. 58 Arsenic, China. Eisen. 59 Essigsaures Eisen. 60 ^4rsem'c. Reissblei. 61 Camphor. Schwarze Niesswurz. 62 FYnegar. Schwefelleber. 63 .AramoTMa, Cold affusion. Blausaure. 64 FVne<7ar. Bilseukraut. 65 Hexenkraut. 66 Camphor. Barbados Nuss. 67 Camphor, Vinegar. Ignazbohne. 68 Boiled starch water and Sugar. Iod. 69 Tincture of Galls. Brechwnrzel. 70 Kromsaures Kali. 71 Camphor. Kohlensaures Kail 72 3fo7&, Mucilage. Kreasot. 73 ^Irsemc, Ammonia. Lachesis. 74 Jmmoma, Coffee. Kirschlorbeer. 75 Camphor. Porst. 76 Camphor. Barlapp. 550 LIST OF THE REMEDIES USED IN THIS WORK. L. at in. 77 Magnesia carbonica. 78 Magnesia muriatica. 79 Manganum. 80 Meryanthes trifoliata. 81 Mephitis putorius. 82 Mercurius vivus. 83 Mezereum. 84 Millefolium. 85 Moschus. 86 Murlatis acidum. 87 Natrum oarbonicum. 88 Natrum muriaticum. 89 Nitri acidum. 90 Nitro-glycerine. 91 Nitrum. 92 Nux moschata. 93 Nux vomica. 94 Oleander. 95 Opium. 96 Petroleum 97 Pho3phori acidum. 98 Phosphorus. 99 Platina. 100 Plumbum. 101 Pulsatilla. 102 Ranunculus bulbosus. 103 Ranunculus scelaratus. 104 Rhododendron chrysanth I'io Rhus toxicodendron. 106 Ruta graveolens. 107 Sabadilla. 108 Sabina. 109 Sambucus nigra. 110 Sanguinaria canadensis. Ill Secale oornutum. 112 Senega. 113 Sepia. 114 Silicea. English. Carbonate of Magnesia. Muriate of Magnesia. Manganese. Buck Bean. Skunk. Mercury, Quicksilver. Mezereon. Yarrow. Musk. Muriatic Acid. Carbonate of Soda. Kitchen Salt. Nitric Acid. Glonoine. Nitre, Saltpetre. Nutmeg. Vomic Nut. Oleander. Opium. Rock Oil. Phosphoric Acid. Phosphorus. Platina. Lead. Wind Flower. Crowfoot. Malignant Crowfoot i.Li berian Rose. Poison Sumach. Rue. Mexican Barley. Savin. Elder. Blood Root. Ergot. Rattlesnake Root Cuttle-Fish Juice. Silica LIST OF THE RRMEDIES USED IN THIS WORK. 551 Antidotes. German. 77 Pulsatilla. Bittersalzerde. 78 Arsenic. Kochsalzsaure Bittererde. 79 Coffee. Braunstein. 80 Camphor. Bitterklee. 81 Camphor. Stinkthier. 82 See HempeVs Materia Medica. Quecksilber. 83 Vinegar. Gemeiner Kellerhals. 84 Schafgarbe. 85 Camphor. Moschus. 86 Magnesia. Kochsalzsaure. 87 Arsenic. Lungensalz. 88 Kochsaiz. 89 Soap. Salpetersaure. 90 Cq#%& 91 Aconite. Saipeter. 92 Camphor. Muskatnuss. 93 TTYue, Coffee. Brechnuss. 94 Camphov. Oleander. 35 Coffee, Camphc-r Opium. 96 Aconite. Molinsaft, SteiniSI. 97 Camphor, Coffee. Phosphorsaure. 98 J/V7A: o/1 Magnesia. Phosphorus. 99 Platina. 100 Opium, Alum, Sulphuric Acid. Blei. 101 Cojfee. Kuchenschelle. 102 Coffee, Camphor. Hahnenfuss. 103 Giftiger Hahnenfuss. 104 Camphor. Siberische Schneerose. 105 Bryonia, Coffee. Giftsumach. 106 Camphor. Raute. 107 Camphor. Sabadillasamen. 108 Camphor. Sodebaum. 109 Camphor. Flieder. 110 Blutwurzel. 111 Camphor. Mutterkorn. 112 Arnica, Camphor. Senegawurzel. 113 Aconite. Sepiensaft. 114 Camphor. Kieselerde. 552 LIST OF THE REMEDIES USED IN THIS WORE. 115 Spigelia. 116 Spongia tosta. 117 Squilla maritima. 118 Stannum. 119 Staphysagria. 120 Stramonium. 121 Sulphur. 122 Sulphuris acidum. 123 Symphitum officinale. 124 Tartarus emeticus. 125 Terebinthina 126 Teucrium marum varum, 127 Thuya occidentalis. 128 Urtica urens 129 Valeriana officinalis. 130 Variolin. 131 Verbascum thap3us 132 Veratrum album 133 Vinca minor. 134 Viola tricolor 135 Zincum. English. Pink Root. Burnt Sponge. Squills. Tin. Stave's-acre. Thorn-Appie. Sulphur. Sulphuric Acid. Common Comfrey. Tartar Emetic. Spirits of Turpentine Wall Germander. Tree of Life. Nettle. Valerian. Cowpox Virus. Mullein. White Hellebore. Winter Green. Pansy. Zinc. LIST OF THE REMEDIES USED IN THIS WORK, 553 Antidotes. .15 Camphor. 16 Camphor. .17 Camphor. 18 Pulsatilla. 19 Camphor. 20 Vegetable Acids. .21 Aeon., Camph. .22 Magnesia. .23 .24 Tincture of Galls. .25 Camphor. 26 Camphor. .27 Cocculus. 28 7e<7efo&Ze Acids. .29 .4con., <7q/ee. .30 .31 Camphor. .32 Camphor, Coffee. .33 l34 Campftor. .35 Hepar., Ignat. German, Spigelie. Rostschwamm. Meerzwiebel. Zinu. Stephanskb'rner Stechapfel. Schwefel. Schwefels'aure. Wallwurz. Brechweinstein. Terpentinol. Katzenkraut. Lebensbaum. Brennessel. Baldrian. Kuhpockengift. Kbnigskerze. Weisse Niesswun. Wintergriin. Stiefmutterchen. Zink. ADVICE TO THE READER. EXPLANATION OF THE DIFFERENT TYPE USED IN THIS REPERTORY. The reader will find that three kinds of type have been used in this Repertory : common type, italics, and a very heavy or fat type. The first or common type is used for drugs which have a very general reference to the symptom with which they stand connected; the second kind, or italics, indicates drugs that are more specifically related to the same symptom, and generally claim a more particular share of attention; and the third kind of type, which is the most prominent, refers to such medicines as have been found the most reliable for this particular symptom by abundant clinical experience. This, however, has to be understood in this manner, that if the symptoms of a case correspond with ah the symptoms of a drug, and this particular symptom should happen to occupy a prominent place among the latter, this drug will most likely prove the true remedy. (554) I. MIND AND DISPOSITION. 1. CONDITION OF THE MIND AS CAUSED BY DISEASE. A. General Symptoms. Amorous: Ant. crud. Canth. Graph. Hyosc. Ign. Lach. Lye. Natr. mnr. Nux vom. Phosph. Flat. Puis. Sil. Stram. Veratr. Anxiety fear: Aco. Am. Ars. Aur. Bar. Bell. Bry. Calc. (Jarb. veget. Cham. Cocc. Graph. Hell. Ign. Lye. Nux vom. Puis. Rhus. Sep. Stram. Sulph. Veratr. Boldness: Ign. Op. Puis. Distrustful: Anac. Bar. Bell. Caust. Cic. Dros. Hell. Hy- osc. Lye. Ph. ac. Puis. Sulph. ac. Fitful mood: Alum. Aur. Carb. an. Ferr. Graph. Ign. Kali. Plat. Stram. Sulph. ae. Zinc. Gentle: Cocc. Croc. Ign. Ly- cop. Puis. Sil. Sulph. Greedy: Ars. Lye. Natr. c. I'uls. Sep. Haughty : Lycop. Plat. Stram. V eratr. Hopeless: Ars. Aur Calc. Caust. Cham. Con. Graph. Ign. Lye. Natr. c. Puis. Rhus. Sulph. Indifferent: Chin. Cocc. Con. Ign. Natr. mur. Phos. Ph. ac. Puis. Sep. Sil. Irritable mood: Aeon. Aur. Bell. Bry. Cham. Coff. Ferr. Hyosc. Ign. Lye. N. mur. HT. vom. Phosph. Puis. Sep. Sulph. Veratr. Irascible: Aconit. Anac. Ars. Cupr. Hyosc. Lye N. mur. HT. vom. Stram. Ver. Jocose mood: Aur Bell. Cann. Carb. an. Coff. Croc. Hy- osc. Rati-, c. Op. Phosph. Plat. Puis. Spong. S/ram. Veratr. Zinc. Peevish: Alum. Anac. Aur. Calc. Caust. Cham. Con. Hep. Ign. Ipee. Lye. Merc. Natr. c. Nitr. ac. Phosph. Phosph. ac. Plat. Puis. Sil. Staph. Sulph. Sad: Aeon. Bellad. Cham. Graph. Ign. Lye. IVatr. ill. Plat. Puis. Rhus. Serious mood: Cocc. Led. Sulph. ac. Thuj. B. Cloudiness- Cloudiness: Aeon. Am. Bell. Bry. Cann. Canth. Caps. Chin. Cocc. Carb. veg Caust. Hyosc. Ign. Ipee. Kali Nitr ac. Sf. vom. Op. Ph. ac. Rhus. Sep. Sil. Veratr. Confusion: Agaricus. Ant. cr Ars. Bell. Bryon. Canth China. Euphr. Ferr. Hell Ign. Kali. Natr. carb. \ux VOUl. Phosph. Ph. ac. Puts. Rhod. Rhus. See. corn. Spig. Staph. Zinc. Dizziness: Aeon. Agar. Alum. Anac. Ars. Aur. Bell. Bry Calc. Carb. veg. Caust. Cham. China. Coloc. Con. Graph. Lye. Natr. mur. Nitr. ac. j*. vom. Op. Phosph. Phos. 2 MIND AND DISPOSITION. ac. Puis. Sep. Sil. Sulph. Veratr. Zinc. Dullness: Acon. Anac. Calc. Camh. Hyosc. Petr. Sep. Stram. Sulph. Zinc. Intoxication: Agaric. Antim. crud. Arg. Ars. Asar. Aur. Bell. Bry. Camph. Caps. Caust. Cham. Cic. Cocc. Coff. Con. Croc. Ferr. Graph. Hyosc. Ign. Ipee. ted. IV. vom. /%. ac Op. Puis. Rhus. Sec. corn. Sil. Stram. Veratr. Loss of consciousness : Ambr. Ars. Bell. Calc. Canth. Hyosc. Nitr. ac. IV. vom. Ph. ac. Rhus. Stram. Veratr. Stupefaction: Acon. Arg. Arn. Ars. Asaf. Bell. Bry. CalC. Camph. Caps. Caust. Cham. Chin. Cin. Coff. Con. Cupr. Dulc. Ferr. Graph. Lye. Hell. Hyosc. Ipee. N. vom. Opium. Phosph. Fh. ac. Rhus. Sepia. Stram. Sulph. Vanishing of senses : Anac. Ars. Bell. Calc. Camph. Cic. Cupr. Graph.Hyosc, N. vom. Stann. Stram. Vertigo: Agar. Ars. Bell. Kry. Camph. Cann. Caps. Cham Chin. Dulc. H ell. Hyosc. Op. Ph.ac. Puis. Rhus. Rhod. Sep. Sec. corn. Sil. Spong. Sulph. Veratr. C. Mental Weaknesses. Absence of mind : Ambr. Anac. Arn. Bell. Caust. Cupr. Hell. Hep. Hyosc. Ign. Lye. Merc. Natr. mur. Op. Ph. ac. Rhus. Sep. Avarice: Puis. Comprehension, ready: Coff. Op. Valer. Viol. od. - heavy: Ambra. Camph. Cham. Cocc. Con. Lye. Nitr. ac. Op. Ph. ac. Spig. Zinc. Delirium: Acon. Antim. crud Ars. Aur. Bell. Bry. Cam phora. Canth. Cham. Cina Con. Cupr. Dulc. Hyosc Op. Phosph. Phosph. ac. Plat. Rhus. Sec. cor. Stram, Sulph. Veratr. - with frightful spectre: Bell. - nocturnal, raving about the day's business: Bry. - without consciousness: Hy- osc. Puis. - loquacious, with open eyes: Coloc. Op. Veratr. - quiet, with stupefaction : Ph. ac. - with anxiety, fear of death, over-estimation of one's self: Plat. - bland, with loss of recollection: Rhus. - without consciousness, often terminating in rage: Sec. corn. - various, shameless, haughty : Stram. - religious, haughty: Veratr. - with disposition to escape: Bry. Cocc. Stram. - with staring look : Bell. Derangement, mental : Bell. Canth. Cupr. Hyosc. Op. Plumb. Stram. Veratr. Excitement of the fancv: Acon. Ambr. Anac. Ant. crud. Am. Bell. Chin. Coff. Hyosc. La- chesis. Op. Phosph. Phosph. ac. Pulsat. Stram. Exhaustion from mental labor: Aurum. Cham. Colch. Natr. IVux vom. Phosph. Puis. Sil. Spig. Spong. Staph. - nervous: Ambr. Asar. Aur. Bell. Calc. Dig. Iod. Natr. c. IV. vom. Phosph. Sep. Staph. Sulph. Zinc. Forebodings: Acon. Spig. Foreboding oi death: Stram Veratr. MIND AND DISPOSITION. 8 Fixed ideas : Carb. veg. Nitr. ac. Ph. ac. Illusions of the fancy : Ambr. Bell. Bryon. Caust. Hell. Hepar. Hyosc. Op. Phosph. Ph. ac. Rhus. Staph. Stram. Illusions of sense : Bell Op. Phosph. Ph. ac. Plat. Sec. Stann. Stram. Ideas, increased flo«v of: Lach. Valer. Viol. od. - slow flow of: Cann. Chin. Ipee. N. vom. Op. Rhus. Ruta. Spig. Veratr. Insensibility: Hell. Hyosc. Op. Ph. ac. Sec. corn. Strain. Insanity : Acon. Agar. Ant. crud. Ars. Bell. Cann. Canth. Caust. Coccul. Con. Cupr. Dulc. Hyosc. Opium. Sec. corn. Stram. Sulph. Ve- ratr. Zinc. - with haughtiness : Hyoscyam. Straw. Veratr. - mirthful: Crocus. Ign. Stram. - mild : Croc. Veratr. - religious: Veratr. - talkative : Stram. - furious : Hyosc. Stram. Laughter: Bellad. Crocus. Hyosc. Stram. Veratr. Loss of recollection: Acon. Alum. Anac. Arg. Arn. Bar. Bell. Bry. Calc. Camph. Can nab. Cham. China. Con. Cupr. Dig. Hell. Hyosc. Ign. Natr. mur. N. vom. Opium. Phosph. Plat. Rhus. Ruta. Sep. Silicea. Stann. Staph. Stram. Loss of consciousness : Agar. Bell. Bryon. Canth. Cham. Cocc. Cupr. Hyosc. Ipee Nux vom. Op. Rhus. Strain. Verat. Mistakes in talking: . Alum. Caust. Cham Chin. Con. Croc. Ign. Lach. Lye. Natr. mur. N. vom. Puis. Sep. Sil Rage: Aeon. Agar. Arg. Bell. Camph. Cann. Canth. Cham. Coccul. Croc. Cuvr. Drosera. Hyosc. Lye. Opium. Petr. Plumb. Ruta. Sec. corn. strain. Veratr. Shamelessness: Hyosc. N. vom. Op. Stram. Verat. Wandering of the mind : Acon. Arg. Arn. Aur. Bar. Bell. Caust. Canth. Cham. Cocc Croc. Hell. Ign. Kali. Natrum mur. Petr. Phosph. Ph. ac. Plat. Sep. Stann. Sulphur. Verat. Weakness of mind: Bar. Rett. Bry. Caust. Phosph. ac. Plat. Rhus. Sep. Stram. Verat. Zinc. D. Defects of the Memory. Forgetful: Aeon, Agar. Alum. Anac. Arn. Ars. Bar. Bell. Bryon. Calc. Canthar. Caps. Colchic. Croccul. Digit. Hell. Hyosc. Ian. Laches. Lye. Natr. mur. Pitr. Phosph. Plat. Rhus. Rhododend. Sec. corn. Silic. Spig. Staph. Stram. Sulph. Veratr. Viol. odor. Memory, involuntary: Hyosc. - quick: Acon. Coff. Hyoscyam. Lach. Op. Viol. odor. - defective : Acon. Anac. Arn. Bell. Bryon. Calc. Camph. Cocc. Graph. Hyosc. Puis. Step.Spigel. Stram. Sulph. Veratr. - feeble: Acon. Alum. Ambr. Anac. 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. Veratr. - loss of: Bell Camph. Con. Hyosc. Nat. mur. Op. Stram. Veratr. DISPOSITION. 4 MIND AND Memory, decrease of: Anac. Ars. Aur. Bell. Hell. Hyosc. Op. Stram. Veratr. E Emotions causing Disease. Anger, also with vehemence: Cham. - with fright: Acon. - with feelinar of coldness: Ars. -with subsequent ill-humor: Bry. - with silent grief: Ign. - with irascible mind : V. vom. - with pushing away that which one holds in one's hand: Sta- phis. - with mental derangement: Ve- ratrum. Anxiety and fright. - with subsequent anxiety and mental confusion : Bell. - with joyful surprise: Coff. - with subsequent starting dur- ing sleep : Hyosc. - followed by grief or spasms : Ign. - followed by anxiety or noctur- nal pains: Merc. - with fear, heat of the head, and spasms: Op. - followed by mental confusion : Plat. - followed by diarrhoea: Puis. - with suffocative fits and blue- ish face : Samb. - with unvoluntary stool and icy coldness: Teratr. Grief - caused by mortification and followed by mental confusion : Bell. - with shame and suppressed anger: Ign. - with nocturnal anxiety and complaints : Merc. - followed by spasms : Op. - with emaciation, drowsiness, and morning-sweats : Ph.ac. Grief, with apprehensions for the future and day - drowsiness : Staph. Homesickness. - with flushed face and sleep. lessness: Caps. - with nocturnal anxiety and sweat: Merc. - with emaciation and morning- sweat, drowsiness: Ph. ac. Jealousy. - with vehemence and delirium : Hyosc. - insane, with distrust: Lach. Unfortunate love. - with thoughts of suicide: Aur. - with jealousy and loquacity: Hyosc. - with silent grief: Ign. - w. desponding mood: Lach. - with emaciation and morning- sweat : Ph. ac. - with unmerited mortification Staph. Wrath. - with cries, hsemoptisis, palpita- tion : Arn. - with loss of consciousness or delirium : Bell. - with flushed cheeks, thirst: Bry. - hot sweat about the head, spasms: Cham. - thirst, vomiting of bile, chilli- ness, heat: Nux vom. - laughter, weeping, anxiety : Plat. - with internal chilliness, no thirst, but dizziness : Puis. - on account of unmerited humil- iation, whole body sore : Sta- phis. F. Mental Derangements. Forebodings of death. - with foretelling of the day of death: Acon. MIND AND DISPOSITION. 5 Forebodings of death, with anx- iety and restlessness: Bell. - with fear of death and precor- dial anguish : Plat. - alternating with fits of rage: Strain. Hysteria and Hypochondria, - with anxiety, disposition to suicide: Aur. - caused by suppression of the sexual instinct: Con. -• with fitful mood, sleeplessness: Ign. - of those who lead a sedentary life and revel at, night, with constipation : N. vom. - after unmerited insults, with flatulency : Staph. - with tremulous and excessive sensitiveness: Valer. Rage, - timorous, with frithful spectra: Bell. - amorous, with shameless ges- tures: Canth. - with haughty manners and spasms: Cupr. - with furious jealousy: Hyosc. - with amorous tenderness and jealousy: Lach. - silent, with religious melan- choly: Lye. - with frightful visions, alter- nating with stupor: Op. - censorious, with trembling and spasms: Plat. - raving, with frightful spectra: Stram. - w. wicked imprecations: Ve- ratr. Suicide, Disposition to, - with amorous fancies: Ant. crud. - with nocturnal anguish and despair: Ars. - w. religious melancholy: Aur. - w. anxiety, restlessness, fright- ful spectra: Bell. Suicide, disposition to, with silent anguish, fear of death : Puis. - with stupefaction of the head, restlessness: Rhus. Somnambulism, - with prediction of the day of death: Acon - with intense fancy, and dull- ness of feeling: Op. - with clairvoyance, increased sensibility. Phosph. G. Vertigo. a) According to its nature. Generally: Aco. Ambr. Arn. Ars. Bar. Bell. Bry. Calc. Camph. Cann. Canth. Cirb. veg. Caust. Cham. Chin. Cic. Cocc. Coff. Croc. Cupr. Dig. Dros. Euphras. Graph. Hell. Hep. Hyoscyam. Ipee. Merc. Mosch. Lye. IVatr. Natr. mur. Nitr. Nitr.ac. N.vom. Op. Petr. Phosph. Ph.ac. Plat. Plumb. Puis. Rhus. Sec. corn. Spic. Staph Stram. Stann. Sulph.Thvj. Verat. Zinc. As if falling: Acon. Arn. Ars. Calc. Camph. Cann. Canth. Caust Cham. Cic. Con. Cr.c. Hep. Ign. Ipee. Nitr ac. %. vom. Op. Puis. Sec. cor. Sil. Spig.Sulph. Staph. Stram. As if falling backwards : Bry. Camph Chin. N. vom. Ph.ac. Rhus. Spig. Stram. As if falling sideways: Arsen. Cann. Caust. Con. Euphr. N. vom. Puis. Staph. Sulph. As if falling right side : Acon. Ars. Calc. Khus. Ruta. As if falling left side : Anac. Aur. Bell. Spig. Zinc. As if falling forwards: Arn. Cans. Cic. Cupr. Ferr. Graph. IVatr. mur. Petr. Ph. ac. Puis. Rhus. Sil. Spig. Sulph 6 HEAD. Turning : Acon. Alum. Anac. Arg Arn. Bell. Bry. Calc. Cann. Carb. veg. Caust. Chel. Cic. Cocc. Croc. Cupr. Ferr. Graph. Lye. Merc. Mur. ac. Natr. mur. IV. vom. Ph. acid. Puis. Rhod. Rhus. Sep Sil. Turning in a circle: Aconit. Anac. Arn. Aur. Bell. Bry. Calc. Caustic. Cic. Con. Ferr. Hell. Kali. Merc. Nux vom. Op. Puis. Rhus. Sep. Staph. Veratr. b) Accompanying ailments. Anxiety: Ignat. Op. Rhus. Rhodod. Eructations: N. vom. Eyes, gauzy before: Laur. Sabin. Colic : Coloc. Petr. Spig. Strum.. Deafness : N. vom. Puis. Dim sight: Stram. Diarrhoea: Cham. Stram. Chilliness : Cocc. Plumb. Rhus. Veratr. Fainting: Bar. Bryon. Canth. Charnom. Croc. Hep. Ij Laur. N. vom. Plat. Sabad II. A. Internal. 1. Meningitis: Acon. Arn. Bell. Bry. Camph. Canth. Crotal. Cupr. Glonoin. Hell. Hyos. Laches. Mercur. Op. Phosph. Stram. (See general Index.) 2. Concussion of brain : Arn. Bell. Cic. Merc. Ph. ac. Sep. 3. Hydrocephalus. a. Acute: Acon. Bell. Bry. Hell. Merc. Op. Sulph. b. Chronic: Ars. Hell. Sulph. Heat: Acon. Arg. Bry. Croc. Ign. Laur. Led. Merc. IVux vom. Puis. Stram. Headache : Acon. Arg. Arsen. Aur. Bar. Calc. Con. Canth. Cupr. Ferr. Graph. Hep. Ign. Lach. N. vom. Puis. Stram. Nausea: Acon. Ant. crud. Arg. Arn. Bar. Bell. Bry. Chin. Coff. Calc. Coccul. Ferr. Graph. Hyosc. N vom. Puis. Petr. Phosph. Sil. Spig. Nose, bleeding: Acon. Ant. crud. Sulph. Obscured vision : Acon. Arg. Bell. Canth. Cham. Cic. Croc. Dulc. Ferr. Hyosc. IV. vom. Natr mur. Nit.ac. Op. Puis. Phosphor. Merc. Sec. cornut. Stram. Sulph. Pale face : Puis. Sweat: Rhus. - cold: Ign. Veratr Trembling: Dig. Vomiting: Calc. Graph. Hyosc. Yawning: Agar. Petr. WD. 4. Headache. Sensations as if the brain were distended: Bell. Arnic. Caps. Cin. Merc. Spig. - like a band around the head: Acon. Cocc. Carb. veg. Iod. Mercur. Nitr. ac. Plat. Spig. Stann. Sulph. Beating: Aco. Ars. Asar. Auir. Bell. Bryon. Calc. Caps. Carb veget. Caust. Cham. Cocc. Hyosc. Ign. Ipee. Lycopod. Nitr. ac. Phosph- HEAD 7 Puis. Rhus. Sep. Silic. Sulph. Veratr. As if the brain were moved : Acon. Ars. Bell. Bry. Croc. Kali. Rheum. Spig. Rush of blood : Acon. Ambr. Ant. crud. Arn. Asa f. Bar. Rell. Bry. Camph. Cann. Canth. Chin. Coff. Calc. Carb. veg. Coust. Coloc. Dig. Ferr. Graph. Hell. Hyosc. Ign. Iod. Kali Lach. Lye. Merc. Natr. Nitr. ac. Nux vom. Op. Plumb. Pulsat. Phosph. Rhus. Sep. Sil. Sulph. Spong. Staph. Stram. Thuj. Voter. Veratr. Boring: Ant crud. Bell. Arg. Calc. Cocc. Chin. Dulc. Hepar. Ipee. Ign. Plat. Stanh. Phosph. ac. Rhodod. Sep. Sil. Spig. Stram. Sulph. As if bruised : Acon. Ars. Aur. Camph. Cham. Chin. Coff. Euphr. Hell. Ignat. Ipee. Phosph. Nux vom. Puis. Rhus. Sep. Veratr. As if it would burst: Ant. crud. Asar. Bar. Bellad. Calc. Caps. Cham. Chin. Coff Con. Ign. Natr. mur. Nux vom. Phosphor. Rhus. Sep. Sil. Spig. Spong. Sulph. Burning: Acon. Am. Bell. Bry. Cupr. Hell. Ipee. Merc. Natr. N. vom. Phosph. Ph. ac. Rhus. Sec. corn. Spig. Staph. Stann. Veratr. Buzzing: Caust. Cocc. Phos. Sulph. Veratr. Crawling: Aconit. Arn. Bar. Cocc. Hyosc. Puis. Rhus. Sulph. Thuj. Digging: Agar. Aur. Bar. Bry. DulC. Ign. N. vom. Spig. 36 Drawing: Acon. Ambr. Agar. Asar. Aur. Bell. Calc. Canth. Carb. veg. Cham. Cina. Coloc. Cupr. Dulc Graph. Hell. Lye. Ipee. N. vom. Nitr.ac. Petr. Plat. Puis. Rhus. Sep. Sil. Sulph. Valer. Veratr. Dull headache : Antimon. crud. Agar. Bry. Calc. Carb. veg. Chin. Camph. Cocc. Coff. Dulc. Hell. Ign. Natr. mur. Ph. ac. Plat. Puis. Veratr. Zinc. Heaviness of Head: Aeon. Arn. Asa f Agar. Alum. Ars. Bell. Bry. Camph. Cann. Cham. Chin. Cic. Coccul. Coff. Croc. Cupr. Calc. Carb. veg. Caust. Con. Digit. Dulc. Dros. Euphr. Ferr. Hell. Hyosc. Ign. Ipee. Kali. Lyc. Merc. Natr. mur. Nitr. acid. N. vom. Opium. Petr. Plumb. Pulsat. Phosph. Ph. ac. Plat. Sabin. Sec. corn. Spig. Spong. Staph. Stram. Silic. Stann. Sulph. Thuj. Veratr. Hammering: Calc. Chin. Coff. Lach. Natr. mur. Phosph. Sil. Sulph. Heat: Aconit. Alum. Arn. Bell. Bry. Calc. Camph. Canth. Caustic. China. Coff. Dig. Dros. Dale. Euphr. Hell. Hyosc. Ign. Ipee. Lycop. Merc. Natr. mur. Nitr. ac. N. vom. Petr. Phosphor. Plumb. Puis. Rhus. Sep. Sil. Stann. Stram. Sulph. Hemicrania : Asar, Bry. Chin. Coloc. Ign. Ipee. N. vom. Rhus. Sep. As after intoxication : Bryon. Merc. Natr. mur. Puis. Jerks: Ambr. Bell. Bry. Calc. Dig. Mur. ac. Natr. mur. N. % om. Puis. Petr. Phos. 8 HEAD. Spic. Spong. Sep. Stann. Thuj. Valer. Simple pain : Acon. Ars. Bar. Bell. Calc. Canth. Carb. veg. Chin. Cocc. Croc. Cupr. Hell. Hyosc. Iod. Lach. Lycop. Merc. Mur. ac. Natr.c. Natr. mur. Nitr. Nux vom. Op. Ph. acid. Plumb. Puis. Rhus. Sep. Sil. Spig. Stram. Sulph. Valer. As from a nail (clavus:) Acon. Agar. Coff. Hep. Ign. N. vom. Ruta. Thuj. Pressing asunder: Acon. Bar. Bell. Bry. Calc. Ign. Lyi; Merc. Natr. mur. Nitr. Nux vom. Ph. ac. Sep. Sil. Spig. Stann. Staph. Pressing together: Alum. Asa feet. Bry. Calc. Cina. Cocc. Graph. Hell. Phosph. ac. Sil. Staph. Pulsating: Alumina. Asar. Bell. Bryon. Chin. Petr. Phosph. Puis. Rhus. Sulph. Pressure: Acon. Ambr. Arg. Arn. Asaf Asar. Anac. Ars. Aur. Bell. Bryon. Calc. Camph. Caust. C. veg. Cann. Caps. Cham. Chin. Cic. Cina. Cocc. Coff Croc. Dig. Hell. Hyosc. Iod. Ign. Ipee. Lach. Merc. Mur. ac. N. vom. Natr. carb. Natr. mur. Nitr.ac. Petr. Pulsat. Phosphor. Phosph. ac. Plat. Rhodod. Spig. Sep. Sil. Stann. Staph. Sulph. Valer. Zinc. Roaring: Aur. Ferr. Graph. Phosph. Sulph. Stinging: Acon. Ambr. Arg. Arn. Asa f. Alum. Ars. Bar. Bell. Bov. Bry. Canth. Caps. Charnom. Chin. Cic Calc. Caust. Con. Dulc. Ferr Hep. Ign. Ipee. Natr. mur. N. vom. Petros. Phosph. Plumb. Puis. Ph.ac. Rhus. Sabad. Selen. Staph Sep. Sil. Sulph. Thuj. Stupefying: Anac. Ars. Ant. crud. Arn. Bell. Bov. Cann. Cic Cina. Calcar. Hyosc. Ign. Mur.ac Phosph. Nair. carb. Nitr. Ph.ac. Plat. Ruta. Sabad. Sepia. Stann. Stu/i/i. Verb. Zinc. Tearing: Alum. Ambr. Anac. Ant. crud. Arg. Arn. Asar. Bell. Bry. Calc. Camph. Canthar. Caps. Carb. veget. Caust Cham. Chin. Cocc. Coff. Coloc. Con. Ign. Ipee. Lycop. Mur. ac. Notr. mur. N.vont. Ph.ac Puis. Rhus. Sil. Spig. tn. Cic. Euphr. Hyosc. Ign. Merc. Sabad. Stram. Photophobia: Acon. Alum. Arn. Ars. Bellad. Bry. Camph. Cham. China. Cic. Cina. Coff. Con. Croc. Euphras. Graph. Hell. Hep. Ign. Kali Lycopod. Merc. Mur. ac. Nitr. ac. N. vom. Ph. ac. Puis. Sep. Sil. Sulph. Squinting: Alumina. Bellad. Hyosc. Puis. Sec. corn. Sensitiveness: Acon. Antim. crud. Hell. Chill. Coff. Hell. Ign. N. vom. Spig. Shortsightedness : Agar. Anac. Calcar. Carb. veg. Chin. Con. Euphr. Graphites. Hyosc. Natr. mur. Nitr. ac Phos. Ph. ac. Plumb. Puis. Ruta. Stramon. Valer. Thij. Staring at one point: Cicuta. Cocc. Ruta. Stram. Vibrations: Aisen. Bell. Calc. Caib veg. Caust. Cham. Con. Dig. Graph. Hell. Ign. Lye. Mur. ac. N.vom. Petr. Phosph. Ph.ac. Pulsat. Sec. corn. Sep. Staph. Sulph. Vision, sudden blackness of: Acon. Alum. Arg. Ars. Asa feet. Aur. Bell. Bry. Calc. Carb. veg. Caust. Canth. Caps. Cham. Cic. Cina. Croc. Dros. Dulcam Ferr. Graph. lEepar. Hyosc Lye. Merc Natr. mur. Nitr. Nitr. ac. N. vom. Op. Phosph. Plumb. Puis. Sabin. Sec. cor. Staph Stram. Sep. Sulph. - dim: Alum. Bellad. Charnom. Chel. Rheum. Ruta. Sabad. - pale: Agar. China. Croc. Dros. Petr. Puis. Rhus. Sil. - obscured: Acon. Agar. Arn. Ars. Asar. Aur. Bar. Bell. Bryon. Calc. Camph. Caps. Caustic. Cham. Cic. Con. Cupr. Dig. Dros. Euphr. Ferr. Hyosc. Iod. Kali. Lye. Natr. mur. Nitr. ac. Nux vom. Op. Phosphor. Plat. Pulsat. Ruta. Sil. Spig. Stram. Sulph. Thuj. - vanishing of: A gar. Bell. Calc. Cic. Con. Croc. Hep. Hyos. Merc. Natr.m. Nitr. N.vom. Op. Phosph. Puis. Sec. corn. Spig. Staph. Stram. Veratr EYES. 13 Vision, weak : Asar. Agaric. Alum. Ars. Bar. Bell. Calc. Can. Caps. Carb veg. Chin. Cou. Croc Dros. Graph. Hep. Iod. Lye. Hyosc Ign. Natr. mur. Nitr.ac. Petr. Phosph. Ph. ac. Plumb. Rhus. Ruta. Sec. corn. Sep. Sil. Staph. B. Sensations. a. In the eye-baits & eye generally. agglutination: Alumina. Bell. jy. y. Calcar. Carb. veg. Caustic. Croc. Euphorb. Hep. Ign. Kali. Lye. Nat. mur. Nitr. ac. Nux vom. Phosph. Plumb. Pulsat. Rhus. Ruta. Sep. Silic. Stum. Staph. Sulph. Thuj. Eurning: Acon. Agar. Alum. Ars. Arn. Aur. Asa f. Bar. Bell. Bry. Calc. Canth Col. Con. Caps. Cham. Chin. Cic. Croc. Dig. Dros. Ferr. Graph. Hell. Ign. Kali. Lye. Mur. ac. Nitr.ac. Nux vom. Phosph. Plumb. Pulsat. Rhod. Rhus. Ruta. Sep. Sil. Spigel. Spong. S/aph. Stram. Sulph. Thuj. Cornea, spots on : Apis. Ars. Aur. Calc. Can. Chel. Con. Euphr. Hep. Lye. N. vom. &ep. Sil. - obscuration of: Aug. Cann. Caps. Chel. Chin. Nitr. ac. Op. Plumb. Puis. Sulph. - ulcers on : Euphr. Ruta. Dryness: Agar. Asa f. Asar. Bar. Bell. Bry. Caust. Croc. Euph. Kali. Lye. Natr. mur. Nux vom. Phosph. Puis. Spig. Staph. Sulph. Veratr. Distoition: Acon. Arnic. Ars. Bell. Bry. Camph. Canth. Cham. Cic. Cocc. Cupr. Hell. Hyosc. Opium. Petr. Plat. Plumb. Pulsat. Sec. corn. Spig. Stan. Stram. Sulph. Verat-. Ecchymosis: Arn. Cham. Nux vom. Plumb. Eye-gum: Agar. Alum. Calcar. - Canst. Cham. Chin. Con Dros. Euphorb. Graph. Hep. Lye. Nitr ac. Phosph. ac. Sil. Spig. Sulph Eyes, blood flows from: Cham. Euphr. N. vom. Ruta. - gum : Euphr. Ign. Pais Fungus heemat : Apis. Bell. Calc. Lye. Sep. Sil. Glazed : Bell. Cocc. Croc. Op. Ph. ac. Spig. Haemorrhage: Bell. Cham. Euphr. N. vom. Inflammation : Aeon. Ambr. Api*. Arn. Ars. Bar. Bell. Bry. Calc. Camph. Canth. Carb. veg. Chain. Chin. C i. Phosph. Plumbum. Rhus. Sep Spig. Spongia. Staph. stram. Complexion, changing: Aco. Bell. Bov. Cavsic. Cham. Chin. Cilia. Crocus Hyosc. Ign. Eed. Opium. Natr. c. Phosph. Ph. ac. Veratr. Zinc. Complexion, jaundiced : Acon. Aaibra. Ant. crud. Arn. Ars. Bry. Calc. Causficum. Canth. Cham. Chel. Chin. Cina. Con. Croc. Ferr. Graph Hell. Hep. Ign. Jod Kali. Lye Merc. Natrum mur. Nitr". ac. N. vom. Op. Petr. Plumb. Puis. Rhus. Secale corn. Sep. Spigelia. Veratr. • shining: Aurum. Plumbum. Rhus. Selen. - sallow : Bryon. Carb. veg. Ferr. Merc. Phosphor. Sec. corn. - sickly: Anac. Bryon. Calc. Canth. Caust. Chin. Cina. Colch. Cupr. Kali. iV. vom. Plumb. Phosph. Ph. ac. Puis. Rhus. Sec. corn. Silicea. Spigel. Stann. Staph. Sulph. Veratr. Zinc. - red: Acon. Arg. Arnica. Ars. Bar. Bell. Bryon. Calcar. Camph. Cann. Canth.. Capsic. Caustic. Cham. China. Cic Cina. Cocc. Cff. Croc. Cupr. Drosera. Euphr. Din. Dulc. Ferr. E. 21 Hyosc. Hep. Ign. Ipee. Laur. Lye.Merc. Mur.ac. Natr. c. N. vom. Op. letr. Phosph. Plat. Plumb. Puis. Rhus. Ruta. Sabad. Sa- bina. Sep. Sil. Secale cornut. Spigel. Spong. Stannum. Stramon. Sulphur. Thuj. Veratr. Zinc. Complexion, - red and blueish: Aco. Bell. Bry. Hep. Merc. Opium. Phosphor. - red, burning cheeks: Aeon. Am. Bellad. Bry. Can nab. Caps. C. an. Cham. China. Cina. Cocc. Cffea. Dulc. Hell. Ign. Kali. Lycop. Merc N. vom. Op. Plat. Sabad. Samb. Stann. Stram. Valer. - red on one side: Acon. Am. Cann. Canth. Cham. Chin. Ign. Ipee. N. vom. Pulsat. Rheum. - red, erysipelatous : Bellad. (Calcar.)' Camphor. Cham. Each. Rhus. Ruta. Stram. - sallow: Arsen. Bry. Canth. Chin. Cic. Euph. Ferr. Hyosc. Ignat. Ipee. Merc. Natr. mur. Nux vom. Op. Plumb. Phosph. Sec. corn. Sil. Emaciation: Selen. Eyes, sunken : Ambr. Arsen. Calcar. Camph. China. Cic. Cupr. Coloc. Dros. Ferr. Hyosc. Jod. Eye. Nitr. ac. Op. Phosphor. Ph. acid. Sec. corn. Spongia. Stannum. Staphys. Sulph. Veratr. Features, altered : Ars. Bellad. Camph. Canth. Charnom. Colch. Bhus. Spig. Vera- trum. Freckles: Calc. Kali Eye. Natr. c. Phosph. 22 FACE. Looks, sombre : Alum. Cham. Stram. Zinc. Pale: Aconitum. Ambr. Anac. Arn. Ars. Bell. Bry. Calc. Camph. Cann. Canth. Caps. Carb. veg. Cham. China. Cic. Cina. Coloc. Con. Cocc. Cupr. Dig. Euphorb. Euphr. Ferrum. Graphit. Helleb. Hyosc. Ign. Jod Ipee. Kali. Laches. Led. Lye Merc. Nux vom. Op. Plumbum. Petr PllOS. Ph. ac. Puis. Rhus. Sabin. Sec. corn. Sep. Silicea. Spigelia. Spong. Stann. Strain. Sulph. Teucr. mar. Veratr.. Zinc. Spots, yellow : Calc Hell. Lye. Natr. c. Phosph. - red: Alumina. Ambr Bellad. Canth. Croc. Lye. Merc. Nux vom. Op. Phosph. Sabadilla. Samb. Sil. Sulph. Zinc. - white: Ars. Merc. Natr. c. Swollen veins: China. Ferr. Op. Swelling: Alum. Ars. Bell. Bry. Calc. Canth Carb. veg. Charnom. Dulc. Graph. Hell. Hyosc. Kali. Lycop. Natr. mur. Nitr. ac. Op. Petr. Phosph. Rhus. Samb. Sep. Stram. - of forehead : Ruta. B. Sensations. A. In the face generally. Blotches: Antim. crud. Canth. Cic. Hell. Lach. Led. N. vom. Op. Puis. Viol. tr. Boils: Alum. Arn. Bell. Bry. Chin. Laur. Led. Bones, inflammation of: Staph. - swelling of: Sil. Spig. - pains of: Asa f. Caps. Chel. I. Colch. Ruta Samb. Spigelia. Staph. Valer. Coldness: Asar. Camphor. Canth. Cham. Cina. Dros. Hyosc. Ign. Ipecac. Rhus. Veratr. Comedones: Sabin. Selen. Contraction : Alum. Asar. Chin. Dulc. Nitr. ac. Rhus. Sepiae. Spong. Stann. Convulsions: Bell. Calcarea. Camphora. Canth. Cham. Cupr. Dig. Ipee. Phosphor Rheum. Stram. Sulph. Crampy feeling: Bellad. Cina Cocc. Dig. Dulc. Hyosc. Kali. Nitric acid. Platina. Rhus. Spongia. Stannum. Thuj. Va- leriana. Crusta lactea : Ambr. Arsen. Bar. Bellad. Bry. Hep. Ledum. Mercur. Rhus. Sassap. Staph. Viol. tr. Distortion: Bell. Drawing: Arg. Alumina. Anac Aur. Bell. Bry. Cann. Carb. veg. Chel. Clem. Colch. Dig. Drosera. Dulc. Euphr. Graph. Kali. Lye. Natr mur. N vom. Petr. Phosph. Ph. ac. Rhod. Rhus. Seneg. Sep. Sil. Spig. Stann. Staph. Sulph. Veratr. Viol tr. Zinc. Eruption: Alum. Anac. Ars. Aur. Bar. Calcar. Carb veg. Canst. Charnom. Cic. Colch. Coloc. Conium. Dulc. Graph. Kali. Lachesis. Eed. Eye. Merc. Natr. mur. Petr. Plumb. Ph. ac. Rhus. Sep. Silic. Stann. Staph. Veratr. Viola tr. Eruption on the lips: Aco. Ant. cr. Arn. Bar. Bell. Bov. Bry. Cann. Canth. Caps. Caustic. Chin. Coloc. Con. Dulc. Hep. FACE. 23 Hyosc. Ignat. Ipee. Kali. Led. Mur. acid. Nux vom. Rhus. Samb. Scill. Spigelia. Spong. Slaphys. Sulphur. Yeratrum. Zinc. Eruption, - around the mouth : Ant. crud. Bar. Bov. Calc. Carbo veget. Cocc. Graph. Petr. Phosphor. Ph. ac. Rhod. Rhus. Sep. Sil. Staph. Veratr. Zinc. - around the nose : Ant. crud. Bar. Bov. Caust. Dulc. Natr. c. Sep. Sil. Sulph. Zinc. - around the ears: Ant. crud. Mur. ac. Petrol. Phosphor. Sulph. - on the forehead : Agar. Ambr. Ant. crud. Arn. Baryta. Bov. Calc. Canthar. Carbo veget. Charnom. Clem. Coccul. Eu- phorb. Hell. Hep. Eed. Mur. ac. Natrum mur. Rheum. Rhod. Rhus. Sep. Sil. Staph. Sulph. Erysipelas: Rhus. Feeling of coldness : Arn. Bar. Merc. Mosch. Phosph. Plat. Rhod. Ran. seel. Flashes of heat: Ambr. Arnica. Asa foet. C. an. Cocc. Graph. Lye. Nitr. acid. Petr. Sulph. Teucr. mar. Thuj. Valer. Heat: Acon. Agar. Alumina. Ambr. Anac. Arn. Ars. Asa f. Asar. Bar. Bellad. Bov. Bry. Calc. Camph. Cann. Canthar. Caps. Carbo veget. Caust. Cham. Chin. Cina. Cocc. Coffea. Coloc. Con. Croc. Cupr. Digital. Drosera. Dulcam. Euphr. Ferr. Gra- phit. Hell. Hepar. Hyosc. I/n. Ipee. Kali. Led. Eye. Merc. Mur. ac. Natrum mur. Nitr. ac. Nux vom. Op. Petr. Platina. Plumb. Phos. 37 Ph. ac. Pills. Rheum. Rhod, Rhus. Ruta. Sabad. Sa- bina. Samb. Sassap. Senega. Sep. Sail. Sil. Spig. Spong. Stann. Staph. Siramon. Tar. Thuj. Veratr. Viol. tr. Herpes: Bar. Bov. Calc. Carbo veg. Caustic. Chel. Graph. Eed. Natr. c. Nitr. ac. Pet. Phosph. Rhus. Sabad. Sep. Sil. ' - on the cheek : Ambra. Anac. Bar. Bov. Bryon. Caustic. Merc. - on the chin: Bov. Chel. N. vom. - on the lips : Rhus. - on the temples: Alum. - on the forehead : Caps. Itching: Agar. Alumin. Ambr. Arg. Arnic. Asa f. Aur. Bry. Bov. Calc. Caps. Carbo veg. Cauitic Clem. Coloc. Con. Dulc. Graph. Kali. Each. Eye. N. vom Opium. Petr. Phosph. Ph. ac. Plat. Plumb. Rhus. Ruta. Sabadilla. Sabin. Sassap. Sep. Sil. Sulph. Ve- ratrum. Zinc. Muscles, twitching of: Bell. Pinching: Phosph. Prosopalgia: Aconit. Alumina. Asa f. Aur. Bar. Bell. Bry. Calc. Caps. Chin. Cina. Colch. Coloc. Con. Daph. Graph. Kali. Eye. Mur. ac. Nitr. ac. Nux vomica. Phosph. Sep. Spigelia. Stann. Staph. Valer. Veratr. Verb. Pulsations : Agar. Cann. Cham Clem. Croc. Hell. Tearing: Agar. Alum. Ambr. Arg. Aur. Bell. Bry. Calc. Carb. veg. Chel. Cina Colch. Con. Daph. Dig. Dulcam. Eu phorbium. Graph. Kali. Ijed 24 * FACE. Eye. Merc. Mur. ac. Natr. c. Nitr. ac. Phosph. Plumb. Rhus. Sassap. Senega. Sepiae. Silig. Spigelia. Spong. Staph. Sulphur. Thuj. Teucrium mar. Zinc. Pimples: Agar. Ambra. Ang. Ant. crud. Arsen. Bar. Bellad. Bov. Calc. Caps. Carbo veg. Caust. Cocc. Con. Drosera. Graph. Kali. Lye. Natrum mur. Nux vom. Nitr. ac. Petr. Phos. Ph. ac. Rhus. Sassap. Sep. Sil. Sulph. Stann. Staph. Veratr. Zinc. - around the eyes: Calc. Hep. Ign. Merc. Petr. Sil. Staph. Sulph. - on the cheeks : Ant. crudum. Arn. Calc. Canth. Carbo veg. Caust. Cham. Cina. Dulcam. Hyosc. Nux vom. Phosphor. Sassap. Sabina. Sep. Staph. Valer. Veratr. - on the chin: Ambr. Antimon. crudum. Bellad. Calc. Canth. Caust. Cic. Clem. Con. Dros. Dulc. Hep. Hyosc. Lye. Nitr. ac. Nux vom. Rhus. Sabina. Sil. Spigelia. Spong. Sulphur. Thuj. V eratr. Rhagades: Sil. Sensation of heat: Arn. Asa f. Bar. Bell. Bry. Camph. Croc. Dros. Euphr. Ipee. Merc. Nux vom. Petr. Platina. Rheum. Rhus. Ruta. Sabadilla. Spony. Stram on. Thuj. Spasms : Ambr. Carbo vegetab. Camph. Cann. Cham. Coi c. Cupr. Dig. Hep. Op. Sepiae. Stram. Stitches: Agar. Arg. Asa f. Asar. Aur. Bar. Bry. Calad. Oantb. China. Cocc. Con. D<-g. Graph. Ign. Kali. Lye. Merc. Natr* mur. Nitr. ac. Petr. Phosph. Plat. Plumbum. Rhod. Rhus. Sabad. Sabin. Sep. Sil. Spigelia. Spongia. Staph. Stann. Sulph. Thuj. Veratr. Verb. Sweat: Aeon. Ambra. Arg. Arn. Ars. Asa f. Bell. Bry. Calc. Camph. Cann. Capsic Carb. veg. Cham. China. Cina. Coccul. Coff. Con. Croc. Cupr. Dulc. Drosera. Hell. Hep. Hyosc. Ignatia. Ipee. Eaur. Led. Eycop. Merc. Natr. mur. N. vom. Op. Petrol. Plat. Pulsat. Rheum. Rhus. Sambucus. Sassap. Sep. Spong, Staph. Stram. Stann. Sulphur. Thuj. Valer. Veratr. - cold, on the forehead : Bry. Cin. Cupr. Ipee. Rheum. Veratr. Tension: Aconit. Alum. Arn. Asaf. Aur. Bar. Bry. Calc. Cantharis. Chel. Colch. Con. Euphorb. Laurocer. Eed. Eye. N. vom. Petr. Platina. Phosph. Ph. ac. Pulsatilla. Rheum. Rhus. Sabad. Samb. Sep. Spong. Veratr. Verb. Viol. od. Throbbing: Arn. Bellad. Calc. Sabad. Staph. Titillation: Bell. Cann. Coloc. Laur. Phosph. Ulcers: Ars. Bry. Merc. Vesicles: Alum. Ant. cr. Bar. Cantharis. C. an. Canst. Eu- phorb. Graph. Nitric acid. Petr. Plumb. Phosph. Rhus. Sepias. Silicea Sulph. Valer. Zinc. Warmth, feeling of: Asa foet. Asar. Cann. Cantharid. Chin. Ct/CC. Coff. Croc. Laur. Phos, ac. Puis Samb. Seneg. Valer. FACE. 25 B. On the lips. [u. signifies upper lip; 1. lower lip, and c. corner of the mouth.) Black: Aconit. Bryon. Chin. Mercur. Phosph. acid. Veratr. Blue: Agar. Ars. Caust. Cina. Con. Cupr. Dig. Op. Phosph. Stram in. Veratr. Blisters, bloody : Natr. mur. - Bry. Ign. Ph. ac. Plat. - u.: Kali. - 1.: Ars. Bry. Burning : Agar. Anac. Arnica. Ars. Bry. Caps. C. an. Chin. Hyosc. Kali. Merc. Muriatic ac. N. vom. Phosph. Rhod. Rhus. Sabad. Sulph. Thuj. - u.: Ant. crud. Bar. Caustic. Daph. Graph. Merc. Natr. c. Rhus. Sabad. Sep. Spigel. Staph. Veratr. - 1.: Asa f. Bar. Bellad. Bov. Bry. Clem. Daph. Graphit. Kali. Phosph. Phosphor, acid. Sabad. - c.: Arn. Coloc. D.iph. Dros. Natr. c. Zinc. Cancer: Ars. (Bryon.) Clem. Con. Sil. Chapping: Alum. Arn. Bry. Calc. Caps. Carbo veg. Cham. Chin. Colch. Croc. Ign. Nux vom. Phos. Pulsatilla. Staph. Veratr. Zinc. - u.: Caust. Natr. mur. Sab. Selen. - I.: Cham. Chin. Daph. Dros. Graph. Natr. mur. Nux vom. Phosph. Ph. ac. Puis. Contraction: Calc. Sec. corn. Deadness, u.: Calc. Distortion: Bellad. Graphit. Nux vom. Sec. corn. Dry: Aco. Agar. Alum. Ambr. Anac. Arn. Ars. Bar. Bell. Bry. Calad. Cann. Canth. C. an. Cham. China. Con. Croc. Cycl. Dros Graphites. Hyosc. Ign. Merc. Mur ac. Nux vom. Phosph. Plat. Puis. Rhodod. Rhus. Stram. Thuj. Veratr. Zinc. Dry, u.: Amm Plat. Sulph. - 1.: Daph. Merc. Sabin. Eruption: Ars. Duph. Lycop. Natr. c. Natr. mur. Petr. - u.: Carbo veg. Graph. Lycop. Merc. Sep. Sil. Thuj Zinc. - 1.: Calc. Natr. c. Phosph. ac. Sep. - c : Bell. Calc. Carbo veget. Graph. Hep. Merc. Natr. c. Petr. Rhod. Sep. Eruption, vesicular: Alumina. Canth. Laur. Natrum mur. Rhus. ---u : Amm. mur. Ars. Carbo veg. Cic. Con. Graph. Hell. Laur. Mur. ac. Plat. Seneg. Sil. Stront. Valer. ---1.: Aur. Bell. Bry. Carbo veg. Clem. Kali. Laur. Mur. ac. Natr. mur. Phos. Plat. Rhodod. Sassap. Sepia. Staph. Sulph. ---c.: Caust. Daph. Laurocer. Seneg. Glands, indurated: Con. Sulph. Zinc. - ulcerated : Ign. Heat: Ambr. Arn. Bell. Canth. Carbo an. Daph. Hep. Sep. Herpes: Anac. Ars. Rhus. Sep. - u.: Phosph. Sep. - 1.: Sep. - c.: Carbo veg. Phosph. Sep. Pale: Ferr. Kali. Lye. Valer. Peeling off: Alum. Bell. Canth. Caps. Cham. Con. Daphne. Nux vom. Platina. Plumb. Puis. Swelling, - u.: Argent. Bar. Bell. Bov. Canth. Carbo veg. Con. Daph. Graph. Hep Kali. Lye. Merc. Natr. mur. Nitr. ac Petr. Phosph. Rhus. Staphys. Sil. Sulph. Thuj. Zinc. - 1.: Alum. Asa f. Calc. Caust. Daph. Lye. Mur. ac. Natrum mur. Puis. Sep. Sil. Trembling: Stram. Sulph. - 1 : Arn. Con. Twitching: Arsenic. Cham. Dulc. - u. : Carbo veg. Natr. c. Plat Sabad. Thuj. Zinc. - 1. : Bry. Tubercles : Bell. Caust. Con. Sep. Sil. Sulph. - u.: Arsenicum. Bar. Graphit. Magnes c. - 1. : Ign. Sep. - c. : Bry. Stront. Ulceration, c.: Calc. Ulcers: Ars. Bellad. Capsic. Cham. Chin. Cic. Con. Dulc. Graph. Natr. mur. Nitr. ac. N. vom. Staph. Sulph. - u.: Caps. Caust. Daph. Kali. Merc. Staph. - 1.: Bry. Caps. Ign. Lye Merc. Nux vom. Phosphor. Phos. ac. Puis. Sep. Sil. Staph. Zinc. 26 ^ Peeling off, n.: Sulph. - 1.: Daph. Kali. Natrum mur. Pimples: Cann. Caps. China. Dulc. Hyosc. Ipee. Kali. Mur. ac. Nux vom. Rhus. Spong. - n.: Aco. Ant. crud. Arn. Bell. Calc. Carbo veg. Capsicum. Caust. Dig. Kali. Led. Lycop. Nux vom. Rhus. Sassap. Sep. Scill. Silicea. Staphys. Thuj. Zinc. - 1.: Bell. Bry. Calc. Capsic. Caust. Ign. Merc. Mur. acid. Natrum c. Rhus. Samb. Sil. Spig. - c.: Antim. crud. Bar. Bellad. Calc. Cann. Canth. Caustic. Coloc. Phosph. Rhod. Rhus. Veratr. Pressure, u.: Sulph. ac. - 1. : Valer. Rhagades : Arn. Bryonia. Cann. Caps. Croc. Ign. Plat. Puis. - u.: Agar. Kali. Natr. mur. Ph. ac. Sabad. - 1. : Bry. Cham. Nux vomica. Puis. Plat. Sulph. - c.: Ant. crud. Merc. Rough : Anac. Calc. Mur. acid. Plat. - n.: Calc. Sulph. - 1. : Merc. Natr. mur. Scurfs: Ars. Bar. Bryon. Cann. Cham. Ign. Mur.ac. N. vom. Staph. Sulph. - u.: Ars. Cic. Kali. Mercur. Petr. Sil. Staph. Sulph. - 1.: Alum. Calc. Natrum mur. Ph. ac. Sulph. - c.: Calc. Graph. Ign. Sil. Spasm: Ambr. Bellad. Caust. Kali. Merc. Plat. Swelling: Arn. Alum. Aur. Bell. Bry. Carbo veg. Caps. Chin. Dig. Natr. mur. Opium, Rhus. Stram. - c.: Arn. Bell. Graph. Hep. Ign. Merc. Nux vom. Natr. mur. Phosph. Sil. Zinc. G. Lower jaw and articulation of the jaw. Bone, swelling of: Sil. Burning: Aco. Bov. Caust. Contraction: Nux vom. Puis Stann. TEETH ANT» 3TJMS. 27 Cramp : Alum. Asa feet. Asar. Bell. Charnom. Cocc. Colch. Ignat. Kali. Merc Mur. ac. N. vom. Plat. Rhus. Spig. Spong. Stann. Sulph. - in the joint: Acon. Arnica. Bell. Bry. Calc. Camph. Canthar. Cic. Colchic. Con. Hyosc. Ign. Laur. Merc. N. vom. Op. Phosph. Plat. Plumb. Rhus. Sec. corn. Spig. Stram. Sulph. Verat. Cracking : Nitr. acid. Rhus. Sabad. Depression: Op. Dislocation: Ign. Petr. Ph. ac, Rhus. Staph. Drawing: Alum. Arg. Asaf. Aur. Bry. Cann. Caust. Chin. Clem. Con. Cupr. Daph. Dig. Natr. mur. N. vom. Phosph. Plat. Pulsat. Rheum. Rhus Sabad. Sabin. Sassap. Sil. Pain, arthritic: Caust. - crampy: Digit. Plat. Sassap. Spong. Stann. Pressure: Ambr. Arn. Asar. Aur. Bry. Chin Coff. Cupr. Dros. Ign. Led. Phosph. Sabin. Sassap. Spig. Veratr. Rigidity: Bellad. Caust. Cocc. Euphr. Graph. Hyosc. Merc. Nux vom. Petr. Sassap. Sep. Thuj. Swelling: Acon. Arn. Ars. Staph. Veratr. Tearing: Agar. Anac. Arn. Aur. VII. TEETH VII. TEETH AND GUMS. A. Teeth. Black: Ignat. Merc. Plumb. Sep. Staph. Bleeding: Ambr. Bar. Graph. Phosph. Ph.ac. Sulph Zinc. Bar. Bell.i? ,v. Bry. Canth. Carb. anim. Chin. Cocc Coff. Colch. Droser. Graph. Laur. Mercur. Nux vom. Phosphor. Plumb. Puis. Sassap. Spig. Stann. Sulph. |Twitching: Arn. Bell. Bryon. Canth. Chin. Cina. Con. Ign. Rhus. Sabin. Valer. D. Chin. Burning: Anac. Ant.crud. Bov. Canth. Caust. Rhus. Spong. Coldness: Veratr. Cramp: Bell. Drawing: Caust. Cupr. Herpes : Bov. Chelid. Natr. mur. Nux vom. Sil. Itching: Alum. Con. Dig. Kali. Lye. Natr. mur. Op. Phosph. Plat. Puis. Sassap. Scill. Spig. Stront. Sulph. Zinc. Numb feeling : Asa f. Plat. Pimples: Ambr. Anac. Ant. cr. Bell. Calc. Canth. Caust. Cic. Clem. Con. Dros. Dulc. Graph. Hyosc. Lye. Merc. N. vom. Nitr.ac. Rhus. Sabin. Sassap. Sil. Spig. Spong. Sulph. Thuj. Veratr. Zinc. Pustules : Merc. Oleand. Sabin. Zinc. Swelling: Carb. veg. Tearing: Aur. Caust. Plat. Ulcers: Hep. Vesicles: Hep. Brittle: Lach. Plumb. Sabad. Staph. Decay: Amm. Carb. an. Sil. Dull: Agar. Caps. Nitr. acid. Puis. Spong. Staph. lND gums. 28 TEETH A Palling out: Ars. Bry. Merc. N. vom. Plumb. Sec. corn. Fetid: Calc. Carb. veg. Daph. Graph. Kali. Gritting: Acon. Ant. crud. Ars. Bar. Bellad. Canth. Caust. Charnom. Cic. Coff. Con. Hyosc. Ism. Merc. Plumb. Sec. corn. Sep. Stram. Veratr. Hollow: Asar. Calcar. Daph. Hyosc. Plumb. Phosph. Sabad. Selen. Sep. Sil. Staph. Loose: Acon. Arn. Bry. Camph. Cham. Chin. Cocc. Hyoscyam. N. vom. Op. Puis. Rheum. Rhus. Staph. Veratr. Mucus on teeth: Alum. Arn. Bov. Bry. Cham. Daph. Iod. Plumb. Selen. Smooth: Phosph. Selen. Teething: Acon. Arn. Bryon. Charnom. Cic. Cina. Coff. Cupr. Hyosc. Ign. Ipee. N. vom. Op. Puis. Rhus. Stram. Toothache, see Index. Yellow : Iod. Lye. Nitr. ac. B. Gums. Blue: Sabad. Bleeding: Agar. Alum. Ambr. Ang. Bar. Bellad. Bov. Calc. Carb. veget. Caustic. Con. Euphr. Graph. Iod. Kali. Lycop. Merc. Natr. mur. Nitr.ac. N.vom. Phosph. Ph ac. Ruta. Sep. Staph. Sulph. Zinc. Burning: Bell. Charnom. Merc. Mur. ac. N. vom. Petr. Puis. Rhus. Sep. Corroded: Merc. Staph. Fistula: Calc. Canth. Caust. Natr. mur. Petr. Puis. Sil. Growths: Staph. Heat: Bell. Lye. Indented: Merc. Inflamed: Bov. Iod. Natr. mur. N.vom. Petr. Phosph. Sil. Pale: Carb. an. Merc. Nitr. acid. Plumb. Sabin. Staph. Putrid : Ambr. Nux vom. Staph. Receding: Bov. Carb. veg. Graph. Merc. Natr. carb. Phosph. Ph.ac. Rhus. Sep. Staph. Redness : Carbo an. Iodine. Merc. Nitr. Sep. Sensitive: Amm. Ang. Arsen. Carbo veg. Caust. Natr. mur. Phosph Puis. Spongy: Ang. Bry. Graph. Merc. N. vom. Staph. Scurvy: Cic. N.vom. Sta- phys. (See Index.) Suppuration: Canth.Caust. Lach. Merc. Petr. Swollen: Alum Ambr. Ang. Bar. Bellad. Bism. Bov. Calc. Carbo an. Carbo veg. Caps. Caust. Cham. Chin. Cocc. Graphites. Hep. Hyosc, Jod. Kalic. Lach. Lye Merc. Mur. ac. Natr. mur. N. vom. Nitr. ac. Petr. Phosph. Plumb. Puis. Sabin. Sep. Sil. Spig. Spong. Staph. Sulph. Tubercles : Caust. Phosph. ac. Plumb. Staph. Ulcerated: Alum. Aurum Bov. Calcar. Kali. Kali bichr. Lye. Merc. Millef. N vom. Phosph. Sabin. Stann. Staph. Zinc. Vesicles: Bellad. Calc. Canth. Daph. Nux vom. Petr. Sep. Staph. White: Merc. Staph. MOUTH. 29 VIII. MOUTH. A. Buccal cavity. Aphthae: Bry. Caust. Cham. Chin. Ipee. Merc. Nitr. ac. Nux vom. Sulphur. Sulph. ac. Blisters: Ambr. Anac. Canth. Calc. Caps. Jod. Merc. Nitr. acid. Phosph. Spong. Staph. Thuj. Blue: Cic. Merc. Bleeding: Bell. Canth. Man- cinneila. Millefol. Burning: Asa f. Asar. Bellad. Bov. Carbo veget. Cantharis. Cham. Cupr. Merc. Petr. lJhos Plumb. Spong. Sulph. Veratr. Breath, sour: Nux vom. - bad: Acon. Ambr. Arn. Agar. Aur. Bar. Bell. Bry. Camph. Canth. Capsic. Calc. Carbo anim. Carbo veget. Cham. Chin. Croc. Digital. Ferr. Graphit. Kali c. Hyosc. Jgn. Ipee. Merc. N. vom. Petr. Plumb. Puis. Sepia?. Spigel. Stram. Sulphur. Zinc. Coldness : Aco. Camph. Caust. Nitr. Rhus. Veratr. Dryness: Aco. Ambr. Amm. Ars. Aur. Antim. crud. Arn. Asa f. Asar. Bar. Bell. Bry. Gaiv. Carbo veg. Cann. Canth. Capsic. Cham. China. Ciaa. Cocc. Coffea. Colch. Croc. Ferr. Hyosc. Ign. Ipee. Kali c. Kali bichr. Lye. Mur. ac. Merc. Natrum c. Nitr. Nitr. ac. N. vomica. Petr. Phosph. Phosph. ac. Rhod. Plumb. Puis. Sabad. Sassap. Seneg. Sep. Sil. Spig. \ Stram. Sulph. Thuj. Ve- ratr. Zinc. Foulness: Arn. Ars. Aur. Bell. Bov. Bryon. Capsic. Carb. veg. Cham. Chin. Crotal. Graph. Hyosc. Iod. Merc. N. vom. Nitr. ac. Puis. Ruta. Sabin. Spigelia. Staph. Growths: Staph. Heat: Amm. Calc. Camphora. Carbo veg. Cham. Mercur. Natr. c. Phosph. Plumb. Sil. Sulph. Inflamed: Acon. Bismuthum. Brom. Calad. Canth. Colch. Ign. N. vom. Veratr. Rough : Carbo veg. Caustic. Cina. Cocc. Dig. Ipee. Mil- lefol. Ph. ac. Skin detached : Merc. Swelling: Amm. Causticum. Canth. Merc. Sep. Zinc. Trismus : Calc. Con. Phosphor. Sulph. Ulcers : Arg. Graphites. Kali bichr. Merc. Natr. mur. Nitr. ac. l\'. vom. Opium. Petr. Phosph. Plumb. Sepiae. Sil. Staph. Zinc. B. Palate. Blisters : Iod. Nux vom. Nitr. ac. Phosph. Spig. Burning : Carbo veget. Camph. Cann. Canth. Caustic. Cocc. Mur. ac. Phosph. Phosph ac. Rhodod. Seneg. Spig. Staph. Thuj. Dryness: Camph. Cann. Cina. Cocc. Hell. Merc. Nux vom. Op. Plumbum. Samb. Sepiae. I Staph. Stram. Sulph. Veratr. 30 Inflammation: N. vom. Peeling off: Amm. Euphorb. Redness : Ars. Bell. Canth. Smarting: Carbo veget. Coloc. Canth. Cham. China. Kali c. Merc. Seneg. Zinc. Sore : Daph. Nitr. ac. Phosph. acid. Stinging: Bar. Camph. Caust. Coloc. Ign. Kali c. Phosphor. Staph. Zinc. Swelling : Apis. Ars. Bell. Caps. Chin. Merc. Natr. mur. N. vom. Seneg. Stram. Ulcers: Apis. "Aur. Kali bichr. Merc. Natr. mur. Nitr. ac. Ph. ac. Sd. White: Merc. C Pharynx. (Compare Larynx.) Aphthae: Spong. Staph. Ball, histeric : Calc. Causticum. Graph. Ign. Kali c. Natrum mur. Plumb. Sep. Sil. Sulph. Valer. Burning: Aco. Alum. Amm. Ars. Arn. Asa feet. Bellad. Calc. Camph. Cannabis. Canth. Carbo veg. Causticum. Cham. Cocc Con. Digital. Dros. Euphorb. Graphites. Hyosc. Iod. Merc. Nitr. ac. N. vom. Petr. Phosphor. Puis. Rhod Sabad. Seneg. Stram. Sec. corn. Spongia. Sulph. Veratr. Contraction: Aco. Alum. Arg. Ars. Asa feet. Bellad. Calc. Causticum. Chin. Cic. Daph. Hyosc. Merc. Natrum niuriat. Phos Sabad. Stram. Sulph. Veratr. Croup, gangrenous: Ars. Chin. - membraneous: Aco. Brom. Cham. Dros. Hep. Iodine. Phosph. Samb Spong. Croup, disposition to: Lycopod. Phosph. Deglutition difficult: Aconit. Arg. Arn. Asar. Bell. Bry. Calc. Canth. Carbo vegetab. Cham. Chin. Hyosc. Ign. Ipee. Kali bichr. Merc. Natr. mur. Nitr. Nux vom. Op. Phosph. Ph. ac. Puis. Pyro c. Sabad. Spong. Stramon. Sulph. Thuj. - noisy : Arn. - desire for: Bell. Caust. Con. Ipee. Merc. Seneg. Sabad.. Thuj. - painful: Acon. Alum Arg. Ars. Asa f. Bar. Bell. Bry. Calc. Camph. Canthar. Caps. Carbo veg. Causticum. Cham. China. Cocc. Coffea., Croc. Ferr. Graph, Hell. Hep. Ign. Ipee. Kali c. Lycopod. Merc. Natr. mur. N. vom. Petr. Phosph. Ph. ac. Puis. Rhus. Ruta. Sabad. Sabin. Sep. Seneg. Sil. Spig Staph. Stram. Sulph. Zinc. Dryness: Agaric. Alumina. Ambr. Anac. Ant. crud. Ars. Asaf. Bar. Bell. Bry. Calad. CalC. Canth. Caust. Cham. Cocc. Colch. Cupr. Hyosc. Ign. Ipee Kali c. Lye. Merc. Mur. ac. Natr. mur. Nitr ac. N vom. Op Petr. Phosph. Ph. ac. Plat. Plumb. Puis. Rhus. Sabad. Sabina. Sec. corn. Sepiae. Sil. Spongia. Stann. Staph. Stram. Thuj. Sulph. Inflammation: Acon. Agar. Apis. Alum. Arg. Ars. Bar. Bell. Bry. Canth. Caps. Cham. Con. Euphorb. Iod. Lach Lye. Mercur. Petr. M0U1 Phosph. Ph. ac. Puis. Ruta. Seneg. Sep. Lump in throat: Ambra. Ant. crud. Arn. Ars. Bell. Calc. Caust. Croc. Hep. Mercur. Natr. in Plumb. Sabad. Sab. Sep. Paralysis: Aco. Bell. Cocc. Ipee. Plumb. Sep. As if a plug in throat: Amm. Bar. Charnom. Crocc. Ferr. Hep. Ign. Merc. Mur. ac. Natr. mur. Nux vom. Sep Sulph. Redness: Aco. Alum. Apis. Bell. Canth. Merc. Nitr. ac. Spong. Rolling of drinks, audible '.Cu- prum. Laur. Rough: Acon. Ambr. Antim. cud. Arg. Ars. Bar. Bryon. Carbo veget. Caustic. China. Coccul. Dros. Euphr. Graph. Hep. Hell. Hyosc. Ign. Ipee. Mur. acid. Natr. c. N. vom. Phosph. Ph. ac. Plat. Plumb Rhod. Rhus. Sabad. Sassap. Senega. Spong. Stann. Staph. Sulph. Thuj Veratr. Scraping: Alum Anac. Arg. Ars. Bry. Carbo an. Cocc. Croc. Dros. Dulcam. Kali c. Hyosc. N. vom. Puis. Rhus. Sabad. Stann. Thuj. Veratr. Smarting : Ambr. Carbo veget. Dros. Hyosc. N. vom. Ph. ac. Sep. Sore throat, chronic: Ammon. Arg. Bar. Bov. Dulc. Lach. L.yc. Nitr. Pulsatilla. Rhus. Zinc. - in measles : Carbo veg. Heat: Bellad. Cham. Dulcam. Euphr. Ferr. Hyosc. Iodine. Mercur. Natrum c. Nitric ac. Phosphor. Rhododend. Sepiae. St ram. rH. 31 Spasm : Alumina. Carbo veget. Caps. Con. Dig. Graph. Ipee. Phosphor. Sassap. Sepiae. Stram. Sulph. Veratr. Swelling : Aco. Arg. Bellad. Bry. Carbo animalis. Cham. Chin. Hep. Hyosc. Iodine. Ign. Lye. Merc. Petr. Spig. Stann. Sulph. As if swollen: Veratr. Ulcers: Arg. Calc. Iod. Ign Merc. Nitr. ac. Uvula inflamed: Apis. Bell. Brom. MUlefol. Mercur. Ruta. Zinc. - elongated: Caps. Chel. Croc. Plat" Sabad. Sulph. - swollen : Bell. Calc. China. Coff. Dulc. Kali bichr. Lycop. Merc. N. vom. Pulsatilla. Sabad. Seneg. Sil. Sulphur. Zinc. D. Saliva. Froth at mouth : Bell. Calc. Camph Canth. Charnom. Cic. Cocc. Cupr. Hyosc. Ign. Laur. Op. Plumb. Sec. corn. Stram. Veratr. - bloody : Cantharis. Hyosc. Pyrocarb. Sec. cornut. Stram. Mucus, bitter: Arn. - bloody: Alum. Amm. Bism. Iod. Lye. Mercur. Phosphor. Sec. corn. Selen. Sulphur. Stram. Thuj. Zinc. - foul: Bellad. Bov. Calcarea. Carbo veg. Cham. China. Sep. Zinc. - yellow : Bry. Spig. - gray: Arg. - green : Carbo vegetab. Colch. Natr. mur. Plumb. Zinc. - salt: Alum. Amm. Bovista. Graph. N. vom. Phos. Rhus. Sulph. 82 MOUTH. Mucus, sour: Plumb. - sweetish: Asar. - tasting badly : Merc. - smelling badly : Chin. Ignat. Puis. Rheum. - viscid: Alum. Ambr. Anac. Ant. crud. Arg. Asar. Bell. Bry. Camph. Caps. Chainom. Coff. Dulc. Euphr. Iod. Ign. Merc. Nux vom. Phosph. Ph. ac. Plumb. Pulsat. Rhus. Samb. Ptyalism: Aconitum. Ant. crud. Agar. Alum. Apis. IMIad. Brom. Bry. Camph. Canth. Capsicum. Cham. Chin. Cocc. Colchic. Con. Cyc. Dros. Dulc. Euphr. Ferr. Hell. Hyosc. Ign. Iod. Kali c. Ipee. Merc. Nit rum ac. Nux vom. Op. Phos. Plumb. Puis. Pyrocarb. Rhus. Sec. corn. Spong. Staph. Stram. Veratr. Saliva, bitter: Arn. Ars. Merc. Thuj. - frothy: Ant. crud. Bell. Bry. Camphora. Canth. Cic. Cocc. Ign. Ipee. Phosph. Plumbum. Sil. Sabin. Sec. corn. Spigelia. Stram. -watery: Asarum. Camphora. Colch. Dig Dros. Hell. Iod. Ipee Lach. Nux vom. Phosph. Plumb. Staph. - increased flow : Acon. Alum. Arg. Asar. Bar. Bell. Bov. Brom. Bry Calc. Camph. Canth. Carb. ve«et. Caustic. Cham. Chin. Cocc. Colchic. Dros. Dulc. Graph. Hell. Hep. Hyosc. Ign. Ipee. Merc. Natr. mur. N.vom. Phosph. Pulsat. Rhus. Sep. Spig. Spong. Staph. Stram. Sulph. Veratr. E. Tongue. Black: Ars. Chin. Op Sec corn. Blotches: Apis. Dros. Lycop. Phosph. Blisters : Amm. Arg. Ars. Apis. Bar. Bell. Brom. Bry. Calc. Canth. C an. Caust. Cham. Chin. Croc. Graph. Hell. Kali carb. Mur. ac Natr.mur. Nitr. ac. N. vom. Phosph. Puis. Sabad. Sep. Spig. Spong. Staph. Blue: Ars. Dig. L-ach. Mur. acid. Sabad. Burning: Acon. Alum. Argent. Ars. Asar. Bar. Bell. Bry Calc. Canth. Carb. an. Caut. Chin. Coff. Color. Croc. Graph. Hyosc. Ign. Kali carb. Merc. Natr. mur. Op. Phosph. Ph.ac. Plat. Plumb. Rhodod. Sabad. Spig. Spong. Sulph. Veratr. Cancer: Apis. Ars. Coated, brown: Arsen. Bell. Bry. Carb. veg. Crofal. Man- cin. Plumb. Sabin. Sec. cor. Sulph. - yellow: Acon. Alum. Arn. Ars. Bellad. Bry. Cann. Charnom. Chin. Cocc. Kali bichr. Lach. IVlerc. Nitr. acid. Sabad. Sabina. Senec. Stann. Zinc. - like a crust: Chin. - like fur: Merc. Puis. - frothy: Plumb. - slimy: Acon. Agar. Bell. Canth. Charnom. Chin. Cina. Ignat. Merc. Nitr. Nux vom. Phosph. Plumb. Puis. Sec. corn. Sep. Sil. Stann. -dirty: Acon. Ant. crud. Arn. Chin. - blackish: Ars. Bry. Merc. See. corn. MOUTH. 33 Coated, wnite : Acon. Agar. Alum. Anac. Ant crud. Ars. Asar. Arn. Bell. Bryon. Calcar. Cuirh. Cann. Carb. veg. Cham. Chin. Cina. Croc. Dig. Euphr. Ign. Ipee. Merc. Mur. ac. Nat. mur. Petr. P/iosvh. Piumb. Puis. Rheum. Rut. Sabad. Sabin. Sassap. Selen. Seneg. Spigel. Staph. Sulphur. Veratr. Zinc. Cracks: Bar. Calc. Ign. Merc. Cracked: Bar. Bell. Bryon. Calc. Cham. Chin. Plumb. Ph. ac. Sec. corn. Spig. Dry : Acon. Ambr. Arn. Ars. Bell. Bry. Calc. Canth. Carb. veg. Caust. Cham. Cocc. Coff. Con. Dulc. Kali carb. Lye Hell. Hyosc. Ipee. Lach. Merc. N.vom. Op. Phosph. Ph. ac. Plumb. Puis. Rhus. Sep. Staph. Stram. Sulph. Veratr. Zinc. Heat: Acon. Bellad. Canth. Carbo veget. Plumb. Pulsat. Stram. Sulph. Heavy: Anac. Bell. Calc. Carb. veget. Mere Mur. ac. Natr. mur. Plumb. N. vom. Ruta. Indented: Merc. Inflammation: Aconit. Arn. Canthar. Cham. Nux vom. Plumb. Papillae, erect: Croc. Oleand. - inflamed: Bell. Paralysis : Acon. Bar. Cocc. Crotal. Dulcam. Ipee. Hyosc. Laur. Mur.ae. N.vom. Op. Rhus. Rut. Sec. cor. Stram. Peeling off: Spig. Ranula: Ambr. Oalc. Natr. mur. Nitr. ac. Staph. Red: Cham. Veratr Roughness: Acon. Alum. Bar. Calc. Carb. veg. Cocc. Dulc. Graph. Hyosc. Merc. Phosph. Sep. Stram. Sulph. Smarting: Acon. Arn. Arsen. Asar. Bell. Cham. Chin. Coloc. Croc. Dros. Ign. Ipee. Natr. mur. Op. Sep. Sulph. Zinc. Sore: Agar. Ars. Canth. Cic. Dig. Kali c. Lye. Merc. Mur. acid. Natr. mur. Nitr. ac. Op. Sen. Sil. Suppuration: Canth. Mancin. Swelling: Anac. Apis. Ars. Bell. Bryon. Calad. Chin. Cic. Dig. Dros. Glonoin. Hell. Mere Natr.mur. Plumb. Pyrocarb. Ruta. Sabad. Sec. Sil. Stram. Veratr. Tongue protruded: Aco. Plumb. Trembling: Bell. Phos. ac. Stram. Twitches: Sec. corn. Ulcers: Amm. Apis. Arsen. Canth. Chin. Cic. Dros. Kali bichr. Lye. Mur. ac. Merc. Natr. mur. Nitr. ac. Op. Ulcers, at the edge of tongue: Caust. Mere Nitr.ac. Thuj. - under the tongue : Lye. ■White: Arsen. Canth. Coloc. Hell. Kali carb. Nitr.ac. Nux vom. Op. Petr. Phosphor. Puis. Sep. Sulph. Veratr. Withering: Veratr. F. Speech. Dumb: Cicuta. Pyrocarb. Stram. Speech, impeded: Acon. Anac. Arg. Arn. Ars. Bell. Bry Calc. Cann. Canth. Carb. veg. Caust. Cocc. Conium. Dulc. Hyosc.Ign. Lye. Merc. Mur. ac. Natr. mur. N. vom. Op. Plumb. Petr. Phosphor. See. cor. Spong. Stann. Stram. Sulph. Veratr. Zinc. 84 APPETITE. Speech, hurried : Acon. Bry. Hep. Merc. - stuttering: Cocc. Stram. - slow: Thuj. - low tone: Bell. Canth. Cha- rnom. Chin. Hep. N.vom. Op. Sec.corn. Staph. - nasal: Bry. Speechless: Arn. Ars. Bar. Bell. Bryon. China. Con. Crotal. Cupr. Hyosc. Lye. Merc Mur. ac. N. vom. Op. Phosph. Plumb. Puis. Ruta. Sec. corn. Stram. Veratr. Stuttering: Aco. Arn. Bell Cham. Euphr. Hell. Opium Sec. corn. Stram. Verat. Stammering: Euphr. Voice, clear: Chin. Secale corn. Spong. Stram. Veratr. - low: Ant. crud. Canth. Ign. Nux vom. Op. Puis. Secale corn. Spong. Veratr. - indistinct: Bry. Cann. Cocc. Hyosc. Sec. corn. Stram. Veratr. - loss of: Antimon. crud. Cann. Dros. Hyosc. Lach. Plumb. Ruta. Spong. Veratr. IX. APPETITE. Loss of appetite : Aco. Agar. Alumina. Ant. crud. Arg. Am. Ars. Bar. Bell. Bry. Calc. Canth. Carbo vegetabil. Caustic. Cham. China. Cic. Cocc. Coff. Colch. Con. Croc. Cupr. Cycl. Dig. Dros. Dulc. Ferr. Graphites. Hell. Hep. Hyosc. Ign. Ipee Lach. L«yc. Merc. Natr. mur. Nux vom. Op. Phosphor. Plat. Puis. Rhodod. Rhus. Ruta. Sabad. Sec. corn. Sep. Sil. Spigel. Spong. Stann. Staph. Sulph. Thuj. Veratr. Zinc. Aversion to beer: Bell. Cham. China. Cocc. N. vomica. Phosph. Spig. Spong. Stann. Sulph. - to brandy: Ign. Merc. - to bread: Con. Ign. Lycopod. Natr. mur. Nitr. ac. Nux vom. Phosph. Ph. ac. Puis. Rhus. Sep. Sulph. - to brown bread: Kali c. L.yc. AT. vom. Puis. Sulph. - to solid food: Ferr. Mercur Staph. Aversion, - to fat food : Ars. Bell. Bry Calc. Carbo veg. Drosera. Hell. Hep. Merc. Natrum mur. Petr. Pulsatilla. Psorin. Rhus. Sep. Sulph. - fish : Graph. Zinc. - meat: Alum. Arn. Ars. Aur. Bry. Calc. Carbo veget. Causticum. Ferr. Graph. Ign. Kali bichr. Lye Mercur. Mur. ac. Natr. mur. Nitr. ac N. vom. Op. Petr. Plat. Puis Rhus. Sabad. Sepiae. Sil. Sulph. Zinc. - broth: Arn. Ars. Belladonna. Graph. Rhus. - vegetables: Hell. - coffee: Bellad Bry. Calc. Carbo veget. Cham. China. Coff. Dulc. Lye Merc. Natr. mur. N. vom. Phosphor. Rhus. Sabad. Spig. - to milk : Arn. Bell. Bryon. Calc. Carbo veg. Cina. Ign. Natr. c. Nux vom. Phosphor. Pulsat. Sep. Sil. Stann. Sulph. APPETITE. 3,1 Aversion, - sour things : Bellad. Cocc. Ferr. Ign. Nux vom. Ph. ac. Sabad. Sulph. - salt things: Carbo veg. Graph. Selen. - sweet things: Ars. Caust. Graph. Merc. Nitr. ac. Phos. Sulph. Zinc. - to water: Bellad. Brom. Bryon. Canth. Caust. China Lye. Natrum mur. N. vom. Stram. - to wine: Ign. Lach. Merc. Rhus. Sabad. Sulphur. Desire for beer: Acon. Bry. Calc. Causticum. China Cocc. Graph. Lach. Merc. Natr. c. N. vom. Op. Petr. Ph. ac Pulsat. Rhus. Sabad. Spig. Spong. Sulph. Zinc. - bitter things: Dig. Natrum mur. - brandy: Aco Arg. Ars. Bov. Bry Calc. China. Cic. Hep. Mur. ac. N. vom. Op. Puis. Selen. Sep. Spigel. Staph. Sulph. Sulph. ac. - bread: Ars. Bell. Bov. Ferr. Hell Ign. Natr. m Plumb. Puis. Staph. - bread and butter: Ferr. Ign. Merc. - something refreshing: Carbo an. Caust. Cocc. Phosph. Ph. ac. Pulsat. Rheum. Valer. - for fat food: Nitr. ac. Nux vom. - for meat: Hell Sulph. - liquids: Ferr. Merc. Staph. Sulph. - pastry: Plumb. - smoked things : Caust. - vegetables: Alum. Magnes. carb. Desire for - cucumbers: Ant. crud. Veratr, - herrings : Nitric ac. Veratr. - cheese: Ign. - coffee : Ars. Aur. Bryon. Capsicum. China. Colch. Con. Mosch. Selen. - chalk : Nitr. ac. N. vom. - sweet things: Amm. Calcar. Carbo veg Chin. Ipee Kali c. Cyc. Nalr. c. Nux vom. Petr. Rheum. Rhus. Sabad. Sulph. - fariuaceous: Sabad. - milk: Anac. Ars. Aur. Bov. Bry. Calc Chel. Mercur. Natr. mur. Nux vom. Ph. ac. Rhus. Sabad. Sabina. Sil. Staph. - fruit: Alum. China. Ignat. Puis. Sulph. ac. Veratr. - juicy : Ph. ac. - salt: Calc Carbo veg. Caust. Conium. Nitric acid. Phosph. Veratr. - sour : Antim. crud. Arn. Ars. Bry. C. an. Cham. China. Con. Dig. Hep. Ign. Kalic. Lach. Phosph. Puis. Sabin Sec. com. Sep. Stram. Sulph. Veratr. - wheat bread: Aur. - warm food: Cycl. Ferrum. Lye. - wine: Aco. Arg. Bov. Bryon. Calc. Chin. Cic. Hep. Lach. Pulsat. Sep. Spigelia. Staph. Sulph. Bad effects of food or drink: see Index. Hunger: Agar. Alum Antim. crud. Arg, Ars. Aur. Bellad. Bryon. Calc. Canth. Carbo veg. Cham. China. Cina. Cocc. Coff. Graph. Hell. 36 TASr Hyosc. Ign. Lye Merc. Mur J ac. Natr. mur. Nux vom. Op. Petr. Phosphor. Plat. Plumb. Puis. Rhus. Sabad. Secale corn. Sep. Sil. Spong. Staph. Veratr. Hunger, - without appetite: Ars. Bellad. Bry. Calc. Chin. Dulc. HM. Ign. Lye. Natr. mur. Nux vom. Op. Puis. Rhus. sil. Sulph. Veratr. - canine: Ars. Bryon. Calc. Cham. Chin. Cina. Cocc. Graph. Hell. Hyosc. Iodine. Lye. Natr. mur. N. vom. Op. Phosph. Puis. Rhus Sep Sil. Spig. Sulph. Veratr. Thirst: Aeon. Ant. crud. Arn. Ars. Bell. Bryon. Calc. Canth. Carb. veg. Caust. Cham. Taste, bitter: Aconit. Alum. Ant. crud. Arg. Arn. Ars. Aur. Bar. Bell. Bov. Bry. Calcar. Canth. Carb. veg. Cham. Chin. Cocc. Coff. Croc. Cupr. Dig. Glonoin. Hyosc. Ign. Ipee. Kali c. Lye. Merc. Mur.ac. Natr. mur. Nitr.ac. Nux vom. Op. Petr. Phosph. Pulsat. Rhododend. Rhus. Sabad. Sabin. Sec. corn. Sepia;. Silic. Spong. Staph. Stram. Sulph. Veratr. - of food : Ars. Bryon. Camph. Chin. Ferr. Hell. Hep. Ign. Ph. ac. Puis. Sabin. Staph. Stram. - of blood : Alum. Ars. Canth. Ferr. Ipee. Kali carb. Rhus. Sabin. Zinc. Chin. Cina Coffea. Crocus. Crotal. Cupr. Dros. Dulc. Ferr. Hep. Hyosc. Ign. Kali bichr. Merc. Natr. mur. Nux vom. Plumb. Rhus. Sec. comut. Silic. Stram. Sulph. Veratr. Thirst, - loss of: Ambr. Apis. Arsen. Bellad. Camph. Canth. Chin. Con. Hell. Hep. Lycop. N. mosch. Oleand. Op. Ph.ac. Puis. Rhus. Sep. Spig. Spong. Staph. - with aversion to drinks: Arn. Bell. Canth. Caust. Hyos. Lach. Lye. Natr. mur. Nux vom. Rhus. Samb. Stram. - none, but desire to drink: Ars. Camph. Cocc. Coloc. Graph. Mancin. Phosph. Taste, - burnt: Bryon. Cyclam. Laur. Puis. Sc'ill. Sulph. - of pus: Dros. Merc. Natr. carb. Puis. - nauseous: Bry. Chel. N.vom. Puis. Valer. - earth : Caps. Ferr. Hep. Merc. Puis. - flat: Agar. Alum. Ant. crud. Ars. A-iaf. Aur. Bell. Bry. Caps-. Chin. Coloc. Dig. Dulc. Euphorb. Ign. Ipee. Natr. mur Op. Ph ac. Puis. Rhus. Sec. corn. Stann. Staph. - foul: Aeon. Arn. Ars. Aur. Bellad. Bry. Cham. Cou. Cupr. Ign. Kali carb. Lycop. Merc. Mur. ac. N. vom. Ph. ac. Puis. Rhus. Spig. Staph. Veratr. X. TASTE. ERUCTATIONS. 37 r«arj», - of foul eggs: Acon. Arn. - bilious: Acon. Bry. Cham. Puis. Veratr. - of cheese : Chin. - chalky : Ign. Nux mosch. -insipid: Acon. Alum. Ars. Bell. Bry. Caps-. Chin. Eu- phras. Ign. Kali c. Op Petr. Phosph. Sabin. Spig. Stann. Staph. Valer. - salt: Alum. Ars. Bar. Bell. Calc. Carb. veg. Chin. Coff. Croc. Iod Merc. Puis. Rho- dod. Su'ph. • sour: Acon. Alum. Ars. Aur. B u: Bell. Calc. Canth. Caps. C. an. Con. Charnom. Chin. Cjcc Cuotal. Graph. Ignat. Bali c. Kali bichr. Lye Merc. Nitr. ac. Nux vom. Pyrocarb. Phosph. Puis. Rhus. Sep. Sil. Sulph. Taste, - slimy: Alum. Arn. Arsen. Bell. Cham. Chin. Cocc. Dig. Hell. Hep. Cyc. Merc. Nux vom. Petr. Phosph. Ph. ac. Rhus. Sep. Sulph. - sweetish : Alum. Aur. Bell. Bry. Canth. Chin. Off Coc Cupr. Ferr. Kali c. Lye Merc N. vom. P'losph. Plat. P.umb. Puis. Sabad. Spong. Sulph. Zinc. - offensive: Ars. Brom. Bry. Calc. Canth. Chin. Cocc. Dros. Ign. Merc. Xatr. mur. Nux vom. Phosph Pulsat. Sep. Spig. Stann. Sulph. Zinc. - lost: Alum. Anac. Ant. cr. Belt. Bry. Calc. Hyosc. Ipee. Kali c. Lye. Merc. Natr. mur. Rhodod. Sec. corn. Sep. Silic. Stram. Sulph. Veratr. XL ERUCTATIONS. Eructations, bitter: Alum. Ar- nica. Ars. Bar. Bell. Bry. Cham. Chin. Calc. Carb. veg. Cocc. Droser. Hyosc. Ign. Kali carb. Lye. Merc. Mur. ac. N. vom. Phosph. Pulsat. Sil. Spong. Stann. Sulph. Veratr. - foul: Acon. Arn. Bellad. Brom. C. an. Cocc. M ere. Mur. ac. N. vom. Phosph. Puis Sep. Sulph. - - after eating: Antim.crud. Bellad. Bry. Camph. Canth. Chin. Cina. Cocc. Coff. Cro- tal. Euphr. Ferr. Graph. Ign. Natr. mur. Phosph. Pulsat. Rhus. Sil. Su ph. Thuj. - bilious: Am. Bryon. Cocc. Dros. N. vom. Puis. Spong. Veratr. Eructations, hot: Mancin. - spasmodic: Ferr. Nux vom. Phosph. Ruta. - loud : Ant. crud. Caust. Con. Kali c. Petr. Phosph. Plat. Puis. - empty: Acon. Agar. Alum. Ambr. Ant. crud. Arn. Ars. Bar. Bell. Bryon. Calc. Cann. Canthar. Carb. veg. Caust. Coloc. Con. Charnom. China. Cocc. Coff. Colchic. Croc. Dulc. Euphorb Gra- phit. Hell. Iod. Ign. Ipee. Cali c. Lye Merc. Mille- fol. Natr. mur. N. vom. Phosphor. Plumb. Plat. Rhus. Ruta. Sabad. Sabin. Sep. Sil. Spig. Spong. Sta- phis. Veratr. 38 HEART-BUEN, : Eructations, - sour: Ambr. Arsen. Bar. Bell. Bry. Calcar. Carb. veg Cham. Chin. Con. Dros. Dig. Graph Ignat. Kali C. Kali bichr. Cyc. Mercur. Natr. mur. N. vom. Op. Phosph. Puis. Sabin. Sil. Stann. Sulph. Sulph. ac. Zinc. - fetid: Bism. Cocc. Merc. N. vom. Sulph. Thuj. - incomplete: Arn. Bell. Canth. XII. HEART-BURN Heartburn: Agaricus. Alumina. Ambr. Ant. crud. Arg. Arn. Bar. Bell. Calc. Capsic. Carbo veg. Caust. Cham. Chin. Croc. Crotal. Con. Dig. Dulc. Ferr. Graph. Iod. Ign. Cyc. Merc. Natrum mur. N. vom. Petr. Regurgitation, bitter: Arnica. Bar. Bry. Dros. Ign. Nux vom. Phosph. Puis. Rhod. - of blood : Canth. Chin. Merc. N. vom. - salt: Arn. Lye. Veratr. - sour: Alum. Calc. Con. Dros. Nux vom. Petr. Plumb. Puis. Rhus. Sabin. Spong. Zinc. - of food : Antim. crud. Arnica. Bell. Bry. Camph. Canlh. Carbo veget. Cham. Dulc. Ferr. Ign. Lye. Merc. Nux vom. Phosph. Plumb. Puis. Sep Sulph. - of water: Aco. Arg. Arn. Bar. Bryon. Cann. Caust. Cina. Hep. Kali c. Merc. Nux vom. Petr. Phosph. Plumb. Puis. Sulph. ac. Rising: Alumina. Bellad. Calc. Eructations, Cina. Cocc. Con. Hyosc Mille- j'ol. Natr. mur. Ph.ac. Rhus. Sabad. - suppressed: Aconit. Alum. Ambr. Bar. Bell. Calc. Can- thar. Caustic. C. an. Cocc. Con. Hyosc. Ign. Kali carb. N. vom. Phosph. Plat. Plumb. Puis. Sulph. - repulsive: Asa f. Cina. Nat. mur. Ph. ac. Plumb. Rising, Chin. Phosph. Pulsat. Rhus. Sabad. Stann. - hot: Asaf. Canth. Carbo veg. Cic. Coffea. Croc Dulc. Hed. Merc. Nux vom. Plat. - cold : Veratr. - sweet: Aco. Chin. Plat. Merc. Stann. - burning: Arsenic. Bov. Calc. Carbo veget. Croc. Hep. Hell. Lye. Nux vom. Phosph. Sa- bina. Secale corn. Sep. Sil. Staph. Sulph. Thuj. Verat. Zinc. "Water-brash, bitter: Chelidon. Graph. Nux mosch. Sulph. - sour: Bell. Calc. C. an. Con. Natrum c. Sulph. - general: Ant. crud. Arsenic. Bry. Carbo veg. Chin. Cina. Cocc. Graph. Hell. Ign. Kali e Lye. Merc. Nux vom. Staph. Sulph. - more fully: Aco. Alum. Ars. Bar. Bryo. Calc. Canth. Carbo veg. Caustic. Cic. Cina. Cocc. Dros. Ferr. Hep. Ign. Kali c. Lye. Natr. REGURGITATION. NAUSEA, VOMITING. 39 Rising, mur. Nitr. ac. Nux vom.. Petr. Phos. Puis. Sabad. Sep. Sil. Spig. Staph. Sul- phur. Veratr. - with shuddering: Sil. - with hiccup: Aconit. Agar. Alum. Ant. crud. Arg. Ars. Asar. Bar Bell. Bov. Bry. Loathing : Aco. Ant. crud. Arg. Arn. Asar. Bar. Bell. Bry. Canth. Cham. Chin. Cocc. Colch. Cupr. Digit. Dulc. Ferr. Hep. Ign. Ipee. Kali c. Merc. Nux vom. Op. Phosph. Plumb. Puis. Rhod. Secale corn. Sep. Sil. Spigel. Stram. Sulph. ac. Nausea, generally: Aco. Alum. Ant. crud. Arg. Arn. Ars. Bell. Bry. Calc. Cann Carbo reg. Caustic. Cham. China. COCC. Coff. Con. Croc. Cupr. Die. Dros. Dulc. Glonoin. Hep. Ign. Ipee. Kali c. Lye Mosch. Mercur. Mancin. Natr. mur. Nux vom. Petr. J'hosph. Ph ac. Puis. Rhus. Ruta. Sabad. Sep. Sil. Staph. Sulph. Veratr. - in the chest: Aco. Bry. Croc. Merc Nux vom. Rhus. Sec. corn. Staph. - in the throat: Aco. Ars. Bell. China. Cocc. Coffea. Cupr. Cycl. Ferr. Merc. Ph. ac. Puis. Rhus. Spig. Stann. Staph. Sulph. Valer. - in the stomach : Aconit. Arn. Asar. Calc. Cann. Cantharis. Cham. Chin. Cic. Cocc. Croc. Cupr. Hell. Ipee. Kali carb. Lye. Merc. Natr. mur. Nux 38 Calc. Cann. Canth. Carbo veg. Causticum. Cham. Cic. Cina. Cocc. Coff. Colchicum. Con. Cupr. Dig. Bros. Dulcam. Euphr. Euphorb. Graph. Iod. Kali c. Merc. Natr. mur. N. vom. Op. Phosph. Pulsat. Samb. Sep. Spong. Staph. Stram. Sulph. Veratr. Nausea, torn. Phosphor. Puis. Rhus. Sil Sulph. Veratr. - in the abdomen : Bell. Bry. Cocc. Cupr. Hell. Hep. Puis. Rheum. Samb. Sil. Staph. Qualmishness: Aco. Arnica. Ars. Bar. Bellad. Bry. Calc. Caps. Carbo veg. Caustic. Cham. China Cina. Coffea. Croc. Digit. Euphr. Hep. Ign. Ipee. Kali c. Lye Natr. c. Nitr. ac Nux vom. Petrol. Phosphor. Plat. Pulsa'. Rhus. Sabad. Sil Staph. Sulph. Thuj. Veratr. Zinc. Retching: Aco. Ant. crud. Arar. Arn. Ars. Asar. Bell. Bryon. Canth. Chin. Cocc. Cupr. Dig. Dulc. Glonoin. Hyosc. Ipee. Lye. Natrum mur. Plumb. Pulsat. Sabin. Secale corn. Sulph. Veratr. Vomit, inclination to : Aeon. Ant.crud. Arg. Arn. Ars. Aur. Asar. Bell. Bryon. Cann. Canth. C. veg. Cham. China. Cocc. Coffea. Croc. Cupr. Dig. Ferr. Graph. Hep. Hyosc. Hell. Ign. Iod. Ipee. Kali bichr. Lye. Merc. Mur. ac. N. vom. Op. Plat. Plumb. Puis. Pyro carb. Rhus. Sabina. Secale corn. XIIL NAUSEA, VOMITING. 40 NAUSEA, VOMITING. Vomit, inclination to: Sep. Sil. Spig. Spong. Staph. Stram. Sulph. Thuj. Ve- ratrum. - anxious : Aco. Calc. Caustic. Bali c. Lach. Lye. Nitrum ac. Plumb. Sabad. Vomiting, generally: Antim. crud. Arg. Arh. Arsen. Asar. Bar. Bell. Bryon. Calc. Camph. Cann Canthar. Caps. Cham. Chin. Cina. Cocc. Coffea. Colch. Con. Cupr. Dig. Dros. Dulc. Euphorb. Ferr. Graph. Hell. Hep. Hyosc. Ipee. Iodine. Kali c. Lach. Lye. Mercur. N. vom. Phosph. Ph. ac. Op. Plumb. Puis. Ruta. Sabin. Sec. corn. Sep. Sil. Sulph. Veratr. Zinc. - bitter: Bryo. Cann. Canth. Cham. Chin. Cocc. Cupr. Ipee. Sec. corn. Sep. Sil. Sulph. Thuj. Veratr. - bloody: Aco. Arn. Arsenic. Bry. Camph. Cann. Canth. Chin. Cupr. Dros. Ferr. Hyosc. Ipee. Lye. Nux vom. Op. Plumb. Pulsat. Rhus. Sepiae. Stann. Veratr. Zinc. - of brown substance : Arsenic. Bism. - bilious: Acon. Ant. crudum. Ars. Bell. Bism. Bryo. Camph. Cann. Canth. Cham. Colch. Con. Cupr. Dig. Dros. Dulc. Hyosc. Ipee. Iodine. Kali bichr. Lye. Merc. Natr. mur. N. vom. Phosph. Puis. Sab. Sec. corn. Sep. Sil. Stann. Stram. Veratr. Zinc. - yellow: Arsen. Bryon. Cann. Colchic. Iod. Ipee. Plumbum. Veratr. Vomiting, - yellow-green : Arsen. Bryon. Dulc. Ipee. Veratr. - of drinks: Ant. crud. Dulc. Ipee. - green: Aco. Ars. Asar. Bry. Cann. Charnom. Crotal. Cupr. Digitalis. Hell. Hep. Hyosc. Ign. Ipee. N.vom. Op. Plumb. Pulsat. Stram. Veratr. - violent: Cupr. Ipee. Veratr. - green-blackish : Plumb. Petr. Phosph. - of urine : Op. - of faeces : Bry. N. vom. Op, Plumb. - sour: Ars. Asar. Bellad. Calc. Canst. Cham. Chin. Cocc. Ferr. Graphites. Hep. Ipee. Lye. Nux vom. Op. Phosph. Psorin. Pulsat. Sabin. Secale cornut. Stann. Stram. Sulph. Veratr. - frothy: Veratr. - of mucus : Acon. Ant. crud. Ars. Bar. Bell. Bry. Cann. Cham. Chin. Cocc. Cupr. Dig. Dulc. Ferr. Graphit. Hep. Hyosc Ign. Ipee. Lye. M ere. N. vom. Pulsat. Phosph. Sec. cornut. Sil. Stram. Sulph. Veratr. - of food: Antim. crud. Arn. Ars. Bell. Bryon. Calc. Canth. Charnom. Chin. Cina. Cocc. Coffea. Coloc. Dig. Dros. Ferr. Graphites. Hyosc. Ign. Ipee. Kali bichr. Kali c. Lach. Lycop. Merc. N. vom. Op. Phos. ac. Plumb. Puis. Pyro carb. Sabin. Sep. Sil. Stan. Sulph. Veratr. - fetid : Cupr. Ipee. Plumb. Sec. corn. Veratr. STOMACH AND PIT OF STOMACH. 41 Vomiting, - watery : Asar. Bry. Cannab. China. Cupr. Dros. Ferr. Hyosc. Ipee. Pulsat. Stram. Veratr. - black : Ars. Calc. Camphora. Chin. Hep. Ipee Lye Man- fin. Nux vom. Op. Petr. Phosph. Plumb. Secale Vomiting, corn. Stram. Sulph. Sulph. ac. Veratr. - of worms : Aco. Anac. Ars. Cina. Coff Ferr. Hyoscyam. Merc. Natrum mur. Sabad. Secale corn. Sil. Spigelia. Veratr. XIV. STOMACH AND PIT OF STOMACH. A Stomach. Acidity: Con. Graph. Sil. Sulph. acid. Zinc. As if bloated : Alum. Bellad. Bov. Chin. Con. Croc. Dulc. Ferr. Hell. Iud. Kali bich. Lye. Nitr.ac. Nux mosch. Op. Petr. Phosph. Sab. Stann. Zinc. Burning: Acon. Ambr. Arg. Ars. Asa f. Bar. Bell. Bry. Calad. Calcar. Camph. Canth. Caps. Carb. veg. Chin. Cic. Colch. Con. Croc. Digit. Euphorb. Graphit. Ignat. Iod. Nux vom. Petr. Phosph. Phosph. ac. Sabad. Sec. cornut. Sep. Sil. Sulph. - at the pylorus: N. vom. Cancer: Ars. Cyc. N.vom. - as if something alive in it: Croc. Cold: Ars. N. vom. Puis. Veratr. Coldness : Alum. Arsen. Bar. Caps. Con. Graph. Ign. Natr. mur. Phosph. Sabad. Sulph. Sulph. ac. Constriction: Aco. Alum. Bry. Bellad. Calc. Carb. veg. Chin. Con. Cocc. Euphorb. I^ycop. Nux vom. Phosrjh. Plumb. Sil. Sulhp. Contraction of pylorus : Ars. Euphorb. Ign. Nitr.ac. Nux vom. Phosph. Zinc. Cramp: Ars. Ambr. Ant. crud. Arn. Asa feet. Bar. Bellad. Brom. Bry. Calc. Carb. veg. Caust. Charnom. Chin. Cocc. Con. Cupr. Dig. Euphorb. Ferr. Hyosc. Iod. Ign. Ipee. Kali carb. L.yc. Merc. Natr. c Natr. mur. N.vom. Petr. Phos- yhor. Plumb. Puis. Psorin. Sabad. Sec. corn. Seneg. Sep. Sil. Stann. Staph. Sulph. Sulphur, acid. Thuj. Valer. Veratr. Crampy pains: Arn. Caust. Euphorb. Ign. Kali carb. Nux vom. Puis. Cutting: Alum. Antim.cr. Ars. Asa f. Calc. Cann. Canth. Chel. Digit. Kali carb. Petr. Phosph. Stann. Sulph. Empty feeling: A1 u m. B ar. B ry. Carbo veg. Caust. Chin Dig. Graph. Ign. Ipee Iod. Kalic. Kali bichr. Lye. Mur.uc. Natr. mur. N. vom. Petr. Phosph. Platin. Plumb. Rhus. Sep. Veratr. Flatulence, feeling of: Arnica. Ars. Croc. N. mosch. Fullness, feeling of: Aco. Alum. 42 STOMACH AND PIT OF STOMACH. Arn. Asaf. Asar. Bar. Bov. Calc. Canth. Carb. veg. Cham. . Chin. Cocc. Ferr. Hell. Iod. Kali c. Ign. Lach. Lye. Merc. N. vom. Opium. Petr. Phosphor. Puis. Rhus. Sabina. Sepiae. Silicea. Stann. Sulph. Sulph. ac. Valer. Griping: Caustic. Euphorb. Graph. Natr. carb. Phosph. Sil. Stann. Heat: Aco. A rs. Camph. Canth. Cocc. Con. Digit. Euphorb. Mur. ac. Plumb. Phos. Sulph. Inflammation : Aco. Ant. cr. Arsen. Bell. Bry. Canth. Chin. Cic. Colchic. Hyosc. Ipee. Nux vom. Phosph. Plumb. Puis. Sabad. Sec. cor. Stram. Vciair. Movements: Cocc. Cupr. Iod. Pinching: Argent. Arn. Asar. Bry. Canthar. Con. Croc. Dulcam. Hell. Nitr.ac. Rhus. Sep. Stann. Sulph. Pressure : Aeon. Agar. Ambr. Ant. crud. Arn. Anac. Asa feet. Asar. Ars. Bar. Bell. B>v. Bryon. Calc. Canth. Carb. v. Caust. Cham. Chin. Cic* Cocc Coloc. Con. Crotal. Cupr. Dig. Ferr. Hell. Hep. I»n. Ipee. Iod. Kali c. Lj. Twitching: Aur. Canth. Canst. Chin. Coff. Con. Dig. Graph. Ign. Kali c. Phosph. Rhus. Throbbing: Arn. Cann. Canth. Chin. Dulc. ign. Kali c. Op. Plat. Selen. Ulcers: Cupr. Plumb. Ulcerative pains : Cann. Chin. Coccul. Cupr. Dig. Hell. Merc. Nitr.ac. Rhus. Sabad. Sep Stann. Uneasiness: Calcar. Dulc. Eu- phorb. // ec Kali e Nitr. ac. Phosph. Plat. Sabin. Sep. Urging: Asa f. Bell. Calc. I arb. veg. (Joloc. Dig. Dulc. Graph. Ign. Iod. Kali carb. Phosph. i'nls. Sep. Thuj. Warmth: Canth. Caps. Cina. Coff'. Iod. Ipee. N.vom. Phos. Sabin. Sec. corn. Weak feeling : Acon. Carb. an. (Ferr.) Ign. Phosph. Plalinu, Rhodod Sen. Stann. Zinc. Writhing: Alum. Ars. Asaf. Bryon. Calc. Caps. Cina. Con. Dros. Dulc. Merc. Plat. Plumb. Rhus. Rjita. Sa- bad. Sabin. Silic. Staphys. Vuicr, Veratr. B. Region of the Abdomen. Abdomen, lower: Alum. Am- bra. Ant. crud. Arg. Arn. Arsen. Asa f. Aur. Bar. Bell. Bry. Calc. Camph. L'ann. Canth. Caps. Carbo an. Carb. veg. Caust. Cham. Chin. Cic. Cina. Coccul. Coff. Coloc. Con. Croc. Cupr. Dig. Dulc. Ferr. Hell. Hepar. Hyosc. Ign. Iod. Kali c. L.yc. Merc. Natr.mur. Nitr. ac. N.vom. Phosph.PA. ac Plat. Plumb. Puis. Rheum. Rhod Rhus. Ruta. Sabad. Sabin. Sarnbuc. Sep. Silic. Spigel. Spong. Stann. Staph. Sulph. Thuj. laler. Veratr. Zinc. Abdomen, sides of: Aconitum. Alum. Ambr. Antim. ciud. Arg. Arn. Ais. Asa f. Aur Bar. Bell. Bry. Calc. Cam- plwr. Cann. Canth. Caps. Carb. an. Carb v. Caust. Cham. Chin. Cina. Coc- cul. Coff. Croc. Dig. Dros. Dulc. Euphorb. Ferr. Gra- phit. Hell. Hep. s. c. Hyosc. Ign. Ipee. Iod. Kalic. Lye Mercur. Moschus. Natr. mur. Nitr.ac. N.vom. Opium. Petr. Phosph. Flat. Plumb. Puts. Rheum. Rhodod. Rhus. Ruta. Sabad. Samb. Sep. Sil. Spig. Spong. Stann. Staph. Sulph. Thuj. Valer. Zinc. Epigastrium : Aco. Ambr. Ant crud. Arn. Ars. Asa f. Aur. Bar. Bell. Bry. Calc. Camph. Cann. Canth. Caps. Carbo veg. Caust. Charnom. China. Cina. Coccul. Coloc Con. Croc. Cuprum. Dig. Dros. Dulc. Euphr. Hell. Hep. sulph. Hyosc. Ignat- Ipee Iod. Kali e L.ycop. CATARRH. 49 Mercur. Mosch. Mur. acid. Natr. mur. N. vom. Op. Petr. Phosph. Ph. ac. Plat. Plumb. Puis. Rhodod. Rhus. Sabad. Samb. Sep. Sil. Spig. Spong. Stannum. Staph. Sulph. Thuj. Valer. Veratr. Zinc. Lumbar region : Acon. Ambr. Ant. crud. Arg. Arn. Aurum. Asa f. Calc. Cann. Canth. Carbo an Carbo veg. Cham. China. Cina. Coccul. Coloc. Dig. Euphorb. Ign. Iod. Kali c. Lye. Merc. Nitr. ac. Nux vom. Plumb. Pulsatilla. Rheum. Rhus. Ruta. Sab. Sec. corn. Sep. Spig. Spon- A. Sensations. Catarrh : Alum. Ambr. Antim. crud. Arg. Asa f. Ars. Bar. Bell. Bry. Calc. Camphor. Canth. Caps. Carbo vegetab. Caust. Chin. Cina. Coccul. Coloc. Cupr. Bros. Euphorb. Fuphr. Graphit. Hell. Ign. Iod. Kalic. Lach. L.yc. Merc N. vom. Natrum mur. Nitric acid. Petr. Phosphor. Ph. ac. Plat. Plumb. Puis. Rhod. Rhus. Selen. Sep. Sil. Spig. Spong. Stannum. Staph. Sulph. Thuj. Ve- ratrum. Zinc. • on one side: N. vom. Puis. . alternately fluent and stopped: Nux vom. Puis. • in the day-time: N. vom. Catarrh, generally: Acon. Arn. Campb. Coccul. N. vom. Puis. Sabad. Catarrhal fever: Acon. Bellad. Bryon. Camph. Cham. gia. Staph. Sulph. Thuj. Valer. Zinc. Umbilical region : Aco. Alum. Ambr. Ant. crud. Arn. Asaf. Bar. Bell. Bry. Calc Cann. Canth. Caps. Carbo an. Carbo veg. Causticum. Cham. Chin. Cina. Coccul. Coloc. Con. Dig. Bulcam. Graph. Hep. sulph. Hyosc. Ignat. Ipee. Iod. Kali carb. Merc. Mosch. Mur. acid. Nux vom,. Op. Phosph. Ph. ac Platina. Plumb. Pulsat. Rheum. Rhod. Rhus. Ruta. Sabina. Sep. Sil. Spigel. Spongia. Stann. Staph. Sulph. Thuj. Valer. Veratr. Zinc. (rc Muriat ac. Nitric ac. Nux mosch. Puis. Rhod. Bhus. Ruta. Seneg. Spig. Staphys. Sulph. Veratr. - in stormy weather: Arsenic. Cham. Lach. Lye Mur. acid. Natr. N. mosch. Nux vom. Phos. Puis. Bhod. Rhus. Spig. Sulph. - in dry weather: Asar. Bellad. Bry. Carbo veg. Caustic. Cham. Hep. Ipee Mur. acid. Nitric ac. Nux vom. Phosph. Sabad. Sil. Spong. - by wet: Amm. Ant. crud. Bell. Calc. Canth. Carb. veg. Clem. Dulc. Lye Merc. Nitric ac. Nux vom. Phosph. Puis. Bhus. Sep. Sil. Spig. Staph. Stront. Sulph. - in winter: Acon. Ars. Aur. Bar. Bell. Bry Canst. Cham. Coccul. Con. Dulcam. Hell. Hep. Ign. Kali. Lye Merc. Nux mosch. \. vom. Puis. Rhod. Bhus. Sep. Sulphur. Veratr. - when writing: Anac. Asa f. Calc. Carbo veget. Coccul. Graph. Ign. Kali. Lye Natr. Natr. mur. Nux vom. Phosph. Ruta. Sil. Spong. Zinc. Amelioration of the pains. In the open air: Alum. Anac. Asa f. Aur. Bar. Cann. Carbo veg. Con. Croc. Graph. Hell. Ign. Iod. Kali. Lye Magn. Mezer. Natr. Phosph. Plat. Puis. Sabin. Selen. Sepiae. Spong. Stront. Sulph. Veratr. Vit. By boring Into the ear or nose: Lach. Natr. Phosph. Thuj. Before breakfast: Caust. Cham. Chin. Con. Kali. Lye. Natr. mur. N. mosch. Phosph. Phosph. ac. Sabin. Selen. Sil. Sulph. ac. Zinc. By deep breathing: Ign. Lach. Oleand. Spig. When chewing: Bryon. Chin. Spig. In the cold : Ambra. Ant. tart. Asar. Cin. Croc. Dros. Graph. Iod. Kali. Led. Lye Mercur. Natr. Natr. mur. Plat. Puis. Rhus. Sec. corn. Sep. Sulph. Thuj. Veratr. By contact: Anac. Asa foet. Calc. carb. Cycl. Drosera. Lycop. Mang. Mur. ac. Natr. Phosph. Sulph. Thuj. In the dark: Bar. Bell. Calc. carb. China. Con. Croc. 160 GENERAL SYMPTOMS. Euphr. Graph. Ignat. Kali. Lye Mercur. Natr. Phosph. Phosph. ac. Puis. Sepiae. Sil. Sulph. After drinking: Bry. Graph. Phosph. Rhus. Sil. After eating: Calc. e Cannab. Chel. Ferrum. Graph. Ign. Iod. Kali. Lach. Merc. Na- trum. Phos. Squill. Stront. Veratr. When eating: Ambr. Anacard. China. Croc. Ferr. Graphit. Ign. Iod Lach. Merc. Nux vom. Puis. Spig. Staph. Tar. Zinc. By eructations : Ant. tart. Bar. Carbo veg Coccul. Gra- phit. Ign. Kali. Lach. Lye Natr. N. vom. Sil. Sulph. By food and drink : - bread : Caust. Natr. - vinegar: Puis. - meat: Veratr. - coffee: Ars. Cham. - cold food: Bell. Bry. Cham. Ferr. Kali. Laches. M. austr. Merc. Phosph. Phosphor, ac. Puis. - warm food : Ars. Con. Graph. Ign. Lye. Mur. ac. N. mosch. N. vom. Rhus. Sulph. Ve- ratrum. - cold water: Bry. Caustic. Phosph. Puis. Sep. - warm water: Nux vom. Rhus. - wine: Con. Lach. Op. By imposing one's hand: Bell. Croc. Natr. By mental labor: Croc. Ferr. Natr. By bodily labor: Ignat. Natr. Rhus. Sep. By leaning against: Carbo veg. Ferr. Kali. Staph. In the light: Calc. c. Carbo an. Carbo veg. Con. Plat. Stront. When lying down: Alum. Am- bra. Am.'Bell. Bry. Calc. c. Canth. Caust. Coccul. Colch. Croc. Dig. Graphit. Hep. Iod. Merc. Natr. Natr. mur. N. vom. Oleand. Phosphor, ac. Sassap. Squill. Sec.corn. Stan- num. Staph. Stram. --in bed : Bell. Bry. Canth. Caust. Cic. Cin. Con. Digit. Ferr. Lach. Lye Natrum mur. Nitric ac. N. vom. Phosph. Rhus. Sabad. Squill. Selen. Sil. Staph. Stram. Veratr. ---on the back : Acon. Bry. Calc. c. Carbo an. Con. Creos. Ferr. Ign. Kali. Lye Natr. mur. Nux vom. Plat. Sepiae. Stann. Sulph. ---on the side: Arn. Ars. Bry. Cham. Cupr. Iod. Lach. Nail- 's, vom. Phosph. Rhus. Sep. — on the affected side : Bry. Cham. Ign. Kali. Puis. Rhus. ---on the painless side: Acon. Ars. Bar. Bell. Graph. Hep Iod. Nux vom. Phos. Ruta. Sil. Sulph. Thuj. ---with the head high : Ant. tart. Ars. Cann. China. Hep. Nux vom. Puis. Spig. — bent double : Coloc. Pulsat. Rheum. In the evening, after lying down: Bar. Bell. Bry. Calc. e Carbo veg. Cic. Cin. Croc. Graph. Hell. Hep. Iod. Natr. mur. Nux Vomica. Oleand. Rheum. Rhodod. Secale corn. Squill. Staph. By motion: Ambr. Asaf. Aur. Caps. Chamom. Con. Cycl. Dulc. Ferr. Fluor, ac. Lach. Lye Merc. Mosch. Natr. Op. Phosphor, ac. Puis. Rhodod. GENERAL SYMPTOMS. 161 Rhus. Sabad. Samb. Sepiae. Sulph. Tar. Valer. Verb. By continued motion : Con. Ferr. Kali. Lye. Puis. Sil. Valer. Veiatr. By external pressure : A mm, mur. Anac. Ars. Aur. Bryon. Canth. Chel. Con. Dulcam. Graph. Ign. Kali. Magn. mur. Men. Mur. ac. Natr. N. vom. Phosph. ac. Plumb. Rhus. Sulph. Sulph. ac. Veratr. Vit. By raising one's self: Ant. tart. Ars. Calc. c. Cham. China. Dig. Ign. Kali. Lye. Oleand. Puis. Samb. Sep. Sil. Sulph. ■When reading: Natr. In rest: Agar. Anac. Ant. tart. Asar. Arn. Bell. Bry. Calad. Carbo an. Carbo veg. Caustic Chel. Coff. Colch. Croc. Ferr. Graph. Hell. Iod. Ipecac. Le I. Mang. Merc. Natr. mur. Nux mosch. N. vom. Phos. Plat. Rheum. Rhod. Selen. Spigel. Squill. Staph. Sulph. ac. When riding in a carriage: Graph. Nitric ac. In the morning after rising: Ambr. Ant. tart. Ars. Bell. Calad. Carbo anim. Cycl. Eu- phorb. Ferr. Graphit. Ignat. Iod. Kali. Led. Lye Mang. Merc. Mezer. Natr. N. vom. Phosph. Puis. Rhus. Selen. Sep. Sulph. Veratr. Viola od. In the room: Agar. Amm. mur. Ars. Bell. Calc. carb. Camph. Cann. Carbo an. Carbo veget. Cham. Chin. Coccul. Con. Creos. Ferr. Guaj. Ign. Lach. M. austr. Natr. Nitric ac. N. mosch. N. vom. Oleand. Petr. Rheum. Ruta. Selen. Sil. Spig. Stram. Sulph. ac. Teucr. Valer. By scratching: Asa f. Bryon. Calc. e Caust. Cic. Cycl. Ign. Led. Mur. ac Natr. Oleand. Phosph. Ruta. Sulph. Sulph. ac. Thuj. By sleep: Ars. Ipee. Nux vom. Phosph. Puis. "When sitting: Bryon. Calad. Camph. Cann. Chamom. Cic. Coffea. Colch. Croc. Hell. Hyosc. Iod. Merc. Mezer. N mosch. Nux vom. Phosph Rheum. Rhus. Squill. Secale corn. Staph. When standing: Antim. tart. Asar. Bell. Calad. Calcar. c. Coccul. Colchic. Croc. Hell. Hep. Iod. Ipee Led. Mercur. Mur. ae N. vom. Phos. Ruta. Squill. Selen. Spiff. Vit. In society: Arsen. Kali. Lye. Stram. In swallowing : Ambr. Graph. Ign. Lach. Led. Merc. Nux vom. Pulsat. Squill. Spongia. Staph. In sweating: Calad. Cham. Clem. Graph. Hep. Lye. Nitr. ac. Nux vom. Oleand. Rhus. Selen. Stram. Thuj. Veratr. By uncovering one's self: Calc, c. Chamom. Ferr. Ignat. Iod. Lye. Phosph. Puis. Secale corn. Spig. Veratr. On waking : Ars. Calad. Hell. Nux vom. Phosph. Pulsat. Sep. Thuj. When walking fast: Ignat. Natr. mur. Sep. By the warm stove : Ars. Aur. Caust. Con. Hep. Ign. Kali. Magn. N.vom. Rhod. Rhus. Stront. Sulph. By washing : Amm. mur. Ars. Asar. Caust. Chel. Pulsat. Rhod. Spig. ___the face : Asar. Mezer. Sa- badilla. Ib2 GENERAL SYMPTOMS. By weeping : Anac. Ign. Lye. In damp weather: Acon. Asar. Caust. Hep. Ipee N. vom. Sil. Spong. In dry weather: Ant. crudum. Calc. carb. Chin. Dulcam. Ferr. Lach. Lye Merc. Natr. N. mosch. Pulsat. Bhus. Sulph. Veratr. By wiping with the hand: Asa feet. Calcar. c. Cina. Cycl. Ign. Natr. Phosph. Plumb. Puis. Thuj. In warmth : Acon. Amm. Arn. Ars. Aur. Bar. Bell. Camph. Carbo veget. Caust. China. Cic. Coccul. Dulc. Ferrum. Graph. Hell. Hep. Hyoscyam. Ign. Kali. Lach. M. austr. Magn. Merc. Mosch. Natr. N. mosch. Nux vomica. Petr. PhOS. Rhod. Rhus. Sabad. Samb. Squill. Sil. Staphys. Stront. Sulph. ac. Verat, Zinc. Anaemia: Arn. Ars. Bell. Bry. Calc. c. Carbo veg. Chamom. Chin. Con. Ferr. Ign. Iod. Kali. Lach. Lye Merc. ]Vatr. Natr. mur. Nitric ac. N. vom. Phosph. ac. Puis. Rhus. Sep. Sil. Squill. Staph. Sulphur. Sulph. ac. Veratr. Aneurysms : Carbo veget. Ferr. Graph. Kali. Lach. Lye. Puis. Sulph. Apparent death : Arn. Bellad Carbo veg. Cham. Chin. Lach. Nux vom. Op. Tart. emet. Apoplexy: Acon. Arn. Baryt. Bell. Calc. Camph. Caust. Chin. Coccul. Coff. Dig. Ferr. Hyosc. Ipee. Lach. Lycop. Merc. N. vom. Puis. Rhus. Sil. Stram. Tart. emet. Veratr. Atrophy: Ars. Baryt. Bellad. Calc. c. China. Cina. Iod. Ipee. Lach. Merc. Nux vom. Rhus. Sil. Sulph. Bones, affections of, in general : Arn. Ars. Asa feet. Aur. Bellad. Calc. carb. Calc. phosph. Carbo veg. China. Con. Dulc. Graphit Hep. Iod. Kali bichr. Lach. Lye. Merc. Mezer. Nitric ac. Phosph. Puis Rhus. Ruta. Sabin. Sec. corn. Sil. Spong. Staphysag. Sulph. Sulph. ac. Thuj. - swelling: Asaf. Aur. Calc. Dulc. Guaj. Hep. Lye Merc. Nitric ac. Phosphor. Puis. Rhus. Ruta. Sil. Staph. Sul- phur. - fractures: Arn. Asa f. Calc. Lye. Rhus. Ruta. Sil. Sym- phyt. Sulph. - inflammation : Asa f. Aur. Bell. Calc. Chin. Hep. Lycop. Merc. Nitric ac. Phos. Sil. Sulph. - pains: Ars. Asa f. Aur. Bar. Calcar. China. Cic. Daph. Fluor, ae Lach. Lye Merc. Nitric ac. Phosph. Phosphor ac. Plumb Ruta. Sil. Staph. Sulph. - curvature: Asa feet. Bellad. Calc. Calc. phosph Hep. Iod. Lye Merc. Phos. Plumb. Rhus. Sil. Sulph. - caries: Arsen. Asa f. Aur. Calc. Fluor, ac. Hep. Lye. Mercur. Nitric ac Phosph. Phosph. ac. Ruta. Sep. Sil. Spong. Sulph. Blue disease : Aco. Arn. Ars. Aur. Bell. Camph. Carbo veg. Chin. Con. Cuprum. Dig. Ferr. Ipee Lach. Merc. N. vom. Op. Phosph. Puis. Rhus. Sec. corn. Veratr. Bounding, as of something: Croc. Burns: Ant. crud. Arn. Ars. Carbo veg. Caust. Creos. La- ches. Sec. corn. Stram. GENERAL SYMPTOMS. 163 Chagrin, consequences of: Aco. Ars. Bry. Cham. Chin. Coff. Coloc. Nux vom. Phosph. Ph. ac. Plat. Staph. - suppressed: Ign. Phosph. ac. - with wrath: Coloc. Staph. N. vom. Chamomile, excessive use of: Acon. Coff Ign. Puis. Nux vom. Children, diseases of: Acon. Bar. Bell. Bryon. Calcar. Cham. Cin. "Coff. Drosera. Hep. Hell. Ign. Iod. Ipee. Merc. Nux mosch, Nux vom. Puis. Rheum. Silic. Spongia. Sulph. China, ailments from abuse of: Arn. Ars. Bell. Calc. c. Can- thar. Carbo veg. Ferr. Ipee. Lach. Lye. Merc. Natr. mur. If. vom. Sep. Puis. Sulphur. Veratr. Cholera: Ant. tart. Ars. Asar. Camph. Carbo veget. Cupr. Dulc. Hydr. ac. Jatr. Ipecac. Lach. Nux vom. Phosph. Ph. ac. Sec. corn. Veratr. Cholerine: Bry. Puis. Rhus. Choleric temperament: Acon. Anac. Bry. Caust. Cham. Cin. Cupr. Hyosc. Kali. Lach. Na- trum. Nitric ac. Nux vom. Op. Phosph. Chlorosis : Bell. Calc. carb. Camph. Chin. Coccul. Conium. Crot. Ferr. Graphit. Hell. Ign. Kali. Lach. Lye. Natr. mur. Nitric ac. Nux vom. Plat Plumb. Puis. Sep. Staph. Sulph. Valer. Cold, taking : Acon. Ant. crud. Ars. Bell. Bry. Calc. Caust. Cham. Coff. Dulcam. Hep. Ipee. Merc. N. vom. Phosph. Puis. Bhus. Sil. Sulph. • Cold, liable to take: Aconit. Bell. Bry. Calc. Carbo veg. Caust. Cham. China. Dros. Dulc. Hep. Lye. Merc. Na- trum. Nitric ac. Nux VOin. Puis. Rhus. Sep. Sil. Sulph. Complaints, periodical: Arnic. Ars. Bell. Bry. Carbo veget. Chin. Ign. Ipee. Natrum mur. N. vom. Puis. Bhus. Spig. Sulph. Concussion : Arn. Bell. Bry. Ctc. Con. Nux vomica. Rhus. Veratr. Ailments incident to confine- ment: Aconit Agn. Arnica. Bell. Bry. Calc. Cham. China. Coff. Hep. Hyosc. Ignat. Lye. Mere N. vom. Op. Phosph. ac. Plat, Puis. Rhus. Sec. corn. Sil. Sulph. Veratr. Congestions of blood: Acon. Amm. Arn. Asa f. Aur. Bell. Bry. Calc. c. Carbo vegetab. Chin. Croc. Cupr. Dig. Ferr. Graph. Hyosc. Kali. Lycop. Merc. Natr. mur. Nitric ac. N. vom. Op. Phosph. Puis. Rhus. Seneg. Sep. Sil. Stram. Sulph. Sulph. ac. Veratrum. Viola tr. Contusions: Acon. Arg. Arn. Cic. Con. Led. Oleand. Petr. Puis. Rhodod. Rhus. Ruta. Sulph. Sulph. ac. Crawling r Bell. Calcar. Sep. Sulph. Debility, nervous: Am. Baryt. Bell. Calc. Carbo veget. Cham. Chin. Coff. Cuprum. Graph. Hyosc. Ign. Iod. Ipee. Lach. Lye. M. arct. Mercur. Natr. Natr. mur. Nitric ac. Nux mosch. N. vom. Phos. Phosph. ac. Plat. Pulsat. Bhus. Sec. corn. Selen. Sil. Stann. Stram. Valer. Veratr. Drunkards,ailments of: Acon, Ars. Bell. Calc. Carbo veget 164 GENERAL SYMPTOMS. Hyosc. Ign. Lach. Natrum. Natr. mur. Nux vom. Op. Puis. Rhus. Sil. Stram. Sulph. Dryness of inner parts : Aeon. Ambr. Ars. Asa f. Bellad. Bry. Calad. Calc. Carbo veget. Cham. Cic. Con. Croc. Dulc. Graph. Hyosc. Ign. Lye Magn. mur. Mang. Merc. Na- trum. Natr. mur. Nitric acid. Nux mosch. Nux vom. Par. Phosph. Puis. Rhus. Samb. Sec. corn. Seneg. Sepia?. Sil. Spong. Stram. Sulph. Verat. Zinc. Emaciation: Ambra. Anacard. Ars. Bar. Bry. Calc. carb. Canthar. Carbo veg. Chamom. Chin. Chlor. Cina. Coccul. Cupr. Dulc. Ferr. Graphit. Hep. Ign. Iod. Ipee. Laches. Lye Merc. Natr. Natr. mnr. Nitric ac. N. vom. Phosph. Phos. ac. Plumb. Puis. Sec. corn. Selen. Sil. Stann. Sta- phys. Sulph. Veratr. Excesses, consequences of: Ana- card. Ars. Bar. Calc. carb. Carbo veg. Chin. Conium. Kali. Lach. Mercur. Natr. Natr. mur. N.vom. Phosph. Phosph. ac. Puis. Rhus. Sec. corn. Sep. Sil. Staph. Sulph. Thuj. Veratr. Fainting: Acon. Am. Arsenic. Bell. Bryon. Calc Camphor. Cann. Carbo veget. Chamom, China. Coccul. Coff. Creos. Dig. Ferr. Hep. Hyosc. Ign. Ipee. Lach. Laur. Mosch. N. mosch. N. vom. Op. Petr. Phosph. Phosph. ac Pulsat. Ran. sc. Rhus. Sangn. Secale corn. Sep. Sil. Spig. Stra- in on. Tart. emet. Veratr. Viola od. Fat, tendency to get: Antim. crud. Ars. Calcar. Caps. Croc. Cupr. Ferr. Graphit. Lach. Lye. Merc. Op. Pulsat. Spong. Sulph. Veratr. Fear, consequences of: Aconit. Bell. Hyosc. Ign. Lach. Op. Puis. Veratr. Females, diseases of: Aconit. Agar. Alum. Ambra. Arnica. Bell. Bor. Calcar. Caps. Caustic. Cham. China. Cic Coccul. Con. Croc. Ferr. Graph. Hyoscyam. Ign. Ij.ec Kali. Lach. Magn. mnr. Merc. Mosch. Nux mosch. Nux vom. Plat. Puis. Rhus. Sabin. Sec. corn. Selen. Sepia?. Spongia. Stann. Sulph. Valer Veratr. Fever, general character of. Fever, bilious: Acon. Ant. crud Ant tart. Ars. Bry. Bellad Cham. Coccul. Coloc. Creos. Ign. Ipee Merc. Natrum mur. N. vom. Puis. Sulph. Veiat. - catarrhal: Acon. Ars. Bry. Bell. Caust. Chamom. Con. Dulc. Ipee Lach. Magn. mur. Mere N.vom. Puis. Rhus. Sulph. - gastric: Ant. crud. Antim. tart. Ars. Aur. Bell. Bry. Cham. Coccul. Coloc Hepar. Ignat. Ipee. Merc. Magn c. N. vom. Phosph. ac. Puis. Bhus. Sulph. Veratr. - yellow: Acon. Ars. Bell. Bry. Crot. Ipee. Mercur. Nux vom. Puis. Rhus. Sulph. - puerperal: Acon. Bellad. Bry. Cham. Nux vom. Puis. Rhus. - milk: Acon. Bell. Calc. Coff'. Puis. - nervous: Acon. Arn. Arsen. Bell. Bry. Camph. Chamom. Hyosc. Ignat. Lye. Mercur. GENERAL SYMPTOMS. If?5 Fever: Mur. acid. N. vom. Op. Phosphor, ac. Rhus. Stram. Veratr. - rheumatic: Acon. Arn. Ars. Bell. Bry. Caustic. Cham. Colch. Dulcam. Ipee. Mercur. N. vom. Puis. Rhus. Sil. Sulph. - wound : Acon. Am. Bry. - dentition: Acon. Bell. Calc. Chamom. Merc. Nux vom. Sulph. • hectic: Arsen. Calc. China. Coccul. Cupr. Dig. Ign. Iod. Ipee. Kali. Laches. Lye. Nux v*m. Phosph. Phosph. ac. Puis. Ml. Staph. Sulph. - typhus, abdominal: Aconit. Ars. Bell. Bry. Mere Nux vom. Phosph. ac. Bhus. - typhus, cerebral: Acon. Arn. Ars. Bell. Bry. Carbo veget. Chin. Crot. Hyosc. Lach. Mer- cur, Mur. ac, N. vom. Op. Phosph. P/tosph. ae Pulsat. Bhus. Sulph. Veratr. - typhus, putrid: Ars. Asaf. Bry. Carbo veget. Chin. Ferr. Graph. Hep. Ipee. Lach. Mere Mur. ac. Nux vom. Op. Phos. ac. Rhus. Fluids, ill effects of loss of: Calc. Carbo veg. Chin. Cin. Con. Lach. Lye. Natr. Natr. mur. Nitric ac. Nux vom. Phosph. ac. Sulph. Sulph. ac. Thuj. Veratr. Freezing, consequences of: Aco. Ars. Bry. Carbo veg. La- ches. Nitric ac. Sulph. ac. Fever, according to particu- lar symptoms. Burning: Arsen. Bry. Rhus. Veratr. lilliness in general: A in bra. Ant. tart. Arn. Ars. Bryon. Calc. Canth. Cham. China. Cin. Colch. Cupr. Ferrum. Graph. Ilep. Ign. Ipee. Lach. Lye. Merc. Mezer. Natr. mur. Nux vom. Phosph. Phosph. ac. Puis. Rhus. Sabad. Sassap. Sep. Sil. Spig. Sulph. Thuj. Veratr. - external: Arn. Chin. Lycop. Merc. Nux vom. Phos. Rhus. Veratr. - semi-lateral: Ant. tart. Bryon. Caust. Igmit. Lye Nux vom. Puis. Rhus. Spig. - internal: Anac. Ars. Bellad. Bry. Calc. Chamom. China. Hell. Ignat. Ipee. Lach. Laur. Lycop. N. vom. Phosph. Pulsat. Squill. Sep. Thuj. Veratr. - with shaking: Acon. Bryon. Caps. Cham. Chin. Ign. Ipee. 1\T. vom. Rhus. Veratr. Heat in general: Aco. Amm. mur. Anac. Antim. tart. Arn Ars. Bell. Bry. Calc. Can- thar. Carb. veg. Caust. Cham Chin. Cin. Coffea. Con Cycl. Ferr. Graph. Hell. Hep. Ign. Ipee. Kali. Lach. Magn. mur. Merc. Mosch. Mur. ac Nitr. ac. Nux vom. Op. Phosph. Phosphor, ac Puis. Rhus. Sabad. Sil. Squill. Stannum. Staph. Stram. Sulph. Sul- phur, ac. Veratr. - external: Acon. Ars. Bell. Bry. Calc. Camphor. Carbo veg. Cham. Cic. Coccul. Coff. Coloc. Digit. Dulc. Euphorb. Hell. Hyosc. Ign. Kali. Lach. Lye Mang. JTlerc. Mur. ac. Nux vom. Op. Phosphor, Puis. Bhus. Sep. Si). Squill Stram. Sulph. Zinc. - flashes of: Arn. Calc. c. Chin. 166 GENERAL SYMPTOMS. Heat in general: Graph. Iod. Kali. Lycop. Natrum. Nux vom. Phosph. Plat. Puis. Rhus. Ruta. Sep. Stann. Sulph. Thuj. - semi-lateral: Arn. Bell. Bry. Croc. Ignatia. Lye Nux vom. Phosph. Puis. Rhus. Sulph. - internal: Acon. Arn. Ars. Bell Bry. Calc. Canthar. Carbo veg. Caust. Cham. Cic. China. Coloc. Con. Graphit. Hell. Ipee. Lye. Magn. mur. Nitric ac. N. vom. Phosph. Phosphor, ac. Pulsat. Bhus. Sabad. Samb. Sec. corn. Spig. Spong. Stann. Veratr. Zinc. Loss of consciousness : Bell. Bry. Carb veg. Hell. Hyos- cyam. Lach. Op. Phos. ac. Rhus. Stram Loss of thirst: Ant. tart Ars. Canth. Carbo vegetab. Canst. Chin. Hell. Ipqc. Merc. Puis. Pulse, intermittent: Acon. Ars. Bry. Dig. Kali. Lach. Natr. mur. Op. Phosph. ac. Sec. corn. Stram. Sulph. - filiform : Colch. Lach. Verat. - large: Acon. Bell. Bryon. Cupr. Dig. Ferrum. Hyosc. Ign. Merc. Nitr. Nux vom. Phosph. Spig. Stramon. Te\ atr. - hard : Acon. Arn. Bar. Bellad. Bry. Canth. Chin. Digit. Ferr. Hyosc. Ign. Merc. N. vom. Phosph. ac. Sabin. Samb. Sil. Stram. Veratr. - small : Acon. Ant. tart. Ars. Bar. Bell. Calc. carb. Camph. Carbo veg. China. Cina. Coccul. Cupr. Iod. Ipecac. Kali. Lach. Laur. Merc. Natr. mnr Op. Phosph. acid. Plat. Puis. Sec. corn. Sil. Stramon. Sulph. Sulph. ac. Veratr. I - slow: Ambr. Ant. crud. Ant. tart. Ars. Bell. Camph. Can- thar. Cic. Con. Dig. Hell. Ign. Kali. Laur. Mosch. Op. Puis. Rhodod. Sec. corn. Sep. Stram. Veratr. - slower than the beats of the heart: Cann. Dig. Hell. Sec. corn. Veratr. - quick: Aco. Ant. tart. Arn. Ars. Asa f. Bell. Bism. Bry. Carbo veg. Coloc. Croc Dig. Hyosc. Ignat. Iod. Lach. M. austr. Merc. Nitric acid. Nux vom. Phosph. Phosph. ae Pulsat. Rhus. Samb. Sil. Spong. Stann. Stram. Sul- phur. Veratr. Zinc. - imperceptible : Aconit. Ars. Carbo veg. Coccul. Cupr. Ferr. Ipee. Lach. Merc. Op. Sec. corn. Sil. Stann. Veratr. - irregular: Agar. Antim. crud. Ars. Caps. Chin. Digital. Hyosc. Kali. Lach. Natr. mnr. Op. Phosph. ac. Plumb. Sec corn. Stram. Sulphur. Veratr. - soft: Ant. fart. Ars. Baryt. Bellad. Carbo veg. China. Coccul. Cuprum. Iodine. Kali. Laur. Merc. Op. Phosphor. Plat. Sec. corn. Veratr. - tremulous: Arsen Calc. Cic. Kali. Phosph. Rhus. Sangu. Spi/f. Shivering: Acon. Ars. Asa feet. Aurum. Bell. Calad. Cm t <. Caps. Cham. China Coc- cul. Croc. Cycl. Ferr. Graph. Hep. Ign. Kali. Mercur. Mezer. Natr. Nitr. N. vom. Puis. Rheum. Bhus. Sabad. Sec. corn. Sep. Staph. Valer. Veratr. Stretching: Ars. Ipee. N. vom Rhus. GENERAL SYMPTOMS. 167 Sweat, in general: Aco. Ambr. Amm. mur Ant. tart. Ars. Bar. Bell. Bry. Calc Canth. Caps. Carbo an. Carbo veget Caust Cham. Chlor. Chin. Coff. Con. Dig. Dros. Ferr. Graph. Guaj. Hep. Hyosc. Ignat. Kali. Lye. M. austr. Magn. mur. Merc. Natrum. Natr. mur. Nitric ac. Nux vom. Phosph. Phosphor, ac. Puis. Rheum. Rhod. Bhus. Sabad. Samb. Selen. Sepiae. Sil. Staph. Stram. Sulph. Tar. Thuj. Veratr. Irritability, bodily: Acon. Arn. Asar. Aur. Bell. Bry. Can- thar. Cham. Chin. Coffea. Cupr. Ferr. Hyosc. Ign. Lach. M. arct. Merc. Natr. Nux vom. Phosph. Pulsat. Rhus. Selen. Sil. Spong. Staphys. Veratr. - want of: Anac. Ars. Bism. Calc. Camph. Carbo veget. Cic. Con. Croc. Dulc. Ferr. Graph. Hyosc. Ign. Iod. Ipee Kali. Lach. Laur. Lycop. Magn. Merc. Nitric ac. Nux mosch. Oleand. Op. Phos. ae Rhod. Sec. corn. Sep. Staph. Stram. Sulph. Jaundice : Acon. Ambr. Ant. crud. Ars. Aur. Aurum mur. Bell. Bry. Canth. Ctrbo veg. Cham. Chin. Con. Croc. Dig. Fr-rr. Hep. Ign. Lach. Lycop. Merc. Nitric ac. N. vom. Op. Puis. Rhus. Sulph. Sep. Veratr. Jealousy, ailments from : Hyos- cyam. Ignat. Lach. Nux vom. I'hosph. ac. Puis. Staph Joy, consequences of excessive: Acon. Coff. Op. Languor: Ant. crud. Calc. c. Carbo veg. Coccul. Ign. Iod. Kali. Laches. Lye Merc. 40 Mosch. Natr. Natr. mur. Op. Phosph. Phosph. ac. Plat. Puis. Selen. Seneg. Sulph. Tucr. Thuj. Valer. Laziness: Alum. Arsen. Baryt. Bell. Bryon. China. Coccul. Guaj. Iod. Kali. Lach. Mer- cur. M ur. ac. Natr. Natrum mur. Nux vom. Oleand. Phos. ac. Puis. Sec. corn. Seleu. Sep. Zinc. Lamping: Btll. Calc. Caust. Coloc. Merc Pulsat. Rhodod. Bhus. Sep. Sulph. Lochia, morbidly altered : Bell. Calcar. Con. Nux vom. Plat Puis. Sec. corn. Marasmus of old people: Ant. tart. Bar. Calc c. Con. Olean. Op. Phosph. Phos. ac. Rhus. See com. Melancholy temperaments: Ars. Aur. Bell. Calc. China. Graph. Ign. Lach. Lycop. Merc. Natr. Nux vom. Phos. ac. Puis. Sep. Sil. Veratr. Motion, dread of: Antim. tart. Ars. Bar. Bell. Calad. Caps. Chin. Dulc. Hell. Ign. Lach. Lye Merc. Natr. Natr. mur. N. vom. Sulph. Thuj. Mucous membranes, diseases of the: Alum. Apis. Arsenic Bell. Bry. Calc. Caps. Cau stic. Chamom. China. Chlor. Dulcam. Euphr. Fluor, ac. Hep. Ign. Lye Merc. Mur. ac. Natr. mur. Nitric ac. Nux vom. Phosph. Pulsat. Rhus. Sangn. Sp. Sil. Stann. Sulph. Sulph. ac. Muscular twitchings: Ambra. Asaj'ozl. Bell. Ulem. Coloc. Croc. Cuprum. Graphit. Iod. Kali. Lach. Mezer. Natr. Natr. mur. Plat. Rhus. Sec. com. Sil. Spong. Sulph. Sulph. ac. Viola tr. Zinc. 168 GENERAL SYMPTOMS. Glandular Affections: Ammon. mur. Apis. Ars. Aur. Baryt. Bell. Calc. carb. Carbo an. Carbo veg. Cham. Coccul. Con. Dulc. Graph. Hep. Iod. Kali. Lye. Merc. Na- trum. Natr. mnr. Nitric acid. Nux vom. Phosph. Phos. ac. Plumb. Ran. bulb. Rhus. Sep. Sil. Spong. Staph. Sulph. Sulph. ac. Thuj. Grout: Acon. Ant.crud. Arg. Arn. Ars. Asaf. Aur. Baryt. Bell. Bry. Calc. carb. Calc. phosph. Caps. Carbo an. Carbo veg. Caust. Chamom. Chin. Colch. Dig. Dulc Ferr. Graph. Hep. Ignat. Iod. Kali carbon. Kali bichr. Led. Lye. M. austr. Me>-c Miz-r. Natr. Natrum mur. N. vom. Phosphor. Puis. Rhodod. KhUS. Sabina. Sassap. Sep. Sil. Spong. Staphys. Sulph. Thuj. Veratr. Vit.'Zinc. Grasping at flocks : Ars. Bell. Hell. Hyosc. Iod. Muriat. ac. Op. Phos. ac. Rhus. Stram. Heated, consequences of get- ting: Acon. Bell. Bry. Calc. Carbo veg. Kali. Lye. Nux vom. Puis. Sil. Heaviness of the body: Chin. Lach. Kali. Natr. Natr. mur. Phosph. Sep. Stann. Hunger, ill effects of: Ant. crud. Arsen. Bry. Calc. carb. Chin. Ipee. Puis. Sulph. Hydrophobia: Ars. Bell. Can- thar. Hyosc. Lach. Phosph. Stram. Hypochondria: Asa f. Aurum. Hellad. Calc. Canth. Caustic. Cham. Cina. Coccul. Con. Ferr. Graph. Ign. Iod. Lach. L'ic. Magn. mur. Merc. Mill. Mosch. Natr. Natr. mur. N. mosch. N. vom. Phosph. ac. Plat. Pulsat. Sabin. Sep. Staph. Sulph. Valer. Veratr. Hysteria : Agn. Asa f. Aurum. Bell. Calcar. Caust. Coccul. Con. Ign. Lach. N.mosch. Phosph. Plat. Puis. Sep. Sil. Sulph. Valer. Viola od. Indurations: Arn. Ars. Aurum. Bell. Calc. Camphor. Carbo an. Cham Chin. Clem. Con. Dulc. Ferr. Graph. Hep. Iod Lach. Lye Magn. mur. Phos. Plumb. Puis. Sep. Sil. Sul- phur. Thuj. Inflammations: Acon. Antim. crud. Ant. turt. Arn. Arsenic. Bell. Bry. Calc. Cannab. Canlh. Carbo veget. Cham. Con. Creos. Cupr. Dig. Dros. Dulc. Euphorb. Euphr. Hep. Hyosc. Iod. Ipee. Kali. Lach. Lye Magn. carb. Merc. Mur. ac Nitr. Nitric ac. N. vom. Phosph. Plumb. Puis. Rhus. Ruta. Sec. corn. Sep. Spong. Squill. Sulph. Sulphur, ac. Veratr. Nervous excitement: Ambra. Bell. Calc. c. Cham. Chin. Coff. Ferr. Iod. Laur. Merc. N. vom. Phosph. Phos. ac. Puis. Rhus. Sep. Sulph. Va- ler. Veratr. Neuralgia: Acon. Arn. Arsen. Bellad. Bry. Calc. Capsic. Cham. Coccul. Coff. Col- chic. Hep. Ign. Kali. Merc Mezer. Natr. N. vom. Puis. Bhus. Spig. Staph. Sulph. Thuj. Valer. Veratr. Nodes, gouty: Antim. crud. Arn. Bry. Calc. carbon. Calc. phos. Caust. Graph. Hep. Led. Lye. Merc. Nux vom. Puis. Rhodod. Rhus. Staph. Sulph. Onanism, consequences of: Cal- car. Carbo ceg. Carbo animal. 3ENERAL SYMPTOMS. 169 China. Coccul. Con. Kali. Lach. Lye Merc Natr. Natr. mur. N. vom. Oleand. Phos. Phosph. ac. Pulsat. Rhus. Sil. Staph. Sulph. Thuj. Pains, wandering: Arn. Bellad. Chin. Mang. N. mosch. Puis. Rhod. Rhus. Sabin. Sep. Sul- phur. Paralysis: Anac. Arn. Asar. Bar. Bell. Bry. Ca'e Capsic. Carbo veget. Caust. China Cic. Coccul. Con. Croc. Crot. Dig. Dulc. Ferr. Fluor, acid. Hyosc. Ignat. Kali. Lach. Laur. Lye. Magn. mur. Merc. Natr. Natr. mur. Nitr. ac. N. fom. Oleand. Op. Phosph Plumb. Pulsat. Bhus. Sec. corn. Sil. Stannum. Stram. Sulph. Veratr. Zinc. Phlegmatic temperaments: Bell. Caps. Chin. Iod. Lach. Merc. Natr. Natr. mur. Nitric ac. Puis. Sulph. Plethora: Aconit. Arn. Aur. Bell. Bry. Calc. Chin. Dig. Ferr. Graph. Hyoscyam. Kali. Lye Natr. mur. Nitric ac. N. vom. Phosph. Puis. Rhus Stram. Sulph. Poisoning with alum: Pulsat. Veratr. - with arsenic : Carbo veg. Chin. Ferr. Hep. Ipee. Lach. Lye. N ux vom. Sulph. Veratr. - with lead: Alum. Bell. Nux vom. Op. Plat. - with colchicum: Coccul. Nux vom. Puis. - with iron : Ars. Hep. Ipecac. Puis. - with adipic poison: Arsenic. Phosph. ac. - with fish-poison: Bell. Cam- phor. with honey: Camph. Poisoning, with iodine: Arsen. Bellad. China. Phosph. Sulph. - with toad-poison : Ars. (?) - with copper: Bill. Hepar. Ipee. N. vom. - with opium: Bell. Coff. Nux vom. - with phosphorus: Coff. Nux vom. Sulph. - with mushroom : Carbo veget. Coff. Pal*. - with mercury: Arn. Aur. Bell Carbo veg. Cham. Chin. Dulc. Hep. Iodine. Kali bichr. Lach. Lye. Nitr. ac. Mezer. Phos. ac. Sil. Staph. Sulph. Thuj. - with sal ammoniac : Coff. N vom. - with sarsaparilla : Bell. Merc Sulph. - with acids: Acon. Bry. Op. Puis. - with sulphur: Arsen. Mercur. Puis. Sil. - with stramonium: Coff. Hyos cyam. Nux'vom. - with poison - vine : Bell. Bry. Merc. Sulph. - with alcohol: Coff. Nux vom. - with sausage-poison : Arsen. Bell. Bry. - with tiu • Carbo veget. Hep. Puis. Pregnancy, ailments incident to: Aco. Bell. Bry. Calc. Cha- mom. Con. Hyosc. Lach. Lye. N. vom. Phos. Plat. Puis. Sep. Sulph. Veratr. Raphania: Arsen. Bell. China. Hyosc. Iod. Op. Rhus. Secale corn. Sol. nigr. Stram. Rheumatism: Aco. Arn. Ars. Bell. Bry. Carb. veg. Cau- stic. Cham. China. Colch. 170 GENERAL SYMPTOMS. Hep. Tgnat. Kali bichr. Lach Lye. Merc. Nitric ac. Nux vom. Pulsat. Bhodod. Bhus. Sassap. Sep. Spigel. Sulph. Thuj. Veratr. Riding in a carriage, ailments from : Ars. Carbo veg. Coc- cul. Colch. Ferr. Ign. Natr. Petr. Psor. Sil. Sulph. Rickets: Asa f. Bell. Calc. C. Calc. phosph. Lye. Merc. Phosph. Pulsat. Rhus. Silic. Sulph. Salt, ill effects of eating too much : Carbo veg. Merc. Nux vom. Sanguin temperament: Acon. Arn. Bry. Bell. Cham. Hyos- cyam. Ign. Nux vom. Rhus. Sulph. Sulph. ac. Veratrum. Zinc. Scurvy: Amm. mur. Ars. Aur. Bor. Calc. Carbo an. Carbo veg. Creos. Hep. Iod. Mer- cur. Mur. ac. Natrum mur. Nitric ac. Nux vom. Silic. Staph. Sulph. Sulph. ac. Sea-sickness: Ars. Coccul. Creos. Ipecac. Petr. Rhus. Sulph. Veratr. Sedentary habits, ill effects of: Aco. Carbo veg. Calc. Ignat. Natr. Natrum mur. N. vom. Puis. Sulph. Semilateral ailments, left side: Acon. Alum. Amm. mur. Apis. Arn. Asa f. Asar. Bry. Calc. Cann. Chin. Cic. Colch. Coloc. Croc. Cupr. Daph. Dulc. Ign. Iod. Lach. Lye Mercur. Natr. Nitric ac. Nux mosch. Nux vom. Petr. Phos. Rhod. Selen. Sep. Spig. Sulphur. Sulphur, ac. Tar. Tart. emet. Thuj. Veratr. Viola od. - right side: Agar. Alumina. Bur. Bell. Bism. Brom. Bry. Semilateral ailments: Canth. Carbo an. Caust. Cina. Con. Crot. Digit. Dros. Hep. Ign. Kali. Led. M. arct. Mosch. Oleand. Phosphor, ac. Plumb. Bhus. Ruta. Sabad. Sabina. Sangn. Sil. Spongia Staph. Stront. Sulph. ac. Tart. emet. Thuj. Vit. - cross-wise : Agar. Mangan. Sil. Sensation as if blown upon by wind: Nux vom. Oleander. Rhus. Stram. - as if congealing: Bellad. Cic Cin. Dros. Hyosc. Led. Puis Sec. corn. Stram. • - as if growing larger: Asa feet. Bell. Ignat. Laur. Phosph. Puis. Rhus. - as of a hair: Lye. Natr. mar. Sulph. - as of growing smaller: Calc. Croc. - as of something alive: Croc. Ign. Lach. Mercur. Sec. corn Sulph. Thuj. Spanish flies, ill effects of: Camph. Spasms, generally : Acon. Ang. Arn. Ars. Asaf. Bell. Bry. Calc. carb. Camph. Caust. Cham. Cic. Cina. Coccul. Cff. Con. Croc. Cupr. Hell. Hyosc. Ign. Ipee. Lach. Laur. Lye. Merc. Mosch. Nux mosch. Nux vom. Op. Plat. Plumb. Puis. Rhus. Ruta. Sec. corn. Stann Stram. Sulph. Tart. emet. Veratr. Zinc. - in the evening: Caust. Cina. Laur. Nux vom. Puis. Stann. Stram. - with anxiety: Ars. Bellad. Calc. Cham. Cin. Cupr. Hyosc. Ign. Lach. Puis. Veratr. - with dyspnoea: Ang. Bellad. GENERAL SYMPTOMS. 171 Spasms: Camph. Cupr. Ign. Ipee. Nux vom. Op. Puis. - with staring eyes : Bell. Hyos- cyam. Nux vom. Op. Secale corn. Stram. - with contortion of the eyes: Acon. Bell. Coccul. Cuprum. Hyosc. Ign. Lach. - with upwards: Bellad. Ignat. Lach. - with downwards : Cic. Lach. - with sideways : Bell. Caustic. Hyosc. Lach. - glazed eyes : Coccul. - half open eyes : Caustic. Cina. Ipee. - with eyes protruded : Hyosc. - with eyes closed : Bellad. Cham. Coccul. Croc. Hyos- cyam. Merc. Natr. mur. Op. - after repelled eruptions: Calc. Caust. Lach. Nux vom. Sulph. - with bloated bowels: Calcar. Cham Cin. Mere - with violent movements: Cal- car. Cin. Cnpr. Hell. Hyosc Op. Stram. - from contact: Bellad. Coccul. Stram. - with loss of sense : Bellad. Camph. Cic. Cina. Cuprum. Hyosc. Ign. Ipee Lach. Nux vom. Op. Sil. Stann. Stram. - with nausea: Ipee Nux vom. Puis. Tart. emet. Veratr. - with clenched thumb : Bellad. Hyosc. Ign. Lach. Merc. - with delirium: Bellad. Crot. Hyosc. Op. - with diarrhoea: Chin. Hyosc. - with thirst: Cham. Nux vom. - with eclampsia: Bell. Caust. Chamom. Cic. Cin. Ignat. Hyosc. Laur. Nux mosch. N. vom. Op. Phosph. See. corn. Spasms, - epileptic: Agar. Ars. Bell. Calc. c. Camph. Caustic. Chamom. Cic. Cina. Coccul. Cupr. Glon. Hep. Hyosc. Ign. Lach. Merc. Nitr. ac. Nix oom. Op. Plumb. Puis. Khns. Sec. corn. sil. Stann. Stram. Sulph. Veratr. - with vomiting: Cupr. Ipecac. Nttx vom. Puis. Sec. corn. - with danger of suffocation: Cupr. Ign. Nux vom. Op. - with yawning: Ign. Veratr. - after emotions : Bellad. Coff. Hyosc. Ign. Nux vmi. - with pale face : Ipee Natrum. Sil. Stann. - with blue face : Camph. Cupr. Cin. Op. Veratr. -yellow face : Cic. Nux vom. - red face: Bell. Ign. Stram. - with cold sweat in the face: Coccul. - with distorted features : Bell. Cham. Coccul. Ipecac. Stram. Veratr. - with involuntary emission of urine : Caust. Coccul. Hyosc - with palpitation of the heart: Lach. Sec. corn. Spig. - with heat: Bell. Cham. Nux vom. - with sensation of hunger: Hyosc. - hysteric : Aur. Bell. Caustic. Cham Coccul. Coff,. Cupr. Ign. Ipee. Mosch. Nux vom. Plat. Puis. Stram. Veratr. - internal: Calc. carb. Caustic, Coccul. Coloc. Graph. Ipecac. Magn. m. Stann. - with delirium : Bell. Cin. - with coldness of the body: Cin. Hvosc. Puis. Veratr. 172 GENERAL SYMPTOMS. Spasms, - with coldness of the limbs: Caust. Hyosc. Op. Veratr. - cataleptic : Agar. Bell. Cha- mom. Cie Hyoscyam. Ipecac. Stram. Veratr. - with locked jaw : Bell. Hyosc. Lach. Nux vom. Opium. Plat. Veratr. - of children : Bell. Calcar. Cham. Cina. Cotfea. Ipee. Nux vom. Op. Sulph. - clonic: Agar. Ambr. Arnica. Ars. Bar. Bell. Calc. Camph. Canthar. Caust. Cham. Cic. Cina. Coccul. Con. Cupr. Hell. Hyosc. Ign. Ipee. Laches. Kali. Magn. Merc. Nux vom. Op. Phosph. Rhus. Secale corn. Sep. Stann. Stram. Sulph. Veratr. - with movements of the head : Bell. Cham. Cic. Hell. Lach. Op. Stram. - opisthotonic: Ign. - preceded by head-ache: Bell. Hyosc. Lach. Nux vom. - succeeded by head-ache : Bell. Cina. - with contraction of the limbs: Hyosc. - with laughter: Bellad. Calc. Caust. Ign. Lach. - with creeping as of a mouse: Bell. Sulph. - with colic : Caust. Cham. Cin. Cupr. Merc. Sulph. Sweat, anxious: Arn. Ars. Calc Cham. Ferr. Ign. Merc. Natr. N. vom. Phos. Puis. Rhus. Sep. Spong. Stramon. Sulph. Veratr. - bloody : Lach. Lye. N. vom. - musty smell: Nux vom. Puis. Rhus. - exhausting: Ambra. Arsen. Bry. Calc. Carbo an. Chin. Digit. Ferr. Hep. Iod. Lye. Mercur. Natr. mur. Nitric ac. Nux vom. Phosphor. Samb. Sep. Stann. Sulph. Veratr. fatty : Bryon. China. Mercur. Selen. staining the linen : Ars. Gra- phit. Merc. Selen. yellow : Graph. Lach. Merc. semilateral: Cham. Chin. N. vom. Puis. smelling like juniper: Sep. cold : Acon. Amm. mur. Ant. tart. Arn. Ars. Bry. Calcar. Camph. Cannab. Carbo veget. China. Cin. Coccul. Cuprum. Dulc. Hell. Hep. Ign. Ipee. Lach. Lye M. arct. Mercur. Nux vom. Puis. Rheum. Rhus. Sabad. Sec. corn. Sep. Staph. Sulph. Veratr. smelling like old cheese: Plum bum. viscous: Acon. Ant.tart. Ar» Bry. Cham. Daph. Ferr. Hep. Iod. Lyc. Merc. Phosph. Phosph. ac. Plumb. Sec. corn. Veratr. red: Arn. Calc. Dulc. Lycop. Nux vom. sour smelling: Arnica. Asar. Bell. Cham. Ferrum. Hep. Ignat. Iod. Ipee Kali. Lycop. Merc. Nitric ac. Rhus. Sep. Sil. Sulph. Veratr. ■ stinging: Cham. Con. ■ fetid : Ammon. mur. Baryt. Canthar. Con. Dulc. Ferrum. Fluor, ac. Graph. Hep. Kali. Led. Lyc. Mercur. Nitric ac. Nux vom. Phosph. Pulsat. Rhus. Selen. Sep. Staphysag. Veratr. ■ having an urinous smell: Can- thar. Nitric ac. ■ smelling like onion: Bov. Lyc GENERAL SYMPTOMS. na Spasms, - in the morning: Op. N. vom. Plat. - with open mouth : Mosch. Op. - with distorted month : Bellad. Nux vom. Op. Stram. - followed by weariness: Bell. - at night: Bell. Calc. carbon. Calc. caust. Cham. Cin. Ign. Merc. Op. Sulph. - during new-moon : Calc. Cau- stic. Cupr. Sil. - falling down unconscious: Bell. Cupr. - after onanism: Calc. China. Coccul. Lach. Lyc. N. vom. Op. Staph. Sulph. Veratr. - with dilated pupils: Bellad. Gale Cic. Cin. - during the menses: Coccul. Cupr. Ignat. Nux vom. Plat. Puis. - with rattling breathing: Ipee Lach. Nux vom. in the back: Bell. Ign. Ipee. Op. Rhus. - falling backwards: Bell. - with froth at the mouth: Cha- mom. Cupr. Hyosc. Ign. Lach. Nux vom. - with froth at the mouth, bloo- dy : Lach. Op. Pyrocarb. - during sleep: Bellad. Calcar. caust. Cin. Sil. - followed by drowsiness: Bell. Dros. Ign. Lach. Op. - after a fright: Bellad. Coffea. Ignat. Lach. Op. Nux vom. Veratr. with a scream: Cina. Crot. Hyosc. Lach. Nux vom. Op. Sulph. followed by weakness: Bell. Calc. Cic. Sec. corn. Veratr. Spasms, - with sticky sweat on the head: Camph. - tetanic : Aconit. Ars. Bellad. Camph Cic. Cupr. Ign. Ipee. Laur. Op. Plat. Rhus. Secale corn. Stram. Veratr. - Saint Vitus' dance, chorea: Bell. Caust. Coccul. Croc. Cupr. Hyosc Ign. Lach. Laur. Nux vom. Stram. Zinc. - after an injury : Arn. Pulsat. Rhus. Sulph. - alternately red and pale : Ign. - with crying: Bell. Caust. Cu- prum. Ign. Lach. Puis. - of lying-in females : Bell. Cha- mom. Coff. Hyosc. Ign. Puis. - caused by worms : Calc. Cin. Hyosc. Merc. N. vom. Sulph. - dentition : Bell. Calc. Coff. Cham. Ign. Merc. Sulph. - with gritting of the teeth: Cin. Coff. Hyosc. - with trembling: Cupr. Lach. - whit twitchings : Bell. Calc. Caust. Cham. Cina. Cu- prum. Hyosc Ignat. Ipecac. Lach. Merc. Op. Plumb. Rhus. Sec. corn. Stram. Sulph. Ve- ratrum. Spirits of camphor, ill effects of: Coff. Op. Straining by lifting, ill effects of: Arn. Bryon. Calc. Coccul. Con. Graph. Lyc. Natr. Nitric ae Nux vom. Phosph. Phos. ac. Bhus. Ruta. Sil, Sulph. Sulph. ac. Sweat, ill effects of suppression of sweat: Acon. Bell. Bry. Cham. Chin. Dulcam. Lach. Nux vom. Pulsat. Sil. Sulph. Tea, ill effects of: China. Ferr. Lach. 174 GENERAL SYMPTOMS. Ferr. Fluor, ac Graph. Ipee Kali. Lach. Lycop. Magn. mur. Merc. Natr. Natr. mur. Nitric ac. N. vom. Oleand. Op. Phosph. Phosph. ac. Plat. Puis. Rhus. Secale corn. Sep. Sil. Staph Sulph. Veratr. Thirst: Acon. Ars. Bellad. Bryon. Canth. Cham. Ipecac. Merc. N. vom. Puis. Rhus. Sulph Veratr. Tobacco, ill effects of: Cham. Coccul. Nux vom. Uneasiness, bodily: Aconitnm. Anac. Ars. Asar. Bellad. Bry. Calc. Cann. Carbo veg. Cham. Chin. Coffea. Croc. Cupr. Ferr. Graph. Hyosc. Ign. Iod. Kali. Lye M. austr. Merc. Mur. ac. Natr. N. vom. Op. Phosph. Plat. Rhus. Samb. Sepia?. Sil. Staphys. Stram. Sulph. Veratr. Vascular erethism: Aco. Am- bra. Arn. Aurum. Bell. Bov. Bry. Calc. c. Carbo veget. Caustic. China. Com. Creos. Ferr. Hep. Iod. Kali. Lyc. Natrum mur. Nux vom. Op. Petr. Phos. Rhus. Sassap. Sep. Sil. Stann. Sulph. Walk, difficulty of learning to walk: Calcar. Mercur. Sil. Sulph. Weakness, general: Agaricus. Amm. Anac. Arn. Ars. Bell. Brom. Calc. Carb. an. Carb. veg. China Coccul. Conium. Weaning, ailments from: Bell. Bry. Calc. Puis. Weariness: Arn. Ars. Bellad. Calc. Cann. Caust. Chin. Coc- cul. Coff'. Con. Croc. Ferr. Graph. Hep. Ign. Ipee. Kali. Lyc. Merc. Natr. Nux vom. Oleand. Phosph. Plat. Puis. Rhod. Bhus. Spong. Sulph. Tart. em. Thuj. Veratr. - consequences of: Arn. Bry. Coff. Rhus. Puis. "White, red parts turning: Ara Bor. Calc. Ferr. Hell. Mer- cur. Nitr. ac. N. vom. Phos. Sec. corn. Staph. Sulph. SuU phur. ac. Wounds: Arnica. CalenduL Hyper. Burns: Arn. Urtica. Pain from burns: Ars. Caust. ALPHABETICAL LIST OFTHB DISEASES AND PHYSIOLOGICAL CONDITIONS TREATED OF IN THIS WORK. Nots.—The first 11** it figures refers to the pages of the body of the work ; the second line to the pages of the Repertory. A. Text. Eeper. Abdomen, dropsy of the,.......................................... 211 Abdomen, morbid aymptoms in,................................ 44 Abortus............................................................... 297 Abscesses,............................................................. 141 Acne rosacea,......................................................... 20 Acid stomach,........................................................ 41 After-birth, see placenta,.......................................... After-pains,........................................................... 414 After-pains, abnormal,............................................ 110 Aggravation of pains,.............................................. 153-159 Amaurosis,......................................................... 350 11 Amblyopia, ........................................................... 349 Amelioration of pains.............................................. 159-162 Amenorrhoea......................................................... 301 Anaemia,............................................................... 162 Anasarca,....... ..................................................... 218 Aneurysm,............................................................ 162 Anger, effects of,................................................... 4 Angina faucium,..................................................... 250 30 Angina membranacea, see Croup,.............................. 136 Anns, excoriated.................................................... 90 Anus and rectum, affections of,................................. 90-92 Anthrax,............................................................... 336 (729) 780 INDEX Page. Rtrxr. Anxiety and fright, effects of,................................... 4 Aphonia,............................................................... 66 Aphthae................................................................ 430 29 Apoplexy,............................................................. 16 i Apparent death,..................................................... 162 Appetite, loss of,.................................................... 34 Arms and armpits,.................................................. 120-121 Arthritis,............................................................. 475 Ascites, ................................................................ 211 Ascites, chronic,.................................................... 214 Asthma, ............................................................... 169 53 Asthma, of infants,................................................. 431 Atrophy,............................................................... 162 Aversion to various kinds of food and drink,............... 34 Axillae, symptoms in,.............................................. 76-118 B. Back, morbid feelings in region of,............................ 83-85 Bad effects of food or drink,..................................... 35 Baldness,......... ..................................................... 9 Ball, hysteric,........................................................ 30 Ball sores,............................................................. 141 Bilious fever,......................................................... 446 Black pores on nose, ............................................... 19 Blackness of vision, sudden..................................... 12 Bladder, affections of,.............................................. 98 Bladder, catarrh of the........................................... 489 .98 Bladder, haemorrhoids of the,.................................... 490 Bladder, inflammation of,......................................... 487 99 Bladder, paralysis of the,......................................... 490 Bladder, polypi of the............................................. 491 Bladder, spasm of the.............................................. 490 Blepharophthalmitis,............................................... jg Blindness,.........................................;................... 353 Blood, vomiting of,................................................. 294 Bloody cough..............................................A....... 294 Bloody urine,........................................................ 49g Blotches,...........................................................#># 142 Blue disease,......................................................... Ig2 Blurred sight,........................................................ 1j INDEX. Page. Reper. Boils,................................................................... 335 Bones, affections of,................................................ 162 Bowels, inflammation of, ......................................... 25 Brain, acute dropsy of,............... ............................ 193 Brain, concussion of,............................................... 6 Brain, inflammation of,........................................... 162 6 Breast, cancer of,................................................... 501 Breast, infants refuse the,........................................ 427 Breath and breathing, abnormal,............................... 53-55 Breath and breathing, abnormal, causes of,................. 55 Bright's disease,.................................................... 491 Bronchitis,............................................................ 246 Burns,................................................................. 516 162 c. Calves, symptoms of,............................................. 139 Camphor, ill effects of,............................................. 17 Cancer,................................................................. 500 13 Cancer of breast,.................................................... 501 77 Cancer of the lips,................................................... 504 • 25 Cancer of the nose,................................................. 503 19 Cancer of the stomach,............................................ 41 Cancer of the tongue,.............................................. 505 32 Cantharis, ill effects of,........................................... 170 Carbuncle,............................................................ 336 Carcinoma,............................................................ 500 Carcinoma uteri,..................................................... 312 Carditis,................................................................ 271 Cafdialgia............................................................. 257 41 Caries,................................................................. 334 162 Catalepsy,.............................. ............................. 471 Catamenia,............................................................ 299 Cataract,.............................................................. 11 Catarrh,............................................................... 443 49 Catarrh, accompanying ailments................................ 51 "a'arrh of the bladder,............................................ 489 Catarrhal fever,..................................................... 49 Catarrhal inflammation of eyes,................................. 345 Catarrhal ophthalmia,.............................................. 345 Cephalalgia, .............................................■•■......... 354 Chagrin, consequences of, ....................................... 163 732 INDEX. Text Heper. Chapping of lips.................................................... 26 Chamomile, ill effects of,.......................................... 163 Chest, dropsy of the,............................................... 206 Chest, morbid symptoms of,..................................... 71-70 Chilblains, ............................................................ 144 Children, diseases of, .............................................. 163 Chicken-pox,........................................................ 343 China, ill effects of,................................................. 163 Chlorosis,............................................................ 305 Cholera, Asiatic, ................................................... 127 163 Cholera, preventives against,.................................... 129 Cholera, directions for the management of,.................. 131 Cholerine,...............................................•........... 163 Chorea;................................................................. 469 Clavus,................................................................. 8 Colic, menstrual,.................................................... 304 Colic, various kinds of,............................................ 45 Color, illusions of,................................................... 11 Comedones,.......................................................... 141 Confinement,......................................................... 375 Confinement, attendance after and during,.............387, 390 163 Consciousness, loss of,............................................. 2, 3 Constipation of infants............................................ 429 Constipation,......................................................... 85 Consumption,.................■................. .................... 150 Consumption of the kidneys,.................................... 162 Consumption of the liver,........................................ 159 Consumption of lungs, see Phthisis, pulmonary............ 154 Consumption of stomach, see Phthises of Stomach,........ 159 Contusions,.......................................................... 163 Convulsions,.......................................................... 465 Convulsions of little children.................................... 432 Cornea, dimness of,................................................. 353 Cornea, spots on,................................................... 353 13 Coryza.................................................................. 49 Cough,................................................................. 290 Cough, various kinds of,.......................................... 57-59 Cough, causes of,.................................................... 60-62 Cough, accompanying ailments of,............................. 62-66 Cough, bloody,....................................................... 294 INDEX. 733 Text. Reper toxarthrocace...............................................,........ 438 Cracking of skin,.................................................... 4U Cracking of tongue, ............................................... 33 Cramp in the calves................................................ 473 Cramp of the fingers,............................................... 473 Cramp of the stomach,............................................. 257 41 Croup, disposed to.................................................. 136 30 Croup, various forms of,.......................................... 66-67 Croup, gangrenous,................................................ 30 Crusta lactea,........................................................ 426 22 142 Crying of infants,................................................... 429 Crying, spasmodic,................................................. 475 Curvatures,........................................................... 162 Cyanosis of infants.................................................. 427 Cystitis................................................................. 487 99 D. Deafness,.............................................................. 18 Debility, nervous,................................................... 163 Delirium,.............................................................. 2 Delivery, accidents after,.....................................415-418 Delivery, after, ...................................................... 383 Desire for certain kinds of food and drink,................... 35 Diabetes insipidus,............................................. ... 494 95 Diabetes mellitus,................................................... 494 5 Diarrhoea, ............................................................. 447 86 Diarrhoea of infants................................................. 431 Digestion, weak,................................................... 43 Dilatation of pupils,................................................ 14 Dimness of cornea,.................................................. 353 Dizziness,............................................................. 1 Dreams,................................................................ 15 Dropsy,................................................................ 203 Dropsy, of the abdomen,.......................................... 211 45 Dropsy of the brain, acute........................................ 193 Dropsy of the chest,............................................... 206 Dropsy, general,.................................................... 218 Dropsy, ovarian, .................................................... 216 Dropsy of the uterus,.............................................. 217 Dropsy of the womb...................................... ......... 217 734 INDEX. Text. Roper. Drunkards, ailments of,........................................... 163 Dry coryza of infants............................................... 429 Dry nose,............................................................. 50 Dysentery,............................................................ 449 Dyspepsia,..........................................................~ 263 Dyspnoea,............................................................ 169 E. Earache, ............................................................... 17 Ears, inflammation of,............................................ 289 17 Ears, pains in,..................................................... 17 Ecchymosis in eyes,................................................ 13 Eclampsia,............................................................ 471 Eclampsia of little children, see Convulsions,............... 432 Emotions, causing disease,....................................... 4 Euteritis,.............................................................. 253 46 Enuresis nocturna, see wetting the bed,...................... 435 Epistaxis,............................................................. 496 Eructations,.......................................................... 257 37 Erections,.............................................................. 104-105 Eruptions on various parts, ......................................142, 9, 25, 22 Erysipelas,............................................................ 286 145 Erysipelas of joints,................................................. 286 Erysipelas of mammnc,......................................;...... 77 Erysipelas of muscles,............................................. 286 .Erysipelas of scrotum.............................................. 103 Erysipelas, vesicular............................................... 286 Erysipelas, wandering, ............................................ 286 -Eyelids, paralysis of,...........................................v. 15 Eyelids, spasm of, ................................................. 16 Eyelids, inflammation of,......................................... 348 15 Eyes, affections of the,............................................ n Eyes, inflammation of the,..................................... 343 13 Eyes, swollen,....................................................... 15 Eyes, ulcerated,..................................................... 15 Eyes, weak,........................................................... 349 Exhaustion from mental labor,.................................. 2 Expectoration, various kinds of,................................ 59-60 Extremities, symptoms of,........................................ 118 Extremities, lower, symptoms of,............................... 130 Extremities, upper, symptoms of,............................. 118 INDEX. 735 F. Text. Reper. Faoe, eruption in,................................................... 22-23 Face, swelling of, ................................................... 22 Face, symptoms of,................................................. 24 Falling of children,................................................. 437 Fancy, illusions of the,............................................ 3 Fat, tendency to get,............................................... 164 Fear, consequences of,............................................. 164 Feet, symptoms of,................................................. 136 Feet dorsum, symptoms of,....................................... 137 Feet, soles, symptoms of,...................................,..... 137 Females, diseases of,............................................... 164 Fever and ague,...................................................... 274 Fever, bilious,........................................................ 446 164 Fever, catarrhal, .................................................... 49( 164 Fever, dentition, ................................................... 165 Fever, gastric....................................................... 447 164 Fever, hectic, ....................................................... 165 Fever, inflammatory,............................................. 445 Fever, intermittent, ................................................ 274 Fever, milk,.......................................................... 404 164 Fever, puerperal, ................................................... 164 Fever, rheumatic.................................................... 165 Fever, wound, .........................................„............. 165 Fever, yellow......................................................... 234 164 Fever, particular symptoms of,................................. 165-167 Figwarts at anus,................................................... 90 Figwarts on private parts,........................................ 104 Fingers, symptoms of,............................................ 126 Finger joints, symptoms of,...................................... 129 Fingernails, symptoms of,....................................... 129 Fingertips, symptoms of,......................................... 129 Fitful.................................................................. 1 Fistula lachrymalis,................................................ 16 Fistula dentalis,..................................................... 28 Fluor albus,........................................................... 308 Freckles, .............................................................. 21, 145 Forebodings,.......................................................... 2 Freezing, consequences of,........................................ 105 Fright, ................................................................. 4 736 INDEX. Text. Reper. Fungi, ................................*............................ 505 Fungi, articular, hajmatodes, medullaris..................... 144 Fungus hsematodes of eye, ....................................... 13 Furuncles,............................................................ 335 c. Ganglia, ............................................................ 144 Gangrene.............................................................. 100, 145 Gastralgia, ........................................................... 257 Gastric fever,........................................................ 447 Gastritis............................................................... 264 Glans, affections of the............................................ 101, 102 Glands, affections of,......................................... ..... 69, 168 Glandular swellings,............................................... 332 Glaucoma,............................................................. 352 11 Goitre,.................................................................. 505 69 Gonorrhoea,........................................................... 100-101 Gout,................................................................. 475 168 Gravel,................................................................ 100 Grief, ill effects of,................................................. 4 H. Hsematemesis........................................................ 294 Hsematuria,........................................................... 496 Haemoptysis,........................................................ 294 Haemorrhage from ears,........................................... 18 Haemorrhage from eyes,........................................... 13 Haemorrhage from lungs........................................... 294 Haemorrhage from nose,........................................... 91 Haemorrhage, pulmonary,..................... .................. 294 Haemorrhage, uterine, ............................................. 295 110 Haemorrhage from uterus,......................................... 295 Haemorrhage from womb,.......................................... 295 Haemorrhoids,........................................................ 483 Haemorrhoids of the bladder,..................................... 490 Hands, symptoms of............................................... 124 Hangnails,............................................................ 145 Hard hearing,........................................................ 18 Head, peculiar sensations in external,........................ 9 Head, trembling of,................................................. 10 Headache.............................................................. 854 6 INDEX. 737 Text. Riper. Headache, various forms of,..................................... 355 6 Hearing, defects of,................................................. 18 Hearing, illusions of,............................................... 18 Heart, inflammation of, .......................................... 271 78 Heart, affections of, aggravated by,............................ 79-81 Heart, affections of, relieved by,................................ 81-82 Heartburn,............................................................ 257 38 Heels, symptoms of,............................................... 134 Hemeralopia,......................................................... 11 Hemicrania,................................ ........................ 7 Hepatitis.............................................................. 189 Hernia,................................................................. 318 Hernia, incarcerated................................................ 322 Herpes, ................................................................ 143 Herpes in face,...................................................... 23 Hiccough of infants,................................................ 428 Hip joint, ............................................................. 137 Hoarseness,........................................................... 66 Home sickness, ...................................................... 4 Hunger, abnormal,................................................. 35 Hunger, ill effects of................................................ 168 Hydrocele, .........................................................••• 103 Hydrocephalus,...................................................... 193 6 Hydrometra, see dropsy of the womb,......................... 217 Hydrophobia, ........................................................ 168 Hydrops, see dropsy,............................................... 203 Hydrothorax.......................................................... 206 Hypochondria, .............................................•'•........ 8, 168 Hypochondriac region, morbid sensations in the,.......... 43 Hysteria,............................................................... 6» 168 Hysteric ball,......................................................... 30 I. Illusions of color, ................................................... H Illusions of hearing,................................................ 18 Illusions, optical..................................................... H Illusions of size, shape, distance, .............................. 11 Illusions of things not present................................... 11 Illusions of smell,................................................... *® Incarcerated hernia,................................................ 322 47 738 INDEX. Text. Repei. Incubus................................................................ 474 Indigestion,..,....................................................... 261 Indurations,.......................................................... 168 Indurations of liver,................................................ 191 Indurations of womb,.............................................. 312 Inflammations,....................................................... 168 Inflammation of the air-passages,.............................. 246 Inflammation of the bronchia,................................... 246 Inflammation of bladder,.......................................... 487 99 Inflammation of the bowels,..................................... 253 46 Inflammation of the brain, ....................................... 162 Inflammation of eyes, catarrhal and rheumatic,............ 345 13 Inflammation of the ears,........................................ 17 Inflammation of the eyes,......................................... 343 13 Inflammation of eyelids, .......................................... 348 15 Inflammation of the heart, ....................................... 271 78 Inflammation of the kidneys,...............................289, 491 Inflammation of the larynx,...................................... 66 Inflammation of the liver,........................................ 189 Inflammation of the lungs,....................................... 238 Inflammation of mammae,......................................... 77 Inflammation of mouth............................................ 29 Inflammation of nose,.............................................. 19 Inflammation of ovaries,.......................................... 109 Inflammation of palate,............................................ 29 Inflammation of pharynx, ........................................ 30 Inflammation of the pleura,...................................... 245 Inflammation of the,stomach,.................................... 264 Inflammation of the tongue...................................... 33 Inflammation of trachea,.......................................... g7 Inflammation of urethra,.................................... Iqq Inflammatory fever,........................ ....................... 445 Influenza........................................................ 440 Injuries,............................................................... 516 Insanity,............................................. „ Intermittent fever,.......................................... 274 Intoxication,.............................................. , Irascible, ......................................... 1 Ischuria,.................................................. qg ltch>...............................................................454, 451 145 Itching of scalp,.......................................... 10 INDEX. J. Text. Reper. Jaundice............................................................... 16 Jaundice of Infants,................................................ 427 Jaws, affections of the,............................................. 27 Jealousy,.............................................................. 4 Jealousy, ailments from,................................. ........ 167 Joy, consequences of,.............................................. 167 K. Kidneys, affections of,............................................. 100 Kidneys, consumption of,........................................ 162 Kidneys, phthisis of, ............................................... 162 Kidneys, inflammation of,........................................ 491 Knee-joints, symptoms of,........................................ 138 L. Labor pains, see pains and partuiition........................ Lachrymation,........................................................ 13 Larynx, inflammation of,......................................... 66 Larynx, morbid sensations in,.................................. 66 Larynx, phthisis of,................................................ 67 Laughing, spasmodic.............................................. 475 Lead colic............................................................. 46 Legs, symptoms of,................................................. 134 Leucoma,.............................................................. 353 Leucorrhoea,.......................................................... 310 116-118 Limping, spontaneous,............................................. 438 Lips, affections of the,............................................. 25 Lips, cancer of the.................................................. 504 25 Lips, eruptions on,................................................. 25 Lips, rhagades of,................................................... 26 Lips, swelling of,................................................... 26 Liver, consumption of,............................................. 159 Liver, phthisis of,................................................... 159 Liver-grown,......................................................... 431 Liver, inflammation of,............................................ 189 Liver, swelling and induration of,.............................. 191 Lochia,................................................................. 404 Lochia, derangement of, .......................................... 167 Long-sighted,......................................................... 12 Loss of blood between periods,................................. 109 740 INDEX. Text. Reper. Loss of consciousness,......................................... ••• 3 Loss of smell,....................•••.....••••........................ 499 Loss of voice, see aphonia,....................................... 66 Love, unfortunate,.................................................. 4 Lumbago, see small of back...................................... Lungs, consumption of,........................................... 154 Lungs, phthisis of,...........,...................................... 154 Lungs, inflammation of,........................................... 238 M. Mammae of infants, swelling of the,............................ 428 Mammae, cancer of,................................................. 17 Mammae, erysipelas of, ............................................ 77 Mammae, inflammation of,........................................ 77 Mammae, swelling of,............................................... 77 Mammary glands, affections of,.................................. 77 Management of the child.......................................... 419 Marasmus of old people,........................................... 167 Marasmus of infants,............................................... 436 Measles,................................................................ 440 143 Memory, defects of,................................................. 3 Meningitis,............................................................ 162 6 Menorrhagia,......................................................... 30 Menses, ................................................................ 299 Menses, ailments accompanying the flow of the,...........4£&* J1 £. Menses, character of,............................................... 110-112 Menstruation, profuse, ............................................ 303 Menstruation, scanty,.............................................. 301 Menstrual colic....................................................... 304 Menstrual suppression,............................................ 301 Mental derangements,............................................. 507 1,4 Mesenteric consumption, ......................................... 161 Mesentery, consumption of,...................................... 161 Mesentery, phthisis of,...... ..................................... 161 Metrorrhagia, see loss of blood,.........................;....... Micturition, nocturnal............................................. 95 Micturition, abnormal,............................................ 96 Micturition at night in bed,...................................... 95 Midwives,............................................................. 412 Miliaria,......................................................... ...... 143 INDEX. 741 Text. Reper. Milk crust................................................. 426 Milk, defects of, ............................*......................# 77 Milk fever............................................................. 404 Mind, derangement and weaknesses of,....................... 507 1 Miscarriage,.......................................... 109 Moles,................................................ 144 Moles in uterus,.................................................... 110 Monthly period,...................................................... 299 Morbilli, ............................................................... 440 Morbus Brightii...................................................... 491 Mouth, affections of the............................................ 29 Mouth, inflammation of,........................................... 29 Mucus, dropping of, from posterior nares.................... 50 Mumps,................................................................ 252 N. Nape of neck, stiff.................................................. 71 Nape of neck, pains in, and eruptions on................... 70-71 Nates, symptoms of................................................. 137 Nausea................................................................. 39 Neck, morbid sensations and eruptions of................... 68-70 Neck, stiff............................................................. 69 Necrosis................................................................ 334 Nephritis....................................................... 289, 491 Nervousness.......................................................... 168 Neuralgia.............................................................. 168 Nightmare............................................................ 474 Nipples, affections of............................................... 78 Nipples, sore......................................................... 398 78 Nodes, gouty.......................................................... 168 Noma................................................................... 144 Nose, affections of................................................... 19 Nose, cancer of....................................................... 503 Nose, dry.............................................................. 50 Nose, inflamed........................................................ 19 Nose, polypus of the.............................................. 499 19 Nose, stoppage of.................................................... 51 Nose, swelling of the............................................... 498 20 Nose, ulceration of.................................................. 498 20 Nosebleed.............................................................. 496 19 Nursing of infants............................................ 391-100 742 INDEX. o. ' Text. Reper Obscuration, see Blackness....................................... 12 Odontalgia, see Toothache...........................~........... 143 Onanism, consequences of................................•...... Opisthotonos.......................................................... Ophthalmia....................................................•...... 343 i3 Ophthalmia, catarrhal............................................. 345 Ophthalmia of new-born infants................................ 344 Ophthalmia, rheumatic.........................................- 345 Ophthalmitis......................................................... 343 Optical illusions...................................................~ Otitis............................................................~...... 289 17, 18 Ovaries, affections of................................................ 109 Ovarian Dropsy...................................................... 216 1°9 Ozaena................................................................... 498 P. Pains, spurious Labor.............................................. HO Pains, wandering.................................................... 169 Palate, affections of................................................. 29 Palpitation............................................................ 78 Panaritia............................................................... 336 Paralysis.............................................................. 169 Paralysis of the bladder........................................... 490 Paralysis of eyelids................................................. 15 Parotitis.............................................................. 252 Parturition............................................................ 376 Parturition, homoeopathic remedies during.................. 380 Parturition, precursory signs of................................. 374 Pellicle on the eyes................................................. 14 Penis, affections of................................................... 100 Perineum, affections of, see Anus............................. 90-92 Perineum, rupture of............................................... 413 Period, monthly...................................................... 299 Pertussis, see Whooping-cough................................. 183 Pharynx, affections of.............................................. 30 Pharynx, inflammation of....................................... 30 Photophobia.......................................................... 12 Phthisis, see Consumption........................................ 150 Phthisis hepatica.................................................... 159 INDEX. 743 Text Repei Phthisis of thg kidneys............................................ 162 Phthisis laryngea, see Phthisis of larynx.................... 151 67 Phthisis of the larynx and trachea............................. 151 Phthisis of the liver................................................ 159 Phthisis meseraica................................................... 161 Phthisis, pulmonary................................................ 154 Phthisis pulmonalis, see pulmonary........................... 154 Phthisis of stomach................................................ 159 Phthisis trachealis, see Phthisis trachealis................... 151 Phrenitis............................................................... 162 Piles.................................................................... 483 Pimples in face....................................................... 24 Pityriasis.............................................................. 146 Placenta, adhesion of.......................*....................... 110 Tlacenta, delivery of...............„.............................. 386 Plethora................................................................ 169 Pleura, inflammation of the..................................... 245 Pleurisy.............................................................. 245 Pleuritis..........................................-....-..*............. 245 rieuro-pneumonia................................................... 245 Plica polonica....................................................... 10 Pneumonia............................................................ 238 Poisoning with various substances........................••— 169 Polypi.................................................................. 144 Polypi of the bladder.............................................. 491 Polypi of the nose.................................................. 499 20 Pores, black................................-........................ 146 Pregnancy and confinement...........*.---.........-..........-. 364 Pregnancy. Precautionary rules.......................---- 364 Pregnancy. Dress.......................................•— —••• 366 Pregnancy. Diet.......................•.................■......... 365 Pregnancy, signs of................................................ 369 Pregnancy, morbid phenomena during........................ 370 Pregnancy, ailments incident to................................. 169 Prepuce, affections of............................................... 102 Priapism, see sexual desire, unnatural........................ Profuse menstruation............................................. 303 Prosopalgia........................................................... 36° 23 Prostate gland, affections of................................... 104 Pudendum, affections of external.............................. 107 744 INDEX. Text Reper. Pulmonary haemorrhage........................................... 294 Pupils contracted..................................................*. 14 Pnpils dilated.....,................................................... 14 Ptyalism............................................................... 32 Purple-rash........................................................... 143 Pus, various kinds of.............................................. 146 Pustules................................................................ 143 Pyrosis................................................................. 257 Q. Qualmishness......................................................... 39 Quinsy sore throat.................................................. 250 R. Rage.................................................................... 3, 5 Raphania.............................................................. 169 Rash................................................................... 143 Regurgitation, see Rising......................................... 38 Renal Consumption......,.......................................... 162 Reports in ears....................................................... 18 Rhagades of lips, see Chapping................................. 26 Rhachitis................................„............................ 329 170 Rheumatic inflammation of eyes............................... 345 Rheumatic ophthalmia............................................. 345 Rheumatism.......................................................... 475 169 Rickets................................................................. 329 170 Risings................................................................. 38 Rocking, injurious................................................. 409 Rubeola............................................................... 242 143 Rupture................................................................ 318 Rush of blood........................................................ 7 s. Saliva, morbid....................................................... 31 Salt, ill effects of..................................................... 170 Satyriasis, see sexual desire, unnatural....................... Scabies................................................................. 451 Scaly head............................................................ 10 Scales on scalp....................................................... 10 Scanty menstruation................................................ 301 Scapulae, morbid feelings in region of........................ 82-8? INDEX Text. Reper. Scarlet-fever......................................................... 175 Scarlet-rash........................................................... 178 144 Scarlatina............................................................ 175 Scarlatina, marked, larvata....................................... 179 Scarlatina, pustulous.............................................. 179 Scarlatina, smooth.................................................. 178 Scarlatina laevigata, see smooth................................ 178 Scarlatina, after diseases of....................................... 182 Schirrus................................................................ 500 Schirrus of stomach............................................... 269 Schirrus of uterus................................................... 312 Scrofula................................................................ 324 Scrofulosis............................................................. 324 Scrotum, affections of............................................... 103 Scurfs on head....................................................... 10 Scurfs in nose........................................................ 20 Scurvy.................................................................. 170 Sea-sickness.......................................................... 237 170 Sedentary habits, ill effects of................................... 170 Sediment in urine.................................................. 94-95 Semen, morbid character of the................................. 105-106 Sensitiveness of smell............................................. 499 Sexual desire, unnatural.......................................... 106 Sexual instinct of females, excited............................. 110 Sexual intercourse, aversion to................................. 106 Sexual intercourse of females, aversion to................... 109 Sexual weakness..................................................... 104 Shingles, see Zona.................................................. Shortsighted.......................................................... 12 Shoulder joints, symptoms of.................................... 120 Skin, character of the.............................................. 146 Skin, symptoms of.................................................. 141 Sleep, character and accompanying conditions of.......... 149-151 Sleeplessness.......................................................... 151 Sleeplessness of infants........................................... 430 Small of back, morbid sensations in........................... 84-85 Small-pox............................................................. 337 144 Small-pox, confluent............................................... 341 Small-pox, malignant.............................................. 340 Bmall-pox, putrid................................................... 341 746 INDEX. Text Reper Small-pox, sycoaic or condylomatous.......................... 341 Small-pox, typhoid.................................................. 340 Smell, illusions of................................................... 20 Smell, loss of......................................................... 499 Smell, sensitiveness of............................................. 499 Sneezing............................................................... 499 51 Somnambulism....................................................... 5 Sopor.................................................................. 151 Sore nipples...............................................•........... 398 78 Sore throat, see also Angina faucium,......................... 250 30 Spasms................................................................. 465 170 Spasm of the bladder............................................. 490 Spasm of eyelids................................................... 96 Spasms, uterine...................................................... HO Speech, impeded..................................................... 33 Spermatic cord, affections of..................................... 104 Spermatorrhoea, see Semen, morbid character of,.......... Spine, curvature of................................................. 83 Spongy excrescences............................................... 505 Spots................................................................... 144 Spots on cornea...................................................... 353 13, 14 Spontaneous limping................................................ 438 Squinting............................................................... 12, 14 Stammering of children............................................ 438 Stammering............................................................ 34 Staphyloma............................................................ 353 Steatoma................................................................ 71, 145 Sterility................................................................. 317 Stiff neck............................................................... 69, 71 Stomach, acid......................................................... 41 Stomach, affections of.............................................. 41 Stomach, consumption of.......................................... 159 Stomach, cancer of.................................................. 4j Stomach, phthisis of................................................ 159 Stomach, cramp of the............................................. 257 41 Stomach, inflammation of.......................................... 264 Stomach, schirrus of................................................ 269 41 Stomach, weak, see Weak Stomach,........................... 263 Stomach and pit of stomach, morbid sensations,........... 41 42 Stone in bladder...................................................... 79 INDEX. 747 Text. Reper. Stool, ailments accompanying.................................... 88, 90 Stool,'character of................................................... 85, 88 Stoppage of nose...................................................... 5] Strabismus, see Squinting,........................................ Strabismus............................................................. 12 Strain.................................................................... 173 Stricture of the urethra............................................ 490 Struma.................................................................. 505 Stuttering.............................................................. 34 Styes..................................................................... 349 16 Suffocative fits........................................................ 55 Suicide, disposition to.............................................. 5 Suppression of menses............................................. 301 Sweat.................................................................... 167, 172 Sweat, ill effects of suppressed................................... 173 Swellings............................................................... 147 Swelling of eyes...................................................... 15 Swelling of eyelids.................................................. 16 Swelling of face....................................................... 22 Swellings, glandular................................................. 332 Swelling of lips....................................................... 2t Swelling of liver...................................................... 191 Swelling of mammae................................................. 77 Swelling of the nose................................................ 498 20 Swelling of ovaries.................................................. 109 Swelling of tongue................................................... 33 Sycosis...................................................................463 Sycosio warts.......................................................... 145 Syphilis............................................................457-463 T. Tarsal joints, symptoms of........................................ 136 Taste, morbid.......................................................... 36 Tea, ill effects of...................................................... 173 Teeth and gams, affections of the............................... 27 Teething................................................................ 433 28 Temper, defeots of................................................... 1 Tenesmus of anna.................................................... 91 Tenesmus of bladder................................................ 96 Testioles, affections of............................................. 102-103 748 INDEX. Text Reper. Tetanus.........................................................•........ 473 Thighs, symptoms of................................................ 130 Thirst, abnormal...................................................... 36 Tibia, symptoms of................................................... 139 Tic douloureux...........;............................................ 360 Tobacco, ill effects of................................................ 174 Toes, nails and joints,.............................................. 139-140 Tongue-tied............................................................ 427 Tongue, affections of................................................ &™ Tongue, cancer of the.............................................. 505 32 Tongue, cracked...................................................... 33 Tongue, inflammation of........................................... 33 Tongue, swelling of.................................................. 33 Toothache, see Index............................................... Toothache............................................................. 142 28 Trachea, inflammation of........................................... 67 Trachea, morbid sensations in................................... 67-68 Trembling of the head.............................................. 10 Trismus................................................................. 473 Tussis, see Cough,................................................... 290 Typhus., *cute......................................................... 220 Typhus, abdominal.................................................. 165 Typhus, cerebral..................................................... 165 Typhus, lentescent.................................................. 221 Typhus, putrid....................................................... 165 u. Ulceration of eyes.................................................... 15 Ulceration of the nose.............................................. 498 20 Ulcers.................................................................... 332 47 Urethra, affections of................................................ 99 Urethra, discharges from.......................................... 100 Urethra, stricture of the........................................... 490 Urine, bloody.......................................................... 496 Urinary organs, affections of...................................... 92 Urination, see Micturition.......................................... Urine of infants, retention of..................................... 430 Urinate, urging to.................................................... 96-97 Urine, morbid sensations accompanying the emission of, 97-98 Urine, quality of...................................................... 92-95 INDEX. 749 Text Reper Uterus, cancer of the................................................ 312 Uterus, diseases of................................................... 108 Uterus, descension of................................................ 108 Uterus, dropsy of.................................................... 217 Uterus, falling of, see descension............................... Uterus, haemorrhage from.......................................... 205 108 Uterus, induration of............................................... 312 Uterus, inflammation of............................................ 108 Uterus, Prolapsus, see descension............................... Uterus, putrefaction of............................................. 108 Uterus, spasms of.................................................... 109 V. Vaccination............................................................ 440 Vagina, affections of................................................. 107 Vagina, inflammation of............................................ 108 Vanishing of sight, see Blackness............................... • J2 Varicella................................................................ 343 144 Varices.................................................................. 148 Varices at anus....................................................... 91 Variola.................................................................. 337 Venereal disease...................................................... 457 Vertigo.................................................................. 359 5 Vertigo, accompanying ailments of............................. 5 Vision, sudden blackness of....................................... 12 St. Vitus' Dance...................................................... 469 Vomiting............................................................... 40 Vomit, inclination to................................................ 39 Vomiting of blood................................................... 294 w. Walk, difficulty of learning to................................... 174 Wandering of the mind............................................ 3 Waking, see Sleeplessness,....................................... 151 Warts.................................................................... 145 Waterbrash............................................................ 257 Weakness, general.................................................. 174 Weakness, see also Debility.........................«........... Weak back............................................................ 84 Weak digestion....................................................... 43 Weak eyes............................................................. 349 750 INDEX. Text. Reper Weak stomach........................................................ 263 Weakness, sexual................................................... 104 Weaning................................................................ 400 174 Wetting the bed, of children..................................... 435 Whites.................................................................. 308 Whitlow................................................................ 336 Whooping-cough..................................................... 183 Womb, cancer of the............................................... 312 Womb, dropsy of the.............................................. 217 Womb, induration of............................................... 312 Womb, schirous of.................................................. 312 Womb, see also Uterus............................................. Worms.................................................................. 435 Wounds................................................................ 516 148,174 Wrath................................................................... 4 Wrist-joints, symptoms of........................................ 123 Y. Yellow fever........................................................... 234 z. Zona................................................................... 144 >m % T ^ NLM032761438