'W-s" -71, ý-Ir -Z 7-7 4-7 -ýlw, X All:;,,, ol 51 VO I ag "4e 18 7 ART01 ClENTIN V E: q ITA S or, PLUF 70BIGSVN-Ulý "M3.qUAERIS-PENIN.-5uLAM-AMOC iCIRCUMSPtCV RAI #A1, 9Ak -'M 9PA RAI ME Uk ý73T 4At 91K FAI lki lAk 7# 'I M I i 1*1,1,1 1,11111 H I I I I 1,J)"I I I'll I'll'i ITM 1,111 11IT111,11 1,111 HTITM 1,11,1111111,111 I'll I'l lot' 0 No 0N Entered according to Act of Congress, in the year 1839, by GIDEON HUMPHREY, M. D. in the Clerk's Office of the District Court of the United States, in and for the Eastern District of Pennsylvania, N. B. Medicine Chests containing the medicines recommended in this work, prepared and put up under the supervision of a Homoeopathic Physician, can be obtained at the office of Dr J. Green, No. 206 Pine street, Philadelphia. Price Five Dollars. DOM ESTIC HOMCIEOPATHY. B-y P. F. CURIE, M. D. rORMERLY SURGEON IN THE MILITARY HOSPITAL OF PARIS; MEMBER OP THE PARISIAN HOMCEOPATHIC AND GALLICAN SOCIETIES; PHYSICIAN -TO THE LONDON HOMCROPATHIG DISPENSARY; AUTHOR OF "THE PRINCIPLES OP HON(EOPATHY," "THE PRACTICE OF HOSIIEOPATHY, &C.") WITH ADDITIONS AND IMPROVEMENTS, 1W GIDEON HUM-PHREY, M,. D. 4kc. PHILADELPHIA: FTINTY)1 BY JESPER HARDING. 1839 PREFACE TO THR AMERICAN EDITION. The deep, and as we trust, abiding influence, which the introduction of the Homceopathic practice of medicine into this country has had upon the minds of a large and intelligent portion of our community, cannot but be hailed as a most auspicious sign of its future destiny. Like every other new discovery, however, in the arts or in science, which leads to innovations upon the settled order of things, Homoeopathy has encountered its full share of persecuting opposition. So prone are mankind to undervalue and oppose what is new, br not well understood, that a revelation directly from the Deity scarcelymeets VIII PREFACE. with more favour from man, than the puerile discoveries of mortals. Even the divine, founder of christianity, who was invested with a commission from Heaven of momentous importance to the human race, was received with distrust, treated with obloquy and contempt, and finally yielded up his life to satisfy the infuriated zeal of a false and hypocritical priesthood. With such a signal instance of ungrateful persecutions and many similar ones before him, could the illustrious founder of Homceopathy, whose beneficent object tended to an amelioration of our bodily sufferings only, expect his doctrines to be embraced more cordially, than were those spiritual messages announced by the Messiah? What the one attempted to do for the body, the other actually accomplished for the soul. There, indeed, never has been a master mind, that has outstripped his contemporaries in the march of improvement, whose course has not been obstructed by those who should have been the first to have lent him their aid and support. For his sublime discoveries in astronomy, Galileo was rewarded by a residence in a dungeon and loaded with chains. Harvey, whose dis PREFACE. IX covery of the circulation of the blood, overthrew the prevailing theories relating to Physiology, suffered so much on account of the ridicule and persecution lavished upon him by his medical brethren, that he was reduced from affluence to beggary: the history of Jenner, who is richly entitled to the warmest gratitude of posterity, for his invaluable discovery of Vaccination, affords another instance of similar treatment from his contemporaries; and in later times, even within the recollection of many now living, who has not heard that the inventive energies of Fulton, whose sagacious mind, it is true, but faintly shadowed forth the extent and value of his own discoveries respecting the powers of steam, were regarded as the day-dreams of a disordered imagination; yet such is their importance, that it is no exaggeration to assert, that they have affected a revolution in most of our social relations. With a mind ardently devoted to the investigation of truth, 1-ahnemann, after a series of laborious, painful and protracted experiments, satisfied himself that he had discovered a process of curing diseases, far PREFACE. more simple, safe and certain, than any previously known. Immense, however, as were the advantages of his discoveries, they were no sooner promulgated than he became the object of every species of obloquy, and afterwards the victim of persecution so severe that he was obliged to relinquish the practice of his profession, or seek an asylum elsewhere beyond the reach of the shafts of malevolence. The latter course he preferred, and removed to another part of Germany; he subsequently took up his residence in Paris, where he now lives and enjoys the proud satisfaction of seeing his doctrines extensively embraced by eminent physicians in almost every country of the old world, and more recently also in the United States. Such illustrious men, benefactors as they have all been to the human race, must and will live forever on the page of history; while their detractors shall have passed down the stream of oblivion unnoticed and unknown. Notwithstanding the attempts to strangle Homceopathy at its birth, were unsuccessful, its opponents now are as implacable as ever; nay, their animosity seems to be increased XII PREFACE. to alleviate the condition of suffering humanity: otherwise, medicine, after being cultivated for more than two thousand years, would have approached in its character the nature of the certain sciences, and not be now, as it is in the hands of its most skilful practitioners, a conjectural art, a system of guessing. But that I may not be charged with partiality and accused of drawing a caricature of medicine, instead of its portrait, I shall avail myself of the opinions of several learned and celebrated physicians, who, being thoroughly initiated in all the mysteries of their profession, have candidly acknowledged the great uncertainty of their art; and if their confessions give offence, it must be recollected that they are the opinions of practitioners of the very system which they so much deprecate; that they are the admissions of the opponents, not of the friends of Hoemeopathy. Girtanner* says, "1As the art of healing has no fixedprinciple, as nothing in it is positive, as we have but little sure experience, every physician has a right to act * Darstellung des Brownschen systems II. 608. PREFACE. XIII upon his own opinions. Where there is nothing but conjecture, one conjecture is as good as another. In the gloom of ignorance in which physicians grope along, there is no ray of light to guide them. When two of them meet at the bedside of the patient, they can scarcely refrain from laughing, if they look at each other." " We feel daily," says Kriigen Hansen,* " that we are far from possessing a fixed and sure method of cure. The works on Therapeutics furnish the most eminent proofs what confusion exists even among those physicians who stand the highest in their art. Its state, which has long and deservedly been the object of the lowest' jokes, demands, for the benefit of mankind, extensive improvements." " Whoever," says Schweickert,t " attends to the progress of medical science, must observe, that its practice has not advanced one step since the time of Hippocrates and Galen; but that on the contrary, we are much behind them, for fifty years ago the greatest number of sick per * Brillenlose reflexionen and p. 9. t Schweickerts' Journal IV. 120. xlfV PREFACE. sons were killed, according to the prescriptions of their physicians, by bleedings; forty years ago, by purgatives; thirty years ago, by clysters, and more recently by the Brunonian system, which a celebrated physician asserts, has made victims of a greater number of human beings than the whole revolutionary war from 1793 to 1815." " The routine practice," says Luther,* " does not merit the name of a system., because it does not satisfy the postulata of a system; it wants order, coherence of parts and scientific unity; it is only a mass of incongruous matters thrown promiscuously together." The utter want of a general principle in the Materia Medica of the old school, of every thing in fact that can direct the physician to a correct knowledge of the virtues of medicines, results from what has just been stated. Girtannert calls it " a mere collection of fallacious observations. There are in it some correct ones founded upon experience; but who would waste time in seek * Alloeopathy and Homoeopathy, p. 70. t Darstellung 11. 600. PAEFACE. XV ng for a few particles of gold, in that imnense dunghill, which physicians have,een collecting for these two thousand,ears? Hoffman says, " that few are the remelies whose virtues and operations are cerain; but many are those which are loubtful, suspicious, fallacious, and 'alse." Dr, Joerg,* a celebrated professor in Iermany, and an adversary of Homoeopahy, convinced of the uncertainty of the isual Materia Medica, resolved to make a Pegular series of experiments on the effects )f medicines; and he owns that he was istonished to observe that no use of the ubstances tried, produced such effects as ire taught by the doctrine of the Materia Iedica. He accordingly calls that doc-;rine a medical Romance. In allusion to the great number of medi-:ines, which are frequently combined to)ether and ordered for the sick, Luther significantly inquires, " whether they, who prescribed thus, consider the stomach ro be a sort of general post-ofice, where SAllccopathy and Homceopathy, p. 26. 13 XVI PREFACE, all the drugs that arrive at once, are to be despatched, each to its proper destination --one to the nerves, another to the circulation, another to the lungs, and another to the brain, &c." An air of profound mysticism too has been long thrown around the system, originating in the practice of writing medical prescriptions in Latin, which, says Dr. Buchan, is not only ridiculous, but it is likewise dangerous, for however capable physicians may be of writing Latin, few apothecaries can read it, and dangerous mistakes often arise from this circumstance. But suppose the apothecary himself is ever so capable of reading such prescriptions, lie is often otherwise employed, and the business of making up prescriptions is left entirely to the apprentice. By this means the life of the most distinguished and useful individual, however skilful may be the physician that he employs, is really entrusted to the charge of an idle boy, who is probably also very ignorant, as well as giddy and careless. While upon this subject, we cannot let the present opportunity pass without severely reprobating the practice of many apothecaries, who prepare PREFACE. XIXthe Heidelberg Clinical Annals, a journal of the old school, it is admitted as an indisputable truth, "that many more die from the intermeddling of physicians than are saved by them." To the late Sir Gilbert Blane,* one of the highest authorities of the medical I profession, the following observation is attributed, that, "in many cases, patients get well in spite of the means employed; and sometimes, when the practitioner fancies he has made a great cure, we may fairly assume the patient to have had a happy escape." With such facts admitted by such authorities, need we doubt the truth of the proverb, "that the remedy is worse than the disease, and the doctor more dangerous than the disorder?" The whole history of medicine confirms it. "I know very well," says an old practitioner,t "that perhaps more than seventenths of mankind die, not from disease, but from the unsuitableness and excess of medicine." * Lectures on Pharmacology, Med. Gaz. 24, Oct. 1835. t Allgem; Anzeiger d. Deutschen, 1833, 235. XX PREFACE. Krugen-Hansen says,* "Medicine, as it has hitherto been practised, is a pestilence to mankind; it has carried off a greater number of victims than all that murderous wars have ever done; and it appears to be rather a means of preventing an overpopulation than the art of saving lives." "It has always appeared to me most unaccountable," says Dr. Forth,' "how mankind can continue to have the slightest confidence in medicine and its prescribers. It can be explained only by the carelessness with which they look at this destroying art: otherwise they could not fail to see that medicine is only a subtile imposture, and physicians imposters or ignorant. And the monarch, who should interdict the practice of medicine and the vending of nostrums, and expel such pestilent persons from his dominions, would be hailed as a benefactor to his species. There is scarcely, the doctor concludes, a more dishonest trade imaginable than the art of medicine in its present state. Bacon long since observed ' that quacks * Brillenlose reflexionen, &c., p. 18. t Rhapsodien iiber Medizin, p. 87. PREFACE. XXI apd old women do often succeed much better in the cure of diseases than learned physicians." And if the knowledge of a physician be more entitled to belief in this matter, than the opinion of a philosopher, listen to the words of Sydenham: Quae medicina appellatur, revera confabulandi garriendique potius est ars quam medendi." That which is called medicine is the art of prating and telling stories, rather than the art of healing. As bearing upon this subject, I will add one extract more. " Very few of the valuable discoveries in medicine," says Dr. Buchan, "have been made by physicians: they have, in general, been either the effect of chance or of necessity, and have always been opposed by the faculty, till every one else was convinced of their importance. An implicit faith in the opinions of teachers, an attachment to systems and established forms, and the dread of reflection will always operate upon those who follow medicine as a trade. "Few improvements are to be expected from a man, who dreads that he might ruin his character by even XXII PREFACE. the smallest deviation from the established rule." The whole mass of testimony thus adduced, is in no'way directed against Anatomy, Physiology and Pathology-the great bases of medical science, but solely against the mode of practice pursued by the mere routine practitioners. Thus does it appear, from the testimony of some of the most distinguished physicians of the times in which they respectively lived, from the days of Hippocrates down to the present hour, that the art of medicine has been conducted without having any fixed principle to direct the practitioner in the choice and application of his remedies. Having, as I conceive, fully redeemed the pledge to prove that medicine, as it has hitherto been practised, has had no abiding foundation in nature, but that the attempted cure of diseases at all times has been subject to the caprice or fancy of physicians, does it not justly deserve to be considered as the grossest empyricism? With claims so slender to the appellation of a science, is the old system of medicine entitled to the boasted prerogatives, PREFACE. XXIII that its professors demand for it? And are their opinions respecting the merits of a kindred, science-another branch of the healing art, which they do not understand, and which differs essentially from their own, in having a fixed and immutable principle of nature to rest upon-to be regarded as infallible? The solution of these questions, I leave to every candid and intelligent reader. Believing that the foundation of Homceopathy rests on a natural and immutable law, I will endeavotr in as brief a manner as is consistent with a clear explanation of its principles, to unfold this law. As we have seen, in all past time, medicine has been considered a purely conjectural art; hence multitudes of doctrines have succeeded and destroyed each other --the inevitable consequence of their hypothetical origin. It must not however be inferred, that fixed principles for curing disease do not exist, merely because they have remained undiscovered for two or three thousand years. A great many years have not rolled away, since Newton gave to Astronomy the laws XXIV PREFACE. which govern the motions of the heavenly bodies in their revolutions. And we see no reason why medicine should not follow the march of the other sciences, and it will be found that Hahnemann,has already achieved that for it which Newton did for Astronomy, to wit, the discovery of a' law which regulates the application of medicines in the cure of disease. The basis upon which Homoeopathy is founded and upon which rests the whole fabric of practical medicine, is the principle of similarities; expressed in the Latin phrase, " similia similibas curantur," like cures like: and the name ex)ressin r this idea is compared to two Greek words ouoioc like and,reoc, affection or disease. According to this law, diseases are cured by such remedies as are capable, when given to "healthy persons, of producing symptoms, as similar as possible to those of the disease to be cured. For example, in the case of Rheumatism, such a remedy must be selected as is capable of producing the peculiar phenomena of that disease. In Hooping Cough,-one which will excite attacks of coughing and the other symptoms characteristic of that disease. In PREFACE. XXV Pleurisy,--one which has the power of producing pains in the chest, oppression in breathing, cough, fever, spitting of blood, &c. It must not however be inferred, that the remedy seletted, although capable of producing symptoms similar to the disease itself, is given in doses large enough to increase the symptoms and render them dangerous. It is enough that it has the power of producing a similarity of symptoms in a healthy person, and it is in the regulation of the quantity to be given and the repetition of the doses, that the knowledge and skill of the physician are most requisite. Illustrations of this principle are met with in ancient medical science-Hippocrates announced it in his aphorism " vomitus vomitu curatur.""* Yet until the time of Hahnemann, the cures obtained by the application of this law had never been ascribed to it, nor wasi it ever recognized as a leading principle in the science. By long continued and laborious researches, Hahnemann incontrovertibly established upon the sure basis of induction, the truth of the important principles that he had discovered. *Vomiting may be cured by an emetic. XXVI PREFACE. He subjected himself, his family and his friends to numerous and long continued experiments; and when to his own satisfaction he had confirmed the truth of this grand therapeutical law beyond a doubt, he commenced new experiments upon other substances, in order to secure additional means of combating the many and varied diseases to which we are subject. This mode of ascertaining the virtues of medicines is no less novel, than the law of their application in the cure of disease. That it is the only true one cannot be doubted by any person, who reflects for a moment, that the disturbances produced in a healthy person's system after the use of medicine, must be the pure effects of such medicines; whereas, when they are administered to the sick, how is it possible to individualize the subsequent phenomena, and say with precision, that this symptom is produced by the medicine, and that one by the disease? Experience, it is alleged, can easily resolve this difficulty; in part it may, but it must be purchased at the cost of thousands of victims. Here the Homceopathic physician has infinitely the advantage over his PREFACE. XXVII5 medical brethren of the old school, because: he knows, beforehand, when he has selected his medicine, what are its effects upon the human organism, and hence deduces its fitness to cure disorders similar to them. For more than thirty years of his life Hahnemann has been engaged in trying the effects of many medicines upon himself and his nearest connexions, and the results of all their researches, which tend to establish more firmly the truth of his great therapeutical law, "similia similibus curantur," constitute the basis of Homceopathic Materia Medica. The establishment of this law, as a supreme principle to direct the Homoeopathic practitioner in the cure of disease, places Homceopathy far above all the previous unsystematized and inconsistent schemes of medical art; and now for the first time, medicine becomes a system, a positive science. And whoever attempts to overthrow this system, must first attack this law, which Hahnemann has discovered and proposed as a guide to the physician, and which in its nature is unalterable, and in its application universal. Every real cure that is effected, is made by virtue of c* 'XXVIII PREFACE. this law, just as in the material system of the universe, every motion is under the influence of the law of gravitation. The latter is no more certain than the former, though it may be better understood, both of them being equally entitled to the appellation of "principles," founded in nature, and immutable. The more this law is explained, the more will its correctness be established in the mind of all, whose object is the discovery of truth. Convinced that the cause we defend is a sacred one, we fearlessly maintain our position; and hesitate not to lay ourselves open to every species of attack, in declaring that if the Homceopathic principle be an eternal law of nature, discovered, not invented by Hahnemann, it is therefore "not Jor an age, but for all times," and hence we shall be able to trace its operations in every thing that is daily passing before our eyes, as well as in the history of past ages. In conclusion, I will add, that, as a system, it professes to cure all diseases, which in their nature are curable, some surgical ones excepted, in a certain, easy, safe and expeditious manner, PREFACE. XXT3.z It imposes no uncommonly rigid rulesof diet, but requires of those under treatment a compliance with temperance and moderation in the enjoyment of all things, such only being excepted as the peculiarity of each case may, in the opinion of the physician require. It dispenses in its treatment of disease with all Alcoholic Tinctures, and exciting stimulants; thus recommending itself powerfully to the friends of temperance. It produces no dangerous or violent revolutions in the human economy; it effects every change in a manner so gentle as to be almost imperceptible, but not the less positive and certain. It offers to the sick and afflicted no noxious draughts, no bitter or disgusting potions, as all its medicinal preparations are agreeable to the taste, and hence admirably adapted to the treatment of children; it requires few medicinal agents, and in such minute quantities, that the patient is subjected to no expensive apothecaries' bill; neither is he required to undergo the pain and inconvenience. of Cupping, Leeching or Bleeding. In fine, it is a system possessing all and XXX PREFACE. more than all the advantages of the prevalent modes of curing diseases, without their defects.* "fFamiliar Exposition of Homoeopathy. INTRODUCTION. IT is a received axiom, that the practice of medicine should rest with a class of men devoted to the arduous investigation of a science so difficult and important. Among the non-medical public it is at all times a desideratum to diffuse wholesome views connected with the profession. By this means we are enabled to counteract prevailing errors, together with the innumerable prejudices which exist in every quarter. At the same time it places those who may be remote from medical aid in a position to administer means which may be suited to the emergency of the momeht; and this too without participating in those fearful errors which result from XXXII INTRODUCTION. an ignorance of the acting properties of medicine. The aim of this little volume is to place the public in possession of enlightened hygeinic rules, applicable to the various periods of life, and referrible as well to a state of health as to that of suffering. From the limited number of homoeopathic practitioners, such a book is especially important in the present state of the science. We shall point out the earliest attentions to be enforced in cases of severe acute disease, whilst awaiting the aid of the practitioner, and shall rapidly, but as lucidly as possible, indicate the treatment of acute affections which may be less serious and of more frequent occurrence. This will enable parties, who may be resident beyond the ready access of medical assistance, either to treat themselves, or confidently submit to the direction of some intelligent friend, who may be otherwise unconnected with the profession of medicine. This is not the place in which to insist upon the value of sound hygeinic regulations. Every individual is fully impressed with their importance, and the chapter de INTRODUCTION. XXXIII voted to the subject will abundantly prove that the homoeopathic hygeine is based upon firm and healthful principles. The attentions to be observed previously to the arrival of a practitioner, and applicable to patients labouring under acute symptoms, are similarly important. In embracing the allopathic routine of medicine, we are in danger either of counteracting the efforts of nature, or of inducing vast disturbance in the animal economy. The consequences of such interference are too frequently irreparable. With reference to the less important ailments, there is no mother of a family who can fail in appreciating the worth of a wholesome treatise respecting them; for scarcely a day passes in which she is not called upon to remedy a derangement in one or other of her children: and how is she to act without an intelligent guide? Habit will doubtlessly impel her to tread in the accustomed track: she will have recourse to purgatives; and by this means will, probably for a series of years, entail suffering upon the children she is called upon to nurture and rear. In the following pages, meriting the at XXXIV INTRODUCTION. tention of every mother desirous of improvement, and solicitous that her children should profit by the advances effected in science, will be found the means of preserving and restoring their health, without subjecting them to unnecessary suffering, or to a discipline violent in its character, and frequently entailing consequences more formidable than the disease itself. The dawn of reason, however, is at hand; and the period is not remote, when every mother will appreciate and revere the invaluable science which has been given to the world by Hahnemann. DOMESTIC HOM(EOPATHY. OF HYGEINE. HYGEINE is a division of the healing art which prescribes the means of preserving health. This branch of medical science will becomne more and more important, and will still further extend its happy influence, in proportion as intelligence and morality shall pervade the various classes of society. Not only will the judicious observance of ordinary regimen, of pursuit, of exercise, and of cleanliness, contribute to the preservation of the general health, and render epidemic diseases less frequent and intense, but still more will hygeine, as a preventive, neutralise atmospheric influence, and ob1 HYGEINE. viate the mischiefs resulting from humidity, or from any external causes producing disease. Again, it must perceptibly conduce to the extirpation of hereditary taints -those poisons which, by reason of any exciting cause, such as a cold, or excess of any kind, give birth to chronic affections, multiform in character, and lamentably destructive to human life. Homceopathy will effect rapid strides towards hygeine, since by its aid we learn that the greater portion of humanity is more or less deeply impregnated with one or other of three grand miasmata, productive of chronic disease. These miasmata are Psora, Syphilis, and Sycosis. They are handed down from generation to generation; or they may, under certain circumstances, be communicated by one individual to another. Conversant, in this manner, with the elementary cause of disease, and possessing a law which promises a specific for every form of malady, we may indulge a hope, in succeeding generations, to exonerate the human species from the baleful effects resulting from hereditary virus. Children, deriving their existence from CHILDREN. parents affected with chronic ailments, bear with them the germ of disease, which will develop itself sooner or later beneath the influence of exciting causes, such as irregularities of regimen, atmospheric changes, moral delinquency, &c. The hygeinic attentions to children, inheriting such predisposition, should be directed with a view to combat this virus, the first grand cause of disease. Upon, this important question, we need say but little in a volume which is altogether elementary. We shall endeavour to prove, however, that the medical man ought not to be considered as competent merely to check a formidable disease, but that his counsels should serve as a guide in the physical education of children, and, by their hygeinic and medical attentions, should give them an unrestrained and full development of healthful life. AJttentions to be paid to Children. From the period of birth, man cannot be regarded with too much anxiety: nothing should be omitted which may favour his physical development, prepare him for a HYGEINE. career devoid of infirmity, and enable him to become serviceable to his family, and to his fellow-creatures, and thus endow him with one of the primary essentials to happiness. It is remarked, however, that man is from his cradle the butt of ignorance and of prejudice, and the victim of the most baneful practices. Scarcely has the infant been launched into life, when too frequently he receives impressions which destroy or disorder his economy for a long series of years. Recourse is had to various descriptions of purgatives, according to the climate and the custom of the nurses, to facilitate the discharge of the meconium. This practice is particularly obnoxious, from the delicate organization of the infant: it is mischievous to attempt to aid, or rather to force nature, particulaily where she requires no assistance. The secretions comprised within the intestinal canal, have at this period nothing abnormal in their character; and will discharge themselves without the aid of purgatives. Medicines should be reserved in case of need. The temperature to which the newly CHILDREN. 5 born infant is introduced, should approach as nearly as possible to that which it has just quitted: to a frame so delicate, every excess of heat or cold must he prejudicial. The movements communicated to the child should at all times be very guarded. The practice, therefore, of forcibly rocking him is highly objectionable, since by this process he is not unfrequently rendered giddy, and exposed to cerebral congestion. In case of wakefulness have recourse neither to the cradle nor to the exhibition of narcotics; by such practices the infant will become disordered, pine, and require medical aid. Every circumstance should be avoided which may too sensibly affect the child; sound and light must be regulated with great caution; and it is by degrees only that exposure may be made to the noise and full glare of day. We will offer a few hints with reference to the diet of early infancy. Most persons are conversant with what is most suitable; the milk of the mother, or, in default, that of a healthy nurse, If the latter cannot be obtained, the milk of a cow, sheep, ass, or goat, diluted with water, and rendered I* ITYGEINE. lukewarm, may be substituted. The milk should be prepared each separate time it may be desirable to feed the infant, and the periods should be regulated with every 'possible care. During the first three or four months, the milk of the mother, or that of the cow, will in most instances suffice. Up to this period we should offer no additional nutriment. White bread, stale and grated, or biscuitpowder, boiled in milk, is now more appropriate. It is at a subsequent period only that pap, made from flour or oatmeal, the fecula of the potato, meal, &c., and prepared with milk, is admissible. When the earlier teeth have protruded, we may in some measure vary the diet, but it should be exclusively of a vegetable character, alternated with the preparations adverted to above. In the earlier stage we must studiously avoid everything of a greasy nature. Milk and water should be the only beverage. Sweatmeats and bon-bons are at all times objectionable, and should consequently be given with very great caution. Animal food should not enter into the diet until after the accession of the canine CHILDREN. 7 teeth, and even until the period of puberty it should constitute but a small proportion of the regimen. Lean meat is alone suitable to the digestive powers of the infant; pork, duck, &c. being wholly inadmissible. Children digest readily, but excess of food is prejudicial: their repasts should be at short intervals, and consist rather of what is nutritious than of what is caculated to excite the appetite. The principal repast of children should be taken about mid-day: they should not eat at too late a' period, nor in too large a quantitv' lests'their rest be disturbed by indigestioni'. Strict observance of cleanliness will contribute much to the improvement of the child: ablutions and frequent change of linen are essential; a bath, lukewarm, for five or ten minutes every day, will conduce in a striking manner to health and full development, and may be continued with advantage until the second or third year. At a later period we may have recourse to river-bathing, during the summer season: a repetition several times in the week will prove beneficial. 8 HYGEINE. Air and exercise are essential to the health and full development of infancy. As regards attire, it should be sufficiently loose to prevent compression of the body, or restraint of motion; and we should take particular care that it be neither too heating nor too scanty. With young girls the practice of wearing corsets is very objectionable, and should be prohibited. They are generally fashioned so as to protrude the bosom after its development, and to retain it constantly in a forced position, and in one at variance with nature. It is an error to suppose them of utility in supporting the mamma, and in preserving the upper portion of the body in a vertical position. Instead of attaining these objects, they prevent the natural formation of the breasts, which becomes flaccid by their adoption. In like manner they destroy the power of the muscles of the back, and induce a species of atrophy, which renders the wearer incapable of supporting the body in an erect position. Hence result those malformations so frequently observable in young females. The neglect of appropriate gymnastic exercise, especially with a sickly constitu REGIMEN. tion, contributes much to induce malformations; and it is no less true that the adoption of corsets, more particularly as favoring existing predispositions, is intimately connected with spinal curvature. On Regimen., The object of the regimen to which we subject an invalid is to dispose his system to the favorable reception of salutary medicaments. To attain this end, we must keep in observance the two following rules: 1. To prohibit the use of any substance possessed of medicinal properties, and which might thereby modify or interfere with the action of the medicines. 2. To regulate.the quantity of nourishment, so that the daily loss may besupplied without surcharging the digestive organs. These two rules form the basis upon which all hygeinic prescriptions should be founded, and they should serve equally as a guide to the regimen of persons in good health. We do not positively maintain that persons in health should avoid everything proscribed to the sick: we merely 10 HYGEINE. wish to observe that every substance which may produce pathological effects becomes noxious in course of time, and should be adopted with caution in a judiciously chosen regimen, and one calculated to preserve the mind and body in a state of vigour and serenity. The basis of the prescribed diet we shall examine according to this principle. It will indicate the various aliments derived from the vegetable and animal kingdoms, with those which may be admissible for the patient, and those which must be prohibited during the homceopathic treatment..11imrents allowed- Vegetables. Man's principal nourishment is evidently derived from the vegetable kingdom, the family of graniferous plants alone supplying a large portion of his aliment. Wheaten bread is the most nutritious and the most wholesome of our food, and readily assimilates with our system. The potato, as an article of food, is equally salutary, and the simple manner in which it is prepared is usually the best, REGIMEN. 11 taking care to deprive it as much as possible of its moisture. Macaroni, vermicelli, semolino, sago, salep, arrow-root, the fecula of the potato, rice, French beans, peas, lentils, &c. as articles of food, and prepared in a suitable manner, furnish healthful nutrition, and frequently of themselves are serviceable in convalescence from serious maladies, where the invalid should be gradually introduced to a more substantial diet. The melon, fully ripe, and in small quantities, may be permitted where the digestion is good. 1 Strawberries, gooseberries, raspberries, perfectly ripe, and prepared with sugar, or in the form of jelly-apricots, peaches, grapes, pears, and other fruits, not acid, and well ripened, may frequently enter into a well-regulated diet.. Jlliment derived from the.nimal Kingdom. 'Beef is one of the meats best suited to our digestive powers, and should form the basis of our animal nutriment. Mutton may be ranked in nearly the same class as beef. 12 HYGEINE. Ham, from its mode of preparation, is generally more wholesome than pork; its adoption, however, during homoeopathic treatment, must be very guarded. The flesh of the hare, the roe-buck, and game in general, is in most cases very proper. Poultry, such as pullets, capons, turkeys, &c., is admissible; but, unless thoroughly dressed, the flesh is too mucilaginous, and must be taken sparingly. Grouse, pheasant, woodcock, wild duck, &c. are far more wholesome than the poultry from the farm-yard, provided they are not kept too long after being killed. Salt and fresh-water fish are generally wholesome, and of easy digestion. New-laid eggs, in their various modes of dressing, may be recommended with advantage. Liquids. There is no beverage so suitable, during homoeopathic treatment, as pure water; nor is any beverage so conducive to the digestion of those who live abstemiously. In acute diseases we accordingly prescribe LIQUIDS. 13 pure water, or eau sucree, or toast-water, milk-and-water, barley-water, water-gruel, or gum-arabic-water. In chronic diseases, similar diluents are appropriate. Individuals, however, who have accustomed themselves to malt-liquor, may continue its use in moderation, provided it cause no inconvenience and be of perfectly good quality. They, too, who for a series of years have been in the habit of drinking wine, might occasionally suffer much from its total interdiction: although such instances are rare, it is advisable to guard against them: in these cases we may permit wine in moderate quantity and diluted with water. Tea is, in most cases, particularly objectionable as a beverage during homoeopathic treatment, inasmuch as it possesses medicinal properties by no means equivocal. We should, therefore, for this reason, be very cautious in its use. Even by those most accustomed to it, it should be taken weak, and in moderation. Similar objections are referrible to coffee, which is even more pernicious than tea; it should therefore be still more rigorously abstained from. 4NIMAL FOOD. 15 Chamomile, the elder-flower, and all ptisans should be prohibited. Seasonings are referable chiefly to aromatic substances, and are classed among the medicaments: they should therefore be excluded as much as possible from the regimen of the, sick. Salt, butter, cream, and sugar, are generally sufficient to render food agreeable to the palate; it is habit alone which has created a desire for highlyseasoned dishes..nimal Food. Veal, as an aliment difficult of digestion, should be carefully guarded against by persons whose stomach is delicate, and whose organs of digestion are weak. Pork should be abstained from as much as possible during homceopathic treatment. Ducks and geese are indigestible, and must therefore be prohibited. If we do not altogether exclude white and mucilaginous meats, such as lamb, chicken, &c., we must at least insist upon their very moderate use. 16 HYGEINE. Drinks. All drinks too exciting in their character, or possessing medicinal properties, should be expunged from the homceopathic regimen. These stimulants comprise strong wines, spirits, tea, coffee, &c. The regimen should at all times be appropriate to the age and temperament of the patient; and from the rules already laid down, we may easily determine upon the regimen adapted to each individual..9ir and Bodily Exercise. It will be superfluous to dwell upon the importance of pure air, all persons being fully alive to its beneficial effects upon those who are ill: the patient should enjoy it upon all possible occasions. We are fully aware, too, how essential is bodily exercise to the regulation of our natural functions. It preserves the equilibrium of the system, and corrects, in a striking degree, the mischief produced by a too liberal table, the result of our social habits. HABITS. 17 'Most persons eat and drink more than suffices for the support of life; it is fortunate, therefore, that exercise has the power of correcting the inconveniences arising from improprieties of regimen. In chronic affections, exercise in the open air is indispensable; it induces an important and salutary action in the muscu-, lar system, and obviates visceral congestion. Walking in the open air is most beneficial for the invalid; he should regulate his walks according to' his ability, and never prolong them so as to induce exhaustion. Since walking and dancing generally call into action the lower extremities only, it is important, especially for the young, to have recourse to those gymnastics in which the upper extremities may participate. Riding on horseback, or in an open carriage, is advisable where the patient may be incapable of walking; but the latter exercise, in connection with gymnastics, is, greatly to be preferred. Habits. Habits, such as late hours, the attendance 2* 18 HYGEINE. at balls, concerts, theatres, the gamingtable, &c., from their exercising an important influence upon the successful or unsuccessful issue of disease, must not be passed over in silence. Chronic cases, by such indulgence are frequently rendered incurable. The patient stands in need of regular repose and serenity of mind, to obviate any interference with the favorable reaction to be brought about by medicine. He must sedulously avoid all the indulgences we have just denounced. It is important that the invalid should accustom himself to light clothing, lest an undue warmth should render him susceptible of colds, excite perspiration, and debilitate the system. The invalid, however, should be careful in protecting himself against the influence of cold, and more especially against changes of temperature: our remarks refer merely to excess in the use or in the neglect of clothing. - He should avoid perfumes, both on the person and in his apartments, and should abjure an excess of sweet-smelling flowers: they exercise a deleterious influence upon homoeopathic remedies. The use of cosmetics is similarly objec ACUTE DISEASES. 19 tionable. Tobacco should be prohibited, unless the patient have acquired a confirmed habait of taking it, and where the sudden and total interruption of its use might be prejudicial to his health. In all habits of this class, such as drinking of wine, tea, coffee, &c., we must gradually diminish the quantity, and not abstain entirely, and on the instant. The indiscriminate use of warm baths is pernicious, and must be strictly prohibited; cold or tepid ablutions are preferable during medical treatment. Observances to be enjoined on Persons suffer- - ingfrom./cute Diseases. The hygeinic observances in acute affections are rest, bodily and mental tranquillity, mild and equable temperature, and the avoidance, so far as practicable, of such causes as may have given origin to the disease. It is generally observable, in acute cases, that the greater part of the functional economy is deranged. In most instances the appetite is impaired, or entirely sus 20 HYGEINE. pended. The failure commences with aversion for food: and nature thus, of her own accord, indicates the observance of the first hygeinic rule. To an invalid entirely devoid of appetite, no nourishment whatever should be offered; instinct should serve as a guide, and be implicitly followed. In adopting this plan, we need be under no apprehension of debilitating the patient, for the malady is brief in duration, and the functions are speedily restored. The appetite and digestive powers resume their natural course, and the affected organs are quickly re-established. More particularly we must bear in mind that the invalid take nothing which may be considered strengthening; he should receive only what he may have the power of digesting. In cases where the digestive functions do not act, or act imperfectly, the superfluous food stimulates, to a painful degree, an organ which should remain quiescent; and, far from strengthening the patient, throws him into a state of great debility. Regimen, or positive abstinence, is not in all cases, or for a long period, essential in homoeopathic treatment; in the more MEDICINE. 21 serious ailments, we may prescribe, after a brief interval, light nourishing food, gradually proportioned to the restoration of the economy. In a very short time the patient may have recourse to his ordinary regimen. In less important affections, where the appetite is not suspended, we should carefully regulate the diet, and recommend the moderate use of such aliments as may be suitable. As regards the medical attentions applicable to acute diseases, we shall point them out in the chapters dedicated to the respective maladies. 'We shall dwell upon the more frequent and less serious affections, giving a glance merely at those of greater magnitude, and which should rest as much as possible in the hands of the physician..Jdministration and Repetition of Medicines. The homoeopathic remedies are administered in globules, in tincture, by olfaction, and externally by means of friction. The globules are placed upon the tongue, or, being bruised, are taken in a little sugar , 22 HYGEINE. of milk; or again, they may be dissolved (each) in one or more spoonfuls of pure water. If it be advisable to administer only a portion of a globule, it may be dissolved in as many spoonfuls of water as may correspond with the required divisions of the globule; and, pursuing this plan, we may exhibit several spoonfuls, or fractions of a globule, in the course of the day. The tinctures are exhibited in solution with water. The prescription of an entire drop, in the course of the day, is seldom required; consequently, when we have recourse to tinctures, their administration is virtually the same as that of the globules dissolved in water. When olfaction is advisable, one or two globules of the selected remedy should be placed in a small phial, and its aperture he applied to the nose of the patient either for a few seconds or for a minute or two, as the case may require. The use of medicaments externally, whether as lotions or as frictions, has been hitherto but rarely practised. Experience, however, will doubtlessly point out many cases where this mode may be preferable. MEDICINE. 23 " At present we derive much valuable assistance from arnica, as an external application in contusion, from heated oil of turpentine, or frdm alcohol, in cases of burns. In most instances the medicine should be administered in very minute doses, one, two, or three globules, or even the fraction of a globule, according to the susceptibility of the patient. With reference to the most eligible dilution, the highest should in most instances be selected; nevertheless, as regards this great practical means, it is the choice of a suitable remedy which chiefly avails. A judicious election once made, we may succeed perfectly well with dilution, 12, 18, 24, or 30. generally selecting the higher number for the more suisceptible patients. As the more suitable method of exhibiting the remedy, it appears to me that the globules or tinctures, diluted with water, are preferable; but it is evident that perfect cures have been effected by other modes. These signs will assist us in designating the dilution of the doses:.0 signifies a globule of the 30th attenuation; - has a similar signification. The superior figure 24 HYGEINE. or sign points out the number of globules; and the figure, whether Roman or Arabic, placed at the right or inferior part, indicates the degree of attenuation. 6 corresponds to II. or a billionth. 9 IIL or a trillionth. 12 IV. or a quadrillionth. 18 VI. or a sextillionth. 24 VIII. or an octillionth. 30 X. or a decillionth. As regards the repetition of the dose, it is evident that each case, and each separate constitution, must present variations as numerous as the circumstances indicating the dose itself. In slight affections, however, one, two, or three doses will generally suffice; and we find that one or two doses in the course of the day, will, in most instances, meet the case. In the more serious cases, we must have recourse to practitioners of acknowledged repute. Upon this important subject, which is not within the province of an elementary volume, we must refer the reader to the author's " Practice of Homoeopathy." It is to be remarked, that in all instances PRESERVATIVES. 25 where improverient is visible, we should never interfere with the favorable reaction; on the other hand, where the medicine produces no effect, it may be repeated; and where it has been injudiciously selected, we must substitute one more appropriate. In cases where it itg'evident that the medicine acts too powerfully, and causes suffering to the patient, we must exercise due caution in repeating the dose. We must carefully note the result, and if the patient suffer much, we should administer a suitable antidote. As regards the exhibition of antidotes, we are guided by precisely the same rules as in the administration of other remedies. Of Preservatives. No one, in the present day, can for a moment doubt the importance of Vaccination as a preservative against Small-pox. Notwithstanding the early prejudice against its introduction, it has gained the full confidence of an enlightened public; and the value of the discovery is every day more fully appreciated. 26 HYGEINE. The preventive agency of the vaccine virus enters perfectly into the spirit of homceopathic medicine. The virus acts as a preventive, by causing an eruption similar to that of the small-pox. The advantage we have gained in variola, we may yet hope to obtain in other diseases; and homceopathy has already put us in possession of certain preservatives, which I shall immediately proceed to point out. A child may be protected against SCARLET FEVER, the Scarlatina Milis of Sydenham, by causing him to take Belladonna during the period of the epidemic. One or two globules may be administered every four or five days, and from five to eight doses will usually suffice for the protection of the child, In cases where the disease is already apparent, the exhibition of belladonna will render it mild and trivial in effect. Against the MEASLES, Pulsatilla, alternated with Aconite, will act as a preventive. We commence with the administration of one or two globules of pulsatilla, and, on the following day, we may give one or two globules of aconite: this treatment should be repeated three or fouc times. PRESERVATIVES. 27 The same medicaments will serve to modify the disease, if it have already presented itself. In MIuIARY FEVER we may exhibit Belladonna and.1conite, alternately, as a preventive, during the period of its prevalence. We begin the treatment by giving one or two globules of aconite, and after a couple of days we give belladonna in a similar dose, repeating the medicines three or four times. Camphor has been administered as a successful preservative against CHOLERAone drop of the tincture being taken each time on approaching the sick, or upon entering an infected place. The administration should be alternated with Veratrum, and Cupruti, in the proportion of one or two globules, every four or five days. APHTHNE OR THRUSH. 29 The viscid mucus discharging from these pustules very rapidly forms little scabs, which fall off either immediately, or after a few days, and are very quickly renewed. These aphtha are of a trivial moment when they are white, of pearly grey or yellowish aspect, transparent, moist, diminutive, easily crushed, isolated, and disposed to fall off readily and quickly, and affect merely the mouth. Frequently, however, they become dangerous, and are then of a larger size, dull, blue, grey, brown, livid, gangrenous, red, fetid, numerous, compact, confluent, covered with thick and very adhesive scabs, or entirely dry and hard; are frequently renewed, and readily affect the pharynx, intestinal canal, and even the windpipe. The aphthae usually affecting infants at the breast are very rarely malignant. It is of these last mentioned that we especially treat, since the form adverted to above is in most instances symptomatic of more important affections. The most frequent sources of aphthae in young children are, want of cleanliness; food, prejudicial in quality, or ill suited to their age. In many instances, too, they originate in improper things which they 3% 30 DISEASES. are permitted to suck; or from the sucking-bottle not being properly cleansed after each period of use. Treatment. Borax is one of the most suitable remedies in aphthm of infants at the breast,-dissolving a globule in ten teaspoonfuls of pure water, and giving three, four, or five spoonfuls a day, according to the result: the child usually recovers in a very few days. Mercury is at times indispensable; it is especially indicated for children of a gross habit, and where the following symptoms are remarked: viz. Aphthae, after slight febrile excitement, extending themselves over different portions of the lining membrane ofthe mouth; where the whitish aphthae are converted into slight ulcerations with red edges; are white or yellow, with burning pain, frequent bleeding, and difficulty in swallowing; pallor of countenance, puffiness of the cheeks; swelling of the lips, with enlargement of the submaxillary glands; salavation, fetor of the mouth, resembling the mercurial odour; whitish tongue; bowels irregular, alternately confined and relaxed; APHTHJE OR THRUSH. 31 urine thick and clouded; dry cough, great uneasiness, debility, and vigilance. One or two globules of mercury in four ounces of water,-two tablespoonfuls every day will speedily relieve this trainof symptoms. Should no change be perceptible, the dose may be increased. Sulphur will be found of great value in cases of complication, and is especially indicated where we remark a psoric tendency; where the mouth, lips, and tongue are incrusted with thick scabs; where the evacuations are green, frequent, and attended with tenesmus; where the body is covered with a rash; where the thighs are excoriated; and where the back is affected with a vesicular eruption. A.rsenic is especially indicated where the aphthae have assumed a malignant character. The medicines which I have pointed out are not the only ones which are valuable, but they are the remedies which',e most frequently had recourse to. Some particular circumstances,however, may indicate the propriety of other agents. Of these we shall subjoin a list, which the practitioner may consult in case of the inadequa 32 DITSEASES. cy of the preceding, or in consequence of any special indications: AcidumMuriaticum; Acidum Nitricum; Acidum Sillphuricum; Agaricus; Ambra; Ammrniron Carbonas; Arnmonim Murias; Anacardilrn; Argentum; Baryta; Iryonia; Calcarea; Cantharides; Capsicum; Carbo Aninmalis; Causticum; Chlamomilla; China; Daphne Mezereon; Dulcamara; Graphites; Helleborus; Io4ium-k K~ali Carbonlas; Kali Hydriodas; Kali Nitras; Lycopo~dium; Magnesia; Magnesiae Murias; Manganese; Natrum; Natrum Muriaticum; Nux Vomica; Phellandrium; Phosphorus; Plumburn; Pulsat~il!u; 1ododendron; Sepia; Spigelia;Spongia; Staphysagria; Strontium; Theermae Tceplitzens; Thuya. 4Jsthma of MIillar. This is an infantile disease, analogous ill symptoms to those of croup: hence it is that these two diseases have frequently been confounded, both by parents and by practitioners of slender experience. This affection. is sudden"in its attack, and is preceded by no premonitory symptoms; it exhibits itself more particularly in children, ASTHMA OF MILLAR. 33 between the ages of two and seven years, and in the winter season, after having contracted a cold. The first indication is a sense of choking, great anxiety, with difficult respiration; the voice becomes harsh, and acquires a deep tone; should there be cough, it is hoarse, broken, slight, infrequent, dry, and generally devoid of mucus. When the affection is very severe, it is accompanied by heat of skin and frequency of pulse, and perspirations supervene- upon the close of the attack. Unless the first attaclk prove fatal, it usually terminates in the course of a few hours in sneezing, eructation, and vomiting; the child sleeps tranquilly, but on awaking is weak and languid, and his symptoms very closely resemble those of catarrh. A fresh paroxysm, more serious than its predecessor, comes on within twelve or twenty-four hours. The most general remedy is Sambucus, particularly where the patient falls into a state of somnolency, with the eyes and mouth half opened; is unable to inspire freely; is compelled to sit down; and where, even in that position, the air enters the lungs with a whistling sound, accompanied be a sense of suffocation; he strikes his 34 DISEASES. hands together behind him; the hands and face become swollen and purple; there is heat of skin, without thirst; the child weeps at the access of the paroxysm; where there is cough; and where the attack comes on about the middle of the night. We exhibit, then, one or two globules of Sambucus, to the little sufferer, and carefully wait the result: if no effect be apparent, the medicine may be repeated in one or two hours' time. Several doses may, in this manner, be required to arrest the progress of this formidable disease. 1Moschus is serviceable in this affection, when the patient feels as though he had inhaled the vapour of sulphur. Ignatia, Nux Vomica, and Pulsatilla, should, under particular circumstances, come under the consideration of the practitioner. In consulting the Materia Zledica Pura, he will ascertain from the symptoms which of these medicines should follow the exhibition of the Sambucus or lMosc/hus, should the latter remedies fail in the removal of the disease. MISCARRIAGE. 35 n(irU Miscarrzage. By miscarriage we understand an accouchement taking place during the earlier months of pregnancy. The causes of this accident are the psoric condition of the patient; the weakness of the mother; a peculiar irritability of the womb; predisposition, resulting from prior miscarriages; mechanical lesions, such as disturbance of the lower parts of the abdomen, from a blow, a fall, or violent fit of passion, grief, vexation, anger, or other moral affection. Sometimes a miscarriage takes place suddenly, and without intimation; in other instances, it may be announced by previous indisposition. The earlier symptoms are violent pains in the uterus, drawing and cutting pains extending from the kidneys towards the interior of the pelvis; shiverings; great desire to pass water; with viscid and sanguineous discharge frotn the vagina. Should this discharge increase, and the pains be not readily checked, miscarriage will be almost inevitable. Treatment. The patient must strive to DISEASES. maintain the greatest tranquillity both of mind and body, and must assume the recumbent position. Chamomilla, of the 12th dilution, should be administered where the symptoms, as detailed above, shall present themselves. Belladonna, at the 30th attenuation, is indicated where the pains are violent, tensive, and pressing throughout the entire lower portion of the abdomen,and more especially towards the pubic region; where there is depression of the reproductive organs, and violent pain in the region occupied by\ the kidneys. Hyoscyamus is beneficial in cases where we meet with convulsions, and diffused cramp-like pain, succeeded by stiffness of the joints, and accompanied by the loss of sense. Ipecacuanha is the most appropriate remedy,,where the patient is seized with tonic cramp, stiffening the entire body, and conjoined with loss of sense. Crocus, of the 3d attenuation is serviceable where the sanguineous discharge is black and clotted; where the pains appear to pass through from the umbilicus to the MISCARRIAGE. 37 womb; and where there is pain in the vertebral column. Sabina, administered in the early stage of pregnancy, will act as a preventive in those who may have a disposition to miscarry. Nux lVomica is valuable in cases where the predisposition results from a varicose state of the reproductive organs, originating either in the abuse of coffee, or in obstinate constipation, which, from inordinate pressure, induces premature contraction of the uterus. Carbo Vegetabilis and Lycopodium are serviceable in similar cases where the psoric tendency is more or less developed. In cases where there may be a disposition to psora, but without a varicose tendencyp Sepia and Silicea should receive the preference. wArnica is prescribed with success where aborlion is to be apprehended from a fall, or from external violence: we may use it also as a lotion to the injured or contused surface.* Asarum, Cannabia, Cantharides, China, * The lotion is made by adding from 10 to 20 drops of Tr. Arnica, to an ounce of water. 4 38 DISEASES. Nux Moschata, Platinum, Plumbum, Rhatania, Calcarea, Ferrum, Secale Cornutum, Zincum, and Sulphur, may in like manner be employed in the prevention of miscarriage. In declaring the principal remedial agents in this affection, we invite the patient to treat herself in a case of such vital import, and where she may be distant from a homoeopathic practitioner. We specify the disease from the prompt assistance required for its successful treatment. Nettle Rash. Prickly Heat. When arising from a cold, Dulcamara is the most suitable remedy. Likewise Rhus 12 or Nux V. and Pulsatilla or more frequently, when caused by indigestion or acrid ingesta, Jlntimonium Crud.; Ignatia 12 when there is a burning, lancinating itching over the whole surface of the body without any appearance of the rash. In chronic cases of this disease, recourse must be had to the following medicines, viz: Sulphur, Calcarea, Carb. V, Lycopodium, and Natrum Mur. WOUNDS. 41 by a dose of China, which will complete the cure. If the wound be circumscribed by an extensive red areola, and if the surface he swollen and inflamed, Pulsatilla will generally produce beneficial results. We administer one, two, or three globules, according to the excitability of the patient, and in most instances select it from the 12th up the 30th attenuation. Mlercury will very speedily check any disposition which the wound may haveto suppurate. In the treatment of wounds we sould scrupulously avoid the use of all medicinal ointments which are generally in so much request. To prevent any portion of the apparel attaching itself to the skin, it would be well to shave the hair, and apply small bandages spread with some greasy substance: simple cerate, or cocoa-nut oil, is very suitable. If the wounds are very extensive, and attended with loss of substance, in addition to the bandages which cover the edges of the wound, we may apply an open compress slightly spread with cerate: we may afterwards impose a fold of lint. In these 4* 42 DISEASES. cases we must guard against the exhibition of arnica in too concentrated a form, since it may counteract the desired effect: 5 or 6 drops to an ounce of water will be sufficient. The wound must not be exposed more than once during the day, and where there is no suppuration, there will be no need of disturbance until the cure is complete. Burns. Burns, as all persons are aware, present various degrees of importance, and exhibit themselves in three distinct stages. In the earliest stage the part affected-is inflamed, the skin is puffed up, and blisters are formed; in the second a portion of the skin is more or less deeply destroyed; in the third stage, not only is the skin destroyed, but also the subjacent structure. It is principally the two former stages which will be considered here; the last requiring the especial regard of an experienced practitioner. Should the pain be limited in extent, and trivial in its nature, we may derive much benefit from allowing the parts to approach BURNS. '43 the fire. This greatly increases the pain for the first few moments, but with courage to persist, the pain very quickly ceases, and the vesications do not present themselves. When the pain is more extensive, we may moisten the parts with heated spirits of wine, or brandy, and we must be careful to keep the compresses constantly wet. Turpentine may be used instead of alcohol or brandy; and to prevent the too rapid evaporation, the, moistened cloths should be covered over with cotton. Serious burns require the unremitting attentions of a nurse, who should never allow the injured surface to become dry. At night we should withhold the candle from the patient, or place it within a lantern, lest the alcoholic vapours should ignite. When the burn induces febrile action, we administer one or more doses of aconite, from the 18th to the 30th attenuation. S'apo pura, administered internally, quickly removes the pain, and induces a rapid cure, without having recourse to any other remedy. 44 DISEASES. Cardialgia or Heartburn. The disease which has received this appellation is one having its seat in the stomach, or in the diaphragm, and frequently extending itself over a large portion of the abdominal viscera. This affection presents itself in different degrees and forms, and necessarily requires the assistance of the medical man. In this place we shall consider the disease merely in its simplest character; the result frequently of cold, and attacking irritable and sensitive subjects, women, and children. The. region of the stomach, and frequently also the lower part of the abdomen, are swollen, sensitive, and painful; the patient experiences palpitation of the heart, anxiety, constriction across the chest, difficulty of respiration, pains in the head, a disposition to faint, frequent rising of the food, sometimes acid and always disagreeable; very rarely flatulence. Children affected with cardialgia, are agitated and restless, have shortness of breath, are fretful, and flex the legs upon the body. It is generally induced by cold, vexation, acid wine and food, beer, fat meat, &c. HEADACH. 45 One of the most certain remedies is Charomilla of the 12th attenuation. We administer one, two, or three globules, according to circumstances; and the remedy is repeated after a few hours' interval, or after twenty-four hours, if required. The physician, however, may vary the medicines according to the shades of variety in the disease, and he will generally select them from among the following: Nux, Chamomilla, Belladonna, Cocculus, Ipecacuanha, Stannum, Staphysagria, Bryonia, Pulsatilla, Ignatia, China, Bismuthium, Arsenicum, Plumbum, Argilla, Carbo, Vegetabilis, Calcarea Carbonica, Baryta Carbonica. Headach. Cephalalgia, or headach, is an affection very rarely idiopathic: it is generally symptomatic of-a more complicated malady, which may be either acute, or classed among the chronic diseases. We shall nevertheless enumerate a few instances where the disease is sufficiently simple to render the attentions of the physician unnecessary..dconite is especially indicated in pains of 46 DISEASES. the head, excited by determination of blood to the part, and where the following symptoms present themselves: Aching pains in the head, vertigo, giddiness, and pricking sensation in the forehead; burning heat in the brain, whilst the body and limbs are rather cold than otherwise; pressive pain with throbbing in the head, which subside on lying down, and are aggravated on rising; the cheeks flushed and tumid, great nervous excitement, irritability of temper, incapacity for exertion, vigilance, relief on going into the air. Belladonna is suitable when there exist great sensibility of the scalp, and even of the hair, swelling of the veins of the forehead and of the hands, buzzing in the ears, a mist before the eyes, hypochondriacal disposition, absence of thirst. It is also valuable where there are shiverings in the back and shoulders, in the morning, followed by a sense of uneasiness all over the body, succeeded by nausea, with inclination to vomit; pain in the head, pressure and drawing towards the forehead, and becoming insupportable upon the slightest movement of the eyes; aggravation from the slightest breath of air, and HEADACH. 47 from every motion, rest alone assuaging the pain; where the pain appears 'concentrated in the forehead; where there is a burning spot, with pain, in the bones of the nose; aggravation from light, excessive irritability; palpitation of the heart resounding through the head; unnatural craving for food; oppression at the stomach, especially after eating. Bryonia may be exhibited in pains of the head produced by rough weather, and by painful emotions of the mind, and when the following symptoms are apparent: Cephalalgia continuing from morning till the evening, contraction affecting the whole of the head, when the sufferer is compelled to lie down, and is nearly deprived of his senses; the eyes glassy, dull, and contracted, the face pale; incapability of enduring either light or noise; disposition irritable and querulous; in the afternoon, palpitation of the heart, tension across the chest, uneasiness, inclination to vomit, retchings, constipation, deafening pain in the head the next day, or even a state of fever. Pulsatilla is applicable to pains in the head, characterized by vertigo, as from inebriety, with paleness of the face, anxietyý 48 'DISEASES. inclination to shed tears, palpitation of the heart, bleeding at the nose, sensibility to light, failure of appetite, &c. The same remedy is suitable when the affection of the head is semilateral, diminishes on walking about, and increases on sitting down. Cephalalgia with shooting and throbbing in the left side of the forehead, in the morning and evening, relieved by pressure and the open air; aggravation in a room, on lying down, in lowering or raising the eyes; acid or bilious vomitings, after violent pain in the stomach; abdominal pains, as from gripings, colic, contraction, &c. Cephalalgia, with shooting pain at the top of the head, burning in the eyes, inclination to fall forwards, pains in the stomach, face flushed, &c. At the slightest movement, the patient feels as though his head would detach itself from his shoulders; melioration on compressing the head, debility after the paroxysm. Cephalalgia, the consequence of keeping late hours, debauchery, and the abuse of wine and spirituous liquors, has for its characteristic symptoms, a pain resembling that of a fracture, heaviness, disposition to vomit, heaving of the stomach, chills, weak HEADACH. 49 ness of the limbs, ill humour, irritability. Nux Vomica is particularly suited to this train of symptoms. In cephalalgia produced by the use of coffee, Nux Vomica is very efficient, particularly when the following symptoms are remarked: Cephalalgia in the morning compelling a recumbent position, and increasing towards the middle of the day; much confusion in the head on awaking; repugnance to food; darting pain over the left eye, with pressure, and affecting the organ itself; increase of pain from the pressure; contraction of the eyelids, dread of light, dimness of vision, discharge of hot tears, heat around the eyes. Obstruction in the left division of the nose, sweats through the violence of the pain, occasional vomitings, derangement of the reflective faculties during the pain, incapacity of thought after the pain, forgetfulness, great irritability, reluctance to walk, noise and conversation an annoyance. Nua Vomnica is again serviceable in cephalalgia produced by constipation of the bowels. 50 DISEASES. Moschus is applicable to the cephalalgia of hysterical and hypocondiiacal subjects, more particularly when the under-written symptoms are observable Compression above the root of the nose, with confusion of idea; vertigo upon the slightest movement of the head, compression in the head, giddiness with threatened loss of sense, pain throughout the head with twitchings at the nape of the neck, when the pain becomes tensive; determination of blood to the head, disposition to sleep, anxiety, and ill humour. In cases/where Mloschus has failed of success, we must employ Nux Vomica, which will then relieve the pain. Chamomilla is a suitable remedy when the headach results from the abuse of coffee, and having frequent recourse to Nux Vomica. It is of value in cephalalgia, characterized by the following symptoms: Pain, pressive and stunning when sitting down and reflecting; weight and sense of cracking; pain even during sleep; cephalalgia in the morning, the eyes being still closed, and in a staterof semi-sleep, the pain in the head ceasing on being suddenly COLIC. 51 wakened, and when the patient has risen; pain from laughter, twitchings, &c. - Chamomilla is again admissible in cephalalgia resulting from a cold, and characterized by tearing pains in the head and shootings in the temples, great heaviness over the root of the nose, as though threatening a cold in the head-; yellowness of the forehead; puffiness of the face and of the eyes; dimness of the visual organs. Colic. Colic, or Gripes, is a disease attended with grinding, tearing, and tensive pains, without any inflammatory symptoms, having neither fixedness nor continuity, and affecting the interior of the abdomen, but more especially the umbilical region. This pain generally directs itself from above downwards, and is frequently accompanied with swelling of the lower part of the abdomen. Sometimes we observe a kind of sinking and constriction in the region of the umbilicus, and occasionally the superior portion of the abdomen becomes swollen, more hot, and painful. The stomach is generally free from pain, and the patient 52 DISEASES. rarely vomits; if sick he throws up his food, together with a small quantity of bile. Sometimes the complaint is attended with constipation, but more frequently with slight diarrhoea, and there is very rarely fever. In children, after the discharge of urine more copious than ordinary, we may occasionally remark considerable agitation and impatience, continued crying, sudden screams, contorsions during sleep, vigilance, and cramps; they flex the legs upon the belly, appear as though they were bent double, and are unable to suck, being either stretched out or lying down. The treatment will vary according to the circumstances producing the disease. Among children it frequently originates in a cold, or in worms; in adults, it may proceed from cold, excess in eating or drinking, and not unfrequently from a disposition to flatulence, and from hemorrhoids. Chamomilla or Pulsalilla is the remedy most suitable in cases of colic presenting the following symptoms, and where theorigin has been a cold: Violent cutting and tearing pains in the abdomen, occasioning incessant restlessness; COLIC. 53 sensation as though the abdomen were entirely empty, with constant rumbling in the intestines, eyes appearing discoloured, accumulation of saliva in the mouth, contusive pain in the kidneys, nausea, disposition to vomit, diarrhoea, evacuations green, watery and mixed with mucus. Nux Vomica is indicated where the following characteristic symptoms are observable: Hardened faeces or constipation, sensation of a heavy weight in the lower part of the abdomen, with borborygmus; unusual heat, considerable tension of the belly, with respiration anxious, short and labored; fulness of the abdomen; sense of fulness beneath the ribs; pain drawing, pinching, and compressed, as though the intestines were squeezed in different directions by suffering; pressure at the pit of the stomach; diffused headach, with confusion of idea'; the abdomen painful to the touch; loss of recollection; coldness of the extremities at the time when the affection is most violent. Windy colic, having its seat in the inferior portion of the abdomen, yields to the same remedy; when the flatulence, in seeking to escape, produces pressure, as from a 5* 54 DISEASES. sharp or cutting instrument, to the bladder, rectum, or organs of generation; pressure,. causing the patient to pause after each step, when in an erect posture, or which is quickly removed when lying down or sitting in a curved position. Mlercury and China are successfully employed in colics produced by worms. We generally observe the following symptoms: Great inclination to vomit; risings of the food; increased secretion from the salivary glands; torsion of the abdomen; a sensation of hardness around the navel; convulsion in the abdominal muscles; pricking in the throat; frequent hiccough; occasional bulimia; aversion to sweet food;, frequent desire to relieve, the bowels; the lower abdomen hard and swollen; tensive and burning pain round the navel; diarrhoea; slimy evacuations; general debility; bad complexion; discoloration of the eyes; itching of the nose; dilatation of the pupils; itchings at the rectum. China is chiefly applicable to children, more particularly where they pick the nose, when the eyes are dark beneath, where the sleep is disturbed, when they COLIC. 55 scream out, or exhibit any of the symptoms enumerated above. Excess of feeding, or unwholesome articles of food, frequently give rise to colic; we thin remark the following symptoms: Nausea; weight; sensations of stretching, and painful tension in the lower part of the abdomen; severe pinching; cutting pains in the abdomen, increased by pressure; salivary secretion, white and frothy; sharp tearing pains above the navel; diarrhoea, the evacuations green or of a yellowish citron colour attended with violent pain in the stomach; complexion pallid; eyes dark beneath; slight convulsion of the limbs; curvature of the whole body; pressure and tensive pain in the head. A cup of coffee without milk will disperse these symptoms in persons who have not accustomed themselves to its abuse. Frequently after its exhibition we shall obtain an operation from the bowels, or vomiting of the indigestible food. One, two, or three globules of Pulsatilla, administered at this juncture, will remove all trace of the indisposition. The Hemorrhoidal Colics are distinguishable by the following symptoms: COLIC. 57 to pass water; where there exists spasmodic stricture of the urethra, and where the belly becomes very sensitive. In such cases, then, we administer Nux Vomica in the same manner as Pulsatilla, taking care to exhibit it in the evening in preference, provided there be no necessity for immediate treatment. Colocynth, of the 30th attenuation, is very efficacious in different varieties of Colic, and more particularly where the following symptoms are presented: Violent pains in the abdomen, unremitting or returning at short intervals, and with renewed intensity. After their complete disappearance, these pains present the peculiarity of leaving, throughout the lower abdominal region, a sensation of bruising, as though the intestines were suspended by threads easily broken, and obliging the patient to walk slowly, and with extreme caution. The suffering experienced in the superior portion of the abdomen occupies chiefly one single point, of slight compass, and returning only at intervals or five or ten minutes, or at all events very rarely. It commences most frequently in slight twitchings of the ribs, ,COLIC. 59 One or two globules of Nux, of the 24th or 30th attenuation, in six ounces of water, and a spoonful taken every hour, will readily assuage the pain. Coffea, of the 3d attenuation, is suitable in the following symptoms: Pains in the abdomen, extremely violent, spasmodic in their character, and extending even to the breast; pain as though all the intestines were divided with a knife, and which deprives the patient of her senses;. dreadful curvature of the body, with convulsions of the limbs; grinding of the teeth; frightful cries; general coldness; cramp-like sufferings; loss of breath; repeated sighs; feeling as though the abdomen would burst; fulness of the lower region of the abdomen; pressure. Pulsatilla may be exhibited when the menses are accompanied by violent and pressive pain in the inferior portion of the abdomen, and in the kidneysi painful drawing sensations from the trunk to the thighs, relieved when sitting down, and which are conjoied with a painful pressure in the rectum, pains in the bones, and numbness of the thighs. Belladonna is indicated where there 60' DISEASES. exists a sensation of pressure in the genital organs, from within to without, as though these organs were striving to escape outwards. In addition to the medicaments indicated above, as tending to check the colic, we may exhibit the following: Alum, Asarum, Arsenicum, Calcarea, Carbo Vegetabilis, Cocculus, Hyoscyamus, Lycopodium, Phosphorus, Secale Cornutum, Sulphur, Veratrum, Conium, Capsicum, Crocus, Cuprum, Euphorbium, Ferrum, Iodine, Kali, Lauro-Cerasus, Mezereon, Acid. Muriatic., Natrum, Nux Moschata, Plumbum, Psoricum, Ranunculus, Sarsaparilla, Senega, Senna, Silicea, Spigelia, Valerian. A practitioner, however, must necessarily be consulted where colic is purely symptomatic, in which case it would be highly imprudent for the patient to rely upon his own resources. Congestion of Blood in the Lower Part of the Abdomen. This disease is distinguished by a painful sensation of weight, hardness, tension, CONGESTION. 61 and heat, in the lower region of the abdomen. When it is of long standing, it requires the assistance of the physician, and the antipsoric treatment is often necessary to its removal. When of recent occurrence, and not originating in chronic miasma, but arising merely from errors of diet, it may be readily combated by regimen, by daily and moderate exercise in the open air, and by abstinence from spirits. The patient may, at the same time, have recourse to Nux Vomica, of the 24th'or 30th attenuation, two globules of which dissolved in six spoonfuls of water, and a spoonful taken every night on going to bed; such dose being repeated successively, or after some days' intermission, will speedily check the disease. Should the remedy fail, the advice of the physician will be indispensable. Mercury is a valuable medicine in venous congestion of the stomach and the lower part of the abdomen. Congestion of Blood in the Chest. This disease attacks young persons of plethoric constitution, and more especially 6 62 DISEASES. those who are liable to chest affections. Weight and pressure at the chest, palpitations of the heart, asthma, sighings, anxiety, &c. are the most usual symptoms. Such are frequently the avant-couriers of haemoptysis, or of some other disease of the lungs, or of the heart. Nux Vomica will frequently triumph over these symptoms. Belladonna is suitable where the asthma is severe, and is accompanied by a constant hecking cough, depriving the patient of rest. Awrum is a very powerful remedy in cases where the palpitations of the heart are extremely violent. China is successful in similar cases. Bryonia is effective against violent and periodical congestions of the chest, accompanied by determination of blood to the head. Pulsatilla is very powerful against congestion in the head and chest, in connection with the following additional symptoms: Inclination to shed tears; irritability; disturbed repose; throbbing and beating, especially in the left side of the head; black spots before the left eye; mucous taste in the mouth; tongue white and moist; great CONGESTION. 63 dryness, without thirst; difficulty of deglutition; giddiness, especially in stooping; expectoration of mucus in the evening; palpitations of the heart; tearing pains in the sacrum, on moving; pricking sensation in the arms; empty risings; bad appetite; transitory heats; great debility. Congestion of Blood in the Head. This disease more particularly affects persons leading too sedentary a life. It frequently results from natural predisposition, from mode of living, the use of spirituous liquors, the habit of wearing too warm a head-dress. Infancy and old age are the periods of life chiefly predisposed to this affection. The symptoms are generally the following: Redness and turgid appearance of the face swelling of the veins of the head; strong arterial pulsations; giddiness; pains in the head, increased by stooping; sleep, broken and disturbed by frightful dreams. Aconite is, in the first instance, the most appropriate remedy. Nux Vomica is indicated after the exhibition of aconite, and principally where CONG ESTION. 65 been the exciting cause of cerebral congestion, aconite is the specific, par excellence.. Where cerebral congestion has been the result of a heavy fall, or severe contusion, we may relieve it by the exhibition of AIrnicu, taken internally, and applied externally as a lotion to the head. Concussion of the brain is recognizable by the following symptoms: Giddiness; vertigo; sense of cold in a very circumscribed portion of the head; pressure over the eyes, which have a tendency to close; disposition to be frightened; vomitings. In cases where the administration of arnica produces bleeding from the nose, we should not interfere with it; the hemorrhage will cure itself. Dulcamara may be given when there is continual buzzing in the ears, with hardness of hearing. Coffea is very valuable in cases of congestion occasioned by joy of too lively a character. Chamomilla in cases of congestion induced by vexation. 6* 66 DISEASES. lgnatia in cases resulting from concentrated grief. Nux Vomica in those presenting themselves after a fit of anger. Opium against those originating in fright. Crocus in cerebral congestion either previously or subsequently to the menstrual period. Constipation. This disease is one of very frequent occurrence in England, and is oftentimes symptomatic of a complicated affection of the digestive organs. In these cases, therefore, the assistance of the medical man is indispensable; and it would be useless to apply one's self to the constipation merely, since the treatment should embrace the malady in all its bearings. The homoeopathic practitioner, who would direct his attention to this symptom merely, would be equally culpable with the allopathic physician who prescribes purgatives for every variety of constipation with which he may have to deal. When the constipation continues during several days, without being CONSTIPATION. 67 connected with any other circumstance, it is frequently the result of too scanty a secretion of the juices essential to digestion, or from the weakness of the intestinal canal. It affects, for the most part, persons leading too sedentary a life, women, and aged men. Diet of too dry a character, astate of pregnancy, the abuse of enemata and of purgatives, are the chief predisposing causes. The treatment must have reference to the cause of the ailment. Opium is very salutary in cases of simple constipation, not following in the wake of a long-continued illness, nor resulting from chronic miasma, but which originates ip debility of the nervous system, and presents the following symptoms: Desire to go to the closet, with a feeling asbthough the passage leading to the rectum were closed; an impossibility of voiding the faeces; throbbings in the lower part of the abdomen; pressure at the stomach; loss of appetite; thirst; dryness in the mouth. Nux Vomica proves a valuable remedy where constipation is the result of indigestible food, or food taken in too large a quantity; where it occurs as a sequel to 68 DISEASES. diarrhoea, checked by remedies ill chosen, or ceasing spontaneously. Or, again, where the following symptoms are observable: Loss of appetite; disagreeable taste in the mouth; tongue loaded with mucus; distaste; nausea; lancinating pains in different parts of the lower abdominal region, with tension and pressure; cutting pains in the abdomen; heat; fulness of blood in the face; headach in walking about, in lowering the head; pressure in the temples, relieved neither by sitting up nor lying down; pain in the forehead; in the nape of the neck; disturbed repose; oppression; peculiar heat in the lower part of the abdomen. The constipation, at times very painful, to which pregnant women are liable, will frequently yield to the exhibition of Nux Vomica, alternated with ignatia, bryonia, and opium. We must at the same time enjoin walking exercise every day in the open air. In cases refusing to yield to these various means, we must consult a practitioner, who will find Sulphur, Sepia, and Lycopodium very frequently indicated. After an accouchement, where the bowels do not readily perform by the un CONTUSIONS. 71 pressure of the temples from without inwards; when, upon stooping, the brain feels as though it, would force itself through the forehead, and where there is a tendency to epistaxis. Sulphur, Veratrum, Plumbum, Conium, Cannabis, Sarsaparilla, Psoricum, Graphites, and Sepia, are very important remedies in constipation. To render their application effective, however, we must carefully examine all the other symptoms attendant upon constipation; and the study of the Materia Medica can alone point out that which will be most eligible. Contusions. Contusions very quickly occasion, as all persons are aware, a swelling, more or less extensive, of the injured parts. The tumour is painful, not limited in extent; is more or less hard, and accompanied by extravasation of blood, communicating to the part a peculiar hue, red, deep, mottled, blueish, purple, afterwards yellow, and which is more or less obstinate accord-, ing to the case and the disposition of the patient. 72 DISEASES. ldrnica is a certain specific against this accident. It is exhibited internally, and had recourse to at the same time as an outward application. In the latter, fine linen rags must be dipped into a solution of the tincture of arnica and water, in the proportion of from ten to twenty drops to the ounce. The injured parts must be moistened with the lotion several times during the day. Generally, one or two doses internally will suffice, provided the malady be treated at the onset; and it is seldom required to apply it externally more than one or two days. In serious cases, however, a continued application may be necessary: we must then be guided in the repetition by general rules laid down in the chapter devoted to the subject. Cramps- Convulsions. In most instances, cramps are symptomatic of some serious malady, and in such cases it is evident that the medical man alone can direct the treatment. In this place we shall merely consider those spasmodic affections which may be transitory. CONVULSIONS. 0 73 Young children are frequently attacked with cramp, from trivial causes, and without any other appreciable derangement of health. In such cases cramp usually supervenes during sleep, appears only in the fingers, or displays itself by a slight twitching of the whole body. Here it has its origin in a cold, in worms, or in colic. Chamomilla will generally succeed in restoring the equilibrium, taking care to administer it in water, and repeating the dose on every repeated attack. Chamomilla is efficient where the child exhibits uneasiness, when one cheek is flushed and the other pallid, when the eyes are half closed, when the patient appears without intelligence, is convulsively affected in the arms and legs, roll his head uneasily on the pillow, moans, and suffers from thirst. Ignatia may be administered under the following circumstances Frequent accession of heats over the body; waking by starts from light slumber, and composing himself again with difficulty uttering loud cries, and feeling a general tremor; convulsive movements of the muscles, or of the limbs. Mercury is an appropriate remedy, 7 74 DISEASES. when, in addition to the convulsive motion of the limbs, we may observe swelling and hardness of the lower belly; ejection of a watery fluid; change in the intellectual faculties; general debility; and where all these symptoms are evidently referrible to the presence of worms. Women of delicate and irritable temperament are attacked previously to their monthly periods, or after a cold, or from some moral disturbance, with spasmodic and constrictive pains in the lower part of the abdomen; and even with convulsive movements, more or less violent in the limbs, the pains contracting and pressive, and extending from the loins to the pelvis and the thighs. Coffea is an excellent remedy in such cases, particularly where its use has not been habitual. If the patient have been accustomed to this beverage, and it fail in its application, we must have recourse to Pulsatilla; especially if there be shivering, inclination to weep, anxiety, and when the symptoms become exacerbated during the night. Chamomilla is better adapted to those persons whose vivacity, quickness, CONVULSIONS. 75 and extreme susceptibility of suffering, constitute their moral characteristics. Ignatia is efficient in hysterical affections, and occasions the disappearance of cramp when in connexion with such symptoms as the following: Nausea; lipothymy; loss of sense; general chilliness; pallor; increase of sensibility to light or noise; painful tumefaction of the lower abdominal region; twisting; digging pain in the lower part of the abdomen; increase of heat in the body; pulse sometimes rapid and full, at others weak and small. Opium will relieve spasmodic Affections induced by fright, and which present, as accessories, loss of intelligence, a gloomy expression of countenance, general tremor, diarrhoea, difficulty of respiration, weakness in all the limbs. Men of delicate fibre occasionally expe6 rience cramp-like sensations, such as impeded respirations, yawnings, constriction, oppression about the chest, general laxity, and shiverings. Camphor, applied from time to time to the nose, will cause these symptoms to retire. 76 DISEASES. If these symptoms are evidenced by persons of violent and hasty temperament, and who give way to tears, complaints, and abuse, Nux Vomica will be the suitable remedy, Ipecacuanha is serviceable in convulsions, with great oppression at the chest, with distaste for everything but water, with nausea, vomitings, and diarrhoea. Lemon-juice, Cicuta, Causticum, Cannabis, Aurum, Arnica, Veratrum, Stramonium, Spigelia, Moschus, Menyanthes, Aconitum, Arsenic, Belladonia, Bryonia, Cocculus, Cuprum, Hyoscyamus, Angustura, Lachesis, may be employed in various forms of convulsion. Cramps of the Stomach. This malady is one of frequent occurrence; appears to be sometimes hereditary, to come on in paroxysms, and may continue for years. At first, there is merely pressure, with tightness and pinching more or less severe, affecting the pit of the stomach, and the left side of that viscus. The pain frequently extends to the back, where strong pres 78 DISEASES. obstinate according to the circumstances to which they are referrible, and frequently resist for a long time the most judiciously directed treatment. At times they disappear for several weeks, and return at fixed or irregular periods. The most usual causes of this malady, are errors of diet, frequently and for a long time repeated; irregularity in eating and drinking; the inordinate use of spirituous drinks and coffee; grief, vexation, frequent colds, particularly in the feet, 4cc. All these causes, however, are often merely occasional and exciting; and cramps in the stomach originate in some chronic miasma, which develops itself under the influence of the cause alluded to above. In such cases we must institute an antipsoric treatment, methodical and prolonged, in order to triumph over the disease. When the affection is attributable to the causes above mentioned, it is generally to be cured by the following remedies: Nux, ignatia, pulsatilla, coffea cruda, chamomilla, and cocculus. Nux Vomica is especially applicable to persons who are addicted to coffee and CRAMPS OF THE STOMACH. 79 spirituous liquors, more particularly when we detect the following symptoms: Constriction, pressure, pinching, and tearing; cramps in the stomach, with a feeling as though the clothes compressed the body in the epigastric region; a sensation which may be compared to an accumulation of wind in the left side, beneath the ribs; constriction of the chest, which in many instances extends itself as far as the shoulders and the loins; nausea, particularly during the fit; accumulation of water in the mouth; rising in the mouth of sour and bitter fluid, with or without a sense of burning in the pharynx; palpitation of the heart, with anxiety; sour and putrid taste in the mouth; constipation; tumefaction of the lower part of the abdomen from flatus, at times semi-lateral headach; at other times, pressive pains in the forehead. When the nervous system is highly excitable, the sensibility increased, the disposition of the patient very irritable, and every circumstance annoys him, we shall derive much advantage from chamomilla; more particularly where there is pressure in the region of the stomach, painful swell 80 DISEASES. ing at the pit of the stomach, and on the left side; asthma, anxiety, and a pressive pain at the.vertex of the head. It may be remarked that a little coffee generally assuages this species of cramp, while it serves to aggravate that which yields to the application of nux vomica. When the disease has originated in the abuse of chamomile tea, this remedy will not meet the case: it is then that ignatia, pulsatilla, and coffea will be appropriate. Coffea is especially indicated in cramps which appear insupportable to the patient, by reason of an increase of sensibility. Cramps in the stomach, excited by an abuse of coffee, are remedied by the exhibition of chamomilla. When the cramps are connected in their paroxysms with nausea and vomiting, with severe darting pain in the pit of the stomach, they will yield to the administration of Ipecacuanha. Cocculus may be administered after the exhibition of Nux, should the latter fail in,the entire removal of the disease; or, again, when superadded to the symptoms which characterize the employment of nux vomica, we have constipation and pain in the CRIES OF INFANTS. 81 lower part of the abdomen, relieved by the discharge of flatus; when there is an increased flow of saliva from the mouth; and when the disposition of the patient is fretful and sombre, and he seems as though he were wrapped up within himself. The following medicaments are valuable in certain descriptions of cramps in the stomach: Belladonna, Stannum, Staphysagria, Bryonia, China, Magnesia, Bismuth, Arsenicum, Plumbum, Argilla, Carbo Vegeta; bilis, Calcarea Carbonica, Barytes Carbonica, Lycopodium, Sepia, Petroleum, Atriplex Olida, Carbo Animalis, Phosphorus, Spiritus Nitri Dulcis, Sulphur. Cries of Young Infants. The violent crying of very young children, continuing frequently during one or many weeks, without apparent cause, and almost without intermission, will frequently yield to the exhibition of an extremely minute dose of balladonna, chamomilla, or' coffea. This latter substance is particularly appropriate where the nurse is not habituated to coffee. 84 DISEASES& cum, Rhus, Sarsaparilla, and Sepia, are medicines frequently of great service in the more obstinate cases. It is for the physician to determine m hich may be preferable, and he will arrive at this choice by a perfect knowledge of their respective properties. It chin gs. This disease is frequently obstinate and very distressing, and chiefly attacks persons who are declining in years. It has its immediate origin in slight nodosities,colourless, scarcely perceptible, soft, smooth, isolated, without vesicles, desquamation, or eruption, properly so called. The scratching, however, produces a slight redness, with discharge of lymph, clear or sanious, visible at the top of the nodosities. This assumes the appearance of a number of small humid points, which form, in the course of twelve or twenty hours, as many minute crusts or scales, about the size of a pin's head, white, yellowish, or dusky, according to the character of the fluid, and frequently rendering the skin rough to the touch. The scratch 86 DISEASES. of the liver, gout, scurvy, and above all in psora, the last of which may even be considered as the originating cause in a majority of cases, the others being regarded in the light of excitants. The remedy most certain and most prompt is Sulphur, which may be administered in solution with water, in the proportion of from one to three globules every week, and repeated according to circumstances. We must be careful not to exhibit a second dose whilst the action of the first is in progress. If the itching be diffused, pricking, and burning, and assume the appearance of flea-bites, is unaccompanied by any visible mark, is felt chiefly in the evening on going to bed, if it give way upon the slightest scratching to reappear in another part, we must order the Ignatia amara, in the same doses as the sulphur. When this treatment, united with habits of cleanliness, may prove insufficient to check the disease, and particularly when connected with a complication of symptoms, we must profit by the advice of a medical practitioner. DENTITION. 87 Dentition. Dentition is rarely observable in young children without bringing in its train symptoms more or less serious, and which the physician is called upon to remedy. The soft and gelatinous substance of which, at a later period, the teeth are formed, is enveloped in a membranous sac, and secreted within the bone of the jaw. This substance gradually increases, and, from its consistency, opens for itself a passage by causing a dissolvent irritation in the bone. The dissolved portion is removed by the absorbents, and it only remains to pierce the gum, which by degrees becomes inflamed and swollen. The gum being but slightly sensitive, the pain is generally trifling at the point of perforation. When dentition advances without unfavourable symptoms, it requires no assistance from art. If the swelling of the gums, however, be considerable-if they are red, hot, and painful-if the child be incessantly drivelling-if he frequently introduce his fingers into his mouth-if he forcibly bite 88 DISEASES. the nipple when at the breast, or suddenly let go his hold-and if he be restless, we must oppose this irritation by aconite; one globule dissolved in four spoonfuls of water, and a spoonful given every two hours. 4 When the child is as it were delirious, is unwilling to be pacified, and unable to sleep, we must have recourse to Coffea, exhibiting one or two globules in the four and twenty hours. If the mother make habitual use of coffee, we must then apply to Chamomilla, administered in the same manner. When dentition is accompanied by a dry cough, with panting, or hurried respiration, chamomilla is very serviceable; should it fail, however, Belladonna will succeed in restoring the health of the patient. These medicines may be employed under other circumstances similar in character to those mentioned above: they are especially efficacious where the child has for several nights experienced restlessness, burning heat, constant agitation, ardent thirst, redness of the skin, tremor of the limbs, anxiety, sobbing sighs; respiration short, quick, and loud; evident oppression at the chest, redness of the eyes; startings, DENTITION. 89 isolated, and recurring at intervals,- and even convulsions of the limbs. What should influence our choice in favour of belladonna, would be evident and well-defined symptoms of cerebral congestion. Chamomilla is particularly suitable where the general symptoms are the same; and where the congestion appears to in-. fluence the abdomen, accompanied by gripings, diarrhoea, and green evacuations. In cases where the diarrhoea is watery, and very proftse, we may oppose it with Mercury, one globule of the twelfth attenuation being given in the course of twenty-four hours. The diarrhoea, however, being favorable to dentition, we must interfere with those cases only in which the symptoms are violent. Constipation, on the other hand, should be carefully obviated with Nux Vomica, which will, in most instances, readily meet the case. Ignatia is appropriate in cases of convulsions which have withstood the action of Belladonna and Chamomilla. We may repeat the ignatia according to the severity of the attack; one dose every quarter or every half hour. Cina, Rhus, Arsenic, Arnica, Hyoscya8* 92 DISEASES. racterized by a sharp cutting pain in the chest, difficult respiration, fever or chilliness, flushed face, occasional cough, sometimes severe, which produces agonizing suffering in the part affected; headach and nausea, no remedy is superior to.dconite. Where, however, there is less evidence of acute inflammatory disease, Bryonia may advantageously succeed the use of Aconite. When the disease is complicated with a predominance of symptoms in the head, Belladonna answers very well, if /conite has failed to cure the case. In addition to the above remedies, and in default of their salutary action, Cannabis and Squilla may sometimes be required. Derangement of the Stomach. This indisposition originates in excess of nutriment, or from the food and drinks being heavy, indigestible, gross, acid, flatulent, tainted, &c. The symptoms of visceral derangement generally declare themselves very quickly after a repast, and are as follows: Risings in the mouth, of an acid character, or tasting of the food which has been DERANGEMENT OF THE STOMACH. 93 eaten; disrelish, weight, pressure and pain in the stomach; swelling and fulness of this viscus; quivering of the lower lip; vertigo; heaviness in the head; tickling or scraping in the throat; expectoration; hemoptysis; unpleasant taste in the mouth; loaded tongue; inclination to vomit; heat in the throat; sensation of weakness; anxiety; face puffed up, pale, covered at times with various coloured spots; discharge of fetid wind; the urine sometimes admixed with mucus, &c. These symptoms, which usually supervene some hours after the repast, soon terminate in acid vomitings participating in the nature of the food, and sometimes presenting a greenish appearance. There remains, however, for some days, loss of appetite, pains in the abdomen, or diarrhoea. Persons of delicate constitution, and subject to cramps in the stomach, suffer much from indigestion and its concomitant ills; among which may be mentioned paroxysms of fever. Occasionally the food undigested, or taken in too large a quantity, causes violent symptoms, such as might result from poisoning, &c.; but they are generally brief in duration. 94. DISEASES. arnica may be administered where the derangement of the stomach is referrible to a diffused and continued excitement of the nervous system occasioned by intensity of thought, late hours, excess of venery, bodily fatigue, and when accompanied by the following symptoms: Vertigo; headach, especially above the orbits; giddiness; heat of the head; dryness of the tongue; putrescent, sour, or bitter taste in the mouth; unpleasant odour in the mouth; distaste for smoking of tobacco; want of appetite; desire for acid food; tongue loaded with a yellowish mucus; risings in the mouth, and tasting of the food; fulness in the pit of the stomach; nausea; inclination to vomit; heaving of the stomach; flatulence, colic, swelling of the abdomen; uneasiness and debility; heaviness in the limbs; disagreeable heat; cracking of the knees; disturbed slumber; frequent wakings; waking suddenly; anxious and distressing dreams. Chamomilla and Nux Vomica will succeed in such cases, provided there be no circumstance to contra-indicate their use. Nux Vomica will check derangements of the stomach produced by nocturnal de DERANGEMENT OF THE STOMACH. 95 dauch, abuse of wine or coffee, or by a cold, and when the patient displays the following symptoms: Sensation of giddiness; obnubilation of the head; sensible weight in the occiput; drawing pains in the teeth, sometimes in one of the superior, sometimes in one of the inferior molars; tingling in the ears; heat in the face; efflorescence in the forehead, red and isolated; the same in the nose and at the angles of the mouth; tongue white and loaded; dryness of the mouth, without thirst; collection of sordes in the mouth; heat in the throat; failure of appetite; loss of taste; nausea; accumulation of water in the mouth; vomitings; colic; pressure at the stomach; tension in the lower region of the abdomen; evacuations scanty; constipation; disturbed sleep; disinclination for intellectual pursuits; great relaxation; twitchings in the limbs; discontent, querulousness, and inward agitation. Derangement of the stomach, occasioned by vexation preceding a repast, presents the following symptoms: Heat and redness of the face; painful sensation in the head; redness of the eyes, with burning heat; excess of excitement 96 DISEASES. pervading the nervous system; great sensibility; failure of appetite; continuous bitter taste in the mouth; bilious eructations; vomitings of green and bilious substances; colics; prostration; disturbed slumber; perpetual agitation; frequent wakings. Chamomilla will generally succeed in dispersing all these symptoms. Should uneasiness, however, in the epigastrium continue, the appetite still fail, the patient feel great lassitude, with absence of thirst and loaded tongue, Pulsatilla will be the remedy to confirm the equilibrium of the functions. Nux Vomica, on the other hand, may be prescribed with success, where we find constipation, and the temperament of the patient violent, with an inclination to quarrel. Bryonia, again, may be employed under similar circumstances, especially if the patient be costive, feel shiverings, and it is perceived that his moral economy has undergone a signal change under the influence of anger. Pulsatilla is more especially applicable where the derangement has resulted from the food being gross and flatulent, and DERANGEMENT OF THE STOMACH. 97 when the under-written symptoms exhibit themselves: Bitter apd salacious taste in the mouth, taste resembling that of putrescent fish or tallow; mucus in the mouth; scraping in the throat; bilious eructations; loss of appetite; aversion to warm food; fulness of the stomach; swelling of the lower region of the abdomen; tension beneath the false ribs; borborygmus; costiveness, or heavy, difficult, and scanty evacuation in the morning; chilliness; prostration; twitchings in the limbs; ill humour, vexttion. In the vernal and autumnal seasons, among persons who reside in humid situations, in the vicinity of stagnant water, in marshy districts, and in closely-confined or densely populated apartments, we observe a peculiar gastric derangement; presenting the following characteristics: Loss of appetite, without unpleasant taste; constant satiety; heaviness and fulness of the abdomen; constriction, prostration, and debility; vertigo; deafening headach; flushes, occasionally alternated with chills; urine thick and clouded; sensibility 98 DISEASES. to external impressions; disturbed repose; ill-humour. China, in one or more doses, speedily arrests this train of symptoms, the not unusual precursors of Intermittent Fever. Diarrheea. Diarrhoea is an evacuation, more or less frequent, resulting from disease of the intestinal canal. The voided substance is at times copious, diversified in character, and with or without admixture of fecal matter. Occasionally this affection is very trivial, and, in consequence, is attended with little danger; at other times it assumes a graver aspect, more especially when injudiciously treated. The most frequent causes of this malady are colds, errors of regimen, &c. The concomitant symptoms are loss of appetite, more or less defined; pain in the stomach; swelling and tension in the lower part of the abdomen; borborygmus; dryness and coldness of the skin; thirst, diminution of urine; prostration; intermittence and irregularity of the arterial pulsations; occasional pains in the abdomen. Then, again, DIARRHCEA. 99 we have cutting and tearing pains, sometimes in one part, sometimes in another, with inclinations to vomit, subsiding for the moment to return after a brief interval. Severe and long continued diarrhoea occasions burning pain in the rectum, tenesmus, debility, alteration of feature, and even lipothymy. Warmth, in conjunction with abstinence and a little coffee, is sufficient to remedy slight attacks. Those cases, however, which have been produced by colds, must be treated with china, provided the motions are frequent, liquid, sour, clear, and without admixture of fecal matter; are preceded by violent colic, spasmodic and pressive pain in the bowels, and accompanied by pains in the abdomen; eructation; borborygmus in the abdomen, with sense of debility in the same organ. Chamomilla is suitable when the pains in the abdomen are violent and tearing, afford no relief to the patient, and oblige him to writhe and run about here and there; when there is a feeling as though the. abdomen were entirely hollow, with constant movement in the bowels, or as though a ball were rolling about in the 100 DISEASES. side; when the eyes are encircled by a blueish ring; nausea; vomiting; and the motions mucous and watery, having the odour of rotten eggs. Chamomilla, again, is successfully employed against diarrhoea originating in anger, and where there exists a bitter taste in the mouth; risings; a sense of emptiness or repletion in the stomach; pressive pain in the head; general debility; repeated evacuation of matters, which are green, aqueous, hot, and very fetid. Mercury is suitable where the cold has been produced by exposure to, the night air, and there exists a pinching pain in the hollow of the stomach; borborygmus; a feel'ing of relaxation as though an evacuation would take place; cutting pain in the lower bowels, accompanied by pressure; tearing pain in the lower part of the abdomen, which feels very cold; nausea; aversion; titubations; shiverings; sudden and frequent desire to relieve the bowels, in the first instance without success, but succeeded by dejections, frequent, profuse, watery, and green, with disposition to faintings. Pulsatilla is of great service in cases of diarrhoea proceeding from errors of diet, l it 102 DISEASES. tion, occupying a greater or less extent of surface; gradual emaciation, and consumption arriving at its last stage. Dysentery. Dysentery is a disease of frequent occurrence during warm weather, and is frequently attended with considerable fever; for which Aconite is to be given every 6 or 8 hours. Afterwards Mercury is the appropriate remedy when there is much straining at stool or tenesmus: the discharges being small in quantity, and consisting mostly of mucus mixed with blood. Nux Vomica is also to be used when there is much heat with redness of the face, thirst, bearing down sensation with bloody stools. In dysenteric diarrhoea with belchings and hardness of the abdomen, with numerous discharges, producing heat and burning at the fundament; the tongue being dry and brown, the thirst great with much debility and sometimes oppression at the breast, Arsenic may be administered with much advantage. CHILDBIRTH. 103 In cases of this disease arising from Marsh Miasmata, China is the appropriate remedy. When stools occur as often as once in ten or fifteen minutes, consisting of bloody mucus or clear blood, with much effort and evident cutting pains, Muriate of Mercury will often give relief. Besides the above remedies, the practitioner may advert to the following, according to their specific virtues,viz: Capsicum, ~Acid. Sulph., Jcid. Nit., Colchicum, Colocynth, Sulphur, Rhus, Pulsatilla, Chamomilla. Pains following Childbirth. Notwithstanding these pains rarely constitute disease, properly so called, it may be of service to point out the means of relief or dispersion. They may now and then prove sufficiently intense to induce consequences more or less serious. These pains are analogous to those preceding the labour; they extend from the lumbar region to the pelvis or the sacrum, are accompanied by irritation in the rectum and the bladder, and affect the pubic 104 DISEASES. region and the posterior portion of the lower part of the abdomen. They succeed delivery even under the most favorable auspices; come on in paroxysms day after day; are unconnected with fever or abnormal discharge; and during the intervals, howsoever brief, the patient is in perfect health, and her appetite and sleep return. These pain rarely occasion any change in the lochia, the secretion of milk, or the alvine evacuations, and they are terminated occasionally by a discharge of blood. Pressure does not increase them, neither is the abdomen swollen nor tender. These after-pains are at times more distressing than those oflabour; and it has been remarked that they are generally more severe in women who have borne several children. If trivial in character, they require but little interference, nature herself restoring Ihe equilibrium. Should they become serious, we may oppose them with Chamomilla, which if it fail in their entire removal, will very greatly relieve. Should the pain prove very severe, and cause the patient to feel as though the intestines were cut into pieces, we may derive beneficial results from Coffea. POISONING. 105 Arnica has been employed most successfully, in the form of lotion to the organs of generation; and the exhibition of a dose or two, internally, will contribute in a singular degree to a favorable termination. In allcases of contusion,the.rnica proves invaluable; it must, therefore, of necessity, do good when employed subsequently to an accouchement. If this remedy do not altogether prevent the accession of afterpains, it will, in most instances, produce a modification; while Chamomilla will accomplish the remainder. Poisoning. Accidents of this nature claim the unremitting energy of the most skilful practitioners. It is nevertheless important, that the public should be put in possession of the means by which to recognize such cases, and afford the earlier means of relief, while awaiting the arrival of competent assistance. Where violent symptoms are suddenly evidenced, and without.appreciable cause, in persons of sound health or but slightly indisposed, we may infer that such phen 106 DISEASES. omena result from the exhibition of poison. Poisons are either narcotic or corrosive. The first division, belonging chiefly to the vegetable kingdom, comprises Opium, Belladonna, Datura, Stramonium, HLyoscyamus, Cicula, Secale Cornutum, certain species of mushroom, &c. The bitter almond and the laurel leaf are poisonous; and being introduced into the stomach in too large a quantity, may become prejudicial to health; while the prussic acid, extracted from the leaves is still more to be dreaded. Under the same head, we may class such atmospheres and gases as are obnoxious to respiration; suffbcating vapours, such as carbonic acid gas, the emanations of sulphur and charcoal, air pent up and vitiated by the breath of too large a number of persons, the odour arising from an assemblage of flowers in a room, &c. These poisons immediately give rise to the following phenomena: Painful weight and pressure in the stomach; anxiety; aversion; vomiting; somnolency; confusion in the head; disturbance of the intellectual faculties; vertigo; dulness; coma, &c. The patient feels CHILBLAINS. Ill Hepar Sulphuris is of grrat service when the pains have subsided, or have altered in character, and produce throbbing in the place of larcinations and distention. If notwithstanding the exhibition of suitable remedies, the glands attain considerable hardness, Dulcamara, taken at intervals, will afford much relief. Chilblains. Chilblains, as all persons are aware, are specific inflammations of the skin, resulting from cold. The hands and feet, and especially the great toes, are more frequently affected than any other part. This inflammatory affection usually displays itself at the commencement of winter, and during variations of the temperature. A single rermedy will rarely suffice for its removal, and we are frequently compelled to resort to many. Chamomilla and Arnica are generally entitled to the preference. Considerable inflammation, throbbing pains, tumefaction, and a reddish-blue appearance of the affected part, require the administration of 112 DISEASES. Pulsatilla and of Belladonna. -If the chilblain be of long standing, we may give Sulphur, Nitric.dcid, or Petroleum. Hoarseness. This affection is distinguished by harshness of tone, indistinct enunciation, crying, cough, 4'c., and produces, in itself, neither pain, asthma, nor wheezing. It is the result, frequently, of cold, checked perspiration, &c., and is generally accompanied by a dry cough, or by the expectoration of a watery or saltish substance, soon becoming mucous, and more or less profiuse and viscid. The hoarseness is scarcely perceptible during inspiration, but is more decidedly marked in expiration, the act of speaking, coughing, &c. Chamomilla is applicable where the hoarseness is associated with cold in the head, dryness of the eyelids, collection of mucus in the larynx, sense of burning in the gullet, dryness in the mouth, thirst,, dry cough, with prurient irritation in the trachea, febrile excitement in the evening, chilliness, heat, discontent, inward vexation 114 DISEASES. wards evening; external heat, sense of fatigue and prostration; internal heat during the night, with skin perfectly dry; listurbed slumber, broken and agitated by dreams; taciturnity, disposition to tears, sensibility, indifference, irresolution, frequent desire for change. Mlercury is often of service after the exhibition of the remedies already pointed out, and will quickly effect a cure. In this, as well as in all other affections, the repetition of the dose must be regulated by the result. Belladonna, Bryonia, Calcarea, Carbo Vegetabilis, Causticum, Drosera, Dulcamara, Hepar, Manganum, Petroleum, Phosphorus, Sulphur, Sepia, and Spongia, may be pointed out as serviceable in complicated or chronic cases; and the practitioner will readily select his agent by consulting the Materia Medica Pura. Hooping Cough. In the early stage of this disease, attended with fever and catarrhal symptoms,.1conile has proved decidedly useful, administered daily. HOOPING COUGH. 115 When the patient is fretful and cries much before coughing, dirnica may be given. If the disease is attended with vomiting of what is eaten or drunk, Bryonia is beneficial, and when the cough is worse in the night, Conium is to be selected.-Belladonna may be used when the attacks of cough are preceded by whining or pain in the stomach, or when succeeded by sneezing-when the breathing is quick, short and anxious, with groaning; when congestions of blood to the chest occur or when blood is discharged by coughing or vomiting. The expirations are violent, and the cough bellowing. The remedy, however, which Homceopathy has discovered as a specific in most forms of this disease, is Drose7a. In the absence of inflammatory symptoms, it is to be at once administered, and such is its energy in arresting this troublesome complaint, that cures generally take place in two or three weeks. When this fails and the cough is short, violent, and, such as to jar the whole system; the attacks following each other so rapidly, as to endanger suffocation, Ipecacuanha in doses repeated several times daily is recommended. ERYSIPELAS. 117 Erysipelas will sometime assume a very serious aspect, and consequently require the most careful attention. When the case is simply such as we have described, we are certain to derive very prompt relief from the administration of one or two doses of dconite at the onset, to check the febrile action. This medicine must be followed up by Belladonna; or, in the absence of fever, we may begin immediately with the last-mentioned remedy. Bryonia is of signal benefit where the erysipelas more particularly affects the articulations, Pulsatilla is applicable where the disease shifts rapidly, from one part of the body to another. In certain cases we perceive vesicles filled with serosity, forming themselves upon the inflamed surface: these are of greater or less dimensions, and resemble small blisters. When these phenomena present themselves, the Rhus Toxicodendron should follow the exhibition of Aconite. SUnder certain forms of erysipelas, and under the guidance of an assemblage of adventitious symptoms, the practitioner will 118 DISEASES. derive much valuable assistance from the following remedies: Ammonium, Antimonium, Arnica, Arsenicum, Borax, Calcarea, Camphor, Cantharides, Carbo Animalis, Graphites, Hepar, Lycopodium, Mercurius, Nitric Acid, Phosphorus, Ruta, Sulphur. Quinsy. Quinsy is an inflammatory affection of the lining membrane of the throat, of the velum palati, and of the tonsils. This affection occasionally assumes a formidable character, and consequently requires very prompt attention. When the disease is imperfectly cured, there results very frequently a chronic enlargement of the tonsils, with elongation of the uvula, which symptoms are to be relieved only by a prolonged and radical treatment. Since in such cases we shall invariably find a psoric tendency, either constitutional or acquired, it is among the antipsoric remedies that the practitioner will find the suitable means of relief. Qhamomilla is an efficient remedy in quinsy, when characterized by dryness of 120 DISEASES. Two or three doses of mercury are generally required to check this affection. Pulsatilla is in request where the throat experiences a sense of soreness, and the gullet is dry; when there is cutting pain in the throat, so as to prevent swallowing without great inconvenience; when the glands of the neck are tumefied, tender to the touch, and impede deglutition; and when, in addition to these symptoms, we experience a sense of diffused coldness, increased towards night, and succeeded by heat. Absence of thirst is another indication of the propriety of administering Pulsatilla. Belladonna is frequently in requisition in quinsy, and the symptoms which proclaim its use are the following: Sensation as of a ligature round the throat, with external swelling; enlargement of the tonsils; bright redness of the entire throat, of the velum palati, and of the tonsils, with greater or less difficulty of swallowing; constriction of the voice; general and burning heat; much thirst. In cases where the fever has been violent from the onset, we may commence our treatment by a dose or two of Aconite. Belladonna, in one, two, or three doses, CROUr. 121 will subdue this disease; and, where any trace is left, Mercury will quickly succeed in the restoration to perfect health. The following medicines are, equally with those mentioned abve, entitled to important consideration: Argentum, Barytes, Dulcamara, Nux Vomica, Rhus, Sabadilla, and Sepia. Retention of Urine. It not unfrequehtly happens that from exposure to cold,'from partial paralysis of the parts, &c., that the urine is retained, the bladder having no power to contract and expel its contents. In such cases recourse must be had to Pulsatilla, Nux, Arsenic, Belladonna, Arnica, Aurum,Stramonium, Sulphur,according to their distinctive indications. Croup. This disease, with which most persons are coversant, is very important, rapid in its progress, and requires the most efficient means to avert its danger. At its commencement, this affection is 11 122 DISEASES. frequently deceptive, and assumes a catarrhal form. The patient complains of hoarsness, mental and bodily depression, slight febrile excitement, particularly towards evening, united with dry, short, hollow cough, with a slight sense of burning pain, and tickling in the windpipe. Soon, however, the sound of the cough, voice, and respiration assumes a special character, presenting nothing analogous to catarrh. It is veiled, sonorous, suspirious, whistling; sometimes grave and resonant, at other times shrill and squeaking; the respiration is more or less wheezing, and the cough excites pain, which the sufferer indicates by carrying his hand to his throat. Occasionally, however, the disease is sudden in its access, and not preceded by catarrhal symptoms. The cough is consequently hoarse, barking, hollow; or, on the other hand, acute, shrill, and clear; the voice is hoarse, rough, or wheezing; the face is red, mottled, swollen, and at times blue; a clammy sweat suffuses the body, the breathing is difficult, and the head is thrown back to facilitate respiration..Jconite is the first remedy to be admin EXOORIATION OF THE NIPPLES. 123 istered in this affection, in order to subdue inflammatory action. After the exhibition of Aconite, one or two doses according to circumstances, we must administer Spongia Usta. Should the symptoms refuse to yield to this remedy, we must afterwards have recourse to Hepar Siulphuris. In ordinary cases, the sponge should be exhibited two or four hours after the aconite, and the repetition of the sponge and of the liver of sulphur should be alternated every two, four, or six hours. It is evident, however, that we' must be guided by the progress of the disease. Excoriation of the Kipples. This affection attacks women recently delivered, and frequently becomes so painful as to prevent their giving the breast to the child. The skin of the nipples is so delicate that the most trifling sores, upon the slightest contact, produce in many women almost insupportable suffering; and, discontinuing to suckle upon the affected side, the milk 124 DISEASES. is suppressed,and inflammation of the mamma supervenes. Women may prevent this affection by commencing, many weeks previously to their delivery, to wash the nipples every day with spirit distilled from corn. They should continue a similar application after their accouchement, so long as the nipples are without excoriation, taking the precaution to wash them with tepid water, every time the child is put to the breast..drnica is a valuable remedy where the excoriations are apparent. It is employed externally, in the dose of two or four drops of the tincture in fifty or eighty drops of water, taking care to wash the nipple every time the child is permitted to suck. When the complaint is so severe as to present a certain degree of inveteracy, and especially Where there is an evident psoric diathesis, we must have recourse to remedies administered internally. Of these Sulphur is one of the most important. Should it not entirely succeed, however, we shall, after its exhibition, derive most benefit from Lycopodium, Calcarea Carbonica, and Graphiles. 126 ' DISEASES. causes much uneasiness to the patient, we must persevere in ablutions, and administer internally Chamomilla. In cases where there may. have been an abuse of this remedy, Pulsatilla, or Ignalia will be the appropriate agent. When the disease assumes a more serious aspect, and the body of the child presents the appearance of a wound, Mercury will prove a specific. Should the affection resist this means, we must attack it with antipsorics, and Graphiles, Sulphur, and Lycopodium will then subdue the evil. The more serious species of.excoriation have their ultimate cause in a psoric tendency, and it is for this reason that antipsoric remedies will especially avail. Catarrhal Fever. This disease is frequently the sequel of a cold occasioned by a sudden change in the temperature; or from humidity in the atmosphere; and it is on this account that we so often find it prevailing in certain places and at certain seasons as an epidemic. If this affection be properly treated, it is of CATARRHAL, FEVER, 127 trivial moment,and becomes important only in consequence ofthe injudicious treatment to which so many persons are subjected. The symptoms which characterize this condition are as follows: Shiverings; transitory chills, shifting from one part to another, and alternating with a sensation of heat; pulse soft, and of mbderate frequency; sense of heaviness, twitching or cracking in the limbs; the back and the sacrum feel as though they were broken; the head becomes confused, and is very weighty; pressive pain above the eyes; oppressive wakefulness, or disturbed slumber; diminution of taste and smell; the patient complains of the pit of the stomach, frequently feeling pressure coupled with anxiety; taste in the mouth frequently bitter or mucous; appetite more or less deficient; the febrile symptoms especially augmented towards night;and the nose, throat, chest, and heart being considerably affected. What will aid us in our diagnosis are the symptoms of catarrh: the nose, throat, and lungs secrete a vast quantity of mucus, feel very painful, and afterwards experience a sensation of heat. The mucus, at the com 128 DISEASES. mencement, is usually thin and white, but: -it subsequently becomes thick, viscid, and yellow, or even darker, and acquires a fetid odour. The remedies most appropriate to combat this train of symptoms are Aconite, Nux Vomica, Chamomilla, Pulsatilla, Ignatia, and Belladonna. The constitution of the patient, the change in his moral tendencies, and that in the symptoms enumerated above, will guide us in our election. Aconite is of service only in the commencement of the attack, and where the malady exhibits itself in an aggravated form: it acts in subduing arterial action. Nux Vomica is almost invariably suited to patients whose temperament is quick and choleric;where the affection is accompanied by thirst and constipation; where the different parts of the body are under the influence of cold shivers, which, especially oh moving about, appear to pass over the bones, and alternate with heats. It is similarly eligible in cases where the symptoms are relieved by proximity to the fire; also where thd patient endures a sense of scraping in the throat, hoarseness, and se CATARRHAL 'FEVER. 129 vere cough, more particularly in the morning. leulsabilla is suitable, topersons of placid temperament, disposed to melancholy and to. tears; to individuals of lymphatic habit; to women; and to patients who are but slightly inconvenienced by thirst. Also in cases where the secretreios are too abundant, and become thick; where there is clamminess, as it were, of the mouth, loss of appetite, languor; andwhere, in conjunction with these, the other symptoms exist in a greater or less degree. This medicine, in certain instances, is appropriate after the exhibition of Nux Vomica, that isi where indicated by the change in the disease. Chamomilla should be prescribed where there is impatience under suffering, irritability and extreme sensitiveness to pain. This remedy is very valuable for chill dren. gzatia. It is frequently the moral symptoms which should guide the choice of the practitioner, and induce him to adopt Cinaiia. This medicine is eminently suited to persons of gentle temperament, who pass rapidly from joy to grief,dh and who are 130 DISEASES. disposed to confine their griefs within their own breasts. When to these moral tendencies are united symptoms of catarrhal fever, there is no doubt but that this remedy should be selected in preference to others. Belladonna is suitable to children of sanguine and lymphatic temperaments, and affected with catarrhal fever; where the cough is evidenced chiefly at night; where theviscera are threatened with congestion; excessive irritability; somnolency during the day, with absence of sleep during the night; where the sleep is interrupted by sudden starts; delirium, more or less intense; prostration of strength; sadness; and where the patient screams out as though under the influence of fear. Fatigue. Although fatigue can scarcely be rIegarded as a disease, since rest, after a cold bath or ablution with cold water, will usually suffice to remedy this state, it is nevertheless desirable to point out the means which will quickly remove it, and avert the symptoms which occasionally follow in its train. MILK FEVER. 131 vArnica, in the dose of one or more globules, internally, and./rnica with water, as an external application to those parts of the body suffering from fatigue, such as the legs and feet, will speedily remove.all inconvenience. A decoction of hemp seed, as a warm bath to the feet, will readily counteract any fatigue in those organs. Milk Fever. This fever exhibits itself in women two or three days subsequently to delivery. It is produced by a change effected in the organism secreting the milk. It supervenes with slight shivering, heat more or less ardent, anxiety, difficulty of breathing, twitching pains in the back and extending towards the breasts, headach, frequency of pulse, perspiration profuse and sour to,the smell. This disease does not affect all women, although the majority are subject to its influence. They who are subject to febrile excitement are chiefly liable; also they who may be exposed to any accidental cause, such as a wound, contusion, pro 132 DISEASES. tracted or severe labour, moral impressions, &c. During the fever, the lochial discharge is diminished, but, if there be no complication, the patient is devoid of uneasiness in the lower part of the abdomen. As soon as the secretion of milk is established, the fever subsides, and the lochia resume their full flow and primitive character. *Arnica is the remedy applicable to all cases where the labour has been protracted: where we find contusion or laceration, we may administer it externally in the form of lotion. Aconite is indicated where the fever assumes an inflammatory character. Bryonia is the remedy where the inflammatory action is less decisive, or where it has been controlled by Aconite; and where we find symptoms of rheumatic pain in the breast, externally and internally. Belladonna should be given where the fever, more or less severe, is connected with an erysipelatous affectionof the breast. Emotions of the mind are frequently the exciting cause of milk fever. Coffea is. applicable in cases where the patient experiences a lively joy. FLATULENCE. 133 Chamomilla, preceded by Aconite when the fever is high, is an appropriate remedy, more especially where passion has been the excitant. Opium is efficacious where the affection may be traced to fright or apprehension. AJconile should be the remedial agent where fright and passion have been the exciting causes of the mischief. Concentrated grief, giving place to the disease, indicates the propriety of Ignatia. We must be careful not to confound this affection with puerperal fever. The latter malady is of fearful importance, and demands the aid of a professional man. Thus, in all instances, where milk-fever presents alarming symptoms, and is conjoined with pain in the pectoral organs, abdomen, or head, we must instantly refer the case to a medical man. Flatulence. We do not in this place allude to chronic maladies which develop flatulence: our attention is directed merely to accidental cases, resulting from the use of flatulent vegetables; from having taken, in too large 12 134 DISEASES. a quantity, cold liquids, or new and badly fermented beer; or from having partaken of indigestible food. Flatulence swells the abdomen, excites pain, impedes respiration, and causes general uneasiness. China is often of great utility when colicky pains affect the lower intestines, and where the patient feels a sense of tightness; where the wind is unable to escape; and where, beneath the false ribs, there is tension and. anxiety. Nux Vomica will principally succeed among patients of lively temperament, and suffering from constipation. Pulsatilla is suitable to women whose disposition is naturally mild and gentle; and especially where flatulence follows the use of rich food. Cocculus is applicable in cases where the patient experiences a sense of tightness and contraction in the lower region of the abdomen, and in the organs of reproduction; uneasiness in the stomach; Where no relief is derived from the expulsion of wind; partial swelling of the abdomen, with pressive, tearing, and burning pain; also when the epigastrium becomes swollen; when there exist gripings, twitchings, anxiety, and SPRAINS. 135 pressure under the cartilages of the ribs; and when these symptoms are relieved by the removal of the offending matters. Sprains. By a sprain we understand a violent distention of the ligaments of a joint, originating in undue exertion, or in a fall, It exhibits itself by pain in the organ affected, and by weakness and swelling in the entire joint. The first injunction is perfect rest; we may.afterwards exhibit drnica internally, and at the same time have recourse to friction with tincture of arnica to the injured part. This we may repeat three or four times a day. When the, arnica does not readily succeed, we may have recourse to Rhus, which may be administered iri a similar manner, both externally and inwardly. SThe dose of arnica and rhus is from one to three.globules, in proportion to the exigency of the case. Four, or six, or ten drops of'the tincture, in one hundred drops of water, may be employed for the friction. BOILS. 137 ings; inclination to lie down; cold and sudden perspirations; sensation as of a weight in the lower part of the abdomen; anxiety; internal heat; stupor; sudden numbness of the body, with' asthma; tremor of the limbs, with oppression and isolated startings of the body; convulsion in the limbs, with. external coldness of the body; a species of apathy, with snoring, &c. If some hours or more have elapsed since the accession of the fright, without having administered any medicine, we may give one drop of the tincture of Sambucus. In cases where we find powerful action in the sanguineous system, we must have recourse to Aconite. subsequently to the administrationof either Opium or Sambucus. Boils. A boil is a circumscribedy elevated, and pointed tumour, slightly indurated, of a deep red colour, and more or less paiiful, situated beneath the skin in the cellular tissue, and usually varying in size from that of a hazel-nut to a pigeon's egg,or even larger, 12* 138 DISEASES. This tumour almost invariably terminates in suppuration: a kind of head is formed in the centre, after the removal of which there is a discharge of pus mixed with blood. The pains then subside, and all trace of the tumour gradually disappears. We may occasionally observe this affection healing without arriving at suppuration; but in such cases we almost in-, variably perceive an induration of the skin, and, notwithstanding there may be neither redness nor pain, the skin iquickly swells afresh, and there is a relapse of genuine boil. /.rnica, repeated at intervals in small doses, will heal these furuncles, and frequently, prevent their return. Belladonna may advantageously supersede the j.rnica, should the latter remedy fail in its results. In cases where the boils originate in a psoric condition, /irnica will not suffice; we must therefore enforce the antipsoric treatment. HEMORRHAGE. 139 Swelling of the Glands. Swelling of the glands situated beneath the chin, in the throat, or in the nape of the neck, results, among children of scrofulous diathesis, from the most trivial circumstance; and along its entire course the neck appears as though encircled with a chaplet. Subjects disposed to this disease are all under the influence of the psoric virus, and it is only a prolonged medical treatment, suitable exercise, regimen, exercise in the open air, and habits of perfect cleanliness, which can remedy such constitutional tendency. Dulcamara, Mercury and Belladonna, almost invariably succeed in reducing the glands to their natural size. An experienced practitioner should always be consulted in pursuing a radical course of treatment. Hemorrhage. Hemorrhage is the name assigned to a loss of blood which may be sufficient in 140 DISEASES. quantity to threaten the life of the patient. The discharge takes place most frequently from theý mouth, and, among women, from the uterus. Under the former circumstances the blood may proceed from the lungs or from the stomach.. When the hMmorrhage is from the lungs, it is heralded by a sergse of heaviness and constriction in the chest, asthma, palpitation of the heart, anxiety, ebullitioa of blood, cough, and a sweetish taste in the mouth. The spitting! of blood occurs after a slight attack of, cough, and sornetimegs after a tickling. sensation in the. upper portion of the chest, or in, the throat, which inclines:the patient to cough..The most suitable- remedy, and one to. be administered as quickly as possible, is.econite, which may be repeated every two or three hors, should pircumstances threaten a relapse. China is applicable after the exhibition of /conite, wheh the sanguineous, excite, ment is calmed; when the patient feels shivering or transitory heats, fatigue, or weakness; when he is inclined- to lie down; when the limbs are:tremulous, brief sweats exhibit themselves, and the party contin HEMORRHAGE. 141 ues to expectorate blood, more or less, every day:lit is in the intervals between the hemorrhages that we should administer this remedy. Pulsatilla is appropriate where the patient feels worse at night than by day; when he complains ofshiverings, with sense of general debility; of uneasiness in the lower portion of the chest, shootings in the chest, and difficulty of respiration; when the blood expectorated is deeply coloured, and in clots-; when the feet are cold, and the patient is overwhelmed with grief, and inclined to tears. Pulsatilla is very efficient among women presenting the above symptoms, and who labour under suppression of the menses. A medical man should always be consulted in cases of hemoptysis, and we merely indicate the first steps to be taken previously to his arrival. The remedies next in importance to those we have pointed out are the following, while the study of the Materia Medica and the diversity of cases will lead the physician to the choice to the most eligible remedy: Acid. Sulph., Arnica, Belladonna, Cro 142, DISEASES. cus, Digitalis, Drosera, Kali, Ledum, Lycopodium, Millefolium,.' Rhus, Arsenic, Ferrumn, Carbo Veg., Phosphorus, Ammon. Carb., Calcarea, Magnes. Carb., Plumbum, Acid. Nitric. When the blood proceeds from the stomach the premonitory symptoms are general uneasiness; heaviness in the limbs; confusion in the head; anxious sense of pressure in the epigastrium.; swelling and fulness of the abdomen; costiveness; disposition to vomit,:with mawkish, and putrid taste in the mouth. The blood which is discharged by the vomiting is of a deep red or blackish colour, and is frequently grumous. Nux Vomnica should be given where the above-mentioned symptompsare observable; we must be careful to prescribe' a very weak dose, so that we may repeatit every threeor, four hours,,according to the progress of the disease, while awaiting the arrival of; the medical man,, The. medicaments appropriate to this disease, and which the practitioner should enquire into,,areAconite, Arsenic, Hypscyarius, Jpecacuanha, Veratrum, China, Belladonna, Stannum, Arnica, Millefolium, Cantharides, 144 DISEASES. tient be weakened for the moment; be disposed to fall, and really do fall, into a state of lipothymy; if the skin be cold, and she have a pressing inclination to make water. Hyooscyamus is eligible where the uterine discharge is connected with general excitement of the nervous system; tremor of the whole body; pains resembling those of childbirth; giddiness; agitated slumber; great inquietude; excessive vivacity; convulsive movements; general heat; swelling of the veins; extreme violence of pulse; alteration of feature, &c. adrnica should be prescribed where the symptoms are referrible to external violence, undue exertion, &c. Crocus is applicable where the blood which escapes in black, clotted, and viscid, and where the patient feels cutting pains in the lower part of the abdomen, which extend through to the back. Sabina is a specific where the blood is of a bright red colour, and is expelled by the contraction of the labour-pains. SBelladonna is very salutary where the hemorrhage is accompanied by pressure from above downwards, and from behind forwards,.in the organs of generation; when 146 DISEASES. appears at fixedor intermediate periods, and usually terminates in a discharge of blood or mucus more or less abundant. At times, however, this excretion does not take place; and the hemorrhoids or piles are termed dry. This disease is frequently rendered incurable from the injudicious treatment to which the patient has had recourse, or from persevering in a regimen altogether at variance with the malady. The sufferer should consult a competent medical authority with reference to an antipsoric plan of treatment to relieve, if not too late, so painful and distressing a disease. To re-establish his health, the patient must submit to a very moderate dietary: he must take plenty of exercise in the open air, avoid colds, particularly in the feet; he must abstain, as much as possible, from wine, coffee, tea, strong malt-liquor, lively emotions, late hours, and too assiduous application. SVNux Vomica is the most suitable application where the occasional causes of the disease are the use of stimulating beverages, such as wine, brandy, &c.; late hours, toils of the study, costiveness, worms, preg HEMORRHOIDS. 147 nancy, swelling of the abdominal viscera, excrescences of considerable size,and which are the seat of burning and shooting pains; sense of strangulation in the rectum; contraction of this viscus, united with dull and shooting pains felt in paroxysms in the loins and in the bones of the ham; cracking pains in the loins upon the slightest movement, inducing the patient to utter cries, and preventing his holding himself erect, or walking in any but a bent position; flow of clear fluid blood after the alvine evacuations, or under other circumstances, but always accompanied by a desire to relieve the bowels..Arsenic is very efficacious where the hemorrhoids present, as a leading symptom, a violent burning in the rectum, the hemorrhoidal tumours, and in the surrounding parts. The evacuations nearly aqueous, and a rapid loss of power, united with the above symptoms, still indicate the same remedy. Capsicum frequently succeeds in the removal of the distressing pruritus of the hemorrhoidal tumours; when the patient experiences a burning sensation, more or 148 DISEASES. less violent, and where there is diarrhoeal discharge. Belladonna is valtable in moist piles, accompanied by pain in the loins, which are nearly insufferable, and with a sensation as though that part were broken asunder. Sulphur is especially adapted to the following train of symptoms: Continual desire to go to stool, even after diarrhceal or sanguineous motions; darting pain of excoriation in the rectum, and neighbouring parts; itching; burning; moisture of the excrescences; occasionally a pressive fulness in the rectum, and frequently even the prolapsus of the part; violent shooting pains in the loins, with sense of stiffness and tension, as though the skin and the muscles were contracted. We may again, according to the circumstances of the case, derive the best results from the following remedies: Carbo Vegetabilis, Causticum, Calcarea, Graphites, Kali, Lycopodium, Pulsatilla, Phosphorus, Acid. Nit., Colocynthis, Mur. Acid. INPLAMMATIONi OF THE BRAIN. i, ' dryness of the throat; swelling of the glands; shivering, increased towards night, and succeeded by heat; absence of thirst. Belladonna is suitable where, in drinking, there remains in the throat a cramplike feeling of strangulation, and where the throat is swollen externally. Coffea may be administered under the following circumstances: Continual pain extending from one side of the palate to the pharynx, and which is increased by deglutition; swelling of the superior portion of the velum palati and of the uvula, which is elongated; sense of mucous accumulation in the affected part, obliging the patient always to swallow; sensation of dryness and heat in the throat; inclination to cough; cold in the head; aggravation of symptoms in the open air; sleeplessness heat; sensitiveness; melancholy temperament. Inflammation of the Brain. This disease is of frequent occurrence among children, and at an early period of life it is of fearful import; at all ages it is highly dangerous. 152 DISEASES. Having attained a certain height, this affection yields with the greatest difficulty even to the most skilful treatment; and, for this reason, it is of the most signal importance to be intimately conversant with the premonitory symptoms. These are chiefly the effects of congestion in the head, producing pain and heaviness in that organ; change of disposition; fits of passion; anxiety; pains in the ears; intolerance of light; disposition to costiveness; frequent nausea, succeeded at times by vomiting; S coma; inability to fall asleep, or fright during sleep. The earlier symptoms are the following: Heat and heaviness in the head; face very red and swollen; eyes suffused and brilliant; excess of irritability and sensitiveness; giddiness; state of coma; delirium; divers indication of spasm; grinding of the teeth; inclination to thrust the fingers into the nostrils, and to bury the head in the bolster; to seize with eagerness every surrounding object; visible throbbings in the veins of the neck; absence of thirst with great heat; forcing down of the lower part of the abdomen; constipation; occasionally, slight diarrhoea. INFLAMMATION OF THE BRAIN. 153 This disease demands the most prompt assistance../conite is appropriate at the onset of the attack, in order to modify the sanguineous congestion in the head; we must not, however, dwell too long upon the application of this remedy, which, in itself alone, does not possess the power of arresting the malady. Belladonna is the remedy which renders the most essential service after the exhibition of.iconite, provided the latter medicine have been deemed necessary: it is eligible where the symptoms already enumerated present themselves. Hyoscyamus is appropriate when the patient lies in bed without cognizance, with the eyes closed,; the mouth opening with difficulty; the tongue loaded with white and frothy mucus, raves upon his own pri-, vate affairs; sinks down without cognizance; stutters inarticulately; smiles; or is at times perfectly quiescent; moves his hands as though to withdiaw the coverlid; frequent subsultus; dilatation of the pupil; fixedness of vision; redness of the face; skin dry and disposed to crack; respiration 154 DISEASES. anxious and weak; full pulse, and tension of the abdomen. Opium should be prescribed where the patient is in a soporific state; where the somnolency is accompanied by snoring; the eyes half open; the patient utters no complaint; is in need of nothing; and has frequent vomiting. Stramonium is applicable where the patient, slumbering naturally, has starting in the limbs; snorings; his movements irregular; and, upon waking, he appears without cognizance; sometimes fixing his attention; sometimes withdrawing himself slowly, and with apprehension; sometimes retreating with exclamations of dread; the above symptoms associated with ardent fever, redness of the face, and moisture of the skin. Arnica, Sulphur, Digitalis, China, and Bryonia, may, under certain circumstances, be prescribed with advantage: it is for the practitioner to distinguish the peculiarities which should indicate their employ. INFLAMMATION OF THE EYES. 155 Inflammation of the Eyes. In children recently born, a too lively. impression of light occasions an inflammation of the eyes, characterized by a secretion, more or less abundant and viscid in character, from the mucous membrane of the eye. Aconite, aided by the observance of cleanliness, will quickly succeed in the removal of this malady. In cases where the intolerance of light is excessive, where the conjunctiva is highly inflamed and turgid, Belladonna may be administered with great advantage after the.aconite. Sulphur, succeeding to Aconite and Belladonna, will complete the treatment, should any trace of the disease remain. Calcarea Carbonica may succeed to the exhibition of Sulphur, should the disease evince a tendency to the chronic state. Inflammation of the eye, originating in the introduction of a foreign body, requires for its treatment the careful removal of the substance, to bathe the eye with pure water, and to administer Aconite, which 158 DISEASES. the redness of the lids,-produced by violent cold, with pain in the head, and exacerbation of fever towards night,-extends itself over the whites of the eyes: this remedy is especially indicated where the secretion of tears is abundant. Ophthalmia presents an infinite numbel of variations which we cannot discuss in this brief treatise: we confine ourselves therefore to those of most frequent occurrence. The following are the more important remedies to be administered in affections of the eye: Acid. Nitric., Acid. Sulph., Arsenic, Belladonna, Calcarea, Causticum, Chamomilla, China, Colocynthis, Conium, Digitalis, Clematis, Euphrasia, Graphites, Hepar. Sulph., Mercury, Nux Vomica, Petroleum, Psoricum, Pulsatilla, Rhus, Sepia, Spigelia, Sulphur. Catarrhal Inflammation of the Nostrils. At the commencement of this disease,, when the inflammation is acute without much discharge, Nux is the appropriate& remedy; after the secretion of mucus be 160 DISEASES. The stethoscope, or even the ear applied to the chest, enables us to detect a peculiarity of sound which indicates perfectly the part affected; and where the pneumonia has attained a high degree of intensity, the lung ceases to be permeable to the air, and the respiratory sound is no longer perceptible. The pulse is full, strong, and frequent, oftentimes with palpitation of the heart; the skin is hot, dry, and burning; the face is red and swollen; the urine is high coloured; excessive thirst, and, in most instances, constipation more or less obstinate. As soon as the above details are observable, we should administer Aconite, two or three globules to the dose; and if there be no favorable change in the general symptoms, or in the state of the circulation, we may repeat the medicine. We need be under no apprehension of exhibiting two, three, or four doses of aconite, during the first twenty-four hours. This remedy alone will frequently avail in arresting the progress of the mischief. Bryonia, however, is oftentimes indispensable after the administration of Aconite; and, according to circumstances, we may INFLAMMATION OF THE BREAST. 163 frequently observe the establishment of renewed indurations, which terminate successively in a similar manner. This disease may thus continue several weeks, or even. months, and terminate at length in deeplyseated cicatrices, and even in indurated tumours. Belladonna should be administered immediately upon the skin becoming erysipelatous, and attended with gradual tumefaction of the mamma. Bryonia is very suitable where the secretion of milk is suspended,--where there is tumefaction of the lacteal vessels,--where the bosom is obstructed,-and where the skin can scarcely be considered as erysipelatous. The medicine may be repeated according to the result. If the inflammation be extensive and erysipelatous, with considerable swelling, and suppuration is commencing, we may give phosphorus; and finally, in order to facilitate the opening of the abscess, now fully ripe, we may give one or more doses of hepar sulphuris, If the disease have already existed some time, if it have been injudiciously treated, and suppuration goes on without destroying 164 DISEASES. the inflammation of the breast, we must have recourse to Silicea, which, in one or more doses, will quickly restore the patient to health. Vigilance or Wakefulness. Vigilance in adults, when unaccompanied by any otheir indication of perverted health, is in most instances the result of undue excitement of the nervous system, originating in intensity of thought, powerful emotion, the abuse of stimulating drinks, coffee, &c. Our treatment must commence by causing the patient to abstain as much as possible from the exciting causes, and a dose of Iux Vomica may be administered in the course of the evening. Pulsatilla is suitable where the wakefulness proceeds from overloading the stomach, giving rise to flatulence and constipation. Wakefulness in young children frequently alarms their parents, and results, as a matter of course, from some derangement in their health. It frequently originates in errors of diet, and in such cases,it is accompanied by swelling of the lower part of the IRRITABILITY OF THE SKIN. 165 abdomen, flatulence, green,evacuations, &c. Chamomilla will be attended with perfect success in retrieving the mischief, and restoring the patient to perfect health. Should this remedy, however, have been abused, we must have recourse to Coffea. The vigilance which results from weaning will yield to Belladonna, if in the course of a few days the evil do not cure itself. Wakefulness, in connexion with continued crying, during which the infant contracts the legs upon the abdomen, tosses about incessantly, and suffers severe griping pains, with diarrhoea, has its remedy in Cina. Vigilance, resulting from a complicated state of disease, requires the treatment of the affection of which the wakefulness is merely symptomatic, and such prescription would be irrelevant here. Irritability of the Skin. There are individuals whose skin is so excessively irritable, as to become inflamed and suppurate under the influence of the most trivial causes. This diseased condi 166 DISEASES. tion depends upon some peculiar predisposition, and rarely gives way except to an antipsoric treatment long persisted in. Chamomilla, Hepar Sulphuris, and Petroleum, may be successfully opposed to this condition of the skin, and may be varied according to the exigencies of the case. Intoxication. Vomiting, being an excellent means of preventing the mischievous results of inebriety, may be facilitated by drinking warm water, or a strong decoction of Coffea. Very frequently, however, Nux Vomica will succeed in dispersing the symptoms indicating such a state of things, and prevent the dependent consequences which are more or less distressing. Jaundice. This affection results from innumerable causes, and presents itself under many different aspects. One of the causes, most frequent in occurrence, is passion: the skin assumes a yellowish appearance, as also the whites of JAUNDICE. 167 the eyes, and the alae of the nose; the urne becomes brown and thick; the abdomen contracted; the evacuations white, grey, and slimy; the appetite fails, and the mouth acquires a bitter taste. We commence our treatment by Chamomilla, and after its use we administer Nux Vomica and Bryonia. In cases where we meet with fever, after the exhibition of Chamomilla, we shall do well to administer one or two doses of Aconite. If the jaundice have originated in the abuse of Chamomilla, the syrptoms must be combated by Pulsatilla and Ignatia, and the treatment concluded by China. This disease among newly-born infants very frequently originates in cold, to which children, during the first few days after birth, are particularly liable; it may also proceed from the abuse of purgatives administered for the purpose of discharging the meconium. The treatment under such circumstances is similar to that indicated above. Chanomilla and Nux readily mastering the disease. A warm bath every day, for a few 168 DISEASES. minutes, will prove of admirable assistance in promoting the health of the child. The remaining remedies, which prove of infinite service in jaundice, and which should be scrupulously investigated by piofessional men, are: Arsenic, Belladonna, Mercury, Sulphur, Digitalis, Calcarea, Carbo Vegetabilis. Fainting Fits. We thus denominate a train of symptoms presenting numberless varieties, as well in the symptoms themselves, as in the importance of their results. The following phenomena are observable. Debility, giddiness, and confusion in the head; twitching in the ears; dimness, obscurity of vision, or the sensation as of a veil before the eyes; the patient trembles, becomes pale, and experiences anxiety; a cold sweat displays itself upon the forehead and neck; the eyes lose their lustre, and are surrounded by a blue circle; the animal powers diminish, and the patient at length looses all cognizance and sense of feeling. On the other hand, there may remain merely a FAINTING FITS. 169 bewilderment of sense, confusion, and indistinct noise in the ears; the pulse weakens, becomes slow, small, and at times nearly imperceptible; and the respiration corresponds in all particulars with the pulse. The more serious faintings, which very nearly resemble dissolution, consist in the complete suspension of the corporeal functions. Not only is there no cognizance, sense of feeling, or voluntary motion, but the pulse and the breathing, together with the excretions and secretions,are altogether suspended. The irritability and sensitiveness, however, are not so far gone but that we may have recourse to galvanism, applied immediately to the denuded nerves and muscles, in order to re-establish the vital functions. This state of things is to be distinguished from death in reality, only by the repeated application of means the most energetic, and by the absence of incipient decomposition. The treatment of persons fallen into a swoon consists in the application of external excitants, such as friction to the soles of the feet, tickling the nose with a feather, and sprinkling the face with cold water. 15 172 DISEASES. vided the effluvia be perceived immediately on rising: Carbo Animalis, Agaricus, and lodium.,Ammonium is the remedy where the patient himself remarks the fetor of the breath. Barytes, where the breath is very offensive; but the patient himself unconscious of the annoyance. Graphites, where the odour resembles that of the urine, and proceeds from the nose. g Sulphur, if the odour become more offensive after a repast. The fetid effluvia from the mouth are often the result of a species of putrid inflammation of its interior, in which the gums, tongue, and palate are affected with painful swelling, redness, burning heat, and emanation of putrescent smell with which the saliva is charged: the gums become soft, recede from the teeth, and are covered with small ulcers, the source of the fetor. Mercury triumphs readily over this species of disease, by restoring to a healthy condition the parieties of the mouth. Aurum frequently removes fetor of 174 DISEASES. Nux Vomica is especially applicable where the symptoms have resulted from the causes above detailed; and where we find constipation with disposition to hemorrhoids. Where the disease is referrible to some severe chronic affection, it requires an antipsoric plan of treatment. mrnica is an appropriate remedy where the disease has presented itself after raising a heavy weight, after a fall or contusion, and where the patient feels the pain so violent as scarcely to admit of his coughing, sneezing or walking. Should the.rnica prove insufficient, tRhus will succeed in perfecting the cure..cute Inflammation of the Lumbar and Psoas Muscles (Lumbago Inflammatoria.) This may be distinguished by the following characteristics: Pain, fixed, violent, drawing, tearing, tensive, and inflammatory, in the lumbar region, and extending itself at times to the back and shoulders, and even to the bladder and the thighs, without following the course of the nerves. It is frequently associated with colic; a sensation at the anus, LUMBAGO. 175 as though inclined to go to the closet; cramps in the bladder; dysuria, and stranguary;-afterwards a sensation of debility, numbness, and torpor of the thigh on the affected side; the patient cannot, except with difficulty, extend or flex the limb; and, the pain increasing, he can scarcely lie upon his back in consequence of his suffering. Sometimes there is hardness, with evident swelling; more or less febrile excitement accompanies the symptoms, which commence in a severe fit of shivering, followed by violent heat; the skin is burning to the touch; there is lively thirst; and the pulse is hard, full, and incompressible. The treatment should commence by mastering the general symptoms, and by exhibiting dconite, which may be repeated several times according to the exigency of the: case. Bryonia and,.ux are serviceable where the pains are more.especially experienced during motion. Rhls and Pulsatilla may be employed where the patient suffers principally during" quiescence. Cantharides, where we find spasmodic symptoms in, the urinary organs, such as 176 DISEASES. difficulty in passing the water, or inability to micturite. Mercury and Chamomilla, where the pains are almost insufferable during the night. Slaphysagria will prove efficient where the pains are pulsative in their character, and where there is a tendency to suppuration. In such cases the following medicines will frequently be of service, more particularly where the pains are drawing, tearing, and inflammatory in their character: Arnica, Chamomilla, China, Mercurius, Hepar Sulphuris, Aurum, Assaftetida, Belladonna, The above remedies, as well as Nux and Rhus, are valuable both in acute and chronic cases. Digitalis, Colocynth, Argentum, and Plumbum are more particularly appropriate to cases which are chronic in their character.. INTERMITTENT FEVER. 177 Intermittent Fever. In the treatment of this disease, a very important rule is to be observed, viz: that the most efficacious period of administering a remedy, is immediately after the termination of the paroxysm, thus affording to the medicine, ample time to modify the organism without producing any violent impression; or if the interval between the paroxysm is very short or disturbed by consecutive symptoms of preceding paroxysms, the remedy should he given as soon as the perspiration begins to decline.Another important rule requires the repetition of the medicine some time before the ensuing paroxysms. Intermittent fevers of marshy regions, the diet being duly attended to, yields readily to a few doses of China, when characterised by some of the following symptoms: Absence of thirst during the chill, yet thirst afterwards before the fever; but if there be thirst with the heat, China is not a suitable remedy. If there is thirst after the heat or during the perspiration, INTERMITTENT FEVER. 181 ed by and unite with the fever. The drsenic is not less useful in those cases, where soon after the chill, an inclination to vomit or a bitter taste in the mouth is observed; when the taste of aliments or drinks is extinguished without a constant continuance of a bitter or disagreeable taste in the mouth, though it may occur again while eating or soon after it; where vertigo, nausea, trembling and sudden prostration of strength are manifested to the highest degree; where the patient drinks very frequently, but little at a time; where the perspiration does not occur for some time after the heat, and also where it does not appear at all; and where sensation and motion are impaired, with insupportable pains and the highest degree of anxiety. Ignatia 12 is particularly suitable, where the exterior heat causes a cessation of the febrile chill, or where there is heat in particular parts of the body, and cold or shivering in others, and finally, when the heat is simply exterior and unaccompanied by thirst. It can also be employed in fevers with great advantage, where the patient has thirst during the chill, without experiencing it during heat. 16 182 DISEASES. A large number of Homoeopathic medicines, proved upon persons in health, have produced conditions analogous to those of intermittent fevers, and consequently suffice for the cure of all their parallel symptoms. Such are the following, whose application is to be directed by their peculiar virtues,as they are found detailed inthe Materia Medica; Opium, Sabadilla, Carb. fegetab., Tart. Emet., Arnica, Rhus. T., Chamomilla, Bryonia, Natrum Muriat., Lycopodium, Ammon. Muriat., Sepia, and Sulphur. Cholera. Cholera in this climate is most firequently observed during the prevalence of the summer heats, and assumes an epidemic form; it sometimes offers a complication of symptoms, and presents itself under a spasmodic or bilious type. The predisposing and occasional causes are, in most instances, an elevated grade of temperature long continued; a sudden decline in the thermometer during a very hot day; peculiar irritability of constitution; a state of hysteria and hypochondriasis; 184 DISEASES. ease is sudden in its access, we remark the under-written phenomena: The patient vomits his food, the ejection of which is succeeded by the more or less abundant discharge of a mucous, watery, and bilious fluid; the colour of the vomited matter is yellow, green, brown, or blackish, and frequently very offensive. At the same time violent diarrhoea is established: at first the secretions are fecal, watery, and bilious, frequently associated with violent colicky pains, burning and acute in character, and occupying chiefly the region of the umbilicus. Should the malady continue its progress, other symptoms present themselves: these are, fulness in the epigastrium; quick and anxious respiration; violent cramps in the stomach, with a spasmodic pulse, at times nearly imperceptible. These symptoms frequently acquire extreme severity; the strength and the pulse sink rapidly; spasmodic symptoms present themselves in different organs; superadded to which are painful cramps in the limbs; spasms in the bladder; cold perspiration; syncope, with hippocratic expression of countenance. CHOLERA. 185 The preliminary symptoms of cholera are speedily removed by the administration of Chamomilla. Ipecacuanha is appropriate where the vomitings and diarrhoea are already established. When the first doses of this medicine do not effectively meliorate the disease, or where it has acquired a high degree of development, we must unhesitatingly have recourse to Veratrum, which will act altogether as a specific. Arsenic is required, when, to the characteristic symptoms of cholera are united a rapid declension of animal power; much anxiety; insatiable thirst; almost constant discharge from the bowels; the matters tinged with blood; vomiting; excruciating pain in the bowels; pulse scarcely perceptible; hyppocratic expression. Chamomilla is suitable to that form of cholera which is excited by a fit of passion. Pulsatilla may be employed, where the evacuations are especially mucous, and will succeed perfectly well in subduing the affection. The repetition of the medicine is of the utmost importance in this disease, since we must bear in remembrance, that frequently 16* MEASLES. 187 by the stomach. The drinks should be iced, and administered in small quantities at a time. If ice cannot be procured, the drinks should be given as cool as possible. The reaction of the skin may be promoted by dry friction of the limbs. The temperature of the apartment should be moderate, as also that of the bed; and it must be remembered that all external applications of a medical character are perfectly futile. The internal exhibition of suitable remedies will promptly remove the evil. Measles. Measles is an eruptive disease attacking individuals of every age, but more especially those of tender years. It has its origin in some peculiar condition of the atmosphere, of the nature of which we are totally ignorant, and reigns chiefly in an epidemic form: cases purely isolated have rarely come under observation. This disease is in many instances slight, and presents but little to excite apprehension; at other times it may be characterized by symptoms of extreme danger, and it leaves most formidable traces of its viru 188 DISEASES. lence. We may rest satisfied, however, that, under the influence of judicious homoeopathic treatment, this affection may be promptly and radically cured. It is almost unexampled to remark an unfavourable termination, except where the patient is found under circumstances altogether adverse, such as shattered in constitution, in abject misery, in a state of complicated psora; or where there is an utter deficiency of hygeinic observance. Measles is invariably preceded by a catarrhal and febrile state, generally supervening three or four days previously to the appearance of the malady. The patient feels languid, complains of uneasiness, debility, of chills alternating with heats, and frequency of pulse; there is slight cough, with hoarseness and difficulty of respiration, accompanied with coryza; the eyes are dejected, suffused with tears, sensitive to the light, red and swollen. After three or four days we observe an incipient redness of the skin; the fever has acquired much intensity; the cough is nearly incessant; is excited by an annoying tickling in the larynx and trachea, often with considerable hoarseness; the eyes are 190 DISEASES. cough, which has become moist, gradually declines. Such is the usual progress of measles, when not in complication with formidable symptoms. The duration of the disease when left to itself, without including the period of convalescence, and when mild, is usually from twelve to fourteen days. Treated homoeopathically, all the stages of the disease are equally defined; but they are, in most instances, of briefer continuance, and the infection is invaribly of milder type. Pulsatilla is the medicine appropriate to the first stage of the disease; this medicine curtails, renders less painful, and singularly favours the eruption. Aconite should be exhibited when the disease is ushered in with intense fever, and even during its progress, where the fever is high and where the symptoms indicate an inflammatory condition of the organs of the economy. Belladonna is applicable in cases where the patient complains of continual thirst; where the tonsils and velum palati are inflamed; where the cough is spasmodic, dry, and powerfully affects the chest; the con 192 DISEASES. serviceable in opposing the dry, harsh cough, which continues after the cessation of the disease. Belladonna, Cina, Hyoscyamus, and Con2ium are particularly indicated where the cough is spasmodic in its character, and resembles a paroxysm of the whoopingcough. Practitioners who may have to treat this affection should carefully study the following remedies: Morbillin, Phosphorus, Nux Vomica, Stramonium, Sulphur, Carbo Vegetabilis, &c. In an elementary work, similar to the present, we cannot discuss the treatment of the more serious forms of the disease, such as are complicated with nervous fever and cerebral 'inflammation: such cases must rest in the hands of a practitioner competently versed in homceopathic science. The treatment we have detailed will suffice for ordinary attacks. The mode of administering the various remedies which have just passed in review must vary according to circumstances. In some individuals, one or two doses will suffice for each of the stages. In others, it MEASLES. 193 will not only be desirable to repeat the dose, but it will be essential to do so. We must dissolve from one to three globules in twelve) spoonfuls of water, and exhibit a spoonful every hour, or even every half hour, in cases where the remedies quickly expend their action. The temperature of the chamber should be moderate. The beverage should consist of pure water, water-gruel, milk and water, gumwater sweetened with sugar, toast-water, &c. The nutriment should be very light in the earlier stages of the disease: when the fever runs high, the failure of appetite is evidently an indication of the necessity for still greater abstinence. Soon, however, the appetite will develop itself and we may gradually revert to a more substantial diet. The animal powers will be speedily reestablished, since the organism has suffered no drawback from the various evacuations prescribed in the allopathic school of medicine. 17 194 DISEASES. Scarlatina. Scarlatina is an epidemic disease, principally incidental to childhood; but all ages are liable to its attacks. Isolated cases of scarlatina have rarely come under observance, and it usually affects the same individual only once in his lifetime. The febrile symptoms do not set in several days previously to the attack, as in measles: the patient may be apparently in good health to-day, and on the morrow be the victim of disease. The skin is of a bright scarlet red, similar in colour to a boiled lobster, and the pressure of the finger leaves a white imprint, whibh instantly afterwards becomes red. This hue of the skin is gradually lost in that of the healthy portion, and is not defined in its margin as in measles. The redness is of frequent variation, sometimes appearing more vivid, at other times paler, in order to reassume a greater intensity. The skin in true scarlatina is smooth and glossy; a characteristic which distinguishes it from every other eruption. SCARiATINA. 195 The redness commences upon those parts of the body which are uncovered, or but lightly clothed; first the face, throat, breast, hands, feet, &c.; and the redness occupies from three to five days in attaining its full development. When the eruption assumes a fferent course, it is usually much more serious. Those parts which have been first attacked are invariably the earliest to becomepale; and the fever, which is proportionate to the force of the eruption, subsides, and disappears when desquamation supervenes. During the progress of the disease, the skin has remained dry over the parts affected, and it is only at its close that the perspiration is re-established. The desquamation is more decided than in measles, and the epidermis is removed in scales, at times of considerable magnitude. A characteristic symptom of scarlatina is an affection of the throat. We have observed, that measles is invariably accompanied by cough, and an affection of the eyes; while scarlatina is ever associated with sore throat, characterized by an intense redness very similar to that of the skin, in which the mucous membrane of 196 DISEASES., the pharynx, mouth, and tongue, more or les~ participate. Belladonna is the exclusive remedy for the disease when pure or idiopathic in its character, and free from complication. From one to three globules of belladonna should be dissolved in six spoonfuls of pure water, and a spoonful of the mixture be administered every hour, being guided by the results. We may repeat or intermit the doses at will, and in this manner obviate any loss of time, or, on the other hand, any serious aggravation of symptoms. Opium is indicated where the disease is complicated with burning heat, a stunning sensation in the head, with somnolency, agonizing disquietude, tossing about from place to place, with vomitings, diarrhoea or costiveriess, convulsions, &c. A few attenuated doses of opium will divert the disease into a more kindly and favorable channel. SIpecacuanha will be of service when the fever exacerbates towards evening; where there is absence of sleep; failure of appetite; and insupportable melancholy, with disposition to tears. Mercury will be of essential service SCARLATINA. 197 where the angina accompanying scarlatina is attended with considerable swelling; where the throat appears clogged with viscid mucus, and the parts are really or appear to be ulcerated. In such cases we must not implicitly rely upon the action of Belladonna, but, without loss pf time, have recourse to Mercury..Jrsenicum is a triumphant remedy in certain cases of angina, especially where the fever has assumed a malignant type. In such instances the throat and mouth are interspersed with numerous ulcerations, exhaling a putrid odour, the animal power is prostrate, the mouth very dry, and the thirst insatiable. Nux Vomica may succeed to the exhibition of arsenic, where the symptoms have not been entirely removed by the latter agent..dconite is frequently of value where the disease is attended either with violent febrile excitement, or high inflammatory action. Practitioners must consult the following remedial agents where the affection is complicated in its character, viz. 17* 198 DISEASES. Phosphorus, Rhus, Sulphur, Phosphoric Acid, Helleborus, Cahinca, Coffea. We must in nowise remit our hygeinic attentions to the patient, and the reader is referred to what has been said upon this subject generally, and to what has been more especially observed under the head of measles. Small-Pox. Small-Pox (Variola) is an eruptive and contagious disease attacking the patient, in most instances, but once in his lifetime. The affection is regular in its progress, and the stages, of which four are distinguishable, are well defined. The first is the febrile stage, in which are perceptible upon the skin numerous red spots, proclaiming the disease. The fever is attended with headach, melancholy, ill humour, lassitude, drowsiness, congestion in the head, bleeding at the nose, sleepiness, twitching in the limbs, pendiculation, swelling of the ganglions, and vomiting. The patient complains too of excessive pain in the lumbar region, and this symptom is at times entirely characteristic. SMALL-POX. 199 The second is the eruptive stage. The spots or stigmata attain a certain height, and present small red elevations, which, after about forty-eight hours, are converted into pustules. They display themselves, in the first instance, on the face; the following day upon the hands, and surface of the body; and on the third day upon the soles of the feet. By this time the pustules are, in most instances, completely formed upon the face, and the patient complains merely of itching and heat of skin, with pain occasionally in the eyes and in the throat. The third stage commences after the perfect establishment of the eruption; that is to say, from the fifth to the ninth day. The pustules acquire considerable development, are circumscribed by a red lineation, and are charged with lymph presenting a dark point in the centre, slightly depressed. This lymph, in the first instance limpid, becomes yellow, acquires consistency, is purulent, and the pustules are confluent. When the pustules are numerous, there is considerable swelling, especially about the head and eyes, and the aspect is frequently appalling. At the same time tle mucous MEGRIM. 203 particularly indicates an affection of the throat, eyes, secretion of saliva, &c. 'The desiccating stage requires merely hygeinic observance, and,especially cleanliness. In the first instance, ablution must be enforced with warm water, gradually decreasing the temperature, until Ihe water which is used be perfectly cold. Practitioners will derive much benefit by directing their attention to the following remedies, viz: China, Coffea, Solanum Mammosum, Sulphur, Variolin, Vaccinin. Megrim Is a species ofcephalalgia affecting one side of the head, and at times only a small portion, which might, as it were, be covered with the top of the finger, and feeling as though a nail were driven into the part. Occasionally it is but slightly painful, but in the majority of cases the violence is exceSsive, and its intensity gradually increases., There is at first experienced in the affected part a slight pressure, with sense of coldness, similar to what would be induced MEGRIM. 205 or contracted by spasms. During a violent paroxysm, we may observe slight convulsive movements in the neighbourhood of the eye, or in the nape of the neck, with diffused perspirations which yield no relief. The paroxysms, which continue frequently for several hours, or even throughout half the day, return in the first instance at irregular intervals; after a while they supervene every day, or every three days, at the same hour; or even every month, with or without shivering succeeded by heats. This affection is heralded by vertigo, serenity of mind, or unusual loquacity, mental depression, failure of appetite, nausea, colic, acid risings, vomiting, costiveness or diarrhoea, with swelling of the lower abdomen,arid terminating either in sleep, perspiration, vomiting or tears. This disease is very obstinate, and frequently affects women, sometimes from their infancy, but more usually from the period of puberty, to the age of fifty or sixty years. The accidental circumstances which produce, aggravate, or modify other 18 -MEGRIM. 207 Pulsatilla and Ignatia are equally valuable to succeed Nux Vomica as an intermediate remedy, since they possess an action very analogous to that of the latter medicine. When Megrim presents itself in an extremely&violent form, we must have recourse to Coffea, which, should it fail in its complete removal, will at least render the pain more tolerable. When the megrim proceeds from an abuse of coffee, Charmomilla, Nux Vomica, and Jgnalia will be the most appropriate remedies. Belladonna is especially suitable where the pain in the head is lateral; extends to the orbit, and to the bones of the nose; where the pain is characterized by pressure and darting, with a sense of boiling, as ofa liquid, in the head; where the pain is aggravated by the slightest motion of the head, or of the eyes; and where these organs are extremely sensitive to the slightest ray of light; where every description of noise is insupportable; and where we find strong arterial pulsation; also where the pains are characterized by violent 208 DISEASES. shooting, nearly depriving the patient of his senses. Colocynthis is appropriate where the pain is compressive, twitching, or pinching; and where the pains are increased either by stooping or lying upon the back. In an elementary work we must content ourselves with directing attention to cases most frequent in occurrence, and refer the practitioner to the following remedies in the more rare or complicated affections. Sepia, Nitric. Acid., Zincum, Petroleum, China, Bryonia, Veratrum, Capsicum, Ipecacuanha, Cicuta, Aurum, Arsenic, Mangan. Acetat., Causticum, Rhus, Guaiacum, Arnica, Hyoscyamus, Lycopodium, Phosphorus, Conium. 4 Menstruation. The symptoms, which generally precede or attend the first appearance of the courses, are a sensation of fulness with heaviness in the head; palpitation of the heart; at times, tightness at the chest, great lassitude; weight in the abdomen and womb; pains in the loins and legs, with a frequent desire to urinate; chills; stretching, yawning, and other febrile symp 210 DISEASES, Those already mentioned will often be the appropriate remedies; but Cocculus is to be preferred, when the patient experiences violent abdominal spasms, attended with oppression at the breast, anxiety, sighing, groaning and weakness,preventing her from moving or speaking; convulsive motions of the limbs, and almost imperceptible pulse. Other symptoms may require the use of different remedies, as Cuprum, Valerian, Platina, Ignatia, Mezereum, Digitalis; for the exhibition of which the practitioner should consult the Materia Medica. Should none of these means restore the menstrual flow, recourse is to be had to the antipsorics, as Magnes. Carb., Magnes. Man., Sulphur, Sepia, Zincum, Silicea, Lycopodium,Graphites, and Acid. Nitric. When on the other hand, there is too abundant flow of the menses, Nux is one of the principal means in arrestihg it, especially when mental excitement or moral impressions have deranged the nervous system, so that the slightest cause produces a fit of passion, the least noise alarms, with an inclination to lie in bed, and an indisposition to enjoy the open air. Inalternation with Nux, Pulsatilla is sometimes useful. MENSTRUATION. 211 Coffea 'is also indicated toTtranquilize the nervous irritability. There are likewise many cases where Chamomilla is useful, especially when the blood is of a dark colour, almost black and clotted, with drawing pains from the loins forward, fainting fits, cold extremities and great thirst. The custom of giving Chamomile Tea to patients, in order to favour the menstrualflow, cannot be too highly reprobated; as it is not unfrequently the cause of much distress, and sometimes of no little danger. Its abuse is to be counteracted by Nux V., Ignatia, or China. If the different means indicated above, do not arrest the excessive discharges, recourse should be had to the anti-psorics, according to the nature of the cases respectively-Sulphur, Calcarea, Lycopodium, Phosphorus,Kali. Carb. Carb. VJeg. Mur Mag., Silicea, and Sepia. Diminished Menstrual Discharge.In the treatment of this deviation from the healthful condition of the function, regard must be paid to other, indeed to all other accessory symptoms-although Pulsatilla, Nux, Ferrum, Rhus T., Dulcamara, and other remedies should always be first administered, and with success too in 212 DISEASES. most cases; yet there may be circumstances present, which may prevent their beneficial effects. In such cases, no doubt that a psoric taint exists, which may be removed by Sulphur, after which Graphites, Mfagnesia, Natrum Muriaticum, Causticum, Sepia, Silicea, dmmon. Carb., or Conium may be exhibited, according to the analogy of their symptoms to the peculiarities of the case in hand. Odonlalgia, or Tooth-ache. This affection in most instances originates in a cold, or access of blood to the head; and among hysterical woman, in excitement of the nervous sensibility. In cases which are very obstinate and long existing, it is the result of a psoric tendency; and a treatment, to be crowned with success, must be directed to the remote cause in which it takes its rise. Homceopathy is in possession of a variety of efficient means which are applicable to the different perculiarities exhibited by affections of the teeth. Odontalgia, resulting from a cold,affecting merely a hollow tooth; drawing and boring TOOTH-ACHE. 213 in its character, and accompanied by occasional and isolated shooting pain, in which the entire economy! participates; and where we meet with at times a painful swelling of the gums, will yield to the exhibition of Nux Vomica. This result will more particularly take place where the pain supervenes early in the morning while in bed; where mastication is prevented; and where aggravation is induced by contact with cold air. This remedy is particularly suitable to persons of lively temperament, and accustomed to the use of coffee and spirituous liquors. Mercury is applicable where the drawing or boring pain results from a cold; where we find swelling of the gums and of the cheek; shaking of the teeth; where the pains increase after a repast, or after having drunk anything hot or cold; where the salivary glands are affected, and secrete an excess of saliva, causing the patient to spit frequently; and where there is ulceration of the gums. Hyoscyamus is the most effective remedy against odontalgia exhibiting itself in the morning, especially after a cold, or under the influence of cool air, with con :214 ' DISEASES. siderable flow of blood to the interior of the head; throbbing and plucking pain from the cheek to the forehead; and thrilling in the tooth, which is loosened; tearing pain in the gums. Aconite will be found very useful in throbbing odontalgia, originating in a cold, and accompanied by determination of blood to the head, and burning flushes of the face. The north-pole of the magnet is appropriate in rheumatic odontalgia, where all the carious.teeth are affected, and where we observe the following phenomena: The gums swollen, sensitive, and painful to the touch; isolated paroxysms, spasmodic pressure; tearing, searching pains; burning lancinations: pain in the jaws and the incisor teeth, induced by respiration. The magnetic pole should be touched during one or two minutes only, and the process repeated one or more times according to the result. Rhus effects the removal of tearing odontalgia, of which the application oi warmth will occasion a decrease; it is eligible, too, where the pain resembles that of a wound; where the shootings are spasmo TOOTH-ACHE. 215 dic; and where we find twitchings and tearings, aggravated towards night, or in the open air, and alleviated by warmth. Staphysagria is a suitable remedy where the odontalgia, ceasing to affect the carious tooth, communicates itself to the adjacent ones, or to those on the opposite side, and extends even to the ear, accompanied by pressive pain in the temple on the same side. Also, when the suffering is experienced on the air entering the mouth; gnawing pain in the inferior incisors, especially in the night; twitching pain in the teeth after having eaten, and aggravated in the open air. Belladonna is suitable in odontalgia after a cold, especially among women; and when the pain is rendered insufferable from the touch, the air, and the action of eating. This pain is of a drawing character, and extends from the ear to the hollow teeth of the upper jaw, where at times it becomes thrilling; is aggravated in the night; when the pain is not increased during a meal, but becomes increased shortly after it. OBryonia is available in cases where the pain impels the patient to go to bed, or where it is exacerbated by heat at night; 216 DISEASES. on lying down on the side not affected, or relieved by lying on the side which suffers; spasmodic twitchings, with a feeling as though the teeth were too long, and, as it were, loosened, more particularly during and after a repast; boring and plucking pain, decreasing in the open air, and by cold water in the mouth; drawing pain, at the time, in the cheek, and pinchings in the ear, continuing from night till morning. Chamomilla may be prescribed in odontalgic affections resulting from a cold, with plucking pains in the jaws; after drinking and eating; especially after hot things, coffee, &c.; pains in the teeth extremely violent in the night, with swelling of the cheek, aggravated by cold drinks, and rendered intolerable by the heat of the bed, swelling of the gums, 4,c. These pains in the teeth presenting a vastly numerous variety, we have confined ourselves to those of more frequent occurrence, referring the practitioner to the MIateria Medica for those cases which are not comprised among the remedies we have pointed out. EAR-ACHE. 217 Otalgia or Ear-.dche. We thus denominate a violent pain affecting one of the ears, or both of them at the same time, and which frequently embraces the adjacent parts, where it is accompanied by pains in the teeth, or other rheumatic affections, and of which the most usual cause is a cold. We rarely observe either redness or external swelling; the patient complains of darting, throbbing, quivering pain, with tinkling and humming in the ears. He experiences great agitation, anxiety, vigilance, pains in the head, and fever. Frequently, after the lapse of some days, there is established a watery or purulent discharge, which diminishes the suffering. MIercury should be administered where the pain experienced in the interior of the ear is tearing or shooting, with sensation of cold or of squeezing, and affecting also the cheek; where there is perceptible inflammation in the auditory canal, and discharge of pus, with ulceration of the conduit. Arnica is eligible where there is general 19 11 220 DISEASES. Nux Vomica is especially indicated where the exciting causes of the palpitations are stimulating drinks, coffee, &c. Pulsatilla is a remedy suitable to women of very sensitive and delicate temperament, and characterized by sweetness of disposition. Whitlow (Paronychia.) Is a local inflammation, having its seat in most instances at the extremity of one of the fingers. As its symptoms, we find swelling, violent pain, afterwards suppuration; it frequently reappears among persons who have once been affected. It sometimes displays itself in the absence of all external cause; sometimes after a cold, a contusion, burn, or any other lesion; after the removal of the epidermis at the roots of the nails, from cutting the nails too near the quick, or from having touched any corrosive liquid. The pain is moderate when experienceed in the cellular tissue; more vivid when affecting the periosteum; and intolerable when the inflammation affects the immediate envelope of the tendons. CHICKEN-POX. 221 It is not unusual to find this malady producing, among persons of irritable temperament, either convulsions or fainting fits. Whitlows yield readily to Mercury; hut if such means should not suffice, we may subsequently have recourse to Sulphur. The North Pole of the Magnet is equally powerful in these affections. Hepar Sulphuris and R/us are also valuable remedies in these cases; but when they return frequently after the application of the Magnet, and the exhibition of Alercury, it will be important to administer Sulphur and Silicea. Chicken pox. This eruptive disease presents no danger in itself, and frequently attacks children, in districts infected with small-pox. In its external aspect, it frequently bears much resemblance to the last-mentioned disease. It nay be distinguished, however, by the more pointed form of the pustules; the irregularity of their appearance; the absence of smell peculiar to variola; by the mild character and rapid progress of the disease; and by its briefness of duration. It 19V 222 DISEASES. more especially affects the face; is accompanied by slight cold in the head, trifling cough, and slight febrile excitement, and terminates generally in about seven days. We administer dconite at the moment of fever; and if there be any agitation or anxiety, we have recourse to Coffea. Should spasmodic symptoms supervene among children, and especially during dentition, we must have recourse to Chamomilla. Belladonna must be prescribed if the child raise the head with difficulty; if the head and hands are hot; and if there be agitation, and griping pains..Aconite, at the commencement of the evil, will curtail its duration. Mercury is applicable where the pustules secrete matter. This remedy, however, is more especially applicable in variola and chicken-pox at the period of supuration. Rheumatism. This affection has its seat in the membranous structure; in the tendons, ligaments, periosteum, and even in the bones; 224 DISEASES. locality, but is diffused throughout the whole affected region. The heat of the bed increases acute rheumatism; the pain subsides, quickly changes its situation; returns afresh; and in this manner is limited neither in its seat nor in its duration. It rarely affects the internal organs, and evinces a great tendency to occupy its original locality. Among the articulations in which rheumatism produces an effect analogous to that of luxation, we may instance the shoulder, the knee, and the arms; it less frequently attacks the wrist, and still more rarely the joints of the fingers and great toes. The progress of the disease is slow, and generally presents no serious danger. At times it is dispelled very readily; but there remains a predisposition to its return under the influence of cold, or of any other adventitious cause. It affects persons even of the most robust habit; of both sexes; and of every age and condition. In youthful persons it more particularly affects the superior parts of the body, from the head to the hands; and among persons more advanced in years, it 228 DISEASES. ticularly at night, and are relieved by motion. Dulcamara is of much value in rheumatism arising from a cold, and particularly from a cold dampness in the atmosphere; when the pains are characterized by shooting, drawing, and plucking, and have their seat in the limbs; when the upper extremities are, as it were, paralyzed or cold; feel as though they had received a severe contusion; and are more especially experienced in the night and during rest. The practitioner may consult the following medicines with considerable advantage: Belladonna, Ignatia, Phosphorus, Sulphur, Thuja, Veratrum, Arnica, Calcarea, Mercurius, Cocculus, Silicea, China, Arsenic, Rhododendron, Tinctura Acris. Cold in the Head Displays itself after a cold by a particular sensation in the nasal fosssm, commencing with dryness and swelling in the part, a little increased during inspiration; frequent sneezing, nasal intonation, and loss of smell. The discharge is frequently watery, saltish, falls drop by drop, and 230 DISEASES. I very fine snuff; very violent sneezing; loss of smell; discharge of blood from the nose on using the handkerchief; secretion of fetid mucus from the nose; painful ulcerations in the nostrils; sensibility of the eyes to light; pressive headach; broken sleep; melancholy; inclination to weep; shiverings; hoarseness. Chamomilla is applicable to cold in the head, presenting, as its characteristics, a discharge of mucus from the nose; the nostrils ulcerated, chapped, and inflamed; pain in the lips, which desquamate; somnolency; confusion of the head; giddiness; one cheek red, the other pallid; shiverings; and intense thirst. This medicine is particularly appropriate to children. Mercury renders effective service when there is excessive discharge; the nose excoriated both within and without; and where we find rheumatic pains in the limbs. Under peculiar circumstances the preceding medicines may fail, the practitioner will therefore refer to the following: Arsenic, Bryonia, Belladonna, Aurum, Mezereon, Ammonium, Lycopodium, Sulphur, Natrum, Antimonium Tartarizatum~ 232 DISEASES. and are less abundant; and particularly when the moral temperament is sweet and placid. Crocus is suitable to women who are irritable and sensitive; whose blood is in a state of ebullition; who feel a diffused heat, and discharge thick and dark-coloured blood from the nose. Mercury is applicable to epistaxis when the blood coagulates in its flow, and remains suspended. This remedy is similarly appropriate for children, and for parties disposed to inflammatory affections. China may be administered subsequently to the discharge, in order to prevent its return; we may commence its exhibition twenty-four hours after the hemorrhage; and, according to the result, may repeat the same medicine two or three times. Belladonna is very useful where we meet with discharge of blood firom the nose, with determination to the head, evincing itself by a swelling of the veins; darting pain, returning in paroxysms, in one side of the head, and aggravated by noise, light, or motion; scintillations before the eyes; dimness of vision; tingling in the ears; syncope; tendency to sleep. STOMACACE. 233 Under certain circumstances the following medicines will be similarly appropriate: Aconite, Arsenic, Ignatia, Nux Vomica, Chamomilla, Cina, Carbo Vegetabilis, Bryonia, Moschus, Rhus, Secale Cornutum, Sulphur, Sepia, Graphites, Lycopodium. Stomacace (Ulcerative Inflammation of the Mouth.) We thus denominate an affection which commences with an attack on the front part of the mouth, and afterwards extends to the uvula and palate. The earlier symptoms are stiffness and twitching in the throat; a taste of copper, with burning; heat, redness, swelling, and extreme sensitiveness of the gums, interior of the lips, cheeks, tongue, and palate. To these phenomena, are subsequently united a cadaverous and nearly intolerable stench in the mouth; painful enlargement of the glands of the neck; profuse discharge of saliva or viscid and fetid mucus from the mouth. The gums are spongy, extremely swollen or retracted; the teeth painful, foul, and oftentimes loose; mastication, swallowing, speech, and respiration, attended with 20* 234 DISEASES. much suffering. At length upon the affected parts are formed small flat ulcerations, very sensitive and obstinate. These ulcerations extend themselves; the inferior parts are foul, resemble lard, and are fungous; the edges are soft and slightly elevated, inflamed, and uneven. In many cases we observe fungoid excrescences, differing in form, colour, consistency, and size. Very frequently there flows from the parts which are swollen and ulcerated, particularly the gums, and especially when touched, a putrid sanies or blood of a deep-red colour. At the same time there is much debility, and very frequently much febrile excitement. Mercury is a very efficient weapon with which to oppose this malady; a few doses will in most instances suffice for its ready removal. Nux Vomica, in certain cases, is very useful; in derangements, for instance, in the digestive functions; constipation, &c.; and where the affection is characterized rather by an inflammation and swelling of the membranous parts than by an ulcerative inflammation with discharge of blood or sanious matter. ý238 DISEASES. the cough is distressing both by day and night, with pain affecting both sides, and expectoration after a long-continued fit of coughing; profuse nocturnal sweats; thirst; small and frequent pulse; emaciation; loss of appetite; cough in the morning, with tremor of the whole body; water discharging from the mouth, with inclination to vomit; expectoration of mucus, yellow, and afterwards salt or bitter to the taste, and producing nausea, sputa occasionally tinged with blobd. In certain cases the following medicines may be successfully administered: Phosphoric Acid, Aconite, Arsenic, Bry-.onia, Drosera, Mercurius, Sepia, Spongia, Stannum, China, Sulphur, Conium, Lactuca Viridis, Arnica, Calcarea, Lycopodium. The study of the Materia Medica will explain under what circumstances either of the above remedies will be appropriate. Swelling of the Parotid and Submaxillary Glands. This malady occasionally precedes affections of the teeth, with which it will disappear. More frequently it has its imme SWELLING OF THE GLANDS. 239 diate origin in a cold, or in atmospheric changes. It may attain considerable importance, attack both sides of the face, and degenerate, at times, into a hard suppurative tumour. When the disease is violent it is accompanied by an erysipelatous inflammation, together with febrile excitement. Mercury is the most appropriate remedy, even at all periods of the disease, as also when the tumour enters upon its suppurative stage. The remedy may be repeated several times if desirable, at some days' interval, or every day, in water. Belladonna may be administered where we find an erysipelatous inflammation; when the pain subsides we may have recourse to Hepar Sulphuris, which will perfect the cure. Dulcamara will render powerful aid against an induration of the glands, when the disease has not been checked by the exhibition of Mercury and Hepar Sulphuris. WORMS. 241 themselves in clusters to different portions of the intestines, beneath the parietes of which they create, in moving about and sucking, and especially after having eaten sweet food, an irritation which gives rise to painful griping, more particularly in the umbilical region. The ordinary indications of their presence are the following: Nausea; accumulation of watery saliva in the mouth; fetid breath; face pale and swollen; a blue or brownish hue beneath the -yes; dilatation of the pupil; broken sleep; urine thick and white; and the lower part of the abdomen hard and tender to the touch. The solitary worm is flat and whitish, frequently of considerable length, and comprising a vast number of articulations. It is sufficiently difficult to recognize its presence, since-if it occasion at times distressing symptoms, extraordinary sense of pressure, coldness, undulatory motion in the lower region of the abdomen, lively pain, cramps, epileptic and convulsive fits, &c.-it at other times gives rise to none of these sensations. In this case, the only positive indication is the discharge of certain detached portions of the worm. 21 VOMITING. 243 turn, resulting from a similar cause. Filix 3las, administered from time to time, will in most instances relieve the phenomena, frequently painful and distressing, induced by the presence of the solitary or tape worm, Vomiting. The treatment of vomiting must be regulated by the exciting cause, since the latter serves perfectly well to decide its character. If the vomiting proceed from a superabundance of food, it will be unnecessary to offer any opposition, since it is an effort of nature to relieve the stomach from the substances with which it is overcharged.When the sickness does not establish itself voluntarily, we may assist the vital force, aid promote vomiting by draughts of warm water, coffee, &c. If, after an abundant vomiting, there remain aversion, nausea, and heaving of the stomach, we may cheek such symptoms with one or two doses of Antimoniurn crudum. VOMITINGS. 245 in the abdomen, frequent nausea, excess of saliva, with vapid and ropy taste; pallor of complexion, discoloration of the lips, with general coldness, and accession of debility. These symptoms, however, being dispersed by the medicine, it is essential that the children be subjected to an antipsoric course of treatment, which alone will have the power of confirming the cure. Pulsatilla is very serviceable in vomitings of viscid whitish mucus, to which many persons of irritable temperament, and sub. ject to spasmodic affections, are disposed. These vomitings are usually preceded by vertigo, pains in the abdomen, by faintings, and in most instances are followed by diarrhoea. Should Pulsatilla fail in its effect, we may administer Cocculus. The latter remedy is especially appropriate where the vomitings have resulted from carriage exercise. The following medicines are frequently of great value in vomitings; and the prac. titioner cannot too sedulously study their properties in the Materia Medica. Arsenic, Digitalis, Ipecacuanha, Nux 21* INDEX. Page. Aphthae or Thrush (sore mouth of children),. 28 Asthma of Millar,.. 32 Bleeding from the Nose,.. 231 Boils,... 137 Burns,... 42 Catarrhal Fever,. 126 Catarrhal Inflammation of the Throat, 149 C( " of the Eyes, 157 " " of the Nostrils, 158 Cerebral Inflammation,. 151 Chicken Pox,... 221 Chilblains,.. 111 Cholera,... 182 Cold in the Head,.. 228 Colic,... 51 Congestion of Blood in the Abdomen, 60 "6 & Chest, 61 c " Head, 63 Constipation,.. 66 248 INDEX. Page. Contusions,... 71 Cough,... 235 Cramps and Convulsions,.. 72 " of the Stomach,. 76 Cries of Young Infants,.. 81 Croup,.,. 121 Dentition,... 87 Derangement of the Stomach,. 92 Diarrhoea,... 98 Dysentery,.. 102 Ear-ache (otalgia) 217 Enlargement of the Glands of the Neck and of the Ears,. 110 Erysipelas,... 116 Excoriation of the Nipples,. 123 ** " Children,. 125 Fainting Fits,. 168 Falling down of the Fundament,. 171 Fatigue,... 130 Fetid Breath,... 171 Flatulence,... 133 Fright,... 136 Headach,... 45 Heartburn,... 44 Hemorrhage,.. 139 Hemorrhoids,.. 145 Hiccough,.. 149 Hoarseness,.. 112 Hooping Cough,.. 114 250 INDEX. Page. Small Pox, 198 Sprains,.135 Swelling of the Parotid.nd Suibmaxilr lary Glands,.. 238 Swelling of the Glands, 139 (' " Cheeks, 109 Toothache,.. 212 Ulcerative Inflpammation of the Mouth, 233 Vomiting,., 243 Wakefulness or Vigilance, 164 Whitlow (Paronychia) 220 Worms,. 240 Wounds,. 39