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4


CONTENTS.


CHAP. IV.-HYGIENE and PROPHYLAXIX.
Articles hurtful to persons taking Hommoopathic
medicines,     -   -           -  -  -  -  69
Rules of regimen,  -   -           -  -  -  -  70
CHAP. V.-HIsTOUY OF TREATMENT,
Or Statistical proofs of the success of Homceopathy
in Cholera.    -.      -    -             77
CHAP. VI.-EARLY TREATMENT,
Including that of the Premonitory Symptoms, and
of the disease at its onset, with rules for the
general management,     -    -    -.89
Treatment of Premonitory Symptoms,    -    -   89
Treatment at the Commencement of Cholera,  -   92
Rules for the general management of a Cholera
patient,  -    -   -    -    -             95
CHAP. VII.-SYMPTOMS AND TREATMENT OF THE VAnIETIES OF THE CHOLERA.
Law of cure, and repetition and magnitude of doses,  96
Symptoms of the 1st variety, Cholera Diarrhoeica,  100
Treatment of Cholera Diarrhcica,  -  -   -    102
Symptoms of the 2d variety, Cholera Gastrica, -  103
Treatment of Cholera Gastrica,  -    -        104
Symptoms of the 3d variety, Cholera Spasmodica,  105
Treatment of Cholera Spasmodica,  -  -    -   106
Symptoms of the 4th variety, Cholera Sicca,  -  107
Treatment of Cholera Sicca,  -  -    -    -   107
Symptoms of the 5th variety, Cholera Acuta,  -  108
Treatment of Cholera Acuta,     -    -    -   109
Symptoms of the 6th variety, Cholera GastroEntorica,     -        -    -    -        110
Treatment of Cholera Gastro-Enterica,  -  -   110
Symptoms of the 7th variety, Cholera Inflammatoria, 111
Treatment of Cholera Inflammatoria,  -    -   112



CONTENTS.


5


CHAP. -VIII.-SYMPTOMS AND TREATMENT OF THE STAGES OF TIE CHOLERA.
First Stage, stage of Invasion, -  -  -    -    113
Second Stage, stage of full Development, -  -    114
Third Stage, stage of Collap4,   -    -     -    115
Fourth Stage, stage of Reaction,  -   -    -    116
CHAP. IX.-CHOLERA REPERTORY, for SYMPTOMS AND
GRouPS, with the values of the medicines distinguished.
Explanation of the use of the Repertory,  -  -   121
Mental Symptoms, remedies for,   -    -    -    123
Head, remedies for symptoms relating to the,  -  ib.
Eyes, remedies for symptoms relating to the,  -  ib.
Face, remedies for symptoms relating to the,  -  124
Tongue, remedies for symptoms relating to the, -  125
Nausea and Thirst, remedies for,  -   -    -     ib.
Vomiting, remedies for, -   - W -     -    -     126
Pains at the Stomach, remedies for, -  -   -     ib.
Abdomen, remedies for symptoms relating to the,  127
Diarrhcea, remedies for,-   -    -    -    -     ib.
Urine, remedies for symptoms relating to the,  - 129
Voice, remedies for symptoms relating to the,  - ib.
Chest, remedies for symptoms relating to the,  -  ib.
Superior Extremities, remedies, &c.   -    -     130
Inferior Extremities, remedies, &c.   -     -    ib.
Skin, remedies for symptoms relating to the,  - 131
Perspiration and pulse, remedies relating to,  - 132
General and miscellaneous symptoms, remedies for,  133
CHAP. X.-GASTRIC AND INTESTINAL REPERTORY; Auxiliary to the Cholera Repertory, and adapted to Vomiting, Diarrhoea, Cholera Infantum and Dysentery.
Explanation of the use of the Repertory,  -  -   135
VOMITING in general,      -       -.    -    135
1*



INTRODUCTION.


THE Cholera will re-appear soon, and spread extensively,
and a book on its causes and prevention, and especially its
treatment, be required by the profession. The author has
aimed to prepare, for the use of Homceopathic physicians,
a portable treatise, so systematic and so full, as to enable
them to find, with facility, the remedy for every curable
case of this disease.
It will offer the advantage of a threefold arrangement of
the principal medicines; viz., with reference, 1st, to the
varieties; 2d, to the stages; and 3d, to the symptoms as
arranged in the Cholera Repertory. The repertories will
give the book a permanent value, as a pocket companion,
in treating the more frequent complaints of summer.
It is believed, that physicians will find in the plain rules
for prevention, preliminary, treatment and nursing, a safe
and convenient basis for instructions to be given to the
families in which they practise.
As it is believed that many of our brethren who are at
present Allmopathic, will be induced to treat the Cholera
IIommopathically, the more important rules of treatment
are given in a more particular and elementary form than
would be necessary for an experienced Homceoputhic practitioner. If any one should fail in some of his first attempts
at Homteopathic treatment, in any curable malady, the
fault would not be in the law, but in its administration.
Let him not impute to Hommopathy the results of his own
ignorance, indolence or haste. No man of merely moderate



8


INTRODUCTION.


intellect, industry and attainments, should enter the profossion, nor should any physician consider the faithful study
of a case too onerous, when human life depends on the
correctness of his prescription. The following are the requirement and injunction of Hahnemann: " To the physician, whose province it is to vanquish the disease that
brings its victim to the very borders of corporeal dissolution,
and to produce, as it were, a second creation of life-a
greater work than almost all the other much-vaunted performances of mankind-to him Nature, in all her wide
expanse, with all her sources and productions, must lie
open. * * * Let all hold aloof from this most pious, this
noblest of all secular professions, who are deficient in mind,
in patient thought, in the requisite knowledge, or in tender
philanthropy and a sense of duty."
The author has taken some portions of the 1st and 2d
chapters, from his own paper on " Epidemic Cholera," published in the " Transactions of the Medical Society of
the State of New-York." As an Allceopathic physician,
he was familiar with the Cholera of 1832 and '4. Those
prescriptions which succeeded best with him, were those
which were most nearly Hommopathic.    He remembers
patients restored from collapse and cured, by camphor. He
has recently tested the proper Homceopathic treatment, in
some severe cases of Asiatic Cholera, and in others of a
mixed character; besides securing by prophylactics some
persons exposed. But in giving a plan of treatment, he has
not relied on his own limited experience and unaided reflections, but endeavored to describe that which, both as to
remedies and attenuations, has been found most successful
by the great body of Homcmopathic physicians; and for
this purpose has consulted all the good treatises on this
pestilence which were accessible.
A pamphlet published at Paris, in the French language,
by F. F. Quin, M. D., President of the British Homceopathic Society, is probably the best practical work that has



INTRODUCTION.


9


hitherto been written on the Cholera. The author of this
book believed that he could not do a better service to the
English reader, than by translating every important part
of that, except in cases in which he had introduced similar
ideas in other language or in a different connexion. Most
of the symptoms of the seventh chapter are thus taken,
and constitute nearly all that has been merely translated.
Much labor and reflection have been given to Chapter
IX. In composing this Cholera Repertory, the claims of
each medicine which has reputation in this disease, has
been examined, for almost every symptom, in the Symptomen Codex of Jahr, or the Materia Medica of Hahnemann, or in both.*  The Homoeopathic Materia Medica
is the true test of the correctness of conclusions drawn from
Clinical experience; indeed, it was originally the only
guide to that practice which was attended with such splendid results in 1832. It was Hahnemann's confidence in
this, and in his law of cure, that enabled him to publish
the plan on which this fearful malady was successfully
combated.
With his usual sagacity, he pointed out the true prophylactics, and all the most important curatives, when this
pestilence had not fallen under his own observation. Having discovered and demonstrated a universal, unerring, and
everlasting law in medicine, he was prepared to encounter
the strangest forms of disease as though they were familiar.
The law is similia similibus curantur, like are cured by
like; or (to expand this brief and elliptical aphorism) diseases are cured by medicines which tend to excite affections similar to the diseases themselves. From the Greek
6potov Trd0o, (homoion pathos, affectus similis,) the Latin
term Homoeopathia, and the English Homomopathy, are
derived.
* Chapter X., is compiled chiefly from Jnhr, with certain modifications, but nimost always with the preservation of the emphasis of the
French edition.



10


INTRODUCTION.


We frequently hear persons who have no experience in
Homceopathy-or who at most have seen its effect in
Chronic cases,-saying, I would not dare to trust it if I
were very sick, with a dangerous and rapid disease. I
should want something that would act powerfully and
quickly. A potentized medicine selected in accordance
with the Homncopathic law, is that very thing. Thousands
of physicians know it to be such; and that in their own
former Allceopathic practice, and in that of their brethren
of the old school, no violent and rapid diseases have been
cured as surely and promptly as they' now cure them by
the Homceopathic method.
Homceopathy has been eminently successful in dangerous
Epidemic diseases, caused by some subtle poison in the
atmosphere, whether communicated from the sick, or from
any other source. In the Typhus Fever, that prevailed
lately to some extent in this city, the Homoeopathic physicians demonstrated the truth and power of their system,
by the success of appropriate remedies, and especially of
Rhus Radicans. A destructive form of this epidemic Typhus, broke out in the routed army of Napoleon, during
his disastrous retreat from Russia, and spread from it through
several countries, baffling the skill of all, except the Homoeopathic Physicians.  In the effects of infinitessimal
doses they saw the verification of the maxim, " die milde
Macht ist gross," the mild power is great.
Large doses are not required to cure any disease whatever. Attenuation, whilst it weakens and ultimately nullifies poisons, as such, is in almost every substance essential
to the full development of medicinal power; and, in some
substances, no medicinal power whatever is manifested
until the substance is rendered extremely dilute.
This book will contain abundant experimental evidence
of the efficacy of attenuated medicines in the treatment of
Cholera. The great success of European physicians in the
treatment of the Asiatic Cholera of 1832, was due to the



INTRODUCTION.


11


uses of attenuated medicines, as well as to the law of similitude, which regulated their administration.


The following is a list of the
the proper attenuations..Names.
Aconituni, 24th attenuation;
ArSenscuin, 30th.
Belladonna, 30th
llryonia, 30th;
Qimphora, Tioct. & 3d,
Cantharis, 30th
Carbo Vcgcetabiiis, 301n;
Chainoinfia, 30th;
Cicuta, 30th;
Cinchona, 12th
CUPRUM, 301hs;
Aciduin Itydrocyanicumi, 30L11
IpcezaeicatiAt 3d) A
Jatropha, 12th;4
Laurocerasus, 12th         i
Mercurius vivus, 12th;
Natruiti muriaticuto, 1-2thj
Nux voinica. 30th;
PuospHogus, 30th;
PilOSPun11i AMiDUh. 3d, & 30th;
Rhus radicans, 30Lh
Secale corn,d em 12Llt;
Stramonnium, 12th;
Sulphur, 30th;
Tartarus eineticus, 12th;
VERATRUM, 112th & 30th


Cholera MedicinesR, with


it
As
46
'4
it


A12bbreviat ions.
Acon. 94*
Bell. 30
D ry. 30
Catophi 0 & 3
Canih. 30
Carb. v. 3
Chain. 30
Cie. 30
ChIin. Is
CtUMa 30
Ilydmecy, 30
Ipec. 3
Jat. 12
Laur is
Mcrc. 12
Natr. ni. is
Nux, 30
P110s. 30
P110s. AC. 3 & 30
R. ra d. 30
Sec. 12
Strain. It
Sulph. 30
Tart. 12
VERAT. 12 & 30


The didinictions of type, refer to the more or less frequent
demanid for these medicines, in the disease proper, but not
*This elevated location of the figures in the last column, promotes
brevity andl prevents ambiguity, where other IQgures or words follow. it is also appropriate, as the number is the mathematical exponent of that power of 100 which expresses the degree of dilution.



CHAPTER 1.


NATURE AND PATHOLOGY
OF THE
CH 0 L E R A,
WITH REFERENCE TO THE DARK COLOR OF THE
BLOOD AND THE DEFICIENCY OF ANIMAL HEAT.
CHARACTERISTICS.
The disease which is now generally
known by the name of Cholera, or The
Cholera, and which has been denominated
-Epidemic, Asiatic, Spasmodic and Pestilential Cholera, and Cholera Asphyctica or Asphyxia,: agrees in but few particulars with
the ordinary Sporadic or Bilious Cholera,
known by the name of Cholera Morbus. It
usually differs from the latter in the whitish
appearance of the alvine evacuations; in
the absence of bile in them and in the matters vomited; and the suppression of other
secretions, especially that of the urine; in
2



14       NATURE AND PATHOLOGY


the greater liability to 'cramps and other
spasms; in the coldness of the body, including surface, tongue, breath, &c.; in the
livid color of the skin'; in the early cessation of the pulse; and in the great rapidity and fatality of the disease.
Dissections reveal but few and slight
traces of inflammation or other morbid
changes in the solid constituents of the bodies of persons who have died of this disease-none that are constant, and in many
cases none at all.
Hence the disease is calculated to confute the theory and paralyze the exertions
of the anatomical sect. It is found no less
puzzling and intractable by the chemical
and mechanical sects; although they have
given some attention to the blood, the part
in which the most important morbid alterations are found. The chemical Allceopathists have endeavored to supply the deficiency of its salts by artificially introducing them, either by the mouth or the
veins; whilst the mechanical Allmopathists,
supposing that the thickening of the blood
was merely a consequence of the discharge
of its watery parts into the intestines,
strive to arrest this discharge by opiates
and astringents. The most pure and perfect specimen of this practice, is a plan
proposed by an Allceopathic medical professor: viz., to cork up the anus.



OF THE CHOLERA.


15


The hints I have to offer on the pathology of this disease may be of some use, if
they serve no other purpose but to dissuade
from such mechanical views, and teach
that no reliance can be placed on any treatment but that which is specific in its nature and symptomatic in its rule, and
which, under the guidance of an unerring
law, strikes at the secret springs of morbid
action. A consideration of the true source
of animal heat. will show the futility of all
attempts to restore it by hot baths or hot
drinks, whilst the vital and chemical processes on which it depends continue to be
interrupted-to say nothing of the delusive
analogy between actual warmth and that
sensation of warmth which is produced by
stimulants, and which has led some to attach some importance to these in Cholera.
Another object will be, to point out such
relations between certain pathological and
atiological facts, as will afford some clue
to the apparently anomalous character of
the predisposing causes, to impress the importance of certain precautionary measures relating to diet and regimen, and afford aid in prognosticating the progress of
the epidemic.
One of the most remarkable features of
<Cholera in arn advanced stage, and of the
more perfect types of the disease almost.
immediately' after its onset, is the rapid



16       NATURE AND PATHOLOGY


failure of animal heat. The temperature
of the whole body is greatly ieduced, and
some parts acquire a marbly coldness long
before death. The coldness of the skin,
tongue, breath, &c., I have frequently observed, and others have a thousand times
described. These phenomena must be attributed to some impression which the poison-probably introduced through the lungs
into the blood-has made upon the nervous
system; an impression which interferes
with the introduction of oxygen into the
blood, or with its chemical action on the
carbon and hydrogen.
PHYSIOLOGY OF RESPIRATION
With respect to animal heat in genera 1
the results of Mr. Brodie's experiments
were, for a while, thought by many to be
fatal to every modification of the chemical
theory, from those of Black and Lavoisier
to that of Crawford. But the later and
more careful experiments and more correct reasonings of Drs. Philip, Legallois,
Edwards, and Liebig, have tended to restore the chemical theory, so far at least
as it respects the general doctrine of the
kependence of calorificaVion on the absorption of oxygen and the F. eduction of carbo



18       NATURE AND PATHOLOGY


mixture in winter and in summer, and finding that in the latter season, the reduction
of its temperature was, in a given time, six
or eight times as great as in winter.
The final cause of this correspondence
between the oxygen consumed and the
temperature of the surrounding medium, is
as obvious as it is interesting. This is a beneficent provision, by which, as well as by
a variable cutaneous and pulmonary transpiration, the Author of nature has, in some
degree, defended man and the inferior animals against the vicissitudes of the seasons.
But neither our limits nor the nature of our
subject will allow us to dwell upon this interesting topic.
That correspondence between the degrees of aeration and those of animal heat,
which has been already alluded to, extends
to the whole animal kingdom. It will be
found to exist, whether we compare the
warm-blooded animals with those called
cold-blooded, or the different species of
either of these grand divisions with each
other. The respiration of the lower orders
of animals is, however, so imperfect, and
their temperature is, consequently, so little
elevated above that of the media in which
they reside, that the evidence of the extension of the above law to them was at
one time merely analogical. But discoveries
in electro-magnetism  have suggested an



20       NATURE AND PATHOLOGY


the venous and that of the arterial blood.
Many physicians have compared the blood
to tar or treacle. The blood drawn from a
patient was found by Dr. Reid Clanny to be
as black as tar, and to contain more than
twice as much carbon as healthy blood. It
was tasteless, and contained no carbonic
acid or gas of any kind. The want of taste
cannot be wholly referred to the elimination of salts, but affords evidence of a defect in the Iespiratory function; for the
stronger taste is one of the properties acquired by this liquid in traversing the lungs;
and as superior sapidity distinguishes arterial from venous blood, we might naturally expect it to distinguish venous blood
from supervenous.
Whether the carbon which he obtained
by his ultimate analysis, previously existed
in a free state, as he, in my opinion, too
hastily concluded, is'of little consequence.
None of those who have objected to his
views, have produced any ultimate analysis which militates against his conclusion,that there is a great excess of carbon, compared with that which exists in normal
blood. In the controversy which has been
carried on by Dr. Clanny and others, the
object has been, either to prove or disprove
the existence of carbon in the blood in a
free state, and the excess of uncombined
carbon in cholera blood. The decision of



OF THE CHOLERA.


21


this point is probably of little importance
in the pathology of Cholera; at any rate,
it does not, in the least, affect the question
which I am considering. The manner in
Which the elements of that part of the coloring matter which contains carbon, are
arranged, whether in binary, ternary or
quaternary combination, has never been determined; but Brahde, Engelhart and Michaelis have shown that the coloring matter of the blood consists of an animal matter, associated with a minute quantity of
iron and some earthy salts; and this animal matter, of which the coloring matter
appears chiefly to consist, was found by
Michaelis to contain more than fifty-three
per cent. of carbon. Now in what degree
the carbon of the coloring matter may vary
in different kinds of blood, I find no satisfactory data for determining. The furnishing of' these is, perhaps, a service which
pathology has yet to expect from chemistry.
But even conceding, that a given quantity
of the coloring matter of cholera blood, contains only the same amount of carbon as
the same quantity of the coloring matter of
normal blood, (and no one has pretended
that it contains less,) it can, I think, be
shown, that the whole amount of carbon in
the coloring matter of the former, far exceeds the whole amount in the coloring
matter of the latter. For according to the



22


NATURE AND PATHOLOGY


researches of Dr. Thompson, professor of
chemistry in Glasgow, the coloring matter
of cholera blood, as deduced from the mean
of his results, is "little short of four times
the quantity of coloring matter of healthy
blood." Dr. Clanny's proximate analysis afforded nearly the same result. This may
be reconciled with the result of his destructive distillation in another instance, in
which he obtained only about twice as
much carbon from cholera blood as from
healthy blood, by considering that both
fibrine and albumen contain rather more
than fifty per cent. of carbon, and that the
great increase of coloring matter, is partly
compensated by the diminution of the sum
of these other carbonaceous principles.
That this will explain the apparent discrepancy, might be shown by the numerical results. But that the change in the absolute amount of fibrine is small, compared
with that of the coloring matter, is evident
from Dr. Thompson's testimony, that the
fibrine and coloring matter of healthy blood
added together, amount to less than onehalf the coloring matter in cholera blood.
Notwithstanding all that has been said by
the opponents of hyperanthraxis, I am unable to discern, why the quantities of carbon obtained from two portions of blood,
submitted under the same circumstances,
to destructive distillation in a close vessel,



OF THE CHOLERA.


28


may not correctly show the relative proportions that actually existed in them. The
only sound objection refers to the state in
which the carbon existed.
Now, that this vast accumulation of carbon in the blood of a cholera patient is absolute, and not merely a relative increase,
resulting from incrassation, in consequence
of the removal of its aqueous portion, by
profuse evacuations or any other cause,
we may readily convince ourselves from a
comparison of the numerical results in Dr.
Thompson's table, by which it will be found,
that the proportional diminution of water
in cholera blood is very small, compared
either with the proportional increase of coloring matter as shown by his experiments,
or of carbon as shown by Dr. Clanny's.
How then can it be true, that the addition
of the dejections to the blood would restore
it to its normal condition? Are not even
Dr. O'Shaugnessy's results with respect to
the albumen, opposed to the above conclusion which has been drawn from his
analysis? The history of this epidemic is
opposed to it. It has been long since and
repeatedly observed, by those who have
been familiar with the disease in its most
malignant and perfect form, that the most
rapid and intractable cases were generally
attended with slight, if any, alvine evacuations. Not to cite other authorities, Mr.



26       NATURE AND PATHOLOGY


spiration than those of expiration-in forming carbonic acid than in eliminating it.
In the phenomena presented after death,
there are many striking coincidences between Cholera and asphyxia from  other
causes; the same fluidity of the blood, for
hours after death, the same tendency of the
body after death to an increase of warmth
and diminution of lividity, as in cases where
the respiration is suspended by hanging or
drowning, or not established by a closure
of the foramen ovale. I have known these
phenomena to be presented after death in
the case of a premature child, which was
born at the end of the 7th month, and lived
till the fourth day after its birth; and I
have observed some of them in cases of
death by hanging and drowning, and I believe them to be characteristic of asphyxia.
They frequently inspire the friends of the
deceased with the vain hope of effecting a
resuscitation.
The following case will illustrate some
of the foregoing remarks, as well as the
effect produced on the blood by certain
salts, which, since the experiments of Dr.
Stevens, have been supposed to perform an
important part in the function of respiration. A son of Mr. V. V., wetat. eighteen
months, had fallen into a cistern of water,
and lain, as was supposed, a quarter of an
hour or more, and had been taken out



OF THE CHOLERA.


27


about half an hour before my arrival. We
attempted to re-establish respiration, by inflating the lungs, not only by the mouth,
but by a pair of bellows fitted to a flexible
tube which was introduced into the trachea.
Other means were used, but to no effect.
About two hours after the death of the
child, the jugular vein was opened. A
dark-colored blood ran freely. Three or
four ounces were taken. Its coagulability
was so slight, that it required a plaster to
arrest it. As the plasticity or coagulability of arterial blood as compared with venous, is a property acquired by respiration,
it might be expected, that the supervenous blood of Cholera and other species of
asphyxia, would be more deficient in this
property than ordinary venous blood. And
such is the fact. In the above case, it
coagulated very slowly and imperfectly
after its removal from the vein, resembling,
in this respect, the blood drawn during life
from Cholera patients. After half an hour
had elapsed, about one-third of it had not
coagulated, although the temperature of
the air was about 700. The upper part,
which had been exposed to the air, was
coagulated to a certain depth, and its color
at the surface had become rather brighter.
On inclining the vessel, the dark, thick and
uncoa.ulated fluid broke throtigh the
coagulated crust, and flowed sluggishly



28


NATURE AND PATHOLOGY


across it, presenting an appearance somewhat similar to that of Cholera blood,
which from its consistence and blackness,
has so often been compared to molasses
and tar. The parts of the coagulum below
the surface were also dark-colored. It appeared evident, that air favored coagulation, and was more essential to the production of the florid color, but did not appear
to effect the latter as readily and perfectly as in the case of normal or healthy
blood;  Muriate of soda was then added
to one portion, and carbonate of soda to
another. The latter had a marked effect,
rendering it florid. This experiment, and
others made on normal venous blood, have
convinced me that it is unphilosophical to
infer from the effect of salts in reddening
cholera blood, that the asphyxia which
produces its dark color depends on the
deficiency of saline ingredients in the blood,
even though such deficiency,should by
analysis be shown to exist; for in the case
above mentioned, and in others alluded to,
a similar change of color was produced by
the salts, although there was no reason to
suspect any greater deficiency of saline
ingredients than ordinarily exists in venous blood.  The circumstance that the
color of the blood was less influenced by
exposure to air than   ordinary venous
blood, shows that a defect in this property



S OF TrE CHOLERA.


31


A defect in calorification and sanguification may exist, in a slight degree, in an
early stage of the disease, and not become
the most obvious characteristic till the last.
Before any profuse alvine evacuations had
taken'place; I have, in several instances,
observed a coldness of the hknds and feet,
a blueness of the under eyelid,. and a preternaturally dark color of the blood drawn
from the arm. In this stage also, Dr. Baird
found the heat of the skin below the healthy
standard. Dr. McIntyre notices a slightly
dfscolored state of the under eyelid, as
among the most frequent premonitory symptoms. Others have observed, that the dark
color of the skin frequently prevails as a
premonitory symptom      from   one   to  ten
days, whilst there is no peculiarity'in the
evacuations.
That no other disease effects so remarkable a change in the composition, color
and temperature of the blood, must be admitted; also that these alterations are disproportionate   to  the amount of alvine
evacuations, whether we compare different
monts made' at another; and that the blackening of
crassamentum by hot water, is not-as has been assorted
-dependent on the extraction of its saline matters; and
also, that the change of color produced in the sanguineous
coloring matter by heat, is not the result of the extrication of oxygen or any other gas. For these experiments,
vide Transactions of the Medical Society of the Sttoe of
New-York, vol. ii. p. 181.



32       NATURE AND PATHOLOGY


cases of this disease, or this disease with
others; although, neither the physiology
of respiration, the chemistry of normal
blood, nor the chemical pathology of
Cholera, is so complete, as to justify any
positive opipion as to the precise time, nor
any complete theory of the manner, in
which these changes commence. Indeed,
the pathogeny of most diseases is obscure;
and pathology seldom detects the first
links in the chain of morbid phenomena.
In Cholera, it can hardly be considered
more fortunate with respect to some of the
subsequent ones. There is no complete
theory; and I do not offer the above as
such.
Fortunately for mankind, Hahnemann
has discovered a law of cure which is not
based upon pathological speculations. The
want of such a law and of any reliable
guide, is the real cause of the want of unanimity and I may say the uncertainty,
confusion and anarchy, that prevails in the
allceopathic school. These have, in the case
of no disease, been more conspicuous than
in relation to Cholera, and never more so
than at the present time.



OF THE CHOLERA.


35


is some wide-spread miasm or other aerial
epidemic influence tending to diminish the
aeration 'of the blood. We have perhaps
some indirect evidence, in the nearly simultaneous prevalence of certain diseases in
which the blood is similarly affected, though
in an inferior degree. Is there not in many
places, either antecedenitly, or subsequently,
an increased prevalence of certain diseases
which are attended with dark blood, such
as measles, and typhus and other malignant
and occasionally anomalous fevers? For
weeks and months before the acknowledged
incursion of Cholera, there are frequently
cases of disease which in these respects
nearly resemble it, as I am convinced by
my own observations and those of many
other physicians.
But to give more satisfactory proof of
this connexion between Cholera and respiration, I shall proceed to examine, whether the history of Cholera does not present
a class of etiological facts, which, considered in connexion with the results of
experiments that have been made on respiration, without any reference to Cholera,
tend to confirm the foregoing views with
regard to one of its principal if not essential
features.



40


CAUSES


We hardly need refer to such high
authority for facts like this last. Most persons are conscious, after being excessively
chilled and then warmed by the heat of a
fire, that on returning immediately into the
cold air, they for a while experience more
chilliness than at the first period of the
previous exposure. It is unphilosophical
to refer these first effects of being chilled
(or taking cold) to check of perspiration;
for perspiration, as connected with the
evaporation which attends it, is physically
a cooling process; and the check of it would
immediately produce warmth, were it not
for the operation of the principle above
stated.
It is well to add here a word of application,
at a time when many exaggerate the advantages, and overlook the dangers, of
powerful baths. This delusion will have
its victims, especially during the prevalence
of Cholera. Cleanliness may, and it should
be preserved, without making any strong
or durable impression, either of heat or
cold. This is the true criterion of safe ablution. In addition to the danger of excessive bathing to the community in general, there is one which should not be overlooked by those who are under HomcEopathic treatment, either for the cure of disease or for preparing their systems to resist
the epidemic. Strongly-impressing baths



OF THE CHOLERA.


"41


disturb the action of remndies. Hahnemann justly considered their present effect
as analogous to that of large doses of
drugs, and their frequent repetition, as
tending to retard the cure of chronic diseases. I shall, under another head, give
some rules for bathing, but at present advert to other predisposing causes of Cholera.
THE NIGHT SEASON.
It has been ascertained, that the quantity
of carbonic acid produced, is less in the
night than in the day-time. Whether this
depends directly on the absence of the sun
or not, is not certainly known. From the
well established relation between the aeration of the blood and animal heat, considered
in connexion with the opinion which Dr.
Edwards' experiments led him to entertain,
that there is less animal heat evolved during sleep, we may conclude that sleep contributes in some measure to the defect of
aeration. Rest may be added, as moderate
exercise increases oxygenation. But this
has no material influence on the value of
the above-mentioned fact, except that it
tends to confirm the influence of night, the
usual season of rest and of sleep. Now it
has been frequently stated, that the attacks
4   "*     t'



OF THE CHOLERA.


43


DEPRESSING PASSIONS, FATIGUE,
FASTING, AND ALCOHOL.
Dr. Prout ascertained, by direct experiment, that the quantity of carbonic acid
produced during respiration is diminished
by the depressing passions, or even strong
mental emotions of any kind; by long-continued and violent exercise; by fasting; and
by intemperate habits, and even the moderate
use of alcoholic liquors. It is well known,
that all these are powerful predisposing
causes of epidemic Cholera. The disease
has been frequently favored by the fatiguing marches of armies and the privations
which they have suffered; by the existence
of poverty with its attendant evils of excessive labor and scanty food; by violent
anger, by the depressing passions, such as
the fear of the disease itself; and by intemperate habits, and even the moderate
Use of alcoholic* liquors. The want of success which has generally attended the administration of alcohol in this disease would
not of itself be conclusive, but it may have
some weight. The foregoing views respecting the causes and nature of epidemic
Cholera, and a knowledge of the specific
action of alcohol in diminishing the oxygenation of the blood, in all individuals,
however temperate and healthy, might have
led us to anticipate that its influence in



44


CAUSES


predisposing to this disease, would not be
confined to the broken-down drunkard.
This inference from theory is confirmed by
experience. In relation to that form of the
disease, in which at the height of the epidemic in Vienna, it most nearly approximated to the perfect type, and in which the
seizure was sudden, the evacuations almost
or altogether wanting, the cramps severe,
and the fatal termination in most cases in
a few hours, it was observed that a middle
age, vigor of constitution, and such a use
of gin as had not materially affected it,
were predisposing causes.* The last is a
practice which diminishes the aeration of
the blood, and the two former are circumstances under which, as has often been
shown, such diminution can be tolerated
with least impunity. In relation to ardent
spirits, as predisposing to this disease, mistakes have arisen from too wide a distinction,between drinking and drunkenness.
These mistakes would be corrected by
physiological views.
ABSTINENCE FROM ANIMAL FOOD.
Dr. Fyfe proved by experiment, that the
carbonic acid was reduced to nearly one
* Lond. Lancet for June 23d, 1832.



,^,       ~-.~*


OF THE CHOLERA.           45
half by vegetable diet. Now this is the diet
which has predominated in those countries,
in those cities and in those classes of
society, in which the disease has been most
fatal, whether in Asia, Europe or America.
It is true, some physicians have recommended vegetable food during the epidemic,
interdicting only unripe vegetables, and a
few kinds generally admitted to be peculiarly unwholesome. But this preference
for vegetable food must proceed rather
from an incorrect theory, and from their
experience in other diseases supposed by
them to be analogous, than from their experience or that of the world in this disease.*  In the report published by the
authority of the French Academy, it is affirmed, that during the Cholera at Calcutta,
" those who lived on vegetable substances
were first taken off; and that women and
children seemed to be spared." I quote
the whole passage, as the latter part affords some evidence, that this influence of
vegetable food is not, as some have supposed, referrible merely to the debility and
consequent irritability induced by it.
Moreover, that it was mode of living,
* Most species of grain, however, being more easy of
digestion and containing more azote than most other parts
of vegetables, make a nearer approximation to animal
food, and are hence less injurious than some other vegetable substances.


1i      -,4  f



46


CAUSES


and not idiosyncrasy, that rendered the
Hindoos so much more liable to the disease than the English residents, may be
argued from the fact, that the native soldiers, whose mode of living was more
similar to that of the English, enjoyed a
similar degree of exemption. Indeed, it was
every where observed, that those who subsisted on vegetable food, were selected as
the first victims. Perhaps it may be worthy
of remark, that the unusual mortality in
Paris, where at the least twenty thousand
of the inhabitants were carried off in a
month, occurred during the season of Lent.
Immediately after Easter the virulence of
the disease rapidly abated. The proportion of vegetable food is usually great
among a French population. May not the
severe Cholera of Montreal and New
Orleans in 1832, be cited as in some degree"
examples of its influence? On the ensuing
spring, the disease, after its winter's sleep,
awoke in the Catholic city of Havana, in
the season of Lent. It numbered' among
its victims many of the most respectable
and religious citizens, and produced a mortality unprecedented in the history of its
ravages in the western hemisphere.* Were
h Among other respectable individuals who fell victims,
was the Archbishop of Havana. On some days 900 are
said to have died out of a population of about 180,000. Not
having access, however, to official documents, I extract



48


CAUSES


mals in Scotland, and' to the mortality
among the fowls of Choisi near Paris; to
their white alvine discharges; and the
dark color assumed by their combs, affording, from their translucence, an index to
the color of the blood.
From the effects of vegetable diet and
abstinence from food, I must believe, that
a fast in either of these senses, during the
epidemic, would tend to aggravate the
awful calamity which it might be proposed
for the purpose of averting; yet, on the
other hand, as strong emotions, and especially the depressing passions, have
been shown to produce an influence similar
to that of fasting, it is evident that a religious frame of mind, a calm and cheerful
reliance on Divine Providence, must be
among the best preservatives. During the
prevalence of Cholera, it should be considered a sacred duty to avoid fasting, except so far as fasting is dictated by want
of appetite.
OPPRESSION OF THE DIGESTIVE ORGANS,
WITH FOOD INDIGESTIBLE IN QUALITY
OR EXCESSIVE IN QUANTITY.
This is another cause of impaired calorific function, as well as of Cholera. During
the first stage of a digestion rendered la



OF THE CHOLERA.


49


borious by indigestible food or over-eating,
all persons-especially those of weak digestive powers-are conscious of some degree of chilliness on exposure to cold. This,
as Dr. Edwards has explained in the
cases before cited, is not merely a simple
nervous impression, but an alteration of
function, a diminution of the power of generating animal heat.
Now it is known, that excess in eating,
even in the case of wholesome food, and*
the use of indigestible substances, as crude
and flatulent vegetables, clams, the meat
of young animals, &c., especially by persons of weak digestion, frequently disposes to an attack of Cholera.
CROWDED OR INSUFFICIENTLY
VENTILATED ROOMS.
The air of rooms which are occupied by
too many persons, or insufficiently ventilated, diminishes the aeration of the blood
and the generation of animal heat, and also
predisposes to an attack of Cholera. It is
unnecessary to cite any proofs of the former
proposition. Air deficient in oxygen and
charged with carbonic acid, cannot properly sustain the calorific function. Its effect
5



OF THE CHOLERA.


53


tions, and a nice discrimination, would be
requisite to determine their separate influences even on cholera. In August, 1832,
I observed at two different times, a considerable depression of the barometer and elevation of the dewpoint, and at both times,
there was, I believe, a sudden and considerable increase of the disease both in Albany and Schenectady. As the epidemic,
having commenced at different times in
these two neighboring cities, was not in the
same stage, these simultaneous changes
must be attributed to a meteorological influence. If humidity was the cause, humidity as detected by the hygrometer, seemed
to have more influence than rain. That the
effect depended partly on an electrical
change preceding a storm, is not improbable. Finally, there are many agents
whose influences both on the consumption
of oxygen and the production of Cholera
are alike unknown. If, as appears from
numerous considerations above stated, there
is any law connecting these influences, then
experiments for determining the effect of
these agents on respiration, might lead to
important practical applications in relation
to the prevention, if not to the treatment of
the disease. In applying the results, however, regard should be had to the difference
between the immediate and remote effects
5*



54


CAUSES


on respiration; these are frequently opposite.
RECAPITULATION.
Without the aid of any mere hypothesis,
I have shown, that there is a remarkable
correspondence between certain classes of
physiological and aetiological facts, in relation to the Cholera. This correspondence
is interesting on account of the dependence
of animal heat and the florid color of arterial blood on respiration, considered in
connexion with the fact, that in an advanced state of dangerous cases of every variety of this disease, and in an early stage
of the severer varieties, no pathological
phenomena are more constant, than a dark
color of the blood and a temperature below
the normal standard.
As a large proportion of the occasional
or predisposing causes are in a great measure under the control of man, a statement
of these and of the scientific evidence of
their influence, will tend to inspire hope
and promote safety.
I have shown that physiology concurs
with general experience, in proving the
following to be the principal predisposing



OF THE CHOLERA.            55
causes of the Cholera; viz., 1st, hot climates
and hot seasons; 2d, becoming chilled by
cold air or by cold bathing; 3d, the night
season; 4th, fear and other depressing emotions; 5th, violent and excessively fatiguing
exercise; 6th, total fasting, i. e. abstinence
from all food; 7th, partial fasting, i. e. abstinence from animal food; 8th, oppressing
the stomach with food indigestible in quality
or excessive in quantity; 9th, the moderate
as well as intemperate use of alcoholic drinks;
10th, crowded or insuficiently ventilated
rooms; and 11th, neglect of personal cleanliness.
The order in which these are enumerated, has no reference to their relative potency, but to their natural affinities.



OF THE CHOLERA.


57


former class of diseases, they denominate
contagious; the latter class, infectious.
But in both cases, the disease is communicated through the air, and in consequence
of its contamination; and in both cases by
a specific poison, else the same kind of
disease as that with which the first patient
was affected would not be reproduced.
These classes of disease, when communicated through the air, differ, not in the
principle or mode of communication, but in
the quantity or dose of the poison, which
is requisite for reproducing the disease.
The terms contagion and infection, as
now extensively used in a technical sense,
serve only to conceal the want of precise
ideas, and the defects of a false mode of
reasoning. Whence the disputes and hesitation of learned academies-and of the
medical world generally-in relation to this
subject? In my opinion, this confusion,
disagreement and indecision arise from not
viewing the subject in a mathematical
point of view, that is, in its relation to the
science of quantity. The popular mind is
prone to inquire about the existence of certain things or entities, rather than their
quantitative relations. It asks, is there infection in this disease or in that? It does
not think to inquire, whether there is more
or less infecting power. It does not suspect
that this is the only difference' in many dis

0



OF THE CHOLERA.


61


more diluted state than that of Cholera, and
requires no peculiar susceptibility except
that naturally possessed by persons who
have not been vaccinated. Such persons by
going near a small-pox patient, even in a
large and well-ventilated room, would be
in great danger of taking the disease. The
danger of this in case of exposure to a
Cholera patient under the same circumstances, would be comparatively trifling.
Again, even the miasm of small-pox can,
by diffusion in the open air, be so diluted,
as to losd entirely its poisonous property,
and become incapable of producing the
disease. Still more easily does this take
place in case of the Cholera Miasm. We
have seen, that for weeks it confined itself
to the hospitals at Staten-Island, without
passing beyond their common enclosure to
affect the village in which they are situated.
For security from infection by Cholera
miasm, it must have a certain degree of dilution. Among the practical applications
to be made of this doctrine, we may mention the importance of ventilation, of using
as large rooms as possible for Cholera patients, and allowing as few patients as possible to be confined in the same room. Ventilation and washing, are the only requisites
for the purification of rooms which have
been occupied by Cholera patients. There
6



62


INFECTION


is no evidence that chlorine or chloride of
lime has the slightest influence on this infecting miasm itself; gnd the fumigation of
the sick-room would be decidedly prejudicial, both to the patient and his attendants.
In addition to the direct deleterious action
of the gas on the system, it would interfere
with the salutary action of medicines and
prophylactics.
INFLUENCE OF DOSE.
Having considered the influence of dilution, I shall proceed to that of quantity.
If any poison is diluted to that degree in
which it just begins to lose its power of
acting as a poison, in a certain dose, it will
still act as a poison in a larger dose, or
(what is nearly equivalent in practical effect) in numerous and frequently repeated
doses, the aggregate of which is a very
large quantity.
The Cholera miasm observes the same
law. A room, occupied by Cholera patients,
may be so large and well-ventilated, that a
susceptible individual might be perfectly
safe in it for three hours, but not for thirty.
During the latter period, he would inhale
ten times as much air slightly impregnated
with the miasm. Allceopathic physicians



OF THE CHOLERA.


63


have frequently seen the mischievous and
even fatal effects of mercury and arsenic
in what they call small doses, administered
by them for a considerable length of time.
Still, there is nothing on earth which is
a poison, irrespective of concentration and
dose. We cannot. consider the Deity as the
Author of any thing which is poisonousi. e. destructive-in its very essence. Read
the impressive language of Hahnemann.
" When He, the All-bountiful, created iron,
He left it to the free choice of the children
of men, to fashion it either into the deadly
dagger, or the peaceful ploughshare, to slay
or to support their race. Ah, how much
happier for them, did they employ all His
gifts for good! So would they fulfil His will
and the end of their being. We cannot
charge an all-loving Providence with the
crimes, that men have committed in abusing the administration of terribly powerful
drugs, by giving them in enormous doses,
and in improper cases."
Such were the elevated sentiments that
animated the man, who will, in all future
times, be remembered as the first discoverer
of a method, by which the noxious properties of the most virulent poisons may be removed, whilst their curative properties are
retained or heightened. The success of this
pharmaceutic method depends greatly on
that minute division which is effected by a



64


INFECTION


certain diluting process; yet the first object in the mind of its discoverer was the
reduction of dose. He aimed to diminish
the quantity of a crude allceopathic drug to
such a degree, that it should cease to be a
poison, that is, become a medicine fit for
homceopathic use. I have been insensibly
led to speak of this method, when considering the effect of inhaling a greater or less
quantity of air impregnated with Cholera
miasm.
Whether Cholera is or is not infectious,
depends not only on the degree in which the
air is impregnated with the miasm, but
upon the quantity of the air inhaled, and
consequently upon the length of time during which it is continuously respired.
I will make another application of these
views, relative to the latter topic. Whereever it is practicable, there should be a
provision for the occasional relief of nurses;
so that no one should be required to spend
the whole day-much less day and nightin the sick-chamber.
For making such a desirable arrangement, the homceopathic system offers peculiar advantages. In the first place, homceopathic families will have fewer cases
of Cholera; secondly, these cases will be of
much shorter duration, i. e. will sooner terminate in health; and thirdly, they will require less nursing in proportion to their



OF THE CHOLERA.


67


these diseases, as small-pox, are generated by the reception of inconceivably minute doses of the morbid product. Smallpox, again, is an example of a disease
which requires no special susceptibility;
none which is not naturally possessed by
almost all persons previously to vaccination; whereas a majority escape Cholera,
even when they are most fully exposed to
it, and pay no special attention to diet or
regimen.
In the case of cholera, as well as of
most other diseases, the liability to infection, depends vastly more upon the peculiar susceptibility of the individual, than
upon the degree of exposure. When cholera
is introduced into a city, a majority of its
inhabitants may have symptoms which
mark its presence in the. atmosphere;
but only a small proportion usually take
the disease, however intimate their communication with the sick; and of those
who do become affected with it, there is a
large majority who have had no obvious
and direct communication with persons
laboring under the disease.


I



68


INFECTION


ROUTES AND MODES IN WHICH
THE CHOLERA TRAVELS.
In its progress from one country to another, and from city to city, it oftener selects the great thoroughfares of men, and
especially rivers. Its preference of low
situations, and especially of the shores of
rivers and other bodies of water, appears
however not to be entirely owing to human
intercourse. In 1832, I observed that nearly
all the cases at the commencement of the
epidemic in Schenectady, were for some
time in a retired part of the town near the
Mohawk, a river not used for navigation.
At other times, the disease travels across
dry regions, and seems to pass from city
to city independently of human intercourse.
Cholera, then travels by two methods;
viz., with men as vehicles, and without any
obvious and visible vehicles of transportation: it sometimes goes, at other times it
is carried.
During its prevalence in any part of a
country or of a city, some degree-more or
less slight-of a widely diffused epidemic
influence, is usually manifested, by a tendency to diseases somewhat similar, provided the season of the year is favorable
to the spread of cholera.
As to quarantine regulations, we can
rarely expect from them more than some



70


PREVENTION


5th. Condiments (except salt), as vinegar,
pickles, pepper, spices and mustard;
6th. Camphor, hartshorn, cathartics, herbteas, and other medicines (whether external
or internal) except those prescribed by the
physician;
7th. Tobacco in great quantities, especially by chewing; and in any quantity unless
the individual has been long accustomed
to it.
None of the forbidden articles (except
coffee, and camphor, and other medicines),
need to be suddenly and totally abandoned,
if the individual has been long accustomed
to them. In that case, he may, unless forbidden by his physician, use them, though
in great moderation. Great and sudden
changes in regard to the use of condiments,
should not be made after the epidemic has
actually commenced in the place. Let the
reform commence earlier.
HYGIENIC RULES IMPORTANT TO BE OBSERVED BY PERSONS IN GENERAL DURING
THE PREVALENCE OF THE CHOLERA, AND
USEFUL AT ALL OTHER TIMES.*
1st. Use warm clothing, and in cool or
changeable weather, flannel; but put a
* The imperative form is used here for brevity.



OF THE CHOLERA.


71


cotton or silk garment under it, unless you
have been accustomed to flannel next the
skin.
2d. Avoid taking cold, or becoming
chilled.
3d. Use no cold, nor hot, nor even tepid
baths; but use cool baths, those which feel
like a summer breeze, or sponge the body
with water of such a temperature. This,
with different individuals and different
modes of using the water, may range from
750 to 800 Fahrenheit.
4th. Remain in the water not longer than
a minute; and wash and wipe yourself dry
as soon as possible; and if in the least
chilly, put on extra clothing. Use this ablution once a week, or twice in summer, and
wash the feet and other more sweaty parts
of the body.daily.
5th. Endeavor to encourage good temper, hope and cheerfulness in yourself and
others.
6th. Use moderate and even active exercise, but avoid great fatigue.
7th. Avoid all kinds of fasting, when
there is appetite.*
8th. Let the diet consist partly of animal
food, and partly of good bread or some
* I will not deny that any man has a right to punish
himself by abstaining from hurtful luxuries: but -he has
no right to punish himself by injuring his health.



OF THE CHOLERA.


73


12th. Drink water, cocoa, pure unspiced
chocolate, toast-water, barley- ater, or
weak black tea.
13th. Avoid as far as possible all alcoholic drinks, whether distilled or fermented,
but especially the former. Use neither coffee nor green tea.
14th. Keep your room properly ventilated, but in such a manner as not to expose yourself to curirents of air when sitting still.
15th. Do not continue long in small
rooms that are crowded with people.
16th. If practicable, avoid sleeping in
basements, or with many persons in the
same room.
Peculiarities of constitution and inveterate habits, and the disadvantages of making
great and sudden changes after the commencement of the epidemic, will justify
some modification in the above rules by.
some individuals. In food, some concessions
must be made to taste.
PROPHYLACTICS.
The homceopathic preventives of Cholera
are Cuprum metallicum, and Veratrum album, prepared according to the homcopathic method, and taken alternately in
doses of two or three pellets once or twice
7



74


PREVENTION


a week. By this means thousands have been
protected from the disease. It is said, that
there is no instance in which persons thus
treated have fallen victims to Cholera. The
globules may be placed on the tongue, and
allowed to dissolve in the mouth, and then
swallowed.
Wherever it is practicable, a homceopathic physician should be consulted; as
one of these remedies would in some cases
be preferable to the other. He could decide
which.
The method which Hahnemann recommended, and which many employed with
success, was to take globules medicated
with the 30th dilution of Cuprum, then wait
one week, and take the similarly medicated
globules of the 30th of Veratrum; then
after a week, the Cuprum, and so on. Others
have used, with similar success, the third
dilution of each, at intervals of half a
week. This may be used by those who
cannot obtain the thirtieth; but let no one
venture upon the use of the copper of the
drug stores, nor the crude colored tincture of
veratrum, even of the homceopathic pharmacies.
The efficiency and duration of the action
of a prophylactic are very great, provided
it is sufficiently analogous to the disease to
be prevented. We have examples in vaccination as a preventive of variola, and in


*4"
<*fe



76     PREVENTION OF THE CHOLERA.
after waiting three days, use the thirtieth
of cuprum in the same dose and manner;
then wait three days, and give the thirtieth
of veratrum in the same dose and manner.
Afterwards, alternate the thirtieth of each
in solution as before described, and at the
same intervals. I advise commencing with
the veratrum, because the Cholera, and
especially the present epidemic, oftener requires veratrum, at least in the male sex.
Camphor is too transient in its action to
be of any use as a prophylactic: besides it
would interfere with other medicines. Persons who may be so circumstanced as to
think it best to carry it in their pockets, to
have it ready in case of attack, should keep
it very tightly corked, and, unless attacked,
should not use it, even by smelling, when
they have been taking a prophylactic.



HISTORY OF TREATMENT.


77


CHAPTER V.
HISTORY OF TREATMENT,
OR
STATISTICAL PROOFS OF THE SUCCESS
OF HOM(EOPATHY IN CHOLERA.
A vast number of remedies and modes of
allceopathic t.reatment have enjoyed ephemeral reputation, have been lauded, rejected, revived, and again rejected. This may
be partly explained by the fact, that medicines and methods employed toward the
close of the epidemic in any place, acquire
an undue reputation, because the disease is
usually at that period less malignant and
fatal. The physician hot appreciating this,
publishes his specific in good faith; but it
utterly fails with those who subsequently
try it in a different place, in any stage of
the epidemic in which nature is not nearly
competent to the cure. There is no plan of
7*



78


HISTORY


treatment agreed upon, even by one-fourth
of the allceopathic physicians, and very little
confidence in allaeopathic Cholera practice
in general, among most of the best informed of that school. An able allceopathic
author who practised in 1831 and 1832, in
England, where homceopathy was then unknown, says, " If the balance could be fairly struck, and the exact truth ascertained,
I question whether we should find that the
average mortality from Cholera in this
country, was any way disturbed by our
craft. Excepting always the cases in which
preliminary diarrhoea was checked, just as
many, though not perhaps the very same
individuals, would, probably, have survived,
had no medication whatever been practised." *
A friend asks me-How will you treat
the Cholera? I answer, homceopathically.
I perceive he almost trembles at the thought,
provided he is a new convert, and one unacquainted with the homoeopathic history
of this disease. I endeavor to remove his
solicitude, by assuring him that there is no
method of treating Cholera which can be
compared with Hahnemann's. Has it ever
been tried? This question is a very reasonable one. Thousands of Americans will ask
* Lectures on the Principles and Practise of Physic;
delivered at King's College, London, by Thomas Watson,
M. D. p. 828.



OF TREATMENT.


79


it, at a time when the Cholera is approaching them, in a form as virulent as was ever
known in Europe or America, if we can
judge from the loss of one half the patients,
even in private practice, by the European
and American allheopathists.
I will let statistics answer this question
and show the relative results. Whence the
horror which the name of this disease
awakens? It comes from the deplorable
failure of allceopathic treatment.
The first seven cases which occurred on
board the packet ship New-York, in Dec.
1848, died under calomel treatment. The
ship arrived at the Quarantine at StatenIsland, near New-York, on the 2d of December, and landed the remaining eleven
or twelve patients, who had survived longer
under a comparatively inert treatment.
From the statement of the captain, and the
daily published reports of the health-officer,
from Dec. 5th to Jan. 4th-when reports
ceased to be published-it appears that in
the ship before her arrival, and in the hospitals at the Quarantine since, there had
occurred about ninety-six cases and fiftytwo deaths, from Cholera.* The cases at
the Quarantine were under the care of the
health-officer himself, a skilful allaeopathic
* I believe that the official statistics have not yet been
published in any other form.



82


HISTORY


In statistics, I shall confine myself to the
epidemic of 1831-1832, it being the most
severe, and the only one whose statistics
are tolerably complete. Let no one trust
his life to any vaunted method of cure
which has been tried only on a few scores
of patients, and by one or two physicians.
The homoeopathic method has been tried on
many thousands of Cholera patients, and
with a success remarkably uniform in different countries.
Let us compare the results of the two systems in the same city. In Vienna, there
were 4500 patients treated allceopathically;
of whom 1360 died. There were 581 treated
homceopathically; of whom only 49 died.
This gives 31 per cent. of deaths under the
former, and only 8 per cent. under the
latter.
Dr. Quin of London has given a table of
the results of the treatment of ten different
homoeopathic physicians. The worst result
under any of these physicians was, the
death of only one-fifth of his patients, whilst
four-fifths were saved. The best result obtained by any one of these physicians was
the saving of 40 out of every 41, or losing
3 out of 125, this being the number of cases
which he treated. This physician was Dr.
Weith of Vienna. These cures were made
at a time when this pestilence was prevailing in that city in its greatest intensity, and



OF TREATMENT.


-83


baffling all the skill of allceopathic physicians.
The statements of this venerable man
can be relied on. He is above suspicion.
He had no party prejudices to mislead
him; no professional interests to advance.
Though he had taken the degree of Doctor
of medicine, his profession was that of
a minister of religion. But when he beheld
his fellow-citizens doomed to destruction,
his feelings as a man, and his principles as
a christian, impelled him to stretch forth his
arm for their relief. He had just become
convinced of the truth of the hommoopathic
doctrine, and of its practical importance.
It was distressing to him, to be continually
called to the death-beds of persons who
might have been saved by homceopathy,
but were perishing in spite of alloopathy.
His spirit was stirred within him, and he
resolved to suspend in part and for a time
his functions as the spiritual guide of his
people, and devote himself to their temporal salvation. He acted as a true disciple
of Him, who delighted in saving not only
the souls but the lives of men.
The efforts of Dr. Weith were crowned
with a success fully justifying the expectations which he had been led to entertain
by the success of other homceopathic physicians in this same epidemic.
The remedies which he employed, were



OF TREATMENT.


87


fatal termination of the disease, wherever
it occurred, was occasioned altogether by
neglect, want of necessary precaution, or
deviation from the rules of regimen prescribed by Homceopathia. All the sick
who took medicine in strict conformity to
the rules, were saved, although some of
them were already in the state of collapse,
which apparently precluded all hope. In
this last stage there were not a few with
their teeth clenched so fast that it was
necessary to force-ithem open for the purpose of introducing the medicine; and yet,
on the very day following, they were relieved and convalescent! My good husband, from the constant intercourse with
the sick, took the infection several times,
but in every instance was restored by a
few Homceopathic globules. In short, we
consider ourselves perfectly safe from this
dreaded scourge, whatever may be its
potency  and   virulence.  The   repeated
numerous trials have more than satisfied
us, that in the presence of Homceopathia,
with its five remedies only, the Asiatic
Cholera is not a mortal disease, and still
less so when encountered at its commencement."*
* "Hommeopathia Revealed," by the Hon. Alexis Eustaphieve. Mr. Eustaphieve has a copy of the original documnents. I find in the " Bibliothcque Homoeopathtque," the
same extract, with a very few slight verbal discrepancies.



88


HISTORY


There are informal accounts from Petersburgh and Riga, of relative success, in the
Homceopathic treatment of the Cholera of
1848, similar to that which distinguished
that treatment in former years. There
have been employed with great effect,
Camphor, Carbo-vegetabilis, Jatrapha curcas, Hydrocyanic acid, Phosphoric acid,
Veratrum, etc. Veratrum is said to have
gained great renown, even among Allceopathists themselves, when they witnessed
its effects in the hands of Homoeopathic
physicians. But the statistics of Homceopathic practice in the Cholera of 1848 have
not yet been published.
To the statistics above given, in relation
to the first invasion of this disease. I need
not add a word of comment, to show the
immense superiority of the Hommeopathic
treatment. Such a uniformity in the results in so many places, and with such a
number of patients, must speak convincingly to every intelligent and unprejudiced
mind. Some of our Allcmopathic brethrenas if conscious of the weakness of their
system, on the broad field of extensive
statistics, are at present restricting themselves to a guerilla warfare. When a
single death occurs among the patients of
the 50 homceopathic physicians of our city,
it is noised abroad as something remarkable. But if any one is desirous of know



90


EARLY


attack may almost always be prevented, if
the physician is a Hommopathist. The
most usual premonitory symptom, is a
slight diarrhoea, which would cause no
apprehension in ordinary times. This is
cured by Camph.3, Phosphorus 30, Phosphoric acid 3, or Veratrum30, given in the
mode which I shall describe under the first
variety of Cholera. When this diarrhoea
is a little more marked, and but few other
symptoms present, the case is usually
named Cholerine. This case is intermediate
between that of premonitory symptoms,
and that of the fully formed Cholera of the
first variety to be described. It requires
similar treatment, and especially Camph.3,
followed by Phosphorus, Phosphoric acid,
or Veratrum; the last if there is colic, vertigo, and yellow coat on the tongue.
For other premonitory symptoms, and
for the cases in which Veratrum is preferable, consult the succeeding chapters, including the Repertory. Where there is
diarrhoma, without any special indication
for any particular remedy, give one drop
of spirits of Camphor, on a lump of sugar
or in sugared water. Give another drop
after one hour,-or earlier, if the diarrhoea
returns-and let it be followed by three
doses of the 3d attenuation of Camphor,
at intervals of an hour, or after each
evacuation, if it occurs sooner; after this,



92


EARLY


dose. This may be considered as applying
to any case, in this or any other stage.
TREATMENT AT THE COMMENCEMENT OF
CHOLERA IN ALL ITS FORMS.
When there is a decided attack of
Cholera, we resort for the first hour-or
a longer or shorter time, according to circumstances-to a treatment for whichas well as for all the most successful modes
of preventing and curing this diseasethe world is indebted to Hahnemann.
Whatever may be the form of the attack, give one drop of the tincture of Camphor, dropped on a lump of sugar, and then
dissolved in a tablespoonful of cold water.
Repeat this every five minutes, until there
is a decided mitigation of the symptoms.
This will usually be after 5 or 6 doses.
One sign of its good effect is perspiration.
In proportion as the symptoms yield, let
the doses be at longer intervals, as an
hour, two hours, twelve and even 24 hours.
For these later doses, the 3d attenuation
would probably be preferable. If the disease is taken in time, 10 or 12 doses of the
tincture are ordinarily sufficient. If the
stomach will not retain the camphor, even
in ice water, then give, before and after it,
a bit of ice as laige as a filbert.



TREATMENT.


93


In the preparation  of this spirits of
camphor, Hahnemann recommended the
proportion of one oz. of solid camphor (the
gum as it is called) to twelve. of alcohol.
Dr. Quin used the proportion of one to six.
The usual tincture of the shops is suitable.
The most convenient method-and one
which I have recently employed in a case
of severe spasmodic Cholera-is to put
twelve drops of camphorated spirits in a
tablespoonful of sugar, and dissolve it in
twelve tablespoonfuls of cold water in a
tumbler, and give a tablespoonful of this
mixture every five minutes till relief is
obtained. Where there is great difficulty
in retaining fluids on the stomach, let the
medicine be so dissolved that a teaspoonful
shall be a dose.
Families should be provided with the
camphor, and in case of attack, administer
it immediately, before the arrival of the
physician, who will judge whether it is to
be continued. In some cases of severe
spasms, it might perhaps be admissible to
give the camphor every 3d minute, till
there was some mitigation. But the advantages of the camphor treatment cannot
be secured by Aliceopathic doses, whether
at short or long intervals. In the former
case, the disease would be aggravated;
and in the latter case, the medicinal action
would become exhausted: in both cases,


j,



94             1EARLY
the stomach would be irritated. If one
ignorantly attempts to correct this last effect by combining opium or laudanum
with the camphor, he, in a great measure,
destroys the efficacy of the latter, besides doing direct and positive injury by the opiate.
There is abundant testimony to the efficacy of the pure camphor treatment (by
small doses) from all parts of Europe.
Hahnemann states, that at Berlin and
Magdeburg alone, thousands of families
having followed his instructions respecting
the treatment by camphor, restored those
of their members who were attacked by
the epidemic-restored them often in less
than a quarter of an hour.
Dr. Quin assures us, that this method may
be employed with certainty of success in
the first hour; with probability in the following hours.
Hahnemann at first advised the external,
in connexion with the internal, use of camphor, but subsequently found it unneces
sary. Indeed it not only is useless, but fills
the room with effluvia which interfere with
subsequent treatment.
But as it is often difficult to persuade the
friends of the patient to wait for the action
of the remedy, they may be allowed to rub
with a flannel, either dry, or moistened
with alcohol, -or-what is better-with
their dry hands. They may also be al



TREATM*NT..


95


lowed to place a warm brick at the feet of
the patient--if they are cold-although it
is of no positive use.
DIRECTIONS FOR THE GENERAL MANAGEMENT OF A CHOLERA PATIENT.
1. Apply no camphor externally, and
use no external applications of any kind.
2. Give no drinks but cold water, unless
the patient prefers warm  toast water,
which is the case in but very few instances.
3. Ice water may be taken as frequently
as the patient desires it. It is useful for
extreme thirst, cramps, colic, vomiting and
cold skin.
4. The food should consist of mutton or
chicken broth, with no seasoning except a
moderate quantity of salt. Beef broth will
answer. Oyster soup is not allowed. Great
care should be used in regard to diet during
convalescence.
5. The patient should lie in bed, with
comfortable coverings.
6. If the weather is cool, there should be
a good fire, which will allow the windows
to be kept open for ventilation.
7. The patient should not, however, be
exposed to cold air. If compelled to rise,
he should be covered, and the windows
closed,



96


TREATMENT


8. He should rise ro oftener, and move
no more, than necessary; as motion is
hurtful.  He should, if practicable, be
provided with a bed-pan, instead of being
compelled to rise.
9. No glass or spoon which has been
used for one medicine, should be used for
another, until it has been rinsed with clean
hot water, (without soap,) then, whilst hot,
wiped dry with a clean towel, and allowed
to stand till cool, and thus become more
perfectly dried by its own heat. Or when
convenient, it should be washed with hot
water, and wiped, then heated near a fire,
and again allowed to cool before being used
for another medicine.
CHAPTER VII.
SYMPTOMS AND TREATMENT
OF THE
VARIETIES OF THE CHOLERA.
LAW OF CURE, AND REPETITION AND
MAGNITUDE OF DOSES.
THE skilful Homceopathic physician does
not neglect the teachings of clinical ex



OF THE VARIETIES.


97
1


perience; but he relies mainly on the
law, that any disease, in its curable stage,
can be cured by a medicine which is
capable of producing a sufficiently large
group of symptoms similar to those which
the disease itself presents. Judgment is
required in regard to the relative importance of symptoms; but it is important to
consult repertories and materia medicas
with regard to a great number of the
symptoms of a case, and to combine as
many as possible, and thus eliminate the
false remedies and arrive at the true remedy for the whole group, and consequently for the disease of which that group is
the index or exponent. The popular error,
that a knowledge of the name, essential
nature and principal seat of the disease,
is prerequisite to a successful treatment of
it, is founded upon the blind nature of
Allmopathic therapeutics. Allceopathy has
no guide but the name, the supposed nature
and the supposed seat of the malady: ad
if any one who has received some Homceopathic light, allows himself to be still led
by the blind, he will fall into the same
ditch.
The usual intervals between the doses
of attenuated medicines for the more
severe varieties of Cholera are, half an
hour, one hour, and an hour and a half,
according to the violence of the disease.
9



OF THE VARIETIES.


99


other medicines in not requiring attenuation and in being exceedingly transient in
its action. Hahnemann directed one drop
of the tincture every five minutes; the tincture being made by dissolving one oz. of
camphor in 12 of alcohol. Dr. Quin happened to use, in his own case, two-drop
doses, of the tincture made in the proportion of one to six, and finding it to succeed,
used it for others. Hartmann recommends
the proportion of one to twenty, and the
dose one or two drops, every two or five
minutes. The tincture directed by the
Allceopathic pharmacopoeias and found in
the drug-stores, is generally one to eight,
sometimes one to sixteen. There is probably no better rule, than to dissolve 1 oz. of
camphor in 10 oz. (i. e. 2~ gills) of alcohol.*
The ordinary dose will be one drop every
five minutes. In some cases, the dose may
be increased to two drops, or the intervals
reduced to two or three minutes. Give the
tincture in sugared water, iced or at least
cold. As camphor is one of the most
powerful and general antidotes to other
medicines, the patient'must not take these
from any glass or spoon which has contained it, nor must the odor of it be in
the room after he commences other medicines.
* This is the strength of the tincture which the pub.
lisher (Wm. Radde) will sell with this book.



OF THE VARIETIES.


101


a few hours or a few days, they have the
appearance of barley water, rice water, or
of whey with little flocks of soap distributed through it, or of milk-porridge mixed
with water. The whiteness appears to
depend on minute flocculi of whitish mucus,
with some larger lumps of the same, sometimes as large as a pepper-corn and of
a yellowish-white color. Each stool is
preceded by great noise and movements
in tlhe intestines. There is a livid circle
around the eyes, failure of strength, and
nausea; sometimes, in a more advanced
stage, vomiting and spasms.
If this form of Cholera-although it
should amount only to a slight cholerine
-is mistaken for an ordinary diarrhoea
and improperly treated, there is great
danger of its suddenly assuming a much
graver form: vomiting and violent spasms
may set in, and collapse and death close
the scene. This alarming revolution in
the disease may occur when the evacuations have not 6aused much debility or interfered with the usual avocations. In
Europe and America, this diarrhcic form
is the most frequent, especially in places
and times in which Cholera does not rage
in its greatest intensity. The more perfect
and severe forms give no such warning,
even in Europe and America.
In one sense, the premonitory diarrhoea
9*.



0


102           TREATMENT
is a part of the diarrhaeic variety of
Cholera. If a line can be drawn between
them, it is probably.where the discharges
change from the fnecal to the liquid character. The treatment is similar.
TR'EATMENT OF CHOLERA DIARRHCE ICA.
If Camphor does not soon give relief,
we are to resort to other medicines, generally to Phosphorus, Phosphoric acid or
Veratrum. I have employed them all with
success. The Phosphoric acid is to be
preferred when there is a gluey matter on
the tongue, or cramps in the upper arm or
fore arm or in the wrists or hands, or if
the stools are yellowish and the evacuations painless.  Give Phosphorus when
there is a white or a brown coat on the
tongue and the evacuations attended with
griping or colicky pains, or with nausea.
Give Veratrum when the coat on the tongue
is yellow and the diarrhoea painful. In
some cases, Chamomilla, Mercurius, or
Secale may be indicated.
However, Phosphorus, Phosphoric acid or
Verat., generally cure; andthey may often
be given at first, without the previous administration of camphor, in this form of
Cholera. When the evacuations are very



OF THE VARIETIES.


103


copious, liquid and frequent, camphor should
not be given many times, if at all. Put
two or three globules of the 30th attenuation of Phosphorus, or of the 3d attenuation
of Phosphoric acid, in a little sugar of milk,
and place them on the patient's tongue;
or give them in solution, in the manner
described in Chapter VI. After two or
three doses of phos.-ac. 3, if the indications for phos.-ac. remain, it will often be
useful to employ the 30th. One dose of
the 3d is, however, usually sufficient to effect a cure. Dr: Quin rarely found it
necessary to give a second dose, and never
till the following day. A dose of the appropriate remedy might be given after
each evacuation, if it is copious, or every
second evacuation, if they are small.
SYMPTOMS OF THE SECOND VARIETY,
CHOLERA GASTRICA-GASTRIC CHOLERA.
This form of Cholera is characterized
by frequent or almost continual vomiting,
but is often accompanied by many symptoms of other varieties. The matters at
first thrown out consist of the food which
the stomach happenqd to contain, or the
liquids which had been swallowed. They
are usually thrown up with a sudden jerk
withoupreviou' retching. The vomiting.    ~,*                  fl    P


^., '*.*..^-, " ^



104


TREATMENT


is sometimes preceded for a short time by
nausea. There is no diarrhoea, or only
one or two evacuations at the onset. The
urine is scanty. The gastric variety of
Cholera is neither the most frequent nor
the most dangerous. When the epidemic
prevails, this form may be excited by flatulent vegetables or other indigestible food.
TREATMENT OF CHOLERA GASTRICA.
The principal remedies are Camphor,
Ipecac. and Veratrum. Camphor will ordinarily be proper at the onset; one drop
every five minutes. If relief is not soon
obtained, give Veratrum 12 or Ipecac. 3, according as one or the other is more indicated, (by the character, conditions, or concomitants of the vomiting,*) and at the
usual intervals: I-f, by the effect of the,
veratrum or ipecac., the vomiting cease,
but the other symptoms remain, and there
is great weight at the stomach and pains
in the intestines and head, then have recourse to Nux 0o. But if the disease is not
checked, give Verat. 30, or other medicines
according to the indications. To Cholera
* Vide the Cholera Repertory, to decide between these,
or to determine whether some other remedy is preferable.



OF THE VARIETIES.


105


excited by anger, and attended with either
vomiting or diarrhoea, Cham. 12 is appropriate.
SYMPTOMS OF     THE  THIRD   VARIETY,
CHOLERA SPASMODICA-SPASMODIC CHOLERA.
This form is especially characterized by
cramps and other spasms. The principal
symptoms are, contractions and cramps in
the toes and fingers; afterwards, cramps
in the calves, or convulsive movements in
the muscles of the fore arm, and legs; then
spasms in the upper arms and thighs, and
sometimes fixed spasms in the chest, neck,
and jaw, resembling those of locked jaw
or tetanus. The constriction of the chest
is preceded by vomiting. Neither vomiting
nor diarrhoea frequently occur in this
variety; but it may succeed a neglected
diarrhoea, and be ushered in by a single
copious vomiting, and attended by occasional retchings.
In some cases, there are first cramps in
the calves of the legs; then tonic spasms
of the whole of both inferior extremities,
soon extending in succession to the abdomen, stomach, chest and tl1roat; the inferior limbs remaining spasmodically extended and extremely stiff and hard, and



OV rAft VARt.rIPMV      107


107


different indications. Cuprum  may be
given at the onset of the spasms, provided
their character and concomitants indicate
its use decidedly more than that of camphor, Vide Cholera Repertory.
SYMPTOMS OF THE      FOURTIH VARIETY,
CHOLERA SICCA, DRY CHOLERA.
There is no didrrhaea nor vomiting. There
Is a sudden prostration of the vital powers
the urine is suppressed; tongue sometimes
blue or blackish; the eyes up-turned and
fixed; coldness of the surface of the whole
body, which becomes covered with a cold,
sticky sweat; the face and limbs have a
violet blue color: The' voice and pulse
fail, This variety requires the most prompt
attention.
TREATMENT Or1 CHOL9IR        A SICCA.
The first reiedy--as in other varieties of
Cholera-is Camphor. In this variety, it is
especially required1 for arousing the nervous system. Repeatwit in doses of one or
two drops, every five minutes. Then, if necessary, give Veratrum every half hour, or
hour, or hour ahd a half.. If the cramps
and vomitings have, entirely ceased, if the



OF THE VARIETIES.


111


If a dose or two of the 12th is given at first,
the 30th should be given subsequently.
If the treatment is commenced very
early, Camphor will be appropriate, and
ordinarily sufficient. Dose, one drop every
five minutes. When the stools become exceedingly copious and liquid, veratrum is
in most cases to be used. If there is a
complication of other symptoms, the groups
may indicate some other remedy.
SYMPTOMS OF THE SEVENTH VARIETY,
CHOLERA   INFLAMMATORIA-INFLAMMATORY CHOLERA.
In some small proportion of instances,
Cholera is, from the commencement, an inflammatory disease. The physician will
recognise this character, more especially
by the state of the pulse, so different from
that of Cholera in every other form. In
addition to the fulness and frequency of
pulse, there is great heat of the body; redness of the eyes; head-ache, vertigo, &c.;
tongue dry   and warm; vomiting and
spasms, but less diarrhea. The patient
may die of congestion in some organ, before
he enters the 3d stage.



112   TREATMENT OF THE VARIETIES.


TREATMENT OF CHOLERA INFLAMMATORIA.
We can here make but a sparing and
cautious use of Camphor, but must use Veratrum, Cuprum, or Ipecac. As soon as the
vomiting is controlled, Aconite is to be
used, and repeated two or three times to
reduce the fever. Afterwards, the organ
in which the congestion or inflammation is
seated, requires special attention, and the
use of Bell., Bry., Canth. or Rhus., or other
medicines, according to circumstances.
The indications, as in all other complicated
cases of Cholera, can be properly understood only by a hommeopathic physician.
The foregoing varieties are in some cases
well marked, in others not. There is an
advantage in attending to them; though
the homceopathic physician who prescribes
for the symptoms, will not deem it necessary to designate the variety. This will
often be impracticable, especially if he is
called when the cases are so advanced as to
confound varieties which were originally
distinct. In one sense, the variety may
change with the stage.



TREATMENT OF THE STAGES.


113


CHAPTER VIII.
SYMPTOMS AND TREATMENT
OF THE
STAGES OF THE CHOLERA.
A case of either of the foregoing varieties is not usually divisible into distinct,
well-defined stages; but we may enumerate
four stages; some of them being oftener
present or more distinct or durable in one
variety, and some in another. They are:
1st. The incipient Stage, or Stage of Invasion: 2d. The Active Stage, or Stage of
Full Development; 3d. The Stage of Collapse; and 4th. The Stage bf Reaction.
FIiRST STAGE, STAGE OF INVASION.
This is usually longest in the diarrhcaic
variety; in which it may continue from
one hour to several days.   The stools,
though they may be watery and whitish,
10*. 0._-    k,1



116


TREATMENT


fourth. The return of a perceptible pulse
and of warmth, although attended with a
renewal of the vomiting and diarrhoa, are
favorable signs; though even after this
partial reaction, there may be a relapse
into asphyxia.
In the third stage, the principal remedies
are: Arsenicum, Camphor, Carbo vegetabilis, Cicuta, Cuprum, Hydrocianic acid, Laurocerasus, Phosphorus, Phosphoric acid, Secale, and Veratrum.
FOURTH STAGE, STAGE OF REACTION AND
SECONDARY AFFECTIONS.
The secondary affections which ensue on
reaction, are congestive, inflammatory, or
febrile. The 4th stage proper-i. e. reaction attended with these serious diseases
-has seldom any existence after a good
homceopathic treatment of Cholera proper;
though there will, in some cases, be dysuria.
The affections to be most apprehended
after allmopathic treatment, are, inflammation, or congestion of the brain, stomach,
intestines, or lungs; or typhoid fever.
So far as there is a partial reproduction
of the symptoms of the second stagewhich had disappeared during the collapse
-a recurrence to the remedies of the second stage will be necessary in the fourth.



OF THE STAGES.


117


But for the new symptoms following reaction, use other remedies. For the irritation of the bladder, attended with painful
urination, use Cantharis30, every hour or
two, whilst the symptoms remain urgent.
In most of these inlammations, however,
we may give two or three doses of Acon. 24,
at intervals of an hour, and then follow it
by the remedy adapted to the symptoms,
and the organ affected; repeating this last
medicine much less frequently. If it is the
brain that is affected, the remedy will generally be Belladonna 30; if the lungs, Bryonia 30, in-some cases followed by RJlus 30
if the stomach or intestines, Nux30, and
sometimes Bry.30; if the bladder, Cantharis 30. This last is also the remedy where
there is inflammation in the lower intestines, attended with burning, tenesmus,
and bloody    stools.   For the typhus      or
typhoid   fever, Bryonia, and       sometimes
Phosphoric acid, may be used:         but the.principal remedy is Rhus radicans.*
* I deem it due to the profession as well as to myself,
to state, that the Note on this plant, inserted without
my consent or knowledge, in the Appendix to the American edition ofJahr's Symptomen-Codex, is grossly incorrect, especially where it attempts to correct my botanical
description of this plant in general, and of the particular
plant from which I obtained the specimen for trial. This
last part of the criticism is not only incorrect, but absurd;
inasmuch as the botanical character of those particular
leaves could be known only to myself and my respectable



118


TREATMENT


I will take this occasion to make a remark on a topic, not discussed in either
of the notes above referred to. The rhus
tox. which Hahnemann tried, was an exotic, and hence probably did not possess as
much power as a plant of the same species
found growing in its native soil in America.
Dr. Wallace, a scientific oculist of this city,
informs me that this is the case with
stramonium; and that, on the other hand,
the belladonna of Europe is more powerful,
in dilating the pupil, than the exotic belladonna of America. Again, if the shrub rhus
tox. is a stunted variety of the same species
as the vine rhus rad., there is an additional
reason for doubting whether it has as much
activity: furthermore, the provings afford
evidence that it has not. So far as the
clinical experience of many physicians for
some years can show, the rhus rad. is as
efficacious as rhus tox. or more so, in those
cases to which the latter is applicable.
Like several other physicians, I prefer it..
Wherever in the repertory, the generic
term rhus is used alone, it may be considered as including both rhus rad. and
rhus toxt
medical colleagues who engaged with me in the provings,
and to whom the leaves where shown. I here reaffirm
the correctness of my description, as given in the Note
in the Body of the same Symptomen-Codex, pages 671
and 672.



'%.


OF THE STAGES.           119
If great debility follows the Cholera, and
there are no other symptoms which require
special attention, the appropriate remedy
is Cinchona. 12 The final remedy for the
more complete restoration 'of health, will
frequently be Sulph.,30 given in a single
dose, and allowed to act a long time
without repetition.
When a homoeopathic physician is called
in any stage, to any case of Cholera which
has been under alikeopathic treatment, he is
first to antidote the former treatment by
Campher. Give it but a short time, if there
is any inflammation. He can judge if
other antidotes are necessary; as they frequently will be in the course of the treatment; for calomel and other crude drugsand even the undiluted colored tinctures of
the homeopathic shops--are so durable in
their mischievous action, as to require for
their correction, something more durable in
its curative action, than Camphor.
Since the preceding chapters were put in type, I
have treated a case by the method there described.
It commenced (without previous diarrhcea) with
cramp in one shoulder. Then there was vomiting
of a watery liquid with mucus, part of it milky
white; vertigo and deafness; painful tonic spasms
in the inferior limbs, with a few liquid stools;


~. '. 4



120     TREATMENT OF THE STAGES.


spasms excited by movement; lower limbs inflexible; spasms of the abdomen and stomach'; only
one more vomiting; the liquid spirted about two
yards; spasms continued, with marbly coldness of
the feet, chin, nose and tongue; face bluish-pale.
Treatment-Camphor, one drop every five minutes,
till the spasms were a little mitigated; then Cuprum30, three globules, dry, every hour*. One dose
cured the deafness; and two, the spasms. I had
given eight doses of Camphor. The family had
given five larger doses, at longer intervals, without
apparent effect.  This attack was in the evening
of Feb. 27, 1849. I left the patient comfortable,
the same evening. Next morning warmth had returned; patient sitting up; appetite fair. For two
small liquid stools, I gave Verat. 30, in solution, in
the same dose that I have in this book advised.
Next day, no return of any symptoms. Patient
convalescent-I may say cured.
In the evening of Jan. 29, 1849, I treated a
case, like the severest spasmodic Cholera described
in Chap. VII. Treatment, the same as the last,
with the addition of one dose of Verat. 1 Success,
the same. Each case was reported to the resident
physician, on the day after the attack.
Since the 1st edition was published, many cholera
patients have been treated homceopathically in this
city, and nearly all of them cured; indeed every one,
so far as I have heard, who had not taken laudanum
after the attack.



11L


CHAPTER IX.
CHOLERA REPERTORY.
CONTAINING THE IMPORTANT SYMPTOMS, AND THE
USUAL GROUPS, AND THE MEDICINES TYPOGRAPHICALLY DISTINGUISHED AS TO THEIR RELATIVE VALUE IN THE CHOLERA.
EXPLANATION OF THE USE OF THE REPERTORY.
BELIEVING that the success of Homoeopathic treatment in Cholera, is such, that this book will be used
by many physicians who have had but little, if any,
experience in this kind of practice, I deem it proper
to explain the best mode of using the Repertory.
Select two important symptoms, of the case to be
treated, and ascertain what remedies are common to
both. If these are too numerous to be retained in the
memory, write them down. Then compare this reduced list with the remedies as given in the Repertory
for some other important symptom, and thus discover
what remedies are common to the three. Then select
a fourth, &c., and continue this process until there is
only one remedy left. This will generally be the
remedy for the case, especially if the symptoms selected are really the most important.
In using this method and this Repertory in the treatment of the Cholera, it will generally save labor to
omit, at every step of the process, all those medicines
which are not emphasized in at least one of the two
lists. Such medicines will almost always be eliminated before the above process is completed. No medicine, which is printed either in small Roman letters or
11



122


CHOLERA REPERTORY.


Italics, in every place in which it occurs in this Repertory, is, in the present state of our knowledge, known
to have much power in the first three stages of noninflammatory Cholera; and hence the use of such medicines, in Cholera, except by a very skilful practitioner, would be unsafe. If such should not all be
removed by the process above described, the only safe
course (at least for the beginner) would be, to commence anew and repeat the above process with other
important symptoms, combining them with each other
and with some of those previously selected; and in
general, the making of various combinations and in
various orders, will give greater security in the selection of the remedy. If there are two remedies which
apply to all the known symptoms of the case, the selection may be determined by the type in which their
names are here printed. If the remedy is doubtful,
and there is time for study, consult Jahr's Manual,
especially the New.
One object in the construction of this Repertory has
been to save part of the above labor, by occasionally
combining the symptoms into such groups (of two or
three) is the disease more frequently presents. For
obtaining the remedies for these groups, the Materia
Medica of Hahnemann, the Symptomen Codex and
various Repertories have been consulted. The degree
of emphasis has been determined by the clinical experience of the school in Cholera. I have, however,
italicised some medicines which rank high for the
symptom in general, but are not known to be useful in Cholera. The emphasis given to the medicines
in.this Repertory, has no reference to the 4th stage,
nor to the inflammatory variety, except where itisso
stated.
Medicines seldom used in any disease are omitted;
also some for vomiting and diarrhcea, seldom used in
Cholera, and found in Chapter X.
The concomitant symptoms in any one section of
this Repertory, are generally arranged in the same
order as the sections themselves*



124


CHOLERA REPERTORY.


under them: Ars., calc., camph., cic., CuPR., kal.,
laur., PHos., PRos. Ac., Sec., sulph., VERAT.
Eyes sunk in the orbits; with hoarse voice: ARE.,
cale., camph., cic., Cur., kal., laur., Pros., phos. ac.,
SEC., sulph., VERAT.
Eyes Up-turned and Fixed: CAMPR., Cic., VERAT.
Pupils contracted: ARas., bell., cham., CAMPE.,
cicut., nux, puls., SECAL., sep., VERAT.
FACE.
Bluish color of the face: Acnon., Ams., bell., bry.,
CAMPH., cham., cic., con., CUPR., dig., dros., hep.,
hyos., ign., ipec., lach., lyc., mere., op., phos., puls.,
samb., spong., staph., stram., tart., VERAT.
Face bluish and Pale: ARS., bell., bry., CAMPH.,
cic., con., CUPR., dig., dros., hep., hyos., ign., ipec.,
lach., lyc., mere., op., PrOS., puls, samb., spong.,
stram., TART., VERAT.
Bluish color about the Eyes: ARS., calc., cham.,
chin., CUPR., fer., graph., hep., ign., IPEC., kal., lach.,
lyc., mere., natr., nux, oleand., phos., PHos. Ac.,
rhus, sabin., SEC., sep., spig., staph., stram., sulph.,
VE RAT.
Blueness under Eyes; Sleeps with eyes Open:
Ipec., PHos. AC., suilph., VERAT.
Blueness of the face and lips; Coldness of the
Lips: ARS., cupr., VERAT.
Facies cholerica: AaS., camph., carb. v., CUPR.,
ipec., laur., phos., phos. ac., rhus, SEC., VERAT.
Face choleric; Voice Hoarse: Aas., camphi., CARBns.
v., CurM., laur., Paos., phos. ac., rhus, sec., VERAT.
Cold Perspiration on the face: Carb. v., rheum.,
nux, rhus, verat.
Cold Perspiration on the Forehead during the Evacuation: VERAT.
Cold Perspiration on the Face and Limbs: CARe. v.
Spasm of the Jaw: Bell., csam., CAMPH., Cicut.,
CUPR., hydrocy., lach., laur., op., rhus., Szc., VERAT.



126


CHOLERA REPERTORY.


VOMITING.
Vomiting Frothy: VERAT.
Vomiting of a watery liquid analogous to that of the.
stools with pieces of mucus: Ass., bell., camph., CupR.,
JATROPII., sec. IPac., strain VERAT.
Vomiting after drinking: Amrn., ars., bry., nux, pule.,
VERAT.
Vomiting with pain in the stomach: Are., bry., camph.,
CUPM., IpEC., lach. nux., Puos., sulph., stram., TamT.,
VERAT.
Vomiting with Colic: Ars. Cuprs., nux, Pnos., puls.,
stram., tart., VERAT.
Vomiting, with diarrhaea: Ars., cupr., jat., IPEC.,
phos., strain., tart., VERAT.
Vomiting with Colic and Diarrhcaa: ARs., Cura.., PFIos.,
stram., tart., VERAT.
Vomiting with lassitude: Ar8., camph., IPEc., phos.,
VERAT.
PAINFUL SENSATIONS AT THE STOMACH
AND PIT OF THE STOMACH.
Burning in the stomach: Ass., bell., bry., oamph.,
canth., CAnA. v., cham., cic., jat., LAUR., mere., nux,
PAoso, phos. ac., SEG., vertl.
Burning in the pit of the stomach: Acon., Ass, bell,
bry., laur., mere., nux., Puos., sec., VERAT.
Burning Heat in the stomach or pit of stomach: ARS.,
CAMPI, HVYDROC., P0os.
- Burning sensation in the stomach and intestines, sometimes extending along the esophagus to the mouth: ARS.
Cramp in the stomach: Bell., bry., coarb. v., cham.,
CUPR., natr. mn., nux, Puos., Sac., VERAT.
Pressure and Anxiety at the pit of the stomach: ARS.,
CAM PH., cupr., IEc, NUX VOM, verat.
Continued Pain at the Pit of the stomach with nausea:
Acon., are., bell., CAumPn., chaim., CUPR., mere., natr. m.,
nux, Pnos, rhlws, suljh., taort., VERAT.
Pain in the stomach, with vomiting: Ara., camph.,
CuPr., IPEc, Pnos., TART., VERAT.
Continued Pain in the pit of the Stomach woitA Ramb.
ling* in the intestines: Acon., bell., camph., Kana. v., CriPn,



DlkRH(zk.


127


JATROPHI., morc., natr. mn., nux, PHOS., PROS. AC., rhus, Sray.,
suiph., tart., VERAT.
Aching or pressive pain at, the pit of the stomach, with
liquid stools: Ar8., CAMPH., cupr., PIlos,, sec., tart..,
V-EiLAT.
Aching or pressive pain at the pit of the stomach,
with cramps or other spasms in the extremities or else'where: CAMPH., CUPR., phos8., phos8. ac., natr. mn., sec., tart.,
VERAT.
Painful Sensibility of the pit of the stomach, with spamsm
of the extremities: Ars., CAMPEJ., Curit., natr. in., phos.,
pohos. ac., tart., VERAT.
ABDOMEN.
Rumblings in the intestines: Aeon., ars., bell., bry.,
cantk., CARD. v-, cupr. JATILOPH., laur., lyc., mere., natr.
mL nux, PHos Piios. AC., plumb., puts., rhus, sec., strain.,
suiph., tart., VEILAT.
Rumblings in the interstines, with continued pain in the
pit of the Stomach: Aeon, bell., camph., CARD. V., CUPR.,
JATROPI{., more., natr. mn., mix, Puos., PHos. AC., puls., rhus,
SEC., suiph., tart., VERAT.
Rumblings in the ihtestines, with liquid stools: Ares.,
JAnwpiLOI, nux,, petr., P1105., PHOS. AC., puls., rhus, sea.,
suiph., tart., VERAT.
Pains in the abdomen, with dimzrrhoga: ARe., cham.,
PInEC., lear.,, met-c., mere. c.., natr. in., mix, phor., rhus,
striam.,,sul&i., tart., VERAT.
DIARRH(EA.
Diarrhrsa, with a pasty tongue, which 'tIc'ks to the
fingers: PHOS. AC.                        #.Diarrhama with nausea: Arm, ipec., nmrc., Pnos.
Diarrhkma with vomitings: Art., aupr., JAT., Inc.,
Pisos3., strarn., tart., Vj&uR&.
Diarrhama. with vomiting of the Food eaten, and of Wa--
tery liquid: ARS., Curst., IPEC., PHos., VERAT.
Dierrhata, with aching or pressure, at or near thle p't of
the stomach: CAM PH.. chain., CuPrL, mere., natr. in., Puo1.9
PsOIos AC., sec., VERATr.
Diarr/"ea,' withkpain in the abdomen: AR&., chain., lInaC.
laur.. mlIrc., maerc. c., natr. in., p/iou. stramn, suiph., tart.,
VERAT.



128


CHOLERA REPERTORY.


Stools brown: Ars., CAMPrn.,mere. c., sulph., tart., Va.
RAT.
Stools greenish: Ars., bell, canth., cham., ipec., laur.,
merc., nux, PHOS., PHos. AC., sulph., VERAT.
Stools grey, or slightly whitish: Acon., ars., bell., carb.
v., chanm, lach., mere., PHOS., PHOS. AC., puls., rhus,
sulph., verat.
Stools liquid: Am., ars, carb. a., chin., cic., JAT., lach.,
mneph., Puos., Piog. Ac., sec., VERAT.
Stools liquid an whitish: Ars., camph., cupr.,jatroph.,
PHOS, Puos. Ac., sec., VERAT.
Liquid and whitish stools, with white coat of tongue:
Cupr., PHOS., Sec.
Liquid stools, with continued pain at the pit of the stomach: Ars, CAMPI[,, chin., cupr., Piios., VERAT.
Liquid stools, with rumblings in the intestines: Ars.,
JATROPII., nux, petr., PHOS., PHOS. AC., puls., rhus,sec.,
suliph, tart., VERAT.
Stools liquid; evacuation painful (attended with colic):
ARs., carb. a., PHOS., spig., staph., VERAT.
Stools liquid; evacuation painless: Ans., carb. v., chin.,
cic., PHOS., PHOS. AC., SEC., spig., VERAT.
Stools mucous and watery: Ars., bell., chin., ipec., nux,
PHOS., PHOS. AC., puls., rhus SEC., sulph. ac., tart.,
VERAT.
Rice-water stools, or stools like whey or water, with
Whitish or greyish flocks in it: Ar.., CAMPH., cupr.,
ipec., jatroph., PHOS., PHOS. AC., secal., VERAT. If
there is inflammation, consult also, Acon., bry., and rhus.
Rice-water stools, or watery, greyish, whitish andflocculent stoolsaith great thirst: Aas, camph., cupr., ipec.,
Pios., PHos. Ac., VERAT. If in the inflammatory variety,
or in the 4th stage: acon., bry., or rhus.
Stools whitish: Acon., arsE, camph., bell., cham., chin.,
cupr., ipec., jat., mere., nux, PHOS., PHOS. AC., sec.,
sulph., verat.
Watery and white flocky stools, with cramps and thirst:
Acon., ars., bry., Car'n., Cura., ipec., phos., phos. ac., rhns
SEC, VERAT.
Watery and white-flocky stools, with clonic spasms,
(spasmodic movements) and thirst: Acon., ARs., bry.,
CAMPI., CUPIR, ipec., phos., phos. ac., SEC., VERAT.
Whitish Flocks in serous stools, with pulse scarcely per



0


URINE, ETC.                  129
ceptible: Acon., Aas., bry., CAMPUr., PIos. AC., rhus SEC.,
VeRAT.
Liquid stools, with white flocks and grains, having the
consistence and color of tallow: PHOS.
Stools yellowish: Ars., cham, ipec., merc., Pios., Pnos.
Ac., puls, tart. verat.
Yellowish stools, especially in an early stage of the disease: Ars., chan., ipec., merc., Pios., PIOS. AC., tart.,
VERAT.
URINE.
Retention of urine: CAMPH., CANTH., lach., Op, plumb.,
VERAT.
Retention of Urine, with ineffectual desire to urinate; at the commencement of the stage of reaction:
CANT[I., verat.
Urine scantily secreted, or suppressed: Are. camph.,
CARD. v., Cura., ipec., SEC., stram., VERAT.
The same symptom    in the consecutive fever; BELL.,
carb. v., Rsus, stranm.
Secretion of urine diminished; with cramps in the
calves of the legs: Ars., calc., CAMPSH., cann., carb. v.,
coff., coloc., con., CUPR., graph., hyos., lach., lyc, mere.,
natr., nux, peti, rhus, sec., sep., sil., sulph., VEaAT.
VOICE.
Voice hoarse: Ars., bell., bry., calc., camplh., CARDB. V.,
caus., cham., chin., cic., cupr., dros., graph., hep., laur.,
mere., natr., natr. m., nux, Pnos., phos. ac., pule., rhus, sec.,
spong., sulph., VERAT.
Voice hoarse; facs choleric: A"s., com7l   CARD. v.,
CuOr., laur., Pnos., phos. ac., rhus, sec., VERAT.
Voice lost, (aphonia): Ant, bell., CARD. V., cans.,
cham., chin., cupr., dros., hep., kal., lach., laur., mere.,
natr. m., nux, petr., PHos., puls., sep., sil., spong., stann.,
sulph., VERAT.
CHEST.
Anguish in the chest: Acon., ARS., bell., bry., camph.,
carb. a., cic., CUPR., hydrocyan., ipec., JATRoIIL, laur., natr.
m., phos., Pzeos. Ac., rhus, stram., VERAT.
Breath cold: CARB. V.      And, according to some
glinical observations, ars.. camph., verat.



132


CHOLERA REPERTORY.


Coldness of the skin, with mental indifference or tranquillity: ARs, ipec., NATR. - n., VERAT.
Withered or wrinkled skin: Ant., Aus., bry., cole.,
camph., cham., chin., Cura., fer., graph., hell., hyos.,
iod., kal., lyc., mere., mur. ac., nux, phos., Pnos. A%,
rheum., SEC., sep., sil., spig., spong., stram., sulph.,
VERAT.
The medicines which correspond, respectively or collectively, to blueness, coldness and shrivelled state of the
skin, are: ARS., bry., calc., CAMPI., CUPR., mere., flnux,
Piios., Pros. ac., SEC., sil., spong., VERAT.
The medicines which, on the ground of clinical experience, have been more especially recommended for this
combination of symptoms, in the stage of collapse in
cholera, are: Aus., CAMPTI., CARB. v., CUPrn., hydrocy.,
jat., SEC., VERAT.
PERSPIRATION AND PULSE.
Cold perspiration: Acon., ARs., bell., bry., calc..
CAurni., canth., CARn. v., cham., chin., cin., coff, CUrn.,
dulc., hell., hop., hyos., ign., IPec., lach., lyc., mere., natr.,
nitr. ac., nux, op., petr., phos., phos. ac., plumb., puls.,
rheumI, rhus, sabad., SEC., sep., sil., spig., stramn., sulph.,
thuj., tart., VERAT.
Viscid, clammy, perspiration: Ais. camph. daph.,
fer., hep., jat., lach., lyc., more., nux, phos., phos. ac..
plumb, sec., VERAT.
Pulse feeble and frequent: Ars., CARDn. v., lach.,
nux, rhus rad.
Pulse Feeble and Slow, in the 1st tage:. CAMPH.,
cann., dig., LAvUR., merc., puls., rhus. rad., VERAT..
Pulse Feeble and Slow, in the 4th stage: Camph.,
cann., dig., laur., merc., puls., R. RAD., VERAT.
Pulse feeble and small: AaR., CA'MPu., chin., dig.,
LACH., nux, PHOS. AC., puls., Ruus, VERAT.
Pulse scarcely perceptible, with watery and owhiteflocky stools: Acon., ABs., bry., CAMPr., Pios. Ac.,
rhus, SEC., VERAT.
GENERAL AND MISCELLANEOUS SYMPTOMS.
Internal burning, and tossing, with fear of death:
ARS.



GENERAL AND MISCELLANEOUS SYMPTOMS.        133
Burnings in the stomach and abdomen, with anguish
and tossing: ARS., CAMPH.
Cholera followed by cerebral and abdominal affections: BELL.
Cramps or other Spasms at night: Ars, camph.,
cale., cin., CUPR., hyos., ipec., kal., lye., mere., op.,
SEC.
Cramps in the stomach and extremities, with coldness
of the body in an early stage, with but little diarrhea:
CAMPH
Clonic Spasms, (convulsions): Ars., Bell., bry., calc.,
CAMPH., canth., carb. v., caus., cham., cic., con., CUPR.,
hyos., ign., ipec, cal., lye., mere., natr. m., op., phos.,
phos. ac., plat., rhus., SEC., sep., sil., stann., STRAM., tart.,
sulph., VERAT.
Severe clonic Spasms, with but little diarrhoea or vomiting: Ars., CAMPH., CUPR., ipec., sec., VERAT.
Tonic Spasms, (Tetanus, Cramps, &c.): Ars., bell.,
caus., cham., Cic., CUPR., ign., ipec., lye., mere., petr.,
phos., plat., rhus, SEC., sep., stram., sulph., VERAT.
Severe tonic Spasms, with but little diarrhcea or vomiting: CAMPr., CUPR., ipec., SEC., VERAT.
Cramps or other Spasms, in the extremities or elsewhere, with weight, pressive pain or aching, at the pit of
the stomach: CAMP!., CUPR., natr. m., phos., phos. ac.,
sec., tart., VERAT.
Spasms of the extremities, with painful sensibility of
the pit of the stomach: Ars. CAMPn., Cura., natr. m.,
phos., phos. ac., tart., VERAT.
Collapse, without previous or present vomiting or
diarrhoea: CAMPH., CARB. v., hydrocy., laur., VERAT.
Collapse almost or quite complete, and without diarrhmea, vomiting or spasms: Camph., CARB. V., IYDROCY.,
laur., verat.
Excessive and sudden debility: Ars., carb. v., CUPR.,
ipec., lach., laur., nux, PHOS., Pios. Ac., sec, VERAT.
The patient worse after midnight, or early in the
morning: Acon., Aas., bell., canth., CARnn. v., CUPR., kal..
lach., mere., natr., natr. m., nux, petr., PHOS., Puos. AC.,
RHus., sec., stram., sulph., tart., VERAT.
12



134            CHOLERA REPERTORY.
The patient made worse by movement: Acon., Aas.,
BELL., bry., CAMPIr., caiith., carb v., cic., Curs., dig., hyos.,
IPac, kal., lach., laur., mere., natr. m., nux, petr., Pnos.,
Paos. Ac., plumb., rhus, rad., SEc., stram., sulph., tart.,
VERAT.
ADDENDA.
Vertigo with nausea and thirst: VERAT.
Coldness of the Nose: Amrn., bell., plumb., Verat.
Coldness of the Nose and Hands: Bell., V ERAT.
Anziety, distension and pressure at the pit of the stourach: Are.
Sensibility and Swelling of the pit of the Stomach:
Hep., lyc. natr. tn., sulph.
Throbbings in the Abdomen: Caps. ign. op. plumb.
sang. tart.



140     GASTRIC AND!NTESTINAL REPERTORY.'
c., nitr. ac., flux., op., phos. ac., plumb., rheum., Sep.!
squill- I sul1)h., suiph. ac., tab.
Odor, Putrid: Ars., bry., carb. v., chain., chin., coloc.,
graph., merc., nitr. ac., nt~x., sep., suiph., suiph ac.
-Sour: Amn., caic., coloc., graph., magn., merec
rheum., sep., sulph.
COMPOSITION AND CONSISTENCE OF THE F.IECES.
Fosces; acrid: Ars., chain., fer., lach., mere., pius., sass.,
verat.
-Bilious: Ars., duic., ipec., mere., mcrc. c., puls.
-Bloody: Am., ars., caps., carb. v., colc h., coloc.,
duic., ipec., lach., merc., merc. c., nitr. cc. nux.
- coated with Blood: Con., magn. in., nux, squill.,
thuy.
-     Burosiug  Ars., lach., merc.
- Corrosive: See.Acrid.
- not Din-ested: Amn. ars., bry., cale., chain., chin.,
con., fer., Ing~., inerc., nitr. ac., oleand., phos., phos. ac.,
squill., sulph.
-not Digested at night, or after meals: Chin.
-Fermented: Ipec., sabad.
-Frothy: Calc., coloc., iod., lach., mcrc., op., rhus..,
sulph. ac.
-Gelatinous: Rhus, Sep.
-Purulent: Arn. bell., caic., eanih,chin., clem., cocc.,
con., ignat., iod., kal., lye., merc., nux, petr., puts., sabin.,
Sep., sit., 9suiph.
- Slimy: Ang.. amn.. ars., bell., caps., earb. v., c/sam.,
chin., coloc.. dule., fer.. graph, hell., iod.. ipec.. kal.. mere.,
nitr. ac.. nux p/sos.. phos. ac.. puds., rheuim., rhus., see., sep.,
squill.. stann., sudph.. tart.. verat.
- Viscous; sticky: Calc., carb. v., caus. hap., lach.,
mere., nux. plumb.. sass.. verat.
- Watery: Aeon., ant., amn.. ars., bell.. eakc.. c/sam.,
chsin., fer.. lsyos., jat.. ipec., Iach/.. nux, petr., phos., phos. ac..
put's., rhus., see., suiph., tart., rerat.
CAUSES, OR CONDITIONS OF DIARRHCEA.
Diarrhcr~a:
-from Acid things: Lach.
-after taking Cold: Bell, bry.. cans., c/sam., chin., dule.
merec.. n-mos., nux.puls., suiph.. verat.
-in the Coolness of the evening: Mere.
-in Damp weather: Lach., rhod.
-Day and night: Suiph.
-after Drinking: Are, cin.



DIARRH(EIC GROUPS.


141


Diarrhama, in the Evenino: Caus., kal., lach., mere.
- in Feeble persons: thin., fer., rhus, phos. ac., sec.
-    after Fruits: Chin., lach., rhod.
- from Grief: Ign.
- from Indigestion: Ant., coff., ipec., puls., nux.
- after a Meal: Ars., chin., lach., verat.
-   after Milk: Bry., lyc., sep., sulph.
- in the Morning: Bry.
- at Night: Ars, bry., cham., chin., duic., lach., mere.,
mosch, puls., rhus, sulph., verat.
- of Old persons: Ant., bry., phos., sec.
-   of Pregnant females: Ant., dulc., hyos., lye., petr.,
hos., sep., sulph.
-  f Scrofulous persons: Ars., bar. c., calc., chin.,
dulc., lyc., sep., sil., sulph.
- when sleeping: Amrn., puls., rhus.
-   during warm weather: Lach.
CONCOMITANTS OF DIARRH(EA.
Diarrhea wit:
- Abdomen distended: Graph., sulph., verat.
- Anguish: Ant., lach., merc.
- excoriation of the Anus: Cham., mere., sass.
-    Colic, cutting: Acon., agar., ang., ant., are., asa.,
bar. c., bry., cann, canth., cham, coloc., dulc., hep., ipec.,
lach., mere., merc. c., men., nux,petr., pulds., rat., rheum, rhus,
stront., sulph., verat.
-    alternately with Constipation: Bry., lach., nux,
rhus.
-   with Cries and tears, in children: Carb. v., chamn.,
ipec., rheum, sul ph.
-   Debility: Ar., chin., ipec., phos., sep., verat.
-    Eructations: Con., dule., mere.
Heat: Mere.
- pain in the Limbo: Am. m., rhus.
- pain in the Loins: Nux.
-   Nausea: Ars., bell., ip., lach., merc.
-    cold Perspiration on the face: Mere.
-   Shiverings: mer., puls., dulph.
-   pain in the Stomach: Bell., bry.
- Tenesmus: Ars., ipec., lach., mere., nux, rheum, rhus,
sulph.
-   Thirst: Ars., dule.
- Vomitin ags: Are., bell., coloc., cupr., dule., ipec.,
lach., phos., rheum, stram., tart., verat.
GROUPS OF DIARRH(EIC SYMPTOMS.
Stool, part Black; part Green: Are., ipec., mere., phos.,
sulph. ac., veral.



I4 ASTRIC AND XtNTESTINAL REPERTORY.
Stools, Bloody, mucous and Fcatid: Lach., merc. C., sulph,
Sul b. ac.
Stolols, Brown and Green: As-s., duic., magn., magn. in.,
inerc. c., 8uiph, verat.
Stools, Brown and Watery: As-s., duic., szuiph., tart.
Stools, Brown, with nausea from movement: Ars.
Stools, Fcpstid and Green: Ar8s.1chamx, coloc., lach., merc.,.nerc. c, flux, sep., sudpls., sulph ac, tab.
Stools, Frothy, Green and Undigested: Suiph., sulph. ac.
Stools, Green and. Slimy:--As-s, bell, bor, canth., chain.,
coloc., dsdc., ipec, laur., merc., nux, phos., puls., sep., satn.,.ulph, sulph ac., tab.
* Stool, Green, Slimy and undigested:Ars.    o.,ca.
sits-. ac, phos., plso. ac.rheum, sidph., sul ph. ac.bo.chi,
Stools, Watery; swelling o? Feet and Le~gs: Acon., amn.,
lads, flux, puts., sul),h.
Diarrhoea, wvith Stools Clay-colored, or Frothy: Caic.,
rhus s-ad.
Diarrhoea; Stools Frothy and Involuntary: Chin., mere.,
op., r-. Lox, su/ph.
Diarrhoea; stools Involuntary, and at Night: Ars., bryj.,
chin., lach. merec., psdls., r-. Lox, sru/ph., yes-at.
Diarrhoea, after fruit; with sighing Respiration: Lach.
Diarrhoea, with white coat on Tongue, and yellow stools:
'Amb, calc., ign., ipec., mere., olca~nd., petr., phos., puds.,
atdph.
Diarrhmea, durin Dentition: white coat on Tongue; yellowish stools: C~alec, i pec., merec, sudph.
Diarrho-a, with Colic; stools Green: Am~., hor., coloc.,
phos, puls, yes-at.
Diarrhoea, with colic, and at Night: Arsa., bor., bry.,
chain., dule., lach. merec., puts., r-. Lox., au/ph., yes-at.
Diarrhoea, with Colic, and tenderness of the Abdomen:
Acon, cant/s., chain., merc. C., nux, puts., r-. sad., strain.,
au/ph. tcrb., yes-at.
Diarrhcea, at night, with Distentitn of Stomach and Abdomen after meals: Bor., bry.. cans., c/sam., chin., duic., kal.,
lach.. merec. puts., r-. fox., su/ph.
Painless Diarrhoea, at mi ht: Ars-., bos-, bry, canth.,
c/sam., chin., dhilc.. vis-, pus.,)- o. u/hvrt
JDiat-rhsaa with Colic; stools fostid: A rs., bry coloc., lach.
Diarrhoe.a. Watery; with browni coat on Tongue, and
Vomiting at Night: Bell., phos, sulph.
Watery Dias-rhosa, with Colic: Ars-., chain., duic., Ladsc.,
ftux, puts., r-. tax., suiph.



DYSENTERY.


143


CHOLERA INFANTUM, DIARRH(EA OR CHOLERA
OF INFANTS.*
Cholera Infantum in general: Acon, ars., bell., bry., calc.,
cham, dule, hep., ipec., mere., nux, puls., sep., sulph.,
verat.
Cholera Infantunm, with:
-- Abdomen distended: Ars., bell., bry., cham., mere.,
nux, puls., sep, sulph.,
-     distended, and pained during the evacuations: Ars.,
bry., cham, mere.. nux, sep., sulph.
Cholera Infantum, with Cerebral disease  Bell.
-     with Fever, thirst, hot and dry skin, pulse hard, and
f equent: Acon t
--   with Stools green: Ars., bell, chanm, dulc., ipec.,
mere, nux, puls., sep.,sulph, verat.
--with Stools yellow and slimy: Ars., cham., ipec.,
mere., puls., sulph.
--    with Vomiting diarrhoea and Slimy Stools: Ars.
bell, ipec, rheum, verat
It is unnecessary to dwell longer on Cholera Infantum in
particular, inasmuch as the other parts of this Repertory afford a sufficient guide for the treatment of this disease; especially if the remedies for each symptom of the case, be
compared with the list given (at the head of this section, I as
the remedies for Cholera Infantum in general. It is not,
however, necessary to be confined to them, if'the whole
group of symptoms indicates some other remedy. Symptomatology, here as elsewhere, is the grand basis of treatment.
DYSENTERY.
Dysentery in general: Acon.. ars, bell. bry., canth., caps.,
carb. v., chaim. chin, colch., coloc, dule, ipec., mere, mere.c.,
nitr. ac, nux, phos.. puls., rhus, sulph, verat.
Dysentery with dryness of the Lips: Acon., bell., bry.,
chin, lach, mere., nux,; hus, sulph.
-    with tenderness of Stomach and Abdomen: Nux,
pul, sulph.
-     with tenderness of Abdomen: Aeon., bell., cham.,mere.,
nux, puls., sulph.
* The disease called Cholera Infantum, by Americnn Physicians
prevails during the bot season in the Middle States, and is often fata.
in cities.
t At the commencement of the treatment, this remedy is generally
advisable.



144    GASTRIC AND INTESTINAL REPERTORY.
Dysenteny, with Stools of Bloody mucus, sometimes Green
Mere, mere. c., nux, puls., sulph.
-   with Burning in the Abdomen and Soles: Mere.
--  with Bloody mucous Stools and Tenesmus: Lach.,
merc., mere. c., nux, rhus., sulph.
For other symptoms and groups in any particular case of
dysentery, see other sections of this Repertory, and compare
the medicines, under each symptom of the case, with those
for dysentery in general.
THE END.
fth     Cases  containing the DIARRH(EA     &
OHOLERA MEDICINES, of the proper attenuations, are put up by the Publisher, (WM. RADDE,)
to accompany this book.
Price of each Case with 30 Phials, including this
book,       -    -   -         -    -     3 50
Also, Cases of Medicines of the 30th potency, to be
used in ordinary Summer Complaints, and in general practice, 27 Phials,  -   -    -      3 00
Do. with 60 Phials,    -    -    -   -      5 00
Joslin on Cholera, (Separate,)   -    -     0 50
Also, a large assortment of Tinctures and Homceopathic Medicines of different Attenuations, in cases of
various sizes; and Standard Works on the System.
in the English, French and German languages.
For sale by
WILLIAM RADDE,
322 Broadway, New-York.



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