A 574496 JI WALl AN EPITOMIvE OF THE CONTAINING THE NEW DISCOVERIES AND IMPROVEMENTS TO THE PRESENT TIME; DESIGNED FOR THE USE OF FAMILIES, FOR TRAVELERS ON THEIR JOURNEY, AND AS A POCKET COMPANION FOR THE PHYSICIAN. BY B. L.HILL, M. D., Professor of General, Special, and Surgical Anatomy Late Professor of Surgery. Ol tetrics, and Diseases Females and Children, in the W. H. College, Author of the "Homoeopathic Practice of Surgery," &c., &c. CLEVELAND, OHIO: JOHN HALL, 72 SUPERIOR STREET. - CHICAGO, ILL. HALSEY & KING, 162 CLARK STREET. 1859. T'A2BLE OF REMIMEBDIESIn this table I have affixed to the remedies figures designating the dilutions or the attenuations, at which, under ordinary circumstances, I would advise their use. The strongest, or mother tinctures, marked with an apha (0), the dilutions or triturations to be of the decimal degrees of attenuation, are marked 1, 2, 3, &c., to designate that they are to be used at 1'10th, 1-100th, 1-1000th, &c., the strength of the pure drugs. The list for a full FAMILY CASE contains all the remedies recommended in this book for diseases that may be safely trusted to unprofessional hands. The TRAVELER'S CAsE needs only such medicines as are prescribed for the diseases which he would be most liable to contract on his journey; though I have put in the principal ones used in domestic practice, so that the Case will do for family use. The CHOLERA CASE is only supplied with such remedies as are particularly applicable to that disease; useful, however, for many other complaints. TR1&ATELERIIS CASE. 1 2 3 4 5 6 7 8 9 30 11 12 13 14 1 2 3 4 5 6 7 Aconite, Apis 3ellifica Arsenicum Arnica Arum triphyllum Belladonna Baptisia Bryonia Colocynth China Sul. Chamomilla Copaiva Cuprum Eupatorium Aro. p 3 15 Iydrastus Can'. p 16 Ipecac p3 17 Mercurius sol. tr 0 18 Mercurius cor, tt 2 19 Macrotin p 8 20 Nux Vom. p 1 21 Phosphorus p 3 22 Phos. acid p 3 23 Podophyllin tt 1 24 Rhus toxicod. p 8 25 Secale p 2 26 Tartar emetic p 3 27 Veratrum p 1 p1 p 3 p 3 it 2 tt 1 p 3 p8 p3 p 2 P3 p 3 l) 3 p3 p4 p 3 p8 P3 p 3 p3 p3 CIOLExRA CASEm Aconite p 8 8 Laurocerasus Arsenicum p 3 9 Opium Belladonna p 8 10 Merc. cor. Camphor tr 0 11 Phosphorus Carbo Veg. p 5 12 Phos. acid Cuprum p 3 13 Secale Ipecac p 3 14 Veratrum vi INTRODUCTION. it will, in a very large proportion of cases, effect cures, even when administered by those "unacquainted with the medical sciences generally. It has been written from necessity, to meet the demands of community for a more definite work in a concise form, that should contain remedies of the most reliable char. acter, with such directions for their use as can be followed by the traveler on his journey, or by families at home, when no physician is at hand. It might seem to some preposterous to speak of a demand for another domestic Homoeopathic Practice, when half a score or more of such works are now extant, some having come out within a very short time. The demand arises, not from the want of Books, but from the defects of those that exist. There is in most of them, too little point and definiteness in the prescriptions, and a kind of vague doubting recommendation noticeable to all, which carries the impression at once to every reader, of a want of confidence by the author in his own directions,. INTRODUCTION. vii Again, in some of the works there is too much confusion, the symptoms not being laid down with sufficient clearness to indicate the best remedy, Some of the works are unnecessarily large and cumbersome, while the real amount of valuable practical matter is comparatively meager, obliging the reader to pay for paper and binding without the contained value of his money. I do not claim entire perfection for this work, yet I do claim it to be several steps in advance of the books now extant, This work is my own, being the result of my practical experience and observation. I have introduced several remedies that, though they are familiar to me, and have been used in my practice for many years, are, nevertheless, comparatively strange and new to most of the profession. Of some we have no extensive provings yet published, still the provings have been made, both upon the healthy and the sick. Their use, as directed in this work, is in strict accordance with their Homoeopathic X INTRODUCTION. produced by an overdose of another; but both being given in the ordinary medicinal doses, neither of them to such an extent as to produce sensible symptoms, if given alone, would not, if given in quick succession, prevent each other from acting to remove their own peculiar symptoms that exist in the system at the time. So if we have the symptoms that are found in two or more different remedies present in the same attack, as is often the case, we may give these several remedies one after another, with confidence in their curative effects for the symptoms they represent. This has been my practice, and it has been eminently successful, and therefore I commend it to others, treating with pity the infirmity of those who ignorantly condemn it, as " They know not what they do." ADMINISTRATION OF REMEDIES. THE remedies are either in the form of tinctures saturated, more or less dilute, in Pellets or Powders. The Pellets may be taken dry upon the tongue, allowed to dissolve and swallowed. The dose for an adult is from 4 to 7; for an infant, from birth to one year old, 1 to 3; from one to three years, 2 to 4; from three to ten years, 3 to 5 pellets; after ten, same as an adult. 15 or 20 pellets may be dissolved in a gill of water, and a tea-spoonful dose given at a time, being particular to stir it until all are perfectly dissolved, stirring it each dose. Powders may be taken in the same manner, upon the tongue, a dose when dry, being about the same bulk as of the pellets as nearly as practicable. If put into water, to a gill of water add of the powder about what would lie on a three cent piece. If the liquid me 12 HOM(EOPATHIC ART OF CURE. dicine is used, add 1 drop to a gill of water, and use tea-spoonful doses as above directed. The length of time between the doses should be, in Dysentery and Diarrhoea, regulated by the frequency of the discharges, giving a dose as often as the evacuations occur. In acute and violent diseases, the doses should be repeated oftener than in milder cases-- about once an hour as a general rule is often enough, though in some cases they should be given in half an hour or oftener. In mild cases, once in two or three hours is often enough, and in chronic cases, once or twice a day. Bathing. The surface of the body should be kept clean, as far as possible, and to this end, in summer, should be well bathed at least once a day. In winter, though useful, it is not so indispensable; still no one should neglect the bath more than a week, and all ought to bathe at least twice a week, if not oftener, even in winter. The bath should be of a temperature that is agreeable, and the room warm, especially for a feuble person. It should be so applied 40 BATHING. 13 as not to give a general chill, as such shocks are always hurtful. The teeth should be kept clean and free from tartar. They should be cleaned every morning and after each meal. The feet, legs and alms should be warmly clothed, especially the arms, as an exposure of them to cold is liable to induce affections of the lungs, and to aggravate any existing disease of those organs. By exposure of the feet and legs to cold, diseases and derangements of the female organs, even in young girls, are induced; and one prolific cause of female weakness is to be found in improper dressing of the feet and legs, while the lung qffections of females, now so fearfully prevalent, are traceable in a great degree to the fashion that has prevailed for a few years, of exposing the arms to cold. Diet. The diet of the sick should be nutricious, but at all times simple, free from greasy substances, and from all stimulating condiments what.soever, as well as from vinegar, or food in which vinegar is used. 14 HOM(EOPATHIC ART OF CURE. In short, let the food be nutricious, easily digested, small or moderate in quantity, and free from all "seasoning," except salt or sugar; and if salt is used at all, let the quantity be very small, much less than would be used in health. Diarrhea. This disease consists in a looseness of the bowels, generally accompanied with pain in the abdomen, more or less severe. It sometimes occurs without pain, but is then attended with a sense of weakness, and a general feeling of uneasiness. It prevails mostly in the warm seasons, but may occur at any time. It is not usually considered a very dangerous affection, except during the prevalence of Cholera, or in children during hot weather. TREATMENT. Veratrum and Phos acid, given alternately, at intervals, as frequently as the discharges from the bowels occur, will generally be sufficient. If there is nausea or vomiting, or cramping pains in the bowels, give Ipecac in alternation with one or both the former. If thirst and a burning of the stomach or bow DIARR HIEA. els exist, use Arsenicunm. This last medicine may be given in alternation with either of the others, but is most frequently indicated in connection with Veratrum. The intervals between the doses should be regulated by the frequency of the evacuations in all cases, lengthening them as the evacuations become less frequent, until they cease. In children, where the discharges are greenish or slimy, and contain undigested food, give Chamomilla and I2ecac alternately, as above directed. If the discharges are dark, or yellow, with distress in the stomach, give PodophylUn. The dose is from 3 to 6 pellets. In all cases of diarrhcea, adults should abstain from all kinds of food until cured, if possible, and eat but little at first, when food is taken. Children should be fed carefully, and but a small quantity at a time, being particular both for adults and children to use as little liquid as possible; drink water in small quantities, not very cold. Avoid exercise, and lie on the back quietly, when that is practicable. In a large majority of cases, Veratrum, if given in the early stages of the disease, will arrest it at once, and in many DYSENTERY. 17 tery begins with a severe chill, followed by fever and the dysenteric symptoms above described. TREATMENT. If it begins with looseness without blood, give Arsenicum and Veratrum alternately, once an hour, or oftener if the evacuations are more frequent. If the discharges are bloody, use Mercurius cor. in place of the Arsenicum. If there is any sickness of the stomach, or the discharges are dark or yellow, use Podophyllin with Mercurius cor. If there are colic pains in the bowels, use Colocynthis alternately with the others, giving it between them. If the patient was costive previous to the attack, and the dysentery came on without much looseness, Nux Vomica should be given alternately with Mercurius cor. If the disease comes on with a chill, or a chill occurs at any time during the attack, followed by fever, Aconite, Baptisia and Podophiyllin should be used in rotation half an hour apart until a free perspiration is produced, and the pain diminishes; or if bloody stools appear, use Mer BILIOUS COLIC. 19 pains are cutting and straining, drawing the bowels into knots, relieved temporarily by pressure. TREATMENT. For a male, Nux Vom., and for a female, Pulsatilla will generally afford immediate relief. In children, especially, where diarrhcea exists, Chamomilla should be used. If it is the result of severe cathartics, or if there is a soreness or a bruised feeling, Colocynth is the remedy. Hot injections into the rectum, and large quantities of warm water taken into the stomach, will often cure colic. Bilious Colio. This disease, in addition to the symptoms of cutting, cramping pains in the bowels, as in common colic, has great distress in the stomach, with nausea and vomiting, the bowels being costive, the feet and hands cold, sometimes cold sweats occur. There is also considerable fever, and frequently headache is present. The substance vomited is at first dark bilious matter, but if the case continues a long time, stercoraceous (fecal) matter will be thrown up. 20 HOM3CEOPATHIC ART OF CURE TREATMENT. Colocynth is the most important remedy, and should be given early and constantly. Podophyllin is next in importance, and it should Be given in alternation with the former, the dose to be repeated as often as every half hour at first, and as the patient becomes easy, at longer intervals. In this, as in the former case, great benefit will be derived from large injections of quite warm water, and let it be taken into the stomach freely, as hot as can be safely swallowed. I have given a gallon of hot water in the course of two hours, to a patient suffering under this disease, the first half pint being rejected, but the balance remaining, perfect relief having been experienced. If fever continues after the colic and nausea cease, Baptisia and Aconite should be given alternately every hour until the fever subsides. If the patient is, and has been, for some time, costive, Nitx a omica should be given once in six or eight hours until the bowels move. Injections may also be used. CHOLERA MORBUS. 21 Cholera Morbus. This disease generally comes on at night, in hot weather, and is, in many cases, induced by over eating while the patient is suffering from diarrhoea and a deranged state of the liver. It is essentially of a bilious character. It sets in with great pain in thee bowels, sickness at the stomach, and vomiting of large quantities of dark greenish bitter tasting substance. At first, the vomiting will seem to afford relief, but sooner or later the stomach and bowels cramp, and the cramping may extend to other parts of the body, the feet, hands, calves of the legs, and the arms, cold sweats come on, and death terminates his sufferings. TREATMENT. Ipecac and Colocynthis are to be given in alternation, and repeated as often as every 30 minutes, for the first three or four doses, then as the patient gets easier, at longer intervals. A dose every hour will suffice as soon as the symptoms begin to abate. The application of hot cloths or even mustard, over the abdomen, frequently palliates the sufferings, and does not interfere with the action of the me 22 HOMIEOPATHIC ART OF CURE. dicines. Fever of a low typhoid type some times sets in after an attack of chlera morbus, and terminates fatally. Thi ought never to occur under Homceopathic treatment. For such fever give Baptisia, a dose every hour until'the fever subsides, which will occur generally in six or eight hours; if "not, and the patient complains of headache, or is delirious, or dizzy, or feels a'fullness in the head, give Macrotin in alternation with the Baptisia. Keep the patient very quiet and free from noise, as far as possible. Sleep is a great restorer in any case, but particularly so in this. FEVERS. Intermittent Fever, Ague or Chill Fever. This comes on with pains in the head and back, aching in the joints, yawning, followed by coldness of the hands and feet, blueness of the nails and skin of the hands, general chilliness, sometimes "shaking." This lasts from a few minutes in some cases, to several hours in others. The chill is followed by a fever, which is generally severe and long continued, in proportion to the length and 24 HOM(EOPATHIC ART OF CURE. As soon as the sweating commences, give Arsenicwmn and Macrotin alternately every hour during the intermission, except during sleeping time. On return of the chill, should it appear a second time, use the Aconite and Baptisia as before, and follow them with Arsenicum and Nux Vom. every two hours. This course of treatment will cure a majority of cases, but some require Cinchonia. That Cinchonia is a specific for intermittent fevers in many of their forms, no one will deny. It is the Homceopathic remedy for many cases, and should be prescribed. The injurious effects that are often attributed to Quinine, are, I have no doubt, attributable not to that remedy, but to the drugs that are used prior to giving the Chinium Sul. I have used it in more than two thousand cases, and have never been able to see any evil consequences follow its proper use. It should be given from the beginning of the chill to the end of the paroxysm, and continued during the whole time of the intermission: i. e. until the time arrives for the next chill, time being important in the use of this remedy. Use the first decimal tritu INTERMITTENT FEVER. ration, and give grain doses (equal to 1-10th of a grain of the drug,) every half hour till the time the next chill would occur, if it pursued its regular course, allowing the patient six or seven hours time in each twenty-four, for sleep.* Though from two to four grains of the pure Chinium Suzlphuricum is all the patient would get, very few cases that do not yield to a course of the former treat. ment here recommended, will have the third paroxysm after this China treatment is commenced and pursued as here directed. For children the dose may be one-half or onefourth that of the adults. If a trituration * NOTE.-The Eclectic Physicians use equal parts of Quinine and Prussiate of Iron, with marked success in agues, giving from one to three grains of the mixture at a dose, every two hours, or oftener, for ten or twelve hours, and some times more, during the intermission. An intelligent Homceopathic Physician informs me that he has used with tuiform success, a trituration of this mixture of Quinine and Prussiate of Iron, in proportion of ten grains of the Sugar of Milk to one of the Mixture, giving the trituration in doses of about one grain every hour through the chill, fever and intermission. Very few cases had a second chill after taking the prescription. I have used this trituration successfully in a few cases. BILIOUS FEVER. 27 the great derangement of the stomach, as nausea and vomiting of bilious matter, yellow coated tongue, bitter taste in the mouth, foul breath, loss of appetite, high colored urine, and frequently distress and fullness in the right side, (though this last is not in every case present,) the skin and white of the eyes soon become yellowish, the chills are often imperfect, the fever being disproportionably long. TRIEATMENT. Podophyllin and Merc. should be given in case of intermittents of this character, during the paroxysm, and in rotation with the other remedies for intermittents, giving a dose every three hours during the intermission. It is well also to continue these remedies night and morning, alternately, for a week or so, after the cessation of the chills and fever, or until all bilious appearances cease. A REMITTING FEVER is one that goes nearly off, but not so entirely as an intermittent, returning again by a paroxysm of chill more or less distinct, sometimes hardly RHEUMATIC FEVER 29 on, then leave off the Baptisia, and give in its stead Macrotin, lengthening the interval between the remedies to two hours or longer. For the chroisic cough that sometimes follows catarrhal fever, Copaiva, Macrotin and Phosphorus should be used morning, noon and night, in the order here named. Should the fever be a Rheumatic Fever, (Rheumatism,) the patient complaining of soreness of the muscles, of the chest, back and limbs, with or without lameness of the joints, Aconite, Macrotin and Niux Vom. are the remedies for a male patient, and the two former, with Pulsatilla, for a female, (or for a male, of light hair, delicate skin, feminine voice and mild temper,) to be used in rotation one hour apart. These remedies are to be taken in a severe acute case, every half hour until the symptoms begin to abate; then every hour or two hours as the case progresses. Baths properly administered, are of great importance in all forms of fever. The surface of the patient should be washed and thorouoglhly rdubbed in water quite warm, into 3 T2 I(IOCEOPATHIC ART OF CURE. of appetite, restless and disturbed sleep, slight chilly sensations, with a little fever, dry skin, and a general languid feeling. These symptoms continue from four or five days in some cases, to two or three weeks in others, gradually getting worse until the patient is prostrated, or if he takes no drugs, and keeps still, avoiding food as far as practicable, he may escape prostration, and after lingering for eight or ten days, and sometimes longer, just on the point of prostration, he begins slowly to get better, and recovers about as slowly and imperceptibly as he grew sick. This is in accordance with observation of cases under my own eye, and I have no doubt those cases of spontaneous recovery, had they taken a single dose of active cathartic medicine or any of the active drugs, they would have been immediately laid upon a bed of sickness from which a recovery would have been extremely doubtful. I believe that two-thirds of the deaths from typhoid fever are the direct results of medication, and that those who recover, do so in spite of the cathartics and the active drugs when such are used. Some cases, however, 34 HOMCEOPATHIC ART OF CURE. donna in rotation with the other two. For the foul breath that comes on, use Mercurius cor., especially if the diarrhoea assumes a reddish tinge, like beef brine. Should the fever at any time rise high, the pulse being full and hard, give Aconite, but it rarely happens that Aconite is useful in the later stage. If the patient complains of pains in the back, and fullness of the head, give Macrotin. This is particularly useful for persons who have rheumatic pains in the limbs or back, during the fever. If the evacuations from the bowels are dark, or yellow and consistent, or there is bilious vomiting, Podophyllin is the remedy. From some cause or other, to me wholly unaccountable, the writers generally have laid down Rhus and Bryonia as the remedies in typhoid fever. I must confess I have no confidence in them for this fever as it prevails, and has for several years past, in this country. They have proved a failure, and I discard them altogether, as I am confident, from thorough trial, we have much more reliable remedies as a substitute for Rhus in the Podophyllin, and for Bryonia in the Macrotin. In the SCARLET FEVER. early stage, or at any time to arrest febrile and inflammatory symptoms, the Baptisia is much more potent than Aconite, its symptoms corresponding peculiarly with typhoid fever. If the discharges become slimy or bloody, give Leptandrin and Nit. acid. It is important to bathe in this disease. Scarlet Fever.-Scarlatina. This fever assumes two principal forms: Simple or mild, and Malignant. In the Simple form, there is great heat of the surface, extremely quick and frequent pulse, headache, and some sense of pain and soreness in the throat. After a day or two, there appears upon the surface, bright scarlet patches, in some cases extending over the whole limbs, the skin smooth and shining, and somewhat bloated or swollen; upon pressure with the finger, a white spot is seen, which soon disappears on removal of the pressure. As the disease subsides, the cuticle comes off (desqgamctes) in patches. In the simple form of this disease, the throat, though often more or less sore, does not ulcerate. In some cases, notwithstanding the fever is high, the pulse frequent, and the 36 HOMCEOPATHIC ART OF CURE. throat sore, there may be no external redness, but the mouth and tongue will have a scarlet hue, indicating the existence of disease more dangerous than when it appears externally, In the malignant form, the same symptoms are present, the patient suffers more pain in the head; the back and throat, root of the tongue, tonsils and soft palate become ulcerated, turn black, and sometimes gangrenous, proving fatal in a few days, or slough out in large portions, the ulcers destroying the parts extensively. The breath becomes foul and fetid, and the effluvia from the ulcerated surface, is very sickening to the patient and all around him. This disease rarely attacks adults, but occasionally, and for the last six or eight months, in one region where I am acquainted, where Scarlatina of a malignant type has prevailed among children, adults have been affected with an epidemic soreness of the mouth and throat, strongly resembling the worst form of the angina in malignant Scarlatina, together with a low typhoid form of fever. SCARLET FEVER. TREATMENT.? In simple scarlatina, all tha is necessary is to keep the child quiet, in a room of uniform temperature, as far as practicable; let it drink cold water only, and give Aconitc, Belladonna and Palsatilla in rotation, a dose every hour until the fever subsides. If any soreness of the throat remains, give a few doses of Mercrilts. If the fever subsides, and the soreness remain, -Hydrastin or Eapatorium arom. will soon complete the cure. In the malignant form, with ulcerated, dark colored, or red and purulent throat, and typhoid form of fever, give Aconite and Belladonzna in alternation, every hour, and, at the same time, gargle the throat freely with Hydrastin. Some of the tincture may be put in water, about in the proportion of ten drops to a teaspoonful, cr a warm infusion of thb crude medicine may be used. This can be applied with a camel's hair pencil, or a swab, to the parts affected, once in two hours, and will soon bring about such a state as will result in speedy recovery. After the active fever has subsided, the Aconite and Bell. may be discontinued, and Euplatoriuna HSIOMCLOPATHIC ART OF CU2RE. Utuflt. 1mcd iiistcadl once ini three hours unitil Coll V al escenlc is c-omplete. I would1' rclnarhý fl~i"ti Nitls these remedies appilil a- here ru.,w(Anim iildd myl brother, 1) r,. 8I. JiL ý oI f Erie Counlty v, Iie, has, duritig thje lUSt fr onhtreated a largre roimler of thos)ze mahdign-ant, sore- throatsq, (the Black timue, Ery sijelas,") and been universmally sesfurelie~vinig thiem, in a few hcmrs, wheIn the symiptomis wre of the mnost alarm -i Jig Inarirct or, and th clodiselase ini Some CJis('s, SO tar ad ilD,.C hatL the. patici were 1)slec ' N, their friends and attenidanits, at[he jito a i Thie Ibl/ois/Jo is ai most potent rem-edy inl ptrifl ile "rat ions of the mnucouls Surfaces, and1 mu11Ch- the sameC May be said of EotpetoYellow Fever. As I have never practiced farther South thIAn Cincinnat-i, and have seeni but, few cazses of this di"sease, niv experience with it has not been -suffeit-ot to be relied upon as au thiori tyv Therefolre, I shall grive a brief desi af the10 ditsease, W ith the prol--er YELLOW FEVER. 41 times it is feeble from the beginning. However the pulse may be in the beginning, it very soon becomes small, but continues to be frequent. The tongue is at first covered with a white paste-like coating, which afterwards gives place to redness of the edges and tip, with a dark or yellow streak in the center. The stomach is very irritable, rejecting every kind of food, and all drinks, except, perhaps, a few drops of ice water. There is a peculiar distressed feeling in the stomach, often a burning sensation, so that, if suffered to do so, he would take large quantities of ice or water. One remarkable feature of the cases noticed in the epidemic, as it existed in New Orleans the past season, was, that the patients had a great desire for food, notwithstanding the nausea and distress at the stomach. Sooner or later, varying from a few hours to several days, in the ordinary course of the disease, the fever subsides. From this time the patient may recover without any further symptoms, but this is, by no merans, the usual result. If the subsidence of the fever is accompanied by natural pulse, a free, but 42 HOMOEOPATHIC ART OF CURE. not profuse or prostrating perspiration, a genial warmth of the surface, natural appearance of the countenance, eyes, and tongue, with little or no soreness on pressure over the stomach, we may safely look for a speedy lecovery. But if, on the contrary, the eyes, face, and tongue, become yellow, or orangecolored, the epigastrium is tender to pressure, the urine has a yellow tinge, the pulse becomes unnaturally slow, with the least degree of mental stupor, we have reason to know, full well, that the lull of the fever is only the calm preceding a more destructive storm. The fever has subsided, only because exhausted nature could re-act no longer. It may be in a few hours, or not until twelve or twenty-four have elapsed, the pulse becomes quickened, even to the frequency of 120 to 140 in a minute, but very feeble, the extremities of the fingers and toes turn purple or dark, the tongue becomes brown and dry, or is clean, red, and cracked, sordes may be on the teeth, the stomach becomes more irritable, nausea and vomiting are extreme, the substances vomited being, at first, reddish, afterwards watery, containing floculpa, like 44 HOMOEOPATHIC ART OF CURE. mark the Yellow Fever, and those which should guide in the search for the proper remedies. TREATMENT. The remedies that proved successful in arresting the disease during the early or forming stage, before the chill or fever had set in, while the symptoms were pain, fullness, and throbbing of the head, with more or less dizziness, rheumatic pains in the back, and redness of the eyes, were Aconite and Bell., at low attenuations, once in two to four hours, according to the violence of the symptoms. For the fullness of the head, pressing outwards, as though it would split, with pains of a rheumatic character, ifMacrotin 1st, given in one grain doses, every hour or two hours, proved specific. These three remedies, Aconite Bell. and Macrotin, would, in nearly all cases, arrest the disease in the forming stage, so that no chill or fever would occur, or, if fover did come on after this treatment, it was mild. "When the fever sets in, and the pain in the head and back increases, the eyes, forehead and face are extremely red, or purple 46 HOMIEOPATHIC ART OF CURE, rotation, with great success, the symptoms yielding in a few hours. For the great oppression, as of a load, in the stomach, without vomiting, N..x was found sufficient. In the later stage, when there seemed to be no secretion of urine, Canabis and Apis mel., gave relief. The remedies most successful for the cases that assumed a typhoid character, with dry, cracked tongue, sordes on the teeth, and low sluggish pulse, were Baptisia and Bryonia, given every two hours, alternately. Nitric acid given internally and injected intp the rectum, when bloody discharges appear, is generally quite successful. Good nursing is of the utmost importance, and the patient should be visited frequently by his Physician, as great changes may occur in a short time. Three times a day is none too often to see the patient. As soon as the fever comes on, the patient should be stripped of his clothes, and dressed in such garments as he is to wear in bed through the attack. He should be put to bed and lightly covered, but have sufficient to protect him from any es in the atmosphere, and the 48 HO3IEOPATHIC( ART OF CURE. Pleurisy-Pleuritis. This is inflammation of the Pleura of one or -both lungs, generally confined to one side. It is known by sharp pain in the side of the chest, increased by taking a long breath, or coughing, or by pressing between the ribs. The cough is dry aud painful, the patient makes an effort to suppress it, from the pain it gives him; the fever is of a high grade, the pulse full, hard and frequent, with more or less pain in the head. TREATMENT. Aconite is a sovereign remedy. It should be given at intervals proportionate to the severity of the disease, once in half an hour, for about three doses,, then every hour until the patient is easy and perspires freely. This is the course I have generally pursued, and scarce ever failed of relieving in a few hours. Other means may often be used with advan"tage at the same time, and not interfere with the action of the medicine. Put the feet and hands- into water as hot as it can be, endured, and apjly to the affected side very hot cloths, hot bags of salt, or mustard. There is no BRONCHITIS. 51 is difficult, the fever high, with some chilly sensations, or at least, coldness of the knees, feet and hands, a white or brownish fur upon the tongue, and pain in the bowels, For such symptoms, especially with the pain in the bowels, as though a diarrhoea would come on, give Tartar emet. It is often one of the best remedies in this disease, affording relief.when others have failed. After subduing the high febrile symptoms, if there remains cough, indicating much irritation, or inflammation of the lungs, Macrotin should be used in place of Acomte, with Pholsporus and Copaiva, the three in rotation, two hours between doses. Acute Bronchitis, Inflammation of the Bronchial Tubes. This is attended with. distressing cough, profuse expectoration, oppressed breathing, pain in the forehead, and general, catarrhal symptoms. Baptisia, Copaiva and Eupatorium arom. given every hour, in rotation, will, in general, relieve from the acute affection in a short time; but the 52 HOMOEOPATHIC ART OF CURE. Chronic Bronchitis requires the use of Copaiva, Macrotin and Arum triphyllum, to be taken morning, noon, and night, in the order named; or, if the cough be severe, they should be used every three hours. These will be sufficient to effect a cure. Coughs Generally, unless they arise from consumption, yield readily to the alternate use of Copaiva, Phosphorus and Macrotin, a dose given once in from three to six hours. If, however, there is soreness of the throat, redness and soreness of the tonsils, palate, and fauces, or soreness of the larynx, with hoarseness, Arum triphyllum and Hydrastus Can. are the surest remedies. They rarely ever fail of effecting a complete cure in a few days. They should be used three or four times a day. They may be ffsed with the other medicines recommended fbT coughs. In acute Sore Throatarising from sudden ckjd,.4rum triphylJum and Euipatoriu.m aromwa ficum are the reme CROUP. 55 most alarming cases of gastritis and peritonitis, made such applications, and in less than an hour have seen my patient easy and beginning to perspire freely, all danger having passed. It always affords more or less relief and is never attended with danger. Covering the wet cloths immediately with plenty of dry ones is very essential. After the acute inflammation has subsided, it is well to have the bowels moved, but don't give drastic cathartics. Nux Vomica given at night and repeated morning and noon, will generally serve to cause an evacuation. Injections may be used. Croup. This is a disease of children. Comes on in consequence of a sudden cold. Children suffering from Hooping Cough are more subject to it. The cough is of a peculiar whistling kind, like the crowing of a young chicken, with rattling in the throat and difficult breathing, fever is present, and often very violent. It is properly an inflammation of the Larynx, but the inflammation may also exist in the Pharynx, the tonsils may be involved, and it may extend to the trachia, 56 HOM(EOPATHIC ART OF CURE. (wind pipe). A false membrane forms in the larynx if the disease is not arrested, and so obstructs the breathing as to cause death from suffocation. TREATMENT. Give at first Aconite, Phosphoric Acid, and Spongia, giving them in the order here named once in ten minutes in a very violent case, and as the patient improves at intervals of half an hour, and then an hour. Should the fever subside, and still the tightness in the throat and cough continue to be troublesome, give Ipecac in place of Aconite. And when the cough seems to be deep seated use Bryonia instead of spongia. The patient should be kept in a warm room, and free from exposure to currents of cold air. The application of a cloth wrung out of cold or ice water to the throat, covered immediately with dry warm flannels so as to exclude the air from the wet cloth, will often exert a decidedly beneficial effect, and there is no danger if managed as here directed. The feet should be kept warm and the head cool, but don't put cold water on a child's head. ASTHMA. 57 Asthma. If an attack comes on from sudden cold, take Aconite and Ipecac every h our for a day, and if any sy mptoms remain, in place of the Aconite use Copaiva, Arsenicum and Phos. Acid with the Ipecac, giving them in rotation, a dose every hour. In Chronic Asthma, where the patient is liable to an attack at any time, great benefit will be derived from taking these four in rotation about two hours apart for a day or two, at any time when symptoms of an attack begin to appear. I have recently succeeded in alleviating several bad cases, at once, by these four remedies in succession as here recommended, on whom (some of them) I had at various times tried all of them, as well as other medicines, singly at longer intervals, as directed in the Books, without any decided benefit. After trying these in succession, as here directed, I found no trouble in arresting the paroxysm in a few hours, and I am strong in the faith that with some, at least, I have effected cures. It is worth much to arrest theparoxysm if no more. DYSPEPSIA. 59 For sour eructations with hot, burning, scalding fluid rising up in the throat, with or without food, give Phos. acid and Pulsatilla in alternation every half hour, until the stomach is easy. For a feeling of weight and pain in the stomach, with dull pain in the head, with or without dizziness, give Nux. Vom. every hour until it relieves. If there is a burning feeling in the stomach as well as the heavy load, without eructations and rising of fluid, Arsenicum should be alternated with the Nux. Vom., at intervals of two hours. There are persons who, from imprudence in eating or drinking or both, or which is more frequent, from harsh drug medication, have so enfeebled their stomachs, that, though by care in selecting their food, and prudence in taking it, they may suffer but little, are, nevertheless, when from home or on special occasions, liable to overeat or take the wrong kind of food, from which unfortunate circumstance they are made to suffer the most tormentiug and intolerable distress in the stomach and bowels, which may last, more or less severe, for several days. Soon after the unfortunate 60 HOM(EOPATHIC ART O' CURE. meal, perhaps the next morning, or, it may be, in a few hours, the stomach begins to bloat, by accumulating gas within, which is belched up every few minutes in large quantities; the stomach and bowels are racked with the most torturing pains; cold sweat stands on the brow, and he is the very picture of misery. Thus he may roll and tumble all night, and remain in misery the next day and several days longer, before the food will digest. It often passes from the stomach without digestion, and on its way through the bowels inflicts constant pain. If he does not take some emetic substance, he is not apt to vomit, his stomach cramping so as to prevent it. I have here described one of the bad cases, but -bad as it is they are by no means very rare. There are such cases in abundance, of all grades from the one here described down to a slight derangement. They all require a similar course of treatment. It is useful for such patients to take at once large quantities of lukewarm water, and repeat the draught every ten to fifteen minutes, until free and thorough vomiting is induced, CONSTIPATION, so as to throw off all the food from the stomach. But even this does not often cure these bad cases. If it did, it is not always convenient to do it. The medicine that is quite certain to afford relief at once is Podophyllin. Let it be given, and the dose repeated in an hour. A third dose is rarely necessary. After relief from this attack, the medicine should be taken night and morning for a month or more until the stomach is restored. In the meantime care should be taken not to overload the stomach. Constipation. The medicine for this affection is Nux vom., to be taken at night on retiring. If there is fulness and pain in the head from costiveness, Bell. should be used in the morning, and at noon. Let the patient contract a habit of drinking cold water freely on rising in the morning, at least half an hour before eating. The patient should not take physic. For constipation of children, Nux and Bryonia are to be given Nux at night and Bry onia in the morning. Opium is useful. 64 HOMrEOPATHIC ART OF CURE. vals. The Apis alone will often be sufficient. During the whole time, the affected parts should be kept covered with dry, superfine flour, some say Buckwheat flour acts most favorably. The diet should be very spare. Eat as little as possible, until the disease begins to subside. A very important part of the treatment of this affection is to keep the patient in a room that is comfortably warm, say at a temperature of from 65 to 75 ~, and keep the temperature uniformly the same, as nearly as possible, night and day. Do not, by any means, expose him suddenly to cold air, or a cold breeze, as on going into a cold room, going out into cold air, or undressing or dressing in a cold room. Uniformly warm temperature is of great importance. Burns and Scalds. No matter what the nature and extent of the burn may be, the very best of all medicines of which I have any knowledge, is Soap. If the parts affected, are immediately immersed or enveloped in Soft Soap, the pain will be greatly lessened, and the inflam 66 HOMCEOPATHIC ART OF CURl. extent. The parts should not be exposed to the air for a single moment, when possible to prevent it. During the first two or three days, dressings need not be removed, unless they cause irritation after the first severe pain has subsided. They should be kept all of the time moist, and as far as practicable, in a condition to be impervious to the air. When it is necessary to remove them, let the affected surface be immersed in strong soap suds, at a temperature of about 75 or 80, and the dressing removed while it is under water, and others applied while in the same situation. In ordinary cases, however, even of extensive burns, after the fever consequent upon it has subsided, and the part is tolerably free from pain and smarting, the dressings may be removed in the air, but others should be in readiness and applied as speedily as possible. The soap dressings are to be continued from the beginning until the inflammation has subsided and the sore has lost all symptoms that distinguish it from an ordinary healthy suppuý rating sore. 1~IRNS AND SCALDS 67 After the first few days, or in case of a slight burn at the beginning, an excellent mode of applying the soap, is to make astrong thick "Lather" with soft water and good soap, such as Castile, or any other good hard soap, as a barber would for shaving, and apply that to the affected part with a soft shaving brush; apply it as' carefully as possible, so.*s to cover every part of the surface, and go over it several times, letting the former coat dry alittle before applying another, forming a thick crust impervious to the air. In small burns, and even in pretty extensive and severe ones, this is the best mode of application, and the only one necessary. In many cases of very severe and dangerous burns, under the influence of this. application, the inflammation subsides, and after a week or more, the crust of lather comes of, exposing the surface smooth and welL Although it is important to apply the soap early, and the case does much better if that has been done, still I have found it the best remedy even as late as the second or third day. In such a case, the lather application is the best. 70 HOM(EOPATHIO ART OF CURE. Hoarseness. This arises generally, from inflammation of the mucous membrane of the Larynx, in ordinary cases but slight. It is a frequent accompaniment of Bronchitis. The remedies most useful, and those which will, in almost all ordinary cases, remove this affection at once, are Arum tri. and Copaiva, to be taken a dose every three hours in alternation. If there is present a dry hacking cough, it will be well to take Bell. in the interval between the other medicines, for a day, or until the cough is relieved, or changed to a moist condition. Inflammation of the Brain. Brain Fever. Though this affection is not strictly what is called "brain fever," it is attended with more or less general fever, while in what is called " Brain fever," there is great irritation of the brain, requiring in many respects similar treatment. As the treatment proper for inflammation of the brain, with some slight modifications in relation to the exist INFLAMMATION OF THE BRAIN. 71 ing fever, will be applicable to both, I shall treat of them under one head. Some of the principal symptoms are delirium and drowsiness, fullness of the blood vessels of the head, beating of the temporal arteries, redness and fullness of the face, the pupils dilated, (though in the very early stage they may be contracted.) If the membranes of the brain be the seat of the disease, the pain is more intense, and frequently the limbs are in a palsied state. The patient sometimes vomits immoderately, and the pulse is slow and irregular, but full. The breathing becomes stertorous. The fever is very considerable, and the head hot. TREATMENT. Aconite, Belladonna and Bryonia should be given in rotation, one dose every hour in a violent case, lengthening the intervals as the symptoms abate. Applying hot cloths to the head, removing them occasionally to let the water evaporate, will greatly palliate and will not in the least, interrupt the action of the medicines. Never apply cold to the head of any person, when hot or inflamed, 74 HOMioEOPATHIC ART OF CURE. the eruptions failed to appear in the proper time, as well as where they had receded too soon, I have been able to bring them out in a short time with an infusion of Sassafras root, sweetened and taken quite warm, in doses of half an ounce in fifteen to thirty minutes. It is a remedy for measles well worth attention. Mumps. This is a contagious disease, consisting in an inflammation of the Parotid gland. There is, at first, a sense of stiffness and soreness on moving the jaw, soon after the gland begins to swell, and continues to be sore and painful, with more or less headache, and general fever for from six to eight days. It is not ordinarily a dangerous disease, unless translated to some other part. It may remove from the original seat to the brain, the testicles, or in females to the breasts. TREATMENT. Mercurius should be given three times a day during the attack. If the brain becomei affected, use Bell. and Apis mel. in 80 HOM(EOPATIIC ART OF CURE. tion, every half hour, if the symptoms are very severe, and the nausea great; but in a mild case, give it once an hour, lengthening the interval as the symptoms abate. If the feet are cold, as is often the case, putting them into hot water will palliate the symptoms, and not interfere with the medicines. If the head feels hot, apply hot water to it. Never apply cold to the head, when there are any symptoms of congestion, as of fullness of the blood vessels. For Common Headache, If the face is red, and the arteries of the neck and temples throb violently, give Bell. If there is paleness and faintness, Pulsatilla is the remedy, esy ecially if the forehead is principally affected. If the pain is mostly in the back of the head, Nua is to be used; if in the front, and is sharp, affecting the eyes, Aconite; if at the angles of the forehead, with a sense of pinching, Arnica; if a sense of fullness and pressing outwards, or with an enlarged feeling, Macrotin; if intermitting or remitting, Mercurius; if there is-ringing 82 HOMIEOPATHIC ART OF CURE. nose-bleed, Pulsatilla and Podophyllin are to be used alternately, night and morning. During the paroxysm of bleeding, Arnica should be used, one dose repeated in a half hour if it continues. If it is produced by over-exertion, Rhus is the proper remedy. If it occurs in the early stage of fever, Aconite and Bell.; in the latter stage, BRhus and Phos. are to be used. Hamamelis will frequently arrest nose-bleed immediately after one or two doses. Worms. It is difficult to determine the presence of worms in children, much more in adults, yet both are affected by them occasionally. In children, there is more or less fever and restlessness, screaming out in sleep, starting, pain in the bowels, vomiting, choking, diarrhoea, picking at the nose, fetid breath, voracious and variable appetite. TREATMENT. Santonine is a remedy which I have used for years, and I have treated many hundreds of cases, with such unvariable success, that I feel disinclined to use or to recommend MOR SS. any other..It -brings,away the worms entire, and relieves the patient of all morbid symptoms immediately, or in much less time than any other remedy of which I have any knowledge. It seems to act specifically upon the worms, causing them to leave the bowels by being evacuated with the feces, without producing any sensible impression upon the bowels, the evacuations remaining natural, if they were so, or becoming so, if deranged, and the worms comi ing away not quite lifeless. I have often prescribed this remedy for children suffering under intermittent or remitting, and even typhoid fever, in the summer season, when there were not present any well defined symptoms of worms, and yet the fever would soon abate, and in due time worms appear in the fecal evacuations. It often arrests entirely intermittent fever, when worms are present, and are the prpbable cause of the fever. I give either the crude salt in from onefourth to one-half grain doses, or a trituration of one grain to four of sugar, giving in the latter case, from one to two grains of the tiritu 84 HOMOEOPATHIC ART OF CURE. ration. Give one dose at bed-time, or in an urgent case at any other time, but never repeat the dose under thirty-six hours, and in an ordinary case, under forty-eight hours. This is the medicine pear excellence for worms. It may be repeated once a week, when there is a tendency in the patient to the development of worm symptoms, or, in other words, the breeding of worms. The idea held out by some that it is hurtful, or unimportant to remove the worms, in itself considered, is simply nonsense and worse, for children are sometimes sacrificed to this idea. Earache-Otalgia. This may arise from various causes, but a common one is sudden-cold. If it arises from cold, and there is general fever, or if the ear is red, or the side of the head and ear hot, Bell. and Baptisia should be given in alternation, every hour, or in a violent case, more frepuently. These remedies will soon relieve such cases. Cloths wrung out of hot water should be laid over the ear, or the side of the head steamed, or it may be laid into water quite warm, with good effect. EARACHE. 85 Where the disease is a chronic affection, and the patient is subject to frequent attacks of pain in the ear, especially on a change of the weather, from dry to moist, Mercuius is the proper remedy, especially if it is worse at night, when warm in bed. If it arises from a shock or blow, Arn. is to be used. In scrofulous persons, whether there is ulceration or not, Phosphorus and Pulsatilla are the remedies. Children and even adults, not unfrequently suffer from earache, without any known cause sufficient to account for it. On examination into the ear you will often find either the cavity filled or nearly so, with a hard black sAbstance, (the inspissated "earwax") almost as hard as horn, or else the ear will be quite empty, and the sides of the cavity dry and red, though perhaps not properly in a state of inflammation. The natural condition of the cavity as it can be seen by straining the ear outwards and backwards a little in a strong sun light, is moist, the surface covered slightly with a yellowish, greasy, soft substance (the cerumen) "earwax." When this is wanting or 86 HOMI(EOPATHIC ART OF CURE. in excess, or its character changed, it is evidence of disease, and pain is likely to occur. The TREATMENT. for this condition is to remove the accumulation when that exists, as the frst step. But this must be first softened by pouring some warm oil, pure olive oil, or good pure sperm oil, into the ear, and repeat it two or three times a day for several days, until it is so far softened as to be easily removed with the probe end of common small tweezers, having a spoon-bowl point. When there is dryness, moisten the surface with oil. In either case, it is best, for a while, to protect the delicate surface from the air, by putting oiled wool into the external ear. If the ear was filled, give Mercurius once a day until there appears a natural secretion. If dry, use Belladonna. Toothaohe. It is difficult to determine the cause of toothache, and more difficult to select the remedy. It often depends upon decay of TOOTACHE. 87 the tooth, and exposure of the nerve to air, and contact with food or drinks, or even saliva, which irritate and produce pain. Pulsatilla will as often relieve such cases as any other remedy, yet if it has been aggravated by a recent cold, Bell. and Nux V. may be better. If the nerve is not exposed, and there is a disposition to a return of the pain on exposure to cold air, or a change of weather, the pain being of a rheumatic character, give Bhus and Macrotin in alternation. These will relieve many cases. For decayed teeth, the pain being dull aching, with soreness, use Chamomilla. The body of the tooth, that is the dentine, sometimes becomes very sensitive when there is no decay or cavity, the pain being experienced when some hard substance hits, or the air or water, either cold or hot, comes in contact with the tooth. The temporary pain will generally yield to Arnica, and in most instances, the daily use of Arnica at the first decimal dilution, applied to the surface, and upon the jaws, will effect a cure. The chloride of Zinc applied to the surface of such teeth for a few moments will INFLAMMATION OF THE EYES. 91 It should be given at the first or second dilution, once in four or six hours, and three or four drops of the tincture put into a teaspoonful of water, and the mouth occasionally washed with the mixture. In summer, where agues prevail, and the child is feverish and restless, China will aid in the cure, to be given once in six hours "between the doses of the Eupatorium. If the diarrhoea is obstinate, the discharges colored, and the child is sick at the stomach, give Podophyllin with the other remedies. Inflammation of the Eyes-Ophthalmia. For common Ophthalmia, in the early stages, while there is more or less fever and headache, with flushed face, bloodshot eyes and throbbing of the temporal arteries, Bell. and Aconite should be used altenately every two hours, and a wash made with ten drops of tincture of Aconite to one gill of pure water, applied to the eyes as hot as the patient can bear. This application should be repeated every two hours, in a violent case, until the eyes are easy, and then about twice a day until all inflammation and red 94 RHOOMOPATRHI ART OF CVRE. margin of the belly, towards the inner side of the thigh, where the great artery (Femoral artery) can be felt pulsating. By pressing firmly upon this artery, the blood is arrested in its flow into the limb, and of course the bleeding from the wound soon ceases. If the wound is in the arm or hand, pressure is to be made, either just above the wound, or on the inside of the arm, about one-third of the way from the shoulder to the elbow, where the artery (Brachial) can be felt. To secure the parts from further bleeding, the wounded artery must be taken up and tied. Let it be seized by forceps, or the point of a needle may be thrust into it, and the vessel stretched out a little, a thread put round it and tied; cut off one end of the tie, and let the other hang out of the wound, until it comes out by the vessel sloughing off. Bring the lips of-the wound rogethker, and if it is large, put in stitches enough to hold them, and put on an adhesive plaster, compress of cloths, and bandages to kqep it from straining the stitches, and protect it from the air. The Arnica plaster, made by JOHN HALL, of Cleveland, is the best adhesive plaster of 9%6 HOM(EOPATMIC ART OF CURE. If a blow is received upon the head, by a fall, or in any other way, producing a "stunning" effect, (concussion of the brain) so that the patient appears lifeless for a time, and delirious when he begins to come to, there is great danger of inflammation of the brain, and death from the re-action, or in some cases, the shock is so great that the patient will never revive unless he has the proper aid. Arnica is the great remedy to bring on reaction, arouse the patient, and prevent dangerous inflammation or congestion of the brain. When a patient is "stunned" by a blow or fall, he should be conveyed soon as possible, to some quiet place, and as little noise as practicable made about him, and the room kept darkened. Arnica 3d should be given immediately, and the nostrils wet with strongly arnicated water. If fever arise after he comes to, Aconite should be given with Arnica, and if the head aches, or becomes hot, Bell. is to be used. This will prevent or arrest all symptoms of inflammation. PILES-11 EIMORRHOIDS. 9 97 Torn and Mangled wounds should not be handled much. If they bleed, the blood must be stopped as in any other case. If they are dirty, warm water may be gently applied to cleanse them. The wound should be covered with some soft cloths, and kept constantly wet in Arnicated water of the strength of four drops of the tincture to a pint of water. Piles-Hemorrhoids. One important matter in all cases of habitual piles, is, to keep the bowels regular. Much can be done for this purpose by diet and regimen. On rising from bed in the morning drink freely, from a gill to half a pint of cold water, at least half an hour before breakfast; use such diet as is easily digested, and drink no alcoholic beverages. To relieve the bowels when costive, take a dose of Nrux Vomica at night, and Podophyllin in the morning. This may be repeated from day to day until the proper effect is produced. To relieve from a severe attack of Piles, use Bell. and Pod&.phyllin in alternation 98 -HOMoEOPATHIC ART OF CURE, every four hours, and apply to the tumors when inflamed, cloths wrung out of hot water, or sit in hot water for a time. A poultice made of fine-cut Tobacco wet in hot water and crowded firmly up against the pile-tumors, secured by a T bandage, will relieve the most desperate cases for the time, and is attended with no danger or disagreeable symptoms except in rare cases, when it produces sickness at the stomach, which soon subsides on the poultice being removed. Oil of Arnica is an excellent application for inflamed Piles. A most important point in the management of Piles, and one often neglected, is to replace the prolapsed tumors. The tumors will be protruded from within the anus by the act of evacuating, and if left in that condition, will be pressed upon by the external parts, chafed and inflamed. In all such cases, the patient should take particular pains to return the tumors into the rectum; and to aid in that process a little oil may be applied when they will be easily pushed back, and the sphincter of the bowel will close below PILE S--HE4ORRHOIDS. 99 them, preventing any chafing, and the consequent inflammation. For Bleeding Piles, Ipecac and Bell. are very efficient remedies. They may be alternated every half hour, or oftener if the bleeding is severe, or at longer intervals when it is only slight. Hamamelis V., (Witch Hazel,) will in nearly all cases arrest the bleeding at once. It should be applied to the parts and taken internally at the same time. Drop doses to be put on the tongue once in fifteen or twenty minutes. An infusioni of the Hamamelis may be taken internally in doses of half a teaspoonful, and the same injected into the bowel with excellent effect. The most effectual way, and the best for obtaining permanent relief from Piles when the tumors have become hard, and remain all the time so as to pass out of the anus at every evacuation, being constantly more or less tender and painful, and often becoming inflamed, is to have them taken off. But never let that be done with a knife. The bleeding would, in such a case, be very 100 HOMEOPATHIC ART OF CURE. excessive, and most likely fatal. The history of knife operations for the excision of Pile tumors is written in blood, and the tombstone stands as a monument of condemnation of the practice. No trustworthy surgeon will at this day attempt it. But however dangerous may be the knife operation, there is no danger at all to be apprehended from removing the tumors by a ligature. To accomplish this, take a soft cork about three-fourths of an inch in diameter, and one inch long-make a hole through the center from end to end, about one-eighth of an inch, in diameter - cut crucial grooves in the top of the cork about an eighth of an inch deep, bevel down the lower end nearly to an edge, make a cord of saddler's silk, three fold twisted together and waxed, about eight or ten inches long, double this in the middle and pass the loop down through the cork out at the sharp end, the two loose ends of the string being out at the grooved end. Make a strong hickory stick about three-sixteenths of an inch in diameter, and just long enough to pass across -the square end of the cork. Now have tho 104 HOMCEOPATHIC ART OF CURE. minutes. That is the only time I ever tried it, but from th3 provings I am satisfied it is one of the best remedies. Asiatic Cholera. I was practicing in Cincinnati during the prevalence of Cholera in the years 1849, and 1850, and in Northern Ohio in 1854, and had abundant opportunity to observe and treat it. The disease generally begins with a diarrhcea, which may continue for several days, or only a few hours before other symptoms set in, such as vomiting, then cramping in the stomach and muscles of the legs, arms, hands and feet, followed by cold sweats, great prostration, restlessness, excessive and burning thirst, drinks being immediately rejected. These symptoms continue, the patient sinking rapidly into collapse, when the skin looks blue and shriveled, the eyes sunken, the surface covered with a cold, clammyesweat, the extremities, nose, cars, tongue and breath cold, the voice hollow and unnatural. This condition continues from two to eight or ten hours, the patient regularly failing, sometimes becoming delirious before he dies. 106 IIOM(EOPATHIC ART OF CURE. uations occur, will frequently arrest it in a few hours, especially if the patient lies down and keeps quiet. But if not, and it increases in frequency, or becomes more copious, or any sickness is felt at the stomach, the patient should, at once, be laid upon a bed and strong tincture of Camphor should be given in drop doses, once in five minutes, for one hour or more, and as the symptoms abate, once in ten, fifteen or twenty minutes, for six or eight hours. A teaspoonful of the Caqmphor tincture may be put into a tumbler of cold water, ice water if at hand, and the water agitated until it becomes clear, giving a teaspoonful of this camphorated cold water as a dose, stirring the water each time. I think this is better than to give the pure tincture. After the patient becomes quiet and easy, T'ractrum should be given in alternation with Camphor, a dose in four to six hours for several days, or oftener if he feels any symptoms like a threatened return of the disease. These two medicines serve as prophylactics (preventives) of Cholera. 110 HOMiEOPATHIC ART OF CURE. Small Pox-Variola. This disease begins with pain in the head and back, chilly sensations, followed by a high fever, so similar in all respects to a severe attack of Bilious or "winter" fever, that it is difficult or impossible to distinguish it with certainty, as Small Pox. The fact of the prevalence of the disease at the time, and the exposure of the patient, may lead the Physician and friends to suspect Small Pox. There is one very striking symptom of Small Pox, however, that exists from the beginning, which, though it may be present in fever simply, is not uniformly so. This is a severe and constant aching pain in the small of the back. The headache is also constant. The Small Pox is of two varieties or degrees, distinct and colfluent. The distinct is when the pustules are separated from each other, each one a distinct elevation, with more or less spacebetween them not affected by the eruption. The confluent is where the pustules spread out from their sides and run together, covering the whole surface as one sore. 112 HOMOEOPATHIC ART OF CURE. contain a limpid fluid. The parts continue to swell, the eruptions to enlarge, and become filled with purulent matter, having a dark color at the top, up to about the fourteenth or fifteenth day, when they begin to flat down, to dry up, and some of the scabs become loose. At this time, some fever arises, often quite severe, with headache and other inflammatory symptoms. If the eruption is very severe, fever will be of corresponding violence, and lighter or wanting when the eruption is mild. This fever rarely lasts more than twenty-four hours, from which time the patient rapidly recovers. In the Confluent variety, all the symptoms are more violent, the fever continuing after the eruption begins. The pustules burst early, and run into each other, covering nearly or quite the whole skin; the surface swells and turns black or dark brown, the lungs are more or less irritated, producing cough, and not unfrequently the stomach is nauseated, and vomiting ensues. If the patient survives the irritation up to the fifteenth or sixteenth day, when the secondary fever sets in, he is liable to be taken SMALL-POX. 1138 off by an affection of the brain or lungs, during this fever. If he recovers, his whole surface, especially that part exposed to air, is deeply pitted. TREATMENT. As it is not often known for a certainty, in the early febrile stage, that it is the small pox, the treatment will be first adopted that would be proper for a like fever arising from other causes. But in all my observations in this disease, and they extend to several hundred cases, I have not found in a single instance, any of the ordinary fever remedies, such as Aconite and Bell., which would be applicable for such symptoms in an ordinary case, to do any good in small pox. They are directed, however, for these symptoms by the authorities, in the febrile stage of the small pox; but I am quite sure they are not the proper remedies. From the great similarity, the almost absolute identity of small pox headache and backache, with the same symptoms developed by the Macrotys racem. as well as the nausea and restlessness produced by the drug, I was led 114 HOMXEOPATHIC ART OF CURE. several years ago to the conclusion that this, or the Macrotin was valuable in small pox. Not only so, but during the prevalence of small pox in Cincinnati, to an extraordinary degree in the winter of 1849-50, I treated about one hundred cases, including both sexes, and all ages, from infants a few weeks old, to very old persons, giving the Macrotin to all, and had the good fortune to see all my patients recover. Since that time I have prescribed it for every case successfully. Having then, been entirely successful in so many cases, with this medicine, I am not inclined at this time to give any other the preference. I must admit, however, that though my patients all recovered, I was not able to greatly abridge the duration of the disease, nor to prevent the development of all the stages in their proper order, as is claimed by M. TESTE, for his use of Mercurius cor. and Oausticum. I was satisfied with so far modifying the symptoms, as to enable my patients to live through, and come out well in the end. I would then direct, if small pox is suspected, the patient having been exposed to contract it, or from the peculiarity of the symptoms, SMALL -POX. 115 in the early stage, or when the disease is discovered after the eruption, to give Macrotin at the first trituration, in one grain doses, once in two hours, while the fever, headache and backache continue, after which, during the whole course of the disease, give it three times a day. This will prevent the development of a dangerous secondary fever, as well as irritation of the lungs, stomach or bowels. In addition to this medicine I give the patients daily, from half an ounce to two ounces of pure (unrancid) Olive oil. This serves to prevent the development of pustules in the throat, lungs and stomach; is more or less nutricious, and keeps the bowels in a healthy condition. Wash the surface once a day in weak soap suds, following it with a bath of milk and water, and keep cloths moistened with warm milk and water, constantly upon all parts that are exposed to the air, lubricating the surface with Olive oil after the bath of milk and water. This keeps the surface quite comfortable. The best diet is corn or oat meal mush and molasses, to he taken in small quantities. .PAINFUL URINATION. 117 Varioloid is small pox modified by vaccination. It is to be treated as a mild case of small pox. The Macrotin has been used with apparent success as a prophylactic (preventive) to small pox, taken three times daily. Painful Urination, Incontinence of Urine, Involuntary Urination. Where the. discharge of urine produces smarting and burning of the urethra, Canthzaris is the remedy. Where there seems to be an over secretion of acrid urine, producing inflammation of the neck of the bladder, known by pain in the glans penis, Copaiva, and Apis mel. are the remedies. If there appears to be a partial palsy of the neck of the bladder, the discharge taking place in sleep, Podophyllin is the surest remedy. I have cured some bad cases by the use of these three remedies, given in rotation three or four hours apart. Injections of a solution of borax into the bladder, have, in several cases, been suffici. ent to effect a perfect cure, without any other remedy. This may be used in eon NEURALGIA. 119 they will almost always effect a cure. The proper way to use them is to give them internally at the second dilution, at intervals of fifteen to thirty minutes, when the pain is severe and nearly constant, and apply Aconite tincture as hot as practicable over the course of the nerve, by means of wet cloths, for an hour or two hours, and if the pain has not subsided use Bell. locally in the same manner. If the Neuralgia is periodical, coming on at regular intervals, Arsenicum and China are the remedies, and they should be used externally as directed for the others, both at the first dilution, and given internally at intervals, in proportion to the violence of the symptoms, the Arse. at the 3d and the China at the first dilution. If the patient has used alcoholic drinks to excess, Nux is to be used in place of Arsenicum. Periodical Neuralgia generally requires the same treatment as ague. In females when there is uterine disease, Pulsatilla and Macrotin are the remedies to be used, as directed above. 120 HOM(EOPATHIC ART OF CURE. Jaundide. This disease depends upon derangement of the liver. The skin and whites of the eyes become yellow; the patient grows weak, loses his appetite, is dull and sluggish in all his actions, melancholly and discouraged in his moods. TREATMENT. 3Mercurius and Pocophyllin given in alternation, each twice a day, will nearly always effect a cure. If the patient is costive, Nux should be taken at night, until his bowels become regular. Bathing the surface daily, or oftener, is a very important measure in the treatment of this affection. As often as once in two or three days, an alkaline bath should be taken. If the patient has fever every day, or once in two days, ever so slight, China should be used with Podophyllin. If he has been drugged with Mercury in any form, in large doses, even six months or a year before, give Hydrastin in place of Mecurius. Itch. I shall say but little about this very common and very obstinate affection. Every CARBUNCLE. 123 process, and tends to a spontaneous, healthy termination, the carbuncle, on the contrary, is the very essence of disease; its constant tendency being towards the dissemination of diseased action, causing destruction of the parts affected. It, in fact, appears like a parasite, living by the destruction of surrounding tissues, literally absorbing them and "thriving on death." It begins with a red, livid color, slight aching and burning pains, the part swells and is elevated some like a boil, except that it does not "point," but has a broad base rising like a cone and flattened at the top. It feels soft and spongy, and will appear to fluctuate, but if punctured, blood only flows. The pain and burning increases rapidly, and sooner or later several openings appear upon the top, varying from three or four to half a dozen or more, looking like the holes in a sponge, out of which issues a fluid like thin gruel. Instead of becoming easier after the suppuration begins, as is the case with a boil, the burning increases to an alarming and unbearable extent; cold chills, loss of appetite, great depression of spirits, general nervous 126 HOMCEOPATHIC ART OF CURE. erate quantities, by a very feeble person, with decided advantage. Though the knife operations for the removal of carbuncle are always injurious, the chemical effect of Potash is frequently most beneficial. I have, in repeated instances, applied to the ulcerated surface, causticpotash freely, allowing the dissolved caustic to penetrate to the very "core" by running into the orifices. At first it would produce some smarting, but the pain is different from that of the carbuncle, and the change is agreeable rather than otherwise. Soon after the application all pain ceases, and the tumor, under the use of a poultice, begins to slough off in a few days, leaving a raw surface, disposed to heal kindly, Occasionally, however, the healing process is tardy, when Arsenicum., at the third, applied and taken internally, will soon effect a cure. I have occasionally used Hepar Sul. with good effect in the latter stage. Felon-Whitlow. For this disease, in the early stage, when the sensation is that of sharp, sticking pain, feeling as though a brier or thistle was in the FELON-WHITLOW. 127 finger, immerse the part in water as hot as possible, into which put common salt as long as it will dissolve; hold it in this hot salt "bath for an hour or more at a time, and when removed, apply finely pulverized salt, wet in Spirits of Turpentine; bind on the salt with several thicknesses, and keep it constantly wet with the sp'ts turpt. for twentyfour hours, when, if all symptoms of felon are gone, no further treatment is necessary. As a general rule, the hot bath should be repeated three times a day, especially if the symptoms have existed for several days and there is much pain or swelling, and the dressings should be kept on as above directed for several days, more or less, until all symptoms disappear. I am quite confident that a large majority, if not all, of the cases if thus treated at any time before pus is formed, will be discussed and cured. If pus has begun to form before the treatment is commenced, this will not cure the felon, but it is good treatment, especially the hot bath, as it will greatly. lessen the pain. 128 HOMOEOPATHIC ART OF CURE. By holding it in hot water for an hour or two each day, the suppurative process will be hastened, and as soon as the pus can be felt at any point, fluctuating, puncture and let it put; then continue the hot bath, with Calendula (Marygold) flowers in the water, keeping the part all the time warm and moist. For the restless and nervous irritability that frequently occurs, especially in females, Aconite is tMe best remedy. It should bo given, one drop of the tincture to a gill of water, in teaspoonful doses, once in one or two hours, and the same applied to the sore. 130 HOMCEOPATHIC ART OF CURE. At all events,very hot drink with nothing but water, milk and sugar, is equally efficacious, and my medicine (a few grains of sugar of milk) put into the hot water, seasoned as above, has'often obtained great credit, when the hot water was alone worthy. Rubbing the loins and abdomen briskly downwards with the hands of a healthy and vigorous nurse, will often excite the menstrual flow after a sudden suppression. If the head is hot, the face full and red, and the arteries of the neck and temples beat violently, give Bell, with Pulsatilla, and if the lungs are oppressed, use also Bryonia, giving- the three in rotation. If, after the menstrual flow begins, there is still much pain in the pelvic region, give Oaulophyllin, which will immediately afford relief. Apis mel. is very servicable in suppressed menses of several days, or even weeks duration, where there is fever, redness of the face, and pain in the head, and pains in the hips extending to the limbs, especially if there is any tendency to bloating of the abdomen and swelling of the limbs or feet. It acts promptly and efficintly. If the suppression has been caused by sudden fright or any strong mental emotion, Veratrum should be given in connection with the two former medicines. Should there be great fullness of the vessels of the head, or bleeding at the nose, Bryonia with Pulsa AMENORRHCEA. 131 tilla are to be used. Bell. is also useful in this case if the pain in the head is throbbing, especially if any delirium is present. For suppression in young females, of several months duration, I have used, with much success, Podophyllin and Macrotin, one at night, the other in the morning, giving them for two or three weeks before the proper time for a return, and a day or two prior to the time, give also Pulsatilla, and give the three in rotation, a dose every six hours. This practice has been successful with me in cases of long standing and apparently obstinate character. Where there is other disease, as an affection of the liver, lungs or stomach, this must be treated and cured, or the menses will not probably return. Great care should be exercised to keep the patients feet and limbs warm, as upon this may depend her future health. Dysmenorrhoaa.-Painful Menstruation. For this (lisorder, I know of no one remedy so valuable as the Caulophyllin, but Pulsatilla in many cases is efficacious, and as they do not prevent each other's action, I prescribe them in alternation, giving a dose every half hour, for a short time during the paroxysm, or until the pain abates to some extent, then e-very hour. 132 IIOM(EOPATHIC ART OF CURE. If there is pain in the head, sickness at the stomach, a kind of sick headache, as is often the case, with painful menstruation, Macrotin should be used with the others; Ipecac is the Specific for an excessive flow of the menses with great pain, especially if the stomach is nauseated. It should be given as low as the first dilution, and the tincture, in water, in the proportion of thirty drops to half a pint, injected into the vagina quite warm. The application of extract of Belladonna to the neck of the uterus will often produce immediate and perfect relief. After the patient is relieved from the painful paroxysm, she should be treated so as to prevent a return of the pains at the next monthly period. Pulsatilla, Caulophyllin and Podophyllin are the three medicines that are most certain to effect this object. They are to be given, one medicine each day, a dose at night for three weeks, then morning, noon and night, until the time for the re, turn of the menses, when they should be used oftener if there is pain. If the patient is inclined to be costive, Nux should be given at night for a few days before the menstrual period, in place of Pulsatilla. Menorrhagia-Profuse Menses-Flowing. For this affection, Ipecac and Hamramelis are the specifics. They should be taken 136 HOMtOPATHIC ART OF CUREt. An application of the Tincture of Cantharides diluted with water and applied to the breast by cloths wet in it, to the extent of producing considerable redness and even eruptions, and the second dilution of the same taken in drop doses every three hours, has proved successful in subduing the inflammation after Phos. had failed, and it was supposed an abscess would form in spite of any treatment. I recently succeeded in giving perfect relief with Apis Mel. internally, applying it externally after the pain add swelling was very great. I am of opinion that the Apis is a valuable remedy. After abscess forms as soon as the pus can be felt at any point, soft and fluctuating under the skin, puncture and let it out, then poultice it for a few days until it heals, giving Phosphorus and applying it to the sore. In puncturing, always be very particular to have the lancet or knife enter so that the edge will look towards the point of the nipple, so as not to cut across the milk ducts, which all run toward that point, and if cut off will close up so that the milk which may be secreted at any future time cannot get out, and swelling, pain and severe inflammation, abscess and ulceration will be the consequence; whereas,, if the cut is made lengthwise of the ducts, very few, if any will be cut off, and all future danger SORE NIPPLES. 137 will be avoided. Apply an elm poultice from the beginning to the end of treatment. For malignant ulcers of the breasts, the Cornus Sericea is a most potent remedy. It is to be taken internally at the first dilution, and applied in strong infusion or diluted Tr. of the bark to the sore. Sore Nipples. This affection of nursing women frequently comes on before the birth of the child, but generally does not make its appearance until after the suckling has continued for a week or more. It seems in some cases to be connected with the aphtha3 (sore mouth) of the child, or at least to be aggravated by contact with the sore mouth; on the other hand it sometimes seems as though the sore nipples produced the sore mouth of the child. TREATMENT. I treat both the nipple and the child's mouth with the same remedy Eupatoriam aro., applied at the strength of 6 drops of the tincture, to a teaspoonful of water, the application being made by a soft cloth, wet and laid over the nipple; give drop doses of the same strength internally every three hours, which will, in. nearly all cases effect a cure in one or two days. The child's mouth should be wet with the same MORNING SICKNESS. 143 Morning Sickness of Pregnant Females. The most efficient and certain remedy for this symptom is MVacrotin. It should be taken at the first attenuation, a dose before rising in the morning, and one every six hours during the day, as long as the sickness is troublesome. It will generally relieve in a few days. If the stomachis sour use Pulsatilla with the Macrotin. As a preparation for labor, a dose. (one grain) of MGarotin at the first attenuation given in the morning, and the same of Gazdophyllin at evening, is of great service. SWhatever others may think or say in relation to any preparatory treatment for labor, I have reason to know as well as anything in medicine can be known, that patients treated as here directed, pass through labor much quicker, frequently in one-fourth the usual time. Their sufferings are comparatively trifling, and the length of time for recovery to ordinary health, after labor, is abridged from threefourths to nine-tenths that of former labors, I am quite confident the medicines produced this difference. For irregularity of labor pains, and for distressing after pains, the Gaulophyllin is specific. During labor it should be given at tho 2d attenuation in about half grain doses, every half hour, until the pains are regu 146 HOMAEOPATHIC ART 01 O CURE. to others. Medicines must act either by combination with the affected part, or by Catalysis, changing the molecular action of the living tissues. In either case, they must come directly in contact with the part to be affected. This must be done through the circulation, when taken internally, or it may be done by direct application of the remedy to the diseased tissue, when that is so situated as to be reached. The difference is greatly in favor of the latter mode when that is practicable, from the greater certainty of its results. This assertion is based, not upon vague hypothesis, but upon actual practice. Entertaining these views, however heretical they may be pronounced, I shall proceed to mention some of the remedies I have learned to use thus, and the cases for which they are prescribed. I would remark that, in selecting a remedy, it must be done with as much certainty of its homceopathic relation to the local or general symptoms for external as for internal use. I have found, however, that much lower attenuations are requisite and admissible. AnNIOA is highly applicable to bruises, and is valuable also when applied to lacerated or mangled surfaces, to the surface of the limb where a bone is fractured, also about the joint when it has been dislocated. It is to be used in the form of Arnicated water, by putting one or two drops to a gill of water LOCAL APPLICATIONS. 147 for application where the skin is ruptured or the surface raw, and ten to twenty drops to the gill, upon parts where the skin is sound. It is useful also, for boils, and carbuncles in the early stage, the strong tincture to be applied when the surface is sound, and (to boils) when the surface is open, one drop to a gill of water. Aconite Is applicable to inflamed eyes, in the early stage, where the disease is in the conjunctiva, (that portion which lines the lids and covers the front of the ball), especially if there is a sense of scratching, as though some foreign substance is in the eye, great intolerance of light, chilly sensations, with more or lets fever, and quick pulse. Put three or four drops to a gill of warm water, and apply it freely. It is also very valuable for Neuralgia, applied strong and warm, along the course, or at the origin of the affected nerve. In neuralgia of the face, apply it upon the side of the face, also just behind and below the ear of the affected side. It is of much value as a remedy for neuralgic affections of the womb. I have relieved the most distressing symptoms of neuralgia of the womb, in a few minutes, by injecting warm water containing twenty to forty drops of tr, Aconite to the pint. By repeating this application at every paroxysm, LOCAL APPLICATIONS 149 scrofulous persons, which tend to suppurate rather than heal by the first intention. It is also useful in old sores. The Calendula Gerate is one of the best of dressings for any abraded surface. Conium is valuable as a palliative upon cancerous tumors. As a curative remedy it is useful in chronic ophthalmia, especially the purulent of children; useful also for indurated swellings. Thuya is a specific when locally used for Sycosis, also for fungoid cancerous tumors. I have cured well-marked cases of Fungus Hcematodes with the tinct. Thuya applied to the surface of the tumor. The Thuja Cerate is a valuable application for malignant ulcers. Cornus Sericea will often cure malignant ulcers both of the breast and uterus, used as a wash. Arsenicum acts favorably on cancers, and is a specific when applied to the surface of carbuncle. Ipecac acts very beneficially when alplied to the surface where there is high fever, with nausea and vomiting. Half an ounce of tr. Ipecac to two quarts of tepid water, applied with a sponge to the whole surface, acts like 150 HOM<EO0lATHIC ART OF CURE. mhagic in yellow fever, allaying the nausea, producing free and health-restoring perspiration. Rhus Tox. applied, with water at the strength of thirty drops of the tr. to a gill, to parts affected with Rheumatism, acts very beneficially. It is also a most valuable application at half the above strength upon parts affected with Erysipelas, when the surface is swollen, and there are vessicles filled with fluid like a blister in burns. It is also useful for sores that exist as the chronic effects of burns when the proper treatment had not been used in the beginning, and the healing process was never perfected. Rhus Gerate is a very useful application to irritable ulcers. I-epar Sulphur is a specific for Itch and Scald Head, applied in form of a wash with twenty to thirty drops of tr. IHepar Sal. to a gill of water. Also for ill-conditioned scrofulous ulcers, generally. Cuprum Aceticum. (Acetate of Copper Verdigris) applied to Cancerous ulcers of the face, Lu2)s or Noli-me-tan gere, in the early stage; will in most cases effect a perfect cure, especially if for a week previously the part has been PREPARATION OF MEDICINES. 155 After an accidental exposure as by getting the feet wet, or being caught in a shower, drink bountifully of cold water, and take a dose of Nux; followed in an hour by Aconite, if any chilliness is felt, or Copaiva if the head is " stuffed up." In winter and spring when the weather is mild, but there is snow, or the ground is damp, more clothes are necessary than when it is freezing hard and the air is dry. PREPARATION OF MEDICINE. As it often becomes necessary for the practitioner to make more or less of his own dilutions and attenuations, some brief instructions especially to new beginners- maiy not come amiss. Medicine is prepared by mixing it with distilled water, or purified 98 per cent. Alcohol; or if solid and dry, by reducing it to powder and triturating (rubbing) it in a mortar with pure sugar or Sugar of Milk. The liquid is called dilution, the powder trituration. The attenuations are mostly made at the decimal (1-10,) or centecimal (1-100) ratio and numbered 1, 2, 3, &c., by putting ten drops of the liquid with ninety drops of Alcohol, or ten grains of the powder with ninety grains of Sugar for the 1st, and ten grains or drops of the 1st with ninety more of Alcohol or Sugar, as the case may be, for the 2nd, and So on to any desirable extent. 160 INDEX. Preparation of medicine...................... 5 Pleurisy......................I............4-8 Prolapsus Uteri............................ 38 Pneum onia................................49 Piles....................................97 Painful urination........................................ 117 Painful menstruation.................................... 131 Profuse menstruation....................................132 Preventives of Disease................................... 151 Quinsy..................................................... 53 Rlheuma~tism...............................................30 Rheumatic Fever.......................................... 29 Reinitting Fever.......................................... 27 Rattlesnake bite...........................................77 Scarlet Fever......................-......................... 35 i 4 Preventive treatment of.................. 151 Sore Throat.................................................152 Scalds.......................................................564 Stings of Insects..........................................75 Sick Headache............................................. 79 Sore-montls of Children.................................. 90 SaSickness.............................................. 103 Small-Pox.................................................110 -44 Preventive treatment of..................... 153 Scald Hlead................................ 122 Suppression of the menses............................... 129 Sore Nipples.............................................1J39 Table of Remedies.......................................... 3 Traveler's Case............................................. 3 Typhoid Fever.............................................31 Tonsillitis...................................................53 Toothache.................................................. 81 Teething of children......................................88 Thrush...................................................... 90 Ulceration of the Uterus.................................140 U~rination painful........................................ 117 Urina~tion, Involuntary................................... 110 Variola,................................................... 117 VTarioloid.................................................. 117 Wormss..................................................... 82 Wounds.....................................................93 Whitlow.................................................. 126 Yellow Fever...............................................38 c t Preventive treatment of...................153 APPENDIX. iii as a case which had been long in coming on, and was fairly established, and was not likely to be broken up by ordinary means. He took one drop of Gelseminum tincture to be repeated every hour, if needed. The next morning he reported that he had been in a perspiration ever since fifteen minutes after taking the first dose, had slept quietly during the night, the tongue and lips were moist, mind clear, pulse 80, and steady. The next day I found him dressed and down stairs, with good appetite and free from disease. I could give sixty cases of equally prompt results from this precious drug, in fevers which make their attack rather suddenly, whether from cold or otherwise, and attended with chilliness, pain in the limbs, head and back, variously disordered taste of the mouth, with great restlessness. The almost uniform effect, in these cases is, a cessation of the chills, within from two to five minutes, quickly followed by a glow of heat and prickling of the surface; and within from five to twenty minutes, perspiration with progressive abatement of all the pains and restlessness. The patient falls asleep, and after a longer or shorter time, wakes with a consciousness that his disease is broken up-and this proves to be the truth. Like all other drugs, the dose must be various, generally one drop repeated every half hour, till the desired effect is produced 0 0)