(v,  BCENNINGHAUSEN'S ESSAY
ON
THE HOMUEOPATHIC TREATMENTý
OF
INTERMITTENT FEVERS.
TRANSLATED AND EDITED
BY
CHARLES JULIUS HEMPEL, M.D.
-Quisquis experimentis in se crodere debet.
NEW-YORK:
WM. RADDE, 322 BROADWAY.
LONDON:
H. BALLIEJRE, 219 REGENT-STREET.
1845.
~hV~~~~~V~~~~~/                l~~V t ~    /,
Ii



TRANSLATOR'S PREFACE.


THIS little work is a valuable addition to the English portion of the Homoeopathic Literature. By means of the indications furnished in the subsequent pages, the treatment and
cure of Intermittent Fevers have almost been reduced to a
mathematical rule. Hahnemann refers to this little volune in
his work on Chronic Diseases. To the remedies contained in
this pamphlet, I have added the following: Muriate of Ammonia, Menyanthes, Lachesis, Aranea and Taraxacun; all of
these remedies have been successfully employed against Intermittent Fevers. I have also introduced a new arrangement
in the second part of the work, by means of which the periods
of the day, when the exhibition of the drug is most convenient
as regards time, can be ascertained at a glance. Believing that
this little volume may be used to great advantage, I take the
liberty of recommending it to the kind notice of the public.
The author, in his preface, explains how this pamphlet is
to be used. It may be proper to illustrate his remarks by a
case. I shall take the last which occurred in my own practice.
The patient was a lady of thirty years. She had been laid up
with bilious intermittent fever for about four months, including
several relapses, having swallowed quantities of Calomel and
Quinine. The type of the fever had been suppressed, but she
felt an aching and drawing in her bones, great internal heat,
had a good deal of thirst, felt weary, giddy, weak; was unable
to do any thing; had no good night's rest, no appetite, etc. On
an afternoon she was suddenly attacked with vertigo and
chills, and had to go to bed. The fever broke out again in all
its fury. Vomiting came on. The rending and drawing in the
bones was horrid. The patient stated that she had fire in her
head and veins. Great oppression of the chest; anguish.
Eyes burning and blood-shot. Constant vomiting, excessive
thirst. A cold, exhausting, viscid sweat came on in two or
three hours. The rending in the bones being so intolerable,
I gave her LACHESIS during the paroxysm; this relieved the
pain at once. Shortly after the attack I gave her ARSENIC,



4


TRANSLATOR'S PREFACE.


and the fever not only never returned, but her health steadily
improved until it was perfect.
To discover the remedy which was applicable in this case,
we would proceed in the following manner:
First, we consult Chapter III. for the purpose of discovering
the remedies which are there indicated by the symptoms of our
case. We find a variety of remedies producing chills, both
external and internal. Under internal heat we find a smaller
number. The remedies which are noted both under the head
of chilliness and that of internal heat, are: Anac. Ars. Calc.
Carb. v. Helleb. Kali. Nux v. Phosph. Phosph. ac. Puls. Sab.
Stann.. Sulph. Verat. Among these remedies we now have to
find those that bring on the paroxysm in the afternoon; they
are: Ars. Nux v. Phosph. Phosph. ac. Puls. Stann. Sulph.
Verat. By comparing Chapter IV. we shall find that among
these remedies Ars. Nux v. Phosph. Phosph. ac. and Stann.
are the only ones which produce a viscous, cold, and exhausting sweat. Which among these remedies are characterized by
thirst during the heat? Ars. Nux v. and Phosph. Which of
these produces vomiting? Ars. Which the rending pain in
the bones? Ars.-Ars. was therefore the remedy in the present
case. By reading over the symptoms of Arsenic in the first
Chapter, we shall find all the symptoms of the present case
enumerated in that paragraph.
CHARLES JULIUS HEMPEL, M. D.
New- York, July, 1845.



AUTHOR'S PREFACE.
*
IF the homceopathic principle be founded in nature, its application ought to extend also to the treatment of the different
forms of fever and ague. The fever, together with all its accompanying symptoms, does, indeed, often disappear as by magic
after the smallest dose of the appropriate homceopathic remedy.
It disappears without ever returning.
This favorable result, which is usually obtained by all experienced and intelligent homoeopathic practitioners, proves that
the same principle which obtains in the treatment of other
diseases, is equally necessary and successful in regard to intermittent fevers. However, an indispensable condition of success
is, that the whole form of the disease should be carefully and
correctly observed, and that the remedy should be chosen in
conformity to the totality of the symptoms.* If the small
homceopathic doses which are, moreover, but rarely exhibited,
were to be used as palliatives, they would not produce any
effect; although they are quite sufficient to the cure of ai
disease, provided the disease is at all curable, and the remedy
is strictly homceopathic. This shows why the adherents of
the new school should be deprived of the unenviable advantage enjoyed by Allceopathists, of being able to suppress the
periodical type,t often, however, only for a short time, by
means of large doses of Peruvian bark, and to impress the
" The folly of seeking an universal panacea for all diseases has
often been laughed at. But is it less foolish to suppose that there
may be found a common remedy for all sorts of intermittent fevers,
especially now, when people are so much more enlightened than they
were in the age of the philosopher's stone?-The venerable author
of Homceopathy wrote to me, some time ago: " The gentlemen
would like to lessen their trouble by contriving an universal antipyretic, which shall cure every form of intermittent fever. This, however, shows that they are not aware of the necessity of those modes
of individualizing disease, which are adopted in the homceopathic
practice."
t Even the common man is acquainted with this effect of bark.
This may be the reason why this drug is not only sold by apotheca



6


AUTHOR'S PREFACE.


short-sighted patient with a belief as if the whole of the disease
were cured, since its most prominent symptom has been violently suppressed. The homacopathic practitioner needs not
to dread a palliating suppression of the fever, or a so-called
metastasis, by means of which the internal disease is hushed
for a time, or its external form only modified; still less needs
he to dread a complication of the old disease with the effects
of large doses of a powrful drug, such as is apt to take place
in consequence of the excessive use of bark or quinine in
chronic (psoric) intermittent fevers-which most fevers are*and forms a malady which is as inveterate as it is difficult to
heal.
However, experience shows that the cure of any form of
intermittent fever, by homoeopathic agents, is not an easy task.
Many patients, even, have seen fit to resume the large doses of
bark, which may be most certainly relied upon for obtaining
an apparent triumph over the fever. To obviate results like
these I have deemed it advisable to publish the present treatise,
which not only contains Hartmann's remarks, found in his Doctrine of Acute Diseases, p. 157 etc., and those of Hartlaud in the
Annals v. III. p. 375 etc., but also my own pretty extensive experience, the materials being arranged in such a manner as
will make the business of consulting and comparing an easy
matter.
Treatises, like the present one, might be written on various
9ther forms of disease. Such treatises would be useful to the
beginning practitioner, and might be progressively enriched
with the constantly accumulating treasures of experience. I
beg to offer the present treatise as an illustration of the mode
in which such treatises generally should be constructed.
It is well known that the most striking characteristic of intdrmittent fevers is a series of attacks of chills, and heat and
sweat, these various symptoms either succeeding each other, or
appearing simultaneously, or else alternating in various ways.
These symptoms, which ought to be regarded as one, are
ries, but also by confectioners, as an infallible panacea against every
kind of intermittent fever, or why whole ounces of the Semen Santocini, which they pretend to be a harmless drug, are sold against
the worms supposed to be lodged in the intestines.
* "These fevers," writes Hahnemann in the above-mentioned
letter, "I believe to be chronic diseases composed of a series of
acute attacks, essentially differing from each other in the different
el idemics, and, therefore, requiring different remedies."



AUTHOR'S PREFACE.


7


generally so prominent, that all the other accompanying symptoms are either left out of consideration, or else, are so much
obscured, as it were, by the former, that they are either deemed
unworthy of note, or are summed up in the vague denomination of an intermittent fever in disguise. But, next to the character of the fever-paroxysm itself, it is precisely those accompanying or secondary symptoms which ought to decide the
selection of a remedy. This is so true, that a drug which has
been chosen in accordance with the totality of the symptoms,
as observed during the apyrexia, effects a certain cure of the
fever, although it may never before have been employed for
that purpose. In the selection of the drug, the moral symptoms
of the patient ought, of course, to be strictly considered. Experience has abundantly shown that the safest indication of a
remedy is the totality of the symptoms existing during the
apyrexia; these ought to be considered exclusively, and even
in contradiction to the symptoms of the paroxysm, until a drug
shall have been discovered, in the course of our provings instituted upon healthy men, which shall correspond to both those
orders of symptoms. It is such remedies as these alone which
will speedily effect a certain and permanent cure.
Several of the remedies which will be found indicated hereafter, exhibit a striking analogy of symptoms. This analogy
may be looked upon as a thread which unites them into one
family in spite of their differences. This analogy is found in
the accessory symptoms as well as in the symptoms of the
paroxysm. Experience teaches that this analogy is extremely
important in the selection of a remedy. This analogy may
guide the physician in the selection of a remedy, especially for
those cases of intermittent fever which have been but imperfectly described to him by patients living at a distance.
When intermittent fevers assume an epidemic character,
as is often, the case, it will be generally found that their characteristic symptoms will all appear in a shorter or lesser space
of time, which will then indicate one or more remedies for the
speedy and permanent cure of the disease. The various symptoms which appear in different patients, may all be grouped
together, and this group will indicate the remedy which will
be homoeopathic in the case.
The symptoms of the disease having been carefully investigated and taken down, I should then advise to proceed in the following manner for the purpose of finding out the proper remedy:
First, look in chapter III. of this treatise for those drugs which
possess the power of producing a similar disease. By comparing
chapters II., IV., and V. with each other, the number of those



HOMIEOPATHIC TREATMENT
OF
INTERMITTENT FEVERS.
I.-SYMPTOMS OF THE FEVERS.
ACONITE.
TOWARDS evening burning heat in the face and head, with
redness of the cheeks and headache pressing from within outwards; this is accompanied by chills over the whole body, and
"thirst.-Chilliness of the whole body, with hot forehead, hot
lobules of the ears and internal dry heat.-Violent chills;
afterwards dry burning heat, with immlense anguish and oppression at the chest.
ALUMINA.
First, chilliness; half an hour afterwards heat over the
whole body, with sweat in the face.
ANACARDIUM.
Chills over the whole body, with heat in the face, without
thirst, in any position of the body.-Chills without thirst;
these are followed by internal heat with a cool sweat all over
the body, which is most abundant on the head; accompanied
by short breathing, thirst, lassitude in the abdomen and the
knees.



24         RANUNCULUS.-RHUS TOXICODENDRON.
hot hands, and disinclination to be uncovered or bared.-Ilntermittent fevers, where the gastric and bilious symptoms prevail.
-Intermittent fevers, consequent upon the abuse of cinchona,
with bitter taste of the food, the taste in the mouth being otherwise natural.-Vomiting of mucus when the cold stage
comes on, absence of thirst in the hot and the sweating stage,
slimy diarrhcea during the apyrexia, with nausea and want of
appetite.-[Intermittent fevers commencing at eight o'clock in
the morning, with nausea, vomiting, thirst, headache and vertigo; chilliness, heat, and sweat are not distinctly marked off,
and there is much thirst during the whole period of the attack.]
-Tertian fever, with chilliness and drowsiness by day, and,
in the evening, want of ease during the apyrexia.
RANUNCULUS.
Fever in the afternoon, consisting almost only of the cold
stage.-Chilliness of the whole body with shaking, chattering
of teeth, and thirst, accompanied by heat of the face and ears,
cold hands and a number of eructations; afterwards pinching
in the abdomen, and stitches ascending towards the hypochondriac region.
RHUS TOXICODENDRON.
Chilliness of some parts while others are hot.-Chilliness of
the feet and between the scapule, soon afterwards heat in the
left side and left arm.-Fever: first drowsy weariness and
yawning; afterwards, at ten o'clock in the forenoon, excessive
heat in the body, without any thirst; chilliness at seven o'clock
in the evening, as if he had cold water poured upon him; after
going to bed, heat with inclination to stretch the limbs; sweat
towards morning.-At five o'clock in the afternoon, stretching
in the limbs, shiverings over the whole body with much thirst,
cold hands, and heat and redness of the face; shiverings in the
evening, when in bed; in the morning, slight perspiration on
the whole body with pressure in the temples.-At seven o'clock
in the evening external chilliness and sensation of coldness,
without any shiverings or external coldness, nor any internal
coldness; immediately after going to bed, external heat which
makes it desirable that one should not be covered; without any
thirst, the mouth being watery and the lips dry; about midnight a general slight perspiration sets in, while one is half
asleep; after midnight sweat comes on first in the face, then
on the hairy scalp and the neck, as far as the chest.--Evening



26


SEPIA.-SILICEA.-SPIGELIA.


by dread of being uncovered; afterwards copious sweat, without any particular thirst, the sweat continuing even during the
fever.-Feeling of burning heat on the head and in the face,
the body being moderately warm and the feet icy cold, without
any thirst.-Intermittent fevers, with profuse weakening sweats
during the whole period of apyrexia.
SEPIA.
Violent shaking chills, a whole hour; afterwards violent
heat and inability.to collect one's senses; this is followed by
profuse sweat in the evening; during the fever the urine is
brown and has an acrid smell.-A little chilliness early in the
morning; this is followed by heat in the face and on the hands
during the whole day, accompanied by paleness of the face,
without thirst and without any sweat; at the same time pressure at the stomach in the forenoon, and headache on stooping.
-Heat all over the body, with sweat in the face, violent thirst,
and bitter taste in the mouth; then again chilliness and coldness of the whole body and face, accompanied by nausea and
headache.-Heat of the whole body with redness of the face
and sweat on the head and body, with violent headaclTe, palpitation of the heart, and trembling; afterwards chilliness and
coldness, the hands becoming numb and insensible.
SILICEA.
Shiverings of half an hour, frequently during the day,
followed by a little heat, mostly about the head and in the face.Violent chilliness with pain at the stomach, in the evening after
lying down; afterwards general heat with thirst; copious
sweat towards morning.
SPIGELIA.
Alternate heat and chilliness, the chilliness being especially
on the back, the heat in the hands and face.-Intermittent
fevers, where some parts are affected with a feeling of heat,
whilst other parts appear cold when touched.-Chilliness after
rising from bed, five days in succession and at the same hour;
about noon, heat, mostly on the trunk, but more violent in the
face, with redness, without any particular thirst.-Chilliness
in the afternoon; afterwards he has a good deal of heat, and
a strong desire for beer.-After lying down in the evening, he
feels chilly for half an hour while in bed; this is immediately
followed by heat with badly-smelling sweat all over the body,
almost during the whole night.



COLD AND HOT STAGES, AND SWEAT.


33


POSTPONING TYPE: Chin. Cin.
ANTICIPATING TYPE: Ars. Chin. Ignat. Natr. mur. Nux vom.
3. RELATION EXISTING BETWEEN THE COLD AND HOT
STAGE, AND SWEAT.
GENERAL CHILLINESS (coldness, shiverings): Alum. Anac.
Ant. tart. Aranea. Amrn. Ars. Bell. Bry. Calc. Caps. Carb.
veg., Caust. Cham. Chin. Cin. Cocc. Coff. Cycl. Daph. Dig.
Dros. Grap. Helleb. Hep. Hyosc. Ign. Ipec. jKali. Led.
Lyc. Menyanthes. Mere. Muriate of Am. Natr. mur. Nitr.
ac. Nux vom. Opium. Petr. Phosp. Phosp. ac. Plumb. Puls.
Ran. Rhus. Sab. Samb. Sep. Sil. Spig. Spong. Stann.
Staph. Stram. Sulp. Tarax. Thuy. Valer. Verat.
GENERAL CHILLINESS WITH PARTIAL HEAT: Acon. Anac.
Bell. Calc. Cham. Chin. Cin. Dig. FerrlT. Helleb. Ignat. Kali.
Lyc. Petr. Ran. Rhus. Thuy.
EXTERNAL CHILLINESS: Ars. Bell. Calc. Chin. Ignat. Nux v.
Rhus.
INTERNAL CHILLINESS: Ars. Calc. Caust. Chin. Daph. Helleb.
Ignat. Ipec. Kali. Laches. Lyc. Merc. Phosp. Plumb. Sil.
Thuy.
PARTIAL CHILLINESS: Bry. Caps. Caust. Chin. Grap. Helleb.
Hep. s. ignat. Rhus. Sabin. Samb. Spig. Spong. Thuy.
GENERAL HEAT:, Anac. Ant. tart. Am. Ars. Bell. Bry. Cale.
Caps. Carb. veg. Caust. Cham. Chin. Cin. Coff. Con. Cycl.
Dig. Dros. Grap. Helleb. Hep. s. Hyosc. Ignat. Ipec. Kali.
Led. Lyc. Menyant. Merc. Natr. m. Nitr. ac. Nux v. Opium.
Petr. Phosp. Phosp. ac. Plumb. Puls. Rhus. Sabad. Sabin.
Samb. Sil. Spig. Spong. Stann. Stap. Strain. Sulp. Valer.
Verat.
GENERAL HEAT WITH PARTIAL CHILLS: Bry. Chin. Ignat.
Petr. Samb. Spong. Thuy.
GENERAL HEAT WITH PARTIAL SWEAT: Alum. Ant. tart.
Chin. Puls. Sep.
EXTERNAL HEAT: Anac. Ars. Con. Ignat. Lach. Mere. Phosp.
Plumb. Rhus. Sil. Thuy.
INTERNAL HEAT: Acon. Anac. Ars. Cale. Carb. veg. Con.
Helleb. Kali. Nux v. Phosp. Phosp. ac. Puls. Sabin. Stann.
Sulp. Verat.
PARTIAL HEAT: Acon. Anac. Bell. Bry. Cale. Cham. Chin.
Cycl. Dig. Dros. Ferr. Grap. Helleb. Ign. Ipec. Kali. Lye.
Menyan. Nitr. ac. Petr. Phosp. ac. Ran. Rhus. Sep. Sil.
Spig. Stram. Sulp. Thuy.
GENERAL SWEAT: Anac. Ars. Bell. Bry. Caps. Carb. veg. Caust.
3



36


THIRST.


V. THIRST.
1. WHEN PRESENT.
DURING THE FEVER: Aranea, Ars. Bell. Bry. Calc. Cham.
Mere. Nux vom. Puls.
BEFORE THE CHILLS: Amrn. Caps. China. Mur. of Am. Nux
vom. Puls.
DURING THE CHILLS: Aeon. Amrn. Bell. Bry. Caps. Carb. veg.
China. Cina. Daph. Hep. sulph. Ignat. Kali. Led. Natr. mur.
Nux vom. Plumb. Puls. Ran. Rhus tox. Sabad. Sulph.
Thuy. Veratr.
AFTER THE CHILLS: China. Dros. Sabad. Thuy.
BEFORE THE HEAT: China. Natr. mur. Puls. Sabad.
DURING THE HEAT: Anac. Ant. tart. Ars. Bry. Caps. Carb.
veg. Cham. China. Cina. Coff. Con. Hyose. Ipecac. Lach.
Mere. Mur. Natr. mur. Nux vom. Opium. Petr. Phosph.
Puls. Rhus tox. Sabad. Sep. Sil. Spig. Stann. Sulph. Valer.
Veratr.
AFTER THE HEAT: China. Coff. Nux vom. Stann. Stram.
BEFORE THE SWEAT: Coff. Thuy.
DURING THE SWEAT: Anac. Ars. Chain. China. Coff. Con.
Mere. Rhus tox. Sabad.
AFTER THE SWEAT: Lyc.
AFTER THE FEVER: Ant. tart. Ars. China. Natr. mur. Nux
vomn.
2. WHEN WANTING.
DURING THE FEVER: Ant. crud. Ant. tart. Bell. Cale. Caps.
Carb. veg. Caust. Helleb. Hep. sulph. Mur. Natr. mur. Nux
vom. Sabad. Sep. Spig.
DURING THE CHILLS: Anac. Ars. Bell. Bry. Carb. veg. China.
Cina. Cycl. Helleb. Ipecac. Mere. Natr. mur. Nitr. ac. Nux
vom. Opium. Petr. Phosph. ac. Puls. Rhus tox. Sabad.
Staph. Stram.
DURING THE HEAT: Ant. tart. Ars. Bell. Bry. Cale. Caps.
Carb. veg. Caust. China. Cina. Coff. Cycl. Helleb. Ignat.
Kali. Led. Mere. Natr. mur. Nitr. ac. Phosph. ac. Plurmb.
Puls. Rhus tox. Sabad. Sabin. Samb. Sep. Staph. Stranm.
Thuy.
DURING THE SWEAT: Bry. Caps. Caust. Ignat. Puls. Sabad.
Sabin. Samb. Stram. Veratr.



AILMENTS DURING THE HEAT.


41


REDNESS OF THE FACE: Aeon. Ars. Bry. Chin. Lye. Plumb.
Rhus tox.
SENSITIVENESS TO COLD: Cycl.
SLEEP: Nux v. Opium.
SPASMS OF THE CHEST: Ars.
SPITTING: Alum. Caps.
SOMNOLENCE: Daph. Helleb. Natr. mur.  -
STITCHES IN THE CHEST: Bry. Kali.
STRETCHING: Ars. Bry. Caps. Caust.
STUPEFACTION: Natr. mur.
SWELLING OF THE SPLEEN: Caps.
TASTELESSNESS OF FOOD: Ars.
TEETH, CHATTERING OF: Caps. Hep. Sulp. Natr. mur. Nux
v. Phosp. Ran. Sabad.
TOOTHACHE: Graph. Kali.
UNEASINESS: Calc. Caps. Hyosc. Sil.
VERTIGO: Alum. Calc. Phosp. Sulp. Verat.
VOMITING: Cin. Ign. Kal.
"    OF BILE: Ars. Cin. Ignat.
"    OF Mucus: Caps. Ign. Puls.
"c   OF FOOD: Ignat.
VOMIT, INCLINATION TO: Ars.
YAWNING: Ars. Bry. Caps. Caust. Natr. mur. Phosph. Menyan.
4. DURING THE HEAT.
ABDOMEN, PULSATIONS IN: Kali.
ANGUISH: Aeon.
ANXIETY: Ars. Cycl. Mere. Nux v. Stram.
APPETITE, WANT OF: Ars. Con.
BITTERNESS IN THE MOUTH: Ars. Phosp. Sep.
BURNING IN THE HANDS: NUX V.
"   IN LIPs: Chin.
"   IN THE MOUTH: Petr.
CHILLINESS DURING MOTION: Nux V. Rhus tox.
COLDNESS OF THE FEET: Ignat.
"    OF THE FOREHEAD: Chin. Cina.
CONSCIOUSNESS, LOSS OF: Ars. Nat. mur. Phosph. ac. Sep.
CORYZA, FLUENT: Kali.
DELIRIA: Ars. Cin. Carb. veg. Ignat. Nitr. ac. Sabad. Verat.
DIARRHEA: Con. Puls.
DRINKS, LITTLE: Arn.
DRYNESS OF LIPS: Rhus tox.
DULLNESS OF MIND: Natr. mur.
EARS, HUMMING IN: NUX VOrm.



52


REGIMEN FOR THE SICK.


in most chronic diseases, a wider range may be taken in the
choice of aliment, and in such cases the following articles in
addition to those already enumerated are allowed, viz:
All kinds of light bread and biscuit not containing potash,
soda, or other similar ingredients, and not too fresh; cakes
composed of meal, eggs, sugar, and a little butter; buckwheat
cakes not raised with fermenting powders; light puddings,
and dumplings of wheat, Indian meal, rice, oatmeal or bread,
without wines, spices, or rich sauces, hominy, Indian mush,
rye mush, groats, pearl barley.
Potatoes, turnips, carrots, spinage, cabbage, cauliflower,
asparagus, green. or dried peas or beans; (but these vegetables
should not be used in colic or diarrhcea.)
Milk, not too recent from the cow, buttermilk, boiled milk,
cocoa boiled with milk or water, pure plain chocolate, weak
black tea.
Butter, free from any rancid or unusual taste, cream, mild
cheese, curds and other simple preparations of milk, plain custards.
Raw or soft boiled eggs and egg tea, except in diarrhcea.
Soups and broths of animal and vegetable substances elsewhere permitted, seasoned with a little salt only; beef tea,
chicken water (the flesh being boiled at least for half an hour).
Chickens, pigeons, turkeys, venison and other wild game.
Beef, mutton, the lean part of ham, neats' tongues.
Fresh scale fish, except salmon.
Salt, sugar, ice creams with the syrup of strawberries and
that of other allowed fruits, and not flavored with aromatics.
II. ALIMENT STRICTLY FORBIDDEN.
Old smoked salt meat, salted fish, veal, geese, ducks, the
liver, heart, lungs, or tripe of animals.
Rancid butter, old strong cheese, lard, fat pork, turtles, terrapins, oysters raw or cooked, hard boiled eggs, omelets.
Fish without scales, as catfish and eels; lobsters, crabs,
clams, and soups prepared from them.
All kinds of nuts. Coffee and green tea.
Food prepared from blood, and much animal fat.
Veal cutlets; all kinds of sausages, particularly such as are
smoked.
The flesh of all young animals.
All soups highly seasoned, sauces, drawn butter, pepperpot.
Cakes prepared with much fat or aromatics.



54


NOTES.


laxative injections, except those of lukewarm wat Ier, are likewise forbidden.
All perfumery, particularly musk, hartshorn, camphor,
Cologne water, eau de Luce, or other aromatic waters, flowers
used for their odor, cosmetics and tooth powders, must L-be
avoided.
The cure is disturbed by hot baths, or baths impregnated
with herbs, sulphur, and other medicaments.
Linen, cotton, or leather worn next the skin is preferable to
woollens.
When the nature of his malady will permit, the patient
should use moderate exercise in the open air for an hour or
more every day, and his chamber should be subjected to daily
ventilation.
Other things being equal, a good moral regimen places the
patient in the most favorable condition for recovery.
Labor which diverts the mind, while it exercises the body,
should be daily used in chronic diseases, as far as the strength
will conveniently permit.
Homceopathic, medicines should be taken fasting, and for
about half an hour afterwards the patient should abstain from
eating or drinking, the use of tobacco, and, if possible, from
much mental or bodily exertion. The medicines are to be kept
in a clean, dry and cool place, free from odors.
It may be as well to offer here a suggestion with regard to
the use of Arnicca in extensive and serious mechanical injuries.
If any such should occur, Arnica may be applied in the following manner: Take about a drachm of the dried Flowers of
Arnica (Flor. Arnica 1 drachm); pour on this about a quart of
boiling water, let. it cool, and then apply pieces of linen steeped
in' this decoction to the injured part. This may be repeated
every hour, two or three hours,, as the case may seem to require,
and may be disconitinued whenever the pain has ceased. If
Arnica tincture is used, take 10 drops in a wine-glassful of
water, and apply it with a piece of linen to the injured part.