•■,'/-1 y .-t v;i. ■t •*'.' >r. -'J'' ^v,VV-. a '..'.%.*'.. '.-' .V'Tt i-» ■*. •-. "jj. .v. '; > 'i,J^;:i' ■r'v '-.^' assg«cy?wc> NATIONAL LIBRARY OF MEDICINE NLM QD1DDT73 1 IVINUUVN II I IvrtUUVN 3NiDia3w jo Aavaan 3Ni3ia3w jo Aavaan 3Ni3ia3w jo Aavaan 3NiDia3w jo Aavaan IBRARY OF MEDICINE NATIONAL IIBRARY OF MEDICINE NATIONAL LIBRARY OF r\ RARY OF MEDICINE NATIONAL IIBRARY OF MEDICINE NATIONAL IIBRARY OF M NLM001009731 avaan ivnouvn AN ABRIDGED THERAPY. MANUAL FOR THE Biochemical Treatment of Disease, BY DR. MED. SCHUESSLER, OF OLDENBURG. Twenty-Fifth Edition, in Part Rewritten. TRANSLATED BY PROF. LOUIS H. TAFEL. PHILADELPHIA : BOERICKE & TAFEL. WBC \898 bJ,±#$*W, +0*i ■ffifc'ti -B( Copyrighted 1898, BY BOERICKE & TAFEE. W \s '\. " 0-, K T, ** ^V"^- PUBLISHER'S PREFACE. It was our intention, and Dr. Schiissler'swish, that nothing should go into this translation of the Abgekurzte Therapie save what is to be found in the original. At his request we waited until the 25th edition of the German was published, which differs materially from preceding editions, and have now made our translation in accordance with his desire to have what he wrote on the subject of biochemistry, nothing more and noth- ing less, given to the English-speaking world; something, he claimed, that had never been done before. The author's death, however, following immediately on the completion of his work has caused us to so far depart from his request as to insert as a preface, a short account of his life and to give a fac simile of one of his letters. Other- wise the book is a strictly literal translation of the 25th edition of his work, and the only author- ized translation of this work on Biochemistry published. BORRICKE & TAFEL. DR SCHUESSLER.* OBITUARY. Our honored master, the founder of Biochem- istry, is no more among the living. The wish of his many adherents at home and in the wide, wide world, that he might be permitted to labor for yet many years with his accustomed bodily vigor and mental energy in advancing the work of his life, has not been fulfilled. Dr. Wilhelm Heinrich Schussler died on March 30th, in consequence of an apoplectic stroke. Up to the morning of March 14th he had felt in good health, but then he had a stroke; he quickly recovered, however, so that he was able to finish on the afternoon of the following day the last proof of the last sheet of the 25th edition of his Abridged Therapy. This was fated to be his last work, for the improvement did not continue, perhaps the patient himself being to blame, as he would in no way spare him- * Translated from Mitth. ueber Biochemie, May, 1898. 8 Obituary. self. Soon his condition became so much aggra- vated that no one could doubt his approaching end, of which he himself was conscious, and the approach of which he saw coming with the greatest tranquillity. Having been unconscious for several days he expired on the evening of March 30th. In Dr. Schussler not only his friends and ad- herents, but all mankind have lost one of the best of men. The value to mankind of the deceased as a physician and teacher, posterity will be able to appreciate better thaii the present time, al- though even now many signs of appreciation are manifested. Dr. Schussler was not only a learned and important man in his own domain, that of medicine, but he was also eminent in other domains of knowledge. He had a peculiar genius for the study of foreign tongues, and was a perfect master not only of Da tin and Greek, but also of French, Italian, Spanish and English. His love for comparative philology had induced him also to study Sanskrit. Through his system of Therapy, Dr. Schussler has become known throughout the civilized world, and from all parts of the world patients came Obituary. o to him to get his medical advice. But all his great successes, much as he enjoyed their recog- nition, did not make him proud; he always re- mained the plain and simple man he had been from his youth. Although he lived in his own large residence, in one of the finest streets of Old- enburg, his furniture was no richer than that of many a citizen in moderate circumstances. Mak- ing money was always a very subordinate matter with Dr. Schussler; the main point with him was always the cure of his patients and the de- velopment of his Therapy. His fees during the whole of his medical life were always low, and many families, which he for years had been treat- ing gratuitously, will miss him bitterly. If he, nevertheless, acquired a comparatively large prop- erty, this is to be ascribed to his extensive medical practice and his very limited personal require- ments. That he had a fellow-feeling also for the less wealthy among his fellow-citizens is shown by the.particulars of his last will and testament. A prominent feature of Schussler's character was his straightforwardness, which sometimes, especially when something was imputed to him which he could not reconcile with his views, 10 Obituary. passed over into roughness, and this without re- garding whether his opponents were men of dis- tinction or common people. Free from the fear of man, he went his way without minding whether he gave offence on the right hand or on the left; and full of conviction of his principles, he de- fended his cause against all. He was a man of character in every way. Even his opponents, in so far as their judgment is unbiased, agree with his friends and adherents in the unanimous recog- nition of his worth. Those who intimately knew and understood Dr. Schussler, the few whom he deemed fully worthy of his confidence, cannot do otherwise but say with Hamlet: " He was a man, take him for all in all, I shall not look upon his like again." But little is known as to the life and develop- ment of the creator and founder of biochemistry. Hardly anything touching it is found in the papers he has left behind him, and there are no near relatives living—he was unmarried—who might give us information. The repeated re- quests of his friends to write an autobiography, he had always put aside with the utmost decision; for while he was fully convinced of the importance Obituary. n and scientific exactness of the therapy created by him, he was reticent and modest in everything touching himself personally. Schussler was born on August 21, 1821, in Zwischenalm, in the Grand duchy of Oldenburg, and there passed his childhood. He used his youth and early manhood to acquire an extensive knowledge in various domains of human knowl- edge, especially in philology. In this he was supported by rare talents, and he could soon suc- cessfully act as private teacher. Thus he ac- quired the scientific basis for his later studies in the universities. Only at a mature age Schussler could carry out his long-desired wish of entering a university. He studied in Paris, Berlin and Giessen. And in the latter place, after a study of five terms, he acquired his diploma. Then he studied three more terms in Prague. Besides his studies in the general medical branches, Schussler also took up the study of Homoeopathy, in which he later on distinguished himself. After the newly-created doctor had also passed the examination at the " Gymnasium" in Olden- burg, and before the Collegium Medicum there, 12 Obituary. the medical examination required by the State, on August 14th, 1857, he received the license — then still required—of settling as physician in Oldenburg. From the first he practised accord- ing to the homoeopathic curative system. By many successful cures Dr. Schussler ac- quired a great name in the whole country as a homoeopathic physician; but far beyond his native land he became known as the founder of a new curative method, that of biochemistry. Incited by the study of the works of Mole- schott and Virchow, he began about the year 1872 to introduce the inorganic substances contained in the blood and the tissues and which there act as the natural means of function, into his prac- tice as medical remedies. As may appear from the Preface to his funda- mental work on Biochemistry, the "Abridged Therapy," he was induced to found his biochemic therapy by the following words of Moleschott in his " Circle of L,ife " {Kreislauf des Lebens): " The formation of the organs and their ability to live, are dependent on the necessary quantity of the inorganic constituents. Founded on this it is, that the proper valuation of the relation of the Obituary. 13 inorganic substances to the various parts of the body, a valuation which neither contemptuously disregards other momenta nor is full of extrava- gant hopes, promises a glorious future both to medicine and to agriculture. It can no more be doubted in the face of the facts bearing upon it, that the substances which remain behind after combustion, the so-called ashy constituents, are as essential constituents of the formative basis of the tissues, and contribute to determining their species just as much as those substances which are volatilized at combustion. Without a basis that furnishes gelatine there are no bones, and just as little can bone be formed without phos- phate of lime, or gristle without the cartilage- salts, or blood without iron, or saliva without calcium chlorate. " Man is created from air and earth. The activity of plants called him into being. The corpse is disintegrated into air and ashes, in order that it may unfold new powers in new forms through the vegetable kingdom." This new therapy has become known through- out the world, and there is at this day probably no country in which there are not adherents of H Obituary. biochemistry, and physicians who put it into prac- tice. In the town of Oldenburg, the birth-place of the new doctrine, there are at present five practising physicians active as representatives of biochemistry, and in a Memorial Address, dedi- cated to their departed teacher, they proudly call themselves his pupils. The Abridged Therapy has been widely dis- tributed, and translated into several tongues. As far as is known there are two translations into English, two into Spanish and one into French. A third translation into English was being made while the author was still living and entirely in agreement with his wishes, i. e., without any ad- dition at the hand of the translator, and this will be published presently in Philadelphia by Messrs. Boericke & Tafel. The 25th edition of the Therapy was published shortly before the death of the author, and he still lived to have the pleasure of distributing a number of copies of the same among his col- leagues and friends. The long-cherished hope of his adherents that this new edition might become a jubilee-edition has not, we are sorry to say, been realized; for Obituary. 15 sadness fills their hearts instead of joy, mourning for their teacher, who died much too soon for humanity; and the 25th edition will ever remind them of how much they have lost. The body of Dr. Schussler, accompanied by a numerous mourning procession, was carried to the grave on Tuesday, April 5th, on a sunny, glorious spring morning. The atoms which had been conjoined together in this great man, not merely for joy and for grief, but still more for the ful- fillment of high duties, have been restored to mother earth. But the labors of his spirit have not been in vain, and the most distant genera- tions, we fervently believe, will bless the name of Schussler and his work, Biochemistry. " The traces of his earthly life Even ages shall not wipe away.'' M. PREFACE. Dr. Moleschott, Professor of Physi- ology in the University of Rome, says in his work Kreislauf des Lebens (The Cycle of Life) : " The structure and vitality of organs are conditioned by the necessary amounts of inorganic constituents. It is owing to this fact that the proper estimation of the relation of the inorganic substances to the various parts of the body, an estima- tion which neither proudly disdains other momenta nor indulges in extravagant hopes for itself, promises to Agriculture and to Medicine a brilliant future. In view of all the facts bearing on the case, it can no more be controverted that the substances remaining after combustion— the so-called ashy constituents—belong 2 18 Preface. just as essentially to the internal consti- tution, and thereby to the basis of the tissues which gives to them their form and determines their species, as do the sub- stances volatilized by combustion. With- out a basis yielding gelatine, there can be no true bone, but just as little can there be true bone without bone-earth, nor cartilage without cartilage-salts, nor blood without iron, nor saliva without Potassium-chloride. " Man is generated of earth and air. The activity of plants called him to life. The corpse is decomposed into air and ashes, and through the vegetable world it then develops new forces in new forms." These words caused me to found a biochemic therapy. The little work here- with submitted contains its development. In my biochemical theraphy only n reme- dies are used, these being such as are homogeneous with the inorganic sub- Preface. 19 stances contained in the blood and in the tissues of the human organism. Owing to reasons which the reader will find on page 35 and those following, these remedies must be given in small doses. Whenever small doses are mentioned, the reader usually at once thinks of Homoeopathy; my therapy, however, is not homoeopathic, for it is not founded on the law of similarity, but on the physi- ologico-chemical processes which take place in the human organism. By my method of cure the disturbances occurring in the motion of the molecules of the in- organic substances in the human body are directly equalized by means of homo- geneous substances, while Homoeopathy attains its curative ends in an indirect way by means of heterogeneous sub- stances. Some of my opponents have averred that those of my remedies, as Silicic acid and 20 Preface. Calcium phosphate, etc., which had already been used by physicians before biochem- istry was established, are on that account not biochemical remedies. It would be just as correct or rather incorrect to assert that all remedies used before Hahnemann belong exclusively to allopathy. But the truth of the matter is this: The principle according to which a remedy is selected stamps its impress upon it. A remedy selected according to the principle of similars is a homoeo- pathic remedy, but a remedy which is homogeneous with the mineral substances of the organism, and the use of which is founded on physiological chemistry, is a biochemical remedy. A Homoeopath us- ing Silicea unconsciously acts biochemi- cally. Silicea cannot produce any symp- toms in a healthy person which could cause its use in diseases according to the principle of similars. Homoeopaths use Preface. 21 Silicea on account of curative symptoms gained empirically. In the same way they act with respect to the cell-salts, which they used before the establishment of biochemistry. Dr. MED. SCHUESSLER. Oldenburg, March, 1898. THE CONSTITUENTS OF THE HUMAN ORGANISM. Blood consists of water, sugar, fat, al- bumen, sodium chloride (common salt), potassium chloride, calcium fluoride, silicic acid {Silicea), iron*, lime, magnesia, soda and potash. The latter are combined with phosphoric acid or with carbonic acid and sulphuric acid. Sodium salts predominate in the serum of the blood, potassium salts in the blood-corpuscles. Sugar, fat and the al- bumens are the so-called organic constit- uents of the blood; water and the above mentioned salts are the inorganic parts. Sugar and fat are composed of carbon, and hydrogen and oxygen; the albumens *Manganese is not a constant constituent of the blood and is, therefore, an insignificant constituent so far as the formation of the cells is concerned. 24 Constituents of the Human Organism. consist of carbon, oxygen, hydrogen, ni- trogen and sulphur. Blood contains the material for all the various tissues, i. e., the cells of the body. This material reaches the tissues through the walls of the capillaries, and thus makes good the waste in the cells caused by the transformation of its substances. Sulphur, carbon and phosphorus are not found in a free state in the organism, but are always found as integral parts of organic combinations. Sulphur and car- bon are found in albumen, carbon in the carbohydrates (e. g., sugar and starch) and in the products resulting from the transformations of organic substances. Phosphorus is contained in the lecithins and the nucleins. The sulphur contained in the albumen is oxidized into sulphuric acid by the inhaled oxygen, and this acid then combines with the bases of the car- Constituents of the Human Organism. 25 bonates into sulphates, while the carbonic acid is set free. The albumen destined to build up new cells is split up, through the influence of oxygen, within the tissues. The products of such a division are the substances forming muscles, nerves, gelatine, mucus, keratin and elastin. The substance which forms gelatine is intended for the connective tissue, for the bones, the cartilage and the ligaments ; the substances forming mucus, muscles and nerves are destined for the mucus- cells, the muscle-cells, the nerve-cells, and the cells of the brain and the spinal mar- row ; the keratin is intended for the hair, the nails and the cells of the epidermis and the epithelium; the elastin for the elastic tissues. While this division takes place, mineral substances are set free. These serve to cover the deficiencies oc- curring in the cells owing to their func- 26 Constituents of the Human Organism. tions or through pathogenic excitation ; they also serve, especially the phosphate of lime, to incite the formation of cells. Those mineral substances, however, which are liberated in consequence of the retrogressive metamorphosis of the cells leave the organism by the ways ap- pointed for excretion, thus forming prod- ucts of disintegration. During the retrogressive metamor- phosis of the cells, their organic sub- stances are finally transmuted into urea, carbonic acid and water. As these final products with the liberated salts leave the tissues, they make room for the organic substances which have not yet been thus transmuted, so that these also may pass to their final transmutation. The products of retrogression are con- veyed through the lymphatics, the con- nective tissues and the veins to the gall- bladder, the lungs, the kidneys, the Constituents of the Human Organism. 27 bladder and the skin and removed from the organism together with the urine, perspiration, faeces, etc. With respect to the significance of the connective tissue, we find the following in Moleschott: "It is one of the noblest fruits of modern research, for the acquisition of which Virchow and von Recklinghausen have cleared the way, that the connective tissue has advanced from the indifferent part first assigned to it into an unlooked- for fruitful activity. That, which formerly seemed only intended to fill up or to form a protective covering now appears to us as the matrix through which the most secret currents pass from the blood to the tissues and back from these to the blood vessels, at the same time serving as one of the most important breeding places for young cells, which may then be raised from their undeveloped youthful form 28 Constituents of the Human Organism. into the most special structures of the body." When through means of food and drink, properly digested, the blood is com- pensated for the losses which it has suf- fered from supplying the nutritive material to the tissues, and when thus there is present in the tissues the nutri- tive material in the requisite quantity and in the right place, and when there is no disturbance in the motion of the mole- cules, then the building of new cells and the destruction of the old cells as well as the elimination of waste products pro- ceeds normally, and the man is in a state of health. When a pathogenic irritation touches the cell, its function is thereby at first increased, because it endeavors to repel this irritation. But when, in consequence of this activity, it loses a part of its min- eral materials for carrying on its func- Constituents of the Human Organism. 29 tion, then it undergoes a pathogenic change. Virchow says: " The essence of disease is the cell changed pathoge- netically." Suppose the functional material lost in the contest with the pathogenic irritation to be, e.g., Potassium chloride, then it has also lost a corresponding quantity of fibrin, for Potassium chloride and fibrin have a physiologico-chemical relation- ship. If the cell in its contest with the pathogenic irritation has lost Calcium phosphate, it has also lost a corresponding quantity of albumen, because Calcium phosphate has a similar relation to albu- men as Potassium chloride has to fibrin. An exudation of fibrin, therefore, presup- poses a deficiency of Potassium chloride, and an exudation of albumen presup- poses a deficiency of Calcium phosphate in the cells immediately contiguous to the exudation referrred to. Losses in 30 Constituents of the Human Organism. the other cell-minerals may be deduced from their several characteristics which may be perused below. The cells which have undergone patho- genic changes, i. e., the cells in which there is a deficiency in one of their min- eral constituents, need a compensation by means of a homogeneous mineral sub- stance. Such a compensation may be made spontaneously, i. e., through the curative effort of nature, whereby the re- quisite substances enter the cells from their interstices. But if the spontane- ous cure is delayed, therapeutic aid be- comes necessary. For this purpose the required mineral substances are given in a molecular form. The molecules enter through the epithelium of the cavity of the mouth and throat into the blood and diffuse themselves in every direction. Those molecules which enter the seat of the disease enter there into a lively molec- Constituents of the Human Organism. 31 ular motion, which communicates itself to the homogeneous substances around. These substances enter the cells which have undergone pathogenic changes, and thence a cure is affected. The cells, which have been restored to their integrity are then able to move again independently and thence to eliminate foreign sub- stances or in general anything redundant, and therefore also any exudations that may be present. The constitution of the cell depends on the constitution of the nourishing soil immediately surrounding it, just as the prosperous growth of a plant depends on the quality of the soil within the reach of the fibres of its roots. The agricul- tural chemist speaks of u the law of the minimum" according to which the nutri- tive substance of which there is a mini- mum in the soil must be supplied as the manure required for the plant. The agri- 32 Constituents of the Human Organism. cultural chemist uses for this only three substances as manures, either nitrogen in combination (ammonia), or Calcium phos- phate or potassa. The other nutritive substances required by the plant are con- tained in sufficient quantities in the soil. " The law of the minimum " is also ap- plicable to the biochemical substances. To give an example : In the nourishing soil of the bones in a child suffering from rhachitis in con- sequence of disturbance in the motion of the molecules of Phosphate of lime, there has arisen a deficiency in this salt. The quantity of Phosphate of lime in- tended for the bones, which cannot reach its destination, would become re- dundant in the blood, but that it is ex- creted with the urine. For the kidneys have the function of providing for the right constitution of the blood, and, there- Constitue?its of the Human Organism. 33 fore, of excreting every foreign and every redundant constituent.* After the disturbance in the molecular motion of the nutritive soil in question has been equalized by means of minimal doses of Phosphate of lime, the redundant Phos- phate of lime may find its way into the normal current and the cure of the rhachitis may thus be effected. The biochemical method supplies the curative efforts of nature with the natural material lacking in the parts affected, i. e., the inorganic salts. Biochemistry en- deavors to correct the physiological chem- istry when it has deviated from its normal state. Biochemistry in a direct mode *The liver together with the kidneys have the common function of caring for the constant constitution of the blood. But despite a normal constitution of the blood in general, nevertheless, in the immediate nutritive soil of a complex of cells, *. e., in the nutritive fluid between the cells, there may arise a deficiency as to a certain salt, and a consequent disturbance in the molecular motion. This disturbance may prevent the entrance of the re- quisite salt from the blood into the cellular interstices. 3 34 Constituents of the Human Organism. reaches its end, which is : supplying a de- ficiency. The other curative methods which use means which are heterogeneous to the substances constituting the human organism reach this end in an indirect way. Anyone who will consider without pre- judice the end to be attained and the ways and means, will come to see that the biochemical remedies, when used after proper selection, are sufficient for the cure of all diseases curable by internal remedies. Some physicians have asserted that the biochemical remedies ought to be proved on healthy persons, and their in- dications should be derived from the symptoms ascertained from such prov- ings. But this is altogether erroneous. The indications of biochemical remedies must be derived from physiological and pathological chemistry, i. e., through the Constituents of the Human Organism. 35 results of their use in the various dis- eases. Who can believe, that by giving large or small doses of the cell-salts to healthy persons, we could cause morbid symptoms having any similarity with puerperal fever, with typhoid fever, with articular rheumatism, with chills and fever, with hygroma patellae, etc., etc.? The biochemical remedies are used in minimal doses. The possibility of the action of small doses is manifest from the following: Nature operates only by means of atoms and by means of groups of atoms or molecules. The growth of animals and of plants is effected by adding new atoms or groups of atoms to the molecular masses already collected. That infinitesi- mal, imponderable particles of substance still may operate in the organism, can not be contested when we consider that 36 Constituents of the Human Organism. waves of light, which of a certainty are also imponderable, nevertheless cause molecular motions in the living, green parts of plants, by means of which car- bonic acid is decomposed into carbon and oxygen, and that these same waves on photographic plates, as also in the delicate membrane of the retina, cause molecular motions, which cause the production of an image. The use of small doses for the cure of diseases in the biochemical method is a chemico-physiological necessity. If we desire to convey into the blood, e. g., some Glauber's salt, this is effected not by giv- ing a concentrated solution of it. This would only act within the intestinal canal, causing a watery diarrhoea, and with these evacuations it would leave the organism. A diluted solution of Glauber's salt will enter the blood from the buccal and thoracic cavity and it will also thus enter Constituents of the Human Organism. 37 into the other intercellular fluids, and, ow- ing to the peculiarity of the salt, in that it attracts to itself water, it will cause the withdrawal of the redundant water in the tissues into the venous blood, and it will thus cause an increase in the secretion of urine. Every biochemical remedy must be thus attenuated, so that the functions of the healthy cells may not be disturbed, and yet the functional disturbances pres- ent may be equalized. In healthy men, animals and plants the salts are present in dilutions corre- sponding to about the 3d, 4th and 5th decimal medicinal dilutions. This may appear from the following analysis of the blood-cells in the human organism : In 1000 grammes of blood-cells we find contained the following quantities of in- organic matter: 38 Constituents of the Human Organism. Iron.............0.998 Potassium sulphate.......0.132 Potassium phosphate......2.343 Potassium chloride.......3-°79 Sodium phosphate.......0.633 Soda.............0.344 Calcium phosphate.......0.094 Magnesium'phosphate.....0.060 (See Bunge's Lehrbuch der physiologi- schen und Pathologischen Chemie, "Manual of physiological and pathological chem- istry, p. 219.) In 1000 grammes of the intercellular fluid (plasma) we find the following quan- tities of inorganic matter: Potassium sulphate.......0.281 Potassium chloride.......0.359 Sodium chloride........5-545 Sodium phosphate.......0.271 Soda.............J-532 Calcium phosphate.......0.298 Magnesium phosphate.....0.218 (Vide Bunge Manual.) Besides these, the intercellular fluid Constituents of the Human Organism. 39 contains Glauber's salt in minute quanti- ties, with fluorine and Silicea. With these analyses compare that of milk: One litre (1000 grammes) of milk contains of inorganic matter the following quanties : Potassa............0.78 Soda.............0.23 Lime.............0.33 Magnesia...........0.06 Iron .............0.004 Phosphoric acid.........0.47 Chlorine............0.44 (Vide Bunge's Manual, p. 97.) Milk also contains traces of fluorine and Silicea. A litre of milk (1000 grammes = 15,443 grains) is the average quantity consumed daily by a suckling weighing about 6 kilogrammes. Now, if 6 centigrammes of Magnesia are sufficient to supply the daily call for Magnesia in a suckling, 40 Constituents of the Human Organism. how small ought the dose to be to cure a neuralgia caused by an infinitesimal defi- cit in this salt in a minute part of the nervous tissue ? The amount of mineral substance con- tained in one cell is infinitesimal. By weighing, measuring and calculating, the physiologian, C. Schmidt, has computed that one blood-cell contains about the one- billionth part of a gramme of Potassium chloride. The one-billionth part of a gramme corresponds to about the 12th degree of decimal dilution. Also allopathic remedies are effective in minute doses: Prof. Dr. Hugo Schulz, in Greifswalde says: Corrosive sublimate in a dilution of one part to 600,000, or even up to 800,000, causes a very violent fer- mentation, far exceeding the normal, in a solution of grape-sugar containing yeast. Particulars of this may be found in the Constituents of the Human Organism. 41 Berliner Klinische Wochenschrift, Nov. 4th, 1889. In determining the dose of a biochemi- cal remedy, the quantity of a morbid product cannot be considered as the de- termining factor. A very minute deficit of common salt may, e g. cause in the cells of the epithelial layer of a serous sac a very copious serous exudation, and a compensation of molecules of common salt corresponding to this minute deficit may cause the reabsorption of this exuda- tion. A physician who wishes to use bio- chemical remedies can select his dose ac- cording to the quantitative relation here laid down. In my practice I generally use the 6th decimal trituration.* In acute cases take every hour or every two hours a quantity *Ferrum phosphoricum, Silicea and Calcium fluoride I usually give in the 12th trituration, 42 Constituents of the Human Organism. of the trituration as large as a pea, in chronic cases take as much, three or four times a day, either dry or in a teaspoon- ful of water. A milligramme of substance is calcu- lated to contain an average of 16 trillions of molecules, the 6th decimal trituration should therefore contain about 16 billion molecules. This number is more than sufficient to equalize the disturbance in the molecular motions of the tissues. The objection might be made that the molecules of the salts given as a medi- cine will unite themselves with the homo- geneous salts contained in the blood, and the intended curative effect will thereby become illusory. But to this we should answer that the unition dreaded does not take place, because the carbonic acid in the blood serves as an isolating medium to the molecules of the salt. The inorganic substances which serve Constituents of the Human Organism. 43 as a means in plants for their nutrition and for performing their functions are also taken up by them only in minimal quantities. Liebig says : " The strong- est manuring with phosphates in a coarse powder is hardly to be compared in its effects with a far smaller quantity in an infinitesimal state of comminution, which causes a particle of the phosphate to be present in every part of the soil. A single root-fiber requires but an infinitesimal quantity of nutriment from the spot where it touches the soil, but it is necessary for its function and existence that this mini- mum should be present in that very spot." (See Liebig^s Chemische Briefe {Chemical Letters), Vol. II, p. 295.) Min- erals insoluble in water, if contained with- in the sphere of nourishment of the plant, must be dissolved by the acid juices con- tained in the root-fibres before they can enter the organism of the plant. 44 Constituents of the Human Organism. Mineral matter which enters man's stomach is exposed to the action of the hydrochloric acid contained in the gastric juice. If the mineral substance is, e. g.} a salt of iron, then a chloride of iron is formed in the stomach. If, therefore, it is desired to convey Phosphate of iron [Perrum phosphoricum) to the cells that have suffered a pathogenic change, this must not enter the stomach. It must therefore, be given in a minimal dose ; the remedy must be so far attenuated, that its liberated molecules may be able to enter into the blood through the epi- thelium of the mouth, the throat and the oesophagus and through the walls of the capillaries. All substances indissoluble in water must be reduced to at least the 6th degree of the decimal scale of attenuation; sub- stances which will dissolve in water can Constituents of the Human Organism. 45 penetrate the above mentioned epithelial cells even in a lower attenuation. In the 3d edition of the Baeder Alma- nach for 1886 we find on p. 121 the follow- ing remark : "Judging from the results, and from the present analysis, the Rilchinger Water contains especially also those con- stituents with which, according to Dr. Schuessler's " Abridged Therapy," all curable diseases are cured by the bio- chemical method." In the Rilchinger water some mineral substances are present in such minute quantities that, e.g., Phosphate of Mag- nesia corresponds to the 8th attenuation, Potassium chloride to about the 5th and silicic acid to about the 6th decimal at- tenuation. In the Balneologic letters of Prof. Beneke we read the following : " We would lay especial stress on one 46 Constituents of the Human Organism. relation : This is the degree of concentra- tion in which the solutions of salt are of- fered to the body. I am convinced that many of the most celebrated mineral springs afford their favorable results just by the fact that the effective ingredients are presented in such a very attenuated form, and the experience is very essential, that we frequently obtain the most signal effects through doses which, according to our usual ideas, are very minute. * It is better, in prescribing a salt for a biochemical purpose, to make the dose too small than too large. If it is too small, the goal will be reached by repeat- ing it; but if it is too large, the end to be gained is wholly lost. The motto, " Much will help much," rests on a traditional error, which can be- * We cannot, however, recommend the use of mineral waters from the standpoint of biochemistry. Biochemi- cal remedies are to be prescribed singly; mixtures are in- admissible. Constituents of the Human Organism. 47 come harmful by its effects; e.g., large doses of iron, after spoiling the stomach, are evacuated, unassimilated, with the faeces, without touching the disease that ought to be healed through iron. Those physicians who believe that large doses are required, but, at the same time, have little confidence in their medi- cines, when they themselves fall ill, do not take any medicine at all. In dosing other people but not themselves with their pills and mixtures, they remind us of the plantation-lord who said : " Down south we raise excellent field-peas; we cannot, indeed, eat them; but they are excellent for the negroes." 48 Iron. CHARACTERISTICS OF THE BIO- CHEMICAL REMEDIES. IRON. Iron and its salts possess the property of attracting oxygen. The iron contained in theblood-corpusles takes up the inhaled oxygen, thereby supplying with it all the tissues of the organism. The sulphur contained in the blood-corpuscles and in other cells, in the form of sulphate of potassa, assists in transferring oxygen to all the cells containing iron and the sulphate of potassa. When the mole- cules of iron contained in the muscle- cells have suffered a disturbance in their motion through some foreign irritation, then the cells affected grow flaccid. If this affection takes place in the annular fibres of the blood vessels, these are Iron. 49 dilated; and as a consequence the blood contained in them is augmented. Such a state is called hypersemia from irritation; such a hyperaemia forms the first stage of inflammations. But when the cells affected have been brought back to the normal state by the therapeutic effect of iron {Phosphate of iron) then the cells are en- abled to cast off the causative agents of this hyperaemia, which are then re- ceived by the lymphatics in order that they may be eliminated from the organ- ism. When the muscular cells of the intes- tinal villi have lost molecules of iron, then these villi become unable to perform their functions: diarrhoea ensues. When the muscular cells of the intes- tinal walls have lost molecules of iron, then the peristaltic motion of the intesti- nal canal is retarded, resulting in an 4 50 Iron. inertia with respect to the evacuation of the faeces. From the above, we deduce the follow- ing indications for iron: When the muscular cells which have grown flaccid through loss of iron receive a compensation for their loss, the nor- mal tensional relation is restored: the annular fibers of the blood vessels are shortened to their proper measure, the capacity of these vessels again becomes normal, and the hyperaemia disappears, and in consequence the inflammatory fever ceases. Iron will cure: i. The first stage of all inflammations. " TT , \ caused by hyperaemia. 3. Hemorrhages J r 4. Fresh wounds, contusions, sprains, etc., as it removes the hyperaemia. The pains which correspond to iron are increased by motion, but relieved by cold. Phosphate of Magnesia. 51 In the muscle-cells, iron is found in the form of a phosphate; we should therefore in therapeutics use Ferrum phosphoricum* PHOSPHATE OF MAGNESIA. Phosphate of magnesia is contained in the blood-corpuscles, in the muscles, in the brain, in the spinal marrow, in the nerves, in the bones and the teeth. When the motion of its molecules in the nerves is disturbed, there arise pains, also cramps and paralysis. The pains thence resulting are usually shooting like lightning flashes, or boring; often combined with a sensation of constriction or alternating therewith; they are at times roaming pains. They are amelior- ated by warmth and by pressure, aggra- vated by a light touch. Phosphate of magnesia will cure head- *As to the potency, I usually give the i2x trituration. 52 Calcium Phosphate. ache, face-ache, toothache and pains in the limbs if they are of the kind de- scribed above; so also cramps in the stomach, pains in the abdomen usually radiating from the umbilical region, re- lieved by hot drinks, by bending double, and by pressing on the abdomen with the hand, sometimes accompanied with watery diarrhoea. It will also cure spasms of various kinds; spasms of the glottis, whooping cough, lock-jaw, cramps of the muscles of the calves, hiccough, tetanus, St. Vitus' dance, spasmodic retension of the urine, etc. Further particulars concerning Mag- nesia may be found under " ScrofulosiS and Tuberculosis." caecium phosphate (caecarea phosphorica). Calcium phosphate is found in all cells ; it is most abundant in the osseous cells Calcium Phosphate. 53 (osseous corpuscles). It plays a most important part in the formation of new cells. It therefore serves as a remedy in anaemic states, and for the restoration of tissues after acute diseases. It is par- ticularly applicable in cases where the for- mation of bones is delayed, as in rhachitis and craniotabes, so also when there is a defective ossification of a parietal bone, when the fontanels remain open too long, etc. It hastens the formation of callus in fractured bones, and also hastens den- tition. In the latter case it competes with Calcium fluoride. When the molecular motion of Cal- cium phosphate is disturbed in the epithe- lial cells of the serous sacs, there en- sues a sero-albuminous effusion into these sacs. In this way arises the hygroma patellae, the hydrops genu, etc. If these losses are compensated by minimal doses 54 Potassium Phosphate. of Calcium phosphate, then the effusions are reabsorbed. When the cells of the epidermis have lost Calcium phosphate, then albumen ap- pears on the surface and dries there into a crust; this crust can be made to come off by doses of molecules of Calcium phos- phate. When the epithelium of a mucous membrane is diseased from the loss of Calcium phosphate, an albuminous secre- tion ensues which is cured by Calcium phosphate. Calcium phosphate also cures spasms and pains caused by anaemia. Such pains are accompanied with formication, or a sensation of numbness or cold. POTASSIUM PHOSPHATE (KALI PHOS- PHORICUM). Potassium phosphate is contained in the cells of the brain, the nerves, the muscles and the blood (the blood corpuscles), as Potassium Phosphate. 55 also in the plasma (serum) of the blood and in the other intercellular fluids. A disturbance in the motions of its molecules produces: 1. In the domain of the cells of thought: Despondency, anxiety, fearful- ness, an inclination to weep, homesick- ness, suspiciousness, agoraphobia, weak- ness of the memory and similar ill humor. 2. In the vasomotory nerves: At first a small and frequent pulse, later on it is retarded. 3. In the sensory nerves : Pains with sensation of paralysis. 4. In the motory nerves : Weakness of the muscles and the nerves, even to pa- ralysis. 5. In the trophic fibres of the Nervus sympathicus: Retardation of nutrition even to a total cessation thereof in a lim- 56 Potassium Phosphate. ited cellular area, and thence a softening and decay of the affected cells. All changes in the state of health have the characteristic of depression. Potassium phosphate cures states of de- pression of the mind and of the body, hypochondriac and hysterical ill humor, neurasthenia, nervous insomnia, spasms caused by so-called irritable weakness; also paralyses, septic states, septic hem- orrhages, noma, scurvy, scurvy of the mouth, phagedenic chancre, carbuncles, typhoid fever, and typhous, adynamic states ; progressive atrophy of the mus- cles ; the round ulcer of the stomach, be- cause this is caused by a disturbance of the function of the trophic fibres of the sympathicus; so also the alopecia areata (not to be confounded with herpes ton- surans). Also in the alopecia areata the cause is found in a disturbance of the Potassium Chloride. 57 functions of the trophic fibers of the sym- pathicus. POTASSIUM CHLORIDE (KALIUM CHLORATUM) K CI. (Not to be confounded with Chlorate of Potash K CI O3.) Potassium chloride is contained in al- most all the cells, and is chemically re- lated to fibrine. It will dissolve white or grayish-white secretions of the mucous membranes and plastic exudations. It is, therefore, the remedy for catarrhs when the secretion has the form described above ; it is also the remedy for croupous and diphtheritic exudations. It answers also to the second stage of inflammation in serous membranes when the exudation is plastic. When the cells of the epidermis lose molecules of Potassium chloride in conse- quence of a morbid irritation, then the fibrine comes to the surface as a white or whitish-gray mass. When dried, this 58 Natrum Muriaticum. forms a mealy covering. If the irritation has seized upon the tissue under the epidermis, then fibrine and serum are exuded, causing the affected spot on the epidermis to rise in blisters. Similar processes may take place in and below the epithelial cells. XATRUM MURIATICUM. SODIUM CHLORIDE (COMMON SALT). The water which is introduced into the digestive canal in drinking or with the food enters into the blood through the epithelial cells of the mucous membrane by means of the common salt contained in these cells and in the blood, for salt has the well-known property of attracting water. Water is intended to moisten all the tissues, i. e. cells. Every cell con- tains soda. The nascent chlorine which is split off from the Natrum muriaticum of the intercellular fluid combines with Natrum Muriaticum. 59 this soda. The Natrum muriaticum aris- ing by this combination attracts water. By this means the cell is enlarged and divides up. Only in this way can cells divide so as to form additional cells. If there is no common salt formed in the cells, then the water intended to moisten them remains in the intercellular fluids, and hydraemia results. Such pa- tients have a watery, bloated face ; they are tired and sleepy and inclined to weep. They are chilly, suffer from cold ex- tremities and have a sensation of cold along the spine. At the same time they have a strong desire for common salt. (The cells deficient in salt cry for salt.) The common salt, of which they consume comparatively large quantities, does not heal their disease, because the cells can only receive the common salt in very attenuated solutions. The redundant common salt present in 60 Natrum Muriaticum. the intercellular fluid may in such cases cause such patients to have a salty taste in their mouth (an irritation of the nervus glossopharyngeus and the N. lingualis), and the pathological secretions of the mucous membranes as also of excoriations of the skin may be corrosive (salt-rheum). The common salt acting in the healthy epithelial cells of the serous sacs regu- lates the passage of water from the arterial blood into these sacs. A func- tional disturbance of the molecules of common salt is followed by a transfusion of water into these sacs. If this disturb- ance is therapeutically removed by mini- mal doses of common salt, then these cells are enabled to reabsorb the water exuded. A disturbance in the molecular motions of the molecules of common salt in the epithelium of the lachrymal or salivary Natrum Muriaticum. 61 glands is followed by lachrymation or salivation. When an irritation affecting a dental branch of the trigeminus is transferred by means of the secretory fibers of the sym- pathicus to the epithelial cells of the salivary glands, so as to disturb the function of the molecules of common salt in these cells, then there is toothache with salivation. The epithelial cells of the mucous mem- brane of the intestinal canal, by means of the common salt they contain, effect the transfer of the water drunk as a beverage into the blood of the vena-portae. A disturbance of their function, through an irritation foreign to it, causes a re- verse current: serum enters into the in- testinal canal, causing a watery diarrhoea. If the irritation affects at the same time the mucous cells of the intestines, there arises a diarrhoea of water and mucus. 62 Natrum Muriaticum. The mucin of the mucous cells appears on the surface as a glassy, transparent mucus. If the mucous cells contain too little common salt and too little mucin, then the natural secretion of mucus is depressed below the normal. The carbonic acid contained in the blood by its voluminal effect liberates chlorine from the common salt contained in the epithelial cells of the peptonic glands. The soda thus set free combines with the carbonic acid and this combina- tion passes into the blood, while the chlorine liberated combines with hydro- gen and, dissolved in water, it enters the stomach as hydrochloric acid. Now when the epithelial cells of the peptonic glands are deficient in salt, and in consequence there is no hydrochloric acid formed, then the alkaline mucus secreted by the superficial epithelium of the mucous mem- brane of the stomach increases and we Natrum Muriaticum. 63 have catarrh of the stomach, eventually accompanied with vomiting of mucus. In consequence of a considerable dis- turbance of the function of the common salt, serum from the blood may transude into the stomach, then there arises vomiting of water (water-brash). When a number of cells below the epidermis contain no common salt, they cannot receive the water destined for them; then they will raise up the epi- dermis in the form of vesicles; the con- tents of these vesicles are clear as water. Similar vesicles may rise from a similar cause on the conjunctiva. There may be simultaneously, though in places distant from one another, diminished or increased secretions in consequence of the disturbance in the function of the molecules of common salt; e. g., there may be catarrh of the stomach with vomiting of water or of mucus, and 64 Sodium Phosphate. at the same time constipation from a diminished secretion of mucus in the colon. SODIUM PHOSPHATE (NATRUM PIIOV PHORICUM). Sodium phosphate is contained in the blood-corpuscles, in the cells of the mus- cles, of the nerves and of the brain, as well as in the intercellular fluids. Through the presence of Sodium phos- phate, lactic acid is decomposed into car- bonic acid and water. Sodium phosphate is able to bind to itself carbonic acid, re- ceiving into itself two parts of carbonic acid for every volume of phosphoric acid. When it has thus bound the carbonic acid, it conveys it to the lungs. The oxygen flowing into the lungs liberates the carbonic acid which is only loosely attached to the Sodium phosphate; the carbonic acid is then exhaled and ex- Sodium Phosphate. 65 changed for oxygen, which is absorbed by the iron of the blood-corpuscles. Sodium phosphate is the remedy for those diseases which are caused by an ex- cess of lactic acid. It, therefore, answers to the diseases of infants, who, having been fed to excess with milk and sugar, suffer from redundant acids. The symp- toms in such cases are: Sour eructations, vomiting of sour, cheesy masses ; yellow- ish-green, so-called hacked diarrhoeas ; colic, spasms with acidity. Uric acid is dissolved in the blood by two factors ; the warmth of the blood and Sodium phosphate. If uric acid is depos- ited from its solution in the joints or near them, owing to a deficiency of Sodium phosphate, or when it combines with the base of Carbonate of soda into urate of soda which is insoluble, then there arises podagra or acute arthritic rheumatism. During an acute attack of podagra the 5 66 Calcium Fluoride. secretion of uric acid in the urine is diminished by just so much as is re- tained of it in the diseased parts. Sodium phosphate also serves to sa- ponify the fatty acids ; it, therefore cures those dyspeptic ailments which arise from eating fat food, or which are aggravated thereby. Additional facts concerning Sodium phosphate will be found under " Scrof- ulosis and Tuberculosis." calcium fluoride (calcarea fluorata). Calcium fluoride is found in the sur- face of the bones, in the enamel of the teeth, in the elastic fibers and in the cells of the epidermis. A disturbance in the motion of its molecules with a consequent loss thereof is followed : i. By a hard, lumpy exudation on the surface of a bone. Calcium Fluoride, 6j 2. By a relaxation of elastic fibers; thence an enlargement of the vessels, hemorrhoidal knots; relaxation and change of position of the uterus, relaxa- tion of the abdominal coverings, sagging down of the abdomen ; the after-pains are deficient, or there may be hemorrhages from the uterus. 3. The Keratin* or horny substance exudes from the cells of the epidermis. The exudate dries up at once and be- comes a crust, firmly adhering to the skin ; it thus appears e. g., on the palms. When the hand thus affected is used, chaps and tears in the crusts are formed. Besides these diseases, Calcium fluoride will cure: a. Cephalaematom ; since it causes the absorption of the osseous wall. b. Hardened exudations, e. g., in the mammary glands, the testes, etc. *Keratin is contained in the epidermis, the hair and the nails. 68 Calcium Fluoride. Two explanations may be offered as to the absorption of hardened exudations : a. Through the pressure of the hard- ened exudation, the elastic fibers near it have lost the ability of performing their function. By supplying molecules of Calcium fluoride, the affected fibers are restored to their integrity and are thence enabled to throw off the exudation, which is then reabsorbed by the lymphatics. b. Through the voluminal action of the carbonic acid in the blood, a part of the fluorine in the Calcium fluoride is split off. This detached fluorine combines then with nascent hydrogen into hydro- fluoric acid, which gradually dissolves one molecule of the exudate after the other, and these are then received by the lym- phatics. The sulphuric acid formed by the oxida- tion of the albuminous corpuscles may at Silicic Acid, Silicea. 69 times play the part of the carbonic acid in liberating the fluorine.* SILICIC ACID, (SILICEA). Silicic acid is a constituent of the cells of the connective tissue, of the epidermis, the hair and the nails. If a suppurative centre is formed either in the connective tissue or in a portion of the skin, Silicea may be used. After the functional ability of the cells of the connective tissue, which had been impaired by the pressure of the pus has been restored to its integrity through a supply of molecules of Silicea, these cells are thereby enabled to throw off inimical substances (the pus). In consequence, the pus is either absorbed by the lym- phatics or it is cast out. In the latter case there is a so-called spontaneous breaking open of the suppurative center. Silicea may also cause the absorption *As to the potency, I give the I2x trituration, 70 Silicic Acid, Silicea. through the lymphatics of an effusion of blood in any tissue. If the reabsorption of a sero-albuminous exudation in a ser- ous sac cannot be effected through Cal- carea phosphorica, then Silicea may be used ; for the delay in the absorption may also be caused by a deficiency in Silicea in the subserous conjunctive tissue. Silicea will also cure chronic arthritic- rheumatic affections, as it forms a soluble combination {Sodium silicate) with the soda of the ureate of soda; this combina- tion is then absorbed and removed through the lymphatics. For the same reason it may also be used in renal gravel. Silicea can also restore the perspiration of the feet when this has been suppressed, and is thus an indirect remedy in diseases arising in consequence of such suppres- sion {e. g., amblyopia, cataract, paraly- sis, etc). When a number of cells in the con- The Sulphates. 7i junctive tissue are gradually deprived of Silicea, they become atrophied. Such a disease is by no means rare in the exter- nal meatus auditorius with old people. The meatus in such a case is dry and en- larged.* THE SULPHATES. The sulphuric acid formed during the oxidation of the albuminous corpuscles would destroy the tissues, if this acid did not in its nascent state combine with the bases of carbonates of the alkalies (potassa and soda) liberating their carbonic acid. SODIUM SULPHATE (NATRUM SUL- PHURICUM). The action of the Sodium sulphate is contrary to that of the Sodium chloride. Both, indeed, have the faculty of attract- ing water, but the end is a contrary one; the Sodium chloride attracts the water des- *As to the potency, I generally give the I2x trituration. 72 Sodium Sulphate. tined to be put to use in the organism, but the Sodium sulphate attracts the water formed during the retrogressive metamor- phosis of the cells, and secures its elimi- nation from the organism. The Sodium chloride causes the split- ting up of the cells necessary for their multiplication ; the Sodium sulphate with- draws water from the superannuated leucocytes and thus causes their destruc- tion. The latter salt is, therefore, a rem- edy for leukaemia. Sodium sulphate is a stimulant of the epithelial cells and of the nerves, as will appear in what fol- lows. In consequence of the activity excited by Sodium sulphate in the epithelial cells in the urinary canals, superfluous water with the products of the tissue changes, dissolved or suspended therein, flows into the kidneys, in order to leave the organ- Sodium Sulphate. j$ ism in the form of urine through the ureters and the bladder. While the Sodium sulphate stimulates the epithelial cells of the biliary ducts, the pancreatic ducts and of the intestines, it causes the secretion of the excretions of these organs. Sodium sulphate is also intended to stimulate the functions of the nerves of the biliary apparatus, of the pancreas and of the intestines. If the sensory nerves of the bladder are not stimulated by Sodium sulphate, the impulse to void urine does not come to man's consciousness ; thence there fol- lows involuntary micturition (wetting the bed). If the motory nerves of the detrusor are not stimulated, there results retention of urine. In consequence of an irregular action of the Sodium sulphate on the epithelial 74 Sodium Sulphate. cells and the nerves of the biliary appa- ratus, there arises either a diminution or an increase of the secretion and excre- tion of the bile. If the motory nerves of the colon are not sufficiently influenced through Sodium sulphate, there arise constipation and flat- ulent colic. If in consequence of a disturbance in the motion of the molecules of Sodium sulphate the elimination of the superflu- ous water from the intercellular spaces takes place too slowly, there arises hydraemia, and functional disturbances in the apparatus for the secretion of bile cause the following diseases : Chills and fever, bilious fever, influ- enza, diabetes, bilious vomiting, bilious diarrhoea, oedema, oedematous erysipelas; on the skin, vesicles containing yellowish- water, moist herpes, herpes circinnatus, Potassium Sulphate. 75 sycotic excrescences, catarrhs with yel- lowish-green or green secretions, etc. The state of health of persons suffer- ing from hydraemia is always worse in humid weather, near the water, and in damp, moist under-ground dwellings ; it is improved by contrary conditions. POTASSIUM SULPHATE (KALI SULPHURICUM). Potassium sulphate, which in reciprocal action with iron effects the transfer of the inhaled oyxgen to all the cells, is con- tained in all the cells containing iron. Where there is a deficiency as to Potas- sium sulphate, according to the locality and extent of the deficiency, the follow- ing symptoms may arise: A sensation of heaviness and weariness, vertigo, chilliness, palpitation of the heart, anxiety, sadness, toothache, headache and pains in the limbs. These ailments in- crease while the person is confined to a room, also in the warmth and toward 76 Potassium Sulphate. evening, and they are relieved in the open, cool air. There ensues a desquamation of cells of the epidermis and the epithelium, which have been loosened from their con- nection because they were not sufficiently provided with oxygen. The scaling off of these epithelial cells is followed by catarrhs with a secretion of yellow mucus. Therapeutically, Potassium sulphate an- swers to the process of desquamation which takes place after scarlatina, measles, ery- sipelas of the face, etc. It also cures laryngeal catarrh, and catarrhs of the bronchia, of the conjunc- tiva, of the mucous membrane of the nostrils, etc., where the secretion has the above mentioned characteristics; also a catarrh of the stomach, when the tongue has a yellowish mucous coating; also a catarrh of the middle ear and renal catarrh, Calcium Sulphate. 77 Potassium sulphate effects the access of oxygen, and this hastens the formation of new cells of the epidermis and of the epithelium, whereby the cells that have been loosened from their connection are thrown off. Also in inorganic nature, sulphates and iron serve for the transfer of oxygen. When in the surface layer of the earth a sulphate and any oxide of iron come into contact with organic substances undergoing decomposition, they surrender their oxygen and form sulphuret of iron. This may be again decomposed through the access of new oxygen, so that sulphuric acid and some oxide of iron will be formed, which under suitable conditions will again trans- fer their oxygen. CALCIUM SULPHATE. In Moleschott's Physiologie der Nah- rungsmittel (Physiology of nutriments) 78 Calcium Sulphate. Calcium sulphate is enumerated as a nutri- ment. This work was published as long ago as the year 1859. Since that time many views have been corrected. In Bunge's Manual of Physiological and Pathological Chemistry, which ap- peared in the year 1887, Calcium sulphate is found only in analyses of the bile and only in two of these, while it is not found in two others (pp. 189, 190). On page 23 of his Manual, Bunge says of sulphur: "It enters into the bodies of animals chiefly in the form of albu- men, and, after the decomposition and oxidation of albumen, it issues again for the most part in the highest stage of oxi- dation, as sulphuric acid. In this form, in combination with alkalies, it leaves the animal body to begin its cycle anew." Sulphuric acid is thus combined in the body, not with earths, with calcium and I 1 Calcium Sulphate. 79 magnesium, but with alkalies, with potassa and soda. Calcium sulphate has, indeed, been suc- cessfully used in many diseases, (in sup- purative processes, and in affections of the skin and of the mucous membrane); but as it may be seen from the above quota- tions that it does not enter into the con- stant constitution of the organism, it must disappear from the biochemical system. Instead of it Sodium phosphate and Silicea are to be considered. The inorganic substances found in the blood and in the tissues suffice for the cure of all diseases that are at all curable. Chronic diseased states, produced by the abuse of medicines, such as quinine, mercury, etc., can be cured by minimal doses of cell-salts. The symptoms determine the choice of the remedies. 80 Calcium Sulphate. While the above mentioned diseases caused by medicines can be cured with cell-salts, acute cases of poisoning with arsenic, phosphorus, etc., must, of course, be treated according to the well-known principles that have reference thereto. Several physicians have asserted that the organic combinations found in the human organism must also be received into the biochemical therapy. But this idea is founded on error, as I shall en- deavor to show. Biochemical therapy is, as we have already indicated above, an analogue to agricultural chemistry. If a plant pos- sesses the inorganic substances naturally belonging to it, it is able to form of itself all the organic combinations which its or- ganism needs. We do not manure the plants with grains of chlorophyllum in order that we may cause their leaves to become green, for we know that the iron Calcium Sulphate. 81 contained in the plants will provide the green for the leaves. We do not manure with lecithin, nuclein, etc., to provide the plants with these combinations of phos- phorus; if necessary, we manure with phosphate of lime. The plant takes from the calcium phosphate the phosphoric acid, and combines this with the sub- stances present within them which are necessary for the formation of lecithin, nuclein, etc. If anyone should assert that agricul- tural or horticultural chemists are mis- taken in thinking that three kinds of manure are sufficient, and should say, that all the organic substances found in plants must be considered in providing a manure, e.g., chlorophyllum, gum, resin, oil, starch, grape-sugar, malic acid, etc., one would merely smile at " Daniel come to judgment." If the human organism contains organic 6 82 Calcium Sulphate. nutriments, such as albumen, fat and carbohydrates, together with the proper inorganic cell-salts, in sufficient quantities in the right place, then, through the in- fluence of oxygen and in consequence of decompositions and syntheses, all the necessary organic combinations will arise, and the individual in question will be in a state of health. Syntheses, which were formerly thought to be a peculiar privilege of the vegetable kingdom, take place as well in the human and animal organisms. Among those who think that organic substances should also be received into my biochemical system is also Dr. Ring of Ward's Island, New York. He finds fault with me, because I have not received the original combinations of organic sub- stances into my system. He says among other things: "Organic substances, like^ keratin, tyrosine, creatine, creatinine, etc., i Calcium Sulphate. 83 are normal constituents of those sub- stances in which and upon which cancer- ous swellings are formed, and we are therefore justified in supposing that, if rightly prepared and rightly chosen, they should exert a specific action on the tis- sues related to them." This is in part true, but for the greater part erroneous. It is true that keratin is a normal constituent of some tissues ; but it is not correct to say that creatine and creatinine are constituents of the tissues ; they are merely contained in them as the products of the retrogressive metamor- phosis of the cells. All organic combina- tions which, like creatine, creatinine, urea, uric acid, etc., are excreted in normal urine are to be considered as the final stages of the oxidation of organic nutri- ments. As to their uselessness to the human organism, they may be compared 84 Calcium Sulphate. with the resin which is excreted by some plants as a product useless for them. The idea that we might cure a diseased tissue with a related sound tissue is curi- ous. The cartilaginous tissue is related to the mucous tissue. Natrum muri- aticum is the functional agent in each of them. Now would any one cure a coryza, a disease of the mucous tissue that may be cured by means of Natrum muriaticum, with a preparation of cartilage ? A number of years ago, Dr. Constan- tine Hering had the idea of proving the horny tissue as a remedy. He and his friends prepared Castor equorum, the horny excrescence on the legs of horses, and proved it both on horses and on men. In the list of symptoms we find the statement: " An old decrepit horse became 20 years younger." Despite this symptom which promised so much, and which stamps Castor equorum as something analogous Calcium Sulphate. 85 with the wonderful mill which is to make old women young again, the remedy has, nevertheless, sunk into oblivion. Dr. Ring and his associates are having the substances above-mentioned prepared, and will try their effects on healthy per- sons. Their undertaking will give rise to manufactories of symptoms. We shall probably hear of very amusing symptoms. If the chemico-physiological views of these gentlemen were a little clearer, they would see that their undertaking is a use- less diversion. If they should, e.g., use lecithin, they can at most discover the effects of a phosphate ; if they should make provings of keratin which is very rich in sulphur, they can at most find out the effects of a sulphate. Why roam afar, when biochemistry already contains five phosphates and two sulphates ? If an inorganic salt is abundantly ex- 86 , Calcium Sulphate. creted in the urine, then, owing to a dis- turbance in the molecular motion, there will be found a deficiency as to the same salt in the immediate nourishing soil of some cellular domain, and a homogeneous salt is indicated as the remedy {vide Rhachitis, p. 32); a minimum in the nourishing soil is always a cell-salt, never an organic sub- stance, therefore, organic substances are excluded from our remedies. Whoever may doubt this, can try whether any dis- ease can be cured through the molecules of gelatin, mucus, tyrosine, elastin, fat, sugar, etc. The result will ever be a negative one. For the construction and preservation of the human organism, the following substances are required: Oxygen, fat, albumen, a gelatinous substance, mucin, keratin, elastin, haemoglobin, lecithin, nuclein, cholesterin, water and inorganic salts. Calcium Sulphate. 87 Albumen forms the chief constituent of the plasma of the blood and of the lymph; it is contained in the muscular fibers, the cylinders of the axis of the nervous fibers and in the protoplasma of all cells. The organic frame of the bones, the cartilage, the fascia and the connec- tive tissue consist of a gelatinous substance. Mucin is contained in the epithelial cells of the mucous membranes. Keratin is the organic basis of the epidermis, the hair and the nails ; elastin is the basis of the elastic fibers. The gelatinous substance, mucin, ker- atin and elastin, are products of the split- ting up of albumen under the influence of oxygen. The haemoglobin of the blood-cells is the combination of a corpuscle of albu- men with haematin, a corpuscle containing iron. Lecithin and nuclein arise from albu- 88 Calcium Sulphate. men, fat and a phosphate, through a change of position of the molecules. Whatever other organic and inorganic constituents may be found in the tissues are merely the products of the retrogres- sive metamorphosis of the cells and of the decomposition of the albumen ; they are substances which must be eliminated through the activity of the cells. Among these products of the retrogres- sive metamorphosis of the cells are also, as before said, creatine and creatinine ; and among the products of the decomposition of albumen we find tyrosine, leucin, etc. The albumens and the fats are means of supply and sources of power; oxygen, carbohydrates and gelatin (not to be con- founded with the substances supplying gelatin) are also sources of power; the inorganic salts are means of supply and regulators of the functions. Equalization of functional disturbances Calcium Sulphate. 89 is synonymous with the restoration of health. This end is sought for in the biochemical method only through inor- ganic salts. The hope of Dr. Ring and his associates, that they may effect cures by means of keratin, creatine, etc., is founded on an illusion, which disappears when viewed in the light of physiology. 9° Fevers. SPECIAL GUIDE FOR USING THE BIO- CHEMICAL REMEDIES. FEVERS. Fever is intended to effect the removal of the exciting agents of the disease, as also of its products. During fever the changes in the substances of the tissues are increased. By means of the frag- ments (scoriae) resulting from the retro- gressive transformation of the cells, both the exciting agents and the products of the disease are removed from the tissues and eliminated through the excretory channels. In such a way nature may ef- fect a cure. But such a cure does not always ensue; therefore therapeutic aids are expedient. But whenever fever is de- pressed by means of antipyrin, anti- febrin, quinine, etc., the changes in the Fevers. 9i substances and thereby also the cure are delayed. Nevertheless, this is done by many physicians; but such action is op- posed to nature. The fact that despite of such an unnatural treatment many per- sons escape with their lives, simply shows that it takes a good deal to kill even a sick person secundum artem. Sometimes, of course, the effects are mischievous. So •I read a short time ago in a paper from Southern Germany that a patient who had only had a slight attack of pneumonia had died, after his fever had been repressed by too large a dose of quinine. This case, which reminds us of the son of the sexton of Tweedledum, who could not digest opium, proves that the descendants of Dr. Eisenbart are not all dead as yet. With respect to the biochemical treat- ment of fever, Ferrum phosphoricum cor- responds to inflammatory fever, since it 92 Exudations and Transudations. cures the exciting hyperaemia, which causes inflammatory fever. (See the Characteristics of the Effects of Iron, on page 48 .) The fever which accompanies typhus, the puerperal fever and acute rheumatism of the joints diminish in proportion as these diseases are cured under the in- fluence of Kali phosphoricum, Natrum phosphoricum, etc. EXUDATIONS AND TRANSUDATIONS. Exudation of fibrine: Kali chloratum. " " albumen: Calcarea phosphorica. " " clear water: Natrum muriaticum. " " yellowish water: Natrum sul- phuricum. Exudation of mucus: Natrum muriaticum. When the exudation becomes smeary and fetid : Kali phosphoricum. If an exudation of mucus becomes yellowish (yellow mucus), then Kali sul- phuricum will answer. Inflammation of the Serous Membranes. 93 A phlegmonous inflammation of the skin or of the subcutaneous connective tissue requires Natrum phosphoricum. If a sup- purative center is developed, Silicea is to be used, which sometimes effects the re- absorption of the pus, but in most cases causes the breaking of the abscess out- wardly and thus effects a cure. If the pus becomes fetid, Kali phos- phoricum should be used; if indurations remain, Calcium fluoride is to be used. INFLAMMATION OF THE SEROUS MEMRRANES. Ferrum phosphoricum corre- sponds to the first stage. For further indications see exuda- tions. PNEUMONIA AND PLELRITIS. In the stage of hyperaemia: Ferrum phosphoricum. For further indications see EXUDATIONS. Meningitis Pleuritis Pericarditis Endocarditis Peritonitis 94 Articular Rheumatism. ARTICULAR RHEUMATISM, PODAGRA, GOUT. Natrum phosphoricum dissolves the uric acid accumulated in the affected parts, and thus makes it innocuous. It is then eliminated, together with the uric acid it has taken up, through the channels in the organism through which the transmuta- tions of the substances are effected. Deposits of urates requires Silicea. See the characteristics of Silicea, p. 69. With respect to muscular rheumatism, see what is stated under the heading: "'Pains in the Neck, Back and Limbs." DISEASES OF THE KIDNEYS. The remedies corresponding to inflam- mation of the kidneys, are Ferrum phos- phoricum, Kali chloratum and Natrum phosphoricum. The remedies corresponding to Albumin- uria are Kali sulphuricum, Calcarea phos- \ \ Puerperal Fevers. 95 phorica, Kali phosphoricum and Natrum muriaticum. The accompanying symp- toms and the constitutional state of the patient must decide in the choice of the remedies. Albuminuria after scarlatina, requires Kali sulphuricum. The epithelial cells of the uriniferous tubes, while in a healthy state, resist the pressure of the albumen of the blood, it is only the diseased cells which allow albumen to enter the urinif- erous tubes. The epithelium mentioned may be diseased, owing to a lack of a sufficient supply of oxygen, or owing to their premature decay, or owing to the delay in the division and new formation of cells. Silicea will prevent the formation of renal gravel. PUERPERAL FEVER. The specific remedy in this disease is Kali phosphoricum. 96 Typhus and Typhoid. TYPHUS AND TYPHOID. The specific remedy is Kali phosphori- cum. In cases of deep stupor Natrum muriaticum is indicated as an accompany- ing remedy. TYPHOID, ADYNAMIC SYMPTOMS. When in an acute disease, accompanied with fever (diphtheritis, scarlatina, small- pox, etc.), sopor, dryness of the tongue, watery vomiting, etc., set in, Natrum muriaticum is useful. When the teeth show a brown coating, the evacuations have a cadaverous fetor, attended with septic hemorrhages, Kali phosphoricum will answer. DIPHTHERIA. The form which appears most fre- quently, the so-called catarrhal form, with slight swelling and a greyish-white exuda- tion, answers to Kali chloratum. With con- siderable swelling and an abundant white Croup. 97 exudation, which frequently also covers the uvula, Calcarea phosphorica is the suit- able remedy. When the exudation on the swollen tonsils is yellow, Natrum phos- phoricum is indicated. If gangrene appears, Kali phosphori- cum should be used. This remedy will also cure the paralytic states which fre- quently appear after diphtheria has run its course: a nasal voice, strabismus, etc. The simultaneous use of lime-water, ice, carbolic acid, etc., is altogether ob- jectionable, as also wrapping in wet cloths to produce perspiration. These means exhaust the strength of the patient. Children sometimes die from this weak- ness, as frequent experience has shown. CROUP. In pseudo-croup, Kali chloratum is indicated; in genuine croup, Calcarea phosphorica. 7 98 Croup. Owing to the specific relation existing between Calcarea phosphorica and albu- men, molecules of this phosphate combine with the albuminous molecules of the lower surface of the croupous exudation adhering to the mucous membrane. In consequence of this process, the exudation separates from the mucous membrane. This separation of the exudation from the mucous membrane may be hastened by alternate doses of Calcarea phosphorica and of Kali sulphuricum. The latter transmits oxygen from the blood (see p. 75), and the oxygen favors the formation of new epithelial cells from the albumen separated from the croupous exudation. The molecular motions taking place dur- ing this process hasten the separation of the exudation The alternate use of Calcarea phos- phorica and Kali sulphuricum is also in place in diphtheria with a white exudation. Dysentery. 99 DYSENTERY. Ferrum phosphoricum and Kalium chloratum are in most cases sufficient. If delirium and distension of the abdomen set in, and the evacuations have a cadaverous smell, Kali phosphoricum is suitable. This remedy also answers when a copious quantity of pure blood is discharged, without any signs of putridity. Spasmodic abdominal pains, relieved by pressure and by doubling up, require Magnesia phosphorica. SCARLATINA. In light cases, Ferrum phosphoricum and Kalium chloratum are sufficient. The remedy suitable to severe cases will be found by considering what is said un- der the head of Diphtheria and Typhoid and Adynamic Symptoms. Kali sulphuricum corresponds to the dropsy appearing after scarlatina. TOO Smallpox. SMALLPOX. Kalium chloratum should be used in the beginning. If the pustules show pus, Natrum phosphoricum will be suitable. If symptoms of adynamia and decomposi- tion of the blood arise, Kali phosphoricum should be given. In confluent pustules, Natrum muriaticum is required. MEASLES. The accompanying symptoms will in- dicate the remedy : Ferrum phosphori- cum, Kalium chloratum, Kali sulphuri- cum and Natrum muriaticum are chiefly to be considered. INFLUENZA. The remedy in influenza is Natfum sulphuricum (see the characteristic of this salt, p. 71.). The cases of influenza which I treated with Natrum sulphuricum showed no after- effects. The diseases left in cases where Pains of the Head and Face. 101 other physicians had treated influenza with other remedies were of such a nature that they were covered by the sphere of Natrum sulphuricum, therefore they could be cured with this remedy. PAINS OF THE HEAD AND FACE. Stitches, or pressure or beating, in- creased by shaking the head, by stooping and, in general, by every motion: Ferrum phosphoricum. Pains, accompanied by heat and redness of the face : Ferrum phosphoricum. Pains, with vomiting of bile : Natrum sulphuricum. Pains, with vomiting of transparent mucus or water: Natrum muriaticum. Pains, with vomiting of food: Ferrum phosphoricum. Pain, with retching up of white mucus : Kalium chloratum. Quick, shooting, lancinating pains, in- 102 Pains of the Head and Face. termittent, and varying in their location : Magnesia phosphorica. Pains in pale, sensitive, irritable per- sons : Kali phosphoricum. Paroxysms of pain, followed by great debility : Kali phosphoricum. Pains which are aggravated in a warm room and in the evening, but are relieved in the open, cool air: Kali sulphuricum. Pains, accompanied by the simultane- ous appearance of small nodules, the size of a pea, on the scalp : Silicea. Pains, attended with a coating of clear mucus on the tongue and sluggish evacu- ations : Natrum muriaticum. Pains, attended with a copious flow of acrid tears : Natrum muriaticum. Disguised intermittent fever, appearing as neuralgia of the head or face : Natrum sulphuricum and eventually Natrum muriaticum. The headaches of children are, as a Scalp. 103 rule, quickly cured by Ferrum phosphor- icum. Pains, with formication and a sensation of coldness or numbness : Calcarea phos- phorica. SCALP. The external application of Natrum muriaticum is useful in scab-head and in the falling out of the hair. Alopecia areata : Kali phosphoricum. Herpes tonsurans: Nafrum sulphuri- cum. CONCUSSION OF THE DRAIN. Kali phosphoricum is the answering remedy. If disturbances of vision re- main, Magnesia phosphorica is indicated. Hydrocephaloid: Calcareaphosphoi'ica. Chronic hydrocephalus : Calcarea phos- phorica. Cephalaematom: Calcarea fluorata. Craniotabes: Calcarea phosphorica. 104 Delirium Tremens. When the fontanelles remain open too long: Calcarea phosphorica. If in any of these diseases there is diar- rhoea with a cadaverous stench, Kali phosphoricum must be given as an inter- mediate remedy. Apoplexy: Silicea. DELIRIUM TREMENS. Most cases of this ailment are rapidly cured by means of Natrum muriaticum. If this should fail, Kali phosphoricum should be given. VERTIGO. If vertigo is caused by a rush of blood, Ferrum phosphoricum should be given; if it is nervous, it will be cured by Kali phosphoricum. If there are any gastric troubles attending it, the coating of the tongue must be considered. EARS. Pains caused by hyperaemia, noises in Ears. 105 the ear, and difficulty in hearing, require Ferrum phosphoricum. In nervous affections, Magnesia phos- phorica, Calcarea phosphorica or Kali phos- phoricum should be chosen, bearing a proper regard to the individualities. Inflammatory swelling, closing the meatus auditorius externus : Silicea. Discharge of thin, yellow fluid : Kali sulphuricum. Discharge of thick pus : Silicea, Natrum phosphoricum. Hardness of hearing, due to a swelling and to catarrh in the Eustachian tube and of the tympanic cavity: Kalium chloratum, Natrum muriaticum. If there is reason to think that hard- ness of hearing is caused by indurated exudations in the interior ear, Silicea and Calcarea fluorata should be given. Mumps: Kalium chloratum, and if io6 Toothache. there is copious salivation, Natrum mur- iaticum. TOOTHACHE. Pains, attended with salivation or lach- rymation: Natrum muriaticum. Pains, with a swelling of the gums and cheek : Kalium chloratum ; if this is in- sufficient : Silicea; if the swelling is hard like bone : Calcium fluorata. Pain, which quickly changes its loca- tion, is intermittent, and is alleviated by warmth : Magnesia phosphorica. Pain which is alleviated by pressure and worse when lightly touched: Mag- nesia phosphorica. Pain which grows worse in a warm room and in the evening, but is alleviated in the open, cool air: Kali sulphuricum. Hot cheeks, with increase of pain by warm drinks, alleviated by cold drinks: Ferrum phosphoricum. Ailments During Teething with Children. 107 If the gums bleed or have a bright red- dish border: Kali phosphoricum. If the painful tooth is loose, and its surface painful to the slightest touch : Calcarea fluorata. AILMENTS DURING TEETHING WITH CHILDREN. Calcarea phosphorica and more espe- cially Calcarea fluorata, assist the coming through of the teeth. When there is fever : Ferrum phosphor- icum. Spasms with fever : Ferrum phosphori- cum. Spasms without fever : Magnesia phos- phorica and Calcarea phosphorica. Inflammation of the eyes: Ferrum phosphoricum and Calcarea phosphorica. Slavering: Natrum muriaticum. Spasm of the larynx : Magnesia phos- phorica . io8 Eyes. Spasmodic cough : Magnesia phosphor- ica. Spasm of the bladder : Magnesia phos- phorica. Diarrhoea, vide Diarrhoea. EYES. Blepharitis ciliaris : Kalium chloratum, Natrum phosphoricum. Styes, nodules, induration of the lids : Silicea, Calcarea fluorata. Hyperaemia of the conjunctiva without any secretion: Ferrum phosphoricum. When the secretion is white, grayish- white : Kalium chloratum. When the secretion is watery mucus: Natrum muriaticum. When the secretion is yellow mucus: Kali sulphuricum. When the secretion is thick yellow, like pus : Natrum phosphoricum, event- ually Silicea. Eyes. 109 When the secretion is yellowish green : Natrum sulphuricum. When the secretion is like cream: Natrum phosphoricum. Inflammation of the eyes of the new- born : Chief remedy, Natrum phosphori- cum ; other biochemical remedies accord- ing to the secretion (to be given inter- nally and also for squirting into the eyes). Inflammation of the eyes in scrofulous persons: Chief remedies, Natrum phos- phoricum and Magnesia phosphorica. Trachoma: Kalium chloratum. Inflammation of the cornea: Kalium chloratum, if the exudation is whitish- grey ; Calcarea phosphorica, if it is white ; Natrum phosphoricum, if it is yellow. Vesicles on the cornea : Natrum muri- aticum. Flat ulcer on the cornea: Kalium chlor- atum. no Eyes. Deep ulcer: Silicea. Spots on the cornea: The spot is to be syringed several times a day with an at- tenuation of Natrum muriaticum. The molecules of Natrum muriaticum, adher- ing to the spot affected, produce, through their power of absorbing moisture, a gradual thorough moistening of the spot, and thence it will melt away. Hypopyon : Silicea. Inflammation of the iris: Kalium chloratum, Natrum muriaticum. Inflammation of the retina: Ferrum phosphoricum. Retinal exudation : Kalium chloratum. Photophobia after over-exertion,without any other symptoms : Kali phosphoricum. Fiery sparks before the eyes : Natrum phosphoricum, Magnesia phosphorica. Spasmodic strabismus : Magnesia phos- phorica ; when caused by worms: Natrum phosphoricum. Cavity of the Mouth. in Strabismus after diphtheria : Kali phos- phoricum. Nervous asthenopia : Kali phosphori- cum. Hydraemic asthenopia : Natrum muri- aticum. Violent boring pains in the eye, as a purely nervous affection: Magnesia phos- phorica; as a rheumatic affection: Na- trum phosphoricum ; as an arthritic affec- tion : Silicea. Pains in the eyes with lachrymation, appearing daily at set times: Natrum muriaticum. CAVITY OF THE MOUTH. Catarrhal inflammation of the mucous membrane covering the soft palate the tonsils and the pharynx : When redness and violent pain are present: Ferrum phosphoricum. When there is a white exudation: Kalium chloratum. 112 Cavity of the Mouth. When the exudation is golden yellow: Natrum phosphoricum. When there is a transparent frothy mucus: Natrum muriaticum. Angina tonsillaris : Natrum phosphori- cum ; to chronic swelling of the tonsils corresponds: Magnesia phosphorica. Inflammation of the uvula: Natrum muriaticum. Inflammation of the tongue: If the tongue is greatly swollen and dark red: Ferrum phosphoricum. Should suppura- tion set in: Silicea. For induration: Calcarea fluorata. Cancrum oris and scurvy : Kali phos- phoricum. Gums : If the gums are pale, Calcarea phosphorica is most suitable. If the gums have a bright red border, Kali phosphori- cum is indicated. The latter also answers when the gums bleed. Coating of the tongue: For a white Cavity of the Mouth. 113 coating, not mucous, Kalium chloratum is suitable. If the coating is mucous and on the edges of the tongue there are mi- nute bubbles of mucous saliva: Natrum muriaticum. If the tongue is clean and moist: Natrum muriaticum. If the tongue has a dirty, brownish- green coating, attended with a bitter taste: Natrum sulphuricum. If the tongue is, at it were, spread over with liquid mustard, attended with an offensive odor from the mouth : Kali phos- phoricum. Coating, golden yellow and moist: Natrum phosphoricum. When the tongue has a yellow mucous coating: Kali sulphuricum. The influence of the coating of the tongue in determining the choice of the remedy does not extend to the affections of all the tissues ; but it is to be regarded 8 114 Vomiting. in those cases which I have pointed out in this treatise. If any one suffering from chronic catarrh of the stomach has some other (acute) disease added thereto, the coating of the tongue will not always in- dicate the remedy for the acute disorder. But when a disease—especially a chronic one—exhibits only uncertain symptoms, then the coating of the tongue will in most cases lead to the choice of the right remedy. Aphthae and Thrush: Kalium chlo- ratum, when it is white or whitish-gray; but when yellow : Natrum phosphoricum. When there is a bright-red border: Kali phosphoricum. Noma: Kali phosphoricum. VOMITING. Vomiting of food: Ferrum phosphori- cum. Vomiting of food together with a sour fluid: Ferrum phosphoricum. faundice. 115 Vomiting of bile only: Natrum sul- phuricum. Vomiting of transparent mucus, drawn out in long threads : Natrum muriaticum. Vomiting of a watery fluid : Natrum muriaticum. Vomiting of blood : Ferrum phosphor- icum, Kali phosphoricum and Natrum phosphoricum. Retching up of white mucus : Kalium chloratum. Vomiting of a sour fluid or of cheesy masses : Natrum phosphoricum. Vomiting during dentition : Calcarea phosphorica, Calcarea fluorata. Sea-sickness: Natrum phosphoricum. JAUNDICE. The first remedy to be given in every case of jaundice is Natrum sulphuricum. This remedy will in most cases effect a cure. As a second resort we have 116 Pains in the Stomach and Abdomen. Kalium chloratrum, Kali sulphuricum and Natrum muriaticum, which should be selected according to the concomitant symptoms. PAINS IN THE STOMACH AND ARDO- MEN. Acute inflammation of the stomach with violent pain of the distended gastric region, vomiting and fever : Ferrum phos- phoricum. If in a case where treatment has been delayed there are symptoms of exhaus- tion, dryness of the tongue, etc., Kali phosphoricum should be given. Acute and chronic gastralgias, aggra- vated by eating and by pressure on the gastric region, and especially if food is vomited, require Ferrum phosphoricum. Cramp-like gastrodynia, with clean tongue: Magnesia phosphorica. Sensation of spasmodic constriction: Magnesia phosphorica. Pains in the Stomach and Abdomen. 117 Stomach-pains with gathering of water in the mouth : Natrum muriaticum. Pains in the stomach, with vomiting of mucus, attended with indolent stool: Natrum muriaticum. If Natrum muriaticum does not prove sufficient in these pains, there will usually be found a coating of the tongue, which calls for Kalium chloratum or Kali sul- phuricum. Pressure and feeling of fulness, while the tongue is coated with yellow mucus : Kali sulphuricum. Pinching in the stomach with eructa- tion of small quantities of air, affording no relief: Magnesia phosphorica. Pains, caused by accumulation of flatus in the colon : Natrum sulphuricum. Colic in the umbilical region, compell- ing the person to bend double : Magnesia phosphorica. Flatulent colic of little children, with 118 Pains in the Stomach and Abdomen. drawing up of the limbs, with or without diarrhoea: Magnesia phosphorica. If there is an excess of acid, Natrum phos- phoricum should be given. In gastric pains accompanied with vom- iting, the character of the matter vomited will indicate the remedy. Gastric affections where acidity (heart- burn) predominates : Natrum phosphori- cum ; also after fat food, Natrum phos- phoricum, as it saponifies the fatty acids. Ulceration of the stomach. The round ulcer of the stomach, which is caused by a disturbance in the function of the trophic fibers of the sympathicus, requires Kali phosphorica m. Flatulent colic with constipation, in adults : Natrum sulphuricum. Painters' colic: Natrum sulphuricum (2d dilut). Gall-stone colic (where a stone has en- Diarrhoea. 119 tered the ductus choledochus and lodged there) : Magnesia phosphorica. Natrum phosphoricum may prevent the new formation of gall-stones. Enlargement of the stomach: Kali phosphorica m. DIARBHCBA. Evacuations watery, mucous : Natrum muriaticum. Evacuations of carrion-like fetor : Kali phosphoricu m. Evacuations, watery-bilious: Natrum sulphuricum. Evacuations, bloody, bloody-mucous: Kali chloratum. Evacuations, purulent, bloody-purulent: Natrum phosphoricum, eventually Silicea. Evacuations undigested : Ferrum phos- phoricum. Diarrhoea caused by redundant acid: Natrum phosphoricum. 120 Worms. Watery diarrhoea with colic before every evacuation : Magnesia phosphorica. Cholerine and cholera: Natrum sul- phuricum. WORMS. Natrum phosphoricum is of use in the case of the oxyuris vermicularis, by de- stroying the excess of lactic acid which conditions the existence of these worms ; for the ascaris lumbricoides, Natrum muriaticum. H HEMORRHOIDS. The remedy for haemorrhoids is Cal- carea fluorata. When the varices are inflamed Ferrum phosphoricum should be given. In violent pains, without in- flammation, Magnesia phosphorica is suit- able. In the so-called mucous haemor- rhoids, Natrum muriaticum is indicated. DIABETES MELLITUS. The remedy for this disease is Natrum Coryza. 121 sulphuricum. A very prominent conco- mitant symptom outside of the sphere of Natrum sulphuricum may require a remedy corresponding to that symptom. CORYZA. Dry coryza : Kalium chloratum ; with scrofulous persons: Natrum phosphori- cum. Fluent coryza: the secretion watery, of clear mucus : Natrum muriaticum. Fluent coryza: the secretion a yellow mucus : Kali sulphuricum. The secretion thick, purulent: Natrum phosphoricum, eventually Silicea. In ozaena, Natrum phosphoricum and Magnesia phosphorica are useful. When a green mucus is secreted, Natrum sulphuricum is indicated. HOARSENESS. In simple hoarseness arising from a cold, Kalium chloratum is suitable. It is 122 Cough. seldom that Kali sulphuricum is required afterward. When the hoarseness is a consequence of over-exertion of the vocal organs (with actors, singers, etc.), Ferrum phosphoricum and eventually Kali phos- phoricum will be useful. COUGH. An acute, short, spasmodic and very painful cough requires Ferrum phosphori- cum, followed by Kalium chloratum. To genuine whooping cough corresponds Magnesia phosphorica. With respect to cough accompanied with an expectoration of mucus, see Diseases of the Mucous Membranes. ASTHMA. Kali phosphoricum and Magnesia phos- phorica correspond to nervous asthma ; the latter remedy in cases attended with flat- ulence. Respiratory ailments connected with Whooping- Cough. 123 catarrhal symptoms, /. e., which are caused thereby, indicate the remedies re- quired by the mucus expectorated. {Vide Diseases of the Mucous Membranes.) WHOOPING-COUGH. The inflammatory catarrhal stage re- quires Ferrum phosphoricum, the nervous stage Magnesia phosphorica. In the vomiting of food, Ferrum phosphoricum is useful. According to the quality of the mucus, Kalium chloratum, Natrum muriaticum or Kali sulphuricum are to be selected. A special concomitant symptom may call for the use of an inter-current remedy {e. g., Kali phosphoricum, Calcarea phos- phorica) . ACUTE (EDEMA OF THE LUNGS. Dyspnoea, blueness of the face, convul- sive cough, with the expectoration of a frothy-serous mass, require Kali phos- phoricum and Natrtfm muriaticum. 124 Diseases of the Mucous Membrane. DISEASES OF THE MUCOUS MEM- BRANES. In selecting the remedy, the consistence and color of the secretion are decisive : If fibrinous : Kalium chloratum. If albuminous : Calcarea phosphorica. If golden-yellow: Natrum phosphori- cum. If yellowish, mucous: Kali sulphuricum. If green : Natrum sulphuricum. If clear, transparent: Natrum muriati- cum. If purulent: Natrum phosphoricum, Silicea. If very fetid: Kali phosphoricum. If excoriating: Natrum muriaticum and Kali phosphoricum. The remedies for coughs with expec- toration, leucorrhoea, coryza, catarrh of the frontal sinuses, etc., should be selected on the basis of the above distinctions. Polypus. 125 POLYPUS. When the gelatinous substance which forms the organic foundation of the con- nective tissues loses Phosphate of lime, there may result thence a loosening and a spongy excrescence of the tissue in ques- tion. When a part of the sub-mucous connective tissue is diseased through loss of Phosphate of lime, a polypus is formed. This may be cured by Calcium phosphate. CATARRH OF THE RLADDER. The chief remedy to be considered is Natrum phosphoricum. DISEASES OF THE MUCOUS MEM- BRANES. Silicea generally corresponds to chronic catarrh of the bladder. Hypertrophy of the prostate gland: Magnesia phosphorica. RETENTION OF URINE (ALSO WET- TING THE BED). From the characteristics of the effects J26 Diseases of the Skin. of Natrum sulphuricum (p. 71) it appears that this remedy may cure as well the retention of urine as also involuntary micturition (wetting the bed). Should, however, the one or the other ailment be caused by a general or a local neuras- thenia, then Kali phosphoricum should be used. In strangury caused by a spasm of the sphincter, Magnesia phosphorica is useful. In children suffering from worms, Natrum phosphoricum should be given to prevent wetting the bed. The retention of urine in little children, attended with heat, is cured by Ferrum phosphoricu m. DISEASES OF THE SKIN. The remedies recommended in diseases of the mucous membranes also correspond to affections of the skin : eczema, herpes, etc. Diseases of the Skin. 127 Vesicles with sero-fibrinous contents: Kalium chloratum. Vesicles with albuminous contents: Calcarea phosphorica. Vesicles with watery-clear contents: Natrum muriaticum. Vesicles with honey-yellow contents : Natrum phosphoricum. Vesicles with yellowish-watery contents: Natrum sulphuricum. Vesicles with puriform contents: Na- trum phosphoricum or Silicea. Vesicles with bloody, ichorous contents: Kali phosphoricum. Pustules with pus on an infiltrated base: Silicea. The scabs, scales or crusts appearing after the bursting of the vesicles require the following remedies: Mealy scurf: Kalium chloratum. Yellowish-white crusts : Calcarea phos- phorica. 128 Diseases of the Skin. White scales : Natrum muriaticum. Honey-yellow crusts: Natrum phos- phoricum. Yellowish scales: Natrum sulphuricum. Yellow, purulent crusts : Silicea. Fetid, greasy crusts or scales: Kali phosphoricum. Profuse scaling off of the epidermis on a viscid base : Kali sulphuricum. Hard crusts on the palms, with or with- out chaps .• Calcarea fluorata. Swelling of the sebaceous glands: Natrum phosphoricum. Inflammation and suppuration of these glands: Silicea. The humid eruptions call for the Na- trum salts, varied according to the vary- ing colors of the secretions mentioned above. For eruptions arising after vaccination, Kalium chloratum or Natrum phosphori- cum should be used. Diseases of the Skin. 129 For excoriation of infants: Natrum phosphoricum and Natrum muriaticum. If attended with a diarrhoea of cadaverous odor, use Kali phosphoricum. Urticaria or nettle-rash: Kali phos- phoricum. Pruritus: Magnesia phosphorica. Rhagades or chaps : Calcarea fluorata. Disorders in the nails of the fingers ; when they break easily, tear, become yel- low, have spots or grow thick : Silicea. Erysipelas.—The oedematous, soft in- flammation of the skin requires Natrum sulphuricum ; to the infiltrated inflamma- tion Natrum phosphoricum corresponds. For herpes zoster, Natrum muriaticum should be used. In erysipelatous inflammations, symp- toms of intense fever and inflammation may indicate Ferrum phosphoricum. Kali sulphuricum will further the desqua- mation. 9 130 Diseases of the Skin. Pemphigus.—The pemphigus vulgaris (bullae and vesicles with watery contents and fully distended surface) requires Na- trum sulphuricum if the fluid is yellowish; but if the fluid is clear, like water: Na- trum muriaticum. To pemphigus malig- nus (blisters and vesicles with watery- bloody contents and flaccid and wrinkled surface) corresponds Kali phosphoricum. Burns and scalds : When a blister has been formed, give Natrum muriaticum. If there is an open surface covered with a white or grayish-white exudation, give Kalium chloratum. If suppuration has already ensued, Silicea is suitable. These remedies should be applied both internally and externally. Chilblains, fresh and suppurating : Natrum sulphuricum. Panaritium: Silicea. Furuncle: Silicea. Mastitis. 131 Carbuncle: Calcarea fluorata, later Kali phosphoricum. Proud flesh: Kalium chloratum, event- ually Silicea. Consequences of the stings of insects: Natrum muriaticum (externally). Warts on the hands : Kalium chloratum. A quantity of the trituration, the size of * a pea, should be dissolved in a tablespoon- ful of water; with this solution moisten the warts and the surrounding skin sev- eral times a day. Also Natrum sulphuricum may be used. It withdraws the water from the base of the warts and thereby causes them to be- come flaccid and to fall off. MASTITIS. Natrum phosphoricum should first be used; if given in time, it may cause a re- absorption. If suppuration has set in, Silicea is to be used. Induration : Cal- carea fluorata. 132 Lymphatic Glands. LYMPHATIC GLANDS. See the paragraph on Scrofulosis and Tuberculosis. So also what is said in various passages on "Suppuration" and " Induration." GOITRE. Magnesia phosphorica. CHANCRE AND GONORRHOEA. The soft chancre requires Kalium chloratum, but the phagedenic chancre, Kali phosphoricum; the hard chancre, Calcarea fluorata. These remedies should be used internally and externally. For chronic syphilis, Kalium chloratum, Kali sulphuricum, Natrum muriaticum, Natrum sulphuricum, Silicea and Calcarea fluorata should be used, according to the symptoms. Gonorrhoea: The chief remedy is Natrum phosphoricum. In bleeding of the urethra Kali phos- phoricum is useful. Chancre and Gonorrhoea. 133 For gleet Natrum muriaticum and Cal- carea phosphorica should be used. If the secretion is greenish or green, give Natrum sulphuricum. Condylomata require Kalium chlora- tum and Natrum sulphuricum. Orchitis calls for Ferrum phosphoricum, then Kalium chloratum, and eventually Calcarea phosphorica. Induration of the testicles : Calcarea fluorata. CEdema of the scrotum : Natrum muri- aticum, and Natrum sulphuricum. CEdema of the prepuce : Natrum muri- aticum and Natrum sulphuricum. Balanitis : Kali sulphuricum; if fetid, use Kali phosphoricum (externally and internally). Hydrocele: Natrum muriaticum, Cal- carea phosphorica, eventually Silicea. 134 Mechanical Injuries. MECHANICAL INJURIES. Contusions, incised and other fresh wounds, sprains, etc., require at once Ferrum phosphoricum. If, after the use of this remedy, a swelling remains, give Kalium chloratum. If, in neglected cases, suppuration ensues, Silicea is suit- able. In sanious discharge or gangrene : Kali phosphoricum ; proud flesh: Kalium chloratum. Fractures of bones require, besides the mechanical measures, at first Ferrum phosphoricum for the lesion of the soft parts; later Calcarea phosphorica to pro- mote the formation of callus. Tenalgia crepitans (crepitating or crack- ling painful tendons), an ailment arising above the wrist on the dorsal side of the forearm with joiners and other artisans, as a result of over-exertion in using a chisel or other tool with a semi- rotatory motion, has been quickly relieved Ulcers of the Legs. 135 by me in two cases with Ferrum phos- phoricum. A third case which under allopathic treatment had become chronic, I quickly cured with Kalium chloratum, after Fer- rum phosphoricum had refused to act. Ganglium tendinosum : Calcarea fluor- ata. ULCERS OF THE LEGS. In such cases the remedies recom- mended for diseases of the skin and of the mucous membranes are to be con- sidered. First of all should be mentioned Natrum muriaticum and Natrum sulphuricum. For varicose ulcers use Calcarea fluorata. DISEASES OF BONES. Periostitis with a tendency to suppura- tion requires Silicea. Hard, knobby, jagged elevations on the surface of the bone require Calcarea fluorata. 136 Diseases of Bones. This remedy will be also found more suitable than Silicea in cephalgematoma, a bloody tumor with an osseous wall on the parietal bone in newborn children. Rickets require Calcarea phosphorica. If attended with atrophy and a fetid diar- rhoea, this condition must first be removed by means of Kali phosphoricum. Ex- cessive acidity must be eliminated by Natrum phosphoricum. Dr. Kassowitz, in Vienna, Prof. Hagen- bach, in Bern, and others prescribe in rickets phosphorus in minimal doses. The recipe in question is as follows: l=t. Phosphori,.............0.01 Solve in ol. amygd. dulc,......10.0 Pulv. gumm. arab., Syr. simpl.,...........aa. 5.00 Aqu. distill..............80.00 This mixture represents the fourth decimal attenuation of phosphorus; but as it is given in teaspoonful doses, the daily Diseases of Bones. 137 quantity given is about equal to the usual third decimal dilution. The molecules of phosphorus in such a case combine within the organism with molecules of oxygen into phosphoric acid. This combines with the molecules of Carbonate of lime with the elimination of carbonic acid into Phos- phate of lime. Such a treatment of rickets agrees both as to quantity and quality with the treatment given in this book, when Calcarea phosphorica is given in the 3d decimal trituration. Since a part of the molecules of phos- phorus or of the phosphoric acid on the way to its destination has the opportunity of combining with the molecules of soda in the blood, the cells in question will perhaps receive only a part of the dose of phosphorus destined for them. The pos- sibility that the soda may appropriate all the molecules of the phosphorus fur- nished, explains the occasional failures in 138 Hcemorhages. this treatment. But if Calcarea phos- phorica is prescribed, a surer result will be attained, as this will not combine with the above-mentioned salts. Inflammation of the hip-joint in scrofu- lous persons : Natrum phosphoricum and Silicea. HAEMORRHAGES. Blood, red, easily coagulating into a gelatinous mass: Ferrum phosphoricum. Blood, black, thick, viscid: Kalium chloratum. Blood, bright-red or blackish-red, at the same time thin and watery, not coagulat- ing : Kali phosphoricum and Natrum muriaticum. To epistaxis in children, as a rule, cor- responds Ferrum phosphoricum. For the predisposition to epistaxis give Kali phosphoricum. Uterine haemorrhages : especially Fer- rum phosphoricum, Calcarea fluorata and Kali phosphoricu m. Menstruation. 139 Bleeding from haemorrhoids: Ferrum phosphoricum, Kalium chloratum and Calcarea fluorata. MENSTRUATION. In disturbances of the menstrual func- tion, the accompanying symptoms must decide the choice of the remedy. LABOR. Labor-pains, weak: Kali phosphoricum ; spasmodic labor pains: Magnesia phos- phorica. Deficient labor pains : Calcarea fluorata when the relaxation of the elastic fibers of the uterus is the cause, but Kali phos- phoricum when there is deficient innerva- tion. MENSTRUAL COLIC. Usually : Magnesia phosphorica. Pale, sensitive, irritable persons, inclined to weep, require Kali phosphoricum. If accompanied with accelerated pulse 140 Secretion of Milk. and increased redness of the face : Ferrum phosphoricum. Vaginism: Ferrum phosphoricum, Magnesia phosphorica. SECRETION OF MILK. Natrum sulphuricum diminishes the secretion of milk, Calcarea phosphorica increases it. Natrum muriaticum should be used when the milk is bluish and watery. PilNS IN THE BACK OF THE NECK, THE BACK AND THE LIMBS. Pains which are only felt during mo- tion, or are aggravated by motion, require Ferrum phosphoricum (as a second remedy Kalium chloratum is suitable). Pains, laming, ameliorated by moderate exercise, but made worse by a fatiguing effort (as by long-continued walking) and most felt when beginning to move, as when rising from a seat: Kali phosphori cum. Pains in the Back of the Neck. 141 Pains with sensation of numbness or of cold, or with formication, worse at night and while at rest: Calcarea phosphorica. Pains quick, shooting, boring, inter- mitting, changing their place : Magnesia phosphorica. Pains, worse in the warm room and to- ward evening; better in the open, cool air: Kali sulphuricum. In pains which the patients cannot ex- actly describe, some other attendant symp- tom which may decide the selection, such as an eruption of vesicles, the color of the coating of the tongue, etc., should be dis- covered. Crick in the back : Ferrum phosphori- cum, Natrum phosphoricum. Pains in the hip: nervous pains require Kali phosphoricum and Magnesia phos- phorica (to be selected according to the variety of the pain) ; inflammatory pains : Ferrum phosphoricum; rheumatic-arthritic 142 Spasms and Other Nervous Affections. pains : Natrum phosphoricum ; if chronic : Silicea. Hygroma patellae and Hydrops genu require Calcarea phosphorica ; eventually Silicea is to be used. SPASMS AND OTHER NERVOUS AFFECTIONS. In palpitation of the heart, Ferrum phosphoricum, Kalium chloratum, Na- trum muriaticum, Kali phosphoricum, Kali sulphuricum, etc., are called for, ac- cording to the symptoms accompanying each case. The chief remedies in epilepsy are: Kali chloratum, Natrum muriaticum, Natrum phosphoricum, Kali phosphoricum and Magnesia phosphorica. They are to be selected according to the characteristics before given. Nocturnal paroxysms require Silicea. Calcarea phosphorica corresponds to the spasms of anaemic and rachitic persons. Intermittent Fever. 143 Spasms of the glottis, tetanus, trismus, cramp in the calves of the legs, writers' cramp, St. Vitus' dance, etc., require Magnesia phosphorica, Calcarea phos- phoi'ica and Kali phosphoricum. Kali phosphoricum corresponds to cramps arising from an over-exertion of the parts affected. Agoraphobia: Kali phosphoricum. INTERMITTENT FEVER. Natrum sulphuricum and Natrum muriaticum are the remedies for intermit- tent fever. Natrum sulphuricum stands first; but Natrum miwiaticum is suitable when an eruption of vesicles on the lips or some other symptom indicating common salt is present. Natrum sulphuricum cures by killing redundant leucocytes, by withdrawing the water from them, and by eliminating from 144 Scrofulosis and Tuberculosis. the organism the redundant water result- ing from the retrogessive transformation of the cells. Natrum muriaticum owes its curative powers to the fact that it increases the number of red blood-corpuscles and ef- fects a proper distribution of the water necessary to the tissues. Patients with intermittent fever should not eat any fat viands. SCROFULOSIS AND TUBERCULOSIS. It is well known that sugar of milk, which is a constituent of milk, is changed into lactic acid by a so-called ferment, and also that lactic acid causes a coagulation of the albumen contained in the milk. It is also known that Natrum phosphoricum decomposes lactic acid into carbonic acid and water. These facts serve to explain the formation of swellings of the lym- phatic glands, when lactic acid is present there, as also the curability of such Scrofulosis and Tuberculosis. 145 swellings of the lymphatic glands by means of Natrum phosphoricum. When there is a redundancy of lactic acid in the organism and a portion of this lactic acid gets into the lymphatic glands, then a coagulation of the albu- mens in the lymph within these glands takes place and we have swellings of the lymphatic glands. These swellings, so long as they have not become indurated, may be removed by Natrum phosphori- cum, because this salt decomposes the lactic acid, as before said, into carbonic acid and water. When the lactic acid is decomposed, the albumen not yet indur- ated becomes fluid again and can then enter again into the lymphatic current. Since the lymph also contains fat, the coagulated albumen may also be saponi- fied. If there is a caseous degeneration in the glands or in other places, Magnesia phosphorica is to be used. 10 146 Scrofulosis and Tuberculosis. But so long as there is not as yet any caseous degeneration, we should use Natrum phosphoricum, as may be seen from what is said above; but caseous de- generation requires Magnesia phos- phorica. This is the chemico-physiologi- cal functional remedy which secures the independent activity of all the cells. Owing to their independent motion, sound cells are able to reject substances which encumber them. When the cells near these caseous masses are too weak to reject them, they are deficient in Magnesia phosphorica. By the therapeutical supply of minimal quantities of this salt these cells are restored to their integrity and thus enabled to gradually reject these tuberculous masses. The detritus of the rejected masses is then removed from the organism by the usual excretive channels.* Magnesia phosphorica has proved its * Magnesia phosphorica is perhaps also a cure for cancer. Chlorosis and Other Ancemic States. 147 efficacy in tuberculosis not too far ad- vanced and in lupus. Besides the use of Magnesia phos- phorica, the use of other biochemical remedies is required to cure the catarrhal symptoms and the haemorrhages from the lungs, etc. What is the relation of the bacilli to tuberculosis ? When there are tubercles, bacilli can come in and use them for their nourishment. What mites are in old cheese, bacilli are to the tubercles. CHLOROSIS AND OTHER ANAEMIC STATES. The blood-corpuscles contain, as has been shown in the analysis on page 38, iron, Potassium sulphate, Potassium chloride, Potassium phosphate, Phosphate of lime, Phosphate of magnesia, Sodium phosphate and soda. The multiplication of blood-corpuscles is effected through their division while in the current of the 148 Chlorosis and Other Ancemic States. blood; it is effected in the following manner: From the Sodium chloride contained in the plasma of the blood, a portion of chlorine is split off through the carbonic acid acting in volume; the part split off, combines with the soda contained in the corpuscles into Sodium chloride. This attracts serum and receives it into itself; thereby the corpuscles are enlarged and in consequence they subdivide. The small cells issuing from this division take up blood-albumen to effect their growth, and this is organized by means of Phos- phate of lime. In the blood-albumen the iron neces- sary for the formation of blood-corpuscles is present in sufficient quantity; in the normal (red) blood-cell the proportion in weight of the iron to the cells is as 1 to 1000. {Vide, p. 38.) When in a blood-cell there is a mini- Chlorosis and Other Ancsmic States. 149 mum of soda, no sufficient quantity of Sodium chloride can be formed, as may appear from the above statement; the contents of water in the blood-corpuscle cannot then be increased in the degree necessary for its partition. If there is a minimum of Phosphate of lime in the intercellular fluid, then the albumen necessary for the growth of the young cells cannot be organ- ized in sufficient quantity. In cases where Sodium chloride cannot be formed in the cells, this salt must be furnished to the patients in minimal doses. The Sodium chloride of the intercellular spaces represents a solution of common salt which is too much concentrated for the cells ; it must therefore be given in a higher dilu- tion. If the common salt of the blood could enter into the diseased and into the healthy blood-corpuscles, their partition 150 Chlorosis and Other Ancemic States. would be effected prematurely ; for parti- tion would follow on partition even to eventual annihilation, for the small cells resulting from these partitions would have no time for their growth and for entering on their functions. Sodium chloride and Phosphate of lime are the chief remedies in chlorosis. If we cannot in any stated case determine exactly which of the two remedies is indicated, the two remedies may be given in alternation. Anaemic states which have been caused by depressing emotions need for their cure Kali phosphoricum, because this salt is then contained in a minimum quantity in the blood-corpuscles and in the plasma of the patient. The general state of health of the patient or at least some of his symptoms will be imaged forth in the characteristics of Kali phosphoricum {Vide, p. 54.) Allopathic Treatment of Chlorosis. 151 The remedy for leukaemia is Natrum sulphuricum, which causes the disinte- gration of the superannuated leucocytes by withdrawing water from them. There- fore it will also cure chronic suppurations in leukaemic patients. SOME THOUGHTS AS TO THE ALLO- PATHIC TREATMENT OF CHLOROSIS. Some allopaths now use lime in their treatment of chlorosis. By doing this they have unconsciously entered into the paths of biochemistry. As chlorotic pa- tients frequently have a desire for chalk— Carbonate of lime—we may say : the dis- eased cells cry out for lime ! This voice of nature ought to have been hearkened to before this. The great number of allopathic physi- cians, as is well known, open their cam- paign against chlorosis with iron. The use of this remedy for this disease is as 152 Allopathic Treatment of Chlorosis. old as the history of medicine. The fact that all known preparations of iron have been used in the treatment of this disease, and that other and better preparations are still being sought after, shows that all these various curative efforts have not as yet satisfied anybody. The rejection of known preparations of iron and the search after new ones in order to cure chlorosis have been nothing but moving in a vicious circle. Iron and its artificially concocted combinations do not enter from the intes- tines into the blood. Every salt of iron introduced into the stomach is decomposed there. " They are all transformed," as Bunge says in his Manual of Physiological and Patho- logical Chemistry, p. 91, "into combina- tions with chlorine. When these touch the walls of the stomach, which are always alkaline from Sodium carbonate, the chloride is transformed into an oxide, Allopathic Treatment of Chlorosis. 153 which remains in solution owing to the presence of organic substances. The chlorate of iron is transformed into car- bonate of oxide of iron, which is also soluble in the carbonic acid and the organic substances present. Its not be- ing absorbed is not, therefore, a conse- quence of its insolubility. Finally the combinations of iron being acted upon by the various combinations of sulphur and the reducing agencies—of the nascent hydrogen and other products of partition which are readily oxidized—they are changed into sulphuret of iron and ex- creted with the faeces. The combinations of iron with organic acids cannot act otherwise. Among the organic acids we must also number the albumens. The iron albuminates are also at once decom- posed by the hydrochloric acid in the gastric juice, forming chlorides and chlorates of iron. Our food must, there- 154 Allopathic Treatment of Chlorosis. fore, contain quite different combinations of iron, combinations which are not de- stroyed in the intestinal canal, which are absorbable and furnish the material for the haemoglobin." From this it is plainly manifest that iron and the artificial combinations of iron cannot by their direct action cure chlo- rosis. Those allopathic physicians who are now using muriatic acid to cure chlorosis obtain thereby better results than those who are unwilling to give up iron. Muri- atic acid favorably affects the digestion in the stomach, but iron spoils the stomach when it is given in allopathic doses. When the peptonic glands of chlorotic patients do not furnish sufficient muriatic acid, the function of the stomach is de- pressed. Bunge says, on page 95 of his manual: "The main significance of the gastric Allopathic Treatment of Chlorosis. 155 juice consists probably in the antiseptic action of the free muriatic acid. When the quantity of this muriatic acid is in- sufficient, then fungi and bacteria enter into the intestinal canal, especially also those producing the fermentation of buty- ric acid. But in this fermentation hydro- gen is liberated, and through the reducing effect of nascent hydrogen from the com- bination of sulphur in the food there are formed combinations of sulphur and the alkalies. These destroy the organic com- binations of iron. In view of this, the later statement, that muriatic acid is a still more potent remedy for chlorosis than iron, becomes worthy of notice." The sulphur of the sulphur-alkalies deprives the food in the intestinal canal of its iron, forming sulphuret of iron. This loss of iron causes a diminution of the material required for haemoglobin. If iron in large doses is ingested into 156 Allopathic Treatment of Chlorosis. the stomach, and thence into the intes- tines, it combines with the sulphur in the sulphurets of the alkalies, but the iron in the food remains undisturbed by the sul- phur. Thus it is that haemoglobin may be formed in sufficient quantity. A cure of chlorosis produced by iron is not a natural one; it is rarely permanent. If the function of the stomach is im- proved by supplying muriatic acid, thus avoiding the formation of sulphurets of the alkalies, and the diminution in the formation of haemoglobin, there will be a cure, but it will also lack permanence unless the epithelial cells of the peptonic glands which had lost the ability of forming muriatic acid, should regain it during this process. If it is desired to supply the stomach in a natural manner with muriatic acid, we should, instead of muriatic acid, give Natrum muriaticum in a minimal dose. Facial Diagnosis 157 This remedy will effect a permanent cure. (Vide the characteristics of common salt on page 58.) That iron cannot cure chlorosis may appear from the fact that the serum of venous blood contains traces of iron, which is excreted by the kidneys in consequence of the retrogressive metamorphosis of the cells. The serum of arterial blood con- tains no iron. This proves that nature has no intention of patching blood- corpuscles by means of iron, or to influ- ence them thereby in any way. Whoever in spite of this, endeavors to do so, does not act in agreement with nature. Chlorotic and anaemic patients must receive new blood-corpuscles in the manner indicated in the preceding article. FACIAL DIAGNOSIS. Two Spanish students wandering from Penafiel to Salamanca discovered near the 158 Facial Diagnosis. highway a tombstone on which were en- graved the words: aAqui esta enterrada el alma del licenciado Pedro Garcia." (Here is interred the soul of the licentiate Peter Garcia.) One of the two students laughed, because he did not understand the meaning and intention of the inscrip- tion. He went on. The second student remained behind; he lifted up the tomb- stone and found under it a purse contain- ing gold coins ; a note lying by it stated that these coins were intended for the per- son who would guess the meaning of the inscription. My intention in calling up this old tale will be seen from what follows, as we shall treat of facial diagnosis, which will be judged of variously by the readers of these lines. He who only uses biochemical remedies, if he will practice his powers of observation, will in the course of time ac- quire the faculty of recognizing in many Facial Diagnosis. 159 cases, especially in chronic diseases, from the physical state of the face and from its physical expression, which one of the bio chemical remedies will correspond with a given disease. Such a facial diagnosis ought not, indeed, of itself to determine the choice of the remedy to be used, but it may facilitate, respectively confirm the selection. Whoever wishes to learn this facial diagnosis must acquire it in an autodidac- tic manner. The attempt to acquire it by means of a printed direction would lead to mistakes. A shepherd knows every indi- vidual member of his flock ; but he will be unable to indicate the deciding charac- teristics. Whoever would acquire facial diagno- sis should give his particular attention first to one species of faces. The common- salt-face—if I may be allowed to com- pound such a word—is most easy to rec- 160 Facial Diagnosis. ognize. He should impress on his memory the quality and expression of the faces of those persons whom he has cured in a proportionally quick manner with Natrum muriaticum. A red thread will, as it were, run through the several impres- sions ; he will recognize a family likeness. Having first secured the common salt face, let him next pass to another soda face. It is, of course, not necessary to state that physicians who are accustomed to give two or even more remedies in rapid alter- nation will never acquire facial diagnosis. Giving two remedies in alternation is per- missible only very exceptionally, in cases where it, is or appears to be, unavoidable. He who has once acquired this diagno- sis will be convinced that it is just as im- portant in a therapeutic sense as the soul of licenciate Peter Garcia was in a pecu- niary sense. Facial Diagnosis. 161 Whoever may doubt the possibility of a facial diagnosis may be interested in the following case: In the clinic of a university a man had died as to whom the clinical professor and his assistant physicians, in spite of their application of all diagnostic means, had not succeeded in making a diagnosis. When the body had been transferred to the professor of pathologic anatomy, he exclaimed as soon as he saw it: " Cancer of the liver l" and this diagnosis was veri- fied by the dissection. Of course no one can acquire facial diagnosis who, besides biochemistry, also uses all other kinds of curative methods, e. g., if after giving a biochemical remedy he uses electricity or massage, or wrap- ping in wet sheets, or if he uses a so- called Lebenswecker (stimulator of life), pricking the skin of the patient and rubbing in so-called " Mueckenfett" (fly- n 16 2 Facial Diagnosis. fat). When a patient recovers by such a procedure no one can know to what to ascribe his cure. It may be, indeed, in- different to the patient to what process he owes his cure, but this cannot be indiffer- ent to the physician, for he has not learned anything from the case. It would be a great mistake if anyone should expect to hasten the treatment of a biochemical case by various different remedies; the contrary would be the case in all probability. If we consider that the particles of the biochemical remedy cause molecular motions in the seat of disease which are to regulate the mole- cular motions, which have suffered path- ogenic disturbances, it may be manifest that the molecular disturbances caused by electricity, massage, etc., must dis- turb the others just as, e.g., the swing- ing of the pendulum regulating the mechanism of a clock would be dis- Facial Diagnosis. 163 turbed if we should endeavor to hasten it by sudden impacts. It has been asserted by certain persons that biochemistry will not suffice in all cases. I would request those who make these assertions carefully to study facial diagnosis. When you have mastered that, you may find a case where you will feel yourself called upon to use, e. g., Magnesia phosphorica in a septic case. In consequence you will establish a cure. The difference between the remedy in question and Kali phosphoricum may not, however, in the meantime be exactly expressed in words. EPILOGUE. Those readers who have followed the development of my therapy from one edi- tion to the other will remember that I have endeavored to remove mistakes made in the beginning and to insert new indi- cations in my little work. This treatise was translated several years ago into English, into Spanish and into French. In these books, beside the errors already mentioned, there are many indications supplied by the translators which are either insignificant or erroneous. When a translator, owing to his lack of apprehension of the subject, introduces his own false views into the translation, he injures the cause and discredits the author with his readers, who have no ink- ling of the fact that the translator has taken the liberty of adding the products of his own wisdom to the translation. INDEX. Abdomen, pains in the, 116. After-pains, deficient, 67. Agoraphobia, 55, 143. Agricultural Chemistry, 31, 81. Albumen, its constituents, 23; a. divides to make new cells, 35; its uses, 87. Albuminuria, 94, 95. Allopathic remedies also active in small doses, 40. Alopecia areata, 56. Amblyopia, 70. Anaemia, 147. Angina tonsillaris, 112. Aphthae, 114. Apoplexy, 104. Asthenopia, in. Asthma, 122. Atrophy, 56; a. in the external meatus auditorius, 70. Balanitis, 133. Benecke, Prof., on doses, 45. i66 Index. Bilious fever, 74; b. vomiting, 74; b. diarrhoea, 74- Biochemical Therapy, founded on the physio- logico-chemical processes taking place in the human body, 19; contrasted with Homoeo- pathy, 19. Bladder, 73. Blepharidis ciliaris, 108. Blood, its constituents, 23; blood-cells, their con- stitution, 37; new blood-cells cannot be formed when soda is deficient in the blood-cells, 148. Bone, 18; fractures of bones, 134; diseases of bones, 135. Brain, concussion of, 103. Bronchial catarrh, 76. Burns, 130. Calcium fluoride, its characteristics and what it cures, 66. Calcium phosphate, 19, 32; in blood-cells, 38; in the serum, 38; its characteristics, 52; what it will cure, 53. Calcium sulphate, its characteristics and what it cures, 80. Cancer of the liver, diagnosis of, 161. Carbuncle, 56, 131. Cartilage-salts, 18. Castor equorum, proved, 84. Cataract, 70. Index. 167 Catarrh, 121, 123, 124; c. of the bronchia, 76; c. of the conjunctiva, 76; c. of the stomach, 76; c. of the middle ear, 76; renal catarrh, 76; c. of the bladder, 125. Cavity of the mouth, in. Cells, 25; new cells are formed and old cells dis- integrated, 25; cells deficient in minerals, 29; cells changed pathogenically, 29, 30; a cell depends on its proximate nourishing soil, 31; how much mineral matter in a cell, 40; cells cannot be multiplied when soda is deficient in the blood-cells, 148. Cephalaimatoma, 67, 103, 136. Chancre, 132. Chaps, 129. Chilblains, 130. Chills and fever, 74. Chlorine in milk, 39. Chlorosis, 147; allopathic treatment of 151. Cholerine, 120. Cholera, 120. Chronic diseased states cured by cell-salts, 80. Colic, 117, 118, 120. Compensation of lost material, 33. Concussion of the brain, 103. Condylomata, 133. Conjunctiva, hyperaemia of, 108. Connective tissue, its use in the circulation, 25, 27. i68 Index. Constituents of the human organism, chapter on, 23- Contusions, 53; their treatment, 134. Cornea, inflammation of 109; vesicles on c, 109; flat ulcer one, 109; spots on c, no. Corrosive sublimate, active in minute doses, 40. Coryza, 121. Cough, 122. Cramps, 142. Craniotabes, 103. Creatine, 83. Creatinine, 83. Crick in the back, 141. Croup, 97. Crusts, 128. Delirium tremens, 104. Depression, 56. Despondency, 55. Desquamation, 76. Diabetes mellitus, 77, 120. Diagnosis, facial, 157. Diarrhoea, 119. Dilution. The 6th decimal dilution is the one generally used in biochemical remedies, 41; in Ferrum phosph., Silicea and Calcarea fluor. the 12th decimal is used, 41; indis- soluble substances below the 6th decimal cannot enter the blood through the epithe- lium, 44. Index. 169 Diphtheria, 96. Disturbances in the motion of molecules are equalized by doses of homogeneous sub- stances, 19. Doses, biochemical substances are to be given in small doses, 19, 35; their effect, 35; how great, 41; Prof. Benecke on doses, 45. Dysentery, 99. Dyspnoea, 123. Ears, 104. Eczema, 126. Elastin, the basis of the elastic tissues, 25, 86. Endocarditis, 93. Epilepsy, 142. Epilogue, 164. Epistaxis, 138. Errors in American, Scotch and French elabora- tions of biochemical therapy, 164. Eruptions, 126, 129. Erysipelas, 129. Excoriations, 129. Exudations, their treatment, 92. Eyes, 108; inflammation of the eyes of the newly born, 109. Face-ache, 52. Facial diagnosis, 157; must be acquired auto- didactically, 159- 170 Index. Feet, perspiration of the feet restored, 70. Fever, chapter on, 91; intermittent fever, 143. Finger nails, disorders of, 129. Fontanels, remaining open too long, 53, 104. Fracture of bones, 134. Furuncle, 130. Gallstones, no; gallstone-colic, 118. Ganglium tendinosum, 135. Gangrene, 97. Gastralgia, 116. Gastric affections, 116. Gastrodynia, 116. Gelatine, 18, 25, 86. Glands, swelling of the sebaceous, 128; inflam- mation of same, 128; lymphatic glands, 132. Glauber's salts, 36. Gleet, 133. Goitre, 132. Gonorrhoea, 132. Gout, 94. Gums, 112. Haemorrhoids, 120; bleeding, 139. Hardness of hearing, 105. Haemorrhages caused by hyperaemia, cured by iron, 50; their treatment, 138. Herpes zoster, 128; herpes, 74, 126; h. circin- natus, 74; moist h., 74. Index. 171 Hiccough, 52. Hoarseness, 121. Homesickness, 55. Hydraemia, 75. Hydrocele, 133. Hydrocephaloid, 103. Hydrochloric acid, in the stomach acts on mineral substances, 42. Hydrops genu, 142. Hygroma patellae, 142. Hypopion, no. Hysterical ill-humor, 56. Inflammation cured by iron, 50; I. of the serous membranes, 93. Influenza, 74, 100. Injuries, mechanical, 134. Inorganic constituents determine structure and vitality, 17; inorganic and organic constit- uents equally essential, 17; I. constituents of the blood, 23. Insomnia, nervous, 56. Intermittent fever, 143. Iris, inflammation of, no. Iron. Without iron, no blood, 18, 38; I. in milk, 39; Salts of iron decomposed in the stomach, 44; characteristics of iron, 48; I. attracts oxygen, 48; what iron will cure, 50; iron should be given in the form of phos- phate, 44, 51; iron in large doses, is changed 172 Index. in the stomach to sulphuret of iron and is cast out, 153. Jaundice, 115. Keratin, 25, 83. Kidneys, function of, 33 (footnote); diseases of the k., 94. Labor, 139. Laryngeal catarrh, 76. Lecithine, 24, 81, 85. Leucocytes. Superannuated 1. are destroyed by sodium sulphate, 72. Leucorrhoea, 124. Leukaemia, 72, 151. Liebig's law of the minimum, 31, 43. Lime in milk, 39. Liver, function of, 33 (footnote). Loss of functional material, 25. Lymphatics, 26; lymphatic glands, 132. Magnesium phosphates, in blood cells, 38; in cerum, 38; in milk, 39; in the Rilchinger water, 45; characteristics of M. phosphate and what it will cure, 51. Mastitis, 131. Measles, 100. Membranes, diseases of the mucous, 124. Index. 173 Meningitis, 93. Menstruation, 139. . Menstrual colic, 139. Milk, its chemical constitution, 39. Minimum. The law of the m. applies to bio- chemical substances, 31; the minimum must be present in the very spot, 45; the mini- mum is always a cell-salt, 86. Molecular form of remedies, 30; sixteen trillions of molecules in a milligramme, 42. Moleschott, Dr., 7, 27, 80. Mucus, 25. Mumps, 105. Natrum, see Sodium, Nettle-rash, 129. Neurasthenia, 56. Noma, 114. Nuclein, 24, 86. CEdema of the lungs, 123; of the scrotum, 133; of the prepuce, 133; oedema, 74; cedematous erysipelas, 74. Orchitis, 133. Organic constituents of the blood, 23; organic tissues are not remedial, 84, 86. Ozaena, 121. Pains caused by hyperaemia, 50; pains in the i74 Index. head and face, ioi; pains in the back of the neck, the back, and the limbs, 140; pains in the hips, 141. Palpitation of the heart, 75, 142. Panaritium, 130. Pancreas, 73. Paralysis, 55, 70, 97. Pathogenic irritation of the cells, 28. Pemphigus, 130. Pericarditis, 93. Periostitis, 135. Peritonitis, 93. Phosphorus, 24; Phosphate of lime induces the formation of new cells, 26. Photophobia, no. Piles and Haemorrhoids, Pleuritis, 93. Pneumonia, 93. Podagra, 94. Polypus, 125. Potassium salts predominate in the blood-cor- puscles, 23; potassium chloride is related to fibrin, 29; potassium sulphate, P. chloride and P. phosphate contained in the blood- corpuscle, 23; P. phosphate and P. chloride in the serum, 38; Potassa in milk, 39; P. chloride in Rilchinger water, 45; Potassium phosphate, its characteristics and what it cures, 54; Potassium chloride, its charac- Index. 175 teristics and what it cures, 57; P. sulphate, its characteristics and what it cures, 75. Prepuce, oedema of, 133. Proud flesh, 131. Provings of Keratine, 85. Pruritus, 129. Pseudo-croup, 97. Puerperal fever, 95. Pustules, 129. Remedies. Only 11 remedies are used in bio- chemical therapy, 18; these are homogene- ous with the inorganic substances in the blood and in the tissues, 18; they are suffi- cient for all the diseases curable by medicine, 34; their indications are evolved from phy- siological and pathological chemistry, 34; they are to be given in minimal doses, 35; such doses will enter into the blood from the buccal and pharyngeal cavities, 36. Renal gravel, 97. Retching up mucus, 115. Retina, inflammation of, 110; exudation on the, no. Retrogressive metamorphosis, 26; its products, 88. Rhachitis, how caused, 32; its treatment, 136. Rhagades, 129. Rheumatism, articular, 94; muscular, 94. Rickets, see Rhachitis. 176 Index. Rilchinger water, its constitution, 45. Saint Vitus' Dance, 143. Scabs, 128. Scalds, 130. Scales, 128; scaling off of the epidermis, 128. Scalp, 103. Scarlatina, 95, 97. Scrofulosis, 144. Scrotum, oedema of, 133. Scurvy, 112. Secretion of milk, 140. Septic case treated with Magnesia phosphorica, 163. Silicea or Silicic acid, 20; its characteristics and what it will cure, 69. Skin, diseases of, 126. Smallpox, 27. Sodium salts predominate in the serum, 23; S. chloride and S. phosphate contained in the blood-celts, 38; S. chloride and S. phos- phate and soda contained in the intercellular fluid, 38; Soda contained in milk, 39; Sodium chloride, its characteristics and what it will cure, 58; Sodium phosphate, its characteristics and what it will cure, 64; Sodium sulphate, its characteristics and what it will cure, 71; when soda is deficient a multiplication of the blood-cells cannot be effected, 149. Index. 177 Sparks before the eyes, no. Spasms, 142; of the glottis, 143. Sprains cured by iron, 50. Stings of insects, 131. Stomach, pains in the, 116; inflammation of the, 116; ulceration of the, 118. Strabismus, 110. Strangury, 126. Styes, 108. Sulphur, 24. Suppuration, treatment of, 69, 93. Sycotic excrescences, 75. Syntheses not limited to the vegetable kingdom, 82. Syphilis, 132. Teething, ailments during, 107. Tenalgia, 134. Testicles, induration of the, 133. Tetanus, 143. Thrush, 114. Tongue, inflammation of the, 112; variously coated, 112. Toothache, 106. Tracoma, 109. Transudations, their treatment, 92. Trismus, 143. Tuberculosis, 144. Typhoid fever, 96; Typhoid and adynamic symptoms, 96. i78 Index. Typhus, 96. Ulcers, 135. Urea formed, 26; not a normal constituent of the body, 83. Urethra, bleeding of, 132. Urine, retention of, 125. Urticaria, 129. Uvula, inflammation of the, 112. Vaginism, 140. Varicose ulcers, 135. Vertigo, 104. Vesicles, 127. Virchow, 27. Vomiting, 114. Warts, 131. Water formed by retrogressive metamorphosis, 26. Weakness of the memory, 55; of the muscles, 55. Whooping cough, 122. Worms, 120. Wounds, fresh, cured by iron, 50; their treat- ment, 134. Writer's Cramp, 143. )F MEDICINE NATIONAL IIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE » V'JJtl NLM001009731