A 58194 2 1848 PRESENTED BY MRS. GUY L. KIEFER November, 1931 IN MiEMORY OF DR. HERMANN KIEFER, REGENT 1889-1902 AND Guy L. KIEFER, A.B. '87, A.M. '91, M.D. '91 D.P.H. (Honorary) 1911 H(b 4-.2 E/6 - hi (3 ~%1 -4 -: -;44 K'." ' "-.- A - ~ Kv kli:4i *' * *4 4w.9 * S < *U.*. * vIIyp m I 4 4~ >41S~ ' - -V v 9 d 9:;. DOMESTIC HOMCEOPATHY:. OR RUL ES FOR THE DOMESTIC TREATMENT OF THE MALADIES OF SINFANTS, CHILDREN, AND ADULTS, AND FOR THE CONDUCT AND THE TREATMENT DURING 1regnanQrtn Qontnelmenut, anf Sucktnug. By JOHN EPPS, M. D. GRADUATE -rEF THE UNI-VER ITY OF EDINBURGH, DIRECTOR OF THE ROYAL JENNERIAN AND L ONDON VACCINE INSTITUTION, -AND CONSULTING PHYSICIAN TO THE.MANCHESTER HOM(EOPATHIC DISPENSARY. THIRP AMERICAN FROM THIE FOURTH LONDON EDITION. EDITED AND ENLARGED "By GEO. W. -COOK, M. D. --BOSTON: - OTIS CLAPP, 12, SCHOOL STREET: ý5 EW cYORK, WILLlAM RADIDE: J. T. S., SMITH: - CINCINNATI J. F. DESILVER. - 1848. 1MEDICINE CHESTS, Containing the medicines, prepared with the greatest care, referred to in this Treatise, are made and sold -by OTIs CLAPP, 12, School street, Boston. BOST ON: PRINTED BY FREEMANr, AND BOLLESDEVONSHIRE STREET. GIFT MJRS, cUY L. KQEFU ER PREFACE TO THE SECOND EDITION. IN presenting a second edition of this Domestic Homceopathy to the public, it is agreeable to the writer to be able to state, that the first edition, conZsisting of one thousand copies, has been sold in less -'than one year and a half; ' fact, strikingly illustra"-tive of the progress of Homceopathy.: Parties, who have used the first edition, have kindly suggested the necessity of some points being '^rendered more clear, and of some others being more >fully dwelt upon. To meet such suggestions, and at Kthe same time, to render the work more complete, many particulars, not in the first edition have been introduced into this. Such are the modes of treatment, before, during PREGNANCY, at and after CHILDBIRTH: These are detailed in the Second Part. I have perfected as much as possible the tabular views, in which the effects of medicines, appropriate to any individual disease, are recorded, introducing in italics the points of distinction and of specificity; an arrangement, namely, the columnar, adopted, though attended with considerable trouble and double expense, to aid the reader. I have added, in the Third Part, two chapters on the indications as to the appropriate remedy, as dependent upon the agency of the Cause, more immediately producing the disease. To these chapters.attention is particularly directed; also to the Fourth 4 Part, on DIET. To this succeeds another Part, in which some of the terms used in this work are explained, to which, if the reader has any difficulty he should refer. It may be proper here to remark that I have still adhered to the classification of the diseases adopted in the first edition; a classification, founded upon the different organs affected: such being more particularly useful in enabling the reader to find out, both the remedies best suited to the diseases, and the diseases themselves; an arrangement, which with pleasure I have seen adopted in a late work on Homceopathic Domestic Medicine. It will be seen, that, among the diseases, the remedies for which are recorded, are many, technically called acute: diseases, which require the attendance of the physician; still, the means of cure are detailed, because till the arrival of or the communication with, the physician, danger may thus be warded off, or the progress of the disease may be stayed. This detail of acute diseases and their remedies has been of the greatest service: I have patients in Manchester and other places, who have successfully treated croup by the means detailed. Croup, it is well known, is an acute and highly dangerous disease, and one, which under the injurious treatment, designated, par excellence, "ACTIVE," is often fatal; and the successful treatment of this disease, even under domestic direction, (I do not recommend persons to trust to such direction wholly,) shows the utter fallacy of the ignorant but pompously promulgated notion, that Homceopathic remedies are efficacious only in chronic and not in acute diseases. 5 The reader will find much fuller directions in this edition respecting the REPETITION of the doses of the medicines: directions afforded by experience on a very extended scale, the writer having prescribed, he finds from his patients' names-book, upwards of five thousand recipes since the 1st of April, 1841, and these for almost every form of disease, from catarrh, simple sore throat, to diseased bone, discharges from the hip and the thigh bones, abscesses in the back, deep-seated ulcers, derangement, diseased womb, tendency to miscarriage, typhus and other fevers, with inflammations of the eyes, the larynx, the bronchia, the lungs, the pleura. In reference to the cases referred to, the writer can add that he has cured, by homceopathic means, many diseases, which, as a practitioner under the old system he could not, as an honest man, have ventured to touch. He can further add that many families, who have used homoeopathic medicines under the instructions contained in the Domestic Homceopathy, have with joy confessed, that they have been astonished at the successful treatment, thence obtained, of many complaints, which, from their severity, they could never have supposed would have given way, except to the miscalled " active " remedies, more appropriately designated active enemies. In fact Homceopathy, with its sneered-at infinitesimal doses, is making its silent, but steady and certain way: a way, marked with cures, and unattended with the injurious effects, consequent upon the recoveries under the other systems of treatment. The reason for this success is to be found in the PREFACE AND INTRODUCTION BY THE AMERICAN EDITOR. --- A DAILY devotion of near a quarter of a century to the study and practice of medicine; over one third of the time being engaged in the homoeopathic practice, ought to enable one to speak with some confidence of the comparative merits of all the means of cure heretofore discovered. The fact that I now practise homceopathy in preference to any other system, of course is an endorsement of the former; and after disapproving of domestic practice with any other medicine, as I always did during my allopathic practice, to recommend so far as to edit a domestic homoeopathic guide, is proof conclusive that I regard the two systems of medicipe as so widely differing as to require an entirely opposite course for their advancement or promulgation. Allopathy palliates, while homceopathy cures radically; the'former disturbs healthy organs to divert disease from those which are deranged, while the latter cures by a direct action of the medicine to the part affected; a portion of the profession have been driven to admit that the homceopathic practice is more successful than the old school practice, and attempt its imitation by leaving all to nature's efforts, but they are not as successful as homeopathic practitioners, by a large percentage, as the statistics from various sources abundantly show. They may endorse Dr. Forbes's assertion, " that the old school practice is worse than nothing," and consequently " that homceopathy is nothing," but time will compel them to admit that the latter is efficient, and the only true rule of practice. There are no poisonous influences to be feared from true homceopathy, while a curative effect is sure to follow the administration of a remedy which is truly indicated in a given case; the dose being graduated with a full knowledge of its power, when applied upon the well known and 8 long-tried law, "similia similibus curantur," will not do injury if a mistake occur in diagnosing the location of the disease; the only evil being then in delay, may be corrected in another and more careful selection of a remedy. From the foregoing remarks it may be comprehended why domestic allopathy is dangerous, while domestic homceopathy is not only safe, but often useful, in the absence of better advice than that of lay practitioners. I have, therefore, with due regard to the importance of preserving the high standing and respectability of a profession of my choice, and with a proper sense of the importance of elevating the standard of medical education, consented to edit a domestic Homoeopathic Guide, for the use of the nursery, in the management of those little departures from health, which do not appear of sufficient importance to call a physician to treat; and also for the use of those who are so unfortunate as to be entirely beyond the reach of a physician, who has been honest enough to make homceopathy a part of his studies. I can conscientiously say, that I would sooner trust an intelligent layman who has a domestic practice of this kind, with a suitable case of medicine at hand, than trust an ultra allopathic physician, whose prejudices have prevented him from making himself acquainted with a system which is founded upon the principles of true induction, as we know homceopathy to be. There is no profession so compli.ated and loaded with responsibilities,-no science so profound and which draws so largely from other collateral sciences as that of medicine; and in order to be able to meet all emergencies, extensive preparation must be made. In the absence of the ability to make this extensive preparation, we may throw out a few useful lessons of instruction to help the novice in his treatment of disease, when a homoeopathic physician cannot be obtained. It is generally considered very difficult to diagnose the diseases of infants, and to the inexperienced it is so, but to the physician of experience and observation, it is more easy to decide accurately as to the nature and seat of their diseases, than it is in those who are more advanced. All the 10 cus, and a cathartic, by removing this, leaves the delicate mucous tissue a sure prey to the succeeding doses of medicine which often follow. As the second epoch approaches, the gums begin to look red, and swell slightly, the child bites and discharges saliva, is restless, and the eyes are slightly inflamed, or at least the inner surface of the lids, and the vessels of the conjunctiva are fuller and more numerous than has been before noticed. The great disproportion between the size of the brain and other organs, during the first and second epoch, renders diseases of the brain very frequent. All opiates increase this tendency and should be studiously avoided. Through the whole course of my practice, allopathic as well as homceopathic, I have unhesitatingly condemned the introduction of opium into the nursery, in any form, whether elixor paregoric, cordials, dovers powder or any other, as directly tending to produce not only many of the diseases and sufferings of this stage of life, but as being intimately connected with the causes which lay the foundation for an enfeebled constitution and many of the ills of future life. The clothing should be carefully attended to, while every precaution should be taken to avoid cold and damp air; free exposure to the air when it is of a mild and healthy character should always be practised, the head should always be kept cool. The practice of dressing the tender scalp with a stiff-starched cap cannot be too highly reprobated, for although it may not add materially to the warmth of the head, will not only make the child uncomfortable by the irritation constantly kept up, but they are much more liable to the diseases of the ears and scalp, usually called scalled-head. Washing first with warm, then tepid water, during the first month, and as the infant gains strength, gradually passing on to cold water, with gentle friction, is conducive to the health and strength of the infant. When cold bathing is practised, it should consist in rapid immersion, when a beneficial reaction will ensue, and a fine glow will pass over the surface, whereas continuing the child in the water, even for a minute, would 11 greatly depress the vital energies and prevent the development of the healthy secretion of the surface which cold ablution tends to induce. Towards the close of these epochs teething has advanced, and other physical changes in function and structure continue, when voluntary motions, creeping and walking, are attempted in succession, and there is seldom much fear of disease if there has been no improper medication, or there is no hereditary predisposition to disease, and the infant has been accustomed to healthy out-door exercise and comfortable dress. The most suitable time for weaning is from the tenth to the fourteenth month, and then there ought to be at least six or eight teeth quite through the gums. The child should be gradually accustomed to food other than that drawn from the breasts of the mother, from the fifth month upward, but at first it should be of the Inildest and blandest kind.' Animal food is seldom required, or indeed proper, during the firstyear; nature has pointed out the period for this, in the preparation of teeth to masticate it. During these epochs the infant is less liable to all infections and exanthematous diseases; we often find it most difficult to make an impression with the vaccine virus during nursing. The period of childhood extends from the second year to the seventh or eighth year, when the second dentition is being completed. Catarrhal fevers, and the various diseases from indigestion of improper food, are common towards the latter part of this period. The shedding of teeth requires special attention; while the parent should not be slow in having the decayed teeth extracted, they should be careful not to be too precipitate in this matter. The early extraction of the milk teeth, long before the second and permanent teeth are advancing, allows the alveolar process to be absorbed, and the jaw settling away prevents the uniformity and regularity which not only preserves the symmetry but the comfort of the owner; on the other hand leaving them too long is equally objectionable. The best course is always to consult a skilful dentist fre 13 four beats of the pulse; but this is subject to even greater variations, according to age, sex, temperament, &c., than that of the pulse. Posture, sleep, and all causes which vary the pulses, have a like effect upon the respiration, the number of the respiration may be varied by the will, however, and the pulse cannot be. At birth the number is about 46 respirations. At 5 years " " 32 " From 15 to 50 years c" 20 " The respirations of the female on an average is a trifle more frequent, except when the free expansion of their chests are prevented by improper dress, when the respirations are very short and mainly confined to the upper part of the lungs; the bosom heaves, while the waist, diaphragm and abdomen, remain stationary. This is a fruitful source of pulmonary disease, and cannot be too strongly reprobated. The time occupied in emptying the lungs of air after an inspiration, is not longer than that occupied by a patient far advanced in the consumption, which is not more than ten seconds, whereas healthy adult lungs can occupy from thirty to forty seconds in emptying them after a full inspiration. Mr. Abernethy's method of measuring the capacity of the lungs, consisted in causing the patient to take as deep an inspiration as possible, and then expire, through a bent tube under an inverted jar containing water, the quantity of water displaced being the measure of the capacity of the lungs. If the lungs were healthy, from six to eight pints would be displaced, a less quantity than this being evidence of disease or pressure from without in proportion to the decrease. Physicians have better means than this, but these will do for laymen, who would only be confused by multiplying directions for diagnosing those diseases which none but the experienced can well understand. The temperaments have some influence on the pulse. The sanguine and nervous have a more frequent pulse than the lymphatic and bilious. Having almost unconciously touched upon the temperaments, I shall have to give a brief description of them in order to satisfy the reader. There are four temperaments recognized: the sanguine, the phleg 14 matic, the bilious, and the nervous. A melancholic temperament is also considered independently by some. 1st. The sanguine temperament is characterized by moderate plumpness of person and firmness of flesh. The hair is red or bright chestnut, the eyes blue, the complexion fair and florid, and the skin soft and thin. The bloodvessels are large, the circulation active, and the pulse full and frequent. The countenance is animated, the movements quick, the passions excitable, the mind volatile and unsteady. 2d. The phlegmatic temperament is distinguished by roundness of form, softness of the muscles, and repletion of the cellular tissue. The hair is fair, the eyes light blue or gray, the skin pale, and the lips fleshy. The bloodvessels are small, the circulation languid, and the pulse slow. It takes a great deal to arouse one of this temperament. 3d. The bilious temperament is recognized by moderate plumpness and much firmness of flesh, with harshly expressed outlines of person, strongly-marked features, and decided expression of countenance. The hair is black, the eyes and the complexion dark. The pulse is full, firm, and of moderate frequency. There is much energy of character, with great power of endurance and permanence of impression, physical and mental. 4th. The nervous temperament is distinguished by a small, spare form, delicate features, with thin upper lip, slender muscles, quick movements, pallor of countenance, and feeble health. The pulse is feeble, and quick, and easily excited by mental emotions or nervous impressions. The whole nervous system, including the brain, is active, the senses are acute, the thoughts quick, and the imagination lively. 5th. The melancholic temperament is nearly allied to the bilious, and is marked by peculiar calmness and seriousness of mind, with a great tenacity of impressions, and a tendency to indulge in gloomy thoughts. It is rare that we meet with pure specimens of these temperaments. They are often so combined that it is difficult to say which predominates. 15 While I have endeavored to avoid all interference with the author's text, I have found it necessary, in order to meet the wants of this country, to enlarge upon it, and add several i.rportant articles to it. In doing this, brevity and accuracy have been more constantly aimed at than elegance of style. The entire class of fevers are added to this addition, also Tic Doulouroux, Rickets, Leucorrhea, and several other diseases, and several remedies which have lately been introduced into our materia medica, Protiodide Mercury, Kalmia latifolia, Bichromate of Potash, &c., all valuable remedies, are added, and will be found in their appropriate places. The author's directions are confined to the use of pellets. My plan is to have a duplicate of a few of the leading remedies for a family case, and then acute diseases which appear to resist the high attenuations, may be subdued by the low dilutions or tinctures; for I know, by repeated observation, that colic, inflammation of the lungs, cholera morbus, fevers, and other severe diseases, are promptly and safely cured by drops of the tinctures of the appropriate remedies, without any alarming aggravations. I will remark, as a general rule when not otherwise directed in the treatment of the disease, that whenever the drops are selected for use, drop two drops in a tumbler half full of water, and administer one tablespoonful if the patient be an adult, or one teaspoonful if it be a child, every quarter, half, one, two, or four hours in acute diseases, once a day or less frequently in chronic diseases. If the medicine be in powder, put as much as will lay on a sixpenny piece on the tongue, unless it is otherwise directed in the text. Antimony tart. should always be dissolved in water, and given as above directed. If the symptoms are relieved, discontinue the medicine altogether, or allow the intervals between the doses to be linger; if no relief is manifest after the second or third dose, you may be very certain that the medicine is not properly indicated, and it will be your duty to select another more appropriate one. GEORGE W. COOK, M.D. New York, Nov. 24, 1847. 16 INDEX TO THE DISEASES, FOR WHICH THE TREATMENT IS DETAILED IN THIS BOOK. PAGE Abortion.. 193- 196 After Pains... 200 Animation, suspended 172- 183 Antidotes to Scarlet Fever 49 Antidotes to Measles. 49 Aphtha, or Thrush, 116 Arnica, over dose of. 32 Asthma of. Millar.. 109 Bad Mouth.. 118 Biliousness... 65, 154 Bites of Reptiles, &c.. 270 Bleeding from nose. 84 Blight. 71 'Boil..38 Bloody Flux.. 148 Bruise.. 60 Burns... 55,Cardialgia... 133 Catarrh or Cold.. 86, 234 Catarrhal Fever. 47, 89- 92 Catarrhal Ophthalmia. 72 Case of Scarlet Fever prevented 49 Case of Wound treated. 58 Case of Swelled Head.) 231 -Case of swallowing a Farthing 273 Cephalgia or Headache. 64 Cheek Swelling.. 80 Chicken Pox.. 43 Chilblain... 39 Childbirth.. 197 Chlorosis.. 236 Cholera. 143, 144 Cold in the Head.. 86, 234 Colic. 144, 145 - Windy. 144, 145 Coma 171 Constipation 137-139, 191, 202 Convulsions.. 218.Corns... 41 PAGE Cough... 95- 101 Cramp of the Stomach. 136 Croup... 107 Crusta Lactea, or Milk Crust 33 Crying of Infants. 228 Delivery, Directions after. 199 Dentition.. 119, 215 Desire to return home. 245 Diarrhoea.. 141-142,203 Diet, after delivery. 200 Digestive Organs, Affections of 115 Dog, Mad, bite of.. 270 Drowning... 175 Dysentery... 148 Dyspepsia.. 129-132,248 Ear affections.. 76 Earache... 76 Enteritis, or Inflammation of the Bowels. e 146 Epistaxis, or bleeding from the Nose... 84 Erysipelas... 53 Excoriation.. 34 Eyes and Eyelids, Affections of 70 Fainting... 169 Fever and General Febrile Action... 19 Febres or Fevers.. 159 Fever, Simple.. 159 ' Inflammatory, 159 STyphus.. 160 " Ship.. 161 SRemittent. - 164 " Yellow.. 165 " Intermittent. 165 Flatulence... 134 Foul Air... 178 Fright... 241 17 PAGE Frozen 176 Furunculus or Boil 38 General Affections 169 Gout 157 Green Sickness.. 36 Grief, Silent 244 Gripes or Colic 144 Hanging 174 Henmatemesis, or Vomiting of Blood. 135 Hamnoptysis or Spitting of Blood. -. 112 Hasmorihage, violent 194 Halinorrhoids 147 Head Affections 61 Headache 64 Heartburn 133 Hepatitis, or Inflammation of the Liver 153 Hernia, or Rupture 233 Hiccough... 229 Hoarseness 93 Hooping-cough 87, 101-107 Hordeolum, or Stye 74 Hydrocephalus 63 Icterus, or Jaundice 153 Indigestion 64, 121, 129, 146 Inlfants, treatment of 209 Inflammation of the Bowels 146 _-_ - Breasts 205 Eyes 71 Liver 153 --- Lungs 110 Head 61 Ear 78 Influenza... 93 rritability... 36 Itchings... 35 Jaundice... 153 King's Evil 224 Labor-Pains 198 Lethargy 171 Liver Complaints 153 Lochial Discharge 204 Lumbago 158 2 PAGE Measles... 46 Mlegrim. 68 Menstruation, continuance of 190 Miliaria. 54 _- Fever 54 Milk Crust. 33 - Fever 206 Millar's Asthma 109 Miscarriage 193 Morninig Sickness. 189 Mumps 80 Muscular System, Affections of the 155 Nettle Rash. 54 Nostalgia, or desire to return home 245 Nose, the 83 Ophthalmia, Catarrhal 72 Otalgia, or Earache 76 Otorrhea... 79 Painter's Colic 144 Paronychia, or Whitlow 36 Piles 147 Pimples 46 Pertussis, or Hooping Cough 101 Pleurisy 112 Poisoning 261 Porrigo, or Ringworm 40 I'regnancy. 184, 189 Puerperal Fever. 207 Purgatives, destructive Effects of 65 Purpura, or Plurples 52 Pustules 44 Quinsy, or sore throat 126 Respiratory Organs, Affections of 83 Retention of Urine 234 Retuin of the Milk. 229 Rheumatism 155 - 157 Ringworm 40 Rubeola, or Measles 46 Running from the Ear 79 --- Nose. 86, 234 Saint Anthony's Fire 53 Scald Head, or Ring Worm 40 40 18 PAGE Scarlatina.. 48 Scarlet Fever.. 48 Scrofula.. 24 Secretion of Milk.. 207 Skin Affections, Evils from External Remedies. 42 Sleeplessness.. 227 Sleep.... 213 Small Pox... 44 Somnolency.. 171 Sore Nipples 204 Sore Throat. 39,126- 128 Spitting of Blood.. 112 Sprain 60 Stomacace, or Bad Mouth. 118 Stifling... 174 Stings of Insects. 222 Strangling. 174 Suppuration.. 37 Swelling of the Head. 231 Teething... 119,215 PAGE Tic Douloureux.. 124 Throat, the.. 125 Toothache.. 120 -123, 191 Thrush... 116 Urticaria, or Nettle Rash. 54 Vaccination. 214 Varicella, or Chicken Pox 43 Varicose Veins.. 192 Variola, or Small Pox. 44 Varioloid. 46 Vomiting 135 --- of Blood.. 135, 136 Wart Water in the Head Weaning Whites, The Whitlow Worms Wound S 41 S 63 213 2ý7 36 149-152 S 57 19 INDEX TO THE REMEDIES USED AND THE DISEASES IN WHICH EMPLOYED. Aconite: p.18, 33, Milk Crust; 37,Whitlow; 38, Boil; 43, Chickenpox; 44, Smallpox; 47, Measles; 49, 51, Scarlet Fever; 53, Purpura; 53, Erysipelas; 54, Miliary Fever; 55, Nettle-rash; 57, Burns and Scalds; 59, Wounds; 62, Inflammation of the Brain; 66, 67, 68, Headache; 70, 71, Inflammation of the Eye; 71, Blight; 72, 73, Catarrhal Opthalmia; 71, Inflammation of the Eyelids; 74, Stye; 78, Inflammation of the Ear; 84,Bleeding from the Nose; 72, Catarrhal Fever; 94, Influenza; 96, 97, 98, 99, 100, Cough; 101, Hooping Cough; 107, 108, Croup; 111, Inflammation of the Lungs; 112, Pleurisy; 113, Spitting of Blood; 119, Teething; 121,122, Toothache; 124, Tic Douloureux; 136; Vomiting; 146, Inflammation of the Bowels; 14S, Dysentery; 150, Worms; 154, Liver Complaint; 156, Rheumatism; 157, Gout; 158, Lumbago; 159, Fevers; 170, Fainting; 173, Suspended Animation at Birth; 177, Suspended Animation from being Frozen; 195, Abortion; 198, Labor Pains; 206, Milk Fever; 208, Puerperal Fever; 217, Teething; 225, Scrofula. Ammonia Carb.: 163, Fevers. Antimonium Crudum: p. 42, Corns; 121, 122, Toothache: 135, Vomiting of Food; 249, Diseases increased by Derangement of Stomach. Arnica: p. 33, Boil; 39, Chilblain; 41, 42, Corns; 45, Smallpox; 48, Measles; 58, Wound; 60, Sprain; 60, Bruise; 71, Inflammation of the Eye; 77, Earache; 80, Swelling of the Cheek; 85, Bleeding from the Nose; 106, Hooping Cough; 114, Spitting of Blood; 121, 122, Toothache; 136, Vomiting of Blood; 158, Lumbago; 174, Suspended Animation from a Fall; 199, After Labor; 205, Sore Nipples; 206, Milk.Fever; 221, 232, Swelling of the Head; 246, 247, 248, Misearriages, Inflammations; Bleeding from the Nose, Spitting of Blood, Erysipelas, Inflammation of the Eye, Convulsions, produced by blows or injuries. Arsenicum.: p. 34, 36, Itchings; 39, Chilblains; 41, Ring Worm; 52, Scarlet Fever; 64, Water in the Head; 73, Inflammation of the Eyelids; 87, 88,. Cold in the Head; 94, Influenza; 96 to 100, Cough; 121, 122, Toothache; 136, Vomiting of Blood; 146, Inflammation; 143, Cholera; 147, Piles; 148, Dysentery; 164, 167, Fevers; 177, Suspended Animation from being Frozen; 193, Varicose Veins; 203, Diarrhoea. Assafaetida: p. 226, Rickets. Belladonna: p. 38, Boil; 39, Chilblain; 43, Chickenpox; 44, Smallpox; 46, Varioloid; 47, Measles; 48, Scarlet Fever; 53, Erysipelas; 164, 165, 54, Miliary Fever; 55, Nettle-rash; 62, 20 Inflammation of the Brain; 66, 67, 68, Headache; 70, 71, Inflammation of the Eye; 71, 72, Inflammation of the Eyelids; 72, 73, Catarrhal Opthalmia; 77, Earache; 80, Swelling of the Cheeks; 81, Mumps; 85, Bleeding from the Nose; 90, 91, 92, Catarrhal Fever; 93, Hoarseness; 94, Influenza; 96-100, Cough; 119, Teething; 121, 122, Toothache; 168, Fevers; 126, 127, 123, Sore Throat, or Quinsy; 146, Inflammation of the Bowels; 147, Piles; 181, Suspended Animation from Coal Fire; 194, 196, Abortion; 204, Lochial Discharge; 205, Inflammation of the Breasts; 206, Milk Fever; 217, 218, Delayed Teething; 222, 223, Convulsions; 227, Sleeplessness; 228, Crying. Bichromate of Potass, or Kali Bichromicum: p. 109, Croup. Bleeding: p. 171, Coma, Lethargy. Bora.: p. 116, Thrush. Bryonia: p. 40, Ring Worm: 48, Measles; 53, Erysipelas; 55, Nettle-rash; 60, Sprain; 66, 67, 68, Headache; 84, Bleeding from the Nose; 101, Cough; 111, Inflammation of the Lungs; 112, Pleurisy; 121,122, Toothache; 124, Tic Douloureux; 131,132, Derangement of Stomach; 135, Vomiting of Food; 140, Constipation; 146, Inflammation of the Bowels; 153, Jaundice; 154, Liver Complaint; 156, 157, Rheumatism;. 158, Lumbago; 160, Fevers; 191, Constipation of Pregnant Women; 196, Uterine Hemorrhage; 202, 204, Lochial Discharge; 205, Inflammation of the Breasts; 206, Milk Fever; 168, Fever; 244, Vexation or Passion; 249, Diseases increased by Derangement of the Stomach; 154, Biliousness. Calcarea Carbonica: p. 36, Irritability; 39, Chilblain; 41, Wart; 70, Inflammation of the Eye; 74, Stye; 120, Teething; 121, 122, Toothache; 204, Lochial Discharge; 205, Sore Nipples; 208, Profuse Secretion of the Milk; 219, Delayed Teething; 225, Scrofula; 226, Rickets; 236, Chlorosis. - Camphor: 144, Cholera; 170, Fainting; 221, Convulsions; 177, Frozen; 234, Retention of Urine. Canlharides: p. 158, Lumbago; 234, Retention of Urine; 237, the Whites. Cannabis: p. 52. Capsicum: p. 148, Piles; 245, Desire to return Home, or Nostalgia. Carbo Vegetabilis: p. 36, Itchings; 102, 106, Hooping Cough; 118, Bad Mouth; 121, 122, Toothache; 134, Flatulence; 133, Heartburn; 168, Fever; 177, Suspended Animation from being Frozen; 238, the Whites. Causticum: p. 124. Chamomilla: p. 35, Excoriation; 40, Chilblain; 43, Chickenpox; 54, Miliary Fever; 66, 67, 68, Headache; 77, Earach6, 87, 88, Cold in the Head; 90, 91,92, Catarrhal Fever; 164, Feer, 96-100, Cough; 119, Teething; 121, 122, Toothache; 126, 127, 21 128, Quinsy, or Sore Throat; 130, 131, 132, Derangement of the Stomach; 133, Heartburn; 135, Vomiting of Food; 137, Cramp of Stomach; 141, 142, Diarrhoea; 143, Cholera; 145, Colic; 153, Jaundice; 156, 157, Rheumatism; 158, Lumbago; 161, Typhus Fever; 170, Fainting; 196, Uterine Hemorrhage; 206, Milk Fever; 217, Teething; 219, 221, Convulsions; 227, Sleeplesness; 228, Crying of Infants; 233, Rupture or Hernia of Infants; 235, Cold in the Head of Infants; 244, Vexation, Passion; 249, Diseases increased by taking Cold. China: p. 52, Scarlet Fever; 59, Wounds; 86, Bleeding from the Nose; 113, Spitting of Blood; 121, 122, Toothache; 130, Derangement of Stomach; 134, Flatulence; 141, 142, Diarrhea; 153, Jaundice; 167, Fevers; 170, Fainting; 173, Suspended Animation at Birth; 174, Suspended Animation from a Fall; 228, Sleeplessness. Cinnamon, Tincture of: p. 198, Labor Pains suddenly ceasing. Chloride of Lime: p. 178, Suspended Animation from Foul Air. Cicidta: p. 221, Convulsions. Cina: p. 103 to 106, Hooping Cough; 168, Fever; 152, Worms; 221, Convulsions Cocculus: p. 134, Flatulence; 137, Cramp of Stomach. Coffca: p. 43, Chickenpox; 53, Purpura; 54, Miliary Fever; 59, Wounds; 119, Teething; 121, 122, Toothache; 170, Fainting; 200, 197, Labor Pains; 206, Milk Fever; 217, Teething; 224, Convulsions; 227, Sleeplessness; 249, Diseases increased by taking Cold. Colocynth: p. 145, Colic; 124, Tic Douloureux; 149, Dysentery. Coniium: p. 124, 236, Chlorosis. Creosote Water: p. 57, 123, Toothache. Crocus: p. 85, Bleeding from the nose; 196, Uterine Hemorrhage; 204, Lochial Discharge. Cuprum: p. 104, 105, 106, Hooping Cough. Drosera: p. 103 to 106, Hooping Cough. Dulcamara: p. 52, Scarlet Fever; 55, Nettle-rash; 81, Mumps; 90, Catarrhal Fever; 103, 106, Hooping Cough; 141, 142, Diarrhea; 156, 157, Rheumatism; 203, Diarrhbea of Lying-inWomen; 206, Milk Fever; 249, Diseases increased by taking Cold. Euphrasia: p. 72, Catarrhal Opthalmia. Felix Max: p. 152, Worms. Graphites: p. 234, Retention of Urine. Hepar Sulphuris: p. 19, 34, 37, Whitlow; 38, Boil; 40, Ring Worm; 53, Erysipelas; 59, Wounds; 81, Mumps 106, Hooping Cough; 107, 108, Croup; 121, 122, Toothache; 170, Fainting. Byoscyamus: p. 52, Scarlet Fever; 62, Inflammation of Brain: 22. 96 to 100, Cough; 121, 122, Toothache; 160, Typhus Fever;. 196, Uterine Hemorrhage; 203, Diarrhoea of Lying-in-Women. Helleborus: p. 52, 63, Water in the Head. Ignatia: p. 35, Excoriation; 36, Itchings; 90, Catarrhal Fever; 96 to 100, Cough; 119, Teething; 121, 122, Toothache; 126, 127, 128, Quinsy, or Sore Throat; 130, 137, Derangement of Stomach; 138, 140, Constipation; 150, Worms; 153, Jaundice; 167, Fevers; 170, Fainting; 222-3, Convulsions; 244, Silent Grief. Ipecacuanha: p. 96 to 100, Cough; 102, Hooping Cough; 130, Indigestion; 135, Vomiting of Food; 136, Vomiting of Blood; 137, Cramp of Stomach; 143, Cholera; 161, 167, Fevers; 190, Morning Sickness; 196, Uterine Hemorrhage; 229, Return of Milk; 249, Diseases produced by taking Cold. Jalapa: p. 229, Crying of Infants. Kalmia Latifolia: p. 125, Tic Douloureux. Lachesis: p. 107, Croup; 171, Coma; 176, Suspended Animation from Drowning. Mercurius: p. 35, Excoriation; 37, Whitlow; 38, Boil; 44, Chickpox; 48, 51, Scarlet Fever; 59, Wounds; 64,77, Earache; 72, Catarrhal Opthalmia; 72, Inflammation of the Eyelids; 79, Running from the Ear; 80, Swelling of the Cheek; 81, Mumps; 85, Bleeding from the Nose; 87, 88, Cold in the Head; 94, Influenza; 118, Stomacace; 119. Teething; 121, 122, Toothache; 126, 127, 128, Quinsy, or Sore Throat; 141, 142, Diarrhoea; 152, Worms; 154, Liver Complaint; 158, Lumbago; 207, Milk Fever; 222, Convulsions. Mercurius Corrosivus: p. 148, Dysentery. lA1ercury Vivus: p. 36, Itching; 116, Thrush. Mezerelum: p. 124. Millefolium: p. 114. A/Moschus: p. 170, Fainting. Muriatic Acid: p. 52, Scarlet Fever; 161, 165. Natrum Muriaticum: p. 168, Fevers. Nitric Acid: p. 133. Nux Vomica: p. 36, Itching; 39, Chilblain; 55, Nettle-rash; 66, 67, 68, Headache; 72, Catarrhal Optbalmia; 85, Bleeding from the Nose; 87, 88, Cold in the Head; 90, 91, 92, Fever; 96 to 100, Cough; 102, Hooping Cough: 118, Stomacace, or Bad Mouth; 119, Teething; 121, 122, Toothache; 126, 127, 128, Quinsy, or Sore Throat; 130, 131,132. Derangement of Stomach; 133, Heartburn; 134, Flatulence; 137, Cramp in the Stomach; 138, 140, Constipation; 145, Colic; 147, Piles; 152, Worms; 153, Jaundice; 154, Liver Complaint; 154, Biliousness; 156, 157, Rheumatism; 158, Lumbago; 170, Fainting; 178, Suspended Animation from Lightning; 190, Morning Sickness; 191, Constipation of Pregnant Women; 192, Varicose Veins; 198, 23 Labor Pains; 218, Teething; 222-3, Convulsions; 233, Rupture, or Hernia of Infants; 235, Cold in the Head of Infants; 249, Diseases increased by taking Cold. Opium: p. 44, 51, Smallpox; 59, Wound; 63, Inflammation of the Brain; 140, Constipation; 146, Inflammation; 146, Colic; 161, 165, 167, 168, Fever; 170, Fainting; 173, Suspended Animation at Birth - 176, Suspended Animation from Strangling, &c.; 173, Suspended Animation from Drowning a 181, Suspended Animation from Coal Fire; 191, Constipation of Pregnant Women; 198, Labor Pains suddenly ceasing; 206, Milk Fever; 222, Convulsions; 141-3, Fright. Phosphorus: p. 111, 121, 122, Toothache; 125, Tic Douloureux; 170, 203, Fainting; 207, Milk Fever. Phosphori Addum: p. 161, 203. Platina: p. 125. Protiodide of Mercury,: p. 51, Scarlet Fever; 81, Mumps; 92, Fever; 94, Influenza; 109, Croupý; 118, Bad Mouth; 129, Sore Throat; 149, Dysentery; 153, Jaundice: 164, Fever; 225, Scrofula. Prussic Acid-: p. 107, Hooping Cough. Pulsatilla: p. 35, Excoriation,; 35, Itching; 36, 39, Chilblain; 47, Measles; 52, Scarlet Fever; 53, Erysipelas; 55, Nettle-rash: 59, Wound; 66, 67, 68, Headache; 74, Stye; 77, Earache; 78, Inflammation of the Ear; 85, Bleeding from the nose; 87, 88, Cold in the Head; 90, 91, 92, Catarrhal Fever; 96 to 100, Cough; 102, Hooping Cough; 113, Spitting of Blood; 121, 122i Toothache; 126,127, 123, Quinsy, or Sore Throat; 130, 131, 132, Derangement of Stomach- Heartburn; 134, Flatulence; 135, 136, Vomiting of Food; 137, Cramp; 138, Constipation; 141, 142, Diarrhaea; 145, Colic; 153, Jaundice; 154, Liver Complaint, 156, 157, Rheumatism; 158, Lumbago; 167, Fever; 192, Varicose Veins; 198, Labor Pains; 204, Lochial Discharge; 207, Puerperal Fever; 222, Convulsions; 228, Sleeplessness; 234, Retention of Urine; 236, Chlorosis; 249, Diseases increased by Derangement of Stomach: 249, Diseases. increased by taking Cold. Rheum: p. 229, Crying of Infants. Rhus Toxicodendron: p. 34, 41, Wart; 42, Corn; 52, Scarlet Fever; 54, Erysipelas; 60, Sprain; 86, Bleeding from the Nose; 11.1, Inflammation of the Lungs; 121, 122, Toothache; 156, 157, Rheumatism; 158, Lumbago; 233, Swelling of the Head; 246, Miscarriages, Inflammations, &c. produced by physical injuries. Sabina: p. 194, 196, Abortion. Sambucus: p. 110, Asthma of Millar; 235, Cold in the Head of Infants; 242, 243, Fright. Secale. p. 193, Abortion; 198, Labor Pains; 204, Diarrhoea. Senna: p. 229, Crying of Infants. 24 Sepia: p. 236, Chlorosis. Silica: p. 37, Whitlow; 40, Scaldhead; 42, Corn; 121, 122, Toothache; 204, Lochial Discharge; 207, Milk Fever: 233, Swelling on Head of Infants; 225, Scrofula; 226, Rickets. Soap: p. 56, Burns. Spigelia: p. 125, Tic Douloureux. Spirits of Wine: p. 56, Burns. uporia: p. 107, 109, Croup. Squilla: p. 111, Inflammation of the Lungs. Staphysag-ria: p. 41, Ringworm; 74, Stye; 121, 122, Toothache; 125, 158, Lumblgo; 244, Passion. Stibium: p. 44, Small Pox; 163, Fever. Stramonium: p. 63, Inflanimation of the Brain. Sulphur: p. 34, Milk Crust; 36, Itchings; 37, Whitlow; 38, Boil; 39, Chilblain; 42, Corn; 53, Purpura; 70, 71, Inflammation of the Eye; 46, Varioloid; 79, Running from the Ear; 86, Bleeding from the Nose; 116, Thrush; 121, 122, Toothache; 130, Derangement of Stomach; 141, 142, Diarrhoea; 147, Piles; 150, Worms; 192, Varicose Veins; 205, Sore Nipples;216, Teething; 215, After Vaccination; 233, Rupture, or Hernia in Infants; 226, Rickets; 236, Chlorosis; 238, The Whites. Tartar Emetic: or Antimony Tart. p. 144, Cholera; 92, Fever; 94, Influenza; 109, Croup; 112, Lungs; 146, Inflammation of bowels; 160, Typhus Fever; 164, Remittent do.; 165, 167, Yellow do.; 171, Coma; 171, Suspended Animation at Birth. Thuja: p. 112, Pleurisy. Vaccinin: p. 45. Valeriana: p. 135, Vomiting of Food. Veratrum: p. 103 to 106, Hooping cough; 143, Cholera; 170, Fainting; 168, 165, 164, 163, 161, Fevers; 233, Rupture, or Hernia of Infants; 229, Crying of Infants. Vinegar; p. 179, Suspended Animation from Foul Air; 195, Abortion. Violo Tricolor: p. 34. Zinc: p. 35, Excoriation. This enumeration of the medicines used, (and these are not more than a third of those employed in homceopathic practice,) will afford the best answer to the ignorance-founded assertion, that hommeopathists use but ONE medicine. This is urged by some, it is believed, because the medicines are colorless: a circumstance dependent upon the muedicines being prepared by trituration with sugar of milk. The examination of this Index will show, that the medicines to be studied most are Aconite, Arnica, Arsenicum, Belladonna, Bryonia, Chamomilla, China, Ignatia, Nux Vomica, Opium, Pulsatilla, Rhus 'loxicodendron, and Sulphur. 26 neither rain water nor distilled water can be obtained, common water, boiled two hours, and poured out while boiling, and allowed to stand in an earthenware vessel till cold, can be used. The solution should always be made in a new bottle, with a new well-fitting cork; or if the bottle has been used before for homoeopathic medicines, it should be washed with water, renewed four times, well drained, and then heated to dryness in an oven or before the fire. All bottles, which have been used for the medicines, as prescribed under the old system, must not, on any account, be used. The medicines should be kept in the dark. The cork should be inserted directly the medicine has been removed from the bottle. Rules for administration in acute diseases. In acute diseases, the plan I generally adopt is to dissolve three to four globules* of the medicine indicated, in four spoonsful (either tablespoonful or teaspoonful, according to the age of the person,) of water; give two spoonsful at once, and repeat generally every eight hours, sometimes every four hours, Generally in acute diseases there is more or less of febrile heat. ACONITUM is the medicine most peculiarly appropriate to such a condition, and hence, in perhaps seven cases out of ten of acute diseases, aconitum will be the remedy best suited to give at first, dissolved as directed. * The globules are impregnated with the medicinal agent. I generally use the globules impregnated with the medicinal solution at its highest dilution; usually marked 30. To adults, sometimes, the globules at a less dilution, marked 12. 28 convulsions, the dose may be repeated every quarter of an hour, or half an hour, or hour. Rules for administering in chronic and less acute diseases. Generally speaking, in chronic diseases, three to four globules dissolved in eight or ten spoonsful of water, and one spoonfql taken in the morning at eleven, and one at seven in the evening, or two spoonsful taken the first thing in the morning, or two at night, will be enough. Additional experience has led me to adopt the following method in a majority of cases. After the second day of taking the medicine, the patient desists from medicine, then repeats, then desists for a day. I have found this decidedly effective: the power of the medicine, developing itself from the accumulating influence of the first doses, does not require so frequent a repetition to keep up the effect. In fact, too frequent repetition is injurious. As general rules, Nux Vomica should be taken at night; Pulsatilla in the afternoon. Rhus generally in the morning. Rules as to the medicines generally. The medicine should be taken before or between meals, so that an hour and a half or two hours may have intervened between the time after food has been taken, or before food is again taken, and the time of taking the medicine. The time of day, in which the mind is most free 29 from mental occupation, should be chosen, unless when otherwise indicated. In acute diseases, the appropriate remedy can be taken at once. All mental excitements* should, so far as possible, be avoided while under the operation of the medicines. All vices should be avoided; because, as disease is so often the fruit of vice, it is quite clear, the vice, persevered in, must keep up the febrile and morbid irritation, and thereby effectually resist the operation of the remedy. Rules for the selection of the remedy. As to the selection of the remedy, the principal points, are, first, to ascertain the exact symptoms or features of the complaint of the patient, and the second, to look to the description of the disease, and find out the remedy recorded in connection therewith, which corresponds most exactly in its symptoms to those of the disease. It does not require that the similarity should be perfect: better if it is: but if the prominent, the majority of the symptoms agree, then give the medicine. In ascertaining the exact features of the complaint, * Many persons have judged, from this statement, that it is of no use to take the medicines when their position subjects them, of necessity, to much mental excitement. This is quite a mistake. It is the more necessary that they should take the medicine, homceopathic to the disease, because thus they may be able to sustain the mental excitement, and may have some of the injurious effects prevented. 30 *the patient should always, if relating his symptoms to another, describe what he feels in his own language, for it is certain he will describe most influentially those symptoms troubling him most. He should never be questioned whether he has this or that symptom. If, after his description, there seem some deficiencies in the statement, then questions, but not leading questions, may be put.* Rules as to judging respecting the efficiency of the medicine. It may be here with benefit remarked that, though, often the remedy, although STRICTLY homoeopathic, and therefore CERTAINLY curative of the disease, at first causes an aggravation of the symptoms, amelioration will soon follow; and as long as a marked amelioration proceeds, so long no repetition of dose, or at least a smaller dose, is needed: when the amelioration ceases to progress, then either the medicine, previously administered, must be repeated, or some other medicine selected, best suited to the remaining symptoms. If these remarks hold good with the use of remedies in acute diseases, it is decidedly the case with -remedies used in chronic cases: as long as a marked * In cases of consultation, where the physician is at a distance, and the patient is not able to see him, great minuteness is required; and the queries in Part Fifth will show the points, to which attention is to be directed, and also will demonstrate the immense care the homceopathic practice requires; quite different from the usual, where the tongue, the pulse, and the secretions, and these only in general points, are the matters usually brought under consideration. 31 amelioration progresses, we should not repeat the remedy, or at least we must increase the interval between the doses. But it may be inquired, how is the homceopathic remedial aggravation to be distinguished from the aggravation produced by the destructive progress of the disease. Hahnemann gives the rules: The remedial aggravation occurs almost immediately after the administration of the remedy, and with intensity, so that it is seen to arise from some new agent operating. The remedial aggravavation presents an increase of the same symptoms, which, after three to four hours, present a lessened strength. The progress of disease aggravation proceeds on regularly: and bears the same ratio of progress after as before the exhibition of the remedy. The progress of disease aggravation presents an addition often of new symptoms. These are the chief distinctions: there is another, which powerfully helps to distinguish the aggravation as remedial, and this is, that some of the symptoms of the remedial agent, distinct from those, in which it is homceopathic to the disease, become manifest in the patient. This additional evidence is principally available to the homceopathic physician, because it cannot be supposed that non-medical individuals are likely to be acquainted with these symptoms. If, however, in four hours after administration, no effect should be produced by the medicine, either 32 aggravating decidedly the symptoms, or diminishing decidedly the symptoms, it is certain that the remedy, homeopathic to the disease, has not been selected, or that some circumstances, such as diet, (see chapter on Diet,) have interfered with the operation. It will be necessary then to go over the symptoms of the patient again, and to compare these symptoms with some other remedy or remedies, so as to find the one most homceopathic to the symptoms. If, still, after the most careful examination, the symptoms are most correspondent with those of the homanopathic remedy first chosen, it may be that the Swant of effect depends upon the diminished susceptibility to impression, dependent upon the exhaustion of the life power; it will then be well to give a drop of the dilution itself, instead of the globules impregnated with the given dilution. But, in such a case, a physician's aid is sure to be sought. In regard to diet, the particulars, to be attended to, will be found in the Fourth Part. It is necessary always to select articles of diet in which the nutritive property, unattended by strong flavors, preponderates. Cocoa is the best of all flavored drinks. It is highly nutritive. It contains an oil and a fecula, compounded in such suitable proportions, that the most delicate stomach will, after a time, bear them thus joined. At first, sometimes, the stomach does not seem to agree with the cocoa; a little perseverance, and the stomach will submit. The author of this work takes cocoa three times each day, no tea, no coffee, no beer, and no liquid at dinner. 33 CHAPTER I. THE SKIN AND ITS DISEASES. VARIOUS are the diseases of the membrane, investing the body. 1. 2. 3. 4. 5. 6. 7. 8. Milk Crust, or Milk 12. Small Pox. Scab. 13. Varioloid. Excoriation. 14. Measles. Itchings. 15. Scarlet Fever. Irritability. 16. Purples. Whitlow. 17. St. Anthony's Fire, or Boil. Erysipelas. Chilblain. 18. Miliary Fever. Scald Head or Ring -19. Nettle Rash. Worm. 20. Burn and Scald. Warts. 21. Wound. Corns. 22. Sprain. Chicken Pox. 23. Bruise. Of these, one appearing the earliest in life, is THE JMILK CRUST, (CRUSTA LACTEA.) Little vesicles, containing a clear lymph, in clusters, appearing generally, first on the face, and thence extending sometimes over the whole body, soon becoming yellow, then break, forming hard crusts, constitute this disease. S3 34 *When the surrounding parts swell, are red and tender, and the little sufferer scratches and is restless, Aconite* can be administered, followed on the second day, when the restlessness and the inflammatory symptoms are subdued, by the Viola Tricolor. The viola tricolor not affording relief, Sulphur will be useful. [If it is brought on by variations of temperature, accompanied with symptoms of cold, give Dulcamara in the usual way. If there is much itching, with watery discharge, Rhus. Tox. Hep. Sulp., if hoarseness attends the cold, Graph. Arsenicum may also be required. - Ed.] No external application but a little hair powder or weak soap water should be used. When depending upon constitutional tendency, and relief not being attained by these means, the physician must be consulted. Another malady of the skin in children is EXCORIATION. This takes place at the folds of the skin, particularly in infancy. Cleanliness, by the use of lukewarm water, and in drying the parts, not by rubbing, but the free use of the common drying t powder, are often sufficient; * For the general conditions under which Aconite is useful, see Introduction. t This powder should be made of the flower of wheat, and not of that of the potato. 36 Sulphur is the chief remedy; if not wholly curing, VCarbo Vegetabilis will succeed. Should the little knotty bodies appear as flea bites, and the itching be diffused, pricking and burning, and if, on scratching, it leaves one part to proceed to another, and if it annoys particularly after getting warm in bed, then Ignatia is to be used. If these means, aided by cleanliness, are inefficient, the physician's aid must be sought. If the itching occurs after getting warm in bed, Pulsatilla can be taken; if the itching always occurs when undressing, then Nux Vomica or Arsenicum; if this fail, take Mercurius Vivus, [if there is itching with oozing of water from the surface like drops of sweat.- Ed.] A fourth malady of the skin may be designated IRRITABILITY. In some skins the least circumstance produces irritation, attended with inflammation and suppuration: a condition indicating a peculiar constitutional state, which, being removed, this irritable state will cease. Calcarea Carbonica is often useful; but generally, the selection of the remedy should be left to the physician. A fifth malady of the skin is THE WHITLOW, (PARONYCHIA.) This is an inflammation, affecting generally the 37 ends of the fingers at the nail; being attended often with severe pain, and ending very frequently in suppuration. Mercurius is the best remedy in suppuration. If in the course of eight hours after taking the mercurius, two globules as a dose, no improvement be apparent, use Aconite and Hepar Sulphuris, as recommended for acute diseases, in the Introduction; this will often prevent suppuration and the loss of the nail, and even, if not preventing suppuration, the process of suppuration will be rendered less troublesome and painful. A poultice should be employed: Dr. Hering recommends, if the pains are acute, to let a fresh egg be opened at the thick end and to thrust the finger into it, and let it remain there till the pain abate. [Although this disease is sometimes superficial; confined to the skin and cellular texture and glands about the nail, it is improperly classed with skin diseases. More frequently the worst forms are deep seated next the bone, and an incision down to the seat of the disease is the only sure means of arresting a very painful malady. Aconite and Mercury, internally, and a soothing poultice externally, steadily and patiently persevered in, are the only sure mean: of relief.- Ed.] When suppuration is taking place, Hepar Sulphuris aids nature most effectually. Should the whitlow again threaten, then Silica may be employed, alternating this with Sulphur. The north pole of the magnet, applied to the whitlow for a minute or two, has been found to be serviceable. 38 * A sixth malady of the skin is THE BOIL, (FURUNCULUS.) A red spot in the skin, hard and painful, appears: it rises and swells, and becomes a painful, well-defined, pointed tumor, being highest in the centre, of a deep red color, ending, for the most part, in suppuration; a head forming in the centre, which being removed, pus, mixed with blood, is discharged. Arnica will promote the healing, and prevent the return. Arnica being unsuccessful, and if, with the boil, there is an enlargement of the glands in the neighborhood of the boil, Belladonna will, in most cases, cure. If the inflammation still persist, and the boil is very large, and there is feverish heat, then aconite an( hepar sulphuris, as directed for the whitlow, will be serviceable. Often Mercurius, after arnica or belladonna has, or arnica and belladonna have, exercised the full extent of its or their beneficial agency, without perfectly curing, will complete the curative process. Sulphur is useful after the Arnica. It should be remembered that boils indicate a constitutional state, which should be eradicated, because, while remaining, there is always a liability to attack from other diseases: for this the physician must be consulted. 39 A seventh malady of the skin is THE CHILBLAIN. This inflammatory affection attacks the toes and the fingers, and seems to be constitutional. If children liable to chilblains are treated constitutionally, the, return of them will be prevented. I have just been informed of the children of a patient of mine in Sussex, who every winter severely suffered from chilblains for three months. I prescribed the alternate use of Calcarea and Sulphur, and they have not been troubled this winter with the chilblains. The following table will guide in the selection of the remedies:.Ornica. Belladonna. Chamomilla. Nuz Vomica. Pulsatilla. Sulphur* swelling swelling. hard: much much inflam- inflamminna- in,amma- inflammna- very mation tion, tillon, tion, violent. shining. bluish red bright red livid hue. and very color. severe. painful. ezcessively painflil; itching. creeping itchingwith itchingin- itch, burn, itching tingling a burning crea.ed by break up and very sensation. sensation. Warmthl, bleed, heat- severe. ing or throbshow a ten- bing, dency to suffering burst. increased in evening and night. Pulsatilla may be used first with advantage: Sulphur follows this well: when the pains are very 40 acute, as the table will show, Chamomilla; which, if "not producing relief, may be followed with Arsenicum. Sulphur is particularly indicated where the other remedies have failed, or where the chilblain has, before homcepathic means have been used, been of long duration. Sometimes the following plan is useful: lay some strong glue warm on the part: put over it some strong paper covered with glue. When the pains are gone, wash the part cautiously with warm water. [In this country this is most frequently a local disease, and the best means of overcoming it is to use a foot bath, composed of one ounce of muriatic acid to one gallon of warm water; keep the feet in this for half an hour every evening. - Ed.] An eighth malady, in which the eruption takes place in the hair of the head, and which, under common treatment, is very tedious, is that well-known complaint called RING WORM, OR SCALD HEAD, (PORRIGO.) In this disease diet is of the greatest importance, and, in the most obstinate cases, Silica has a most powerful effect. All caustic applications are destructive. [If the eruption extends from the head to the face, give Rep. S., and if the glands of the throat are inflamed, give Bryonia. If the surface has a corrosive discharge oozing from it, give Rhus. T. If 41 offensive, Arsenicum, and then Staph. A little sweet cream or simple cerate, is the only external applications that are admissible or safe. - Ed.] A ninth disease of the skin is the WART. This is generally indicative of a constitutional diseased condition; and the use of Calcarea Carbonica, one of the most powerful means of acting upon such constitutional condition, is generally successful. When the wart assumes more of the cauliflower growth; when running into each other, and difficult to keep clean, then the Rhus Toxicodendron is useful But in case of warts, the constitutional condition should be inquired into by the physician before adopting any particular medicine. A tenth disease of the skin is the CORN. The best plan for the treatment of corns, which have originated in the use of badly-made shoes, is to bathe the feet every other night in warm water, for about ten minutes; then rub one drop of the Tincture of Arnica mixed with five drops of water on the 42 corn, having previously pared it as close, layer after layer, as is prudent, namely, till a slight pain is produced, and in the morning apply a piece of arnica plaster. If the corns resist these means, pursued for a fortnight or three weeks, the inference- is, that they depend upon constitutional disease, and, as such, must be treated by Sulphur and Silica; Silica being especially indicated if the corns are painful at the change of weather. Rhus also is useful in pains from change of weather, and is more immediate. Should the corns disappear under the use of those means and grow again, Antimonium Crudum will be useful: rub a few drops of the first dilution on the part. Should the corns at any time, even during the alternate use of Sulphur and Silica, become inflamed or cause severe pain, especially after exercise, the use of Arnica will be an excellent auxiliary; a footbath, to which 40 drops of the tincture have been added, is the best form. When the skin becomes hardened on the sole of the foot, then Antimonium Crudum is very useful. Corns, it should be remembered, depend often on constitutional causes. Many other affections of the skin might be noticed; but these will serve as affording general rules: for other common cutaneous affections will be seen to be similar, in most respects, to one or the other of these, and the treatment can thence be deduced. One remark particularly demands attention. It is 43 never to seek to get rid of cutaneous affections merely by external remedies. Besides these more particularly local affections of the skin, this membrane is affected by several eruptive maladies, attended with fever, and with an affection of the general constitution. Of these, the first is THE CHICKEN-POX, (VARICELLA.) This occurs in children, resident in neighborhoods wherein small-pox abounds. Hence pretenders to medical science call it small-pox, and thus they, impudent from ignorance, bring disrepute upon vaccination. The little elevations, containing matter or pus, hence called pustules, in chicken-pox are more pointed and irregular in their appearance than are those of small-pox: the disease, too, is milder in its progress, and shorter in its duration, terminating generally in a week. It is attended generally with cold in the head, and slight fever. Aconite at the commencement will subdue the fever: and Cofeca will remove any agitation, exhibited in restlessness and anxiety. Should spasm supervene, especially if the child be teething, Chamomilla is to be preferred. If the child raises the head with difficulty, and the head and the hands are hot, much headache, and there is agitation with griping pains, Belladonna is indicated. 44 When suppuration is taking place, Mercurius aids the cure. Another eruptive pustular disease is THE SMALL-POX, (VARIOLA.) This disease still exists, its continued existence being a fruit of the ignorance and the prejudice of mankind. It presents itself in four stages: the febrile, the eruptive, the pustule-maturative, and the desiccating stage. Each stage is attended with its peculiar symptoms and its peculiar dangers. In the febrile stage numerous spots appear; this stage being attended with lassitude, headache, oftentimes bleeding at the nose, vomiting, tenderness on pressure at the pit of the stomach, and excessive pain in the loins. In this stage, Aconite moderates the fever and the congestion of the internal organs. When the nervous system is excessively irritable, the eyes particularly sensitive of light, the glands of the neck much swollen, then Belladonna; if the sleepiness is overpowering, then Opium. In the eruptive stage, the red spots become elevated and filled with a semitransparent fluid; and on the third to the fourth day, the pustules are completely formed on the face, and the patient complains of itching. [During the eruptive stage, Stibium 1 trit. a pow 45 der about the size of a pea dissolved in a wine-glass full of water, and this given in doses of one teaspoonful every hour or two, I have found to be the most effectual in aiding the salutary efforts of nature. - Ed.] It is proper to keep the patient from the light as much as possible, as soon as the pustules are formed. Thus marks will be prevented. In this and in the third stage medical aid is necessary: particularly if any symptoms, indicating affection of internal organs, are apparent. In this stage, symptoms of cold, affecting the nose, eyes, throat, show themselves. In the third stage, the pustule-maturative, the pustules become perfectly developed, have an indentation in the centre, and the cellular tissue around, particularly about the face and the eyes, becomes swollen; and the nose and the throat are inflamed: Arnica I have found useful. Should the eruption be very severe, a second fever supervenes, called secondary fever: the urine becomes clouded, and the odor exhaled from the patient is peculiarly unpleasant. Here the greatest skill is required to regulate the progress of the disease. In the fourth stage, the desiccating, wherein scabs form, cleanliness, by frequently cleansing the skin with warm water, is absolutely necessary: and thus disfigurement can, in many cases, be prevented. VACCINATION IS A PERFECT PREVENTIVE AGAINST SMALL-POX. In America, vaccinin, i. e. the vaccine virus, taken internally, is used. " The true small-pox," says Dr. Hering, " is cured by one or a few doses of 49 In this disease,* other complications appear, requiring the physician; remembering always, that where febrile excitement or inflammatory action distresses, Aconite is to be used. [I prefer writing an entire article on this disease, rather than enlarge the author's, which is too brief to be of any value, as a guide to discern the disease or select the remedy. The great diversity of shades which scarlet fever presents, forbids the propriety of attempting a description of them all, which would only confuse the lay practitioner. Yet enough must be said to enable him to select understandingly the suitable remedy, where a homceopathic physician is not to be had. The mildest form, or simple scarlet rash, when properly treated, passes off in a few days, without any untoward symptoms. There is some restlessness, a slight fever, a red rash appears more or less upon the entire surface, continues a day or two and declines, leaving slight roughness or a scaly appearance of the skin. A few doses of Belladonna once in four hours, will be all the medical treatment required. In the more severe form, in from eight to twelve * For the poison (if such language may be used,) of this disease and of the preceding, the skill and the research of Hahnemann discovered antidotes or preventives; so that these diseases, existing in any family, can be stayed in their diffusion. To measles, the preventives are aconite and pulsatilla, used alternately, a globule every other day; to scarlet fever, belladonna,'a globule every day, or every other day. Many evidences could be brought forward in proof of the power of these medicines as prophylactics; one may be related. I had, two years since, a little child who had the scarlet fever; his sister three years older than himself, I caused to sleep in the same bed, and to keep in the same room with himd throughout his illness, she taking belladonna, a globule every other day, and she did not have the disease. 4 50 days from the time of the exposure to the contagion of scarlet fever, the patient will become restless and feverish, and if very severe, sickness and vomiting will show itself. Very soon, generally within twenty-four hours, the rash will appear; first upon the storach and bowels; then upon the neck, face, and finally upon the extremities and entire surface. The color is a bright red, resembling the shell of a boiled lobster; not perfectly uniform over the body, but slightly variegated, and there are no elevations like the measles or small-pox, except a very fine grater-like, pimply surface, which, on close inspection, is found to contain lymph. The redness disappears on pressure being applied, and returns very quickly when it is removed. The eyes are much less affected than in measles, and there is very little or no cough in this disease; whereas in measles it is a very prominent symptom. In the more malignant scarlet fever, the throat is inflamed and swollen from the commencement, and has a rapid tendency to mortification. There is great accumulation of mucus in the throat, which produces great difficulty of swallowing and breathing. The patient is extremely restless and sleepless; slight delirium attends: nausea or even vomiting is common, and is indicative of cerebral (brain) disturbance, and when it ushers in the disease it is the precursor of a violent attack. The tongue is often coated, of a deep ash color through the centre, with the edges bright red, with red projecting points called papille. The coating clears off early, leaving the whole surface in this condition, becoming dry and hard during sleep. Treatment. The first thing to be attended to in 51 all fevers is, to see that the patient's room is as freely ventilated as the circumstances of the place or nursery will admit. Belladonna is the chief remedy during the development of the rash, and may be the only medicine necessary, if the disease is uncomplicated, and the rash is of a bright red, disappearing under pressure. If the heat is very great, and the patient is disposed to be flighty and very restless, alternate the belladonna with Aconite; say one drop of each in separate wineglasses of water, and give one teaspoonful, first from one and then -from the other every quarter, half, one, or four hours, according to the urgency of the symptoms. If the pellets are used, give three, and repeat in the same manner. If the burning heat still continues, the entire surface should be sponged over with cold water, or vinegar and water, in the proportion of one tablespoonfull of the former to a tumbler full of water; and this should be repeated every two or three hours, while the intensity of the heat continues. If the throat should be clogged with thick mucus, and the tongue heavily coated, grayish with occasional ulcers, a few powders of Mercury should be given every two hours; if pellets, three, and if powder, about the size of half a pea at once. If accompanied with external swelling of the glands, and ulceration, or sloughing of the throat and mouth, the Protiodide of Mercury will be the best, given as other powders. If coma or stupor should come on, Opium, one drop to a wineglass of water, and a teaspoonful every half hour, must be given. If pellets, three repeated as above. If there should be restlessness, startings, Hyos. administered as above; Muriatic Acid, or " Oxy. Muriatic Acid," if it can be obtained, (it cannot be kept pure in a family case,) would be better, when there is a strong tendency to gangrene, and the odor is very offensive, and there is great prostration, one drop in a wineglass of water, and a teaspoonful given in alternation with the opium. Arsenicum, in pellets or powder, if there is great prostration together with the above symptoms. As the fever subsides, the cuticle will be gradually separated and cast off, and the patient suffers very much from itching of the surface. This will be relieved by a few doses of Rhus Tox. prepared and used in the usual manner of the other remedies, and washing the skin frequently with weak Castile soap water. Finally, a few doses of sulphur pellets will perfect the cure. If the patient remains feeble, add one drop of China to three spoonsful of water, and give one spoonful half an hour before each meal. The greatest care must be observed during convalescence, for at least a fortnight. Dropsy often follows, and when it does appear, Dulcamara, Helleborus Niger, Pulsatilla and Cannabis, are the chief remedies; one drop of either of these in a wineglass of water, and one teaspoonful given every hour, will soon effect a cure.- Ed.] THE PURPURA, OR PURPLES. This has been confounded with scarlet fever. It is distinct. The spots are purple red, like red 53 wine: and the spots, when pressed upon by the finger, do not turn white, as is the case in scarlet fever. At the spots within the skin are numerous little granules, which do not exist in scarlet fever. Aconite is serviceable in this affection, and it should be given alternately with Cofcea. If, however, by the alternate use of aconite and coffmea, the symptoms do not diminish, Sulphur should be given, waiting some hours, and then aconite. Another affection, in which the skin is of a deep red, sometimes yellow, glistening, swollen, hot, with burning pains, tightness and itching, attended with fever, is called ST. ANTHONY'S FIRE, OR ERYSIPELAS. Women at the change of life, and elderly persons of a bilious temperament, are most subject to this disease, which, very frequently, is produced by mental excitement. If the fever is intense, Aconite can be used: if not, Belladonna: and, if aconite has been used, then belladonna, this latter being particularly indicated when " the erysipelas is radiated, and the streaks are produced in different parts." Dr. Hering. In erysipelas affecting the joints, motion augmenting the pain, Bryonia is indicated, and afterwards Hepar Sulphuris. If the erysipelas moves from one part to the other, then Pulsatilla. When vesicles appear filled with serum, and typhoid 55 It is particularly troublesome towards evening and night. As this eruptive affection is attended with fever, when the symptoms indicated by Aconite occur in a strong degree, Aconite can be given first, followed by Dulcamara or by Nux Vomica; Dulcamara being indicated, according to Dr. Jeanes, under the following circumstances: the eruption preceded by a sensation of sticking as with needles; attended with fever; with a bitter taste in the mouth, a slimy, coated tongue; nausea; vomiting; pressing pains at the pit of the stomach; diarrhoea; dark, cloudy urine; pains in the limbs; extreme itching; and after scratching, burning. When, however, there is headache, constipation, thirst, hoarseness, and when the eruption has appeared from taking stimulating or indigestible substances, then Nux Vomica or Pulsatilla is to be taken after the Aconite. Should the eruption have suddenly disappeared, and symptoms indidating affection of the chest make their appearance, Bryonia will be highly serviceable. If with headache there is a red face, then Belladonna. EXTERNAL INJURIES produce affection of the skin and parts beneath, which require domestic attention. The first affection embraces THE BURN AND THE SCALD. The treatment of the burn and the scald differs according to the severity: this being dependent considerably upon the surface injured. 56 Whiere the skin is destroyed, and the parts below injured, the physician's aid must be sought. Where the affection is slight, the old practice of holding the part burned or scalded to the fire is quite hommeopathic; the common practice of applying cold water,'or cold potatoes sliced, cold carrots, or anything cooling, is injurious. Goulard's lotion has often caused death by the lead, contained therein, poisoning the individual. Where the affection is more extensive, the use of heated*l spirits of wine, brandy, hot rum, or oil of turpentine, applied by soaking and keeping constantly moist old soft clean rags or lint, is also homoeopathic. Cotton is very excellent: it should be applied immediately, pulled fine, and if cotton wadding is used, be slit open and applied in thin layers, previously cutting open all blisters and rinsing them with warm water. [Cotton batting with Olive Oil is the best and most effectual applications to recent burns, indeed nothing else is required, if this is applied at once and kept on, without meddling with it in any other way than to moisten the cotton with the oil. It is too simple for many meddling practitioners, but it is the best application, and the most uniformly successful and soothing of any that I ever tried. - Ed.] The best remedy in most cases, is soap: take white or Castile soap, (not brown soap,) shave it fine, and convert it by lukewarm water into a thick salve: * Spirits of wine, &c., may be heated by putting some in a dish on or near the stove; but for immediate use, the best plan is to set fire to the spirit, and let it burn till it is heated, then extinguish the flame by covering it, and use this till the other is heated. 57 spread this as thick as the back.of a knife on strips of linen, and cover the burns with it, being careful to touch every spot: tie it well up, so as to keep the soaped linen close to the skin: let it remain 18 to 26 hours, and remove with care, doing nothing but apply fresh soaped linen. It will increase the burning at first, but the burning will soon be better. When the burning recurs, apply fresh soaped linen. This is a most speedy method, and if care be taken in applying equally and completely the soaped linens, no scar will be left. Creosote water is useful where the application of soap produces an offensive smell. The blisters being cut and rinsed, and loose skin cut away, apply the water to the wound with a hair pencil; put on linen rags dipped in it, and a tight bandage to exclude the air. Renew the water each time the wound pains, or about twice a-day. When febrile action is induced, Aconite must be employed: when diarrhoea supervenes it is curative, and ought not to be arrested unless excessive: in all cases of burns, water should be taken plentifully and exercise in the air. Another affection, requiring immediate treatment is THE WOUND. The parts should be washed with warm water to remove any dirt or foreign substance: the edges of the wound, whether cut or torn, should be brought as nearly as possible together, and then strap with arnica plaster, so as to keep them in contact. 59 pressed. If he faints, do nothing; use no smelling bottles; it is always beneficial. If the patient turns pale and blue, and his limbs and face are convulsed, put two globules of China on his tongue. If he gets worse, let him have some pure old wine, when he desires it, (not when the people around desire him to take it,) and follow with China. If the wound be severe, arnica should be taken internally; one to three globules to be administered during the twenty-four hours, succeeding the infliction of the wound. When the wound becomes very painful, Coffea will do much service; and any tendency to suppuration will be checked by Mercury. If the margins of the wound are swollen, and surrounded by a red areola, Pulsatdlla will be very useful. If the laceration is extensive, it will be well to cover the bandages used by a soft compress of lint, covered with cerate, taking arnica internally. Should suppuration take place, then the treatment with aconite and hepar sulphuris, as directed for the Whitlow, will be serviceable and curative. Where much blood has been lost, the internal use of the arnica may be preceded by China, two globules in a wine-glass of water, and eight hours after proceed with the arnica. Should a severe fright attend the infliction of the injury, it will be well to administer Opium before the arnica. In connection with the wound, the affection pro 60 duced, when, after a fall or any other violence, a limb pains severely, so that it cannot be moved without pain, swells, and turns red, called *? A SPRAIN, may be noticed. The parts, which bind the bony joints together, are called ligaments. They are extremely strong; but when a joint is subjected to any violent shock, or extension, the ligaments become morbidly affected, and pain, weakness, and swelling, occur in them and the adjacent parts. In these cases, Arnica is to be used, both internally in solution, and externally by friction. Should not the arnica remove the pain, the swelling, and redness, Rhus Tozicodendron must be employed. Sometimes Bryonia is needed. Another very common affection is A BRUISE. Any injury by a rounded or blunted substance to a soft part of the body, is attended with swelling, and often an extravasation of blood, giving a mottled appearance to the part. Here again, Arnica, externally and internally used, is the best remedy. Instead of using friction, as in a strain, an application by rags soaked in solution of arnica, should be employed. 61 CHAPTER II. AFFECTIONS OF THE HEAD. 1. Inflammation of the Brain. 3. Headache. 2. Water in the Head. 4. Megrim. THE head contains the brain, the part through which the mind performs its various operations, and with which all the various parts of the nervous systom are intimately connected. Affections of this organ must, therefore, be highly dangerous, and require much care. The brain is invested with coverings~within the skull, which are called the meninges. These meninges serve for the protection of the brain, and are closely connected with it. INFLAMMATION is a diseased state, to which both the brain and its coverings are subject: which inflammation, once established, is most difficult to subdue. It is important, therefore, to anticipate its attack: and the symptoms which precede an attack, are frequently the following: head hot and heavy: face red and swollen: excessively irritable and sensitive: 63 When the patient is in a sleepy state, the sleepiness is attended by snoring: the eyes half open: the patient uttering no complaint, and in need of nothing, and has frequent vomiting, then Opium is to be used. When the patient slumbers naturally, but has startings in his limbs, snorings, his movements irregular, and when waking, appears without cognizance: sometimes fixing his attention, sometimes withdrawing himself slowly and with apprehension: sometimes retreating with exclamations of dread: and when these are associated with ardent fever, red face, and moist skin, then Stramonium is applicable. WATER IN THE HEAD, (HYDROCEPHALUS.) This affection is generally preceded by the symptoms described in conjunction with inflammation of the brain. It is, however, often very insidious in its approach. Two indications of such approach are, first, the unwillingness of the child to play; and second, fractious peevishness, whenever raised from the horizontal position. [" Helleborus Niger," should be given in the usual manner, in this disease, and persevered in. It is far more effectual with the occasional aid of the other remedies above named, than all the harsh treatment of the old school practice; indeed, this disease is never cured by allopathists, and I know, from personal observation, that it is often cured by well-selected homoeopathic means. Therefore, I would say 65 however, headache is associated with INDIGESTION, it will be well to examine the symptoms connected with the remedies for indigestion, before deciding on the remedy to be used; more particularly if the headache is attended with indigestion. It may be beneficial to remark, that headache, uncomplicated with indigestion, or as people commonly but erroneously express their meaning, with biliousness, claims more attention and more skill, being attended with more danger, than headache, associated with indigestion. The majority of headaches are connected with irritation of the stomach, technically gastric irritation, and of the intestines; an irritation, induced in numberless instances by the destructive method of attempting to cure diseases, more particularly those miscalled bilious by purgatives. Such headaches, admitting a ready alleviation by homceopathic medicines, have opened up a wide field, in which the skilful homceopathic physician may wander with benefit to the sufferer, and with pleasure, with reward, and with honor to himself. 66 r Aconite. 1. -Head heavy, weight and fulness. 2. WVeight and fulness particularly in fIrciead, "and temple. 3. Pressing thrchbing pain. 4. Burning heat in head, especially in forehead; body and limbs cold. 5. Pricking sensaltion in forelhcad. Belladonna. Bryonia. 1. Pain con- 1. The whole centered head. in forehead. 2. A deepseated dull pain, pressing and drawing outooards to the forehead. 4. Burning spot in tlhe bones of the nose, with pain. 2. Expansive a feeling as if the brain would force out of the foiehead. 6. Contractioi,affecting the whole head, nearly depriving of senses. Chamomilla. JVux Vomica. 1. Great hea- 1. Pain along viness at the the eyeroot of nose, brows. as if f-om a cold coming, and pain as if skull would burst. 2. A pressing 2. Deeply and stunning seated. pain, when sitting down and reflecting. 3. Shootings 3. Shootings hotings in temples; Iattop of head, pulling and with tendcnthrobbing cy to fall chiefly at forwards. one side of Shootingt head. and throbbing on left side of the forelead, and often over left eye. Pulsatilla. 1. Iead heavy. 2. A deepseated dull pain on one side of the head. 3. Same as Nux Voiica. 7. 'earing pains in head. 8. Headache as after excessoI wine; and feeling as if the head were fractured. 8a. As if a nail were driven into the head. 67 AJconite. Belladonna. Bryonia. Chamomila. NVuz Vomica. Pulsatilla. 10. Move- 10. Becom- 10. Move- 10. Move- 10. Especialment. ing insup- ment. ment. ly of the portable eyes. from the least motion of the eyes, and by every motion. 11. Speaking. 12. Drinking. 13. Rising from a recumbent position. 14. Free air. 14a. Rendered insupportable by the slightest breath of air. 15. Lying down in a room. 15a. After a meal. 16. Walking. 16. Walking. 16. Sitting 17. During down. sleep. 18. Caused by a cold. 19. Sitting and reflecting. 19. By emo- 19. Intellec- 19, Intellections of tual labor. tual labor. mind. 20. Stooping. 20. Stooping. 21. Rough weather. 22. Hot weather. 23. Noise. 24. In the open air. 25 Holding the heal back. 26. Support- 26. By pre.ing the head. sure. 27. Relieved 27. By rest 27. Compels 27. Compels by lying only. to lie down. to lie down. down. Aconite. Belladonna. 68 Bryonia. c d 31. Continuing from morning till night. Chamomilla. JVuz Fomica. 28. Ceasing r diminishing on sudlenly awaking, and when risen. Pulsatilla. 29. Walking about. 30. Binding the head tight, 31. Evening. Morning. 31.Increased and 32. Increasing towards the middle of the day. A third, very troublesome, affection of the head is known under the name of MEGRIM. It is characterized by affecting one side of the head, and of that only a portion, which the patient states he can cover with his finger, and feels as if a nail was being driven into the part. The part affected is generally very tender, so that not the slightest pressure can be borne. This malady is generally connected with a constitutional condition, which requires removal; but, in affording relief, the characteristics, already given of headache, will be of utility. [Pulsatilla Platina, Nitric Acid, Causticum Veratrum,and Belladonna may be advantageously given for this disease.-Ed.] The physician should, however, be consulted in the choice of the remedy for this severe complaint. 70 CHAPTER III. AFFECTIONS OF THE EYES AND THE EYELIDS. 1. Inflammation. la. Inflammation of the Eyes of New-Born Children. lb. Inflammation of the Eye from some body acting on the Eye. 2. Catarrhal Ophthalmia. 3. Stye. THE eyes are organs, which, by their use, delicacy, and importance, well deserve the place they hold. They are subject to disease, more particularly, INFLAMMATION. Children, just born, have often inflammation from sudden exposure to too strong a light. Sensibility of the eye to light is the first symptom: a slight redness appears in the portion of the conjunctiva covering the eyelid, especially at the internal angle of the eye, and a viscid secretion is formed on the eyelids. Aconite, with cleanliness, will remove this; when the intolerance of light is excessive, and when the white of the eyes is much reddened, Belladonna may be administered after the aconite. The remnants of the disease are removed by Sulphur: or if not, Calcarca Carbonica will, in general, cure. 71 If the eye is inflamed from anything in it, common sense dictates the removal of the body, the bathing with warm water, and then Aconite will prevent the inflammation: Sulphur may be used after Aconite. When the eye has become inflamed from a bruise, Arnica is very useful. INFLAMMATION OF THE EYE FROM BODIES ENTERING THE EYE. Often a portion of lime or some other body gets between the eye and the lids. Much irritation is occasioned, the white of the eye becomes affected, and a pain is felt in the whole of the eye; a discharge of tears takes place, and the eye becomes sensitive to light. An attempt should be made to remove the foreign body, and, after its removal, Aconite should be administered. Sometimes the foreign body cannot be removed on account of the excessive sensibility of the eye, then aconite being administered will subdue the sensibility, and render it possible to remove the body in the eye. A modification of this is that produced by a small insect of some kind entering the eye and stinging it. It is called sometimes BLIGHT. Considerable redness and pain are present; Aconite here acts immediately in relieving the irritation. 72 There is an inflammation of the eye and the eyelids, connected with cold, called CATARRHAL OPHTHALMIA. The eyes and eyelids are red: there is a sense of burning and pressure as from a grain of sand: light is dreaded: tears flow, and often an abundant mucous discharge: to these symptoms are added catarrh, with or without fever, and a dry troublesome cough. Aconite will subdue the inflammation, and Nux Vomica the other symptoms. When the inflammation is intense, the redness is intense, also the other symptoms; when there is a severe cold in the head, producing excoriation of the nostrils, the wings of the nose and the lips, attended with small pustules, and cough at intervals, with a suffocation and wheezing, Belladonna should be used after the aconite; copious discharge is the characteristic of this ophthalmia. When the redness extends over the whole of the eyes, the secretion of tears is abundant, and there is itching by day and adhering by night, margins of eyelids ulcerated, moist and purulent, with frequent blinking of the eyes, shunning light, then Euphrasia is best. When with the symptoms detailed in the first paragraph, there are itching, chiefly in the open air, and a swollen state of the eyelids, then Mercurius can be employed. Some diseases affect only the eyelids. The choice of remedies will be aided by the following tabular statement: 73.Aconite. 1. Eyelids red. 2. Swollen 3. Inflamed, 4. Hard swellings. 5. Burning. 6. Dryness, A.conite at first followed by Hepar Sulphuris. 1. Pale yellowish red. 2. Swollen, shining as if transparent. 5. Moist. 6. Moisture in eyes and nose. 8. Eyelids sore. 9. Pressing pain. Belladonna. A| rsenicum. I ercurus I Fivus. 1. Red. 1. Inside red. 2. Swollen. 3. Inflamed. 5. Burning violently. 5. Burn. 7. Itch. 10. Adhere 10. Can together, scarcely be opened. 2. Swollen. 7. Hot in open air. 9. Pains more acute. 10. Difficult to open, powerfully drawn together. 15. Ulcers on the edges. 16. Scurf on the eyelids. 11. Bleed when opened. 13. Turned the wrong way. 14. Heavy and powerless. 74 The eyelids have at their margins, glands, which separate an oily substance. These glands become inflamed and form a STYE, (HORDEOLUM.) Pulsatilla is the remedy, taken internally, and applied as a lotion externally during the day. At night a warm bread poultice, on which two or three drops of the tincture, at the third dilution, have been dropped, can be applied. Should the stye return, or should a hard lump remain and a viscous matter adhere, attended often with a sticking together of the eyelids, Staphysagria can be taken. If the lumps still remain, Calcarea Carbonica can be used. When the eye as well as the eyelid are affected, or when the eye alone is affected, many are the remedies; among them Aconite stands pre-eminent, and may be used, in general, at the outset. The choice of the remedies to be used, subsequently to the aconite, must be left to the physician. There are numerous other remedies suited to the affections of the eyes, but the choice amongst these requires the medical man's judgment. In reference to affections of the eyes it should be remembered that every kind of eyewater, all ointments and salves, unless homaeopatlic, injure the eyes. It is true that diseases of the eyes and of the eyelids may disappear under their use; but other diseased states supervene, and often internal diseases are produced. Pure water, either cold or warm, according to the feelings of the patient, is the best eyewater. 76 CHAPTER IV. -4-- AFFECTIONS OF THE EAR AND OF THE CHEEKS. THE EAR. THE ear is an organ, the importance of which is recognized by all. It is subject to various affections. 1. Earache. 2. Inflammation of the Ear. 3. Discharge from the Ear. 4. Swelling of the Cheek. 5. Enlargement of the Parotid and Submaxillary Glands. One affection very common is EARACHE, OR OTALGIA. This affection is sometimes very troublesome and difficult to cure. Various remedies are applicable. The choice may be aided by the following table. 77.drnica. 1. Pressing, stinging pains, or darting behind and within the ears. Belladonna. Chamomilla. 1. Single violent stitches, as if a knife pierced in. la. Perforating. 2. The stinging within, extending to the throat. 3. Pricking and shooting pains in parotid glands. 4. Tingling and rumbling sound in the ears. 6. Head and eyes affected. 2. Passing. from the ear to the earflaps, and even to the lips. 3. Pains intolerable. MJIercurius. 3. Violent twitches. 2. Pain in interior of ear tearing and shooting, reaching to the cheeks. 5. Burning outwardly with an inoward cold feeling, affecting thel cheek also. 7. Ear damp with sweat, but without relief. 7a.Discharge of pus. 8. Ulceration of the ear. Pulsatilla. 1. Jerking tearing pain, as if something would be pressed or plucked out. 2. Passing to the whole side of the face. 5. Externally red. 5a. hot. 56. swollen. Inner ear dry and without cerumen. 78.Arnica. Belladonna. Chamomilla. JMlercurius. Pulsatilla. 9. Pains returning more violently at intervals. 9a. By touching, or 9b. By 4 moving. 10. Heat and ' 10. Pains 10. Persons of irritability making pa- melancholy disat any loud tient irri- position, innoise, and table. dined to shed general sen- Ill-humor. tears. sitiveness. 11. Persons liable to rheumatic affections. 12. When caused from?'a cold or suppressed perspiration. INFLAMMATION OF THE EAR, (OTITIS.) This disease is very distressing. The symptoms presented indicate Aconite and Pulsatilla. The symptoms, generally indicative of pulsatilla, are the following: Ear red, hot, swollen; painful, so much so that the ear cannot be touched Pains tearing, boring. throbbing, piercing, and burning. 79 The pain causes to talk wildly; the patient begins to rave. I have found great benefit from the use of the tincture of pulsatilla, of the third dilution, a few drops being dropped on a poultice of bread, and applied to the ear. Dr. Hering does not recommend sweet oil, or hot steam. He recommends a sponge dipped in warm water and bound upon the ear. DISCHARGE, OR RUNNING FROM THE EAR, (OTORRIEA.) If the discharge has resulted after symptoms, described under Pulsatilla, or after measles, pulsatilla can be taken: if following the scarletfever, or if it occurs in connexion With that fever, belladonna can be taken: if decided benefit does not result, then give Mercurius: and in a week's time repeat the belladonna. Mercurius Vivus is particularly serviceable, if the discharge occurs after small-pox. When mercury under any form has been taken previously to excess, give Sulphur: if Sulphur itself has been taken to excess, then Pulsatilla, and after it Mercurius Vivus. Generally it is unwise to put oils or other substances into the ears. To prevent cold affecting the system through the diseased condition of the ear, and to prevent insects depositing their eggs, and to prevent the diffusion of the offensive smell arising from the discharge, it would be well to use some cotton or lint. The pledget should be wrapped round with a piece of fine linen to prevent it sliding in and to 80 facilitate its extraction, if it does, as sometimes happens, slide in. SWELLING OF THE CHEEK. Often swelling of the cheek takes place from toothache, and the toothache ceasing, it disappears. Often the medicine, say belladonna, which cures the toothache, produces swelling of the cheek. If this swelling should not disappear, the antidote to belladonna, or whatever may have been the medicine employed for the toothache, must be used. If the swelling is obstinate, and rather solid, Arnica will be useful: if there is much salivation, Mercury. If these remedies are used too late, and suppuration must take place, a fig poultice is a very good one. 'When the suppuration is established, let it alone, except to wash the mouth frequently with warm water. In connection with the ears, the affection indicated by MUMPS, OR THE ENLARGEMENT OF THE PAROTID AND SUBMAXILLARY GLANDS, may be noticed. The parotid and submaxillary glands are situated, the one below the ear, the other under the jaw. They separate the saliva from the blood. 81 These glands from cold, from atmospheric changes, and as puberty approaches, become enlarged, and are often very troublesome. [Theparotid glands swell during scarlet fever, from the above causes, and from contagion; when, from the latter cause, it properly constitutes mumps, which is characterized by the following symptoms: soreness, with slight fullness at the angle of the jaw, with some general heat, and pain on moving the jaw. The swelling extends upward to the space between the ear and cheek, and downward under the jaw, to the submaxillary gland. It lasts from four to six days, and subsides without suppuration; no external application should be made to disperse the swelling, for fear of a transfer to important vital organs as above described, or which is most common, to the breast of females or the testicles of males. In addition to the remedies which are detailed in the text, 1 would recommend Protiodide of Mercury, if the swelling should be obstinate, or if it is transferred to other glandular structures. -Ed.] Mercury is the remedy that most frequently relieves this affection: more particularly when suppuration is about taking place. If erysipelas attends the swelling, Belladonna should be used: and after the pain has been removed, Hepar Sulphuris is very serviceable. If mercurius and hepar sulphuris have been used without success, Dulcamara is often of the greatest service, this being particularly serviceable if the urine is rendered turbid by the effect of the cold. It is especially necessary to avoid dispelling or dispersing these swellings by friction with liniments 6 82 or ointments. Friction, if exciting the absorbents to act, does not ALTER the diseased state, which caused the enlargement, and often this diseased state is thus, as it were, forced to effect either glandular structures in the lungs, and thus pulmonary consumption is induced: or glandular structures in the abdominal viscera, and thus mesenteric disease with its miserable train of emaciation, effusion on the brain and death, are developed. Another point worthy of remark is, that these swellings should NOT be cut open. Every surgeon thinks he must be a surgeon and use his lancet. He is sure to make a scar and not a cure: whereas if the abscess is made to discharge itself, it leaves no scar, and the cure is likely to be permanent. The same remarks apply to opening the glandular swelling by caustic. Another evil resulting from the scars thus induced, is that the structure thereby (i. e. by the process which takes place in healing the wound made by the lancet or by the caustic,) is so altered, that the part becomes a source of pain, from changes of weather affecting this structure of a texture different from the natural. 83 CHAPTER V. AFFECTIONS OF THE RESPIRATORY ORGANS. THE, next organ in the face is the nose, and as this organ is, as it were, the commencement of the apparatuses by which breathing or respiration is carried on, it forms a proper commencement for the enumeration of the diseases, connected with the organs engaged in respiration. k 1. Bleeding from the nose. 7. Croup. 2. Cold in the Head. S. Asthma of Millar. 3. Catarrhal Fever. 9. Inflammation of the 4. Hoarseness. Lungs. 5. Cough. 10-. Pleurisy. 6. Hoopingr Cough. 11. Spitting of Blood. The changes, which take place in the blood in the process of breathing, being essential to the enjoyment of health, any disordered condition of the organs connected with this process must, of necessity, claim attention. Concerned in this process are the nose, the windpipe, the bronchial tubes, the substance'of the lungs, the membrane, covering the lungs and lining the ribs, called the pleura; and to these may be added the heart. THE NOSE. The nose being, as well as a respiratory organ, the organ of smell, is covered internally with a most del 84 icate membrane or skin, through which the impressions are made upon the nerve of smell. This membrane, called the Schneiderian, from its discoverer, covers a large surface, the interior of the nose being divided into cavities, formed by very thin bony partitions. These cavities are called nasal fossce. Through this membrane an immense number of blood-vessels are distributed. From these blood-vessels, in young people of full habit, particularly females before the natural change, and, in adult females, at the cessation of the natural discharge, a discharge takes place, called BLEEDING FROM THE NOSE, OR EPISTAXIS. Bleeding from the nose is sometimes beneficial, it appearing as the crisis of many diseases. When it occurs frequently, and when the quantity of blood discharged is considerable, then medicine is required. In curing bleeding from the nose, two objects present themselves: first, to remove the bleeding; and second, to prevent a recurrence, and relieve the other consequences likely to result from the bleeding. Several remedies can be employed. The choice can be regulated by the symptoms. Aconite is useful where the symptoms recorded, (see Introduction,) are present; or if the person looks much heated, or if-the bleeding occurs after being overheated. Bryonia is useful under similar circumstances as belladonna, p. 85, more particularly when the bleeding from the nose takes place from sudden suppression of the menses. 85 mrnica. Belladonna. Croct.s. Mercurius..Nuz omica. Pulsatills. From a By stooping i blow. or strongly Sblowing the l I nose. Prickings, Darting or titillation pains in one in the nose side of the or forehead, head in as from an paroxysms. insect. 0 Swelling of the veins of the head. * Sparks beforethe eyes. Tingling in the ears. Nose hot. Diffused heat. Thin and Thick Black Coagulates Flow of veo bright red. blood. in flowing, nous blood. and remains suspended. Men. Irritable, Children, Adult fesensitive. and persons males, with predisposed insufficient to inflamma- menses. tion.. Persons of sweet and placid temper., Awakens ~k 'out of sleep Morning. Afternoon, Sat -night. evening, Sand before L, midnight. 86 Rhus is useful in cases similar to those suited to belladonna and bryonia, these not curing: or if the bleeding arises from stooping, lifting, or using any great exertion. Rhus is useful also in cases, where the bleeding disturbs the sleep at night. When the discharge produces weakness, or is so profuse as to occasion paleness of face, coldness of limbs, and even convulsions, China is useful. China is useful if the putting the fingers into the nose, caused by the irritation of worms, causes the hemorrhage. The common practice of drawing cold water into the nostrils is not good: and plugging the nose is to be avoided, except under peculiar circumstances: a cold wet cloth laid upon the abdomen will often be effectual. To prevent a recurrence of the' bleeding, the general constitutional state must be investigated and treated: Sulphur will be useful in most cases. To prevent both the return of this discharge of blood, and any bad consequences from the discharge already having occurred, China is the best remedy. When the membrane, lining the nasalfossce, becomes affected with inflammation, it is called COLD IN THE HEAD, OR CATARRH. This affection is characterized by a peculiar feeling of dryness in the nose, and also by swelling. 87 There is frequent sneezing; there is loss of smell: and the patient speaks, as it is called, through the nose. The discharge is, at first, watery, drop by drop; it excoriates, and produces crusts on the nostrils and the lips, and pain oftentimes is felt at the root of the nose. The symptoms vary, and so do the remedies. The following table will aid in the selection: SChamomilla..Mercury..Vuzx Vomica. Pulsatilla. Arsenicum. 1. Nostrils 1. Nose 1. Painful 1. Nostrils 1. Swelling inflamed, excoriated. sensibility of painful and of the nose. chapped and within and the interior ulcerated. ulcerated. without. of the nose. 2. Discharge 2. Excessive 2. Secretion 2. Thick 2. Profuse of acrid discharge. from nose often fetid discharge of mucus. during the mucus. watery, day. acrid, exco4 riating fluid. I 3. Violent 3. Violent 3. Violent sneezings. sneezings, sneezings. and S3Sa.Discharge of blood from blowing the nose. 4. Loss of smell. 5. Obstruc- 5. Obstruc- 5. Obstruction of the tion worse tion of the nose during towards nose with the night. evening. No. 2. 88 'ChIamomilla. I Mercury. 7. One cheek red, the other pale. 8. Pain and scaling, chapped lips. 9. Intense thirst. 10. Confusion in the head, and giddiness. 12. Shivering. 14. Children. AVux Vomica. 6. Itching in the nose 7. Heat in face increased towards evenin g. 9. Dryness of the mouth and fauces. 10. Confusion, and 10a. Heat in the head. 14. Vexation and irritability. 15. Grief. 16. General languor. Palsatilla. Arsenicum. 6. Tickling 6. Burning as from sensation in snuff. the nostrils. a a ic 13. Rheumatic pains in limbs. 11. Sensibility of the eyes to light. 12. Shivering. 14 Melancholy. 15. Inclination to weep. 17. Broken sleep. 18. Symptoms worse in a warm room. 11. Inflammation of the eyes, with sensibility to light. 12. Shiverings and shudderings. 13. Severe pains in the limbs. 14. Anxiety. 16. Great prostration of strength. 17. Restless. ness. 90 limbs: symptoms increase towards night: pulse soft, and rather frequent: oppression, increasing towards night: wakefulness, or disturbed slumber. Aconite must be taken at the commencement of the attack, its suitability being apparent from the perusal of the symptoms and the comparison of its effects, (see Introduction,) afterwards Belladonna, Chamomilla, Ignatia, Nux Vomica, Pulsatilla, according to the symptoms. With catarrhal fever, cough and an immense secretion of mucus are generally connected: and as the symptoms, now to be recorded, will have relation to the general symptoms, the particulars in connection with the coughs, associated with the catarrhal fevers, will be found recorded under the title of coUGHs, (pp. 96 - 100.) Previous to noticing the individual remedies, it is proper to notice, that, when the catarrh has been brought on by exposure to wet, Dulcamara is, when administered early, a most valuable preventive against the consequences of such exposure: Dulcamara being furthermore particularly indicated when, with taking cold, as the expression is, the urine becomes turbid. Aconite when indicated may be judged of fromthe symptoms. (See Introduction.) 91 Belladonna. 1. Hoarseness. 2. Sore throat. 3. Rattling of mucus in chest. 4. Redness of face. 12. Sleepiness in the day. 13. Sleeplessness at night. 14. Sleep with sudden starts. 15. Sleep with sudden' fits of screaming. Chamomilla. 1. Hoarseness. 4. Redness of the face. 4a. Redness of one cheek, but paleness of the other. 6. Thirst..JNVt Fomica. 1. Hoarseness. 2. Scraping in the throat. 4. Shivering on the slightest motion, followed by flushes of heat. 5. Coldness and shiverine: affecting the back and the limbs, relieved by being near the fire. 6. Thirst. 7. Tongue furred. 8. Appetite failing. 9. Nausea. 10. Vomiting. 11. Constipation. Pulsatilla. 1. Hoarseness. 2. Sore throat. 2a. particularly in swallowing the saliva. 6. Thirst not noticeable. 8. Loss of appetite. 9. Nausea. 10. Vomiting 92 Belladonna. 16. Delirium, patient screams as if frightened. 17. Sadness. 18. Excessively irritable. 18a. Sanguine and lymphatic. 19. Great prostration of strength. 20. Cough chiefly at night. Chamomilla. 18. Ill humor. 18a. Impatience. 18b. Children. 5C.Nuz Vomica. Pulsatilla. 18. Irritable. 18a. Choleric. temperament. 18b. Men. 19. Feeling of;reat weakness. O.Cough severe, particularly in the morning. 18. Mild disposition, disposed to tears and melancholy. 18a. Lymphatic temperament. 18b. Women. 19. Languor. Ignatia suits in many cases where the symptoms of Pulsatilla and of Nux Vomica occur, but it is particularly indicated in persons of a gentle, vivacious disposition, but rapidly changing from joy to grief, and who concentrate their sorrows in themselves. [Tart. Emetic if there should be much chilliness, with occasional cold perspiration, alternating with heat and sense of burning over the whole body: oppression of the chest: difficult respiration: cough, with nausea or disposition to vomit, with pain in the bowels. Protiodide of Mercury, if there should be much cough, with rattling in the throat and chest from much mucus. - Ed.] 93 Another very common affection, in which the fauces and the windpipe are affected, is HOARSENESS. The hoarseness is most perceptible in expiration. Various are the features attendant upon hoarseness, and, according to these, must be the choice of the remedy. Cough, and that dry, is generally associated with each kind of hoarseness: and, in the narration of the symptoms, indicating the choice of remedies for the various coughs, the remedies for the various hoarsenesses will appear. As a general rule, when hoarseness or soreness of throat makes its first appearance, two globules of Belladonna will often prevent any further progress of the diseased condition. It may be remarked, that bathing the feet for from five to ten minutes in hot water, on going to bed, is very useful. INFLUENZA. Certain conditions of the atmosphere induce peculiar modifications of the symptoms, connected with catarrhal fever, which are designated under title of INFLUENZA. Influenza is a catarrhal fever with peculiar symptoms, induced by the peculiar atmospherical conditions. As produced by atmospherical conditions, and as affecting many individuals, (for who can avoid the atmosphere?), influenza may be defined an epidemic catarrh. *%T 94 The most characteristic symptom of the influenza, in addition to the usual symptoms of catarrhal fever, is extreme prostration of all the powers, mental and bodily: the person is unmanned. ARSENICUM is the remedy, when with this prostration there are the symptoms, described as pertaining to arsenicum, (pp. 87, 88,) under the title of COLD IN HEAD, and, those under the title of COUGH, (pp. 96-100.) The influenza that prevails now (February, 1844,) and has prevailed this last month, is attended with afections of the throat, the glands swelling, &c. I have treated, with uniform and rapid success, these cases with Aconite, followed by Belladonna, and then by Mercurius. [Also, Protiodide of Mer. and Tart. Emetic, if the indications for their use should be present, as laid down under " catarrhalfever." - Ed.] Each influenza requires,- according to its peculiar modifications, its own homceopathic remedies. There is one point which all should remember; viz., that the influenza is more dangerous in its efects than in its first symptoms. Every medical man's experience will demonstrate, that serious affections of the lungs very often develop themselves after the influenza.* Great care should be taken in eradicating by appropriate remedies all remaining symptoms. * The old system practitioners maintain that their miscalled active treatment is necessary to eradicate the maladies. That this result is not obtained is evidenced most fully by the numerous cases, that come under treatment at the present period, of which the patient considers the influenza, for which he or she had the old system of treatment, as the origin. 95 The next affection of the respiratory organs is general in its character, and is described under the title of COUGH. Cough may be regarded as a spasmodic affection. It presents various forms, and its characters are so delicate in their shades, that it is very difficult for any but the physician to select the right remedy. [Coughs are most generally symptomatic of other diseases, and are as necessary in most diseases of the air passages, as blowing the nose is necessary to relieve that organ from catarrh, and therefore attention should be paid to the cause in treating all coughs.Ed.] To aid the non-medical person the following tables have been compiled: Aconite. Belladonna. Chamomilla. Hyoscyamus. Ignatia. Ipecacuanka. NJuz Vomica. Pulsatilla..Arsenicunm. 1. Dry 1. Dry. 1. Dry. 1. Dry. 1. Dry. 1. Dry. 1..mkoist, 1. Dry. cough. loose. 2. Expecto- 2. Much te- 2. Exzpecto- 2. Thick ration of nacious ration, after mucus in unpleasant mucus in long cough- throat, diffitasting chest, or a ing, of mat- cult to mucus, with cough- with ter yellow, detach. nausea, and a cold. salt or bitter, vomiting. producing nausea, occasionally tinged with blood. 3. Lasting 3. Spasmo- 3. Convul- 3. Spasmofits of dic; with sive. dic shaking coughing. asthmatic, with sussuffocating, pended stertoronus breathing. breathing. 4. Strong. 5. Frequent 5. Frequent. 5. Constant. paroxysms. 3. Exhaust- 6. Exhausting. ing. .Aconite. Belladonna. Chamomilla. Hyoscyamus. Ignatia. Ipecacuanha..NJVI Vomica. Pulsatilla..drsenicum. 7. Jfter 7. A sen- 7. Sensation coughing, a sation of a of burning. sense of hbated subburning in stance pressthe chest; ing on the chest. 8. and a 8. Feeling of 8. Pain in sense of la- a wound in throat and ceration in the chest. chest as if the chest, or raw. a feeling as if torn. 9. Constric- 9. Tightness 9. Tightness tion in the across chest, across chest. chest. 10. Pain be- 10. In neath the coughing, as breast bone though at night, or something after a meal, rose in the with difficult throat, as if breathing. it would take away the breath. 11. Pain in 11. Painful 11. After 11. Pain at the hypo- jerking in coughing a both sides. chondria. stomach. pain as from a blow beneath the ribs. Aeonlit. Belladonna. Chamomilla Hyosciamus,. Ignatia. Ipecacuanha., ANz Vomica. Pulsatilla. AArsenieum. 12. Pain in 12. Pain at 12. Cough, the loins, the lower when less with feeling belly. viorent, a of alarm. pain as of a blow or bruise, in the lower belly,. also a hruise and pain at pit of the stomach. 13. Painful 13. Cough, jerking in causing pain head. in head, as if it would burst, or split. 14. Cough 14. Water attended 14. Water with fever- discharging ish heat, in- from the flammation, mouth, with see note, inclination Introduc- to vomit. tion. 15. Chiefly at 15. Worse at 15. Cough, 15. Day and 15. Cough 15. Distress- 15. Worse in night, some- night, con- especially night, equal- worse to- ing by day the evening times occur- Linuing during the ly severe. wards5a. m. and night. and at night. ring in sleep even during night, prealter a cold. sleep. venting sleep. Aconite. SBelladonna. Chamomilla JHyoscyamws. Ignatia. 1Ipecacuanha. J.N'u Vomica. 17. Excited by an insupportable tickling in throat. 18. Excited by the slightest movement. 19. Swelling of the belly. 17. Excited by a constant tickling in the trachea behind the hollow of the throat. 17. Tickling irritation in the trachea with a convulsive cough. 17. Cough, proceeding' from the windpipe. 17. Ticklinj in throat as if contracted. 17 Excited by a rough dryness and a scraping in the throat, and a tickling in the palate. 18. Excited by motion. 20. Excited by speaking. Pulsatilla 16. Cough in morning with general tremor. 17. Excited by a rough dryness in the throat, and tickling in the palate. Jlrsenicum. 20. Aggravated by speaking. 21. Excited by a fit of passion; especially in children. toni.it. Belladonna. I Camomilla. Hyoscyamus.u Ignatia. 23. Excited constantly by lying lown, ceasing when sitting up in bed; obliged to sit up at intervals. Ipecacuanha. 22. Increased by cold air. 24. Cough, with suspension of breathing. 25. Constant obstruction of nose with loss of smell. 26. Diffused perspiration. ~au Vomica. Pulsatilla. 11.rsenicum. 24. Breathing impeded in the night. 27. Irritable. quick. 0 0 27.Sangiine, 27. Children. lymphatic. 27. Gentle passing rapidly from joy to grief, from grief to joy. 26. Profuse night sweats 27. Mild placid tempers. 28. Emaciation. 29. Loss of appetite. 30. Small frequent pulse. 101 Bryonia has many symptoms, which render it very valuable in coughs: indeed it will be noticed in inflammation of the lungs: its symptoms approach much to Nux Vomica, but its peculiarities are, that generally chilliness preponderates, and that the temper is extremely irritable. The pains produced by it are sticking, stitch-like pains, and the pains are felt deep in the chest. HOOPING OR WHOOPING COUGH, (PERTUSSIS.) This spasmodic cough, without physic, will often wear itself out in four or five months; with physic, under the old system, will continue much longer; and this, on these grounds, that the physic complicates the disease, and produces a weakness of the general constitution. Under homceopathic treatment it is often cured in three to four weeks; sometimes in two weeks, sometimes in a few days. When hooping-cough is prevalent and children begin to cough, give one or other of the remedies already detailed (pp. 96 to 100) as suitable to cough, selecting the one most nearly allied to the symptoms of the existing cough. Aconite will be serviceable principally at the commencement, but also at any period where the symptoms hereafter detailed with fever are present: namely,'when the cough is dry (1. p. 96,) whistling, attended with burning (7. p. 97) in the windpipe, the child putting his hand to the throat at the situation of the windpipe; and when there is fever (14. p. 98) the aconite should be given immediately, and repeated as the symptoms may indicate. 102 If the cough at the commencement is moist, easily loosened, and begins after a violent cold, and is attended with hoarseness, Dulcamara will be most useful. Nux Vomica will be serviceable, if the cough is dry, and attended with vomiting and anxiety, so severe as almost to induce sufocation: also, if the sufferer from the beginning turns almost blue in the face, and if the cough occurs after midnight, continuing till the morning (15. p. 98.) If, after the nux vomica, the cough becomes loose and moist, Pulsatilla (1. p. 96) will become appropriate: and if there is bleeding from the nose and the mouth. Pulsatilla also is to be preferred to Nux Vomica, if, besides the cough being loose and moist, vomiting of mucus and of the contents of the stomach, and a mucous diarrhcea present themselves. Should the VOMITING cease, but the ANXIETY, approaching to suffocation continue, Ipecacuanha (24. p. 100,) will then be useful. Should these means be ineffectual, and the cough occurs as a spasm in single attacks, most during the day, the evening, and the frst part of the night, attended with a redness of, and pains in, the throat when swallowing; also with watering of the eyes, Carbo Vegetabilis can be given, and repeated in twenty-four hours. This medicine is particularly serviceable when children " complain of a pricking in the head, pains about the chest and in the neck, and, at the same time, have eruptions on the head and the body. It is a sovereign remedy when the hooping-cough is on the decline." (Dr. HERING, of America.) When, however, the hooping-cough is fully developed, other medicines are required. 103 The following description, by Dr. Hering, of the attack of hooping-cough, is so graphically correct, that I have adopted it: " In real hoopirig-cough, the children have frequent single paroxysms, before which they run after their mother, become anxious, grasp at and hold something: then cough violently with a sounding hollow tone, in such quick succession, that they can scarcely draw breath again, or only with a long, sobbing, whistling tone: this is succeeded by great anxiety, as if they would suffocate, and they become red and blue in the face. They stretch out the neck far, everything is strained and cramped, and they can bear nothing to touch them. These paroxysms end with struggling and vomiting of mucus, frequently mixed with blood, which also is often discharged from the nose. Afterwards the children are again lively: but, owing to their throwing up everything they eat or drink, they become, as the attacks are frequent, weaker and much debilitated." Dr. Hering recommends to try Veratrum first, as its operation is speedy: to give one globule, and wait till the next attack: then give a second globule, and wait twenty-four to thirty hours: if the cough improves, not to repeat the dose till the cough is worse again. This course of administration applies to the other remedies for hooping-cough. Among these remedies, Drosera is a most valuable remedy, especially when the whoop is well defined. I have cured many with it. To direct in the choice of the appropriate remedy, the following tables will be useful: particularly noticing, that, when one remedy ceases to improve the symptoms, another is to be carefully sought. Drosera. 1. Without fever, or, if present, slight. 2. Cough loose, or dry with hoarseness. 2a. If phlegm not easily discharged, vomiting, first of food, and then of phlegm and water. 3. Fits of coughing in rapid succession. 3a. The whoop quite marked. 4. Expectoration bitter, offensive, purulent. 4a. Breath has a burnt odor. 7. No thirst when chilly. 8. Shivering, or fits of shivering alternating with heat. 1( Veratrum. 1. With fever. more or less constant. 2. Hollow, deep, and as if from the belly. 2a. Dry, with continual feeling of vomiting, and copious discharge of mucus. 5. Cold sweats, particularly on forehead. 6. Pulse small, weak, rapid. 7. Much thirst. 7a. Voracious appetite and dislike for hot food. 8. Much chilliness or rigors. Cina. 2. Dry spasmodic cough, or cough with sudden startings and loss of consciousness. 5. Anxious pale countenance, face puffed up and purple. 7. Much thirst. 7a. Voracious appetite. Cuprum. 1A5 Drosera. 9., Pain as of a [bruise in breast and under ribs, obliging to hold the parts with the hands. 10. Cough produces inclination to vomit. 13. Gripes in bowels. 15. Ill-tempered. VeratrIum. 9. Pains in chest. 11. Much reduced; niape of neck so weak, cannot hold the head up. 12. During tle cough, discharges the urine involuntarily. 13, Complains of pains in abdomen, and in 14. the kidneys Between attacks. 15. Not lively. 16. Dislikes to move. 17. Unwilling to speak. Cina. 9. Tearing or heavy pain in head, pupils dilated and sight impaired. 13.Frequent griping or pinching, has diarrhoea and discharges water. Cuprum. 19. Oppression when coughing as if something held the breath back in the chest, so as to be able scarcely to cough or speak. 19. Pifficult re- 19. Respiration is spiration. suspended. 20. Dry small eruption on the body, the face, and the hands. 20, Paleness of countenance. 106 Drosera. 21. Patient worse when atrest.than when moving about. Veratrum. Cina. 22. During cough becomes stiff. 23.Recovers with much difficulty after vomiting. 24. After cough a clucking noise, passing down the throat into the bowels; groaning after the fit. 25. Boreswith fingers in the nose. 26. Frequent itching at anus. 27. Have had, before, fits from worms, or have voided large worms. Cuprum. 22. During cough becomes stif. 24. Audible rattling of phlegm in the throat. As the cough improves, avoid attempting much: should the sufferer's state remain stationary, select some medicine suited to the remaining symptoms. Pulsatilla will often be found serviceable. When there are relapses, or when the vomiting continues, Carbo Vegetabilis does good: if still there is abundant expectoration, Dulcamara: if much crying after the cough, Arnica: if the cough, when decreasing, is still hollow and shrill, or dry and hoarse with retching afterwards and crying, Iepar Sulphuris. 107 [Prussic Acid, (Scheele's strength) five drops to one hundred drops of distilled water, and administered in the dose of from one to three drops of this to a child, and repeat every four, six or eight hours if the cough should be suffocating and spasmodic. - Ed.] An affection of the windpipe and bronchial tubes, most dangerous to the sufferer, is now to be noticed: it is CROUP. The first symptoms are often those of common cold, hoarseness predominant. The real symptoms soon appear, and so clearly are they marked that no mistake can exist. The cough is sonorous, whistling: it is croup: the voice is hoarse, rough, or wheezing. The cough excites pain, the patient carries his hand to his throat: the face is red at first, or mottled: as the disease advances, blue: a clammy sweat suffuses the body, the breathing is difficult, and the head is thrown back to aid respiration. Aconite is the first resource to subdue the inflammatory action. About two to four hours after the aconite, Spongia must be used: and if this does not succeed, Hepar Sulphuris. If the spongia relieves but does not cure, then hepar sulphuris will be peculiarly serviceable, more especially if the cough has become moist, or loose 108 with an evident accumulation of mucus in the respiratory tubes. Lachesis, Dr. Hering has shown, can be employed with benefit in the worst cases of this disease, but no patient in such a disease can be trusted to mere domestic treatment. This disease is too severe to be intrusted to any one except a physician. [The author's concluding remarks are very true, but the friends of Homoeopathy have, very properly, a very great dread of allopathic practice. With a few brief directions, and homceopathic remedies, a layman of cool judgment, will be more successful than the most skilful allopathic physician. Symptoms- A slight cough of a peculiar barking sound: soon increases to a shrill crowing, and the respiration becomes more and more difficult, producing a peculiar drawing in of the pit of the stomach at every inspiration, accompanied with a whistling noise. There is an acute pain in the throat, and a frequent cough, which brings off tough mucus, or shreds of membrane. The pulse is frequent, heat considerable, and restlessness great. The face is bathed in perspiration, pale and livid, and the expression of the countenance shows the greatest distress. In the first stage, remedies as directed in the text, will generally quickly relieve. They should be administered in more rapid succession, however, in the same form of the disease. My practice has been (and the success has been uniform,) to administer Aconite, first dilution, one dose; in ten minutes if the breathing remained difficult, with wheezing, I give Hep. Sulp. three pellets of the fifth attenuation; if the heaving of the chest still 109 continues at the expiration of ten minutes more, I give three pellets of Spongia of the fifth attenuation, and thus continue to alternate these two last remedies until the sufferings are past. If the case resists these means, there is great fear that the disease has passed from the spasmodic to the membraneous form. In this last, there is a rapid exudation of lymph into the air tubes, and the passage becoming less and less, the distress is very great, and the danger imminent. Here Tartar Emetic, in slightly nauseating doses, will generally check this disease, and Mlerc. Sol. or Protiodide will change the tendency to exudation to a healthy character. The Bichromate of Potass. is also a valuable remedy at this stage of croup. The size of a pea of the second trituration in a wineglass of water, and one teaspoonful given every ten minutes. Warm water, by means of a sponge applied to the throat, is a good auxiliary. - Ed.] There is one disease, approaching in many of its characters, to croup: it is THE ASTHMA OF MILLAR. Croup is often, as was stated, preceded by symptoms of a cold. This is sudden in its attack, and is preceded by no warning symptoms; and it occurs several times, and the parties are said to be subject to sudden attacks of croup. It is not croup. The patient is seized with choking, great anxiety, and diflicult breathing: the voice has a deep harsh 110 tone: the cough is hoarse, broken, and devoid of mucus. The first attack is often fatal. If not, the attack ends in a few hours in sneezing, belching and vomiting: the little patient sleeps tranquilly, but awakes languid and weak, with symptoms like a common cold. Perspiration generally attends at the close of the attack. A fresh attack, worse than the former, comes on in twenty-four hours. Sambucus is the best remedy for this affection, when the patient becomes sleepy with the eyes and the mouth half opened, especially if, being obliged to sit down, the air enters the lungs with a whistling sound, and with a sense of suffocation; if he strikes his hands behind him: and if his hands and face are swollen and purple: and when the attack comes on in the middle of the night. There are other remedies; but the severity of the affection will be sure to cause the parent to send for the physician, who will decide. THE LUNGS. The lungs themselves, so important in the process of respiration, are subject to attacks of inflammation, which require medical aid, but which may be partially met till such aid is obtained. INFLAMMATION OF THE LUNGS, is indicated by difficult and short respiration: great oppression: by darting pains in the chest, aggra 111 vated when inspiring: great anxiety: cough, attended with much pain, dry at first, afterwards moist, and the sputa tinged with blood. The pulse is full, strong, and frequent, often palpitation of the heart: the face is red and livid: thirst excessive: generally constipation: urine high color, red: skin hot, dry and burning. A comparison of these symptoms with those detailed, in the Introduction, in connexion with aconite, will demonstrate that Aconite should be at once administered, in successive doses, during the first twenty-four hours. After the inflammatory and febrile symptoms have given way partially, (often they will be entirely removed by the aconite,) Bryonia* can be given, especially if the sputa, tinged with blood, have a rusty appearance: and where there are pains, considered rheumatic, in the back. Rhus and Squilla are useful under circumstances, which will require the physician to decide. Phosphorus, sulphur, and other medicines, are useful in this disease, but the phenomena indicating these need not be detailed, as the physician's aid is sure to be sought. [Phosphorus is the most important remedy for in* From the symptoms recorded in connexion with Aconite, it will be seen that, where fever exists in connexion with inflammation it is peculiarly suitable. But Bryonia is suited also to inflammatory fevers. Aconite is suited where there is dry heat, constant burning over the whole body. Bryonia is suited where the internal heat is more developed than the external. Aconite is suited where there is much thirst: Bryonia also where there is violent thirst, and this for cold liquids. Aconite is suited where the heat is constant. Bryonia is suited where there are alternations of chill and heat, or when both exist simultaneously, the latter internally, the other perceptible externally. 112 flammation of the substance of the lungs, characterized by deep pain and difficult respiration. Tartar Emetic, if the above does not relieve, and an expectoration of bloody mucus commences, with great oppression, pain and rattling in the chest.-- Ed.] The lungs are covered by a membrane, which covers also the inner surface of the ribs. This membrane, called the pleura, is subject to inflammation, known by the name of PLEURISY. The peculiar catching in the side, or violent stitching pains, on taking a full breath, and the intense pain, with an anxious state, are strikingly characteristic of this affection. Here again Aconite and Bryonia are employed with success: and if followed up by the use of Thuja, much benefit will result, more particularly if there exists a feeling of something adhering within at the place where the pain was. The last disease to be noticed, in connexion with the respiratory system, is SPITTING OF BLOOD (HAEMOPTYSIS.) Generally, before a discharge of blood from the lungs, occur heaviness and tightness in the chest, 113 difficult breathing, palpitation of the heart, anxiety, saltish or sweetish taste in the mouth, tickling in the fauces, and cough, bringing up blood. Aconite is the best remedy: it subdues the general increased action very effectually. China and Pulsatilla are the remedies most frequently useful after the hemorrhage. The selection may be deduced from the following table: China. Patient shivers. Patient has transitory heats. Short sweats. Inclined to lie down. Limbs tremulous. Sanguineous excitement lessened. Expectorates blood, more or less, every day. Pulsatilla. Shiverings with general debility. Blood expectorated, deeply colored and in clots. Shootings in the chest, and an uneasiness in the lower part of the chest. Difficult breathing. Feet cold. Oppressed with grief. Inclined to tears. Women, whose menses are suppressed. I have very great confidence in the use of Aconite and. Arnica, having seen such decided benefits from their alternate use. I could relate upwards of a hundred cases of the' successful use of these two remedies. Where the haemoptysis results from a' llow, they are specific. When China is given, it should' be given' in the intervals' between the hemorrhages. Persons are so agitated when hemorrhage from the lungs takes place, that they, in their agitation, use means which often have a most decided injurious tendency. The best thing is to give two globules of Aconite in a desert spoonful of water until the physician is called: and repeat these each time there is a sensation of warm bubbling in the chest. [Millefolium is the most important remedy for bleeding from the lungs. -Ed.] 115 CHAPTER VI. -9-6 AFFECTIONS OF THE DIGESTIVE ORGANS. THE organs, which are engaged in the preparation of the articles taken for food; so as to produce the changes necessary in order to render them nutritive, are numerous, and are liable to diseased states. These organs are the mouth, the teeth, the throat, the gullet,- the stomach, the duodenum, the small intestines and the large intestines, the caecum, the colon, and the rectum. The diseases, may be classed1. Aphtha 2. Stomacace 2. Teeomaace of the Mouth. 4. Toothache and Tic Douloureux 5. Quinsy, affecting the throat. 6. Derangement of the Stomach, or Dyspepsia7. Cardialgia, or Heartburn of the 8. Flatulence Sto9. Vomiting. 9a. Vomiting of blood. mach. 10. Cramp 116 11. Constipation 12. Diarrhcea 13. Cholera 14. Colic. of the Intestines. 15. Inflammation 16. Haemorrhoids 17. Dysentery 18. Worms 19. Jaundice. 20. Liver Complaint. 21. Inflammation of liver. Diseases of the Mouth. The lips, the entrance to the mouth, and the mouth itself, are lined by a membrane. This membrane becomes diseased; small pale, grayish spots appear, and gradually eilarging, form round pustules, like millet seeds, filled with a sanious fluid: this being discharged, little scabs form and fall off, and are renewed and again fall off. These appearances constitute the disease, called APHTHA, OR THRUSH. The formation of these bodies is often attended with uneasiness, watchfulness, difficult breathing, breath fetid, voice hoarse and feeble, tongue dry and swollen, mouth and throat dry, hot, and red, exhaustion, and dulness of sense. The white aphtha, affecting infants, are, in general, not dangerous, and are cured by Borax: a weak so 117 lution of Borax in water can be applied by a brush to the interior of the mouth. Sometimes they become, in very bad constitutions, malignant: the choice of the remedy must be left to the physician. - In children of gross habits, Mercurius Vivus is often useful. SSulphur is useful when the whole interior of the mouth is covered with thick scabs, when the evacuations are frequent, greenish, with tenesmus, the body covered with a rash, and the thighs excoriated, with a vesicular eruption on the back. To prevent this disease, and to aid its removal, cleanliness, good and simple food, cleansing the milkbottle (if using one) before each suckling, and not allowing the infant to suck improper things, such as rags filled with pap, are essential. In reference to cleanliness, washing the whole body is far more effectual than mere and frequent washing of the mouth. A second affection of the mouth; attacking adults more frequently, consists in the formation of ulcers on the gums, these becoming spongy and swollen, and often hot, and red. These ulcers discharge a bloody sanious matter, having an intolerable stench. [A disease somewhat analogous to this has come under my observation. Among children, whole families, one after another, have suffered with it. The gums, inside of the cheeks, and tongue are swollen Sand ulcerated, while the edge of the tongue presents the same marks of the teeth as in salivation. The 118 edges of the gums have the same spongy aspect, as after the effects of mercury. Sometimes these ulcers extend to the throat and epiglottis, and thus very much increase the suffering and danger. The odor from the mouth has the same peculiar offensive smell as that which arises from salivation.- Ed.] The patient feels extremely weak and is feverish. This disease is STOMACACE, OR BAD MOUTH. In this affection, Mercury is the remedy, unless; as is often the case, the disease has been caused by Mercury. In such case, and also where the mouth bleeds much and smells very bad, Carbo Vegetabilis is very useful. When swelling and inflammation preponderate over the ulceration, then Nux Vomica can be employed, particularly with irritable, emaciated persons, who sit much in the house, and where affections of the digestive system manifest themselves prominently. [In addition to the above remedies I would recommend the Protiodide of Mercury, where the,ordinary preparations of mercury do not succeed; and in the advanced stages, when the smell is very bad, Nitric or Sulphuric Acid, the first dilution of either, in drop doses. - Ed.] THE TEETH. The teeth are thirty-two in number, sixteen in each jaw. They make their way in infancy through the gums, and the process, constituting this exit, is named 119 DENTITION, OR TEETHING. This ought to be unattended with fever or with pain. Frequently, however, fever and severe pain attend this process, and sometimes serious diseases are developed during the irritation of teething. The progress of teething requires to be watched with care. Should the gums be much swollen, be hot, red, and painful -should the child constantly drivel; put his fingers in his month; forcibly bite the nipple; or suddenly let go his hold, and be restless, Aconite will relieve. Should the child be violent as if delirious, not to be pacified, and sleepless, Coffea; but if the mother use coffee, Chamomilla. Should dry cough, with panting and hurried respiration, be present, then Belladonna. Belladonna will be serviceable, whenever symptoms present themselves, indicating cerebral congestion. Belladonna and chamomilla, as well as coffaea, are serviceable when convulsions occur. Chamomilla is eligible, when the symptoms indicate affections of the abdominal organs, such as gripings, diarrhoea, and greenish evacuations. When the diarrhoea is watery, Mercurius is useful. Constipation, when attendant, is relieved by Nux Vomica. When convulsions occur, and have resisted the action of belladonna and chamomilla, Ignatia may be administered, one dose every quarter or half hour. When the teeth are delayed in their appearance, a 120 constitutional condition, opposed to health, is indicated: and for this the best remedies, as experience has convinced me, are Calcarea and Belladonna, used alternately. TOOTHACHE. Hollow teeth are peculiarly subject to this affection. Taking cold is generally stated as the cause. The symptoms of toothache vary much: the following tabular view will serve to help in the selection of the appropriate remedy. These tables will show that Mercurius and Sulphur are the two medicines, most extensively curative of toothache. Mercury, it should be remembered, being so injuriously prescribed by so many practitioners, is the cause of numerous toothaches. It should therefore be always ascertained whether the patient has or has not been mercurialized previously to prescribing Mercurius. Next to sulphur stands Nux Vomica: and next to nux vomica, Pulsatilla: next to it, Staphysagria.: then Belladonna, Bryonia, Chanmomilla, and Rhus Toxicodendron. Persons, liable to toothache, should abstain from cofee: toothache being one of the effects of cofee. The phrase "1do" in the adjoined tabular view, implies that the characteristic in the first column belongs to the medicine in the column in which the do" is under the name.. -- b Pains passing into the jawbones and face................. do.. do do *... do.. the cheeks.........................do........ do. the ears.................... do.. do do.do dodo do do the eyes................................ do.. the head.................... do..do........ do....do..do do.... do..do do. Pains in holeow teeth particularly...... do. do do.. do do. do do do dp.. do do do the wtaole roew of teeth............do...... do.. do...... do.. do.. with swollen cheeks...................... do do do do d..do.... do do the teeth feel loose..........................do.. do.......... do.. do do *... do.. do too long................... do do do & do gums swollen..................do. do.....,..do......d dodo..do..dododo Pains worse when eating.................. do do.. do... do.. do do.... do do do after eating......................do....o....do. do.. doo..... do do.. when rubbed............................ do do dodo. do dodo do do.. do with tongue......................do.. do.... do do..... WoRsE in the open air......................... do.do...... do..do..do do.. the wind................................................ do. from a draught of air...........__................ do..... o.......do BMrTra in the open air............................ do....... do do do.do Woasa from warmth.................................ddo...... do do do do do do warm liquids........................o..... do...do.. do..........do warm food.............................do... do... do do.. do.. in a warm room.....................o.................... do do......do by warmth of bed...................................... oo.... do.... do... do "S ii 4 BPETTEn by w ar m th.....***. do...... dodo...do...dc Wozasi from coldness....................... do. do.... do....... de cold air............................ do...... d ýo'.. d*o.. dod'od d'o.. d'o dc cold water......................... do.. do do... do do.. do...... dc cold drink.............................do....d do.. do... do dc washing in cold water............... d.....do.......... dc od drawing cold air into the mouth...... do do..do do.. do do..do d( BETTER by applying a cold hand........................ do. cold water in an instant........ o.... by dipping the fingers in cold water......... do....... WoRsEC inf he morning............. 0..... *............... do do do do do do. do d-c in the forenoon.,..................... do...do...... dc at night................................. do do..do.do.. do do dodo dodo dc in the afternoon.............................. do.... do dc~... towards evening........................do............ e. dodo do.. in the evening........................ d.... do....... do d o.. do. do do... dc Pains when caused by a cold................do dod....do.. -o o.(to do...do d6o. Toothache with children................. do.. do do. do. do do do...... men.......................-........................... women.................ddo o....d.. do.....o before, during) and after menstruation... do..do do do.. do.......... during pregnancy...o.d.........d.........do.I.....oI..... do do.. do 123 The insertion of a globule of the selected remedy on the tongue is a most effectual method of cure: sometimes smelling the medicine will be enough. Often the pain is increased at first, a homceopathic aggravation: the patient should wait patiently, and, in a short time, the desired relief will be obtained. If the pain should return then use the same remedy, but if new symptoms rise, then employ a new remedy. The best means to prevent toothache is to take care of the teeth by cleaning them with water and a brush after each meal. As a general rule, the use of toothpowders is unnecessary, when the teeth have been preserved by the means just stated. But if a toothpowder be used, no medicated or scented toothpowder should be used while taking homoeopathic medicine. The use of a toothpick is to be avoided. The teeth are injured by this practice. Opium should never be taken. The pains are always increased. Creosote, another common remedy, should never be used unless under medical superintendence. Sometimes toothache assumes a chronic character: and then means, acting upon the general constitution, must be employed, 124 [TIC DOULOUREUX. The nerves of the face in this disease are very sensitive, and the pain, is more excruciating than any other to which we are liable. The paroxysms are sudden and often repeated, with intervals of perfect ease. The patient often feels as if a red hot needle was piercing through the part, which distinguishes it from toothache. There is no swelling. T r e a t m e n t.-Aconite sometimes is necessary at first, if there should be heat. Belladonna, if the pain is excited by touching the part, twitches in the eye-lids, convulsive jerks of the muscles of the face, with occasional flush. Causticum, if the jaws should be stiff and noise in the ears. Mezereum, when the pains extend into the eye, temple, ear, neck, and teeth, when coming into the air. Lycopodium, when the right side of the face is principally the seat of pain, and there is a sensation of coldness, and the symptoms are worse at night. M1Iercurius, if the entire one side of the head from the temples to the teeth are affected, more particularly at night after getting warm in bed, particularly if there is a predisposition to a flow of tears and saliva. Conium, if the pains come on at night, and are of a shooting character. Colocynth, if the pains are of a shooting character, and occupy the left side of the face, and are aggravated by the touch. Nuz Vomica, if the pains are tearing and drawing pains, with aggravation from mental labor. 125 Phosphorus, if moving the muscles of the face aggravates the pain; if the pain is on the left side; if there is humming in the ears; and a bloated appearance of the countenance. Platina, if there is coldness and torpor, with atendency to flow of tears,and renewal of pain during repose. Spigelia, if there is violent pain in the cheek bones, which will not bear the slightest pressure, or with sense of anguish of heart. Staphysagria if the pain extends from the teeth into the eye, with coldness of the hands and oold perspiration on the face. Kalmia Latifolia has been very successful in some forms of Tic Douloureux, more especially where the right side of the face is chiefly or entirely affected by pain between the eye and nose in the afternoon; "stinging in the bones of the jaws, stitches in the eyes." - Ed.] THE THROAT. The throat may be regarded as a continuation of the mouth. There is a division, called the hanging veil of the palate (velum pendulum palati,) between the mouth and the part behind, called the fauces. From the centre of this hanging veil a little fleshy body hangs, called the Uvula; and between the fleshy pillars, forming the side of this fleshy veil, are glandular bodies, called the tonsils. Opening into the fauces is the gullet, the fleshy tube, which conveys the food into the stomach: the 128 Belladonna. 13. External swelling of the throat, of the muscles, and of the glands of the neck. 14. Pain in speaking. 15. Sometimes inability to drink, liquids returning through the nose. 16. Fever, sometimes with delirium. 17. Hoarseness. Chamomilla. 13. Glands of lower jaw swollen, with throbbing pains. 16. Fever, with alternations of heat and cold. 16a. Fever worse towards evening. 18. Caused by a cold. 19. or a cold draught of air when perspiring. 20. Children. Ignatia. 15. Liquids more difficult to swallow than solids. 16. Fever, with alternations of heat and cold. JMercurius. 15. Throbbings in tonsils in swallowing. 16. Fever, with alternations of heat and cold. 17. NJux Vomica 17. 18. Caused by a cold; 19. Cnld air produces pain. Pulsatilla. 13. Glands of neck swollen, and tender to the touch. 15. Pain in swallowing the saliva. 16. Sense of diffused coldness, increased towards night, succeeded by heat. 16a. In the evening. 17. 129 [When the lining membrane is inflamed, rough, and discharges a thick mucus, give Protiodide of Mercury.* - Ed.] The Stomach. The stomach, performing very important duties in the process of digestion, its affections become of very considerable moment. It should be remembered that the stomach is situated under the ribs on the left side of the body, in the upper part of the abdominal cavity, extending across to the right side, passing behind the triangular part, formed below the end of the breastbone and the margin of the ribs, called the pit of the stomach.t The first affection to be noticed is DERANGEMENT OF STOMACH, sometimes called DYSPEPSIA, OR INDIGESTION. The ternm Dyspepsia covers a multitude of disordered states: hides a multitude of professional sins: forms a most successful opportunity and means for medical pillaging; and, when the sufferer is tired of * See Editor's chemical remarks on "Mercurius lodatus," in 2d Vol. " Symptom Codex," p. 233. t For a full description of the stomach and its uses, and also of the other organs of digestion, see "Constipation Curable." Second edition. By John Epps, M. D. 9 131 NVauz Vomica. BYXMPTOMI. 3. 8. 8a. 15a. 19. 24. 43. (See " Headache.") 1.Face yellowish. la. Especially about the mouth and the wings of the nose. 2. Face red. 3. Eyes ayellow tint of the opaque cornea. 4. Mist before the eyes, or spots. 5. Sparkles before the eyes. 6. Giddiness. 7. Tongue foul. 7a. Tongue dry and white, 7b. or yellowish. 8. Thirst. 9. Bitter taste. 10. Heartburn. 11. Acidity. 12. Flatulence. 13. Water brash. 14. Hiccough. Pulsatilla. a, o B '^ I ~S,i? Bryonia. Symptom 2. (See other symptoms of headache.) 6. Giddiness. 7. Tongue dry. 7a. " white. 7b. " yellow. 8. Great thirst. 11. Acidity. 12. Flatulence. 13. Water brash. 14. Hiccough. Chamomilla. 3.7.17. (See " Headache.") 2. One cheek red, the other pale. 3. Ditto. 4. Eyesightobscured. 7a. Tongue dry and cracked. 7b. Thick yellow coating. 8. Ezcessive thirst, 8a. Desihe for cold drink. 11. Acidity. 12. Flatulence. 13. Regurgitation of food. 8. A want of thirst. 9. Bitter or sour taste. 10.!Ditto,an.hour after eating. 11. Acidity. 12. Flatulence. 13. Water;brash. 14. Hiccough. 132 SVomica. Pulsatilla. 14a. Nausea in 14a. Aversion the open air. fat foods. 15 Fulness at the pit of the stomach, 15a. and at the sides of the stomach. 16. Tenderness of the pit of the stomach to touch. 17. Clothes feel tight. 18. Cramps in the stomach. 19. Constipation. 20. Irritable. 21. Passionate temper. 22. Men. 15. Pain at pit of stomach. Bryonia. 14a. Aversion to food so strong, cannot bear the smell. 15. Ditto. 16. Ditto. 17. Pressure as if from a stone. 18. A burning at the pit of the stomach, especially when moving. 19. Constipation. 21. Passionate, obstinate. 23. Complaints worse by motion 24. In summer. 25. In damp weather. 26. Chilliness a common attendant. Chamomilla. 14a. Nausea. 146. Vomiting of food. 15. Ditto, chiefly after eating. 15a. Oppressive pain at the region of the heart. 15b. Feeling of sinking at pit of stomach. 18. Ditto, especially when from coffee. 19. Relaxation as a more general feature. 19. Diarrhcea, or if not, slow evacuations. 20. Timid, phlegmatic. 22. Women and children. 134 A second affection of the stomach and of the bowels, very common, is FLATULENCE. Flatulence is dependent in numerous cases upon general causes; such as food of bad quality or excessive quantity; unsuitable drinks; and then immediate relief can be afforded. When, from the wind, the lower intestines are affected with pains and a sense of tightness, the tightness being felt also under the false ribs, the wind not effecting its escape, China is very serviceable. When constipation exists, as will be seen from the table, and the sufferer is of a lively temperament, Nux Vomica is useful. When flatulence follows the use of rich food, and when it occurs in women of a mild and gentle disposition, Pulsatilla is an appropriate remedy. A more active remedy is Cocculus: it is useful when, in addition to the sense of tightness and contraction in the lower belly, similar feelings exist in the genital organs: also when there is a swelling at the pit of the stomach; uneasiness at the stomach: gripings, twitchings, anxiety, and pressure under the cartilages of the ribs, not diminished by the discharge of wind, but relieved by the expulsion of the offending matters. [Carbo Veget. if indicated as in the preceding article. - Ed.] A third affection, in which the stomach is intimately concerned, is Vomiting. 135 VOMITING. This, when from excess of food, should be aided by warm water, drank plentifully. Should aversion to food, nausea, and heavings of the stomach continue after full vomiting, the tongue being furred, then Antimonium Crudum is useful; but if the tongue is clean, Ipecacuanha. When vomiting is caused by food that is fat, Pulsatilla is the remedy. When vomiting has been preceded by a fit of passion, and is attended with a bitter taste, bilious, and bitter risings, the matter ejected being green, bilious, and producing a grating sensation in the throat: with fulness, and a pressing pain at the pit of the stomach: general languor: total loss of the appetite: anxiety: thirst: giddiness, and semilateral pains in the head, then Chamomilla must be used. Add to these symptoms, the continuance of the passion and a sensation of coldness, then Bryonia is to be employed. When children, who have pains in the belly, frequent nausea, excess of saliva, with a vapid taste, pale complexion, discolored lips, with general coldness and debility, then Valeriana is the best temporary remedy; permanent relief being obtained by the use of those means which expel the worms, the cause of these symptoms. VOMITING OF BLOOD. (HIMATEMESIS.) This disease is often dangerous, not so much from the mere vomiting of blood, as from the circumstance, 136 that it is a result of long continued disease of the stomach or of the liver: sometimes of one, sometimes of the other, sometimes of both. The severity* of the malady will cause the advice of the physician to be obtained; but it may be advisable, if there is great exhaustion, the countenance pale, the nausea excessive, to give at once and after each recurrence of vomiting two globules of Arsenicum: if relief does not follow the second dose, the same dose of Ipecacuanha, but if with the discharge of blood the patient complains of a BRUISED FEELING IN HIS LIMBS, then Arnica is to be preferred. [Aconite and Pulsatilla are effectual remedies.Ed.] A fourth affection of the stomach, with which the bowels sympathize is that designated CRAMP OF THE STOMACH. This cramp of the stomach presents itself in very numerous forms, being attended with constriction, pressure, pinching tearing pains at the pit of the stomach; with a feeling as though the clothes compressed the body at the pit of the stomach; a feeling as of accumulated wind in left side: under the ribs: pain extending to the back and the left side: strong pressure at the back as from a hard substance: hot, cramp-like feeling, extending to gullet, with a sense * A case of this disease and its attendant difficulties I published in the Lancet, 1844, this case being treated homoeopathically. 137 of suffocation: increased saliva, fainting, and oftentimes vomiting. When these symptoms are present, and where coffee has been much used, then Nux Vomica is the remedy. Where, in addition, the lower belly is swelled with wind, where constipation exists, semilateral headaches, pressive pains in the forehead, Nux Vomica is useful. As a proof that coffee often causes this cramp, the fact is interesting, that coffee taken augments all these symptoms. When nux vomica does not relieve, Cocculus often will, especially where constipation, pain at the lower belly, relieved by a discharge of wind, and a fretful, self-absorbed, sombre disposition, attend. When the cramps are connected with nausea and vomiting, and severe darting pains at the pit of the stomach, then Ipecacuanha will cure. When the nervous system is very excitable, so that the slightest circumstance annoys the patient, then Chamomilla is useful. [Pulsatilla and Ignatia are also useful, if it occurs in females. - Ed.] The Bowels. The first affection of the bowels is that, in which the bowels do not perform their duty; but require longer intervals than usual to expel their contents. This affection is called Constipation. 139 When persons are not relieved of their constipation by the use of homoeopathic medicine, in the first few days after exhibition, such inactivity indicates, that the EFFECTS of the medicines, previously taken to force the bowels, have not been overcome: it does not prove, that the hormeopathic medicines are inefficacious. If relief is not obtained by the fourth day, I generally recommend the use of three quarters of a pint of warm water by injection. In constipation generally the following remedies are useful. (See next page.) Bryonia. 1. Disposition much influenced by the constipation. 2. Flow of blood to head. 3. Giddiness. 4 Headache. 5. Pressure from without inwards at temples. 5a. On stooping, the brain feels as if forcing through the temples. 140.Viz Vomica. 1. Ardent, hasty, and inclined to anger. 2. Face full of blood. 3. Giddiness. 4. Headache in walking, in lowering the head. 4a. Pain in the forehead. 5. Pressure in the temples, not relieved by sitting up or lying down. 6. Loss of appetite, thirst. 7. Tongue loaded with mucus. 8. Lancinating, pressing pains in the lower belly. 9. A feeling of constriction at the anus. 9a. Haemorrhoids. Opium. 1. Persons devoid of energy, and torpid, weak, nervous system 6. Loss of appetite, thirst. 7. Dryness in the mouth. 8. Throbbings in the lower belly. 8a. Pressure at the stomach. 9. Desire to go to the closet, with a feeling as though the passage were closed. 10. Persons easily 10. Disturbed sleep. chilled. 11. Occurring in warm weather. Nux vomica is useful in constipation from excess of food; nux vomica, bryonia, ignatia, and opium are useful in the constipation of pregnant women, alternating, beginning with nux vomica. Constipation, not giving way to these means, requires the advice of the physician. Let it ever be remembered, PURGING iS POISONING. 141 An intestinal affection, regarded as the opposite of constipation, is that called DIARRHCEA. When the bowels act more frequently than natural, and when the evacuations have a less solid character than natural, this is named diarrhcea, or looseness. The nature of the evacuated matter differs very much; and so do the attendant symptoms. Ch momilla. China. Dulcamara..Mercury. Pulsatilla. Sulphur. 1. Produced 1. Produced 1. Produced 1. Cold from 1. From er- 1. Eruptive by cold orby by cold by cold, night air. rors in diet. habits of passion. liquids, and especially by body. by cold. becoming wet. a 2. Motions 2. Clear, and 2. Watery. 2. Watery, 2. Frequent. 2. Acrid. watery. without any profuse. admixture of flecal matter. 2a. Motions 2a. Contain- 2a. Slimy 2a. Green, 2a. Excoriamucous. ing portions land yellow. sometimes ting the anus of undigest- tinged with and sured food. blood rounding parts, and causing an eruption. b. Odor of 26. Sour. eruption. rotten eggs. 3. Sour 3. Risings risings, in the mouth as of rotten eggs, colic. 4. Pain vio- 4. Preceded 4. No pain 4. Tearing, lent tearing, by violent in the belly, cutting pain and inces- colic, and in the lower sant, obli- pressive belly, which ging him to pains in the feels cold. writhe, turn bowels. over, and un about. 4a. Pain in 4a. A pinchthe region of ing pain in the navel. the hollow of the stomach. 142 Chamomilla. China. 5. Feeling as 5. Weakness if the belly in the belly. is hollow. Dulcamara..Mercury. 4b. Painful straining called tenesmus, before, during, and after an evacuation. 5. Feeling of relaxation, as though a motion would take place. 6. Rumblings. Pulsatilla. 4b. Urgent desire and frequent evacuations. 5. Fullness of the lower belly. 6. Rumblings. 7. Nausea, hiccough. 7a. Vomitings. 6. Constant movement as of a ball rolling from side to side. 7. Nausea. 7a. Vomiting. 8. Eyes encircled with bluish ring. 6. Much noise. 9. Occurring immediately after partaking of food. 7. Nausea. 7. Nausea. 7a. Vomiting occurring at night. 9. Shivering and weakness, and tendency to faintings. 9. Gradual emaciation, and consumption at its last stage. 10. Infants in teething. 143 Another disease of the intestines, approaching in some features to diarrhcea, is CHOLERA. This disease occurs most frequently in the summer: is referred, generally, to the fruits eatenr, but is more justly referrible to the heat of the atmosphere deranging the liver, and thereby modifying the secretion of the bile. Before an attack of cholera, many symptoms, called bilious, generally appear: inactivity: heaviness: jaundiced complexion: tongue covered with a yellow mucus: bitter taste: dislike to food: bitter risings: fulness at the pit of the stomach, with pressure and cramps: urine deposits a reddish sediment, and smells offensively, and is passed with pain. Chamomilla will remove these symptoms. If these symptoms are neglected, the patient vomits first his food, and then a watery bilious fluid; violent diarrhoea takes place, the secretions being at first fetid, afterwards watery and bilious. These symptoms neglected, or improperly treated, the pulse sinks: spasms in different parts of the body appear: tenesmus, cold perspirations, and even syncope. Ipecacuanha is to be used when the vomitings and the diarrhcea are established. If cold sweats appear, and the vomitings and the purgings do not abate under the use of ipecacuanha, Veratrum must be employed., If there is insatiable thirst: pulse scarcely perceptible: excessive prostration of strength: almost constant purging, the matter tinged with blood, then Arsenic must be employed. 145 are bent upon the body: and by an inability to suck during the attack. When, in addition to these general symptoms, and those mentioned under diarrhoea in connection with chamomilla, the eyes are distorted, the saliva is accumulated in the mouth, and there is diarrhoea, with green, watery, mixed with mucous, evacuations, then Chamomilla is the remedy: in very mild dispositions, Pulsatilla. When, in addition to the general symptoms, the following symptoms occur, Nux Vomica is indicated, namely, hardened faeces, constipation: weight in the lower part of the belly. Pain, as if the intestines are squeezed in different directions: pain, as in the belly upon pressure: and coldness of the extremities at the time when the affection is most violent. Nux Vomica is the best remedy for windy colic, which is attended by a feeling, when the wind is about to escape of a sharp cutting instrument making its way to the bladder, rectum, and the parts of the lower part of the belly, attended with a desire but want of power to make water: this being felt more particularly in an erect posture, and being lessened by lying down or sitting in a curved position. When, however, the colic assumes the following characters, then Colocynth is useful. Violent pains in the belly, constant. If not constant, returning with augmented intensity. The pains having departed, a bruised feeling as though the intestines were suspended by threads easily broken, obliging the patient to walk slowly and with extreme caution, remains behind. 10 146 The pain limited to one particular point at the upper part of the belly. So severe as to make the patient scream: and even to bite anything. Twists about like a worm: Causes profise sweating. I have cured many most urgent cases by three globules of the decillionth dilution, dissolved in four spoonsfull of water; two spoonsfull immediately, and one every hour till relief was obtained. [Painter's Colic, which is brought on by the poison of lead, is most successfully treated by Nux Vomica first, and afterward Opium. - Ed.] INFLAMMATION OF THE BOWELS, (ENTERITIS.) This disease is attended with so much danger that the physician's aid must be had. It is characterized from colic by the existence of excessive sensibility to touch, so much so that the weight of the clothes is quite unbearable. In colic pressure generally relieves. Aconite is always useful. Belladonna is oftentimes the next remedy. [Bryonia or Opium if there is constipation; Ant. Tart. if there is vomiting; Arsenicum, in the advanced stage, if there is sinking, coldness of the surface with internal burning sensation.-Ed.] The next affection of the intestines is that, called 147 PILES, OR HAEMORRHOIDS. When this malady occurs in persons of middle age, they should consult a physician, as the occurrence of this affection is dependent generally upon constitutional causes. At the termination of the intestines these piles are found. The pain is severe there and at the loins: itching is experienced at the anus, and around it there are excrescences, painful, often livid: blood and mucus frequently escape after the action of the bowels. Sometimes no discharge of blood takes place, and then the piles are called dry. The sufferer may obtain relief by the use of arsenic, belladonna, nux vomica, and sulphur. Arsenic is indicated, when, in the rectum, in the hmmorrhoidal tumors, and the parts adjacent, a violent burning is felt:: when there are watery evacuations attended with great prostration of the bodily powers. Belladonna relieves moist piles, attended with a pain in the loins as if broken asunder, almost unendurable. Nux Vomica is suited to piles brought on by sedentary habits, irregularity in living, late hours, intense mental exertion: by constipation: with a feeling of contraction of the rectum, with catching pains in the loins upon the slightest movement, preventing the sufferer holding himself erect, and the flow of clear fluid blood after the action of the bowels, or if without an action with a desire to relieve the bowels. Sulphur is useful when the desire to go to stool is 149 this being particularly adapted when the stools are excessively offensive, and where the skin is burning hot and dry as parchment: and where the prostration is excessive. [Colocynth, if there is much pressing down, and the watery predominate over the bloody mucous discharges. Protiodide Mercury, if the patient is of a scrofulous habit, and does not get ready relief from the other preparations of mercury. - Ed.] Another affection of the intestines is that connected with WORMS. An accumulation of mucous in the intestinal caial seems particularly favorable to the multiplication of worms. The intestinal worms are three, the Ascaris, the Lumbricus, and the Tenia. The Ascaris or the thread worm is a short worm about an inch long. It produces an itching, and a frequent inclination to relieve the bowels. The Lumbricus is like.an earth worm, only white, the head being studded with slight eminences. It fastens itself to the intestines, and by its motion and sucking, produces painful griping about the navel. The 1Tcnia, or tape-worm, is flat, white, and jointed. It is very difficult to recognize its existence by symptoms: the only positive proof of its existence is the discharge of portions. Worms are looked upon with considerable horror. 150 They form a most powerful means by which quackery is enabled to pillage the pockets of parents, and to destroy the health of children. Almost every affection of childhood is referred to worms, whereas diet, want of fresh air, too warm clothing, perpetual rocking, and in-lap-sitting, are the most frequent causes of the symptoms which children have. Worms are not so injurious as are the medicines taken for their removal. But, say these nostrumvendors and these drastic purges-administrators, the worms are killed by the medicine: and so oftentimes are the children: or if destruction does not take place, the bowels are so injured that years are passed before the injury is removed. Worms, too, are the scavangers of the intestines: they remove many obnoxious bodies; and the mere removal of worms without removing the intestinal condition, favoring their production, is no benefit..The common idea that, if the worm is killed, the victory is gained, has been the justification for the destructive practice of giving large doses of oleum terebinthinae (oil of turpentine) under the old system: a practice fraught with danger, and often quite ineffectual. When worms become decidedly numerous and troublesome, then remedies should be employed. The choice will be aided by the tables. It may be rerparked that very generally febrile symptoms attend the injurious agency of worms. Hence Aconite is generally useful to begin with. Where small worms exist Ignatia is beneficially used after aconite. Where the tape-worm exists, sulphur is peculiarly efficacious generally. In all obstinate cases, sulphur alternating with mercury is highly 1151 efficacious. The symptoms recorded in the tabular view (p. 152) are those presented by worms: the symptoms more particularly belonging to each medicine are indicated by " do" placed in a parallej line with the symptom. The perfect removal of worms can be effected often only by a well directed and long persevered in use of well-chosen medicines. 152 Paleness of the countenance.......... do.. Swollen condition of the face.........do.."0 Livid hue round the eyes........... do.. Brown hue round the eyes.......... do. m Dilation of the pupils............ ". Frequent boring of the nose.......... do.. W C - picking of the nose......... do.. Much saliva in the mouth.............do Fetid breath.................... do a Foul tongue....................doCDo A desire for things, but when obtained rejected do.. Irregular appetite, generally craving even after a meal.................. do.. Grinding of teeth............... do.. Nausea...................... Abdomen swollen................... Hardness at the navel.............. do C Lower part of the belly hard and tender to the touch.....................do: Coldness at lower part of the belly......... Gnawing in the intestines........... Burning in the intestines..............1. Severe colic pains...............do. Wakeful at night............... do. Screaming when waking............ Diarrhaea sometimes.................do Constipation..................... Emaciation..................... Peevishness.................. do. Fits of crying when touched......... do. Low spirits..................... Uneasiness..................do. Restlessness.................. do. Convulsions in children............ do. Epileptic attacks in adults............ 153 JAUNDICE. (ICTERUS.) This is produced by an affection of the liver. It seems as if the bile passed into the circulation, for the eyes become yellow, also the countenance; and the evacuations become white and slimy: the mouth has a bitter taste: the urine is brown and thick; and the belly contracted. Chamomilla is the best remedy, to be followed up by Nux Vomica, and, if chilliness and great irritability of temper attend, Bryonia. If chamomilla has been taken to excess, then Pulsatilla and Ignatia are to be employed, which are followed beneficially by China. [Protiodide Mercury has been very effectual in this disease under my observation. - Ed.] Jaundice, it should be remembered, is often caused by purgative medicine, especially among infants. Jaundice is a manifestation of disturbed liver. LIVER COMPLAINT. The term liver complaint is very common, and very erroneously applied. In almost all cases of indigestion the liver is disturbed: when, however, its diseased state is attended with pain, sense of weight, and sometimes enlargement, in the region of the liver, with pain at the collar bone, and at the top of the right shoulder, with a dry cough, and inability to lie on the left side, the liver is considered to be in a state of inflammation, called hepatitis; this is chronic. When the symptoms assume a more acute character, 154 then it is acute inflammation, for which medical aid must be sought. Aconite is the first remedy: and this must be followed by Byronia or Nux Vomica, or Pulsatilla, or Mercurius, according to the symptoms. It is worthy of remark, that tight stays, tight trowser bands, often bring on and keep up diseases of the liver. No young persons should wear stays. The handsomest, the best formed women, are those who have not worn stays. For BILIOUSNESS, commonly so called, if attended with headache, and vomiting, and chills, and ill temper, Byronia, two globules in a wineglass of water, is the best remedy: repeat one globule after each vomiting. Nux Vomica is next in value; but the use of this, and of Pulsatilla and other remedies, may be judged of by the examination of the facts of this chapter. 155 CHAPTER VII. DISEASES OF THE MUSCULAR SYSTEM. BESIDES the affections already enumerated, there are a few, belonging to the MUSCULAR SYSTEM. These are 1. Rheumatism. 2. Gout. 3. Lumbago. RHEUMATISM is an affection very extensive in its range, embracing the muscles, their coverings, the tendons, the ligaments, and in some cases, affecting the membrane investing the bones. Sometimes the affection is limited to a few muscles, and then the sufferer finds relief from the non-use of those muscles. Sometimes the affection is so extensive, that the patient cannot move himself in any direction without excruciating pain. Pain on motion is the most striking feature; diminution or cessation of pain on rest, a weakness remaining, are other features. The heat of the bed generally increases rheumatic pains. Rhematism is generally a very obstinate disease. 156 Homceopathy presents several means of relief, and the following tabular view of the symptoms will direct the choice. Aconite will be seen, from a reference to the symptoms, (see Introduction) to be suited to almost all cases of rheumatism at the commencement, especially where the parts are red and swollen. Bryonia. I Chamomilla. I Dulcamara. 1. Aching pains in the joints of the arm, the back,.the nape of the neck, the breast. la. principally during motion and insp ir ation 2. Drawing, tearing pains in the ten. dons where uniting with the bones, on rising in the morning. I I 1. Tearing pains in the joints. 1. From a cold damp atmosphere. Shooting, drawing,and plucking. la. Aggravated at night, diminished by sitting up in bed. NJux Vomica. 1. Tension and pressure in the external parts of the chest, shootings in muscles of the chest during respiration; between the shoulders; tearing pain in the nape of the neck. 2. Pain in the cervical vertebrae during motion and respiration. 2a. Pain like cracking at shoulder joint and shoulder blade. Pulsatilla. Rhus Toxico. dendron. 1. Drawing 1. Tension, pains in the drawing and muscles near tearing in the joints. the limbs. 2. Pains in the joints of the feet. 2a. Pains frequently changing their position. Ex. acerbated towards evening. la. Patients suffer most at night and at rest, and are relieved by motion 2. Pains of bruising, as if the flesh was torn from the bones. 2a. Pressing drawing pain, as if the periosteum was scrapedfrom the bone. 159 [CHAPTER VIII. FEBRES OR FEVERS. FoR the purpose of brevity we will divide fever into three general characters. First, CONTINUED FEVERS, Which may be subdivided into four varieties, viz.: Simple, Inflammatory, Typhus (nervous or putrid) and Mixed Fever. Definition.-All the above are distinguished by their degrees of severity. Loss of appetite; languor; shiverings\; prostration; increased heat; frequent pulse; disturbance of all the functions, without any very decided primary local derangement of them. There is no marked remission or entire cessation of fever, although towards evening some sweating often comes on. SIMPLE FEVER. Aconite, repeated a few times, will be all that this form of fever will require. INFLAMMATORY FEVER. This fever comes on suddenly, the chill is severe, the heat intense and burning, the pulse frequent and 160 bounding, urine high colored, and deposites a red sediment, the strength is very little impaired, the eyes are red, tongue covered with a white fur, and the bowels are costive. Aconite and Bryonia, in succession, will soon remove all difficulties. If the skin is very hot and dry, sponging with cold water will be soothing and salutary. At the same time cold water or even ice-water must be freely allowed. If there should be local complications they must be combatted by the remedies laid down under their appropriate heads. TYPHUS FEVER. This fever has been known by a variety of appellations, viz.: Nervous; Putrid; Jail; Hospital; Camp; and Adynamic or weak fever. A variety of grades may be observed from a gradual prostration of strength, from slow fever and slight alienation of mind, to a malignant and rapid sinking of all the powers of life, with the entire surface covered with little spots of a bluish color, called petechia, and the gums bleeding; teeth and lips black, pulse intermittent, extremities cold, and clammy while the head and trunk is hot, and the countenance bloated and red. The patient is stupid (comatose) or wild and delirious; and inclined to spring from bed. Aconite, in the commencement of all the varieties, is the best remedy. Belladonna. if there is much heat of the head and the face is flushed, eyes red; and delirium. Hyoscyamus if there is delirium and starting from bed. Antimony Tart. when there is a desire to vomit, 161 and other symptoms of indigestion and occasional diarrhoea. Ipecacuanha. Nausea or vomiting, dry lips, &c. Chamomilla, when it occurs with gripings in the abdomen, or when indicated, Veratrum, Pulsatilla, Nux Vomica, &c. In the most malignant variety, when there is a putrid tendency, give Phos. Acid. and Muriatic Acid, and if the patient is dull, lies upon his back, inclined to slide down in the bed, Opium alone or in alternation with Muriatic Acid. Rhus Toxicodendron, when there is jerking of the tendons or limbs, (subsultus tendinem.) Arsenicum, when the prostration is great and the abdomen is bloated and a watery diarrhcea supervenes, with alternate chills and heat and burning. Stimulants must be administered, in small quantities and at short intervals when the skin becomes cold and clammy, pulse intermits, and the respiration is quick and oppressed. Brandy may be given freely, even from an early stage of the more malignant form of the disease. Wine whey or Carbonate of Ammonia, may also be given. SHIP FEVER. This fever is nothing more or less than " Typhus petechialis" or Malignant typhus, changed undoubtedly by a train of circumstances which are easily traced. The thousands and tens of thousands of emigrants who are now flocking to this country to escape starvation at home, embark half famished; 11 162 half clad; and without changes of linen. They receive their scanty pittance of bread during a tedious voyage, and in many instances land on our shores with the accumulated filth of the entire passage. It is well known that while some vessels have arrived with hundreds on board, all of whom were on the sick list, other vessels, embarking at the same time, and arriving simultaneously, were all in perfect health. On inquiring into the cause it was ascertained, that the captains of the latter vessels compelled every soul on board, to undergo a complete washing once a day before they would give them their rations: whilst the former had scarcely applied water to the surface during the entire voyage. This is cause sufficient, in all conscience to account for the great prevalence and mortality of the recent ship fever. The premonition of ship fever is gradual, but sufficiently marked to be noticed by attentive observers. In some instances, and those of the most malignant forms, it is only a short period of time before the most malignant symptoms set in. In most cases, the progress from health to active symptoms is gradual and occupies some days. The appetite has been gradually failing for even weeks; there has been occasional alternation of chills and heat, with irregular bowels; the tongue is coated, at first moist or occasionally dry in the centre; the patient is lethargic at first, and gradually becomes stupid; from the tottering, ihtoxicated gait and indifference or disinclination to society, he becomes insensible or delirious, and when addressed pays no attention until spoken to in a commanding tone. The countenance has a peculiar besotted expression; the manner of 163 the patient is undecided, and careless at first; he hesitates to express himself, and stops short where a sentence or word is half uttered. A feeling of weariness in the back, and if the patient is still walking about, he stops, hesitates, and feels uncertain what to do. The eyes look dull; pupils are dilated, and not as sensible to light as usual; the pulse is generally slow at first, then rapid and irregular; the respiration, which at first is slow with an occasional deep sigh, becomes rapid, short and weak. He often complains of a great load in the chest, or about the heart. As the disease advances, and the delirium increases, he picks the bed-clothes, and lies upon his back; with a tendency to slide towards the foot of the bed. When the disease is very malignant, small ulcers or sores, at first resembling flea-bites, are scattered over the surface of the body; these become purple, and spread into sloughing ulcers, called petechie. When petechiae does not appear, the skin, particularly over the abdomen, becomes brownish and mottled. T r e a t men t. - Where the disease is light, and evidently superinduced by scanty or improper food, generous diet, rest, and if there is much prostration, brandy and water will quickly restore the patient. Carbonate of Ammonia, one grain, a powder the size of a pea, every hour, will answer as a substitute for the brandy, or may be alternated with it. If there should be nausea, some diarrhoea, and great prostration, Veratrum, one drop in water every half hour, will be necessary. If this should not relieve, Stibium, every half hour, must be given. 164 REMITTENT FEVER. This fever differs from the continued by having a partial cessation or discontinuance of the fever. This generally occurs during the forepart of the day. The fever does not leave the patient entirely as it does in intermittent; there are alternate chills and flushes, but very little or no perspiration, while the bilious symptoms are generally very prominent. Nux Vomica, in addition to the remedies above directed for the other forms of fever, will be necessary, in this fever, at the commencement, followed by Antimony Tart., which is a very important remedy where there is nausea; vomiting, diarrhcea, and other symptoms, similar to cholera. Veratrum, also, for the same purpose as the last, and when headache and griping in the bowels attend. Arsenicum, as soon as there is a distinct intermission of the fever, one or two doses must be given during that period. When this disease occurs in infants it is called "Infantile remittent fever," and then, under the following complications, requires Protiodide of Mercury: If the abdomen should be distended; tympanitic; or have a hard and knotty feel; and the alvine evacuations should look green-blackish; tarlike; or mucous and bloody, and attended with straining and frequent disposition to stool; also if there should be acough during exacerbation of fever, with rattling in the chest, or any evidence of the development of tubercles in the lungs. Chamomilla, if the child should be teething, and.have green stools and some of the above symptoms. 165 The same remedies also, as laid down for remittent fever generally under the same circumstances, as the same train of symptoms may occur at any age, from infancy up to puberty. YELLOW FEVER. This fever is classed with remittents; although its general characteristics are similar, it differs widely in degree of severity. At one time it shows a very mild aspect, at others the most alarming malignancy. It travels through all the grades of fever, from the simple continued to the lowest congestive typhus, where there are no reactive energies, vomiting of a dark coffee-ground substance, and the deep yellowness of the eyes and skin distinguishes this fever. Antimony Tart. is the leading remedy in this disease, one grain in a tumbler half full of water: give one teaspoonfull of this every ten to fifteen or thirty minutes. Veratrum, as in remittents. Opium, if the patient is comatose. Muriatic Acid, if there is great prostration. Stinmlants. Brandy and Wine, if there is great congestion, with no power of reaction. INTERMITTENT FEVER. This form of fever usually occurs in marshy districts or new lands, just exposed to the rays of the sun after clearing them of trees, or turning up the rich soil of prairies, where vegetation has been decaying undisturbed for centuries. 166 C h a r a c t e r. First, there is great coldness and shivering, often until the teeth chatter, and the whole body is convulsed with the shaking. After a period of from a few minutes to several hours, the warmth gradually returns, which rises much above the natural standard,, becoming finally very intense, and the pulse is high; the head, limbs, back, and indeed every muscle and joint in the body is racked with acute pains. This stage usually lasts from two to eight hours, and terminates in a most profuse and drenching perspiration. After the sweating subsides, feels as well as could be expected after such a siege, gets up and walks about or returns to his usual employment even, as if nothing had happened. The next two days after, or the third day after, he has to go through another course of chill, fever, and sweating. When the fever returns every twenty-four hours, it is called a Quotidian, when it returns every forty-eight hours, a Tertian, when it returns every seventy-two hours, a Quartan. These also have their varieties and changes, but they are of little or no importance in a practical point of view. In d i c a t i on.-The greatest importance is to ascertain how long the intermission will contiupe from the time the sweat subsides until the next chill appears. During this period the medicines given must be of that class which will prevent the return of the paroxysm. When the chill comes on, external warmth must be applied, internal stimulants, cold water, and medicines which will bring up a reaction must be given. During the hot stage those medicines, which are known to reduce heat and bring about perspiration, are the most appropriate. The 167 first indication will be accomplished by giving the medicine as soon as the sweating subsides, and repeating it every two or three hours, up to the commencement of the chill. China, if the cause can be traced to marshy miasmata, and there is headache, nausea, palpitation, and great hunger, with yellow complexion. Chamomilla, if the patient has taken quinine or barks in large doses before. Arsenicum, if there is external burning heat with shiverings, or alternate chills and heat with bloated bowels, with dry brown cracked lips, and constipation or watery diarrhoea. Ignatia, if there is great thirst during the cold stage, pain in the pit of the stomach and headache. Ipecacuanha, if there is much nausea and vomiting, and other sufferings from indigestion. Nux Vornica, if there is pain across the forehead, eyeballs feel as if bruised when moving them, pain in the right side, acid eructations, constipation, or diarrhoea of a pressing dysenteric character, gastric and bilious affections. Pulsatilla, if there have been many relapses, or if thpatient has taken much bark or quinine, and there is yellowness attended with gastric and bilious affection. Rhus Toxicodendron, if there is much jerking of the tendons (subsultus tendum,) and great pain in the limbs. During the hot stage, Aconite, where the heat is great, violent pain in the head, stitches in the side, and palpitation. Antimony Tart. when there are great gastric and 168 bilious sufferings, or vomiting and diarrhoea comes on and prostrates the patient very much. Belladonna, when violent headache, with redness of the face, and red and weeping eyes attend. Bryonia,,if the tongue is thickly coated, and aversion to food with nausea and vomiting of bile and sweating supervene. Natrum Muriaticum, Carbo Veget., Cina, Opium, Veratrum, and Cofea may be resorted to under certain conditions, when the above fail, but the full indications would lengthen this article too much. During the cold stage apply covering, bottles of warm water, or warm bricks to the feet, and cold water or ice water for drink. If the reaction is very slow, and the shivering great, internal stimulants must be given, until the hot stage comes on.] ** 169 CHAPTER IX. GENERAL AFFECTIONS. 1. Faintings. 3c. From a fall; 2. Coma, lethargy, or 3d. From drowning; somnolency. 3e. From strangling, 4'c. 3. Suspended animation; 3f. From beingfrozen; 3a. At birth; 3g. From lightning; 3b. From starvation; 3h. From foul air. FAINTING. The first advice is, be not in a hurry. This produces confusion, and often injury. Let all tight garments be-loosened; let the patient lie horizontally; let the crowd be dismissed; and let one or two persons, and those, if possible, known to the patient, be in the room. Many persons have been seriously injured by discovering themselves, on recovery, unexpectedly, in the presence of numerous strangers. Having loosened the garments, sprinkle with a feather a little clear water lightly on the face, sprinkle some on the nape of the neck and the back of the head, and, if not successful, then on the pit of the stomach. 171 in diseased states have followed fainting, from the influence the fainting exerts on the constitution. COMA, LETHARGY, SOMNOLENCY.* Persons lose their consciousness, lie in a deep sleep, snore, and cannot be awakened. The eyes should be opened; if the pupils are very small, or one very small, the other very large, bleeding must not be practised. But if the pupils are large, or the one very large and the other as usual, bleeding may be resorted to, if a skilful homceopathist, able to select a remedy suitable to the case is not present. If the pulse be full and slow, the face red or pale, give opium to smell, and lay a few globules on the tongue; and if relief is not obtained, inject a pint of water, in which some globules have been dissolved: if the pulse is very weak, give Lachesis likewise. Tartar Emetic is useful, when a nausea or inclination to vomit has preceded the attack, or a choking has appeared, then, when the patient is waking, give some teaspoonsfull of a weak solution of tartar emetic, one grain dissolved in half a glass of water; if requisite give an injection of the same. * For the remarks on this Section and the succeeding Sections of this Chapter, I am indebted to Dr. Hering; and to the statements in reference to the recovery of drowned, strangled, and frozen persons, the attention of the benevolent is particularly directed. 172 3. SUSPENDED ANIMATION. Suspended animation, when produced suddenly, should not be regarded as death. And therefore all those, suffering from suspended animation, induced by the operation of some violent cause, should not be regarded as dead, till means have been employed for restoration. It may be useful to notice the circumstances under which suspended animation presents itself. 3a. Suspended Animation at Birth. New-born infants are sometimes apparently dead. The mouth is to be cleansed with the finger, around which some linen has been put, and the nose also carefully cleaned. The infant is to be wrapped round in warm clothes, and rubbed on the breast and the hands with soft flannel. If the umbilical cord does not soon begin to pulsate, it is then to be cut asunder as usual, and the child put into a warm bath, so as to cover the whole body, except the face, with water. In this bath the breast and the limbs are gently to be rubbed and moved about. Should no sign of life appear after five or ten minutes, then take as much emetic tartar as will lie on the end of a penknife, and put it in a large tumbler of water, and lay a little drop of the solution on the infant's tongue. Should no alteration take place in fifteen minutes, repeat the drop. Again in fifteen minutes take a tablespoonfull of the solution, mix it with a teacupfull of lukewarm pure water, and give it as an injec 174 some teaspoonsfull of milk, and gradually more: when the recovering person begins to express want, give spoonsfull of sopped bread, afterwards of broth, and after that some drops of wine. A sound sleep ought then to occur: and for some days, he should eat only a little at a time. Eating too quickly, or too much, is often fatal. 3c. Suspended Animation from a FALL. Convey the patient carefully on a bed, his head raised, so that he can remain at ease, and put some globules of Arnica in water on his tongue, and wait till a medical examination of his body is made. If a vein is opened, only a little blood should be drawn; for whoever is brought to life in this way, would probably have otherwise recovered. If the arnica fails, or if the bleeding does not appear proper, give the arnica in injections. If the patient revive after the bleeding; then give China, and, after it, Arnica, in order to hasten the cure. If the patient, from the injuries, has lost much blood, it is madness to bleed, but give China, a little wine, a few drops, and, after all, Arnica. 3d. Suspended Animation from STRANGLING, THROTTLING, HANGING, STIFLING, through a WEIGHT or PRESSURE. Remove all tight clothes: place on a good bed, so that the neck be quite free and not bent any way, as it commonly is, when a person lies in bed. Rub 175 very gently but constantly, with warm cloths, giving immediately an injection of opium, ten to twenty globules dissolved in half a pint of water, well shaken, and given at once, but injecting slowly. This is to be repeated every quarter of an hour, while the limbs are to be well rubbed up and down, especially on the inside. From time to time a small mirror should be held before the mouth and the nose, to see if breath begins to escape, whether he opens his eyes, and sees, or the pupils move at all. Lay warm cloths, hot stones, wrapped in cloths, on the feet, between the legs, on the back, the sides, and under the armpits. If no alteration appear in one or two hours, take a bitter almond, pound it fine, and mix with a pint of water, put some of it in the mouth, lay two or three drops on the tongue, or in the nose, and give the remainder in small injections. If the injection goes forward, then take a longer pipe and keep to the anus: after withdrawing it, place the thumb upon it for five to ten minutes, and see whether the injection remains. In addition, a healthy person may stroke with the palm of his right hand, keeping the hand some inches from the body, very quickly, from the top of the head to the toes: at each fresh stroke turning himself about, and carrying the hand in a wide circle again to the head. 3e. Suspended Animation from DROWNING. Drowned persons are immediately to be undressed, the mouth and the throat cleansed for half a minute or so, with the abdomen and the head bent rather 176 forward, so that the water may run out; then put in a warm bed, wrapped in warm clothes, or placed in warm sand and ashes, covered therewith: if in summer, place the drowned person, in that season, wrapped in a coverlet, in the warm sunshine, the face turned against the sun; the head lightly covered. Give the opium injection, and begin to rub the limbs with warm cloths, and continue so for hours. The passing of the hands down may be tried. k Bleeding is madness. If no benefit is gained, lay on the tongue several globules of Lachesis, and use them in an injection, and rub again for 'some hours. 3f. Suspended Animation from being FROZEN. Persons frozen may, says Dr. Hering, even after several days, be restored to life.. They must be taken up and removed with the utmost care, as the limbs may be broken: they must be brought into a room not heated, or into a shed, but where there is no draught of air. They are then to be covered completely with snow, at least to the depth of the hand, even over the face, leaving a space that the nostrils and the mouth be free. They should be so placed, that the melted snow may quickly run off, and the snow melted must be replaced. If no snow can be had, place in a cold bath, coldened by ice; if the ice attaches to the body or the limbs, it must be removed. The body is thus thawed, becoming soft and pliant: then cover gradually and cut what is necessary of the garments from the body. If becoming soft and movable, commence rubbing the 177 soft parts with snow, and continue till redness is produced. This process should be gradually discontinued, undress, lay on a dry bed, and rub with cold flannel, stockings, pieces of blanket, &c. If still no signs of life appear, take a morsel of camphor, or some spirit of camphor, shake it in some water, and administer as an injection. Repeat this every fifteen minutes. If during the rubbing or by the use of the camphor, symptoms of life or recovery appear, give a small injection of lukewarm black coffee, and as soon as able to swallow, give some coffee, a teaspoonfull. When the signs of life increase, let everything wet be removed, rub every part till quite dry, but not lukewarm. The sufferer must acquire warmth of himself in bed and no other warmth should come near. "If we do not shun the labor, we can sometimes, AFTER MANY HOURS, restore the apparently dead to life. Very often violent pains now arise. Give Carbo Vegetabilis, and repeat as often as necessary. If it fail to relieve, Arsenicum must be given. Should stitching pains occur, or heat in the head, Aconite will relieve. 3g. Suspended Animation from LIGHTNING. Persons struck by lightning should be placed with the face towards the sun, in pure fresh earth, and covered with it, so as to be in a half-sitting and halflying posture, and nothing but the face exposed. As 12 178 soon as the eyes move, the face should be shaded, and several globules of Nux Vomica should be placed on the tongue. Should no signs of life appear in half an hour, repeat the Nux Vomica: in fifteen minutes after, put Nux Vomica in water, and lay it on the nape of the neck: after another fifteen minutes remove the soil from the lower part, and give an injection of ten to twenty globules of Nux Vomica, in half a pint of water. Put some cotton wool in the anus, to prevent any evacuation; cover every part again with earth, and let the person lie in this position until he begins to breath, on which remove the earth from the chest, and bring the person into a clear sunny chamber. For any complaint which may follow, Nux Vomica and Sulphur are very efficient. 3h. Suspended Animation from FOUL AIR. From various causes, such as gases disengaged from deep cesspools, from limekilns, from charcoal fires, persons have life suspended. The sufferer should be brought immediately into the fresh air, undressed, placed on his back, and the breast elevated. Throw cold water on his face and breast. If a solution of chloride of lime in water is at hand, dip a sponge in, and hold it before the nose, the solution to be weakened so as not to excite cough in a sound person who happens to breathe it. Put a teaspoonfull of the strong solution into a tumbler full of water, and introduce half a teaspoonfull into the mouth of the sufferer. Repeat this from five to ten 179 minutes, discontinuing gradually as the patient improves. If chloride of lime solution is not at hand, mix some vinegar with an equal quantity of water, and sprinkle the face with it: and hold a sponge, dipped in vinegar, before the nose and the mouth. During this time the patient should be rubbed with hot flannel. If the face has been sprinkled, wipe it dry after a little while: then rub it with hot flannel, and repeat the sprinkling. The feet, the stomach, the breast and arms particularly, ought to be well rubbed. The soles of the feet, and the back may be brushed a little with a stiff brush. Be not too hasty, but proceed gently, and continue patiently. Life sometimes will not return till after three or four hours. If the patient, apparently dead, does not breathe at all, it is useless to hold a sponge before his nose; only try from time to time, by holding a light feather there, whether his breathing has recommenced. Blow breath occasionally into his mouth, which is best done by a person inhaling as much as he can, and then placing his mouth on that of the apparently dead (whose nose should be held shut), and blowing in the breath gradually. If you perceive the breast rising thereby, let the breath go out of itself, and repeat the operation. If the breath will not come out again of itself, place a towel around the breast, and after the breath has been blown in, pull it gently. Thus by keeping up an artificial respiration, a person apparently dead may often be restored again, but he who undertakes the operation should himself be healthy and have a clean breath, and either drink or 180 rinse his mouth occasionally, with vinegar. As soon as the sufferer begins to breathe, or the exhalation of the breath infused becomes more rapid, cease the infusion, blow gently fresh air towards him, and only when the breath becomes stronger, hold a sponge to his mouth dipped in a very weak solution of chloride of lime or vinegar. You ought to be very careful, indeed, lest you extinguish the feeble life just returning. If the patient recovers, give him a few drops of a weak solution of chloride of lime or vinegar. If he complains of cold, inclination to go to stool, or nausea, and vinegar will not remove this feeling, or the patient dislikes it, give him a little black coffee; if he complains of heat and great weakness, give him a little good, and, if possible, old wine. The smell of camphor is also often beneficial. Consult in this respect the wishes of the patient; whatever is most agreeable to him, or affords him relief, deserves the preference. Another mephitic gas is developed in deep wells, vaults, and lime furnaces, which is suffocating. It has no.bad smell, but makes him who inhales it sleepy, giddy, and at last senseless. Persons affected by it will usually revive in a short time, if they are speedily brought into the fresh air, sprinkled with cold water, and with vinegar, and particularly by the infusion of black coffee. Do not act with too much precipitation - delay is not dangerous in such a case. If respiration does not return, it will be necessary to blow in some breath., The vapor of charcoal is very dangerous, particularly to persons sleeping. Never sleep with lighted charcoal in a chamber without a chimney. This 181 refers also to stonecoal. It.has also happened that old wood work has been glimmering, and thus continued for days without smoke, and that the inhabitants of such a house, not minding the not very perceptible smell of something burning, were found on the point of death, before the glimmering had even been discovered. It is remarkable that persons, exposed to this exhalation, become so feeble as to be unable to go into the fresh air, to open doors and windows, or to call for aid. They labor under the greatest inconvenience, perceive their danger, yet cannot resolve to remove from the spot, or save themselves. A similar sensation seizes those who in very cold weather sit down in the open air to rest themselves; although they know the fate that hangs over them, they cannot recover courage to resist it. The signs of poisoning from the effect of coal-fire, before apparent death prevails, are: - headache with nausea, violent exertion to vomit, vomiting, even of blood; a heavy load seems to oppress the breast; the face becomes red, purple, and full of blood; the patient is seized with an involuntary, convulsive weeping, talks incoherently, falls down suddenly into fits, becomes senseless and apoplectic. Carry him into the fresh air, rub him with vinegar, and let him inhale it. If the face is already purple, and he talks incoherently, throw ice-cold water over his head. In general, it is well to apply cold to the head, warmth to the feet. After the patient has recovered, it will be well to give him Opium, removing the vinegar.- Should Opium help, but not long, repeat it. After some hours, or sooner, Opium, and no effect, give Belladonna, and let it have time to 182 operate. In case of,apoplexy only it will be useful to bleed first. The dry rot in old buildings has a similar yet slower effect, than that from coal-fire upon the inhabitants. Such buildings ought to be pulled down; however, if people have to live in them, endeavor to kill the dry rot by stone-coal fire. Apply this, as much as possible, above, below, and about the spot where the dry rot breaks out. Brush the spot itself with a strong solution of blue vitriol or sulphate of copper. To guard against the effects of the dry rot, put a few drops of sulphuric acid into a gallon of rain,water, and take occasionally a drink of it. To obviate the bad consequences of exhalations from chloride of lime, to which people are sometimes exposed, smoke tobacco; or drop some strong brandy, rum, or spirits of wine on a piece of loaf sugar, and put it into your mouth. In accidents from inhaling poisonous vapors, such as prussic acid, or mineral acids, take spirits of hartshorn, or spirits of sal amoniac, which will afford relief; but do by no means apply the vial containing such spirits to the nose, you would only increase the evil thereby -pass the open vial at the distance of about six or eight inches slowly before the sufferer, so as to communicate the smell feebly to him; continue this as often as may be necessary. Or, put a drop on a bit of paper, insert this into an empty bottle, and let him sometimes smell at the bottle. But if the vapors were from alkali, this would avail nothing; in that case let him inhale the smell of vinegar. Whether the vapors are from acid or alkali, you will find out by blue paper; acids will 183 make it turn red, alkali will make that which is stained red from acids blue again. In cases of poisoning from acid vapors, you may put one drop of spirits of sal ammoniac into a tumbler full of water, and give of this mixture a teaspoonfull every ten minutes; in poisoning from vapors of alkali, give from time to time a teaspoonfull of vinegar. 184 PART II. CHAPTER I. THE CONDUCT DURING THE STATE OF PREGNANCY A PREGNANT woman occupies a position of the highest interest. She bears about'with her a living being, whose future physical, and, it may be added, intellectual, moral, and animal condition is dependent, in a great measure, upon the conduct and the state of mind, which she pursues and cultivates during the period of pregnancy. The mental and moral influence of the pregnant female on her offspring, is a subject too wide to come within the limits of this work. The physical influence may be noticed. To enable a mother to realize for her child that excellence of constitution, a child has a right to expect to receive from its parent, she must pay attention during her pregnancy to her DIET, her EXERCISE, and her DRESS. 187 pains, from which many women in confinement suffer so much, depend upon the inability of the womb, unaided by the abdominal muscles, (these having been weakened by the want of healthy action, from the impediments of tight lacing,) to expel the child. Stays, tight stays or tight abdominal supporters, produce worse effects than this. They often occasion the child to occupy a position in the womb, not according to its natural position, and thereby, if not occasioning deformity, which often is the case, causes trouble and oftentimes danger in the birth. Dr. Eberle remarks, " the custom of wearing tightlylaced corsets during gestation, cannot beptoo severely censured. It must be evident to the plainest understanding, that serious injury to the health of both mother and child, must often result from a continual and forcible compression of the abdomen, whilst nature is at work in gradually enlarging it, for the accommodation hnd the development of the foetus. By this unnatural practice, the circulation of the blood throughout the abdomen is impeded, - a circumstance which, together with the mechanical compression of the abdominal organs, is peculiarly calculated to give rise to functional disorder of the stomach and liver, as well as to hemorrhoids, uterine hemorrhage, and abortion. The regular nourishment of the foetus, also, is generally impeded in this way - a fact, which is frequently verified in the remarkable delicate and emaciated condition of infants, born of mothers who have practised this fashionable folly during gestation. It may be observed, that since the custom of wearing tightly-laced corsets has become general among females,certain forms of uterine disease 188 are much more frequent than they were sixteen or eighteen years ago." To these valuable remarks may be appended the following statements of Dr. Andrew Combe: "The Romans were so well aware of the mischief caused by compression of the waist during gestation, that they enacted a positive law against it; and Lycurgus, with the same view, is said to have ordained a law compelling pregnant women to wear very wide and loose clothing." To conclude: the female should remember that child-bearing is a process of health. The formation of a child in the womb, when the exciting cause has been applied, is as natural and as healthy an action as the formation of chyme by the stomach when the food has been introduced into it; and therefore, this condition should not be regarded with a feeling of anxiety, but rather should be looked upon as a means of developing health; and that this is the case is rendered evident by the fact, that a female, who has brought a child into the world, presents a few days after, in her countenance, a peculiar freshness and clearness, that must strike even the most casual observer. 190 know no medicines, nervous, forgetting that a nervous affection'is a complaint, is a disease, and being a deviation from the natural order, called health, consequently admits of cure. Homoeopathy presents remedies, one in particular, for this morning sickness. I have tried the one referred to, namely, Nux Vomica, in numerous cases with success. Three globules are to be dissolved in eight spoonsfull of water; and let the patient take two spoonsfull at eight P. M., for two successive evenings, and then every other evening. (Nux Vomica, given to a person in health produces morning sickness, nausea, vomiting, and heartburn. Hence its efficacy.) If, with the morning sickness, there is relaxation of the bowels, Ipecacuanha, dissolved, and taken as the Nux Vomica, will be successful. No. 2. CONTINUANCE OF MENSTRUATION. The discharge of the menstrual fluid is the healthy action of the womb in the non-pregnant state.* The pregnant state is a new action. It suspends the previously existing action, namely, that connected with the formation of the menstrual fluid. If, therefore, this fluid continues to be formed, such continuance is a deviation from health, and must tend to prevent the proper concentration of the powers of * See Affections of Woman. The Monthly Period. By John Epps, M. b. 191 life to the formation of the new being. Under such circumstances the physician's aid should be sought, and that early, as thus he will be able to devise means by which miscarriage, often connected with this continuance of the menstrual discharge, will, it is likely, be prevented. No. 3. CONSTIPATION. In many pregnant females the bowels do not act except with difficulty. If any inconveniences result from this impeded action, Nux Vomica, Bryonia, and Opium, are the principal remedies; and, in reference to their use, full particulars can be found in the article on constipation. No. 4. TOOTHACHE. It is a curious fact that pregnant females are often subject to toothache. Whether or not this arises from the increased action in the system, dependent upon the pregnant state, developing latent tendencies, would form an interesting inquiry; but the fact is so, and the remedies for toothache, detailed under that head, will be useful. Olfaction or smelling of the selected medicines, is quite enough in such cases; indeed, the internal use of the medicines is sometimes too powerful; both facts being explicable upon the increased susceptibility to impression in the pregnant state. The se 192 lection of the appropriate remedy will be rendered easy by reference to Toothache, (pp. 121, 122.) Another affection, dependent in part on the impediment to the return of the blood to the heart, but, in a greater degree, upon a diseased state of the constitution, appears, and occasions, sometimes, considerable trouble during pregnancy. It is an enlargement of the veins of the leg, assuming a corded appearance, and often attended with considerable pain. This affection is named VARICOSE, and the vessels are named No. 5. VARICOSE VEINS. The veins on the surface of the body, particularly of the legs and of the feet, become enlarged, sometimes reddish, more frequently blue or lead colored. The enlargement increases in standing or hanging down the limbs, and is relieved by lying: they sometimes burst, and occasion a considerable loss of blood. Pulsatilla and Arnica are very useful: alternating them week by week. Gentle friction, before going to bed at night, is very useful: the use of the bandage well applied, that is, applied so as to press equally on every part, will do much good. Nux Vomica and Sulphur, alternately exhibited, 194 The medicines that I have used with most success are Sabina and Belladonna. Where, however, such a hemorrhagic tendency exists, the advice of the physician should, and no doubt will, be sought in the selection of the appropriate remedy or remedies. One thing should however be attended to, it is total abstinence from all warm drinks. Milk is the best drink, and that should be cooled. The common remedies and the usual medical treatment when hemorrhage does take place, often do more harm than good. The dashing of cold water has often produced inflammation and other serious diseases; the injection of alum has frequently been the originating cause of indurations; and the practice of stuffing cloths up the passage only conceals the bleeding, but does not stop it. The first thing is, that the sufferer should lie quite -quiet, moving herself as little as possible, trying to compose her mind by reflecting that blood is lost -from the nose in large quantities, and that still larger quantities are often taken by the allopathist's lancet. The utmost stillness should be preserved, both in the room and in the house: and the attendants should cultivate the habit of self-command. Medical men are obliged to appear cheerful when they are often sad at beholding the condition of a patient; others should try and imitate them. With every violent hemorrhage Dr. Hering advises, "the thighs may be firmly bound with a cloth, a silken one being preferable: also the upper part of the arms. A little cold water should be swallowed, and should paleness and fainting appear, some 'drops of wine, only not more than one drop at a time, 195 will be found very serviceable. Smelling vinegar, rubbing the nose, the temples and other parts with vinegar, is in many cases, very good, only the patient, as is often done, should not be inundated with it; the utmost that need be, is a teaspoonful brought in the'hand, or the finger may be dipped, so that the smell of the vinegar may afterwards be easily removed," as such smell might interfere with the operation of a remedy that the physician may prescribe. Other remedies may be seen under the heads of Epistaxis and Haemoptysis. Purgative medicines is one frequent cause of miscarriage; in fact, it is had recourse to for that effect. No homceopathist uses such medicines; and the fact, that miscarriage is often induced by such medicines, shows strongly the value of homceopathy, which affords remedies that regulate the bowels without purging them. The following table will direct as to the choice of the medicine in cases of hemorrhagic discharge from the womb. Aconite is always useful when the symptoms are severe, attended with violent fever. 196 Belladonna. Bryonia. Chamomilla. Crocus. c Hyoscyamus. Ipecacuanha. 1. Blood, 1. Blood 1. Blood 1. Blood. Blood bright red. dark red. dark colored black, bright red, and coagu- clotted, E but flowing lated, dis- tough. C most during charged at 8 the spasms. intervals. 2. Down- 2. Labor- 2. Cutting g 2. Pains 2. Cuttin ward press- pains in the pains in the q like those of pains about ure of inter- lower part lower part 7 child-birth. the navel. nal genital of abdomen, of abdomen, - organs, as if attending extending a they were each about to discharge. descend. 3. Violent 3. Severe 3. towards. 3. Pressure pains in the pressing the sacrum. - towards lowest part pains in the womb and of backbone sacrum.. anus. or esacrum. 4. Pain in CD head, especially 0 the temples. 5. Much t thirst. 6. Coldness 2 6. General 6. Chill and of the 9 heat. coldness of extremities. C body with 7.. Discharge internal heat accompanied rising to 2 by spasms of head. the whole body, or sino gle limbs e followed by 8. stiffness of the joints. 9. Hard, full, 9 Pulseslow, and frequent weak, and pulse, intermittent. 9a. Swelling of the veins. 10.Agitation. 10. Great general excitement of the nervous system. 197 CHAPTER III. ON CHILD-BIRTH AND ITS SEQUELS. SECTION 1. THE BIRTH OF THE CHILD. PAINS, in badly CIVILIZED society, that is, society that has, in many most important respects, founded its civilization on bases, quite opposed to nature's precepts, attend the bringing a child into the world. These pains are sometimes severe, and are felt with strong intensity by women of peculiarly sensitive constitutions; particularly at the birth of the first child, and more particularly when the parent has her first child at an advanced age. To relieve the pains connected with labor, I have found, in numerous cases during the last two years, the following extremely useful; in fact, a written copy of these directions, with the appropriate medicines, have been presented to many patients, who have passed through their confinement, since they have embraced homoeopathy, using no means but homceopathic. Should the labor-pains be inefectual, but intense, take three globules of COFFAEA. Should this fail in affording relief, or if affording relief, cease to afford relief, the sufferer, in the course 198 of two hours, may take two globules of ACONITE, or else two globules of Nux VoMICA: the choice between the two being, that if there is a constant urging to stool, Nux Vomica is to be preferred. Should the labor-pains be absent or weak, or at long intervals, and the expulsive attempts inefectual, then two globules of PULSATILLA can be taken. Sometimes Pulsatilla is ineffectual, and the laborpains occur every quarter of an hour, and there are very severe pains in the hips and at the thighs, then two globules of SECALE can be given with benefit. In some cases the labor-pains suddenly cease, and tremor, stupefying sleep, with snoring occur, the eyes 1talf closed, and great difficulty exists in arousing the patient, then two globules of OPIUM can be given with advantage. Dr. Hering, of America, whose works corroborate the beneficial use of the above remedies, remarks, that, when the pains suddenly disappear, and are unattended with the above symptoms, two drops of the mother tincture of cinnamon are very effectual. [Tincture Secale, has been one of the most effectual remedies, for restoring the pains when they have ceased, or strengthening them when they were ineffectual, in my practice, particularly when the patient complains of dizziness, and is rather confused, or threatened with delirium. One or two drops every five or ten minutes of the tincture in a spoonfull of water. This is the most effectual remedy to control flooding after delivery, when the womb does not readily return to its natural condition. -Ed.] The after-birth, when not expelled by the womb's own power, or removed by the usual mechanical 199 means, will be aided in its discharge by pulsatilla, or secale, or some one of the remedies already detailed, selecting according to the symptoms. During the process of child-birth, all stimuli are to be avoided. SECTION 2. DIRECTIONS AFTER DELIVERY. To all homceopathists, ARNICA is known as a specific against bruises of soft parts. The process of forcing the child through the passage from the womb to the air may be regarded as a process, in which the soft parts are bruised; although here it is worthy of remark, the Creator has so appropriately constructed the parts, that form the walls of the genital apparatus in women, that these parts are capable of dilatability, so that they expand during delivery, and thereby give room by diminishing their mass by diffusing that mass over a wide surface. But still the process is a slightly bruising process. This idea led me to use arnica; and the benefits resulting from its use are so great, that I know no remedy so serviceable, and no use of a remedy more delightful than this of arnica. I could give many cases illustrative. The arnica can be used both internally and externally: internally, two globules in a wine-glass of water: externally, by means of a lotion, formed of forty drops of the tincture to a small tumbler of water. 200 The use of arnica is the most effectual preventive of what, to many women, is more distressing than the labor itself, namely, the AFTER PAINS. These after-pains are caused, in most cases, by the medicines and the stimuli given during delivery, by the too great officiousness of the medical attendant, and often by the too hasty removal of the afterbirth. The use of arnica will, in general, prevent them: and the medicines detailed, as suitable for pains before delivery will be useful. SECTION 3. DIET, &C. AFTER DELIVERY. The patient should be kept quiet. No opiates should be given to induce sleep. Slumber comes "of nature's wont." Should, however, there be great nervous excitement, three globules of Coffmea will subdue the restlessness and turning about in bed: but, if, with these symptoms, there is fever, or if coffaea does not relieve, or if feverish heat is the prominent feature, then two globules of aconite, every six or eight hours, can be given. The mother should remain in bed from five to ten days; after that she may rise daily, each day lengthening the period during which she sits up; keeping the legs more raised than dependent. If there is 202 CHAPTER IV. -4-- DISEASED STATES AFTER DELIVERY. CONSTIPATION, NO. 1. Do not be troubled about the bowels not acting. Nature is busy restoring the natural condition of the womb and the genital organs: all her powers are occupied in that direction and therefore she leaves the intestines. When she has effected her purposes, the intestines will act of themselves. Remember this - that ACUTE diseases, injlammation of the bowels, puerperal fever, and the CHRONIC diseases, the bearing down of the womb, the inability of retaining water, which so much trouble women who have borne children, are, in most cases, the consequences of the purging system. About the fifth or sixth day after confinement the bowels rgenerally act. If more than a week occur without an action, take two globules of BRYONIA; and, if no action take place in twelve hours, take another globule of bryonia; and, if in twelve hours after that there is no action, use a lavement of about three quarters of a pint of warm water, if friction over the bowels is not effectual. 203 [A teaspoonfull of castor oil, in the juice of a sweet orange may be administered after the fourth day, if there should be any more feverish symptoms than usually attend the appearance of milk in the breast. Any medicine which operates as a physic previous or during this period is detrimental, but this preparation of castor oil will move the bowels without any cathartic action. - Ed.] DIARRH EA OF LYING-IN-WOMEN. If it be not desirable that the bowels should be purged by medicine during the first few days after confinement, it is quite apparent, that a looseness of bowels, a DIARRH(EA, must be decidedly injurious, and requires remedial treatment. The symptoms recorded in connection with the remedies for diarrhoea, will indicate the medicine to be chosen to subdue this state; but, generally speaking, Dulcamara is the best remedy; as the diarrhoea, affecting lying-in-women, is peculiarly likely to originate in a check to the natural perspiration, for which, i. e. thus produced, diarrhoea, Dulcamara is the specific. Hyoscyamus seems to be particularly useful when the diarrhoea is without pain, and when the evacuations are involuntary or almost so. When much debility is induced by the continuance of the diarrhoea, when there is much perspiration with the diarrhoea, Phosphorus will be useful, or Phosphori acidum, but under such circumstances, medical aid ought to and will, it is likely, be sought. [Arsenicum, if there is much bloating and alternate 204 chills with flushes of heat, and great debility, with watery evacuations and little pain. Secale Cornutum, if there is pressing pain with the evacuations. - Ed.] THE LOCHIAL DISCHARGE. / A discharge takes place after delivery, continuing for some days. This discharge is called the Lochia, or the Lochial Discharge. When it continues abundant beyond nine or ten days, medical aid is required. Crocus is the principal remedy. The characteristics indicating its use, will be seen in article Epistaxis, and in article Hcemorrhage from the Womb, p. 196. Bryonia will be useful when the discharge is of a deep red, attended with burning pains in the uterine region, but with chilliness in other parts. Calcarea in indicated where there is itching in the womb. Belladonna is indicated when the discharge is nauseous and offensive. Sometimes pure blood flows each time that the child is put to the breast; then Silicea is the remedy. If the lochia should be suddenly suppressed, puerperal fever may be produced. Pulsatilla is the best remedy under such suppression. SORE NIPPLES. To prevent the sore nipples, the best plan is, a few weeks before confinement to wash the nipples with cold water, or with spirits of wine, obtained from 205 distillation of grain: to continue this after the confinement, adding five or six globules of arnica to the water used to wash with. If, notwithstanding these means, the nipples should become sore, give sulphur for two days, and wash the nipples with cold water, having five or six globules of the sulphur dissolved therein. If after two or three days there is no change for the better, use calcarea dissolved therein. If still the soreness is not much improved, use alternately for three days the sulphur and the calcarea. INFLAMMATION OF THE BREAST. Fright, cold, sudden weaning and numerous other causes, may induce this disease. The milk coagulates in the milk vessels, swelling takes place: the skin becomes tense, and inflammation, approaching to erysipelas, takes place; this, if not stayed, proceeds to suppuration, cold sweats break out over the body, the head becomes affected, and, after almost intolerable agony, the matter discharges externally. Belladonna, if administered when the erysipelatous appearance, and the swelling first appear, will often stop the progress. When the breast is hard and swollen and the milk suppressed, then Bryonia can be used. [Aconite at first, where the heat and throbbing is very great. Mercury, if there is evidence of the formation of matter, or if a hardness remains. - Ed.] 206 In conjunction with these affections of the breast there is a disease, called MILK FEVER. This fever is developed, when, from any cause, the free formation of milk is interfered with. The treatment depends greatly upon the exciting cause. If a blow, or a severe and protracted labor, be the cause, then Arnica, internally administered and externally applied, is the best remedy; premising that, should decided inflammatory symptoms present themselves, Aconite must be previously used. When rheumatic pains exist in the breast, then Bryonia, after aconite, if the fever be strong; without aconite, if the fever be slight. When erysipelas threatens, then Belladonna: When joy is the exciting cause, Cofea: When passion is the exciting cause, and the fever is high, Chamomilla, preceded by Aconite: When fright has been the cause, Opium: When fright and passion have been combined, then Aconite: When a chill, suppressing an existing perspiration, has been the cause, Dulcamara: When silent grief, then Ignatia: When milk fever is attended with symptoms, indicating affection of head, chest, or abdomen, there is reason to suspect puerperal fever, in which not a single step should be taken without the physician. When, after the inflammation has been subdued, a 207 hardness still remains, Mercurius Solubilis can be given with effect. I have succeeded in several instances in preventing abscesses in the breast by the means narrated. When, however, suppuration, it is evident, must take place, then aconite and hepar sulphuris, as directed in the Introduction, will be of the greatest service in bringing about a satisfactory termination of the disease. When suppuration has established itself before homceopathic remedies are used, and there are illlooking sores, discharging a fetid discharge, Silicea will cure in a short time, using sometimes Phosphorus alternately. I have succeeded, in cases where fatal results were expected, by these homceopathic means, in so completely restoring a healthy condition, that the mothers, at their next confinement, have experienced no inconvenience in the breasts previously affected. If the inflammation has arisen from a blow, arnica is, as might be inferred, a most efficient remedy. MODIFICATIONS OF THE SECRETION OF MILK. The action having ceased in the womb, an action takes place in the breast. A fluid, fitted for the nourishment of the young being is formed, and upon its continuance and proper condition, much of the comfort of the mother depends. Sometimes, however, the milk is suppressed, and a dangerous fever, called PUERPERAL, is produced. When the milk is suppressed, Pulsatilla should be 209 CHAPTER V. TREATMENT OF THE INFANT AFTER BIRTH. BEFORE birth the child, lodged in the mother's womb, was surrounded with a temperature equal to that of the mother's body, namely, 960 to 98~ Fahrenheit. To expose it, when born, to a temperature much lower, must be injurious: it should therefore be enveloped in a soft flannel, heated to a temperature, similar to that in which it was previously. The tenacious mucus, with which it is enveloped, should be removed by a sponge and warm water, heated to the temperature referred to. The Germans use " an oval-shaped, shallow wooden bath, with a raised portion at one end for the head, the bath containing a quantity of water just sufficient to cover or float the child." After being immersed three or four minutes, the sponge will remove easily all the mucus, no soap or oil being needed. In drying the child, the advice given in the work, entitled "A Grandmother's Advice to Young Mothers," is excellent. It is, as the child from its weakness cannot be held in an erect posture, to have a large flat pillow or cushion, ready prepared, and cov14 210 ered over with two or three large soft napkins, on which to lay and dry the child immediately on its being taken out of the water. When dried, if the skin is ruffled, it should be dusted with flour; but not if there is no ruffling. After being dried, a flannel bandage, of five or six inches in breadth, and of a length sufficient to go round the body twice, is to be applied, but not to be applied tight. The child is then wrapped up in a flannel shawl or blanket; or, if not exhibiting signs of fatigue, is dressed. If exhibiting these signs, then the child is allowed to sleep before being dressed. The dress itself ought to be light, soft, warm, and loose, and not long: the use of very long petticoats often has induced deformity; moderate-lengthened clothes keep the lower extremities warm. The clothes, as Dr. Eberle suggests, should cover the neck, the shoulders and the arms: for why should the legs be kept warm, and the arms exposed to the cold? The custom of exposing these parts, Dr. Eberle rightly judges, is " one of the principal reasons why inflammatory affections of the respiratory organs are so much more common during the period of childhood than at a more advanced age." Of 379 fatal cases of inflammation of the lungs, which occurred in the British metropolis, 228 were children under three years of age. (Registrar's Report, p. 74.) Warm nightcaps are to be avoided; indeed all caps, except when going into the air. The child, as a general rule, should be washed daily night and morning; immersing the body is the -best mode. 211 Many persons think it necessary to give the infant immediately after birth, laxatives, to expel the meconium. The milk of the mother is the best agent to effect this. The child is put to the breast about six to eight hours after its birth: the milk then is very dilute, and produces the desired effect. If not, a little sugar and water will produce the effect: if not, a lavement of a quarter of a pint of warm water can be used. Should these means not succeed, then the means for constipation can be used by the mother. As absurd as giving the child physic directly it is born, is that of giving the child food. It has just come from a rich depository of nutriment: it needs to wait a few hours, not exceeding twelve. In regard to the diet of the infant, the fact that the milk comes when the child is born, points out that the mother's milk -is the proper nutriment of the child, unless constitutional taint affects the parent. If the child is suckled by a nurse, a nurse whose child is of the same age as that of the one to be fostered, is to be selected: and this for-the reason that the milk varies in strength according to the period after birth: becoming more concentrated each month, so that the milk of a woman, whose child is six months old, is not suited to a child who is only a month old. If the mother cannot supply the proper amount of nourishment, then cow's milk can be used, diluting it to a degree in which its strength will be on a par with that of the mother's milk; and as the mother's milk is warm, it should be made lukewarm. In taking this milk or any other milk, not direct 212 from the breast, the sucking-bottle should be used; because the exercise of the lungs in sucking is an excellent means of developing the lungs, and thereby promoting the child's health. ~ A small quantity should be put each time into the bottle: what is left, milk being so apt to turn sour, should always be thrown away, and the false nipple should be washed. The child should be held in a reclining posture, just like as if at the mother's breast: the practice of placing infants fiat to feed them endangers them, by rendering suffocation likely. About the fifth month the diet can be changed: arrowroot, sago, biscuit powder, and the other usual articles, can be given in small quantities daily, milk still being the principal food. The infant's stomach rapidly converts the milk into chyme: once every three hours it may suckle; as its age advances lengthening the intervals. Regularity ofttimes is as important to the infant as to the adult. Many children's tempers have been spoiled as well as their health injured, by not attending to this. One point more is worthy of notice. THE CREATOR HAS GIVEN THE FEMALE TWO BREASTS. For what? That she should use them; and, by so doing, prevent disease in herself and deformity in her child: for children, being suckled at one breast, often become deformed on that side: the same reason explains the cause of the impropriety of always carrying the child on one arm. The mother becomes deformed also: a young person was lately under my care, in consequence of a double curvature of the spine, brought on by nursing her child on her left 215 The vaccination, when properly performed, is a protection against smallpox as effectual as smallpox itself. Persons have had smallpox a second time; and some have died of the second attack. At the Royal Jennerian and London Vaccine Institution, the board of managers have, for the last five years, given to each child, after vaccination, a powder of sulphur, as a preventive against eruptions; and when children are brought for vaccination, having at the time eruptions, a powder is given' to be taken before the operation is performed; and the benefits resulting in reference to long-standing cutaneous affections, from the use of this sulphur powder, have been evidenced in numerous cases. This plan, from the experience of the Royal Jennerian and London Vaccine Institution, where, as Medical Director, I have vaccinated nearly eighty thousand children, I can recommend as worthy of adoption by parents towards their children after vaccination. TEETHING, OR DENTITION. About the sixth month the teeth begin to appear. This development of the teeth, being a natural process, ought to be unattended with pain. Oftentimes it is attended with severe affections: a circumstance, dependent generally on the improper diet of the mother, or on the mismanagement of the child. The teething seems to direct the life power to the head, and hence, during teething, affections of the head very often are developed, and death occurs. 217 The use of a crust of bread is an excellent means for diminishing the irritation; but what is still better, and what the child always endeavors to get, is a finger to rub the gums with. Lancing the gums, except in very sickly children, is a bad plan, and never should be performed except when the remedies, hereafter to be noticed, have been used without success. If lancing is performed, the incision should be only a nick, not on the edge but on the side of the gum. If the premonitory symptoms of teething continue too long, and the teeth do not seem to progress, I have found the alternate use of Calcarea and Belladonna highly serviceable. I have succeeded in several cases in families, where the previous children had cut their teeth with fits, in preventing the children, born after the families came under my homoeopathic care, having any fits with their teething, by the use of these remedies. The principal remedies in addition are Aconite, Cofcea, and Chamomilla. When the symptoms, (see Introduction) attend the teething, then Aconite will be useful. When the child is uneasy, will not sleep, starts, at one time too peevish, at another too cheerful, is difficult to soothe, Coffiaa will be useful. Give Coffmia generally first: if relief is not obtained and there is fever, give Aconite: and, after it, Chamomilla. Chamomilla is particularly indicated if the child, in addition to the symptoms described as suited to Coffmea, has a dry whooping kind of cough, throws himself about, drinks often, with a burning heat, red 219 Children, from the great excitability of their frames, (an excitability dependent upon the great size of the brain and the great preponderance of the nervous system,) are peculiarly liable to be acted upon, so to have induced in them these convulsive attacks. This infantile nervous excitability is particularly great at the time of teething, and hence at that time more particularly these attacks present themselves. The first thing to be attended to, is that the attendant be calm. Generally speaking there is not much danger, unless the attack continues very long, or unless attack succeeds attack, and each succeeding attack becomes more severe. [Nothing shows the importance of close observation, with a view of ascertaining and removing the cause, than the management of the disease. If it be teething, the first thing to be done is to scarify the gums freely. This may be done with a sharp penknife, and all fear of future convulsions will often cease. One dose of Chamomilla will aid in preventing its return. If the stomach is overloaded with improper food, unripe fruit, &c., of course wisdom at once dictates its removal in the most speedy manner and with as little suffering to the little patient as possible. This will often be accomplished by spontaneous vomiting as soon as the first convulsion ceases, particularly if the throat be gently excited by a feather dipped in sweet oil. If vomiting does not come on, however, by these means, it must be excited, and the stomach emptied, or another convulsion will quickly follow, more terrific than the first, which, at every repetition, more and more endangers the structure of the brain. 220 Thus a disease which has its origin in irritation or surfeit of the stomach, and only produces diseased action of the functions of the brain by sympathy, becomes an absolute disease of the structure of the brain, and a tedious illness, if not death, is the result. Therefore, the means which are always at hand should be immediately resorted to. If the child can be induced to drink freely of warm water, either with or without a little molasses, it will often bring about vomiting, if aided by the oiled feather, as above. If these means should not answer, Ipecacuanha julap, which is made by mixing about as much of the pulv. Ipecac. as will lay upon a twenty-five cent piece into a paste with a spoonful of molasses, and to this add one wineglass full of warm water; one teaspoonful of this must be given every five minutes until vomiting comes on. If you have reason to believe that the food has passed into the bowels, an injection will be the most appropriate remedy. In the mean time, or as soon as this mechanical cause is removed, the appropriate remedies for restoring the disturbed vital action to its healthy condition must be resorted to, as directed in the text. One more precaution may be worthy of attention. Nurses or parents are very apt to keep a child upright after they have had a convulsion, or while their feet are in the water; this is liable to bring on faintness, and consequently convulsions. From this cause, therefore, the patient should be allowed to repose in a horizontal position, and perfect quiet observed; at the same time some nourishment or stimulants may be given. Veratrum alb. has been of signal service, under 221 my observation, when this condition was present, viz., cold perspiration upon the forehead, and cold limbs, with retching and alternate crying or screaming. One drop of the tincture in a wineglass of water, and one teaspoonful of this should be given every half hour until relief is obtained. This last remedy may also be given for heat in the head, with great restlessness, which symptoms are the common precursors of convulsions.- Ed.] If homoeopathic remedies are not at hand, the old practice of immersing the feet and legs in hot water, taking care to wipe them perfectly dry afterwards, and to wrap them up warm, can be adopted: and, to this can be added, if relief is not obtained, the pouring of cold water on the top of the head, and the smelling of Camphor: this last often relieves the violence of the fits. But the best plan is to use homceopathic remedies, many of which have a specific power over convulsions. Among these Belladonna, Chamomilla, Cina, Cicuta, Viroso, Ignatia, Mercurius, stand preiminent. Chamomilla is, generally speaking, the most suitable. Cina and Cicuta are particularly useful where worms are present: cina being particularly indicated when the little sufferer habitually zoets the bed. Stiffness of the limbs and of the whole frame is another characteristic. In the more violent attacks, the medicine may be given during the attacks; but, more generally, after the attack, or in the interval between one attack and the other. 222 Nux Vomica and Pulsatilla will be useful in cases where derangements of the digestive organs are the exciting cause. Where convulsions occur from fright, Opium is the remedy: especially when there are great vacancy of expression and great difficulty of breathing. Belladonna. Chamomilla Ignatia..1lercurius. 1. Body or limbs 1. Convulsed in 1. Trembling of Srigid. arms and legs. the whole frame, with crying and shrieks. 2. Clenching of 2. Thumbs 2. Muscles of 2. Limbs conhands, attended clenched, single limbs vulsed. with burnine in convulsed. forehead and hands. ~ 5. Stares about wildly. 6. Pupils much dilated. 10. Starts suddenly when asleep. 3. Twitches of eyelids. 4. Twitches of muscles of the face. ~ 5. Eyes half closed. 5. Rolling of the eyeballs. 7. Thirsty. B. Appears without consciousness. 9. Rolls head on pillow from side to side. 10. Restlessness, uneasiness. 10 When asleep, suddenly flushed with burning heat, awakes witha convulsive start, 223 Belladonna. Chamomilla. 11. Moans. 12. Disposition to drowriness when awake. 13. One cheek flushed, the other pale. Ignatia. 11. Loud cries, JMercurius. 14. Involuntary passing the water on recovery. 15. Excessively sensitive to touch, so that a slight touch will often renew the attack. 16. When the attacks are preceded by smiles and laughter. 16. Followed by 16. With a great feverand perspi- weakness after ration. the fits. 17. Peevishness. 18. Fretfulness. 17. Peevish, with alternations of joy and sadness, of laughter and crying. Pale, delicate infants. 19. Fit returning at a regular time. 20. BelChing, and a watery saliva from the mouth. stomach swollen and hard, before, during, and after an attack, attended with fever and perspiration. 226 flatten, forming what is called in common parlance, " Chicken breast;" the joints enlarge and become spongy, and loose; the spine is incurvated and the child is unable to support his head erect, from weakness; the urine is vitiated and loaded with a heavy sediment of lime; finally, hectic fever and diarrhoea supervene, quickly terminating the child's existence. If suitable remedies are resorted to in the early stages of this disease, and persevered in, perfect health, is the almost certain reward. T r e at m en t. - Cold bathing by immersion, or sponging twice a day, free exercise in the open air, nourishing diet, and the following remedies, more especially, but aided by those named under Scrofula, -from like circumstances, will steadily manifest a salutary effect. Calc. C. and Sulphur, in alternation twice a day will gradually restore strength and sprightliness. Silicea, may be occasionally given if the improvement should not progress. Assafcetida, may also be given after the above, if there should be jerking of the limbs in addition to the.above. - Ed.] 227 CHAPTER VI. DISEASES OF INFANTS. INFANTS are particularly liable to some affections, which are worthy of notice. SLEEPLESSNESS. When this occurs in infants and young children, disease is clearly indicated. Diet of an improper nature, particularly if heat and restlessness be present, is often the cause, and the green stools, the flatulence, and swollen condition of the bowels testify to this. In these cases Chamomilla will succeed, provided this has not been given to excess previously: if so, then Coffaea.* Chamomilla will be useful if the crying is caused by ear-ache. * Coffee taken by the mother is often the cause of the sleeplessness of the child. Mothers, while suckling, should never take Coffee. Mothers should suckle on cocoa, and I have the testimony of mothers who have so suckled, and they state that they found with COCOA without BEER, they produced quite sufficient milk, and the children suckled with such diet, were in better health, than those suckled on previous occasions when beer and coffee and tea formed the liquid part of their diet. Reference has been made to this before. .228 When the stomach has been overloaded, and flatulence and constipation attend the sleeplessness, then Pulsatilla can be used. If the infant cries constantly, and contracts the legs upon the belly, tosses about incessantly, and has severe griping pains, with purging, China will be found useful. When some children are weaned they are very sleepless; the deprivation will in part explain the watchfulness; but if the watchfulness continues, Belladonna will afford relief. A second affection is THE CRYING OF INFANTS. Some infants are incessantly screaming,* and apparently without cause; though this is more the case in children under a year old. A dose of Belladonna will often cause this to cease. If much agitation and restlessness are present, Chamomilla. If there is a frequent disposition to relieve the bowels, the discharge sour, and the actions present * It should ever be remembered, that any means but proper means to induce a cessation of crying, only perils the child's future health and happiness: all allow the troublesomeness of crying children; but if the trouble is spared now by unwise means, it will be increased tenfold at a future day. 230 Another diseased state is THE THRUSH OR APHTHA. For the treatment of this, see pp. 116, 117. Another disease of infants is THE MILK CRUST. For the treatment of this, see pp. 33, 34. The diseased states connected with DENTITION OR TEETHING have been detailed p. 119. The method of treatment for CONVULSIONS, another affection of children, has been fully detailed, pp. 218, 219. Another diseased affection of infants is that peculiar asthma called 232 der the head of " Treatment after Delivery," will in most cases remove this. If not, arnica should be applied externally. two globules of Arnica. The patient used also the arnica lotion, and with such benefit and refreshment as to cause her to express her feelings in regard to the arnica, "It is worth a shilling a drop." She passed the night tolerably well. In the morning the arnica globules were repeated; also the lotion was again used. The effects were marked: though delivered by instruments, there were no after pains, or at least so trifling as not to be deemed by herself worthy of notice. No symptoms of.fever or of inflammation presented themselves, and she recovered most rapidly. In reference to the baby, the effects of the arnica were quite as well marked. The following is the description by the father: " The baby's head was bruised and crushed in a most pitiable manner. Of what shape it is I can hardly describe. It is alive, but unless you can do something for it, I think it cannot live. The surgeon is of opinion it will go of in convulsions." This statement was in a letter to me from Manchester. Mr. K. bathed the infant's head four hours after birth, with the arnica lotion, and repeated the bathing the following morning. At eleven at night, on Dec. 14, it was convulsed, the head and the face becoming quite black. Mr. K. administered chamomilla, and it recovered. The following morning it had a slight convulsion. It cried much during the night. Excepting the head, it is a fine child. It seems unable to swallow easily. The head is of all shapes. The centre of the forehead, round Benevolence, is very large or swelled, and the back part of the head is all forced to one side. The mouth is distorted; the right side of the face is much swollen; and the inside of the mouth is in a dreadful state. " Can anything be done for it? " I ordered aconite to be followed by arnica; and then, if there was no decided improvement, to give Rhus Toxicodendron: if convulsions should recur, Chamomilla: and if this failed, Ignatia. On Dec. 17, I heard that the baby was doing well; no convulsive symptoms; no fever. The arnica lotion has been used ever since. The head is almost well: and the baby sucks and eats very well. Feb. 1842, I saw the little dear: it was hearty and joyful, and observant. The head of a natural form, and no indications of any of the inconveniences to which it had been subjected. Nov. 31, 1843, I saw this child and he was hearty and well: his head, which, as above detailed, was of all shapes, is of a natural shape. 234 Infants and children are troubled sometimes with RETENTION OF URINE. Smelling Camphor will often relieve this. If not, Aconite can be given: and should not that succeed, follow with Pulsatilla. [Cantharides, if there is frequent straining and disposition to urinate without the ability to pass more than a few drops at a time; repeat the medicine every two hours until relief is obtained. Graphites when there is great urging without the ability to discharge the water, only by drops, repeat as above. - Ed.] Another diseased state of infants is INFLAMMATION OF THE EYES. The cause of this and the means of avoiding it have been already explained. Another diseased state is a sort of catarrh, which is very troublesome. It is called A COLD IN THE HEAD. This affection causes the trouble it does by the obstruction of the nose, produced by it, impeding suckling. (Children, as is well known, when suck 235 ling, always breathe through the nostrils, as all people ought.) From the remarks under catarrh it will be seen that Nux Vomica is the remedy most likely to be suited to it. It will be seen under catarrh, that, with the obstruction there is dryness; there is irritable disposition. Chamomilla will suit in many cases. In cases where, with the obstruction in the nose, the matter obstructing is of a slimy nature, and symptoms, similar to those presented in the Asthma of Millar, are present, Sambucus has been recommended. 237 of these may be given a few days, and then a few doses of Sulph., and if there is a manifest improvement, omit the medicine for some days, and resume if necessary. Menstrual colic is best relieved by Pulsatilla, Cocculus, Veratrum, or Secale; a dose of one or the other must be given every hour or two, until the sufferings are removed. When the menses do not appear at the usual age, and the health is impaired thereby, give Pulsatilla and Sulphur, the first every morning and the latter every evening, for a few days. The same course must be pursued when it is too slight, or of short duration, in feeble constitutions. In both instances warm hip baths and foot-bathing will be most important auxiliaries. LEUCORRHCEA. (THE WHITES.) By this term we originally meant a white mucous discharge from the female organs of generation. Now, however, all discharges arising from functional causes only, whether greenish, yellow, brown, or white, bear this appellation. The health suffers in proportion to the amount discharged and the length of time that it continues. 'Treatment. - If the discharge has been of long standing, frequent washing with cold castile soap water, and the administration of the following remedies, will effect a cure. Cantharides, every two hours, if there is smarting 238 and frequent desire to urinate, without the ability to pass much at a time; Cale. c., if ther& is an eruption of pimples and itching of the genitals. Bovista, Carb. Mag., Carb. Vet. and Sulphur, may follow the other remedies as circumstances may require. - Ed.] 240 than remove the cause; the effects they are obliged to let alone; or to leave them (as they-observed) to Time's all healing hand. The homoeopathist, having means, which produce symptoms similar to those induced by the causes, can, by giving such means or remedies, take away, by a homoeopathic operation, these effects; and, at the acquaintance with these remedies, and at this, their application, he could not possibly have arrived, except by the recognition of the doctrine, that diseases are cured most quickly, safely, and efectually, by medicines, which are capable of producing in a healthy person symptoms, similar to those existing- in the diseases. The Causes may be arranged under two Divisions; those acting upon the Mind, and those acting upon the Body. 241 CHAPTER I. MENTAL CAUSES. FRIGHT, is a most common cause of diseased states. I have been consulted, this day, among others, by two patients: one, who has epileptic fits, which were produced by the fright caused by suddenly discovering her mother dead; the other, who has become partially paralyzed on one side from a sudden fright. Fright produces, in the individual frightened, symptoms, such as stupor, and sometimes an idiotic, lost appearance; loss of power, fainting, trembling of the limbs, startings, oppression, difficulty of breathing, and cold sweat. Opium, if taken by a person in health, produces similar symptoms; and opium is thereby, namely, by its hom'ceopathicity, constituted so useful an agent in cases of fright, that no remedy is equal to it in efficacy, when administered ACCORDING TO THE HOM(E16 242 OPATHIC FORMULA, IN INFINITESIMAL DOSES, immediately or soon after afright. When some interval has elapsed after the fright, Sambucus will be more serviceable than opium, particularly when, from the fright, the respiratory system is principally affected. Whenever a person has been frightened, two globules of opium or of sambucus should be taken. Thus any bad effects will be prevented. I have known irremedial disease of the heart, produced by an accident; a lady was standing in the street with two other ladies, and. the two beside her were killed on the spot by a horse that had run away with a gig. Had she taken opium immediately, this disease would not have taken place. How often has miscarriage been produced by a fright! Suppose a mother, who has miscarried several times, and that from slight causes: let her be frightened: let her experience the same symptoms, as those which preceded her miscarriages: give her immediately afterwards opium, and she will not miscarry: though, under previous conditions, a far less cause would have caused this lamentable condition. A bad case of epilepsy* which I had cured in a boy, and who had remained free from fits nearly two years, was again induced, being attacked with fits. He had been playing in a field: a brute, miscalled a man, came up to the child, struck him with a heavy * See " Epilepsy, and some Nervous Affections its Precursors; being twenty-two cases, successively treated; by John Epps, M. D." Sherwood & Company. 243 stick on his arm, and broke the arm. The child was dreadfully frightened: and, as was likely, a fit was produced. Had that child taken Opium immediately, no fit would have taken place. I am tbus positive in making this assertion by the fact, that I have known children, who, by slight frights, have been thrown into convulsions, and have, subsequently by taking opium after a fright, had no such effects produced. Again: a child has been frightened. He awakes in the night suddenly with a dreadful fright, exhibiting great anxiety,; difficulty of breathing, &c.: he takes Sambucus, and sleeps quietly afterwards, and no untoward symptoms present themselves. I have cured the troublesome affection, wetting the bed, when other homceopathic means have failed, by using Opium, after having learned that the child began to be troubled thus after being frightened. The cause here leads to the use of the remedy: and the remedy chosen, and given with such beneficial effects, is pointed out for use by the fact, that it produces effects upon a healthy person, similar to those presented in the frightened person. What beautiful scientific results, equal to these,,can the old system of medicines present? PASSION AND VEXATION are other causes of diseased states. Fits of rage have brought on Jaundice and Inflammation of the Liver. 245 AN INTENSE DESIRE, when ABSENT from home to RETURN HOME, called NOSTALGIA, is a frequent cause of bodily disease. This & attended generally with redness of cheeks and sleeplessness. Capsicum is the best remedy. UNHAPPY LOVE WITH JEALOUSY is often the cause of bodily disease. Note.- It is one of the peculiar features of homoeopathic practice, that the moral symptoms are so highly important; in fact,, in some cases, deciding the use of a remedy. Precision is therefore one essential in successful homceopathic practice; and if precision is deemed a mark of a scientific mind, surely homoeopathy, which requires such precision, is to be regarded as possessing a scientific character. 247 tion of parts, is induced by injuries in many persons: and when this is the case, Arnica is more specific than belladonna. The homceopathicity of arnica in such cases is founded, not only upon the cause, namely the injury, but also upon the power which arnica has, of producing an erysipelas. I have known several cases where arnica, applied to wounds, has produced erysipelas. It should, when employed for wounds, affecting persons liable to erysipelatous attacks, be in the very highest dilutions. Suppose an INFLAMMATION OF THE EYE is presented: that this inflammation is consequent upon a blow: then Aconite and Arnica would be the two remedies; although had symptoms of inflammation of the eye occurred from other causes, then aconite and some other remedy would have been more appropriate. CONVULSIONS, especially in infants, result oftentimes from an injury. In these cases, arnica will be the appropriate remedy, though in itself not a specific for convulsions; the cause here operates; and, if not curing the convulsions, it will render the operation of the medicine, afterwards to be employed, certain. A fall on the head has frequently caused an aggravation of a previously existing HEAD affection. In such a case, arnica will prevent the aggravation, or remove the induced symptoms, and thereby counteract any additional danger, which otherwise might, by the superaddition, be caused. In connection with the use of arnica, under such circumstances, I may add, that the successful result of several cases has led me to believe, that, though 248 the injury may have been inflicted months, yea, years,* before, so as almost to be forgotten, yet when the symptoms existing can be traced so as to be decidedly consequent upon such injury, even then arnica is exceedingly useful, and is often the first step towards cure. DERANGEMENT OF THE STOMACH. This condition has often been the forerunner of many severe diseased states, which, if the derange* A patient of mine, the Baron -, was attacked with a severe illness, in the year 1842. He was evidently in great danger. Among his symptoms was one of a feeling of a bruised condition of the chest, affecting his breathing, producing severe pain on taking a full breath, and attended with excessive prostration. I inquired anxiously whether he had received any wound, having been a general during the continental wars, and engaged in many battles. He said no: but on reflecting, remembered the following circumstance. As he was sitting on horseback watching the movements of the army engaged in battle, with his aid-de-camp at his side, a cannon-ball passed between his horse's head and his breast, and taking the aid-de-camp in its course, made, to use the Baron's own expression, a complete rag-fair of him, cleaving his body asunder. The Baron experienced a shock, and his horse was so affected that he shivered, so to speak, as to go upon his knees. The excitement of the battle banished all the rest, and he had not thought of the circumstance until I had thus brought the event back to his memory. I forthwith ordered Arnica internally and an Arnica poultice externally, and the change was so rapid as to convert to Homoeopathy a most intelligent friend of the Baron's, who had been watching the case with intense anxiety: the more so, because having no faith in Homceopathy, he had the greatest fears on behalf of his friend. 249 ment could have been arrested at the outset, would not have appeared. In these derangements, Antimonium Crudum, Bryonia, or Pulsatilla, will arrest the progress: antimonium crudum, if there are risings, nausea, and feeling as if the person must be sick; bryonia, if there is gastric fever, with shivering and cold; and pulsatilla, if the derangement has been brought about by fat foods, and more particularly by eating pork. EXPOSURE TO COLD OR WET, commonly called taking cold, is a frequent source of inconvenience and of danger in the progress of diseases, and a frequent cause of diseased states themselves. Nux Vomica (as will be seen from the treatment of Catarrh, pp. 87, 88,) taken at once, will often arrest the progress of the symptoms, usually occurring after such exposure. If, however, the taking cold is attended with a sense of sufocation and nausea, then Ipecacuanha: if followed with pain and shedding of tears, Cofe a: if followed by a copious discharge from the nose, and by the loss of smell and of taste, Pulsatilla: if followed by relaxation of the bowels and thickening of the water, then Dulcamara: if followed by. relaxation of the bowels and griping, then Chamomilla. 252 sidered medicinal, must necessarily interfere with the operations of the homceopathic medicines. It is necessary therefore to select articles of diet, in which the nutritive property, unaided by strong flavors, preponderates. The following articles of diet, either having medicinal or stimulating qualities, in addition to or not possessing, nutritive qualities, are to be avoided..Animal. VEAL: i. e. meat spoiled in killing; PonR: i. e. meat of an animal loaded with scurf; DUCKS: i. e. strong flavored meat; GEESE: i. e. strong flavored meat; SEASONED DISHES ROTTEN OR DECAYED CHEESE; BACON,; HAM; SHELL FISH. Vegetable. Unripe fruits; Unsound fruits; Sorrel; Radishes; Onions; Celery Garlic; Asparagus; Watercresses; Pepper, Mustard. Liquids. Coffee; Tea; Spirits; Wine; Ale; Porter; Soups flavored; Soda-water; Ginger-beer; All mineral waters; Vinegar. SMOKING, SNUFF, and TOBACCO in all its forms, are to be avoided: all perfumes and scents should be avoided: all cosmetics are to be avoided: all scented tooth powders. The following articles can be taken: A2nimal. Vegetable. BEEF; BREAD; MUTTON;- POTATOES, mealy; FLAT FISH; BROCOLI; COD; PEAS; and all Fish not oily; BEANS, French and Broad; FRESH GAME; CARROTS EGGs, newly laid, lightly RIE; boiled. SAGO; ARROw ROOT. Liquids. CocoA; CHOCOLATE; MILK; WATER. 253 Some foods may be taken occasionally. Animal. Vegetable. Liquid. LAMB Asparagus, Tea, under medical OYSTERS; under medical direction. CHICKEN j direction. FOWLS. Where'persons have been habituated to wine the homceopathist does not forbid its use; but the wine should be taken with water; generally speaking, its use is contra-indicated in all forms of disease. Cocoa,* is the best of all flavored drinks. It is highly nutritive. It may be asked, " Why object to cofee and tea?" The reason is that both cofee and tea are medicines. Coffca is frequently mentioned as a remedy, as will be seen in the preceding pages; it cannot be good to give medicines to interfere with medicines which the patient is taking. Coffee is more decidedly medicinal than tea; tea produces that peculiar sinking at the pit of the stomach, so common to tea-drinkers. EXERCISE is another part of the diet. There can be no health without exercise. When parties, from age or from loss of power, or from injury, are unable to take exercise, they should use friction, be shampooed. Exercise should be taken every day: and it should be taken in the fresh air; if the weather be very * Homceopathic chemists generally )keep cocoa for sale, with he view of ensuring that patients shall have it pure. 258 and this being a bad conductor, it will keep the heat of the poultice within for a considerable time. I generally put on the poultice, before application, a few drops of the tincture of the first dilution, or a few globules of the medicine in use at the time. 259 CHAPTER IV. ON THE PROPER WAY OF FOMENTING. THOUGH homoeopathic practitioners rarely use fo-- mentations, sometimes they are employed with benefit; more particularly where persons have taken injurious and unsuited agents to remore the diseased state or states. Hot water and flannels form the materials. These require some judgment to prevent the use being abuse. In fomenting, there should be, if possible, a fire in the room. There should be a vessel of boiling water on the fire: there should be a large earthenware pan in the room: there should be at least two large pieces of good flannel. The patient, if in bed, should have a blanket doubled passed under him, and then folded over him, so that the two edges of the fold below and those of the fold above may hang over the side of the bed; then the heated and wetted flannel can be introduced without wetting the bed and without pulling down the bed-clothes. (Many a person has been more injured by the exposure induced in removing the wet things off the bed, than, 260 he has been benefited by the fomenting.) The flannel, after being soaked in the hot water, should be well rinsed out, and then applied to the part; and before this flannel is removed, the other flannel, soaked and rinsed in a similar way, should be ready for application. Often the fomentation increases the pain at first: this, unless the augmentation continues, should not be regarded or least, not so far regarded as to cause cessation of the fomenting process. In colic the use of heated flannels is preferable to flannels soaked in hot water and rinsed. Fomentations should be regarded simply as auxiliary the curative means must be the appropriately selected homoeopathic remedy or remedies. 263 swallow, or at least not sufficiently, or worries himself in vain, does not throw up as much as he drinks, or should he absolutely refuse to drink and enough cannot be introduced, chew some bread and mix with a tablespoonful of snuff, and put it on his tongue until it excites vomiting, and let him drink tepid water upon it. If this does not act, then some powdered mustard mixed with a teaspoonful of salt is to be put into a tumbler of water and drank off at once, and afterwards tepid water. Use no other vomits. In case the sufferer can get nothing down, is quite confused, cannot swallow, his jaws being tightly closed, blow some tobacco-smoke into his bowels. Take a pipe with tobacco, light it, grease the point of its stem with oil or fat, insert it into the anus, not deeper than about the depth of a finger nail, turning it carefully, then place on the head of that pipe the head of another empty one, and blow through this into the other, propelling the smoke inward. After blowing three or four times, stop and begin again. These remarks, and those which follow, are abridged from Dr. Hering's Homceopathist. The remedy, in importance next to vomiting, is white of eggs. Have the whites of several eggs beat up, mixed with cold water, and let them be drank. This will never do harm, and will surely help, if the poison be metallic, or if the-patient is suffering violent pains in his stomach or bowels, feels as though he should purge, as will happen in poisoning by corrosive sublimate, quicksilver, verdigris, compounds of tin or lead, alum or vitriol. Give the whites of eggs abundantly, and often repeated, whenever the substance 266 taken to be a principal one, which it is not. This refers also to grease, butter, and similar things:also to buttered water. If to be used, you ought to be careful of the kind of oil; -rancid oil, train-oil, or sperm oil, ought not to be applied, slimy substances will answer far better to envelop the poison, or sugar, which sooner assuages the stomach, or other means to neutralize the poison. When you are sure that the poison was alkaline, and you are applying vinegar successfully, you may alternate with oil, particularly when the patient complains of burning in his mouth, throat, or stomach. Oil, however, may be applied to great advantage, when a strong acid, aqua fortis, oil of vitriol, &c. has got into the eye, the mouth, the throat, or the stomach. Sometimes it is also serviceable against poisonous mushrooms. Oil is hurtful in poisoning by arsenic; useless in most poisonings from metallic substances; and very injurious when Spanish flies get into the eye, or stomach. It is literally throwing oil into the fire. This is also the case with insects and venomous bugs, which may have got into the eye. Oil is of great service when live insects have crept into the ear. Milk is not so good as other viscid substances; but as it is more frequently at hand, it will be well to let the sufferer drink of it, instead of waiting for other things. Fat milk is good wherever oil is good, injurious wherever that is injurious. Sour milk is good wherever vinegar is so, injurious wherever that is. When you have no good oil, fat milk is the best thing; also when oil becomes disgusting to the patient. Sour milk is preferable to bad vinegar; it may also be applied where vinegar has already been used. 269 let the patient smell it, or rub it on his skin. You can make a salve of it with warm oil, or easily dissolve it in heated brandy. It is the principal antidote in all accidents from insects. Against Spanish flies, whether they have been swallowed, or got into the eye, or when used as a plaster, they have a poisonous effect, camphor is always the best remedy. Also, when venomous insects or infected honey have been swallowed, in violent symptoms after meals, in which small bugs or worms may have accidentally fallen, or when one has swallowed small moths; likewise after the sting of insects. When, together with other symptoms, the patient finds it difficult to urinate, or this is very painful to him, and intermixed with blood, you may always presume that this originates from Spanish flies, or other insects, and camphor is the best remedy. Camphor is finally applicable, when accidents result from the medicine a sick person has taken; when children sicken after the usual preposterous worm medicines; in accidents from tobacco, bitter almonds and medicines that liave the smell of these things, or cherry-stones, peach-kernels, acorns, or nuts. It will mitigate after-pains from phosphorus, poisoning by minerals or acids, and particularly salty things. When, through vomiting, everything has been ejected from the stomach, let the patient smell camphor from time to time. This may also be done in poisonings by mushrooms, or in accidents from charcoal fire. Burning, cauterizing, cutting, lacerating, suppurating, are all useless. These are done that something may appear to be done. Always continue the proper treatment till the scar of the.wound attains the natural color of the skin. If a blister forms under the tongue, cut the blister open, and let the patient rinse his mouth with salt water. 272 CHAPTER III. FOREIGN BODIES, IN DIFFERFNT PARTS OF THE BODY. THE treatment of the eye when foreign bodies enter it, has been explained. Sometimes insects get into the EAR: if so, drop oil into the ear, until the insect becomes visible, and with a piece of paper rolled up, pull it out. But if the body be a pea, or anything that swells and which cannot be removed thus, then take a hair pin, bend it at the end to an obtuse angle, so that the upper part of the pin may form a knee, like a spoon, and push the pointed ends into a cork: place yourself behind the ear, pull the ear with one hand upwards and at the same time from the head; then dip the instrument in oil, and holding the bend in the instrument close to the inside of the ear, push it in so as to get it around and behind the object; then lift it a little, and the body will fall into the bend of the pinSometimes pointed things get into the ear. A case treated, related in the tract on Arnica Monta 277 capable of producing in a healthy person symptoms, similar to those ezisting in the diseases. HOM(EOPATHIC. Of or belonging to Homceopathy. GLOBULE. A term applied to the round little grain, made of sugar and fecula, which impregnated with any remedy, is the form under which the remedy is administered. ABDOMEN. The part of the body situated between the chest and the pelvis; the cavity in which the stomach, the liver, the spleen, and the intestines are contained. This part fastidiousness miscalls the stomach - whereas the stomach occupies but a part, and that the upper part, of the abdomen. PERIOSTEUM. The delicate membrane investing the bones of the body. PSORA. Hahnemann considers that the eruptive state, designated by'the term psora, is the most frequent cause of disease: or more correctly, that psora exists in the majority of individuals in a dormant state; and that the constitutional condition, thus induced, is one which is, so to speak, a peculiarly favorable soil for the production of diseases by the influence of noxious agents. SEMILATERAL. Affecting one half either of the whole body, or of any part of the body. SPECIFICITY. The peculiar relationship established in nature between the properties of a remedy and the symptoms of a disease, that they (when brought to act on one another,) are mutually active, so as to remove the disease. MECONIUM. The name given to the feculent matter, contained in the bowels of the just born infant. 279 or reserved and taciturn: anxious, apprehensive, or timorous or irritable, &c. The patient is next required to give an accurate and particular description of the incidents or symptoms of his disease, such as pains and other morbid sensations, and their exact character. He should describe precisely the region or part, and on which side of the body they are seated, and how large is the space they occupy. Are the symptoms continued, or do they remit or vary in intensity from time to time? Do they recur at particular times of the day, or at certain intervals of one or more days? Is their recurrence, aggravation, diminution or cessation, connected with the exercise of any bodily function? Do they arise or disappear, are they increased or diminished by exercise, or during rest, by lying down, or sitting, by stretching out or bending up the body, by walking, by standing, by warmth or cold, in the open air or within doors, by light, by noises, by talking, by eating, by drinking or swallowing, soon after eating, by the motion of the affected part or by touching or pressing it, by mental emotion-- fright, anger, during bodily or mental exercise, reading? &c. &c. Are the symptoms associated with anxiety, greater or less? Do they impair the powers of thought or recollection, or the due exercise of the senses? During the sufferings of individual parts or functions of the body, (even when these sufferings are not the principal ones,) further information is to be given respecting the state of the patient's mind; whether he suffers patiently, or is inclined to weep, to be morose, passionate, despairing, greatly anxious, 282 Does the wind readily escape, or is it retained; and what are the complaints which it seems to give rise to? Are the evacuations from the bowels effected with ease or difficulty? How frequent are they? what is their consistence? are they fmecal, or slimy, or bloody, &c.? What is their color? Are there any complaints immediately preceding, during, or following a stool? Are any large or small worms discharged? Are there abraisionfs or sore places, warts, or piles in the rectum or anus; and do the latter sometimes protrude or bleed? What complaints arise before, or during, or after the urinary discharge? and is the discharge sparing or copious? What is the aspect of the urine? Is it clear, high-colored, or turbid? Does it soon change after evacuation, and deposit mucus or sand, or a white or a red sediment? Does it contain blood, pus, or gravel? Is the breathing short, or otherwise oppressed? Can the patient ascend a height? Is the breathing asthmatic, wheezing, or rattling? Does the patient make any complaint on drawing a deep breath? How is the voice; rough, hoarse, hollow, &c.? Is there a cough? is it slight and short, or hard and difficult? does it seem to come deep from the breast? do the paroxysms of coughing' last long, and are they attended by swelling of the face and loss of breath? How does the cough sound? Is it dry or followed by expectoration? Is expectoration easy or difficult, sparing or copious, mucous, purulent, resembling saliva, bloody, (interspersed, or tinged with blood, and of bright, or dark color, or is it pure blood?) white, yellow, green, ash-colored, &c.? Does it taste salt, sweet, bitter, or what taste has it? Is there a superabundance of mucus in the larynx or trachea 283 or does it seem to lie deep in the breast? In what part of the organs of respiration is seated the irritation to cough? and from whence proceeds the matter expectorated? Is there palpitation of the heart? or throbbing in other parts of the body? Does the patient suffer from transient flushes of heat? He can, perhaps, describe the condition of the pulse. Are the glands under the ear, under the jaw, in the armpits, on the head, in the groins, swollen or suppurated? Is the patient afflicted with goitre, or an enlargement of the gland over the windpipe? Are there swellings of the bones or joints? are there tubercles or swellings, or swollen or knotted veins? Are there any parts red, swollen and painful? Are the hands or feet swollen? Is there lameness of one or more of the limbs? Are there cramps or spasms, tremor, twitching or starting, stupor or falling asleep, or other morbid sensations in any of the limbs? Is the skin pallid, yellow, &c.? Is it dry, or inclined to sweat, or otherwise in an unhealthy condition? Is there itching of the skin (tickling, slight prickling, or a sensation of biting, burning, crawling, sticking)? Is it relieved by scratching, or is the sensation thereby only changed for another? The presence in the skin of wheals, swellings, boils, chilblains, and corns is to be mentioned, and the attendant sensations described; also cutaneous eruptions. Is there chilliness, or a feeling of heat? Chilliness, heat, or sweat of particular parts? Sweating of the feet, whether warm, cold, or fetid? When the patient has fever, does the paroxysm consist of a cold, hot, and sweating stage! Do they alternate with or 286 IPA GE, Drivelling at mouth... 216 Drying powder.... 34 Dry rot... 150 Efficiency of medicine, how to be judged of 22, 24 Epps, Dr., constipation curable. 129, 138 Homceopathy and its Principles Explained... 227, 228 Exercise.... 253 Exposure to cold or wet... 249 Eye water.... 74 Fauces.. 125 Fomenting, proper method of ' 259 Friction, with ointments, the evils of in glandular enlargements of the neck.. 81 Friction to back.... 216 Goulard's lotion, injurious in burns. 56 Grief, silent.... 244 Hartmann.... 27 Hartshorn, spirits of. 182 Hering, Dr.,. 79, 102-3, 194, 216 Honey..... 270 Ice.. 176 Instructions to patients consulting a physician.... 278-284 Jealousy _.... 245 Jennerian Royal and London Vaccine Institution, its great uses and plan, an appeal on its behalf.... 215 Lancing gums, generally a bad practice. 217 Muscles... 218 Opening glands by lancet bad.. 82 Opium, its evils in toothache.. 123 HOMIEOPATHIC BOOKS AND MEDICINES. OTIS CLAPP, No. 12, SCHOOL STREET. (UP STAIRS,) BOSTON, Keeps constantly on hand and for sale, an assortment of Homaeopathic Books and Medicine Chests, Cases, and single Remedies. Among the books areJahr's New Manual of Hommopathic Practice. Translated by Drs. Gray and Hempel, assisted by Drs. Hering, Hull, Quin, Jeanes, Cook, Neidhard, Williamson and Kitchen. Now publishing in Nos., at, each So 50 Jahr's Manual, first edition, 1 vol. t 50 Jahr's New Homceopathic Pharmacopceia and Posology 2 00 Hahnemann's Organon of Hommopathic Medicines 1 00 Hahnemann's Materia Medica, 4 vols, octavo, each 1 50 Hahnemann's Chronic Diseases, 5 vols. 7 00 Transactions of the American Institute of Homcopathy, vol. 1 1 50 Bonninghausen's Therapeutic Pocket Book. Edited by Dr. Okie. $1 25. In pocket cases 1 50 Hartmann's Acute Dieases, vol. 1 1 25 Ruoff's Repertory of Hommcopathic Medicines, nosologically arranged. Translated from the German by Dr. A. H. Okie. With additions and improvements by Dr. Humphrey 1 50 Jeanes's Practice of Medicine 2 50 Hering's Domestic Physician 2 00 Epps's Domestic Homcopathy 0 75 Laurie's Domestic Hommopathy. Revised by Hull 1 50 Hempel's Domestic Homceopathy 0 50 Dunsford's Practical Advantages, &c. 1 00 Hartmann's Practical Observations on some Hommopathic Remedies. Translated by Dr. Okie. First and Second Series, each 1 00 Rosenstein's Theory and Practice of Homceopathy 0 75 Shirrill's Manual of Hommcopathy 0 50 Hempel on the use of Arnica Montana for Bruises, Sprains, &c. 0 17 Manual of Homceopathic Cookery 0 50 Family Guide to the administration of Homcmopathic Remedies 0 25 Bonninghausen's Essay on Intermittent Fevers 0 38 Dr. Hempel's Eclecticism in Medicine 0 25 Gunther's Hommopathic Veterinary Manual 1 25 ;I: 1-4 iri 7.. - 41" " - ' - I 4 ow Preservation 1990 Filmed byRt Pe on 199 Fmane bd uNfVERSfTYf OF rACHIGAN III I90I I003II 4I 3 9015 00713 4870