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HOMGEOPATHIC MEDICINE. 
 
HOMCEOPATHIC
PRACTICE  OF MEDICINE
BY JACOB JEANES, M. D
            PHILADELPHIA




rRINTED BY A. AVALDIE, xNO. 46 r:ARPENTER STREET
1«3S 
V5"\o5k
I13S
  Entered according to act of congress by Jacob Jeanes, M.D., on the 9th
day of June, 1838, in the clerk's office of the district, for the eastern district of
Pennsylvania. 
TO
    CHARLES  F.  MATLACK,  M.D


WHO WAS THE EARLIEST AMONG THE GRADUATES OF THE UNIVERSITY OF
    PENNSYLVANIA ENGAGED IN THE  PRACTICE OF  MEDICINE  IN
               PHILADELPHIA, TO ACKNOWLEDGE


                     THE TRUTH


         OF THE DISCOVERIES OF HAHNEMANN,


    WHICH ARE ORADUALLY EFFECTING A IIENEF1CENT  REVOLUTION


                   IN MEDICINE,


       THIS WORK IS RESPECTFULLY INSCRIBED BY HIS FRIEND,
THE  AUTHOR. 
 
ADVERTISEMENT.
  As it was known to many of the friends of homoeo-
pathia  that Dr. Jonas Green and myself  were for
some time  engaged in the  preparation of a practical
homoeopathic work, it may not be improper  to inform
them, that from the inherent difficulties of combined
authorship,  that purpose  was abandoned:  it being
mutually agreed that I should  carry on the work
alone.  A  renewed reference  to the  German works
in order  to cite the cases,  &c. in satisfactory detail,
and  to procure the latest  information,  in  order to
present to the American  physician  as  complete  a
book of  practical homoeopathic medicine as  can be
done in the present state of the science, necessarily
required  considerable  time.  This, together with de-
mands  made upon my time by the duties of  a large
circle  of practice, will  account for any  apparent
delay in bringing the  work before the public.
  A very small edition of this work  is published, as
the demand cannot be expected to be very extensive.
The price of the work, therefore, in order to meet the
expenses, must be considerably higher than  that of
books for which the demand is more general.

                            J.  JEANES, M.I).
Philadelphia, June, 1838. 
 
PREFACE.
  Works of the character of the present volume appear to be
advancing  in the estimation of the homoeopathic physicians
of Germany; at least, several books by different authors have
appeared there  within  a few years, and each later one not
only increased in bulk by the introduction of additional facts,
but also entering into more minute details of the cases which
in the earlier works had been  merely mentioned.   It is only
necessary to compare the small pocket volumes of  Haas and
Glasor with the large work of Rucker't, in order to be satis-
fied of these facts.
  No lengthened argument is requisite to  prove  the great
utility of practical works  of this  kind,  to the homoeopathic
practitioner; although it must be acknowledged that they are
liable to some abuse.  This, however, should not prevent us
from availing ourselves  of what is really advantageous, since
there is nothing which  is good that is  not liable to misappli-
cation; and we  might as well deprive ourselves of the advan-
tages afforded by fire, because it may prove destructive  of our
property, as to refuse other positive good because we may be
induced to  abuse it.
  The greatest mischief that  can be expected to result from
the  employment of practical works like the present, is, that
indolent physicians will  be inclined to prescribe rather accord-
ing to the name than the symptoms of the disease.  But this,
when it is brought  to the test of examination,  shrinks into
insignificance :  for where a physician is sufficiently indolent
to act in this  manner,  the matter would, certainly, not be
much improved if he possessed only the volumes of the ma-
teria medica, in which  he may without much trouble  find a
remedy  which will  meet many of the  symptoms of a case,
but still so  imperfectly,  that he would  be less likely to make
a proper selection than when aided by a proper general guide.
      1 
2
PREFACE.
  It is a great advantage which the homoeopathic practice of
 medicine possesses over all  others,  that, in  novel  or unde-
 scribed forms  of disease, which  are much more numerous
 than physicians are  generally aware of, it enables the practi-
 tioner to ascertain the proper  remedies with tolerable success.
 This it does by means of the  symptomatology of its  remedial
 agents, the  investigation of  which has  been pursued with
 surprising industry, perseverance, and success.  But as the
 same symptoms (or at least  the same so far as regards the
 import of the words in which they are communicated,  and
 we possess  no  other medium for their communication than
 language) are not of equal value  under every remedy, there
 is still considerable risk of the selection  of a remedy which
 is of inconsiderable value compared to another, in the treat-
 ment of a given case.   It is therefore of no slight advantage
 to know that cases of the same kind as  that which we are
 about to treat have been cured by such or such remedies.
 The probability is very great,  that among these is to be found
 the remedy which, of all those with which we are yet ac-
 quainted,  is the best adapted to our case.
   Notwithstanding  the high  estimation  in which  he very
 properly held the advantage of being able to select, oftentimes
 with  perfect accuracy,  the proper remedy by means of the
 symptoms, Hahnemann appears  always to have recognised
 the importance  of a knowledge of those remedies which had
 proved most generally or most strikingly useful  in those dis-
 eases which present a somewhat constant and fixed character.
 He has, therefore, from time to time, as experience has con-
 firmed the value of remedies in  such diseases, not hesitated
 to recommend  them  to the attention of physicians.  Other
 physicians having imitated  his  example in  this  respect,
 homoeopathic medicine is at length able to present very use-
 ful, though far  from  complete works, based upon experience
 m practice,  and which may  serve as guides to the proper
remedies for many forms of disease.
  At the  present time we labour under the disadvantage of
having to  employ, in our practical works, the old names of
diseases, which  are often applied to complaints  which possess 
PREFACE.                       3
very considerable differences in character, although they have
some prominent symptoms in common; or they apply to a
definition which, being intended to embrace a variety of dis-
eases, presents a combination of symptoms which has been
rarely if ever presented in nature, while comparatively few
of them  are  restricted in  their application to affections of a
fixed and constant character.   Therefore, when we mention
such or such remedies as being useful in a disease, we do not
mean to prescribe for a particular disease, but merely to refer
the physician to such remedies as have proved beneficial in
cases where the symptoms, which are  prominent in the defi-
nition, have been present in a violent form.  More particular
information is, however, communicated  by the cases which
are  accurately drawn from nature.  It  is perhaps possible
that a case of disease may be peculiar, and never have its
fellow;  but as a general rule, when we find a form  of dis-
ease in one person, it is most  likely that it will  be found in
some others.   This arises  from the facts, that the same patho-
genetic agent will  often produce the same disease in different
persons, and  that different pathogenetic causes may induce
the same or  closely similar  disorders of the  same tissue or
organ.  Thus, gastric disorder, which  arises from the extra-
vagant employment of alcoholic drinks  in one person, is very
similar to the  derangement of the stomach in other persons
from the same cause,  and  may generally be removed by nux
vomica.   This remedy will also frequently cure the gastric
disorder from the use  of coffee, and from some other causes.
But as all forms of disease in a particular tissue or organ, or
all forms of  disease arising from the  same cause,  will not
yield to the same  remedy,  owing to difference of constitution
or previous exposure or habit of the patient, the observation
of the physician must  be constantly exercised, to detect in the
varying symptoms  the indications which will show one or
another remedy to be  more appropriate to the  case.
  In  observing  the  number  of circumstances and agents
which so frequently and powerfully modify  morbid action,
the uniformity of this action, at least so far as it is marked by
the curative operation of remedies, is sometimes a matter of
                                               1* 
4
PREFACE.
surprise.  Croup  furnishes an example of this ; lor, while it
occurs in children of almost every variety of constitution.
and  appears to be excited by very different causes,  it still
most commonly yields speedily to the remedies which have
been recommended by Hahnemann for its cure.  These have
proved efficacious, both where this disease has resulted from
cold, and where it has been  the effect of scarlatina  and of
measles.  As, notwithstanding the difference in the causes by
which it is excited, and in the conditions of the systems in
which  it appears, these remedies exercise  such a powerful
control over the croup, we must infer that their efficacy arises
from a property which  they possess of operating powerfully
on the tissues  involved in this disease.   This inference is in
accordance with the induction which Hahnemann has  drawn
from the fact  of homoeopathic cure—namely, that the cure
happens  because the remedial disease, on account of its simi-
larity, seizes in preference  upon the same parts of the organi-
sation as have been affected by the previous disease,  which
therefore cannot operate and is extinguished.
  The opinion of Hahnemann, which has just been quoted,
appears to be a just and legitimate induction from observed
facts; and if it localises disease,  it has the support not only
of the  facts from which it has been deduced, but also from
those which have been ascertained by the industry of modern
pathological anatomists.   These also  confirm the value of
his precepts.  For instance, he teaches the necessity of observ-
ing all the symptoms of a  case of disease, and of selecting as
nearly as possible a remedy which is calculated to remove all
these symptoms.  Now, modern pathological anatomy teaches
us, by its dissections, what Hahnemann  before observed in
the symptoms and progress of disease; namely, that disease
of an  important  organ seldom or never  exists alone,  but,
according to the  nature of the morbid action or of the part
originally affected, induces, in a particular order or direction,
sympathetic diseases in other organs.   Although these dis-
eases may exist at first as functional derangements, they may
sooner or later produce organic lesions, which  will reveal to
the anatomist  the pre-existencc of  the disease.  As, in a ma- 
PREFACE.
5
chine, a disordered movement in any of its parts must be felt
throughout the whole structure;  so we can hardly conceive
of any derangement of that complicated structure, the human
organisation, especially in its more important organs, without
consecutive disorder in other parts.
  Whatever credence or value we may attach to these observ-
ations at the present time, it has been only of recent date that
they  have been considered of much  importance,  or  have
attracted much attention; therefore, when Hahnemann pub-
lished the symptoms produced by remedies tried upon  healthy
persons,  the multiplicity of symptoms induced by  a single
remedy was viewed as a matter for laughter  and  ridicule.
But we can now understand, that when a pathogenetic agent
deranges the action of any organ or organs, a train of morbid
actions in other parts will, in all probability, be the result of
this derangement.   It is obvious, therefore, that if we possess
a remedy which has the power of affecting an important part,
we must have from it the symptoms of such affection, and of
the consequent sympathetic disorders.  The symptoms pro-
duced by such a  remedy must therefore be numerous, and
capable of meeting the symptoms  which arise from disease of
the same parts, induced by other causes.
  If the localisation of disease is a fact in nature—and the
inference that it is seems, as already remarked, to be a legiti-
mate induction from observed facts—it would appear to follow
that the remedy which acts positively and immediately upon
any tissue is better adapted to the diseases of that tissue, than
a remedy which acts  indirectly upon it,  through its  positive
action on another organ with which the former is in  close
relation or sympathy.  A knowledge of the actual seat of a
disease, of the morbid relations of different organs to  each
other, and of the seat of the  most frequent  and powerful
impressions of remedial agents,  may therefore be  of  great
advantage to the  homoeopathic  physician.  Observation of
the operations of remedies in disease, conjoined with experi-
ments with the remedies on healthy persons, ought to be
instituted with a view  to ascertain  the facts  in relation to
these points.  It is true, that in the present state of our know- 
6
PREFACE.
 ledge, in regard to the seats of disease, we can expect only a
 slight assistance at  first from this investigation; but when
 we consider the light which homoeopathia itself can lend to
 pathological investigations, we may hope that the knowledge
 thus derived, and especially the knowledge of the most power-
 ful and positive actions of our remedial agents,  may enable
 us to select our remedies with still greater certainty than we
 can at  present; and prevent  us, in the  midst  of a rapidly
 increasing materia medica, from feeling ourselves encumbered
 with the multitude of our  tools, by affording us the facilities
 for finding more readily those which are adapted to our pur-
 poses.
  From what  has been already said,  it is evident that  a
 knowledge of the symptoms of the fixed and constant forms of
 disease is valuable  to the homoeopathic physician, and it is
 obvious  that  information  as to those  other  disorders which
 may be mistaken for these  forms of disease is almost equally
 desirable.  It is also evident that an acquaintance with the
 usual course, duration and consequences of diseases, is neces
 sary to the physician, in order to qualify him to judge of the
 effects of his remedies  upon the  disease, and not to mistake
 the natural course or termination of the disease for the conse-
 quences of the administration of his remedial means.  There-
 fore, those persons who have not taken  the trouble to acquire
 this  necessary  knowledge  labour  under  very  considerable
 disadvantages  in conducting the homoeopathic treatment of
disease,  and  their patients must  sometimes suffer from their
 ignorance.
  In speaking of the value of pathological knowledge to the
homoeopathic physician, I would be understood only to mean
a knowledge of the seat, relations, symptoms, sympathies, du-
ration and consequences of diseases ; in other words, a know-
ledge of  the facts in relation to diseases.  To those specula-
tions which are  intended to legitimatise a particular mode of
practice or the employment of  particular remedial means, but
which have been dignified with  the names of pathology and
therapeutics, no value  is to be attached.   A brief investiga-
tion  will serve  to exhibit  the correctness of this assertion. 
PREFACE.
7
And as false pathology, in relation to inflammation and blood-
letting, has the strongest hold on the minds of the physicians
of the present day, this may be selected by way of example.
  Nearly if not quite all internal lesions of structure, which
are not the effects of actual violence,  are considered to be the
consequences of inflammation ; and blood-letting, in one form
or another, is viewed as the appropriate remedy. But as we see
in external parts, lesions of structure without apparent inflam-
mation, as, for instance, erosion of the cornea in some species
of marasmus; and as we observe  other  external lesions  for
which, although they are attended with  redness from dilata-
tion of the blood vessels, the detraction of blood  is  by no
means beneficial,  we  may certainly be excused if we view
the pathology as false, and the therapeutic views as ridiculous,
although the  physicians who hold  these doctrines proclaim
them as those of rational medicine.
   There seems to be a general belief that blood-letting, in in-
flammatory diseases, has a rational support independently of
that derived from experience of its utility.   But no such sup-
port can be found. It is true, there have been many specula-
tions in regard to the nature of the morbid actions which con-
stitute inflammation, and in respect to the modus operandi of
blood-letting in their cure.
   None of these, however, have  given  general satisfaction,
and there is no reason to be surprised because they have not.
 Inflammation exists in  vessels and parts  which are under the
influence of the vital principle, and are unquestionably the
result of a modification or innormal action of that principle.
The blood-vessels therefore cannot be considered as mere in-
animate elastic or inelastic tubes, and any inferences deduced
from such  views cannot be considered as rational. And as we
do not understand any thing of the vital principle but its effects,
 or  in other words, while we can  witness the phenomena of
life, and while we do not understand its nature or the  modes
by which it produces  these phenomena, we cannot compre-
hend the nature and true character of the actions which con-
stitute  inflammation,  since  these are some of those vital
actions which we do not understand.  Neither are we able to 
8
PREFACE.
 explain  the  modus operandi of blood-letting in its cure, be-
 cause this is  not the same as tapping inanimate tubes, but an
 operation which, whether  it acts  beneficially or injuriously
 upon the disease, does so through its power of modifying the
 condition of the system ;  and the why and the wherefore of
 its action in either manner is no easier to be  answered,  than
 why calomel purges, tartar emetic vomits, or  cinchona cures
 an intermittent fever.
  Local  bleeding, that is, the  abstraction of  blood  from the
 affected part  or its immediate vicinity by means  of  scarifica-
 tions, leeches, &c, has sometimes  proved more  useful  than
 phlebotomy, and  is preferred for many diseases  (though for
 what reason, independently of experience which  many of the
 self-styled rational physicians are in the habit of decrying, I
 know not.)   Having  decided that the disease consists in an
 inflammation, say of the mucous membrane of the intestines,
 they direct the application of leeches to the abdomen as nearly
 as possible over the part which they presume  to be affected.
 It is indeed sometimes really laughable  to see these rational
 practitioners  pluming themselves on their exactness in the ap-
 plication of their  leeches  immediately over the affected spot;
 and one  day directing them to be applied a little higher or
 lower, and on the next day a little more towards one or the
 other side.   The matter is ludicrous  only because  they are
 rational physicians par excellence; and because  what  they
 term local abstraction of blood, although performed within an
 inch of the  affected  part, if the distance  be  measured  in a
direct line, is, if we follow the continuity of structure, actually
performed at the  distance of more than one  half of the cir-
cumference of the body from the inflamed spot.   Indeed the
skin of the back is much nearer to  the affected mucous mem-
brane, in pursuing a continuity of structure, than the skin of
the abdomen, which is not  only separated from the mucous
membrane of the bowels by muscles and tendons, but also by
the cavity of the peritoneum.
  When  such practice is  recommended  on the ground of its
 rationality, it is  to be  rejected; but if recommended and
 sustained on  the ground  of experience, it is more worthy of 
PREFACE.
9
attention, and should be adopted, if experience proves it to be
more efficacious in restoring  the sick  to speedy and perfect
health  than any other mode  of practice.  Experience is the
foundation which is  claimed  for itself by homoeopathia.  It
asserts that it stands  upon certain facts, the truth of which
can be ascertained by experiment.  It challenges  an investi-
gation  of its facts, but it demands that this  should  be  con-
ducted in the spirit which should govern in all the investiga-
tions of natural science—a spirit which is under the dominion
neither of prejudice nor self interest, and which is impartial
in its judgment and rigid in  the reception and  scrutiny of
evidence.
  The  doctrines of homoeopathia, which are the  mere state-
ments of, or only the fair legitimate and immediate inductions
from these facts, are a striking example of the inductive sys-
tem ; that is, "the  observation of facts  and  the embodying of
those conclusions that  legitimately flow from them."  This
system of philosophising, which has been strenuously urged
by Bacon, is one which has been pursued more or  less strictly
by men of sound judgment and good common sense in every
age of the  world.  As remarked by Dr. Stokes, " In the wri-
tings of Hippocrates you will find the principles of the induc-
tive  philosophy.   A  physician  showed Bacon  the road to
immortality."*
  But however plain may be the  necessity of adhering in
matters of science to the strict rules of the inductive system,
there is very great danger, unless we are constantly upon the
watch  against it, of our allowing prejudice, rather than obser-
vation and experiment, to decide upon what are  the facts in
nature, and of our allowing hypothesis to take precedence of
fact.
  The following copious extract from an introductory lecture
delivered  recently by an estimable and talented medical pro-
fessor, while in many of its parts it is strongly confirmatory
of some remarks  already made  in this preface,  also shows

  * Lectures on the Theory and Practice of Medicine. Edition of the
American Medical Library, page 7. 
10
PREFACE.
 how fully the lecturer recognises  the importance of strict ad-
 herence to the inductive system in medicine; and  when con-
 sidered in  connection  with other parts of the  same lecture,
 exhibits to us in a striking point  of view the great necessity
 of caution against the infraction  of those rules, the positive
 necessity of which we readily admit.
   "You may receive  it as an indisputable  truth, that  any
 claim to your guidance in the use  of medicines, founded upon
 an hypothesis assuming to be of universal or even general
 application, is  wholly groundless and futile.   The facts of
 our science  are yet far  too limited to enable us  to form a
 general theory of medicine upon  the only true foundation—
 that of strict induction.   How is it possible for us to draw
 from our knowledge of the human  system a doctrine  expla-
 natory of all its morbid actions, when  we are almost wholly
 in the dark as to the nervous functions, and of the principle
 of life itself know scarcely  more than  its existence?  We
 might as well attempt to  form an  accurate map of a country
 from our knowledge of a few of  its  prominent points, while
 ignorant alike of its boundaries and its interior.  Yet so pre-
sumptuous is man, that he  frequently undertakes the impos-
 sible task.  With intellectual powers, which, in comparison
 with the object, are  infinitely feeble, he  strives to penetrate
 the secret  counsels of Almighty wisdom.   Like the giants of
 old, he heaps up his mountain  upon  mountain,  and with
 audacious vanity hopes to seize upon heaven itself by violence.
 There  is only one path to truth  in science,  and that  is the
 straight but narrow and laborious  path of observation and ex-
 perience.   It is true that false  theories, if without practical
 bearing, may sometimes be useful  as aids to the memory;  but
when they have relation to human life and happiness, they
become engines of incalculable mischief.  Systems of  medi-
cine, therefore, claiming  to be  universal in  their  scope,  as
they are necessarily false, must be of the most injurious prac-
tical  influence, and, though often attractive to the inexperi-
enced by their apparent  beauty and  labour-saving promises
should be  discarded as sweetened poisons poured into  the
very fountain of life.  It is a most grateful reflection, that the 
PREFACE.
11
present tendency of the enlightened part of the profession is
in an opposite direction.   Medical men have at length begun
to enter the Baconian  path.  It is now becoming the fashion
to observe  accurately and extensively, to  collect facts abun-
dantly, to sift these facts by a most rigid scrutiny, to compare
them with  the greatest care, and to draw no  inference which
is not so hedged round  by various defences as to be almost
unassailable."*
   Although  the above  extract  contains some views with
which I may not be able fully to agree,  yet to the most  of
them must be accorded the acknowledgment that they are
perfectly true.   But as these remarks  are not  intended as a
criticism upon the lecture, I shall not enter  into any exami-
nation of these points, but shall proceed at once to inj^fldttfie,
some other passages from the  lecture, which, ^^^^si^f-cf^
marked,  when  considered  in  connection with.;.tne  passage
already quoted, exhibit the necessity of constant wiJj3HSiKes&
not to wander from the Baconian path.      \v
   "It is  true," says the lecturer, "that the horaJB^M^^tblipgaftpi:
disciples of Hahnemann are said to be making consToTeTable
impression on the community;"—" but the profession itself
has not become contaminated, and none  but a few of pecu-
liarly excitable imaginations are ever likely to  yield up their
judgments to  its monstrous  absurdities.  I feel  that it  is
wholly unnecessary for me to  guard you against a doctrine,
which prescribes,  for the cure  of each particular disease, the
medicine most  closely imitative  of the disease  in  its effects
upon the system; and recognises the  greatest  curative effi-
ciency in doses, no matter of what medicine,  varying from the
millionth to the decillionth of a grain.   Luckily for the  dupes
of this imposture, the  enormity of the first branch  of the hy-
pothesis is neutralised by the almost inconceivable folly of the
second."
   "It would  be folly to deny that patients recover in the
hands of the homoeopathists ; and I believe that a much larger
  * Introductory Lecture to the course of Materia Medica, delivered
m the University of Pennsylvania, November 6, 1837. 
12
PREFACE.
 proportion recover than under the treatment of irregular prac-
 titioners in general.   Nay, I will go further, and admit that a
 disciple of Hahnemann may be  more successful than a very
 ignorant and unskilful physician, even though the  latter may
 take rank in the  regular corps.  But what is the  real cause
 of this apparent  success?  I have too good an opinion of
 your common sense to suppose, that you can for a moment be
 disposed to ascribe it to the infinitesimal doses administered to
 the patient.  Can any one of you  possibly believe, that the
 decillionth of a grain of any medicine kept in the shops, a por-
 tion far too minute to be visible  to the naked eye, and which
 the most powerfully magnifying  microscope would be insuffi-
 cient to detect, is capable of producing the slightest impres-
 sion on the system ?"
   Philosophers, at  the time when Bacon lived,  were  very
 much  in  the practice of deducing the facts  in nature  from
 their imaginations, opinions or reasoning.  It was the desire
 of this philosopher to correct a practice so little adapted to in-
 crease  the amount of knowledge,  and so well  calculated to
 lead into error.  Let us see  how  far the learned professor,
 whom we have just quoted, has  wandered from the path of
 which he approves.   We find that he considers  it unneces-
 sary to guard  the medical  class  against a belief in the  facts
 of the cure of diseases  by remedies which can  cause similar
 diseases, and by the operation of infinitesimal doses, because of
 the enormity of the former and the folly of the  latter  fact.
 From any belief in these preposterous facts the common sense
 of the students is to save them.  Here the lecturer  expresses the
 opinion that the common sense of young men, whose feet have
just for the first  time pressed the  threshold of  the temple of
 natural science, is sufficient to enable them  to  decide  upon
 what are the facts in nature.  All are not possessed of com-
 mon sense of this kind which introduces  them at once  to
 truth in science by some other way than " the straight but
 narrow and  laborious path of observation  and  experience."
 And those who do not possess it  will be very likely to doubt
 its possession by others,  especially when  they study its bear-
 ings, and reflect that if common sense will enable a  lad to tell 
PREFACE.
13
what dose of medicine will not operate, it must also favour
him with the knowledge of what dose  will operate.  And if
common sense teaches what dose operates, does it  not  com-
municate  the idea of some  action  which  constitutes  this
operation?  Or, in other  words,  does common  sense  com-
municate the word operate to the mind of the student, or does
it communicate an idea of the operation?  If the former, it is
an oracle only for the dose ;  if the latter, the student is able
not only to  tell by his common sense the dose  which  will
operate, but  how  it will  operate,  what  peculiar symptoms
constitute its operation, &c.
  It is needless to expend many words on this matter, as it is
clear  that the lecturer is  inconsistent, in first denying more
than  one path to truth in science,  and that a narrow and
laborious  one, and  afterwards recommending a  highway so
broad  and easy as common sense.  It is to be hoped that this
example may answer  the purpose for which it is here intro-
duced, of showing  to us, in a prominent point of view, the
strange inconsistencies into which  we  may run, if, while
we recommend the Baconian  path, we allow prejudice and
common sense, instead  of  observation  and experience,  to
decide on what are the facts in nature.
  Whenever a person, who is unacquainted with the science
of medicine,  urges  the enormity of the doctrine of curing a
disease by "the medicine most closely imitative of the disease
in its  effects  upon the system," he is to  be excused, because
his ignorance of facts in medicine  is pardonable.  It is not
his business  to  be  acquainted with  them.   And  if he talks
foolishly, as most men do when they  attempt to talk learnedly
of those things of which  they are ignorant,  he only deserves
the rebuke;  une  sutor ultra  crepidam?  But the case is
different in respect to the physician whose business it is to be
acquainted with facts in medicine.  If he is ignorant of these,
he  is  censurable, because his patients and  the  public  may
suffer from  his ignorance.   And  if being  acquainted  with
them, he draws erroneous deductions from them in support
of  error or  in opposition to truth,  it becomes the  duty of 
14
PREFACE.
 others, while they may lament the error, to assume the un-
 pleasant task of exposing it.
   It is well known that purgatives often cure diarrhoea, and
 that emetics  sometimes subdue vomiting.  It is  not impro-
 bable, therefore, that  every  physician who  proclaims the
 enormity of the principle similia  similihus  curantur, has
 been guilty of the enormity of giving medicines for the cure
 of a disease very similar to that which they produce.   What
 is purgation but diarrhoea or a very similar disease ?   The
 explanation that purgatives remove the acrimonious or irri-
 tating contents of the bowels, which the previous disease was
 insufficient to effect, gives them no  support.   For admitting
 the  supposition  of the  presence of irritating matters in the
 bowels, these, when not the ingestse, must be  morbid secre-
 tions, from disordered action  in the secretory  vessels which
 must  be corrected  before the disease can be  cured.  It  is
 therefore evident that the remedy which  cures the diarrhoea
 must also cure  the disorder of the  secretory vessels.  Now,
 that purgatives  do act on these vessels, no physician  will
 have the hardihood to deny; and the effect of this  action as
 closely resembles the original disorder, as the purgation re-
 sembles the diarrhoea.  If, then, the cure of a diarrhoea  is
 effected by a  purgative, is it not a  "medicine most  closely
 imitative of the disease in its effects upon the system," which
 has removed the disease ?
   To the physician who views this subject dispassionately,
 the enormity of the homoeopathic doctrine will  not appear so
 very glaring;  especially when, in addition to the matters just
 mentioned, he recollects the fact, that if a medicine be found
 to operate positively and decidedly upon any organ, it is very
 soon experimented upon  in various diseases  of such or«an.
 Thus, secale cornutum being found to exert a powerful action
 on the  uterus during  parturition, it has been tried in almost
every variety  of  disease of that viscus.  And this  is done
 because it does not appear to be a very great enormity to sup-
 pose that the remedy should act upon the diseased part.
  As morbid action  in any tissue or organ is mostly known
only by the symptoms or sensations produced by such morbid 
PREFACE.
15
action, and as these symptoms or sensations differ in seat or
character  as different parts are affected, it may be presumed
that, when the same symptoms and  sensations appear,  the
same parts are affected;  and that  if a remedy produces  the
same symptoms as a disease, it acts upon the parts affected by
the disease.  Whether it is more  proper to  give a remedy
which  thus acts, or one that operates upon a distant part,- is,
after all, a matter for experience to decide; and as my own
observation and  experience are very much in favour of  the
former, I think it right  to recommend the treatment  of  dis-
eases  by  remedies  which are capable of producing similar
symptoms.
   For the proper modes of proceeding in the treatment of  dis-
ease on homoeopathic principles, the physician is referred to
the Organon, which has been  translated  into the English
language. For the prosecution  of the practice, the works on
the Materia  Medica are  proper;  but as  these  are not  yet
translated, the physician can employ Jahr's Manual as a very
valuable  substitute, until they  can be placed in his  hands,
which I have reason to believe will shortly be done.
   Before  concluding this preface, it will be proper to acknow-
ledge  the important aid  I have received from the works of
Haas,  Glasor, and Riickert, in their references to cases.   But
the cases  have all been  examined  in, and translated from the
original  reports  in  the  Archiv, Annalen, or other  works,
except a few which were contained in books that were not in
my possession :  these I  have translated from Riickert's The-
rapie.   To Hartmann's Therapie I have been  frequently
obliged for information, especially on diseases in relation to
which  the information to be derived  from  other sources  was
very deficient.
   The plan  of  this work,  though  most nearly resembling
that of Riickert,  is different from  his or any  other: whether
it is preferable,  is  to be decided by  those who shall be ac-
quainted  with both.  An alphabetic arrangement of the lead-
ing articles has not, however, enabled me to  dispense with a
general index, though it will often  obviate the necessity of
a reference to the latter.  It will be observed that inflamma- 
16
PREFACE
tions of important  organs  are, with a few exceptions, treated
of in  the articles  headed  with  the English names of the
organs.  The reason why I have chosen the English appel-
lations of these organs is, that they are those which are ap-
plied to them by the professors of anatomy in  our medical
schools.  In  doing this, and in adopting,  except  in  a few
instances, the most commonly employed names of diseases, I
have been actuated by the desire of rendering this as con-
venient a work of reference to the physicians of this country
as possible.
  The abbreviations of the names of the remedies will be
readily understood, but  those which express the dose may
need some explanation.  In marks  like the following, 2| 12:
the figure on the  left of the line designates the number of
pellets, and that on the right, the  dilution.  The mark gtt.
means  a drop or drops, while gr. means  a grain or grains in
weight.  The number  of grains or drops  is shown by the
figure  immediately following; and the  second figure  desig-
nates the dilution or trituration.  Thus, gtt. i. 6 expresses a
drop of the sixth  dilution, or gr.  i. 3 a  grain  of  the  third
trituration.
  For the valuable remarks  and cases which are marked G.
or Green, and which are included in marks of parenthesis, I
am indebted to Doctor Jonas Green.
  The cases marked J. are from my own practice. 
HOMOEOPATHIC
PRACTICE  OF   MEDICINE.
                 ABORTION.

  When the symptoms which accompany the process
of abortion make their appearance, the proper treat-
ment  consists in the employment of  those means
which may arrest its progress.   The remedies which
have  been found most  successful in effecting this
object, are: cham.,ferr., ipecac, sabin.
  The physician is often not called until abortion has
occurred, or the process is  so far advanced that it
must  ensue.  But,  even in  the latter cases, the ad-
ministration  of  the  proper  remedies for  arresting
abortion is not improper, as the primary operation of
these  may expedite  the completion  of the process
and diminish the sufferings of the patient.
  Where abortion has actually taken place, the treat-
ment  must  be directed against its unpleasant con-
sequences.   The most  common  and important  of
these  is uterine  hemorrhage, which  may  be  sup-
     2 
18                  ABORTION.
pressed by cham., crocus, salina,  secal, calcis carb.
Other  consequences of abortion or of its accompany-
ing hemorrhage  must  be attacked, by the remedy
adapted  to  the  peculiar  morbid  condition.   Thus,
bellad.  2|30  has removed debility, paleness, heat  in
the head and body, palpitation  of the  heart,  thirst,
pressing in  the head, constriction of the breast and
restlessness  occurring in  a  patient after abortion.
And bryon.  has cured dulness of the head and con-
stipation supervening miscarriage.
  In many instances, abortions occur in a number of
successive pregnancies,  and frequently at the same
period  of gestation in each.  In some instances it has
occurred in every pregnancy.  There must exist, in
these cases, a morbid predisposition to abortion. The
removal of this predisposition is often within the power
of homoeopathic medicine, which is not merely capable
of sometimes arresting the process when it has com-
menced,  but can also, and perhaps with even greater
certainty, prevent its commencement; except under
such circumstances as would generally induce abortion
in persons who possessed no uncommon predisposition
to it.   The  remedies employed  for  this purpose  are
sabina  and secale.  Nux v. and cinch., in alternation,
were employed successfully in a case, by Hartmann.
But in some cases the  uterine disorder upon which
this predisposition depends, may be sustained in spite
of these remedies, by its association with other chronic
morbid conditions  of the system, and hence other
remedies may be requisite.  In these instances, when
there is a hemorrhagic disposition in the vessels of the
uterus, calcis carb., carb.  veg., or lycopod., may  be
indicated; but where there is no evidence of a hemor-
rhagic disposition, sepia, silex or  zinc. 
ABORTION.
19
   Chamomil  Case.  In the seventh week of preg-
 nancy, chill, restlessness,  labour  pains and  some
 bloody discharge; from taking cold.   Cham. gtt. i. 2,
 speedily removed the threatening symptoms. Perfect
 rest and a repetition of the dose after forty-eight hours
 completed the cure.
   Ferrum arrested abortion, marked by fever, labour
 pains, and some bloody discharge.
   Ipecac. 2, followed by sabin. gtt.  i. 15, effected the
 same result in.a  case similar to the  one relieved by
 ferrum,  occurring in a woman  in whom abortion
 had occurred in the fourth month in three successive
 pregnancies.
   Sabina. Case.  To a woman of tender and irritable
 constitution who  had repeatedly miscarried before the
 third month, sabin. gtt.  i.  12, was given as soon  as
 she found herself pregnant, and every month till the
 eighth the sabin.  was repeated.  In the fourth month,
 after  violent mental  emotion, labour pains without
 hemorrhage appeared, but were speedily removed by
 sabin. gtt. i.  9.   At the proper period she gave birth
 to a perfect and healthy child.
   (In several cases of threatened abortion, at different
 periods of pregnancy, I  have promptly arrested the
 symptoms by the administration of sabin. 30. G.)
   Secal. 12, given on the first cessation of the menses
 and repeated every fourteen  days, till the  period  at
 which abortion usually  occurred had passed  oyer,
 has, it is  said by Hartmann, prevented abortion in
 many cases.
   In  a case  of  profuse  hemorrhage after  abortion,
where the patient appeared almost exsanguine and ex-
cessively debilitated, secale in a low dilution promptly
arrested the discharge.  The patient fell into a tranquil
                                          2* 
20
ANGINA STRIDULA.
sleep, from which she awoke after some hours, much
refreshed.

       ANGINA STRIDULA.   CROUP.

 Angina trachealis. Cynanche trachealis.  Angina membranacea.

  " The symptoms of angina membranacea are found
reflected in the Materia Medica Pura,  among the
symptoms which  spongia usta and  calcis sulph. pro-
duce : and I have  discovered that these in alternation,
and in the smallest dose, cure this  fearful disease of
childhood.''—Hahnemann.
  " Homoeopathia has discovered a very valuable ap-
plication of the spong. ust. against that fearful disease
of childhood termed  angina membranacea. The di-
minution of the local inflammation by the previous
use of aconit. is requisite. The collateral employment
of calc. sulph. will, sometimes, be found unnecessary."
—Ibid.
  Case.   A boy,  set. 8  ann.  of tender and  delicate
constitution, was attacked, after exposure to a current
of cool air, with hoarseness, pain in the throat, dry
cough with a harsh sound, and at night febrile heat.
He continued to grow worse, with morning remissions
and evening exacerbations, till the evening of the 4th
day, when he  had a severe  chill,  followed  by hot
fever.
  The cough had a deep  sounding tone, the voice
hoarse and utterance  inarticulate.  Towards morning
perspiration broke out, with a  slight abatement of the
violence  of the symptoms.   At noon a new exacer-
bation so violent, that the parents, who had been de-
ceived by the morning remissions, sent in great haste
for Dr. Gross,  who saw him towards evening.  The 
ANGINA STRIDULA.
21
child then had the loud shrill breathing characteristic
of croup.  His head bent back—stupor: violent heav-
ing of the chest in inspiration, with strong action of
the shoulder blades.   At  intervals he raised himself
suddenly up, seized with great anxiety whatever  was
nearest  to him in order to obtain support and relieve
his breathing:  then succeeded dry coughing with a
rough stridulous sound, much heat and thirst, though
drinking always  excited fresh attacks of cough; the
pulse was mostly hard, but at times weak and inter-
rupted ; the urine red; bowels not open.   With the
difficulty of the respiration, the  countenance became
deep red or  livid; the carotids  pulsated violently:
and cold clammy sweat appeared on the forehead and
temples. After each paroxysm of coughing, the patient
moaned and touched his throat  as if pained  there:
over the larynx  a red elevated spot appeared about
the size of a penny.  Efforts to vomit, and sometimes
even vomiting, occurred, especially after coughing.
   Treatment.  Cak. sulph. gr. i. 2. was immediately
administered. Dr.  G.  remained all night  with the
patient, and observed that in three hours all the symp-
toms, which in the natural course of the disease must
have been aggravated, were evidently subsiding; and
in the morning,  there was a marked remission.  At
the  end of sixteen hours, tr. spong. ust.  gtt.  i.  10 was
given, and some time after a smaller dose of cak. sulph.
On  the third day the child was allowed to  go out,
there being only a slight hoarseness left, which passed
off the next day,  leaving the child perfectly well.
   Dr.  Rummel cured numerous cases of croup with
aeon. gtt. i.  24, followed six hours after  by tr. spong.
ust. gtt. i.;  and two days after for the remaining
hoarseness calcis sulph. gr. i. 2.  He concludes his 
22
ANGINA STRIDULA.
remarks by observing that so far as his experience
goes,  the homoeopathic  treatment is certain; for all
patients submitted to it have recovered rapidly—" I
reckon, (says the doctor,) the efficacy of aeon.,  calcis
sulph. and spong. to be the most certain that practical
medicine can show."
  Dr. Stapf also says that he has convinced himself,
in many very serious cases of croup, of the eminent
curative efficacy of the smallest doses of aeon., spong.
usta and calcis sulph.
  In the power of these remedies, Dr. Hartmann and
all other practical homceopathists fully concur.
  Phosphorus proved highly serviceable in a case of
croup, where, notwithstanding the administration of
the aconit., spong. and calc. sulph. the patient still re-
mained in great danger.  Phosph. 3|30 was given in
alternation with calc. sul. and spong. with an interval
of half an  hour between the doses.   After the third
dose of phosph.  there was  considerable aggravation,
followed  by  some expectoration  and  speedy relief.
Dr. Gross, who treated this case, remarks that  "it
was the worst case of croup which he had observed.
In  all other  cases,  even those  attended with  great
danger, he had always succeeded with the previous
medicines."
  Nearly  allied to croup is that disease  of the re-
spiratory organs described by Hartmann  and  other
German writers under the title of Asthma Millari. It
is a sporadic  disease, and has a very distinct forming
stage: there  is  no important pain;  and the cough,
when present, is more dry, dull and hollow, than that
of croup, with little fever.   This disease depends es-
sentially on a spasm of the lungs, and generally makes
its  attack in the winter or  after  taking cold.  Some- 
       ANGINA FAUCIUM ET ANGINA TONSILLARIS.   23

 times the catarrhal symptoms are slight, with attacks
 of severe suffocation, which intermit; the  voice is
 hoarse, and swallowing difficult,
   Sambucus is the  appropriate remedy when, upon
 awaking, the patient, with half-shut eyes, can scarcely
 breathe, must sit up, and then breathes in a very hur-
 ried  manner  viftth a shrill piping sound,  as though
 suffocating.  He throws his arms about; his face and
 hands become bluish and tumid;  he is hot but not
 thirsty.   Whining attends the paroxysm, but seldom
 is there any cough.
   Sambuc. in doses of a drop of the  diluted juice,
 has afforded speedy relief.
   Hartmann also recommends ipec. in repeated doses,
 ignat., puis., nux, opium and mosch.

       ANGINA FAUCIUM ET ANGINA TONSILLARIS.
Cynanche faucium.  Cynanche tonsillaris.  Inflammation of the throat.
                Inflammation of the tonsils.

   Bellad.  is the most important remedy for the treat-
 ment of inflammation of the throat and tonsils.  When
 the inflammatory fever is considerable,  it should be
 preceded  by  aconit.   There are,  however,  many
 forms of the disease which demand other remedies.
   Barytes  carb. 3|30 cured in two  days an  angina
 tonsillaris, in  which bellad. proved of little service.
   Cham,  is the proper remedy, when the inflamma-
 tion of the fauces is accompanied by  a sticking, burn-
 ing pain in the top of the throat, with some hoarseness
 of the voice, tightness of the chest, tickling irritation,
 and hacking cough.
   Dulcam. is useful in inflammation of the throat
 accompanying catarrh. 
 24    ANGINA FAUCIUM ET ANGINA TONSILLARIS.

   Ignatia  has been employed with advantage when
 the tonsils were swollen and inflamed,  with many
 small  ulcers  on their surface;  tongue coated with
 tough white mucus; sticking pain extending to the
 ears, especially whilst swallowing.
   Merc.  gr. i. 2.  Fauces reddened but not swollen :
 pain in the throat: pain in the  parotids and in the
 muscles  on the sides of the neck; frequent hawking
 up from the fauces of lumps of mucus; fever.
   Merc.  2|12 cured an inflammation of the throat so
 considerable that it required great exertion to speak
 or swallow; and attended by salivation.
   Merc. 1|12.  Pressing, sticking pain in both tonsils
 increased on swallowing, and extending to the ears.
 Tough mucus, with a disagreeable taste in the mouth
 and throat, causing constant spitting.  Bad odour of
 the breath. Great dryness of the mouth and throat,
 constant  thirst, disagreeable eructation, constipation,
 hot skin.
   Merc.  In a case where with  many of the above
symptoms there was a hateful mercurial odour of the
mouth.
   Merc.  In chronic and habitual  inflammations of the
throat,  which are aggravated by cool air and worse in
the night, with sticking pain on empty swallowing.
   Nux v.  In angina uvularis,  and also in a. tonsil-
laris when this is connected with catarrh.
   Pulsat. when the colour of the inflamed parts is of a
dark instead  of a bright red, and there is a varicose
 condition of the vessels.   Also in angina accompany-
 ing catarrh.
   Mangan. acet., rhus and sabad. have also been found
 useful in angina; sepia is recommended against the
 disposition to frequent return. 
ANTHRAX. ANUS.  APHONIA.
25
                  ANTHRAX.

  Arnica 1.2 has cured this disease in three days.
  Arsen.   Anthrax  returning periodically  in  the
spring of the year.
  Nux v. with the aid of arnica has proved useful.
  Silex.  Case.  A woman sixty years of age  was af-
fected  with an anthrax, which removed nearly the
whole  of the integuments of the spinal process of the
fourth  cervical vertebra, accompanied with  great and
general debility.
  By  means  of silex, and  daily washing with pure
water  and dressing  with dry  lint,  the  disease was
entirely cured in three weeks.

                      ANUS.
  Ani prolapsus.  In a boy set. 2 ann. after diarrhoea.
The prolapsed intestine blackish, painful  on being
touched, stools only discharged by  strong  pressure.
Merc, effected a cure.   Ignatia has also removed the
disease.
  Fistula in ano.   Calcis  c, carbo veg.,  nux v.,
sulph., have   been employed  in  this  disease with
advantage.

                   APHONIA.
               Loss or imperfection of voice.

  Inability to speak, in a febrile disease, with some
affection of the throat; bellad. 30 : in a quarter of an
hour the  power  of  utterance  returned, then sleep,
perspiration and a restoration to perfect health ensued. 
26
APHONIA.
 In another case phos. effected a  cure.  Hyosc. was
 found useful in the case of a girl twelve years old, who
 had been affected with chorea St. Viti, attended with
 an inability to articulate, as though the vocal organs
 were paralysed.   The next day she was well.
   Bellad. gtt. ss. 30. and afterwards bryon. gtt. ss. 30.
 cured a case of hoarseness with  inability to  speak
 aloud, from taking cold after measles.
   Carb. veg. is useful in hoarseness which commonly
 appears in the morning upon awaking, and is then
 the worst, also reappearing in the  evening : better in
 warm, but worse in moist, cool weather : aggravated
 by loud or long  continued  speaking and by exposure
 to cold; and sometimes accompanied by considerable
 tickling in the throat.
   I have  employed this remedy with the most bene-
 ficial effects  in hoarseness  such as above described,
 accompanied by pain in the larynx on swallowing.
   Drosera has speedily cured hoarseness and chronic
 cough remaining after measles.
   Dulcam.   Hoarseness from taking cold.
   Manganes effects much good  in the hoarseness
 which accompanies coryza, and which often remains
 after the latter has disappeared.  Also where hoarse-
 ness frequently appears without coryza, indicating an
 habitual disorder of the larynx.
   Pulsat.  Hoarseness with pain in the throat.
   Phosph.  Sudden disappearance of the voice, only
 capable of speaking in a whisper, existing in a com-
 plicated  case of chronic disease,  was removed  by
phosph. 1|30, and the other symptoms improved.
   Sulph.  has proved useful  in  chronic  hoarseness
from taking cold.   Also hoarseness remaining after
measles. 
APHRODYSIA.  APHTHA.
27
   Tr.  acris has frequently cured, when the voice
was so low as scarcely to be understoood.
   Besides the  above  remedies, the  following  have
proved useful.  Arsen., calcis sulph., lach., mere, plat.
sodce mur., spong.

                 APHRODYSIA.
       Functional disorders of the organs of generation.

   Satyriasis,  nux v. cinch.,  camph.  Priapismus,
pulsat.   Oneirogmos, aconit.  acid,  phos.,  conium,
pulsat.   Impotentia, with sexual desire but absence
of erection, camph., acid, mur., cinch.; I. from  exces-
sive venery.  acid,  ph.;  I.  from  onanism,  conium,
lycopod., sepia.; I. with erection without seminal emis-
sion, magnes. pol. austral.; I. with induration of the
testicles; lycopod.,  graphit., sulphur.
   Nymphomania, platin.,  dulc, verat.;  sterilitas,
cannab., calcis  carb., phosph.

                    APHTHAE.

   The following remedies have  been found peculiarly
useful in aphthous affections.  Acid, sulph., borax.,
sulph.   Where the disease is very troublesome in the
throat: mere.  Where the aphthse are of a dark colour:
arsen.
   (An infant, five or six months old, had been afflict-
ed with aphthse almost from its birth.   When I saw
the child, it was extremely emaciated, and very fretful
both  night and  day:  it had frequent fetid, watery
discharges from the bowels, and the secretions from
the aphthous surface were so irritating, that they exco-
riated the  nipples  of its nurse, and left them  in a 
28                 APOPLEXIA.
state  of  ulceration.  By means of acid,  sulph. 30,
given both to the mother and  child,  a complete re-
covery took place in the space of two weeks.  G.)


                 APOPLEXIA.

  A. sanguinea. After apoplectic and paralytic affec-
tions, there is almost invariably a diminution of the
intellectual faculties, and not unfrequently mental de-
rangement.   The following case illustrates the most
common symptoms of this disease and their treatment.
In a plethoric man sixty years of age,  of cholero-san-
guineous temperament, there occurred, coma, stertor,
dilated pupils, froth at the mouth, quivering of the
lips  and full hard pulse—Bleeding had been resorted
to; then ipec.  6. gtt. i. every two hours till three doses
were taken, which was followed by vomiting of bile
and  mucus,  and a discharge  of  faeces and urine.
Voluntary motion and sensibility returned.  Bellad.
was  now given  to remove the remaining apoplectic
condition.  For  the mental disorder, depraved vision
and other symptoms am., stram., hyosciam. and mere.
were given,  which effected a  perfect restoration to
health.
  As a preventive, when  premonitory symptoms of
this disease occur, aeon, is unsurpassed.  Schubert re-
commends in proper cases coffea for the same purpose.
Hartmann says, that those remedies, which are most
useful in the  treatment of the disease  act also as pre-
ventives': viz. aeon., nux., coffea., bellad., ipec, arnica.
  In the apoplexy of advanced age, bellad. has proved
eminently useful, even when administered as the first
remedy,  though as a general rule it ought to be pre- 
APOPLEXIA.
29
ceded by aeon., ipec, am., coffea, opium, or some other
remedy.
  Haas mentions  the  case of a person eighty-four
years of age, who was  cured by three doses of baryt.
acet. 1|1 and  1|2.   Hartmann  speaks  of baryt. carb.
as a useful remedy.
  Dr. M. Miiller recommends am. as a highly valu-
able absorbent remedy  for the removal of the extrava-
sations which so frequently occur in apoplexy. The
tr. arnica, gtt. i. 9, to four ounces of water, has been
applied externally to the  head for this purpose, with
the happiest results.
  A.  nervosa—characterised,  according  to Hart-
mann, as  follows: It  occurs in sensitive nervous
systems, after debilitating causes or depressing  pas-
sions, is preceded or accompanied by twitching and
trembling of the lips and limbs, drawing and pain in
the neck, hips and extremities, sinking or  distortion
of the  eyes, contraction  of the  pupils, interrupted
sleep, gnashing of the teeth, ringing in the ears, dys-
phagia, obstinate constipation,  great debility, syncope,
a small and commonly a slow pulse, pale  sunken
countenance, with pointed nose and hollow eyes, res-
piration not rattling  or stertorous.   This  condition
often passes into lethargy, palsy,  and mental or other
nervous derangements.  Merc,  bellad.,  am.,  coffea,
hyos., stram. are the chief remedies.
   Accompanied by great gastric and hepatic derange-
ment, nux v., try on., ignat. and ipec. are to be em-
ployed according to their respective indications.
   A.  serosa is best treated by means of am., ipec,
dig. and mere  Lauroceras is mentioned as likely to
be  a  remedy of great  utility,  and Hartmann  recom-
mends carb. veg. 
30                  ARTHRITIS.
                    ARTHRITIS.

     When the symptoms of gastric  derangement  are
  most prominent, the  appropriate remedies  will be
  found  among those, which are useful in the removal
  of disorders of the stomach, premising their use, when
  inflammatory fever  is present, by the administration
  of aeon.  Among these, nux v., bryon., pulsat., ignat.,
  cham., bellad., cinch., antim. crud., and sulph.,  deserve
  especial consideration.
     A. nodosa. Ledum and staph, are indicated.  Schu-
  bert mentions  that he has derived advantage from
•  aurum, digitalis, bryon., nux v. To remove the concre-
  tions, Hartmann has successfully used tr. acris, repeat-
  ed every eight days, till five or six doses were taken.
     A. vaga.  Pulsat. and sabin. are proper.
     A. in a  chronic form with diminished secretion of
  urine,  sarsap.  A.  with exacerbation on becoming
  warm  in bed, ledum.  A.  with exacerbation in the
  morning,  nux v.—in the evening pulsat. A. with
  exacerbation or first appearance  of pain,  on moving
  the affected part, bryon.   A. with amelioration of pain
  by the  exposure of the affected part to cool air, pulsat.
     Chiragra, staph., mere, mgs., magnes. aus.
     Gonagra, bryon., coccul, tr. acris, led., cinchon. and
  puis.   When the  pain is flying, sticking, puis., coccul.
  When at  the same time the foot as well as the knee
  is swollen,  cinchon.
    Ledum has been known to cure a case of hard gouty
  swelling of the knee in less than twenty-four hours.
    Podagra, the foot  being swollen and hot, bryon.
  When  the  pain is confined principally to the great
  toe, led., am., sabin., verat. 
ASTHMA.
31
  When stiffness of the knees, which prevents squat-
ting down,  remains, sulph., coloz. or graph, may be
indicated.  The following are recommended by Hart-
mann in arthritis, without stating the particular indi-
cations for their use. Rhus., dulc, con., spong., siann.,
sir am., guaiac, arsen., chelid., calcis acet., rhododend.


          ASTHMA, DYSPNCEA, &c.

  Ambra has  been  employed  with  advantage in
asthmatic affections,  especially in  children  and in
scrofulous subjects.
  Ammon.  c has operated  very beneficially in asth-
matic disorders, and especially in those combined with
hydrothorax.
  Arsen. Case occurring in a young man from fatigue
and exposure to cold.   In stormy or moist weather, or
from  warm  and  tight clothing,  or by change from
warm to cold, or by rapid walking,  or even by laugh-
ing or walking against the wind; paroxysms of con-
striction of the breast, or loss of breath, which com-
pelled him  to stand still.   At the same time he  felt
anxiety  and pressure  in the breast; was alternately
cold and hot,  These symptoms began to abate as
soon as he began  to expectorate a white frothy mucus,
and gradually disappeared.   If during the paroxysm
he  entered  a warm room, its severity was  increased.
The disease was of five years' duration, and no medi-
cine had afforded him any relief.   Arsen. 6|30 in six
ounces  of water: a table-spoonful  daily, had  almost
cured him,  when  rapid  walking  induced a slight
relapse.  Three doses of arsen. 3|30 were given at in-
tervals of eight days, by which he was perfectly cured. 
32
ASTHMA.
   In a man set. 32 ann.   Tightness of the breast—he
felt  as if he never  had sufficient  air in the lungs.
Pain and pressure at the epigastrium as if too much
compressed.  By every movement, loss of breath with
anxiety and debility. The disease  was of one year's
duration, and was complicated with cephalalgia, gas-
tric  derangement, inability to  sleep  at  night on ac-
count of  cough  and dyspnoea, great  debility, and
anxiety and depression of mind.  After a single dose
of arsen. the disease  gradually disappeared, so that at
the end of four weeks he was well, without the aid of
any other remedy.
   Arsen. 5|30 cured  a case in which  the paroxysms
appeared  mostly at  night,  and at the farthest every
three weeks.  Constriction of the breast and trachea,
great anxiety, inability  to lie  down, decline of the
symptoms on the occurrence of expectoration—com-
plicated with flatulent colic and abdominal cramps.
   Arsen. 1|30 cured asthma of eight years' duration.
Wheezing expiration on lying down at night, con-
strictive pressure in the breast and trachea, compelling
to sit up and lean forward, with anxiety and general
sweat, continuing till after midnight; afterwards light
slumber interrupted  by frequent waking with burn-
ing pain or soreness  in the  breast.
   Bellad. is useful in some asthmatic affections, espe-
cially in irritable constitutions when there is a dis-
position to convulsions, and particularly in  females.
   In the  case of an old  man affected with dyspnoea,
inability to lie down on account of  oppression of the
breast;  dry  cough day  and night—vertigo; gastric
derangement; and constipation; bellad. proved useful.
   Bryon.  In a case of sixteen years' duration.  Asthma
occurring towards morning, with inability to lie on 
ASTHMA.
33
the right side during the paroxysms, relieved by sitting
up, but aggravated by walking.   Complicated with
dyspepsia; alternating costiveness and diarrhoea;  and
periodic flatulent colic occurring about two or three
o'clock in the morning.  Bryon. 10, followed in fourteen
days by nux v. 20, and  continued in alternation in
smaller doses, effected a perfect cure in less than eleven
months.
   Cannab. 2|30, a dose daily for a week, effected a cure
of periodic asthma in a man set. 60 ann.   During the
paroxysm he had to stand with his body slightly bent
forward, at an open window, to prevent suffocation.
Nux v., sulph., sepia, potass,  c had been previously
employed with only temporary benefit.
   Cham,  is adapted to the oppression of breast and
suffocative attacks from  exposure to cold,  as also to
the asthmatic symptoms accompanying flatulent colic
in children.
   Colchic. has proved useful in asthma.
   Cuprum. Case in a woman set. 30 ann.  Constant
dyspnoea with  a sensation as if the clothes were too
tight  over the epigastrium,  shortness  of breath on
walking fast or going up stairs.   Paroxysms com-
mencing generally with singultus.   Such oppression
at the  breast  that she  could  not speak and could
scarcely breathe.   Face red,  tumid,   and covered
with hot sweat.  Respiration  rapid, with a whooping
sound and  almost spasmodic  action of the abdominal
muscles.  When the paroxysms, which endured half
an hour or longer, had attained their height violent
convulsions occurred.  The  attacks were excited by
fright or grief, and most readily about the commence-
ment of menstruation,  which was more copious  and
longer continued  than it had been while  she  was
     3 
34
ASTHMA.
healthy.  When the paroxysms commenced she could
not sit up, but had to hasten to lie down.  The patient
was of an anxious and timid disposition.  Cuprum 30,
and at the end of four weeks she was nearly well, only
at the access of the menses she still had a perceptible
disposition to convulsions;  mere gr. i. 2 with return
of strength and  cheerfulness, as also of the menses to
their normal quantity  and duration.   A paroxysm
subsequently occurred from the inhalation of the dust
of verdigris, but mere. gr. i. 3. repeated after fourteen
days effected a perfect cure.
   Cuprum has  also relieved a spasmodic oppression
of  the  breast  in children after  exposure to cold.
Dyspnoea, short, rapid,  superficial respiration, with
spasmodic cough, and rattling of mucus in the breast.
Pain in the epigastrium on pressure, oppression in-
creased on lying down in  the  evening.   In the  pa-
roxysms of coughing, wheezing inspiration.
  Ipecac, is an important remedy in the treatment of
that form of oppression of the breast, in children,
which has been termed Asthma  Millari.  See the
conclusion of the article angina stridula.
  It has also cured a spasmodic asthma occurring at
night.   It was given every  evening for four weeks in
the dose of gtt. i. 3.
  Lachesis.   Case.  In a man set.  60 ann.  Waking
up, after midnight, with oppression of the breast, and
slow, difficult and wheezing  respiration.  He had to
rise from  bed and sit leaning  forward.   Lach. 1|30
removed the asthmatic affection.
  Lobelia inf.  In the case of a married lady set. 38
ann. the mother  of several children.  She had suffer-
ed since her childhood from  dyspnoea, increased by
any active exertion, by going up or down stairs, by 
ASTHMA.
35
exposure to cold, and eating very warm food.   Pain
in the left lumbar  region of the  abdomen (also from
childhood).   Within the last year, constant burning
in the stomach and throat, with a sensation of dryness
in the latter, as also of a lump in the pit of the throat
which impeded respiration and deglutition.   Weak-
ness  and  oppression  in  the  epigastrium with other
symptoms of gastric derangement.  Urine of a deep
red, depositing a copious red sediment.  Lob. inf.
4|6 was given in the evening, and by next morning
the sensation of lump  and burning in the  throat,
together with the dyspnoea, had greatly diminished,
and in a few days entirely disappeared.  The urine
also became perfectly normal in appearance.  She
has continued well ever  since, now more  than eight
months, without perceiving a trace  of the asthmatic
symptoms and pain in her left side, which she had
experienced from childhood.
   In  the  case  of  an unmarried  lady,  set. 38 ann.
Asthma for  four years.   Dyspnoea, her  breath  so
short that she could use no active exertion.  Dyspnoea
increased by exposure to a draught of air, by washing
her face, either in warm or cold water, by eating food
difficult of digestion, or by trifling exertion. A sthmatic
paroxysms, occurring most commonly at ten or eleven
o'clock at  night, next in frequency in the morning;
but sometimes at other periods of day or  night.  The
longest interval between the paroxysms was a week;
and there  never occurred more than two in twenty-
four hours.  At the commencement of the paroxysms,
frequent hacking cough, without expectoration, which
became almost spasmodic, and was accompanied by a
tolerably copious  expectoration  of  thin, colourless,
transparent mucus towards its close.  Loud wheezing
                                         3* 
36
ASTHMA.
or whooping respiration and hoarseness or flatness of
the voice when she attempted to speak.  Duration of
the paroxysms from three quarters of an hour to an
hour.  Accompanying them there was a sensation of
oppression at the epigastrium extending  upwards to
the  middle  of the breast.  She felt  also a rattling
under the middle of the sternum during  the attacks.
At all times she had an aching pain, which was some-
times also  burning and  cutting, in the  left lumbar
region midway between the iliac and hypochondriac
regions, with pain of the same character  in the back
about the lower dorsal vertebra.  Pressure  at  this
point increased the pain in the left side, but not  that
in the back.  The pain of the back extended farther
to the right side than to the left. Pain in the forehead
passing round from one temple to the other; worst in
the paroxysms.   Urine high coloured,  scanty,  and
speedily depositing a copious red sediment. Menstrua-
tion nearly normal.   Appetite good ;  bowels regular.
Lob. inf. 12|15 taken  at night on going  to bed,  pro-
duced great improvement, but on account of the return
of a severe paroxysm, the medicine was  repeated at
the end of ten days.
  In a  few days more the urine was of normal ap-
pearance.  The pain  left the back.   The disposition
to violent dyspnoea from exposure to slight cold dis-
appeared; she could wash herself freely in cold water
without the  slightest inconvenience.  The habitual
dyspnoea was removed, so that she could walk in an
ordinary gait without being  troubled with shortness
of breath.   But the asthmatic paroxysms continued
to recur, but much more seldom and much  lighter,
and this is the case at the present time.  Lob. 6 or 15
always abates the violence  of the  paroxysms  and 
ASTHMA.
37
shortens their duration.  Within the last six months,
I have twice had occasion to employ arsen. in her case,
for the cure of acute diarrhoea, connected with gastric
disorder, the  cause of which was unknown.  On both
occasions which  occurred  a month apart, the arsen.
answered the purpose for which it was given, but did
not appear to alter the  asthmatic affection.
  Although the case just narrated is not one of perfect
cure, yet it appears to me to be still important, since
the relief is very great, notwithstanding there exists
a strong family predisposition  to the  disease in this
patient.  One of her sisters, after suffering for a long
time  under asthma, died  of hydrothorax; and  the
daughter of  another sister had suffered  with  asthma
from her infancy, notwithstanding much active treat-
ment, until about  two months since, when she was
brought to me by my patient,  her  aunt.   A single
dose  of lob.  inf.  6|15  without  any rigid attention to
the diet, effected an almost sudden cure.   The child,
now about twelve years old,  boasts that it can run
about as well as its play-fellows.  Its general health
has also strikingly improved.
   The symptoms which I have found most strongly
to indicate the lobelia, are constant dyspnoea, which
is increased by  slight exertion, and  aggravated so
much by slight exposures to  cold, as to  form a kind
of asthmatic paroxysm.   A  sensation of oppression
and weakness at  the epigastrium, extending upwards
from thence into the breast, with or without  pyrosis
and cardialgia.  A sensation of a lump or quantity of
mucus, or  of pressure,  in the pit of the throat.  A pain
extending  around the forehead from one temple to the
other.  Pain in the back about the lowest dorsal ver-
tebra.  Pain in the left flank.  High coloured urine. 
38                   ASTHMA.
  In  three other cases besides those just mentioned,
cures have been effected by single doses of lobelia.
In one of these the health remained good at the end
of eighteen months.  In another the disease recurred
after  three months, from  dissipation and  exposure.
The other case  is of but recent date.   One case has
occurred  where  several doses  were required, and
in this instance the pain in the back, which existed
from  childhood,  did not yield entirely to the lobelia,
but was finally cured  by mere.  gr. ss. 3, in repeated
doses.
  I have had sufficient opportunities to satisfy myself
that the dypnoea of phthisis does not always depend
entirely  upon obstruction  or disorganisation of the
lungs, but that  it often is, in part, of the same cha-
racter as  the  dyspnoea above described; for in cases
which were  complicated with gastric  disorder and
sensation of weakness at the epigastrium, lobelia has
very considerablely lessened the dyspnoea,  and im-
proved the condition of the stomach.  J.
  Nux v. In a man set. 44.  Case  of thirteen years'
duration.   Patient had been under  the care of many
physicians.  Dyspnoea on exercise.  Upon attempting
to lie down in the evenings, suffocating asthma; he
had  to leave  the  bed, and sleep sitting on a chair.
Towards  morning increased oppression, he could no
longer sit, must rise from his chair and prop himself
with  his hands  against  a  table,  and in this position
await the termination of an hour-long paroxysm. Sen-
sation of stricture of the chest, and load on the breast;
respiration slow,  and accompanied with a whistling
sound.  Violent cough, felt painfully in  the head and
abdomen.  Loss of appetite, disagreable taste in the
mouth; flatulent, and acid eructation; nausea, and 
ASTHMA.                   39
dispositon to vomit; distension of abdomen, and press-
ing pain in the epigastrium; costiveness:  hard black
stools mixed with blood, and mucus; alternating with
most  unpleasant diarrhoea with small mucous stools.  /
Bloated, sallow countenance.   Fretful and easily ex-
cited  to anger,  with  consequent  increase  of his
dyspnoea.
  Patient had used coffee very largely as a palliative.
After several  weeks of  homoeopathic regimen nux
v. 15, with temporary aggravation, and  subsequent
rapid improvement and perfect cure.
  Nux v. is most frequently indicated in the asthmas
of hysterical and hypochondriacal subjects; in those
spasmodic affections of the chest, where turning from
one side to the other, or on to the back, sitting up in
bed, or getting up, or lying down, produces some relief;
in those spasmodic affections of the breast, which are
produced by anxious  dreams at night;  also where
there is a sensation as  if the clothes were too heavy;
and in those which accompany dyspepsia.
  Phosphor, cured an "asthma siccum" which  re-
turned every ten or twelve days with great severity.
  Pulsat.  Case in a woman set. 44 ann. accompany-
ing the cessation  of the menses.  Cough with little
expectoraton, accompanied by retching and vomiting.
Periodic dyspnoea  with loss of breath after coughing.
Great gastric derangement, emaciation, debility. Pul-
sat. 15 speedily cured the complaint, which was of
four months' duration.
  Case.  In a woman set. 20 ann.  Commencing with
first menstruation.  The menses regular as to periods
of recurrence, but deficient  in quantity and  pale.
Dyspnoea increased by motion; worst from evening
till two or three o'clock in the morning. Inability to lie 
40
ASTHMA.
 down in the early part of the night from constriction of
 the larynx;  and if she fell asleep  she was speedily
 awakened by a feeling of anxiety, and must sit up to
 escape suffocation.  Puis. 12 effected a cure in a few
 days.
   Case.  In a child aged  eight weeks,  from retro-
 cession of  a rash.  Short and superficial respiration,
 and short hacking cough.  Respiration most difficult
 at night and whilst lying down, puis. 2|12 effected a
 cure.
   Case.  In a woman set. 22 ann.  with suppression
 of the menses from bathing the feet in  cold  water
 during the flow.   A painful feeling passing from the
 stomach into the  chest checked the respiration.  In
 three days the symptoms increased in intensity until
 they had passed into spasmodic asthma, with constric-
 tion of breast and sensation of suffocation, accompanied
by excessive anxiety, palpitation of heart, coldness of
the forehead and hands, and obstinate constipation.
Puis.  gtt. i. 12, and in a few hours ease.  There was
an opening of the bowels, a gentle diaphoresis  and a
pleasant warmth of the extremities.   The night pass-
ed comfortably, with considerable sleep. The menses
returned, but small in quantity, and in a few days she
enjoyed her usual health.  At the  next  period the
menses appeared in their usual quantity and quality.
   Sambue  n.  In Asthma Millari.
   Stramon. is useful in spasmodic  affections of the
muscles of  the chest, accompanied  by twitching in
the muscles of other parts.
   Besides the remedies above mentioned, the follow-
ing have also proved useful.  Calcis carb., dule, ferr.,
 sepia, spong., sulph., zinc 
ATROPHIA.
41
                  ATROPHIA.

  Arsen.  Case.   A female infant, eighteen months
old, had been affected by this disease three months,
and was reduced almost to a skeleton;  its skin un-
naturally white, dry, and like parchment: the eyes
sunken, with dark haloes around them,  and con-
stantly closed; and the countenance expressive of
great internal suffering.   The child showed no desire
to eat, and if it was forced to take food, this was in-
stantly discharged.  It drank frequently, though but
little at a time.  It commonly  laid in  a somnolent
state, with frequent gnashing of the teeth, and moan-
ing : was restless at night, and seldom had any fsecal
discharges;  arsen. 30 was given at intervals  of ten
days, and in four weeks the child became healthy,
lively, and blooming.
  Case.  In a child ten months old.  Considerable ema-
ciation; skin dry and wrinkled; lymphatic cords of
the neck and throat enlarged; abdomen tumid; five
or six diarrhceal stools daily : fseces lumpy, greenish,
and consisting of undigested food: constant catarrh;
frequent, loose, harassing cough at night,  and often
in the day:  slept much, was obstinate and fretful:
little appetite,  vomiting of food,  much thirst, hot
tumid gums, sometimes fever with cold extremities.
Bellad. was  given,  which modified some symptoms
for the better, others still indicated danger.  Fourteen
days afterwards, arsen. 1|30 was exhibited, and in four
weeks the child had become fleshy and free from any
symptom of disease.*
  Case.  In a child two years and a half old.   It had
suffered for several months from  a disordered state 
42
ATROPHIA.
of the bowels;  stools sometimes  white and  slimy,
then greenish or black: it was reduced almost to  a
skeleton ; skin wrinkled, complexion sallow, abdomen
tumid.  It would eat nothing for several days before
I saw  it,  but was very thirsty, especially at night.
Arsen. 1|30 in half an ounce of water, of which one
fourth  was given in the afternoon. The ensuing night
it rested better; the  next day took nourishing food
and had no thirst: had  only one stool daily, and that
quite natural in its appearance after  the third day;
convalescence was  steady and  sure.  In  this case
there was no repetition of the medicine.   J.
  Cinch,  cured atrophia in  a  child.   Great ema-
ciation ; ravenous  appetite; distension  and doughy
feel of the abdomen; white  pappy stools;  whining
fretfulness.
  Case.   In a child.  Frequent  fluid stools;  con-
stant sweat,  especially  at night;  neither  appetite,
thirst nor cheerfulness; deep, heavy sleep; emacia-
tion ; debility;  cinch, three doses, effected a  cure.
Between the second  and third doses, ferrum was
interposed.
  Nux v.  Case in a  child  set.  2|  ann.  Sallow,
bloated countenance; tumid  belly  with  much rum-
bling therein; alternating diarhcea and costiveness:
much thirst; great appetite but with vomiting of the
food; emaciation;  fretfulness : nux v., gtt. ss. 30,
effected a cure in a short time.
  Rhus.   In a child set. 2 ann.  Disease of eighteen
                                           o
weeks' duration.  Pale countenance, abdomen tumid
and hard, great appetite and thirst, great emaciation;
ten to twelve mucous or bloody diarrhceal stools  every
twenty-four hours; some fever every afternoon.
  Rhus 5|30, repeated  every week till three  doses 
VESICA URINALIS.
43
were  given, improved the child very  much; arsen.
2|30 was then given with unpleasant effects.  Eleven
days  after, calcis c  2|30, and gradual improvement
resulting in perfect recovery succeeded.
  Besides  the above remedies,  the following have
also been recommended; baryt.,  cham.,  cina., calc,
sulph., iodin., magnes. c, petrol, puis.
      BLADDER.   VESICA URINALIS.

  Cystitis. In inflammation of the bladder the fever
being a synocha, aeon.  If it arise from irritation pro-
duced by cantharides, camph.; if from alcoholic drinks,
nux vom.   In many cases of irritation of the neck of
the bladder and of the urethra, canth. has been found
useful.
  In inflammation of the fundus of the bladder, when
with a constant urinary pressure, which the smallest
quantity of urine excites and  increases,  and  every
contraction of the bladder is painful, and when the
urine must be frequently discharged, the scilla mar.,
says Hartmann, may be administered with benefit.
We should also bear in mind these other remedies:
calcis c, sepia, lycop., graph.,potass, c
  In a case of irritation of the bladder of many years'
standing, consisting in a frequent desire to pass urine,
and a painful sensation on turning in bed, as though
the bladder was falling downwards towards the lower
side; attacks  of pain, whilst walking, in the region of
the  bladder,  which were relieved by pressure with
the hand.  Puis.  1|30 in twenty-four hours diminish-
ed  these painful  sufferings,  and in a few days com- 
44
BONES.
 pletely removed them.   The patient remained well,
 when I last saw him, six months after his cure.  J.
   A case is mentioned  by Dr.  Gross,  in which the
 suppression of the hsemorrhoidal  flux by means of
 medicines, was followed by a disease of the bladder,
 marked by bloody urination, attended  by excessive
 pain and frequent pressure to urinate.   A restoration
 of the hsemorrhoidal discharge had not lessened the
 disease of the bladder, for the cure of which Dr. G.
 gave calcis c, which was followed after twelve days
 by increased distress in  the urinary organs and con-
 stant  bleeding from the urethra;  and after four days
 more  by the discharge of masses resembling uterine
 polypus.  The discharge of these continued for three
 weeks, and the pieces discharged would have formed
 a mass of the size of a hen's egg.  With the cessation
 of this discharge  there  was a disappearance of all
 symptoms of disease of  the bladder.  This case re-
 minds us of those which have been termed cancer of
 the bladder, in which, though  there was a discharge
 of similar masses, recovery has not taken place.


                    BONES.

   Injuries of the bones from mechanical violence, like
 wounds of the soft  parts, and under similar limitations
 with these, are remedied by the recuperative energies
of the  system when  they occur in healthy persons.
It is true, that as in the case of wounds, nature may
be assisted  and hastened in her operations by the re-
moval  of foreign bodies from the wound, or the close
approximation of its lips  by manual assistance; so in
fractures of the bones, the surgical aid which  is 
BONES.
45
requisite for effecting and maintaining  the proper
adaptation  of the fragments to each other, not only
hastens the recovery but is generally  necessary for
the prevention of deformity and the restoration of the
full usefulness of the  part.  In dislocations also, the
proper means must be employed for restoring the bone
to its  proper location.  It has been recommended
to give arnica after reducing  luxations and setting
fractures.  And  it  is certain  that  it is often ad-
vantageously employed  under these circumstances;
yet I would recommend the practitioner to observe
whether it does not painfully aggravate the strangury
which frequently attends fractures of the large bones
of the lower extremities.   In two  cases of fracture of
the bones of the leg, and in one case of fracture of the
thigh  bone,  in which I employed this remedy, the
strangury was uncommonly severe, and in the latter
case arrived at complete retention of urine, demanding
the use of the catheter.
   Although, in a healthy organisation, the bones may
speedily recover from  very serious injuries;  yet, it is
far different in some morbid conditions of the system.
For,  where  these are present, disease of the bones
may occur without any violence having been inflicted,
or after an injury of a  very trivial  character. In such
cases, if recovery ever takes place, it is mostly after a
great length of time, and is generally imperfect, as in
most instances great deformity  and diminished useful-
ness of the part are the results of the  disease.   But
it often happens that the disease continues to advance,
until by its irritation it exhausts  the energies of the
constitution, and death puts a period to the sufferings
of the  patient.
   It is obvious that the cure of the disease of the bone 
46
BONES.
 must depend in a great measure, if not entirely, upon
 the removal of the morbid condition  on  which  it
 depends.  A want of the  means for effecting this,
 and perhaps a disposition  to overlook  its necessity,
 have induced  eminent  surgeons to resort  to  very
 severe  methods  of attacking some diseases of the
 bones;  and if these have more frequently aggravated
 rather  than  abated the  disease, it is a  result which
 was rationally to  be  expected, because new injuries
 were inflicted upon the diseased bone at the same
 time that the morbid condition of the system remain-
 ed unaltered.
   Homoeopathia has presented us with means better
 adapted to  remove  these' conditions,  than  any we
 before possessed;  and, in consequence, we can treat
 diseases of the bones with  greater success now than
 formerly.  It is true that we have been for a long
 time in possession of  a specific  against that one of
 these morbid conditions  which is induced by syphi-
 litic infection.  But we sometimes did not succeed in
 our endeavours to cure, because we employed  the
 remedy in such  doses  as excited the reaction of  the
 system  against it, and we consequently failed to effect
 the requisite impression on the  organisation, which
 would have been accomplished by the remedy had it
 been given in much  smaller  or  much larger doses.
 We also, by the frequent repetitions of the medicine,
 often  disturbed the curative operations  which had
 been commenced after the first doses, and, if we  did
 not prevent, we sometimes protracted the cure.  In
 those cases where syphilis was superinduced  on
 chronic, morbid conditions of the system, this practice
failed on other grounds; for here the specific in proper
homoeopathic doses must also fail.  The reason  of 
BONES.
47
    this is, that as a wound in any part of the body of a
    person labouring under some morbid operations, will
    not heal though  its lips be brought  into accurate
    coaptation, and it should be otherwise properly treat-
    ed; so, syphilis and many other  diseases attacking
    persons suffering  under other chronic, morbid con-
    ditions, cannot be removed by their appropriate re-
•   medies, because these cannot induce the same proper
    curative operations in the unhealthy as in the healthy
    system.  So far as my knowledge extends, Hahne-
    mann has been the first to insist upon the necessity
    of early attacking the  pre-existing morbid condition,
    instead of urging the employment of the specific for
    the superinduced disease to an injurious extent.
       The disease of the bones  originating in syphilitic
    infection, which  have been  cured by aurum alone,
    are not to be considered as belonging to this class of
    complicated diseases, but as a complication of mer-
    curial and syphilitic disease, arising from the improper
    use of mercury for the cure of syphilis occurring in
    a previously healthy system.  In this disease, when
    it has  not already been abused, mercury is the most
    important remedy.
       If before the discovery of the  existence of those
    laws of nature which form the foundation of homoeo-
    pathic medicine,  we treated  an  easily recognisable
    form of disease with a known specific against it, and
    yet sometimes failed from the causes just mentioned,
    it is easy to conjecture how much more imperfect
    was our  procedure against that protean morbid con-
    dition termed the scrofulous diathesis.  We possessed
    many  of the remedies which we now recognise  as
    highly useful  against some of its developments, but
    we had not those certain indications for their employ- 
48
BONES.
 ment which we at present possess, while the imper-
 fection of our knowledge, in relation to doses, led us
 to the same errors into which we fell in the employ-
 ment of mercury against syphilis.  But while  we
 have attained much, both  in means and knowledge,
 which will enable us to treat  these affections more
 advantageously than formerly, yet we cannot but feel
 that there is a something attainable that has not  yet   •
 been attained.  We are often at a loss for indications
 to determine which of the remedies that are indicated
 by the morbid condition or its particular development,
 as caries, hyperostosis, &c, is the appropriate remedy
 for the  individual  case.   The  circumstances which
 can guide in  the choice of the  remedy, are  the tem-
 perament, the disposition, the character of antecedent
 diseases and the  treatment to which they have been
 subjected, and the nature of the exciting cause of  the
 existing disease of the bone.   The symptoms which
 indicate the remedies, are those of the disease of the
 bone: viz., the appearances, the pains and other mo-
 lestations  which  accompany it, and the symptoms
 which affect the whole system, or particular parts of
 it  other than  those immediately implicated  by the
 disease of the bone.  But most of the latter, which
 may be termed the general symptoms, namely, hectic
 fever, loss of appetite, emaciation, debility, &c, are
 often merely the result of the local irritation.
  As a number of different remedies must be adapted
to the same temperament and disposition, these will
 often be but of little assistance  to us in deciding be-
tween the suitability of many of those remedies which
 are indicated by  the local disease.  Of the two the
disposition  will  be  the most useful  to us  in this
respect, as it is liable  to morbid  alterations and 
BONES.
.49
possesses great diversity of character.  The morbid
changes  in the  disposition constitute a part of the
symptoms,  and  are generally  of  more importance
than  the  natural  disposition in the  choice  of the
remedy.
   A  knowledge of the mode in which antecedent
diseases have been treated, and of the previous treat-
ment of the present disease, is frequently of great
importance, as it shows to us the probable  source of
some of the  symptoms, and  hence  often  leads to
the choice of a remedy calculated to afford much
relief.
   It is important also to know  what have been the
antecedent diseases, not only when the complaint hi.^
been of  a syphilitic  character, but also when the
previous disease has been a cutaneous eruption which
has been repelled  from the surface by local applica-
tions, or has  disappeared under the  use of drastic
cathartics.   In these cases that remedy is to be pre-
ferred which is capable of doing the most towards the
cure  of such an eruption as has receded;  provided
that this remedy has  not previously been employed
in excess; for example, if the repelled eruption  has
been  psora,  sulph., where it has not been previously
abused, will generally be found a highly useful re-
medy. But as this remedy will  seldom of itself effect
a perfect cure, the difficulty again occurs in the choice
among the numerous remedies which have proved
useful in psoric diseases.  The  exciting  cause of
disease of the bones is sometimes mechanical violence,
and here arnica often  proves very beneficial.   But
however useful it may be, this remedy is incapable of
completing the cure, and the difficulty  of deciding
which of the remedies, that are  indicated in  the
      4


                           {}'}**% °7 j 
50
BONF.S.
present form of disease, is the appropriate remedy for
the present  case, meets us but one step later than it
does in those  cases where the disease has not been
excited by mechanical injury.
   The peculiarities of the symptoms, that is, the time,
order and circumstances of their appearance, exacer-
bations, and remissions, are  in many instances  the
most important guides to the remedy.  But in order
to ascertain it a laborious investigation and comparison
of the symptoms of several remedies are frequently re-
quired.  This labour, although it cannot be dispensed
with,  might be considerably lightened, if physicians
in recording their cases would state what were the
ekcumstances, symptoms, and peculiarities of symp-
toms, which characterised the remedy chosen as  the
one adapted to the  case.  If we still  continue to
neglect doing  this, we must continue to endure the
Sisyphean toil of comparing the symptoms  of  nu-
merous medicines  every  time we have occasion to
give another  remedy, without being able to avail
ourselves  of any advantage from  our previous com-
parisons, while our labour, but not our certainty, will
increase with the growing bulk of our materia medica.
  The following  short index to the  remedies  for
several  forms  of diseases of the bones may prove
useful.  It is  made  chiefly from the cases which
follow.  The  terms applied to the  cases are mostly
those  employed or  suggested by the physicians who
have treated and recorded the cases.
  Caries. Ac. nit., acphosph., angust., assa., calcis c,
mezer., sepia, silex, sulphur.
  Caries syphilitica.  Aurum.
  Distortio spinalis.  Bellad., calcis c, ipecac, silex,
sulph. 
BONES.
51
  Exostosis syphilitica.  Aurum, bellad., phosph.
  Hyperostosis. Arnica, assa, dulc, ledum, lycopod.,
mere, mezer., rhus, sepia, silex, staphis., sulph.
  Necrosis.   Ac. nit., ac phosph.,  arnica,  assa,
calcis c, sulph.
  Mollities ossium.   Calcis c
  Rachitis.   Bellad., calcis c, mere,  assa.
  Spina ventosa.  Assa, mezer., silex, sulph.
  Morbus coxarius. Ac nit., arnica, bellad., bryon.,
calcis c, lycopod., petrol., sulph.,  tr. acris.
  Ac.  nit.  Caries and necrosis.   See  cases under
assa, sepia and silex.
  Ac. phosph.  Caries and necrosis.  See case under
assa.
  Arnica.  In a case of hyperostosis femoris, from
injury of the thigh by a blow; this remedy produced
immediate relief of pain and  subsequent abatement of
the swelling and suppuration.  See case under silex.
  In a case of necrosis, originating in  injury from a
fall, arnica greatly diminished  the pain.  See case
under silex.
  In morbus coxarius, after arnica gtt. i.  6, the pus
improved in quality, and there was a general improve-
ment in the health of the  patient.  See case under
sulph.
  Angustura has been said to have cured caries when
given daily in doses of 1 to 6; the use of coffee being
avoided.
  Assa foetida.   Caries tibiae.  In a woman set.  40
ann., who had been bitten on the leg by an insect six
years before.  The bite induced  violent inflammation
which produced ulceration, and finally the bone had
become affected.   An  ulcer  on the inner side of the
leg over the tibia, two and  a half inches long, and
                                          4* 
52
BONES.
one and a half broad, with indurated margins of livid
appearance, offensive suppuration and caries of the
tibise.  There was  great sensibility in the  circum-
ference, and severe pain in the margins of the ulcer
on being touched.   Assa gtt.  1|6, was followed by
gradual improvement, and by the separation of a small
spicula of bone half an inch long, and an eighth of an
inch broad.  In thirty-six days the ulcer was com-
pletely healed.
  Assa, in alternation with ac. phosph., has cured a
caries and necrosis.  In another case, assa in alterna-
tion with ac. nit. and ac. phosph., after an improved
secretion of pus had been induced by sulph., cured a
necrosis tibise.
  Assa.   Spina ventosa tibise.   Hyperostosis  tibise.
A girl set. 12 ann.  had suffered under a debilitating
diarrhoea for three months, when she was attacked
with severe itching, in the left leg, and the diarrhoea
ceased.  This itching gradually diminished, but there
appeared in its place slight drawing pains in the tibia.
On examination, this bone was found very protube-
rant on the fore part and on the inner side.  By the
orders of a physician, leeches were repeatedly applied,
and embrocations continually employed, but in spite
of the treatment the pains increased  and the swell-
ing advanced.   After sixteen weeks an experienced
surgeon pronounced the case a swelling of the bone,.
and stated that it was near the period of breaking out,
to prevent  which he directed mercurial inunction.
After  some weeks,  as  the disease still kept on in-
creasing, Dr. Hartmann was consulted in relation to
its homoeopathic treatment.   He  found the following
form of disease.  A  swelling  of the  tibia,  greatest
about mid-length and forward and on the inner side; 
BONES.
53
diminishing above and below, but still so extensive
in the latter direction that the  malleolus  internus
could neither be seen nor felt.   Over  the middle  of
the swelling was a spot of the size of a dollar, which
was somewhat reddened and very  sensitive to the
touch.  The skin over the diseased bone was thicker
than  the healthy skin, and felt almost like  leather.
The pain was dull, drawing, boring,  worse in rest
than in motion; in walking more of a stretching pain
which caused her to limp.  Countenance pale, turgor
vitalis wanting, flesh soft.   Appetite  trivial,  stools
natural, sleep  often prevented by the pains.   She
was irritable, depressed and fretful.
   As adapted  to overcome the action of the mercury,
and to obviate  the debility from the previous diarrhoea,
and as answering to the yellowness  and flaccidity of
the skin, cinch. 2|18, was given.  It was followed by
improvement which continued progressive for seven-
teen days, in  which time  the red  spot  had disap-
peared.  On the twenty-first day, as  no  advance of
improvement  had been observed for  the last  three
days, assa 2|9, which greatly diminished the swelling.
The skin over it became soft and more yielding, and
the disposition of the child  became  cheerful.  After
thirty-seven days, mezer. 2|6.  The general health of
the child improved, and there was considerable  dimi-
nution of  the pain,  though but little of the swelling.
After  twenty-one  daysy silex.  21,  with  the  same
results.  In forty-six days, as for some  days  there
had been a slight drawing and external  itching  in
the diseased part, spiritus sulphuris, after which the
drawing and itching disappeared  and the  swelling of
the bone  considerably diminished.  In thirty-three
days, the  assa  was repeated, and in thirty-one days 
54
BONES.
 the  silex.   In fifty-one days all that remained of a
 morbid character was a slight thickening of the skin.
 Sulph. 6 was given, and completed the cure of this
 dangerous disease.
   Aurum.  Syphilitic exostosis and caries.  A node
 on the head and nodes on one fore-arm and one tibia.
 Extensive caries of the palate bones.  Discharge of
 fetid ichor from the nose.  Ulceration of the throat;
 syphilitic rheumatism.    Excessive emaciation and
 debility; night sweats.  Ten grains of the first tritu-
 ration of aurum were well triturated with two  drams
 of sugar.   This was divided into eight powders, of
 which the patient was directed to take one  twice
 every day.   The medicine was thus given for  ten
 days with evident improvement.  Then, two grains
 of the first trituration of aurum were triturated with
 two  drams  of sugar.   This was  divided into  six
 powders, of which the  patient was  directed to take
 one every six days.  In three weeks  he was perfectly
 well, and remained so at the end of three years.
   Swelling of the frontal, nasal and superior maxillary
 bones; syphilitic ozsenaand rheumatism. Aurum gr. i.
 2. In fifteen days entire disappearance of the disease.
  Bellad.   Rachitis.  In a child set.  4 ann.  Swollen
joints, bent bones, and unsightly large head.  Bellad.
 gtt. i. 24 lessened the disease.
  Distortio  spinalis.   In a  child  set. 4 ann.   In-
 curvation  of the spine, (lordosis,)  causing great pro-
 tuberance of the abdomen.   Pain in the head, eyes
 and throat.  Strabismus; no fever.  Bellad. gtt. i. 16,
 and in two weeks there was no trace of the disease left.
  Exostosis.   After abuse of mercury.  Exostosis on
the os frontis,  with intolerable pain.   Palate  covered
with deep, gray, painful ulcers.  Bellad. 12 proved
useful. 
BONES.
55
   Calcis c  Distortio spinalis.  In a child aged fifteen
 months.  The vertebra enlarged, the superior dorsal
 vertebra were bent to the left, and the lumbar towards
 the right side; with chronic hydrocephalus.  Calcis c,
 ipecac, and silex, effected a cure.
   Calcis c effected  great improvement  in a necrosis
 of the  tarsal  bones, in the case of a  boy.   Shortly
 after the administration of the medicine there was a
 separation and painless discharge of a large spicula of
 bone.
   Rachitis  and mollifies ossium.   In  these diseases
 calcis c. is remarkably useful.
   Dulc 20, then staphis. 20, then rhus gtt. i. 30, two
 doses, and finally sulph. 3, cured a hyperostosis of the
 humerus, with swelling from the shoulder joint to the
 elbow.   The cure occupied eight weeks.
   Lycopod.  2|30,  then silex 2|24, three doses,  then
 mezer.  2|24, and finally ledum,  cured a  hyperostosis
 in the foot of a scrofulous boy eight years of age.
   Lycopod.  has been recommended for caries.
   Merc has proved very serviceable in  hyperostosis
 of the tarsal bones.
   Mezer.  Hyperostosis of the radius of the left fore-
 arm.  Assa  had  been previously given in large doses.
 To counteract this, pulsat. 2|12  was  given  on the
 sixth day; mezer. gtt. i. 6 on the fourteenth  day.  On
 the thirty-first day silex 2|18; on the sixty-second day
 calcis c. 2|30.  The improvement both  in  the  local
 disease  and  the  general health which  has been pro-
 gressive under the previous remedies, continued also
 to advance after  the calcis c. until  the joint recovered
 perfect  mobility, the bone  had  regained its natural
size,  and a fistulous orifice which existed at  the com-
mencement  of the treatment, had become completely 
56
BONES.
cicatrised.   The  cicatrix was covered with a scurf,
which after lycopod. 2|30 speedily disappeared.
  Phosph.   Exostosis.  Hyperostosis.  Exostoses on
the frontal, the parietal, and the occipital bones, from
the size of a bean to that of a hazel-nut.   One of the
clavicles of double its proper circumference.   Pain
in the protuberances on  pressure  with the finger.
Severe tearing and boring pains in the affected parts
at night.   Phosph. gtt. i. 30, frequently repeated,
effected a cure.
  Sepia.  Caries femoris;  hyperostosis radii.    Fis-
tulous opening, discharging a watery ichor, on the
outside of the thigh.  A sound introduced into this,
after a long progress towards the knee, touched upon
a rough carious spot on the bone.   At the lower ex-
tremity of the radius, enlargement of the bone for a
length of four inches; painful on being touched.
Sepia 2|30, and after six weeks ac. nit. 1)30 effected
a cure in nine weeks.
  Silex.  Hyperostosis femoris. In a man set. 28 ann.
Disease commenced two years before, apparently from
a blow on the thigh.   Sticking, boring and tearing
pain in the  front part of the thigh, so severe that he
could not sleep at night.   The thigh was very much
swollen from the knee to the groin. The femur much
enlarged.   From  the fistulous openings  nearly  a
pint of pus  mixed with, blood flowed mornings and
evenings upon the removal of the  dressings.  The
patient  was excessively emaciated,  and  he suffered
under  a "phthisis pituitosa"  and  constant heavy
sweats.   As the pain in this case appeared to be an
important symptom, since it had commenced with
the disease, and apparently originated from the effects
of mechanical injury, and  as it had not diminished 
BONES.
57
through the whole course of the disease, arnica was
given.  It was  followed immediately by a sleep  of
eight hours' duration, from which he awakened nearly
free from  pain; and  an improvement  marked  by
increase  of appetite and  abatement of the swelling
and suppuration.  The improvement continued pro-
gressive  to the  tenth day,  and on the eleventh,  as
there appeared  to be  a  cessation  to  its advance,
lycopod.  4|28.  The improvement again commenced,
and in its course the phthisis pituitosa gradually dis-
appeared.  The cure was completed with silex.
   Caries  ossium digitorum.  In caries of the pha-
langes of the fingers,  silex has proved remarkably
useful.  Where  the bone has been already destroyed,
it has appeared  to hasten its separation, the sore has
speedily  become clean  and rapidly healed.
   Necrosis.  In a man set.  28 ann.  who fell from a
tree and injured his arm against a stump  so severely
that four months elapsed before he could again use it.
It always remained somewhat painful, and could not
be moved with the same ease as the other.  Two years
afterwards several fistulous openings  were formed,
through which fragments of bone frequently found a
passage.    Arnica  greatly diminished pain.  Silex,
calcis c,  and spt. sulph. effected a cure.  A remain-
ing stiffness of the  joints was removed by colocynth.
   Caries tibise.  The  cure  of a caries of the  tibia,
in a boy, was effected by silex, assa., calcis c, mezer.,
silex repeated, spirit sulph. and ac. nit.
   Sulph. has proved useful in  various diseases of the
bones.
   Distortio spinalis.   In a boy set.  10 ann.,  arising
from  a severe blow from a hard substance.  The
superior dorsal  vertebra posteriorly  curved, forming 
58
BONES.
 between the shoulders  a true  cyphosis.  The case
 was at one time complicated with tetanic symptoms,
 for which cicut. vir.  was  given,  and twenty-four
 hours  afterwards  for  dysuria,  staphysag.   These
 symptoms being removed, the cyphosis, which was
 only of two months' standing, was attacked with sulph.
 gtt. i. 9, and in eight weeks the gibbosity had perfectly
 disappeared.
   For rachitis, sulph. has been highly recommended.
   Morbus coxarius.  In the earlier stages  of this
 disease  it may be sometimes proper to employ those
 remedies which are capable of abating inflammation,
 or of removing those painful  diseases of the hip,
 which are termed ischias or  sciatica: namely, aconit.,
 bellad.,  cantharides, cham., colocynth., mire,  nux v.,
 rhus.
   In its more advanced stages the remedies which
 are useful in caries will generally be indicated.  But
 remedies of this class have answered well early in the
 disease.  For instance, calcis  carbonas in many doses,
 removed the  coxalgia of a scrofulous child, who,
 without any previous injury, began to limp, and in
 walking dragged one foot, but did  not complain of
 pain; the diseased limb was longer than the other, and
 the foot was always turned outwards whilst walking;
 pressing the head of the femur towards the acetabulum
 excited  pain.  And in another case,  three doses of
 tinctura acris 2)30 cured a coxalgia,  with inability to
 stand or walk, in four weeks.
  The following case from the eighth volume of the
 Archives of Homoeopathic Medicine, is reported by
 Dr. Theodore Ruckert. It may be tedious on account
 of its length, but the case is certainly very interesting.
The symptoms, &c. which have influenced the choice 
BONES.
59
of the medicines, I have  given as far  as they  are
reported,
  Amelia T. set. 6 ann., of weakly and tender consti-
tution, and the  scrofulous diathesis, had suffered two
years before from a species of ozsena and caries of the
teeth, on which account many of these had to be ex-
tracted.  Afterwards she was apparently well until
her sixth year.
  On the second of July, 1828, she rode for some
hours with  her parents in damp, cold  weather, and
was apparently much chilled.  On the following day
she complained of pain in her right hip, increased by
bearing her weight in walking, which soon became
impossible.  Many most injurious remedies were ap-
plied for  its cure, by an old lady, with  the  natural
consequence of an increase of the pain and an aggra-
vation of the inflammation of the hip joint.
  Advice was  now sought from  an  accomplished
allceopathic physician (who at this time is earnestly
acquainting himself with homoeopathia), who used
different remedial  means; namely, leeches,  calomel
gr.  30, in a short time, with evident sinking of the
strength, and in order to  raise this again cinchona,
bitter extract and aqua laurocerasi were employed,
but with constant increase of the disorder, so that the
physician at length pronounced her beyond the reach
of medical aid.
  As regards the further development of the disease,
it is to be remarked,  that about eight  days after its
commencement, a swelling appeared externally in the
region of the trochanter  major, which apparently
marked the passage of the caput oss. femoris out of
the acetabulum.  The inflammation and suppuration
advanced, accompanied with  the most frightful pains; 
60
BONES.
the child screamed loudly, often for hours, till finally
after some weeks, when the limb had already taken
a  false  direction and the femur was  luxated,  an
opening formed itself on the outside of the thigh
nearly over  the trochanter major,  aiid discharged a
quantity of pus. Injections  of various  kinds  were
unsuccessfully  employed,  the child became  daily
more emaciated and the limb  more deformed.
   Sept. 6th, 1828.  In the ninth week of the disease
I was called to visit the child and found its condition
as follows-   It was emaciated in the highest degree,
the skin appeared to  lie on the bones.  Its head was
sparsely covered with blonde  hair, the greater part
having fallen out. The countenance was  sunken and
pale, the bones of the face prominent, the lips without
lively redness.   The little patient laid in bed, but
desired every hour to be moved into another bed,
which could not be accomplished without giving her
much pain.  Besides she was so peevish and captious
that her parents and attendants  scarcely knew how
to manage with her; they dared not touch her, and
every footstep in the room excited her.  She had not
the least appetite, but complained of no disorder of
digestion,  and she had a stool almost every day.
   By close examination of the diseased thigh, I found
it in a false  direction to the pelvis.   The knee was
bent and  fell outwardly,  it was  stiff, could not be
straightened, and the efforts to accomplish this caused
pain.   The  thigh was elongated.   In the region of
the foramen ovale a protuberance could  be  felt, but
it.could not be accurately examined on account of the
too great sensibility of the patient.  The right side of
the pelvis, when viewed from behind, appeared flat-
tened off,  and as if a part of it were wanting.  The 
BONES.
61
opening on the thigh daily discharged a quantity of
thin pus, and upon  sounding it, which was very dif-
ficult on account of the sensibility and obstinacy of
the patient, the bone could be felt, yet without rough-
ness.   By injecting water it was seen that the cavity
was not inconsiderable.   Behind on the thigh, on the
borders of the nates, as  also an inch above the open-
ing, there were soft, discoloured, painful spots.   The
child complained of severe, sticking pains in the hip
and thigh, but  still more in the knee, of the affected
side.  The pains were very troublesome at night, and
the patient seldom slept for two hours in succession,
she had alternate chills and heats,  especially in the
afternoons, and then had red cheeks.
   A spontaneous luxation of the femur, forwards and
inwards, was evident; and this together with diminu-
tion of the strength of the body, the hectic fever, &c.
furnished  grounds  for  a gloomy prognosis.  In the
most favourable case, though life should be preserved,
stiffness of the limb and partial necrosis of the bone
were to be expected.
   On account of the great  obstinacy,  self-will and
peevishness, I  chose the arnica, of which on the 7th
of September  I gave gtt. i. 6, at the same time pre-
scribing  a proper  diet according  to homoeopathic
principles.  By the 12th  the self-will and  peevish-
ness, as well as the pains, had somewhat abated; on
the 20th the discoloured spots were opened and dis-
charged some table-spoonfuls of pus.  On sounding,
the canal was found to  pass far inward and upward.
By the  26th  the pus  had become of much better
quality, the child  ate  and drank  with satisfaction,
had  increased in  flesh and strength, and  sat  up
much in bed.   On this day bryonia 18 was  given, 
62
BONES.
and by the 2d of October there was considerable
advance of the improvement. At this time lycopodium
4|30 was given in  the  morning fasting, and by the
16th the limb was more movable, the thigh evidently
becoming shorter, and  approaching more nearly the
natural direction.   The child was more cheerful and
free from fever  In the  early part of November it
was free from pain,  and  tried to walk a few steps while
holding on to the bed or a bench.  Nov. 15th, acidum
nitricum 4|30, in the morning fasting, with continued
improvement,  but  with  a  development of the old
disease of the nose,  the discharge of very fetid mucus.
  December.  In this month  the child was attacked
with scarlatina miliaris.   Two doses of aconit. 24, on
the 5th and 7th, removed the fever, but on the 8th ap-
peared symptoms of angina membranacea, for which
spongia 30 was given, and on the following days calcis
sul. 3,  and pulsatilla 12.   December 16th the  child
was again well and cheerful, went about in the room,
but appeared very pale,  and was very hard of hearing,
a circumstance which had never occurred to it before.
A small part of a drop of spiritus vini sulphuratus was
given, and in a few days the hearing returned and the
colour of the face improved; she began again  to go
about  the room, but with  a  slight limping.   The
orifices still discharged much matter, and from the
nose there came large lumps of mucus.
  On the 16th  of January  1829, calcis carbonas 30
was given.  In this month she was fleshy; and not
only went about the room,  but skipped and danced
with other children.  The head of the femur appear-
ed to have nearly  attained  its natural position, and
the thigh was  nearly  of the  same length with the
other. 
BRAIN.
63
  In February, from taking cold, there was some
increase of the disease. On the 8th of March, silex 30
was  given in the morning fasting.   On  the 2d  of
May spiritus vini sulphuratus.   On the 5th of June
petroleum 4|30. The child constantly well and cheer-
ful ran about in the house and out of doors.  The
fistulous orifices  would sometimes close  and  then
speedily open  again.  On the 10th  of July, from
sitting for several hours on a hard bench, she had
severe pains in the hip and thigh, &c.; bryonia gtt. i.
18,  and  by the 21st well and  going about.  The
two upper orifices closed  and covered with a scurf.
July 23d; phosphorus 4|30, and by the 31st  all the
orifices  closed.   On the 29th of November  she re-
mained well, and had a perfect movement of the limb.


                     BRAIN.

  In phrenitis, bellad. is generally the proper remedy.
It should be preceded by aconit.  when the  accom-
panying fever is violent.  Where the inflammation
of the brain arises from a retrocession of erysipelas, or
from external injuries of the  head, forming an "En-
cephalitis erysipelatosa,"  bellad. or rhus will be
the  appropriate  remedy.  If it has followed  on the
disappearance of inflammation of the external ear,
pulsat.   If such  an inflammation threatens  to pass
into an acute hydrocephalus, mere, will often prevent
it.
  Dr.  Gross mentions  aconit., bellad.,  ac. phosph.,
rhus, mere, hyos., as having been of  service in what
the physicians of the old school would term rheumatic
inflammations of the brain. 
64                   BRAIN.
  In inflammation of the brain, opium has been found
useful where there was a soporose condition with ster-
torous breathing.   And  stramon. where the gestures
of the patients showed  that they thought they saw
some frightful object from which they would shrink,
at the same time shrieking frightfully.
  Concussio cerebri.   Arnica.
  Compressio cerebri, from effusion, arnica, which
has also been applied externally with advantage.
  Phrenitis.   In a man set. 30 ann. of powerful
frame and  choleric temperament;  from exposure to
cold.
  Sleeplessness, vertigo on sitting up in bed.   Fre-
quent and violent delirium; he raved and cried; would
leave  the bed, and when held in would  show great
resistance;  tossing about; would not endure the bed-
clothes.  In tranquil intervals he complained of con-
fusion, heaviness and fulness in the head, and of fixed
burning and pressing, as also of sticking pain in the
head.   Eyes wild, rolling, aching, reddened and in-
tolerant of light, pupils contracted; he saw sparks and
flames before the  eyes.   Hearing  preternaturally
sensitive.   Ringing and rushing in  the ears.  Face
hot and red, at times covered with a clammy moisture.
Frequent sneezing; pressing in the nose from which
at times a few drops of blood flowed.  Pulse quick,
hard and jerking.   Skin hot and dry.  Respiration
anxious,  sighing  and at  times interrupted;  voice
hoarse, speech difficult;  lips and mouth red, hot and
dry.  Tongue  deep red,  and slightly coated  with
tough mucus; severe thirst;  constrictive sensation in
the throat and frequent impulse to swallow; nausea
and muco-bilious  vomiting;  singultus; constipation.
Urine  red  and causing a burning sensation in its 
HYDROCEPHALUS.
65
passage; bellad. gtt. i.  30.   In twelve hours  con-
siderable relief;  he slept some hours the following
night.   The next  day the  patient had  perfect con-
sciousness; the  violence of all  the  symptoms had
abated.   On the fifth day  for  some weakness and
confusion of head, white coated tongue, little appetite
and costiveness,  bryonia gtt. i. 15, and in a few days
he was perfectly well.
  Hyose  Phrenitis; in a man set. 24 ann. of sanguine
temperament.   Originating  from a fall.  After the
fall, he walked home to his solitary dwelling, and was
found two days afterwards in the following condition.
He laid unconscious, with his eyes closed.  Tongue
covered  with  a white  frothy  mucus.   Delirium,
singing incomprehensible tunes, or murmuring, and
sometimes simpering.   At  times for some minutes
still.  Movements  of the hands as if  he  would pluck
the bed clothes, but was unable; pupils dilated, eyes
of dull lustre;  face redder than natural, skin dry and
harsh; respiration hurried and anxious; pulse uniform,
quickened  and  full.  Patient exhibited no sign of
pain upon being touched, rubbed or roughly handled.
Hyoscyam. gtt. i. 6.   In half an hour an aggravation
which continued for nearly five hours;  but in eight
hours perfect  consciousness.  In twenty-four hours
no symptoms of his  cerebral affection, but an  inflam-
mation of the lungs, which  arnica, gtt.  i. 6, speedily
removed.

             HYDROCEPHALUS.
                  Dropsy of the brain.

  Hydrocephalus acutus.  In the  forming stage,
marked by debility,  fretfulness, disturbed sleep, and
      5 
66
HYDROCEPHALUS.
 gastric derangement, pulsat., bellad.,  ignat.,  ipecac,
 cham. or bryon. may be indicated.
   In the stage  of  vascular  excitement,  Hartmann
 considers aconit. as indispensable.   Bellad.  is the
 next most valuable remedy,  but hyos., stramon.  or
 pulsat. may sometimes be  applicable.   In the more
 advanced periods of this stage  when there  is stra-
 bismus, disordered vision,  anxiety upon raising the
 head, &c, digit., arnica, rhus, artem., tr. sem. cin&.,
 mere, bellad., stramon., hyos.
   In the last  stages where there is  stupor, torpor,
 paralysis, &c, there is but  little ground.for hope.   If
 the febrile irritation is most prominent, aconit., if the
 spasmodic,  ipecac,  bryon.,  if the soporose condition,
 opium.  When there  are frequent convulsions with
 bending  back  of  the head,  frequent smelling  of
 camphor, as often at the  least as  every five minutes.
 If after this there is any abatement of their violence,
. one or two  pellets moistened with spt. nit.  dulc. laid
 on the tongue, or constant  smelling of spt. nit. dulc.
 in a phial.
   Bellad.   Case. In a child set. 4 ann. of  a rachitic
 habit, with  swollen joints, distorted bones, and un-
 sightly enlargement of the head.  Exacerbating fever,
 severe headache, &c.; the symptoms clearly showing
 that condition  of the brain which precedes hydropic
 effusion;  bellad. gtt. i.  24.  For twenty-four hours
 aggravation; after  the second day the improvement
 not to be mistaken.  Perfect cure,  with diminution
 of the rachitis.
   Case.  A previously strong healthy child of three
 years old, (one child of the  same parents had died  of
 hydrocephalus, and another had had the disease,) was
 attacked with  fever and  pain in  the forehead, which 
HYDROCEPHALUS.               67
under a mild antiphlogistic  treatment had so far de-
veloped itself as "Hydrops cerebri infantum,"  that
in order  to its proper allceopathic treatment leeches,
calomel,  &c, would have been necessary; bellad. gtt.
i. 24.  After the second day the child was perfectly
well.
   Case.   In a girl aged fifteen months,  whose elder
sister had been treated for hydrocephalus two years
before.   After  she had been ill for a week, during
which time  she  had been treated  with  calomel,
"nitrosum" and  "aq.  laxativa" in  the  doses of the
ordinary practice, her situation was as follows: Lying
with her eyes closed, constantly moaning; she heard
nothing,  and desired nothing; countenance pale  and
sunken;  skin dry and warm; the nostrils dry; respi-
ration short and rapid; pulse frequent,  but the fre-
quency varying; the tongue moist; she  drank when
she was lifted up and the glass was held to her lips,
and  swallowed easily, but let her head  at once sink
again.  She  frequently tossed the left arm and  leg,
which she kept constantly elevated and drawn  out-
wards; the extremities of the  right side were still,
though she yet retained the power of moving them.
Urine and  fseces were  discharged  unconsciously.
Bellad. gtt. i. 24 was followed  by an abatement of
the hydrocephalic symptoms, and a diarrhoea with
green, slimy stools.  The diarrhoea continuing, cham.
gtt.  i. 12 was given.   Its effect was  an almost im-
mediate  suppression of the diarrhoea.   The rehef
proved but temporary, and in consequence of relapse
bellad. gtt. i. 30 was administered. This was speedily
followed  by improvement, and in the course  of a  few
days she  perfectly recovered.
  Helleb. 30 has been strongly recommended in those
                                         5* 
68
CATALEPSIA.
 cases where bellad. and bryon. have produced only a
 temporary mitigation  of the disease, or where the
 symptoms are such as justify the fear that effusion has
 already taken place, and should it prove inefficient,
 sulph. 30 or 60.
   Hydrocephalus chronicus. In a child aged fifteen
 months.  Circumference of the head over the "tubera
 frontalia" and occipital  protuberance,  twenty-three
 inches.   Bones  of the cranium widely  separated.
 Thin scabs on the scalp of a peculiar odour.   Distor-
 tion of the spine.   Calcis c. 30, ipecac, and silex 1)30
 were followed by a gradual reduction of the head to
 the circumference of sixteen inches, and a restoration
 of the spine to its natural curvature.
   Helleb., arsen. and sulph. in alternation and accord-
ing as  they  are indicated  by  the  symptoms,  are
asserted  to have frequently cured  chronic  hydro-
cephalus, and even congenital dropsy of the brain,
with which,  at  a later period, general dropsy had
become associated. The order of succession in which
these remedies were employed was as follows: helleb.,
sulph., arsen.  It is recommended when no urgent
symptoms are present,  to allow the helleb. to operate
without interruption for at least eight or ten days.


                 CATALEPSIA.

   It should be remembered by the physician that
this disease is frequently simulated,  and that the im-
posture can be much more easily maintained under
the homoeopathic than under  the  ordinary heroic
treatment.
   In a case where the attacks occurred every evening, 
CATARRHUS.
69
commencing  with  sticking pain  in  the  forehead,
vertigo, heaviness of the head, and great languor and
debility.   The patient would lay entirely quiet; the
eyes were half open, and  of dull appearance; the
upper  eyelids twitched spasmodically; .the mouth
was open; she respired easily, but answered no  ques-
tions; the warmth of the body was natural; the  pulse
full, but not frequent; the limbs could  be  easily
moved, and they preserved the given position.   This
condition  lasted for nearly half an hour.   Then she
began to breathe loudly and with some difficulty; she
moved her head;  the eyes regained their lustre; she
turned herself in bed; she answered  questions; the
headache was gone; she complained of some difficulty
in swallowing; felt very weak, and knew nothing of
her recent paroxysm.  Stramon. gtt.  i. 9 was  given
immediately  after the paroxysm.  The next day a
return of the headache, but not  of  the  catalepsy,
which never again appeared.


                 CATARRHUS.

   This term  is employed to designate that common
form of disease which is popularly termed "a cold."
The cause to which it is most generally attributed is
the action of cold upon the body, either through long
exposure to its influence, or through  exposure to it
when over-heated, or to sudden changes from a high
to  a low  temperature, &c.  But  however capable
cold may be under these circumstances of inducing
catarrh, it is certainly not its only cause. The agents,
whatever they may be, which produce those epidemic
catarrhs which are known by the name of influenzas, 
70           CATARRHUS SPORADICUS.
are to be ranked among its causes.   The number of
these must be  considerable, inasmuch as the influ-
enzas of different years present considerable diversity
of character which can only be accounted for on the
ground of a difference  in the causes which  produce
them.  But there are other pathogenetic  agents than
those just referred to, which can produce this disease.
The investigations instituted by the cultivators of
homoeopathic medicine for the purpose of ascertaining
the operation of remedies on  the  healthy system,
teach us that there are many substances which pos-
sess the power of inducing catarrhal symptoms.
  When we  consider  not only the diversity of the
agents, but also the almost  endless modifications of
their actions by difference of constitution in the pro-
duction of catarrh, we  must  suppose  that  many
remedies must  be required  for its  treatment.  Ex-
perience  confirms the truth of such a supposition, for
not only the  cases  of sporadic  catarrh,  but also the
influenzas of  different  years have required very dif-
ferent remedies: the article which has proved almost
specific in one year, proving of comparatively trifling
utility in the next.
  The further  consideration of the  character and
treatment of catarrh can be best conducted under the
divisions of sporadic and epidemic catarrh.


             CATARRHUS SPORADICUS.

  This is a disease with which the system, in most
instances, sympathises but slightly.   The  catarrhal
are the predominant symptoms, and except on account
of the inconvenience and discomfort of these, which 
CATARRHUS SPORADICUS.
71
are rarely so great as to disable the patients from at-
tending to their ordinary pursuits, it would demand
but little attention if it  were not that it sometimes
awakes into action latent predispositions to disease of
the lungs or trachea.  As  it is mostly of this slight
character in its earlier stages, the reactive energies of
the system are strong, and the remedies may be given
in more  rapid  repetition  and with more frequent
change than in  most other diseases.  But there are
sometimes sporadic cases which in their violence and
the severity of their accompanying symptoms, equal
the most violent forms of epidemic catarrh.  In such
instances the accompanying symptoms often  pre-
dominate in  importance,  and the  remedies  which
operate most decidedly for  the cure of these, demand
the first consideration. The catarrhal symptoms being
of a subordinate character  are to be considered in de-
ciding between the remedies which are adapted to the
predominant symptoms.  As cases of this kind present
a great variety of form, a detail of all  would be nearly
impossible,  and of a few would be nearly useless, I
shall, therefore,  confine  myself in treating of the re-
medies for sporadic catarrh, to those  indicated by the
catarrhal symptoms.
  These are the coryza, soreness of the throat,  cough,
and affections of the voice, and respiration.  For the
coryza, where it presents any  peculiarities,  is  ex-
traordinarily severe, or  does not decline  with  the
other  symptoms, see coryza.   Under similar circum-
stances in relation to soreness of the throat, see  angina
faucium.
  If the  cough is  dry,  that is,  unaccompanied by
expectoration, aconit.,  bellad.,  bryonia, cina, calcis
sul, capsicum, chamomil, conium, drosera, euphrasia, 
72
CATARRHUS SPORADICUS.
hyosc, ignatia, ipecac, lactuca, lobelia, mere, nux v.,
pulsat., rhus.
   When the dry cough is worst through  the  day,
with an intermission of some hours in the evening,
nux v. When the cough is dry, (or the expectoration
is slight, and only after great exertion,) and worst in
the morning, nux v., calcis sul.  When the cough is
combined with soreness and tenderness in the um-
bilical region, nux v.   When the cough is worst at
night, chamomil, capsicum, rhus.  When it  only
appears at night, hyosciamus.   When equally day
and night, ignatia. When the coryza is uncommonly
violent, euphrasia, ignatia.
   When the dry  cough is of a violent and spasmodic
character, ending in retching, and vomiting of mucus,
followed by great exhaustion, nux v., ipecac, pulsat.,
bellad., mere, drosera,  bryonia.  If the cough  is dry
and spasmodic, and unaccompanied by  retching or
vomiting, hyosc,  cina,  lactuca, conium, ipecac,  bellad.
A violent shattering,  spasmodic  cough,  which does
not permit the patient to get his breath, arising from
an intolerable tickling  in the upper part of the wind-
pipe which is free from mucus, attacking and awaken-
ing from sleep at  night, has, according to Hartmann,
been frequently cured  by belladonna 30.  The  follow-
ing remedies are also sometimes  indicated  in  dry
cough; calcis carb., sulphur, lycopod., phosphor.,  soda,
mur., iodine, spongia, barytes.
   In cough with  copious expectoration, pulsat., dulc,
chamomil, bryonia, arnica, stannum, sepia, lycopod-,
silex, phosphor., graphit, soda, mur., senega.
   In  catarrh accompanied by  hoarseness,  aconit.,
antimonii tart.,  calcis  sul, calcis  carb., carbo  veg.,
mangan. acet., mere,phosph., sodce mur., spong., sulph. 
CATARRHUS EPIDEMICUS.
73
  In catarrh accompanied by severe oppression at the
breast, with or without shortness of breath, antimonii
tart., ipecac, lobelia.  The former of these has been
for many years employed by some practitioners of the
old school  in this city for  the cure  of catarrh; one
grain of antim.  tart,  being dissolved in a quart of
water, of which  a table-spoonful was given at a dose.
And the lobelia I  have employed  in several such
cases with the most striking improvement.  For the
completion of the  cure pulsat.,  bryonia, or other re-
medies were in some cases necessary.
  For further particulars in relation to cough, see
tussis, and phthisis.

        CATARRHUS EPIDEMICUS.   Influenza.

  In the diseases to which this  term is applied, it is
more  frequently the case than  in sporadic catarrh,
that the catarrhal symptoms are less important than
the other symptoms of disease which appear cotem-
poraneously with them.  As these vary very much
in different epidemics it will  happen  as already re-
marked that different remedies will  be found useful
in different  years.   The remedy which will be most
successful in an existing  influenza, cannot  be ac-
curately known,  except from experience in the present
invasion.  But a knowledge of  the  remedies which
have proved most advantageous in  past epidemics
may be useful, and I shall therefore briefly state the
chief information I have collected on  the subject.
  Camphor a, when given in frequent and constantly
increased doses has, according to Hahnemann, proved
to be a palliative in some of the influenzas of Germany,
"but a very valuable  one,  inasmuch as  the disease 
74
CATARRHUS EPIDEMICUS.
 has only a short period of duration  (verlauf).  It
 does not indeed  shorten the duration of the disease,
 but it renders it much milder and thus conducts it to
 its termination without danger."
   "By nux vomica in  a  single most minute dose,
 will this disease be frequently removed in the course
 of a few hours."  Hahnemann.
   Hartmann found  the  nux vomica useful in those
 cases of influenza in which constipation accompanied
 the disease, but arsenicum where debility,  diarrhoea,
 great thirst and paralytic weakness of the limbs were
 the most prominent symptoms.  Tinctura acris, given
 about two hours after camphora, proved  also very
 useful.
   Aconit.,  agaric, arnica, bellad.,  bryonia,  cinch.,
 mere, phosphor., pulsat., sabadilla, scilla, senega, silex,
 spigelia, stannum and veratrum have proved useful in
 influenza.
   Within a few years the  term grippe has been ap-
 plied in Europe to epidemics which do not appear to
 differ materially  from  influenza.  The introduction
 of new names, where there is nothing to determine the
 applicability of the old or the new term, is to be dis-
 couraged, and therefore in introducing the latter here
 I do not wish to be considered as adopting it.   I only
 employ it because Dr. Hartmann's treatise,  (in  his
 Therapie acuter Krankheitsformen) upon the grippe
 shows the nature of the treatment required  in  severe
 influenza.  It is to be remarked that there is not one
 of the circumstances or symptoms which he  considers
 as belonging to grippe  and  distinguishing it from
 influenza, which does not equally belong to the latter.
   Grippe.   Another kind  of catarrhal fever is the
grippe which was prevalent in the beginning of the 
CATARRHUS EPIDEMICUS.           75
year 1833, which exhibited far greater differences in
its  appearances than influenza, and also  far more
dangerous sequelar diseases; for, where disease of the
breast  was present,  after an attack of the  grippe a
phthisis was almost inevitable,  and the patient could
but seldom calculate on recovery.   In most instances
its attacks were sudden, but in a few cases it developed
itself gradually, and an  uncommon  debility accom-
panying  the  catarrhal symptoms, with a heaviness
and soreness, of the limbs, particularly of the lower ex-
tremities, distinguished the disease, with the greatest
certainty, from every other kind.   This condition of
the limbs was frequently associated with  headache
and  a disposition to vomit, and frequently with sore-
throat and some hoarseness.   The obstruction of the
nares was soon very severe and combined with violent
tearing pains in the forehead and in the bones of the
face, with a sensation of pressure  in the rest of the
head, vertigo, tearing pains in the ears, &c.
  The disease moreover possessed many peculiarities,
for example, it awakened, in those who were not per-
fectly healthy,  old,  slumbering symptoms of disease,
and rendered their cure difficult; it attacked the same
subject repeatedly, but always  in a new form; it fre-
quently continued for  a  long time with apparently
unimportant symptoms, which  might be removed by
proper remedies but reappeared  after  the slightest
irregularities of diet, often even on the  next day;  it
also  readily complicated  itself with other diseases,
modified their course, and aggravated the evil.
  Frequent smelling of camphora on  the first ap-
pearance of the symptoms would suppress the disease,
but after a couple of days it still  came to complete
development.   When  inflammation  of  the thoracic 
76
CATARRHUS EPIDEMICUS.
viscera was present, nux v., after previously admin-
istered aconit., always proved  useful.  Mercurius
when repeated every or every other day, was the most
adapted to remove the disease or even to destroy it in
the germ, especially when,  with severe affection of
the head,  throat and breast, there was a dry, shatter-
ing, slowly loosening cough.  When the trachea was
much  irritated or inflamed, so  that the acute and
violent pain almost prevented speech,  and the voice
was very much changed, frequent smelling of phos-
phorus 30 was of service.
  The disease often appeared in the form of a sporadic
cholera, and in these cases the catarrhal affection was
unimportant, while  the debility was very prominent;
here veratrum was always beneficial. When nervous
symptoms showed  themselves,  as was not  unfre-
quently the case,  if the patient was delirious (phan-
tasirte), had a wild, staring appearance, and complain-
ed of great tenderness of the abdomen, the pulse being
full and  hard, I gave  several  doses of aconit.  with
marked advantage, and conquered the remaining
symptoms by a dose of pulsatilla, which also proved
serviceable in removing a pappy, insipid taste, with
slimy coating of the tongue and loss of appetite, which
frequently remained for a long time.
  The severe pressing pain in the  forehead  and ac-
companying cough  with easy, mucous  expectoration,
were removed by bryonia.  But when the cough was
dry and spasmodic, the headache intolerable and ag-
gravated by every motion, by speaking and by bright
light;  smelling of belladonna always afforded relief,
and in a couple of hours a disease, already bordering
on inflammation of the brain, was conquered.
  The cough which had its exciting  irritation in a 
CEPHALALGIA.
77
rattling as if from a collection of mucus under the
sternum, was speedily removed by a dose of cinchona.
  The cough which, though accompanied by free ex-
pectoration, produced such a soreness under the short
ribs that the patient was compelled to press his hands
over these parts whilst coughing, always yielded to a
dose of bryonia.
  The obstinate spasmodic cough which frequently
tormented the patient for an hour, was often removed
by a single dose of hyosciamus, and in  a few cases by
belladonna.   If it was combined with vomiting, that
is, if it did not cease until a quantity of mucus was
brought up by vomiting, there was no remedy better
adapted than conium.   But  if  it  appeared always
after meal-times and then  the food was every time
vomited up, ferri acetas was the appropriate remedy.
  In those cases where the grippe favoured the pre-
disposition to phthisis,  and threatened to develope it
rapidly, one  or two doses  of stannum 12 were fre-
quently capable of conquering this incipient disease.
  Not unfrequently, as was observed by Dr. Gross,
obstinate inflammations of the eyes,  with subsequent
ulceration of the cornea and great intolerance of light,
followed in  the train  of  this disease.  Arsenicum
proved remarkably helpful against these. Belladonna
in frequent doses afforded speedy but  not permanent
relief.

        CEPHALALGIA.  HEADACHE.

  Acidum nitricum cured a painful tenderness of the
external coverings  of the head, which  only appeared
when the patient laid down.
  Aconitum.  Case. In a woman  set.  54 ann.  of 
78
CEPHALALGIA.
irritable disposition; from exposure to cold.  She was
peevish,  fretful, and complaining of trifles, and had
violent headache, with loss of appetite, and inability to
sleep.
  Case.   Pain in a point on the left parietal bone on
every movement and exposure to the air; with pain in
one side of the face, and swelling of the lower jaw.
  Actma.  Hemicrania, when  it consists in a severe,
tearing, gnawing pain in  the  right temple, with co-
temporaneous boring and cutting pains in the interior
of the head; and is commonly most tormenting at
night.
  Arnica.   Case. A man set. 35 ann. whilst entering
a low door struck his head with such  force  against
the lintel, that he fell back and laid for some minutes
completely stunned.  He however shortly recovered,
and pursued for some days the exciting and laborious
sport of hunting.  But the  pain  which  at first had
not been very severe, increased  so much in two weeks,
that he sought medical aid; and leeches, embrocations
and  various  other remedial means were employed
during many days without relief.  He had a pressing
pain in the forehead; heat in  the face and head, the
rest of the body not being hot; rushing  in the ears;
contracted pupils; sickness  in the  morning; thirst,
constipation; fever in  the  evenings, and anxious
dreams.  He was peevish and  irritable.   Arnica, gtt.
i. 6, caused increased pain for an hour and a half, after
which he fell into  a  comfortable sleep, unattended
by dreams,  from which he awoke very much im-
proved, and in forty-eight hours was perfectly well.
  Arsenicum cured a violent pain in the left side of
the forehead and in the temple, in a girl set. 15 ann.
There was a small spot on the forehead, of a brownish 
CEPHALALGIA.
79
   red colour, with  a black  centre, which was painful
   on being touched.   The arsen., in  the  dose of 1|30,
   was given daily for three days.
     (In a case of cephalalgia rheumatica occurring to a
   young man, and of many  weeks  duration, where
   aconit,, bellad., and nux had failed, I  succeeded in
   effecting a perfect and permanent cure with arsen. 30
   in repeated doses.   G.)
     Aurum has  many times removed a rushing and
   roaring in the head, occurring in hysterical females.
     Belladonna.   Case.  In a maiden lady set. 25 ann.
   The  paroxysms commenced with chilliness over the
   back and shoulders in the morning on rising from bed.
   This was of short duration, but left her feeling quite
   unwell.  Not  long after the  chill, nausea without
   vomiting occurred, and at the same time severe  press-
   ing tearing pain  in the whole head, but worst  in the
.   forehead, which upon every motion of the body or
   eyes became intolerable.  Every breath of air,  open-
   ing or closing  the door, or a loud footstep, increased
   the pain.  After  a time the pain seated  itself entirely
   in the forehead, on which a hot spot could be felt, and
   at the same time there was severe  aching at the root
   of the nose.  Violent palpitation of the heart,  every
   pulsation being severely felt in the head, and soreness
   and debility of  the limbs, accompanied the paroxysms,
   which  occurred  every seventh or fourteenth  day.
   The complaint had existed for eight years, and  medi-
   cal treatment had been  always resorted to for its re-
   moval.   Emetics  had been freely employed but
   without benefit.   After having  discontinued the use
   of coffee and all medicines for eight days, bellad. gtt.
   i.  24  was given two days before the period of the ex-
   pected paroxysm, at which  time an attack occurred, 
80
CEPHALALGIA.
but so slight as not to compel  her to lie down.  No
other appeared till six weeks afterwards, when there
was  a severe attack from a long  walk.  After  this
bellad. gtt. i. 30 was given, and*she remained exempt
from her disease.
  Case.   In a woman set. 24 ann.  The disease was
of three  years' duration,  and had ceased but seldom,
and for short periods, notwithstanding much medical
treatment.  The paroxysms which commenced about
four o'clock in the afternoon and continued till three
o'clock in the morning, began with burning and stick-
ing in the gums  which swelled rapidly and became
almost of an exsanguine appearance.  After a quarter
of an hour, swelling of the upper lip and of the right
side of the face,  with diminution  of the pain in the
gums.  There then occurred screwing, tearing,  pinch-
ing and  sticking  pains,  and a rushing  sound in the
right ear; sticking  and  boring  pains  in the right
temple;  sticking  and tearing pains in  the  whole of
the back of the head; and sticking and drawing pain
behind the ear and in the swelling of the face.  There
was great tenderness of the scalp preventing her from
lying down at night.  The submaxillary glands were
slightly swollen,  but painful only on pressure.  For
many years she had been subject to swelling of the
glands of the neck.  Appetite moderate. Bowels and
menstruation  regular.   Disposition sorrowful.   As
adapted  to the  symptoms of the case and on account
of its peculiarly beneficial operation on the lymphatic
system, as a disorder of this system was apparent,*

   * The substance of a note by Dr. Schubert who has reported
this case in the Archiv fur die homceopathische Heilkunst, may
aid  in the  removal of some misconceptions in relation to homceo- 
CEPHALALGIA.
81
bellad. was given in the dose of gtt. i. 30 at ten o'clock
in the forenoon, after she had discontinued the use of
all medicines for some days.   There was no change
necessary  in her diet, but she was recommended to
use more exercise in the open air than she had been
previously accustomed to  do.   The next paroxysm
after the medicine  was rather more severe than com-
monly.   But on the  following day it  was  much
slighter, did  not attack till six o'clock, and ended in
three hours.   Every day the  attack was lighter.  On
the fifth day there was  none.   On the  sixth  day a
slight one.   On  the morning  of the  seventh  day
pulsat.  gtt. i. 12 was given, after which there was no
paroxysm  for four  months, when,  the disease  show-
ing a disposition to return, bellad.  was again  given
and the complaint permanently  disappeared.
   Cephalalgia from exposure to cold, cutting of the
hair, or being wetted, accompanied by  vertigo  and
dulness of head, has been cured by bellad. gtt. i.  20.
   Hemicrania affecting the right side and occurring
weekly, in a man set.  56 ann.  The pain was  press-
ing and stretching, attended by vertigo and weakness
of memory.   The face was red and tumid;  acrimo-

pathic medicine which have found place in this country as well as in
Germany.
   Homoeopathia has been reproached with entirely neglecting to
observe what is commonly esteemed  by the medical  science of the
day as particularly woj^jfr of attention, while it merely considers
groups of symptoms. 'Tnis is such an untruth as cannot be assert-
ed by any one who has  attentively perused the  homoeopathic
writings.  For  this science, besides its attention to symptoms and
circumstances which may appear of trivial importance, also con-
siders the character of the disease; whether it is or is not inflam-
matory, and what tissues, as far as can be ascertained, principally
suffer.
      6 
82
cephalalgia.
 nious tears ran from the right eye, the pupil was con-
 tracted and the white of the eye discoloured. Intoler-
 ance of light; stitches in the right ear, with hardness
 of hearing.  Bellad. 2|30, twice given in eight days,
 effected a cure.
   Bryonia.  Case. In a married woman set. 30 ann.
 blond, of  relaxed habit, and mild, soft and timid dis-
 position.  Headache  commencing  in  the  morning,
 compelling her to go  to her bed in the early part of
 the afternoon and arriving at its height in the evening,
 when she became almost senseless.  The  pain took
 in  the  whole  brain,  and  seemed like a  pressing
 together.  She could not endure either noise or light,
 and became peevish, fretful  and quarrelsome.  In the
 afternoons the headache was  accompanied  by palpi-
 tation of the heart, constriction of the  breast, nausea
 and retching.   The  paroxysms were  excited by
 taking cold, sitting up at night, care or other mental
 emotions,  and were sometimes accompanied-by fever.
 Bryonia gtt. i. 3 administered during the paroxysms
 procured speedy relief.
  In a case very similar  to the preceding, occurring
 in a female set. 20 ann. of fretful  and quarrelsome
 disposition.   After nux had abated the violence of the
 paroxysms, two doses of bryonia effected  a lasting
 cure.
  Calcis carbonas.  Case.   In a maiden lady set. 20
 ann.  Dulness of the head.   Pto in the forehead as
if the head would burst.  Hammering headache in
the open air.  Sometimes humming  in the head, with
redness of the cheeks.    Falling  out of  the  hair.
 Misty before the eyes  especially while reading.  Two
 stools daily and at times diarrhoea.  Cutting pain in
 the abdomen,  and pressing  pain  in  the  loins in 
cephalalgia.
83
the menstrual  periods.   Frequent waking at night;
anxious dreams; disposition to complain;  want  of
cheerfulness; calcis carb. 1|30 effected a cure.
  In  pressing  pain in the  upper part of the head,
arising in the free air; drawing pain in the forehead
with coldness thereof, and nausea; tearing in the right
side of the forehead  with pain of the  part on being
touched; calcis c. has been found useful.
  Carbo veg.  Case. Arising from wine drinking and
overloading the stomach.   Confusion of the  head,
determination of blood to the head; indisposition  to
employment, debility, loss of appetite and sensation of
roughness of the mouth and tongue.
   Cinchona.  Case.  The scalp on the  back of the
head felt sore;  the roots of the hair were sensitive to
the slightest touch.  Tr. cinch,  gtt. i. effected a cure
in thirty hours.   Accompanying pain and stiffness in
the loins were subsequently removed by bryonia, gtt.
i. 3.
  Hemicrania  of six months' duration,  but with
several longer  or shorter interruptions,  in a girl  set.
15 ann.  The left side of the head was affected with
a most painful sensation  as if the  brain  shook and
struck against the skull.   It was so severe that she
could not keep  her head still, but constantly shook it
up and down.  At the same time there was a sensa-
tion as if the skull would burst upwards.   The pain
was most severely aggravated by motion.  The left
eye was  painful.  The  left side of the neck painful
and stiff. The disposition complaining and depressed.
Cinch, gtt. ss. 12 diminished the pain so rapidly that
it entirely disappeared in three  or four hours.  At the
end of twelve hours it again returned with its original
severity.    After twelve  hours more,  another but
                                         6* 
84
cephalalgia.
smaller dose of cinchona was given and the headache
disappeared, and was not re-excited by active motion.
At the end of six weeks there was a slight relapse,
which cinchona again rapidly overcame.
  In  hemicrania, cinchona has been recommended
when the affected part is sensitive  to  the slightest
pressure.
  Cocculus has removed headaches accompanied by
a sensation of hollowness of the  head.   It has also
proved useful in constrictive or screwing-in pains in
the head after eating  or exercise, with vomiting or
great  anxious restlessness.
  Case   In a woman set. 28 ann.   Frequent pain
in the forehead with bilious vomiting.  Pressure in
the stomach.   Pain  in  the  right  hypochondrium,
changing  from pressing to  sticking  upon bending
forward;  costiveness.   Painful hemorrhagic  men-
struation,  and subsequently, hsemorrhoidal tumours;
debility; sweat; restless sleep; cured by two doses of
cocculus, gtt. i. 18, in eight days.
  Colocynthis cured an  arthritic cephalalgia  which
recurred every afternoon. It has also removed violent
tearing headache, accompanied with asthmatic  op-
pression at the breast.
  Mercurius  has proved  useful in tearing  burning
cephalalgia, chiefly affecting the temples.
  Nux vomica. Hemicrania in a man set. 30 ann. of
sound but irritable constitution,  and  of sedentary
habits.  Shortly after  awaking in the morning con-
siderable affection of the head with disgust towards
food,  drink, coffee and tobacco.  Then, sticking or
pressing pain immediately above the left orbit, which
passed downwards at times into the eye, and was in-
creased by pressure.  Intolerance of light, dimness of 
cephalalgia.
85
sight, and flow of hot tears.  All the parts around the
eye were hot.   At the same time the left nostril was
generally obstructed, and the strongest sternutatories
would not  excite sneezing, which was desirable, be-
cause as soon as it occurred, the paroxysm  ceased.
During the severity of the pain copious sweats broke
out, after  which he  felt worse than before.  Some-
times in the  commencement of a paroxysm he felt a
disposition to vomit.  In the paroxysm his thoughts
were often confused;  and  after it the intellectual
powers were much affected, and he was forgetful and
incapable of much mental exertion.  Great sensibility,
he spoke unwillingly, and the conversation of others
and any noise  affected  him unpleasantly.  The pa-
roxysm continued to increase in severity until towards
noon, when it terminated in a short sleep, from which
he awoke   cheerful and with a good appetite.  The
paroxysms occurred daily.   "This  form of disease
was very similar to the  nervous hemicrania observed
in  coffee  drinkers,  and described  by  Hahnemann.
The patient  was very fond of coffee, and  used it in
large quantities; and this might with  propriety be
considered as the chief source  of his  disease.  He
must therefore wholly avoid it.  The above symptoms
were best  adapted  for nux v., as this not only pro-
duces them, but also possesses the property of exciting
the severest disease in the morning hours.  Besides,
it is one of the chief antidotes  of coffee, and it was
therefore to be preferred to every other medicine.  It
was given  in the evening in the dose of gtt,  i.  24, and
even in this dose operated powerfully."  (Dr.  Wis-
licenus).  The next paroxysm was more violent and
of longer duration, but the second was much weaker,
and after  the third  day they had ceased.   On the 
86
CEPHALALGIA.
tenth day, on account of a return of the symptoms in
much weaker  form, a similar dose was given, and in
two days he was perfectly well and remained so at the
end of two years.
  A similar case in a female set. 35 ann., but attended
by severe aggravation of the hemicrania in wet or
stormy weather, and  by obstinate constipation,  was
cured by nux v. 3.
  Nux v. has  removed cephalalgia with a sensation
of fluctuation  in the brain,-  pressing pain in the oc-
ciput, and pressing beating headache in the morning
on mental exertion; after eating, pain in the temples,
which was moderated by warmth  and increased by
wine and coffee; attended by bitter taste in the morn-
ings and constipation  for three or four days, and then
great exertion to  effect a discharge.  The patient
was passionate, and over sensitive to noise and odours.
  Also, morning headache, with  vertigo, as  if the
brain moved round in a circle;  dimness of sight, and
at times unconsciousness; intolerance of light; ringing
of the ears; weakly feeling after eating,  eructation,
beating and burning in the region of the stomach, and
flatulent  distension and rumbling in the abdomen.
  Nux v. has  also cured periodic headache; the pains
being pressing, tearing or sticking, beginning in the
morning, worst at noon, and ending in the evening;
in some cases attended with pain in the region of the
liver; nausea,  retching; eructation or vomiting of
bitter fluid, or constipation.
  Platinum has been successfully employed in  the
cure of a severe pinching pain in the fore part of the
head, especially above the root of the nose; with  heat
and redness of  the face, complaining disposition, and
too frequent and copious menstruation. 
CEPHALALGIA.
87
   Pulsatilla.   Case.  In a  maiden  set. 24 ann. of
large and powerful frame, and of a very yielding dis-
position.  In the morning on awaking she had a very
severe headache, which at first only affected the fore-
head, but afterwards the whole head, and produced a
sensation as if the head was pressed in a vice; vertigo
and heaviness of the  head upon sitting up in bed;
pain  increased by thinking  and speaking;  great de-
bility; alternating  paleness and redness of the face.
Sickness and sensation of crawling at the stomach; a
constrictive feeling over the breast as if the clothes
were too tight; great  dryness of the mouth,  but no
thirst. Disgust of food; frequent transitory shivering
over the  whole body; weak, scarcely perceptible, slow
pulse; over-sensibility of the disposition;  she  com-
plained continually.   Pulsat. gtt. i. 12, given in the
forenoon, was followed by a short and slight aggrava-
tion,  after which there  was a progressive  improve-
ment till four o'clock in the afternoon, when there was
a slight  exacerbation,  but  she  enjoyed a good sleep
the following night, and was entirely restored to health
in forty-eight hours.
   Hemicrania, in a girl set  8 ann. of a soft and mild
temperament  and  amiable  disposition.   Pulsating
and sticking pain  in  the left  side of  the  forehead,
alternately in  the mornings after getting up, and in
the evenings after  lying down; diminished by ex-
ternal pressure and in the open air, but aggravated in
the house, on  lying down, and on stooping, or by
moving the eyes.  The headache continued for many
hours, and its cessation was followed by severe pain
in the stomach, succeeded by acid or bilious vomiting,
after which there  were severe  cutting pains  in the
lower part of the abdomen.  Pulsat. gtt, i. 6 produced 
88
CEPHALALGIA.
an aggravation in the succeeding paroxysm, but the
later paroxysms were lighter and lighter, and entirely
disappeared by the  fifth day.  At the end of two
months there was no return of this disease, which
had been of six months' duration, and had resisted
the ordinary treatment.
  Case.   In a robust woman set.  32 ann.  who had
been afflicted for several months by a painful draw-
ing and stinging  pain in the left  temple which was
absent during the day, but recurred at the same time
every evening with the sensation of the left side of the
crown of the head being lifted up,  which  deprived
her of all rest  at night.  Accompanying the hemi-
crania, there was a constant humming  and buzzing
in the head, tearing pain in the left ear, and in the
last six weeks painful metrorrhagia. Both the memory
and body had  been much  weakened by the disease.
The pulse was small and 60 in the minute.  Disposi-
tion mild.  A bleeding had aggravated  all the symp-
toms.   Pulsat.  gtt. i.  3, and in six days the disease
had nearly disappeared.   A  relapse occurred three
weeks afterwards from  taking cold, when the com-
plaint was perfectly cured by rhus gtt, i. 6.
  Rhus has cured headache which returned peri-
odically, with intervals of some hours, beginning with
stitches in the ears, then in the temples, forehead and
root of the nose, and extending to the jaws, with pain
in the teeth and gums.
  Case.  Severe pain in the occiput compelling to
lie down; and excited by trouble, or by exercise in the
open  air.  The complaint  occurred in a hysterical
woman set. 40  ann. and was cured by repeated doses
of rhus gtt. i. 6. 
cephalalgia.
89
  Rhus has also proved  curative in some cases of
arthritic cephalalgia.
  Hemicrania.  In this form of cephalalgia rhus has
proved serviceable;  see the last case  of  pulsatilla
under the present head.
  Sepia. Hemicrania in a maiden set. 19 ann. Heavi-
ness and confusion of the head in the morning.   He-
micrania with severe  tearing,  boring and sticking
pain; the patient had to close her eyes and press upon
them with  her hands.   During the paroxysms there
was disgust of food.  Three  doses of sepia 3|30 effect-
ed a cure.
  Silex in  the dose of 2|30 cured a sticking and tear-
ing pain in the head, which extended itself through
the bones of the face into the lower jaw and the teeth.
  Sulphur.  Case.   A worker  in lead and tin had
suffered for several years from attacks of a pressing
and tearing  pain, and numbness of the head, with
loss of appetite and sickness at the stomach. Bryonia
and nux v. each afforded much temporary  relief, but
the  disease was  permanently  removed by repeated
doses of sulphur 3.
  Case  In a girl  set.  11  ann.  Disease of  three
months' duration.   Pressing pain in the fore part of
the head in the morning on awaking and continuing
throughout the day, incapacitating the child from
learning.   After  spiritus  sulphuris 1|10 the disease
gradually diminished in violence, and at the expira-
tion of three weeks entirely  disappeared.  At the end
of nine months there had been no return of it.
  Sulphur has proved useful in the following kinds
of headache: in sticking pain in the frontal protu-
berances, with vomiting of the ingesta; in stitches in
the left side of the head with burning in the forehead, 
90
CHOLERA.
tearing pain through the head, whizzing in the ears
and  nausea;  in drawing and  cracking  in the upper
part of the head extending to the occiput, frequently
with nausea.  Also in cephalalgia from repelled psora.
  Taraxacum in the dose of  gtt. i. of  the tincture,
cured a violent headache which only occurred whilst
walking or standing.
  Tr. acris and veratrum have been recommended as
useful in hemicrania.
                  CHOLERA.

   This term  has for a  long time been  applied  to
a  cotemporaneous vomiting and  purging,  whether
of bilious  or  other  matters.   Within  a few years
it has  been applied  to cases in which  these  symp-
toms  were not present, but which were the result
of the action  of  a pathogenetic agent  which, in a
great majority of the cases in  which its operation
was  severe, produced vomiting and purging of a
peculiar character.   As the latter appears to be a dis-
tinct disease, and therefore to require a separate con-
sideration,  which is also proper in relation  to the
cholera of infants, I shall treat of the diseases to  which
this  term  is  applied under the heads  of Cholera
Morbus, Cholera Infantum and Cholera Asiatica.

                 CHOLERA MORBUS.

  This name is peculiarly applicable to sudden  and
violent attacks of vomiting and purging, arising from
the action of cold on the body after long continued
exposure to heat, which is a form of the disease that 
CHOLERA MORBUS.               91
occurs frequently in the summer season, and attacks
most  generally at night.  It is most  commonly at-
tended by copious discharges of bilious  matter, and
its attacks are very frequently invited by over eating,
especially of fruits or of vegetables which are difficult
of digestion.  As there is reason to believe that it is
sometimes induced by the  epidemic constitution of
the atmosphere, though it seldom prevails very ex-
tensively, it is to be expected that different remedies
will be peculiarly useful in different seasons.
  This term is also applied by some  authors to the
vomiting  and purging  produced by  deleterious  or
poisonous  substances taken into the stomach.   It is
sufficient to remark in relation to the forms  of the
disease arising from these  causes, that the proper
treatment consists in aiding nature in  the efforts she
has already established for the removal  of the peccant
matters.  Or where their removal is rendered difficult
by the insolubility and ponderosity of  the substance,
the exhibition of such  remedies as either chemically
neutralise it or favour its solution;  at the same time
that oily or mucilaginous matters are administered for
the purpose of involving the poisonous particles and
shielding the  lining membrane of the stomach and
bowels, as far as is possible, from its destructive action.
Without the neutralisation  or  removal  of the  sub-
stance, the vomiting and purging of which it is the
exciting cause cannot be suppressed without injury
to the patient.   But if the cholera continues, after we
have reason to believe that the substance which has
excited it has been entirely removed from the stomach
and bowels, it will be proper to administer those re-
medies which  have been found antidotal to its opera-
tions.  As a detail of these would be here out of place, 
92
CHOLERA MORBUS.
I shall now proceed to the consideration of the re-
medies which  have proved useful in those forms of
vomiting and purging to which the  term of cholera
morbus is most appropriate.
  Arsenicum.   This remedy has proved useful in
cholera morbus attended by incessant thirst, vomiting
of a green matter, purging, pressing pain in the epi-
gastrium, and severe burning in the lower part of the
abdomen, with extreme exhaustion and debility.
  Chamomilla has cured cholera morbus.
  Cinchona.   A case  of this disease, occurring in a
man set. 81 ann., was  cured with cinchona 12.  A
similar attack, four years afterwards, was removed by
the same remedy.
  Dulcamara effected a cure of cholera morbus arising
from "cold drinking," in which,  accompanying the
bilious vomiting and purging, there was great pain in
the abdomen, especially in the umbilical region; burn-
ing pain in the region of the stomach;  great thirst,
and extreme debility.
  Ipecac.   Dr.  Zinkthan states that he cured  with
this remedy, thirty-nine cases of cholera morbus oc-
curring between the first of June  and the latter end
of September.   The disease began with  slight chilli-
ness, or even a shaking chill, which was  followed by
heat of the whole body, but especially of the lower
part of the abdomen. The tongue  was rather dry and
covered with a yellow coating.  A sensation of pres-
sure in the region of the stomach preceded the vomit-
ing, which was accompanied by a general sweat, great
thirst, and one to three hours after  its commencement
by  bilious diarrhoea.   The  matters discharged by
vomiting were first thin yellow  bile;  afterwards  a
bilious, green  water of  a bitter and  acid taste, and 
CHOLERA INFANTUM.              93
pungent odour. The stools were at first bilious, then
mucous with  white flocculi, and sometimes some
blood. After a time, the vomiting gave place to retch-
ing, and the diarrhoea to a most painful tenesmus un-
accompanied by any discharge.   The  breath was
short; the urine was small in quantity, and of a dark
yellow colour.  The pains in the abdomen were very
severe.  The  powers sunk rapidly, the sweats were
profuse, and in some cases cramps appeared over the
whole body.  Ipecac, well triturated with sugar, was
given in water every three or four hours, in doses of
the eighteenth or thirtieth part of a grain.  In most
instances in a quarter of an hour to an hour after the
first dose there was a striking diminution of the worst
symptoms,  and in many cases  but two and  in the
worst cases but six doses were  required to effect the
removal of the disease.
   Veratrum has proved eminently useful in cholera
morbus, even when the patient has become speechless
and unconscious, and when corpse-like coldness of the
body, excessive debility, cramps, retention of urine
and cold sweats, have been present.  The recorded
cases of  cures  effected by this  remedy are very
numerous.
     cholera infantum.   Summer Complaint.

  This disease, which is very prevalent in the great
cities of this country in very warm summers, attacks
infants from three months to two years of age. Those
who are brought up by hand, or are early weaned, or
who receive an insufficient quantity of milk from the
breasts of their nurses, are most liable to it.   But it 
94
CHOLERA infantum.
 is often induced in those who do not suffer under these
 disadvantages, from food  unsuited to the  stomachs of
 infants,  and especially from  fruits.   There is an
 erroneous opinion very prevalent in this city that the
 dewberry and blackberry (the fruits of the rubus pro-
 cumbens and villosus) are wholesome in the summer
 complaint.  That in some very rare  instances they
 may have proved curative is quite possible, but the
 properties which have rendered them medicinal in
 some cases, make them injurious in others.   It is not
 on theoretic grounds that these objections are made
 to their use, but upon those of  experience, as I have
 more than once had occasion to regret their employ-
 ment by  the parents of infants  who  were under my
 care on account of cholera infantum.   The physician
 should be very careful to impress on the minds of the
 parents,  the  absolute  necessity of withholding all
 kinds of fruit from infants under  two years of age,
 who  are suffering, or have recently suffered, under
 cholera infantum or diarrhoea, for they are  capable,
 even  in very minute quantities, of reproducing the
 disease.  In one  case I saw a relapse of cholera in-
fantum apparently induced by allowing an infant to
bite upon a slice of apple with its toothless gums.
   Cholera infantum, though it sometimes rapidly di-
 minishes the powers  of the system, and  advances
with hasty strides to a fatal termination, still more
frequently assumes  what  may be termed a chronic
form,  and continues  for many  weeks before it
destroys  the patient.  In  many, perhaps a majority
of cases,  it terminates  in  symptoms of cerebral dis-
order resembling  those of hydrocephalus, which in
some instances appear to arise from a complete metas-
tasis of morbid action; the gastric and enteric disorder 
CHOLERA asiatica.
95
subsiding when the symptoms of disorder of the brain
make their appearance   When this  metastasis has
taken place, death generally follows in the course of
twenty-four or forty-eight hours. In this stage, though
recovery may  not be always hopeless,  yet the chance
of rescue for the patient is exceedingly slender.
  In the treatment of cholera infantum, it should be
recollected that it frequently happens, after this com-
plaint has continued for a considerable length of time,
that the child shows a strong craving for fat meat,
mostly ham, or for butter;  and that the gratification
of this  appetite is generally followed by great im-
provement, or even by rapid convalescence.
  The following remedies are the most important in
the treatment of this disease; namely, arsen., bellad.,
calcis acetas, chamomil. and ipecac  Of these, bellad.
has  cured the disease where there was vomiting of an
acid, watery  fluid and mucus, and  diarrhoea with
mucous  stools.  Chamomilla has proved remarkably
useful where the diarrhoea  was the  predominant
symptom, and the evacuations were green  and slimy.
And calcis  acetas, in repeated doses, has  cured the
disease when  the discharges were acid.
   In addition to the  remedies  above  mentioned, the
others which have  been  found useful  in cholera
morbus and diarrhoea, may often deserve attention.
                cholera asiatica.

  This disease is the result of the action of a peculiar
pathogenetic agent;  and the name has been applied
because vomiting and purging, though not its uniform,
are its very frequent attendants. 
96
CHOLERA ASIATICA.
  When the action of this  agent is manifested by
spasmodic muscular contractions of a tonic character,
great debility, sunken eyes, blueness of the face, cold-
ness of all parts of the body, hollowness and hoarse-
ness of the voice, great depression and anxiety, burn-
ing in the stomach and oesophagus, painfulness of the
epigastrium on pressure, cramp pains in the gastro-
cnemii and other muscles; and there is neither thirst,
nausea, vomiting nor diarrhoea; the internal adminis-
tration of the alcoholic solution of camphor,  in doses
of one  drop repeated every  five  minutes, at the
same time bathing the extremities  with the same
article, is recommended by Hahnemann and others.
  But where the spasmodic  contractions are of  a
clonic character,  and there  are frequent  discharges,
both by vomiting and purging, of a watery fluid mixed
with white, yellow or red flocculi, with unquenchable
thirst, loud rumbling in the abdomen, anxiety, sigh-
ing and moaning, coldness of  the  whole body, espe-
cially of the tongue, marbled blueness of the hands,
arms and face, staring and sunken eyes, diminished
sensibility, slow  pulse  and painful cramps of the
limbs; the camphor may be tried as above, but should
it fail of affording relief, cuprum 1 or 2|30 every half
hour until the vomiting  and  diarrhoea  cease, and
warmth and comfort return.  But no other medicinal
agents should be employed at the same time, as these
would  disturb its operation and prevent its beneficial
effects.  Similar benefit may be derived from veratrum
1 or 2|30 which should be allowed to operate without
the administration of a second dose until the improve-
ment from the first dose  ceases to advance.
  When there is severe burning in the stomach,
bowels, and  oesophagus,  great thirst and  debility, 
CHOREA.
97
painful constriction of the breast, burning dejections
and great restlessness and jactitation; arsenicum 1 or
2|30 is useful.
  In the stage of collapse, carbo veg., acid, hydro-
cyanic, and laurocerasus have been found very service-
able.
  When after a return of more  comfortable feelings
the vomiting still  continued, ipecac, has been found
serviceable, though it is generally of little use when
the disease is violent.
  Dr. Rummell recommends secale in repeated doses
of 4 or 6|12 when the vomiting has somewhat sub-
sided, but the stools are still unaltered, and every cir-
cumstance shows  that no  bile is poured into the
bowels. He states that yellow or green stools speedily
follow its employment, and the patient is rescued.
  In the cholera diarrhoea, acid,  phosph., cuprum,
phosph.,  secale and veratrum have proved useful.
  In the typhus condition  which sometimes super-
venes on  cholera,  rhus and bryonia are highly re-
commended.
       CHOREA.   ST.  VITUS' DANCE.

  A number of different nervous affections have  re-
ceived the appellation of chorea.  One of these is an
imperfect obedience of the voluntary muscles  to the
will;  so  that irregular and unintended motions are
consequent on attempting to move any part. Another,
which frequently accompanies  the former, is  an in-
voluntary movement  of parts independently of any
exertion of the will to produce motion.   A third con-
      7 
98
CHOREA.
sists in actual convulsive movements, consciousness
and sensibility still remaining, though generally with
more or less diminution.  To these may be added a
fourth, which most probably is the affection to which
the name of St.  Vitus' dance  was originally applied.
In this the contractions of the muscles are regular;
and running, leaping  and dancing are accomplished
as if by the exertion of the will; but these exercises
are continued by an irresistible  impulse, and fre-
quently until the patient is absolutely  exhausted.
That it may have often depended entirely on an ex-
cited imagination, and  that it may frequently have
been simulated, is undeniable; but that it may exist
independently of the  imagination, is shown in some
persons, who, under the influence of the inhalation of
nitrous oxide or sulphuric ether, exhibit this saltatory
propensity in a very striking manner.   The action of
the agents which have just  been mentioned, is of
short duration, but it is sufficient to satisfy us of the
existence of such a morbid condition of the nervous
system as will produce all the phenomena which are
attributed to this form of chorea.  A similar condition
of a much more chronic character  may therefore
rationally be expected sometimes to occur.   A case
bearing considerable relation to this form  of the
disease, occurring in a child, and accompanying per-
tussis,  is described under this head.
   As the cases of chorea here presented are but few,
any index  to them is unnecessary.  And  as in most
cases more than one remedy has been employed, no
attention has been paid to the arrangement of the re-
medies in alphabetic order.
   Case.  In a girl;  arising  from fright.   Constant
involuntary movements of the limbs, except  during 
CHOREA.
99
 sleep.   Cuprum in repeated doses effected great im-
 provement.
   Case. Spasmodic movements of the right arm and
 leg, with inability to extend the hand properly, the
 fingers being spasmodically bent. Ignatia in repeated
 doses effected a cure.
   Case.   Constant  twitching  of all  the muscles.
 Cured with cinchona 1|9.
   Case.  Irregular movements of the side of the face
 and limbs of the right side, with stammering speech,
 was cured by cocculus, gtt. i. 9.
   Case of a girl set.  12  ann.;  where the  disease had
 supervened on a nervous fever and lasted for a couple
 of weeks, and where, with the usual symptoms of in-
 tellectual weakness and incapability of properly con-
 trolling the contractions of the voluntary muscles, she
 appeared to consider  every thing addressed to her as
 very  ludicrous, and  laughed for a long time  and
 loudly; had  a dry cough at night; stools and ap-
 petite  normal;  sleep restless.   Hyosciam. gtt.  i. 9.
 Sleep  and cough  better, the latter looser, and  she
 laughed much less and exhibited a general improve-
 ment.   On the  third day bellad.  gtt.  i. 12, and the
 next day she was well.
   Case of a  boy set.   11  ann.; the disease of eleven
 weeks' duration, in which, in addition to a want of
 subjection of the muscles to the complete control of
 the will and  the usual  mental imbecility, the head
 was drawn back, the pupils dilated; he laid his hands
 frequently on his loins,  then bent himself back with
 a painful expression of countenance and distortion of
the mouth, as if he was seized with violent pain;  con-
stipation and diarrhoea alternating  contrary to  his
healthy condition, he was obstinate and self-willed. Tr.
                                         7* 
100
CHOREA.
sem. stram. gtt. 1.9 was given and in three days there
remained  nothing of the spasmodic affection,  except
a slight trembling of the lower extremities in walk-
ing, and of the arms and hands in raising any heavy
body.  For the morbid condition of the bowels cinch.
1|12 was given, and in a few days he was perfectly
well.
  In the case of a girl set. 14 ann.;  supervening on
measles, in addition to the symptoms of mental imbe-
cility, and want of perfect control  over  the contrac-
tion of the voluntary muscles, the eyes, the muscles
of the face, the arms and lower limbs were in constant
motion, except during sleep, and her utterance was so
indistinct that she could scarcely be understood.  She
had a great number of warts on her hands.  Calcis
carb.  2|18 produced homoeopathic  aggravation for a
day, then a  gradual improvement  of  the disease
during forty-five days, when the amendment ceasing
to advance, spt.  sulphuris 2|0 was given.   The  im-
provement after this was rapid, and  in  three weeks
she was perfectly well.  The warts had disappeared
with the disease.
  Another case, which is mentioned in the Annals,
was  successfully treated  with nux v.,  calcis carb.,
lycop., phos., tr. acris. and sulphur.
  A girl set. 7 ann. complained of burning and stick-
ing pain in the left arm, which was  soon afterwards
seized with  violent convulsions  beginning in  the
fingers and extending through the whole extremities.
On the fourth day the left lower limb was attacked.
The neck, even when there was no paroxysm, was
drawn to the  right side,  so that the face approached
the shoulder; after the paroxysms she always  felt
herself well.  The paroxysms came night and day as 
CHOREA.
101
many as eight or ten in twenty-four hours.   Ignatia
was given in repeated doses with some abatement of
the disease.  Cupri. acet. gtt. 1.1 was followed in half
an hour by a paroxysm, and in four hours by another,
the most  severe she had had in her whole illness,
which proved to be the last.  The girl has since been
perfectly healthy.
  Case.  In a girl set. 12 ann. Numbness of the left
side of the head and of the left arm and lower ex-
tremity.   Jerking of the head towards the  left side
and severe jerking in the left extremities.  The at-
tack occurred in church.   Next  Sunday the attack
was renewed.
  Some hours after the paroxysms, she was  well, but
weak.  Stramonium 9 was given, after  which there
was no reappearance of the disease for two years,
when she was attacked with tearing pains in the left
side of the head and left ear. Some days later similar
pain in the right side of the abdomen, with twitching
in the right side of the neck and right ear, and also
in the left arm and left side of the head.  Pressure on
the abdomen diminished the violence of the twitching;
and when this ceased, the arm was numb. Nux vom.
30 effected a cure.
  Case.  Accompanying pertussis in a girl set. 8 ann.
The cough occasional, and moderate through the day,
but about ten o'clock at night, after she had slept for
an hour, she was awakened by a severe paroxysm of
coughing.  After this was ended, she sprang out of
bed and danced about the room, laughed, sang, struck
and bit those present whom she did not know, and
behaved herself very  improperly.  This lasted for an
hour,  when she laid herself in bed, and slept quietly
till morning.   After awaking she had but little recol- 
*1
 102                  COLICA.

 lection of what she had done the preceding evening.
 She had been treated on the old method for some time
 before she was placed under the care of a homoeo-
 pathic  physician,  but  without any improvement.
 Under the homoeopathic treatment, there was  for a
 length of time no improvement in the paroxysms, but
 the intervals gradually became  longer; at first  from
 twenty-four to  forty-eight hours, and afterwards to a
 week.  And instead of striking and biting, she was,
 during the  paroxysm,  overflowing  with love and
 tenderness; crocus sat.  2|1 was then given on the
 next day after a paroxysm, and the disease never re-
 appeared.  The child became more healthy than she
 had been for a length of time before she had pertussis.
   The remedies employed previously to  the crocus,
 were stramon., bellad., verat, hyosc, drosera, cuprum,
 cina, and conium.


                    COLICA.

   Colica  flatulenta.   Nux  v.,  cocculus, chain.,
 bellad., cinch., ignat., pulsat.,  hyosc, colch., phosph.,
 sepia, carb. veg., silex, zinc.
   Colica biliosa.  Colocynth., cham., nux v., ignat.,
pulsat., ipecac, bryon., verat., arsen., dulc, sulph.
   Colica a constipatione.  Nux v.,  bellad., opium,
plumbum, verat.,  bryonia, staphys.,  platin., cinch.,
 coccul, sulph., calc carb., silex, lycop., alum., zinc.
   Colica metastatica vel hemorrhoidals. Nux v.,
 arsen., bellad., sulph., capsic, ferrum., thuya.,pulsat.,
 ignat., coloe, carb. veg., phosph.  In  this disease it
 may be sometimes adviseable to give aconite for the
 removal of the inflammatory action. 
colica.                   103
  Colica pictonum.   Opium, platinum.
  Arsenicum—Is useful in the hsemorrhoidal colic
described under bellad., when the disease has con-
tinued for some time, the debility has become great
and the pain continues violent.
  Bellad. Colic with a roll-like swelling in the region
of the transverse colon, with rumbling in the tumour;
and  tumefaction above one of the inguinal rings, re-
ceding with crepitus on pressure.   The pains pinch-
ing and plucking.   Such pains are characteristic of
the cases suited to bellad.  It is also useful in some
of those colics which arise from a suppression of the
catamenial or hsemorrhoidal discharges,  which are
frequently accompanied by inflammatory symptoms
and by increase of  the pain from  slight pressure on
the abdomen.  It is particularly suited to this kind of
colic, when there is a spasmodic tension low in the
abdomen, with a pressing sensation above the pubis
and in the sacrum.
   Cocculus.  Severe pressing pain in the right hy-
pochondrium,  increased  by coughing  or bending
forwards.  Tearing and burning in the bowels with
pinching pain in the stomach, great flatulent disten-
sion of the abdomen and constipation.
   Colocynth—Is  a  most  valuable remedy in colic.
In an excruciating attack of this disease, when there
was a  remarkably  great  and  chronic  tympanitis
abdominis, it quickly cured the disease; the  tym-
panitis  gradually disappeared, and  there were no
more returns of the  colic to which  the  patient had
been previously for  a long time subject.  In bilious
colics  it is the  chief remedy and is peculiarly ap-
plicable where the pain is most severe in a small spot
in  the  umbilical region,  and  appears  periodically 
104                  colica.

every ten or fifteen minutes or still less frequently;
every time beginning with a slight drawing from the
sides towards the central point, which grows into a
tearing, pinching, boring, &c,  and is so severe that
the patient cannot restrain himself, but cries out, bites
whatever is nearest to him, and writhes like a worm
with the agony, which also causes profuse perspiration.
   Chamomilla is adapted to many of the colics of
infancy.  To  flatulent  colic in  which the  flatus
presses against different  places in  the abdomen, as if
it would break through, and there is at the same time
a general distension of the prsecordium and hypo-
chondria, pressure  to  stool, borborygmi,  and slight
discharge of slimy mucus.  Also  to bilious colic
supervening on violent anger.
   Cinchona.  Flatulent  colic low in the  abdomen,
the pain stretching and  pressing, as if the flatus was
vainly attempting to force a passage.
   Cocculus.   In flatulent colic,  where after  the dis-
charge of flatus without relief, more is  constantly
produced.
   Ignatia.   Flatulent colics, especially nocturnal, in
hysterical females.  Also in bilious colics from sup-
pressed rage.
   Nux vom.  Flatulent colic in dyspeptics, where
there is flatulent distension of  stomach particularly
after meals.  Where the pain is low in the abdomen and
there is cutting and sticking pain about the bladder,
perinseum,  rectum  and  anus.  Pain intolerable in
walking, but disappearing whilst at rest.  In colica
hsemorrhoidalis with suppression of urine.   It is a
 very important remedy in colic from constipations, and
 in those arising from obstructions of the bowels, from
 intussurceptio, volvulus, &c. 
constipatio.
H)5
  Opium.  In colica pictonum and in iliac passion.
  Plumbum.  In colic from constipation or obstruction.
  Pulsatilla.   In the flatulent colics of hysterical
females, and in the colics incident to pregnant wo-
men,  which are accompanied by a frequent desire  to
urinate.
  Phosphor, removes flatulent colics which are seated
low in the abdomen  and are aggravated on lying
down.
  Secale  has proved beneficial in the menstrual colics
of females, attended by paleness of the face; coldness
of the extremities; cold sweat; small, weak pulse, and
tearing and cutting pain in the lower  part of the
abdomen.  Also where there is fixed burning pain in
the lumbar regions, and pains in the lower part of the
abdomen.
  In  males  where  the frequently recurring colic is
combined with pain in the loins and thighs, and with
eructation and vomiting.
  Veratrum.  In flatulent colic with cardialgia, flatu-
lent eructation, sickness at stomach, bitter taste, pinch-
ing pain  in the stomach and painful distension of the
abdomen, and constipation.
  Zincum.  Flatulent colic.  Frequent rumbling in
the abdomen below the  umbilicus and  in  the left
hypochondrium, at times accompanied by pressing
pains.


                CONSTIPATIO.

  The medicine which is properly adapted to remove
the morbid condition of the system, is the proper re-
medy for the constipation or  costiveness which is 
106
CONSTIPATIO.
connected with and forms part of such morbid condi-
tion.  And it frequently happens, that there occurs,
within a few  hours  after the  administration  of a
proper homoeopathic remedy, a stool of more normal
character  than has appeared for a great length of
time: and, afterwards, the bowels continue regularly
and  properly to discharge the fseces.  A list, there-
fore, which should contain all the remedies that have
proved themselves useful in removing constipation or
correcting costiveness, would embrace a large propor-
tion of the materia  medica.   I am unable at present
to prepare a list  so  perfected  as to be  of utility,
which is the less to  be regretted,  because  the col-
lateral symptoms will be found more positive guides
to the remedy  peculiarly suited  to the case,  though
this remedy must also be adapted to remove  the con-
stipation, a fact which can be  readily ascertained by
a reference to our materia medica.  But since consti-
pation and costiveness are frequently  the original and
predominant symptoms, I shall mention  a few of the
articles  which  have  most  frequently  or  strongly
signalised their power in  the removal of these affec-
tions; at the same time  advising, that  it should be
borne in remembrance, that however frequently these
remedies may succeed under  the circumstances just
mentioned, or where  they are  suited to correct the
whole disease, of which constipation and costiveness
are a part, yet that they must inevitably fail, where
they are not so adapted, as these affections,  however
troublesome, are but subordinate to the general morbid
condition.
  Nux vomica has very frequently been found to re-
move constipation, and is especially indicated where
there is considerable gastric derangement.  Where it 
C0NTUSI0.  CONVULSIO.
107
has failed, veratrum has sometimes succeeded.  So
has bryonia in alternation with nux.
  Opium has removed constipation in several cases.
  Acetas. plumbi has cured very obstinate constipation.
  Lachesis has been recommended.
  Calcis sulph. and sulph. are often useful.


                  CONTUSIO.

  In contusion, wrenching, straining and all mecha-
nical injuries, arnica montana 30.  Hahnemann says
that in great and  severe contusions the cure will be
hastened, when,  besides the  internal  use of a small
dose, the affected part is kept moistened for the first
twenty-four hours with the following mixture. Dilute
alcohol and water, each half an ounce, and five to ten
drops of the first dilution of arnica.
  If some time  has elapsed, and febrile symptoms
arise, aconite should precede the arnic.
  Bryonia has sometimes been of service.   In a case
of injury of the knee from a fall, when the tumefaction
and pain were very great, bryonia 30, given twelve
hours after the accident, caused,  after slight aggrava-
tion, a rapid improvement.


       CONVULSIO.   CONVULSIONS.

  Under this head  are included epileptic,  hysteric,
and hydrocephalic convulsions, as also those of infancy
arising  from the irritation of difficult dentition and
other causes.
  Arnica proved useful in the  case of a girl set. 10 
108
CONVULSIO.
ann. who  when  two years of age had fallen from a
considerable height, and was taken up for dead. The
apparent injury of the  head was trifling, but violent
convulsions  speedily  took place and  were almost
constant for  four weeks.  Afterwards the paroxysms
recurred less frequently, but  sometimes twice a day
for several days in succession, and sometimes did not
appear for several weeks.  The character of the con-
vulsions remained the same as when they first oc-
curred.  They commenced with violent palpitation
of the heart, then sickness; the body and limbs on the
left side were drawn crooked, and saliva  flowed from
her mouth.  " She  then had  convulsions for a short
time inwardly, and with these felt a violent itching
in the nose, which she rubbed with her right hand."
During the paroxysm she retained perfect conscious-
ness.  Arnica  5|30 was given every sixth day until
five doses  were taken.   At first the paroxysms were
more severe, but afterwards gradually diminished in
force, and for a short time before the publication of
the case had entirely disappeared.
  Arsen. has been successfully employed in epilepsy.
   Also  in convulsions occurring during  dentition,
when in the intervals there is  constant thirst with
burning heat of the whole body, hasty movements
and an anxious expression of countenance, and where
the paroxysm is of the  following  form:—First a
throwing out of the arms,  then complete loss of con-
sciousness, the patient lying  as if dead, pale but
warm, the fingers and thumb closed; the arms slowly
raised and then slowly sinking; after some minutes,
motions of the mouth as if the lower jaw was moved
about; no  appearance of respiration;  after a duration
of fifteen minutes a conclusion of the paroxysm with 
CONVULSIO.
109
a jerk of the whole body like a single start forwards
with the hands and feet, and a sudden return of con-
sciousness, but with great debility.
  Aurum has been recommended for hysterical con-
vulsions.
  Belladonna.  Hysteria. A maiden lady set. 32 ann.
had suffered under a convulsive disorder for six years,
and  during the greater  part of this time had been
treated by many physicians without success, and her
last  physician, after  various efforts  to remove the
disease, had declared it too inveterate and dependent
on organic injuries to be cured. Among the remedial
means used were opium, hyosciamus, saffron, cicuta,
valerian, musk, prussic acid, flowers of zinc, sugar of
lead, ammoniuretted copper, mercurials, cinchona,
the mineral acids, electricity, blisters,  cups, issues,
&c.   But for  the last three months she had only em-
ployed aperient pills, which merely opened her bowels.
The paroxysms,  of which she sometimes had six or
eight in a day, and which were very seldom absent
for two or three days, were preceded by preternatural
vivacity  or unconquerable depression and constant
fretting.   To  these premonitions, a violent chill, tor-
menting anxiety and fear of approaching danger suc-
ceeded.   These were followed by strong and audible
palpitation of the heart,  with •burning  and sticking
pain in  the  heart, and aching pain in the  whole
breast and throat with a sensation  as if she would
suffocate.  Then, most  commonly, loss of conscious-
ness, for  a short time, took place along with a violent
tetanic convulsion by which the head was bent back
upon the neck, and the arms were twisted.   When
the  convulsions  ceased,  blue spots of the size of a
dollar, and resembling ecchymoses, appeared on the 
110
CONVULSIO.
neck, breast and arms, but disappeared again after a
few hours.  The menses only appeared every eight
or twelve weeks, and then continued but for one day,
were sparing,  coagulated and black; and when they
occurred  the  convulsions were  more frequent and
violent.  The bowels were costive.  Mental emotions
of all  kinds operated injuriously upon  the patient.
The treatment was  commenced with hyosc. gtt. i. 9,
which was followed by a slight improvement, but on
the fifth  day  there was a convulsion,  and on the
seventh a still more severe one.  Bellad.  1|30 was
then given, and the general condition of the patient
gradually improved.  On the  tenth day there was
a slight convulsion, and bellad.  1|30  was repeated,
after which there  was no convulsion for thirty-eight
days.  In this interval pulsat. 5 had been  adminis-
tered,  and was followed  in eight days  by  copious
menstruation for two days, unaccompanied by any
serious disturbance.  Bellad.  24 was then  given,
after which she had no convulsion for fifty days, when
after great mental  emotion a slight one  occurred.
Another dose of bellad. was then taken,  after which
at the end of four months there had been no return of
the convulsions; and the patient, whose  appearance
had been  wretched and  meagre,  had  become "a
picture of health."
  Epilepsia preceded by a sensation like the crawl-
ing of  ants and a numbness about the shoulder joint.
In the  paroxysm, unconsciousness;  face  bloated and
bluish  red;  eyes  and  mouth  moved convulsively;
red foam before the mouth; the head and upper part
of the  body drawn forcibly back;  stiffness  of the
whole  body, and  clinching of the  thumbs; violent 
CONVULSIO.
Ill
expiration; the paroxysm succeeded by a sensation of
load on the breast.
   Convulsions, with  clinching  of the  thumbs, in a
child aged six weeks, who had  cried day and night
from the time of its birth.  In the paroxysms the face
was variously distorted.  It had an appearance  of
laughing in its sleep,  from which it often awoke with
a piercing cry.  Its bowels were alternately costive
and loose.   It had been previously unsuccessfully
treated with calomel and opium in allceopathic doses.
After bellad.  1|30 the child became  more quiet, and
the  convulsions ceased.   On  the eighth day there
was a slight attack, when stramonium 1|30 was given,
and effected a perfect  cure.  The  parents  of this
infant had lost their eldest child at  the same age by
convulsions, a circumstance which recalls to my re-
collection a case which occurred in my own practice.
   The parents of my patient had  lost their eldest
child at the age of five months by  convulsions.   It
had appeared to enjoy tolerably good health, except
that its bowels were rather costive.   When it was of
the age just mentioned, the mother was awakened a
little after midnight by a clicking sound proceeding
from the cradle in  which the child  lay.  Upon ex-
amination, the child was found to be in convulsions.
A  physician was immediately called who employed
all the means  usually resorted to in  such cases, and
on the next day was met  in  consultation by one of
the most eminent of our physicians, but notwith-
standing all their endeavours to rescue the patient,
it died on the third  day.  The fifth child, who more
closely resembled the  eldest than either of the others,
was attacked,  when within  three days  of the same
age as the eldest was at the time of her attack, in 
112
CONVULSIO.
the same manner, at the same hour of the night, and
the mother was awakened by the same sound. I was
called  in and pursued the homoeopathic treatment,
and gave hyosciamus, belladonna and other remedies.
The convulsions, which recurred very frequently at
first, appeared at longer and longer intervals, and at
the end  of eighteen hours  the  last paroxysm had
taken place.  The  child never  had any more  con-
vulsions  till seven  months  afterwards, during  the
cutting of  the  first molar teeth, when belladonna
showed itself remarkably useful, and the convulsions
disappeared. The great difficulty in deciding between
the merits of different systems or  modes of treatment,
consists in our inability to affirm with perfect certainty
what would have been the result of the case under a
different treatment.   Could we, when our treatment
has been unsuccessful, place our patients in the same
situation  in which  we found them,  and then treat
them in another manner,  this difficulty would cease.
The cases just narrated, appear to me so similar that
the second almost resembles a restoration of the first
case to the same condition in which the physician
found it.   There were, however, two circumstances
of difference in the two cases which should be men-
tioned; the one that the sex of the children was dif-
ferent; the eldest being a female, and the youngest
a male; a difference certainly not much in favour of
the latter.  The other  circumstance was the greater
attention  which had been paid to obviating costive-
ness in the younger child, which, as it was insufficient
to prevent  the  occurrence of  the convulsions, can
scarcely be viewed as having much influence in pro-
ducing a  favourable  issue.  It is for  the purpose  of
instituting  this comparison that I have introduced 
CONVULSIO.
113
these cases, and not for that of homoeopathic instruc-
tion.  For I acknowledge that it was not the best
treatment which  made such a number of remedies
necessary in so short a time, and that had I selected
the appropriate remedy at first, no other might have
been requisite.  But I must plead in extenuation, the
necessity of prompt measures in so dangerous a case,
in order to prevent incurable organic lesions; and that
under such circumstances it is difficult to select the
best of the known remedies.   J.
   Calcis carb.  Hahnemann speaks  of this remedy
as having proved  very useful in epilepsy, but cautions
against any expectation of curing the disease with
this remedy alone, when it is not adapted to the cure
of all the accompanying diseases of the case.
   Chamomilla.   A child aged nine months had been
subject for three months to convulsions of the follow-
ing form. Stretching itself out rigidly, with incurva-
tion of the back; twitching of the  extremities;  the
thumb clinched;  rattling and suffocative respiration;
inspiration rapid; face red and tumid; twitching of
the eyes  and muscles of the face; foam at the mouth;
the tongue convulsively moved from one side of the
mouth to the other; the mouth at times firmly closed;
sweat of the head;  paroxysms  ending with  sleep.
Cham. gtt. i. 12  was  given, and on  the succeeding
night there was a paroxysm, but lighter, and the last.
The child became perfectly healthy.
  Convulsions  in a child aged eighteen months,
marked by sudden  relaxation; paleness of the face;
distortion of the eyes; closure of the  thumbs;  slight
gritting of the  teeth;  twitching of the fingers, and
rattling breathing, were cured with chamomil.
  Cina. is useful  in the convulsions of infants when
S 
114
CONVULSIO.
they occur, after a dry spasmodic cough has continued
for a long time, and the spasmodic affection is violent
in the chest, and attended with twitching of the limbs
and involuntary urination.
  Cuprum. Dr. Kretzschmar, in the case of a woman,
who had suffered  for  ten years from  convulsions,
kept her for a long time free from them by the admin-
istration once a week of cuprum 1(30.  But at length
the convulsions again returned; and  this  remedy
proving  no longer  capable  of  subduing  them, he
gave tr.  acris  1|30,  at the same intervals,  and again
caused a cessation of their attacks.  Dr. Gross after-
wards tried this practice,  and most obstinate convul-
sions of very  different  kinds were cured  by  the
cuprum, exhibited in this manner, and returns of the
disease happened only in two cases.
  Hyosciamus.  Epilepsia.  An  otherwise  healthy
boy of twelve years of age,  had suffered for several
years from epileptic convulsions which had been in-
duced in early childhood by a sudden fright.   The
paroxysms occurred twice a day, and  were of the
following character.  Without any premonition of
their approach, he fell with a shriek to the earth, jerk-
ed his extremities spasmodically, and firmly clinched
his  fingers and thumb; his face  was bluish  and
tumid; his eyes prominent and spasmodically moved;
his urine was discharged involuntarily;  he foamed at
the  mouth;  his teeth were pressed together;  and
his respiration was slow and rattling. The paroxysms
lasted for  fifteen  minutes  and  ended  in a heavy,
snoring  sleep.  Afterwards  there  was  debility  and
great  loss of  memory.   Hyos.  gtt. 1.9  was given
in the afternoon after the conclusion of the second
paroxysm.   A third  occurred  that evening  more 
CONVULSIO.                115
severe than any of the preceding.   It proved to be
the last; for three years afterwards there had been no
recurrence of the convulsions.
  The  hyosciamus is also a proper  remedy in the
convulsions of infancy when symptoms  similar to
those of the above described case are present.
  Ignatia.  Convulsions in a girl set.  12 ann. which
had continued  from her sixth year, when they had
been induced by partial suffocation, in  consequence
of the burning of the house in which she resided, and
from which she was rescued with great difficulty.
The convulsions were preceded by great anxiety and
sense of suffocation, and  the paroxysms which oc-
curred at nine o'clock every morning were marked by
perfect unconsciousness  and  violent beating of the
breast with the right hand, the fingers and thumb of
which were firmly clinched, and ended with powerful
extension of the body and a deep sigh.  Ignatia 5|12,
given at six o'clock  in the morning, was followed by
a convulsion at eight o'clock more violent and of
longer duration than any she  had previously experi-
enced.   The  two  succeeding days  no convulsion
appeared.  On the third day there were some appear-
ances  of a disposition to a return of  the complaint,
but the convulsions did not occur.   Ignatia 1|12 was
given, and there was no relapse for four weeks,  when
after the reception of distressing intelligence she had
a slight attack.   Another  dose of this medicine then
given, effected  a perfect and  permanent removal of
the convulsions.
  Convulsions from  fright, in a female.  Face  alter-
nately red and pale;  swelling  in the right side like a
child's head; involuntary urination.  Three  doses
were given.
                                         8* 
116
CONVULSIO.
   Hysteria in a female set. 24 ann. when the convul-
sions arose  from  agitation  of mind, from  sudden
disastrous intelligence; colour alternately  red and
pale; mouth full of saliva.   Ignat.  12 restored her
perfectly.
   Epilepsy in two boys, one six, the other four years
old.   In both,  face red; pulse full,  hard,  and one
hundred in the minute; eyes staring; convulsions of
the extremities, with the thumbs of the younger closed,
the thumbs of the elder not; foam  at the  mouth;
on returning  consciousness, thirst.  In both a single
dose of ignatia removed the complaint permanently.
   Convulsions  in  a girl  set.  11 ann.   Beginning
with retching, suffocative attacks; convulsive twitch-
ing of the arms, (with  perfect consciousness.)   Soon
afterwards the middle finger of the right hand began
to twitch, she stretched it out stiff; her eyes staring;
her countenance inexpressive; she seized the finger
with the other hand and bent it back as if she would
break it off.  The twitching then seized the hand and
next the arm, then the  other arm and both lower ex-
tremities, which she  jerked  about violently.  The
thumbs were not clinched, but the countenance was
distorted. Next, the breast and abdomen were affect-
ed, and  retching  and eructation took  place.  The
paroxysms lasted  a quarter  of an hour;  afterwards
she lay senseless and speechless.  In two days she
had four of them.  After cham. had been given with
temporary abatement,  ignat. effected a perfect re-
covery.
   This remedy is peculiarly well adapted to hysteric
convulsions.
   It is  also  highly important in the convulsions  of
infancy, which  occur  about  the period  of dentition. 
CONVULSIO.
117
When these appear suited for,  but do not give way
entirely to chamomilla,  ignatia will sometimes  be
found to succeed.  If this leaves any remnant of the
affection, it may sometimes be advantageously follow-
ed by bellad.
  Ipecac, has proved useful in hysterical convulsions
with  incurvation of the back, distortion of the coun-
tenance and sighing respiration.
  In a case of convulsions attending anasarca, after
scarlatina miliaris, where the patient laid  uncon-
scious ;  the face was  pale and tumid;  the eyes fre-
quently opened and closed; the paroxysms marked by
violent twitching of the muscles of the face, and jerk-
ing of the extremities, with frequent elevation of the
upper part of the body, and succeeded by vomiting.
  In the convulsions of a child, when there was first
a single shriek; then rattling respiration and after-
wards rigid extension.
  Lachesis.  Epilepsia.  In a case where the premo-
nitions were coldness  of the feet or palpitation of the
heart; flatulent distension of the abdomen; eructation;
aching and heaviness of the head, and paleness of the
face.   In the paroxysm, a loud cry and falling sense-
less  to  the ground;  eyes turned  upwards;  hands
closed;  limbs jerking  up and down; foam before the
mouth, and deep sleep: lachesis effected a cure.
  Epilepsia in a man set.  28  ann.   Paroxysm every
four weeks.  The premonitions  of  attack observed
by those about  him,  were confusion in his  actions
and thoughtlessness.   In the paroxysm, striking back
the head; foam before the mouth;  clinched thumbs;
striking with hands and  feet.  In  the  interval, be-
numbing vertigo, constant headache, heat in the fore-
head ; trembling in the limbs, most on the left side; 
118                CONVULSIO.
curious dreams.  After lach. 3|30 the convulsions and
the affections of the intervals disappeared: at the end
of nine months there had been no return of the disease.
  Moschus.   Convulsions preceded by extraordinary
weakness and vertigo.  The patient  laid motionless
with the  arms firmly pressed on the  body, and then
after a few minutes there was distortion of the eyes,
with slight twitching of the mouth and nose, the head
being drawn back.  After a deep inspiration,  cessa-
tion of respiration for half a minute to two minutes,
followed by rapid and laboured respiration and extra-
ordinary beating of the pulse.  Then clonic spasms
of the abdominal muscles, which always pursued one
direction, either from above downwards or vice versa.
Finally there were similar convulsive movements in
the extremities, beginning in the fingers and toes and
afterwards  affecting the parts nearer the body.   The
paroxysms lasted  for five or six  minutes, and were
attended by unconsciousness and insensibility.  Two
doses of moschus effected a cure.
  Nux vomica has proved useful in  convulsions at-
tended by tonic contractions of the muscles, resembling
tetanus.
  It is useful  in the convulsions of drunkards; and
also in those of infants attended  by constant crying
in the intervals and by constipation.
  It is suited to epilepsies which arise from frequent
intoxication,  as also  when  the disease  arises from
crudities in or acidity of the digestive apparatus, or
from worms.
   Opium.   A woman set. 25 ann. had attacks in the
mornings during which  she laid motionless, almost
breathless, unconscious and insensible; and had, in
the afternoons, hysteric convulsions. A dose of opium 
                    CONVULSIO.                 119

removed the morning attack, and a dose  of stannum
the afternoon convulsion.
   In convulsions alternating with spasmodic breath-
ing, with a general corpse-like coldness.
   In the convulsions of infants, when the attack oc-
curs at night during sleep,  and there is stertorous
respiration with open mouth.
   Epilepsia where the patient laid relaxed, almost
breathless, unconscious and insensible.
   Silex has proved a valuable remedy in  epilepsies.
   Spigelia has removed convulsions attending disease
of the heart.
   Stannum is useful in hysteric convulsions; as also
in the  convulsions of infants which are renewed at
the cutting of every new tooth, and when every new
attack is more severe than the preceding.
   Stramonium has proved useful in convulsions.
   Sulphur.   Epilepsia in a girl set. 15 ann.  Sleepi-
ness, then stretching and stiffness of the limbs; after
two minutes closing of the eyes and biting of the teeth
together; clinching of the thumb; jerking about over
the floor till she came  against the  wall,  &c.   After
the paroxysm weeping of the eyes.  The extremities
so rigidly extended that they could not be bent. The
disease  had continued  for four months, and the  pa-
roxysms which  endured for ten or fifteen minutes
had  become so frequent that she had six  hundred
and thirty in  twenty-one days.  There were no con-
vulsions at night   Sulphur  2|30 was  followed by a
single paroxysm, after which the disease disappeared.
   Tr. acris has been useful in different forms of con-
vulsions; see cuprum.
  In a case  of hydrocephalic  convulsions where
belladonna and nux vom. were administered without 
120
CORYZA.
success;  tr. acris was followed by  an aggravation
which continued for several hours; then by a sleep of
two hours, on awaking from which there was a perfect
restoration  of consciousness, and in  three  days a
complete recovery.
   Veratrum.  Hysteria, where  the paroxysms  were
preceded by distress, depression and anxiety, and in
which, with syncope and general relaxation,  there
was  spasmodic trembling of the  eyelids;  the  eyes
turned upwards; the jaws firmly closed and the limbs
flexible.
  In addition  to  the above  remedies,  the following
are also  deserving of attention in the treatment of
convulsions;  namely, carbo  veg.,  cocculus,  graphite,
lycopod.,  magnes.  carb., magnes.  mur., sepia,  silex,
soda, soda mur.


                   CORYZA.

                  Cold in the head.

  This disease,  although generally described  as a
superabundant secretion of mucus in the nostrils, is
sometimes, and especially in its  earlier stages, accom-
panied by a sensation of dryness or obstruction in the
hose. The former of these symptoms may arise from
a suppression of the secretory process;  and the  latter
may be produced by the inflammation and turgescence
of the lining membrane, or from accumulations of
tough and viscid mucus.
   In the treatment of coryza, nux v. is very useful in
the early stages when it enters with an inflammatory
character, the nose is dry and there is but little  secre- 
CORYZA.
121
tion  of mucus.   Pulsatilla  is  serviceable in those
forms of the disease where but little inconvenience is
experienced by the patient in the open air, but where
upon entering a warm room and  in the evenings he
is  tormented with a troublesome  obstruction of the
nostrils.   It is also useful when, after the violence of
the inflammatory action has abated, there is a constant
discharge of mucus from the nostrils with soreness of
the  margins  of the nares.   Sambucus has  rapidly
cured coryza in  infants where the  nostrils were com-
pletely filled with thick and tough mucus, and there
was  a consequent difficulty of sucking at the breast.
Euphrasia and ignatia have also proved beneficial,
and  the latter is peculiarly adapted to coryzas attend-
ed by dull pain in the forehead and  occurring  in
hysterical females.  The lobelia has frequently cured
this  disease very speedily when  it has  commenced
with a copious fluid discharge from the nostrils.
   Coryza sometimes assumes a chronic form, and in
the  worst cases  can scarcely be  distinguished from
ozena, which consists in an ulcerated condition of the
lining membrane of the nostrils.
   Arsen.   In the case of a woman set. 42 ann.  who
had  been for a long time afflicted with constant burn-
ing  in the nose; alternating obstruction and discharge
of fluid mucus which was of an acrimonious quality,
and  caused a scurfy ulceration  of the skin below the
nares.  Purging, medicinal teas,  &c. had been long
employed without  relief.   Two  doses  of arsen.  30
effected a radical cure.
   Ipecac.  In the case of a  man set. 25 ann. affected
with constant  obstruction of the nares and loss of
smell, and with dry spasmodic  cough.   Disease of
two  months' duration.   One twentieth of a grain of 
122
DELIRIUM TREMENS.
ipecac,  thrice  repeated  at  intervals of twenty-four
hours effected a perfect cure.
  Pulsat. In a female set. 18 ann.  Copious discharge
of an offensive puroloid matter of a yellowish green
colour from  the  nose,  with  swelling, but  without
perceptible ulceration of this part.  Dyspepsia.   Con-
fusion and heaviness of the head, which was worst in
a warm room and in the evenings.   Deficient menses,
which were of too pale a colour and  occurred with
too long intervals.  Pulsat.  gr. i. 9. effected a perfect
cure.
  Sulphur.   In  two cases  in scrofulous  children,
sulphur cured a serous coryza with  ulceration of the
skin beneath the anterior nares.
           DELIRIUM TREMENS.
                Mania a potu—Horrors.

  The popular  appellation of "the horrors" is re-
markably well applied to this disease, in which the
hallucinations are almost always of a disagreeable and
frequently of a frightful character. The patient often
imagines that the walls of his room are falling upon
him, and he will stand in a painful position for a great
length of time using all his strength to prop them up:
or he sees the room filled with vermin and reptiles,
which swarm over his person: or he sees thousands
of imps watching to do him  mischief:  or he  hears
voices from  every direction,  reproaching him and
calling him by every bad epithet: or unseen persons
are seeking to murder him or to  take  him to prison.
Even when the hallucinations appear to the attendants
to be of an amusing and ludicrous character,  they are 
DELIRIUM TREMENS.
123
far from being so to the patient.  He may see armies
of pigmies  march about  the floor  and scale the
furniture, he may describe their uniforms  and the
pompous airs of their officers, he may distinguish the
blazonry of their banners, and point out the evolutions
of the Lilliputian host;  but he does not do  these
things with the feelings of a merely curious or amused
spectator.  It is against him that this visionary  array
is formed; or the slightest  offence  on his part may
direct its vengeance towards  him,  and the warriors,
though diminutive, can torment with a thousand new
means of annoyance and injure him with weapons
which are novel in warfare.  He either seeks to flee
away from the danger,  or to deprecate the resentment
of the generals by the most conciliatory expressions.
He is constantly bathed in perspiration, and a tremu-
lous motion of the hands is almost always present,
and  there is often a violent trembling of the whole
frame.   He is constantly  watchful and  constantly
engaged, according to the nature of his hallucina-
tions, which sometimes change  in rapid succession,
and  at others continue of the same character for hours
together. Though  constantly in fear, he is not always
devoid of courage, and  will sometimes attack his
imaginary foes.  The  disease continues  either until
the patient expires worn out by continual  agitation,
exertion  and watchfulness, or until a long continued
sleep, (generally induced by medical means,) occurs
as the first symptom of the abatement of the disease,
and  is followed by an almost perfect restoration of
health.   In  some  of the fatal cases a coma occurs
shortly before death.
  The hallucinations which have just been described,
are connected with complete deceptions of some of 
124
DELIRIUM TREMENS.
the senses; and  in many instances  one sense will
correct  the mistakes of another.   Thus I have  fre-
quently seen a patient stoop to pick up money, which
he  saw  lying scattered  over the  floor,  and after
endeavouring for  some time to grasp a piece with his
fingers, relinquish his object as impossible of attain-
ment.   One poor fellow remarked that it was "the
funniest money he ever saw in his life, for his fingers
would meet through it."   In  another case I saw the
patient firmly convinced by the sense of feeling that
he had money in his hand, until on looking for it there
he could not see it.
  Although delirium tremens is a consequence of the
excessive indulgence  in alcoholic drinks, yet it is not
a direct effect of these.   It arises, on  the contrary,
from their sudden discontinuance, and appears to be
a reaction of the system against their primary opera-
tion.  But it should be remembered that this primary
operation is that which occurs from excessive quan-
tities  of these drinks,  and that we  only find this
reaction after a violent debauch,  or in persons who
have for a length  of time  drank  to excess, and who
were  in consequence rather in a  state of constant
stupefaction than of exhilaration.
  The  observation of these facts will enable us to
perceive that the curative action of moderate quantities
of brandy or other alcoholic, drinks, in mania a potu,
is perfectly homoeopathic.  For  the  primary effects
of these quantities being of a stimulative, while the re-
actions against these effects are of a sedative character;
the operations produced by the brandy may supplant
the existing morbid actions, and the reactions of the
system may effect a cure.   But as very minute and
excessively large  doses of medicinal substances have 
DELIRIUM TREMENS.
125
been proved  to produce very similar operations, dif-
fering oftentimes only in danger and intensity, and as
in this case only an antipathic operation can be ex-
pected from either of the extremes, a difficulty occurs
in determining on the proper dose.  What this may
be I cannot pretend to decide with certainty.  I have
seen a sound sleep and perfect recovery follow speedily
after the administration of a little more than half a
gill of brandy, but I am inclined to the opinion that a
much smaller dose would often prove more satisfactory,
as the stimulative operation of the remedy would be
of shorter duration.
  Before dismissing the subject of the treatment of
mania a potu with brandy, it may be proper to remark,
that some physicians object to it on the ground that
it favours the maintenance or operates as an encourage-
ment of the habit of indulging in the use of intoxica-
ting drinks;  and they therefore  resort to  opium  or
other  medicines to effect  their   object.   This  is a
practice  which I have pursued myself until very
recently; but as almost every patient I thus cured,
speedily resumed his bad habits, I cannot see the
utility of pursuing this course on these grounds, and
if the brandy effects a more speedy cure, it is certainly
to be preferred.
  As regards  the operation of infinitesimal doses in
mania a potu  I cannot  speak very highly from my
own experience.  In all the instances in which I have
tried them, I have not found so marked a beneficial
operation as to induce me to refrain from a  treatment
under which, notwithstanding I have had many cases
of the disease to treat,  I have never yet lost a patient.
  It is not on account of a want of effect from the
infinitesimal  doses  that I  have  thus  far  been dis- 
126
DELIRIUM TREMENS.
satisfied with their operation in delirium tremens; on
the contrary, I have seen very  decided effects:  for
instance, I have  seen from opium 3 a powerful anti-
pathic operation  closely resembling the effects which
I have seen from twenty grains of opium, though of
shorter duration.  But it has been on  account of a
want  of satisfactory operation;  and I  suspect that
the same disappointment has been experienced  by
others, as Hartmann recommends the employment of
moderate quantities of brandy along with the infini-
tesimal doses.  It may properly be urged that the
medicines exhibited were not the adapted homoeo-
pathic ones; and this I freely admit to be true.   At
the same time I doubt whether any one of the  re-
medies which have been recommended in  mania a
potu is adapted to the peculiar condition which exists
in this disease.   They may be partially suited to it,
and in some instances  successful, but the recorded
cases are not marked by such accuracy of detail in
relation to the progress of the cure as to exhibit the
curative operations of the remedies in a very striking
light.
  The following brief statement of most of the re-
corded cases exhibits  to view the remedies which
have  claimed the chief confidence of homoeopathic
physicians.
  In a fully developed  case, nux  v.  afforded no relief.
Opium 3|6,  given  in the morning, produced in the
afternoon sleepiness; and at  night the  patient slept
from ten o'clock till five o'clock the  next morning,
when he awakened well.
  In a man  who intoxicated himself more frequently
with beer than  brandy, nux v. in  repeated doses
effected a cure. 
DIARRHOEA.
127
  In a case where the patient imagined one half of
his  body  to be  cut off,  two doses of  stramon.  30
effected a  cure.
  One case was cured by bellad. gtt. i. 30 in water,
every two hours.
  A case  was  cured by calcis carb. when nux v. had
proved inefficacious.
  Hartmann recommends nux v. in the early stages,
in which  he also thinks tr. coffea crud. is  often an
indispensable remedy.  This he gives in the dose of
gtt, i. 2.   After the disease is fully developed, opium.
  Hyosciamus has also been recommended.


                  DIARRHCEA.

  Acid. nit. completed the cure of a nightly diarrhoea
 with offensive stools containing undigested matters,
 in which much improvement had been already effect-
 ed by sulphur.
  Acid, phosph. has proved useful in chronic diarrhoea,
 as also in cholera diarrhoea.
   Antim. crud.  In serous or watery diarrhoeas.  And
 where there is alternating diarrhoea and costiveness
 in old persons.
  Arsenicum.  In  serous  or watery diarrhoeas  with
 speedy  exhaustion  and violent pain  in the bowels.
 It is also the remedy entitled to the most confidence
 in the diarrhoeas of infants suffering under atrophy.
   Bryonia is useful in diarrhoeas where there is little
 pain, but much debility;  and  the  stools containing
 undigested aliment are voided shortly after the patient
 has eaten his meals.
   Calcis  acet.   In the diarrhoeas  of consumptive 
128
DIARRHCEA.
persons,  and  also in those  of  scrofulous children.
And in diarrhoeas with acid discharges.
   Calcis carb.  In a case of diarrhoea, attended by
violent pain in the head and back, with severe cutting
pain and sensation  of coldness in the abdomen; this
remedy effected a perfect cure.
   Chamomilla is applicable  when watery and slimy
stools are preceded by cutting pains, below the um-
bilicus, which disappear after the evacuations.  Also
in the diarrhoeas of infants  during dentition,  when
the stools are green and  watery, and  unattended by
pain.  Also in the diarrhoeas of infants,  with acid
discharges.
   Cinchona is serviceable in the chronic  diarrhoeas
of aged  persons.  Also  in diarrhoeas in  which the
aliment passes off undigested immediately after meals
or at night.   Also in diarrhoeas where there is great
emaciation,  debility,  and night sweats.   In  these
cases the cinchona  may  sometimes be employed ad-
vantageously in alternation with ferrum.
   Colocynth. has proved useful in violent and debili-
tating mucous diarrhoea.
   Cuprum is an important remedy in the diarrhoea
which attends Asiatic cholera.
  Dulcamara is recommended for those watery diar-
rhoeas which occur in the summer season and mostly
attack  in the night.   Also in diarrhoea from taking
cold.
  Case in a woman set.  20 ann. from taking cold.
The disease was of several months' duration, and had
resisted the  ordinary treatment.   It  was worst  at
night, when the stools were  extremely frequent and
accompanied by a violent cutting pain about the um-
bilicus; nausea, vomiting, cold sweats and smarting 
DIARRHOEA.                 129
at the  anus as if from the application of salt.   The
faeces consisted of a greenish yellow matter.  Dul-
camara in the dose of the thousandth part of a drop
of the juice effected a perfect cure in less than twenty-
four hours.
   Case. In a man set. 31 ann.; cause unknown.  Dis-
ease of three years' duration.  The diarrhoea worse
at night, and attended with severe cutting pain about
the umbilicus; great and constant thirst;  smarting at
the anus as from Cayenne pepper; and a considerable
prolapsus of the  rectum.   The  stools consisted in a
great part of blood.  Succus dulcam. gtt. i. was given,
and by the fourth day the disease had entirely disap-
peared.  The man afterwards continued  well.
   Hyosciamus. In diarrhoea, unaccompanied by pain,
where the discharges are involuntary, and the patient
is almost unconscious of their passage.
   Ferrum  met   In  watery and mucous diarrhoea
which are unattended  by pain.  Also in diarrhoea
with great  emaciation, debility and  copious night
sweats.
   Jalappa cured  a diarrhoea  with bloody stools and
severe pain in the bowels, in an  infant.
   Lycopodium has been recommended in diarrhoea
occurring during pregnancy, when there is a sallow
tint of the skin.
   Magnesia  carb.  In  the diarrhoeas  of infants at-
tended by  an acid odour of the  stools.   Also  in
diarrhoea occurring in infants where the stools are
frequent, green, watery, and  accompanied with dis-
charges of flatus, and much crying.
   Mercur.   In serous  diarrhoea with  acrimonious
discharges  and consequent burning and itching  at
the anus.  In a diarrhoea of three years'  duration  in
     9 
130
DIARRHOEA.
a child of four years of age, with passage of undigested
aliment with the fseces, and extensive  prolapsus ani;
this remedy effected very great improvement.   J.
  Nux vom.  In watery diarrhoea with cutting and
drawing pains passing from the lower part of the back
into the thighs.
  Oleander,   In diarrhoea attended by the discharge
of undigested aliment.
  Petroleum.  In a case of chronic diarrhoea of four
years'  duration,  in a man  set. 29 ann.  He had from
six to  ten  stools in twenty-four hours.   The  fseces
were watery and yellow,  and caused  a  sensation of
burning at the anus. These were preceded by severe
cutting pains in the abdomen, which were  abated
by bending forward; then a severe pressing to stool
occurred.    The pain ceased  after the  stools, but
great debility ensued.   The  appetite was  poor, and
animal food disagreeable to the patient.   There was
frequent nausea; and sometimes vomiting of a green
and bitter fluid  occurred.   After eating, the patient
felt a load at the stomach.  Petroleum 18 was given,
and in  eleven days the stools had become  perfectly
natural.
  Phosphorus has proved itself to be a valuable remedy
in the  diarrhoea  which  accompanies Asiatic cholera.
It has  also cured chronic diarrhoea,  attended by the
discharge of undigested aliment with the fseces.
  Pulsatilla.  In watery or mucous diarrhoea, espe-
cially when there is a constant variation in colour of
the discharges.
  Rheum.   In watery diarrhoea with  acidity of the
discharges.
  Rhus.  In diarrhoea attacking after midnio-ht, the
stools  preceded  but  not  followed by pain  in  the 
DIARRHOEA.
131
abdomen.  The fseces somewhat consistent.  Rhus is
also useful in diarrhoea with green bilious discharges,
and worse at night.
  SecaU in repeated doses was found by Dr. Rummel
of o-reat use in the diarrhoea of Asiatic cholera, when
  o
there was no appearance  of bile in the discharges.
I have repeatedly employed this  remedy in the diar-
rhoeas of  children, wThen the fseces were watery and
whitish,  and have found very great advantage from
its use.   I employ it  in doses of 4 or 5|3, or in doses
of about one twentieth of a grain of the first tritura-
tion,  given every two hours until three  doses  are
taken.  J.
   Sulphur. In nocturnal diarrhoea preceded by cut-
ting and  twisting pain in the bowels; the stools  oc-
curring  frequently,  and the  fseces being  of pappy
consistence and slimy.  Also, in diarrhoea with thin,
white, slimy and  most offensive  stools, and worse at
night.   Also, in  the watery diarrhoeas of  infants
during dentition.   Also, in nocturnal diarrhoea with
violent tenesmus after the stools.
   Case—of several weeks' duration, in a man set.  55
ann.  Attacks commencing a couple of hours before
day-break with severe pain in the bowels.   After a
considerable time a discharge of very offensive flatus
took place. About day-break the patient  had three
or four stools in  quick succession.  The discharges
continued to take place through the forenoon, but did
not occur in the afternoon or early part of the night.
The fseces were very offensive, of a  brown  colour,
watery, but causing  a sensation of burning during
their passage, and so acrimonious as to occasion such
an excoriation of the parts about  the anus  as  caused
him great pain in sitting.  Sulphur 1130, given in the
                                         9* 
132
DYSENTERIA.
latter part of the afternoon, was  followed by a diar-
rhceal  stool before bed time;  but the attack the next
morning was much less severe; and afterwards, the
recovery  though gradual  was steady, and  in the
course of a few days the stools had  regained  their
normal character.  J.
   Veratrum is a most important remedy in the diar-
rhoea of Asiatic cholera.  It  is also useful in some
forms of nocturnal diarrhoea.


       DYSENTERIA.   DYSENTERY.
                 Flux.  Bloody flux.

  It has been recommended to  commence  the treat-
ment of dysentery, when it is accompanied by con-
siderable inflammatory fever, with the administration
of one  or twTo doses of aconit.   Whether  this pre-
caution  is either  necessary or  useful,  is somewhat
doubtful, for it is certain that many of the worst forms
of dysentery have been speedily  cured, by the ap-
propriate remedies, without the previous employment
of the aconit.
  Of the remedies employed for the cure of dysentery,
mere is one of the most important, and has been used
in the most simple of its preparations in doses vary-
ing from gr.  i. 2 to 1|30.  It has also been employed
in the  form  of mere sublim. corros. in the thirtieth
dilution.   The homoeopathic  aggravation  or com-
mencing improvement,  should  be  seen  soon  after
its administration; and when aggravation occurs, it
should be followed by improvement in less than four
hours.   If this does not happen, it is most probable
that mere, is not the appropriate remedy.  I have, 
DYSENTERIA.
133
however, sometimes  thought it useful, when  mere.
has not procured marked  relief  in four hours,  to
follow it with a dose of mere, sublim.  corros., espe-
cially when the symptoms have been similar to those
of the following case.
   A man set  40 ann., was attacked by an autumnal,
epidemic dysentery,  and had suffered under it until
the sixth day without medical aid, when he present-
ed the following symptoms: namely, violent cutting
pains in the abdomen, which diminished in violence
whilst he laid quiet  in  bed, but became intolerably
severe when he had  to  rise to stool.  The  tenesmus
was excessively violent, "as if all  the bowels would
be pressed out;"  and the discharges were of mucus
mixed with  blood.   The  tenesmus increased  after
the discharges, and on rising from the close-stool, but
gradually lessened after he had laid down in bed.
The discharge corroded the anus and caused painful
burning.  The disease was worst  at night, and had
continued, from the first, to increase in intensity, and
on the last night the patient had to rise  almost con-
tinually to stool.  He  was  exceedingly  debilitated,
and his pulse was very frequent and weak.   Mercur.
gr. i. 2 was given on the evening of the sixth day,
and a few dysenteric stools occurred that  night.   On
the following morning he was free from his dysentery,
but had to keep his bed from debility. On the morn-
ing of the  eighth day, cinch,  gtt. i. 9 was given  to
remove the weakness under which  he suffered.  The
next day he felt well, and afterwards had no relapse.
   To some cases, presenting symptoms similar to the
above, arsenicum is also adapted;  but  it  is most
particularly useful when the symptoms present  a
malignant  character, and  the stools, though not 
134
DYSENTERIA.
 excessively painful, consist of "degenerated and offen-
 sive masses," which are sometimes discharged in-
 voluntarily;  and there are nausea, and bilious  or
 mucous vomiting, putrid taste, putrid  odour of the
 breath, hemorrhages, petechise, aphthse, burning hot
 skin, clouded urine with a cadaverous odour, sunken
 countenance, and torpid or soporose condition.  Acid.
 sulph., cinchona and nux vom. may also be indicated
 in dysentery of this character.
   In dysenteries, where the progress of improvement
 is slow, or where, after some improvement, there is a
 disposition to relapse,  acid, nit., petrol,  or sulphur.
 may be indicated.
   In dysenteries attended by great heat,  redness  of
 the face, thirst, tormina and tenesmus; the discharges
 consisting of scybala,  with blood and  mucus;  nux
 vom.
   In dysenteries produced by marsh miasmata, espe-
 cially  when  the  accompanying  fever  assumes an
 intermittent character, cinchona  will frequently be
 found to be the proper remedy.
   In cases where the improvement after mere, has
 advanced  slowly, verbascum,  in the  dose  of  one
twentieth  or one fiftieth  of a drop  of the tincture,
 formed by a mixture of equal parts of the juice of the
 plant and of alcohol, has, in several instances, appear-
 ed to operate very beneficially.
   In addition to the remedies already mentioned, the
following have also been found useful: namely, bellad.,
 cham.,  colchicum,  colocynth., dulcamara, pulsat., rhus,
 sulphur. 
DYSPEPSIA.
135
                  DYSPEPSIA.
                 Difficulty of digestion.

   Among  the symptoms  which mark the existence
 of those forms of morbid action which impair  the
 energies of the stomach, and consequently unfit it, in
 a greater or less degree, for the proper performance
 of its important functions, are, innormal sensations in
 the region  of the stomach; eructation or vomiting of
 the ingesta, or of flatus,  acid fluid or other morbid
 secretions or products;  nausea and disordered taste.
 And  as  the diseased action most generally extends
 itself to the intestines, the symptoms of gastric de-
 rangement are frequently  attended by those of enteric
 disorder, among which,  constipation and diarrhoea
 are the most common and striking.
   It is my object in  this  place, to give a brief but
 useful index to the remedies adapted to the most im-
 portant of these symptoms.  I shall do this in the
 order in  which they have  just been mentioned.
   Of the  Morbid  Sensations.   One  of  these is
 pain  in the stomach, (gastrodynia,) which  presents
 numerous varieties of form.  I shall, however, include
 all, as sufficient for the present purpose, under four
 heads: namely,  pressing, constrictive, sticking and
 gnawing pains.
   Pressing pains, which  are very analogous on the
 one hand to the sensation  of fulness and weight, and
 on the other to the constrictive pains, are adapted to
 carbo veg.  when  worse on lying down;  to  lycopod.
 when the pressure appears to come from both sides;
 and to bellad., baryt., cinch., magnesia carb., petrol,
phosph. 
136
DYSPEPSIA.
   Constrictive pains,  in  their lightest  forms,  most
closely  resemble the sensation of tightness,  and in
their worse forms  constitute cramps or griping pains
of the stomach.  To these arsen., baryt.  acet., bellad.,
calcis carb., carbo  veg., cocculus,  magnesia carb. and
phosph.  are adapted.
   Sticking pains to bryonia when the pain is increased
by every step; to phosph. when greatly aggravated in
the evening and at night;  and to bellad.  and ignatia.
   Gnawing pains; arsen., bellad., mezer., nux vom.
   The  other morbid  sensations  are those  which,
although they are in general highly disagreeable, yet
cannot be termed pains.  Of  these:
   The  sensation of pressure is adapted to calcis carb.
in those cases  where  the pressing is  most severe
when the stomach is empty.
   The  sensation of heat or burning to arsen., bellad.,
carbo veg., cinch.,  mezer.,  lobelia, lycopod., nux vom.
and phosph.
   Sensations of fulness and weight, to baryt., bismuth.,
carbo veg., ignatia, nux vom.
   Sensation of  distension of the stomach, to bryonia.
   Eructation, when  flatulent,  may be  adapted to
 bryonia, calcis carb., carbo veg.; when of the ingesta,
 to ignatia;  when of an  acrimonious fluid,  to  acid.
 sulph.;  when saline, acid  and acrimonious, to sepia;
 when acid and  bitter, to  calcis carb., magnesia carb.,
 nux vom. and phosph.
   Vomiting is adapted to arsen.,  baryt. acet., bellad.,
 calcis carb., digitalis, lobelia, ipecac, nux vom., phosph.
 Of  these, arsen. is adapted when the vomiting causes
 an increase of the pain; calcis carb. or nux vom. when
 the ejected  matters consist  of the food  and  bitter
 mucus; petrol, when  of a green  and  bitter  fluid; 
DYSPEPSIA.
137
phosph.  when the vomiting  of  a transparent, acid
fluid  occurs  in the evening  or  night; lobelia when
the food is vomited up soon after the meal.
   Nausea.  Carbo veg.,  cinch., cocculus,  digitalis,
lycopod.
   Morbid Taste.  When acid and  bitter, petrol;
when acid, nux  vom.,  ignatia;  when putrid, nux
vom.
   Constipation.  Alumina, arsen., baryt. acet., bryon.,
calcis carb., carbo veg.,  cinch., graphit., ignatia, nux
vom., soda carb.,  soda mur.
   Diarrhoea.  Calcis carb., digital, nux vom., petrol,
phosph., pulsat.
   There  are some other guides to the choice of the
 remedies which it may be proper to indicate; namely,
 when the cause of the dyspepsia has been mechanical
 injury  in the region of the stomach, as from a violent
 blow, bryonia will probably be the proper remedy;
 when  the disease has  arisen from eating fat food,
 fresh pork, &c, pulsat.; when it  is  attended by a
 sensation of  oppression or tightness of the breast,
 lobelia, lycopod., nux vom.
   Acid,  sulph. has been recommended, by  Hahne-
 mann,  as a valuable remedy  in dyspepsia  of long
 continuance, when there is frequent eructation of an
 acrimonious fluid.
   Alumina  has  been recommended as being some-
 times useful in dyspepsia, attended by obstinate con-
 stipation.
   Arsenicum is  a valuable remedy where there  are
 sensations of great heat and gnawing pain  in the
 stomach; especially when these symptoms arise from
 a cancerous condition of that organ.
   Case.   Scirrhus of the stomach in an old woman. 
138
DYSPEPSIA.
 Constrictive  and burning pains in the epigastrium
 and in the back; the epigastrium tense, and painful
 on pressure.  Daily vomiting of the  ingesta, either
 immediately or some hours after eating, with increase
 of  the  pains.  Tongue  clean;  mouth  dry; thirst;
 sunken abdomen; constipation.  Emaciation, debility
 and sleeplessness.   Arsen. 30, in numerous doses, at
 long intervals, removed the most distressing of these
 symptoms for a long time.
   Aurum removed an indescribable aching sensation,
 and great accompanying restlessness and mental de-
 pression, in a case  where nux vom. had  cured the
 most of the dyspeptic symptoms.
   Baryt.  carb.  is often useful, especially in persons
 of a scrofulous habit, when a very light meal excites
 sensations of great fulness and weight in the stomach.
   Baryt. acet.  Case.  In a man set. 77 ann.;  arising
 from repelled tetter.  Dyspepsia of six months' dura-
 tion.  Most violent cramps in the stomach, burning
 in the region of the stomach, retching,  vomiting of
 the ingesta, constipation enduring  from  twelve  to
 fourteen days.  General  emaciation and swelling of
 the lower extremities.  Baryt. acet.  18,  after pre-
 viously administered nux vom.,  caused a reappear-
 ance of the tetter;  and, together with a dose of sul-
 phur and one of conium, removed the most important
 symptoms, so that the patient, after some weeks, could
 leave  his  bed and  take a sufficient  quantity of food
and drink without inconvenience, and had natural
 stools.
  Belladonna is adapted  to some obstinate forms of
 cramp of the stomach, to which chamomil. appears to
be suited,  but affords no  relief.  The indications for
 the employment of the belladonna are, a gnawing 
DYSPEPSIA.
139
and pressing or a spasmodic  stretching pain in the
epigastrium, which compels the patient, from time to
time,  to  bend himself backwards and to hold his
breath;  or when the severe  pain produces  insensi-
bility or syncope; or when it always attacks during
dinner.
  Case.   In a young lady set.  19  ann.  otherwise
healthy.   Disease of five years' duration.  Upon ex-
posure to cold, or from wetting the feet, or from eating
flatulent food, and especially at the menstrual periods;
attacks of the following description.  Violent sticking
and pinching pain extending from the epigastric into
the umbilical region.  Anxiety, and a feeling  as if
the entire abdomen was knotted together.   Great
tendency to syncope, and a cold feeling of the whole
body.  Nausea, offensive eructation, and sometimes
vomiting.  Pressure of the abdomen  and bending
forward afforded some relief.  The eructation relieved
her more.   Her countenance  was pale;  her mouth
dry; hands cold; and pulse  small, hard  and slow.
The paroxysms  endured from ten minutes to half an
hour, and left her for some hours exceedingly weak
and uncomfortable.   After a dose of belladona, there
were  symptoms of an approaching paroxysm which
did not fully develope itself.  These occurred for
three days in succession, but afterwards she remained
well until the next menstrual period, which occurred
five days too early, when slight paroxysms appeared.
A dose of sepia was then given,  and  the next men-
struation occurred at the proper period, without any
return of the disease.  A year afterwards no relapse
had happened.
   Bismuthum is remarkably useful in most obstinate
dyspepsia, especially when  accompanied by severe 
140
DYSPEPSIA.
pressing pain, or by a sensation  of weight and in-
describable discomfort.
  Bryonia is useful in the milder forms of gastrodynia,
when this begins whilst or immediately after eating,
and is accompanied by a sensation of swelling of the
stomach.  Also when there is considerable costive-
ness, and an increase of the pain during motion, and
decrease whilst at rest. Or where the gastric affection
is accompanied with pressing pain in the temples,
forehead and back of the head, as if the bones of the
cranium would be pressed asunder.  Also where the
above symptoms are present from mechanical injury
in the region of the stomach.
   Case.  In  a  robust  washerwoman set. 40 ann.
Disease of three  weeks'  duration,  and incapacitating
her for  her employment.   By every movement, es-
pecially by every step, and worst by every mis-step,
a sticking pain in the epigastrium, and  passing, as
she said, from thence out of the left side.   Whilst
lying down she felt well and had no pain any where.
She  could  not sleep later than three  o'clock in the
morning.  The food had its proper taste, but as soon
as she had eaten, she felt a disposition to vomit. She
had  a  flow of water into the mouth.   There was
frequent flatulent eructation after eating.  She was
of passionate temper.  With the severe pain she per-
spired  freely.   Her  menses had occurred in order
fourteen days before.   All the other circumstances
were natural.   Hahnemann, who records the case,
gave sue. rad.  bryon. alb., gtt.  i., and on the next day
the patient was able to resume her employment, and
on the succeeding day was perfectly well.
   Calcis  carb.  Hartlaub has  found this  remedy
useful where there was a sensation of severe pressure 
DYSPEPSIA.
141
in the  stomach, which was most severe when this
organ was empty.   And  where  there was periodic
anxiety, peevishness, vertigo, palpitation of the heart,
constipation for several days, paralytic weakness, and
emaciation.   Frequent loud eructation after eating.
Pinching  in the stomach, and vomiting of the food
after eating.  And also in  a case where  there was
pinching pain and vomiting of food and bitter mucus
after eating, and  at the  same time diarrhoea with
yellow and fetid stools.
  Case.  In a person of choleric temperament.  Gas-
trodynia with nausea, acid eructation, acid and bitter
vomiting, anxiety and constriction of the breast, pal-
pitation of heart, constipation and blind hsemorrhoids;
calcis carb.  effected a cure.
   Cantharides effected a considerable improvement
in a case in which there was dysphagia and an eruc-
tation of half digested food at night.
   Carbo  veg.  is a  valuable remedy  in dyspepsia,
where there is a sensation of burning  heat and of a
heavy and  continual weight  in  the  stomach, with
great sensibility at the  epigastrium;  or where  a
spasmodic constrictive feeling compels the patient to
stoop,  impedes respiration,  and is worse  while  lying
down; where nausea is produced even by the thought
of eating, and  there is  constipation.    Also where
there is eructation after meals, and disturbance from
flatulence.
   Case.  Severe griping and pressing in the stomach,
especially after eating, but often throughout the night,
particularly after flatulent food, exposure  to cold or
wet feet.  During the pain, the region of  the stomach
was distended, and painful on being touched.  Defi-
cient appetite; bitter taste, stools hard  and occurring 
142
DYSPEPSIA.
only every second or third day.   Two doses of carbo
veg. 30 effected a permanent cure.
   Chamomil. is adapted to dyspepsia,  in persons not
disposed to violent outbursts of passion, which owes
its  origin  to severe vexation;  and when  there is a
severe pressing pain as if there was  a stone in the
stomach;  anxiety and shortness of breath, worse at
night, and sometimes associated with  a beating pain
in the crown of the head, which  compels the patient
to sit up.   The gastrodynia moderated by drinking
coffee.
   Cinchona.   Case, occurring  after parturition and
whilst nursing.  Disinclination for food and drink.
Pressing in the stomach, heart-burn,  flow of  water
into the mouth, and retching after eating.  Languid
and sleepy in the day time.   Small stools discharged
slowly.   Pulse weak and small, sallow countenance.
Yellowness of the eyes.  Cinchona   gtt.  i.  6, and
afterwards cinch, gtt. i.  12, effected a cure.
   Cocculus is useful when with the gastrodynia there
is a pressing and constrictive  pain  throughout  the
whole abdomen, which is relieved by discharges of
flatus or by nausea and a flow of water into  the
mouth, but no burning sensation attends.
  Digitalis is useful in dyspepsia attended by nausea,
vomiting, bitter taste, loss of appetite, thirst, diarrhoea,
pain in the forehead and great weakness.
   Graphites is useful in great debility of the digestive
organs attended by costiveness.
  Ignatia.   Case.  Much mucus in the mouth, and
an acid taste of the saliva.  Loss of appetite for food,
drink and smoking tobacco; eructation of the food:
singultus; burning in the stomach; slight sticking in
the epigastrium, which  is very  sensitive to pressure, 
DYSPEPSIA.
143
and in which there is a sensation of weakness and
emptiness.
  Icmatia is useful where there is a sensation  of
heaviness of the stomach, with sticking pains in the
region of its cardiac orifice, and costiveness.   Also  in
those forms of dyspepsia which arise from care and
grief.
  Ipecac, is sometimes serviceable in dyspepsia when
there is nausea  and vomiting, the latter is accompa-
nied by a sticking pain in the  epigastrium,  and on
the cessation of  vomiting a severe aching  of the
stomach.
  Lobelia inflata. Case in a married lady set.  38 ann.
Accompanying  chronic dyspnoea.  Sensation of weak-
ness and oppression at the  epigastrium, and extend-
ing  from thence into the chest.  Burning  in the
stomach, and a sensation  as if  there was a burning
lump in the pit of the  throat, which appeared  to
impede swallowing and respiration.  In swallowing,
it seemed as if at this point something  rose up  to
meet the food and obstruct its descent into the stomach.
Frequent eructation of acid fluid with sensation  of
burning.  Frequent vomiting of the food after meals,
especially after eating warm food.  She  "had not
known what it  was to be without heart-burn for one
hour, for the last year." Her urine was high coloured,
and deposited a copious red sediment.  She  had for
a long time been subject to pain  in the left lumbar
region of the abdomen.  Lobelia 4|6 effected a  gradual
but perfect removal of the whole train of her dyspeptic
symptoms.
  In numerous cases besides the  above, I have suc-
ceeded in removing the dyspeptic symptoms by the
employment of the same remedy.   The chief indica- 
144
DYSPEPSIA.
tions  for  its use  are—the  sense of weakness and
oppression at the epigastrium, and at the same time
some  oppression  at the breast.   But the nearer the
approach of the symptoms has been to those of the
above case, the less have I been  disappointed in my
expectations of a strikingly beneficial operation of the
lobelia.   There are,  however,  some cases  where,
although the symptoms  of  pectoral oppression are
very trifling, yet this  remedy operates satisfactorily.
In a case of this kind, which I have but recently
treated, and which occurred in a fat and robust man
about 45 years of age, who  complained  chiefly of a
copious  hsemorrhoidal discharge  and consequent de-
bility, and a sensation  of tightness in the epigastrium
and some acidity of stomach.  I at first gave him
nux vom. without any apparent abatement  of his
disease, and subsequently some other remedies with
the same want of success.  At length he complained
of some  oppression at the breast,  for which I admin-
istered lobelia 5|6.  The  following day he informed
me that he felt new life and  vigour, and that the
pectoral, gastric  and hsemorrhoidal disorders had all
disappeared.  Since that time, now about two weeks,
he has remained free from them, and also from a feel-
ing of want of power in the  anus and rectum which
was exceedingly uncomfortable to him while at stool,
and to which he had been subject for many years.
  Lycopodium.   Case,  in a young woman who had
suffered  under the complaint for six months.  Gastro-
dynia occurring in the mornings after she had been
up for an hour or two,  continuing throughout the
day, and only ceasing on  her becoming warm in bed
at night.   It was worse  in  the  open  air, and after
eating flatulent food; and  caused  a sensation as if the 
DYSPEPSIA.
145
stomach was strongly pressed from  both  sides.   A
kind of cramp of the breast, almost preventing respi-
ration, accompanied it.  At times there was nausea,
or tearing pain in the lower part of the abdomen, or
pressing  pain in the forehead with some  vertigo.
Stools regular.   Menstruation, after cessation for one
period, had continued after the next period almost un-
interruptedly for fourteen days, was tolerably copious
and attended by pains in the abdomen and back. The
gastrodynia would continue  to recur every day for
eight or fourteen days, and would then cease for some
days. Lycopod. 3|30 completely removed the disease
in the course of four weeks, and at the end of a year
there had been no return of it.
  Lycopod. is also useful where there is burning pain
in the region of the stomach.
  Magnesia carb. is  useful in dyspepsia, with press-
ing and constrictive pain in the region of the stomach
and frequent acid eructation.
  Mezereum is recommended where there is  a gnaw-
ing and burning pain in the stomach.
  Nux vom. may be said to  be the  most  important
remedy in  the  treatment of dyspepsia.  In those
forms of the disease which owe  their origin to the
abuse of coffee or alcoholic  drinks, it  is generally
applicable.  As  also where there is a sensation of
weight in the stomach, and  such a feeling of tight-
ness about the epigastrium that the patient imagines
his clothes press against it too firmly;  these symptoms
aggravated after eating, or by drinking coffee.  Also
where there is tightness of the  chest, causing difficulty
of respiration or even asthma—these symptoms ap-
pearing when the patient first awakes in  the morn-
ing.   Or where the following symptoms are present:
      10 
146
DYSPEPSIA.
namely, nausea; flow of water into the mouth;  eruc-
tation of acid and bitter fluid, either with or without
burning heat; vomiting of food or mucus; retching;
palpitation of the heart, with anxiety; acid or putrid
taste; constipation, or alternating  constipation and
mucous  diarrhoea;  flatulent  distension of the  abdo-
men; sometimes hemicrania; sometimes pressing pain
in the forehead.   Also where the pain is relieved by
bending forward, by external warmth or by vomiting.
Also where the pain is gnawing.
   Petroleum.  In a case  of dyspepsia, attended by
diarrhoea, with  acrimonious  discharges,  where the
appetite was poor; and there was a dislike of all kinds
of meat, but especially of fat meat;  thirst; bitter and
acid taste; nausea, and pressing in the stomach after
eating;  sometimes  vomiting of a green  and bitter
fluid; sensation of coldness, and severe cutting pain
in the abdomen.
   Phosphorus has been found useful in dyspepsias in
which there was a constriction of the cardiac orifice
of the stomach, in consequence of which the scarcely
swallowed food was brought up again into  the mouth.
It has also cured, where, besides the sensation of con-
striction and pressure in the stomach, there was a
frequent eructation of a bitter, acid fluid, particularly
after eating, and frequently recurring diarrhoea. Also
where with these symptoms there was vomiting of a
transparent acid fluid in the evening or at night, and
acid eructation.
   Case.  In a man set. 48 ann.  Burning, sticking
and pressing in  the stomach  constantly, but worse a
couple of hours after eating.   Similar aggravation
often occurred late in the evening  or  at night, and
disturbed the sleep.   The burning sensation rose into 
DYSPEPSIA.
147
the throat. There was in the stomach a constant sensa-
tion of fermentation.   Sometimes there was vomiting
of water, at other times acid eructation.  Stools oc-
curring too  seldom,  always hard, and passed  with
effort.   Burning in  the  rectum, at times debility.
Nux vom. and sulphur effected no improvement, but
after phosph. 1)18 there was an increase of appetite,
gradual diminution of the gastric disorder, and an
increase of strength.  The stools became regular and
of the proper consistence.  For a slight relapse at the
end of three months, phosphor. 3|30 was given, which
completely removed the disease in eight days, and at
the end of twenty-two months  there  had been no
return of it.
   Pulsatilla is  useful in dyspepsia accompanied by
nausea and vomiting.  Also where the disease  is at-
tended  by diarrhoea  and sensation  of tightness or
pulsation at the epigastrium, the pain and fulness of
which are diminished after eating.
   This remedy is strikingly beneficial in many  cases
of dyspepsia, arising from eating fat meat, fresh pork,
fried food, or rich pastry.  It is often useful in dys-
pepsia accompanying deficient menstruation.
   Sepia.  Case in a young man who had suffered for
several  years under dyspepsia of the following form,
for which  he had been treated in the common mode
without success.  About noon and in the evening he
was tormented  with a constant  rising  of an acrimo-
nious, saltish and acid  fluid, which had  depressed
his spirits and rendered him almost weary of his life.
Sepia 1J30 was dissolved in eight ounces of water,
and the patient was  directed to take half an ounce
every night on going to bed. The first dose produced
such an aggravation of the complaint that the patient
                                        10* 
148
DYSPHAGIA.
discontinued its use  for three days.  Afterwards the
improvement was steady,  and in  two months the
health was completely restored.
  Soda carb. and soda mur. are frequently useful in
dyspepsia, attended by obstinate constipation.
  Besides the above remedies, ipecac, rhus, stannum,
staphisag.,  sulphur and numerous others have, at
times, proved useful  in dyspepsia, but the particular
indications for  their employment  have not been so
satisfactorily laid  down  by practical writers  as to
render it expedient to enter into any details respecting
them in this place.


                 DYSPHAGIA.
               Difficulty of swallowing.
  Difficulty of deglutition  occurs  as a symptom of
angina and hydrophobia, and is to be removed by the
remedies which are appropriate to the diseases which
it accompanies.  But it sometimes occurs as a con-
sequence of some disease less perfectly known, either
of the oesophagus or of the cardiac orifice of the
stomach.  And as the dysphagia may, in many of
these instances, depend upon the  same disease, the
following  cases may sometimes furnish aid in the
selection of the remedies in  future practice.
  Case. Frequently, difficulty of swallowing liquids;
constantly, great difficulty in swallowing  more solid
food.  The patient could only eat bread crumbled in
milk, or bread with a large  quantity of slightly salted
butter.  At night  there was eructation of  the half
digested food.  Bellad., hyosc. and  cicuta were given
without benefit.  Cantharides gtt. i. 30, repeated at
the end of fourteen days, effected great improvement. 
DYSPHAGIA.
149
The cure was completed with phosphor., sulphur and
lycopodium.
  (Case.  Apparently rising from a  contraction  of
the oesophagus near the cardiac orifice of the stomach.
This disease occurred in the person of a young man,
about 25 years of age, by occupation a baker, and of
very temperate habits.   He came under my notice as
a patient in October last, and presented the following
symptoms: viz., much general debility of body arising
from  inadequate nutrition, attended with a corres-
ponding dejection of  mind.  His nervous irritability
was such, that he seldom enjoyed a comfortable night's
repose,  and never rose from his bed refreshed and
strengthened to renew his daily toil.   But the most
alarming symptom, and one which threatened him at
no very remote period with starvation, was the diffi-
culty he experienced in passing food into his stomach,
which had been gradually increasing  for three years
past.  He could  not,  at the time I  first saw him,
swallow an ordinary draught  of water or any other
fluid, nor was he more successful when he attempted
to swallow small portions of solid food.
   He fortunately discovered, although neither fluids
nor solids in  small portions could be  forced into the
stomach, but were arrested before they entered this
organ, that by continuing  to swallow his food as well
as he could, until the oesophagus was filled, and then
by taking as  much water into his mouth as he was
able,  and afterwards  making  strong voluntary at-
tempts at deglutition, he could succeed in forcing the
arrested mass into his stomach.  These voluntary
exertions were attended with much pain at the time
they were made, and  left the lower  portion of the
oesophagus sore and tender for some time afterwards. 
150
DYSPHAGIA.
In this  manner the patient had subsisted for many
months,  during which  the difficulty of swallowing
was gradually increasing.   In the mean time he had
consulted one of the most eminent practitioners of the
old system, and  had  submitted to the  Thomsonian
treatment, but without receiving any relief.  Fearing
that ere long his powers of deglutition would be un-
availing, and that a lingering death  from inanition
would ensue, he  sought my advice.   I  have treated
him  exclusively upon homoeopathic principles, un-
aided by any  mechanical means,  and have  been
abundantly satisfied  with the result.   The remedies
used in the early  part of the treatment were bell., ars.
and nux v., which soon  produced a marked degree of
improvement  in  his general health, allaying his
nervous excitement,  restoring  his natural sleep, and
recruiting his physical energies.  I subsequently gave
him  carb. v. and  petrol, in alternation,  which acted
more locally and  enabled the patient to  swallow his
food  with less difficulty.  He is now (March 20th)
able  to eat thickened milk, mush and  milk and other
similar  preparations with facility, swallowing  them
completely, without painful effort;  bread and butter,
meat, &c, also pass into the stomach  with very little
effort,  and every day  his condition is improving.
There is every reason, therefore,  to believe that a
perfect cure will be effected.   Green.)
   Case.  Sensation of a lump with a burning feeling
at the pit of  the  throat, with the sensation of some-
thing rising to meet the food  and obstructing it in its
descent towards the stomach; occurring in  a patient
suffering under dyspepsia and dyspnoea.  The dys-
phagia,  together  with the other diseases, were cured
with lobelia.   J. 
ear and hearing.
151
            EAR AND  HEARING.

  Otalgia. In aching of the ears; bellad., chamomil,
digitalis, mere,  nux vom., pulsat., rhus and spigelia
have proved successful remedies.
  Otitis.  In inflammation of the  ears,  it is some-
times proper, where there is considerable fever,  to
commence the treatment  with aconit.  But this  is
not often  necessary,   and  therefore the  remedies
which act most powerfully on  the affected parts,
should generally be  employed  at  once.   Of  these
belladonna is most useful in otitis interna, especially
when this is combined, as it very frequently is, with
inflammation of the brain.  Pulsatilla is most generally
the proper remedy in otitis  externa,  in which  mere
and nux vom. have also proved useful, and the other
remedies which  have just been mentioned  as success-
ful in otalgia, are deserving of attention.
  Otorrhoea.   When suppuration has taken place,
and there  is a chronic discharge of  pus or  puroloid
matter from the ear,  the  remedies  must  be such  as
are capable of removing the disease of the system on
which this otorrhoea depends.  There are, however,
some  cases in which the local  affection is the only
striking symptom of the existence of a morbid condi-
tion of the system.  In a case of this kind in a child
set. 3 ann., who  had  suffered with a fetid otorrhoea
for several months, the discharged fluid being of such
an acrimonious  character  as to cause excoriation  of
the skin  of the ear and also of the skin over the angle
of the jaw, and  attended with itching or some other
sensation in the  ear, which induced the child to bore
it with its fingers until the ear would bleed; digitalis 
152
ear and hearing.
effected a perfect cure in the course of a few days,
and at the end of six months there had been no return
of the complaint.
  Belladonna, pulsat. and mere have proved service-
able in ottorrhcea, and the last of these remedies has
been  reported as having  effected the removal of a
polypus of the ear.
  Dyseccea.  Imperfection or difficulty of  hearing,
which is popularly termed, "hardness  of hearing,"
exists in every degree of intensity, from inability to
perceive  some very low sounds, to perfect deafness.
It may arise from obstruction of  the external meatus
by concrete cerumen, polypus or foreign bodies; from
imperviousness of the Eustachian tube; from injury
or destruction of the  membrana  tympani, or of the
small bones of the ear, or from other structural lesions
of this organ.  But it perhaps owes its origin more
frequently to a partial paralysis of the auditory nerves,
than to any defects in the structure of the ears.
  Proceeding, as this disease does, from such a variety
of causes, it is necessary that the physician, before
commencing its  treatment, should  carefully inspect
the ear and enquire into the circumstances and history
of the case.   For where the dyseccea depends on ob-
struction of the  meatus externus, medicines cannot
be expected  to do much good, because  they cannot,
except in the cases of polypus, effect the  removal of
the obstructing bodies; and when the dyseccea arises
from destruction  of parts, it must be to a considerable
extent incurable.  The cases which are  capable of
being improved by  medical means, are those which
depend on a present morbid action in some part of the
ear, or on a loss of power in the auditory nerves; and
the chances of success are much diminished if not 
EAR AND HEARING.
153
entirely destroyed, when the patient has been  sub-
jected to the operation of puncturing the membrana
tympani, which frequently injures the ear to such an
extent that recovery of the hearing becomes  nearly
hopeless.
  The following- statements in relation to the homceo-
pathic treatment  of dyseccea, though very unsatis-
factory, are all that can be presented at the present
time. It is to be hoped that homoeopathic physicians
who have  treated this affection successfully,  will
publish their cases in  such detail that a judgment
may be formed of their value and a more  accurate
knowledge may be obtained in regard to the opera-
tions of remedies in correcting defects of hearing.
   Calcis carb. has proved useful in several cases of
dyseccea.  In  two cases, the secretion of  cerumen,
which had been previously deficient in quantity, was
increased in amount after  the employment of this
remedy.   One of these was in a woman set. 41  ann.
The dyseccea  of the right ear  commenced in her
childhood during an attack of natural small-pox; the
left  ear was at  times  also affected.  There  was a
sound in the ears resembling  the driving of wagons,
and  almost constant cephalalgia.  Calcis carb. 3)24
effected great  and permanent improvement  of the
hearing.
  Petroleum cured a case where calcis carb.  had been
previously  employed with advantage.  And  in the
case of a man set. 29 ann., where ringing of  the ears,
the secretion of a concrete cerumen, cephalalgia and
hsemorrhage of the gums accompanied the dyseccea,
this remedy completed the cure which had been com-
menced by silex.
  The following  remedies are  also  mentioned as 
154
ERUPTIONES cutanea.
having been advantageously employed in the treat-
ment of dyseccea; bellad., graphit., ledum, pulsat.,
spigelia.

         ERUPTIONES CUTANEA.

  Under this head are included most of those cu-
taneous diseases, (with the exception of  Rubeola,
Scarlatina and Variola,) which having been success-
fully treated on homoeopathic principles, are recorded
in the works to which I have had access.
  The terms papulse,  pustules and vesicles, are em-
ployed in their  usual meanings; namely, papulse—
small inflamed elevations of the cuticle;  pustules—
small elevations  on the skin containing pus;  vesicles
—small elevations of  the cuticle containing a trans-
parent fluid whether coloured or  not.
  The term crusts, as here employed, is  generally a
literal translation of the German  word kruste, and is
applied most frequently to those  scabby coverings of
the diseased skin which appear to be formed by the
concretion of effused fluids.  It may, however, some-
times be applied to irregular layers of morbid cuticle.
  The term scale, a literal translation of the German
word schuppe, is applied sometimes to a thin coating
of the diseased  skin, formed  by the concretion of
effuse fluids; but  it is  also applied to a lamina of
morbid cuticle.
  The term scurf, a literal translation of the word
schorfe,  is applied to  furfuraceous desquamation of
the cuticle.
  The most of the names  of cutaneous eruptions
which occur here, have been applied by  the phy-
sicians who have reported the cases.  To  many of 
ERUPTIONES CUTANEA.
155
the eruptions no names have been given; the letters
E.  c. have been  placed before these to express the
general term eruptio cutanea.   Nor is this neglect
of nomenclature to be regretted in relation to a large
number of cutaneous diseases, for it will be  much
easier to ascertain what remedies have cured similar
diseases by a reference to  characteristic symptoms,
than by the name of the disease.   Because,  in order
to ascertain the remedy through  the latter means, it
is necessary that  the  physician shall know  that the
case, which he is about to treat, is entitled to such or
such  a name, i.  e.  in common language, that  it is
such or such a disease.  This is comparatively  easy
in regard to erysipelas, zona and some others, but in
respect to the greater number of cutaneous affections,
it is exceedingly  difficult; so much so, indeed, that it
would frequently happen, that if the cure depended
on the ability of  the  physician to bestow the proper
name on the disease, the case would remain uncured.
   In the index, where, after the name of the disease,
the first mentioned remedy is printed in italics,  a
description of  the  disease or a general view of its
treatment will be found under that remedy.
   Bucnemia.  Graphit.
   Crusta lactea.  Viola tricol  Arsen., calcis sulph.,
carbo  veg., dulcam., graphit., lycop.,  mere, sepia,
staphys., sulphur, tr. acris.
   Crusta serpiginosa.  Sarsaparilla.  Ac. phosph.,
arsen., calcis carb.,  cicuta, clematis, conium, graphit.,
ledum, lycopod.,  rhus, sodse mur., sulphur.
   Elephantiasis.   Alum., arsen., graphit., sepia.
   Erysipelas.  Bellad., bryon., calcis sulph., pulsat.
   Erysipelas vesiculare.  Rhus.  Graphit., calcis
sulph., bellad. 
156           ERUPTIONES CUTANEA.

  Eruptions forming crusts; arsen., bellad., clemal,
conium,  mere,  rhus:  brown  crusts;  ac. phosph.:
brownish  yellow;  lycopod.:  yellow;  cicuta, rhus:
yellowish green; sulphur: whitish gray; graphit.
  Eruptions forming scales; bryon., lycop., sulphur.
  Eruptions forming scurf; alum., arsen.,  baryt.,
bryon., bovist, conium, graphit., lycop., sulph.
  Eruptions of syphilitic origin; mere.
  Eruptions,  papular;  Calcis  carb.,  calcis  sulph.,
cicuta, ledum, sepia, sulphur.
  Eruptions, pustular: arsen., baryt., bellad., calcis
carb., graphit., mere, rhus.
  Eruptions, vesicular: arsen., bellad., bryon., bovist.;
cicuta, dulcam., rhus, sulphur.
  Psora.   Sulphur, carbo veg., sepia, tr. acris.
  Rhagades.   Bryon., calcis  carb.,  calcis  sulph.,
sepia, sulphur.
  Tinea  capitis.  Baryt.,  belladonna,  calcis carb.,
graphit.,  lycopod., oleander, phosph.,  rhus,  sepia,
staphys., sulphur.
  Zona.  Cingulum.   Herpes  zoster.   Shingles.—
Arsen., graphit., pulsat,, rhus.
  Acid, phosph.   E.  c.  A moist, tetter-like eruption
on  the  red of the lips, the cheeks, and about the
angles of the mouth.    The lips raw in  some places,
and in  others covered with thin brown crusts, and
bleeding  underneath.   The  affected  parts  of the
cheeks covered with thick yellow scurf.
  Ac. phosph. is mentioned by Hartmann as useful
in some cases of crusta serpiginosa.
  Aconitum. Urticaria. Face blood-red. Body cover-
ed with the rash.   Every time the bed clothes were
thrown off, severe  chill.  Pulse hard and frequent.
Thirst.   Oppression at the breast,  with short, quick 
ERUPTIONES CUTANEA.
157
breathing; difficulty of speaking; hoarseness. Sensa-
tion as if a ball stuck in the throat, preventing speak-
ing,  and impeding respiration.  Headache; consti-
pation; dry hot skin; great anxiety;  debility and
trembling.  Aconit. 5)24, in the morning, followed by
nux v. 2|30 in the evening, effected a cure.
  Alumina.  E. c.  A moist, scurfy tetter on the
temples, at the edge of the hair, and some very small
spots of the same on the fore-arms.
  Elephantiasis; lepra arabum. Dr. Hering, to whom
we  owe all  the information which we possess  in
relation to the homoeopathic treatment of this disease,
found alumina one of the  most valuable remedies in
the swelling of the face;  and that, in some cases, the
tubercles diminished under its use.
  Arsenicum.  Pemphigus.  In a man set.  48 ann.
Vesicles on  the body and extremities containing a
bloody fluid.   Fever, headache, diarrhoea,  restless-
ness.   Urine burning, and like bloody water.  No
sleep for eight nights; for, on lying down in bed,
there was severe burning  in the skin and a sensation
as if hot water flowed through his veins.  Large
hsemorrhoidal tumours of the size of walnuts, pain
burning and  sticking.  Arsen. 30, with speedy relief.
The hsemorrhoidal tumours also rapidly diminished.
  Small ulcers.  In a woman set. 60 ann.; disease of
several months' duration.  Small ichorous ulcers over
the whole body, the face excepted.  Burning itching,
which compelled scratching, although aggravated by
it.  Worse in the cold, and least troublesome when
warm.   The sores  sometimes healed up in places,
but fresh crops soon showed themselves.  All oint-
ments irritated.  The patient became more and more 
158
ERUPTIONES CUTANEA.
emaciated, was dyspeptic and debilitated.   Arsen. 30
cured the disease perfectly in fourteen days.
  Ulceration,  with formation of crusts.   In  a  man
set. 43 ann. After a severe chill, an eruption of small,
red pimples, the tops of which became filled with a
clear yellow fluid: these burst, and their acrimonious
discharge corroded  the healthy skin,  causing the
formation of large crusts,  under which there was a
continued effusion of matter.  The ulcers were con-
fluent and covered the face, neck,  breast, fore-arms
and hands, and caused an intolerable burning  pain
which prevented sleep.  Patient had a saline taste in
his  mouth, little  thirst, dirty-yellow  coated tongue.
Diarrhoea; stools yellow; cloudy, yellow, urine.  De-
bility.   He was  dispirited and peevish.  Disease of
three months'  duration.  Arsen. 30 effected a cure in
ten days.
  Vesicular eruptions.  Between the scapulae a red
spot, the  size  of  a dollar, beset with small vesicles,
which burned  intolerably, especially at night; sulphur
was followed in five days by no relief, but by the ap-
pearance of a  similar eruption over the epigastrium.
Arsen. 30 was next given, and afforded relief in two
hours, and in ten days effected a perfect cure.
  Gangrenous vesication.   Arsenic, is a valuable
remedy in this form of disease;  though in some cases
acid. mur. may be preferable.
  This  remedy has  been highly  recommended  in
herpes zoster,  by Dr. Trinks.   It has proved useful
in crusta lactea, and is said by Hartmann to be  indi-
cated in crusta serpiginosa, when the eruption extends
itself rapidly, and the itching and burning appear to
be very great,  but are lessened by warmth, especially
in bed. 
ERUPTIONES CUTANEA.            159
  A case of pustular  eruption  on the face,  in  the
region of the beard, accompanying a pustular erup-
tion of the scalp, forming crusts:  with great falling
out of the hair, and a dead appearance of what was
left, was slowly cured by arsen.  and rhus in alterna-
tion.
  Arsen.  proved useful  in two  cases of chronic des-
quamation of the cuticle  of the nose.
  Elephantiasis; lepra arabum.  Dr. Hering has  em-
ployed arsen. with strikingly beneficial results in  this
disease, for the superficial ulcerations on  the balls of
the toes and soles of the feet, from  eroding vesication,
with loose, skinny  and unevenly torn margins; foul,
yellow ground, red only on the circumference, itching
and burning severely,  especially at night, and attend-
ed  with  biting, pinching pain.   Also where  ulcera-
tions  of the fingers were attended by burning pain.
The  tubercles always diminished after arsenic,  and
sometimes disappeared.
  Urticaria.  Arsen. has been recommended in chronic
urticaria.
  Barytes.   Tinea capitis humida, with  swelling of
glands of the neck, has been cured by baryt. acet.
  Pustular  eruption on the neck, changing into an
itching scurf.   Baryt. acet.,  dose repeated in four
weeks, effected a perfect cure.
  Belladonna.   Erysipelas of the face, with severe
headache,, vertigo, intolerance of light, incessant cold
shivering, thirst and vomiting.   Pulse full and fre-
quent; bellad. gtt. i. 24.  For six  hours, aggravation,
then gradual relief. In nine days the cure  was perfect.
The  patient had been twice  before attacked by the
disease, and on one occasion had suffered  under it for
four weeks. 
160
ERUPTIONES CUTANEA.
  In another case, in a woman set. 56  ann. who had
suffered under repeated attacks of the disease, which
under the ordinary treatment endured for eleven days,
and  under domestic remedies for a still longer period,
the  cure was perfect by the sixth day after  taking
bellad. 18.
  Vesicular eruptions. Bellad. has been found useful
in some forms of vesicular eruption, and one case is
recorded in which this remedy effected the cure of a
gangrenous vesication on the right leg, accompanied
by swelling of the foot, pain in the stomach, nausea
and  vomiting.
  Pustular eruption.   Bellad. has proved  useful  in
pustular, papular and crusty eruptions of the face  in
children.
  Tinea capitis.   In  some forms  of tinea  capitis,
bellad. has been employed with advantage.
  Bovista.   E. c.  Red spots, with furfuraceous de-
squamation of the cuticle.  E. c. small, crowded, red
elevations of a raw, scurfy appearance, and  secreting
a transparent fluid  on the  backs of  the hands, and
occurring every winter.
  Bryonia.   In  a  vesicular eruption on  the face,
where  after  the bursting of the vesicles there was
desquamation.  Disease originally crusta lactea, and
of many years' duration.   Two doses of bryon. at an
interval of two weeks, effected a cure.
  Erysipelas of the joints, with increase of pain on
motion, has been relieved by this remedy.
  In furfuraceous tetter of the eyelids bryon. has been
recommended.
  Rhagades.  In the treatment of chapped lips, bryon.
has proved useful. 
ERUPTIONES CUTANEA.            161
   Calcis carb. has proved  useful in some forms of
papular eruption on the face.
  Tinea capitis. In a case, with ophthalmia, costive-
ness, sour sweat and peevishness.
  T. c. In a case of moist tinea capitis, with glandular
swellings in the neck; thick,  swollen lips, and pale,
bloated face;  a single dose of calcis carb. gtt. i. 30
effected a cure.
  T. c.  This remedy has also been found useful in
dry tinea capitis.
  Rhagades.  Calcis carb. gtt. v.  12, mixed with five
ounces of water, and locally applied, cured the painful
chaps which appeared in the hands of a brick-maker
whenever he worked in wet clay.
   Calcis sulphuret. in repeated doses, at long intervals,
cured  a crusty eruption on  the  ears;  the  eruption
mostly dry; moisture only in a few spots.
  It has also proved useful in pustular, papular and
crusty eruptions of the face, and in moist tinea capitis.
  In erysipelas it has proved a valuable remedy.
  Urticaria.  In a  constantly recurring nettle rash on
the hands and fingers, calcis sulph. was very useful.
  Rhagades.   On the palm of the left hand a semi-
circular spot with  deep fissures and chaps, frequently
bleeding, and  attended with burning, and on being
touched, sticking pain.
  Carbo veg.  In psora,  carbo veg. has been  employ-
ed with advantage after sulphur.
  Urticaria.   Carb. v.  has been recommended for
chronic urticaria.
   Cicuta virosa.   Papulse  of the face.   Dark-red,
crowded papulse, attended with burning pain during
the eruptive process;  continuing for some days and
then desquamating. Disease of sixteen years' duration.
      11 
162           ERUPTIONES CUTANEA.
Two  doses  of  cicut. viros.,  the  first  gtt. i.  2, the
second gtt. i. 4, at an interval of twenty days, effected
a perfect cure in thirty days.
  E.  on the face forming crusts, in a girl  set. 16 ann.
Every year, from her eleventh to her sixteenth year,
the disease attacked her in September, and endured
for a long time.   The eruption began  with a scabbi-
ness about the left angle of the mouth.  The diseased
surface poured out a yellowish water, which rendered
sore the parts which it touched, and excited burning
pain.   These sores  secreted a similar fluid,  which
concreted into honey-yellow scabs and formed a thick
crust   The left side of the face, the whole chin, and
a large part of the skin below the chin were affected.
In  both nostrils yellowish   brown  scabs were ob-
servable.  The  sub-maxillary  glands  were swollen
and painful.  One  twentieth of a drop of the succus
cicut.  vir. with  improvement till the ninth day.   On
the eleventh day cicut.  vir.  gtt.  i. 1, with rapid im-
provement.   On the twenty-fifth day,  cicuta vir. one
thousandth of a drop, and by the thirtieth day there
was not a trace of the disease, and it never appeared
afterwards.
   Vesicular eruption  succeeded  by  crusts.   In a
child  set. 1  ann.   Vesicles  containing a  transparent
colourless fluid,  breaking and  then pouring  out a
fluid, which dried  into  thick yellow  scabs forming
crusts, the  sores  extending  themselves  in such a
manner that many of the crusts were of large size.
The eruption occupied  the  skin around  the  mouth
and the cheeks, but was worse  on the chin.  Cicut.
vir. 1|30.   In two weeks well.   J.
   Clematis erecta.  Vesicular eruption, succeeded by
crusts.  See rhus. 
ERUPTIONES CUTANEA.
163
   Conium mac.  E. c. In a female set. 20 ann. who
 in earlier life had suffered from eruption on the head
 and glandular swellings.   It was on both fore-arms,
 and began  at points from  which  it extended itself
 until it occupied surfaces of four by  eight inches.
 The skin had a porous, highly red, raw appearance,
 was somewhat swollen, and exhibited in places de-
 pressions and furrows.   There were  sore spots, from
 which a tough clammy lymph  and, at times, some
 blood exuded.  This lymph dried into a white scurf.
 On the margins of the eruption, under the apparently
 sound skin, small glandular tumours were to be felt,
 which gradually became  red,  and were finally in-
 volved  in the disease.   The itching was excessive,
 especially in the evenings.  Conium gtt. i. 1, every
 eight days, and  sue. conium gtt. i. twice  given, per-
 fectly cured the disease in eight weeks.
  E.  c. described as a severely burning, biting, moist
 tetter of the hands and fore-arms, which had resisted
 a great variety of treatment.   Con. mac. four doses
 in three weeks.  The first, sue. conium  gtt. i.; the
 second, conium gtt. i. 6;  the  third, gtt.  i.  18;  the
 fourth, gtt. i. 24.  In six weeks well.  A number of
 homoeopathic  remedies  had been previously used
 without much success.
  E.  c. with crusts.  A female set. 26 ann. had, from
 her childhood, some spots of the size of a hand on her
 body, covered with crusts.   Con. mac. in the same
 doses as in the preceding case, but given in the course
 of two weeks, effected a perfect cure.
  Dulcamara.  Pemphigus.   In a boy  aged thirteen
 months.  Vesicles of the size of peas,  seated on an
inflamed base,  and  containing a transparent yellow
fluid.   Upon breaking,  eating  sores were formed,
                                        11* 
164
ERUPTIONES CUTANEtE.
which discharged a clear red ichor, which, after some
days, formed a thick brownish red scab,  painful on
being  touched.  After some  days the scabs fell off
leaving bright red spots.   The  whole  body,  but
chiefly the back and  extremities, was covered with
it.  The face only was  free from it.  Emaciation,
loss  of appetite,  thirst.   Slimy, brown,  diarrhceal
stools.   Urine of strong  odour,  cloudy and causing
itching and pain in the parts which were  wetted by
it.  But little sleep;  restlessness.  Dulcam.  In a
few days well.
  Herpes pudendi.  Dulcam. has been spoken of as
being  "of inestimable worth in  suppurating moist
tetter about the pudendum."
  Urticaria.   The eruption every time preceded by
a sensation of sticking, as with needles, through the
whole  abdomen, and accompanied by severe itching;
and  after scratching,  by burning.  Dulc. gtt. i. 24
speedily cured the disease.
  Urticaria, with  fever, bitter  taste,  slimy coated
tongue, nausea and vomiting, pressing pain in the
epigastrium, diarrhoea, dark, cloudy urine, and pains
in the  limbs.
  Graphites.   Scurfy tetter on  the skin  below the
nose.  The  affected parts  itched severely,  and dis-
charged an acrimonious ichor, which  formed a thick
scurf.   There was also a pustular eruption  over the
whole  body, and sticking pain in the anus before the
stools.
  Tetter on the arms, hands, face, ears, calves of the
legs  and thighs.   There was a thick, whitish gray
crust formed by exuding lymph, under which the
skin had a red and sore appearance.   Severe biting,
itching, tooth  and ear-ache at night.   Stiffness  and 
ERUPTIONES CUTANEA.
165
immobility of the affected parts, with swelling of the
glands.   After  phosphorus, graphit. 12  effected a
speedy cure.
  Herpes zoster, zona, &c.  Graphit. 3|30, three doses,
one every other day.
  Crusta lactea.   Scurfy, ulcerated  nose and lips,
with some itching.
  Tinea capitis.  Graphit. 30, every ten days a dose,
cured a tinea capitis, but an erysipelas  of the  face
then appeared.
  T. c.  Graph.  2|30, five doses, one every week,
cured a case  of tinea capitis humida, which chiefly
affected the top of the head, and was accompanied by
itching and a falling out of the  hair.         ^
  Elephantiasis; lepra arabum.   "It frequently im-
proved  the leprous spots or their remaining  traces,
especially coppery, annular, elevated blotches in the
face, coppery tubercles on  the ears, also  the callous
ulcers  of the feet, which arise from eroding vesica-
tion."   Hering.
  Bucnemia. Elephantiasis. Barbadoes leg. In this
disease graph, "has more influence  than  most other
remedies."   Ibid.
  In vesicular erysipelas of the face, graphit. has been
found very useful.
  Ledum has aided in removing pimples and blood-
boils from the forehead and other parts.
  In a case  of dry, scabby tetter of the face, with
burning  pain in the  free  air, and a • burning and
stretching sensation on  moving  the muscles of the
face. Merc, had been previously used with advantage,
and two doses of ledum 15 completed the cure.
  Lycopodium.   E.  c.  A furfuraceous  tetter, with
plaiting  of the skin  about the  mouth, which disap- 
 166           ERUPTIONES CUTANEA.

 peared for four months  after sulph. 3|30, but again
 returned, was permanently removed by lycop. 2|21.
   E. c.   Tetter on the  face, neck and calves of the
 legs, in a girl set. 9 ann.   The patches mostly of the
 size of a dollar, with distinct margins, level with the
 skin, of a brownish yellow  colour, but with points
 redder than natural, and scaly desquamation.  After
 graphites these spots became redder,  and at length
 formed matter;  they also spread  and not only itched
 as before, but produced burning, sticking pain; lycop.
 2)30.  In three days, improvement.  In three months,
 well.
   E. c.   Tettery eruption on the legs; somewhat
 moist,  with deep fissures; thick, straw-yellow crusts;
 severe burning pain, especially at night.
   Crusta  lactea.   Lycopod. has  been  recommended
for this disease.
   Tinea capitis.  Lycop.  1|30 cured  a  moist tinea
capitis, and  soreness about  the  genitals, and  upon
the thighs, in a child aged  ten months.
   Lycop. has been found very useful  in those cases
where  the whole of the back and parts of the front
of the head are covered with thick crusts, from under
which  there is discharged,  especially  during  the
night,  a lymphatic, bloody or puroloid matter; and
there is tumefaction of the glands  of  the  neck and
throat, disagreeable odour  of the head, pale, sickly
countenance, the face  spotted  with small pustules,
the ears  involved  in the eruption,  and discharge of
pus from the ears.
   Mercur. acet. 4 cured an eruption over the whole
body, but worse on the  arms; consisting of itching
pustules, which burned severely after scratching.
   Mercur.   E.  c.  In a  child a£ed  four  months. 
ERUPTIONES CUTANEA.
167
Eruption  began on the head,  and extended from
thence over the whole body.   Face covered  with a
dirty  yellow crust, from  under  which a  stinking
moisture  exuded.   Intolerable itching.   Eyes  sur-
rounded with scurf, red and weeping;  intolerance of
light; small pustules on the conjunctiva.
  E. c. syphilitica.   In a child who had received the
syphilitic  infection from its nurse.   Skin covered in
some places with pustules, in other places with tettery
patches; the pustules while advancing were painful,
and itched while drying  up; some  were confluent,
forming either  dry spots  with furfuraceous desqua-
mation, or raw surfaces  secreting  an acrimonious
fluid.    When any of the patches cicatrised,  a fresh
eruption appeared in their vicinity.  Face and scalp
free from the disease.  Itching in  all the affected
parts, increased in  bed.   The conjunctiva  was red-
dened, the lower eyelid swollen, with  a yellow crust
on its edge; the falling off of this crust  exposed to
view many small ulcerations.  Merc, aided by mezer.
effected a  cure.
  Merc. gr. i. 8 cured an extensive tetter, in which a
sensation of burning was excited on its being touched.
  Nux  vomica.   Urticaria.   Nux v.  is a  valuable
remedy in this  form  of cutaneous  disease.  For a
case of febrile nettle rash, in which it was serviceable,
see aconit.
  In a case where the febrile excitement was unim-
portant, but nearly  the whole skin was covered with
large blotches of the eruption, attended with trouble-
some  itching; the  face very red, but without  the
peculiar appearance of urticaria.  Nux v.  speedily
subdued the disease.  J.
  Oleander cured a red, raw tetter on the skin before 
168           ERUPTIONES CUTANEA.
the ear, accompanied by a secretion of a fetid moisture
behind the ear.
  Tinea capitis.   The  eruption  affected only the
hairy scalp, itched excessively, after scratching there
was  burning; sometimes the  eruption wras  scaly, at
other times moist.   It appeared as if there was an
effusion of serum  under the whole scalp.  Oleand.
gtt. i.  3  effected  a cure in a few  days, though the
disease had existed for many weeks.
  Petroleum has been employed  with advantage in
the treatment of itching tetter on the scrotum  and
perinseum.
  Phosphorus.  In tetters on  the  neck and breast,
consisting in light-brown, irregularly formed patches,
which are  slightly elevated,  somewhat rough  to the
touch, and  at times itching.
  Tinea capitis.   Phosph. cured a case attended by
dry desquamation.
  Pulsatilla.  Erysipelas.   Hartmann recommends
pulsat. in erysipelas, when inflammation of the ex-
ternal ear has taken place, and  rhus has ceased to
operate.  Caspari found it .useful in an erysipelatous
inflammation of the foot.
  Hordeolum.  Pulsat.  has been recommended as
useful in this disease.
  E. c. arising from  indulgence in fat food.
  Zona.  Pulsatilla  is mentioned  as  one  of the re-
medies applicable to  this disease.
  Rhus tox.   Erysipelas, pustulosum, bullosum vel
vesiculare.   Rhus tox. is one of the most important
remedies for this form  of erysipelas, and will  fre-
quently, if  not generally, remove it without the aid
of any other  remedy, and by a single dose.   Some-
times another remedy has been found  necessary to 
ERUPTIONES CUTANEJE.
169
complete the cure.  The other remedies which have
been found most serviceable, are bellad., calcis sulph.,
graphit., carbo an. and cantharides.   I shall adduce
only one of the many cases of the beneficial operation
of rhus in  vesicular erysipelas, which are recorded
by homoeopathic writers, as more would occupy space
unnecessarily.
  A woman set. 48 ann., of arthritic habit and choleric
temperament, who had once before  had an attack of
vesicular erysipelas of the face, in the progress of
which her life was considered  to be in great danger,
and  the  cure of which, by  the common  system of
treatment,  occupied eight weeks; was three  years
afterwards  again severely attacked by the same dis-
ease.  Rhus gtt. i. 30 produced a slight aggravation;
but an improvement in some  of the  symptoms  was
perceptible  in twelve  hours.  In forty-eight  hours
the disease was cured; with the exception of a slight
debility, which disappeared in a few days.
  Pemphigus chronicus affecting the face, neck  and
extremities.  Large vesicles seated on an inflamed base,
and  containing a sero-puroloid fluid,  which dried  into
thick, brown scabs or formed superficial ulcers. After
healing,  the cicatrices remained blood-red,  shining,
harsh like paper, scaly and insensible.
  Zona.  Rhus has been recommended in this disease.
  E. c. In a boy set. 8 ann. who, when a month old,
had been attacked with a scurfy eruption of the scalp,
and  in whom the  disease had advanced until  the
whole fore  part of the  head, the forehead,  and right
side of the face, were covered  with a thick,  moist
crust, from  beneath which  there flowed an ichorous
matter of intolerable odour.  The crusts  sometimes
fell  off,  showing the raw,  uneven  and discoloured 
170           ERUPTIONES CUTANEA.

skin, but they were soon reproduced.   On the body
and extremities the skin was raw and scaly, and in
many places covered with crusts like the face.  Severe
biting itching in the affected parts, especially towards
evening, at night,  and when warm.  Rhus gtt. i. 2
left in four weeks but slight  traces of the disease.  In
four months, in which time  four doses were given, a
perfect cure was effected.
  E. c.  White vesicles, succeeded by thick, yellow
crusts, beneath which a yellow,  corrosive,  burning
pus caused great pain.  Sores slowly drying  up.
The disease appearing every spring.
  E. c. in a boy set. 10 ann.  Disease of several years'
duration, diminished in the summer and increased in
the autumn.   The upper part of the thigh nearly
covered with a  scaly coating (crusts?) from under
which a yellow,  corrosive  ichor was  discharged.
Sometimes the scales fell off,  showing a raw, moist
surface, covered with many small vesicles, which
upon bursting discharged a yellow, corrosive fluid,
that caused the same disease in the parts with which
it came in  contact.   New scaly coating was soon re-
produced.  On the haunches, arms and back  were
groups of crowded vesicles.  The affected parts itched
excessively when warm, especially in bed.   Swelling
of the inguinal and axillary glands.  Patient debili-
tated and emaciated.  Staphys. gtt. i. 30 produced an
aggravation without much subsequent improvement.
Clemat. erect, gtt. i. 6 effected a considerable diminu-
tion of the disease, but after fourteen days the disease
showed a disposition again to advance.  Rhus gtt. i.
9 with  great improvement.   After  twenty-one days
the affected parts were  moistened with the following
mixture.  Tr. rhus toxicod. gtt. i., aq. purse, gtt. c. 
ERUPTIONES CUTANEA.
171
In twenty-one days more there was not a trace of the
disease.
  Crusta serpiginosa. Rhus has been found useful in
this disease.
  Tinea capitis.  Thick crusts over the whole scalp,
from under which there flowed a greenish coloured
pus.   Severe itching at night.
  Sarsaparilla.  Crusta serpiginosa.  This disease,
like crusta lactea,  attacks young infants.  It begins
with a vesicular eruption on the  cheeks, just in front
of the ear, and over the parotid glands.  The vesicles,
which are seated on  a red base,  burst and discharge
a considerable quantity of an  acrimonious serous
fluid, which irritates the adjoining skin and produces
on it the same eruption.  This fluid dries into small,
superficial and dark coloured crusts which alternately
fall off and  are reproduced.  The  disease spreads
itself over the whole face, and sometimes affects the
eyelids, but never the.eyes.   It sometimes invades
the hairy scalp and  may attack the back, hips and
extremities, and even retain possession of these parts
when it has disappeared from  the  face.  There  is
severe itching, and  frequently  great debility and
emaciation.
  Sarsap. is  a very valuable  remedy in  this disease,
and has been recommended for those cases in which
the child is very peevish and fretful; when the erup-
tion  is  seated on  an  extensive  inflamed base, the
crusts separate themselves from the skin  on exposure
to fresh air, and the tender new skin becomes fissured
and chapped.
  The remedies mentioned as adapted to crusta lactea
may also  be  useful in this disease.  The following
have also been found  serviceable.  Acid, phosph., calcis 
172
ERUPTIONES CUTANEA.
carb., cicuta vir., clematis erect a, conium, graphit.,
ledum, lycopod., soda mur., sulphur.
   Sepia.  E. c.  Sepia cured an eruption resembling
psora, and appearing over the whole body, but worst
on the extremities, with severe itching in the evening.
   E. c.   Tetter on the face and back of the hands
which itched severely, especially in  the  evenings.
There flowed from  the  chapped skin a yellowish
lymph, which dried  into crusts.   Skin hard  like
parchment;  ground and  circumference of the tetter
red.
   E. c.   Sepia has been very serviceable in moist,
itching, burning tetters; in crusta lactea, and in tinea
capitis humida, with ichorous discharge.   It has also
aided in the cure  of some cases of psora.
   Elephantiasis.  Lepra arab.   Sepia proved a valu-
able  remedy, and  was peculiarly advantageous in the
cure of the  ulcerations consequent on  erosive vesi-
cation.
   Prurigo pudendi. The labia swollen, inflamed and
covered on the inside with small papulse or pustules,
which  secreted a puroloid fluid.  The  itching ex-
cessive; aconit. 30, and after twenty-four hours sepia
3130.   In  four days no  trace of the disease.
   Staphysagria.   Tinea  capitis.   Moist eruption on
the right side of the head, with indescribable, offensive
odour.   Pustules  on the neck, swelling of the glands
of  the throat.
   Sulphur. Psora. In the treatment of psora, sulphur
is  one of the most important remedies.   Given either
in  the lower or very high dilutions, it has cured this
disease without the aid of any other remedy.   But
in  many  cases it  has  been insufficient to complete
the cure,  and therefore  other remedies have  been 
ERUPTIONES CUTANEA.           173
required.  Among those which have been found most
useful as adjuvants of  the sulphur, are carbo veg.,
sepia and tr. acris.  Some  cases are also recorded in
which benefit  appears  to  have been  derived from
lachesis.
   Herpes squamosus  on the forehead, was cured by
sulph. 3 in ten days.
   Herpes miliaris. Small vesicles containing a serous
fluid, united in groups on an  inflamed base.  The
groups, from the size of a dollar to that of the hand,
formed separate circumscribed, irregular spots,  be-
tween which the skin was healthy.  Eruption chiefly
on  the  extremities.   Burning,  itching,  and  either
moist or covered with thin  white scales.
   Herpes crustaceus.   (Impetigo of Willan.)   On a
circumscribed red base, small crowded vesicles, dis-
charging a puroloid lymph, which  dries into thick,
yellowish-green crusts.  These crusts frequently fall
off, and  newT  ones are reproduced on the  moist,
slightly elevated,  bluish-red spots.   Burning  and
itching, chiefly affecting the face.
   E.  c.   Sulphur 2 cured a dry furfuraceous tetter.
   E.  c.   A  moist, itching  tetter extending  over the
whole face,  thickest over the nose and  around the
eyes, also  here  and there on the swollen eyelids, and
attended by  great intolerance of light, much weeping,
itching and smarting of the eyes, and swelling of the
glands of the neck, was  cured by two doses of sulph.
2,  given at an interval of seven days.
   E. c. supervening vaccine disease.  Eruption some-
what  resembling the vaccine vesicle, but assuming
a tetter-like  appearance.  Sulph. 1|30 was very ser-
viceable,  and  the child, who had been  previously
unhealthy, became quite well. 
174           ERUPTIONES CUTANEA.
   E. c.  Eruption in large wheals of small vesicles
containing yellow pus, which dried away forming
scurf.  The  wheals  surrounded with a  red  space.
Severe itching.   Small, red,  itching points on the
fingers.
   E. c.  Small  tubercles of the size of poppy seeds
on the extremities:  on the superior extremities ex-
tending from the  wrists to the shoulders, attended
with itching.
   Tinea capitis.  Sulphur has proved  serviceable
both in moist and  dry tinea capitis,  but  most in the
latter.
   T. c. In an infant.  Thick, bark-like, straw-yellow
crusts on the upper part of the head; a thick, yellow
puroloid matter  flowing from beneath them.   Many
separate, red  pustules, with yellow tops, on the body.
Nocturnal  diarrhoea, with  greenish stools, preceded
by screaming and  twisting. Restlessness, sleepless-
ness, emaciation. The sulphur was administered both
to the mother and infant.
   Crusta lactea.   In a female child set. 2 ann.   Dis-
ease commenced when the  child was six months old.
The skin had been previously healthy.  The eruption
began on the body and  extremities, and  for the  last
three months has been extended over the whole face,
so that the cheeks,  forehead and eyelids were covered
with  the eruption, which  consisted  of small,  white
vesicles, that on breaking  extended  into  each other
and  formed crusts.   The  itching, especially in the
evening, was very severe.  The skin was very sore
for a considerable extent from the orifices of the nose.
The eyes were  glued together  with matter in the
mornings. Considerable opacity of the cornea in both
eyes.  Sulph. 3  was followed by great improvement. 
ERUPTIONES CUTANEA.
175
After six weeks, sepia 30 was given, and in six weeks
the child was well and cheerful.
  Rhagades. Sulphur has proved useful in chapping
of the hands.
   Viola tricolor.  Crusta lactea. This disease chiefly
attacks infants between two and ten months old.   It
commonly appears first on the cheeks and around the
mouth.  The affected  parts  become hot, red, tense,
swollen and glossy.  The child is restless, and rubs
the affected parts against every object which it can
reach.  The eruption consists of small pustules of the
size  of  a  pin's  head, which are filled with a thin,
transparent yellowish lymph.  These soon burst, and
the effused fluid forms thick, yellowish-brown crusts.
Under these a  puroloid  secretion continues itself.
New pustules arise and  become confluent with the
old.  When the disease  extends to the forehead it
sometimes induces inflammation of the eyes, with
opacity of the cornea and swelling of the eyelids, or
complete  psorophthalmia.   During desiccation the
urine is cloudy and has the odour of  cat's urine.
Viola tricol. is one of the most valuable remedies in
the treatment of this disease, but others  may be  de-
manded.  The  following have  been useful.   Arsen.,
aurum., carb. veg., calcis  sulphuret,  dulcam., lycopod.,
rhus, staphys., sulph., tr. acris.
   Vinca minor, gtt. i. cured a chronic, moist, strongly
smelling eruption on the head, in the face, and behind
the ears.
  Plica polonica.  In one case, tr. vine.  min. gtt. i.,
every eight days  a  dose,  cured  this disease.   In
another case vine. 28 proved itself useful.
  Zincum cured tettery,  raw,  itching spots on the
hands, with bleeding of the gums. 
176
EYE AND VISION.
              EYE AND VISION.

  The diseases of the eye, and the defects of vision,
of which I shall treat in the present wrork, will  be
included under the  following heads, and in the order
in which they are here  mentioned:  viz.  ophthal-
modynia,  ophthalmia,  leucoma,  fungus  hsematodes
oculi, cataracta, amblyopia and amaurosis.

                OPHTHALMODYNIA.

  Severe pain in the  eye frequently occurs without
any apparent inflammation;  is sometimes increased
by light,  as  in  ophthalmia, and sometimes  recurs
periodically.   Where it is  connected with  an in-
tolerance of light, conium, ignatia and spigelia are
the best remedies.  In a case,  in which  periodic
ophthalmodynia of the left eye was the consequence
of too great exertion  of  the  eyes in reading and
writing, the  paroxysms commencing every day  at
six  o'clock in the morning, and terminating  about
noon;  the pain sticking  and boring,  increased by
moving or opening the  eyes,  and  after a time extend-
ing to the top of the head;  pupils contracted; eyes
glassy and dull;  bright spots before the eyes; the
upper eyelid dependent, as if paralysed; spigelia 30,
given soon after the conclusion  of a paroxysm, was
followed, after a  few  minutes, by a  renewal of the
pains, but not in their  greatest  severity, which en-
dured only for twelve minutes, when she fell  into a
quiet and refreshing sleep, from which she awakened
very much refreshed. After the preceding paroxysms
she had been unable to sleep.  The next day the 
OPHTHALMIA.               177
paroxysm commenced an  hour  later,  was incom-
parably lighter,  ceased  earlier, and  left much less
debility.   On the third  morning it was  quite unim-
portant, and in a few days every trace of the disease
had vanished.

                  OPHTHALMIA.

  Acid, nitric, is frequently useful in syphilitic oph-
thalmia from metastasis.
  Acid,  sulph.  can  sometimes be  advantageously
employed in chronic ophthalmia.
  Aconit. has been highly  recommended  by Dr.
Stapf in ophthalmia which has been occasioned by
the irritation of  foreign bodies  in the eye, the cause
of the inflammation being carefully removed.   Even
when the inflammation thus originated has continued
for  some time,  and  has become modified by the
morbid condition of the  system, he often prefers first
administering the  aconit., and  then  following  it by
the remedy which  is the best adapted to correct the
constitutional disorder.   Where there  is a morbid
condition of the system, which has  supervened on
psoral  disease, he recommends sulphur, and where
there is the scrofulous diathesis, calcis carb.
  Arnica proved beneficial in a case of ophthalmia
arising from contusion.
  Arsenicum.  Case in a girl set. 14 ann. Disease of
two days' duration.   The conjunctiva appeared as if
sprinkled with blood.  The  pain was burning, and
so severe that the patient could neither sleep nor eat.
There was violent fever and great thirst.  Arsen. 24
was given at four o'clock  in the afternoon, and by
      12 
178
EYE AND VISION.
the next  morning  the disease  had entirely  disap-
peared, and the patient remained well.
  Case.   In a girl  set. 10 ann.   She had suffered
under  a scrofulous  ophthalmia  of the  right  eye
for  more  than four  years, and had  been  treated
with leeches, vesicatories and  other derivatives, eye-
waters, ointments,  &c.  without benefit.   For six
months all treatment had  been  discontinued,  but
there was no improvement.
  The eye almost always closed;  the edges  of the
lids somewhat reddened, the upper lid somewhat
swollen and  dependent.   It was  impossible  to ex-
amine  the condition  of  the  eye  closely,  for upon
attempting, with  every precaution, to open the lids,
there was severe sticking pain and a gush of tears. Of
the eye nothing was to be seen during the momentary
separation of the lids but a red, uneven, fungoid mass.
The child had, according to the statement of the
mother, been unable to see with that eye  for three
years.  The pains were severe, burning, sticking or
cutting, accompanied by great intolerance of light,
aggravated upon exertion of the sound eye, especially
in the evening.  Nov. 23d, 1830, arsenicum 2|30.
From the third day the intolerance of light gradually
abated, and by the eighth day she could open the eye
in the  clear daylight.  The eye presented then the
following  appearances.   The  conjunctiva, and per-
haps the external layer of the sclerotica, completely
degenerated, and consisting of loose, raw flesh, similar
to very red cellular  membrane,  in which were the
enlarged blood-vessels proceding from the centre of
the cornea; the border of the cornea was set with deep
little ulcers, and the lamellse of the cornea appeared
to be  separated by an infiltration  of purulent fluid; 
OPHTHALMIA.
179
here and there on the cornea whitish gray cicatrices
of old ulcers,  besides two open  ulcers.   The cornea
so perfectly opaque that not the  slightest trace of iris
or pupil could be seen through it. No more medicine
was given till the 19th of  January, 1831, by which
time the improvement had  so far progressed that she
could read  large print with the right  eye, though
there was still a slight opacity of the cornea. Crocus
9, then given, was  followed by  rapid improvement.
But for fresh inflammation from taking cold, bellad.
was administered on the 30th Jan., which effected a
speedy removal  of the inflammation.  On  the 25th
Feb.  tr. euphras. undilut. 2|0,  which  produced a
rapid improvement.  By March 11th there were only
two or three small specks on the  cornea, and these
not in the axis of vision. For improvement of general
health and prevention of relapse acid, nit., spt. sulph.,
petroleum  and silex were  given, and she remained
perfectly healthy.
  Case.   In a girl set.  6  ann.  who was  subject to
ophthalmia on the slightest exposure.  Vessels of the
conjunctiva dilated; on the cornea the cicatrices of old,
and some fresh open ulcers; pains, smarting, stick-
ing and burning; intolerance of light; gushes of tears
so acrimonious as to make the cheeks sore.   Eyelids
swollen, edges reddened, cilia adhering together with
matter.  Arsenic, effected a perfect  cure in ten days.
  Case.   In a woman.   Severe sticking, followed
by burning pain upon  every movement of the eye.
Intolerance of light.  Antiphlogistics, &c. had proved
of no service.   Bellad. did  not alter the  disease.
Arsenic, cured it in a few days.
  Bellad. has been highly recommended in catarrhal,
rheumatic, arthritic and scrofulous ophthalmia.
                                        12* 
180
EYE AND VISION.
  Case.   In a man set. 38 ann.  From exposure to
a draught of air.  At first tearing and drawing pain
over the right  eye.   Then,  sticking, burning and
pressing  pain in the right eye, with intolerance of
light, contracted pupil.  Flow of acrimonious tears.
Itching of the eyelids.  Bellad. gtt. i. 30 effected a cure.
  Case.   Scrofulous  inflammation  of the  eye in  a
girl  set. 3 ann.  Eyes slightly reddened.   Some of
the vessels of the conjunctiva  much distended.  Two
small superficial ulcers on the left cornea, and one on
the right. Great intolerance of light and flow of tears.
Bellad. gtt.  i. 6 was  followed by such improvement
that in six days the redness and ulceration had disap-
peared.   Some  intolerance of light remained, which
was removed by ignatia.
  Case.   In a woman set 52 ann.   Pain in the fore-
head.  Distension of the vessels of  the conjunctiva.
Dilated pupils.   Intolerance  of  light.   Heat and
tickling sensation in the eyes.  Fever.  Rapid pulse.
Little  sleep, owing  to the pain  in  the  eyes; and
dreams" upon falling asleep.  Bellad. 30 was followed
by increase of the headache for four hours, but after-
wards by such improvement that the patient slept
uninterruptedly for six hours on the following night.
The disease continued afterwards to decline gradually,
until it entirely disappeared.
   Calcis carb.   This is a very valuable remedy in
scrofulous ophthalmia.  An instance of its beneficial
operation is mentioned under fungus hsematodes oculi.
   Chamomil. has  been recommended  as  a useful
remedy in ophthalmia, accompanying catarrhal fever.
   " Ophthalmia neonatarum."  A case is recorded of
the cure of purulent  ophthalmia in a very young in-
fant. There was swelling and redness of the eyelids, 
OPHTHALMIA.
181
with  copious  mucous  secretion, so that they could
scarcely be opened.  The eyes very much inflamed.
The cham. was employed in the dose of 2|12.
   Cinchona.   Ophthalmia, with  periodic exacerba-
tions. In a girl of scrofulous habit, subject to ophthal-
mia.  Eyes painful, weeping, and sensitive to strong
light.   Sensation as if there was sand under the lids.
Conjunctiva slightly reddened.  Inward pressing pain
in the eyes and lids.  Exacerbations at eleven o'clock
at night.  Cinchona  gtt. i  12  produced an aggrava-
tion of the succeeding paroxysm.   The next day the
eyes were well, and there was no subsequent return
of the disease.
   Colocynth. in repeated doses, effected, in the course
of eight days,  the cure of an arthritic ophthalmia, in
which there was burning and cutting pain  in the
right eye; copious discharge of acrimonious  fluid
from  both eyes,  and  constant violent cephalalgia,
with determination of blood to the head.
   Conium is a valuable remedy in scrofulous  oph-
thalmia.  It is also recommended where there is
great intolerance of light, either without any or  with
very slight apparent inflammation of the eyes.
  Digitalis has been recommended in catarrhal oph-
thalmia.
  Euphrasia.   Case in a child  aged  six months.
Eyelids swollen and adherent; eyes inflamed; dis-
charge of bloody mucus from the eyes.
  Other instances, in which euphrasia has been ad-
vantageously employed, may be seen in cases under
the following remedies;  arsen., mere, spigelia.
  Graphit. has proved useful in scrofulous ophthalmia.
  Mercur. cured  an  ophthalmia, with ulceration of
cornea, surrounded with an extensive opaque margin. 
182
EYE AND VISION.
  It also cured an acute ophthalmia,  with burning,
smarting pain, worse in the open air, and a sensation
as if there was a foreign body beneath  the lids.  The
disease affected all the members of a family.
  Case.   In a boy set. 7 ann. who had  scrofulous
enlargement of the glands in the neck.   The con-
junctiva of  the right  eye reddened  in spots,  with
burning  pain and some intolerance of light.  The
tarsi reddened, and a thick,  honey-yellow scurf on
the lower tarsus;  slight adhesion  in  the  mornings,
with some  slimy matter in the angles.   Distended
vessels passing from the external canthus towards the
cornea.   Mercurius gr. i. 9 produced a gradual im-
provement for several days.  On the seventh day, a
relapse, from taking cold.  Tinct.  euphrasia gtt. ss.
brought  temporary improvement, which  was suc-
ceeded by a relapse,  probably from  cold, and the
formation of a hordeolum.   Digitalis  gtt. i. 15.  On
the second  day,  the pain, hordeolum and morning
adhesion had disappeared.  Dulcamara gtt.  i. 12.  In
five days the eruptive crust on the tarsus had entirely
disappeared.  No return of the disease at the end of
six months.
  Magnesia.  Case.   Redness of the conjunctiva,
with distension of the vessels; heat and burning in
the eyes; lids swollen and red; the Meibomian glands
secreted much slime, so that the fids adhered in the
mornings and required frequent wiping;  great  in-
tolerance  of light.  Tumefaction of the nose, upper
lip and glands of the  neck; the openings of the nose
full of scurf.  After a great length of time in the
treatment, in which pulsat., bellad., bryon., mercur.,
aur. fol., rhus, ignatia,  sulphur, carbo veg., graphit.,
calcis carb., phosph.  and soda had been  employed, 
OPHTHALMIA.                183
 and the  intolerance of light had almost ceased from
 opacity of the cornea, magnesia 3|24, without produ-
 cing any obvious homoeopathic aggravation, caused a
 great improvement and considerable advance towards
 transparency of  the  cornea.   In about  six weeks
 afterwards acid. nit. 3|30 was  given, and produced a
 perfect cure, with restoration  of the transparency of
 the cornea.
   Nux vom. has been recommended for catarrhal
 ophthalmia.
   Pulsatilla  has proved  useful  in  ophthalmia,  at-
 tended by much weeping and  mucous secretion from
 the Meibomian glands.
   Rhus cured an ophthalmia, attended with extensive
 oedema of the eyelids  and face.
   Sepia has proved useful in scrofulous ophthalmia.
   Case.  Chronic ophthalmia, in a child set. 4 ann.
 Ophthalmia, with vesicles on  the eye, which suppu-
 rated,  opened of themselves,  and left afterwards a
 clouded spot.   Great  intolerance of light.  Eyelids
 became adherent in the  night.  Severe pain in the
 eyes.  After sepia 1|30 the inflammation disappeared,
 yet silex 1|30 was afterwards exhibited for the com-
 pletion of the cure.
   Spigelia has been recommended for arthritic and
 rheumatic ophthalmia.
   The following case is styled  one of  rheumatic
 ophthalmia, by Dr. Rummel who reports it.
   Ophthalmia of fourteen days' duration.   The right
 eye was strongly reddened, the vessels of the sclerotica
 much distended and of a bluish red, and the cornea
 so clouded, especially  in its lower segment, that the
form of the pupil  could not be  clearly discerned, and
every object appeared to the patient to be involved in 
184
EYE AND VISION.
a mist.  Severe pain of the eye, especially on moving
it.  A feeling  of  heavy pressure, which extended
itself to the bony parts of the orbit, especially towards
the temple.  Eye not very sensitive to the light, appa-
rently because  the rays cannot pass readily  to the
retina through the opaque cornea.  Sulphur 1|2.  In
twenty-four hours  no change;  then spigelia gtt. i. 30
which was  followed by great improvement.  After
forty-eight hours spigelia 2|30 was given.  The eye
next day  was  free from pain, but an  ecchymosis
had formed in the  internal angle;  the opacity of the
cornea as great as ever.  Tinct.  euphrasia undilut.
gtt. i.  In forty-eight hours the opacity was entirely
removed.  This case, previously, had been treated, in
other similar but  less violent attacks, with leeches,
blisters, mercurials, derivatives, &c, and had gene-
rally required three or four weeks for its cure.
  Sulphur.   Case  in a man of robust constitution,
who had been subject, for a long time, to frequently
recurring, slight ophthalmia,  which, until the last
attack, had always disappeared of itself.   On the last
attack, therefore,  the patient at first paid but little
attention to it  for  many days, but  as it gradually
became worse, he  called in a  physician, who  found,
on examination, a considerable ulcer on the cornea.
After the inflammation  had been abated by local ap-
plications, the ulcer was moistened  several times a
day with the tincture of opium,  and  began,  under
this treatment, to  cicatrise  slowly.   But after  taking
cold, the eye was seized with a violent inflammation.
Leeches, local applications, and purgatives, contain-
ing  calomel, were freely  employed.   Speedy, but
temporary relief followed the use of the leeches, and
the inflammation remained unabated.   Under these 
OPHTHALMIA.
185
circumstances,  the  attending physician called  Dr.
Gross to see the case.   He  found the left eye appa-
rently larger than in its healthy state, and its cover-
ings extraordinarily tumefied.  The  albuginea was
blood red from the distension of its vessels.  The
cornea was clouded as if covered with fine dust, and
the ulcer, which had once been nearly cicatrised, was
considerably more extensive and deeper.  Most violent
pressing pain in the eyes, which was excessively ag-
gravated by motion of the eyelids and by light.  The
pain then extended itself through the  whole head,
where  it also became excessively severe.  Sulphur
gr. i. 2 was given towards evening,  and " the result
was favourable beyond expectation.   Early in  the
morning of the following  day we visited our patient
again, and found, to our astonishment, no trace of the
previous inflammation.  He had laid down to sleep
at his  usual time, and  not once through the night
had  his rest been  disturbed, while  the  preceding
night had  been passed almost  without sleep, and
under tormenting pain.   He awoke  in  the morning
strengthened and refreshed, was surprised that not a
sensation of yesterday's pain remained,  and scarcely
believed his own perception, when,  on looking in a
mirror,  he found the  diseased  eye  similar to  the
healthy. He saw and felt himself perfectly recovered,
as if through a miracle.  Only the presence of the
ulcer on the cornea betrayed the preceding morbid
condition; but this  had already assumed a more  fa-
vourable appearance,  and  cicatrised  in a few days
afterwards.  With this  last ophthalmia disappeared
at the same time all the earlier disposition to this form
of disease."
  Scrofulous ophthalmia in a girl set. 17 ann.  The 
186              EYE AND VISION.
edges of the eyelids were tumid  and ulcerated, the
cornea deformed with spots, and, independently of
these, the vision was so clouded that the patient could
not see small  objects, and large ones appeared en-
veloped in smoke and mist.   The general health was
also considerably  impaired.   Sulphur,  calcis carb.,
silex, phosphor,  and lycopodium  were given in  suc-
cession without any apparent result, except that after
the sulphur, there appeared to be  for three days some
trifling amendment.  "This observation led me again,
after thirty weeks of ineffectual treatment, to the em-
ployment of sulphur.  My patient now took tinctura
sulphuris 1|30 twice a week.  After the eighth dose,
there was a perceptible aggravation of the disease
which forbade a continued employment of the remedy.
Now appeared many other  new affections; among
others, pustular eruptions, warts,  yellow spots on the
skin, tetter-like scurf,  here and there on the body,
pains in different  parts,  restless  sleep,  &c  These
continued for about eight days after  the discontinu-
ance of the remedy, when  a positive improvement
appeared; the  new  affections diminished first,  and
afterwards the  original  disorders, which were so
completely conquered in the space of  six weeks,  that
I could pronounce the patient perfectly healthy. The
eyes were without spots,  and the vision perfectly
restored, so  that the patient ventured, against my
will, to  try fine embroidery, which she could never
before accomplish.   But no bad consequence ensued,
and  she afterwards remained well."   Dr. Julius
Aegidi. 
          LEUCOMA.  FUNGUS HiEMATODES.       187

                    LEUCOMA.
  Opacity of the  cornea, with existing inflammation
of the eye, is best treated by the remedies which are
calculated to subdue the ophthalmia.  For a leucoma
which remains after the removal of the inflammation,
euphrasia and cannabis  appear to stand highest in
the estimation of homoeopathic physicians.

            FUNGUS HSEMATODES OCULI.
  The following  case  is reported in the  seventh
volume of the Archiv fur die homceopathische Heil-
kunst, by Dr. Ernst  Stapf, the able editor of that
work.
  A girl set. 10 ann. who had suffered from her in-
fancy under painful tumefactions of the sub-maxillary
glands, and other scrofulous affections, was attacked
in the beginning of May 1827  with an ophthalmia,
which very speedily produced a considerable opacity
of the cornea of the left eye.   Physicians and a cele-
brated oculist were consulted, and leeches, purgatives,
derivatives, eye-waters  and eye ointments of different
kinds,  were employed,  and the directions of the phy-
sicians were  followed  with  the  greatest accuracy.
But in the course of a four  months' treatment  the
disease had continually advanced.  " On the second
of September she was placed  under my care.  I saw
the girl then for  the first time, and learned the  cir-
cumstances which have just been narrated, from  her
very intelligent mother, and  found upon investiga-
tion the  following form of disease.   The left  eye
was but slightly inflamed, yet the cornea was much
clouded, the pupil was  elliptic, the vision very much 
188              EYE AND VISION.
weakened; she  saw every thing  as through a thick
mist and with indistinct outlines. The right eye, on the
contrary,  was in the  highest degree inflamed;  the
eyelids swollen, red and ulcerated; a thin, acrimonious,
puroloid matter, which corroded the cheeks, together
with tears, flowed constantly from the angles of the
eyes.   There was  great intolerance of light,  the
slightest ray  of which increased the severe burning,
sticking and  boring pains in the interior of the eye.
The eye-lids were firmly closed, often matted together,
and itched and burned painfully.  She required the
eye to be constantly covered, and when with great
exertion she  opened it for a few moments in the twi-
light she asserted that she could distinguish nothing;
every  thing  flowed  chaotically  together, like dark
clouds.  A momentary view (which was all that could
be obtained, from the closure of the lids  on account
of the severe intolerance of light) showed the eye
chemotically  reddened, and the cornea covered with
ulcers and spots.  The general health of the child was
impaired.   The body was considerably emaciated;
the face bloated and pale; the appetite diminished;
bowels irregular, at one time constipation, at another
diarrhoea; the urine whitish;  sleep  restless,  inter-
rupted, full of dreams; the glands tumid and painful;
the disposition depressed, peevish, irritable."   As all
medicinal applications had already been discontinued
for  some days, bellad. 1|30 was given, on the second
of  September, and  by the  ninth the inflammation
and intolerance of light had so far abated as to admit
of an examination of the eye in the twilight.  The
albuginea was very red,  and there were ulcers on
the cornea, on the lower segment of which, "a pecu-
liar, dark-red, tumid spot appeared, which upon close 
FUNGUS HjEMATODES OCULL         189
examination showed itself, beyond the possibility of
mistake,  to be the basis of a fungus hsematodes cor-
nese, which rising from the cornea extended through
the aqueous humour to the iris and almost filled the
lower half of the anterior chamber of the eye.  The
left eye  was as  above  described.  On the  ninth of
September, calcis carb. 3|12 was given, and produced
an  aggravation of  most of the symptoms  until the
fourteenth, when improvement commenced  and con-
tinued progresive to the twenty-fourth of October, at
which time the cloudiness and spots of the cornea of
the left eye had diminished,  and the vision had in-
creased.  The lids of the right eye were  but slightly
inflamed, and the inflammation of the eye had mostly
vanished.  The ulcers were  smaller and cleaner.
The fungus was not of so deep a red, and had dimi-
nished in size.  Lycopodiam 2|12 was now given, and
was followed for the first few days by such an aggra-
vation that a relapse was apprehended.   But by the
fifteenth of November, this had given place to evident
improvement,  and by  the  tenth of December, the
intolerance of light  was trivial,  the vision much
improved, and the fungus of a pale  red, and much
smaller.   Sepia 1|30 was then  given,  and by the
thirteenth of January 1838  there had been a consi-
derable advance of the  improvement, and the fungus
was much reduced in size and almost perfectly pale.
Silex 1|12 was then given, and by the end of February,
the glandular swellings were  much diminished, (for
eight days after taking the  silex there had  been
increased pain and tumefaction in the glands,) the
cornea was cleaner and clearer, and the  fungus had
nearly disappeared, so that the child could see clearly,
and could even read, which however was  not per- 
190
EYE AND VISION.
mitted by the physician.   The cornea of the left eye
was  entirely clear and bright.   The improvement
continued progressive till the middle  of April,  at
which time both eyes were perfectly clear excepting
a leucomatose cloudiness of the spot which had been
the basis  of the fungus.   On the twentieth of this
month calcis carb. 2|18 was given.  It was followed
by increased  sensibility and weeping of the eye and
painless swelling of the sub-maxillary glands.  These
appearances gave  place after  a few days to improve-
ment, and by the middle of June the glandular swell-
ings had  nearly disappeared,  the leucomatose spot
was  almost imperceptible, and  did not impair the
vision in the least degree, both eyes were clear and
bright, and the previously sickly and scrofulous child
was a picture of health.
  The following case is reported by Dr. Muhlenbein,
in the same volume.
  A girl  set. 5 ann.  complained of sticking pain  in
the left eye, dimness of sight,  intolerance of light,  at
times, stitches in the head, more on the left side, also
severe pain in the right leg  and hip,  so that her
walking was interrupted; she was frequently feverish.
The appetite was  weak, bowels irregular, the urine
frequently dark, the sleep often restless.   In the first
days of the disease, the child screamed on account of
the severe pain in the left eye.  Then a red  point
developed itself deep in the interior of the left eye.
There was a constant and copious flow  of tears from
the eye; the albuginea was most  reddened on the
side  towards the nose; the pupils were dilated, the
vision of  the  left eye entirely lost;  the  iris  was
permeated by enlarged blood-vessels, and had thus
become of a dark brown colour.   The patient was 
                   CATARACTA.                 191

seen by  several physicians,  who pronounced it a
fungus hsematodes of the eye.  A good and experi-
enced surgeon, who saw the  child, confirmed this
judgment, and  stated that  he had met, in his own
practice,  with five  cases of the disease, and that all
had terminated fatally, whether extirpation of the eye
had been performed or not.   Bellad. gtt. i. 26 was
given, at intervals of a week,  until four doses  were
taken.   Then nux  vom. gtt.  i.  30,  three doses in
eleven days.  Afterwards bellad. gtt.  i.  30  was given
at various intervals for nearly a year.   During this
time there had been a gradual abatement of the dis-
ease; nux vom. gtt. i. 30 was then given.   The child
could then see the light, and objects moving before it,
without  being  able to distinguish  them with the
diseased  eye.   It was  sent to  school, but  sometimes
whilst  reading there was  a  return  of the sticking
pain in the diseased eye. Afterwards  euphrasia gtt. i.
Then bellad., many times repeated; then aconit.; then
cinchona for an intermittent fever.  The treatment
occupied more than three years, the  fungus had  di-
minished to  a point, but full vision was not restored
to the eye.   The child  became remarkably healthy.

                   CATARACTA.

  Conium has been recommended for cataracts which
arise from contusion of the eye.
  Magnesia  carb. 30 and tr. cannabis, in alternation,
at intervals  of eight days, and in drop doses, pro-
duced  evident improvement in "cataracta capsulo-
lenticularis" of both eyes.
  Phosphorus.  In a case where inflammation of the
eye had been  induced  by a fragment of flint which 
192
EYE AND VISION.
 flew  into the eye  whilst striking a light.  The re-
 moval of the flint was followed by ease for some
 hours, when there was a return of the ophthalmia
 which resisted the usual antiphlogistic means for ten
 weeks, and produced such opacity of the cornea that
 the iris was invisible.   In thirty days, under the use
 of crocus,  bellad., nux vom., euphrasia, spigelia and
 calcis carb., the leucoma had so far diminished that
 the lens could  be seen,  presenting  a colour very
 similar to that of a " cataracta glaucomatosa.''  About
 this time,  from  change of  the weather and other
 causes,  there was  an  increase of the ophthalmia.
 Phosphor.  30 was  followed  by speedy relief of  the
 pain,  more normal appearance of the lens, diminution
 of the opacity of the cornea,  of the intolerance of
 light, and  of the dilatation of the pupil.   After the
 period of the operation of  phosphorus had  passed
 over,  silex  3|30 was given, and in a short time every
 innormal  appearance, except a small spot  on the
 cornea, where it had been  punctured by  the flint,
was gone.
  Pulsatilla.   Cataract  of a light gray colour, of  six
 months' duration.  Ophthalmia of many years' stand-
ing, with inversion of the few remaining eyelashes of
the upper  lid, and  much weeping.  She could dis-
tinguish large objects at the distance of four steps.
 Removal of the inverted cilia produced a temporary
abatement of the inflammation,  but in a few  days it
again  returned, when pulsat.  gtt. i. 3 was given, and
by the seventh day there was only a gray spot in the
middle of the lens,  and the  patient saw every thing
as if enveloped in a light mist.   Tr.  cannabis gtt. i.
produced still farther improvement, and opium gtt. i. 
AMBLYOPIA.
193
 6 completed the cure; the lens having become per-
 fectly clear and transparent.
   Sulphur.  Case.  Incipient cataract and amaurosis.
 A man set. 20 had psora which was cured by external
 applications.  He some time afterwards felt at times a
 tearing pain in the left eye and  a  slight itching of
 the  skin.  Eighteen months after he had psora, on
 closing the right eye to ascertain the visual power of
 the  left, he was alarmed to find that he was entirely
 blind of this eye.   On examination:  the pupil of the
 left  eye was dilated and immovable,  and there was a
 slight opacity in the  middle of the lens.   The eye-
 lids  and conjunctiva were somewhat reddened.   The
 vision was almost entirely lost;  only when the hand
 was held close before the eye he could dimly and in-
 distinctly distinguish  the fingers.  After sulphur 2|6
 an eruption  occurred on the  face and arms; and at
 the same time there  was an improvement of the vision.
 The  sulphur was  repeated at various  intervals for
 nearly two  months, when  the skin  was  clean, the
 eyes clear and bright,  and the vision restored.
   In the case  of a woman set. 60 ann.; sulphur 30
 followed in two weeks by tr. acris cured a "tolerably
 far advanced cataract."

                   AMBLYOPIA.
                   Depraved vision.
   Diplopia.   Double vision.   In a man set. 30 ann.
 of robust  constitution and otherwise healthy.  The
 complaint of four weeks' duration.  In the clear day-
light he saw every  thing as if through a mist,  and
objects  frequently appeared doubled.   Dark spots
frequently floated before the right eye.  In the morn-
      13 
194
EYE AND VISION.
ing and evening twilight, he could see nothing with
the right eye,  which exhibited no other  abnormal
appearance than that it was duller than the left, and
its pupil constantly somewhat dilated.  Bellad. gtt. i.
15 effected considerable  improvement in the course
of twelve days.  At the expiration of this time, pulsat.
gtt. i. 12 was given, and at the end of eight days
there was no trace of the disease.
  In a woman  set. 52 ann.  The disease, which was
of between three and four years' duration,  had com-
menced at the period of the cessation of menstruation.
Sometimes double vision, and a play of colours and
mistiness before the eyes, in which were sticking
pains.   Great dimness of sight.  In a dull light there
was slow  but  very great dilatation of the pupils.
Bellad.  2|30, repeated  after seven  days, restored her
sight in the course of two weeks.
  In a  case of double vision, where, in attempting
to read, the letters  appeared to turn,  and had an
iridescent halo around them, a similar halo appearing
around the flame of a candle.  Intolerance of light;
sometimes burning in the eyes;  dilated pupils; pain
in the forehead immediately over the orbits.  Cicuta
effected a cure.
  Dr. Schubert states that repeated  experience has
taught  him  that the hyosciamus  nig. is a valuable
remedy in double vision and strabismus.   He  con-
siders the latter affection to be a consequence of the
diplopia.
   Marmaryge.   Bright  coruscations before the eyes.
In a case complicated with dyspepsia.   On closing
the eyes, an  appearance  of sparks of fire before the
eyes.  The pupils were dilated.   The patient saw
every thing as if through a thick mist  The flame of 
AMAUROSIS.
195
 a candle appeared very large,  and surrounded by a
 bluish red  halo.  Belladonna removed most of the
 symptoms,  and the cure was completed with nux
 vom.
   In a man set. 50 ann.  Appearance of fiery circles
 and balls before the eyes, with almost complete blind-
 ness of the  left, and diminished  vision of the right
 eye; copious  flow  of  tears from both eyes.   The
 cornea of the left eye was dull and clouded, and the
 pupil of a whitish gray.  The disorder of vision had
 been preceded by inflammation of the eyes.  Pulsat.
 3 effected great improvement in the course of ten
 days.  Euphrasia gtt. i. completed the cure.
   In a case where  this symptom (marmaryge) was
 present, spigelia effected a cure.  See ophthalmodynia.

                   AMAUROSIS.

   Belladonna  has been recommended for  incipient
 amaurosis, especially where  the disease appears sud-
 denly, or after  inflammation of  the eyes; and  the
 patients still see objects, but always as if enveloped
 in a dark mist, and, at the same time, black or many
 coloured points or spots float before the eyes.
   Cinchona.   In the case of a man set. 50 ann., who
 was an intemperate brandy drinker.   At the distance
 of a few steps he could perceive only the outlines of
 objects.   A printed page appeared to him as a black
 surface  with white borders.   Pupils dilated;  very
 little contraction produced  by sudden and strong
 light.  The interior of the eye appeared smoky.   He
 saw somewhat better in the morning than some hours
later.  Complicated with debility, dyspepsia and dis-
turbed sleep.   Tr. cinch, gtt. i.  1, repeated after two
                                       13* 
196
EYE AND VISION.
weeks in the dose of gtt. i. 2, effected, in four weeks,
a perfect cure."
  Merc.   Incipient amaurosis.  In a woman set. 30
ann.  Dimness of sight;  pain in the eyes; intolerance
of light;  temporary blindness.   Almost constantly
before the right, and  sometimes before the left eye,
black spots, like flies  moving about.   Sometimes a
cloud before the eyes.  Constant  weeping.  Merc.
gr.  i.  12 effected,  in two  weeks,  a removal of the
whole disease, with the exception of the troublesome
flow of tears, which  yielded  in a short time to tr.
euphrasia gtt. i.   The disease had been advancing
for a year.
  Phosphorus.  Incipient amaurosis.  In a boy set.
9 ann.  Almost perfect inability to read, even when
a book was held close to the eyes, in clear daylight,
and as little ability to distinguish other objects.   Im-
provement commenced within a few days after the
administration of phosphorus  10, and continued pro-
gressive until vision was perfectly restored.
  Ruta.   Incipient amaurosis.  In a  linen-weaver
set. 29 ann.   Diminished power of vision.   He could
see the threads in the web but indistinctly, and could
no longer read.  In viewing near objects there was a
mistiness  before the  eyes, which  thickened into a
perfect cloudiness  when he endeavoured to look at
more  remote  objects.   The disease  had been severe
for only a week.  Tr. ruta gtt. i. was given, and im-
provement soon took place.  In the course of sixteen
days the vision was perfectly restored.
  Sulphur.   Incipient amaurosis.   In a woman set.
48 ann.  The disease had commenced with severe
tearing pain  in the left forehead.   Afterwards it ap-
peared to her as if small fibres depended from the 
AMAUROSIS.
197
upper  eyelids.   At a  still later period the  eyes had
become painful and constantly clouded, and she was
only able to distinguish  large objects.  The  con-
junctiva was slightly reddened.  In  ten days  after
tr.  sulphur  gtt. i., the disease was almost entirely
removed.
   A case of almost perfect amaurosis of one eye, com-
plicated with  incipient cataract,  was  cured by re-
peated doses of sulphur.  See Cataract.
   In that form of amaurosis in which the blindness
appears every  evening,  continues throughout the
night, and disappears in the morning, and  to which
the name of hemeralopia has been applied, bellad.,
hyosc, pulsat., and verat. have been found useful.
   Four cases are recorded, in each of  which a single
dose of belladonna perfectly removed the disease.  It
was employed in the third, sixth and ninth dilutions;
the sixth being used in two of the cases.  The follow-
ing symptoms were present.   In the daytime,  even
when it was cloudy,  perfectly good  vision.  After
sunset, almost  perfect blindness; and the flame of a
candle appeared only  like an irised circle.   All the
other functions normal.
   The  pulsatilla was useful in a case where there
was deficient menstruation, and the hemeralopia was
accompanied by a sensation as if the eyes were firmly
bound by a handkerchief.
   The veratrum was useful  in the case of a boy set.
10  ann.  The hemeralopia was combined with  diar-
rhoea, which was troublesome at night.  Many other
remedies had  been previously  employed  without
success. 
198
EYELIDS.
                   EYELIDS.

   Paralytic weakness and consequent hanging down
of the upper lids.  Sepia, spigelia, veratrum, zincum.
   Spasmodic  closure of the eyelids.   Hyosciamus,
chamomilla.
   Painful  cramp  of the eyelids,  worse  at night.
Crocus.
   Psorophthalmia.   Arsenicum, belladonna, bryonia,
dulcamara, spigelia, staphysagria, sulphur.
   Hordeolum.  Pulsatilla.
   Staphysagria  is useful where there are tubercles
on the margins  of the eyelids,  and an inflammatory
condition  of the Meibomian glands, which causes
adhesion of the lids at night.
                    FEBRIS.

  Fevers  will  be  here treated  under two heads.
Under the first, the continued and remittent fevers;
and under the second the intermittent fevers.
        FEBRES CONTINUE ET REMITTENTES.

  In applying  to fevers the specific terms, bilious,
typhus &c, I  do not wish to be considered as view-
ing them as expressive of certain determinate diseases,
or as calculated to guide with accuracy to the proper
treatment.  Each of these terms is applied to fevers
of widely different origin, and which present a great
diversity of symptoms, and require  very different 
FEBRIS.
199
 remedies.   But  since they express (though rather
 vaguely) certain general symptoms or circumstances
 of disease,  they may be employed as guides to those
 remedies which  have  proved  useful where these
 symptoms or circumstances have been present; from
 among which remedies the one adapted to the other
 symptoms of the  individual case may be selected.
   It is to be regretted that the present classifications
 of fevers are so imperfect, that they can aid but little
 in the selection of the  appropriate remedies; and it
 is much to be  desired  that  careful and  observant
 physicians  would publish their accurately recorded
 cases of fever, in order that the means may be afford-
 ed for a more satisfactory classification, the difficulty
 of selecting the remedies lessened, and the certainty
 of cure increased.
   Febris biliosa.   Aconit.,  antim. crud., et tart.,
 arsen., asarum, aurum, bellad., bryon., cham., cinch.,
 coccul, digital., ignat., ipecac, mere, nux v.,  pulsat,
 scilla, staphysag., sulphur, tarax., verat.
   F. catarrhalis.   See catarrhus.
   F. inflammatoria.  Aconit., bellad., bryon., nux
 vom.
   F. nervosa.  Aeon., ac.  mur.,  ac phos.,  arnica,
 bell., bryon., cinch., coccul, hyosc, nux vom., opium,
 puis., rhus, sulph., zinc.
   F.puerperalis.  Aeon., arnica, arsen., bell,  bryon.,
 cham., hyosc, ipec, mere, nux vom., plat., puis., rhus.
   F. putrida.   Ac. phosph., ac. mur., arsen., bell.,
 cinch., hyos., ipec, nux vom., opium, rhus.
   F. typhus.  Aeon., ac.  phosph., arsen.,  bellad.,
bryon., cham., cinch., coccul, conium, cuprum, digit.,
hell,   nig., ipec,  ignat.,  mere,  nux vom.,  opium,
pulsat., rhus, sulph., stram.,  verat, 
200
FEBRIS.
  Acid. mur.   F. typhus gravior.   In one case, the
typhous  symptoms disappeared in twenty four hours
under  the  use of acid. mur. 20|30 in four ounces of
water.   Dose, a dessert spoonful every  half hour.
  Muriatic  acid  will frequently be found indicated
in typhus  fever,  where there is a  gradual  drawing
together  of the body in bed, with  groaning during
sleep.  Also, when with dryness of the mouth, there
is a paralytic condition  of the tongue, especially,
when the patient, though in the possession of perfect
conciousness, is unable to move the  tongue.
  Acid, phosphor.   F. typhus gravior.  Case.   Com-
plete  apathy, noticing nothing.   Face  pale, nose
pointed, eyes sunken, staring and glassy.   No desire
for  any thing.  Grasped about with his  hands, as if
he  would take hold of something.   Answered ques-
tions interruptedly, shortly, or at times so indistinctly
(stammering)  as  not to be understood, at times the
answers  such  as were not suited  to the questions.
Temperature of the skin somewhat elevated.   Pulse
full, but frequent and very weak. Ac phosph. gr i. 2.
In twenty-four hours well with the exception of some
debility which speedily disappeared.
  F. typhus gravior.  Case.  Invincible disposition
to sleep.  When awakened, distressing confusion of
the head.   Hardness of hearing, with noise in the
ears.   Nose dry.  Tongue  moist.   Urine  reddish,
depositing  some  red sediment.  After a variety of
remedies either without effect,  or with modifications
without  improvement, or with  temporary improve-
ment and then relapse:   Acid,  phosph. gtt. i. 2. in
the afternoon.  The patient was better in the follow-
ing night,  and was next day free from fever.  The
strength gradually returned. 
FEBRIS.
201
  This remedy is considered by some practitioners
to act best in the lower dilutions.  That it acts well
in those dilutions is proved by both the above cases.
It is frequently adapted to typhus fever when there
is diarrhoea, foulness of the mouth, great debility and
stupid insensibility.   It has also proved useful where
there was slight muttering; picking the bed-clothes;
harsh, dry,  burning hot skin, and dry tongue.
  Aconitum. In inflammatory fevers, especially when
they are accompanied by local inflammation, aconit.
is the remedy which should generally be first  ex-
hibited.  It frequently effects a removal of the disease;
and where  it fails to do  this, it generally  moderates
the fever, and appears to place the system in a better
condition for the operation of the remedy which is
adapted to  the local affections or other symptoms of
the case. Hartmann considers it sometimes necessary
to repeat this medicine at intervals of six, eight or ten
hours, and  recommends a dose of a higher dilution,
when the preceding dose has much diminished, with-
out entirely overcoming  the fever; and of a lower
dilution when  the fever,  after some hours, shows no
diminution.  Hahnemann remarks that in  inflamma-
tory  fevers, "after twelve or sixteen hours' operation
of the aconit., a homoeopathic remedy for the remain-
ing symptoms is  often necessary, and that after this,
there will seldom be occasion for a repetition of  the
aconit."
  This  remedy has been sometimes advantageously
employed in the treatment of puerperal fever.
  Antimonium.   Both the ant.  crud. and tart,  are
sometimes  indicated  in bilious  fevers where there is
vomiting and diarrhoea, combined with cutting pains
in the  abdomen.   The ant. crud. sometimes  cures 
202
FEBRIS.
 "a bad, acute fever with  inflammation and sticking
 pain in the interior of the ears, vertigo &c," but to
 these fevers arsenic or rhus is frequently better suited.
   Arsenicum  is often useful in those forms of fever
 to which the term putrid is applied.  In these fevers,
 there is great debility and  sinking of the vital powers.
 The skin of the patient communicates to the hand a
 sensation of prickling, biting,  burning heat; whilst
 the  patient has a  sensation of internal chilliness or
 feels chills to run over him.  Pulse small, weak and
 very frequent.  The  eyes red, glassy, and  with a
 suffering expression, cheeks livid.   Tongue brown
 or black, chapped, in some cases dry, in others moist.
 Patient anxious, dejected, indifferent  or insensible.
 Taste,  breath  and perspiration offensive.  Sordes in
 the  mouth.   The skin may become soft, moist and
 clammy without general sweat and without  allevia-
 tion.   Urine very  changeable.   Stools colliquative,
 composed of offensive dark matter. Hemorrhage from
 all parts.  Petechia, bloody vesicles.  Slight local irri-
 tations, as pressure, &c, cause gangrene.
   In these fevers  arsen. may  be employed  advan-
tageously even in their worst stages.
  But there  are several other  remedies, which  are
sometimes indicated in such fevers, among these are
acid, phosph., acid, muriat., bellad., cinch., hyosciamus,
nux v., opium., rhus.
  Belladonna.  This remedy is of  great utility  in
fevers  accompanied by  great  heat  and  redness  of
the skin, and  much cerebral disorder; the latter cir-
cumstance  being evidenced by violent cephalalgia,
confusion of mind  or furious  delirium,  and great
determination of blood to the head, with redness and
preternatural brightness of the eyes. 
FEBRIS.
203
  In puerperal fever it is often a  valuable remedy,
as may be understood from the following case.
  A woman set. 36 ann. was suddenly attacked, after
violent mental agitation, on the sixth day after partu-
rition, in the following manner.  Severe chill through
the back and extremities, with great heat and redness
of the face; the abdomen was somewhat tumid, and
excessively painful on the slightest touch; pains, re-
sembling labour pains, every quarter or half hour,
with pressing down towards the vulva and anus, and
every time a discharge  of fetid black blood in lumps.
Fever, which gradually  increased in violence, but
was attended by coldness of some parts, particularly
of the extremities; burning heat and redness of others,
especially  of  the  head,  and partial sweat  of the
warmly covered parts.   Violent pain in the forehead,
increased  beyond endurance by motion or speaking.
Distressing sensation of dryness in the  mouth, with
tolerably clean, high red, yet entirely moist, tongue,
on  which the papillse  were  remarkably prominent.
Only moderate thirst, swallowing rendered somewhat
difficult by stricture of  the oesophagus.   Frequent
small diarrhceal stools, and frequent discharge of
small quantities of straw-yellow urine.  Shattering
cough, with rattling in  the trachea, which excited the
severest pain in the abdomen, increased discharge of
blood, and sometimes involuntary urination.  Short,
quick, noisy respiration, with evident constriction of
the chest.   Delirium of the wildest kind.  Sleepless-
ness,  anxiety, tossing about.  The  first eight  hours
she saw every thing doubled, and  of an immoderate
lustre.  At the end of this time, every thing appeared
bright red; after some  hours more, purple; and still
later, an amaurotic  condition of the eyes supervened 
204
FEBRIS.
 and she complained of being in a perfectly dark place,
 though the apartment was well lighted.  The pupils
 were widely dilated.
   In this condition she was found by the physician.
 No medicinal treatment  had been  resorted to;  all
 other proper attention  and  care had been bestowed
 on the patient.  He administered bellad. 24, and in
 half an hour  afterwards  the patient fell into a soft
 sleep, out of which she awakened, at the end of two
 hours, much  improved, and in the course of sixteen
 or eighteen hours she was well, with the exception of
 some debility.
   Bellad. is also useful in bilious fevers,  where they
 are accompanied by  inflammatory affections of the
 fauces, or roseolous or erysipelatous eruptions.
   F.  typhus gravior.  Case of a lad after three weeks'
 treatment with medicines in large doses.   No sleep.
 Raves (phantisirt) with closed  eyes; either  answers
no questions, or answers them improperly or hastily,
and  with few words.  Respiration quick.    Pulse
sixty to seventy in the minute,  and weak.  Tongue
dry, gray in the middle, and of a dirty yellow on the
sides.  Lips dry,  and covered  with brown crusts.
Speech somewhat lisping.  Face pale, sunken, and
covered with cold sweat.  No appetite.  Constipation.
Urine  bright  yellow.   Before  urination, moaning.
Hands dry as parchment.  Bellad.  gtt.  i. 30 with
rapid improvement.
  Bryonia is an  important remedy in the treatment
of fevers which are accompanied by much hepatic
or gastric  derangement,  especially when the latter is
marked by those peculiarities which, when they are
present in dyspepsia, furnish indications for  the em-
ployment of bryonia in the treatment of that disease. 
FEBRIS.
205
  And when pain at the epigastrium, which is much
  increased by every movement and by pressure, is so
  severe as to induce the suspicion that inflammatory
  action is developed in the stomach, forming an acute
  gastritis, in which disease bryonia  is often useful
  And in cases wdiere such fevers are accompanied by
  sticking pains in the joints, arising  after or aggra-
  vated by every movement.
   It is a valuable remedy in puerperal fever, and is
 indicated  "where  the  disposition is dull  and de-
 pressed, and there  is  sticking  pain in the region of
 either of the ovaries,  increased by the slightest pres-
 sure or motion, with  painfulness of the thigh on the
 affected side, especially on motion."
   It is useful in some forms of bilious fever, and has
 proved strikingly so in that complication of hepatic
 and gastric  derangement with inflammation of the
 lungs which has been termed pneumonia biliosa.
   Case.  In a woman set. 44 ann. Severe headache.
 Vertigo on sitting up.   Head burning hot; face red
 and tumid.  Tongue  with  a  dirty coating.  Taste
 bitter;  constant severe thirst.  Vomiting at first of
 bile,  afterwards of a  bitter water,  of disagreeable
 odour.   The vomiting causes  great pain in the  left
 side, where severe stitches were  produced by every
 inspiration, and by coughing.  Constipation.   Violent
 palpitation of the heart.  Sticking pain in the limbs.
 Hands swollen.  Increased heat of the skin.   Pulse
 rapid, full and hard.   Every trifle vexes her.   She
 believes she must die, and desires only to be freed
 from the painful vomiting.   Bryonia  gtt.  i.  12 with
 speedy and rapid improvement.
  Chamomilla.  F.  arising from vexation or anger
or vexation and fright. 
206
FEBRIS.
  In bilious fevers, especially when arising from the
above causes.   It is indicated  where  there are heat
of the face and eyes, with prominent  redness of one
cheek; dry lips and continual thirst; cotemporaneous
coldness of the limbs; vertigo, with pain in one side
of the head, or a pressing heaviness in the forehead;
bitter, bilious  taste  in  the mouth,  which is  com-
municated to  the food;  nausea,  and  even vomiting,
the ejected matter bitter; yellowr, slimy coated tongue,
the coating generally woolly, thick, and more yellow
towards the root of the tongue; eyes red, lids swollen,
and adhering together in the morning; appetite very
trifling,  often entirely gone;  distension of the ab-
domen, especially in the hypochondria, with a sensa-
tion as if it was too full, and pressed  up towards the
breast, causing  not only discomfort, but a feeling of
anxiety; pressing in the stomach, colic pains,  and
watery  stools;  restlessness, peevishness, irritability;
sleep interrupted by starting, tossing  about, and  at-
tacks of anxiety.  Depression of spirits; heaviness
and fatigued feeling of the limbs,
   Chamomilla afforded speedy relief  in a puerperal
fever, where there was great restlessness and nervous
excitability;  suppression of the secretion  of milk in
the breast; diarrhoea, with white stools; immoderate
lochia,  with pains in the back  resembling labour
pains; headache, and oppression of the breast.
   Cinchona.  F. Case in a weakly  woman set. 65
ann.  Disease of four days' duration,  presenting the
following symptoms.
   Confusion of the head; vertigo on sitting up in bed.
Sleep light, restless and unrefreshing.  Yellow colour
of the skin and eyes.   Loss of appetite.  Bitter taste.
Bitter eructation.  Nausea.  Yellow  coated tongue. 
FEBRIS.
207
 Slight thirst.  Fulness and  pressing in the epigas-
 trium.  Tightness  of the breast.   Diarrhoea;  stools
 white.  Urine dark-red.   Great debility.  Sorrowful
 and peevish.  Cinch, gtt. i.  12 with great improve-
 ment. A few remaining symptoms, and among these
 constipation, were removed by bryonia.
   F. From the valuable properties of cinchona  in
 the cure of intermittent fever, arising from exposure
 to marsh  miasmata, it  is worthy of attention in the
 remittent fevers, which  spring from the same source.
 In a form of fever, intermediate between a remittent
 and quotidian intermittent,  caused  by exposure  to
 the marsh miasmata of  a southern port, but first de-
 veloped on the arrival of the patient in this city,  (a
 very common circumstance with whole  crews in the
 latter part of  summer,)  cinchona, in the dose of one
 fiftieth of a grain, effected very great improvement.  J.
  F. nervosa vel  typhus.  Loss of  appetite;  great
 thirst; clayey taste; tongue  and  lips black and
 chapped;  yellow, watery diarrhoea;  cough, with ex-
 pectoration of mucus; sleep quiet but unrefreshing.
   Cocculus.    F. Case after  vexation.  Chamomilla
 had been previously  employed.  Pain  in  the  head
 and  teeth.  Rushing in  the ears.   Yellow-coated
 tongue.  Dryness of the mouth without thirst.  Dis-
 position to vomit,  with eructation  of  disagreeable
 odour.  Disgust to food.  Painful fulness of stomach,
 with difficulty of respiration.   Stitches in the region
 of the liver, between  the  scapulae,  and in the loins.
 Nipping pain in the  abdomen.  Soft yellow stools,
creating a sensation of burning at the anus.   Great
debility.   Numbness of the hands.   Redness of the
face.  Burning in the feet.  Skin hot, with constant
chilliness.   Anxiety and fear  of death. 
208
FEBRIS.
  F.   Case.   Severe pressing headache, especially
in the forehead.  Dimness of sight,  By every move-
ment vertigo,  and a sensation as if the eyes were
drawn out of  the head.  Nausea.  Slight appetite.
Much thirst.  Burning in the breast and throat, with
sulphurous taste and dryness of the mouth.  Consti-
pation.   Trembling of the whole body.  Little sleep.
Anxiety.  Sweat on  the slightest motion.   Nux v.
had been previously administered without the least
advantage.  After cocc. gtt. i. 12 the improvement
was immediate, and the recovery rapid.
  Coffea has been recommended for puerperal fever,
accompanied  by  preternatural excitability of the
nervous system.
  Colocynthis.   F. puerperalis.  Case.   After vexa-
tion.  Head hot. Face and  eyes red. Yellow-coated
tongue.  Pulse full, hard and quick.  Skin hot and
dry.   Abdomen painful on  being touched.   Consti-
pation.  Cessation of the lochia.  Delirium, alternat-
ing with sleep with half open eyes.  After colocynth.
2|30 rapid recovery.
  Digitalis.  F. with constant nausea, frequent vomit-
ing, great bitterness in the mouth.  Diarrhoea.  Loss
of appetite.   Thirst.  Vertigo. Pain over the eyes.
Little sleep at night.  Anxiety. After digit, gtt. i. 15
the recovery was rapid.
  Hyosciamus  is indicated  in typhus fever by the
following  symptoms.   Lively delirium, with various
phantasies.  Over-liveliness  and complete sleepless-
ness.   Restlessness.  Trembling  of the hands  on
motion. Twitching of single muscles or of the whole
limb.   Picking at  the bed-clothes.   Inclination to
spring out of  bed.  Heat and redness of the face.
Eyes red, staring  and  sparkling, with  alternately 
FEBRIS.
209
dilated and contracted pupils.   Puroloid matter on
the edges, and in the angles of the eyelids.  Rushing
or ringing  in  the ears.  Dyseccea.   Tongue dry,
harsh, and with a brown coating.
  This remedy has proved serviceable in some forms
of puerperal fever.
  Ipecacuanha.  F.  Headache, particularly in the
forehead.  Pale, sallow countenance. Dry lips. Thick,
slimy, dirty-yellow coating on the tongue.   Fetor
of the mouth.   Eructation,  nausea, vomiting of the
ingesta,  with much retching.   Bitter  taste; every
thing tastes bitter. No appetite. Much thirst. Pain,
pressing and sense of fulness in the stomach.   Cutting
pain in the abdomen, increased by pressure.   Putrid,
fetid stools, preceded by cutting pain in the abdomen.
Cannot sleep on account  of heat and thirst.  Pulse
small, hard and intermitting.
  Lycopodium.  F.  typhus.  Where the patient  is
quarrelsome upon awaking out of sleep, and exhibits
much ill nature, and the bowels are constipated.
  Mercurius.   F.  typhus.  Where there is  vertigo.
Fulness and confusion of the head.  Incapability of
thinking.   Severe  pressing  pain in  the head,  es-
pecially in the forehead and top of the head.  Rushing
in the ears.   Thick, dirty-yellow, slimy coating  of
the tongue.  Disgusting, putrid, slimy taste.  Nausea,
retching; vomiting of bitter mucus.  Great sensibility
of, and painfulness in the  epigastrium and about the
umbilicus.  Burning heat of the skin.   Yellow, diar-
rhceal stools.
  Or where there is putrid, bitter  taste, with clean
tongue.   Great  sensibility of the epigastrium,  pain
and tumefaction in the  region  of the liver;  pain in-
creased by pressure.   Constipation.
      14 
210
FEBRIS.
  Or where there is bleeding of the gums, very dark
urine, and frequent greenish-yellow stools.
  Nux  vomica.   F. synocha.   Nux vom. is  some-
times indicated in inflammatory fever after one or
more doses of aconit.
  F.  case.  Vertigo.   Pressing pain in the forehead.
Dulness of the  eyes with yellowness of the whites.
Dark yellow coating of the tongue. Bitter acid odour
of the mouth.   Eructation of a bitter, acrimonious,
yellow fluid.  Cough, with retching to vomit. Dislike
for  food.  Much thirst.  Burning sensation in the
oesophagus.   Attacks of violent pain in the right side
of the  chest with  difficult respiration.   Constant
pressing in  the regions of the  liver and stomach,
which  are much tumefied.  Burning pain in  the
umbilical region. Ineffective pressure to stool. Much
dark yellow urine.  Soreness as from great fatigue in
the limbs.  Sleepiness.   Awaking in fright out of
anxious dreams. Biting heat of the  skin.   Small,
contracted pulse.
  F. in consequence of great heat of the weather and
exertion.  Frequent chilliness.   Much heat.  Con-
siderable  thirst.   Disinclination for food.   Bitter or
putrid  taste, especially  in the  morning.   Tongue
white, or white  and moist  in front, and  yellow and
dry towards  the root.   Loss of  appetite.   Constant
nausea.   Eructation bitter, or of the taste of the in-
gesta.   Vomiting  of the ingesta.  Pressing in  the
epigastrium.  Small watery or slimy stools, the latter
with  soreness of the rectum.   In some cases consti-
pation.   General relaxation and debility  of mind
and body.  Depression  of  spirits.   Little sleep,  or
sleep interrupted by anxious dreams.  The headache
mostly in the forehead, though in some cases a pressing 
FEBRIS.
211
pain through the whole head, or in the back of the
head, accompanied by vertigo and confusion.  In
some cases great heat and redness of the face, with
coldness and chilliness of the rest of the body.
  F. typhus.  In the forming stages, or even after its
complete developement.
  F.  puerperalis.   Case.   Disease commenced on
the third day after parturition and after purgative
and  diaphoretic  treatment.  On the ninth day after
parturition it  presented  the  following,  symptoms.
Severe burning pain through the whole abdomen,
increased  by motion or touch, even by  the weight of
light  bed-clothes.  The abdomen very  hot.    Fre-
quently,  a burning,  cutting in the umbilical region,
which compelled bending  of the body, and generally
accompanied  by eructation.   Nausea,  and vomiting.
No stool for three  days.   Suppression  of the lochia.
Urine small in quantity.   Skin dry, like parchment,
and burning  hot.  Thirst moderate, and mostly for
cold  drinks. Pulse full and hard.  Face red. Tongue
and lips  dry, the former with a dirty-yellow coating
towards its root.  The mammse painfully distended:
yet the child sucked with satisfaction.  Short,  dry
cough increasing the pains.  Countenance expressive
of great anxiety.  Constant restlessness.
  Very shortly after the administration of nux v.  gtt,
i. 30, and  an enema  of lukewarm milk, the patient
fell into  a refreshing  sleep, which lasted for two
hours, and out of which she awoke almost well.  The
injection  had remained with her during the  whole
time, and soon after waking  she had a normal stool
In two days she was entirely well.
  Pulsatilla.   F. from wet clothes.  Vertigo.   Eye-
lids  inflamed, swollen,  and  secreting  much  puro-
                                        14* 
212
FEBRIS.
loid  matter.   Bitter  taste.   Vomiting of bile  and
mucus.  Diarrhoea, with thin mucous stools.  Before
vomiting, tearing pains in  the abdomen.  Constant
chilliness.   Stitches in the  right ear.   Febrile  heat
and  red  tumid face.   But  slight thirst.  Laying as
if insensible, with the eyes directed constantly on the
same object.  Debility.  Aconit. 2|24 and after twelve
hours,  pulsat. 2|15.   The first  day some return of
appetite; the most of the second day out of bed; the
third day at work.
  F.  from  eating pork.   Eructation.   Vomiting.
Rumbling in the abdomen.   Epigastrium painful on
pressure.  Fever.  Restless sleep.   Debility.
  F.   In a child  aged eighteen months.  Eructation.
Loss of  appetite. Dulness of the  eyes.   Changing
redness of the cheeks.   Full pulse.   Exacerbation in
the evening.   Pulsat. gtt. i.  12.  Well in ten hours.
  F. typhus.  Pulsat. 18 was employed with advan-
tage.   It was given whenever weeping and wringing
the hands occurred.
  F. puerperalis.  When  the  countenance of the
patient is expressive of  her mental and corporeal suf-
ferings, the disposition is mild,  and there is  over ex-
citability of the nervous system.  Sudden suppression
of the lochia  with a  feeling of fulness and  burning
in the internal organs of generation.  Paroxysms of
heat with anxiety.  Nocturnal anxiety.   Palpitation
of heart and sleeplessness.  Under  these  circum-
stances severe thirst does  not counter-indicate  this
remedy,  provided there is  diarrhoea with  copious
discharges.
   In cases where the lochia are suddenly suppressed
by violent mental emotions,  or by taking cold, pulsat.
will frequently be the  proper remedy to prevent the
formation of a puerperal fever. 
FEBRIS.
213
   Rhus.  F. typhus.   Hahnemann mentions in his
 introduction to rhus, that this remedy, in alternation
 with bryonia, cured a typhus, which ravaged those
 countries of Europe which were most visited by the
 war in 1813, and that  of  one hundred and eighty-
 three patients with this disease, under his care in
 Leipzig, not one died; while thousands "were allowed
 to go home to their fathers" under the ordinary modes
 of treatment.
   F. typhus.   Case.  Vertigo on movement. Severe
 headache,  as  if the brain  would press out.  Inca-
 pability of thinking clearly.  Eyes very  sensitive.
 Roaring in the ears, with dysecoea.  Sensation of
 dryness in the mouth.   Great thirst.   Tongue brown
 and dry.   Loss of appetite.  Constipation, with in-
 effectual pressure to stool.   Urine dark coloured and
 hot.  Tightness of chest.   Little sleep, frequently
 interrupted by dreams.  Patient spoke much of fire,
 was very anxious and fearful, and would frequently
 endeavour to spring out of bed.   Pulse rapid, small
 and unequal.  Bryonia without improvement.  Rhus
 30.  In three  hours striking remission, and in four
 days able to go out,
   F. typhus.  In the typhus fever which sometimes
 succeeds the  Asiatic cholera, rhus has been found a
 most valuable  remedy.
  F. puerperalis.   When  with  irritability of  the
 nervous system, a slight vexation  aggravates the dis-
 ease, and after the lochia  have become colourless,
 they suddenly become bloody, even to such an extent
 as to be coagulated.
  Stramonium. F. typhus.  With anxious delirium,
and deceptions of sight and  hearing. Or where there
is continual delirium, the patient at one time singing 
214
FEBRIS.
or whistling, at another, talking as if with  persons
who are absent.  At other times, disposed to spring
out of bed, in  order  to run away or to go to his
employment.
  F.  typhus.   Case.   After several days' treatment
with calomel in large  doses, vesicatories to the neck,
leeches,  &c   Patient could neither  see nor hear.
Pupils widely dilated,  eyes insensible to strong light.
Patient would utter a few words interruptedly. After
twenty-four hours' discontinuance of all medicines,
his condition was unchanged, except that suppression
of urine was added to his other symptoms, and he
would sometimes lay,  for a short time, in a soporose
condition, with loud stertor and open  mouth.  True
sleep he had not.  Stramon. gtt. i. 3.   Shortly after
taking it, he fell asleep: slept for two hours, awakened
sensible, and could see,  hear and speak, though in-
distinctly.   Rapid  improvement followed.

             FEBRES INTERMITTENTES.

   The selection of the proper remedy for every  case
of  intermittent fever  is  very difficult, and much ex-
perience is requisite  to the attainment of tolerable
certainty.   This, according to Dr.  Hartlaub, is best
attained by a close study of what he  terms  "the op-
posite relations of the  constituents of the intermittent
paroxysm, i. e. of  the chill, of the  heat, and of the
thirst;  the  sweat  being of less importance."   The
meaning of this expression can best be understood by
reference to arsen., capsic, carbo veg., cina, cinchona,
ignat., ipecac,  nux v., pulsat., sabadill, verat., under
each of which  are described the forms of intermittent
fevers adapted to it.   The indications, which he con- 
FEBRIS.                  215
siders to be of the next importance,  are those fur-
nished by  the  other  symptoms which accompany
the paroxysm, and those which are present in the
apyrexia.   "The latter," says Hartlaub, "according
to my experience, play a very subordinate  part, es-
pecially when  they are  chronic disorders, which,
though  they may be of great importance in them-
selves, are  not so great in relation to the fever; for
this can be cured and these previous disorders still
continue.   When, indeed, as frequently happens, the
symptoms which first appear with the fever, and ac-
company the paroxysm, continue through  the apy-
rexia,  they demand  much greater attention, and
necessarily so, when the paroxysm  is not peculiarly
marked, as in the simplest form of intermittent fever,
which  consists  in  chill  without thirst, heat  with
thirst, and  sweat.
   "It is very surprising, that in a disease which ap-
pears under so many forms, the type should appear
to be of no particular importance in the treatment.
With all the medicines which I have  employed, I
have  cured quotidians and tertians;  with  many of
them also quartans; only I  have found arsenic, more
frequently  preferable in quartans, and pulsat. in quo-
tidians.  Yet  whenever  the symptoms have  been
sufficiently characteristic to determine the indication,
I have been guided by these, without any reference
to the type, and in this way I have succeeded well.
   " As to the importance of the  time of day at which
the access of the fever  occurs, I have  had no certain
experience, because most of the intermittents, which
I have treated, have had more or less of an anticipat-
ing type, and also the time of access always  changed.
It is,  indeed, very probable, that the observation of 
216                  FEBRIS.
the time of day may be of use in the selection of re-
medies in many cases.

   Of the dose.—Hartlaub  gives  from one to five, at
the highest, ten pellets of 30.   Only of ipecac, he has
frequently given gtt. i. 3, in relapses after cinchona,
with success.   Other practitioners speak  favourably
of the employment of some  of the remedies in the
lower dilutions.

   Respecting the time of administering the remedy.—
Hartlaub  adopts  and confirms the view'of Hahne-
mann, that the medicine should be given immediately
after the cessation of the paroxysm;  he says, that he
"has never allowed the medicine to be taken imme-
diately  before the paroxysm, and where it has, at
times, happened,  through the  forwardness  of the
patient, he had almost always seen a violent paroxysm
to ensue."  But he admits that  medicines,  given as
long as  six hours before the expected paroxysm, fre-
quently operate  satisfactorily.  A rule supported by
men of  such close observation and great experience,
is entitled to the highest respect, yet it may be proper
to remark, that medicines given  just before the time
of the expected paroxysm, have  at once arrested the
disease.  In one case I have even seen the remedy
administered during the paroxysm with highly satis-
factory results.

   Of the number and repetition of doses.—It is scarcely
necessary to remark, that in the homoeopathic treat-
ment of intermittent fever, a  single dose is given.  It
has,  indeed,  been recommended by  an  anonymous
 writer, to give four  doses of ipecac, in the  apyrexia, 
FEBRIS.
217
at longer or shorter intervals, according to the length
or shortness of the intermission,  and to administer a
dose of nux vom. in the next apyrexia. But this plan
of treatment partakes of the character of rude empi-
ricism, and though it may sometimes succeed, yet it
must more frequently fail,  and cannot present the
same approximation  to certainty of success,  as a
treatment based  upon the close adaptation of the re-
medy to the  case.  Though, for these reasons, not
disposed to  recommend, I  have still considered it
proper to mention this practice, as  the writer who
proposes it asserts that it has proved very successful,
and as the repetition and succession of remedies are
subjects which demand the close observation and in-
vestigation of homoeopathic  physicians.
  But where the disease is so far subdued by a re-
medy, that it is absent for seven or nine days, and then
returns in a lighter form and with the same character,
a repetition of the medicine is proper.  According to
Hartlaub, in such cases the  same remedy,  once or
twice repeated,  "conquers  the  disease quickly and
for  ever."  He also considers  it proper to repeat the
remedy once experimentally, in those cases, where,
after its administration, the character of the disease is
changed, but still not essentially  altered,  and  the
chill, heat and thirst are more moderate than before,
especially when it has been chosen with full convic-
tion of its adaptation, and no other remedy is known
which promises more certain success.

   Of the process of cure.—After the administration
of the homoeopathic remedy,  the paroxysms may at
once cease to return, and this  sometimes happens
even in  inveterate  cases  of  from  six  to  eighteen 
218
FEBRIS.
 months' duration.   Or a much weaker paroxysm, a
 mere shadow of the preceding, may appear, and then
 no more; and this happens most frequently.  Or, as
 less frequently happens, the fever ceases  after two,
 three or four paroxysms, each weaker than the pre-
 ceding.  Or a paroxysm more severe than  any of the
 preceding  occurs, and after this no other;  but this is
 not of frequent occurrence.  Or finally, as  sometimes
 happens in  fevers of  some  considerable  duration,
 there is no appearance of the disease for seven, nine
 or more days,  and then very slight, regular parox-
 ysms of the same or nearly the same character.

   Of the time during which  we should wait for the
 operation of the medicine.—It is the opinion of Hart-
 laub, that  this should be only sufficient to ascertain
 the effects of a remedy, and whether a cure has been
 effected.   The  length of time  necessary for this
 purpose  can be inferred from what is  said  in the
 preceding paragraph in relation to the process of cure.

   Of relapses.   These sometimes happen, but far
 less  frequently  than  under  the  ordinary  mode of
 treatment, and the patients usually enjoy good health
 in the interval,  which is seldom  the case  after the
 suppression of intermittents by large doses of cin-
 chona or quinine.
  In the preceding remarks, as also in the following
pages,  I have drawn largely on the treatise of Hart-
laub, because this is the best which I have met with
on  intermittent  fevers, and  his  statements appear
to be the result of close observation and  extensive
experience.
  Chill without,  and subsequent  heat, with  thirst, 
FEBRIS.
219
indicate nux vom., cina, ipecac, soda mur., carbo veg.
and cinchona.
   Chill and subsequent heat, both with thirst: capsie,
soda mur., nux vom., cinch., bryonia.
   Chill and subsequent heat, both with little thirst:
pulsat., arsen., sabad., soda mur.
   Chill and subsequent heat, without thirst:  ignat.,
carb v., capsie
   Coldness and heat in alternation: nux vom., lobel inf.
   Chill and heat intermixed: sabad.
   Heat, with coldness of some parts: nux vom., cinch.,
ignat.
   Heat, antecedent to the chill: capsie
   Chill and subsequent sweat: verat., thuya.
   Chill remarkably weak: arsen., cham.
   Heat and subsequent sweat: cinch.
   Chill alone:  verat., soda mur., arnica.
   Heat alone:  valerian.
   Heat burning: arsen., bryon., pulsat.
   Chilliness in the heat, or sweat  on motion: nux
vom., rhus.
   Chill increased by drinking: nux vom.
   Cold sweat following the heat: capsie, verat.
   Thirst before the chill:  nux vom., cinch.,  capsie,
arnica.
   Thirst, in the chill: capsie, ignat., carbo v., soda
mur.,  nux vom., thuya, rhus, bryon.,  cina, verat.,
cinch., lob. inf,ferri acet., mezer eum.
   Thirst,  only between the  chill  and  heat: cinch.,
pulsat.
   Thirst, throughout the paroxysm: nux vom., arsen.,
lob. inf.
   Thirst continues in the apyrexia: soda mur., cinch.,
 nux vom. 
220
FEBRIS.
  Aconitum.  F. i.  Quartana.
  F. i.  Case cured by four doses of aconit., given in
the apyrexia.   Severe chill, succeeded by dry, glow-
ing heat, with great anxiety and oppression.
  F.  i.  Case where the  paroxysms  observed  no
regular period; cured  by aconit. 2J24.  Slight chilli-
ness, succeeded by heat, with hot, red cheeks, head-
ache and loss of appetite.
  F. i. quartana cured by two doses of aconit. 2|24.
In the evening, chill, succeeded by heat of ten hours'
duration.

  Antimonium crud.  F. i.  where  with but  little
thirst there is a heavily coated tongue, bitter taste,
with eructation and loss of appetite.

  Aranea diad. in the first, second and third dilutions,
has many times cured  intermittent fevers.

  Arnica.   F. i. where before the chill there is great
thirst, with much drinking.   In the heat, thirst, with
moderate drinking.

  Arsenicum.  F. i.  Tertiana, quartana, quotidiana.
Morning and evening fevers.  Frequently in relapses
after cinchona, and in  anticipating type.
  F. i.   Chill without thirst; then  heat  with thirst,
and then sweat.
  F. i.   Chill and heat, both without thirst.
                ACCOMPANYING DISORDERS.
  Before  the  chill.—Vertigo, syncope,  benumbing
headache, severe stitches in the left side of the breast.
Drawing here  and there in the abdomen and back;
yawning and stretching. 
FEBRIS.
221
  In the chill.—Anxiety; headache; flying stitches in
the head and  bones of the limbs;  drawing,  tearing
pains in the head and arms; nausea, or vomiting of
bilious matter; coldness in the abdomen;  oppression
at the breast; pressing in the loins and epigastrium,
and  disordered respiration; pains in the back and
limbs; gaping and stretching.
  Between the chill and heat.—Debility and sleep.
  In the heat.—Delirium;  confusion and heaviness
of the head; headache; anxiety; vertigo on rising up;
sallow, bloated face; bitter taste; tongue  white and
dry; nausea; pressing pain in the region of the liver;
left hypochondrium hard  and painful  on pressure;
fulness and tension of the upper part of the abdomen;
pressing and burning in the epigastrium, extending
into  the left  hypochondrium;  hard, distended  ab-
domen; oppression  of the breast;  severe  stitches in
the left side of the breast:  redness of the skin.
  After the paroxysm.  Pressing pain in the forehead.
Sleep with frightful dreams.
  In the apyrexia.  Anxiety, excitability, fretfulness;
vertigo; confusion;  pressing and beating pain in the
forehead;  paleness  of the  face;  dry, slimy  mouth;
white coated tongue; no appetite; much thirst;  eruc-
tation after eating;  nausea;  pressing in the stomach;
tension  and  distension of the  hypochondria;  dis-
tended abdomen.   Stretching and  cutting  pain in
the abdomen;  undigested matters in the  stools; op-
pression of the breast in the free air; drawing, stick-
ing, stretching pain in the breast and spine;  pain in
the back; drawing, tearing pains in the arms and
head; great debility; cold,  clammy sweat.

  Belladonna.   F. i.  Quotidiana, tertiana, quartana. 
222
FEBRIS.
  F.  i. quotidiana, with  violent headache, and ver-
tigo;  redness of the eyes; nausea; vomiting; consti-
pation; shaking  chill  or mere shivering; without
subsequent great heat.
  F. i. Case.  Great thirst and headache; trembling
chill;  heat, with  mental wandering, and little sweat.
  F. i. tertiana, with great thirst and toothache.
  F. i. quartana, with cotemporaneous  swelling of
the glands of the  throat.

  Bryonia.  F. i.  Tertiana.   Quotidiana.
  F.  i. tertiana, attacking  in  the  morning.   Chill
preceded  by vertigo, with pressing in the head, ac-
companied by stretching and drawing in the limbs,
much  thirst  and  disgust for food,   Heat first alterna-
ting with  chill,  then  burning, with unquenchable
thirst, and then profuse sweat.   With the fever there
entered an irritating, dry cough, with stitches in, and
tightness of the breast, increased by motion.
  F.  i.  tertiana, with  headache,  gastric disorder,
rheumatic pains,  increased by motion, and inclination
to costiveness.
  F. i. quotidiana.  Every afternoon a severe shaking
chill  for  many hours, attended by intolerable out-
ward-pressing headache, particularly in the forehead,
increased by motion: therewith, great thirst.  After
the chill, very weak, without  increased heat,  or at
most  only in the head.   Sleep at night restless and
unrefreshing.

  Cantharides  cured an  intermittent fever accompa-
nied by catarrhus vesicse  et urethrse and swelling of
the penis. 
FEBRIS.
223
   Capsicum.   F. i.  Quotidiana.   Tertiana.   Fre-
quently in relapses after cinchona.
  F. i.   Chill with thirst, then heat with thirst, and
often at the same time with sweat.  In one instance
much cold sweat succeeded the heat.  In some cases
thirst also precedes the chill.
  F. i.   Chill with thirst, then heat without thirst,
with sweat.
  F. i.   Heat, then chill with thirst.

                ACCOMPANYING DISORDERS.
  In the chill—Headache, much spitting;  mucous
vomiting; large, painful swelling of the spleen;  pain
in the  back; at the beginning of the  chill, tearing
through the back, loins and knees exceedingly violent,
and  such headache and  confusion that the patient
cannot  keep up.   Intolerable tearing pain in the
limbs.
  In the  heat.—Headache;  sticking  in the head;
disagreeable taste; cutting  in the abdomen,  with
ineffectual pressure to stool;  pain in the breast;  pain
in the loins; tearing in the lower extremities.
  In the apyrexia.—Ashy colour of the face;  little
appetite; tumefaction of the spleen; drawing pains,
now here,  now  there, in the body, worse in the
fresh air; swelling of the feet; constant chilliness and
coldness.

   Carbo veg. F. i. Tertiana. Quotidiana. Quartana.
Frequently in very long continued (one, two years)
fevers,  and in relapses after cinchona,
  F. i.   Chill with great thirst, then heat with less,
or no thirst, or with  thirst only  at its  beginning.
The chill not always severe, though frequent shaking 
224
FEBRIS.
chill; it is  often preceded by coldness of the feet.
The heat is at times combined with redness of the
face, at times with sweat.
  F. i.  Chill without thirst, then heat with thirst.

                ACCOMPANYING DISORDERS.
  Before  the chill.—Beating in the temples; tearing
in the teeth and in the bones of the limbs; cold feet.
  In the chill.—Debility.
  In  the  heat.—Vertigo;  headache;  redness of the
face;  dimness  of sight;  nausea;  pain in the breast,
stomach and lower part of the abdomen; oppression
of the breast; much pain in the lower extremities.
  In  the apyrexia.—After  the paroxysms, headache;
want  of appetite; region of the stomach tumid, and
after eating, painful; sleep little and disturbed; de-
bility, paleness and emaciation.

  Chamomilla.  F.  i.   Slight chill,  but long con-
tinued great heat, with thirst, confusion of head, and
frequent affrighted starting up.

  Cina.  F. i.  Quotidiana.  Tertiana.   Relapses
after cinchona,  and in procrastinating type.
  F. i.  Chill without thirst,  then heat with thirst,
and  after  this, or before  it is  at  an  end,  sweat.
Sometimes sleep during the sweat.
  F. i.  Chill with much thirst, then  great heat with
some sweat.
  F.  i.   Thirst only in the cold stage, and after the
paroxysm vomiting once or twice.

                ACCOMPANYING DISORDERS.
  Before the chill—Disposition to vomit; drawing in
the limbs. 
FEBRIS.
225
   In the chill—Headache; nausea; bilious vomiting.
   In the heat.—Delirium; increased headache; pale-
ness of the face; insatiable hunger;  pain in the right
side of the breast by breathing.
   After the paroxysm.—Vomiting.
   In the  apyrexia.  Paleness;  just after  the fever,
extraordinary appetite;  insatiable hunger;  debility.

   Cinchona.   F.  i.   quotidiana.   Tertiana.   Ter-
tiana duplicata.   Morning fevers.
   F. i.  Chill, then heat.  Thirst begins just as the
chill  ceases,  and endures for an hour in the heat; or
it  occurs when the  chill is  entirely past and yet
before the heat begins, and is slight,  (drink being
taken but once or twice.)
   F. i. Thirst,  then chill, and then heat, with debili-
tating sweat.
   F. i.  Chill without  thirst, then  heat with thirst;
sweat may or may not succeed.
   F.  i.  Chill with thirst, then heat with thirst.  The
thirst continues into the apyrexia.
   F. i.  Internal and external coldness,  especially of
the upper part of the body, with shivering, cotempo-
raneous heat in  the head, and redness of the face,
ending with intermixed heat and  chilliness,  with
thirst; then sweat.
   F. i.  Heat with burning thirst, then sweat.

                ACCOMPANYING DISORDERS.
   In the.paroxysm.—Anxiety; headache; vertigo;
vomiting, also of bile; pain in the region  of the liver;
pain in the lower part of the abdomen; stitches in the
breast;  cough;  pain  in the  lower  extremities and
haunches.
      15 
226
FEBRIS.
  In the apyrexia.—Headache; confusion of the head;
pain in the scalp;  yellowness and sallowness of the
face;  dull  eyes;  want of appetite; tongue in  many
cases clean;  ravenous appetite at night; thirst; after
eating, sense of  fulness in the stomach, and drowsi-
ness; pressure as from a  stone in the epigastrium;
nausea; constipation; diarrhoea, with prolapsus ani;
cough, with  difficult expectoration; swelling of the
feet; trembling from debility;  want of sleep.

  Cocculus.   F.  i.   Evening shaking  chill,  with
previous shivering and blueness of the nails.
  In the apyrexia.—Vertigo;  dull headache; depres-
sion of spirits; want of appetite; general weakness.

  Drosera.   F. i.  Tertiana.
  F. i.  Chill with headache.  Fever with disposi-
tion to vomit.
  F. i.  Type not mentioned, with cotemporaneous
pertussis, cured by repeated doses of drosera.
  Severe chill with cold face, and pale, ice-cold hands
and feet, and bilious vomiting.   Heat, with severe
pressing, beatingmeadache, and spasmodic, shattering
cough.  In the apyrexia, gastric disorder.

  Ferrum  acet.   F. i.  Tertiana.
  F.  i.  First headache  and pressing in the fore-
head, followed by a severe,  long continued  chill
with  increased  headache  and  much  thirst,  then
moderate heat and sweat.   In the paroxysm.—Bitter
taste; loss  of appetite; constipation; yellow colour of
the face;  great debility.   In  the  apyrexia.—Slight
headache. 
FEBRIS.
227
   Hyosciamus.  F. i.  Quotidiana.   Quartana.
   F. i. quartana.  Case of three months' duration in
which cinchona had been used in large doses with-
out success.  There was a dry, hacking  cough at
night, disturbing the sleep.  Hyosc. gtt. i. 3. effected
a cure both of the cough and fever.
   F.  i.  quotidiana  epileptica, arising  after  anger.
Every afternoon spasmodic drawing in the calves of
the legs, speedily followed by spasmodic affection
of the stomach, then insensibility and severe epileptic
convulsions enduring for half an hour.  Heat with
moderate sweat, heaviness of head and vertigo ended
the paroxysm.
   In  the apyrexia.—Great debility,  saw wheels or
circles of fire before the eyes.  Dryness  of  mouth.
Frequent singultus.

   Ignatia.  F.  i.   Quotidiana.  Tertiana.  Fevers
of anticipating type.
   F. i.   Chill with  thirst, then heat without thirst.
The chill may or may not be  attended with external
coldness; it is  frequently very severe, with shaking
and tossing of the limbs.  In one case the sensation
of coldness appeared  to extend  from the  abdomen.
The thirst, which was often very great, was commonly
at  the  commencement of the chill   The heat may
be accompanied by coldness of the feet and internal
shuddering, and  at  the same time redness of the
cheeks.

               ACCOMPANYING DISORDERS.

  In the chill.—Nausea; vomiting of food, bile and
mucus; paleness of the face; pain in the back; para-
lytic weakness of the lower extremities.
                                        15* 
228
FEBRIS.
  In  the heat.—Delirium; vertigo; headache; beat-
ing headache; red cheeks; pain in the back; tearing
pain in all the bones; sometimes sleep.
  In  the apyrexia.—Apathy; pressing in the head;
tearing in the forehead; paleness of the face; whitish
tongue; dry lips;  little or no appetite;  pressing pain
in the epigastrium; pain in the abdomen; ineffectual
pressure to stool, hard stool; oppression of the breast;
pain in the back; heaviness  and pain in the limbs;
debility.

  Ipecacuan.  F. i.  Quotidiana.  Tertiana.  Mostly
relapses after cinchona, and in those cases in which
it does not conquer the disease it removes the nausea
and vomiting. The dose must, sometimes, be repeated.
  F. i.   Slight chill; mostly of short duration; often
only a chilliness or shivering,  without thirst; then
strong heat with thirst; and after this, sweat, mostly
copious.   The sweat may be wanting.

                ACCOMPANYING DISORDERS.
  Before the chill—Drawing in the back,
  In  the paroxysm.—Headache ; dulness;  gastric
disorder;  nausea and vomiting; oppression, constric-
tion and tightness of the breast; cough, with stitches
in the breast.
  In the apyrexia.—Disagreeable taste  in the mouth;
bitter taste  of the food; much  spitting; want of ap-
petite; after eating, vomiting; great debility; want
of sleep.

   Lobelia inf.  F. i.  quotidiana.  Attack at lOf h.
 a. M.  In a man set. 49 ann.   Severe coldness, alter-
 nating with flashes of heat till  12 m., when the heat, 
FEBRIS.
229
 which  was moderate, became  more  constant, but
 alternating with slight chilliness, continuing till even-
 ing.  Profuse sweat at night, slept during the sweat
 as usual.  Thirst great from the first chill and during
 the  whole of the hot stage,  but worst in the  chill
 Respiration short,  anxious, laborious  and wheezing,
 with sensation of tightness of the chest.   Sensation
 of oppression  and weakness, principally at the epi-
 gastrium, but extending thence through  the  whole
 breast.  Tickling in  the pit of the throat, with fre-
 quent hacking cough.  Severe headache, extending
 round  the forehead  from one temple to  the  other.
 Loss of appetite, both in the paroxysm and apyrexia.
 Tongue white,  scaly coated on  the  right side, but
 clean on the left. Great debility.  Lobelia inf. 15|15,
 given at 31 h. p. m. during the paroxysm,  produced
 considerable relief of the oppression of the respiratory
 organs, and the next day there was a very slight
 paroxysm, of short duration;  the third day  and after-
 wards no more.
  F. i. quotidiana.   Attack 12 o'clock  m.   Two
 cases attended with great  sallowness of countenance
 and  loss  of  appetite, both  in  the paroxysm  and
 apyrexia.
  F. i.  In a child aged  eighteen months, who had
 an intermittent  fever of  six weeks'  duration, sup-
 pressed the previous  autumn by  sulphate of quinine,
 and  in  whom it reappeared early in the  summer.
 Lob. inf.  1|6, shortly before the  expected paroxysm,
 prevented its recurrence.   The  next  day nux  vom.
 was  administered.   The child, in  a  few  days, ac-
quired a  much  brighter  complexion, and became
more animated than it had ever  shown itself before.
 No return of the fever.  J. 
230
FEBRIS.
  Menyanthes.  F. i. with coldness in the abdomen.

  Mezereum.   F. i.   Tertiana.
  F. i.   Severe chill for several hours, with coldness
of the body, icy coldness of the hands and feet, and
thirst.  After  the  cessation of the  chill, sleep for
many hours, with sweat.   In the apyrexia.—Great
paleness of the face;  dull, pressing headache; want
of appetite; distension and hardness in the region
of the spleen,  with pressing pain; sensibility to cool
air; general weakness.

  Nux vomica.  F. i.  Quotidiana.  Tertiana.  Morn-
ing, afternoon and evening fevers.
  F.  i.  Chill, with or without  external  coldness,
and without thirst;  then heat with thirst, and with
or without  subsequent  sweat.   The chill  is often
trifling, a mere chilliness;  but more  frequently it is
severe and  long  continued, a  shaking chill, with
chattering of the teeth, and blueness of the nails.   It
may be preceded by internal and external coldness of
many parts in  succession, and gaping.   The heat is
mostly great and  long continued; at times  accom-
panied by cold sweat of the face.   The thirst begins
oftentimes with the heat, at other times it developes
itself  gradually.  The sweat in the heat is sometimes
partial, as on the head and neck.
  F.  i.   Chill  (shaking chill) with thirst, then heat
with thirst and sweat.   The thirst is sometimes ob-
served before the chill and through the whole fever;
often  only before the chill, and not  in  it, and then
again in the heat.  The coldness is increased after
drinking.  The sweat begins with the heat, or after
the heat has continued for some time. 
FEBRIS.
231
   F. i.  Alternation of coldness and heat.
   F. i.  Heat  cotemporaneous with  coldness of the
 extremities.  It is a frequent peculiarity of all these
 forms, that chilliness or chill is produced during the
 heat and sweat by the slightest movement.

                ACCOMPANYING DISORDERS.
   In the chill.—Pain in the loins.
   In the heat.—Headache; vertigo;  redness of the
 face; vomiting of water, bile, mucus and the ingesta;
 red urine; pain in the breast.
   In the apyrexia.—Headache; pain in the forehead
 as if the brain would fall out; vertigo; salivation; bad
 taste in the mouth; acrimonious taste of the food and
 drink;  acid eructation;  want of appetite;  dislike of
 food; much thirst; after eating, pressure,  and con-
 stantly some pain  in  the  epigastrium; pain in the
 abdomen; movement upwards in the abdomen; flatu-
 lent distension, with anxiety; costiveness; after urina-
 tion,  pressing in  the  bladder;  drawing in all the
 limbs; weakness in every degree.
   Immediately after the chill—Rushing in the head.

   Opium.   F. i.   Quotidiana.
   F. i.   Severe shaking chill in the forenoons, then
sleep, with heat and subsequent sweat; after awaking,
headache and general debility.

 . Pulsatilla. F. i.  Quotidiana.  Tertiana.  Quartana.
Evening fevers and relapses after cinchona.
  F. i.   Chill without thirst;  then  some thirst,
(drinking once or twice,) and then some heat without
thirst.
  F. i.   Chill with dryness of the mouth, without 
232
FEBRIS.
much  thirst; then great and long continued  heat,
with little thirst; afterwards a slight sweat.
  F. i.   Chill;  then burning heat with thirst;  after-
wards a slight sweat.

                 ACCOMPANYING DISORDERS.
  In  the heat.—Vertigo; much headache; pain in the
left side of the abdomen.
  In  the apyrexia.—Bitter and  putrid taste in  the
mouth; wTant of appetite; hard, red tumefaction, first
of one and  then of the other breast in alternation,
with beating and sticking pains; great debility; little
sleep.

   Rhus.  F. i.   Tertiana.   Tertiana duplicata.
   F.  i.  tertiana duplicata.    Beating  pain in  the
temples, and slimy mouth; then chill, extending from
the  sacrum  and thighs over  the  whole body, with
pain in the  right hip and calf,  as after fatigue,  and
tearing in  the  left leg, with thirst; then  general
warmth, with chilliness by every motion, and then
sour  sweat.   There was,  besides, sallowness of the
face; ringing in the ears;  hardness of hearing; stop-
page of the nostrils;  sleeplessness.
   F. i. tertiana with  urticaria, (erysipelas?) which
 disappeared after the paroxysm, and  left, during the
 apyrexia, only  a burning and redness of the eye.

   Sabadilla. F. i.  Quotidiana. Tertiana. Quartana.
   F. i.  Chill  with little or no thirst; then heat with
 little thirst,  and then sweat, which may be consider-
 able and long continued.
   F. i.  Chill,  with intermixed heat; little thirst, and
 chilliness throughout the  apyrexia. 
FEBRIS.
233
  F. i.   Daily, and also at night,  yet more severely
every other day;  twelve to eighteen paroxysms of
shaking of all the limbs, as in the most severe shaking
chill,  so  that the  patient  cannot  stand, and can
scarcely  speak without a feeling  of chilliness, but
with external  coldness; then heat, with some  thirst
and with sweat.

                ACCOMPANYING DISORDERS.
  In the chill.—Pain in the upper ribs; dry, spas-
modic cough; tearing in all the limbs and bones.
  In the  heat.—Yawning and gaping.
  In the sweat.—Sleep.
  In the apyrexia.—Want of appetite; troublesome,
pressing distension of the stomach; pain in the breast;
cough;  weakness; chilliness.

  Sambuc.  F. i.   In a case where, throughout the
apyrexia, there was profuse, debilitating sweat.
  F. i.   In a case where there was an excruciatingly
painful sensation of pinching  in both mammse, but
most in the left, during the chill;  the sambucus re-
moved this symptom, and abated the violence of the
succeeding paroxysms.   J.

  Sepia.   F. i. quotidiana, with cotemporaneous per-
tussis;  fever attended with very great thirst.   Sepia
cured the fever, and abated the cough.

  Soda mur.   F.  i.  Mostly in tertian fevers,  with
anticipating paroxysms, also in quotidian fevers, and
in such as attack now at this now  at that time of the
day or night, frequently in very inveterate cases, and
in relapses after cinchona. 
234
FEBRIS.
   F. i.   Chill with little or no thirst; then heat with
much thirst.  Sometimes  great thirst appears when
the chill is pretty well  over, and continues in the
heat.
   F. i.   Chill, with (at times very great) thirst; then
(mostly great) heat, with  (mostly very great) thirst.
The thirst often continues  throughout the  apyrexia.
   F. i.  quotidiana.  Slight and  short chill, without
any thing  else.   Sweat  partly during the heat, and
partly after it.

                ACCOMPANYING DISORDERS.
   Before the chill—Headache.
   In the  chill.—Sticking  headache;  short  breath;
pain in the back, (continuing in the heat); tearing in
the bones; gaping and sleepiness.
   In the heat.—Indescribably severe, tearing, stick-
ing, beating  headache, frequently in the forehead,
which is, at times, present in the chill, and  frequently
continues after the paroxysm, throughout  the whole
apyrexia.   In  one case, where,  after  severe chill,
almost no heat ensued; the  headache  appeared to
take the place of the heat.   Confusion in the head;
pain in the back; tearing in all the bones.
   In the apyrexia.—The above mentioned headache;
immediately after the heat, long continued headache;
weakness of the eyes; bilious colour of the face; white
coated tongue; bad taste; bitterness in the mouth;
great thirst; little or no appetite;  pressing as from a
lump in the stomach, with tumefaction in the region
of the stomach;  pressing  in  the epigastrium, 'with
pain upon pressure;  costiveness; short cough;  no
sleep at night; sleepiness in the daytime;  debility. 
FEBRIS.                  235
   Staphysagria.   F. i.   Evening chill, without sub-
sequent heat.
  F. i. tertiana, with scorbutic affections.

  Sulphur.  F. i. quotidiana.  Chill now in the fore-
noon, now in  the  afternoon;  previously to the chill,
thirst with much drinking.   Thirst also  in  the
heat.   Vertigo; much headache;  bitter  taste; great
debility; night sweat; cutaneous eruption with much
itching.

   Thuya.  F. i.   Paroxysms of chill, with external
and internal coldness and sweat,  without  heat.  In
some cases, thirst during the chill.

   Valeriana.  F.  i. without a cold stage, only heat
with thirst and confusion of the head.

   Veratrum.  F.  i. Quotidian.  Tertian.
  F. i.  Chill,  then warm sweat, which soon changes
into cold.
  F. i.   Severe shaking chill;  then heat with some
thirst and some sweat.
  F. i.   Chill with much thirst; then alternate chill
and heat, and  then heat alone with thirst; afterwards
sweat.
  F. i.  Chill at  night, without any thing else, as a
remnant of other forms of fever.

                ACCOMPANYING DISORDERS.
  In the chill.—Vertigo; nausea;  intolerable pain in
the loins and back.
  In the heat.—Delirium,  redness of the face, and
constant slumber. 
236            FUNGUS HSEMATODES.

  In  the apyrexia.—Immediately after the fever, un-
commonly strong appetite.


           FUNGUS HSEMATODES.

  An elderly negro man, in Surinam, had a bleeding
tumour on his knee, which was removed by excision.
Some time afterwards, a tumour formed on each hip,
near the trochanter major.  That on  the right was
much larger than the one on the left hip. Two years
and a half after the  operation, it had  a diameter of
four inches, was of a conoidal shape, slightly moveable,
hard,  elastic, of the natural temperature and without
pain or pulsation. After being ruptured by a blow,
it bled slowly, but almost incessantly, and became
slightly painful and somewhat warmer.  On wiping
the blood, which was apparently venous, from  the
opening,  "the structure of fungus hsematodes could
be clearly discerned."  Cinchona 1|12 and shortly
afterwards, phosphorus 1|30 were  given.  About the
same time the patient filled the wound with tinder.
The tumour continued to increase in size, as also did
a fungous growth  from  the opening, which had
made  its appearance previously to the administration
of the  medicine,  and the  hemorrhage  was  consider-
able till  the fourteenth day,  when there was a slight
fever,  which disappeared without medicine.   After
this period, the tumour began gradually to  diminish
in size, and the hemorrhage ceased until the thirtieth
day, when it again  occurred suddenly,  but soon
ceased of itself.   After the second or third week, the
patient being very much debilitated, was allowed to
take a glass of wine occasionally.   The tinder re- 
GASTRITIS.                 237
mained adherent  in the opening,  until after  the
fiftieth  day.   On  the sixtieth day the wound was
unclean, of a bad odour,  and again  bled a  little,
but the tumour had greatly diminished, as also had
that on the left hip.   By the eightieth day the im-
provement had  advanced much farther, which ad-
vancement was attributed by the patient to a common
adhesive plaster, which had been  applied to gratify
him with an idea of active local treatment.  By the
ninetieth  day,  there  only remained  an indurated
cicatrix.   The induration gradually diminished, and
at the expiration of four months had entirely disap-
peared.
   For other cases  of this disease, see fungus hsema-
todes oculi; in the article on the eye and vision.


                  GASTRITIS.

              Inflammation of the stomach.
   It has been recommended to commence the treat-
ment  of acute gastritis with the exhibition of repeated
doses of aconit., following this with the remedy which
is best  adapted  to the remaining symptoms.  The
medicines which are most likely to be demanded, are
bryonia and nux vom., but others may  sometimes be
required.  For instance, when the fever  approximates
to a typhus, or where the burning in the stomach has
been  considerable  from the commencement of  the
attack, arsenicum,  euphorbium, ranunculus  or can-
tharides may be necessary; the arsenicum  is  par-
ticularly important under these circumstances, when
there  is a rapid sinking of the strength.  If the thirst
is great, and there is difficult  deglutition of fluids 
238
GONORRHOEA.
from spasmodic affections of the muscles of the throat,
accompanied by a sensation  of burning rising in the
throat; hyosciamus, stramonium, cantharides or bella-
donna may be indicated.
  In the only case which I find recorded, the practice
of first  administering the aconit. does  not appear to
have been pursued.  Arsenicum gtt. i. 30 was first
given, and after twelve  hours, colocynthis gtt. i. 30,
which was repeated after sixteen hours.  The symp-
toms were severe  burning pain in  the epigastrium,
where. not even the pressure of the  shirt could be
borne.   All  the ingesta  immediately vomited  up.
Pulse small and rapid.  Anxious restlessness.


                GONORRHOEA.

  In the treatment of gonorrhoea, it is generally con-
sidered  proper to give  the  remedies  in  the  lower
dilutions.   The medicines which  have been found
most important in this  disease, are cannabis,  can-
tharides, mercurius, petroselinum  and thuya.   Of
these, the thuya is indispensable in the gonorrhoea of
sycosis; the petroselinum is particularly useful where
the urinary pressure is  very frequent; the cannabis,
cantharides, mere or thuya, when the disease is  at-
tended  with  chordee,  and  cannabis  or  mercurius
when there is phymosis  or paraphymosis.   But it
should be understood, that the usefulness of these re-
medies is  not eonfined  to those  cases in which the
symptoms, just mentioned, are present.
  It has been recommended  to give  aconite  when
the disease is  attended  by chordee, and  the inflam-
matory  action is violent,  and  to follow this, in suitable 
GUMS.
239
cases, with sulphur.   But it is most probable that
this will prove a useless waste of time, inasmuch as
the inflammation is  the consequence  of a specific
irritation, and but little  or merely temporary benefit
can be expected from any remedy which is incapable
of diminishing that irritation.
  In  addition to the remedies above named,  acid.
nit., capsicum,  copavise  balsamum, cubebse, ferrum,i
ledum, petroleum, pulsatilla  and  stramonium  have
been found useful.
  In gonorrhoea glandis, mercur., sodse mur., cinna-
bar, mezereum,  sulphur and thuya  have been  re-
commended.
  (In a case of G.  glandis,  which  was of several
months' duration, and had returned, after a temporary
suppression by means of astringent lotions, and was
complicated with enlargement of one  of the testicles,
I effected a permanent cure with two or three doses
of cinn., given daily.   Green.)
  Gonorrhoea  mucosa.   Gleet.  In  those chronic
forms of gonorrhoea to which these terms have been
applied, the preceding remedies will  often be found
useful.  But some of the following will be frequently
necessary.   Acid, nit., conium, lycopod., sepia, sodse
mur., sulphur.


                    GUMS.

  In  inflammation  and  tumefaction  of the gums,
aeon., bell, cham., puis., nux vom.
  A fungus on the gums, of the size of a walnut, was
cured by two doses of staphys.
  In swelling of the  gums, calcis sulph., mere, nux 
240               hemorrhaged
vom., sulph., agar, and alum, may be used according
to the indications of each particular case.
  In cases of retraction of the gums from the teeth,
mere, carbo veg., calcis sulph. and acid phosph. are
recommended.
  When the gums become spongy, mere, tereb.
  Where there  are  frequent and troublesome dis-
charges of blood from the gums, carb. v., mere, nux
vom., acid, phosph., sodse bor., tereb.,  and arsen. are
worthy of attention.


               HEMORRHAGIA.

                   Hemorrhages.
  Under this head will be contained all the most im-
portant hemorrhages, in which the  blood finds an
exit from the body, except those arising from wounds
which require the application of the  proper surgical
means for their  suppression.  In internal hemor-
rhages,  whether into the cavities of the body or into
the texture of its organs, our  knowledge of the means,
which will  arrest its progress, is very limited, and
must probably remain so, from the  concealed  cha-
racter of the disorder.   But it appears probable that
where the hemorrhage arises from mechanical injury,
arnica  may  sometimes  check its  progress.   And
where  the  internal  hemorrhage is  not of such  a
nature  as to lead to  the inevitable  destruction of
life;  this remedy has the confidence of many ho-
moeopathic  practitioners, as  an agent capable of ex-
pediting the absorption and removal  of  the  effused
blood.
  I shall treat of hemorrhages in the following order: 
ophthalmorrhagia.
241
ophthalmorrhagia; epistaxis; hsematemesis; hsemop-
tysis; metrorrhagia; hsematuria.

               ophthalmorrhagia.
                Bleeding from the eyes.
  Case.   In a child three weeks old, whose parents
were healthy.   It had suffered for  two weeks from a
violent diarrhoea; could not open its eyes on account
of swelling of the lids, which adhered together.  When
the lids were forced apart, blood was seen on the eyes
and inside of the lids.  Blood flowed continually from
the eyes, but most freely when the child cried.  Rash
on the body, but most on the cheek, where the cuticle
was wanting, which probably arose from the copious
discharge of blood  from the eyes,  (from  an acrimo-
nious quality of the discharge?)  Chamomilla gtt. i.
12  was given.   In about  an hour a beneficial sleep
occurred, which continued for three hours. It awoke
much improved.  Stools speedily improved in quality
and became less frequent.   The swelling of the eye-
lids and hemorrhage somewhat diminished.  On the
third day bellad. 30 was given, and in two days the
eyes were perfectly well.
  Case.   In a  child six weeks  old, of unhealthy
parents.  Deprived of the breast at two weeks; was
fed  upon biscuit broken into coffee, and for drink had
coffee w7ith milk.   For two weeks the child remained
tolerably well, but after this time, restless sleep, con-
stipation, ischuria and other affections.   In the sixth
week, frequent  flow of blood  from the eyes; tume-
faction of the  eyelids,  which were not so much
swollen but that the child could  partially open the
eyes.   The vessels of the sclerotica were dilated, and
      16 
242
HEMORRHAGIA.
when the eyes were held for a length of time open,
small, bloody points appeared on the eyeball, which
gradually enlarging, became drops, which then ran
down.   Eructation after eating; flatulent colic; con-
stipation for two or three days; when a stool occurred,
the fseces were hard, discharged with great straining
and accompanied by prolapsus ani.  Nux vom.  30,
with the necessary  alteration of diet.  In three days
the child was well,  and remained so.

                    EPISTAXIS.
                 Bleeding of the nose.
  Aconit. is indicated where there is general plethora,
and increased excitement of the vascular system.
  Arnica has at times proved serviceable.
  Bellad. When the hemorrhage awakens out of sleep
at  night, and is accompanied by determination of
blood to the head, and when it is excited by stooping,
or strongly blowing the nose.
  Bryonia is useful under very similar circumstances
to those in which  bellad. is useful, and is especially
indicated where the epistaxis arises from sudden sup-
pression of the menses.
   Cina is serviceable when the  epistaxis is symp-
tomatic of worms in the bowels.
   Cinchona.  When the hemorrhage appears to arise
from relaxation of the vessels.
   Crocus. Where there is determination to the head.
In  a case  where  a thick black  blood flowed in a
stream, and the patient was so reduced, that he fell
from one fainting fit into another.  Crocus 1.6 stopped
the epistaxis in a minute.   It is also useful when the
hemorrhage starts with  violence,  and the blood is of
 a bright red colour. 
HjEMATEMESIS.
243
  Moschus. Hartmann says he has conquered the most
severe hemorrhages from the nose with moschus 3.
  Nux  v.   When  the hemorrhage  occurs  in  the
morning, or where there is great cephalic congestion.
It is a proper remedy where there is a flow of venous
blood from the nose.
  Pulsat.  When  the  hemorrhage  attacks  in  the
evening, or before midnight.
  Rhus.  Under  circumstances similar to those in
which bellad. and bryon. are useful
  In addition to the articles above mentioned, cham.
and  ignat.  have also been recommended as suited to
some cases. And where the disease frequently recurs,
the  following remedies have been found useful in
removing the tendency to return.   Sulph.,  ambra,
graph.,  secale,  sepia,  lycopod., acid,  nit., phosph.,
silex, carbo veg.

                  h^ematemesis.

         Melsena.  Morbus niger.  Vomiting of blood.

  This  disease is generally  preceded by gastric or
hepatic  derangement,  or  both, and  frequently  re-
quires a succession of remedies, in  order to remove
the morbid conditions from which it springs.
  Case.  In  a  man set. 60 ann.  Vomiting of black
blood in large quantities.   Great debility.  A burn-
ing feeling in the region of the stomach.  Pulsation
at the epigastrium, and anxiety.  The slightest move-
ment excited nausea.  Loss of appetite; great thirst.
Stools of black,  coagulated blood. Cinchona benefited
but little.  Arsen. 2|30  produced a steady and gradual
improvement.  After fourteen days the pulsation and
                                        16* 
244
hemorrhagia.
burning  feeling at the epigastrium  continued  the
same.  Calcis carb. improved it  very much, and
carbo veg. completed the cure.
  Another case, in a man set. 50 ann., was treated
successfully with nux v., bellad. and stannum, and the
patient felt better than he had done for years.  After
some years, the disease reappeared,  and these reme-
dies only operated palliatively.   The  patient was
rescued by treatment with the antipsorals.
  Case.   A woman set.  72 ann.,  of arthritic habit,
subject to erysipelas of the face and frequent dys-
peptic symptoms,  was attacked with vomiting and
purging  of blood  in pitch-black masses.   Her coun-
tenance was sunken; epigastrium painful and tumid;
pulse weak and small; extremities cold.   Ipecac 4|6
was given.  In a quarter of an hour slight vomiting,
and a stool of the same kind as before.   But after-
wards she felt easier, and on the  next day  was still
better.   Ipecac, was repeated.  On  the  next day
there was a return of a  cough  and dyspnoea,  to
which she was  subject; her tongue and throat were
dry, yet she had  no thirst.   Bellad. 2|30 was then
given.  The dryness of the tongue and the sensation
of pressure at stomach disappeared.   Subsequently
for  the debility,  cinch.  2|12 was exhibited,  and she
speedily  recovered.
  Case.   A  woman  set.  50  ann., with  whom the
catamenia had ceased for years, was attacked with
burning  in the  abdomen; and a return of  the cata-
menia; and subsequently with a vomiting  of blood.
A drastic cathartic, administered by a quack, produced
copious  stools of blood.   Ipecac. 3]30, in a dram of
water, was given in the dose of ten drops every three
hours.   With every dose she felt  herself  better, and 
HAEMOPTYSIS.
245
the vomiting  soon  ceased.  After two days cinch.
2|30, and speedy restoration of strength.
  Nux  v.  is  an important  remedy in this disease
when it occurs  in  plethoric habits and there is  a
tendency to constipation, or  where chronic affections
of the stomach have long preceded it.
  Arnica  mont.  in strong  robust constitutions of
sanguineo-choleric temperament when the discharge
consists of a dark fluid blood,  and the patient com-
plains of a bruised feeling in all his limbs.
  Hyosciamus is a valuable remedy in hsematemesis,
where the discharged blood is of a bright red colour.
  A case of melsena was treated successfully with
aconit. 30, and nux vom. 3130.   For remaining dys-
peptic symptoms, pulsat. was afterwards given.
  Veratrum 3|12 cured vomiting of black blood.
  Besides  the above named remedies, the following
are mentioned by Hartmann.  Millefol, canth., mezer.,
phosph., sodse mur., cicuta, sulph., lycopod.,  zinc

                   HAEMOPTYSIS.
                   Spitting of blood.
  Aconit. " Where  a sensation of motion, or bubbling
in the breast,  and of fulness and burning, with  pal-
pitation of the  heart,  anxiety  and restlessness pre-
cede and  accompany the hsemoptysis, in which the
blood is brought up  at intervals, and in large quan-
tities by hawking, the pulse is weak, thread-like and
scarcely perceptible, and the countenance pale  and
anxious, aconit.  is the proper remedy, and should be
repeated as soon as the beneficial action of the first
dose ceases.   When the aconit. causes a cessation of
the hemorrhage, but the accompanying symptoms
still remain, ipecac, may be given."  (Hartmann.) 
246
HEMORRHAGIA.
  Arsenic  When the anxiety, the motion or bub-
bling, and the palpitation of heart, still continue, after
the treatment just mentioned, or where these are
worst in the middle of the night, awaken the patient
from sleep, and a burning heat extends itself over the
whole body, and the patient feels compelled to sit or
even to stand up,  arsen. 1)30 should be given.  But
this medicine  should  not be repeated without an in-
tervening  remedy  between the different doses, as its
immediate repetition is not attended in this disease
with the  same advantage as is observed  from it in
some other diseases.
  The preceding  remarks are derived from  Hart-
mann, and the caution which he suggests against the
repetition  of the arsenic, without the intervention of
some other remedy, is confirmed by a case in my own
practice.
  Case.   In a man set. 24 ann., who had  been un-
healthy for more than a year, and for  the  last three
months  had daily expectorated more or less  blood.
When I first  saw him, he was  almost continually
coughing, and expectorating freely blood somewhat
florid in its appearance.  The vessel into  which he
spit, contained at least half a pint of this blood, which,
though thick, did  not appear to have much tendency
to coagulate. The cough was convulsive, and of a very
shrill sound, resembling the crow of a hen (kikikikih).
The strength of the patient was  much reduced, his
appetite much impaired, his pulse weak and feeble,
and his sleep at night very much interrupted,  if not
entirely prevented by his  cough.  Although he had
been taking medicines up to the time at which I saw
him, I did not hesitate to  administer immediately ar-
senicum 2|30, though with such small hope of being 
HAEMOPTYSIS.
247
able to afford him much relief,  that I gave him per-
mission,  in  case he  did not, in a few hours, expe-
rience some relief, to continue the employment of some
pills, which were probably of an anodyne character.
It was evident that  these pills afforded  no  positive
benefit, yet I thought it probable, that he might ex-
perience inconvenience from the sudden  withdrawal
of an opiate to which he had  been for some time ac-
customed. At my visit, the next forenoon, his  mother
remarked, that he now slept without moaning, which
he had not done for three months until the last night.
In the  course of a few hours after  taking the arseni-
cum, he had felt a little better, and had not taken his
pills.   His cough and bloody expectoration,  though
less frequent, still continued.  On this account I re-
peated the  arsen.;  but the  effects were far  from
satisfactory.  Neither  on  the next, nor  the  two fol-
lowing nights, did he rest as well as he had done on
the first  night, and  he was, besides, troubled  with
pains  in  the  epigastrium,  the right hypochondrium,
and about the lumbar vertebra.   It was not until the
fifth night that he rested as well as he had done on
the first night.  The  hsemoptysis gradually dimin-
ished, but did not entirely cease till after the tenth
day. By the fourteenth day, his appetite and strength
had considerably improved, and his cough was much
less shrill.  The sputse appeared to consist of a white,
opaque mucus.  The  improvement  then continued
progressive till the end of the  fifth week, when his
cough became more  convulsive, shrill and frequent,
and continued for two days to grow worse, when the
arsenicum was again administered.  For two  days
he  suffered, but not  so severely, from similar pains
to those which he had after the second  dose of this 
248
HEMORRHAGIA.
medicine.  But he  afterwards improved so rapidly,
that by the  eighth  week week he was able to ride
out.   The improvement afterwards continued to ad-
vance, but at intervals of one or two days or a week
he would cough up small quantities of a dirty white,
or pale yellow mucus, or  mucus mixed with  pus,
showing plainly  the  existence  of a small abscess
which discharged its contents  thus seldom.  He has
now driven  my carriage for eight months, and  was
exposed  both  in  the  night and  day to the  severe
weather of last winter, and has continued to improve
in his general health,  though  the abscess continues
occasionally to discharge small quantities of matter.
As the chief pain of which he complains, and that is
neither constant nor very severe, is in the right hy-
pochondrium,  and as,  on several occasions, the  dis-
charge of the matter appeared to have been excited
by leaning forward and pressing his side against his
arm while this rested on his thigh, as  also from the
quality of the matter  discharged, which nearly re-
sembled a pasty mass  which I once found adhering
to parieties of a cavity in the liver.  I have considered
it to  be most  probable that a small abscess of the
liver  has opened  a passage  through the diaphragm
and into the lungs.  There are  other circumstances
which confirm this supposition, namely;  some time
before the   attack of hsemoptysis,  he  had  for  two
months a diarrhoea, with copious bloody discharges
from  the bowels.   At the end of this time, he had an
attack of violent  pain  in his right side, and cough,
which  was  pronounced by the physician who at-
tended him, to be  a  pleurisy.  He was treated by
bleeding, blistering, &c  During  the treatment, the
hemorrhagic diarrhoea ceased.  After some time the 
HEMOPTYSIS.               249
pain in the side abated, but he began to expectorate
matter, and continued to do  so  for a considerable
length of time before the expectoration became hemor-
rhagic.  The inferences which I deduce from these
facts, are: that the hemorrhage from the bowels was
either directly or  indirectly connected with the  ab-
scess of the liver; in  other words, that the blood was
effused in the cavity of the abscess, and passed from
thence either by a direct opening or through  the
hepatic ducts into the bowels; or that the hemorrhage
was, like  the hsemorrhoidal  flux, sympathetic with
the disordered condition  of the liver; and that  the
pleuritis was the consequence of the extension of the
abscess to the pleura.  That  it was not a  metastasis
of diseased action appears evident from the fact, that
there was no diminution of the diarrhoea previously
to or  in the early stages  of the inflammation of the
pleura.   But it ceased during the treatment, and its
cessation was attributed by the patient to the applica-
tion of a sinapism over the right hypochondrium.   It
is almost  certain  that the temporary suppression of
the hemorrhagic tendency was effected by the agency
of some of the remedies at that time employed, and it
is quite possible  that the sinapis may  possess this
power.  I have been thus minute  in the detail of this
case, because, while it exhibits the powerful curative
action of  the arsen., it may,  when  compared with
other cases, guide to a more  accurate knowledge of
the pathological  conditions in which this  remedy is
applicable.  I  have  only to  add, that during  the
eight months, in which the patient has  been in my
employ, I have  used several other remedies for  the
completion of the cure, but without any very striking
effects from any but the acid, phosph., which caused 
250
HEMORRHAGIA.
the disappearance of a light,  white, flocculent sedi-
ment from this fluid.   Three or four times there has
been a slight return  of the hemorrhage, which has
always  yielded speedily  to  the arsenicum.   It  is
proper to remark, that from the latter doses of this
medicine, the same unpleasant circumstances did not
occur, as from its first and second  repetitions,  a cir-
cumstance which should, perhaps, be attributed  to
the improved state of his  health, and the consequent
more powerful reaction of the  system against the
pathogenetic operations of the medicine.  J.
  Arnica.   Not only in  cases of hsemoptysis, from
mechanical  injury, to which it is peculiarly adapted,
does arnica operate very beneficially.   But it is also
useful when fluid blood of a dark colour is discharged
without much exertion or cough, and there are stitches,
burning, motion, agitation or bubbling, and constric-
tion in the chest; palpitation of heart, debility, and at
times syncope.
  Also where a frothy, bright-red  blood, sometimes
mingled with small coagula and mucus, is thrown
up  by a slight cough, the irritation to which  is felt
under the sternum.
  Belladonna is a good intermediate  remedy in hse-
moptysis  attended by the greatest exhaustion and a
continual tickling irritation to cough, which is felt in
the trachea, especially when the following symptoms
are present.   Great shortness of breath, with a con-
stant short  cough, anxiety, restlessness, strong and
rapid pulsation of the heart, burning heat,  great
thirst and symptoms of determination  of blood to the
head.
   Crocus has proved  useful in hsemoptysis.
  Digitalis  proved serviceable in hsemoptysis from 
HEMOPTYSIS.
251
being much  overheated, and  unconnected with any
peculiar feeling in the breast.
  Ferri acet.  Where there is a jaundiced tint of the
skin, considerable dyspnoea, especially at night, slight
cough and expectoration of pure blood, though not in
large quantities,  ferri acet., in the lower dilutions, is
useful.
  Ledum.  In a case of a cachectic young woman of
choleric temperament.   The attacks of hsemoptysis,
of which  she had had several, were suspended, after
the ordinary treatment, for six, eight or twelve weeks.
In the attack, for which  she was  homoeopathically
treated,  her  respiration  was  short and oppressed;
she had  constriction of the breast, which was in-
creased  by every  movement; loud, .hollow-sounding
cough, which caused a painful sensation of shattering,
and was attended by the expectoration of large quan-
tities of bright-red blood;  violent beating headache;
tumid face, alternately red and pale; tinnitus aurium
and dysecoea;  tickling in the trachea; soreness under
the sternum; constipation; sensation of fulness in the
upper part of the abdomen; oedema of the feet and
legs; troublesome drawing in the limbs whilst lying
still; sensation of great heat through the whole body,
alternating with  moderate perspiration; rapid, full
pulse;  general  debility and  depression  of spirits.
Aconit. and nine  hours afterwards a  dose of  ledum
were administered with such good success, that on
the following day there was no hsemoptysis, and by
the third  day the patient could  perform her house-
hold duties.  A year afterwards there had been no
return of the hemorrhage.
   Ledum is also useful, where, with a severe cough,
there  is a copious discharge of bright red-blood; a 
252
HEMORRHAGIA.
wheezing and rattling sound in the trachea, and  a
fixed burning pain in some spot in the breast,
  Millefolium.   Case.  Every evening a sensation of
motion in the breast, which was followed by a flow
of warm blood into  the  throat and from the mouth;
then cough, with bright-red, bloody expectoration.
Great  debility.   Millefol.  gtt.  i.  3 suppressed the
hsemoptysis, and cinchona 6 removed the debility.
  Pulsatilla cured  a hsemoptysis which returned
every three months after  the cessation of the menses.
Incessant cough and  expectoration of thick  black
blood, most at night; tightness of the breast; stitches
in the left side of the breast; continually cold feet,
  Rhus.   In the case of  a man set. 60 ann., who had
suffered  for many years from  frequent  attacks of
haemoptysis.  His last attack, which had endured for
three weeks, when he placed himself under homoeo-
pathic  treatment, had not been in  the least benefited
by the ordinary treatment.  When  he coughed, there
was a  feeling of warmth  rising out of the breast,
and expectoration of a quantity of bright red blood,
and, at the  same time, a painful feeling in the lower
part of the breast, just above the epigastrium.   The
hsemoptysis occurred generally four or five times a
day, and if it intermitted  for a day, which seldom
happened,  it  was much worse  on the  next day.
Sometimes the discharge amounted to a pint. During
the absence of the hemorrhage, he had a feeling of
peculiar  weakness about the heart, as if it were in a
tremulous movement, combined with anxious oppres-
sion at the  breast, and  these feelings were the most
sensible immediately after the hsemoptysis.  Although
food had its proper taste, he had no appetite, and the
eating of even a small quantity caused a sensation of 
METRORRHAGIA.
253
pressure in the epigastrium.  He complained of heat
and sweat,  and was disposed to chills.  He was cos-
tive, weak,  and emaciated.   Rhus gtt.  i.  12 was
followed by a violent paroxysm of coughing, and  a
considerable discharge  of  blood.   The hemorrhage
did not  subsequently recur.   Fourteen days  after-
wards cinchona was given on account of the debility.
The patient remained well.
  In addition to the remedies above mentioned, the
following have also been found useful; namely, acid.
sulph., drosera, lycopod., plumbum, potassa carb., stan-
num, carbo veg., phosphor., ammonia carb., calcis carb.,
sepia, magnesia carb., sabina, bryonia, dulcamara.

                  METRORRHAGIA.
         Hemorrhagia uterina.  Uterine hemorrhage.
  Uterine hemorrhage  differs  in its character and
treatment according as it happens in the unimpreg-
nated or  gravid  uterus, or immediately after parturi-
tion.  I shall, therefore,  treat of it under the divisions
of M. menstrualis, M. gravidarum, and M. lochialis.
  Metrorrhagia menstrualis. It frequently occurs
that instead  of  the  proper menstrual secretion, an
actual  hemorrhage  takes  place  at  the  menstrual
periods.  The fact is to be  ascertained by the coagu-
lation of  the discharge,  which never happens in per-
fectly healthy menstruation.   The quantity of the
discharge may  be but  little  greater than in the
healthy  condition, but it is generally more  profuse,
and mostly recurs every two weeks or even oftener.
As the hemorrhage arises from a morbid performance
of the function of secretion, it is not surprising that
it should be accompanied with considerable pain.  As
far as my experience extends,  this is always the case. 
254
HEMORRHAGIA.
   Bellad.  Hemorrhagic discharge at  the period of
menstruation.   Blood  bright  red.  Also  when  the
metrorrhagia occurs after  heavy lifting,  with pain
in the lower part of the abdomen; pulse full  and
hard.
   Bryonia.  In a case where there  was constant
bloody discharge for some months, but every three
weeks a true metrorrhagia.  By the eighth day after
the bryonia, the discharge had entirely ceased,  and
menstruation was afterwards normal.
   Cham.   At the time of menstruation, discharge of
large black coagula.
   Crocus.   Continual discharge of black, fetid blood.
   In a case where  the  discharge  consisted,  some-
times, of thick, black blood, at other times, of black
coagula, and at times of a bloody water.  Croc. gtt.
i.  1  effected a cessation of the  discharge, but the
menses recurred too copiously  every  two  weeks.
Platinum gr. 1.2, then given, was succeeded by nor-
mal menstruation.
   In a case from over exertion in dancing and the
use of stimulating drinks during menstruation; ex-
cessive uterine  hemorrhage.  Patient exsanguine in
appearance, and  fainting on  being moved.  Blood
black and  fetid; croc. gtt. i. 3.   In an hour and a
half diminution of the hemorrhage and  continued
improvement.
   In two of the above cases there w7as a sensation of
motion in the umbilical region as if there was some
living thing there.
   Ferrum.   In a case where a metrorrhagia com-
menced during  menstruation, and continued for a
long time.   The discharge ceased in one night after
a dose of ferrum. 
METRORRHAGIA.
255
   Ipecac,  gtt. i. 1 cured a metrorrhagia which  had
 continued for nine months in an unmarried female.
   Secale corn.   In several cases  where there was a
 hemorrhage  from the  uterus every two wTeeks,  dis-
 tinguished from the  menses  by  coagulation.   At-
 tended  with pains in the  sacrum,  pains shooting
 down the  thighs, and  bearing down pains in  the
 lower part of the abdomen.   Secal,  in  the lower
 dilutions,  has generally benefited very much. Also
 in cases of chronic metrorrhagia attended with  the
 same pains.  Under the  operation of  the  secale, the
 pains often entirely  subside some time before  the
 complete cessation of the discharge.   In the case of
 a married woman where the hemorrhagic action oc-
 curred every two weeks, conception took place shortly
 after the suppression of the hemorrhage by the secale,
 and gestation was normal throughout.   J.
   Metrorrhagia gravidarum.  This form of uterine
 hemorrhage is a symptom of the commencement or
 progress of abortion.   The  remedies  are, therefore,
 those which are  most capable of arresting that pro-
 cess, and will be found  under  the article abortion.
 The judicious practitioner will understand that these
 remarks do not apply to the profuse hemorrhages of
 advanced pregnancy, which arise from placental pre-
 sentation,  and  are, fortunately, not very frequent.
 But little is to be expected  from  medicines in these
 cases, where  every thing depends on the skill and
judgment of the obstetric practitioner.
   Metrorrhagia lochialis.  In the rapid and for-
midable hemorrhages which  so frequently occur after
parturition, it is unsafe and inexcusable to delay, for
any considerable length of time, that manual assist-
ance, which,  if timely afforded, may save the patient 
256
HEMORRHAGIA.
from an excessive loss of blood  and consequent slow
convalescence, or even from death; in the endeavour
to check  the hemorrhage by means of medicines,
whether these be given in large or infinitely small
doses.   But where the hemorrhage is neither violent
nor attended  with much exhaustion, medicines may
be advantageously  administered, for though a less
certain, they  are a less painful means of arresting the
waste of the  vital fluid and inducing tonic  contrac-
tion of the uterus than manual assistance; and when
they are rightly given, may prevent  the necessity of
a resort to the latter.
  Bellad.  When the  blood discharged is neither
very dark nor very bright red, and there is a continual
downward pressure of the internal  organs of genera-
tion, as if a prolapsus of these was about to take place,
and, at the same time, violent pains in the sacrum.
  Bryonia.   When the blood flows  away of a dark
red colour, and there are severe pressing pains in the
sacrum, and  pain in  the head, especially in the
temples.
  Cham.  When dark coloured and coagulated blood
is discharged at intervals;  there are  labour pains in
the lower part of the abdomen accompanying each
discharge; much thirst; and  coldness  of  the  ex-
tremities.
  Crocus.  When the  blood is black, clotted, tough;
and there are cutting pains in the  lower part of the
abdomen,  extending  towards the sacrum.  In cases
similarly circumstanced, otherwise  than in the blood
being of a bright red, sabina is the proper remedy.
  Hyosc.  Where the commencement of the hemor-
rhage is accompanied by spasmodic affections of the
whole body or of single limbs, after which there is a 
HEMATURIA.
257
 stiffness of the joints.  The bright red blood con-
 tinually flowing, but most during the spasms.  The
 pulse slow, weak and intermittent.
   Ipecac. , Where  the hemorrhage only occurs  on
 motion, and there are cutting pains about the um-
 bilicus, and pressure towards  the  uterus and anus.
 Chill,  and  coldness of the  body,  whilst there is a
 sensation of internal heat, rising towards the head.
 The ipec. should be frequently repeated.
   Platinum.  In similar  cases to  those which  are
 adapted to bellad., except that the blood is dark and
 thick, or even coagulated.
   In addition to the above, cinch., ignatia, mag. pol
 aus., nux vom., millefol, ferrum andrhatania deserve
 attention.

                   HEMATURIA.
    Hemorrhagia urethralis, vesicalis et renalis.  Bloody urine.
   Under this head I include all  the hemorrhao-es
 which  find their  exit from the body through the
 urethra.   It is true that  we sometimes find,  when
 the lesion is in  this canal, that the  blood flows away
 independently of urination.   But  even in urethral
 hemorrhage the discharge of blood is more  or less
 combined with that of the urine.   I shall therefore
 include this under a term, which, although it may not
 be exactly appropriate to  all its cases, yet is so  to
 many of them, especially those where the hemorrhage
is  so slight that the discharge only takes place on
 attempting to urinate, or where the performance  of
this function excites the hemorrhagic action, and the
urine is in consequence mixed with and followed by
a discharge of blood.
     17 
258               HEMORRHAGIA.
   Arsenicum effected the cure of bloody urination,
 complicated with pemphigus and hemorrhoids,.  See
 arsen. in the article Eruptio cutan.
   Cannabis. A frequent pressure to urinate at night,
 with the  discharge of small quantities of urine, and,
 at  the last,  of a few bloody drops;  was cured by
 cannab. gtt. i. 3.
   Cantharides is an important remedy in hsematuria,
 and is useful not only when the  hemorrhage arises
 from disordered action in the vessels of the bladder,
 but also when it springs  from those of  the kidneys
 and ureters.
   In a case where there  was severe burning pain in
 the  bladder and urethra during urination; and after
 it,  with severe cutting and burning pain and  con-
 tinual effort, the discharge of many drops of blood.
   In a case of hsematuria after a  gleet;  where after
 connection, there was a continual discharge of blood,
 with severe cutting and burning,  as well whilst uri-
 nating as at other times.
   Ipecac.   Case.   In a  woman set 50 ann., after
exposure to cold on a journey.   Debility, vertigo and
 confusion  of the head.   Violent pain in  the loins.
 Sensation of  warmth in the abdomen.  Towards
 evening, severe pain in the umbilical region and in
the  region  of  the  bladder, with  urinary pressure.
 Soon afterwards, discharge of severely burning urine,
which was  mixed  with  blood.   At night frequent
discharge of blood, coldness of the extremities; heavi-
ness of the  head;  nausea, and inclination to vomit;
pressure in the epigastrium; a cure was effected with
ipecac, gtt. i. 2.
  Lycopod.   In the  case of a man who had  suf-
fered under a severe hsematuria for two months, large 
HEMATURIA.
259
 coagula being deposited from the urine, complicated
 with obstinate constipation  and almost perfect pa-
 ralysis of the feet.  Three doses of lycopod. 30, one
 every three days, effected a cure.
   Mezereum has frequently  proved useful in hsema-
 turia.
   Millefolium.   In a case where, at intervals of four
 or  six weeks, there were pains in  the region of the
 left kidney, with chilliness.   Considerable discharge
 of blood through the urethra, with painful pressure
 during its  passage.  The attacks continuing from
 five to eight days and  then ceasing.   Thuya and
 lycopodium both produced transitory improvement.
 The fourth of a drop of tr. millefol.  effected a cure.
   Pulsatilla has been serviceable  where there was
 hsematuria with symptoms of the descent of renal
 calculus into the bladder.
  Mercur. In a case where there were burning pains
 at the mouth of the urethra, increased by urination;
 cutting pain below the  umbilicus, extending itself
 into the loins,  at  night;  scrotum  drawn up,  penis
 diminished  in size; continual chilliness; pressure in
 the epigastrium after eating; hsematuria with burn-
 ing at the mouth of the urethra; frequent rumbling
 in the abdomen; drawing through  both testicles, ex-
 tending to the abdominal rings: cramp and numbness
 in the right thigh, and in the right hand.  Pulsatilla
 removed the pain, and mere cured the hsematuria.
  Uva ursi has  proved serviceable in hsematuria, as
have also the following remedies; scilla, calcis sulph.,
zincum, sulphur, calcis carb., conium, phosphorus.
17* 
260
HEMORRHOIDES.
               HEMORRHOIDES.

                 Hemorrhoids. Piles.
   Acid. mur.   In a case where the tumours formed,
at the anus, a round thick roll, which was divided by
fissures into three  unequal parts.   The tumours
were bluish-red, hard, hot, shining,  and very sensi-
tive to the touch, with constant  soreness and frequent
sticking  pain;  acid.  mur.  gtt. ij.  3  removed  the
disease.
   Acid, nit., given during many months, subdued a
hemorrhoidal discharge, and removed  the  tumours.
Costiveness had been previously corrected by the use
of nux vom. and ignatia.
   Ammonia carb.  In a case,  in  a girl set.  4 ann.
Hemorrhoidal tumour, which descended with every
stool, and was  mistaken, for a  long  time, for a pro-
lapsus  ani.  It was easily replaced by pressure with
the finger.   Its descent was accompanied  by some
pain and considerable  discharge  of blood.   After
phosphorus  had been employed with but  little  ad-
vantage, ammonise carb. 1|30 dissolved in four  ounces
of water,  of which a teaspoonful  was  given daily,
almost entirely removed the disease in five  weeks.
The complaint  had existed for some months.
  Arsenicum.   In a case complicated with pemphi-
gus.  See arsen. in the article Erup. cutan.
  Belladonna is often productive of  strikingly bene-
ficial results in bleeding hemorrhoids which are at-
tended by violent pain in the lower part of  the back.
In these cases  it is sometimes advantageously em-
ployed in alternation with calcis sulph.
   Carbo veg.   In  a case where the tumours were of 
HEMORRHOIDES.
261
the size  of the last  phalanges of the fingers, and of
a dark blue colour;  the stools accompanied by burn-
ing pain, and discharge of blood;  pain of the back
and limbs; carbo veg. effected a permanent cure.
   Calcis  sulph.  has been  found useful in  hemor-
rhoidal affections.
  Ignatia is often of great service in the treatment of
hemorrhoids.
  Lobelia inf. proved useful in a case of hemorrhoids.
See lob. inf. in the article Dyspepsia.
  Nux  vom. is  very useful, in both  bleeding and
blind hemorrhoids, especially where these arise from
indulgence in the use  of spirituous  liquors  or  of
coffee;  as also where  they are induced by  mental
exertion,  sedentary habits, foreign  bodies or worms
in the rectum, or pregnancy.
  In  a  case  occurring after  parturition, where the
stools occurred only every three or five days,  were
hard  and dry, and discharged with violent pressure,
attended with a sensation of inaction, and an increase
of the sticking pains  in the rectum.  With the stools,
a discharge of pure blood, or of bloody mucus.   At
the anus, a hard, round, bluish-red roll.  Constant
pain  in  the  lower  part of the back,  increased  by
motion.   Tr. nux vom.,  given  in repeated doses, ef-
fected a cure.
  In  a  case of venous  hemorrhoids,  nux vom.  21
effected  a cure.
  Petroleum.  Case.  In a man, who had suffered
under the following disease for fifteen months.   Loss
of relish for food, and, though at times a sensation of
hunger, inability to eat much.   Nausea after eating.
Constant  rumbling in the bowels, and a sensation as
if  the abdomen was empty  and hollow.  A short 
262              HEMORRHOIDES.
time after eating, pinching and drawing pain in the
abdomen, with  frequent  eructation,  which  caused
temporary alleviation.   Firm pressure on the epigas-
trium  afforded  some relief.   These  pains endured
from fifteen to thirty minutes.   Bowels open only
every other day; the stools  hard, and  forced away
with great exertion.  With the  stools,  there was a
descent of venous  hemorrhoids attended with con-
siderable pain.  Sometimes the tumours had burst
and  discharged  much  blood, after  which he was
easier for some days.  He frequently suffered from
difficulty in urinating; the  urine would  not flow
freely, and he felt  as if something pressed upon the
neck of the bladder, and would not allow  a passage
to this fluid.  Soon after going  to bed at night, he
felt a severe itching about the anus and sacrum, and
was frequently forced to scratch himself sore.   Sleep-
lessness,  or sleep interrupted by dreams.  Emacia-
tion.   Disposition  irritable,  and spirits depressed.
After graphit. there was a  slight  improvement of
brief duration.  Petroleum, aided by rigid attention
to the diet, effected  a perfect cure in four weeks.  At
the end  of that time he  could eat all kinds of food,
drink  brandy, felt  himself as strong as before his
disease, and had daily a normal stool.  At the end of
a  year he  still remained  well.  This case had been
previously  treated with  medicines in large doses.
   Sulphur.  In  the case of a woman set. 25 ann., in
whom the  disease commenced with  constipation,
severe pain in the lower part of the back, sensation
of fulness and downward pressure in the  abdomen,
loss of appetite, sleeplessness, chilliness,  succeeded by
heat towards evening.   Afterwards there were added
to the above  symptoms,  the descent of two small 
HEMORRHOIDES.
263
 hemorrhoidal tumours; severe periodic colic pains in
 the whole of the lower part of the abdomen; frequent
 retching without vomiting; a severe spasmodic pain
 extending from the region of the right kidney, in the
 course of the ureter, towards the pudendum, so that
 it was very similar  to  the pain attending  calculus.
 Still later, appeared the following symptoms; a short,
 dry cough in the evenings, which caused pain in the
 region of the bladder and urinary pressure.  Stran-
 gury;  by the  constant  painful urinary  pressure,
 which was combined  with  a  prickling sensation,
 only a few drops of bloody urine  could be discharged;
 whatever she eat was rejected after half an hour, by
 vomiting,  attended with  more  or  less  pain;  pulse
 frequent; disposition restless,  fretful, and peevish,
 the spirits depressed.  These symptoms disappeared
 in the order of their appearance after one twentieth of
 a grain of sulphur;  but this disappearance was pre-
 ceded  by a considerable homoeopathic  aggravation
 of the pain.
  In  a case attended by  vertigo,  cephalalgia, and
 weakness of memory; nausea, and disposition to vomit
 after eating; colic pains, and a sensation of  pressure
 in the region of the liver; deficient appetite; increased
 thirst;  pain in the loins, and  lower part of the back;
 itching about the anus; debility. The bowels were
 open twice in twenty-four hours;  the stools hard,
 discharged with much painful exertion, and attended
 by the descent of venous hemorrhoids, which some-
 times burst.   After aconit.  gtt. i. 12, sulphur gr. i. 3
 was given, and effected a cure.
  The following remedies have  also been  found
useful  in the  treatment of  hemorrhoids;  bryonia,
cantharides, capsicum, chamomilla, cuprum,  ferrum, 
264
HEART.
graphit., mere, pulsat., rhus, sepia, silex, and aconit.
The latter is  particularly useful where the tumours
are excessively  painful, or when  their descent  is
accompanied  by much fever  of an  inflammatory
character.
                    HEART.

  Carditis.   In inflammation of the heart, aconit.
may be repeated every half hour, or hour, till three or
four doses are given.   After the violence of the in-
flammatory symptoms has been diminished, nux vom.,
pulsat., cannabis, or some other remedy, may be ne-
cessary.   The pulsat. is indicated where palpitation,
anxiety and  sorrowfulness  remain.  The  cannabis
when there is stretching, pressing pain in the middle
of the sternum, with tightness of the breast and fre-
quently returning strokes in both sides of the chest,
but which are most painful, and attended with a sense
of fulness and agitation, in the region of the heart.
  Aconit.  The beneficial operation of this remedy
in diseases of the heart is not confined to those of an
acute inflammatory character.  But it  is also appli-
cable in many of the chronic disorders of this organ,
and often proves a valuable aid even where other
remedies are  required to complete the cure.
  In a case of chronic disease of the heart, in which
there was a  constant sensation  of  pressure and dis-
order in the  left side of the chest;  affections of the
respiration on rapid movement or going  up stairs;
stitches in the region of the heart;  determination of
blood  to the  head; frequent soft pulse;  the disease
worse in the spring and autumn; aconit.  in repeated 
HEART.                   265
doses,  aided by two  doses  of aurum, effected great
improvement.
   In  a case  of  carditis, arising from  exposure to
cold.   After a sleepless night, chill in the morning,
followed by permanent pain in  the  left side, great
anxiety, syncope, intermitting pulse, palpitation of
heart, "asthma siccum," and much thirst; two doses
of aconit.,  and afterwards single doses  of pulsatilla
and cannabis,  effected a perfect restoration  of the
health in the course of seven days.
   In a case of palpitation of the heart which, though
not constant, still recurred very frequently; aconit., in
repeated doses, aided by sulphur, effected a cure.
   Aurum.   In a case of palpitation of heart, where
this took place paroxysmally several times a day, and
was accompanied by anxiety, and constriction in the
breast.
   In a case where there were violent, irregular pulsa-
tions of the heart, and constriction of the chest, which
supervened on a  rheumatic fever, aurum proved of
great use.
   Bryonia  cured a  case of carditis, attended  with
great  anxiety, restlessness, and continual pressure in
the breast.
   Phosphorus proved useful in two cases of palpita-
tion of the heart, where the symptoms  justified the
suspicion of organic  derangement of this organ.  It
was repeated with advantage after a month.
   In a  case where palpitation of the heart was  very
troublesome whilst sitting, and accompanied by short-
ness of breath;  phosphorus 2)30 effected a cure.
   Pulsatilla.  In the case of a female affected with
pressing headache,  which  disappeared  on motion;
dyspepsia;  frequent chilliness; coldness of the hands, 
266                   HEART.
feet, and tip of the nose; timidity and peevishness;
heaviness, pressure and burning in the region of the
heart; paroxysms  of palpitation of the heart,  with
dimness  of vision, vanishing of the senses, and trem-
bling of the limbs; the paroxysms attacking with-
out  premonition,  but most  frequently after mental
agitation, and often in the night;  pulsatilla in alter-
nation with aconit., and both in repeated doses, pro-
duced great improvement.
  Rhus.   In a case where there were severe stitches
in the left side of the breast, which threatened to stop
the breath, occurring especially on quick movement,
in standing and whilst walking; ceasing and  again
recurring; painfulness of the part on pressure;  trem-
bling of the heart; pain and numbness in the left
arm, especially during rest, and sensation of crawling
in it on motion, or from friction; painful sensation of
stretching in the pectoral muscles of the left  side,
worse in rest; frequent chilliness; deficient appetite.
Rhus 3|24 effected  a cure.
  Spigelia.   The following case, related by Dr.  Giu-
seppe Mauro, of Naples, is  from the tenth volume
of the Archiv. f. d. h. H.
  "Gatano  Delfrate, a  boy set.  12  ann., from his
birth strong, robust, and of great muscular strength,
which he had exerted from an early age in gymnastic
exercises, was  attacked, during a  residence in Mar-
seilles, with an inflammation of the heart, for which
he was allceopathically treated.   Although he was
relieved from this  acute disease, yet his strength ap-
peared to be considerably diminished, and after many
months an  elevation of the ensiform  cartilage ap-
peared, without any  discoloration of  the superin-
cumbent skin.  By and by, the four last true ribs and 
HEART.
267
the sternum  became elevated, and he often  felt a
palpitation of heart, which would not permit him to
pursue  his accustomed  exercises.   The vertebral
column was likewise distorted.  During two and a
half years, in which he was treated by Roman physi-
cians, he  had become so much worse, that he could
not stir in bed without being attacked by the greatest
tightness of breast.   He could only sleep with his
head elevated by three pillows, and he could only lie
on his right  side.   When  the ear was  applied over
the heart,  a sound, similar to that of the purring of a
cat, was perceived.  The cheeks and lips were  some-
times bright red, and at other times perfectly pale.
The carotids pulsated, with a tremulous movement.
At times  he felt stitches in the region of the heart.
His appetite was very trivial, and  he had  scarcely
any thirst.  A  slight exertion at stool produced im-
mediate syncope, and he became disposed to faint in
a moderately warm room.  By speaking he felt him-
self very  much oppressed, the  respiration  became
very short, and the redness of the cheeks  and  lips
much increased. He was very easily affected by cold,
which produced a  lingering coryza, that rendered
the orifices of  the nose sore.  From time to time he
suffered under a fever which was considered to be of
a  rheumatic character.  He had been  treated with
the preparations of  iron,  hyosciamus,  valerian,  and
similar remedies.
   "The patient was seen by several other physicians,
one of whom pronounced the disease to be an organic
defect of  the heart,  probably  an enlargement,  by
which the sternum  and  ribs were elevated,  and
the circulation  interrupted.  He moreover considered
the disease to  be  incurable, and that  a phthisis or 
268
HEART.
hydropic affection would end the life of this unfortu-
nate being.   Another declared it to be an 'excres-
cenza fissa.'   A third thought it to be an ' excrescenza
vegetante'  And a fourth decided that it was either
an aneurism of the aorta or a polypus.
  "On the first of February I gave  to the patient
spigelia 3130 on the tongue.   Dr. Trasmundi and the
father  laughed, and  believed that  this was  only a
preparatory dose, since  they conceived it  to be  im-
possible that this should have any decisive operation.
  " I cautioned them against being alarmed, if, during
the first hours, the palpitation of the  heart, the red-
ness of the cheeks and lips, and the other symptoms
should be increased.  Five hours  after taking  the
medicine, he  became very restless, and much  op-
pressed at his breast, so that, although two additional
pillows were placed under his head, he felt no relief.
The redness  of the cheeks and lips was increased,
without the subsequent paleness.   The restlessness
and anxiety  were great.  The powerful strokes of
the heart appeared as if they would shatter his ribs
and sternum, and he could not sleep  for a moment.
His weeping mother cursed all medicine, and wished
he could free himself from the remedy he had taken.
But the lad encouraged  his mother by reminding her
of my presage.
  "The next day I found all quiet in  the house;  the
lad had slept well through  the night, even without
the pillows, and he asked my permission to eat some-
thing, which  I allowed to him.   He dressed himself,
which he had not done for more than a month, and
walked sixty steps about the room, at three trials,
without fatigue.  The next day I permitted him to
ride in a carriage, and by and by he moved about in 
HERNIA.
269
the fresh air, without  feeling anxiety or fatigue.
After five days I found  myself in the house of the
patient with Dr. Trasmundi, who, after  examining
the patient, said; 'I see that he is actually better;
both the  palpitation of heart, and  the well observed
noise, like the purring of a cat, have vanished, and
the ribs and sternum have become less elevated.'  On
which I remarked  to  him that his evidence was of
double worth  to me,  since, although  he was not
directly an opponent, yet he was not disposed to see
an improvement where there was none.
  "From day to day the patient became better, went
into company, sang, and  played on the harpsichord,
and performed all business like a healthy person.
  "On the 25th of February,  there was  deceptive
vision, all  objects  appearing to lie  remote.   Hyos-
ciamus 3|12 produced a homoeopathic aggravation,
and cured the visual disorder.
  " On the 14th of March, calcis carb. was given on
account of the acrimonious coryza.  After this  re-
medy, the coryza and all the other symptoms were so
far overcome, that no  one any longer thought of an
organic lesion of the heart or the neighbouring parts.
The ribs and sternum  had completely returned to
their natural situation."
                   HERNIA.

  Cases of hernia are  stated to have been cured by
aurum,  cocculus, magnesise  carb.,  nux  vom.  and
opium.  Of these, nux vom. appears  to  have been
the most frequently successful  The remedy of next
importance is cocculus. 
270
HYDROPS.
  Cases are also recorded of the  spontaneous reduc-
tion of strangulated hernia after the employment of
nux vom.  Other  cases  are  recorded in  which the
operation  of this remedy appeared to favour the re-
duction.
  While it is very proper to endeavour to effect the
cure of hernia by homoeopathic remedies, the case is
different with  respect to strangulated hernia.   The
strangulation is an accident of very great danger, and
the destruction of the patient, or injury as much to be
dreaded as death itself,  may speedily result from it.
And while we  believe that nux vom.  has caused
spontaneous reposition, we may still doubt the pro-
priety of its exhibition, except in very early stages of
the strangulation, when  the  symptoms  are not very
urgent, because hernia most frequently owes its origin
to chronic morbid conditions of the system, and there-
fore  nux  vom.  must frequently fail.   And as the
disease does not allow time for the beneficial operation
of the remedies which are calculated to remove these
chronic morbid conditions, it is most probable, that the
safest practice, in the present state of our knowledge,
is to treat strangulated hernia by the usual methods.


                  HYDROPS.

                      Dropsy.
  This disease is often associated with organic lesions
of one or more of the abdominal or thoracic viscera,
and although pathological anatomy may be unable to
demonstrate such lesions, in all cases of fatal dropsy,,
yet the symptoms have most frequently pointed to the
existence of functional derangement in the organs just 
HYDROPS.
271
mentioned. But both organic lesions and simple func-
tional derangements may exist without the presence
of dropsy, and, indeed, frequently if not always pre-
cede, for a considerable length of time, the appearance
of the latter disease.  It is not my object to attempt
any  explanation of  the  nature  of this  connection
between visceral disorder and dropsy, but merely
to state the facts and point  out some of the most
obvious inferences  which may have a practical ap-
plication.
  As most of the visceral lesions, which we find in-
ducing or  accompanying dropsy, are, in the present
state of our knowledge, of an incurable character, it
will  be improper for the practitioner  to give  very
great encouragement to  the  friends of the patient,
even when remedies appear to be operating in a very
salutary manner.  For although the visceral derange-
ment may be  merely functional, and therefore of a
remediable character,  yet  as we  have no certain
marks  by which  to decide that it is  unconnected
with organic lesion, the latter may exist and lead to
the disappointment of hopes which have been pre-
maturely and rashly excited.
  This #connection  of visceral disorder and dropsy
should also induce us not to bestow too much of our
attention  on the latter disease, to the neglect of the
other symptoms which are frequently of primary im-
portance.  This  is  a mistake which is frequently
made; and those means which promise to remove the
symptom,  which is the most troublesome and afflict-
ing to the patient, the hydropic effusion, are sought
after with avidity.  That remedies thus employed,
which are incapable of abating  or removing the
morbid actions which are the primary  source of the 
272                 HYDROPS.
effusion, should only produce temporary  palliation,
and oftentimes not  even effect this, is  only what
might rationally  be expected,  and  what daily ex-
perience proves.
  Before proceeding to speak of the  remedies which
have proved useful in dropsy, it is proper to remark,
that in  the homoeopathic treatment  of this disease,
all  articles of diet which possess a strongly marked
diuretic property, should be forbidden to the patient.
  Arsenicum.  Case, in a man  of strong  and robust
frame, addicted to the use of spirituous liquors, and
whose employment was of a sedentary character.  He
had felt himself very much debilitated and oppressed
at the breast for  several weeks.   His appetite was
gone, he had  pains in all his limbs, became incapable
of pursuing his business, and was at length confined
to his bed.  The whole body swelled, and an ascites,
together with painful oedema of the feet, afforded
grounds for a gloomy prognosis.  The pains in his
limbs were so severe that he dreaded to be moved on
account, of them.   After  a dose of ledum, perspira-
tion, which had not appeared for a long time, again
took place,  and  his skin became moist; the pains in
his  limbs diminished in violence.  The improvement
continued progressive till the eighth day, when it
was interrupted by an impropriety of diet.  Bryonia
then obviously  advanced the improvement,  and ar-
senicum gtt.  i.  30 removed the dropsical  effusions
which had  already been,  in some measure, lessened
by the previous remedies.
  A number of other cases are recorded, in which the
arsenicum appeared  to produce great improvement,
and some cases where it, aided by other  remedies,
effected  perfect  cures. 
HYDROPS.
273
  Bryonia is sometimes a valuable  remedy for cede-
matous swelling of the feet, and  has also  proved
useful  where this existed in combination with ascites.
  Camphora proved useful in two  cases of dropsy.
It was given in the dose of a drop every five minutes
until there was marked improvement, and afterwards
less  frequently, until  it  was finally  discontinued.
After  some  hours there was  copious urination,  and
the urine, which had been  previously red with a
copious sediment, became  clear.
  Cantharides appears to be adapted to such dropsies
as are  accompanied  by tonic spasmodic affections of
the bladder,  with strangury,  pain in the limbs,  and
chronic coryza.
  Carbo veg. has frequently proved  useful in dropsy.
  Cinchona in a single dose removed ascites, disorder
of respiration, and a peculiar, troublesome cough.   In
the course of twelve hours after the  administration of
the medicine,  the urine was copiously discharged,
and in  a week the hydropic effusion  and other symp-
toms had disappeared.  The patient, who was an old
woman, had been before treated allceopathically with-
out success.  After the removal of the swelling she
drank  "industriously  of  brandy,"  and  after some
months her disease returned.
  In a case  of  anasarca, occurring after hsemoptysis,
cinchona 10|12, given daily for eight days, and then
every other day, for a week, effected a cure.
  Digitalis.  In a case of hydrothorax, with general
dropsy; digitalis completed the cure which had been
commenced  with arsenicum.
  In a case of ascites with anasarca, where digitalis
in large doses had temporarily removed the effusion,
the same remedy, in the decillionth,  effected the same
     IS 
274
HYDROPS.
purpose, but the disease again recurring, digitalis, in
large  and in  small doses, failed  to  produce  any
benefit.
   In cases of  ascites, benefit has been derived from
the  repetition  of the digitalis as soon as there was a
cessation of improvement from the preceding dose.
   Anasarca, occurring after scarlatina, has been-cured
by digitalis.
   Dulcamara.   General  dropsy in  a  child.   Face
bloated,  body and limbs  swollen;  great restlessness
at night, on account of heat; urine deficient in quan-
tity, and of a  disagreeable odour;  diminished  ap-
petite; thirst;  flatulent  eructation;  costiveness and
debility.  Disease, the consequence of an intermittent
fever.  Dulcam. gtt. ss. 21  effected a cure.
   Dulcamara is adapted  to anasarca when it arises
from a sudden suppression of the perspiration induced
by exertion, from exposure to cold and moisture.
   Helleborus was of striking  utility  in a case of
hydrothorax  occurring  in a man set. 57 ann.  The
urinary secretion, which had before been nearly sup-
pressed, was restored.   Cinchona, bryonia and sepia,
completed  the cure.  The patient had been previously
treated by an   allceopathic physician,  without  any
success.
   In a  case of anasarca occurring after  scarlatina
miliaris.    Hydropic effusion in the cellular tissue;
patient could not sit up;  lay in  a lethargic  condition,
and was  fretful  when  aroused;  loss  of  appetite;
scarcely  any secretion of urine;  paleness of the face;
helleborus  gtt.  i. 12 effected a cure.
   Helleborus 1(30 cured, in the course  of three days,
ascites in a child.
   This  remedy often  affords  speedy  relief in  the 
HYDROPS.
275
 dropsies which occur after scarlatina, whether these
 assume the character of ascites or anasarca.
   Lactuca  virosa effected a rapid recovery in a case
 of ascites with anasarca.
   Ledum  operated  very beneficially in  a case of
 dropsy,  attended with pains in  all the limbs,  and
 dryness of the skin.   See case under arsenicum.
   Lycopodium given  in alternation  with bryonia,
 has been productive of benefit in dropsy.
   In a  case  of ascites  with oedematous swelling
 (anasarca) of the lower extremities, and lower part of
 the back.   The patient, a man set. 37 ann., had been
 several times  tapped,  and the quantity of fluid dis-
 charged was very great.  The intervals between the
 operations had diminished  from  six to  four  weeks.
 Two weeks after the  last tapping,  the  patient con-
 sidered himself as  much distended as ever, and was
 anxious for the operation to be again performed.  At
 this period I  was  desired  to attend him.  I  found
 him with pale sunken countenance, great emaciation
 of the superior extremities, and great hydropic tume-
 faction of the lower limbs, and of the penis and
 scrotum.  His appetite  was  good,  but his bowels
 were  obstinately costive;  active  cathartics producing
 small and unsatisfactory discharges.  He was subject
 to attacks of colic in the latter part of the  afternoon,
 which continued till nearly bed-time.   The  urine,
 about a pint in twenty four hours, of a dark colour,
 and depositing a copious  red sediment.   His tongue
 was smooth, and of an unpleasant dark  red colour.
 The pulse one hundred and four in the minute.   His
disposition, which in health had been rather irritable,
 appeared to be altered by his disease so that it had
 become of a more mild and patient character.  I gave
                                         18* 
276                 HYDROPS.
him lycopod.  3|24, and afterwards he had no return
of his evening colics. In the course of a day or two
his bowels were open, and the intervals between the
stools became  gradually shorter, so that in the course
of eight or ten days, he had at least  one stool every
day.  The fseces were at first of a clay colour,  but
gradually passed through various deepening shades
of yellow to a brown colour in the course of three or
four months.  The discharge of urine  increased in
quantity, reaching, in two or three weeks, to nearly a
quart in twenty-four hours; the quality of this fluid
also improved, the  colour becoming lighter, and the
sediment disappearing. The dropsical effusion abated
in the inverse order of its appearance.   The oedema
of the privates, which had appeared latest, vanished
first,  and was followed by the anasarca of the legs
and back. The diminution of the  ascites commenced
later, and only progressed until  about  half of  the
fluid  was removed  from the abdomen.   The  pulse
gradually fell  to eighty-four in the minute, and the
tongue in the course of three or four  months had
become of a proper colour.  When  I state  that the
changes  above mentioned were gradual, it  is not to
be  understood that their progress was  steady.   On
the contrary, about the fifth week it was evident that
the improvement from the lycopodium  had ceased.
Cinchona, and afterwards  mercurius, produced  but
little  important change.  Lycopodium, again given,
produced a fresh advance of the improvement, but for
a more brief period and to a more limited extent than
before.  About the end of the third month, there was
a cessation of  all improvement.  The tumefaction of
the abdomen rather increased than diminished,  the
urine again became high coloured, a copious sediment 
HYDROPS.
277
was again  formed in it, and the quantity diminished
to a  pint.  A number of remedies have since been
resorted  to  with only temporary improvement  or
without  any marked  effects,  except that  the urine
has again become clear, and the pulse falls sometimes
of late, below  eighty-four in  the  minute.  I  have
now  had the patient  under my  care  for  nearly six
months.  He now goes up and down stairs without
assistance, his tongue is  of the  natural colour; he
has had no return of his  colic, but has been subject
for some time  past to a load at his  stomach after
eating, continuing from  fifteen  minutes to half an
hour; his flesh has considerably increased in bulk
and firmness, and  there  is  no  hydropic  effusion
except in the abdomen.  J.
  Mercurius is  adapted to  hydrothorax supervening
scarlatina, where there is  violent  oppression of the
breast; short, rapid and difficult respiration; heat and
sweat over the whole body; anxiety; continual, short,
dry,  shattering cough; necessity of lying with  the
head elevated considerably, or of sitting up.
  Mercurius is also adapted to ascites and anasarca,
when these are dependent on hepatic derangement.
  Phosphorus cured two cases of frequently recurring
swelling of the face, with oedema of the hands and
feet.
  Prunus spinosus has been  recommended as a re-
medy in general dropsy.
  Rhus has cured some  cases of dropsy  occurring
after scarlatina.
  Sambuci nig. cort.  intern,  proved powerfully di-
uretic  in a case of general  dropsy.   Though  the
swelling was somewhat diminished, the improvement
was only of brief duration. 
278
HYSTERIA.  ICTERUS.
  Solanum nig. proved useful in a dropsy occurring
after intermittent fever.
                  HYSTERIA.

   The following are among the most important re-
medies for hysteric affections. Ignatia, aurum, bryon.,
ipecac, pulsat., cinchona, veratrum, Valeriana, sepia,
silex, sulphur, tr. acris, acid. nit.
   For the remedies which are adapted to those cases
in which the hysterical disorders are so  violent as to
induce convulsions, see Convulsio.


                   ICTERUS.
                     Jaundice.
   Arsenicum.  Dr. Gross mentions a case of jaundice
which was dependent upon an incurable disorgani-
sation of the liver,  where  arsenicum proved more
beneficial than any other remedy; and he  expresses
the opinion, that had it been employed  in an earlier
stage of the disease, it would, probably, have effected
a perfect cure.
   Belladonna • has  repeatedly cured jaundice in chil-
dren; and in the same disease, but of a more obstinate
character, occurring later in life, it has  aided in the
cure.
   Calcis carb. cured a jaundice, which returned peri-
odically,  attended  with obvious  tumefaction of the
liver; habitual costiveness;  grayish white stools, and
dyspepsia.   This remedy was given  daily, for some
time, in  the  dose  of gr. i.  3, and afterwards in the
higher dilutions and at longer intervals. 
ICTERUS.
279
   Carbo veg. proved very useful in a case of jaundice,
 complicated with psora and ischuria.
   Chamomilla is often adapted  to jaundice  which
 arises  from transitory causes,  as, for example, im-
 proper diet, mental emotions and  exposure to cold.
   In the case of a man set. 30 ann.   After great
 vexation, which, as he was of a quiet disposition, he
 chiefly concealed, he had a severe chill.  Afterwards,
 loss of appetite; a sensation, whilst walking, as if the
 stomach  wras  falling  down; dirty yellow coating of
 the tongue; much mucus in the mouth, especially in
 the  mornings, when  considerable quantities were
 thrown off; at the same time a nauseous, unpleasant
 taste; nausea; bowels costive; urine of saffron yellow,
 large in quantity,  and frequently discharged;  the
 face, eyes  and hands perfectly yellow;  debility and
 evening  chill  Chamomil. 9, followed  the next day
 by pulsatilla gtt. ss. 12, and in two days more by nux
 vom. 5|30,  effected a perfect cure  in  the  course of
 twelve days.
   Cinchona.   In a case where aconit. had been pre-
 viously given in order to  moderate the fever, and
 where, besides the yellowness of  the skin, there was
 loss of appetite; pain, upon pressure, in the region of
the liver; tumefaction of the abdomen; the fseces but
slightly coloured; two doses of cinchona removed the
disease.
  Digitalis.  In a case of jaundice attended by severe
cephalalgia; nausea; mucous vomiting; debility; loss
of appetite; dark brown urine; chalk white  fseces;
thirst,  and  full slow  pulse; digitalis gtt. i. 15 was
followed, in thirty-six hours, by six stools, each stool
more yellow than the preceding, and gradual restora-
tion of health. 
280          INCUBUS.   LEUCORRHCSA.
   Mercurius is an important remedy in jaundice.
   Nux vom.  Judging  from the reported cases of
cures, this remedy is the most important in the treat-
ment of jaundice.  The cases to which it is adapted,
have, in addition to the yellowness of the skin, some
or most of the following symptoms.  Loss of appetite.
Nausea or vomiting, especially after eating. Pressure
or pressing pain in the stomach.  Tongue coated. Dis-
agreeable taste.  Constipation or costiveness.  Fseces
white and hard.
   Pulsatilla has been employed in the treatment of
jaundice;  but, in  the reported cases, nux vom.  has
generally  been also used.
   Sulphur has been recommended as a valuable re-
medy in jaundice.
   In addition to the  above mentioned  remedies, the
following  have also been recommended;  acid,  nit.,
bryonia, dulcam., ignatia, ipecac,  lycopod., magnes.
mur., sepia, soda mur.

                  INCUBUS.
                    Nightmare.

   Where  this disorder frequently appears, the follow-
ing remedies will often be  found useful; aconit.,
ammonia  carb., bryonia, bellad., ignatia, guaiacum,
nux vom., opium, sulphur.

               LEUCORRHCEA.
                Fluor albus. Whites.

   Aconit., in repeated  doses, has sometimes  proved
serviceable in leucorrhcea.
   Alumina.   In a case where the discharge was of a 
LEUCORRHOEA.
281
 yellowish colour, acrimonious, and worse just before
 and after the menstrual periods;  the case complicated
 with  tetter  on the fore arms  and  great  debility.
 Alum. 3|12 removed all these diseases.
   Arnica,  followed by calcis carb., effected the cure
 of  a  leucorrhoea  complicated with swelling of the
 knee.
   Calcis carb.   This remedy sometimes proves very
 useful in  leucorrhoea and the affections which exist
 in complication with this disorder, especially when
 the patient is of the sanguine temperament, a weakly
 constitution, or mild disposition.
   In  a case where, with  copious discharge of  white
 mucus,  there was severe itching of the sexual parts
 and sometimes burning  and piercing stitches; also
 emaciation, debility, pain in the  breast, dry cough,
 restless sleep, &c, this remedy effected a cure.
   In  a case where an  acrimonious  discharge was
 complicated with pain in the loins, diminished appe-
 tite, and sticking pains  in  the  region of the  liver.
 Disease of four years' duration.   Cured in fourteen
 days by a single dose of calcis carb.
   Cannabis  has been recommended  as worthy  of
 trial in leucorrhoea.
   Cinchona.   A  case  is mentioned  in which this
 remedy appeared useful
   Cocculus.  In a leucorrhoea, which supervened on
metrorrhagia menstrualis.   The discharge consisted
of a bloody serum  intermixed with purulent matter,
 and occurred in gushes whilst stooping.  There was
 also distension of the abdomen, flatulent colic, and a
painful  sensation  of weight in the  umbilical and
pubic regions.   Cocculus gtt. i. 9  effected a perfect
 cure in six days. 
282
LEUCORRHOEA.
   Copaiva bals. has been stated to be a good remedy
in fluor albus arising from gonorrhoea.
   Iodine.   Dr. Mauro states that iodine has proved
a  very important remedy in leucorrhoea, and that by
a  single dose of iod. 3|30 he had cured this disease,
though of many years'  duration, in a woman set. 50
ann.
   Lycopodium.  When the discharges of a yellowish
matter are sudden, and  preceded by a cutting pain
low  in  the abdomen;  the patient is dyspeptic and
often affected with sudden flashes of heat in the face,
though this is pale.
   Mercurius.  Two doses of mere 12 cured a leu-
corrhoea.
   Nux vom.  When the discharge consists of a fetid
yellow mucus, and the  leucorrhoea  is  complicated
with cephalalgia, colic, distension of the abdomen, and
constipation.
   Pulsatilla.   When the discharge consists of a thin,
acrimonious  mucus, and is attended by a burning
sensation in the vagina; sorrowfulness and depression
of spirits.
   Sepia.  In a case where, with a copious  discharge
of thick, yellow, acrimonious matter throughout the
day, there was fulness, heaviness and tension of the
abdomen, and continual  downward pressure in the
sides; sepia proved very useful.
   (In a case of leucorrhoea of two  years' standing,
characterised by pain in the back, an increase of the
discharge from exercise;  the matter of a light yellow
colour and unirritating quality.   I administered sepia
with entire success.  Green.)
   In addition to  the remedies above mentioned, the
following have also been recommended.  Acid, nit., 
LIVER.
283
 arsen.,  bellad., bovista, conium, carbo veg., ferrum,
 graphit.,  ignatia, mezereum,  petroleum,  platinum,
 sabina, silex,  soda mur., stannum, staphys., sulphur,
 thuya.


                     LIVER.

   Hepatitis.   As the inflammatory fever, which ac-
 companies this disease,  is generally very consider-
 able,  it is mostly proper to commence the treatment
 with  repeated doses of aconit., and then, according to
 the circumstances, to employ  either bryonia, nux
 vom., mercurius, or any other remedy which is adapt-
 ed to  the case.
   Belladonna  is  adapted where there are pressing
 pains in the region of the liver, which extend them-
 selves as far upward as the shoulder; distension of the
 epigastrium, and intolerable tension across the abdo-
 men immediately above the umbilicus, with difficult
 respiration and anxiety;  determination of blood to
 the head, with confusion of the  head,  dimness  of
 sight  and the  vertigo of approaching syncope; great
 thirst; agonising restlessness; sleeplessness.
  Bryonia has been frequently employed after aconit.,
 with satisfactory results.
  In  the  case of a boy set. 14 ann., of strong frame,
 and irritable disposition, who had  been  ill for eight
days,  and  gradually becoming worse.   The region of
the liver extremely painful on being touched; tongue
dry,  with a dirty brown coating;  taste bitter; face
red, and hpt;  heat and dryness of the surface of the
whole body; sensation of violent internal heat inter-
rupted by slight chilliness; sticking pains extending 
284
LIVER.
 upwards  from the  region of  the  bladder;  cutting
 pains  in the extremities, which were very severe on
 motion;  pulse  hard and frequent.  The patient had
 drunk plentifully of chamomile tea (matricaria cha-
 momilla) and had afterwards a severe diarrhoea, which
 had ceased after the discontinuance of the tea.  In
 twenty-four hours after  aconit. 4)24, the pains had
 diminished, the skin was  moist, the pulse normal,
 and the  heat absent.   Bryonia 4|30 was followed by
 rapid convalescence, and in six days the patient was
 able to resume his usual employment.
   Chamomilla is adapted to hepatitis, especially when
 this disease owes its rise to  violent anger or exposure
 to cold;  but it is proper to precede its  employment
 by a dose of aconit.
   Lycopod.  In a case of hepatitis  complicated with
 pneumonia, arising from walking in the open air soon
 after recovery from  an attack of pneumonia, which
 had been treated with aconit.  3|30 and bryonia 3|30.
 Dry cough, with stitches in the breast, which im-
 peded respiration and speech; yellowness of the eyes
 and face;  burning and sticking  in the region of the
liver, in which the slightest touch could not be borne
 without screaming;  the patient lay  easiest on his
back, and could not lie on either side; tongue with a
yellow coating; nausea; cephalalgia; heat; thirst;
much sweat; pulse small and frequent.  After aconit.,
nux vom. and  mere had  been  employed without
obvious amendment; lycopod. 2|30  changed the con-
dition essentially in twenty-four hours, and in eight
days the patient was perfectly well
   Mercurius is  one  of the most important remedies
for hepatitis, but in the reported cases,  nux vom. or
bryonia has most commonly been previously used. 
LIVER.
285
   In a case arising from  exposure to cold.  Severe
sticking, burning pain in the convex part of the liver,
extending  to the spine, and increased by sneezing,
cough, deep inspiration or pressure; liver greatly en-
larged, and protruding below the ribs; great tension
of the prsecordia; frequent vomiting of bile; flatulent
eructation; tongue  with a white  coating, and moist;
taste acid and bitter; great thirst; constipation; urine
burning  and high coloured; face swollen and red;
warmth of the skin moderate; pulse small and hard.
After aconit. gtt. i. 24, mercurius gr. ss. 12 was given,
and effected a cure.
   Nux vom.  This remedy is generally employed in
the treatment of hepatitis.  Dr.  Schubert  states that
he cured seven cases of this disease,  which were ac-
companied by considerable gastric derangement, with
nux vom.,  followed by mercurius.   He  details  the
following case.
   Case.   In a  woman set. 30  ann., of sanguineo-
choleric  temperament.  In  the  region of the  liver,
which  was tumid,  the patient  felt  stretching and
severely  sticking pains,   which  were increased  by
every inspiration and cough; external pressure could
not be endured, and she could lie only on her  back;
respiration short, difficult and painful; excessive sore-
ness in the region of the stomach; violent pain in the
right shoulder  joint;  general heat;  frequent, light
sweat;  pulse rapid, full, and somewhat hard;  sleep-
lessness from pain, &c; cramps  in the  feet, and  in
the right gastrocnemius muscle;  severe thirst,  espe-
cially at  night; little appetite; after eating, pressure
in the stomach; eructation, with taste  of putrid  eggs;
nausea and bilious vomiting; twice in the day, diar-
rhceal stools; cloudy red urine, speedily depositing a 
286
LUNGS.
lateritious sediment; peevish and quarrelsome.   Nux
vom. gtt. i. 30 effected considerable improvement in
twelve hours.   On the second day the patient  com-
plained only of pressure in the stomach after eating,
and  of outward pressing pain  in the  region of the
liver, which  was  still tumid.   Mere gr. i. 2 was
then given, and in a few days  the disease entirely
disappeared.
  In addition to the above remedies,  the following
have been mentioned as worthy of attention in acute
hepatitis; antimonium, cinchona,  pulsatilla.

  Hepatitis  chronicus.  In those forms of morbid
action in the liver, which are termed chronic hepatitis,
sulphur, soda, magnesia mur. and lycopodium are the
remedies most frequently indicated, though the fol-
lowing  are mentioned as  likely  to  be  sometimes
useful;  ammonia  mur.,  antimonium  crud., bellad.,
carbo anim., potassa carb., soda mur.


                    LUNGS.

  Some diseases in which the lungs are considerably
or principally affected, have been already considered
under  separate heads, as, for example, catarrh and
asthma, and others will be thus considered.  There-
fore I shall treat in the present article only of inflam-
mation of the lungs.
  Pneumonia.   Pleuritis.  Aconit. is the most im-
portant remedy in inflammation of the lungs, and is
employed advantageously in nearly all cases.   If it
should fail to remove the disorder entirely, it will
generally abate its  violence, and diminish the accom- 
LUNGS.                  287
panying fever, at  least, for a time.  In  those cases
where it does  not succeed, bryonia, most commonly,
should  be next employed; though  where there is
much delirium, with heat and redness of the face,
belladonna may be the proper remedy.   Where, as is
sometimes the case, both the aconit. and bryonia fail,
cannabis is worthy of attention, or in  typhus cases,
rhus.  But under these circumstances, other reme-
dies have also succeeded, viz. arnica, bellad., lycopod.,
potass,  carb.,  scilla.  There are cases recorded in
which arnica, bellad., bryon., cannabis,  pulsat.  and
scilla have each alone, without the previous adminis-
tration of aconit., succeeded in curing these diseases.
The plan of  first giving aconit., however, has the
general sanction  and approbation of  homoeopathic
physicians.
   Sulphur has been frequently found very useful in
sub-acute inflammation of  the  lungs  in scrofulous
subjects.
   From the numerous recorded cases, I shall select a
few of those  cured by some of the remedies which
are most important in pneumonic inflammation.
   Aconit.  Case in a man set. 35 ann.   In cool, un-
comfortable weather, he  fell into a pit filled with
water as high as his breast, and had to walk for half
an hour  in his wet clothes before he  reached his
home.  From this  time he  felt diminished appetite,
had eructation and sense of fulness at the epigas-
trium, with general lassitude of the body.  After ten
days, from a fresh exposure to cold, he was attacked
with chill, followed by fever, which confined him to
his  bed.  The next day,  the  patient  experienced
single stitches of pain in the left side of the chest,
which became so much worse by the following  day, 
288
LUNGS.
that he complained of continual sticking pain, which
was increased by every deep inspiration, cough or
movement.  He had a nearly dry cough; confusion of
the head; vertigo on sitting up; face red and tumid;
eyes glistening and weeping; tongue with a  thick,
white, mucous coating; great thirst; no stool for two
days; copious sweat, but no sleep for two nights;
full, hard pulse.  Aconit. 24, given in the forenoon,
was followed by an increase of the stitches in the side
for a short time, after which he fell asleep, slept for a
short time, and awakened much refreshed.   At noon
he had some appetite and an opening of the bowels,
and by evening he was nearly well.  The next day
he took a journey of five  hours, without  a relapse of
his complaint.
  Belladonna.  In  the  case  of a man set.  61 ann.
Chill  followed by fever and  stitches in the left side
of the chest, much cough, with bloody expectoration,
and short, laborious respiration.    Urine yellowish
red.  Taste bitter.   Loss of appetite.  Delirium in
slumber.   Dry tongue.   Two doses of aconit.,  and
one of arnica, had  failed to change  the condition.
Belladonna  10|30 was  given, and  the improvement
was so great by the next day that  he could get up
and walk a little.   In two days he was well
  Bryonia.   In the case of a woman set.  32 ann.
Induced  by drinking cold water  whilst  overheated.
Chill  followed by fever, &e, which  became  worse
and worse, and in two  days presented  the following
form of disease.   Severe stitches in the right side of
the breast, both with the cough, which was dry, and
by motion and respiration; sensation  of load in the
right breast; no sleep  on account of  the intolerable
pains; great anxiety;  respiration  short  and quick; 
MAMME.
289
face tumid, and of a brownish red;  pulse hard, small
and intermittent; violent palpitation of heart; skin
hot and dry; urine of a deep red colour; tongue rough
and dark coloured; thirst considerable; bowels not
open for  two days.   Bryonia gtt. 1.12 was followed
by an increase in the violence  of the  symptoms for
some hours, and then by a gradual abatement.  The
next day she was free from  fever, had no pain, and
could take a long breath.  The  bowels had also been
open.   By the following day she was well


                  UAUUM.
                    The Breasts.

  The breasts of females are very liable to inflamma-
tion, but especially so after parturition, during lacta-
tion,  and at the time  of drying  up the  milk or
weaning the child.   It  may arise from not applying
the child to the breast sufficiently early, or neglecting
to resort to other means for relieving the mammse
from  the accumulated milk.  Drawing off a portion
of this fluid will often  remove  the inflammation in
its early  stages.  A  variety of contrivances have
been resorted to  for this  purpose, but none of them are
superior  to the  mouth  of the  infant  when this is
perfect, and  the nipple is properly developed  and
free  from  disease.   But  where the infant cannot
perform  this office, the mouth  of  an older  person,
where one can be found willing to undertake it, is
next  to be  preferred.   But there are cases where,
from  soreness or malformation of the nipple, or other
causes, we must resort  to other means.  In the em-
ployment of these, especially of some of later inven-
      19 
290
MAMME.
 tion, where the vacuum is formed by means of an air
 pump, care must be taken that too much force be not
 applied, for serious injury may possibly be inflicted
 on the lactiferous ducts.   Indeed, but little  force
 should ever be applied; for much often defeats us of
 our  objects, and frequently the mammse will relieve
 themselves without any external aid.   In the case of
 a woman where, instead  of nipples, there was a con-
 cavity as if the nipples were  inverted, I thought it
 proper to endeavour to draw off some of the milk by
 artificial means, though there was a slow  exudation
 of this fluid.  Suction, instead of increasing the flow,
 suspended   it, and I  was obliged to desist.   The
 natural  discharge  proved sufficient, for in the course
 of a few days, the pain disappeared, and the secretion
 soon ceased without any unpleasant consequences.
   When the milk does  not flow of itself,  or is not
yielded  to  gentle  suction,  diseased action is already
present, and the remedy is not forcible  suction but
the employment of those means which will remove
the disease  For although retention of the milk may
induce morbid action, it is itself  more frequently a
result of disease induced by  taking  cold,  or other
causes.
   Under these circumstances, we find a general hard-
ness of the breast;  the lactiferous vessels feel  like
knotted cords, in which the patient experiences  sen-
sations of tension  and pressure.  As inflammation
advances, the  surface of the breast becomes more or
less reddened, the tumefaction  and  hardness increase,
and  are accompanied by severe  lancinating  and
burning pain, and  general fever.   The most import-
 ant remedy in these cases, before  the inflammation
has become very violent, is bryonia,  but where  the 
MAMME.
291
inflammatory  action is great,  belladonna  is  more
proper.   Should  this remedy not  entirely  subdue
the  disease,  it  is recommended by Hartmann  to
employ mercurius. 12.   Rhus  is  also a  valuable
remedy, and is adapted  to conditions very similar to
those which are  suited  to bryonia.   At the time of
weaning the child,  much  of the suffering,  which
many women undergo in the process of the drying up
of the  milk, although the disorder does not amount
to actual  inflammation,  may be prevented by the
employment of  these remedies.  In illustration  of
this remark, I will mention the case of a woman, the
mother of four or five children, who always suffered
very much from her breasts, for two or three weeks
after weaning her children.   When she weaned her
last,  she suffered in the usual manner, until a dose
of bryonia was administered,  which afforded speedy
relief.  A few days afterwards there was a return of
pain, when a repetition of the medicine again relieved
her,  and the cessation of secretion was effected with
far less inconvenience  than she had always  before
experienced.
  It will rarely happen  that the inflammation, when
early treated with these remedies, will not yield  to
them; and then only in  those cases where the disease
of the mammse is modified and maintained by a mor-
bid condition of the system.  In these instances resort
must be had to sulphur, silex, graphit., phosphorus,
or other remedies.  Phosphorus is adapted to cases  of
erysipelatous  inflammation  of the  mammse,  when
suppuration is threatened or has already commenced.
  Where inflammation  of the mammse arises from
mechanical injury,  conium  is "considered to  be  a
valuable remedy.
                                       19* 
292
MAMME.
  In suppuration of the mammse, both phosphorus
and silex have proved valuable remedies.
  Case.   A  young  woman, some weeks  after  con-
finement  with her  first child,  was  attacked with
inflammation of one breast.   Notwithstanding the
application of cataplasms and ointments, it grew con-
stantly worse.  When Dr.  Gross was called to visit
the patient, he found the breast very much swollen
and  inflamed, with  orifices in  many places, with
callous margins, still  discharging matter, and indura-
tions between the openings.   At the same time, the
patient had a cough, mostly dry, but frequently ac-
companied with expectoration of blood; circumscribed
redness of the cheeks, with otherwise pale colour of
the face;  loss of appetite; chilliness in the evening,
followed  by dry heat, especially in the palms of the
hands; and at night ensued a clammy sweat.  All
local applications were laid  aside, and the  breast
merely covered  with  cotton,  and  supported by a
suspensory.   Sol phosphori 30  was given, and in
eight days the phthisical symptoms had disappeared,
and by the sixteenth day the breast was soft,  and  so
healthy that she  could suckle with  it, which she
continued to do without experiencing afterwards any
inconvenience.
  Case.   In an unmarried female.  Abscess of one
breast  from  unknown  cause.   The affected breast
much enlarged; the  other small and soft.  Towards
the axilla was an opening, with callous margins,
through which exuded a thin, watery, and fetid pus.
A sound passed into the orifice, entered a canal which
extended to the sternum.   The skin over the lower
part of the sternum  was considerably swollen, and
the slightest  touch on  this  part could not be borne. 
MAMMILLE.
293
She suffered also from  cough; shortness of breath;
great debility and amenorrhcea. The disease of seven
weeks' duration.  Silex 30, keeping the sore clean
by frequent washing, and the use of a dry bandage
to support  the breast, produced rapid improvement.
In eight days the breast had resumed its natural size,
and become soft, but several  weeks  elapsed before
the breast was entirely healed, and the general health
fully restored.
  Galactirrhcea.  When the milk is too copiously
secreted and runs freely from the mammse, without
suction on the nipples, and the discharge is so great
as to induce debility and emaciation,  the  following
remedies are recommended; calcis carb., phosphorus,
aconit., rhus, belladonna.
  Agalactia.   When there is a suppression of the
secretion of milk, or where it is deficient in quantity,
Pulsatilla and zincum are recommended as remedies
which are likely to be indicated.
  In those  cases where,  although the secretion of
milk is proper as to quantity, and  the health of the
mother and infant apparently good,  yet  the latter
refuses to take  the breast,  Hartmann highly recom-
mends cina and mercurius.
  Scirrhus mamme.   See article Scirrhus.
                 MAMMILLA.

                    The nipples.

  The nipples are  very liable to become  sore, the
soreness varying in degree from  simple abrasion of
the cuticle, to such deep ulceration as destroys them.
This soreness appears, sometimes, to be the result of 
294
mammille.
irritation from the mouth of the child, and in some of
these instances to be the effect of the  acrimonious
secretions in the mouth of the  infant while it is
suffering from aphtha.  In other cases,  the soreness
partakes of the character of a tetter, and is dependent
on a morbid condition of the system.
  But whatever may be the form or cause of disease
of the nipples, it most generally inflicts great torture
on those whom it affects.  In its more simple forms,
and  where it  exists independently of constitutional
derangement, moistening the  nipple, whenever  the
infant is removed from the breast, with a wash formed
by mixing two drops of tincture of arnica with a tea-
spoonful of water,  will  frequently be  sufficient to
remove the disease.   Every time before applying the
child to the breast, the nipple should be washed with
lukewarm  water.   When this treatment does  not
remove the pain entirely, in forty-eight hours, it is
recommended  by Hartmann to  administer  sulphur
1|30.   He  also remarks, that,  at  times,  calcis  carb.,
lycopodium, sepia or graphit. is indicated in  the
beginning; these indications  being decided by  the
accompanying symptoms.  The graphit. is  particu-
larly useful when  the inflammation is considerable,
and approaching an erysipelatous character, or where
the patient has been  subject to scrofulous eruptions
on the skin, or to tinea  capitis, and when she still
complains of itching of the scalp, with much furfura-
ceous desquamation.
  Case.  In a woman with  her  fourth child.  At
the commencement of lactation, the nipples became
sore, and were deeply chapped.  The chaps frequently
bled, and burned like fire.  There were  also such
deep fissures at the base of the  nipples and in  the 
MAMMILLE.
295
 areolse, that there was cause to apprehend the loss of
 the nipples.  For  several weeks  the  disease  was
 treated with washes, ointments,  and plasters,  from
 the most successful of which she  experienced only
 temporary relief, and from some of the others con-
 siderable aggravation of her sufferings.   These being
 laid aside, a small part of a drop of spt. vini sulphurat.
 was given  internally.   Frequent  washing of  the
 nipples with pure, lukewarm water was also recom-
 mended.  In three days there was a diminution of
 the burning pain,  and a cessation of the bleeding
 from the fissures.   In four weeks  the fissures were
 completely healed,  but a slight  degree of soreness
 remained, which increased in the fifth week, and in
 the sixth week a number of small vesicles appeared
 on the nipples.  Graphit. was then given; the vesicles
 dried up, and soreness disappeared entirely.  In four
 weeks there was not a trace of the disease.  She had
 nursed her  child  during the whole course of the
 treatment.
   Case.  The nipples sore, tumid, hard and inflamed.
 This case was treated  " antipathically," by the same
 physician who afterwards treated it homceopathically.
 The pain caused by applying the child  to the breast
 was so great, that it was applied as seldom as possible.
 Owing to its consequent imperfect  nourishment, the
 infant  sickened and died.  Previously to the death
 of the  child, the right breast of the mother had in-
 flamed and suppurated.  This had healed, but many
 knots were left in it, as also in the breast  which had
 not suppurated.   After  the death of the infant, the
 soreness  of the nipples disappeared, but  the indura-
tions remained. Four months afterwards, the patient
became pregnant.  In the  third month of gestation, 
296
MENSES.
she felt a drawing in the indurations, which more
and more frequently returned, and at length changed
into  pain.   At the end of the fourth month,  the
breasts were turgid, and so sensitive that the slightest
touch excited pain.   The nipples and areolse were
ulcerated, and covered with straw yellow scales, from
beneath which there  exuded an acrimonious fluid.
In the  affected parts there  was severe itching at
night, and scratching caused burning  pain.   In the
fifth  month, the disease had become so troublesome,
that the physician  was called to visit her.  He gave
her a small dose of tinct. sulphuris, and in two days
the sensibility of the breasts began to diminish.  By
the ninth  day, the indurations were smaller and less
painful, and in seven  weeks after the administration
of the sulphur, the nipples were nearly well, and the
breasts without pain.   The smaller indurations  had
disappeared, and the larger had lessened very much
in size.   Graphit.  was then  given, and in eighteen
days the  indurations  had entirely disappeared,  and
the right nipple  was perfectly well, but  the  left
nipple was  still covered with scales, and ulcerated.
Lycopodium was afterwards given, and in the course
of four  weeks  the disease was  completely removed.
At the  proper period, she was  delivered of  a child,
and suckled it without the slightest return of her old
complaint.


                   MENSES.

   Amenorrhea.   Emansio mensium.  "The  circum-
stances  which most commonly attend  the first com-
mencement of the menstrual secretion, are: determi- 
MENSES.
297
 nation of blood to the head;  heaviness of the head;
 palpitation of the heart; at times constriction of the
 chest; sensation of warmth, and fulness in the abdo-
 men;  general lassitude; at times flashes of heat in
 and redness  of the face;  weakness  of the legs and
 feet;  pain in the loins, pelvis and thighs;  frequent
 desire to urinate.  If, under proper diet and regimen,
 these symptoms continue for a long time without the
 appearance of the menses, medical treatment is de-
 manded," and in these cases pulsat. is the remedy
 most  generally required, but cham.  and  verat. may
 be sometimes indicated. The most valuable remedies,
 for  many of these cases,  are sepia, conium,  mur.
 magnes., and lycopod.
  Though the menses should not appear at the age
 of  puberty,  it is  not proper for the physician to
 endeavour to hurry their appearance with medicines,
 when their retention  is accompanied by no disturb-
 ance  or  disorder of the system, and the  corporeal
 development  is  incomplete;  but at a later  period,
 when the frame is fully developed, it is not improper.
 In  these cases, pulsat is adapted, where the disposi-
 tion is fretful,  complaining,  and  timid,  and the
 muscles  are  soft and  relaxed.   Nux vom. in those
 where the disposition is  hasty and passionate,  and
 there  is a plethoric condition of the system.  Where
 these remedies fail, soda mur.,potassa carb., or calcis
 carb.  may be indicated,  the  last especially where
there is a general plethora.
  When the  appearance of the menses  is late, and
they are  small in quantity, and soon cease, tr. acris
or graphit. may be proper.
  Suppressio  mensium. In suppression of the menses,
 where the physician is consulted early, and the cause 
298
MENSES.
as fright, grief &e, &e, is known, the remedy which
is most useful in removing the effects of such cause,
may be the proper one for the case.  But if much
time has already elapsed, such remedy will frequently
be found inefficient, and  the  indications for the re-
medy must be found in the existing symptoms.
   Cocculus is often  the best adapted remedy, when,
at the period of menstruation, instead of the menses,
there are abdominal cramps, and especially when
there are combined  with these, constriction of the
chest; anxiety; sighing and groaning; paralytic weak-
ness, the patient being  unable to  speak aloud, and
the limbs relaxed; convulsive movement of the limbs,
and scarcely sensible pulse.
   Cuprum or cupri  acetas, when the typical parox-
ysms consist in most intolerable abdominal cramps,
which extend themselves into the breast, and produce
nausea, retching, and even vomiting; at the same
time the limbs  are  also  affected,  and  convulsions
similar to the epilepsy are produced.
   Besides the remedies above mentioned, the follow-
ing are worthy of recommendation;  Valeriana, platin.,
bellad., ignat., magnes. arcticus, mezer., digital, pul-
sat., magnes.  carb.  and mur., sulphur, zinc, silex,
lycopod., graphit., acid. nit.
   Menses immodice.  What  is  generally termed
immoderate menstruation is seldom a real increase of
the menstrual secretion, but a true hemorrhage; the
proper remedies for which will  be found under the
head of Metrorrhagia menstrualis.   The same reme-
dies are worthy of attention, when (if this is ever the
case) the menstrual secretion is morbidly increased.
   Menses  diminute.  Where bad health accompa-
nies a diminished, or uncommonly small  menstrual 
NEPHRITIS.
299
secretion, the remedies already mentioned for reten-
tion or suppression of the menses, deserve attention.
  Dysmenorrhea.  Where menstruation is accom-
panied by  pains,  shooting from the • back into the
thighs, and by bearing down pains in the lower part
of the abdomen, resembling labour, or after pains,
secale  cornut. is indicated.   I prefer the lower  dilu-
tions of this remedy for the greater certainty of effect,
though they are sometimes productive of considerable
temporary  aggravation.  In  this form  of morbid
menstruation, the periods are too frequent, and the
discharge is mostly, if not always hemorrhagic, as is
exhibited by the fact of the coagulation of portions of
it.  The other remedies for metrorrhagia menstrualis
are therefore worthy of attention in most forms of
dysmenorrhcea.  J.


                  NEPHRITIS.
              Inflammation of the kidneys.

  Aconit.  is proper  to abate the violence of the in-
flammatory fever.
  Belladonna.   This remedy is adapted where there
are spasmodic  sticking  and burning  pains in the
back,  in the region of  the kidney, which  extend
themselves in the  course of the ureters, to the blad-
der,  and pain  in  the lower part of the abdomen,
increased by pressure; high  coloured urine in small
quantities;  anxiety;  restlessness;  constipation.
   Calcis sulph. is often indicated when the symptoms
above mentioned are  present.
   Cannabis is recommended, when a drawing pain,
as from soreness,  extends from the  kidneys to the 
300
NEURALGIA.
pubis, and is accompanied  by a feeling  of anxiety
and sickness.
   Cantharides.  Case from taking cold. Chill, fever,
headache and thirst. In the region of the left kidney,
cutting pains,  which extended from thence in the
direction of the ureters to the bladder.  Violent, but
almost ineffectual urinary pressure, only a few drops
of highly coloured urine being voided.  Aconit. 2|30
was  first given,  then  cantharides 3|30, and subse-
quently for a remaining pressing pain in the region
of the kidney, nux vom. 30.
  Nux vom.  is highly recommended as abating the
pain and inflammation attending the descent  of a
renal calculus.   In cases of this kind, the nux vom.
has sometimes been very frequently repeated.
  This remedy is also useful where nephritis arises
from a suppression of the hemorrhoidal flux.
  Pulsatilla is  frequently useful when nephritis is
the consequence of suppression of the catamenia.
  In  addition to  the remedies above mentioned, the
following have been recommended  as likely some-
times to be indicated; cocculus., mercurius, plumbum,
thuya.


                 NEURALGIA.
               Tic doloureux.  Nerve-ache.

  Aurum.   N. facei.  From  applying an ointment,
formed by rubbing  up an amalgam  of mercury and
tin in oil, to chaps below the nose; cure of the chaps,
but salivation,  slight purulent discharge from  the
nose,  and pain in the face.  The former of these af-
fections soon disappeared, but the discharge of matter, 
NEURALGIA.
301
and a  stretching pain in the upper jaw, penetrating
the bone, and extending to the ala nasi, had continued
more than six months.  The patient was exceedingly
depressed in spirits, and sorrowful.   Aurum gr. ss.
12 removed the whole of the disease.
  Belladonna.   N.  facei.  In a woman set. 30 ann.
Disease of six months' duration.  Daily, many parox-
ysms  of pain,  which sometimes continued for four
or five hours,  remitted for half an hour, or even for
several  hours.   The  paroxysms  commenced  with
troublesome itching and tickling on the right cheek
bone and side of the nose, which caused an irresisti-
ble inclination  to rub the affected part.   But, as she
had been taught by experience that it speedily pro-
duced  the  pain, she avoided it as long as possible.
After  some time a very violent cutting pain in the
course of the infraorbital nerve, almost  drove her dis-
tracted.  Except  an  increased flow  of tears  and
saliva,  no change of the affected parts  was observed,
either  during  or after the paroxysms.   Disposition
sorrowful and despairing.   Belladonna gtt. i. 30 was
followed by a  slight homoeopathic aggravation, but
subsequent  improvement.   In fourteen days the me-
dicine was  repeated, and at the end of  fourteen days
more there  was not a trace of the disease left.
  Colocynth.  N.  facei.  In a man set. 60 ann., who
was in other respects apparently healthy.   Stitches
and pains in the left cheek,  orbit, side of the nose,
ear and upper jaw.  Beating toothache, first in  one
and then in another tooth on the same  side.   The
pains  were  very  severe, intermitted,  but  soon  re-
turned, and allowed  rest neither night  nor  day,
pains  increased by touching the affected parts,  by
warmth or  by motion.  Heat of the whole body,  with 
302
NEURALGIA.
thirst.   Pulse full and hard.  Disease of three days'
duration.   Colocynth. was followed,  after a brief
homoeopathic  aggravation,  by comfortable sleep, and
the next day he was perfectly free from his com-
plaint.   A  year  afterwards he was  attacked with
the same disease,  but was at once treated with  the
colocynth. with the same success as before.
   Conium cured a severe neuralgia of the face, which
consisted in  tearing  pain, passing, with  electrical
rapidity, through the right side of the  face, and re-
turning every two to five minutes.   The remedy was
given every day, for some time.
   Mezereum.  N. facei.  In a man set. 25 ann.  Six
or eight paroxysms in a day, of pressing, pinching,
spasmodic pain in in the superior maxillary bone of
the left side,  extending upwards  into the eye and
temple, and downwards to the ear, teeth and shoulder.
Paroxysms induced by entering a warm room  or
eating  warm  food.  Mezereum  gtt. i. 6 produced an
aggravation of the complaint for a day or two, then
entire  disappearance  of the pain for  a day.   After
it  again returned, chamomilla removed it for some
time.   In eight  days  it again returned, when meze-
reum 2|18  perfectly cured  it, and a year  afterwards
there had been no return of the  complaint.
   Phosphorus.   N. facei.   In an otherwise healthy
and robust man set. 30 ann.  Disease of eight years'
standing.   Origin,  taking  cold.  Vertigo on rising
from bed, for which many bleedings, purgatives, &c,
had been  employed without benefit.   Itching over
the temple and  whole left side of the face.   Face
tumid  and  pale.   Dull tearing in the left cheek, and
dull drawing in the left upper jaw, to the root of the
nose; pain and  stitches in the  left cheek, from the 
NEURALGIA.
303
jaw towards the ear.  Pain throughout  the  entire
left side of the face on opening the mouth.   Phosph.
produced homoeopathic aggravation for two days.   In
fourteen days he was well.   No return  at the  end of
a year.
  Spigelia.   N.  facei.   Dr.  Gross  states  that  he
cured several cases of neuralgia facei, of recent origin,
with spigelia 30.   But that, in a case of considerable
duration, in a man of fifty years of age, this remedy
moderated, for a time, the violence of the paroxysms,
but could  not remove the disease.   In this  case, the
pain was  paroxysmal  and excessively  violent,  and
affected the whole left side of  the  face, but raged
most violently in the zygomatic bone and the parts
bordering on the orbit.  The patient could not endure
(in the paroxysms) the slightest touch on the affected
parts, nor the slightest motion of a single limb.  The
left side of the nose, and the left half of the upper lip,
were  tumid and  shining.   After  the  spigelia,  he
employed, in succession,  calcis carb., lycopod., sepia,
baryt., phosph., and concluded the cure with graphit,
30, because, after every change of  weather, there
was a morbid sensibility of the parts which had been
affected.   After the graph., there appeared on the
left side of the face an erysipelatous affection,  which
disappeared in a few days,  as also did every trace of
the neuralgia.
  In  several cases of neuralgia facei,  I found the
spigelia of great service.   In  the  case of  a  young
lady who  had suffered, at times, under this complaint
for more  than  a year, the  most violent paroxysms
coming on towards evening, pulsatilla produced tem-
porary abatement of the suffering.  Spigelia speedily
removed it.   After some  weeks there was a  return of 
304
NOSE.
the disease, which was again  speedily removed by
this remedy.   At the end of a couple of months, the
disease  again  appeared,  but  in milder  form,  and
yielded at once to the spigelia.   For the last three
months there has been no  return of the complaint.  J.
  In  addition to the remedies  above mentioned, the
following have also  proved useful  Aconit., arnica,
arsen., barytes, bryonia, capsicum, cinchona, digitalis,
lycopodium, mercurius, nux vom., pot assa carb., ruta,
stannum, staphysagria, sulphur, tr. acris, verbascum.


                     NOSE.

  In  inflammation of the external  nose, arnica  and
belladonna have been found useful.
  Where there is external  and internal swelling of
the nose, with  morbid sensibility, loss of smell, and
dryness of the nares, zincum is sometimes useful, but
baryt,, graphit., sodse mur. or other remedies may be
required.  In  recent affections of this  character,
bryonia, rhus, cocculus,  veratrum mercurius  and
stannum are worthy of attention.
  Some of the disorders of the cavities of the nose,
(nares,) are considered in  the articles on Coryza and
Ozcena.
  Polypus of the nares is reported to have been ad-
vantageously treated by the local application of the
powder or tincture of marum verum.
  A case is reported in which, after a grain of the
third  trituration of phosphorus had been daily blown
into the nostril, the polypus  disappeared  through
suppuration. 
ODONTALGIA.
305
                ODONTALGIA.

   Acid.  nit.  frequently cures an odontalgia arising
from the abuse of mercury.  The O. beating, worst
in the early part of the night in bed; preventing sleep
till after midnight.
   Aconit.  O. beating, mostly on one side, and affect-
ing the  whole jaw of that side, the cheek of which is
commonly reddened;  combined with fever, determi-
nation of blood to the head, burning heat of the face,
and quickened, hard pulse, arising from  exposure to
a cold dry wind.
   Baryt. carb.   O. drawing; extending itself towards
the eye and temple; pale red swelling of the gums;
severe beating in the ear,  especially at night.  The
patient much disposed to take cold.
   0. returning always before menstruation.
   Bedad.   O. tearing, digging; in the  teeth of the
upper jaw, though they appear sound; a sensation as
if  the teeth were too long; gums red,  swollen and
burning; pain increased after touching; worse in the
evening, and excited by cool  air.  Face red  and hot.
Pulsation strong in the vessels of the head.
   O. sticking  and tearing.  Pain now in the teeth,
now in the ear, now in the face.
   0. of pregnant females.
   Calcis carb.  O. tearing, paroxysmal; in the sound
as  well as the carious teeth; worse from cold air, to
which, even when there is no paroxysm, the teeth
are very sensitive.
   Chamomil.  0. crawling, twitching, or tearing or
sticking; paroxysmal; affecting no particular tooth;
violent,  mostly at night, especially when warm  in
     20 
306
ODONTALGIA.
bed; increased by cold drink; swelling of the cheek
and neighbouring glands.
  O. digging and gnawing in carious teeth, increased
by drinking coffee, and worst at night; gums swollen
and burning.
  0.  grumbling and drawing in carious teeth, worst
after eating and at night.
  O.  nightly, before the return of every menstrual
period.
  0.  beating,  most  severe at night, especially in a
warm bed;  cheek red and slightly swollen; sweating
of the scalp; severe thirst, and sometimes swelling of
the sub-maxillary glands.  A form of odontalgia fre-
quently occurring in women and children.
  Cinchona.   O. beating,  most  violent after  eat-
ing and in the night; the slightest touch aggravates
the suffering,  though firmly pressing the teeth  to-
gether,  relieves.  Paleness, emaciation, diarrhoea,
night sweats.
  Similar  odontalgia, from the abuse  of cinchona,
was relieved, in one case, by arnica,  in another  by
pulsat., two remedies which answered less to the
beating odontalgia than to the collective symptoms.
  Coffea  crud.  0.  beating, occurs  frequently  in
coffee  drinkers, and requires for its  relief aconit.,
cham., ignat.,  nux vom.  or  pulsat., according to the
circumstances of the case.
  0. beating; the exhibition of the signs of suffering
disproportionate to the actual pain, and known to be
so by  the  patient herself.  In a  lady  who did not
use coffee,  coffea cr.  6 afforded relief in two minutes.
After five  minutes, for  remaining sensibility in the
previously affected parts, ignatia was given, and fol-
lowed by the speedy disappearance of this symptom. 
ODONTALGIA.
307
   Cyclamen. 0. sticking, boring; of arthritic persons.
   Euphorbium.   0. beating;  abscess of the gum;
 cheek swollen with erysipelatous inflammation. After
 the  euphorbium,  the  inflammation speedily disap-
 peared, and the abscess matured without pain.
   Euphorbium has been stated to have proved itself
 very useful against brittleness of the teeth.
   Hyosciamus.   0. tearing, pulsating;  extending
 through the cheek and  into the forehead, after the
 extraction  of a carious tooth.   Visible  pulsation in
 the  affected parts.  Fever,  redness of the face  and
 eyes.  Delirium.  Cured in three hours,  except a
 slight remaining  pulsation, and some  pain in the
 cavity, which were removed by nux v.
   0. tearing and beating; extending itself to the eye
 and ossa nasi.  Pain increased by pressure, the teeth
 appear  too long, as  if coated with slime, and loose.
 Swelling of the gums.  Fever; determination of blood
 to the head.  Menses very copious.
   0. beating and humming; tearing in the gums;
 commonly attacks in the morning, and is excited by
 cold air.   Whilst chewing, the  tooth  feels loose.
 Fever;  determination of blood  to the head.   In the
 more severe cases, stricture of the throat, disabling
 the patient from swallowing, and convulsions.  The
 mind much affected.
  In the case of a young woman in ill health from
jealousy and disappointment in love, who complained
 constantly of beating toothache; this remedy effected
 a perfect cure.
  Magnet, pol arct.  0. in carious teeth; worse after
 eating, in the warmth and in the house; better in the
free air and while walking.  Gums swollen, inflamed,
and painful to the touch.  Cheek red and hot.
                                       20* 
308
ODONTALGIA.
  0. beating and burning in the lower jaw; worst in
the warmth and after eating.  Cheek swollen, red and
hot; coolness of  the  rest of the body; irritability,
tremblingr and restlessness of the limbs.  It occurs
most frequently in the spring and fall, and its cure is
effected in a minute,  when  the patient touches the
north pole of the magnet with the tip of the index
finger, until he perceives a slight aggravation of the
pain.
  Magnesia  carb.  O. boring; now in one,  now in
many apparently sound  teeth  on the right  side of
the lower  jaw.  Tearing through the right cheek
into the temple, with rigidity of the muscles of the
neck  and throat, and some  swelling  of the affected
side of the face.  Pain trifling in the day-time, but
so  severe at night, as to  compel the patient to rise
from bed and walk about.
   Mercurius.   O. tearing; vanishing for a  moment
on rubbing the affected teeth, relieved by warmth,
increased by cold air.  Itching in the pale,  swollen
gums which are separated from the teeth.
   0. sticking; worst at nights, aggravated by cold air
or cold drink, gums livid and spongy, or ulcerated on
their edges.
   0. sticking or tearing; accompanied by salivation.
   Mezereum.  O. boring, with drawing and  sticking
pain  in the jaw.  Teeth on  edge, and feel as if too
long.
   O. twitching,  sticking,  in a carious tooth, with  a
 sensation as if it was lifted up, tooth on edge and
 feels too long.
    Nux  vomica.   O.  sticking,  digging, drawing or
 tearing;  generally extending  into the bones of the
 face and frequently into the temple. Most commonly, 
ODONTALGIA.
309
 affecting carious teeth, but sometimes spreading from
 them into the sound teeth.  Without swelling of the
 cheek.  Worse  in the mornings and  after eating.
 Aggravated by drawing cold air into the mouth, by
 mental exertion, and by warm or cold drinks.
   O. of persons who drink much coffee or spirituous
 liquor.
   Platinum.  O. beating;  with sensation of pinching
 and numbness.  Worst in the evening, and while at
 rest; involuntary weeping.   Menses too frequent and
 copious.
   In the case of a female, who was of a proud dispo-
 sition, forming an over estimate of herself, and ex-
 hibiting  contempt for  others; the above symptoms
 being present; platinum speedily effected a cure.
   Pulsatilla.  O.  picking;  in the upper jaw, with
 drawing pains, extending upwards towards the eye,
 worse  at  night;  increased  in  a warm room or  by
 warm food, diminished in the free air.
   O. beating, sticking, digging, tearing, drawing or
 gnawing; pain frequently extending to the eye, tem-
 ple  and  ear of the affected  side.  Worse  in the
 evening or night,  or occurring in paroxysms attack-
 ing  at sunset, and continuing till midnight.   Aggra-
 vated in the warmth, or by warm food.   Relieved by
 cold drink, or cool air.
   Rhus.  O. tearing; nightly; chronic of some months'
 duration.
   O. tearing, or with sensation of soreness, worse in
the free air, abated by warmth.  It is said that this
remedy frequently removes fetor of the mouth arising
from carious teeth.
   Sabina.   0. beating, with sensation as if the tooth
had  burst;  occurring  in  females;   appears  in  the 
310
ODONTALGIA.
evening and night, especially when warm in bed, or
after  eating.  Frequent flatulent eructation; uterine
hemorrhage.  In one case  it supervened  on the re-
pulsion of podagra from the great toe  by means of
external applications, and was speedily removed by
the sabina without  a return of the disease in either
form.
   Sepia.   O. beating and sticking, extending to the
ear,  and through  the arm  to the  fingers, in which
there is a sensation  of crawling.   Affections of the
respiratory organs,  and swelling of the cheeks and
sub-maxillary glands, frequently accompany it.  It
most frequently occurs in persons who have a yellow-
ish colour of the face.
   O. beating; of pregnant females, but the improve-
ment seldom  commences till after several hours, it
then, however, continues for a long time.
   Silex.  O. beating, similar to those of sepia, only
that in the cases for silex, the periosteum of the lower
jaw is swollen, and the pain is more in it than in the
teeth, and the patient cannot sleep at night, on ac-
count of general heat.   Mostly, there is a diseased
condition of the skin, owing to which every trifling
wound becomes an eating sore.
   Spigelia.   O.  drawing and tearing, in all the teeth
of the upper jaw,  especially the incisors,  twitching
with electrical rapidity through the crown and root
of a tooth into the jaw, most in the day-time.   Luke-
warm drinks relieve; hot and cold  aggravate.  Teeth
                    '              Do
sensitive to the cold.
   0. beating, with  a form of neuralgia facei; there is
burning and  tearing  in the  jaw;  the  face is pale
and  bloated, with  yellow areolse   around  the eyes.
The patient also suffers from pain  in the  eyes; fre- 
ODONTALGIA.
311
quent urinary pressure, with small discharge;  severe
palpitation of the heart, and frequently a sensation in
the breast like the purring of  cats; chilliness and
great restlessness.
   Staphysagria.   O.  gnawing;  in a carious molar
tooth, with drawing pain along  the  front teeth, and
upwards towards the  eye;  worse in the morning; in-
creased by eating and chewing;  in the free air and
by cold drink; relieved by warmth.  Gums bleeding
easily.
   0.  paroxysmal; all food and drink excited most
intolerable pain; chewing was impossible.
   Sulphur.  O. drawing; increased by warmth, even-
ings and nights, with sticking in the back part of the
head, or with drawing and sticking through the tooth
and head.
   O.  jerking, stitchlike;  in  carious teeth in either
jaw.
   O. beating; arising from the  suppression of cuta-
neous  eruptions  by means of external  applications.
In the  cases adapted to this remedy, the gums  are
swollen, and suffer the beating  pain as well  as  the
teeth.   There is, commonly, great sensibility of  the
tops of the teeth; determination of blood to the head,
with beating headache, especially of evenings;  red
and inflamed eyes and  nose; stitches  in  the ears;
frequent ineffectual pressure  to stool;  pain  in  the
loins; restlessness in the limbs; sleepiness in the day-
time; chilliness, &c
   Tr.  acris.  O. beating; without fever.   Gums
painful, easily bleeding;  tearing  pain in the muscles
of the face, and in the eye and ear.
   Veratrum.  0. beating;  accompanied by swelling
of the face;  cold sweat of the forehead;  nausea or 
312
OZENA.
bilious vomiting;  weary feeling of the limbs; sinking
of the powers, even to syncope; coldness of the whole
body, with internal heat and unquenchable thirst for
cold drink.
                    OZSENA.

  Alumina, in repeated  doses, cured a case where
there was a discharge of a thick,  yellow and fetid
fluid, especially in the mornings.   Also, at times, of
large, firm, yellowish green lumps of dried matter.
Stoppage of the nose.  Sometimes copious bleeding
of the nose.  Loss of smell.  Pain at the root of the
nose  and  in the frontal sinuses.   Paleness  of  the
face.  Costiveness.  Tetter on the backs of the hands
and fingers.
  Aurum  has been  productive of much  benefit in
obstinate stoppage  of the  nares, with  crusts from
ulceration,  in  scrofulous children,  especially when
the eyelids were red and inflamed,  and hordeolum
frequently occurred.
  In a case where  thick, yellowish green matter,
partly fluid, partly dried into firm lumps, was blown
from the  nose; there was a constant  disagreeable
odour from the nose; loss of smell; stoppage of the
nares; aurum, in repeated doses, proved useful
  Phosphorus.   Case, in a man set.  22  ann., super-
vening the cure of tinea capitis  by means of oint-
ments.  Chronic  inflammation  and great  enlarge-
ment of the nose. The mucus dried into hard crusts,
which, when softened by snuffing  up  warm water,
could be expelled by powerfully blowing the nose.
After bryonia  had somewhat  improved the general 
OZENA.
313
 health, phosphorus 30  was  given, and  in  fourteen
 days the disease had disappeared.
   Rhus.  A case is mentioned where an ozsena, ex-
 isting  at the same time with a tinea capitis, was cured
 by rhus 30.
   Sepia.   In a case of ozsena, which appears to have
 originated from taking cold.  After washing the head
 in  cold water, whilst heated  in  warm weather, a
 severe beating pain attacked the forehead, and,  sub-
 sequently, the ozsena appeared.  Scabs were formed
 in the left nostril, of extremely offensive odour, and
 sometimes  so large, that they must be  drawn  back
 through the  posterior nares  and thrown out of the
 mouth, which excited vomiting.   After  belladonna,
 the pain in the forehead diminished, and the discharge
 became greener and  more moist.  Sepia was  next
 given, and effected a perfect cure in six weeks.
   In a case of ozsena, of several years'  duration,
 supervening a disease of the scalp, near the crown of
 the head,  winch  had left a  space of the size  of a
 dollar, with an irregular, uneven surface, over which
 the hair grew sparsedly scattered, although the rest of
 the scalp  was well  covered with hair.  The patient
 frequently discharged from the affected nostril, large
 masses of scabs or  crusts.   His breath had a pecu-
 liarly offensive odour, and he complained of constant
 lassitude and weakness.  Phosphorus produced tempo-
 rary improvement.  Sepia, afterwards given, effected
 the same thing, but to a  much greater extent, and for
 a longer period. For some time he ceased to discharge
 the scabs, his breath lost its offensive odour, and he
experienced a very great improvement in his general
health, a circumstance which was obvious to others
in his greater animation of countenance and improved 
314
PARALYSIS.
complexion.   But the disease afterwards returned,
though not with its  original violence.  Sepia again
lessened, but did not entirely remove it.   The case
has now been for several months under treatment. J.
  The following remedies are also worthy of attention.
Assa, antim. crud.,  cantharides, cina, conium, mer-
curius,  mezereum, nux  vom., ranunculus bulbosus,
sulphur, thuya.
  Where  the ozsena is of syphilitic, sycotic or mer-
curio-syphilitic character,  the remedies which are
adapted to these diseases  will be proper.
                 PARALYSIS.


  Arnica.   In a case of paralytic  weakness of the
extremities, especially of the hands; temperature and
sensibility normal; arnica was given.   After the ces-
sation  of its  operation,  nux  v., and  subsequently
sulph., and again arnica, with restoration to health.
  Belladonna. In paralysis, occurring after apoplexy.
Two cases, the one in a woman set.  45  ann., reported
by Dr. Bigel, (Arch. 5, 2, 32), the other in a man set.
42  ann., reported by Dr. Bethmann,  (Arch.  14, 1,
133),  are remarkable for the similarity of  their cir-
cumstances in regard to the previous condition of
health,  time of attack, symptoms,  operation of the
remedy, and cure.
  Both patients were of a sanguineo-choleric tempera-
ment, and had been for a long time subject to head-
ache, constipation and rheumatic pains of the limbs.
Both  were  attacked about an  hour after  midnight
with apoplexy, in consequence of which there  was an 
PARALYSIS.
315
entire loss of sensibility and of the power of motion
in the right side of the body.
   In both all the organs of sense  were weakened,
there was inability to speak, and  the mouth was
distorted.
   Both had convulsive movements of the muscles of
the unparalysed side; a constant flow of saliva from
the mouth; much thirst, and difficult deglutition.
   In both, the eyes w7ere red and prominent, and the
face tumid.
   The pulse in the man was full and hard, (voll und
hart), in the woman it was elevated and full (eleve et
plein.)
   The intellectual faculties of both were perfect, and
they felt the bitterness of the present and the  future
in all its force.
   To the man, bellad. 2|30, and to the woman, bellad.
gtt. i. 24, was given.  In the former, the aggravation
commenced in less than fifteen, and in the latter, in
less than thirty minutes.  In  both it  lasted  about
thirty minutes, then each fell into a sleep, which was
accompanied by a general  sweat,  and both  awoke
much  improved, and capable of speech and motion.
The man had some pain and  heaviness in the head,
which left him the next day; the woman some  heavi-
ness in the left side of the head, and some lively pain
about the umbilicus, both of which  symptoms  disap-
peared  the next day, after a free discharge from the
bowels.
   Bryonia. Paralysis, with numbness of the lower ex-
tremities, which did not feel as if they belonged to the
patient, and were emaciated and cold.  Costiveness.
   Cocculus.  Paralysis in a robust child set.  8 ann.
Sudden without known cause.   Loss of voluntary 
316
PARALYSIS.
motion, with numbness and sleepiness of the extremi-
ties of the right side.   Cocc. gtt. i. 9.  In three days
restored to health and remained so.
  Paralysis after apoplexy.  After the beneficial ope-
ration  of rhus, cocc.  completed  the  cure, but the
sensibility of  the  affected parts did not return till
after fourteen days.
  Paralysis of the  left  arm  and  foot; the patient
could not move the fingers or toes.  Arm and leg
entirely  flaccid and powerless, yet not  insensible;
felt a particular coldness in them.  Face somewhat
tumid and red.  Difficult respiration.  Inclination to
costiveness.  Cocc.  gtt. i. 9, and later gtt. i. 6, afforded,
together  with a dose of rhus 15, the most relief.
  Paralysis of the left side, which was  completely
immovable.   Sinking  of the intellectual  powers,  so
that what happened was not observed.  Urine dis-
charged  unconsciously and involuntarily; stools had
to be forced; cedematous swelling of the feet.  Cocc.
gtt.  i. 12, and after eight days gtt. i.  9, effected an
important  improvement, and  almost  the complete
removal  of the concomitant symptoms.
   Coccul. has been recommended  as very useful in
paraplegia.
   Coccul 5|12, repeated after some  days, cured  a
paralysis of the right  side, after apoplexy;  the right
arm and thigh perfectly paralysed, but the fingers
and toes capable of motion.
   Ferri  murias.   Paralysis of the shoulder joint.
   Lachesis.  Paralysis of the  left side.   In one case
very useful in alternation with rhus.
   Ledum.  Paralysis  connected with  rheumatism of
the hip joint.
   Lycopodium.  Almost complete paralysis of the feet, 
PARALYSIS.
317
with bloody urine and obstinate constipation.  Lycopo-
dium 30, every three days till three doses were taken.
  Nux  vomica.   Paralysis, with insensibility  and
sensation of thrilling motion and shock in the arms,
was cured in nine days by the use of nux vom.
  Paralysis of the  right foot; the patient could not
stand without a cane; had vertigo; confusion in the
head; frequent dimness  of sight for some moments;
dull  ringing  in  the ears, especially in the morning;
thirst; alternate chill and heat; vomiting after eating
and drinking; burning in the epigastrium; tearing
pain in the back of the neck, of evenings; general
weakness;  disgust towards all food, especially coffee.
Disposition passionate.   Nux v. gtt. i. 15.   In three
days well  This case was of several years'  standing
in a lieutenant who had been discharged from the
army, on a pension, as incurable.
  This remedy is useful in incomplete paralysis; as
numbness, muscular debility, &c.
  Oleander was used in the beginning of the cure of
a paralytic weakness, great insensibility, and imper-
fect mobility of all  the limbs; in a  lad  set.  17 ann.
Cocc, cinch,  and arnica were subsequently employed,
and restored him to health.
  Rhus.  Paralysis  of the left side, in a man between
thirty and  forty  years of age.  Cure  completed by
rhus after previous administration, with benefit, of
hyosciamus and cocculus.
  Paralysis of the  lower extremities, in a  child set.
10 ann., who some  days after a fall down a high  pair
of steps, was attacked with  the following form of
disease, for which various medicines  in  large doses
had been  administered, and leeches,  sinapisms  and
vesicatories applied  without relief. 
318
PARALYSIS.
   Patient laid  on  his  breast  (the  only endurable
 position.)  The  head was  drawn back  so that the
 occiput nearly touched the vertebrse of the back; face
 pale, sunken, distorted and covered with cold sweat;
 the  dorsal vertebrse were distorted; on bending and
 examination of the lumbar vertebrse, there was crepi-
 tation, as if the articulation was interrupted.  In the
 region of the sacrum, there was a great tumefaction
 of the bone, the touching of which as well as of the
 rest  of the spine, excited excessive pain.  The patient
 screamed continually from severe pain.   The lower
 extremities were perfectly paralysed.  Dysuria and
 blood red urine.  Constipation so obstinate that ene-
 mata could induce  no feculent discharge.  No ap-
 petite; emaciation; constant  fever, with  evening ex-
 acerbation;  great thirst;  sleep, but little, restless and
 full of frightful dreams;  strong  jerks throughout the
 whole body.
  Rhus  1|30 produced great amendment.  This me-
 dicine was repeated every  eight days, till the cure
 was  complete.
  This remedy proved very useful, in a case of para-
 lysis of the arms, with diminished sensibility.
  Stannum.   Paralysis, with sensibility.  Stannum
 aided by stramon. and belladonna effected a cure.
  Sulphur and soda murias cured a case of paralysis
with involuntary discharges of fseces and urine.
  Sulphur  removed a  paralytic weakness of the
lower extremities, attended with pain  in the hips and
sacrum at every step.
  Tr.  acris.   Paralytic weakness of  the  right side,
of three  years' duration.  Vertigo; difficult passage
of the urine and fseces;  cramp in the  right foot; face
pale; emaciation.  Tr.  acris 2|30, repeated in two 
PARONYCHIA.
319
days,  produced considerable improvement  in eight
days,  when the medicine was  again  given, as also
twice more at intervals of eight  days.  Subsequently
nux vom.,  and afterwards  another  dose of tr. acris.
In less  than two months from the commencement of
the treatment, the disease was entirely removed.
  Paralysis of the organs of speech, and of the right
arm.  Tr.  acris 1|30  was repeated  every  six  days;
and in fourteen days the disease was cured.
  Paralysis of one side of the face and tongue, with
difficult deglutition.
  Zincum.   Paralysis of both arms, which had been
preceded for a long time, by  severe pains  of  the
hands and feet and abdominal cramps.


                PARONYCHIA.
         Panaris.  Panaritium. Felon.  Whitlow.

  Silex.  P. cutanea; P. tendinis;  P. periostii.
  This remedy has been found useful in all the forms
and stages of paronychia; but it  is the chief, if not the
only remedy, now known for those  cases which have
been badly treated in the commencement, until there
is a painful fungus ulceration formed, or caries of one
or  more of the phalanges has taken place.  The
curative power evinced by silex, in these  cases, is
very great.
  Sulphur.    In all the forms  of paronychia, in their
incipient stages, sulphur  is the  remedy  generally
recommended by those who have had much experi-
ence in the treatment of this disease.   In P. cutanea,
with suppuration  under the nail, it has been found
useful 
320
PARTURITIO.
  Magnet, pol. arct., as also sepia, have been reported
to have proved highly beneficial in paronychia.


       PARTURITIO.   PARTURITION.

  The object of the introduction of the present article,
is only to mention the remedies which are adapted to
some of the  morbid conditions which occur during
or shortly after parturition.   Some of the most im-
portant of the diseases, which attack after delivery,
are elsewhere treated of in this work.   See Febris
puerperalis, Peritonitis, Mammse, Phlegmasia alba
dolens, Metrorrhagia lochialis, &c
  Where,  during labour,  the pains  are  weak, or
entirely cease, pulsatilla may be indicated.  When the
pains are " too violent and stormy," nux vom. is proper.
  For after pains, when the patient is in a state of
great excitability, coffea or chamomilla.  When the
patient is of a mild, soft disposition, but is very ex-
citable, and disposed to be readily alarmed, pulsatilla.
If the after pains are combined with a slow metror-
rhagia of thick, dark coloured blood, and  consist of
sharp, cutting pains in the thighs, organs of genera-
tion and sides, extending towards the sacrum, crocus;
but  when the  metrorrhagia consists  of  coagulated
blood, which is discharged at the same time that the
pain is most violent, chamomilla is the proper remedy.
  When after pains are accompanied by a sensation
of pressure to stool, and the spasmodic pains are felt
most in the regions of the uterus and bladder, nux
vom. will frequently relieve  them in a few hours.
  Hartmann considers the arnica as the most valuable
and  almost specific remedy for after pains. 
PERITONITIS.                321
  For  convulsions, attacking  during labour or after
delivery, the following  remedies have been recom-
mended; hyosciamus,  chamomilla,  cicuta,  ignatia,
belladonna.
  For  contusion  or laceration of the sexual parts,
arnica; if the injury is inflicted on the external parts,
washing them with a weak infusion of arnica flowers
or mixture of tr. arnicse and water.
  When the bowels are not open by the fourth day
after delivery, enemata, which do not contain active
medicinal articles, may be  employed, and nux vom.,
bryonia or opium, according to the circumstances of
the case, may be  used to  correct the disposition  to
constipation.
  Where there is  troublesome diarrhoea, dulcamara,
hyosciamus, rheum  or antimonium crudum may be
indicated.


                PERITONITIS.
             Inflammation of the peritoneum.

  In this disease,  as in most  other inflammatory af-
fections of important organs, it is generally considered
proper to commence the treatment with aconit.  This
practice, however, has not been uniformly  pursued,
and the  very satisfactory result  of a case, which ap-
pears to have  been one entitled  to the appellation of
puerperal peritonitis, treated hj belladonna  alone,
shows  that  the aconit. is not always indispensable.
For the case alluded to, see belladonna in the article
Febris.
  Brijonia  is  a valuable  remedy in puerperal pe-
ritonitis.  The following  case, in  which it  was
     21 
322                PERITONITIS.
employed with advantage, is from  Hartlaub  and
Trinks' Annalen.
  A woman set. 25 ami.,  on  the third day, after a
somewhat tedious, but natural labour, was attacked,
in the afternoon, with transitory pains in the abdomen.
On the afternoon of the fourth day, they reappeared
with  greater  severity, accompanied  by fever,  and
continued until after midnight, when they subsided,
and perspiration occurred.   On the afternoon of the
fifth day, she was attacked with violent  pains  and
fever, and the  physician was then called to visit her.
He found her in bed; her face hot and red; skin dry
and hot; tongue with a dirty coating; insipid taste in
the mouth; tongue and lips dry; unquenchable thirst,
especially for cold drinks;  extraordinary sensation of
heat through the whole body; respiration oppressed,
short and moaning; the abdomen  extraordinarily dis-
tended, especially on the left side, and painful on the
slightest touch; costiveness; diminished secretion of
urine; frequent periodic,  cutting pains throughout
the whole abdomen; the lochia still flowed in small
quantity, was  bloody  and fetid;  milk still  in  the
breasts;  pulse frequent, hard and full  Aconit. 5|24
was given at six  o'clock in the afternoon; the fever
and  pains continued violent  until  after  midnight,
when  they slightly  abated, but not so much as to
allow  her to  sleep,  and towards morning a  warm,
clammy sweat appeared.   In  the morning, the pain
and  swelling  of the abdomen being  still present,
aconit.  3|24 was given,  and  at  two  o'clock  in the
afternoon, bryonia alba 4|30.   After taking the latter
remedy, she soon  fell  asleep.   From this  sleep she
awoke very much improved, but still far  from well
For two days there was no farther advance  in the 
PHLEGMATIA alba D0LENS.
323
improvement,  and bryonia 5|30 was  given in the
morning.   A rapid improvement, without  any pre-
vious homoeopathic aggravation, took place, and  in
the afternoon, the patient was dressed  and sitting up
in a chair.  Two more doses of bryonia 3|30 were
required for the completion of the cure.
  Hyosciamus is stated  to  have succeeded in the
cure of a case of peritonitis, where belladonna had
failed.


      PHLEGMATIA  ALBA DOLENS.
                     Milk-leg.

  For this complaint, which fortunately is  not  of
very frequent  occurrence, a considerable number of
remedies have been recommended, viz.: aconit., arnica,
arsenicum, belladonna, bryonia, calcis carb., chamo-
milla, cinchona, lycopodium, mercurius, nux  vom.,
pulsatilla, rhus, sulphur, veratrum.  Of these,  bella-
donna, arsenicum, rhus and bryonia,  appear  to be
of the  most importance, though  arnica has  been
recommended  as  peculiarly  adapted to its incipient
stages.


          PHTHISIS PULMONALIS.
                   Consumption.

  This  term is applied to those diseases in which,
with considerable cough  and more or less expectora-
tion, there is emaciation, hectic fever, &e
  As these symptoms proceed from  very  different
disorders of the organs of respiration, it is obvious
                                       21* 
324           PHTHISIS PULMONALIS.

that phthisis embraces a number of distinct diseases,
the duration, violence and curability of which must
be expected to differ widely.   Such  is also the fact,
and while some of them may yield, even in advanced
stages, to appropriate remedies, others, while yet in
an incipient form, are almost beyond the reach of the
curative  means  at present in the possession of medi-
cal science.  A brief review of some of the most com-
mon  forms of  phthisis may  be  useful   I  shall,
therefore, treat of this disease  in  a concise manner,
under the divisions of catarrhal, apostematous and
tubercular phthisis.
   Catarrhal phthisis may be defined to be, a disor-
dered condition  of  the mucous  membrane  of  the
windpipe or lungs, in consequence of which there is
an inordinate secretion of mucus, or a secretion of
puroloid mucus or of pus; frequently ulceration of
this  membrane; hectic fever, emaciation,  &e   It
includes, therefore,  those diseases which have been
termed chronic catarrh, chronic laryngitis, and chro-
nic  bronchitis.   It  is  generally  supposed  to arise
from a catarrh induced by cold,  or by the operation
of other pathogenetic agents,  as  the miasm, which
induces  influenza, &e  But as  a catarrh, in a healthy
subject,  has only a limited duration, the recuperative
energies  of  the system  being capable, even when
unaided by the operation of remedial agents, of effect-
ing its removal,  just the same as  these energies have
the power of healing a wound, it follows, as in the
latter case, that if  healing does  not take place,  this
must happen because these energies are either already
impaired or in some manner counteracted.
   A wound  may be kept open by irritating applica-
tions, or fresh violence continually inflicted; or it may 
PHTHISIS  PULMONALIS.           325
become the  principal point on which the morbid
conditions  of the system  develop  their actions, and
other parts which before  exhibited many symptoms'
of suffering, may show these fewrer in number,  or
less  violent.  This latter  circumstance occurs  from
the derivation of morbid  action, which is the same
as its metastasis, except  that  in the former  the
morbid action is invited to the part which becomes
affected,  and in  the  latter it is  either repelled  from
the part, which becomes free,  or its seat is changed
from unknown causes. Of the laws of derivation and
metastasis  we know nothing,  except their existence,
and some of the  circumstances which invite or attend
their operation.                   ♦
   A catarrhal affection, which, in  its beginning, has
not been uncommonly severe,  may be maintained by
unadapted  remedial agents, which  have been admin-
istered for its cure, but which, instead of aiding, may
counteract  the  curative  operations  of the  system.
Or, it may  be sustained by a morbid condition of the
system, and the mucous  membrane  of the lungs
become the prominent seat of morbid action,  from
derivation or metastasis.   Morbid  conditions, which
frequently  develop morbid actions  in the lungs, may
arise from the retrocession, either forced or spontane-
ous, of cutaneous diseases; or, what is  probably the
same  thing, the disease of the lungs  may  proceed
from sympathy with  some other suffering organ, or
may exist  as a  necessary  result of  the disorder  of
another part.
   The light which this knowledge throws upon the
treatment proper to be pursued in catarrhal phthisis,
shows  us that we are rather to employ those means
which will  overcome the primary constitutional dis- 
326
PHTHISIS PULMONALIS.
order, than such as would operate remedially in the
catarrhs  of persons who labour under  no chronic,
morbid condition of the system.  Therefore when the
disease is maintained  by constitutional derangement
which arises from the repulsion of cutaneous erup-
tions from the skin, those remedies wilich have been
termed antipsorals will generally be indicated. Where
syphilitic disorder is the maintaining cause, the anti-
syphilitic remedies should be used, but where these
have been already abused, as is mostly the case in
syphilitic phthisis, which  rarely appears until after
the throat and nares have been for some time effected,
resort must be had to the remedies which are useful
in the complications of venereal and medicinal disease.
  As already remarked, catarrhal phthisis often exists
cotemporaneously with disorder of some other organ.
It frequently does  so with disorder of the stomach,
forming  a disease to which Dr.  Wilson  Philip  has
applied the name of dyspeptic phthisis.  "Drunk-
ards," says he, "at that time of life which disposes to
phthisis, frequently fall a sacrifice to this form of the
disease,  and those who have been long subject to
severe attacks of  dyspepsia, and what are called
bilious complaints, are  liable to it   They  are  not
simultaneous affections, for the  one always precedes
the other.   In by far the majority of cases, in which
both the lungs and digestive organs are  affected, the
affection of the digestive organ precedes that of the
lungs."   According to my observation, many of those
cases, which are termed chronic bronchitis, are justly
entitled to the name of dyspeptic phthisis, as they de-
pend upon cotemporaneous disorder of the lungs  and
of the digestive apparatus, particularly of the stomach.
   In the treatment of dyspeptic phthisis, we ought 
PHTHISIS PULMONALIS.           327
 to regard the dyspeptic symptoms as of primary im-
 portance, although those of the pulmonary disorder
 predominate in violence. These observations, though
 not useless to the homoeopathic physician, are, it must
 be acknowledged, not indispensable. For, commanded
 as he is, to observe all the symptoms of every case,
 and to  select a remedy as  completely adapted as
 possible to those  symptoms, he  must  choose  one
 which is adapted to both the disorders of the stomach
 and of the lungs.   But without the knowledge of the
 paramount importance of the gastric derangement in
 the complicated disease, he might be influenced by
 the violence of the pulmonary disorder  to adapt his
 remedy rather to the characteristics of the phthisical,
 than to  those of the dyspeptic symptoms.  It may be
 proper to mention, in this place, some of  the remedies
 which are most likely to be indicated, viz. nux vom.,
 lobelia,  bryonia and pulsatilla.  Of these, I have  em-
 ployed the three last with very great advantage,  and
 the first must be found of great utility in the dys-
 peptic phthisis of drunkards, and of those persons
 whose dyspepsia arises from the use of coffee.  When
 the gastric  disorder is itself the result  of  a morbid
 condition of the system, the remedies just mentioned
 may fail to cure,  unless aided by those  medicines
 which are capable of correcting  the constitutional
 disorder.                                      >
  Apostematous phthisis arises  from an abscess in
 the cavity of the  chest, which results from  acute
inflammation, and sometimes occurs in persons other-
wise healthy.  In these  instances, if the strength be
 properly supported by a nutritive diet,  the patient
will often recover, showing the absurdity  of the asser-
tion, sometimes made by persons  who should know 
328
PHTHISIS PULMONALIS.
better, that ulcerations of the lungs cannot heal be-
cause these organs are in constant motion.  But where
a morbid condition of the system exists, or other de-
rangements appear in the course of the disease, they
should be met by the appropriate remedies.
  Tubercular phthisis, although it generally appears
as a consequence  of hereditary disorder or predispo-
sition,  yet sometimes attacks persons wiio do not
belong to consumptive families.  When  it is of an
hereditary  character,  and has attained complete de-
velopment, it forms a disease which, in the present
state of our knowledge, may be considered incurable.
According  to my experience, it may be much more
satisfactorily palliated by homoeopathic, than by any
other treatment.
  We may perhaps do much in the prevention of
this  disease, by treating those who inherit a predis-
position to it, for every symptom of disorder, however
slight, which  may show  itself  before  the  develop-
ment of the phthisical symptoms.
  Bellad.   In a case of  phthisis,  supervening  the
sudden disappearance of  swelling of the lymphatic
glands of the throat.
   Calcis carb. is sometimes advantageously employed
for females with a tendency to phthisis, whose men-
struation is too copious,  and too frequent,  and who
have, in the intervals, considerable leucorrhoea.
   Case.  Tickling irritation, as from feather dust in
the throat, which causes  hacking cough  in the day-
time, but at nights violent dry cough, attended with
vomiting.  Breathing difficult,  and by deep inspira-
tion, stitches in the breast.  Vertigo.  Stoppage of
the  nose, with  yellow fetid  matter,  swelling of the
tonsils;  weak  digestion.   Stool only every four or 
PHTHISIS PULMONALIS.
329
 five days.   Urine small in quantity,  and blood red.
 Glands of the throat swollen.  Pain in the loins.  Con-
 stant chilliness, with much thirst.  Debility.  Local,
 debilitating sweat of the breast, at night.
   Case.   Severe cough, especially in the morning,
 with yellowish puroloid expectoration, and rattling
 in  the  breast.  Fulness, and beating in  the  head;
 little appetite; constant thirst; stools hard, occurring
 only once in three or four days. Menses too frequent
 and deficient.  Frequent coryza.  Debility.  After be-
 neficial operation of calcis carb.,  lycop.  completed
 the cure.
   A similar case to the above, except that the menses
 were too  copious, and accompanied by a debilitating
 leucorrhoea in the intervals,  and  that there was a
 bitter  taste; the  expectoration greenish  and fetid;
 stitches in the  right side,  above the  region of the
 liver, by deep inspiration,  and by coughing; night
 sweats; was cured by calcis carb.
   Carbo vegelab.  Phthisis apostematosa.  In  this
 form of disease carb. veg. has proved advantageous
 in a number of cases.
   Cinchona is sometimes useful when frequent hse-
 moptysis is succeeded by frequent cough, and puru-
 lent expectoration.
  Dulcamara.  Case, from frequent exposure to cold.
 Constant cough; expectoration, tinged with bright
 red blood;  breast internally and externally painful;
fever, with  exacerbation;  circumscribed redness of
the cheeks, with paleness of the rest of the face;
great thirst;  sweat;  emaciation; debility; constipa-
tion;  pain in the loins;  flatulent distension of  the
abdomen; flatulent eructation.   Dulcamara removed
the  phthisical  symptoms.   The constipation, pain 
330
PHTHISIS PULMONALIS.
 in the loins, and flatulence, were removed  by bry-
 onia.
  Ferri  acetas.  Phthisis, from neglected inflamma-
 tion of the lungs.  Tickling in the upper part of the
 trachea, with constant incitement to cough, and copi-
 ous  greenish purulent expectoration, with streaks of
 blood, and  putrid nauseous taste;  difficult  respira-
 tion; rough, hoarse, and  scarcely perceptible voice;
 face sallow, with circumscribed redness of the cheeks;
 pale lips and tongue; mouth ulcerated; colliquative
 diarrhoea, causing  soreness  of  the anus; debility;
 emaciation.  Ferri acetas gr. i. 6 removed most of the
 alarming symptoms, and  pulsat. 12, ten days after-
 wards, completed the cure.
  Calcis sulph.  A tincture of this medicine, prepared
 in the same  manner as the spiritus sulph., has proved
 very useful in suppuration of the lungs.
  Lachesis.  In a case of phthisis, supervening on
inflammation of the lungs, which had been treated by
blood-letting.   Short, hacking and straining cough,
frequently exciting vomiting. Difficult expectoration
 of small  quantities  of mucus, which was sometimes
 thin,  at others  tough, and at times in thick, round
little lumps.  Cough only  in the daytime, worse after
 walking  in  the open air, and after speaking, which
 appeared  to create  dryness, and thereby to excite
coughing.   A  tickling in the  epigastrium  induced
the  cough;  at  the  same  time  there was  soreness
under  the ribs,  and in the trachea.   Shortness of
breath; debility.  Nausea,  and want of appetite in  the
forenoon.  Lachesis, in repeated doses, effected a cure.
  Laurocerasus.  Phthisis, with incessant cough, and
very copious expectoration of gelatinous sputa, spot-
ted with blood. 
              PHTHISIS PULMONALIS.            331

  Ledum.   Phthisis  apostematosa.   Cough,  with
stitches in and above the region of the liver; expec-
toration of large quantities of fetid, greenish matter.
Emaciation.
  Lycopodium.  In a case where the patient could
not speak  more than two words at a time, and these
in a  very weak  and  low voice.  Cough  day  and
night.   Copious  expectoration of puroloid matter.
Hectic fever, and clammy night sweat.  Lycopodium
1|12 effected a cure.
  Phthisis, with purulent expectoration and clammy
night sweats, supervening on typhous pneumonia, has
been cured, in several instances, by means of lycopo-
dium.
  Note.   In a case  of chronic cough, with hsemop-
tysis, and other phthisical symptoms, lycopod. nearly
removed the whole.  Calcis carb., administered after-
wards, renewed the  disease from which the patient
was not rescued.  In a case of liver complaint, where
lycopod.  had done much good,  the  subsequent ad-
ministration of calcis  carb. wTas productive of unplea-
sant effects.
  Phosphorus.  In a case of shattering cough with
trembling of the limbs; throat raw, and dry; hoarse-
ness; internal soreness of the breast; sputa yellow,
purulent,  of saline taste, especially in the  morning
and evening;  the patient  could  scarcely  speak  a
word without being interrupted by a short, torment-
ing, hacking  cough; tearing,  and stitches  through
the whole breast, in which there were sensations like
hammering, and  fermentation;  constant chilliness,
worse  towards evening,  and then interrupted by
flying  heat;  copious sweat;  restless jactitation at
night.   Phosphorus effected a cure. 
332
PHTHISIS PULMONALIS.
   Phosphorus has proved very useful in a number of
cases of phthisis,  in which  (as  will  be generally
found  to be the case with every remedy,)  it was
incapable of effecting a cure  by itself, and other
remedies had to be called in requisition.
   Potassa carb. In a case where, with violent cough,
there was an expectoration  of a yellow matter, most
in the morning.  Soreness, and stitches in the breast,
and  soreness under  the  short ribs of the right side,
on pressure or coughing.  Shortness of breath.   By
lying on  the right side, drawing pains under  the
short ribs of the left side; tearing pain in the knees,
legs and feet, increased by rest.   Sleep restless after
midnight.   The potass,  was,  in  this  case,  several
times repeated.
   Potassa  nitras.  In a case attended with exces-
sively painful stitches in the breast, which obstructed
the respiration,  and were accompanied by  anxiety
and  oppression, the potassse nit. proved to be a very
valuable remedy.
   Sambuci cort. intern.  In a case where there was
constant cough, with copious expectoration of a saline
taste; pain  in the breast; dyspnoea; oedema of  the
feet; circumscribed  redness of the cheeks;  emacia-
tion.  Tr. samb. nig. cort.  int. gtt. i.  daily, for  six
days, and afterwards the same dose every other day,
until six or more  doses were  taken, produced great
improvement.  Afterwards,  an infusion of hedera
terrest, with milk and  sugar every  morning, was
allowed, and in a short time the patient was well
   Case.  Cough night and  day, with copious expec-
toration; the sputa  of a nauseous, sweetish taste;
pale, sallow  countenance;  great emaciation; rapid,
small pulse; burning  palms;  much thirst of after- 
PHTHISIS PULMONALIS.
333
 noons; strong night sweat; tongue somewhat coated;
 no  appetite.   Tr. cort. int. samb. nig. gtt. i., at first
 every three, and afterwards every four days. In three
 similar cases, recovery after six, eight or twelve doses.
 In  dry cough, with difficult expectoration, this me-
 dicine was of no use.
  Sepia  has  been recommended for apostematous
 phthisis.
  Silex.  In a case where there was shattering' cough,
 excited by tickling in the throat, especially trouble-
 some at night; difficult respiration; purulent expecto-
 ration; weakness in the joints;  stiffness and debility
 of the limbs; silex 3(30 completed the cure which had
 been commenced with calcis carb.
  Case.    Violent cough;  expectoration  of green,
 purulent masses;  emaciation; debility; fever in the
 forenoon.   After  the fever had  been previously less-
 ened by repeated doses of cinchona, silex 3(30  com-
 pleted the cure.
  Stannum.   In  a case where  there was  cough day
 and night, with copious mucous expectoration;  great
 emaciation,  though the appetite was good; rapid,
 small pulse; burning palms, especially of afternoons;
 great morning sweat; tongue red; debility; diarrhoea;
 stannum  gr. i. 6, four doses, one every eight  days,
 effected a cure.
  Case. Violent cough, sometimes dry, with difficult
expectoration, sometimes loose, with  copious and easy
 expectoration,  which  was  sometimes  composed of
 watery, thin mucus, sometimes of thick and tough,
 at others, was in yellowish green masses of a saline,
sweetish taste. Cough worse, and expectoration most
copious, at night.   Oppression  and soreness of the
breast.   Voice hoarse.   The trachea  felt  constantly 
334
PHTHISIS PULMONALIS.
raw, and there wTas always  tough  mucus in the
larynx.   Loss  of appetite; great debility;  restless
sleep, interrupted by frightful dreams.  Fever every
evening from six to nine o'clock;  hot palms; dryness
in the mouth, yet moderate thirst.  Pulse small and
frequent; sweat night and morning, of a musty smell
Emaciation; frequent call to urinate, discharges small;
urine sometimes colourless, at others, dark coloured.
Cinchona was given with little or no benefit.  Stan-
num gr. i. 6 with very great improvement; in eighteen
days there  was nothing  of the  disease remaining,
except a peculiar beating, pressing pain in the left
side of the breast,  and  a slight hoarseness, which
yielded entirely in three days to bellad. gtt. i. 24.
   Case.  Cough, with expectoration of large masses
of a yellowish matter, of disgusting odour and taste.
Dyspnoea;  emaciation; cured by stannum.
   P. mucosa.   P. dyspeptica.   Cough; tickling and
rattling in the breast;  aching in the  epigastrium,
worse on inspiration; acid eructation, with sensation
of rawness in the oesophagus; dyspnoea; debility.
   P. with violent cough,  especially in the morning,
frequently ending with retching and vomiting of the
food.   Cough  excited  by lying  on the right  side.
Expectoration  lumpy,  sometimes  white,  at others
yellow.   Emaciation; debility; great dyspnoea.  Case
occurring after  grippe.
   A number of other cases cured by  stannum are
recorded; in many of these the expectorated matter
was of a disagreeable, sweet, or putrid taste.
   Sulphur.  In a case  where, with  violent cough,
especially at night, there was a copious expectoration
of a yellowish green  matter, smelling like putrid
eggs; great improvement was produced by spiritus 
RANULA.
335
sulphuris  gtt. i.   The cure  was  completed with
lycopodium.
  Case.   Continual  cough, with thick mucous  ex-
pectoration.   Great debility; night sweat; oppression
of the breast.  Countenance pale and yellowish. Voice
powerless.   At  times unnaturally  violent  hunger.
Spirit, sulphuris improved the case very much, and
lycopod. completed the cure.
  Case.   Frequent  hsemoptysis.  Purulent, saline
expectoration, at times streaked  with  blood.  Labo-
rious  respiration.  Restless  sleep.  Much  thirst  at
night.  Sulphur effected a cure.


                   RANULA.

  Ambra, c\c  Ranula in  a  woman set.   18 ann.
Disease first appeared, when she was ten years old;
had  diminished after incision,  but had  again in-
creased.   It consisted of tumours on each side of the
frsenum linguse of the size  of half walnuts.  They
were  livid,  almost transparent,  and with a smooth
surface; at times a  bitter tasted water could be pressed
out from  them; sometimes  they were slightly pain-
ful while  eating.  Thuya and acid nit. were twice
given in alternation, with little improvement. Ambra
gr. i.  3 diminished  the  tumours considerably, and
calcis carb. completed the cure.
  Mercurius.  Ranula, of considerable size, in a girl
set. 20 ann.  Speedily  cured.
  Mezereum.  Ranula of two years'  duration.  It
consisted  of a fleshy tumour of  a flesh colour, situ-
ated under the tongue on the right side.  When first
observed,  it was of the size of a lentil.  It grew but 
336
RHEUMATISMUS.
slowly during the first year, at the end of which it
was of the  size of a hazel-nut.  At the end of the
second year, it was the size of a pigeon's egg.  It did
not affect the speech  much, but was somewhat in-
convenient during the mastication of food.  It had
not the slightest painful feeling, but was excessively
disagreeable, inasmuch as during speaking and chew-
ing, it  poured  out  a  watery fluid in innumerable
small streams, so  that the patient had to remove to
some distance from those with whom he was convers-
ing, in  order that  he should not wet them with  the
discharge, and  the plate from which he ate, and the
table-cloth, were often  sprinkled with  fine  drops.
Lycopod, staphysag. and mercurius were tried with-
out effect.   Mezereum 4|30 was next given, and in
eight days the tumour disappeared.  But a few days
afterwards, there was constantly a saline taste in the
mouth,  and  a burning, as  from pepper, in the  spot
recently occupied by the tumour, which after some
days again returned, and  by the use of mezer.  was
again removed.   It returned several times afterwards,
but at  longer and  longer intervals.  But at the end
of three months,  under the continued use of  the
remedy, it had  ceased entirely, and for a year after-
wards there had  not been the slightest trace of it.


              RHEUMATISMUS.
                   Rheumatism.

  Aconitum.  R. inflammatorius of the elbow joint,
with sense of numbness, and swelling of the fingers,
together with pinching  pain,  extending  into  the
fingers; fever. 
RHEUMATISMUS.
337
   R.  inf. of knee joint, with  severe  tearing pain;
swelling; sensibility  to  the touch; incapability of
movement; general fever.
   Antimonium.   R. inf.   Sticking, stretching pain
in the right arm at the insertion of the biceps, with
swelling of the arm, and  part of the fore-arm.
   Arnica.   R. inf.  Feet little, hands much swollen,
red, and painful  on being touched.   Pricking in the
fingers, toes, knee, and joints of the arms, alternating
with severe  cutting in the muscular and tendinous
part of the arms and thighs.  No appetite; constipation.
   Arsenicum.  R.  Intolerable tearing in one of the
lower limbs, from the hip to the ankle; the limb must
be constantly moved.
   Belladonna  is a very valuable remedy in  inflam-
matory rheumatism, especially where the inflamma-
tory fever has been abated by aconit
   R.  inf.   Swelling of the muscles of  the neck and
throat, painful on being touched, with  cotemporane-
ous affection of one of the knee joints, without swell-
ing ;  pain on being touched; the limb kept partially
flexed;  severe cutting pains in  all the extremities.
Beating headache, and at times nausea.
   R.   Pressing, tearing  pain, beginning deep in the
shoulder, and  shooting down to the elbow or hand,
relieved  by external  pressure,  renewed by motion,
worse at night; hot, dry skin; thirst.
   R.   Severe burning pain in the hip  joint, extend-
ing itself into the  seat and  groin, growing worse by
sudden starts, and at night.  Affected  part painful
on being touched.
   Bryonia.  R. inf. of the elbow joint.
   R.  inf.   Stretching, sticking, tearing pain in the
calves of the  legs, extending to the ankles; in the
      22 
338               RHEUMATISMUS.
shoulder joint, extending down to the elbowrs; and in
the neck.  The affected parts were swollen, red and
almost immovable; pain worse  at night, as also in
motion;  constipation; urine scanty, and red.
  R.  inf.   Sticking, drawing  and pinching  pain,
with swelling of the knees.
  R.   Pain in the back, either  in the loins, or be-
tween the shoulders, or under the shoulder blades.
  R.  inf. et chronicus.  The forms of rheumatism
which are adapted to bryonia, are generally those in
which the pains  are increased by motion, are worse
at night, and accompanied by sleeplessness and con-
stipation.
   Calcis carb.   R.  Knee swollen, bluish red, pain
on  every motion.  Even  in rest, a stretching and
frequently a sticking from the patella inwards.  Com-
plicated  with too  frequent and copious menstruation,
and leucorrhoea.
  R.  in  the hip of a scrofulous child.
   Calcis sulphuret.  R. inf. of the ankle, worst at
night.
   Chamomilla  is adapted to acute rheumatism, when
the pains  are drawing or tearing, more in the ten-
dons, ligaments  and bones,  worse at night, and con-
stant in  the same parts, which are not swollen.  The
fever begins rather with chilliness, than with a proper
chill, which is followed immediately with a burning
fever, with moderate thirst.
   R.   Tearing pain, extending from the tuberosities
of the ischium, down through the bones to the soles
of  the  feet.  Slighter  in motion, worse in  sitting,
intolerable at night.
   R. of hip joint.  Nightly pain in the thigh, and
weakness of the whole limb. 
RHEUMATISMUS.
339
   Cinchona.  R.  Attacks of pain, excited by touch-
 ing, or slightly moving the affected part, and then
 gradually rising to the most fearful height.
   Colocynth.   R. of the hip joint.
   Dulcamara.   R.   Severe sticking and  pressing
 pain  in the  arms and  back at night.  Better from
 motion.
   R.  Tearing pains in all the limbs.
   Ignatia.  R.  Pain, resembling that from excessive
 labour, with momentary relief by lying on the affected
 part.
   Lycopodium. R. chronicus, combined with cephal-
 algia, dyspepsia, dyspnoea, &c, &c  Drawing pain
 in the loins.   Cramp, and tearing in the whole back,
 especially while sitting.   Renewed by rainy weather
 and storms.   Diminished by  warmth.   Stretching
 and tearing  in the  joints of the upper  and lower
 extremities.  Stiffness of the limbs, and coldness of
 the feet.
   Mercurius.   R. where  copious sweating does  not
 relieve.
   R.  Drawing  and sticking  in the  lower  limbs,
 worse  at  night than in the  day,  and increased  by
 motion.  Constant feeling of coldness in the affected
 parts.
   R. of the hip joint, with  severe  sticking pain  in-
 creased by motion.
   Nux vomica.   R. acutus et chronicus.   When the
patient is very passionate,  and there is over sensibility
to or  abhorrence  of  fresh, cool air; also  where the
pains appear or grow worse  after eating, or are  in-
creased by mental exertion.
   R. of the loins.
   R. of the hip; when  this is accompanied by pain
                                        22* 
340
RHEUMATISMUS.
through the whole limb, and constipation, or when
the pain extends to the foot during the passage of the
fseces.
  Phosphorus.  R. chr. combined with cephalalgia,
dyspepsia,  chronic diarrhoea and colic.   Stretching,
drawing, and tearing  pains  in  all the limbs, now
here, now there, alternating with cephalalgia, renewed
by every exposure to cold.
  Pulsatilla. R. inf.  Drawing, tearing, now in one,
now in. the  other knee, now in the fore-arm, hands,
shoulders, neck  or feet.   The  severe  pain did not
allow any motion of the  affected part.  When the
pains continued for several hours in one part, swell-
ing of the part ensued, and then the pain ceased in
it and appeared in some other part.  Chilliness of the
whole body, except the  affected part,  which  was
always hot.  Tongue  with a white, slimy coating.
No thirst.   But  little  appetite.  Stools  and urine
normal.  Pulse hard and  small  No sleep till three
or four o'clock in the morning, because the exacerba-
tion commenced towards evening and  continued till
this time,  when  there wras  a remission  and sleep.
Countenance pale.  Disposition passive.  Pulsat. gtt.
i. 12, with slighter exacerbation that evening.  Sleep
at ten o'clock in  the evening, which  continued till
six o'clock  in the morning.  Steady  improvement,
and in three days well
   R.   In which the pains are abated by free air, and
aggravated  on entering a warm room  or becoming
warm in bed.
   Rhus.   R. relieved by motion, and aggravated by
rest.
   R. of the hip joint.
   Sulphur.   R. At  every step sticking pains in the 
RUBEOLA.
341
hip joints; when these ceased, tearing in the right
arm, always worse at night; arm powerless, painful
on motion  and numb;  one finger spasmodically and
constantly  closed; costiveness.
   Tr. acris.   R. Severe tearing  pain in  the joints,
shooting thence along the bones.  Not altered by
movement  or rest; excessively increased by cool air;
much moderated or entirely subsiding in  a  warm
room, or on  becoming warm in bed.   Disposition
fretful and  peevish.
   Thuya.  R.  Tearing  and beating pain in the
shoulder, and extending from thence into the fingers.
Increase of pain on letting the arms hang down, and
in a warm  bed.  Amelioration by motion, in the cold,
and by sweat; worse at night.   Depression of spirits.
   Veratrum.  R. Pain, as if bruised, in the shoulder
joint and extending to the  wrist; could not bear the
arm touched; worse by covering; better by rising and
moving  about; worse  in stormy  weather.   Exacer-
bation about four o'clock in the morning.
  In addition to the above mentioned remedies, the
following  have  also been found useful    Ledum.,
mangan. acet., mezereum., spigelia.
                   RUBEOLA.

                  Morbilli. Measles.

  In this disease aconitum is a most valuable remedy.
It generally abates the violence of the fever in such a
manner, that the measles run their course without
much inconvenience or danger.  But there are cases
which will require other remedies.  Thus, where 
342
RUBEOLA.
retrocession  of the  eruption has taken  place, bella-
donna  or pulsatilla may be proper, the former espe-
cially when  the disappearance of the measles, from
the surface, is attended by delirium or by pain in the
bowels.  W7here particular symptoms, which attend
this disease, are uncommonly violent or dangerous,
or where other important symptoms accompany it or
appear during its course, those remedies are indicated
which are best calculated to overcome these symp-
toms.  Hence, when the affection of the lungs ex-
ceeds its ordinary limits, and passes into pneumonia;
bryonia,  cannabis, or some other of those remedies
which prove most useful in pulmonary inflammation,
will be required. When the laryngeal affection, which
usually communicates a hoarseness or flat roughness
to the  attendant cough, passes into angina stridula,
the remedies for croup must be  employed.  Where
the  patients  have  been previously troubled  with
worms, and the measles have developed  considerable
morbid action in the bowels, marked by unquench-
able thirst, violent and frequently recurring colic, and
the vomiting of wTorms, cina will be proper.
   As regards the sequelse of measles, drosera has been
found  useful for the hoarseness and chronic cough
often left by this disease.   Chamomilla, ignatia, nux
vom.,  for harsh, dry cough.   Belladonna,  cina, co-
nium, hyosciamus, for spasmodic cough resembling
pertussis. Cinchona, mercurius, pulsatilla, for mucous
diarrhoea.  Sulphur for hardness of hearing. 
SCARLATINA.
343
                 SCARLATINA.
                    Scarlet fever.

  The ordinary division of scarlatina into S. simplex,
S. anginosa, and  S.  maligna,  is  not  here adopted,
because it cannot be advantageously applied in direct-
ing the  homoeopathic treatment of the disease.   A
much more important division, in this respect, is into
the form adapted to belladonna, and that adapted  to
aconite.   Some  physicians  have  considered  these
forms to be two distinct diseases, arising from different
contagions.   Others consider them merely modifica-
tions of the same disease.   I adopt the latter opinion,
and agree with Hartlaub  in the statement, that "the
latter, to which the terms scarlet rash and purpura
miliaris have been applied, is to be viewed only as a
modification or peculiar  form of  scarlatina, which
yields neither in fatality nor in its consequences  to
the original form."
  In the form of scarlatina, in which bellad. is the
proper remedy, the eruption is of a bright red, like
the shell of  a boiled crab; the redness  disappears for
a moment on pressure  with the finger, but rapidly
returns.   The redness  shades off gradually into the
whiteness of the adjacent parts. It becomes alternately
of a paler and a deeper hue, and almost every moment
it diminishes or increases its extent.   The reddened
skin is even and shining smooth, and the redness first
affects the  face,  neck,  breast, hands  and feet, and
extends  thence to the rest of the body.   The  fever
and the eruption appear together, and  endure, in the
milder cases, for three or four days, and in the severer
ones for seven davs.   The eruption never disappears 
344
SCARLATINA.
suddenly,  but gradually declines with  the fever,
which is the more violent in proportion as the erup-
tion is the  more extensive.  The reddened  parts do
not sweat, and if there is moisture on the skin, it is
on  the white parts.   A general  sweat  sometimes
follows the disappearance of the  redness.  To this
succeeds desquamation of the cuticle.
  In the form adapted to aconit., the eruption is of a
purple or brown red, in spots with distinct  margins.
The redness does not disappear on pressure  with the
finger, and the reddened parts  are thickly sprinkled
with small, dark red papulse, which are perceptible
to the eye and the finger.  The eruption is generally
on the covered parts, and especially about the flexures
of the joints.  The fever and  eruption have no definite
duration, but  may  continue for weeks.   The erup-
tion sometimes disappears suddenly, with increased
danger, and  commonly with a speedily fatal issue.
The mildness or severity of the  disease is  not  con-
nected with the  extent of the eruption.  Only the
dark red spots sweat.  This form of the disease may
attack  the same person oftener than once.
  For this form of disease, the aconit. must sometimes
be  repeated at intervals of four or six hours.   At
times  it is necessary to give coffea crud. 3, for the
abatement of excessive sensibility to the pains;  and
not unfrequently these remedies are required in alter-
nation.
  Intermediate forms of scarlatina (considered by
those  physicians who affirm  the existence of two
diseases, as a complication of these, viz. of scarlatina
with purpura miliaris) frequently occur, and present
great  difficulty in  the treatment.  It has  been re-
commended in these  cases  to give the aconit.,  first 
SCARLATINA.
345
for the abatement of the fever, and subsequently, the
bellad. for the inflammation of the fauces.
  But this is not the only difficulty in the treatment
of scarlatina, for it will not, in some cases, give way
to these remedies, either from the fact that the system
may be labouring  under the operation of some other
morbific agent, which is most probably the  chief
cause of the great diversity of forms of the disease, or
under some chronic  morbid action or condition, such
as the scrofulous  diathesis,  &e, &c  Accordingly
as the disease is differently modified by these causes,
the remedy must be different, and therefore it cannot
be a matter of surprise that they are numerous.
   In addition to the above  mentioned remedies, the
following have also proved themselves useful
   Acid.  nit.  Scarlatina, with obstinate, painful in-
flammation of the tonsils,  and copious secretion of
mucus and saliva.
   Arnica.  Scarlatina, with the inclination without
the ability to sleep.  Here and there single muscular
twitches; picking with the fingers at the bed clothes
or in the air;  confused  phantasies; eyes dull and
clouded;  eyelids not completely closing themselves;
face  pale,  and covered with  cold,  clammy  sweat;
hardness of hearing, with  roaring in the ears; lips
and tongue dry; the latter with a dark coating, and
towards the root of a dirty white; thirst; rapid, weak
pulse.  In these cases, one or more doses of tr.  arnica
gtt.  i. prevented the threatened effusion in the  brain.
   Arsenicum, as also carbo veg.   In scarlatina, with
rapid sinking of the powers, and collapse.
   Baryt. carb.  Scarlatina, with long continued pain-
ful  inflammation  of the  tonsils  and dryness  of the
throat. 
346
SCARLATINA.
  Bryonia.   Scarlatina, with lively delirium; great
sensibility to external impressions; uncommon bright-
ness and redness of the eyes, with  intolerance of
light  and sparkling  before  the  eyes; roaring and
whizzing in the ears; restlessness and constant jacti-
tation in bed; sleep light, and disturbed by phantasies;
wandering speech;  quick,  hard  and  tense  pulse;
hurried respiration.
  Chamomil.   Scarlatina, with moderate  fever  and
eruption, but with distressing tightness of  the breast
and anxious jactitation.
  Hyosc. nig.   Scarlatina, with clonic convulsions.
  Scarlatina, with dysuria, in which cases cantharid.,
bryon.,  ipecac, pulsat.,  cocc,  cham., &e may  be
indicated.
  Ipecac   Scarlatina, with moderate fever and erup-
tion, but with distressing tightness of the breast and
anxious jactitation.
  Mercurius.   Scarlatina, with external swelling of
the neck.
  Phosphorus.  Scarlatina in a girl set. 6 ann.  Erup-
tion over the whole body, without papular elevations;
skin smooth, bright red, hot and dry; pulse  quick
and hard; tongue dry and  covered with a brownish
black crust; lips dry and covered with brown crusts;
gums and teeth covered with black, tough mucus;
constant drowsiness, with  delirious muttering.  In-
continence of urine; inability of  swallowing liquids;
constipation; dysecoea;  speechlessness.  Belladonna,
aconit. and  sulph. were given without benefit.  On
the fourth day  phosphor. 1|30 was administered, and
was followed by a long, quiet sleep  and  great im-
provement   On the sixth day, for return of speech-
lessness, &c, the phosph. was repeated, after which, 
SCARLATINA.
347
as there was  great stupor,  aconit. and coffea were
given in  alternation  every four  hours.   External
swelling of the neck was removed by mere 1|12.
Great debility, occurring during  desquamation,  by
cinchona 1|30.
  Rhus.  Scarlatina.   Dark redness  from the head
to the toes, with innumerable vesicles, containing a
yellowish fluid; burning heat;  great thirst;  coma,
with starting up, as if affrighted; dysuria; constipa-
tion.  After rhus there was a satisfactory improve-
ment.
  Sulphur.   Scarlatina in a girl set. 9 ann.  On the
fourth day, much  sleep;  starting;  opening wide the
eyelids; distortion of the eyes.   The eruption had
suddenly disappeared; the pulse was small  and  quick;
skin dry, but not hot. Sulphur 1|50 produced speedy
improvement.
  Scarlatina.   Bright red eruption over  the  whole
body.   Skin hot.  Incessant delirium.  Tongue dry,
chapped, cinnabar red;  here and there covered with
brown slime;  stoppage of the nose; dysphagia; con-
stipation; pulse quick, small and hard.

              SEQUELE OF SCARLATINA.

  Tinea capitis humida.  Rhus, calcis sulphuret. .
  Tinea capitis sicca.   Calcis carb., sulph.
   Scrofulous  enlargement of the glands of the neck
have  been  removed by cinch.,  bellad., calcis  carb.,
silicea, but have more frequently passed on to suppu-
ration,  in the furtherance of which calcis sulphuret
has proved itself the most useful
  Hydrops.   Arsenic, helleb. nig., digital, rhus. 
348
SCIRRHUS.
            SCIRRHUS.   CANCER.

  Arsenicum cured  an ulceration on the lip,  of the
size of a bean,  with fatty base, and hard, roll-like
margins surrounded by a dark red areola, at the same
time a red spot on the cheek.
  In  a case where cancerous ulceration had invaded
the left half of  the  upper lip; and the soft parts up-
wards to  the bone, and outwards to the angle of the
mouth, had already been  destroyed.  Arsenicum  3,
repeated every eight days, effected a cure.
  Belladonna.  A man set.  40 ann. had suffered for
three months with  a  considerable swelling of the
upper lip, which was very inconvenient whilst eating
or speaking, and considerably disfigured his counte-
nance.  In the swelling, a hard body could be felt,
which was painful on being pressed.   In cold, raw
weather, there were flying stitches through it.  Cause
of the disease unknown.  Belladonna gtt. i. 12, was
given, and in eight days the  swelling was consider-
ably diminished.   At the end of fourteen days the
remedy was repeated  in  a smaller  dose, and in a
very short time the swelling entirely disappeared.
  This remedy  produces great alleviation of the
suffering  in cancer of  the uterus, and is particularly
applicable where there is severe bearing dowTn, com-
bined with violent pain in the sacrum.
  In  a case of scirrhus and prolapsus of  the uterus,
in which, in the earlier stages  of the disease, there
was metrorrhagia  in varying  quantity and quality;
still later, the discharge of a fetid,  whey-like mat-
ter; pain in the back; flying stitches in the pubic
region; costiveness; the uterus in a state of scirrhous 
SCIRRHUS.
349
induration.  Belladonna gtt.  i. 20 every forty-eight
hours, for two wreeks, and a dose of arsenicum every
four days, for some time  afterwards, together with
the local application of a weak infusion of belladonna,
by means of a sponge, effected a perfect cure.
  Belladonna  is also  very useful in  scirrhus of the
mammse.
   Conium.  In  the case of  a woman set. 22  ann.
Five years before, she had been struck on the left
breast, and afterwards a scirrhus had formed in this
spot, which had grown slowly until  it had at length
attained the size of a walnut.   It was seldom painful,
but immovable.  At times, there was an itching in the
skin over it, which was not discoloured.  The disease
appeared  not  to affect the general system in the
least.  With reference to the originating cause of the
disease, conium maculatum was prescribed, because
this  answers well for glandular  indurations which
arise from mechanical injury.  Soon after taking the
medicine, the  patient felt some stitches through the
scirrhus.   A considerable  diminution of the tumour
could be  perceived on the next day, but the improve-
ment soon ceased to advance.  Chamomilla gtt. i. 3
was then given, and was followed by peculiar exacer-
bations and remissions.  In the evening, the scirrhus
would  be larger, and somewhat painful, and in the
mornings smaller and  movable.  These changes con-
tinued to occur for ten days, and during this time
the tumour had diminished in size.  At the end of
fourteen  days  the improvement ceased.  A number
of other  remedies were for some time tried, which
exhibited no  action on the induration.  The physi-
cian therefore considered it  most advisable to employ
local applications, and he directed some drops of the 
350
SCIRRHUS.
tincture of conium, prepared from the fresh expressed
juice of the  plant, to  be rubbed in, every  evening,
over the induration.   Under this treatment the scir-
rhus entirely  disappeared  in  the course  of eight
days.
   This remedy has also been found useful in cancer
of the lip.
   Magnesia  murias. removed scirrhous induration of
the uterus.
   Nux  vom.  proved useful in cancerous ulceration of
the lips.
   Case.  A  man  had a scirrhus of the size of a pea
on the  middle of  the  lower lip, which was  removed
by a surgeon by means of  repeated applications  of
caustic.  But afterwards there appeared at each ex-
tremity of the lower  lip, adjoining the angles of the
mouth,  eroding ulcerations, with elevated,  uneven
margins of a white  colour, pale red ground, and
discharging a thin fluid, without any perceptible bad
odour.   The  patient had a  constant flow of saliva,
which  every  one who  trod in it with a bare  foot pro-
nounced "very sharp  and biting."  His disposition
was passionate, but at the  present time  depressed,
and he  asserted that his disease and his unfavourable
circumstances had  taken away from him all desire
of life.  Nux vom. gtt. i.  18  was given, and was
followed by great  improvement.  On the sixth day,
conium  mac. gtt.  i. 21 was given, and by the tenth
day the  disease was completely removed.
  Phosphorus proved very useful in excessively pain-
ful and hard indurations in  both mammse, unaccom-
panied by inflammation.
   Sepia has  proved beneficial in  scirrhous  indura-
tions of the cervix uteri. 
SCROFULA.  SINGULTUS.
351
  This remedy  removed  a cartilaginous and  fre-
quently bleeding scirrhus of the lower lip.
  Silex.   A scirrhous induration, commencing at the
left angle of the mouth,  and involving nearly the
whole  of the left cheek, was removed by silex 6|30,
dissolved in two  ounces of water, of which a table-
spoonful was given every other day.   This prescrip-
tion was once or twice repeated.
  This remedy also removed a cartilaginous indura-
tion, with a deep fissure,  which was seated in the
upper lip.


                  SCROFULA.

  Many developments of  scrofulous action are pre-
sented under other  heads.  It is merely necessary to
remark in this place,  that  sulph., calcis  carb. and
barytes are among the most valuable remedies for the
enlargement of the  lymphatic glands of the neck, in
scrofulous subjects.

                 SINGULTUS.
                     Hiccough.

  Bellad. cured a hiccough which at first had appear-
ed every year; later, at shorter  intervals, and con-
tinued for two or  three days.  Before, it had  always
been cured by musk, in large doses, but, at length, it
would not yield to the largest.  After the  cure, by a
single dose of belladonna, it did not again return.
  In  the case of  a man,  bellad,  and afterwards
bryonia, cured a hiccough, attended by retching and
vomiting, of forty-eight hours' duration. 
352
SYCOSIS.
  Nux vom. cured a singultus of four days' duration,
which was so violent that the patient  could neither
eat nor drink.  In a pregnant woman
  Pulsatilla.  Paroxysmal singultus; the paroxysms
daily, sometimes several in a day, and began with
from  twelve  to  twenty loud,  frightful hiccoughs,
which passed into a severe spasm of the neck and
breast, and  then it appeared as if the patient would
suddenly  suffocate;  the countenance,  at the  same
time,  expressing the most dreadful anxiety.  Then,
as if  by powerful exertion, the hiccough returned
with  undiminished  severity,  The  paroxysms en-
dured for a  quarter  of an hour,  and after that time
gradually ceased of  themselves,  and the patient lay
completely exhausted.   Any strong, mental emotion,
especially fright, would induce  an attack.   After
pulsat. gtt. i. 12, the disease never returned.
  Sulphur 2|30, repeated after  some days, cured a
frequently recurring hiccough.
  Hyosciamus and  stramonium are also useful  in
singultus.

                    SYCOSIS.

  According to Hahnemann, "this  disease has not
been constantly prevalent.  In modern times,  espe-
cially during the French war, in the years 1809 to
1814, it wTas widely  extended, but since that time it
has shown  itself less  and less  frequently.  It has
almost always been treated  unsuccessfully and  in-
juriously with the internal use of mercury, because,
notwithstanding the excrescences on  the parts of
generation, it has been considered as identical with
syphilis.   These excrescences usually appear first on 
SYCOSIS.
353
the parts of generation many days or even weeks
after infection, by impure connection,  and are  com-
monly, though not always, accompanied by a species
of gonorrhceal discharge  from the urethra.  They
are in the form of a cock's comb or cauliflower,
seldom dry and warty, more frequently soft, spongy,
secerning a stinking fluid, and bleeding easily. They
sprout on the glans penis or under the  prepuce in
men, but in women, around and upon the pudendum.
It has been the practice to remove them by actual or
potential cautery, excision or ligature; but they gene-
rally return again, and even when they do not, the
general health suffers greatly, and is  impaired still
more  by the improper use  of mercury which is in-
capable  of curing the disease;  and then somewhat
similar  excrescences  appear on  other parts of the
body, either as whitish, spongy, sensitive, flat eleva-
tions in the  cavity of the  mouth, on the  tongue, the
gums,  the lips;  or as great, elevated, brown, dry
tubercles in the  axilla, on the neck, scalp  or  other
parts; or other disorders arise, of which I shall only
mention the contraction of the tendons of the flexor
muscles, especially of the fingers."
   Sycosis and its accompanying gonorrhoea are most
certainly and  perfectly cured by thuya occidentalis
30, and after twenty, thirty or forty days,  acid, nitric
30. No other external application is required, except
the moistening, once a day, of the larger excrescences,
with tr.  thuya occid., and this only in the most in-
veterate and difficult cases.
   Euphrasia,  externally  and internally, has  been
employed with  success for the removal  of the ex-
crescences.  Afterwards, acid,  nitric,  gtt. ss.  3, in
alternation with thuya 3112, both twice given.
      23 
354
SYNCOPE.  SYPHILIS.
                   SYNCOPE.
                      Fainting.

   Cases are recorded in which aconit., moschus, nux
vom. and veratrum, have proved useful in syncope.

                   SYPHILIS.
             Lues venerea.  Venereal disease.

   Before proceeding to mention the remedies which
have been found  most useful in the treatment of
syphilis, it will be proper to  remark, that homoeo-
pathic physicians do not approve of the treatment by
caustics, &e,  of  the  local diseases.  Hahnemann
objects  to it,  as  depriving  the  system  of what is
necessary for its relief  in its diseased condition, and
as taking away from the physician the indices which
mark the presence and extent of that condition.  In
support of the former  argument, against such  local
treatment, it is only necessary to mention the circum-
stance of the great relief which is sometimes experi-
enced from heavy, oppressive and despondent feelings,
and even from pains, on the appearance of chancres
or other local  affections.   In  support of the  latter
argument,  the opinions  of alloeopathic  physicians
might be quoted, but  this is unnecessary,  as every
physician, who believes  that the  chancre  is only a
symptom of constitutional disorder, will at once per-
ceive its propriety.
   Acid. nit.  is  useful against  primary  as well as
secondary syphilitic ulcerations  of the  mouth and
throat, and also in those which appear in the  parts
just  mentioned, from the abuse of mercury. 
          TESTES ET CHORDE SPERMATICE.      355

  Acid,  phosph.  has  proved  useful  in  mercurio-
syphilitic disease.
  Aurum has been employed, with strikingly benefi-
cial results, in secondary syphilis.
  Lachesis has been  recommended for secondary
syphilis.
  Mercur. has been employed in single and in re-
peated  doses, in  various  dilutions, with complete
success, for the cure of chancres, buboes, and second-
dary symptoms.  The mercurius solubilis appears to
be generally preferred.
  Thuya has proved  serviceable in some cases  of
secondary syphilis.
  TESTES ET CHORDS SPERMATIC^.

   Testis inflammatio.   From injury, has been cured
with  aconit.  followed by  arnica.  Inflammation  of
the testicles, from  contusion, has also been rapidly
removed by  pulsatilla.  Clematis and nux v. have
also proved useful
   Testis induratio.  Lycop. gtt. £18, graphit. gtt.
ss.  18,  and  sulphur 2|15,  in this succession, cured
induration of the testicles, with impotence.
  Clematis has proved useful in induration and sen-
sitive enlargement of the testicles.
   Testis tumefactio.   From injury, arnica.   From
gonorrhoea, mercur, pulsat.  Swelling of the testes,
from  the latter cause, may be relieved, while acute,
by alternation of aconit., with the proper remedy for
the gonorrhoea.
   Testis dolor.   Zinc, calcis carb., lycopod.
                                        23* 
356
TETANUS.
  Hydrocele.   Graphit.,  silex,  rhododendron;  from
bruise, pulsat.
  Circocele.  I have  seen temporary removal of the
enlargement of the spermatic veins of the left testicle,
forming a moderate circocele, by acid nit. under cir-
cumstances to excite  the suspicion  that, in this in-
stance, it only operated palliatively.  In this case the
affected testicle hung lower than the other.  In some
cases of circocele, this remedy may possess certainly
curative powers.  J.


                   TETANUS.

  Aconit.  In the case of a boy affected with trismus,
(locked jaw); frequent alternation  of  redness and
paleness of the face, and distortion of the eyes; aconit.,
twice given, effected a cure.
  Angustura has been recommended for trismus and
opisthotonos.
  Arnica.  In  a case of trismus, with opisthotonos,
arising from a wound in the leg, after the violence of
the disease had been abated by mercurius, the cure
was completed with two doses of arnica, 2|12.
  Belladonna  "is adapted to many of the premoni-
tions of tonic spasms; to these belong, partial spasms;
shivering  and trembling  of the limbs;  gastrodynia;
spasmodic, constrictive sensations in the epigastrium,
which are accompanied by shortness of breath, and
an anxious, distressing feeling in the breast, drawing
and stiffness in the neck and spine, spasmodic con-
tractions in the tongue, difficult deglutition, yawning,
vertigo and stupor.  When these symptoms advance,
dimness of sight, distortion of the face, and trismus, 
TETANUS.
357
or spasmodic  difficulty of deglutition,  also  appear.
When belladonna is adapted to trismus, the following
symptoms, especially in the cases of infants, must be
present;  sudden starting and drawing together of the
body and limbs; slight, twitching motions;  strabis-
mus; inability to swallow;  finally severe spasms;
anxious,  spasmodic respiration; dilated pupils; mo-
tionless,  staring eyes; involuntary discharges of the
feces."
   Cicuta virosa is a valuable remedy  in tetanus,
especially  wiien this disease  presents  itself  most
strongly  in the form  of trismus, but there is, at the
same time, general tetanic rigidity.
   The recorded cases in which it has proved  service-
able, have all  originated in  immediate irritation  of
the brain or spinal marrow, from injuries inflicted on
the head or back.
   Ignatia.  In  a  case of opisthotonos  from fright,
(hysteria?); in which the head was drawn powerfully
back by tonic  spasms; the countenance was livid;
pupils  dilated; respiration laborious; deglutition  of
fluids difficult; ignatia effected a cure.
   Ipecacuanha  is a remedy well worthy of attention
in tetanus.
   Mercurius has proved useful in trismus.
   Nux vom.   In the case of a girl set. 12 ann., from
being wetted,  and  taking  cold.   Severe spasmodic
affections, first in the limbs, and afterwards extend-
ing to the back, which became  so rigid, that the
patient  had the  appearance of a person  suffering
under tetanus; the lips were blue, and the respiration
difficult.   Nux vom. 2|30, effected a cure.
   Rhus  cured what might  be termed a  chronic
opisthotonos from injury received by falling down 
358
TUSSIS.
stairs.  The boy laid on his face, his head  drawn
back in such a manner, that the occiput nearly touch-
ed the back; the spine was distorted, and the lower
extremities completely paralysed.  Rhus 1|30, given
every week, for a considerable length of time, effected
the complete removal of the spinal distortion, and of
the tetanic and paralytic affections.
   Tr. acris.   In a case of trismus, which had al-
ready been previously benefited by the employment
of mercurius,  repeated doses of tr. acris completed
the cure.
                   TUSSIS.
                      Cough.

  Aconit. has been found very useful in dry cough.
  In a case of chronic, dry cough, where the irritation
appeared to be seated in the upper part of the left
lung,  and there was loss of appetite and some febrile
excitement, aconit.  10|24, given  every morning and
evening, effected a removal of the complaint in four-
teen days.
  Ammonia mur.   In a case of chronic cough of six
years' duration, which was worse  after eating, after
drinking cold  fluids, and on lying down;  the cough
dry, except in the mornings, when it was accompa-
nied by a white, thick, tasteless expectoration; ammon.
mur. gtt. ss. 15 effected a cure.
  Arsenicum.  In an intermittent cough, which com-
menced every afternoon, between three and six o'clock,
with a tickling low down in the trachea, and a fre-
quent hacking cough,  which  gradually increased      i
until  it became a  constant,  violent and  whooping 
TUSSIS.
359
 cough, with the shrill tone of a hen, (kikikikih), and
 an almost complete loss  of breath; cough dry,  or
 attended only by a slight expectoration of transparent
 mucus; paroxysms enduring from thirty to forty-five
 minutes, and ending  with convulsive  symptoms of
 short duration and a sleep of two minutes; no cough
 until the period of the next paroxysm; arsenicum gtt.
 i.  30 was given shortly after a paroxysm.   The next
 day the attack occurred an hour later, and was more
 severe than usual, but there was afterwards no return
 of the complaint for  three months,  when it  again
 made its appearance, and the arsenicum, in the same
 dose, removed it in the same manner as before. Pre-
 viously to the employment of the arsenicum, the
 following remedies had been tried; moschus, ipecac,
 calcis sulph., cina,  ignatia, stannum, nux vom., cin-
 chona.  From none of these,  except the last, was
 there any  beneficial operation; this, however,  sus-
 pended the disease for one day.   A repetition of the
 dose did not  suspend, but in some measure modified
 the disorder.
   Belladonna is useful in some forms of spasmodic
 cough, especially when these attack at night.    4fe
   Bryonia.   In a case of chronic, spasmodic cough,
 worse after meals and in the evening, at which time
 it was accompanied by vomiting; the bowels costive;
 bryonia gtt. i. 4 effected a cure.
   Capsicum is useful in some kinds of cough which
 are most severe in the evening and at night.
   Carbo veg. has frequently proved useful in chronic
 cough, with slight expectoration.
   Chamomilla.   In a case where the cough attacked
in  the morning, and in the evening gradually disap-  *
peared after lying  down in bed;  before the attack, 
360
TUSSIS.
there was peevishness; and during it, tickling in the
pit of the throat; speaking excited the cough; chamo-
milla effected considerable improvement.
   Conium.  In a chronic, dry cough, with constant
oppression of  the  breast, and evening fever; three
doses of conium 3|24 effected a cure.
   Drosera has proved very useful in chronic cough
with hoarseness continuing after measles.
   Hyosciamus is often very useful in dry cough.
   This remedy sometimes rapidly removes a spas-
modic cough of old persons, which attacks at night
soon after lying down, and is very troublesome till
towards morning, and  attended by mucous expecto-
ration.
   Ipecac.   In  a case  where there was  suffocative
cough, accompanied by bilious vomiting; tr. ipecac.
gtt. i. 3 removed these symptoms.
   In a case of dry, spasmodic, shattering cough, with
loss of breath; two doses  of ipecac. 3 effected a cure.
   Lachesis is useful in short, hacking cough, attended
by little expectoration,  and occurring only in the day
time.
fjNux vom. is  useful in  dry cough, arising from
tickling in the larynx,  as also in those forms of cough
for which it  is mentioned  as being suited, in the
article on Catarrh.
   Phosphorus  is  sometimes useful in chronic, dry
cough.
   Pulsatilla is very useful  in cough which is most
violent in the  evening, continues through the night,
and is alleviated  by  sitting up.  But it has also
proved useful in violent, morning cough, and when
the cough continued both night and day.
   In addition  to the remedies above mentioned, those 
TUSSIS CONVULSIVA.
361
referred to in the articles on catarrhus, phthisis, &e,
are worthy of attention.


           TUSSIS CONVULSIVA.
              Pertussis. Whooping cough.

  Aconitum.   In an epidemic pertussis, this remedy
given daily, for two weeks, proved very useful.
  Arnica is useful where fretting and crying precede
the cough.
  Belladonna is often useful in pertussis.
  Bryonia is serviceable when the cough is worse in
the evening  and at night; after  eating  or drinking,
and where there is frequent vomiting of the ingesta.
   Chamomilla is useful when the cough is accompa-
nied by vomiting.
   Cina has, in several instances, proved beneficial.
   Conium has proved useful where the cough was
very severe in the night.
  Cuprum.   Hartmann recommends  both  the  cu-
prum met. 30, and  the cupri acet. 30, in those forms
of pertussis in which  the patient becomes insensible
and rigid during the cough, and vomits on recovering
from this  condition.   In these cases there  is also a
rattling, as of mucus in the bronchia, while the cough
is absent.   The remedy may be  repeated every two
or three days.
  Drosera.   There is reason to believe  that  this
remedy has proved of very great service  in some
epidemics.  It  is  most highly  recommended,  and
the recorded cases of cure,  by its means,  are very
numerous.
  Iodine.  In a case where the cough was induced 
362
UTERUS.
by an intolerable tickling through the whole breast;
there was, during the paroxysms, undulating inspira-
tion, and before them anxiety; iodine 30, given every
third day, proved very useful.
   Ipecac, repeated every  two or three hours, has
been  found not only of advantage in  removing the
catarrhal symptoms, which sometimes remain after
the cure of the spasmodic cough, but has  also been
found capable  of subduing some forms of pertussis
itself, and is applicable  where the short, severe  and
shattering jars of coughing follow so rapidly and in-
cessantly on each other  that the patient can scarcely
breathe, every inspiration appearing to excite renewed
coughing.  Efforts to vomit are frequently combined
with these symptoms.
  Lactuca vir. has proved  useful in  pertussis, espe-
cially where the paroxysms have been preceded by
anxiety.
  Ledum has been employed in pertussis.
  Lobelia inf. has proved useful in pertussis.
  In addition to the  remedies above  mentioned, the
following have also been recommended; ambra, anti-
timonii tart., arsenicum, calcis  carb.,  hyosciamus,
laurocerasus,  nux  vom., pulsatilla, sepia,  sulphur,
veratrum.
                   UTERUS.
                    The Womb.

  Hysteritis.   Metritis.  Where inflammation of
the uterus attacks with a severe chill,  followed by
violent  fever, Hartmann recommends  that  aconit.
should  be given,  but does  not  consider  it to be 
UTERUS.
363
necessary in all  cases.   He  also speaks of nux vom.
as a highly valuable, and frequently applicable re-
medy.   The  symptoms to which it is adapted,  are
the following; pressing pains above the ossa pubis,
which  are  increased by external pressure, or by ex-
amination per vaginam; severe  pains in the sacrum
and loins;  constipation  or hard stools, attended with
burning  and sticking  pains; painful  urination, or
retention of urine; sticking pain, and soreness in the
lower part of the abdomen from motion,  coughing or
sneezing; elevated temperature,  and tumefaction of
the os uteri, with cotemporaneous  disease  of  the
vagina;  exacerbations  in the morning.   The  nux
vom. is applicable whether the uterine inflammation
occurs  in  the unimpregnated, gravid or puerperal
states.  Belladonna is almost  indispensable when sen-
sations of heaviness and bearing down in the lower
part of the abdomen,  sticking,  burning pains over
the ossa pubis,  with violent  pains in  the sacrum,
and sticking  pains  in  the hip joints, which, permit
neither motion nor touch, are very prominent symp-
toms.
  In addition to  the remedies already mentioned, the
following are sometimes indicated; bryonia,  coffea,
ignatia, mercurius, pulsatilla.
  Uteri prolapsus. The remedies which have been
most highly recommended for this distressing affec-
tion are nux vom. and belladonna.  Aurum has been
reported  as useful in a  case in which it was given in
alternation  with  nux vom.   The  remedy which I
find  most  useful in removing  the  bearing down
pains, which usually accompany, and evidently arise
from the same morbid  action which causes the pro-
lapsus of the uterus, is the secale cornutum. 
364
VARIOLA.
                   VARIOLA.
                     Small-pox.
   While aconitum, bryonia, or other remedies which
are in common use, may,  according to the circum-
stances of the cases, be sometimes advantageously em-
ployed in the treatment of variola, yet no claim, which
is entitled to the slightest attention, is urged for the
possession by any of  these of a specific control over
this disease.
   But such a claim has been made for the vaccine
virus,  or  vaccinin, as  it  is now termed in some
homoeopathic  works.   Whether it possesses  such a
control, is a matter worthy of the closest investiga-
tion.   My own experience  on  this point is very
limited, and,  on the whole,  does  not support the
opinion which invests the vaccinin with the power of
arresting the course of small-pox.   Since resolving
to try the powers  of this remedy in  variola,  I have
had but two cases of the disease,  which I shall detail,
as the  circumstances of one of them were very pecu-
liar,  and conferred upon both a  considerable interest
independently of that arising from the trial of a new
remedy.
   A girl of about thirteen years of age, had an attack
of varioloid, which was so mild that no physician
was  consulted in  the case.   In about eleven days
after the appearance of the eruption on this girl, her
aunt, aged over twenty-five years, who had formerly
been vaccinated, was attacked with  fever.  And on
the day in which, the  aunt was attacked, a brother of
the girl, aged one year, who had  been nursed by  her,
even during her illness, was vaccinated by the vac-
cine  physician of the district, 
VARIOLA.                 365
  On the third day of the aunt's illness, I was called
to visit her, and  notwithstanding I had reason to
believe that it was a variolous fever, yet as the symp-
toms  appeared to  indicate the nux vom.,  I  admin-
istered this remedy.  On the next day the variolous
eruption had  made its appearance,  and as,  at this
period of the disease,  a spontaneous abatement of the
fever  was  to be expected, any mitigation which ap-
peared was to be attributed to this cause, and not to
the operation of the remedy which had been given.
The eruption was very copious, in fact,  as much so
as it  could be to  retain the character of a  distinct
small-pox  (variola discreta).   I did  not  procure the
vaccinin until the second day of the eruption, when
I administered to her several pellets  wetted with a
high  dilution  of this article, which produced no evi-
dent change.   On the fourth day of the eruption, as
she complained very much of burning and soreness
of the skin, the pocks presenting all the  appearances
which would  justify the belief that they would run
the course which  they usually do in pretty severe
cases of variola in persons who have  not  been pro-
tected by previous vaccination or variolation; the vac-
cinin was  again given.  The next day the patient
informed me, that shortly after taking the medicine,
the burning in the skin had very much abated, and
that  she had  passed a tolerably  comfortable  night.
After this, the pustules  rapidly  dried up  in the
manner of varioloid, and, in a few days, had all fallen
off from the skin.
   A question occurs, whether  the vaccinin had any
influence  over the disease; and  in  favour  of an
affirmative answer, the fact  of the relief which fol-
lowed so speedily on the employment of the remedy, 
366
VARIOLA.
 may be urged.  But against this, and in support of a
 negative  reply, it  may justly be  argued,  that relief
 should have followed after the first administration of
 the remedy, if it possessed the power attributed to it;
 and that the  relief, when it did occur, happened  at
 the very period of the eruption at which it often takes
 place in those forms of variola which occur in persons
 possessing  a  partial protection against this disease
from previous variolation or vaccination, to which, of
 latter years, the term varioloid has been applied, and
 of which the drying up and earlier  disappearance,
 instead of the ordinary maturation of the pustules,
 are the most  distinctive features.   The only reason
 why the latter arguments are not fully conclusive in
 my mind, is the fact, that I have never, in any other
 instance,  seen  a case in previously vaccinated  or
 variolated persons,  in which  the  eruption was  so
 copious, run the course of varioloid; but, on the con-
 trary, always  to maturate and decline in the same
 manner as variola occurring  in persons without  any
 previous protection.
   While attending on the aunt, I had an opportunity
 to observe that  the vaccinia ran its regular course  in
 her nephew, only that I did not see him at the period
 of the greatest perfection of the areola, but from what
 I saw myself  and learned from the  parents,  this was
 perfect.
   Two days  after the formation of the areola, the
 child had a convulsion which ushered in a variolous
 eruption, which became very copious, filled at the
 proper  time with a yellow puroloid fluid, burst, en-
 crusted, and ran the complete course of a perfect and
 copious distinct small-pox..   In this case, as the child
 had just passed through the vaccine disease, the scab 
VARIOLA.
367
of which was  still on  its arm, it appeared to  me a
work of supererogation  to administer the vaccinin,
and  therefore  it was not given until the third day of
the eruption.   As the mother of the child thought
it appeared to be a little  easier after the remedy, this
was  several times repeated, but as the disease ran the
course of variola, not much value can be attached to
the supposed observation of greater ease after its use.
  This case appears,  at first view, to militate still
more strongly than the former against the supposition
that  the vaccinin possesses  the property which  has
been attributed to it.  For, in the  present case, not-
withstanding the presence of the vaccine scab on the
arm, the disease advanced, and afterwards, in spite of
repeated infinitesimal doses, pursued an uninterrupted
course through regular maturation and decline. But
a decided inference against the powers of the remedy,
deduced from these  facts, would be improper, for the
case  stands upon peculiar,  though,  I  believe,  not
solitary grounds, and  would of itself  equally justify
the conclusion that vaccination affords no protection
against variola,  since, notwithstanding the vaccine
disease had just completed its full course and in the
proper  time,  a copious  variolous eruption occurred
and  also ran its full  course.
   From a review of the facts of the case, it will ap-
pear probable, indeed almost certain,  that the infant
contracted the disease  from its sister at nearly the
same time that the aunt was infected from the same
source; and that as  the infant was vaccinated  on the
same day in which  the  aunt was  attacked with the
variolous fever, that it was  on the eve of sickening
with the same disease at the moment of vaccination.
   The only objections to these conclusions are, that 
368
VARIOLA.
 the child might  have been exposed to other sources
 of the infection than  that afforded  by its sister, or
 that it might have contracted the  disease from  its
 aunt.  But no other exposure of this kind was known
 of or probable; and in respect to infection from the
 aunt, it is to be  observed, that, as variola, when  re-
 ceived by infection, appears  to require  an interval of
 eleven days between  the  exposure  to  the  infection
 and the  appearance of the eruption, it must follow,
 that if the child  contracted  the disease from her, it
 must have done so on the first day of her  fever, the
 possibility of which is  very doubtful; and then, what
 is highly improbable, the variola must have advanced
 pari passu with the vaccinia.  Agreeably to my own
 experience and all that I have heard of the experience
 of other  physicians, which I am  able at present to
 call to mind, vaccination, when performed upon per-
 sons residing in  the same apartment with  a person
 suffering under variola, even as late as the second day
 of the eruption, has always, when it  produced  the
 vaccine disease, prevented the small-pox at that time.
 Though there may be some cases where the vaccina-
 tion  being performed  at a much later period after
 exposure to the infection, vaccinia has  been followed
 by variola as in the present case.
  The most justifiable conclusions therefore appear
 to be, that the  child received the infection from its
 sister, that the variola was  delayed in its appearance
by the intervention of the vaccinia, and that  there
 was a perfect arrest of  the  advance of the former
during the progress of  the latter disease.
  Whether  the variola was  not, in all  probability,
rendered  milder, although  not prevented by the vac-
cinia, is  a question which  I shall  not at present 
VARIOLA.
369
discuss; though I think it most probable that it would
be  answered  affirmatively by most physicians who
possess an extensive knowiedge of both diseases and
their relations to each other, and who are, at the same
time, acquainted with the highly malignant character
which  variola generally assumes,  of later years, in
persons who have received no partial protection from
previous vaccinia or variola.
  If vaccinia, besides its well established power of
procuring either perfect immunity or partial protec-
tion from  variola, is also capable of arresting and
possibly of modifying this disease in the middle of its
course, it would be improper for the physician, who
knows the powerful operation of infinitesimal doses,
to positively deny,  from the present evidence, the
possession of some controlling power in vaccinin thus
administered,  over variola;  or to assert that the ap-
parent relief from  its employment in the case of the
infant was only illusory.
  I may, perhaps, be justly charged with prolixity in
the above details and arguments, but would plead in
extenuation of the fault, my anxious desire that as all
our medical knowledge, which deserves the name, is
to be derived from accurate observation and close  in-
vestigation of individual cases; that in the trials of
this, as well as of every other remedy, in  variola as
well as every other disease, w7e may subject our cases
to the most rigid scrutiny, so that we shall neither
suffer ourselves to be misled, nor aid in misleading
others.
24 
370
VERMES.
                   VERMES.
                      Worms.

  The healthy condition of the stomach and intes-
tines appears to be unfavourable to or incompatible
with the existence of worms in these organs.  The
cause may be either the destruction of their ova by
the energy of the digestive function, or that the recre-
mentitious matter may not afford  the nourishment
suitable for them.
  Although worms require a morbid condition of the
alimentary canal in order to allow them to inhabit it,
yet some forms of gastro-enteric disease destroy them.
"No medicine," says Dr.  Parr, "is half so fatal to
worms as fever;  for fever, excited by surgical opera-
tions, when the  general system was not  previously
affected,  will  generally occasion worms  to be  dis-
charged."  The same circumstance is frequently ob-
served after  fevers  arising from  other  causes,  as
scarlatina,  rubeola, &c  The  great changes in the
secretory actions of these organs, and the consequent
altered character of the secretions, must greatly affect
the worms, or,  as we see in  the  above instances,
absolutely  destroy them.   Such alterations of the
secretions may also be the effect of various medicines;
and it is to the possession of such a property that we
must attribute the efficacy of those which are termed
vermifuges or anthelmintics.
  Notwithstanding that the facts, which we know in
relation to intestinal worms, lead directly to the  in-
ference that their destruction, when it takes place, is
owing to an alteration in the condition of the bowels,
either from the induction of a healthy condition, or of 
VERMES. •
371
a different development of morbid  action in these
organs; still the idea is generally if not universally
prevalent, that vermifuge  medicines  operate directly
upon the worms and  destroy them, either  through
their poisonous properties, or by wounding or suffo-
cating them.   Of  the remedies which are supposed
to poison the intestinal worms, filix mas., spigelia and
the mercurials are instances.   Of those  which are
supposed to pierce and cut the worms, or otherwise
to inflict mechanical injuries upon them sufficient to
destroy them, are the metallic filings, especially those
of tin and iron, and the setse of the dolichos pruriens.
And of those which are supposed to suffocate them,
are the castor and  olive oils.
  If  these notions,  in relation to the operation of
vermifuge medicines, were not so extensively preva-
lent as they actually  are, they would be  scarcely
worthy of attention, since the evidence of their pos-
session of any such powers of poisoning, cutting to
pieces or suffocating worms, as have been attributed
to them, is far from satisfactory, and as it would not
appear very  improbable  that the foreign  matters
which possess the  power of poisoning these parasitic
animals,  may also poison  the  human being whose
bowels are infested by them; and that if the filings of
tin  or the  setse of the dolichos operate by mortally
wounding the worms, we might apprehend some risk
of injury to the bowels themselves.
  But as even slight observation will convince us of
the power of most of the medicines which have been
celebrated as vermifuges, either obviously to alter the
character of the secretions poured into the alimentary
canal, or to remove those  symptoms  which often ac-
company and are considered as marking the presence
                                        24* 
372
• VERMES.
of intestinal worms, we  have the most  convincing
evidence of their powerful operation upon the human
stomach and bowels.  The knowledge of these facts
enables us to perceive more distinctly than  we have
hitherto done, what  are the uses  and what have
been the abuses of vermifuge remedies.  In the first
place, viewing the worms as a consequence and not a
cause of the disease, we  can understand, that  as the
symptoms usually observed when worms are present,
arise from the gastro-enteric disorder, and  not from
the worms, and as these symptoms may exist without
the presence of these animals; that vermifuge medi-
cines will often  remove the symptoms attributed to
worms, without  the appearance of these in  the dis-
charges.  Under these obviously more correct views,
we shall neither be led  into  the error of supposing,
that notwithstanding there have been no worms dis-
charged, still they must have existed, and that as the
symptoms have  disappeared, they must have been
killed  and digested;  nor shall we fall into the still
more ridiculous  mistake of considering  the altered
excretions of  the bowels as  the  fragments  of these
animals.
   In the next place, we  can understand that  as the
vermifuge medicines have a decided action upon the
stomach or intestines, they must each, according to
the peculiarity of their action, be capable of subduing
some of  the  disorders  of these viscera, especially
when these disorders originate in. the viscera them-
selves,  as they are very likely to do from errors in
diet, and not in constitutional derangement.   That
as these  remedies are,  in fact,  prescribed against
certain symptoms  which experience has taught us
they are  capable of removing, the actual cures from 
VERMES.
373
their employment may be numerous.  But as no one
remedy can be expected  to cure more than a small
proportion  of the derangements of  these viscera, if
proper attention be not paid to the selection of the
remedies, as adapted  to the peculiar forms of these
disorders, it will frequently  happen  that mischief,
instead of benefit, will result from their employment;
even when they effect the destruction and discharge
of the worms.   For if the pathogenetic operation of
the remedy be  not such  as to supplant and subdue
the previous disease,  the system has been unavail-
ingly submitted to a new disorder,  and its energies
having thereby been impaired, it cannot as well resist
the advances of the old  disease.  And it probably
has arisen from the observation of the injurious effects
which ensue from  the removal of  worms by medi-
cines which are not adapted to overcome the disease
which allows of their existence; that many physicians
have  considered worms  to be rather beneficial than
otherwise,  and that they act  as a  species of "sca-
vengers" by consuming matters in the bowels, which,
but for them, would prove prejudicial to the health.
   How  far worms may perform the part thus attri-
buted to them, or whether  it really belongs to them,
I shall not attempt to decide; but even admitting that
they are useful, I can see no propriety in withhold-
ing the treatment which  is  proper for their removal,
because, they are themselves  an evidence of a dis-
ordered  state of the alimentary canal which ought to
be corrected, and  the  correction of which will be at-
tended by the disappearance of the worms.
   It is probable that  the morbid conditions are dif-
ferent which favour the existence  of the  different
kinds of intestinal worms;  that one form of disorder 
374
VERMES.
is suited to the tsenia, another to the lumbricus, and a
third  to the ascarides:  and if this is the fact, that
these  morbid conditions sometimes exist in complica-
tion, for we often find  lumbrici  and ascarides, and
even lumbrici  and tsenia in the same subject.  It is
therefore possible that even when the chief  morbid
action is located in the stomach  and intestines, not
merely one but many remedies  must be employed in
succession in order to effect a cure.
  Where  the  gastro-enteric disorder is dependent
upon  constitutional derangement, the remedies which
are capable of removing the latter  must be employed,
but may be advantageously alternated  with those
which are indicated by the former disease.
  The physician who is called upon to attend per-
sons, especially children, labouring under such symp-
toms as usually accompany the presence of worms in
the bowels, cannot be  too  careful to interdict the
frequent and habitual use of much saccharine matter,
of confectionary, of dried and preserved fruits, and of
food difficult of digestion;  and to recommend a pure,
wholesome and nutritious diet.
  Ascarides.   Where these worms  are present, the
following remedies may be useful; aconit., ferrum,
ignatia, marum verum, mercur., nux vom., sulphur,
valerian.  When ascarides produce severe itching
about the anus, and soreness of the rectum, sulphur,
ferrum or marum verum, will most probably be indi-
cated.
  Lumbrici. Where these worms are present,  bellad.,
cina, mercur., nux vom., spigelia.
  Tenia  solium.  Filix mas,  graphit., calcis carb.,
sabadilla, fragraria vesca.
  In  addition  to the above remedies, the following 
VESANIE.
375
 may also be sometimes useful;  asarum, cicuta, digi-
 talis, silex, stannum, veratrum.


                   VESANLE.
                      Insanity.

   The disorders of the mental faculties being so nu-
 merous and varied as to forbid, in the present state of
 our knowledge, any classification which would prove
 of much service to the homoeopathic physician, I shall
 attempt  no other arrangement than that which, ex-
 hibits, under each remedy, the cases in which it has
 effected  cures, and those in which,  although other
 remedies have been used, it has been evidently useful.
   Aconit.   In those cases where there is a supersti-
 tious belief in a fixed day of death, whether this belief
 is founded on presage or presentiment, aconit. is a most
 valuable remedy.   The important influence which a
 fixed idea of this kind may exert on the general health
 of the body, and the fatal results which it may pro-
 duce in debilitated  conditions, are already known  to
 the profession.  But  as  the  following  unfortunate
 case, which is related by Dr. Gross, stands in strong
 contrast in its issue with those which  are afterwards
 detailed, I consider  its insertion in this  place to be
 proper.
  Case.  A young, blooming and well formed woman
 had purchased, while yet a girl, a "planet," which
 was to inform  her  of her future  destiny.  Among
 other things, the "planet" foretold that  she would die
in her  first childbed.  As  she was then quite young,
although  she believed the  presage,  yet she  did
not allow it to  trouble her at that  time.  She was 
376
VESANIE.
afterwards happily married, and in consequence of
her temperament, mostly cheerful, though she still be-
lieved that she would, die at the time foretold.  Preg-
nancy  advanced  regularly,  parturition  was speedy
and fortunate, and the secundines followed easily and
properly.   But then she thought she was flooding to
death.   Dr. Gross, who was called to visit her, found
the discharge of blood very trifling, and the condition
of bodily health satisfactory.  On the third day she
was attacked with fever, with determination of blood
to the head, and in her  delirium her fixed idea was
the theme of her whole discourse.  Nothing afforded
any benefit, and she  died in the following night, "it-
might  truly be said, of imagination alone," for no
physician would have seen any cause of death in the
existing symptoms, if he had not known of the fixed
idea.
  The next case is also related by Dr. Gross.
  Case.   A woman set, 20  ann., the mother of one
child, imagined,  in  her second  pregnancy,  without
being able  to state on what  grounds, that she would
die during  her  approaching confinement.  At  the
proper period she was  delivered of twins, but was
considerably exhausted by the labour.  Many symp-
toms of nervous  disorder, which probably were in-
duced by her fixed idea, then appeared.   About the
ninth day after  parturition, she was attacked towards
evening with great determination  of blood to  the
breast, and suffocative oppression; the pulse was in-
termittent,  and the body was covered with a cold,
clammy sweat.   She resignedly took leave of her
friends, then talked deliriously of her near approach-
ing death, and  afterwards lay still, showing by her
gesture great anxiety about the heart.   Aconit. 30 
VESANIE.
377
was given, and in the course  of two hours  all these
appearances vanished, and the thoughts of death had
given place to cheerfulness.
  Case.   In a woman set. 20 ann.  In consequence
of a superstitious presentiment  as to the day of her
death.  As  the  ominous day, to  which  she  looked
forward with great anxiety, approached,  she was at-
tacked with fever and delirium.  Bleeding produced
no improvement, and the patient at one  time broke
out into laughing, and at another into weeping de-
lirium ; rose out  of bed at night, and endeavoured to
climb up the wall or to escape from the  apartment;
but lay in the day time dull and torpid.   Aconit. was
given, and by the next visit the patient could under-
stand the questions addressed to her, and answered
them with  motions  of  her head.  In  the  course of
two days, consciousness was completely restored, she
ate, spake and slept, but a nervous fever developed
itself, and confined her for nearly two months.  After
her recovery, on  being asked in what manner she had
become sick, she answered, "in a right stupid man-
ner."   (Attomyr.)
  Arsenicum. In the case  of a man set. 32  ann.; the
following  form of disease  recurred periodically;  at
first, at intervals of six months, but afterwards every
third  month,  and finally every four weeks.   After
bleeding and a foot  bath, the  paroxysms  had  always
disappeared in from four to  eight days.   When at-
tacked, he could not sleep, but constantly tossed about
in bed, where he became  covered with  sweat.  At
length he could continue no longer in bed,  but must
rise and go  about on account  of an indescribable but
dreadful internal anxiety which allowed him no rest,
but drove him about from place to place.   Frequently 
378
VESANIE.
he could not restrain himself from weeping and wail-
ing.   At these times it was very unpleasant to meet
his acquaintance, because he believed he had uncon-
sciously injured  them, and  therefore he would ask
pardon of every one.   He would fall at the feet of his
wife, and entreat her not to be angry at him, although
he did not know that he had ever injured or offended
her.   At the same time, he felt a great heat in his
face and head.   His pulse was eighty in the minute,
and rather weak. Arsenicum 30 was given, and  in
a short time afterwards he fell asleep, slept through
the whole night, and  awakened well the next morn-
ing.   In four weeks there  was a recurrence of the
disease; the arsenicum was again given with the same
success, and two years afterwards there had been no
return of the complaint.
  Aurum proved useful in a case of religious melan-
choly, from compunction of conscience for misdeeds,
which was characterised by great anxiety, weeping,
praying, anxious and frightful  dreams, feeling  of
great debility, emaciation, morning sweat and painful
menstruation.
   Belladonna. This remedy, according to Hartmann,
may prove  useful in melancholy, when this disease is
occasioned  by disorder of the abdominal viscera, and
there are, at times, spasmodic affections of the muscles
of deglutition and of the bladder.   But it  is more
frequently  applicable  in idiotic conditions, especially
when there are  rapid alternations of merriment and
sorrow; or of continual babbling and obstinate silence.
It may also be indicated in mania when there is un-
common muscular strength.
   Case.  A gentleman, after great mental  excite-
ment, combined  with grief and fright, was suddenly 
VESANIE.
379
attacked with mania, characterised by the  following
symptoms: Fearful anxiety;  seeing  of  ghosts  and
devils, who threatened to murder him; fear of death;
black  hounds would seize him; he  knew  nobody;
trembling in his body and limbs; pulling at his teeth
with his fingers; biting, spitting, and  striking about;
great muscular strength in his fits of raving; it ap-
peared to him as if he was raised  up  by a rope; he
saw every  thing doubled;  the right upper eyelid
hung down as  if  paralysed;  copious sweat,  of a
strong, almost urinous odour.   Belladonna gtt. i. 30
was given, and in a quarter of  an  hour he fell into a
sleep which continued for six hours.  He awoke with
full consciousness,  but health was not  completely
restored; there was  still fear and anxiety, and he was
tormented with fantastic appearances in every direc-
tion.  This continued for three days to alternate with
a  comatose  condition.   At the end  of this time,
opium gr. i. 3 was given, and in twelve hours he felt
himself free from his disease and cheerful.  In six
days he was able to resume his  business.
   Conium.   A melancholy  young woman speedily
regained her cheerfulness and vivacity under the use
of conium  3|30, dissolved in six ounces of  water, of
which a spoonful was taken daily.
  Dulcamara proved useful in a case of mania.
  Helleborus is recommended for quiet melancholy.
  In a case in which  the  intellectual disorder  had
been removed by stramonium,  but great depression
of spirits and sorrowfulness remained, the helleborus
niger completed the cure.
  Hyosciamus proved  highly  advantageous in  the
case of an infant, who laid in an idiotic condition and
passed its stools and fseces involuntarily. 
380
VESANIE.
  This remedy, aided by veratrum and  pulsatilla,
cured a case of melancholy accompanying amenor-
rhcea,  arising from fright.  The disease was charac-
terised by fear;  endeavours to escape out  of the
house; fear of being poisoned or sold; belief of being
bewitched.
  Ignatia is recommended  for  melancholy  arising
from care, grief or mortification, and where there is a
love of solitude, and constant thought on the unplea-
sant circumstances which have induced the disease.
  Lachesis.   "A young man, from too intense study,
had become insane, and fallen into an extraordinary
talkativeness,  which  did not correspond with his
temperament, and discoursed incessantly in the most
chosen expressions,  yet passed rapidly from one sub-
ject to another,  and thus discussed the most hetero-
geneous matters.  He, at the same time, treated those
about him with a kind of hauteur and great distrust.
I gave him lachesis 2|30 with the result, that he dis-
continued his discourses, and returned to his ordinary
behaviour.  Only there still  remained an inordinate
appetite,  and an irritability of disposition,  which
would not permit him  to endure  contradiction, and
he  also exhibited a peculiar formality in his manner
towards others."   Gross.
  Nux vom.   A young man, when nineteen years of
age, became insane from over exertion of  mind, &e
At  that time he was allceopathically treated, and after
a year restored to health.  A year after his cure, he
had a relapse in the same  month, and  under the
same circumstances as those of his first attack, which
was characterised by some of the same  symptoms.
He was chilly and fretful in the mornings; his coun-
tenance was gloomy and perturbed; he was  anxious 
VESANIE.
381
about his situation;  had complete loss of appetite;
white coated tongue; bitter,  and acid taste;  flow of
water into the mouth;  disposition to vomit; frequent
pressure to stool, with small discharges of nearly
natural  fseces; no thirst;  in the left side of the abdo-
men a  sensation  of great weakness, which appeared
to extend from thence to the head, and disqualified
him for any employment; he unwillingly spoke a
word; felt extremely weak and relaxed;  trembled in
his limbs; had continual chilliness; paleness of the
face; was very restless and excited; could not sleep,
although he wras much fatigued; he at times talked
irrationally, and  was  very passionate.  Nux  vom.
gtt. i.  30 was given,  and in a few hours the disease
entirely disappeared.
   Case.  In a man set. 56 ann., of large and robust
frame,  who had  been for  fifteen  years a postilion,
but  had left this active business under mortifying
circumstances.  In consequence of a great change in
his mode of life, as he formerly moved continually in
the open air,  but now spent  his time sitting in his
room, as well as from the  disagreeable recollections
which  still continued  to operate upon him, he fell
into a  kind of melancholy.   For this he was allceo-
pathically treated by  a  respectable  physician, but
without any success.   When seen by Dr. Ruckert,
who reports the  case, the following  symptoms pre-
sented themselves.  His countenance was much per-
turbed,  his eyes  were red, and alternately dull and
wild.   He spoke  little,  but that little evinced  a
morbid care; he  believed, for example, that he must
freeze  from insufficiency of fuel, or, that he  and his
family must perish from hunger, that something bad
would  happen to the absent, that he would never 
382
VESANIE.
recover, that,  as the greatest of sinners, he must be
punished  temporally, and eternally, that he must be
judged, and  if any stranger entered  the room he
thought he was about to be carried to execution.  He
had  attacks of great restlessness, and complained of
horrible anxiety,  seized after every thing near him,
would endeavour to go out; and in these paroxysms it
required several strong men to hold him.  He ate
nothing, because  he considered it useless, and could
not sleep.  His bowels had not been open for several
days.  His pulse was small and rather slow, and he
had paroxysms of palpitation of the heart. Nux vom.
gtt. i.  15 was given, and in the course of a few days
he sat quietly, but answered  no  questions,  did not
know  his wife  and children, asked  after  strange
things, looked staringly forward, laughed frequently,
and exhibited nothing of his previous care.   He had
a few partially lucid intervals, in which he  stated
that he felt  well, but  did not know where he was.
His bowels had  been opened.  Stramonium gtt. i. 6
was  next given, and the following night he was so
violent that he  had to be bound.  This condition
continued, though diminished in violence, for three
days,  when  veratrum  gr. i. 9  was  administered.
"The result," says Dr.  Ruckert, "crowned my expec-
tations, for from day to day his condition improved,
he no longer sought  to run away, sat commonly
quietly in a somewhat stupid condition, spoke but
little, and only when he was addressed, knew at times
his situation  and was concerned about it, could often
be allowed to  go at liberty, and desired to be  bound
when he was attacked  with the premonitions of rest-
lessness and anxiety.  He ate and  drank heartily, and
sometimes slept for some hours."   Hyosciamus gr. i. 
VESANIE.
383
9 was next given, and in a few days he was perfectly
quiet, had a clear  understanding, answered all ques-
tions  correctly, and spoke of his  previous condition.
He complained of great debility in all his limbs, and
that he either could not sleep on  account of anxious
thoughts, or that his sleep was  disturbed by dreams.
He could not lie still, but tossed  about in his bed.
Otherwise he felt well, and ate and drank as when he
was well  In order to subdue this nocturnal restless-
ness,  belladonna gr. i. 12 was given, and in a few
days the  man enjoyed perfect health.
   Opium.  In a case where the patient believed him-
self not  at home, would  go out, did not know his
relations, was anxious and wild, and had an inclina-
tion without the ability to  sleep; opium  effected a
cure.
   Petroleum.   In the case of a  man set. 40 ann.  He
was irritable, peevish and indisposed to employment;
had heaviness, heat and pain in  the head, and pain
in the back and loins  every morning; paleness of the
face;  spasmodic  eructation  (singultus?);  little ap-
petite ; thin mucous stools,  with  cutting pain in the
abdomen; copious night and morning sweats; emacia-
tion;  debility; sleepiness in the  morning; restless
sleep.  Petroleum gtt. i.  30, given daily for some
weeks, effected a cure.
   Platinum.   In the case of a woman set. 30 ann., of
sanguine temperament. She had enjoyed good health
until she was attacked with a species of melancholy,
for which she was repeatedly bled.   She recovered
from  her melancholy, but her  health was delicate.
Two years afterwards she had a return of the disease.
She passed sleepless  nights, answered no questions,
but muttered to herself, and complained of nothing 
384                 VESANIE.
else than great anxiety at her heart.   She exhibited
extreme fearfulness;  trembled in her limbs; her face
was red; pulse small and weak.  On the next day
after platinum gr. i. 2, her condition was very much
improved, and by the third day she was  perfectly
well, and remained so at the end of eighteen months.
  Case.   In a  girl set. 19 ann.  She talked  almost
incessantly,  sometimes of actual circumstances, and
sometimes irrationally.  She laughed, sang, danced
and wept, distorted her countenance, and gesticulated
with  her  hands.  She adhered obstinately to her
ideas without becoming raving.   She had no desire
for food, but of what was offered to her she ate with
haste.  Platinum produced a very beneficial change.
A remaining disposition to silence and great reserve
was removed by sepia.
  Pulsatilla.  In the case of a woman set. 19 ann.
who was naturally of a lively and cheerful disposi-
tion.  In the eighth  month of  her first  pregnancy
she became  gloomy, mistrustful and reserved.   She
frequently sat still and folded her  hands, laid them
on her abdomen and sighed.  To the questions of her
affectionate husband and of her mother she gave no
other reply than "there is nothing the matter with
me."  At times she had heat of the face  and  thirst;
she had no  desire for food; felt herself  very weak,
had pain in her limbs, and was unable to  sleep.  She
often sought for things in wrong places, or knew not
where she was.   She talked incongruously,  espe-
cially at night, when  she would go out,  because, as
she stated, "the black men would injure her."   After
the paroxysms she had no recollection of them.  Bel-
ladonna 30 was given, and  for forty-eight hours she
was quiet, and felt and slept well.  At the end of this 
VESANIE.
385
time there was a renewal of the  complaint, which
continued  to  increase in violence for three days,
when pulsatilla gtt. i. 15 was given.   Some hours
after this medicine, she again saw the black men and
would go out, but soon became quiet, and had, during
the remainder of her pregnancy,  (as well as after-
wards), not the slightest trace of the disease.
  Case.   In a woman set. 18 ann.   Suppressio men-
sium for eight months, dyspepsia, hsemoptysis, pain
in the breast and general debility.  She thought with
pleasure of drowning herself, was sorrowful, and fre-
quently wept  without any  known cause, was  dis-
pleased  with  every  thing, easily  excited to anger,
fearful,  anxious, and weary  of life.   In eight days
after pulsatilla gtt. i. 15,  the  menses reappeared  and
continued  to flow for three  days.   Afterwards  she
improved  rapidly, and menstruation recurred at the
proper time.
  Case.   In a woman set. 26 ann.  Irregular men-
struation;  daily diarrhoea; sleepless nights, from great
anxiety and restlessness; headache;  pressure in the
region of the heart; pain  in the sacrum; believed she
would not be saved, and hoped for help only from
constant prayers.  Pulsatilla was given, and in two
days she was perfectly well.
  Stramonium.   In the  case of a man set. 23 ann.,
who had  previously experienced three  attacks of
mental derangement; the first of which endured for
two, the second for five, and the third for eight weeks.
The treatment in the two last attacks  had consisted
in copious bleeding, the  free use of nitre, tart, anti-
monii, &c  In  the  fourth attack  he presented  the
following  symptoms; great  restlessness;  confused
memory;  inability to think clearly; at times dread of
     25 
386
VESANIE.
savage beasts and black  dogs;  heat, and  at times
redness of the face; staring appearance of the eyes;
anxiety and  thirst;  sorrowfulness; weeping,  and
thoughts of death; organs of speech as if paralysed,
he stuttered  and stammered much before  he could
speak a few  words; frequent coldness  of the body,
and constant coldness of the feet;  restless sleep; pulse
irregular, quick and small.   Stramonium 15 cured
him perfectly in twenty-four hours, and he afterwards
remained well.
  Sulphur.  In a case of melancholy, with suppressio
mensium, occurring in a woman set. 45 ann.  who
had  experienced several attacks  of the  same  form
of disease,  which  had always disappeared without
treatment in six or eight days.   But the last attack
continued for several weeks, when medical aid  was
sought.  Her countenance was pale, and exhibited
the peculiar features of melancholy; her eyes were
dull  She complained of headache and a sensation of
pressure in the head, and of pressure in the epigas-
trium.  She  was very anxious and concerned about
her  situation;  thought  she  must starve, and  often
walked about the room  wringing her hands.   She
was  often seized with violent anxiety, which impelled
her  to run away, which she was unable to do  from
the watchful care of her family.   Pulsatilla 7|12 pro-
duced no improvement in four  days, when tr. sul-
phuris  7|15  was  administered.   In nine days the
melancholy had entirely disappeared.    There was
afterwards a slight  renewal of  the complaint, for
which, it being considered by the physician as be-
longing to the primary operation of the medicine, no
remedy was given.  In a few days this also ceased,
and  about the thirtieth dav after the administration of 
VESANIE.
387
 the sulphur, menstruation took place and continued
 for four days, after which she remained well
   Case.  A  woman set. 26  ann. of quiet, tranquil
 temperament, strong frame, brown hair;  two weeks
 after the birth of her third child, was attacked with
 mental derangement, and three weeks later, when
 Dr. Tietze was consulted, presented the following
 symptoms.
   She mostly sat still, did not speak, and when much
 pressed with questions, only answered very briefly.
 She was morose and peevish.  But at times she wept
 and complained, and her mien was expressive of care
 and uneasiness.  She was often oppressed with blas-
 phemous  thoughts  and ideas, from which she could
 not free herself.  This rendered her, for  some time,
 anxious for the  welfare of her soul.   She would after
 a time again seat herself  and cease to speak or weep.
 Her countenance was pale and expressive  of anxiety.
 If, for  a short time, she felt better, the countenance
 became more cheerful   She frequently complained
 of headache; had aversion to employment, and indif-
 ference to her household concerns; yet she cared for
 her child, and still nursed it, though the  breasts did
 not appear to afford a sufficiency of milk; complained
 of great debility.  Appetite and  sleep good.  In the
 early part of the  disease she became vexed, and,
 contrary to her  usual habit, was  excited and violent.
 Belladonna caused  a temporary  improvement.   Ve-
ratrum, which was next given, was productive of no
benefit.  Tr. sulphuris 5)15 was  followed  by marked
improvement; the disease would  disappear for days
and again return  Cocculus 5|12 was next given, but
with little advantage.   Then  lycopodium 5)18, after
which  she was quite well for fourteen days, when the 
388
VESANIE.
disease  again recurred.   Acid,  nit  3|30  was next
given, and was several times repeated with advantage.
Then sulphur was  again  given, and  completed  the
cure.   A year afterwards there  had been no return
of the disease.
   Veratrum  is esteemed by  Hahnemann as a very
valuable remedy, and one that is very frequently
applicable in mental derangement.
   Case. A  miller  set.  60 ann.  of a quiet and, at
times, melancholy disposition, had, with two of his
brothers, the destiny to be visited once or twice a
year with  mania.  The duration, or the  previous
modes of treatment, of these attacks are not mentioned
by the  physician who reports  the  case.   In  the
attack, the  treatment of which is recorded, the phy-
sician was called upon to visit him on the third  day
of his  illness.  The patient had severe pains in the
lower part of the back;  costiveness; flatulence; ver-
tigo; great anxiety, moaning,  restlessness, and such
a confusion  of ideas as  induced the  most  senseless
undertakings.  He  was at times  very violent,  and
had driven every one out of the room but a favourite
son.  Veratrum gtt. i. 12 was given  at four o'clock
in the afternoon, and was followed,  after a short time,
by a slight homoeopathic  aggravation, but he soon
fell into a comfortable sleep, from which he awakened
the next morning perfectly well.
   Case. In a widow.  Mania, with unchaste speech
and lewdness; cured by veratrum album gtt. i. 12. 
WARTS AND CORNS.
389
             WARTS  AND CORNS.

   These excrescences,  which are generally so little
 dangerous,  but of which  the former are very un-
 sightly,  and the latter  very troublesome, obviously
 arise from a disordered condition of the system.  But
 the opinion that the wearing of tight shoes  causes
 the appearance of corns, is thus far correct, that the
 irritation from pressure,  &c, may invite the formation
 of corns, when the condition of the system is such as
 to favour it.  But we often see crops of corns formed
 between the toes towards their roots, where pressure
 does not take place because of the greater bulk of the
 toes towards their extremities, and we often witness
 the disappearance of corns as well as of warts, with-
 out any known cause for such disappearance.   This
 we can only attribute to changes in the actions of the
 system.  It is  the object of the homoeopathic physi-
cian to effect with certainty, by his remedies, those
 changes  which sometimes  take place  casually by
 the accidental exposure to those influences which are
 capable of effecting  the proper alternations in the
actions of the system.   More accurate  observation
than has hitherto been  extended to these diseases is
required  before it will be possible to point out, in a
satisfactory manner, the remedies which may be use-
ful  in removing them.
  Warts have  been  removed by calcis  carb.,  dul-
camara, rhus, sepia, sulphur and thuya.
  For the removal  of  corns,  arnica, antimonium,
and the  remedies just  mentioned  for warts,  have
been recommended as worthy of attention. 
INDEX.
	PAGE		PAGE
Abortio ....	. 17	Cold in the head	120
Amaurosis	195	Colica	. 102
Amblyopia	. 193	Constipatio	105
Anasarca. See Hydrops.		Consumption	. 323
Angina faucium	23	Contusio	107
Angina stridula .	. 20	Convulsio	. 107
Angina tonsillaris	23	Coryza	120
Anthiax ....	. 25	Cough	. 358
Anus ....	. 25	Corns	389
Aphonia ....	. 25	Croup	. 20
Aphrodysia	27	Crusta lactea .	155
Aphthae ....	. 27	Crusta serpiginosa	. 155
Apoplexia	28	Cynanche faucium	23
Arthritis ....	. 30	Cynanche trachealis	. 20
Ascites. See Hydrops.		Cynanche tonsillaris	23
Asthma Millari	22	Cyphosis. See Bon<	:s.
Asthma, Dyspnoea, &c.	. 31	Cystitis	. 43
Atrophia	41		
		Delirium tremens	122
Bladder, urinary	. 43	Diarrhoea	. 127
Bones ....	44	Digestion, difficulty of . . 135	
Brain ....	. 63	Distortio spinalis. See Bones.	
Breasts—mammae	289	Dropsy	. 270
Bruise ....	. 107	Dropsy of the brain	65
Bucnemia. See Eruptiones.		Dysecoea	. 152
		Dysenteria	132
Cancer ....	. 348	Dyspepsia	. 135
Carditis ....	. 264	Dysphagia	. . 148
Caries. See Bones.		Dyspnoea	. 31
Cataracta	191		
Catalepsia	. 68	Ear and Hearing	151
Catarrhus	69	Elephantiasis	. 155
Catarrhus sporadicus .	. 70	Encephalitis	63
Catarrhus epidemicus	73	Epilepsia. See Con	vulsio.
Cephalalgia . .	. 77	Epistaxis	. 242
Chiragra	30	Eruptiones cutaneae	154
Cholera . . .	. 90	Erysipelas	. 155
Cholera Asiatica	95	Exostoris. See Bon	es.
Cholera infantum	. 93	Eye and Vision	176
Cholera morbus	90	Eyes, bleeding from	the . . 241
Chordae spermatic®	. 355	Eyelids .	198
Chorea ....	97		
Circocele ....	. 356	Fainting	. 354
 
INDEX.
Febris
Febres contin. et remit.
Febres inlermittentes
Felon
Fistula in ano
Flux  ....
Fluor albus
Fungus hoematodes
Fungus hoemat. oculi

Gastritis
Gonagra
Gonorrhoea
Grippe
Gums

Hsematemosis
Hsematuria
Haemoptysis
Haemorrhagia
Haemorrhagia oculi .
Haemorrhagia uterina   .
Hasmorrhoides
Headache  .    .    ,
Hearing      .    .
Heart
Hemicrania.  See Cephalalgi
Hepatitis
Hernia
Herpes.  See Eruptiones.
Hiccough
Hordeolum
Hydrocele
Hydrocephalus
Hydrops
Hydrothorax.  See Hydrops
Hyperostosis.  See Bones.
Hysteria
Hysteritis

Icterus
Impotentia
Incubus
Inflammation of the Bladder
   ------    ---- Brain
---- Ear  .
---- Eye
---- Fauces
---- Heart
---- Kidneys
---- Liver
---- Lungs
---- Peritoneum
---- Stomach
 PAGE
  198
. 198
  214
. 319
   25
 . 132
  280
 . 236
  i87

. 237
   30
. 238
   74
. 239

  243
. 257
  245
 . 240
  241
 . 253
  260
 .  77
  151
 . 264

  283
 . 269

  351
 . 198
  356
 .  65
  270
278
362

278
 27
280
 43
 63
151
177
 23
264
299
283
286
321
237
Inflammation of the Testes  .
  ______    -----Uterus
Influenza   .
Insanity

Jaundice   .

Kidneys, inflammation of the

Lepra arabum.  See Eruptione
Leucoma
Leucorrhoea
Liver
Locked jaw
Lordosis.  See Bones
Lues venerea
Lungs

Mammae
Mammilla
Mania a potu
Measles  .
Melaana
Menses  .
Metritis
Metrorrhagia   .
Milk-leg
Mollitees ossium.   See Bones
Morbilli
Morbus coxarius
Morbus niger   .

Necrosis.   See Bones.
Nephritis
Neuralgia
Nightmare
Nipples  .
Nose
Nose, bleeding from the
Nymphomania

Odontalgia
Oneirogmos
Ophthalmia
Ophthalmodynia
Ophthalmorrhagia
Opisthotonos.   See Tetanus
Otalgia
Otitis
Otorrhoea
Ozoena

Palsy
Paralysis
PAGE
.,355
/  362
.   73
  375

.  278

  299 
INDEX.
	PAGE		PAGE
Paronychia	. 319	Swallowing, difficulty of .	148
Parturitio ....	320	Sycosis ....	. 352
Pemphigus	. 157	Syncope ....	354
Peritonitis ....	321	Syphilis ....	. 354
Pertussis ....	. 361		
Phlegmatia alba dolens	323	Testes .	355
Phrenitis ....	. 53	Tetanus ....	. 356
Phthisis pulmonalis	323	Tic doloureux	300
Piles.....	. 260	Tinea capitis. See Eruptiones.	
Pleuritis ....	286	Toothache	. 305
Plica polonica. See Eruptiones.		Trismus. See Tetanus.	
Pneumonia	. 286	Tussis . . . . .	358
Podagra ....	30	Tussis convulsiva	. 361
Priapismus	. 27		
Psora. See Eruptiones.		Urticaria. See Eruptiones.	
Psorophthalmia ...	198	Uterine hoemorrhage	253
Purpura miliaris	. 343	Uteri prolapsus	. 363
		Uterus.....	362
Rachitis. See Bones.			
Ranula .....	335	Variola ....	. 364
Rhagades. See Eruptiones.		Venereal disease	354
Rheumatism us	. 336	Vermes ....	. 370
Rubeola . . . .	341	Vesaniae ....	375
		Vesica urinalis	. 43
		Vision .....	176
Satyriasis ....	. 27	Voice, imperfection of the	. 25
Scarlatina ....	343		
Scirrhus ....	. 348	Warts and Corns	389
Scrofula ....	351	Whites ....	. 280
Singultus ....	. 351	Whitlow ....	319
Small-pox ....	364	Whooping-cough	. 361
Spina ventosa. See Bones.		Womb .....	362
Spermatic chords	. 355	Worms ....	. 370
Sterilitas ....	27		
St. Vitus' dance	. 97	Zona. See Eruptiones.	
 
 
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