B49664 3


I







41


t7-;






,I


INTRODUCTION.


iii


forth can expect we are to accept at his hand a mere
bald and naked list of symptoms?!
In the subsequent reprovings the authors have endeavoured to remedy the defect, but as yet with very
partial success. Dr. Mayerhofer, Professor Zlatarovich,
and Dr. Watzke himself, in his next medicine, Natr.
mur. have added a sort of analysis and summary of the
symptoms in the Hahnemannic order, but as these are
printed close, and interspersed with physiological, therapeutic and other speculative remarks, they fail to
afford a good index-in fact it would be nearly as much
trouble to find a symptom in them as in the experiments.
Dr. Gerstel has added a schema of his own, which has
all the defects of the Hahnemannic one, as far as regards
the disjunction of symptoms and the loss of narrative
and course; and in addition to these he has introduced
a mode of discriminating the therapeutic value of the
symptoms, which can only be useful and intelligible to
those who adopt a theory of his own, and therefore may for
the present be considered practically useless to the great
body of homceopathic practitioners, who neither know
nor understand his theory; among the latter of whom I
am sorry to confess myself. Dr. Muller, who seems to
be more a literary than a practical character, has given
us a complete old-fashioned schema, with a complacency
that is somewhat amusing, when we consider the object
of the society. The most useful is that of Dr. Arneth, as he
has given a complete index, separate from the pathological remarks. Still, however, the body of the proving
remains an unsifted and undigested mass of symptoms.
Out of Austria little has as yet been done in this branch
of the subject, but as the most notable, I consider, the
able and profound writings of Dr. Kurtz, in the Hygea.
He has    examined and analysed with acuteness and
success the relations of the symptoms, and has given a
plan of arrangement which is very good for an abridged
manual, but would scarcely apply to the Materia Medica
in full detail. In this country Dr. Madden has glanced
shortly at the subject, and is fully satisfied of the evil,
and convinced of the necessity of re-arrangement, though
he has not suggested any plan as yet. In France, as in
this country, little or nothing has been done in the
Materia Medica, except the publication of translation
abridgements and repertories of the already existing
provings, without any attempt to add to or improve
them. In America, besides the publication of abridgements and repertories, a good deal has been done in


the north, led on by Dr. Hering, and in the south, by
Dr. Mure, to add to the stock of our medicines, but
the subject of a general re-arrangement does not seem
to have attracted attention yet. In England hitherto
our numbers have not been great enough to allow much
attention to be given to the scientific development of the
Materia Medica, but now that we form a considerable
body, and that fair translations and abridgements of
medicines are in the hands of those not conversant with
foreign languages, it is our duty to direct our attention
to the more profound and scientific labours that are
going on in the Materia Medica, and either lend our
aid, or at the least, render to the English medical public
an account of the results of these labours. With this
view the Hahnemann Publishing Society has been
founded; and besides undertaking a complete repertory
has deputed to Dr. Black, Dr. Dudgeon, and myself,
the task of bringing out the first vol. of the Materia
Medica, which is to consist chiefly of those medicines
re-proved by the Austrian Society. To the execution of
tids task several difficulties of no ordinary magnitude
have presented themselves in limine. To furnish       a
simple translation of the experiments in their original
state would, as above said, be a small boon to the
practitioner, and a poor substitute for Hahnemann's
own schemas, which are excellent of their kind. Again,
to ignore completely all the Austrian re-provings, and
publish simply a translation of Hahnemann, would be,
in the first place, almost uncalled for, as there exists
already an American translation, though it is inconveniently printed, and, in the second place, would be a
lamentable confession of ignorance and incapacity, and
a virtual acknowledgment that we were unable to profit
by Hahnemann's discovery, except where he had not
only shown us the way but done the work himself.
Or, again, are we merely to pick out all the fresh symptoms and incorporate them with Hahnemann's schemas,
and thus overwhehn them with a fresh load of details
which would put the finishing stroke to the already
almost insuperable difficulty of learning the general
action of the medicine when described in that way?
These considerations have weighed much on my mind
during the past two years, and have been one cause of
the retardation of the work. I have done a considerable
part of some medicines in the way last described with faint
hope of being useful to others, and increasing dissatisfaction to myself, and have at last thrown all aside, and begun


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_   ___   ____


iv


INTRODUCTION.


on a new plan, which I now submit to the Society with
this remark, that it is not by any means intended to supersede the publication of the literal narrative of all new
provings, but these being once published, and thus
recorded in the Archives of Homccopathy, as the source
for the scientific study of the medicine, this plan is
offered as one to convey, in a practical form, those parts
that are most necessary for the physician in active
practice. Nor is this plan in the least meant to bind
other fellow-labourers in this work, but each is expected
to follow his own plan, and as far as possible, improve
upon that of his predecessor.
As before said the fundamental objects in a materia
mcdica are two, viz., to give a faithful narrative and
description of the effects of each medicine, and arrange
that in such a form that each symptom may be found at
once.  These two objects tend to counteract each other,
and therefore a special machinery must be devised if we
are to secure them both. Now, in considering natural
diseases or natural groups of the effects of medicines, we
observe that certain symptoms belong evidently to the
organ primarily affected, viz., idiopathic symptoms;
others again depend merely on the sympathetic derangement of some other organs or part, viz., the symptomatic
symptoms. Both these classes of symptoms belong evidently to the same group, and cannot be separated
without destroying the unity and fidelity of the picture;
but, in that case, how fares it with the second object of
the schema, viz., the index function?  It is evidently
lost, and we have no guide to the symptoms. Hitherto
in hand-books the first object has been sacrificed to the
second, and the symptoms have all been cut up and
arranged under the organs where they occur, and no
intimnation given whether they originated there or not.
To obviate thLis evil, I propose, a very simple remedy,
viz., to separate the index function from the descriptive,
and then in each division we shall have two classes of
symptoms: one those belonging to the organs under consideration, and the other merely references to other parts
where similar symptoms also occur. By adopting this plan
we at once get over all difficulty whlich the size of natural
groups would throw in our way. To give an example, let
us takc awell-known disease or natural group of symptoms,
viz., Jaundice, composed of yellow skin and conjunctiva,
pale stc,,ls,. dark-coloured urine, drowsiness, bitter taste,
&c. To convey a correct idea of the disease these symptoms
must of course all be given together: but in that case,


how is any one to find it among many pages of similar
groups? He must begin by looking for some one of the
individual symptoms; and to help him he will find in the
hand-books the symptoms arranged in all the different
parts where they occur, but no intimation as to whence
they are derived. Thus under eyes he will find yellowness, under skin the same, under urine dark color, and
so on; and he is left to put them together as he may.
Now, this way not only renders nugatory the knowledge
we had of the group, but, unless counteracted by knowledge derived fraom other sources, must infallibly mislead;
for, suppose we wanted some medicine for drowsiness,
for example, depending on idiopathic disease of the
brain, and totally unconnected with jaundice, how are
we to know   that the drowsiness mentioned in that
medicine belongs to the jaundice group, and not to any
of the numerous other groups belonging to the medicine?  But it is quite unnecessary to enlarge on a
matter self-evident. I would then lay it down as a rule
never to separate the symptoms of the original group,
but put it down as a whole in its proper place; and, in
addition, put a mere reference to it under the different
parts to which its symptoms extend. In the above
example, for instance, we put the whole group in its
proper place and number it, say 365. Then under the
eyes, after the part allotted to the symptoms belonging
to those organs, would come yellowness, see Sympt. 365,
wand so on under mouth, bitter taste, see 365, &c.
The next -consideration is the order of arrangement
we are to adopt. On this head we have very little to
say, for as long as- we keep the groups together and do
not lose their course and connection, it is a matter of
comparative indifference what order we follow in describing them; and, as the Hahnemannic order is familiar
to us all, it is on that account incomparably preferable
to any other.
But now comes the grand difficulty, in fact the only
real difficulty in the matter. It is to determine what are
the natural groups, and which are idiopathic, and which
symptomatic symptoms. It may be thought that by
a careful study of the medicine and the application
of the principles of pathology and diagnosis, we may
arrive at that knowledge, and thus place the action of
the medicine on a sure and intelligible basis; but a
little further reflection will show the futility of that
hope, as well as the incompatibility of the attempt with





INTRODUCTION.


v


the proper functions of the author of a pure Materia
Medica. To make the matter clear, we may compare
his duties with th6se of a messenger despatched by a
scientific body to a distant country where some unknown
disease was prevailing, for the purpose of obtaining
accurate information on that disease. If the messenger,
after observing a sufficient number of cases, were to cut
them up into separate symptoms and arrange them into
an arbitrary list and hand in that as his whole report, he
would be deservedly regarded as wholly imcompetent.
If, again, instead of bringing back cases he contented
himself with forming his opinions of the pathological
nature of the disease, and gave in that without any
details, then he would be met with the answer-We
do not want your theories, but simply a report of facts
and observations, and upon these we can theorize at
home as well or better than if we travelled ourselves.
So it is with the proving of a medicine: the author of it
must confine himself to the office of a faithful reporter
of facts and observations, for otherwise how could he
convey to others information of greater value than he
himself is aware of? If it was confined to that, therapeutics would be in a sad plight indeed. For granting
that the author of the proving united in his own person
the sum   of all the knowledge of the day bearing on
pathology, and explained the action of the medicine,
and described the diseases to which it was applicable in
the most complete manner the science of the day allowed,
without the actual narrative of the symptoms, yet still
what is that?     In the course of a few     years, one
generation, or even ten years, all will be changed, and
the scheme then deemed so perfect will have become
antiquated and unintelligible. And yet the effects of
drugs on the body are immutable and unchangeable,
and a plain and faithful description of them can never
become antiquated or other than correct.        Though,
therefore, it may become necessary to have theoretical
disquisitions and lectures on the nature of the action of
the medicines in each generation, yet these must be
kept totally distinct from the facts, and cannot be accepted as the principle on which these facts are to be
arbitrarily arranged.
While we thus reject all pathological speculations as
the basis of arrangement of the Materia Medica, it must
not be supposed it is because we undervalue pathological knowledge, or that homceopathic practitioners
individually are ignorant of the subject, or could suc

cessfully practise medicine as a whole without being
at least on a par with their medical brethren of other
schools. All that is meant is, that as yet pathology is
by far too imperfect to form the said basis, and in many
respects may be said to be centuries in the rear of
therapeutics; in short, we can cure with tolerable case
and certainty a vast number of easily recognized and
described diseases, of whose ultimate pathological nature
we are wholly ignorant.
For example, physicians have for long been able to
cure with Peruvian Bark certain forms of disease easily
described and recognized by others, called intermittent
fevers, of the ultimate pathological nature of which they
all along have been and still are almost wholly ignorant.
If the first observers of the power of Peruvian Bark,
instead of narrating cases of disease actually cured, had
merely given us their theories of its pathological nature,
the use of the Bark would either never have become
general or would have been speedily lost from the impossibility of knowing what disease was actually meant.
We must in consequence fall back on a more empirical
formula. The plan I propose is this; that our schema
should consist only of groups of symptoms, however
large or however small even if consisting of one single
symptom, which occurred independently, so that whenever we have a symptom or a group of symptoms to
which a number is attached, we shall know that it
occurred alone (with certain exceptional limitations);
and otherwise, the individual was in perfect health as
far as could be ascertained. The advantage of this may
be best shown by analyzing the sources of fallacy contained in a badly constructed Hahnemannic schema,
many of which are mere parodies of Hahnemann's own
good provings. Some persons, having found that they
could make up a group of symptoms from       the single
ones in Hahnemann's provings and with that cure a
case of disease that exactly corresponded to it, have
imagined, that in order to get such another proving, you
have merely to throw together all the separate symptoms of the several morbid states a medicine will produce, and then it is of no use to discriminate which
symptoms belong to each morbid state, for as it produces
them all you cannot go wrong in any combination you
may form with these symptoms. There arc two obvious
sources of fallacy here:-one is, I think, that it is forgotten, that it is, in many cases, the order and connection
alone of the symptoms that give them any diagnostic



*F




i


vi


INTRODUCTION.


value at all, and that once lost it is impossible to put
them together again into any likeness of the original
morbid state they signified. The second is, that the
effect of the degree of intensity of the morbid state is
overlooked; for it is plain that the lowest degree of
intensity of a morbid action will only give rise to the
most essential symptoms, but, in proportion as the
degree increases, will be superadded symptoms less and
less peculiar, and less fit to be cut away from their
connection. For example, certain pains in the chest
occurring quite isolated may indicate the lowest degree
of the kind of pleurisy or pneumonia to which Bryonia is
homoeopathic, and may, therefore, usefully stand isolated
in the proving: but, supposing the action of the drug
carried farther so as to produce intense and extensive
inflammation, then there would be superadded distinct
symptoms, such as dyspncea, general fever, prostration
of strength, &c., which are, properly speaking, not direct
symptoms of Bryonia at all, and can only appear in
combination in this group where they speak to the intensity of the degree merely of the inflammation of the chest.
The error of using these latter symptoms in making up
any other group is too plain to require further notice.
In fact the best illustration of my meaning is afforded
by the description of an epidemic disease, which is the
action of the same cause on a great variety of different
organisms.  In one, a portion of its effects, possibly a
small fragment, or even a single symptom, may be
manifested; in another, a similar fragment but of
different nature; in others, the full disease in different
degrees of intensity. In a faithful description we would
not only give the complete cases but likewise the
fragments, and it would be perfectly proper to combine
these fragments together to form a complete picture of
the disease. But it would, of course, never do to
disintegrate the separate symptoms of these groups or
fragments and re-combine them in an arbitrary manner.
Now a great many of the,symptoms in a proving are
independent, isolated symptoms,- and may with propriety be used for combining together to give a faithful
picture of the whole action of the medicine, as they are
in fact the characteristic symptoms of the lowest degree
of the morbid state. But it may be said, No doubt we
often get only one symptom or a small group of symptoms, owing to the feeble dose of the medicine given, but
if more was given, or it acted more powerfully, and the
morbid state was more developed, many more symptoms


would make their      appearance.    Why    therefore put
down that single symptom      by itself so conspicuously,
which may after all be only a sympathetic symptom of
no importance, and may have appeared accidentally
rather than another? In short, the more superficial and
incomplete the proving, the more such symptoms will appear.-To this the answer appears to me, that the appearance of one symptom or small group alone is not at all
likely to be accidental, but that it is precisely because
that is a most characteristic or peculiar symptom that it
appears alone. However this may be, it is still a fact that
some symptoms do appear alone in the provings of substances in sufficient dose to cause undoubted effects, and
therefore in any faithful representation of these effects
such symptoms must be noted as having appeared in that
manner. Doubtless as the provings are more complete
and the morbid action more intense and completely
shewn, these symptoms will take their place in the larger
groups. Still there will always be a utility in keeping
the record of the fact that they also appeared alone. In
the cholera a fully developed case will serve quite well
to describe the stools, but it is also a matter of great
importance in the history of the disease and of the value
of the symptoms to know that in some cases the peculiar
stools seem   to occur as a fragment of the disease in
some individual cases during the epidemic.
Another advantage of this plan of never dividing
independent natural groups is, that we avoid the difficulty of discriminating between primary and secondary
and alternative symptoms and the after-effects, as they
are called.  For if we take care to give the course and
termination of each morbid state in the same group, it is
easy enough to see which is the primary action.*
SThe meaning Hahnemann httached to his different kinds of symptoms may be best gathered from the Fragmenta de viribus medicamentorum positivis, in the preface to which we read as follows: " Medicina
quovis alias vires citius edit, alias serius, qum ambsi sibi utcunquNc
oppositm sunt ct dispares, immo e diametro opposite; illas vires primarias vol primi ordinis nuncupo, has secondarias vel secundi ordinis."
"Que reliquias nominavi symptomata, ea non occurrunt nisi ubi
cnormis dosis enormes suscitavit tumultus, tumque diutius justo
aliqum, vel primm classis vires vel secundarisa remanent, ham vel ille,
ut fort cujuslibet hominis natura, vcl in hanc morbositatem vel in
illam potissimum prona."
There is no mention in this work of alternating symptoms, nor in
fact does the expression (wechselwirkung) appear, except in one or two
volumes of the Mat. Med., and disappears again in subsequent volumes.
In fact there was no need of any name for them at all, as it merely
means that two symptoms which might stand to each other in the


- -


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INTRODUCTION.


vui


Another recommendation I would make is to arrange
by themselves all the immediate local effects, the chemical and physical effects, and in short all those that
Dr. Madden has included in the term genico-dynamic.
If a medicine is an evacuant, an emetic for example,
and we know by increasing the dose to a certain amount
we can always produce vomiting and its necessary train
of symptoms, which either stop or prevent all the other
effects, I would not arrange these among the more
specific effects of the drug, but all such by themselves.
Also of the after-effects, after giving a few examples in
their proper place in the individual groups, it is quite
unnecessary to multiply instances, as they are of no use
as characteristics of the drug, but merely the effects of
excessive action, however produced, such as constipation following purgatives, sleeplessness and nervous exhaustion following naxcotics, &c., all which depend
merely on exhaustion of irritability firom previous overstimulation, of whatever nature.
The next addition I would recommend to the schema is
the Concordance, similar to that of Hartlaub's Tabellen,
for as the main object of the whole schema is the saving
of labour to the practitioner, it will be an inumense
saving of time to him if, while he finds that the medicine in question will not suit the case, he will at the
same time be directed to the next most likely medicine,
without having to go back to the Repertory.     The
Concordance would of course only apply to the most
important and peculiar symptoms, and thus it would at
the same time point out in a most accurate manner the
related medicines.
Finally, as a most important consideration, I would
direct especial attention to the mode of printing the
Materia Medica. The object to be sought is that as
large a portion of the essentials should strike the eye at
once. For this purpose there must be as little turning
over of pages as possible; I would therefore recommend
it to be printed in quarto, or some such large size, in
double colunms, with a narrow space for the Concordance. Also that great care be taken to have the headings
and numbers in distinct types; and in a group of symptoms the merely narrative and less important portions
should be printed close, while the peculiar symptoms
should be widely printedl and in separate lines.


On the details of the arrangement of the Schema.On endeavouring to apply the foregoing general principles to practice, we encounter a number of difficulties
wlhich require great pains and assiduity to surmount,
and which in the end still leave the schema in a more
or less imperfect state, but nevertheless we must not
be discouraged on that account as we cannot expect perfection in any work of the kind, and however well it may
be done there will still remain something to be learned by
the study of the original narratives alone. Of course each
one is left to meet these difficulties in his own way, but as
a guide so far, I may detail the mode of proceeding that
I adopted after many unsuccessful trials.-The thing
sought is the discovery of the natural groups and isolated symptoms. Now on taking up a proving in any
one individual which extended over several days or
weeks, the aspect it presents is that of a complete labyrinth of symptoms, which appear and disappear fr'om
day to day without any apparent connection with each
other, except that they occurred in the same individual
and from the same cause.   These two circumstances
were therefore taken as the basis of the first procedure,
and having careftlly looked through each person's experiments, they were divided into portions at which any
natural break occurred by leaving off the medicine till
all effects subsided, and. then renewing with a different
dose, or even the same dose. This brought the experiments into more manageable compass. Thex,. to get rid
of repetitions, the whole experiments were written out
with the narrative of the course and progress of each
symptom, brought together instead of scattered tlu'ough
the several days, and thus repeated over and over again.
This brought down the size of the groups very greatly.
This cannot however always be done without injtuy, for
when there is a distinctly marked course of groups of
symptoms, all these must be given in the order of their
occurrence day by day, or at least week by week if the
duration is very long. Thus we must give together the
symptoms of the first day, and next all those of the
second day together, and so on, though several of the
symptoms may be repeated many times. in fact,,as the
plan of drawing together the symptoms in each paragraph is only adopted for the sake of convenfience, int
order to save space and allow a more condensed and
easily comprehended view of the group of whfich each
paragraph is composed, it must not be used in any case
where it would cause any sacrifice of distinctness of the


I.;-I


relation of primary and secondary actions, such as constipation and
diarrhoa, may both occur as parts of different primary groups produced by the same medicine.









viiil


INTRODUCTION.


course of the symptdms. Then all these groups were
carefully compared one with another, and all those
symptoms or groups not in harmony with those of other
provers were rejected as doubtful, or plainly accidental
and not the effect of the medicine at all. This is especially necessary, and it is precisely here of course where
a good proving differs most in reality from a bad one,
but it is also the point on which the least apparent
diffelrence exists between a good and a bad proving,
and in which the greater the labour and fidelity of the
author the less is the apparent result, for the greatest
portion of his labour may be spent in determining on
thi rejection of certain symptoms, and the value of that
rejection will only be discovered by the anxious practitioner after repeated experience that the positive results given have not deceived him.     We have now
arrived at a point where the groups have become of a
more intelligible size, and many will consist of single
symptoms. In some medicines with a very small and circumscribed sphere of action it will perhaps not be necessary to proceed any further in subdivision; but in those
nmedicines which have a more extensive action the groups
will still be found too large and unwieldy for practical use,
and are still susceptible of further subdivision without
injury. In this however we must proceed very carefully, and not upon any speculative principle, but solely
as the result of observation and comparison with each
other, for we shall soon find several marked and distinct
spheres of action which have obviously no connection
with each other, at least as far as mutual dependence
goes. For example, we may find certain symptoms of
the eyes which appeared in some persons to a considerable degree of intensity, though those persons exhibited
no sym)pto(ms belonging to the digestive organs; again,
we may meet with others who had symptoms belonging
to the digestive organs, and also those same eye symptoms in the same or a lesser degree. It would be quite
admissible to separate these two classes of symptoms in
the latter case. Biut we may also meet other symptoms
of the eyes which never occurred alone, but only in
perons who exhibited a certain degree of symptoms
beI.Inging to the digestive organs: these latter I have
considered it would be quite imnproper to separate. The
same proceedlg is to be applied throughout in subdividing the groups, keeping in mind the general principle that we must have a distinct ground, derived from
observation alone, for separating any symptom or class


of. symptoms, and without that sufficient ground we
must leave all symptoms in the original group, however
unintelligible and unwieldy.    Having proceeded in
this direction as far as the pathogenetic experiments
with each medicine extant will allow, doubtless there
will still remain in many provings groups of symptoms
which include a good many symptoms that have no
special connection with the group, but are present
merely accidentally from occurring in the same individual: this can only be determined by further experiments, and till then I see no other mode than to leave
them where we found them, without opening the door
to error of all kinds. To endeavour to escape the difficulty by breaking up the whole group into individual
symptoms would, as said before, be equivalent to the
destruction of nearly all the results of the experiments
themselves. The schema will now present the appearance of a numnber of individual cases of all the varieties
of the morbid states produced by the drug, as concise
as possible, and varying in size from  one symptom   to
large groups. Our next step will be, where possible,
to proceed to draw together several of these groups,
where they are very similar and produced by the same
dose given for about the same length of time: we shall
thus further save repetitions, and be able to point out
the more important and essential elements of the group,
just as we do with the more complete cases of any
disease.
When the same symptom        or group of symptoms
occurs very often it is, of course, not necessary to give
it more than once, but at the end of each section some
remarks are given, pointing out the comparative frequency and value of the different groups.
We must give (when possible) the morbid appearance
with each group, and also all those symptoms which can
be derived from chemical and physical means of diagnosis,-such   as, analysis of the se- and excretions,
auscultation and percussion, the use of the microscope,
&c. Where we have only morbid appearances derived
from animals or cases of human poisoning of which we
have not the symptoms, it will be better, probably, to
arrange them at the end of the proving, as we do not
know exactly which symptoms they illustrate.
As it becomes more complete the schema now assumes
more and more the appearance of a good Hahnemannic
schema, with this difference, that each separate morbid
state or sphere of action has a complete schema to itself,




ji





I




I


INTRODUCTION.


ix


subarranged in the Hahnemannic order, and the whole
is formed of a congeries of such schemas rendered
accessible by an index at the end of each section, and in
addition to that, of an analysis of the section itself when
it is large. Now it may be thought there is no need of
the index and analysis, as both these functions may be
discharged by having a good general repertory for all the
medicines. To this I have nothing to object theoretically, but practically, everything. For the chief object
of such a schema at all being to save time and labour to
the practitioner, that object could not be attained if he
had to refer to another vast work in several large
volumes to discover the locality of any symptom in each
medicine. Besides that, a common repertory would
not do; for the number of the symptom must be given,
and therefore such a repertory could not be begun till
the Materia Medica on this plan was finished; while,
on the other hand, the Materia Medica on this plan
could not be used till the index and analysis were
given; therefore they must appear simultaneously. I
object even to printing the index at the end of each
proving, because to save time all the symptoms of each
part should be so arranged as, if possible, to catch the
eye at once, without turning over pages; and it may
often happen that the most striking and characteristic
symptom of the group we are studying may really be
among the sympathetic symptoms. For example-in
a case of gastric or bilious disorder something in the
character of the headache may seem to us the most
peculiar and striking feature; on turning up that symptom in a general repertory, we are referred to a medicine
arranged in this form: we first look among the independent head symptoms, and not finding it there, run
the eye further down and find it among the connected
symptoms with the number attached; we have then
merely to turn to that, and we find not only the headache we want, but if the medicine suits, at the same
time the greater part of the rest of the symptoms of our
case: while if the index were at the end we should have
a great deal more turning over of pages. As a further
saving of labour I would, in many cases, in the index
put not merely the number of the symptom, but, in
a short abbreviation, the sphere of action it occurs in
so that we may be often saved the trouble of looking for
it, as this tells it will not suit.


On the Therapeutic Action.-It seems to me the wisdom
of Hahnemann was conspicuously shown when he declined, except very sparingly, to incorporate with his
provings any speculations as to the diseases they would
cure, and, in fact, simply referring any one to the
pathogenetic effects for information on that point. In
fact, we give best the indications for cure when we
describe best the pathogenetic action; and    if any
one asks me what a medicine will cure, I can only
point to the symptoms and groups, and say it will cure
any cases similar to them, but what these groups exactly
mean, either when I meet them as idiopathic disease
or as symptoms of a medicine, I must frankly confess
I cannot tell.  How can it be otherwise, unless we
have attained absolutely to the ultimatum of pathological
science?  When we say a medicine will cure such and
such groups, it must always be with the proviso that both
the symptoms of the case of disease and of the medicine
that fit together, give sufficient information to enable us to
conclude that the proximate causes of the two states are
very similar, for otherwise the symptoms of a medicine
and of a disease may quite correspond as far as they go
and yet the medicine not be homceopathic at all, the
reason of which would be quite plain if both morbid states
were further developed, for then the divergence would
become manifest. It is never to be forgotten that in
homoeopathy we always treat the proximate cause alone,
and, in fact, cannot if we will treat anything else; we
have no power over mere symptoms, and our constant
endeavour is to get so complete a view of the morbid
state  as to be sure that our unknown      proximate
cause, which is recognized by certain symptoms of a
medicine, should be as similar as possible to another
equally unknownx proximate cause, which is recognized
by the assemblage of symptoms before us which we
name the disease. Now we do not know yet the ultimate nature of the action that produces the healthy
functions, and scarcely even the seat of many of the
sensations familiar to us in perfect health; how  then
can we expect to understand and fully account for all
those slight aberrations of healthy sensation and function
which we meet with in our provings? And if pathology is
called in to the aid of physiology to explain the natural
sensations and functions by exhibiting the effects of their
exaggeration or interruption by disease, so much the more
is the usus in morbis necessary for throwing light on certain
symptoms in medicines as the lowest elements of the disC






-'t




- ___qT-CIIY-LI-_
-I ------~ - -- --i



I _ _ _
__.__


x


INTRODUCTION.;  cased states they cure. Therapeutic use becomes thus the
I  magnifying glass of the pathogenesis. And the'reason
why we cannot fill up the chapter of therapeutic use
Ilbeforehand is, that the more refined methods of diagSnosis are as yet little employed, and we are not able
iin lmot cases to recognize the incipient signs or lowest
Sdegree of natural diseases themselves; but when all the
improvel d means of diagnosis afforded by chemistry
Sand physics, including light, electricity and magnetism
already known and ere long about to be discovered, are;iiplied both to the incipient stages of disease and to the
i'provings of medicines, then we shall have less and less
Ij  edi of the,usus in morbis as the complement of patho1  genetic experiments to display the truly homcopathic
relation of all dynamic specifics.
Biut, in the meantime, the author of a proving must
Iabstainl from speculations on therapeutic use in the body
) of tlhe 1roving, though he may with propriety add a
se.parate' chapter, containing the results of past experience,M that head, and any speculations of his own for the
Sfu'tulre, and also a few general remarks on the chief
spheres of action of the medicine which may guide the
practitioner to certain large classes of cases where it is,mio.st likely to be found suitable.
Fi nallyi, it. may be objected that if the Hahnemannic
ScNhema is so defective, how is it that we have got on so
S well witlh Iahnemann's own early provings? To this
[ reply: 1st.-They are good provings, and the sympSoms were really produced by the medicines. 2nd.-A
great many of his numbered paragraphs consist of single
iRPOL             ULY,.
i     1 I,VR:nrOL, JULY, 1831.


symptoms and small groups of symptoms, which really
occurred in an independent and isolated form from the
action of moderately small doses. They are, therefore,
short cases of disease reduced to its most essential elementary symptoms, and divested of all merely sympathetic symptoms or after effects. 3rd.-Where he has
split up larger groups, he has for the most part given
us the key in the introductory remarks, or the same has
been done by the thousand-fold repeated experience of
Homoeopathic practitioners of the usus in morbis.
It appears then that I propose in reality nothing new,
but I merely attempt to follow Hahnemann in the principles that guided him in the construction of his early
proving-schemas, and to render visible the natural barriers that separate a good from a bad schema; and also,
by introducing the index as an aid to the memory, to
render intelligible the much greater mass of materials
we have now to work with. I may add that nothing
has given me such an exalted view of the greatness of the
talent and industry of Halmemann displayed in his
Materia Medica, as the months I have spent in the
endeavour to arrange one medicine in the manner in
which he has done so many; and I cannot but feel that
the voluminous groups I have found necessary to display the characteristics of the medicine, present a very
unfavourable contrast to the terse and pregnant paragraphs in which Hahnemaln has given the same information.
J. J. DRYSDALE, M.D.


r


i;


'I
----





NilVOCAIIUI
Krcbg& cwiircancrousulcer
K rp ftch mrnr z  headache
Kropfwc-b      f
h'Jp-walun-cblliionof blood in
the hexad
Koitzen-hlacking-j
Kotziusen-sorthacking tussiculation
1K rAchsen-croak
Ixrallle-n-eiaw
Kramp) f-spwsrn
K ratzi n-scraping
Wren i.it-sin all of lback, sacral region
riceln-rcepngfurrnicatiori
L,:imirni-paralytic
Langrwicrigr-chronic, long-standing
L.uziiren-lan-11citating
Jiip i1i 4eh -qilly
I~itclii-disgrccblyinsipid
\llarleni- w iirnwer-ascarides
MaUt t-we ak?%llleiis4eiienxilass,,-niisanthiropy
IIV l-1ShCIU!nSChe1uL-RAnt Ijropophobia
NI ckeul-inepecking
NI idighukit-fatiguec, lassitude
N.pierit-backin
spris, pri,.stra tion (of hotly')


ýARY OF GERMHANI MEDICAL EX-PRESSIONS.


Pochend-throbbing
Poltern-rumblinig, borborygmus
Quetschung-contusion
Raehsen-hawk
Raffend -scraping
Rau seb-intox ication.
Rauschen-rushing, rustling
Ri-iuspern-clear the thbroat, hawk
Ileissen-tear
flueke-jerks
Sausen-roaring
Schluehzen.
Sebluebsen 5 sob, hiccough
Schneidend-puttingy griping (in bowels)
Schreckhaftigkieit-fearfulness
Schwvachi-weak, imbecile
Schrammen-scraping, scratching
Sebrundend-sore
Schwcre-weight,
Schwielc-caliosity
Schwindcl-vertigo,
Sehwindcn-tetters
Spannung-tension
Stechend-shooting
Stich-shoot,7 Stitch
Stichiicht-prickiing
Stiinen-grroan
Stoss-blow
Striemnen-stripes
Stumnpf-obtuse
Sumscn-buzzing
Taubhecitsgcrfiihl-benurnbed feeling
Taunnel - reeling (sometimes giddi -
niess)
Torkehi-staggering
Tube nd-bangring
Tripp e 1-blcnnorrhicea


Verdr-ehen-distort
Yerdriesslich-morose
V'ereitern-suppurate away
Verheben-strain
Veijauchen-to waste by destructive
ulceration

errenkungsschmerz -pain as of a
dislocation
\Terschleimt-covered with mucus
Verseblimmer-n-aggravate
"Wallung-ebullition
\V~abblichkeit-squeamishness
W~eichlicbkeit-sickishness, faint feeling, Sinking
W-einerlichkeit-lacryrmose humour
Wimmelend-crawling
Wimmerend-whining
'Winden-twisting
"Wrohliistig-voluptuous
Wifihlen-digging
Wund-raw
X\Tundheitsschmerz-soreness
Wiirgen -strangling efforts to eructate, retch-ing
Wiidrmerbeseigren-flow of water into
mouth
lf\Tfste...muddled
Zaghaft-timorous
Ztihneklappern-c'hattering of teeth
Ziihneknirschen-gr~inding of teeth
Zanksucht-quarrelsomeness
Zerhauen-knocked to pieces
Zersehlagren-bruised, beaten
Ziehend-drawing
Zisehen-hiss
Zittern-trenible
Zornigr-irascible
Zottig-villous, shaggy
Zucken-twitchi
Zukieben-adhere
Zusamimendrii'ckend-COMpressive



__ __I __ __ __ __


KALI BJCIIIBOMJCUM.
ARRANGED BY JOHN J. DRYSDALE, M.D.
CONTENTS.
1.-Chemical and Natural Historical.
11.-Literature and Sources of our Knowledge on the Subject.
111.-Pathologrical Anatomy.
IV.-The Proving in numbered Paragraphs, with Index and Analysis, Remarks and Concordanec.
V.-Suiumary of the Physiological Action.
VI.-The Therapeutic Action, and Cases of Cure with it.
VIL.-Dose, Preparation, Antidotes, Relation to other Medicines.
VIII.-Appendix, containing additional Cases, and the Proving of the Oxide of Chiromiium.


- ~I '-----I-'^-' ''







I


KURLI BICHRIRABICU"Al.


3


KALI BICHROMTCTJM.                       0


Chemical antidotes.-In cases of poisoning with the
bichromate, Dr. Ducatel first proposed a solution of
carbonate of soda or potash. Buchner recommends a
mixture of bicarbonate of soda and hydrated peroxide
of iron. Berndt tried the carbonate of potash in five
animals poisoned with chrome, and three died; but he
does not think the two that recovered were saved by
the antidotal power, as the poison was most likely all
ejected by the vomiting, and besides as we know the
neutral chromate is not much less poisonous than the
bichromate. As the peroxide of iron gives an insoluble
precipitate with the chrome salts it seemed a more likely
antidote, but it was given to three rabbits without success: a scruple of the bichromate was given to each,
and soon after an ounce of the oxide, yet they all died
in from  three to five hours, and in the stomach some of
the chrome salt was still detected. The tincture of galls
was also tried without success. The acetate of lime has
also been proposed as a chemical antidote. Mr. Alfred
Taylor recommends carbonate of magnesia, or lime, in
linseed tea, and also suggests the trial of brown sugar
dissolved in water at 102~, which reduces the chromic
acid to the state of oxide of chrome. Chemical antidotes,
however, can be of little avail unless administered within
a few minutes after the poison is swallowed; and it may
be added none of the above are of tried efficacy nor
promise much success, so the chief reliance must be
placed on removing the poison with the stomach-pump
and by vomiting.
Literature and sources of information.-The first
notice of the action of this substance on the animal
organism seems to be in the experiments of Gmelin of
Tftbingen in 1824. Then Dr. Cumin of Glasgow in
1827 observed its poisonous effects on the workmnen
engaged in its preparation, and also suggested its use
and occasionally employed it as a caustic. In 1841 and
1842 it was used by Hauche and Jacobson in Germany
as a caustic and external application in eruptions, &c.
In 1844 the first homceopathic proving was published
by me, with experiments on animals and observations
on the workmen, in the British Journal of HIomoeopathy
for that year. In 1845 the Austrian Proving Society
undertook the additional proving of this drug, and the
results of their labours are published in the Austrian
Journal of Homceopathy for 1847, Vol. iii, p. 252, by
Dr. Arneth, who has incorporated into this in the most


up to that date. To save constant reference, I may say
here that I have endeavoured to incorporate in the
following pages all the information contained in Dr.
Arneth's treatise, and have frequently       also adopted
the opinions and remarks of Dr. Arneth.
The number of persons who have been the subjects
of the following observations and experiments is very
considerable, amounting to about 100. Of these, it is
quite unnecessary to give the names and abbreviations
of all the individuals, as in many cases little is known
of the workmen except their names and the symptoms
reported; it is sufficient to say, that the workpeople on
whom   observations were made were all males, and of
ages varying from 16 to 70. Any observation as to the
influence of temperament, &c., on the action of the drug
among the workmen, must be taken on the authority of
those who furnished the observations, as we have not
the means of proving it numerically.
The names and abbreviations of the voluntary experimenters here, and in Austria and America, are as follows
-comprising 11 males and 5 females already named in
the British Journal of Homneopathy in 1844, and 12
males and 2 females named in the Austrian Journal,
1847.
A. B.-an unmarried female, aged 23, of sanguine lymphatic temperament. (A. B.)
Dr. Arneth-aged 25, of choleric temperament and strong constituntion. (A.)
Dr. Drysdale-aged 28, nervous sanguine temperament. (DIe.) Three
provings.
Dr. Dudgeon-aged 25, nervous sanguine temperament. (Dg,.)
Dr. Hamilton-sanguine temperament. (1lii,)
Joseph King-a young man of lymphatic temperament, with red
hair. (Kg.)
Mr. K.-aged 30, of nervous lymphatic temperament. (K.)
K. K.-aged 30, a female, brunette and of choleric temperament.
(K. K.)
Kostler, a medical student.
Lackner-aged 23, bilious nervous temperament. (Lk.)
M. J.-aged 21.
Dr. Marenzeller-aged 26, sanguine nervous temperament, lspare
habit. (Mz.)
Dr. Mayerhofer. (Mr.)
Dr. Miiller-aged 37, tall and slender, bilious temperament, disposition to hiemorrhoids. (AL.)
N.-an unmarried girl, aged 18, bilious temperament, black hair,
soft disposition, of a chlorotic complexion, and irregular menstnratioi.
Dr. Neidhard-dark hair, strong frame.
Dr. Norton-aged 32, tall, thir haired, lymphatic temperament. (Na.)
Dr. Reisinger-aged above 30, lymphatic temperament, string franmc.
Dr. RussclIl-aged 28, fair hair, sanguine nervous temperamenit. (I/ii.)






complete manner all that was known upon the subject


- - ---





11


KALI BICHROMIICUM.


4                         KALI BICHItOMICUM.


I  Dr.;-hlheinger-aged 30, sanguine temperament, disposed to coryza
and ha-rnorrhrds., but of good health.
S Dr. cihwarz-aged 30, sanguine temperament, somewhat stout, and
of exrc-llent health. (  ch.).J. Taylor, aged 26, bilious sanguine temperament. (Tyr.)
SHenry Turner-aged 31, sanguine lymphatic temperament, (17. T.)
Dr. Walker-aged 29, bilious sanguine lymphatic temperament.
X. Y.-an unmarried female, aged 30, sanguine lymphatic temperament.
IProf. Zlatarovich-aged 38, of strong constitution, dark complexion,
4  sanguine nervous temperament. (ZL.) Two provings. In youth had
intcrniittent fever, and when 29 had typhus-subject to haemorrhoids.
The dose is generally noted accurately at the end of
each group of symptoms, but sometimes it is less definitely indicated.    Anything beyond the 2nd dilution
being named infinitesimal dose (inf. d.), and the immediate fractions of a grain above 1'/th, or more than one
grain, being called strong dose (s. d.). When dilution
is mentioned the centesimal is always meant: the 1st
and 2nd dilutions arc sometimes indefinitely indicated
Zas low dilutions (1. d.).
The form   in which the medicine was taken by the
voluntary provers was that of aqueous solution or of
trituration  with  milk-sugar, in    the proportion of 1
grain of the salt to 100 drops or grains of the water or
sugar respectively.
The workmen are exposed to its influence chiefly in
the form   of solution, of vapour arising from the solution, the dust of the salt, and of the chrome ore.        I
have placed most reliance on the cases of those employed
in packing the perfect salt, as they are exposed to the
influence of the salt in its purest form, viz., the dust of
the crystals necessarily inhaled in the process.    Neverthele.ss, doubtless many of the symptoms derived from
th, worknen are to be ascribed to the chromic acid, the
action of which however must be very similar to that of
the bichromate of potash, as that is an acid salt.(1)
(1) In selct ing the groups of symptoms which compose the following
'scl,-pia, I litvc subjected tihe narratives of the experimenters to what may
anppar soimewhat rigid criticism a; nd in the fear of incorporating any
niile:s or diibtltful Vlsymptoms may have left out ma'ny that really belng to tire dnrug, andl which may turn out to be valuable. But I hold
that it is lbe'ttcr to r'.,ct many real symptoms than admit one false one,
S as,i,, falso svmrpto tnids to vitiate the whole, by destroying our contile,' i, tihe rest. In most cases I have not admitted any marked
S phonmorin on tlh evildence of one experimenter, but only adopted such
syiiptint, - aree in sirval. I have also omitted the greater part
iof th,,xp, rixwit, of snme provers, in consequence of the want of suftici,.t infonmatiorn as to the constitution or habits of the prover, or from


Results of the experiments on the lower animals.Our knowledge of the morbid appearances produced by
this substance, as far as can be ascertained from experiments on the lower animals, is tolerably complete, being
derived from 39 experiments with the neutral salt and
the bichromate on various animals, but chiefly dogs and
rabbits. The first experiments made known were those
of Gmelin (see Wibmer Arzneimittel und Gifte, Bd. iv,
p. 313), next my own with the bichromate (published
with plates in No. VI of the British Journal of Homceopathy), then those of Zlatarovich, Schlesinger and Norton (in the Austrian Journal), and lastly those by Berndt
(Frank's Mlfagazin, vol. i, p. 34). As all these experiments are narrated or quoted in full in the Austrian
proving so often referred to, it is unnecessary to give
them literally here,-it will be sufficient to give a summary of the results. The experiments may be divided
into three classes: 1st, those that proved fatal within less
than ten or twelve hours; 2nd, those fatal between
twelve hours and two or three weeks; and 3rd, those
that lasted from one to two months.
The first class furnishes few facts of practical interest. As
regards the quantity: in different experiments, 3, 6, 12, 30
grains produced no further effect than their ejection by vomit

direct evidence of their doubtful character. Thus a most formidable
group of symptoms, including total blindness for a short time, is given
by one experimenter; but as we have no information as to his constitution, and are told he had a headache before beginning to take the
medicine, we cannot adopt his results till they are confirmed, as for
all I know he may be subject to sick headaches, preceeded by loss of
sight, as in this case. The proving of Dr. Wachtel I have also taken
the liberty to omit entirely. This gentleman took one dose of the 12th
dilution only. Sixteen days thereafter he had a tickling cough, and
spat up during the day, on the whole, about half a pound of bright red
blood: next day he discovered a small fissure in the posterior wall of
the pharyax, from which the blood had exuded. Farther evidence is
certainly required to establish any connection between these phenomena and the dose of K. bich. I have omitted also some of the symptoms of the excellent and indefatigable Professor Zlatarovich; as on
comparing them, (especially those connected with hemmorrhoids, the
flickering before the eye, and the hemicrania) with his own symptoms,
while wiunder the influence of other and very dissimilar medicines, they
were very much the same. It is certainly very much to be desired
that each experimenter should hand in at the same time with his narrative a critical analysis of it, pointing out or expunging those symptoms which from knowledge of himself he considers may be doubtful.
Till that is done we cannot attain to accuracy, for it is impossible for
any one afterwards, at a distance of time and space, to subject the
narrative to a sifting cross-examination, such as might be practicable
on the spot: all that can be done is to omit in each what is not confirmed by the narrative of some other experimenters.



II --- ---------------


ALI BICHROMICUM.


5




ing; while in others, from 30 to 60 grains of the neutral, or
10 grains of the bichromate, were fatal in dogs and rabbits
in from half an hour to three hours. A solution of 10 grains
injected into the jugular vein of a dog produced instant death.
The appearances found in these rapid poisonings were: the
mucous membrane of the stomach was found violently inflamed
in all its extent except the pyloric portion; or there were
brown, or brownish-red, or even blackish spots in several
places, and the membrane was partly destroyed. The ileum
injected.  Red spots in the coecum. Trachea vascular or
bronchia and lungs full of blood, and in one, the lower lobes
said to be inflamed. Heart containing dark coagulated blood.
Brain and spinal marrow full of blood and soft.
The second class furnishes the most important results.
They are chiefly derived from    the following experiments. (1)
No. 13, Gmelin's case-    3 j of pulverized neutral
chromate of potash was introduced into the cellular
tissue of the back of the neck of a dog. Death on the
6th day.
15 (and three following), mine.-10 grains of the
bichromate were inserted into the cellular tissue of the
integuments of the abdomen behind the foreleg of a
small dog. Death in 16 hours.
16.-Small and gradually increased doses were given
by the mouth to a dog. At first half a grain dissolved
in one ounce of water; this was gradually increased to
10 grains in the day, but as immediate vomiting was
produced when the dose exceeded 2 or 3 grains, the
quantity was diminished to that dose, and given twice a
day till its death in 15 days.
17.-5 grains in an ounce of water once a day for 3
days, then twice a day. Death in 6 days.
18.-5 grains in 1 ounce of water daily, divided into
3 doses for 19 days. Then 5 grains were inserted into
a wound as above, and the animal died next day.
22, 23 and 24, Norton's.-These were 3 dogs, all
treated by strewing daily a quantity (undetermined) of
the bichromate on a wound in the neck. Death took
place in 6, 14 and 16 days.
29, Schlesinger's.-2 teaspoonfuls of 1st dilution daily
to a rabbit. Death in 14 days.
33, Berndt's.-30 grains of bichromate inserted to
neck of a dog. Death in 11 hours.




With the exception of the ulcers in the primnl vie,
the effects were the same whether the salt was given
internally or inserted into a wound.   In several cases
poisoned in this last manner, Berndt analysed the ejected
matters, and also the contents of the stomach and bowels,
and also the urine, without finding any trace of clurome
in them.   In those poisoned by the internal exhibition
it was readily detected.
The symptoms usually manifested by the animals werevomiting, violent and often incessant, renewed after driinking,
at first injecta then mucus frothy or bloody and then dry retching. Pains and tenderness in the belly. Frequent pinging
of mucus and blood; quick pulse. At first great thirst, then
the animals refused all food and drink. Frequent micturition.
Nose stuffed. Flow of mucus from the mouth, cough and expectoration of thick ropy mucus. Eyes covered with a purulent
secretion from the conjuntiva which dimmed the cornea; when
washed off it was speedily renewed. Rapid emaciation. Great
weakness, especially of hind legs, and finally loss of power of
them. Death, at times with convulsions, but generally none.
A dry exanthematous eruption on the back, with falling off of
the hair in several spots.
MORBID APPEARANCES.
Mouth and (Esoplagus.-In cases 16, 18, and 29, all
poisoned by internal exhibition of the salt, the mouth was in
one (16) found studded with ulcerations, and there were small
dry excavated ulcerations on the tongue. The msophagus in
its upper two-thirds was externally of a dark red colour and
thickened: in the corresponding internal portion the mucous
membrane was entirely destroyed by ulceration, and could
easily be scraped off with the handle of the scalpel: it had a
greenish grey colour. The lower third was studded with small
scattered oblong elevated ulcers. In No. 18 the cesophagus,
internally near the pharynx, contained several irregular fleshylooking ulcerations. [See plate I, fig. 1.] In 29 the esophagus
was intensely reddened towards the lower end.
Stomack.-In almost all cases, however the substance was
exhibited, this organ was specially acted on. There were red
spots here and there, or (13) it was slightly inflamed, and had at
the bottom several patches of blood extravasated between its
coats with similar patches in the duodenum. In 15 the cardiac half was healthy, but the pyloric half dark violet red
coloured, though at the pyloric orifice and for an inch before it
there was no trace of inflammation. The cardiac orifice was,
on the other hand, found several times partaking of the inflammation of the neighbouring parts to a great degree. In 16, at
the cardiac orifice and central portion of the stomach were cx



d1


(1) The plates referred to are in the Appendix to No. VI (2nd vol.)
of the British Journal of Homxopathy.


--





I


t

i -




6


KALI BICRROIMICMI.~


6                       KALI BIORROMICUM.


tensive superficial ulcerations. Over the rest of the stomach
were scattered deep irregular ulcers of a greenish colour, penetrating completely through the mucous membrane. The pyloric
extremity was more healthy. The rugm were here and there
of a bright red colour. In case 18 there was great constriction
of the middle of the stomach, and the pyloric extremity was
partly invaginated in the cardiac. The mucous membrane
was very rugous and intensely injected. In the cardiac culde-sac were two violet-coloured elevated irregular patches,
besides several abrasions or slight ulcerations, surrounded by
highly inflamed mucous membrane. [See plate I, fig. 2.]  In
29 the mucous membrane yellowish red and easily stripped off.
Duodenum.-This portion of the intestinal tube was even
more constantly acted on than the stomach. The injection
began immediately beyond the pylorus, and varied from slight
redness, or detached red spots and stripes, to intense inflammation and even ulceration. In case 15 the same deep injection began immediately after the pylorus, and extended
along the whole duodenum in equal intensity: in the jejunum
it became gradually lighter, and ceased about the beginning of
the ileum: the rest of the intestinal tube was healthy, except
the rectum, which was deeply injected. In 16 the duodenum
presented numerous vascular streaks, and scattered over it
through its whole extent numerous oval ulcers. In 18 the
mucous membrane of the duodenum was highly injected, plum
coloured and thickened, containing numerous very regular
ulcers of an oval shape with sharply defined edges, the mucous
membrane completely eaten out. The injection and ulcerations
extended throughout the jejunum. The ulcers varied from a
quarter of an inch to an inch in long diameter. [See plate I,
fig. 3.]
Ieum to Rectum.-Throughout the small intestines (case
16) were numerous injected patches. There was a recent intussusception of the ileum in 16 and 18. In 18, 23, and several
others, the colour and injection gradually died away, and were
entirely absent in the colon and rectum. In 23 and 24 the
mucous membrane of the cmcal valve was reddened, and had
blackish spots on it. In 22 the colon and rectum were deeply
reddened; and in 16 there were longitudinal bright red patches
in the rectum, apparently the result of inflammation, and
several spots of extravasated blood. In case 22 the mesentery
is reported to be injected. Contents-In general neither food
nor facccs were found in the stomach and intestinal canal; but
they were lined with a tough reddish mucus.
Liver.-In 29 and 39 dark brown, very friable, and full of
blood. In most, the gall bladder was full of bile. In 17 the
surface presented the appearance of alternate very dark and
pale patches. The section had a mottled appearance. [See




plate II, fig. 6.] Scattered over both surfaces were numerous
spots of a whitish yellow colour about the size of a pea, slightly
depressed, and of a softer consistence than the surrounding
structure. When cut into they were found to extend into the
substance of the gland in a globular form. In 18 both surfaces of the liver were studded with yellowish spots of a
spherical shape, the size of large peas, reaching from one
quarter to half an inch into the substance of the gland. Where
they touch the surface there is a slight depression or indentation
showing a loss of substance. They are of a softer consistence
than the surrounding parenchyma. [See plate II, fig. 5.]
Kidneys.-In case 18 the tubuli were much injected, and
the whole substance of these organs in a state of congestion.
In Schindler's fatal case in the human subject, the kidneys
were found enlarged, and when cut into, deep marbled red and
filled with frothy blood. In case 33 the bladder and its immediate neighbourhood were reddened.
Nose and Eyes.-In case 13 the nose was full of purulentlooking mucus, which, however, did not reach into the sinuses;
the conjunctiva was inflamed and covered with the same
purulent-looking mucus.
Respiratory Organs.-In case 13 in the upper part of the
larynx, between the ligaments of the glottis, were found bloodstained coagulated masses, which could be separated from the
walls of the windpipe like a membrane. In the bronchi were
also found similar polypus-looking masses of mucus tinged
with blood, which could be traced like cords through all the
branches of the air-tubes. These masses when put in water
were softened, and coloured it red, at the same time being
partly blanched, but did not swell up in vinegar or ammonia;
they were, therefore, not fibrine, but mucus coloured with the
red matter of the blood.
In 16 the epiglottis and rima glottidis were congested and
covered with thick ropy mucus. The internal surface of the
larynx was highly injected and covered with muco-purulent
matter. The trachea throughout its whole extent was very
much injected, and lined with a dirty whitish coating like a
false membrane, which could be easily detached with the back
of the scalpel. This false membrane did not reach below the
bifurcation, although the redness extended into the ramifications of the bronchia as far as they could be traced. The
lungs were apparently healthy, except that the dependent portions were congested with blood: they floated with the heart,
however, in water. In 17 the same thick purulent mucus lined
the larynx and trachea; but there was no false membrane or
injection. In 18 the larynx and trachea vascular, and in the
trachea there were irregular longitudinal streaks and patches
deeply injected [see plate I, fig. 4] covered with viscid mucus


- --





8


KA-LI BICHROMICUM.


8                       KALI BICHROMICUM.


and 28, besides the injection of the mesenteric vessels, the
glands of the mesentery were in some spots thickened, enlarged
to the size of peas, and containing a bluish brown or brown
friable substance.  In the three last cases the diaphragm
was reddened and traversed by enlarged vessels.
Liver.-The liver was in every case enlarged, and in some
even to twice its natural size; it was in all cases full of blood
and friable, and easily rubbed to a pulp between the fingers.
Its colour was dark reddish brown, or even blackish in Nos.
24 and 25. It was double its natural size, but the colour
lighter than natural in No. 26. The gall bladder was full of
bile in all cases.
Ifcnes and Bladder.-In No. 24 the tubular substance
was somewhat softer than natural, and reddened: the bladder
was full of clear watery urine. In No. 25 the kidneys were
dense and firm: the vertical and tubular parts not to be distinguished by their colour, which was in both dark brownishred: the bladder was quite filled with thickish yellow purulent
looking urine; its coats soft but without any traces of inflammation. In No. 26 the kidneys were outwardly dark coloured,
and inwardly shewed only slight traces of the tubular substance.
In 27, when cut into, they showed a brownish red colour, so
that no trace of the tubular substance was to be seen.  No.
28 presented exactly the same appearances. In the three last
cases the bladder was quite empty.
Nasal Passages.-In No. 28 nasal passages were reddened.
In 25 they contained a considerable quantity of cheesy white


soft masses: the mucous membrane was softened and discoloured, showing several spots like small ulcers; but it could
not be distinctly made out whether they were ulcers or softened
spots.
Lungs.-In Nos. 24, 25, and 27 the lungs were collapsed
so much as in 24 only to fill the posterior cavity of the chest:
their colour, both on the surface and in the parenchyma was
deep pink or cinnabar colour; they were unaltered in tissue,
crepitating and swimming in water. In No. 26 the front extremity (dependent part) of both lungs showed marks of inflammation, and sank somewhat under the surface in water.
Heart.-In all cases the auricles and ventricles were filled
with dark clotted blood. In 26 the heart was enlarged to
nearly the size of a whole lung. In 27 the heart seemed larger
than both lungs put together: the pericardium was reddened,
and the coronary arteries full of blood.
Brain and its Membranes.-In No. 27 the meningeal vessels and the sinuses were gorged with blood: the surface of
the left hemisphere very vascular.  In 26 the membranes
were reddened, and posteriorly there was an extravasation of
dark blood on the surface of the brain. In 25 the membranes
somewhat reddened, and there was considerable vascular development in the ventricles: the brain was very soft. In 24
vascular development in the membranes, which were uniformly
reddened: the vessels of the cerebellum and medulla obligata
as if injected: the substance of the brain was very soft, and
falling into pulp under the pressure of the finger.


Ii



_ __


SYMPTOMS OF KALI BICHROMICUM.
-.--------
N.B.-The symptoms are given in groups in the natural order of their occurrence in each prover. These groups are numbered, and arranged in
the same order as Hahnemann's provings. When the number of symptoms is not great in any section, so thant the ee can easily run over them all,
no analysis is added; but only the index pointing out where symptoms referring to that section arc met with in other parts of the proving.
In the concordance the correspondence only applies to the words over which the letter of reference is placed; but if the latter is placed at the end
of a sentence or paragraph, it applies to the whole. A mark of interrogation implies that no medicine corresponding to the sympttom to which it refers
could be found.




Head and


a Arg n. n ry. Ars.
Mere. Nux.
b Aur. Bry. Mere.
Sars.
c Aur. Led. Nitr. ac.
Puls. Staph. Phos.
d (?)
e Bor.
f Phos. ac.   Rhus,
Tarax.
g Puls.
h (?)
i Am. m. Lye. Sars.
Veratr.
j Tongo.
A Bry. Gins. Mang.
Sep. Natr. ro.
I Bov.
m Cocc. (?)


1, Inclination to vomit for an hour, and in
the eveninga frequent threatenings of giddiness.
Next day, frequent sudden attacks of vertigo on
standingb or walking, so violent that he staggered and thought he would have fallen. (Mfr.,
3 provings, 1. d.)
2. Soon after the dose, nausea, giddiness,
and drawing pains in the hands, feet and back.
(IMr., 1 dose 1. d.)
3. Paroxysms of vertigo every 2 hours,
lasting for 12 hours, succeeded by headache
chiefly in the frontal protuberance, with extreme prostration of strength. (A female, aged
36, after 30 gtts. 1st. dil.)
4. Giddiness at 10 or 11 o'clock, A. M., increased on stooping.5
Stabbing pains in the left hypochondrium.
(Ch. TW.)
5. Giddiness in the morning, relieved by
tea.' Lightness across the forehead on stooping, chiefly in the morning."  On stooping,
frontal headache as after a debauch.'
Musty taste in the morning.
Bad appetite and foul tongue.
Sour vomiting, excited by stooping or moving,s with pain at epigastrium. (Atgn. Ch. TV.)
6. Vertigo on rising from his seat: everything appeared turning round: accompanied
by pain in epigastrium."
Pain across the loins: he cannot straighten
himself after stooping.' (Bru. Ch. W.)
7. On the 4th day a severe headache came
on in the afternoon and increased gradually till
dinner, after which (eaten with appetite) it was
relieved, though not gone. Next morning it
was gone, and he had a copious loose stool.
(Dle., 2nd. dil. night and morning for 6 days.)
8. Violent shooting pains from the root of
the nose along the left orbital archk to the external angle of the eye exactly, with dimness'
of sight like a scale on the eye: begins in the
morning and increases till noon, goes away
towards the evening. Lasted 3 weeks. (Bws.
1st dil. bis die.)
9. Soon after rising in the morning a darting
pain in a small spot over the left eye, spreading" over the forehead, but still remaining
worst at the original spot; worse on motion.


Sensoriun.
After breakfast, aching pain beginning at the
navel" and rising up the throat, lasting half-anhour. (A female, aged 14, 1st dil. bis die.)
10. Soon after dinner a dull heavy throbbing
pain in the forehead, feeling as if it would
burst,0 above the eyes extending into the
head, with desire to lie down, and relieved by
lying down or resting the head on anything,
and by being in the open air; worse on stooping or moving about.
11. Dryness of the nose, with sensation of
pressure at the root of the noseP as at the beginning of a stuffing cold in the head. The
pressing pain spread to the temples and confused the whole head; later in the day very
violent headache with weariness of the limbs.
Vertigo, nausea and inclination to vomit,
with retching up of sour watery5 fluid; shambling of the legs; he must sit down.
Drawing pain in right hip stretching to the
knee. Aching in the lowest ribs in the right
side, lasting 2 days. (Reisinger, 1/. gr. I dose.)
12. On the 3rd day, both while sitting and
walking about, he had distinct pain in the bone
at the middle of the left tibia; it came suddenly, lasted for a few seconds, and then went
off suddenly, and returned thus frequently:
also for a few minutes a similar pain along
the left orbital ridge of the frontal bone. Next
morning, 10 A. M., this latter pain came again,
and gradually increased and spread to the
upper left maxilla," and was attended with flow
of saliva;' then it went off imperceptibly. It
returned for 3 subsequent days at the same hour.
(Schlesinger, ~/o, to "/,o gr. 4 doses in 7 days.)
13, On the 2nd day lie had again the pain
in the forehead for about 2 hours in the
morning: next day 3 hours.     It returned
daily for 10 or 12 days in all; G or 7
days after the medicine was stopped.    It
became daily milder and of shorter duration,
and came later in the day. For the last 5
or 6 days there came also a iparoxysm in the
evening, which followed the same course. (Schl.
/o gr., 3 doses in 5 days.)
13A. He was seized with violent pain in the
left parietal region above and bcliind the temple in a spot the size of a crown-piece.


n Lach (.
o.
.c. Gralpht.inc.
p Asar. Coloc. lcll.
1.Ion.. Mercurial.
Sep. Sl,. Mcz.
r Si,.  eIlrb.   Sil.
Thuja..a Evon. Krr. I,alh.
I (I)
It




11


l- --~-F-r_





12


KALI BICHROMICUM.


[SYMrTOMS 42 TO 5


Nose.


6 Calc. Con. Lye.
Staph. sil.
c Am. Aur. Carb. v.
Ran. b. Teucr.
d Asa. Calc. Cyc.
Magn.w. 5fz. buL
Tab.
e Aniar. Ilep. K.hyd.
Mani. Pib. Pbcl.
Sang. Sul.
f Are. Aur. Bell.
Calc. Con. Nitr.ac.
Pul,. Sang. Sul.
g Calc.Cocc.Magn.m.
Zinc.
A Aur. Bar. e. Graph.
Ma.gn. m. Petrol.
Phos. Thuja.
i Mosch.
j Mcrcurials,.
k Ant. Bor. Colch.
Ferr. Gmph. Leech.
Phos. Sep. Sulph.
1 (0)
rn Am. nry. Carb.v.
('or. Graph. K. chl.
Magn. s. Natr. m.
Rhils, Vcratr.
n Ver.
io?
j,?)
q Air. Dell. ral,.
C('r. li-n. Kali r.
Mere. I'retr. Pho.
Sep. $l.


it; dull sorenessb in the septum, smarting when
touched; flow of watery fluid from both nostrils; troublesome quivering and creeping, as
of ants, beginning at the right sidee of nose and
spreading up to the eyelids, causing jerking of
them: sneezing. These symptoms came back
daily for 2 or 3 days. (Mz., 15 yr. 1st trit.)
42. The smell even of strong scents bluntedd
on the 3rd day, to the surprise of others,
succeeded by frequent sneezing and incipient
coryza.  Obstruction of left nostril, with discharge of thick yellow mucus on the 4th day.
Losse of smell; and bad' smell before nose,
preceeded by stuffing and increased secretion.
(3 male provers, low dil. I dose daily.)
43. On the 9th day soreness and swelling
of the right" ala nasi. (Low dil. 1 dose daily.)
44. In half an hour, sneezing with pressing
sensation at the upper part of the larynx, which
extended through the choanm to the nose. It
changes into a tickling in the larynx, and
spreads through the mouth and ears; forcible
sneezing; aching in the root of the nose (cribriform plate) with heat to the touch of the nose
at that spot, and pulsation. The nose swells,
and is red and stuffed, and she speaks through
it, and feels as if there was a thick" substance
in it, making her blow it often, but nothing
comes out-it is dry. The same continued
next day, and on the 3rd day she had constant
attacks of convulsive sneezing with heaviness
in the head, and in the afternoon burning in the
right nostril, and flow of bright red blood' in
drops. On the 4th day the same bleeding
after dinner. (N., 3rd dil.)
45. On the 1st day, in the evening he had
some pressive headache with burning in the
eyes, and afterwards sensation as if the nose
were stopped, with great heat1 of the expired
air from the nostril. In two hours epistaxis
came on. The epistaxis reappeared on the
eveningk of the 6th day, and after dinner on
the 7th, preceeded' by burning of the eyes.
(Lack. 1st trit. 5 days, daily.)
46. After several days of no symptoms he
awoke in the nightm with bleeding of the right"
nostril, which stopped with difficulty. (Schl.,
1st dil. I dose daily.)
47, On the 2nd day, bleeding of the nose,
and in the evening quite suddenly coryza, chiefly
in the right nostril.
Next day it was worse, and much fluid was
secreted by the right nostril, and a spot in the
right lachrymal bone0 is swelled and throbbing.
On the fifth day, the right side of the nose
was painful, and in blowing the nose he feels
as if two loose 1 bones rubbed against each
other. This continued till the 8th, and there
were greyish masses blown out, and slight
ulcerated  spots formed at the entrance of the
nostrils, and healed up in the next two or
three days. (Arn., '/a grain 1 dose.)
48, On the 1st day a considerable mass of


tough concocted mucus hawkedr up. After
dinner several times he had a short dry cough.
On the 4th day he awoke' with considerable
dryness of the nose; this symptom reappeared
on the next day for a short time, accompanied
with soreness; and again on several days towards the latter end of the proving accompanied
with soreness and burning, and with intervening days of more or less mucous discharge; on
one occasion a pain spread to the ear.
On the twelfth day in the evening (without
smoking) there was a tickling like a hair' moving in the top of the left nostril, lasting for a
quarter of an hour, and forcing him to bore his
finger into it, although the nostril was empty and
quite dry. (ZI., 2nd trit. 27 days, 1 dose daily.)
49. At the commencement of the proving
there was a considerable flow of water from the
nose, subsequently becoming acrid," burning
the upper lip and excoriating" the nostril. On
the 10th and 20th days, dull aching at the
rootY of the nose.
On the 13th, the nose became dry and continued sometimes dry and sometimes watery
until the end of the proving. The nose often
being dry in the morning and watery towards
evening.
On the 10th day, after exercise, he had
bleeding from the nose (quite unusual).
On the 25th day he had a sensation as if
he drew in sulphurettedw hydrogen with each
breath.
On the 29th day he had dryness, with a sensation as if the mucous membrane was swollen.
On the 40th day, the nose being dry and
smarting, and on the 41st, he had a peculiar
sensation, as if the nostrils were of parchment,x
and rigid.
Towards the end of the proving the nose
became very sore; and on the 55th day there
was dryness, and the passages seemed as if
widened, with easy passage of air. (ZI., 'Ao gr.
every 4th day, for 8 weeks.)


r Magn. m. Dule.
a Magn. c. Amm
mnac.


t


Spigel.


uu Am.c. Ars. Am.
K. hyd. Nitr. a
Sulph. Mez. Mer
Squill.
v Aeon. Cann. He.
Hyose. Ruta, Se
w Be.(?)    Calc.
Nux, (2) Trif.(i
z (?)
y Croton. Arn.Bary
Bovist. Natr. m.
z Calc. Lye. Magr
m. Nitr. ae. Sep.
a Am. Cale. Cant
Rhus, Magn. em
Mere. Phel. Suipt
b (?)


Individual Cases among the Workmen.
(Except the first, they had been several weeks, or
months, or years at the works.)
50. Soreness at the nose, at the lower (outer)
surface of the septum' there is a yellow scab,
which is increasing. It is chiefly at the junction of the septum with the upper lip.
Fluent coryza, especially when at the chrome
house and in the open air, going off when at
home. In the morning' on waking, obstruction
of the nose, and bleeding of it after getting up,
when washing himself. (A man aged 25, 9 days
in the works.)
51. Swelling of both alna of the nose. Sneezing, with lachrymation of the right eye.
52. Watery discharge, with redness of the
nose, and a fetid smell from it. (IRyn.)
53. Great discharge of thick clear mucus
from the nose; when this stops,b he has head-!?



I --


SYM~PTOMS 54 To 64.]


BCLIIICHRO-MICUAT.~I~


13


Nose,


Am. c. Man. m.
Nitr. ac. Staph.


ache, pain from the occiput to the forehead.
(Brrt.)
54. Discharge, with swelling, and pains of
nose and sneezing. (l7kw.)
55. Watery discharge from the nose, with
soreness, much sneezing, snufflinge in speaking.
(Mid.)
56. Nose painful and dry, except in the morning, when a watery discharge took place. (Nyn.)
57. Clinkers form in the course of a few
days, and can then be easily detached; but if
pulled away too soon, it causes soreness at root
of nose, and intolerance of light. (Hdn.)
58. Almost immediately on commencing,
coryza and epistaxis, which continue. (12
months. Hrl.)
59. The first week at the works he had
frequent bleeding of the nose, which returned
at intervals for a year, and since then (19 years)
has been destitute of smell. (Dlln.)


SuU-MnARY.
60. For the first days there is discharge of
clear water from the nose with sneezing, chiefly
in going into the open air; then soreness and
redness of the nose, with sensation of a foetid
smell. Then they have great pain and tenderness, most at the junction of the cartilage, and
the septum ulcerates quite through, while the
nose becomes obstructed by the repeated formation of hard elastic plugs (called by the workmen clinkers). Finally the membrane loses its
sensibility and remains dry, and with the septum
gone, and frequently loss of smell for years. In
about two-thirds of the workmen the septum was
found to be gone, in many cases without their
being aware of it.
The above process runs its course and the
septum is destroyed within a few weeks, or is
spread over many months.


Sneezing, 40, 41, 42, 44, 51, 54, 55, 157, 151
(chest).
Tickling and itching, 41, 48.
Formication, 41.
Heat, 44.
Hot feeling of expired air, 45.
Cold do.      do.       41.
Sense of smell diminished or lost, 42, 59, 128.,    fetid smell, 49, 52, 129, 135 (abd.)
Stuffed feeling, 45.
Dryness, 48, 49. 56.


DJEX and ANALYSIS [Local Symptoms from 40 to 60].
Pulsation, 44.                               Sw
Pressure and pain at the root, 11 (head), 44, 49,
57.                                        Di
Soreness of the nose, 47, 48, 49, 50, 54, 55.
S of septum, 36.
S of ala, 43.
S of lachrymal bone, 47.
Ulceration at nostrils, 47, 50, 157 (chest).,     of septum, 60.
Redness, 52.                                 Elf


elling, 44.
S  ala, 43, 51.
scharge, watery, 41, 47, 49, 52, 54, 55.
in open air, 50, 151.
in the morning, 56.
thick yellow mucus, 42, 53.
blood, 4-1, 45, 47, 49, 50, 58.
at night, 46.
in bright drops, 44.
astic plugs, clinkers, 57, 60.






REMAs.ts.-The specific action on the nose is among the most decided of the effects of this substance, as it is observed in
almost all persons exposed to its influence, equally in the provers and in the workmen, and also in the animals. It is to be observed
that the watery coryza came on in some provers in warm clear weather, and without any probable extraneous exciting cause.


a Phos.   Phos. ac.
Trif.


Ears.
61. Singing in the ears, which continued for
three days incessantly." (Zoth., 2 provings, 1st  cl
trit.for 3 and 5 days.)                        w
p


62, A    swelling" of slightly inflammatory   b Natr.m.Sep. Merc.
haracter in the external meatus of the left ear,
hich disappeared in four days, without much
ain. (Zth., 2nd trit. several days.)


Singing in the ears, 168 (renal).


INDEX
I


Stitches in the ears, 193 (general pains).


Face.


a Aur. Colch. Coloc.
Natr. m.    Phos.
Zinc.


63. On 2nd and 10th days, slight indistinct
painful feeling on one side of the face (one time
right and the other left), especially in the malar
bone" and towards the ear.
5th day, slight drawing pain of short duration
here and there on the throat, at first in front
between the lower jaw and the hyoid bone, then
at the cribriform plate, reaching to behind the
ears. (Zl., 1st trit. low dil. daily, for 10 days.)


Stitches in the left sub-maxillary" bones towards the ear. (Neidhard.)
64. On 1st day, a digging pain in the rami
of the lower jaw, and next day a swelling' on
lower ramus-an elastic circumscribed elevation under the periosteum, the size of a nutit began to diminish on the 4th day. (N., a
female, 3rd dil.)


b Mere. Clem. Agar.
Sil}g. Kal. hyd.
c sil. (1) Staph. (I)
Pino^.fO


Anxious countenance, 96 (gastro-enteritis).
Paleness, 93 (imm. effects).


INDEX.
Very pale and cadaverous, 96 (im. eff.),,   and eyes sunk, 96 (dysentery).


I Sallow complexion, 100, 119, 130, 137 (gastric
and abd.)


I- -









I




14


KALI BICHROMICUTM.


[SYMPTOMS 65 to 76


14                                           KALI[ BIORROMICUM.                                  [SYMPTOMS 65 to 76


Aged look, 160 (cough, &a.)
Heat of the face, 92 (im. eff.), 97 (gastr.)
Flashed face, 96 (gastro enteritis).,,     in the afternoon, 120 (gastr.),,     and head, 127 (abd.)
Rash on the face, 92 (im. eff.)
Sweating of the upper lip, 109 (with pain in
stomach).


Face.
Cold sweat on face, 96 (im. eff.)
Pains in the face, left side, 204 (genl. pains).,, in infra-orbital ridge, 204.,, behind the ear and in the lower jaw, with
tension of the muscles of the neck. 204.,, gnawing in the malar bone and the extremities, 200, 204.


Pains, bruise pain in the bones of the face, 20(,,,,,,        with sensitive.
ness, 204.
S   t, 2      in upper maxilla, below th
orbits, 204.
Expansive pressure in the Zygoma, 202 (gen
pains).


Houth.


a Ara.   Nux,    sil.
Lycop. (?)
b Mere. Lach.


65, Heaviness across forehead, and in the
evening dimness of vision in walking.
Ulcerations, with indurated edges, and smarting" pain on the mucous surface of both lips.
Great thirst; bad appetite. Coppery taste.
Disposition to constipation, and then symptoms aggravated. (Hwe. Ch. WV.)
6O. After four doses of one grain, on four
successive days, he had a partial eruptive
swellingb of the tongue, which after two days
became depressed, and out of its hollow blood


oozed for three days. No pain; but his speech
was obstructed.b
67. Painfulc ulcer on the tongue, lasting for
weeks. (CA. W.)
68. Excavated cicatrix on roof of the mouth,
from which a slough separated seven months
ago;. no pain until separation of slough; sore
took six months to heal. The velum presentSd
a rough papular elevated appearance. (Bryn.
C 7. w.)


bbMere. Lach.
c Cie.
d Mez.


Flow of water in the mouth,
(im. off.)


80, 82, 91, 93, 94
l  "a;;".i.


1,,,       wtu pam in
stomach, 117 (gastr.),, ~            in the evening, 135
(gastr.).
Dryness of the mouth, 88 (im. off.), 168 (gastric
and renal).
a,,     and lips, 136 (abdominal).
Itching vesicles on the lips, 136 (abd.)


INDEX.
Tension in the Masseters, 117 (after cramp in
stomach).
Toothache, with salivation, 114 (gastr.),,       general pains, 193.
Tongue coated, yellow, 103, 130 (gastr.), 158
(cough).,,       yellowish  white,   119, 137
(gastr.), 159 (cough).
1        white, with taste and appetite
good, 127 (abd.),,       brown fur, 78, 144 (catarrh).


Tongue dry and dark brown, furred, 96 (gastrc
enteritis).,    dry and thickly coated, 123 (gastr. anc
abd.)
)    smooth, red and cracked, 125 (dysen
tery).
1)   pricking, stinging pains in, 135 (abd.'
69 (throat).,    salivation, salt-tasted, 70.
Gaping, 79 (im. eff.)


Throat.


a Acon.   Nitr. ac.
Alum.
x Natr.m.811.
b Bell. Canth. Chin.
Cinn. Colch. Con.
Lath. Merc.
c Am.e. Mere. Natr.
c. Sal. Tax.
d Bell. Graph. iirn.
Lach. Mere. Natr.
r,.


69, Stinging' pains in the tongue 1st day,
and on the 4th, sensation of a hairy at the back
of the tongue and velum, lasting a considerable
time, and not relieved by eating and drinking:
felt for some days, and ending in sore throat in
the morning, which went off in the course of the
day. (Nn. /,o gr. 6 days, several times a day.)
70. At first no symptom. Then about the
10th day the salivation,b which had existed
slight before, became a notable symptom. On
the tenth day, three hours after %/1o gr. of the
salt, he had slight difficulty of swallowing. The
salivation was troublesome, and caused frequent
hawking and spitting; worse after smoking.
Next day dryness of the throat, with a little
pain in empty swallowing. This dryness soon
gave place to the usual mucous secretion, and
the saliva tasted salt.c
On examination the soft parts of fauces
seemed slightly reddened, and the uvula elongated; and he had the sensationd of a plug
in the throat, which would not go away on
swallowing. The same continued for three days.
The salivation continued for ten days longer.
(Schwarz. 1st dil.for 10 days, daily.)
71. On the 4th day, pain in the throat on
waking; sore on swallowing or speaking, con

siderably increased by motiona of lower jaw,
extending to the ears; the fore part of the
palate slightly red. Next day, at noon, sore
throat worse.
In the fore part of the palate are single circumscribed spots of the size of a barley corn,
coloured red, as if little ulcers were about to
form. Next day, sore throat lessened, and the
following day gone. (Ms., 2nd trit. 1 dose daily
for 5 days.)
72. On the 5th 6th and 7th, he had sore
throat, as if of a broad' prickly body. (A., inf.
dose, 1 daily, for 12 days.)
73. Sharp shooting pains in the left tonsil
towardst the ear; relieved5 by swallowing. (Dle.,
1st week, 1st dil.)
74, Relaxed uvula1 and injected fauces, without uneasy feelings. (Several CA. TV.)
75. Long continued erythematous blush of
the fauces and soft palate, varying in hue from
a darkk to a bright red; occasionally of a coppery colour. (In many, CA. W.)
76. On the root of the uvula, on the right
side, an excavated' sore, half the size of a split
pea, with a reddish areola, and containing a
yellow tenacious matter; fauces and palate presenting an erythematous blush. (Che., Ch. W.)


e Alum. Bell.
f Aeon.
g Mere.
A Ipee. Iod. Nux.
i Cale. Croc. Iod
Lye. Natr. m. Sil.
k Aeon. Arg. nit. Al,
Amm. caus.
I Dros. (7) Cale. (7
Mere. (?) Nitr. ac.
(7)





[1


- - - - -- - - -   -  -  --   - -  -


SYnPTOms 77 TO 88.]


KALI BICHROM ICUM.


Ib


Throat.


77. The uvula and tonsils became red and
swelled and painful, and finally ulcerated, and
were suspected by a surgeon to be syphilitic.
(Hry., Ch. W., 3 days after exposure to the
solution.)
78. Awoke with sore throat, pain being at
the palate; cough with dense transparent small


lumpy sputa, easily expectorated; tongue covered with a thick loose fur; the papille very
long on the dorsum, with a brown coloured
patch; sore throat went away in an hour; the
cough continued occasionally during the day.
(Nn., 20 to 60 gtts. 1st dil. several times a day,
1Oth day.)


Dryness, 144 (catarrh), 168 (renal) 96.
S  and heat with thirst, 96 (im. eff.)
Hawking of mucus, 48 (nose), 105 (after meals),
111, 127 (gastr.)
S  tough white sputa, 106 (gastr.)
Tickling and pressing from throat to choanae,
44 (nose).
Scratching and scraping in the throat, 88 (im.
eff.), 111, 127 (gastr.), 171 (fatal).


INDEX.
Sensation of something sticking in the throat,
116 (flatulence).,       food in the gullet, 135 (gastr.)
Burning in the gullet, 79, 96 (im. eff.), 109 (with
headache).
Cool feeling in the fauces, 81 (im. eff.), 97.
Swallowing, difficult, 81 (im. eff.),,     painful, 144 (coryza).,,     with a stitch in right lung, 152.


Tension of the muscles of the neck, 204.
Fauces reddened, 106 (gastr.), 144 (catarrh), 158.
Tonsils,,    158.
Uvula relaxed, 106.
Painless undulating sensation from the epigastriun up the chest, 97.
Shooting from left hypochondrium up to the
neck, 110.


REP.ARs.-The idiopathic action on the throat is well marked. The inflammatory process seems of a chronic indolent
character, tending to ulceration, with little swelling or pain.


Nausea, Vomiting and immediate effects.
[As this medicine is of an acrid and chemically irritant nature, and also a powerful and certain emetic, the immediate effects on the taste,
mouth, throat and stomach, are little characteristic of the peculiar dynamic and specific character of the action of the substance, if the dose is comparatively great. These effects are, therefore, arranged together, and a sufficient number of examples given to show distinctly their nature; but to
save useless repetition they are often omitted. It is to be understood, that when the 'dose amounted to from 1/. to 1 grain, vomiting was generally
produced, and often prevented the development of any further symptoms; or if not, some of the symptoms in this division preceded those described in
other places. However, some of the groups which are necessarily arranged here, from the magnitude of the dose, contain very valuable and characteristic symptoms which succeeded the vomiting or the shock to the system caused by the poisonous dose, so they must not be overlooked as
homceopathic indications.]
79, Immediately, sourish salt taste in the        85. Soon after, while walking in the open air,
mouth; disgust for food; nausea; slight burn-     he had nausea, even to faintness, and desire to
ing in gullet; constant gaping; in half an hour   vomit, but could not; and after some hours,
strong pressive pain in stomach, with great       sour eructations and griping in the bowels.
nausea and inclination to vomit, which was        The sour eructation returned twice the day
with difficulty repressed. (R., 20 gr. 1st trit.)  after the dose was taken. (Schl. '/o gr.)
80. Scarcely had he taken the drug than he        86. Immediately, disagreeable metallic taste
had strong nausea and metallic taste, continued   and uneasy sensation in the stomach.   Nausea
eructation without vomiting, and great flow of    like sea-sickness, an indescribable sensation of
water in the mouth. (EKstler, 1/oth gr.)          gentle tearing and constriction in the stomach,
81. Two or three minutes after taking the       with slight rushese of blood to the head at in-  J Itropiha. ver. t)
a Carb. v. Kal. chl. dose, he had a cool" feeling on the hinder wall  tervals-accompanied by great weariness and
Veratr.         of the pharynx. This increased to a dry scratch-  exhaustion-so that after trying a couple of


ing, which caused repeated painful cough for a
few minutes. This was felt every time he took
it; and also on the 3rd slight difficulty of swallowing spittle. Then he had a few empty
eructations, and in about a quarter of an hour
some slight griping. After the above, in five
minutes, on 4th day, he had a slight dull uneasiness in stomach, empty eructations and
rumbling in the bowels. (Schl., 1. d., 1 dose
daily, 4 days.)
8., Nausea, heaving at the stomach and
shuddering, with flow of water in the mouth,
sensation of coldnessb in the stomach, and
want of appetite. (3j, 1st dil. Die.)
83. Half an hour after taking 15 gtts. 1st
dil., sickness and great inclination to vomit,
and slight chilliness.0 (M. J.)
84. Eructations, nausea, giddiness and feeling of heat all over the body.d (A3z., 10 grs.
2nd trit.)


hours to overcome it, and the bad taste and
uneasiness in stomach (increased by walking)
he was obliged to lie down and slept two hours.
In the rest of the day he still had the sweetish
metallic taste, and water tasted bad, but food
right. (A., 15 gtts. 1st dil.)
87. The nausea was compared by many
others to sea-sickness, and was excited or aggravated by movingr about.
88. He woke in about two hours with great
uneasiness in stomach, and soreness and tenderness in the region of the same, particularly
in a small spoth towards tie left of xyphoid cartilage. The pains continued for sonime time,
with dryness of the mouth, nausea, restlessness
and wakefulness, heat' of the hands and feet;
then perspiration of the hands, feet and legs,
followed by subsidence of the symptoms for
about two hours, when they occurred again as
before. (Dle., after j, 1st dil. taken at lbedime.)


f Coir. Lyc. Mere.
tr.m.     Nitr nc.
g Ars. Tabac,
h, Phos.


b Magn. Tabac.
e Dulc.Crotal.Kreos.
Pule.
d (?):


lod. fec. Stann.


-- - - -- I I



I  -


SYMPTOMS 96, 97.]


KALI BICHROMICUtM.


17


Nausea, Vomiting and immediate effects.


u Ars.Calc.c Camph.
Cann.    Colocyn.
Con. Cupr. Graph.
Hep. Hyos. Lach.
Lye. Magn. Magn.
m. Mere. Natr. c.
Nitr. ac. Nux v.
Sepia. Sil. Sulph.
Sec.
v Magm. Plat. Sep.
wAcon. Ars. Bell.
Canth. lod. Merc.
c.  Coloc. Lach.
Tart.


tric pain and dryness in the fauces, he seemed
comparatively comfortable. The pulse was 100,
and rather full; the pupils responded to light.
Mind calm and intelligence undisturbed.
Twelve hours after taking the poison, very
severe gastro-intestinal inflammation had set in,
accompanied with severe cramp in various parts
of the body, particularly" the calves of the legs
and inner' parts of the thighs. The skin was
hot and dry; cheeks flushed; countenance
anxious; pain in the head; pulse 120, hard
and full; respiration rapid; epigastrium and
abdomen very painful, not bearing the slightest
pressure;  constant straining and retching.
The blood drawn was cupped and buffed. In
ten hours the vomiting and cramps had ceased,
and the other symptoms less intense, though
still persisting; the tongue was also dry and
covered with a dark brown fur; pulse 100,
hard and jerking; the bowels had not acted;
great complaint of the taste of the chromate in
the fauces. In the evening the symptoms were
all subsiding, and the bowels had acted once.
In the night, sixty-six hours after taking the
poison, he was seized with violent purging,
which continued almost incessantly; the bowels


were evacuated as he lay in bed; the evacuations
consisted of mucus and blood; x when this had
lasted two hours he was reported to be "dying,"
and was found with the skin cold and clammy,
face pale, eyes sunk, feet and hands cold;
pulse scarcely perceptible; abdomen swollen
and tender. Reaction set in in about two hours,
and the symptoms gradually subsided towards
evening of that day. During the day were
observed: excessive thirst; pulse 120; abdomen tender and swollen; frequent twitches"
in the calves of the legs; straining and purging.
Next day the purging returned, but not so
violent as before, and the stools contained feculent matter; tenesmus not severe; abdomen very
tender in the region of the sigmoid flexure;
distension slight; thirst and  fever abated.
Next day, symptoms subsiding, and bowels
acted only once, and stool natural.
(After efects lasting 4 months.) The convalescence was exceedingly slow, ulceration of the
bowels having set in, and with difficulty been
subdued.   There was considerable emaciation
with urgent dyspepsia; bowels habitually costive.


Ar,\. Alo. Canth.
Caps. Colcb. Mere.
Merc. ec. p. Teart.
Verat. Sal. ar. in,
Cupr. Arg. nit.
a Ars.Calc.e Campli.
Cann.Colovi. Con.
Cupr. Gripli. JIep.
]lyo. Lac. Lach. Lye.
M1n.    M   nITa. i.
Mre.    Natr. c.
Nitr. a.  Nux v.
S~.pia. Sil. Sulph.
sre.


INDEX and ANALYSIS [Local Symptoms, 79 to 96].


Nausea, 2, 79, 80, 84, 88, 90, 92, 93, 96, 97,
(gastr.), 99, 101, 114, 137.,,  to faintness, 85.,,,   in the open air, 85, 91.
like sea-sickness, 86.,,  worse on motion, 87, 91, 100., better in the open air, 109.
in  the  morning   (with  maziness),
107.
at the sight of food, 91.
during meals, 111.
after meals, 130, 137.
after breakfast (with pain in the shoulders) 136.
S excited by drinking, 118.,,,     smoking, 130.
after stool, 127.
relieved by eating, 135., accompanied by vertigo, 94, 92, 84, 98.


t


Nausea, accompanied by pains in both hypochondria, 128.




101.
shivers, 93.,
feet. 88.,       pain in hypogastinum,
alternate heats and


Vomiting, undigested food, 100 (gastr.),,  easy of food, 111 (gastr.),,   clear watery fluid, 94.,  brownish yellow, 98.,,    pinkish glairv fluid, 96.,,    yellow and bitter, 98.,  preceeded by vertigo, 92.,  followed by nausea, 100.
accompanied by coldness, then heat
all over, 94.
I,,,       cold sweat on hands,
94.,,
1~
11


chilliness, 82, 83.
heat all over, 84.
heat of hands and,,,,       weariness, 86.
S.,              irritability, 93.,,,      followed by coldness
all over, 101.
Inclination to vomit, 79, 82, 83, 89, 91, 93, 94,
111 (gastr.)
i,         on pressing the epigastrium, 92.
I,         with diarrhoea, 137.
Vomiting, 90, 91, 94, 99, 137, 171.,  in successive throes, 92.,,   great straining, 98. 99, 96.,  sour. 5 (vertigo), 10, 92, 108.,  of blood, 97.,  some bright blood, 92.,  bitter, 92, 99, 118 (gastr.)


head,,,       headache, 92, 89.
S    rushes of blood to the


ples, 94.
stomach, 92, 96.
99.
inward chill, 92.,,,p
if           to,,  all over, 99.
shooting in the teinheadache, 92.
pressive pains in tih
burning do., 92, 95,
heat of the faco, 92.
heat of the body with
ldrowiness, 98.
hitter taste, 98.
vertigo, 99.


86.


9,,,
79, 86, 88, 90,/99.,$                       i,


objects seem yellow,92.
pains in the stomach,
coldness in do., 82.


REARKs.-The nausea and vomiting are constant symptoms whenever the dose is moderately great; so that this medicine is
a powerful and certain emetic. They are also frequently symptomatic of other gastric effects of the drug. The nausea is generally
preceded or accompanied by vertigo, and is worse on motion; it was compared to sea-sickness by several. The vomiting is generally
accompanied, and often followed by excessive nausea; also by chilliness and heat and many other symptoms.


Stomach and After Meals.
97. On the 4th, in the afternoon, he felt a   [This was to him quite a new sensation, its seat
very strong but quite painless undulating con-  seemed to be in the stomach and (esophagus.]
traction in the pit of the stomach, which spread  On the 5th, in the morning, before taking
from thence into the cavity of the chest and  any of the drug, he had a cool, sour taste at the
there ceased;a within about five minutes this  root of the tonguet and fauces, and nausea for b lii. irl.
was repeated several times and then disappeared.  about ten minutes.
cI


a Asa. (1) Con. (1)


- II~-------~



ii
II
ii




18


KALI BICHROMICU1M.


[SYMPTOMS 98 TO 10O


Stomach and After Meals.


c Carb. anj. PY. ac.
d Ar. A.Ar.Dig.Crot.
Icx.   crat. JLob.
i'hoa. Tart.
r hel:l. Ipec. Tart.
f PuL..
gy Ant. cr. Cale. ph.
Caat-ph.    IIyoac.
Phoa.
Ith  Bry. Grat. Ipec.
ll,). ac.
ii Am.c. Crotonr,Mere.
lita.  Sul.   Tri.
Fluor.
j Are. Asar. Dig.Crot.
1I-.  Grat. Lob.
th(. Tart.
k BIll. Oran. Ilyose.
lach.
I Aeon. Bell. Camph.
Oran. Sail. Tat)b.
n Digit. Graph.Tart.
vNcr.
i Arg. n. Cilc. lPhos.
alL c.
t Tart.
q Ar" Thre. C, Naer.
n..  N',it   l'...
SaTt.


On the 6th, in the afternoon,c without any
cause, sensation of glowing heat of the face for
half an hour, but it did not look red. Same
evening, itching on the glans and at the rectum. (Schl., 6/to to 8/ioIts 4 times in 7 days.)
98, After '/ o gr. he had nausea and diminished appetite; after breakfast vomiting with
much straining,d injection of the eyelids and
drowsiness.:
After the lapse of half an hour, again vomiting of brownish yellow pappy matter. In three
hours the vomiting returned with violent retching and very bitter' taste in the mouth.
Nauseag lasted the whole day, and occasional griping in the bowels and sudden attacks
of vertigo.;
3rd day, transient smart shooting pains in
the right temple, lasting 2 or 3 minutes and
returning at intervals of 10 minutes for several
days. Loss of appetite, languor and disinclination to exertion, with nausea and offensive
taste and watering of the mouth. Sickness in
the morning and yellow" bitter' vomiting.
(Rll., 1st dil. several times a day for a week.)
".99, In about an hour, violent pressure at
stomach and nausea and inclination to vomit,
and actual vomiting of the ingesta half an hour
after, with great straining.
The prcssive' pain and the nausea' continued
the whole day, so that he could scarcely eat anything, and in the evening, after a cup of coffee,
he vomited again with great strainingj and accompanied by vertigo,k violent burning pain in
the stomach, anxious sweat' on the whole surface of the body, and chilliness amounting to
shivering.m The ejected fluid in the evening
was bilious. There remained exhaustion and
irritation, which hindered sleep.
In the same day he had confusion of the
head, especially over the eyes. (R., 15 gr. 1
trit. 1 dose.)                 W
100. After breakfast squeamishness, and in
half an hour vomiting of the food, quite undigested and not the least acid; followed" by
nausea on moving about, for several hours.
(X. Y., 5th day, '/ gr.)
101. Directly after taking it, and for at least
an hour after, and even after breakfast, he had
to contend with nausea.   During this there
arose heaviness and tightness in the hypogastrium,o towards the symphisis pubis, and a
general feeling  of malaise and disordered
centesthesis; a very repulsive taste in the
mouth; the nausea lessens after a while, and,
instead,P there arises an unpleasant coolness '
over the whole body. About midday, while
smoking, frequent spitting and slight return of
nausea. On the 3rd day, very umpleasant taste
in the mouth while smoking. (Zl., %^, one
dose daily for 2 days.)
102. For several days, sour taste in the
mouth the whole day, but the taste of food not
affected.2


Hiccup, loss of appetite and no thirst;
headache, chiefly in the temples, with uneasiness in stomach and dimness of sight. (A. B.,
/, to 2/, gr. several times a day for 4 days.)
103. Stomach disordered, with heat of the
whole body at night; yellow-coated tongue;
gnawing at epigastrium.    Transient darting
pain in the mamma (female).   (X. Y., 12th
day, 10 to 60 gtt. 1 dil.)
104. For the 4 last days, frontal and occipital headache; transient pains in the right
mamma (male) and left elbow; stitches in right
hypochondrium.
On 7th day, acid risings and burning in
stomach, several times a day. In the afternoon,
salt taste in the mouth.r Transient acute pain
in left scapula.  (Nn., 1st trit. 3 times a day
for 7 days.)
105. Generally after dinner nausea, eructations, distension, flow of saliva and expectoration of mucus from the throat; all subsiding
towards evening, but succeeded on the 8th by
extreme weakness of the hands, so that he had
to lay down the newspaper. (Lackner, 1st trit.
1 yr. daily for 9 days.)
106. On rising in the morning, heaviness
and giddiness, increased on stooping,t relieved
by walking about.
Relaxed uvula and fauces injected  without
any uneasy feelings.
Distension of stomach, sour eructation, flatulence.
Disposition to constipation, and when that
exists the general symptoms are aggravated.
Urine red, with pain across the back.
Oppression at the pit of the stomach, with
smarting, burning pain, followed by expectoration of tough light-coloured sputa.
Complexion pale and yellowish.
Feverishness in the first part of the night.
(Wfd. CA. W.)
107. Occasionally dyspeptic attacks, loss of
appetite, food lies like a load, with low spirits
and much flatulence, and maziness in the head
in the morning, and nausea, with sometimes
vomiting of clear fluid. (Br. CA. TV.)
108. Habitual attacks of sour vomiting, excited by stooping or moving,j with pain at
epigastrium. (Ch. W.)
109. On the 1st day, immediately after the
usual sourish-salt taste, he had pressive pain in
stomach, which hourly increased to a sharp
pain.
He had for about 3 hours the feeling as
if he had received a severe blow " on the stomach, accompanied with slight nausea and
inclination to vomit.
In spite of these feelings he sat down to dinner with tolerable appetite, but little thirst,
which is unusual for him.
He did not relish the wine and water, which
tasted bitter.1 After dinner all the symptoms
better.


r Bar. c.
s (1)
t Aeon. Am. c. Br
Staph. Zinc.
u Calc. Croc. lo
Lye. Natr. m. Sil.
v (7)
w Euphorb. Dulc.
x Coff. Puts. Sil.







II


20


KALI BICHROMICUM.


[SYMPTOMS 118 TO 120.




11


Stomach and After Heals,


it


Sin anterior surface of the stomach, boring and
n Bar. Cac.. Cann. contractive, with nausea and flow of water in
uilph. saad.P'how  the mouth, increased by external pressure.0 In
i, (!)           10 minutes it subsided, and in its place  came


a tension and drawing in the muscles of mastication and more flow of water in the mouth.
1st day. (ZI., gr. 1/Ao every 4 days for 8
weeks.)


TAnTE.
Ital in the morning, 5 (vertigo), 101, 123.
Co ppery, 65 (mouti).
Salt, 70 (salivation), 92 (im. off.),, in the afternoon, 104.
Sour, 07, 102.
Cool, sour, 97.
Hour-salt, 79, (ir. cff.) 109.
Metallic, 80, 86 (im. eff.), 135 (abd.),,   and sweet, 111, 127 (abdL),,    in the evening, 114.
Bloxly, 129 (abd.)
Offensive, 98.
Bitter, 92 (in). eff.), 98 (gastr.),, after meals, 130, 136 (alxl.)
in the morning, 167, (pain in the back.)
Water tastes bld, 86, (im. eff.) 109.
Bad taste on smoking, 101.,,,,      after meals, 111.
Ar''PETITE AND TnmrST.
Bad appetite, 5 (vertigo), 65 (mouth), 98.
82 (im. cf.), 102, 111, 130, 137 (abd.),,     for breakfast, 127, 136.
Capricious, 153 (cough, &c.)
Enictations, 70, 81, 83, (imra. off.) 105, 109, 110,
116.,,    food, 129 (abd.)
sour, 85 (im. off.), 104, 106, 159
(cough.)


)EX and ANALYSIS [Local Symptoms, from 97 to
Eructations, rancid, 93 (im. eff), 129 (abd.)
Disgust for food, 79 (im. eff.)
Dislike to water, 118.,,   meat, 160 (cough, &c.)
Appetite increased, 115, 121, 135.
Hiccup, 102, 135.
Heartburn at night, 129 (abd.),,    in the evening, 168 (back.)
Thirst, 92, (im. effi) 118, 121, 137.,,  great, 65 (mouth), 96 (gastro-enteritis.),,  for-acids, 109.
No thirst, 102, 109.
STOiMACH.
Pain at epigastrium, 5, 6, (with vomiting and
vertigo) 79, 81, 82, (im. eff.) 99,106,112, 114,
136, 110.,, like a blow, 109.,, relieved by smoking, 115., after meals, 137., at night, 129.
Soreness, 88 (im. eff.),,   to touch, 92, 115, 117.
Shooting pains, 96, (gastro-enteritis.)
Anxiety, 109.
Uneasiness, 86, 93, (im. eff.) 112.
Gnawing, 103, 153.,,   with emptiness, 153.
Feeling of sinking, 129.
i,,,    in the morning, 153, 129.


Oppression, followed by expectoration, 106.
Inability to bear tight clothes, 109, 129.
Food a load, 93, 107, 159 (cough, &c.)
Coldness, 82 (im. eff.)
Burning, 106, 111, 129, 96..    and cramp, going afterwards to the
jaws, 117.
Digestion easily disordered, 159, 160.
Meat disagrees, 160.
Painless undulation from epigastrium up to the
chest, 97.
AFTER MEALS.
[Not the direct effect of a dose taken shortly
before.]
External stitches and pains in the chest, 135,
128.
Hawking of mucus, 105.
Gastric symptoms relieved, 109, 135.
Pain in stomach, 137.
Drowsiness, 129.
Headache, frontal, 128.
Weakness of the hands, 105.
Bitter taste, 130, 136.
Nausea, 105, 101.
Vomiting undigested food, 100.
food, 99.
Distension of abdomen, 127.
Rumbling in,,     127.
Hard stool, 127.


REMNARKs.-The primary action seems to depress the digestive powers, as the secretion of gastric juice and the process of
digestion seem interrupted and the digestion slow, with uneasiness and other more active symptoms. The appetite after a time seems
not affected or even increased, and many of the pains and disorders connected with the stomach and intestinal canal seem relieved for
the time by eating. The pains in the stomach are generally worse on moving about. Thirst does not seem generally present in the
non-febrile gastric derangements. Taste is frequently perverted, and there is a sour, salt or bitter taste in the mouth, and water tastes
bitter and there is no relish for tobacco; the food tastes natural. The tongue is generally thickly coated yellow. External pains in
the chest after meals are observed. The symptoms of disorder of the stomach seem to be generally worse on moving about and in
the morning.


Abdomen.


118, An hour after the dose he vomited 6
times, and at the last with much bruised pain
1 nor. nry. Cc.. at upper belly, ejected a dark-brown excesc.nSt.nt.rr Nitr. sively bitterO matter; followed by thirst, but
SNaitr.,n. Nix.uti,. drinking" the least excited the nausea again,
S chin. wn1. 'Tab.  solid food did not; dislike to water~ for several
days.
On the 2nd and 3rd he had often a contractive pain in abdomen, and on the 2nd pappy
d ArT.. x.      stools followed by sensation as if littled was
passed. Next 2 days stool scanty and hard.
(A '/y gr. I dose, the last of his series.)
For many weeks after the proving, even in
the finest weather, he had a sensitiveness of
Al,           the abdomen to the least cold" air, and on exposure to the slightest draught he felt the tearf Am. Ml--rhr M. ing and constrictive feel in the abdomen.' The
stools were hard.
119. Much flatus for the first 3 days, no


stool on the 4th, and a hard difficult and scanty
stool on the 5th.
Tongue yellowish-white; complexion sallow and sickly; general feeling of discomfort
and irritability.
Sleepiness early in the evening. (Mz., 2nd
trit., 1 dose daily for 5 days.)
[A similar group of symptoms was common
to several provers.]
120. After breakfast 1st day, was seized with
violent pinching pains in the upper and middle
of abdomen, with anxietyg and sweat of the g Spig. Sul. ac.
forehead. They gradually diminished and went
off in 21 hours.
Next day some rumbling and uneasiness at
the navel, and no more colic. Only on the
5th, towards evening, a copious pappy stool,
otherwise the stool was normal.
On 1st, in the afternoon,h a sudden flush of  Sulb. an. rlb. ac.





I 1




I




SYMPTOMS 121 TO 129.]


KALI BICHROMICUM.


21






Abdomen.




i Bry. (?) Sulph. (7)
jArs. Gamb. Caps.
kk Ars. Cham. Spig.
Sul. Veratr.
m Caps.
n Bar. c. Bism. Euphorb. Kreos.
Mang. Cocc. Rhod.
o Sul.


heat on the face; again on 2nd and 4th, and
7th and 8th.
On the 2nd he was disproportionately depressed, and grieved with a small vexation.
(Schl., 1/2 gr. before breakfast, daily for 5 days.)
121. A slight oppressive pain at navel, and
in a few hours'soreness at right hypochondriac
region, coming and going off at intervals during
the day. 2nd day.
On the 3rd day (evening), fulness and heaviness of whole head, particularly the vertex, and
general throbbing in it on bending forwards,
and increase of appetite and thirst. (lM. J., 1st
dil. for 3 days.)
122. Urine red.
Periodic constipation  occurring  every  3
months. (Gall. C7M. TV.)
123. Frequent throbbing headache at the
angles of the forehead, in a small spot, accompanied with dimness of sight.
Tongue dry and thickly coated in the morning, with nauseous taste in the mouth.
Eyes swelled up and heavy in the morning.
Shortness of breath, as if something were tied
round the upper belly, so that he cannot take
a deep breath:I equal in all positions and circumstances, without cough or pain in the chest.
Generally costive. (Slt., a workman aged 36.)
[The above symptoms had lasted for months.]
124. Habitual constipation in common among
the chrome workmen.
125. In the beginning of summer, for several
successive years since employed at the works,
has had dysenteric attacks lasting about 3
weeks; frequent bloody motions with gnawing
pain at the navel,J followed by ineffectual
straining; tongue smooth, red,k and cracked.k
(Sit., a workman aged 35.)
126. Dysenteric attacks, with pain at the
navel" and bloody evacuations. (Sm. Ch. WY.)
127. 5th.-Hawking of mucus and roughness in throat in the morning. 7th.-Has a
peculiar feel in the whole body, as of an acrid
humour or diathesis, or the psora had been
stirred up in him and caused all the symptoms.
On the 21st, hard stool; and on the 22nd,
hard scanty stool.
On the 23rd, nausea, want of appetite for
breakfast, and after it rumbling in belly and
distension of abdomen; slight pressive pain at
region of heart;, distension after meals; tongue
white, thick coated, but good appetite and taste
for food; humming" in the head.
24th, two rather hard stools. 25th, in the
morning, slight griping in the bowels, followed
by a semifluid stool with much rumbling.
Breakfast with little appetite, and after it constant rumbling'and searching and slight griping, then a second quite fluid stool, followed
by retraction of the anus and slight nausea.
Disagreeable astringent taste at the rootP of
the tongue. A third stool very scanty and fluid,
but with relief to the uneasiness in abdomen.


Later in the forenoon, burning in the whole
skin of head and face without redness;q then
again desire to stool but only flatus passed:
during the effort suddenly sweat burst out all
over but especially on the face,' soon went off,
and he ate dinner with good appetite. (Zl., Vio
gr. every 4 days for 8 weeks.)
128. On the 2nd day, soon after taking the
medicine, he had eructations and great nausea,
which lasted for a short time; the nausea came
on again the 4th and 9th day, lasting for a
short time, and on the 10th and 11th day towards noon, as also on the evening of the 11th
day, with inclination to vomit, which lasted an
hour and a half; at the same time a dull pressive" pain appeared in the region of the three
last true ribs of both sides, aggravated by deep
breathing. On the 12th day (without medicine) the same pain appeared, together with
the nausea, which disappeared gradually towards noon, but reappeared the next day in a
much less degree.
After dinner he had a violent pressive headache, especially in the forehead,t also a drawing
tensive dull pain" in the region of the nipple
of the right side, aggravated by deep breathing
and going up stairs, continuing till night.
On the 12th day he had a tearing pain in the
right shoulder, and later in the day in the left
elbow and forearm, which soon passed away.
(Lack., 2 grs. 1st. trit. one dose daily for 10
days.)
129. Eructations on the 1st of food, 2nd and
3rd like rancid' bacon.
Slight circumscribed pain in left hypochondrium on 1st, boring w ditto on 3rd, and also
dull pain in hepatic region, increased on full
inspiration,- and cough; the latter again next
day.
On the 2nd, darting pain in precordium.
On the 5th, shooting in the livery and dull
aching in it posteriorly.
Transitory darting pain in the forehead, and
after a fresh dose obtuse heavy pain above the
eyes and occasionally in the temple, aggravated
by the open air, with the nausea and burning
at the pharynx on 1st day; and 2nd and 4th
days pressive darting pains in both temples:
vertigo on moving the head rapidly, lasting
hours. 3rd day, slight shooting in forehead,
and pulsative pain in parietal bone. 5th, shooting across forehead and temples while walking,
relieved by rest.
Heartburn' and slight transitory pain in the
middle of the lung woke' him in the night.
A fixed burning pain in middle of sternum;
dull circumscribed pain in right chest, aggravated by inspiration; on the 2nd day and 4th,
constant pain in chest under left axilla.
On rising in the morning, 2nd day, taste of
blood b in the mouth, and again in the evening,
and again on 7th.
Imaginary putrid smells on the 2nd.


r Trif.
* (7)
t Am. c. Cale. Natr.
m.
u Natr. c. (1) Phos.
Trif.
o Asa. Aim. Bar.
Grat. Puls. Ran.
Thuja.
w Natr. m.
x Arn. Cocc. Merc.
y Am. Carb. v. Chin.
Con. Kal. c. Kal.
IlL.   Mtagn. m.
Nitr.  m.   Nux.
Sulpih.
SIIcpar.
a Ar.. Colch. Cnnthi.
Mez. Latur. Slur.
ac.  Phil.  Phts.
Puls.  Sep.   Bill.
Zinc.
b Aim. Am. c. hr.rb.
tism. Cantli. Ip'c.
Kal. c. Natr. c. nb.
il. Zuinc.


q ()




- ------ ---- --- ---



iL1--~---------~ll~-- -


22


KALI BICHROMICUM.


[SrYPTOMS 130 TO 13S


Abdomen.


d Cale. lHep. Ign.
Nux. Chin.
r Thuja.
/ Am. Chin. Colch.
Mere. Sabad. Stan.
17 Argent. (?)


h An,. Ar.. Chin.
lod.  Kal.    Ltur.
Nitr. a-,. P'ho. Sul.


Disinclination for exertion on 2nd; drowsiness and yawning after dinner on 4th.
Frequent startings, tossing about the arms,
incoherent talking, and finally snoring, on 2nd.
Copious dark-coloured evacuation with tenesmus, on the 5th.
Swelling of stomach in the evening, with
fulness and pain on pressure: cannot bear
tight clothes," on the 6th. Next day feeling
of sinking in stomach before breakfast. (Dyn.,
14 to 24 grs. daily for 2 days.)
130, Nauseous and a resinouse bitter taste
after breakfast and dinner, and after smoking;
tongue yellow' coated; little appetite; sallow
complexion.
On the 2nd, towards noon, a sudden spasmodic contractions of the intestines with nausea, which lasted about a quarter of an hour,
and was then followeds by a pappy stool with
burning in the anus and straining: after this
all the symptoms disappeared, but returned at
4 and 10, lasting for a short time, but without
the stool.
Violent pressing headache on the top of the
head, spreading to the sides of the head and
temples, in the afternoon."
On the 3rd, oppression and a stitch in the
lower part of the chest on deep inspiration.
On the 4th, in the evening, a stitch for a short
time in the region of the heart.
Irritability and querulous disposition.
On the 4th, urine muddy and with copious
sediment in the morning. (Three male provers,
1 dose of 1st trit. once dailyfor 6 to 8 days.)
131. On the 28th day, pressing pain in a
small spot' in the bowels to the right of the
navel. Normal stool.
Pressure in a small spot in the upper lobe of
right lung, which changed into a drawing pain
in the whole length of the right lung, and went
off after sitting half an hour; thereupon he had
a strong pressure at the anus) This gave place
to pressure in stomach and upper belly)
He feels altogether very ill without being
able to ascribe it to any distinct symptoms.
(ZI., '/ogr. every 4 days for 8 weeks.)
132. Soon after the usual eructation, nausea,
confusion in head, and flow of saliva. 1st day,
in the afternoon, violent stitches in the left'
hypochondrium, spreading to the loins, worse
on motion and pressure, with some inclination
to cough, and thick white expectoration.
Towards evening, a stool, at the first consistent and then diarrhceal,' and an hour after violent shooting in the region of the liver, increased
by slight pressure; quarter of an hour afterwards, cutting and griping in abdomen, as if
diarrhea were coming on," and soreness of the
whole belly to rough touching." This whole
attack went off in about 10 minutes, and left
the abdomen painless to strong pressure.
There remained ill-humour and indescribable
discomfort. Next day, a solid stool, followed


in an hour by a fluid one; headache; frequent
short attacks of nausea and colic, soon going off.
3rd day, repeated troublesome colicky attacks.
On the mornings of the 2nd and 3rd, giddiness on sitting up in bed, as if everything
turned round; on suddenly lying back again
it was increased and nausea came on: it lasted
a quarter of an hour. (Mz., gr. /,', one dose.)
133, No symptoms 1st day. Next morning0
she wakened at 6 A.M. with hurried desire to
stool, and the watery contents gushed out;
after it, violent colicky straining, so that she
could not get up; after this, burning in the
whole belly,P and great nausea and retching.
Felt weak and ill the whole day after. (K. K.,
a female, one dose 1st trit.)
134. Pale slate-coloured stools.q (K., "/,o gtts.
1st dil. daily for 10 days.)
135. Frequently, on different days, short
stinging and pricking pains in the tongue.'
Shooting pains generally in one temple.
Pains darting or aching in one side of the
head.
Flying pains about the head.
Sensation of a foetid smell.
On the 3rd and 7th, tearing shooting pains
in the right hypochondrium, of short duration."
5th.-Sensation as if the food remained in
the aesophagus. Scanty urine with white film
and whitish deposit.
6th, in the evening, weariness, distension of
the abdomen, hiccup and waterbrash; and at
night,' deep seated dull shooting pains under
the scapulae; vivid dreams, and he awoke early,
and then fell into a confused heavy half sleep;
in the morning unrefreshed and weary.
On the 7th, transient heavy pains in the
right temple immediately after eating; frequently recurring in the afternoon, accompanied
by an uneasy craving sensation in the stomach.
8th.-After dinner, external stitches in the
epigastrium and breast" into the nipple (male),
and in the right hypochondrium:' dull pressive
pain in the right side of the spine about the
9th dorsal vertebra, with uneasiness in the
stomach.
From the 10th day till some days after
leaving off the proving, he had aching at the
right hypochondrium;   scanty, pale, claycoloured x stools, sometimes twice a day; metallicy taste, foetid breath, and confusion in the
head.
In the 2nd week, nausea, relieved by eating.
Frequent fine' irregular stitches in the integuments of the chest, unconnected with respiration or palpitation.
Sharp irritative fixed pain in the region of
apex of heart, unaffected by respiration or
position.
In the 2nd week the appetite was increased,
being better than at the beginning of the proving, and the gastric symptoms were relieved
after eating in general, while the rheumatic


o Chin, s. Cop. Nit
Nux, Phos. Rhoc
Sul. Crot. Mere.
P (V)
q Asar. Mere. Pho.
Hep.Ign.Chin. Ioc
Nitr.ac. Nux, Pul
Sep.
r Berb. Chin. Dro
Ign.  Led.   Ph
Sabad. Spig. Spon
Trif. Mercurialis.
a Am. Baryt. Nu:
Phos. Sil. Sulph.
t Natr.c.Puls.Ang.
i Grat. Natr. c. (
Phos. (?) Trif. (1
v Cauth. (1) Grat.
fo Cocc. Chin. Iod. Ii
carb.Magn.c. Nat
m. Nux, Nitr. ac
Sep. Sul. Tarax.
x Mere. Phos. Het
Ign.Chin.Iod.Nit
ac. Nux, Puls. Sec
y Aur. m. Cale. Cocu
Hep. Merc. Natr.e
Coloc. Nux,Thuj:
z Canth. Chel. Coec
GratNitr. Mur. ac
Sabad. Trif.


i Kal. e. Lye. Pib,
RlhuiTcecr. Zinc
i (I)
k Arm. Chin. lRan.
Notrc. nlo.. Msgn.
mn. rib. ae. Sart.
I Aim. Cale. Colch,
Ign. K. hyd. 'Marn.
t. Pho.lliheum,Scp.
sul. aR.
ma  ar. Chin. Orat.
Krrv, led. Natrts.
Nur,   Rat. Sab.
Sqiti. Zinc.
Rn Ara. Alm. An,. Ci.
11011. i114. it,4-0.
MNer. Natr.S. Nux.


~~~ -~-- - -~---~~~-~- -~--





[L




SYMPTOMS 136, 137.]


KALI BICHROMICUeM.


23


Abdomen.


a Puls. Carbo veg.
China, Lycop.
b Ang. Ars. Berb.
Bry. Lvcop. Nitr.
ae. Puls. Ran.
cc Cyc. Lach. Meph.
d Ars. Bry. Canth.
Caps. Carbo v.
e Lach.  Natr.   m.
Cale. c.
f China.
g Kali c.
h Cann. Chin. Aur.
Con. Cyc. Rhus,
Lach. Mere.
i Ars. Aur. Berb.
Mere. Natr. c.
j Ars.Bell.Berb.Bry.
Carb..Cha.Chas.Chin.
Euphorb.    Hyos.
Laur. Lye. Phos.
Phos. ac. Verat.
k Bell. Lye. Phos.
I Bell. Chin.


symptoms   (distant pains, &c.) reappeared.
(Dle., from 5 to 60 gits. 1st dil. several times
a day for 14 days.)
136. For the first 2 or 3 days no stool or
scanty and hard stools. For the first 10 days
or fortnight much distension" of the abdomen
and rumbling of pent up flatus. Appetite bad,
and resinous bitter taste b after meals.
In the 3rd and 4th weeks, frequently two
semifluid stools, not copious, one often on rising
in the morning.
Throughout, appetite bad for breakfaste and
often nausea during or after it, and bade taste.
On the 3rd the nausea after breakfast was
accompanied by a paralytic tearing pain in the
shoulder.
Throughout, every day or two an aching or
burningd pressive pain in the stomach at various
times, and in the first week several times towards evening a pressinge pain at the heart,
with a peculiar uneasy sensation.
In the 1st week, several days an uncomfortable feeling of pressure in the back between'
the scapulak, recurring several times in the day.
In the 2nd week, several times a dull5 stitch
in the right side at the edge of the thorax in
the region of the liver, not affected by motion
or deep inspiration.
In the 8th and 11th, turbid" urine in the
afternoon and depositing a thick mucous' sediment.
In the 4th week, for several days dryness of
the mouthj and lips, and after breakfast on the
26th some itching and burning' vesicles break
out on the margin of the lips: better next day.
At different times pressure on the top of the
head, and on the 22nd he had on waking pretty
severe headache, especially at the top, disappeared on rising but left languor behind: it
returned in the afternoon.
In the evening the feeling as if all the
bones of the head would fly asunder, by the
pressure of the too large brain; this feeling
cannot exactly be called pain, but is very
oppressive, and is felt most on the temples
towards the ears and on the parietal bone.'




(3 male provers, 2nd trit. one dose daily, 20
to 27 days.)
137. For the first 2 days he had nausea and
emptiness,m little appetite and confined bowels.
On the 3rd complete loss of appetite," constant
thirst and yellow-coated tongue, and no stool.
Very severe headache, sometimes in the
morning about 3 or 4 hours after the dose;
sometimes in the evening pressing tearing pain
through the whole head, especially severe in the
forehead and occiput, with stitches constantly
recurring in the same spot in the temples.
The headache unusually severe on the 3rd
evening, as if a knife P were cutting through
the head, with quickened pulse.
After going to bed he had palpitation, with
dull burdensome pain in region of heart. Sleep
good.
On the 1st, along with the headache, copious
flowa of tears from both eyes, with fleeting
stitches in the eyelids, the conjunctiva of the
eyelids more reddened than usual, in conjunctiva of eyeball several red injected vessels.
4th day a hard stool in the evening.
5th, half an hour after a moderate dinner,
sudden nausea, uncomfortable feelings of pressure in stomach, stabbing pinching pain in
region of liver, forcible call to vomit, rumbling
in the belly, passage of foetid' flatus, violent
griping in the whole abdomen, cutting as by
a knife" in the belly: after a stool of usual
consistence and colour, a dysenteric diarrhoea
of brown frothy water, with violent painful
pressure, kneading, and tenesmus in the anus.'
After seven or eight similar loose stools, accompanied by constant pain in the belly, nausea
and inclination to vomit, complete quiet suddenly followed, and except a bitter pappy taste
and whitish-yellow coated tongue no symptoms
remained: the universal disturbance in the
belly, which had lasted scarce an hour, was
appeased.
7th.-General emaciation is apparent, yellow
complexion, no stool.
Irritability and indisposition to mental effort.
(Jz., 8 grs. 1st trit. one dose daily, 11 days.)


en Ign. K. hvd. Senn.
Sep. Tart.
n Am. c. Bell. Cale.
Bry. Chin. Chi.
sulph. Merc.Nux v.
Pib. Sul.
o Ant, Calc. Chin.
p Ign. Bell. Baryt. c.
Lach.
q Eugen.Puls.Stram.
r Chin.o.Lob. Natr.,.
Nice. Plb.?SarS. Sil.
Staph. Coloc.
s Con. Sabad.
t Cointlh. Mnii, c.
Sabad. Arg. nit.
l|fc. Mere. Sul.
Nux.


I


11


RIGHT IIYPOCIIONDnRIUM
Aching, 11 (head), 121, 135, 137.
Stitches, 104, 129, 132, 135, 136.
Pain worse on respiration and cough, 129.
Dull pain in both hypochondria with nausea, 128.
LEFT HYPOCnoNDRIUM.
Shooting, 4 (vertigo).,,   up to the chest, clavicle and neck, 110.
Dull pain, 129.
Shooting to loins, 132.
ABDOMEN.
Pains at the navel, 120, 121, 125, 126, 131.,, from navel to throat, 9 (headache, &c.).,, as if to diarrhoea, 132.,, in a small spot above navel, 109.


VD-EX and ANAL7YSI8 [Local Symptoms 118 to 13
Pinching in the upper belly, 120.,,   alternately with cramp at the stomach,
114.
Burning in the belly with nausea, 133.
Griping, 81, 85 (hn. eff.), 93, 111, 113, 114
(gastr.),    with diarrhoea, 137.
Piercing, 113.
A transient stitch through abdomen backwards,
204.
Contractive pain, 118, 130.
Short colicky, with nausea, 132.
Swollen and tender, 96 (dysentery).
Abdomen sensitive, 109, 132.,,,    to the least pressure, 96
(gastro-enteritis).


Rumbling, 81, 92 (im. fef.), 111, 120, 127, 136,
137.
Distension, 92 (im. ciT.), 106, 109, 136, 111., in the evening, 129, 135.
Flatulence, 106, 107.
Tenderness at signmid Ilexure, 96 (dysMutery).
STOOL.
Periodic consti ption, 122.
Constipation, tlisposition to, 65, 106, 123, 12 1,
159, 160, 168 (pain in back).
No stool for two dvays or more, 119, 130, 137.
Iard or knotty stool, 109, 111, 118, 119, 127,
136, 137.
Semilluid stools, b ll, 118, 120, 127, 130, 135.,,,  ttwo dLtily, 135, 136.
Dark-colourud stouol, 12).
First consistent, then loose, 132.


air, 118.


to the least draught of cold


- --
- ---





SYMPTUNIS 148 TO 160.]


KALI BICHXIOO`N\ICC"UNl.


25~


Cough and Chest.


n Chain. K. broin.
Nus, Sep. Stann.
Puis.
o Caps. Am. m.
Buphoib.    taur.
Sang. Sil. Aeon.
p Bell.Rhme.
q Am. c. Ara. Bry.
Chin. Cmn. Sep.
Sul. Staph.
r Aeon. Ambr. Puns.


14&. On the 7th day, collection of mucus in
the lary-nx, obligring him to hawk it up; towards
noon dry ticklingr cougrh caine on, with shootings in the chest.
On the 10Oth day there was frequent hawking
up of thick tougrh yellowish whitish mucus,
contained in great quantitics in the trachea,
succeeded by increased hoarseness. (Lack., 2
provings, 2 grs. 2nd trit.for 9 dlays and 8 days.)
149. On the 1st day, along with the sy'mptoms of coryza, &c., described at No. 44, she
had a pressive aching at the upper part of the
larynx, increased after speaking, and the voice
fails in speaking." This aching changed to a
tickling which extended to the throat and ears,
and at night amounted to burning and scrapingc
in the throat and upper part of the larynx to
the hyoid bone. Next dlay the dryness in the
throat causes frequent swallowing, which is
attended with tearing.
On the 3rd day, in the night, the burning in
the throat ceased and she began to cough.
On the 6th day the cough continued, as frequent short count in the morning, and during
the whole day much tickling in the larynx, exciting short dry cough.'
In the night a nauseous sweet taste, as if
blood, began to rise up from the chest into the
mouth.
The dry ticlding cough continued day and
night in frequent p-aroxysms, and was accom--
panied by aching in the middle of the stru
and in the larynx up to the hyoid bone.
W1,heni she coughs stronger it bringrs on the
bloody taste in the mouth.
The symptoms subsided in five or six days,
and the cough ended then with expectoration
of sweetish yellow sputa tasting like pus. (N.,
1st dii. 1 yr.)
150. On the 2nd day he had a pressing
squeezing sensation in the upper part of the
right lung,' which on exertion increased to a
shooting pain and lasted the -whole day.
Next day the shooting increased, so that in
walking he had to bend towards the right side,
and draw very short breaths.   It gradually
diminished and went off in three days.
Along with it there was frequent sneezing,
which caused a violent stitch in the sore part
of the right lung.'  Also in swaldlowingt a
morsel at dinner he felt the same pain. (Hliz.)
Among the Workmen.
151. There was the usual soreness of nose,


D~yspncea with much cough and expectoration
of blacksY tougrh mucus, difficult to detach.  y P s
Capricious appetite.
In the morning gcnawing pain at the epigastrium, with sensation of emaptiness and faint- rCr~.In  ai
ness. (Cit. I.)                            mr Cartec. Nig.Ma.
153. Dyspnma, especially in the morning,   N itr. ac. P eos. 1Pih.
with cough and expectoration of white mucus
"CCas tough as pitch," and which could be drawn
out into strings.4 (CGall., ('i. JF)        a Aeaf. Q
15.Coughl with expectoration of yellowish
green tough matter. (Sink., Oh. W., after 2
years.)
115 5. "Stuffing " cough with pain at the
chest, and expectoration of yellowish heavy
tough matter. (' liwe., ('is. I)
156. Hard cough, with wveight and soreness
in the chest, and copious expectoration. Drspncea and slight pains in the che-st.  (Thin.
Cll. UK)ý
157'. Pain, stuffing and ulceration of nostrils bAa.MI hm
and sneezing; then cough in fits,2' lastingr for ~Aa.le.Can
0   Cupr. Ilep. Khe 0.
ten minutes, from tickling C at the bifurcation ~nux v. Ptos.
of the bronchi, with expectoration of reddish  c JAm n Del.tann,.
mucus. (Sm., Ch. TUK)
158. Continued to -work until five weeks
agro, when he had to leave, and for four weekis
suffered from the following symptoms.
Pain in the back extending from lumbar re- dAg.MezCast.
gion to the nape of the neck, striking through'd d JtW.'N.Cue
to the sternum, with oppression at the chest.  -en.Zinc.
Dyspnea. and cough, at first dry, but speedily
followed by expectoration of dark coloured verye fhs
tough mucus.0"                               ihe
The cough and expectoration still continue.
1-is general appearance is anemic. The tongue
is covered at the roots with a, thick coatingr of
yellowish. fur. The tonsils and fauces generally
bave an erythemnatous injected appearance.
(Ig.,Cmonths, C'i. WE)
1159. His health before working here was
always good, but in a fortnight he was seized
with tightness across the chest, oppression
and dyspunca, attended with a hard dr~y cough
which lasted six weekis, when expectoration
of dark grey' mucus of the con'sistence Of I fPi~e
white of egg camne on.
Soreness of the chest exists at present, and
he still feels much oppressed on making any
exertion.
Has febrile paroxysins night and morning.
The tongue at the root thickly coated with
a yellowish white fur, and lie comlplains of inidigestion. Load at the stomach; er'uctationis
of flatus and acid mnatter. TJhe bowels are




jH


t Bor. Mere. IJ
a (?)
it Tod]. Teuci.
"V  err  P


rhuja.


ýnq

w Ars. [Suit. Chin. s.
IodL. Ipec. Thee.
Puls. Sen. Sul.
X Step. from. Nitr.
KNux.


3, -CI _ __I



I


SYMPTOMS 167 TO 176.]


IKALI BICHROATICMT 1.~l


27


SYMPTOMS 167 TO 176.]               KALT BTCHROMTCTJM.                                     27




Back, Kidneys, &c.


h Dig. Hell. Lach.
Led. Trif. Nitr. ac.
i Nat. m.
j Lach.
k Ang, v. (7)
I Sarsa. Canth.


still, but greatly worse on moving or turning;
he had frequent desire to pass urine, with scanty
reddish urine." He [got some nitre and] was
somewhat relieved, so that he could go back to
work next day, but remained with pain in back
and scanty urine for a fortnight. (Ch. TW. aged
19.)
167. Bitter taste in the morning;' aching at
the inferior angle of right scapula. (Fan. Ch. W.)
168. Aching pain in the back, running down
on the left side into the hip.)
Urine red.
Dryness in mouth and throat.
Sight confused and dim; singing in the ears.
(Hem. Ch. W.)
169. Stabbing pain from the 3rd cervical to
the 5th dorsal vertebra, striking forward through
the chest to the sternum,k increased on motion,
with inability to straighten the spine after stooping. It prevented him from working for 6
weeks.
Constipation with pain across the loins.
Heartburn only in the evening after tea.
(Swy. UC. W.)
170,. Occasional attacks, lasting  about a
week, of aching pain in the region of the
kidneys, extending' to the groins, worse after
rest, with scanty reddish urine, nausea and impaired appetite. (1 Ch. TV.)
171. A dyer, in a fit of rage, took a piece of
bichromate of potash, dissolved it in water, and
swallowed the solution. Nausea immediately
came on, and, after copious draughts of milk,
soap-water, and oil, violent vomiting was produced.   After the stomach was completely
evacuated, the patient felt well and free from
pain, and walked about, and in the evening ate


his supper with appetite and refused to have
medical advice. The night was passed quietly.
Next morning after getting up he felt such
weakness, that he was obliged to lie down
again; the belly was neither swelled nor painful; the pulse quiet, but small.
The patient felt only some shooting pains in
the back, and in the region of the kidneys, and
a feeling of scraping in the throat; he was able
to eat, and he drank large quantities of pure
water and demulcent drinks; he had several
stools of natural colour and consistence, but did
not pass a drop of urine.
The 2nd night was somewhat restless, and next
morning the patient was very much weaker; he
had scarcely power to rise, and trembled greatly
on making the attempt, but without, however,
feeling any increase of pain. At a later period
he could scarcely raise himself up, and he sank
back on making the attempt, but his spirits
remained good, and he felt sure he would soon
be well. The debility increased and the patient
died, sleeping calmly, in fifty-four hours after
taking the poison, as if from pure exhaustion,
without any disturbance of the mental faculties.
Some hours before death, the white of the
eye became coloured yellow, and shortly before
death, spasmodic contraction of the hands was
observed.
On dissection, the stomach was found unchanged, the duodenum slightly reddened, the
liver coloured yellow, the spleen gorged with
blood; the kidneys were large, and when cut
open, deeply marbled red, filled with frothy
blood; bladder empty. The fluid in the stomach still shewed the presence of Chrome to
chemical tests.








J


NArpe, pain in, 203.,,  stiffness, 193, 197, 203 (gen. pains).
Scapute, pain in left scapula, 104 (gastr.),,   dull shooting under left scapula, in the
evening, 135 (abd.)
Between scapulas, pain pressive, 136 (abd.)
Pain between scapula, in the front of the chest
and in the extremities on waldng, 204.


INDEX.
Back, pains in, 106 (gastr.),   pains hindering straightening, 6 (vertigo)., pain in the middle on the right, 135
(abd.)
Peculiar undulating contraction of the muscles of the right side of the back, 204 (gen.
pains).


Loins, achine in, 159 (cough and dyspepsia).,,  pain from the loins to theo nape, and
through to the sternum, 158 (cough, &c.)
Coccyx, pains in, in the morning, 200 (gen. painR.),,,   during coition, 200.,,  in walking and in the act of sitting
down, 200.,,   relieved after stool, 200.


Upper Extremities.


172. Violent tearing aching pain in the
left shoulder.  (Die., 1st dil. and Tye. C.
W.)
Rheumatic pains in both shoulders, worse at
night. (Tye. Ch. TV.)
173. At night, soon after lying down, tearing pains in the shoulder and upper arm, on the
side not" lain upon; on turning, the pain went
to the other arm. (Die.)
174. On the 1st day, he had now and then,
quite suddenly, a violent crampyb pain in the
middle of the outer surface of the right upper


arm, leaving the spot tender to touch. (Arn.,
1. d. 2 doses daily for 5 days.)
175. Darting in the elbow on 2nd, 5th and
7th, and dartings in right wrist 2nd and 8th,
also severe throbbing. Darting in left wrist,
near pisiform bone," for nearly an hour, and
slight aching in 2nd joint of fingers. (Dyn.,
s. d. 5 days.)
176. 4th day, afternoon, a sharp wrenchingd
pain on the radial side of the left hand, that
made him groan aloud.
On 8th, in the afternoon, a few transient


a Ign.
6 Cia. Arg. Petrol.


c Ar    nr,t. (7)
Stalui. ()
d lisp. I'us. (?)


- - --



_ __ ___ ___ _ __ __ __..




KALI BICHROMICUM.                    '2




SYMPTOMS 193 TO 198.]


- --- --- --


Pain in hip to knee, 11, (head) 197, 199.,,    from back, 168.
S  and left breast and shoulder, 198.
Pain in thigh, from loins, 162, 163.
S  and axilla, 176.
S  after pain in sacrum, 200.
Pain in tibia, 12 (head).
Sshin-bone and finger joints, 177, 193
(general).,   shin-bone, 193.


Lower Extremities.
IN1DEX.
Pain in tibia and ulna, followed by burning on
surface of thigh, 204.,   knee, 198.
Tendo achillis, pain, 193.
Toe, 193, (general) 203.,, and scapula, 161.,, first in one then in the other, 198.
Heaviness of legs, 195 (pains).
Tearing in lower limbs, hands and nape, 203.


Pain in leg, after pain in sacrum, 200.,  in sartorius muscle, 201 (scalp).
S legs and feet, forearms and hands,
on waking, 284.
Cramps in the calves and inner part of the
thighs, 96 (gastro-enteritis).
Formication in metatarsus, 195.
Malleolus, hard lump, painless, 194.,,   pain in ext. m. and wrist, 202.


REMARKS.-Pains are often mentioned in the hips and knees, chiefly felt in the day time and on movement. Swelling has
not been observed. Some symptoms, apparently of the sciatic nerve, are to be noted. The action on the toes is also marked, and
the pains often fly quickly from one leg to the other and to other parts of the body.


General Pains and Sensations with no fixed Seat.


a Ar. Puls. Mez.
b Ang. Graph. Mez.
Mang. Pls.
c Puls.
d Croc.
e Berb. Zinc.
f Aur. Sab.
g MIerc. (?)


193. 2nd.-At noon, drawing tearing pain in
several parts of the upper and lower extremities,
in the right ankle joint and shinbone, also in
the right big toe and right thumb, of particular
violence; transitory stiffness of neck; toothache
with stitches in the left ear and temple.
On the 3rd, single fleeting but violent stitches in the left ear, fleeting drawing and tearing
in the left molars, and also in various joints of
the limbs, vague, and quickly changing  place.
Violent pain in the bone of the leg towards the
ankle, as if the feet were broken or bruised;b
intolerably increased on bending the anlde upwards,0 impeding locomotion, coming on about
three hours after the medicine; and on the following day, at the same time, arms and hands
as if bruised and lame; the thumbs of both
hands especially painful; stiffness of neck. (Mfz.,
2 provings, /1,/ gr. daily, 7 and 11 days.)
194. Pain in the right shoulder joint on
motion, and feeling of looseness d of the joint3rd day.
For the next two days it continued much the
same; and on the 6th it increased to stiffness
of the joint, and painfulness on being raised
high.
11th and 12th again worse; went off on 14th.
On the 4th he had swellingo and pain in
left tendo Achillis, which on the 6th was diminished by walking; but came after sitting.'
It continued till the 9th, and on that day the
right became also affected in the same way
and hindered   walking.   11th.-Pain went
from left tendo Achillis and staid in right.
On the 12th, he observed a small hard swelling,9 painful on firm pressure, on right inner
malleolus.
On the 14th the swelling at the inner malleolus increased; it is very hard, and has a
rhomboid shape, not moveable on pressure,
painful only to strong pressure, and seems to
be seated on the bone: it went off in three or
four days. (Amrn., 18 days, 10th, 7th and 3rd
dils. each for some days, 2 doses daily.)


195. On the I st, heaviness of the legs while
sitting. On the 3rd, pain in a fixed spot of the
outside of the upper part of the forearm, chiefly
in the muscles, and partly in the periosteum;-  A Mez. ihod.
the spot is sore on motion.
On the 4th, slight drawing in the bones of
the right hand; heaviness of right leg.
On the 6th, a fleeting but piercing pain in the
bone of the first phalanx of the right middle
finger; in sitting sudden numbness and creeping in the right metatarsus.' (Zlat., 1st trit. i Graph. (1)
1 dose daily, 6 days.)
196. A dull heavy pain in right side of chest
through to the back,j continuing and passing off j Kreos. ( Ag. (1)
at intervals of twenty minutes; and in the     Ind.
middle of the day a sharp shooting in left side
of chest: all went off in the evening, 2nd day.
Next morning the same pain, but less violent.
On the 3rd day, aching at right hip joint; a
sensation of stiffness in the back of the neck
when bending down the head.
Rheumatic pain in shoulder and elbow joint
on motion, with numbness from shoulder to
elbow.k (L.f J., 10 gtts. 1st dil.)          k Puls.
197. On waking, and also after rising, single
short twitches in the extremities, chiefly in
front towards the hands and feet, which soon
passed off, and were followed by a pressing
pain in the pectoral muscles under both axille,
which also lasted but a short time. (Zlat., Ist
trit. 3 days.)
198. Sharp pain in the right knee and hip
joints, and left breast and shoulder 1st day.
Next day sharp pain in knee. 3rd day.Rheumatic pains in knees and chest. 5th.-In
knee and hip joint.
On the 6th, in the evening an acute twinging pain in the ball' of left great toe, lasting  n rb. nry. K.carb.
four minutes; pricking and stinging pails in l'  '.   l ".
different parts of the body; acute gouty pain  zine.
in ball of right great toe, precisely like that in
left foot, and succeeding the other after an
interval of four or five minutes." (N--n., '/, yr. tv in.
several times a day for 6 days.)




-----













32


KALI BICHROMICUM.


[SYMPTOMS 211 TO 23f


Skin and Ulcers.




k Sil. Sul. ac. Tarax.
Zinc.
I Agar. Ars. Aur,
Con. Cop. Graph.
lod. Kul c. Kal.
chl. Kal. hyd. Led.
Mere. Natr. Rims,
Stram. Tercb. Zinc.
luglans. Aeon.
m Bell. Cop. Guaj.
Mere.
n Ka). chl.
o (?)
P (1)
q Tart. Cocce. Cop.
Anac. Bor. Thuja.
r Tart. Ilyosc. 8il.
Veratrine. Tliuja,
Kreos. Petrol. Ant.
cr.
a Ant. 1ov. Crot.
Dulc. Mere. Tart.
I SAw. 8il, Tart.
a (1)
r An     Ant. Carb.
"an. 3,Pv. ilywot. ic.


pin heads, which were clustered together in the
space of a square inch. Next (3rd) day it
continued all day very troublesome, causing him
to scratch constantly. 4th and 5th, the pustules form little ulcers and run together into
one, which discharges matter, and severe shootings in it, waking him at night. Healed up in
5 or 6 days.  (R., 2nd trit. one dose daily
for 5 days.)
211. On the 6th day, a red pimple appeared
on the back of the hand.k (Dyn., s. d. 5 days.)
Among the Workmen.
212. Papular eruptions on fore-arms, lasting
a few days, recurring frequently. (Swny.)
213. Three months after exposure, papular1
rash lasting 3 months. (Hrl.)
214. After 9 days exposure to the dust of
the K. bich., he had an itching papular eruption on the fore-arm and legs, which lasted a
fortnight, disappearing after he gave up the
occupation. (CI. WV.)
215. Solid eruption, like measles,m over the
body. (M. Ch. TV.)
216. Eruption generally comes on in the
first 14 days.
217. Rash commencing in hot weather.
218. Rash lasted only 3 days. (Hgn.)
219. In 7 days vesicular eruption on a red"
and elevated base (itching and burning much,
especially when exposed to steam) in a few days
becoming pustular, and in some presenting a
dark point in the centre-invading hands, arms,
face, back and belly. On the belly, near the
umbilicus, some spots evidently of abraded
vesicles, presenting a deep hollowed appearance,
which remains after they are healed. (M1cl.)
220. Pustules on the arm, the size of a split
pea, with a hair in the centre.0 (L. C. W.)
221. Eruption over the whole body of pustules the size of peas, with a small black slough'
in the centre on an inflamed q base. (Hwe.
Ch. T7.)
222. Small pustules all over the body, like
the small-pox,' which disappear without bursting. (.A. Ch. TV)
223. In a few days an eruption of red round
spots broke out on the back, arms and belly:
the spots then formed pustules the size of a pea,
covered with a scab" which came off in a few
days and left a small dry ulcer,' which mostly
healed up in about a fortnight leaving a colourless depressed cicatrix."
After 3 months there still remained an irregular ulcer, twice the size of a bean, with a
scab, on the left scapula, quite out of the reach
of contact of the solution. It is dry and superficial. (CA. WV.)
224. Eruption on the face like small-pox,'
for some weeks on first entering the works.
(Brrt. Ch. IV.)
225. The face is covered with a profuse
eruption like acne. (1 Ch. W., aged 35.)




[Other parts equally exposed are not so
affected].
226. During the 1st week a profuse yellow
scabby eruption formed over the upper lip.
(1 Ch. W.)
227. Small yellow pustules on the calf of
the leg, about the size of a split pea, not unlike
small-pox ' pustules. (1 Ch. W.)
22S. Small pustules made their appearance
at the roots of the nails on both hands, extended
over the back of the hand to the wrist, and also,
but slightly, on the palm; the arm became red,
inflamed, and very painful, as far as the shoulder, the glands of the axilla suppurated, but
did not break. The pustule on the hand was
small and round, and secreted a limpid, watery
matter, when the head of it was broken.off;
but if left alone, the secretion consolidated into
a yellow, viscid mass. (Hvy., after 3 days exposure to the solution.)
Painful ulcer under the thumb nail. (McG.
C7i. Sol.)
229. Violent itching of the skin all over the
body; then eruption of small pustules forming
scabs,s most on the arms and legs; the scabs
are then painful, smarting and burning. (2
Ch. T.)
230. Itching in the legs, followed next day
by breaking out of a red eruption, which run
together and formed scabs, discharging thin
matter with aching smarting pains.    It has
lasted above a year, and is in large pustules on
the front of the leg; better in cold weather.
(1 Ch. W.)
231. Heat and itching of the skin at night
in the warmth of the bed,Y followed by eruption
on the thighs and legs of reddish hard knots,'
from the size of a pin's head to that of a split
pea, with a depressed dark scurf11 in the centre,
surrounded with an inflamed base; declining
in 2 or 3 days. Similar attacks recurred frequently. (Cpr. Ch. W.)
232. After a week's exposure to the chrome
solution (without any abrasion) there appears a
small red elevation with a dark centre and elevated circumference,b itching and slightly painful. (Crn.)
233. Inflammation of the feet, and in 24
hours breaking out of numerous ulcers (14 in
one foot, and 19 on the other) of the characteristic form: they healed in a fortnight.
(IIoln., after standing for half an hour in a
weak solution of the K. bich. with shoes not
water-tight.)
234. Without his being aware of any scratch,
the arm swelled as high as the axilla, then a
boil like elevation formed, which turned into a
large ulcer with dark centre and over-hanginge
edges. (Mty.)
235. Redness, swelling, and itching in a
spot on the wrist, then great pain: after some
time, matter formed and broke the skin, and
continued to ooze out for 2 or 3 months, then


w Tart. Hyosc. Si:
Veratrine, Tbuj
Kreos.   Ant. c
Petrol.
z Ant. Bov. Crotoc
Dule. Mere. Tart.
y Cocc. lual   Lye
Nux. LaCh. Sar
Sil. Sulph. Zinc.
x Bar. m. Carb. Lcc
Bov. Graph.
a (?)
b Nitr. ac.
c Ars. Mere. PhoE
ac.





SY-,IPTO-.IS 236 TO 2"49.]


TLAZI BICHiRn-MICUM.I


33


Skin and Ulcers,


healed, leaving a cicatrix  depressed, as if
scooped out. (lcM., exposed to ch. sol. after
some months.)
236. Itchiness of the fore-arms and hands,
then intolerable pain and formation of numerous
ulcers, from which above a dozen nearly solid
masses of matter fell on striking the arm firmly.
The ulcers were left clean dry cavities, which
gradually filled up and healed in about a month,
leaving a white cicatrix. (Ghm., 4 days after
exposure to ch. sol.)
237. In the seat of a scratch, exposed to ch.
sol. swelling and irregular ulcer, covered with
a scab, painful on pressure, dry: this continued
for months, and a hard knot moveable is felt
under the skin, with an ulcerated spot like a
corn. This gradually hardens, and is covered
with a white skin, and remains so for months.
(Brd. Ins.)
23S. After swelling and redness of the finger With severe throbbing pain, an ulcer formed
over the joint of the fore-finger with white
overhanging edges, and dark gangrenous central point; the skin and cellular tissue moveable
as if separated from their attachments. (Crn.)
239. The ulcers are always formed where
any abrasion exists in parts exposed to the
chromic solution, and frequently without any
perceptible abrasion.


240. The ulcers vary in size, from that of a
pea to that of half-a-crown; they are generally
dry, of an oval form, with overhanging edges,
inflamed bright red areola,d hardened  base
moveable on the subjacent tissues, with a
blackish spot in the centre.
241. Sores in the parts exposed to the solution, which  gradually  pierced deeper and
deeper, without extending laterally, till they
sometimes made their way through the hand or
arm altogether. (Cm.)
212. In some persons, though exposed to
the dust, abrasions did not lead to the formation of sores.
243. The ulcers were painful in cold weather. (IM'G. An. Nvn.)
244. Ulcer painful on touch. (Crn.)
245. Ulceration of fore-finger to such an
extent, that the two last phalanges had to be
cut off. (Brn.)
246. Elevated painless induration, where an
ulcer was 4 months before. (Mife.)
247. Hands completely covered with depressed cicatrices, which look as if they bad
been punched out with a wadding cutter.
(Mlm.)
218. Sloughs on the fingers and glans penis,
from exposure to solution. (Cumin.)


(r Ant. Cocc.   Bell.
Kreos. Lach. Nitr.
ac.  Nux,    Phos.
Staph. lhus.




Il


OBJECTIVE.
Papule, 212, 113, 214, 215, 231.
Papulas changing to pustules, 223.
Pimples, 205, 208, 211.
Vesicles, 207, 136.
Pustules, 209, 210, 222, 224, 227, 228, 229.,    like acne, 225.,,   with a black spot in centre, 221.
with a hair in centre, 220.
Brown spots, 205.


INDEX and ANALYSIS.
Yellow, scabby eruption, 226.
Vesicular, then pustular, 219.
Scabs, 223, 228, 230.
SUBJECTIVE.
Itching without eruption, 206, 207..   before and with ditto, 205, 210, 214,
219, 229, 230, 231.
Burning without eruption, 205, 127.
Burning and smarting with ditto, 229, 230, 136.


PARTS AFFECTED.
Whole body, 213, 215, 221, 222, 223, 229.
Head, face, or neck, 127, 205, 207, 2241, 226'
225, 136.
Trunk, 206, 207, 209, 219, 223.,,  genitals, 210.
Extremities, upper, 212, 214, 219, 220, 228.,,    lower, 205, 214, 227, 230, 231.


REMARKS.-The idiopathic and peculiar action on the skin is well marked. On the provers we have as many indications of it
as usually appear in such experiments. In the workmen it appears fully developed, probably from the different channels through
which it is introduced into the system, and thus penetrates it more completely; but certainly not from mere local irritation, because,
as many of the cases well show, there was a simultaneous eruption all over the body, or in parts that were not touched by the salt.
The forms of eruption are sufficiently well shewn in the above cases. The large ulcers were only formed under the influence of
direct contact of the salt, but their fundamental character appears in some of the eruptions above alluded to as appearing on untouched
parts. The local action of the salt in producing ulceration, may be described as follows: if there is any abrasion on the skin of Ilhe
hands when exposed to the chrome solution, a swelling appears, like a knot, and on this forms an irregular ulcer covered with a dry
scab and painful to touch. This continues for months, and under the skin is felt a hard moveable knot, like a corn, with a small
ulcerated spot at the middle, where it touches the cuticle. It gradually heals and becomes covered with a white skin, but the hard
knotty feel remains for some time longer. But if the solution is stronger and the cuticle more tender, so that it is penetrated even
without any previous abrasion, then ulcers form from the size of a pea to a crown, and often penetrate deep. They are generally oval
or round in shape, and are dry; they have overhanging edges, a bright red inflamed environ; hard base, moveable on the subjacent
tissues, and have a dark spot in the centre; they heal, leaving a depressed cicatrix.
General Debility and Weariness, &c.
249. After the usual local symptoms in the   in spirits, and unfit for work; he feels exmouth, he had in half an hour, while walking   hausted with heat, as if after great muscular
in the open air, unusual weariness, heaviness of  efforts; he is tired with walking a short way
the limbs, exhaustion, indifferent and depressed  and is obliged to sit down, and he cannot well
E1


- -





II




SY',NIPTO'.Nl 252.]


ICALI BICHRO-MICU-Al.


35


SYMPTOM 252.]                           KALT BICHROMICUM.                                               35


25-    Etioogica 'onditions.             Several of the workmen stated that the cough
ioo                       and expectoration were worse after the use of
The rheumatic pains are aggravated, and the  coffee, and they gave it up for tea.
gastric relieved after eating. (109, 135.)      Fat and light-haired persons seem   more
In general where the gastric symptoms are   easily affected by this drug.
very prominent the rheumatic symptoms do not. The open air, when moderately cold, affects
appear.                                       him painfully. (Zl.)
appear.                                         Some of the symptoms in the workmen are
Many pains are worst in the morning on     increased in warm weather [possibly only from
awaking. (197, 204.)                          the greater escape of chromic acid].
The pains all over seem worst in the morn-    Some symptoms are periodic, returning at
ing on awaking.                               the same hour daily, or at longer intervals.
CONCLUDING REMARxs.-I may conclude by noting a few general remarks that were made by the provers or on the workmen.
The after effects of the proving experienced by Arn. are given at No. 118. Those of Zlat. are given in a note in the following
words:" The Bichromas Kali displayed itself to me as a medicine that expresses its action more in the vegetative than the sensitive
sphere; and which more especially attacks the bones and their immediate coverings, as well as the mucous membrane and the fibrous
tissues. It shewed a quite peculiar operation on the nose, both on the schneiderian membrane and the bones of the nose; then on
the long bones of the extremities, on the sacrum and coccyx; in a slighter degree also on the sternum. The bones of the organ of
hearing were also not quite unaffected.
"I would have no hesitation in counting it among the antipsoric medicines, and ascribing to it a long duration of action.
I can assert that even a month after the last dose I took, the action of the medicine was not finished. It seems in many respects to
be analogous to Arsenic, and may, in all probability be administered in diseases with advantage in very high potencies."
Mz. adds the following " concluding remarks:" " I was compelled to give up my experiments on account of the greatly
deteriorated state of general health brought on by them. Yet for three weeks after I continued far from well. During that time
I had frequent returns of the eructations, nausea, inclination to vomit, want of appetite, and troublesome griping in the abdomen.
And I was troubled daily, and almost constantly, with dull aching and cracking in different joints; smarting and watering in the
eyes; tickling and burning in the nose; pressive aching in the head and cardia. As regards the bowels, I had, with few exceptions,
daily two motions; the first regular and consistent, and soon after it a loose one. I did not regain my former good health till the
fourth week after these experiments."
The writer also was powerfully effected by the drug, and the general health considerably deteriorated for a time; so that some
time after the actual distinct symptoms of the drug had subsided, he had a return of a species of severe nervous or bilious headache,
which he had had before, but not within two years.
The general impression from an examination of men engaged in the manufacture of Bichromate of Potash, on whom it has
produced its peculiar effects, is, that they suffer from dyspepsia; and though the appetite is generally good, yet many become anemic,
the skin acquiring a yellowish hue, which affects even the conjunctiva. In at least two-thirds of them the septum narium was
perforated more or less, a phenomenon which would seem to take place in a very few weeks after commencing to work: but the exact
timthe when this happened could not be ascertained, as many of them were not aware of the existence of this state of disease until
pointed out to them by the person making the examination. In three-fourths of them the fauces and soft palate were red and injected
although without pain or soreness. In two cases deep ulcers on the palate, but without pain. That the pain mostly complained of
was across the loins; that catarrh (chronic) existed in about 25 per cent. of the cases, attended with an expectoration of tough viscid
tenacious mucus generally white, but sometimes dark grey, approaching to black.



_~ _~___


I


SUMMARY OF THE PHYSIOLOGICAL ACTION.


GENERAL ACTION.
This substance may be classed as a pure irritant to
the organic tissues. It does not appear to act directly
on any of the functions of animal or organic life-except perhaps to a certain extent on those of the stomach
-but only indirectly through its action on the tissues
that compose the organs. Its action is of a profound and
intense character, producing inflammation which goes
on to the formation of morbid products even in parts
on which it acts only by sympathy. The specific tendency of its action to certain organs and tissues is well
marked, and much more circumscribed than that of
Arsenic or Mercury. Its influence is confined ahnost
wholly to the tissues of organic or vegetative life, and is
most marked on the mucous membranes of the stomach
and bowels, and of the air passages and nose: next the
eyes; then it effects, with about equal intensity, the skin,
the liver, and the kidneys, and lastly the fibrous and
muscular tissues and the periosteum, and probably the
hones. It seems to have little or no specific relation to
the serous membranes, to the genital organs of either
sex, to the cerebro-spinal nervous system (except neuralgic affection of certain individual nerves), or to the
mind.
Its action is rapid, and also long continued-evcn
after the moderate doses of the provers its action could
1be traced beyond four weeks after the last dose was
taken.,Whenl swallowed in dangerous doses, the effects
have been known to last in a serious form for four
imonths.
STOXICA ALACTION.
In the hulman subject it has produced death in two
Sill'stnc( on record. In one, a few minutes after it was
s.wallowdl gricat heat was filt in the throat and stomach,
( and then violent vomiting of blood and mucus came on,
S and continnued till death, which took place in five hours.




The mucous membrane of the stomach, duodenum and
part of the jejunum was destroyed in patches. In the
other case narrated in full at No. 171, death was produced by the remote action of the drug, and the
stomach was unchanged, though after death traces of
chrome were still detected in the stomach. Death
seemed to have been produced by congestion of the
kidneys, and the only symptoms were suppression of
urine, stitches in the back, and extreme debility.
In another case of poisoning, which however did not
prove fatal, (see Appendix, Bishop's case,) the individual was attacked with vomiting immediately, and
ejected most of the poison, but nevertheless in half-anhour was found in a state of extreme collapse, with
pale face, very feeble pulse, cramp in the calves of the
legs, and almost total insensibility. Twelve hours afterwards severe gastro-intestinal inflammation  came on,
attended with severe cramps in the limbs and inflammatory fever. When this subsided he was seized 66
hours after the poison was swallowed with a severe
attack of dysentery.  The effects of these were not
wholly removed till after the expiration of four months.
In the lower animals, when given in doses of 10
grains to dogs and rabbits, it proved fatal in from halfan-hour to three hours, by the shock to the system and
destruction of the irritability of the heart and the irritation of the stomach. When given in smaller doses,
either by the mouth or inserted into a wound, it produced death by exciting violent inflanmmation of the
stomach  and   duodenum, and in a less degree the
rectum: or by exciting inflanmmation with exudation of
a substance like a false membrane in the trachea and
bronchia: while at the same time there is general
wasting, eruption on the skin, and excessive muscular
debility.  In other cases where given in very small
doses to rabbits, and death protracted beyond seven or
eight weeks, there was found degeneration of the kid

~~::. - - --~-~~--- -- ~----e





THERAPEUTIC USE.
In giving the following cases it is not meant to put them forward as therapeutic indications, for these must always be found in the pure symptoms, but merely to show more plainly the classes of disease in which it is useful. Many of the cases correspond well in the minute symptoms with
those of the proving; but in others the description is too meagre to enable us to see a complete correspondence. This mainly arises from the
circumstance, that in dispensary cases, of which there are a great number, we are prevented, as every one is aware, by numerous and unavoidable causes, from obtaining any minute histories of the progress of the cases. I he exact time occupied by the cure is also difficult to
ascertain correctly, owing to the irregularity of attendance of many such patients.
Besides the cases here given this medicine has been used with good effect in a great many other cases. In fact it is used almost daily by
myself and my colleagues in Liverpool, both in dispensary and private practice; but in complicated cases of derangement of the digestive organs
in which it is often serviceable, it is seldom that one medicine suffices for the cure, and the exact share of each in bringing about that result is not
possible to determine.


This medicine being a pure irritant and acting on a somewhat circumscribed series of tissues and organs, is well adapted
for homceopathic use, as the indications are not obscured in the
way that occurs with the narcotics: we are likewise not embarrassed by the difficulty of distinguishing primary and
secondary symptoms which meets us in the study of those
medicines which act directly in producing functional derangements, such as the evacuants, &c. As general characteristics
of its action, we should expect to find it useful both in acute
and chronic diseases: in inflammations of an intense character,
principally seated in the mucous membranes, and tending to
the formation of pseudo-membranous and other morbid products
and to ulcerations. The pains are sharp and fly rapidly from
one place to another, are generally worse towards morning, and
unaccompanied with swelling. It acts most powerfully in fat,
fair-haired persons, and many symptoms are aggravated in hot
weather. We should not expect to find it useful in merely
functional disorders, except, perhaps, in some of those of the
stomach.
In going through the cases in which it is indicated, we may
follow the usual Hahnemannic order.
HEAD.
Although headache is a very common symptom of the medicine, yet it is generally merely concomitant of other disturbances,
and it will be found ih cases in other parts.  The chief pains
are in the temples and over one eye, and are of a neuralgic or
dyspeptic or rheumatic character. The following three cases
may be noted:
CAsE lst.-Pain in the temples. R. D., aged 24. A month ago (27th
Feb.) he was suddenly seized with violent pain in both temples, which
has continued since; it is a shooting outwards, in the temples and over
the eyes, continuing day and night, but less severe during the night;
it is worse on stooping, which also brings on vertigo; no coryza:
otherwise healthy. A powder of K. bich. 6 was given, to be dissolved
as usual, and a spoonful taken three times a day. Three weeks after
he came to report that he had got well while taking the medicine, and
had had no return of the pain.
CASE 2nd.-E. M., a woman, aged 46, had had for a month a violent
pain in left side of the head, at the zygomatic process; worse when
tying on it; shooting inwards and towards the throat; the throat
was a little reddened but not swelled; she had also some gastric symptoms. K. bich. 3 ter. die relieved it in a few days after Mere. and Ars.
had failed.


CASE 3rd.-A woman, aged 38, had complained for six months of
pain in the left side of the head and over the left eye; worse at night;
she had also pain in right side of the chest, from the scapula round to
the anterior part; also gnawing at epigastrium after meals; catamenia
scanty and some leucorrhwea. K. bich. 6, bis die, then the 3rd and
12th dil. alternately every 6 hours removed the symptoms in about 3
weeks.
In the face, ears and teeth we have few indications of action,
and we have only to report cases of supraorbital neuralgia,
in which it seems quite specific in many varieties. Besides
the two cases here given, I have had several other cases in
which it was remarkably successful. In case No. 4 it will be
observed the pain came almost at the same hour as in the
pathogenetic group No. 13.
CASE 4th.-Sulra-orbital Neuralgia.-M. M., a female, aged 44,
had suffered for a fortnight on the 4th Dec., from pain in the forehead; it begins at 9 o'clock, a. m., in the left temple, and stretches
across the forehead to the right temple, and round the eye and the
malar bone of the right side; attended with complete loss of sight
in the right eye during the pain, and puffy swelling on the minar
bone; the paroxysm goes off in the afternoon; she was otherwise
well.  K. bich. 12, bis die.  Next day the pain began later but
was more violent, and the attacks gradually declined, though irregularly, till, on the 10th, she had no pain; on the 12th she had
another attack on the opposite side of the face, which lasted twelve
hours, and after that she ad no return of it at all.
CASE 5th.-H. F., a man, aged 32, had been for some time affected
with neuralgia. The pain begins at the right supra-orbital ridgo and
spreads over one side of the head; it comes on early in the day and
lasts ten hours, leaving soreness of the scalp; lie is otherwise healthy.
K. bich 12 ter. die. In a week he came to say that hl began to improve immediately, and there remained none of the violent pains, but
still a slight pain of the same character. K. b. 6 bis die. In another
week he was quite well.
EYES.
From the symptoms we naturally expect much in cases of
inflammatory affections of several of the tissues of the eyes and
its consequences; and we may also expect to effect cures of
some morbid changes of structure and new growths. The
diseases in which it is applicable are catarrhal and catarrhostrumous ophthalmia, blennorrhmea, and even perhaps, Egyptian
ophthalmia, in which it might also be used locally; also
rheumatic inflammation and inflammation of the eyelids. Altera



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40


-K-ALI ]BICHROMICUM..


40            KALI BJCHROMTCUM.    ~    ~


tions of vision as concomitant of these changes, may also yield,
but as yet we have no reason to hope for any influence in
amaurotic cases. WX-e have found it serviceable in a number of
cases of catarrhal ophthalmia, among these we may notice that of
CASE fOth.-1I. (., a boy, aged 6, who had been two days affected with
inflammation of the ev ees; the conjunctiva was reddened and injected
and chemnoseud; much flow of tears; eyelids reddened and ag flutinated
with thick matter at the edges. K. bich. 3 ter. die. In Otffree cdays
all. rubexics gone, and 'no symptoms remaining except slight morning
agglutination, which was also removed by the same treatment in a
fe w days.
We have also seen very good results from its use in ophthairnia tarsi. In these cases we ]have sometimes with good
effect, conjoined the external with the internal use of the
remedy: using as a collyrium once or twice a day a lotion
composed of 4 grain of the pure salt to the oz. of water.     I
would suggest that the neutral chromate might be used with
advantage, as being, less liable to decomposition, in the form of
anointment. I have not yet tried it.
CAsBE  h-coflu       Opidtholnia and Ulceration of the Corea.M. Gi., a girl, agred 13, ha-,d been for a month affected with inflammation
of the eyes, which was little improved under several medicines. On
the 28th April there was much injection of the conjunctiva, both of the
bull) and the eyelids of both, eyes; very red at the edges of the cornea,
and a numnber (of philyetcnulin on the edge; several (Jeep ulcers on the
corne-a; great photophoc-bia and flow of tears; no pain. K. bich. 3 ter.
die, and K. bich. lotion of 4 g-rain to the oz. of water, to be used twice
a day. On the 1s8t of May thiere was improvement, but still the above
syniptoins, and thec intolerance of light and flow of tears were very
trouti )esome. K. blob, tnit. 1,iin water-a spoonful twice a day; lotion
as before. On the 5th thecre was much greater improvement, and the,
svmp~toms were not troublesome. The medicine was then continued
tili the 19th, when. there were no inflammatory symptoms remaining,
and only a slight spzwk, for which Euphrasia was given.
CASE. 8th.-The case of M. M. was of a similar nature, but this
patient, a girl of 7 years of age, had been affected more than half her Ife
with ophithalmia scrofulosa, and attended eye dispensaries continually.
There were large, ulcers on the cornea, and constantly recurring
aggravation of inflammation on the slightest exposure.  She was
treated successfuilly with K. bich. internally and externally, in the
6th and 3rd dilution, with an interposition once of E uphi-asia, and once
of Natrum Inur., and the remaining speck was treated with Cannabis.
In another case of eatarrbo-strnmous ophithalmia it was remarkably
successful; the eorniea was affected with a large opaque spot, to which
large. red vessels ran from  the injected conjunctiva across the clear
Margin, and there was also a zone of fine injection of the bulb round
the cornea; the usual subjective symptomns were also present. Oiie
grain of the I st trit. was given1, dissolved in 14 spoonfuls of water, and
one taken every 4 hours, and the solution of 41 grain to 1 oz. used externially twice a dany. Under this it was very much improved in a couple
of Janys, and in a week all traces of inflammation were gone, and only
a Speck remained.
(tsz 9th.-Illieuratic Inflanimation,-A. gentleman, aged about 40,
had been in bad health for two yearts, since an attack of rheumatic
gont, brought on by cold and wet; h lie shabad several attacks of rhieunuatic. initis within the la~st six or eight mnonthos, and has been treated
with C'alomel and Ilyoscyarnus. Thle last attack hind come on at fortnight before I saw huin; lie improved undler Sulphur, Pulsatilla and
Belladonna, when, after imprudent exposure, the inflamnmation came
hack a,; had as beore; Suilphur again did good in the course of five
dayqs to) a certain extent, buit there still remained most of the symptomns;


gr. j. of the I st centesimal ti-it. of IK. bich., to dissolve in the same way,
and take a spoonful night and morning. I saw him agnin in a little
more than a fortnight, and the eye was then in every respect the same
as the other.
NOSE.
We may expect to find this one of our best remedies in
-various affections of the nose, and some of a formidable character. Inflammation and ulceration of the membranmes, and even
of the bones and cartilages of a scrofulous or syphilitic
character, may in some cases find a remedy: also ozena and
perversion of the sense of smell: also epistaxis from congestion of the mucous membrane not depending on general
hwemorrhagie diathesis.   The following are a few     cases ia
which it was used beneficially, and besides these I have seen
a good many more, more or less completely successful.
CA~sE lOth.-Muco pa-let disclwn-ge.-A girl, aged 15, had for a year
a copious muco-purulent discharge from the nose: the discharge is
worse at night. The nose is swelled and the septum painful to the
touch; nose constantly stuffed. K. b. 6 bis die cured the case in
about a fortnight.
CASE llth.-Aft'ection of the nose and throat after syphcilis.-J. C., a
woman, aged 33, had the venereal disease severalycears ago, and since
then had laboured under the following~: sore.throat; short cough,
with hoarseness and difficulty of speaking; copious yellow discharge
from the nose. On the 31st January She got K. bich. 3, 6, 12, 30,
of each a powder to be dissolved in fourteen spoonfuls of water, and
one taken twice a day. On the 9th March she came back and
reported herself much better: the cough and sore throat gone and
thle voice clear, but still the running from the nose and pain in the
head. She had other gastric symptoms, for which Nun 3 bis die was
now gven. This gave relief, an she only came back at long intervals and got an occasional dose of Nux without any fresh report of
her symptoms being taken till the 15th August, when the gastric
symptoms were gone, but she still had the copious yellow discharge
from the nose and a dull, heavy, constant pain in the forehead.
K. bich. was repeated as before, and in two months she was well.
CASE 13th.-Dr. Russell writes-", In some cases of stuffing of the
nostrils, especially the upper part, with a difficulty of detaching the
thick mucus which more readily passes by the posterior nares, and is
found very troublesome to the patient, although the complaint is
trifiig,Ihave seen undoubted benefit from K. bich."1
Dr. Watake, of Vienna, reports his experience of it in
three cases of polypus of the nose.
CASnB 14th.-One case was that of a man, aged 50, who had been
operated on three times in the course of twenty-three years. On its
fourth growth it was treated with K. b. in the 2nd decimal dilution
(1st centesimial), internally and externally, with the effect of removing
it in eight days. Dr. NV. has since lost sight of the patient, so he
does not know whether the disease returned.
CASE lflth.-The second was that of a young girl. The polyps
had only begun to form a few months. before. An operation had bPeen
attempted but only partially succeeded, and the chief part of the
growth and symptoms were still present. It was qulte cured within
a short time by the same dilution inwardly and outwardly as above.
After the lapse of a year and a half there ~had been no return of, the
disease. The third case was not complete as the patient lived far
away, and reported improvement only when Dr. W. last heard from
him.


_ _



I


42


KALI BICHROMI b~CUINI.


42                     KALI BICHROMICUM.


has great oppression of the breathing; the pain lasts several hours and
subsides gradually, without any evacuation or passing of wind; at
times it is accompanied with nausea and some little vomiting; the
tongue is flat and furred; the bowels are regular; the complexion not
yellow, and she is otherwise healthy. Gall-stones were suspected, but
none have been detected. She got Hepar and then Colocynth, but in
a fortnight was no better, and had similar attacks every second evening; she added to the above description that she first feels as if the
bowels would be moved, but they are not, and the pain comes on.
Next day (hours after the attack has ceased) they are copiously relieved.  K. bich. 6 bis die.  After taking this for a day or two the
pains went off, and had not returned six weeks afterwards, and she
had been in all respects well.
I have seen other cases where similar spasmodic attacks
resembling those accompanying gall-stones were treated with
success with K. bich. as the principal remedy, though others
were also given. I have not seen it given in any case where
the presence of gall-stones was positively ascertained.
CASE 27th.-A man, aged 32, who had suffered for three years from
pain in the right side, came to the dispensary. The pain was in a
small spot in the right hypochondrium; pretty constant, but aggravated
to a sharp stitch on sudden motion after sitting; his appetite was
good and his health not much affected, but the pain was so severe and
troublesome that lie had been to various medical men seeking relief in
vain. Bry., Nux, and other medicines were given without result.
K. bich. 6 was then given with speedy relief, and effected a permanent
cure in a few weeks.
CASE 28th.-In a case of pain in the left hypochondrium, under the
ribs, unaffected by eating or pressure, or respiration, but increased by
a chill, or great bodily exertion, K. bich. 6 and 3 effected a cure after
Am. and Bry. had failed. The patient was a blacksmith and accustomed
to striking and lifting heavy weights; he was otherwise in good health
and therefore the pain was probably muscular.
CASE 29th.-Dr. Rocho writes: "I was consulted by a young lady,
aged 17, who had just returned from India, suffering from a constant
dull aching in the right hypochondriac region; in other respects she
felt well. I gave her K. bich. 3 ter. die, which removed the pain in
a few days, without any return."
CASE 30th.-Dr. R. found the same remedy equally successful in
removing the pain in the same place in a lady, aged 22, who had also
catamonial derangement.
ABDOMEN.
In the bowels we may expect to find it useful in chronic
ulceration of the mucous membrane or of the glands, and in
distension and flatulent colics; also in disease of the mesenteric
glands and of the coats of the large intestines; probably in
chronic colitis with constipation or diarrhoea. In general, as
to the state of bowels, it may suit a constipated state, but
there are also forms of diarrhoea, especially pale and foetid,
connected with some of the above morbid states, that we shall
find it useful. We may also expect to find it one of the chief
remedies in dysentery: in fact it will probably be found equal
to Mere. corr. in that disease.
Chronic ulceration of the intestinal mucous membrane.The two following interesting cases have been furnished by
Dr. Hilbers.
CAE 31 st.-"An unmarried lady, aged about 35, consulted me first in
(Xctolber, 1850. She informed me that she had suffered for many years
from delicate health, and that she had always been more or less
subject to diarrhlca. About twelve months previous to her consulting
me she was attacked with most violent diarrhoea, accompanied by
great weakness of digestion, so that even the slightest irregularity of
diet caused extreme suffering, and greatly increased the diarrhoea.
lHer medical attendant prescribed for her Laudanum in large doses,
which so.mewhat checked the diarrhoea, but the slightest evil influence
brought ibck all the symptoms as bad as ever. The usual allopathic
remedies were tried with the same results. She then was given a


course of Calomel, and afterwards the Muriated tincture of Iron.
Under this treatment she improved somewhat as regarded the diarrhoea; the motions became less frequent and she gained some strength.
In June she discontinued the Iron and the diarrhoea almost immediately returned, and has continued ever since. She is now exceedingly emaciated, and complains of much weakness. Her digestive
powers are much impaired, and her diet is obliged to be of the simplest
description, otherwise it causes her extreme suffering. The bowels
are moved from three to twenty times in the day; the motions are
sometimes accompanied by violent, sharp, griping pains, at other
times they pass off unnoticed-this is especially the case in the night,
and causes extreme distress; sometimes they are in large quantities
and with much tenesmus; their colour is pale, yellowish, watery,
sometimes flocculent with streaks of blood; the tongue was much
coated. On examining the abdomen there was much tenderness on
pressure over the whole course of the colon, which seemed to increase
towards the right iliac fossa, where even slight pressure could hardly
be borne. There was also much irritation of the spinal nerves. She
was occasionally attacked with violent spasms in the stomach. I
determined in this case fairly to try the Bichromate of Potash, and
therefore prescribed it for a month m the 3rd, 6th and 12th dilutions.
At the end of this time all her symptoms were greatly better. The
motions were not nearly so frequent, not more than two or three
times a day, and were of a much more solid character. The involuntary or rather unnoticed evacuations at night had entirely ceased, and
she expressed herself as feeling generally stronger and better. The
medicine was therefore continued, and with slight variations, produced
by some error in diet or by taking too long walks, the improvement
continued also until at the end of aboutten weeks, the evacuations
had nearly attained a healthy state. The general health also being
greatly improved.
In the middle of January she was suddenly seized with haemoptysis,
which returned on several successive weeks in small quantities.
Examination of the chest showed a tendency to tuberculous development in one lung. For this she has continued under treatment since,
and is now almost entirely restored to health. During the whole of
this latter period, with one or two unimportant exceptions, the bowels
have remained in a healthy state."
CASE 32nd.-" A lady had long laboured from haemorrhage from the
bowels. Her strength was much impaired; her lips were completely
blanched; she had palpitation on the slightest exertion; she had
no symptoms of piles; she had much tenderness over the coecum; her
stools were sometimes natural, sometimes mucus streaked with blood,
sometimes almost pure blood; there was somewhat distended abdomen; the stools never caused pain when they were solid, but when
there was mucus or blood there was some tenesmus. She got the
Bichromate. The bleeding speedily ceased, and on its return on one
or two subsequent occasions in a very mitigated degree it ceased
almost immediately after she took the Bichromate. It was administered
first in low dilutions (3) and afterwards in higher, from the 12th to
30th. The tenderness over the coecum subsided, and her health was
restored."
CAsEs No. 33.-In two eases of chronic ulceration of the mucous membrane attended with vomiting of all ingesta, and hectic and emaciation,
I obtained temporary beneficial results of a striking nature in relieving the vomiting, pain and diarrhoea, and the patients were enabled to
eat but, alternately sunk.
In several cases of chronic whitish diarrhoea and hepatic
derangement of children, I have obtained very satisfactory
results with this medicine as the basis of the treatment.
CASE 34th.-A boy, aged 4, of sanguine temperament, had for some
time been subject to a chronic diarrhea, for which a variety of homceopathic medicines were tried with partial or temporary benefit. His
appetite and general health appear pretty good, but the bowels are
disordered-several thin motions daily, clayey and offensive. Before
stool he looks pale and shivering, and during it has uneasiness and
paleness. Frequent thirst. It bich. 6 and 3, a dose every alternate
night removed the disease in a fortnight
CASE 35th.-This medicine I found also useful in a chronic case of
dull colicky pain round the navel, coming on after any exposure to
cold wind.
CASE 36th.-Dysentery after a large burn.-A boy of stout make
and large head, about 8 years old, accidentally set fire to his clothes,
whereby he sustained a severe burn, causing an extensive slough of


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L

1


THERAPEUTIC UTJSE.


43


THERAPEUTIC USE.                        43


the skin all over one hip and thigh and down the leg. From the
time of receiving the injury he had frequently complained of pains in the
abdomen of a more or less transitory character; but four weeks after,
he had diarrhoea and febrile irritation, and frequent pains in the
bowels; in three or four days more the evacuations became bloody
and very frequent, and the pains incessant. This state had lasted
three days under allopathic treatment (Opiates, &c., and latterly Acetate of Lead and Opium had been ordered) in the hands of two eminent
and skilful practitioners, who pronounced the case to be one of ulceration of the bowels, and had given a very bad prognosis when the
parents requested me to prescribe. They were quite in despair, and
naturally in great distress, for it was their only child.  On the 24th
October in the evening I found him suffering from constant pain in
the abdomen, so that his mother has to be rubbing it gently without
ceasing; he is fretful; much emaciated; intolerant of light; pulse 120.
He has very frequent evacuations of mucus and blood, preceded by
violent pain in the abdomen, but not followed by much tenesmus.
The tongue is pointed and red like a piece of raw beef; there is little
thirst and no appetite. He has scarcely any sleep for the pain, which
causes him to awake screaming after a very short sleep. Ars. 6 every
four hours. In thirty-six hours he was considerably improved, and
there had been some feculent appearance in some of the motions, but
still the main symptoms continued and the pain was very severe.
He had also feverish paroxysms towards evening; slight nausea;
some watery eructations; sudden starts and screams on waking.
I now gave K. bich. 4, every six hours. On the 28th he was very
much improved, in fact convalescing very rapidly. He had slept
three hours at a time; had had no stool for twelve hours; but still the
last evacuation contained mucus and bright red blood, though the one
before was feculent. He had a great appetite and scarcely any pain
in abdomen. Cont. med.
1st Nov.-By the 29th the motions had become quite free from
blood and natural in appearance, and were since costive. The dysentery was now quite well, and he got Nux and afterwards Puls. for
some other symptoms of little moment, and finally made a good
recovery.
In this case the action of the K. bich. was much more
marked and beneficial than that of the Ars., and if it had been
given sooner would, I doubt not, have effected the cure alone.
Whether this was a case of ordinary dysentery, or ought
to be looked on as colitis or entero-colitis, and how far it may
be connected with the lesion of the mucous membrane, which
most frequently accompanies large burns, it is difficult to say,
but it suggests the reflection that our remedy is likely to be
indicated in those secondary effects of burns. On this subject
Mr. Long, of Liverpool, has published (in the London Mled.
Gazette, Feb. 7, 1840) some interesting cases, and among them
two in which death was caused by a perforating ulcer of the
duodenum.     Mr. T. B. Curling has re-published these, with
some additional cases and some interesting remarks in the
twenty-fifth vol. of the MIedico Clir-urgical Transactions. From
these it appears that after burns, by far the most frequent
secondary lesion, is inflammation of the duodenum, more especially of Brunner's glands, sometimes followed by perforating
ulcer, which is the common cause of the sudden death at
times observed in cases of severe burns which appear otherwise to be doing well. From the specific effect of the K. bich.
on the intestinal mucous membrane, and especially the duodenum, when introduced even through a wound, we may expect
to find it a useful remedy in the secondary effects of burns on
the intestinal tube.
CASE 37th.-We have also among the dispensary records a case of
painful dry piles, protruding after stool, cured by KIC, bich. alone in
various dilutions, from 12 to 3.
KIDNEYS.
The action on the urinary organs, all except the kidneys
themselves, appears to be very slight. From the action on
the kidney already described we should expect to find it
useful in congestion of those organs, and accordingly I have


tried it in the suppression of urine of cholera, with the result
described at p. 119 and 161 of vol. viii of the British Journal
of Homewopatlty. Although Arsenic also produces suppression
of urine, and doubtless this is one reason more for the great
utility of that medicine in the Asiatic cholera, still we found in
some cases the suppression continue after the use of Arsenic,
and therefore we used this medicine in twelve cases in the
2nd trituration.  Of these the urine returned in eleven, but
the number of cases is still too small to form a positive opinion
on its utility.
In incipient cases of Bright's diseases it may be tried, I
think with good hopes of success, though I have not yet had
any opportunity of putting it to the test.
CAsE 38th.-B. D., aged 50, had for three weeks a constant acliing in
the region of the kidneys, worse in the right side, where the pain was
frequently shooting through to the bowels. There was also soreness
at the stomach and acidity. The urine was high coloured and scanty.
K. bich. 3 ter. die. In ten days the urinary symptom and pain were
gone, but the bowels were costive: Nux removed this.
CAsE 39th.-Mr. M., a gentleman aged about 30, after being exposed
to cold some months before, had pains in the loins, &c., which were
attributed to the kidneys, and he was cupped, &c., but lie still complained on the 23rd Oct. of a dull, constant pain and feeling of pressure
m the loins, worse early in the morning, when it wakes him, and lie
tosses about to find rest: the places are tender to pressure. Urine
red, but not scanty; no difficulty in passing it; white tongue. Kal.
bich. 3 ter. die. In a few days the pain was gone, and ho awoke free
from uneasiness, and the urine was clear. In the progress of the caso
other symptoms shewed themselves, and other medicine had to be
given, so that it was not a cure by this medicine.
RxsPIIrn TOxY ORGANS.
From its marked action on these organs we should expect
them to hold an important place in its therapeutic action.
And experience has tended to confirm that expectation hitherto.
The affections in which it has been found useful are the varieties of acute and chronic inflammation of the trachea and
larger bronchial tubes, and along with these we may also include the catarrhal affections of the nasal mucous membrane.
CASE 40th. Case of iay fever, communicated by Dr. Black.--" A lady
aged 25, of strumnous constitution, has suffered for many years from
hay fever, commencing in the early sumnimer months and lasting till
the end of autumn. On 1st May, 18,18, she was seized with sneezing,
redness of the sclneidcrian membrane and alt of the nose, suffused
eyes, lachrymation, rawness of the throat, and great general languor,
&c. She was treated with Mercurius, Arsenic, and then K. bicli. at
different times throughout the summer, and got through it with less
of the complaint than usual. The K. bich. was continued at intervals
for a month. Next year, though the weather had been warm, the hay
fever did not appear till the 8th June, and she had sneezing, &c. On
the 9th Mere. was given, and then in in a week Arsenic, but both without any benefit: K. bich. was then given with immediato amid permanent relief. She took a few doses of K. bich., and remnained well
throughout the summer, even though exposed to rain and dust."
Two cases of catarrh, communicated iby Dr. HUlbcrn.
CASE 41st.-I. "A very delicate lady, subject to violent attacks of
catarrh, applied for advice. She informed mno that the attacks always
assumed a similar character to her present symptoms, iand that she
continued confined to the house lby them fior many dlays; that they
made her extremely ill, and that frequently shel did not regain her
strength for mnnyfweeks. She was suflbring, wlen I saw lher, fronl
severe cough, causing soreness all down time throat andl clhest, withl
much tenacious expectoration: constnnt rnlning fontm the eyaes anil
nose, severe pain in tlhe frontal sinuses, some fuver andl great weakness. The preceding night the cough had almost entirely prevcntd
her sleeping. The cough was always worse at nIighlt. I ordered tit:
Bichromate, and in two days, to her great surprise, she was quite
well."


_ ____ __





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44


KALI BICHROMICUM.




CAsE 42nd.-II. "A gentleman applied to me for advice with a somewhat similar attack. He had constant cough, which kept him awake
the whole of the preceding night, and occasioned much distress from
the pain in the chest, which he described as tearing and burning.
Constant running from the nose, and pain in the frontal sinuses.
General feeling of lassitude and languor. I ordered the bichbromate,
and next day he was greatly better, and on the following day well.
These are two cases out of many similar ones that might be mentioned."
From the very marked action of this medicine on the mucous membrane of the nose and trachea, we should expect
it to occupy an important place-second probably only to
Arsenic-in the treatment of some forms of epidemic catarrh
and influenza.
CAsE 43rd. Case of hoarseness, &by A. Jf., in ile Austrian Journal
of Jirwsoxpathy, vol. iv, p. 634. " My little boy, aged 2j, has been
troubled almost constantly for the last nine months with hoarseness
and want of clearness of the voice, for which several medical friends
recommended a variety of medicines which I had already administered
without benefit. The child was also inclined to constipation. I gave
a globule half the size of a pinhead of the first (decimal?) trituration
of IC bich. Thereupon le had diarrhoea which lasted above two
weeks, and wa-s then treated with China: but since the time he took
the K. bich. the voice is clearer than is often agreeable, and his health
is excellent."
CAsK 44th.-M. D., a girl aged 12, came to our dispensary on the
5th March, 1849. She had had croup six years before, and since that
time had been subject to frequent attacks of hoarseness, cough and
difficulty of swallowing. She complained that for three weeks she
had sore throat, and tie sensation of a lump, partially relieved by
swallowing down: there is also hoarseness and loss of voice; cough
with blackish sputa, most in the morning, accompanied with pain at
the sternum, "like pins and needles." K. bich. 6, night and morning,
removed all symptoms in about ten days.
CAsE 45th.-F. M., aged 5, a healthy girl, with fair hair and florid
complexion, had been affected for a fortnight on the 5th March, 1850,
with a loud harsh cough, in single coughs, at different times for an
hour or two, and then not for some hours-most in the morning on
waking; the voice was not hoarse; there was no pain; and the health
otherwise undisturbed. K. bich. 6 night and morning. The cough
was soon much improved and subsided im about a week or ten days.
Croup.-Dr. W. E. Payne, of Bath in America, has published in the Homceopathic Examiner for March 1846, a paper
distinguished by sound reflective and observational powers.
After noticing that the homceopathic materia medica by no
means possesses as yet the true homoeopathic specific remedies
for all forms of croup in Aeon., Spong., and Hepar, however
admirable these medicines are in cases to which they are suitable,
yet, he remarks, we are not to rush to the opposite extreme, as
some are inclined to do, and maintain the extravagant opinion that
the hommeopathic principle is not applicable to true membranous croup at all, whenever we meet an epidemic that bids
defiance to the above standard remedies; but we must study
diligently the yet untried medicines. Some such epidemic
secmns to have been prevalent at Bath and the adjoining towns
in that year, and bade defiance to all medical treatment, both
allopathic and homceopatbic, and whole families of children
were swept off by it. I extract our author's three cases, with
his remarks, verbatim, as the comparison of the cases serves
to throw light on the differential diagnosis of the various forms
of croup to which our different remedies are applicable. It is
much to be desired that homoeopathic writers would publish
cases in a similar manner, viz., unsuccessful along with successful cases, and endeavour to discriminate between the various
forms of the same disease.
CASE. 46th.-I., Iey of two years; had enjoyed good health up to the
time of this attack. A slight difficulty of breathing, when the mouth
was closed, owing to one nostril being obstructed with a plug of


mucus, was observable. Pulse irregular and intermittent. There
was a slight elevation of the temperature of the skin. Otherwise the
child appeared well; he was lively and playful. This state continued
for three or four days without any perceptible change, except the
appearance of a few small sores below the nostrils, which were somewhat moist. On the evening of the third or fourth day there was,
evidently, a change or increase of the disease.  The respiration,
though not hard, could be heard distinctly in any part of the room
when the child made a deep inspiration. This did not seem to proceed,
as before, from the obstructed nostril, though this remained the same,
but from some difficulty about the larynx. The child would frequently
canrry his hand to his throat and put his fingers into his mouth. On
the following day the difficulty of breathing had evidently increased.
On applying the ear to the neck a whistling sound was apparent, like
that which may be produced by the passage of air through a metallic
tube. Voice hoarse. Cough not frequent, but hoarse, dry and barking
or crowing. The child was restless, sleepless, and refused to drink,
apparently because deglutition was painful. The tonsils and upper
part of the larynx were red and swollen, and about the fauces was a
small quantity of tenacious mucus. After the first day of invasion'
the child could swallow his drinks without difficulty, and was thirsty.
As the disease progressed the difficulty of breathing gradually increased, causing a strong action of the abdominal muscles, the muscles
of the neck and shoulder-blades. The head was inclined backwards.
The shrill whistling respiratory sound increased, together with a
tearing sound like that produced by a saw running through a dry
board. The cough was mostly dry, but occasionally sounded loose
and rattling. It however grew less and less distinct, until towards
the close of the disease it amounted to little more than a grunt. The
child would be carried to and fro continually-not one moment would
he allow his parents to sit with him. The breath became very offensive, and this offensiveness increased to an intolerable degree as the
disease advanced. The plug of mucus remained in the nostril, but
the herpetic sores gradually dried away. The temperature of the skin
was rather below than above the natural standard During the last
day or two of the disease the child was inclined to stupor. Though
these symptoms gradually increased, yet there were occasional remissions:-the breathing became less difficult, and the whole general
appearance of the child was much better; but this apparent giving
way of the disease lasted only for a short time. The breathing could
be heard often in the street.
In my search for remedies in this case, I could find none that
appeared to me to be homoeopathic. Neither Aeon., Spong., lod., Phos.
or Bell. seemed to cover the case. But I knew of no remedies that
presented a fairer prospect of success, so I began the treatment with
Aeon., hoping to gain some power over the local inflammation. But I
could perceive no effect. Aeon. was followed by Spong., but still no
effect. Then Aeon. and Spong. in alternation. Then Hep., and afterwards Hep. and Spong. alternately, but I could perceive no more
effect than if these medicines had remained in my ease. I then gave
lod., according to the method of Dr. Koch. Still the disease went on
without interruption. Phos. was equally inefficient. The disease
terminated fatally, but I have to remark, with much less suffering
than the little brother endured who was treated with emetics, cathartics, warm baths, and blisters. This was the first case that I had
ever lost by croup, and I felt that I had to grapple with a disease for
which I had no homceopathic remedy; and I heartily desired that I
might never meet with another case until the odds were less fearful,
for I looked upon it, that in this case I had no power whatever. But
two or three days had elapsed, however, when I was called in the
night to see another case. I went with a heavy heart, expecting to
find a case oxactly similar to the above, for as yet all had presented a
similar aspect, and all terminated fatally. I had, however, fixed upon
Bichromate of Potash as a remedy more likely to meet such cases
than any other of which I had any knowledcre; but I did not know
that it had ever been used, therefore I could not lean upon it with
that confidence which is inspired by actual experience. This case,
however, proved to be.different in its character, as may be seen from
the following symptoms:"
CASE 47th.-II. " Boy four years old, very fleshy, and subject to
croup attacks, was seized on the night of January 27 with fever: skin
hot and dry; pulse frequent and full; face flushed, dark and swollen;
eves suffused; loud and hard breathing; cough hoarse, rough and
barking. Coming on in paroxysms, thus-a loud hooping and sawing
inspiration, followed by a violent expulsion of air, which produced this
hoarse, barking somund. The clhild slept for a few moments at a time
between the paroxysms of cough, but sleep not quiet-the breathing
was very laborious-the child constantly started and moaned. Tongue
coated. Acon. 6, in a tumbler one-third filled with rain water; dose,
a teaspoonful every two hours. Jan. 28, 10 o'clock A.M.-Report of


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THERAPEUTIC USE.                         45


mother: child passed a restless night - breathing very hard, and
cough frequent; but appeared somewhat relieved early in the morning. Child now sleeps; hard sawing respiration much increased.
Great action of abdominal muscles-muscles of neck and shoulder
blades. Sudden starts. Sweat about the head and neck. Fever in
no degree abated. The child was soon roused by cough, which appeared the same as last night. Thirsty, but swallows with difficulty.
omplains of pain in larynx, and frequently grasps the throat with
the hand. Cries, and writhes about. Does not want to be looked at,
and asks to be carried about. Will get out of bed. Tonsils are red,
there is mucus about the fauces, and from the mouth is drivelling
saliva.  Sneezing and fluent coryza.  Spong. 6, every two hours.
Half-past 1 o'clock, r.M.-Remission of all symptoms except fever,
Cough hoarse, but not so frequent. Spong. 6, to be repeated if symptoms increase. 8 o'clock, P.M.-Fever abated; sawing respiration
less. Cough less frequent and loose. Perspired all P.. The child
has seemed bright and playful. Bowels opened. Spong. to be given
if symptoms increased during night. January 29, 9 o'clock A.M.--Boy
seems bright-sits up and wants food. Cough loose, but less hoarse.
Hep. 16, given once. 2 o'clock, P.M.-Child continues better; has
taken food. Bowels opened three times. Hep. 16, to be repeated at
9 o'clock. January 30.-Cough hoarse and frequent during the night,
but now less so. The child appears active-has good appetite, and
wants to play about on the floor: this is forbidden. Hep. 16 at halfpast 9 o'clock A.M., and at 9 P.M. January 31st. Cough hoarse and
frequent during the night, as on the previous night, but less so this
morning. Spong. 6, given. This removed the cough entirely, and
the patient was discharged.
By a comparison of this case with the preceding, a manifest difference is observable in many respects. It is very evident that in this
case Spongia was the remedy. Though Aeon. was apparently indicated in the outset, it did not seem to produce good results. Neither
did Hep. do well after Spong.
The characteristic differences between these two cases were very
apparent, first in the period of accession. In case No. 1 the approach
of the disease was very slow and gradual; while in No. 2 it was
sudden. In the one case the nostril was plugged with elastic mucus;
while in the other fluent CORYZA was present. In the one case the
cough was not frequent nor violent; while in the other it was very
frequent and paroxysmal. In the one case the temperature of the
skin was not greatly increased, and fell as the disease advanced; while
in the other it amounted to a burning heat. In the one case the pulse
was irregular and not full; while in the other it was regular, full and
bounding. In some points, however, there was a great similarity.
The sound of the cough-the respiratory sound-remission of the
symptoms-the sore throat, and, at first, the difficulty of swallowing,
and afterwards a subsidence of this latter symptom, were very similar
in both cases."
CAsE 48th.-III. " in which I used Bichromate of Potash, occurred
in a few days after case II. The symptoms in this case were precisely like those in case I, with this difference only, the difficulty of
breathing increased rather more rapidly, and the cough rather more
frequent. The character of the cough and respiration was alike in
both cases. The gradual approach and increase of disease were
similar; the temperature of the skin and frequency of pulse were
alike; in both cases the nostril of the left side contained a plug of
elastic mucus, and the general appearance of the children was in
every way similar. In this case I used Kal. bich. 6, one drop in a
tumbler half filled with rain water; and a teaspoonful of this was
given every five hours. A small patch of linen was wet with cold
water and laid upon the throat. The difficulty of breathing was much
increased during the first eight hours of the treatment, but after this
period it became less and less difficult, until it assumed almost its
natural character. The hoarseness, however, remained, together with
the barking cough, after Kali bich. had effected all that it appeared
capable of doing. These latter symptoms were removed in three
or four days by Hep. sulph., repeated morning and evening.
I am aware that the use of the wet linen to the neck may possibly
render the effects of Kali bich. somewhat doubtful, though I do not
attribute the good effect to the linen that might have been fairly attributable if its application had been carried to the extent that a hydropathist would have required. And what would render the good effects
of the wet linen still more doubtful in my estimation, is the fact that,
since treating the above case, I have treated my own child for a
similar attack, with Kali bich. without the use of the wet linen. But K.
bich. was given to my own child earlier in the course of the disease
than it was given in case No. 3, for in this case I was not called until
about eighteen hours after the period of accession. Though we cannot
certainly predict what the result would have been in either of these


cases if LK bich. had not been used, yet the inference is fair that case 3
would have terminated fatally, as all other similar cases had before."
I extract two cases from the same Journal, November, 1846,
treated by Dr. Kitchen, of Philadelphia.
CASE 49th.-I. "Alberson, aged 6 years, a thin, unhealthy boy from his
birth, of poor parents, was taken with fever and dry hoarse cough
three days before I saw him, which was on Oct. 11. He had all tIhe
symptoms of Angina Membranacca, for which I gave Spong. and
Aeon. in alternation, at short intervals. Next day e was no better,
and the parents wishing to give him an emetic, I consented, believing
that no treatment could be of any avail. This proving abortive, vo1iting the child but imperfectly, I then administered the Bi-Chlirom.
Potass. 6 in water, a teaspoonful every hour. This evidently had
a better effect than any of the other remedies; the cough was slightly
loosened, and he occasionally, with great agony, expectorated shreds
of yellow mucus tinged with blood, and a bloody speck here and there.
Owing to the ignorance and dissatisfaction of thie parents, this remedy
was only tried about twelve hours, when a resort was had again to
emetics, and the child died the third day after my first visit."
CAsE 50th.-II. " Boggs, slightly made but healthy female, light
complexion, 18 months old, had had a dry cough thrco or four days,
having suffered under the whooping cough previously. Oct. 31, was
called to see her at 9 A. M., but owing to business did not get to the
house till noon. The father told me that the attack commenced the
previous evening at 9 o'clock, and that she was croupy all night.
I considered her in a very dangerous condition, and told tlihe parents of
my fears as to the result. As they were intelligent, and put every
confidence in me and in homceopathy, I commenced the treatment,
I confess, with a great degree of mistrust as to the means. I gave
Spong. and Aeon. 3, in alternation, every 4 hour. At 6 P. M. there was
less fever, but the intense drawing-in of the breath, shrill cough, &c.,
were the same. I now gave Tart. Antim., which I have frequently
found to promote the secretion of bronchial and trachcal mucus in
these cases, and produce relief-the dose was a teaspoonful of a saturated solution inhalf a tumbler of water, of which a teaspoonful was
to be given according to circumstances. Sometimes it vomits, but
not always. Nov. 1, at 3 o'clock, A. M., I was called up with the
disagreeable intelligence that the child was dying, and that the
parents wished me to come around. I complied, of course. My own
opinion, on looking at the patient, coincided with that of the by-standers. Nevertheless, I dissolved some Bi-Chrom. Potass. 6 in half
a tumbler of water, and put a teaspoonful into the mouth of the child;
with agony it was swallowed. I remained till 4 o'clock, and then
went home, never more expecting to see that child a breathing one.
To my surprise, however, on driving to the house at 9 o'clock, I
found her alive, but on examination, still in a very bad condition. One
symptom was favourable; some yellow sputa had been ejected by
coughing, which she endeavoured to restrain as much as possible;
here was something to lay hold of; possibly only a straw; still it was
encouraging to go on; the other symptoms were the same. At noon
all again was obscured; the child appeared worse; the breathing
intense; ale nasi flapping; white circle around the mouth; eyes
sunk; disposition to sleep. I got off with as good a grace as possible,
with no view of returning, as I had no hopes left, and it is not a
pleasant thing to be among mourners. As I was sitting in my office
at 6 P. M., the father entered, as I supposed to demand a certificate,
but what was my surprise, when he told me that his daughter was
much relieved, and had eaten a piece of bread, the first morsel of food
for three days. At 9 I called to see her; all the symptoms had wonderfully abated, and she had had some trifling ex pectoration and
several passages. Nov. 2.-She is improving, and a distinct flapping,
on inspiration and expiration, can be heard in the windpipe, no doubt
the anginous membrane in a loosened state; this disappeared in the
course of twenty-four hours, and free expectoration took place, no
doubt softenin  and carrying off this membranaceons exsndation in
the larynx and trachea. This was certainly a wonderful escape, and
as it was made under the use of the Bi-Chromnate, tlie question is,
whether it was attributable to that, or whether it was by the solo
efforts of the system. A solitary case proves nothing.  1 put not
confidence in solitary cases. I want evidence of iany, very miany.
With such feelings, I call upon the profession to try thi remedy,
and let us know the result. It is important that it should be tried, as
we have no reliable remedy in this disease. Nearly every ease proves
fatal. We hope, then, we shall have it tried, faithfully tried, and the
results published."
CAse 51st, by Dr. Black.-" A little girl of delicate constitution, was
seized in the night with violent croup. Aconite and Spongia were
given, and then HIcpar, but with little relief; learning next forenoon





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46


KALI BICHROMICUM.




that the nurse, owing to the difficulty of swallowing, had given the
medicine very irregularly, and had suspended it for three hours, I continued with the -lepar, but by the evening, the symptoms increasing
and the child in most imminent danger, I gave K. bich. 6, about twenty
globules in a wineglass of water-a teaspoonful to be given every
fifteen minutes for an hour, and then from every hour to four hours,
according to the relief. In three hours there was gradual relief, and
the little patient was well and able to run about in about a week."
The following Case has been published by Dr. Bayard, of
New   York, in the American Journal of Homeopathy, 6th
February, 1847:CAsK 52nd.--" On Tuesday the 1st Dec., the patient a girl of 13, was
suffering from catarrh, with severe pain in her head and back; Nux
was administered at night, a few pellets of the 4th or 5th dilution.
On Wednesday morning she coughed frequently, and complained of
great soreness of the throat, difficulty of swallowing, &c. Belladonna
was given, and as there was little or no melioration of the symptoms,
in the evening it was followed by Mere. viv. The weather was now
severely cold, and from reckless exposure of herself during rain on
Thursday, her sufferings seemed much increased. In the afternoon of
that day her face became flushed; her skin dry and hot; and the
difficulty of swallowing so great that she refused to eat or drink.
About 7 p. m. she retired to bed, and remained quiet, and as it was
supposed, asleep, for some time; but between 9 and 10 p. m. one of the
family passing her door was startled by hearing a rough, hoarse, barking cough, which seemed to come with every inhalation of the breath.
There was something indescribably alarming in its sound, which told
the most inexperienced that there was not a moment to be lost in
administering the appropriate remedies. Accordingly Aconite-about a
dozen pellets of the 4th or 5th dilution dissolved in three-fourths of a
tumbler of water-was given two or three times, at intervals of fifteen
or twenty minutes; then Spongia of the same dilution, prepared in the
same way, was alternated with the Aconite. No change occurred in
the symptoms except what scomed a rapid progression of the disease,
the cough becoming more deep and hoarse, the flush of the face deepening first into crimson and then into purple, and the contortions of
the whole form showing the agony with which every breath was won.
Such was the condition of the patient at midnight, when Dr. Bayard
arrived, too late, it was feared, to be of service. ' She will die before
morning,' had been the conviction of every one who heard that cough,
and when, in less than half an hour after Dr. Bayard's arrival, its
deep, rough sound became in some degree changed, and its violence
lessened, every heart sank under the sad impression that the powers
of life were failing, and the stillness which soon succeeded that change
was fearful to those who stood not beside her, for it seemed to them as
the stillness of death.  In little more than an hour after first seeing
her, Dr. Bayard was able to leave her without apprehension. The
medicine, of which a single dose had produced such wonderful results,
was left for her with directions that it should not be repeated unless
there should be a decided revival of the symptoms that had first demanded it. The patient slept with little interruption for several hours,
and it was not till nearly 6 A. M., that the cough returned with any
persistence. The medicine was repeated-half a spoonful of the water
in which it had been dissolved being given-it gave immediate and
enduring relief. The patient had no return of cough or hoarseness.
The above statement was drawn up at my request, by the accomplished author of ' Two Lives,' &c., who was an eye witness to the
mufferings of the child. I found the patient under a harsh dry cough,
the respiration stridulous, the expression of the countenance anxious,
the checks puffed and livid, pulse frequent and small, extremities cold;
great restlessness and jactitation. On looking into the throat, I found
the fauces highly inflamed and swollen. I dissolved six pellets of the
Kali bichro., of the 6th dilution, in a tumbler half full of water, and
under these circumstances I administered a dessert spoonful of the
solution. In ten minutes thereafter, there were pauses in the before
incessant cough; in thirty minutes the child had sunk into a quiet
sleep, and the difficult respiration subsided."
From all these cases it is sufficiently evident that clinical
experience has already confirmed our expectations of the utility
of this medicine in membranous croup, derived from its physiological action. We can scarcely determine the exact variety
in which it is to be preferred to our other approved remedies;
-as yet that can only be discovered by clinical experience of
the character of the epidemic on the first cases that occur in
each locality.


Case 53rd.-Laryngitis.-Dr. Russell has communicated the following case. " The patient was a gentleman, aged 45; he had been taken
ill the day before I saw him, and had been hot and restless the whole
night. I found the pulse 110 in the minute, and the face flushed; he
had very frequent cough, hard and barking, attended with a little
tenacious mucus and pain at the larynx and top of the trachea, increased by pressure; no pain nor any abnormal sound on percussion
and auscultation in any part of the chest. I began with Aconite for
the first six hours, a dose every hour, and then gave Aeon. in alternation with Kali bichr. 3. The general symptoms were better next
morning, but there was still much hard cough and pain on pressure,
and slight fever; I continued the Kali bichrom. the whole of that day
and found the symptoms gradually ameliorating, and in the course of
the third day the tough expectoration had given place to an easier
kind, the pain was gone, and the patient was in every respect in a
state of convalescence.
I should be inclined to place LK. bich. very high among the list of
medicines for laryngitis of adults."
The following case occurred in my own practice:
CASE 54th.-The patient was a delicate woman, about 50, who had
suffered for several years from severe catarrh in the trachea, with loss
of voice, especially in winter, so that she could scarcely go out for
several weeks at a time. On the 6th of November, 1850, she was
attacked with acute catarrhal inflammation of the windpipe, and great
aggravation of her former symptoms, and pulse 90. In the course of
the next two days the symptoms were relieved under the use of Belladonna, Cinnabar and Hepar. On the 9th the weather had become
close and damp, and I was sent for in the morning in great haste, as
the patient had been much worse in the night; she had frequent
paroxysms of very harsh cough, with such feeling of suffocation that
she gasps and tosses about for breath; respiration loud, wheezing and
hissing; the larynx is painful to touch, and there is swelling at one
side of the throat, outwardly; swallowing is excessively difficult, and
the attempt brings on pain and tearing, and constriction of the throat
and shooting up to the ears; pulse 120; the patient cannot lie down at
all; internally there is no visible swelling in the fauces. I considered
the patient in great danger. Spongia 2 was ordered every half hour,
and two doses of Mangan. acet. to be interposed in the middle of the
day. In the evening there was some mitigation of the violence of the
symptoms; the pulse was 120, full and hard. Continue the Spongia
and interpose two doses of Aconite. 10th.-The night was rather
better and the pulse slower, and the swallowing easier. Interpose
Lachesis 6 and then cont. Spongia. 11th.-Pulse 90 and swallowing
easier, but no further change in the laryngeal symptoms; the cough
still hard and in paroxysms and very deep, as if from the bottom of the
chest; she is quite unable to lie down, and the inspiration is loud and
hissing; the sputa are tough and difficult to detach. K. bich. 2, every
two hours. 12th Nov.-She is much better and can lie down, and
has had some hours of sleep; the cough and wheezing is better, and
there is no pain in swallowing. Cont. K. bich. 2 every three hours.
13th. Nov.-Still further improvement, and she has had a better night
than for some weeks before the acute attack; has been able to sleep
several hours at a time, and had only one or two paroxysms of cough
in the night; the pain in the larynx is quite gone, and also the swelling
at the side of it; there is little or no wheezing; still a little pain after
the fits of cough; the expectoration is in roundish greyish masses, and
is ejected with tolerable ease and relief; has some appetite. Cont. K.
bich. 2, 4 tis. horis. 19th.-She was better altogether than for months
before, and complained only of some huskiness of voice and loose
cough, for which Phellandrium was now given.
CASE 55th. Chronic inflammation of larynx and tracwea, communicated
by Dr. Black.-" Major H., aged 55; has for three winters been subject
to chronic inflammation of the fauces, extending to the larynx, resembling much the disease described by Dr. Green, of New York. For
this he has had his throat frequently touched with the Nitr. Argent,
both solid and in solution; in summer the symptoms are much easier.
Nov. 27th, 1848. He has had frequent teasing cough coming on every
five minutes, and worse after meals and at mnight, excited by tickling
in the trachea, which is tender to the touch; the expectoratibn is
scanty and very difficult. Has for six weeks tried the ordinary medicine, and is oblged to take a sedative draught every night, in order to
allay the cough and procure sleep. Prescrip. K. bich. 3, gr. ij, in  iij,
of water, and 5 es to be taken every 2 to 4 hours, according to the
relief. Nov. 28th.-After two doses of the K. bich. the cough abated,
and he slept well; to-day, no wheezing, and the cough is much easier.
Cont   The next day there was no further amendment, and Lach. was
given, followed up by other medicines.


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THERAPEUTIC USE.                       47


CAsE 56th, by Dr. Roche, of Liverpool.-" I was requested to visit
Mrs. H., aged 45, of nervous temperament. I found her suffering from
chronic inflammation of the larynx and trachea, for which she had
been treated by an allopathic surgeon for several months. The chief
remedy employed by him was blistering, often repeated; this was
followed by temporary relief only. She was occasionally seized with
dyspncea, and had more or less difficulty in taking an inspiration at all
times; the expectoration was tough and offensive, and she was always
hoarse; appetite bad; and emaciation going on. I gave her KaL bich.
3, ter. die. In about a week she wag able to report some improvement;
the attacks of dyspncea were much slighter; the expectoration less in
quantity and not so offensive; appetite increasing. At the end of three
weeks she was decidedly stronger, the dyspncea entirely removed,
little hoarseness and distress on inspiring. In a week more she was quite
well."
CASE 57th-A woman, aged 36. She had suffered for about two
months from the following symptoms: Pains in the throat, and pain
and feeling of swelling in the larynx; a hoarse and husky voice;
"cough with sputa difficult to detach; cough and dyspncea in the morning. Pain across the epigastrium and abdomen, and bowels costive.
Otherwise well  Ka   bich. 6 was given three times a day for a fortnight, within which time she was quite well
CASE 58th.-Syphilitic affection of t7he larnx.-E. M., a fair haired,
unhealthy child of 2 years of age, was brought to me on the 30th May,
189. She had been syphilitic from birth, and had been treated allopathically for long, and had had much mercury, and the parents
despaired of its recovery. The child had an unhealthy complexion
and anxious look, and the breathing was difficult and loud, with wheezing as if from obstruction in the windpipe, audible at some distance;
there was complete loss of voice, even in crying; a faint, husky cough.
At night there was much dyspnoca and rattling in the throat during
sleep, and she is often awoke by it. There is ulcertionat  the angles
of the mouth and soreness round it. Eruption round the anus. I gave
K. bich. 6, every six hours. On the 5th June she was altogether
somewhat improved, and the breathing better; but the eruption and
soreness at the angles of the mouth was not better, and was very
troublesome. Arsenic 6, and then Ars. 3, were given night and morning, each for a week. On June 18th she was still farther improved,
and the mouth much better, and also the breathing better. Cont. Ars.
3 bis die. On the 28th June the mouth showed only one slight crack.
The eruption at the anus and the laryngeal symptoms were much the
same. I. bich. 3 bis die. 13th July, there is more voice, and she is
altogether improved; the cough is observed chiefly when she drinks;
mouth is quite healed. 25th July, the voice is now quite good, and
there is scarcely any cough; the appetite is good and the child gets
stronger and thrives. Cont. K. bich. 4th August, the child is quite
well, except the eruption at the anus, which comes and goes-at times
scarcely visible, at others elevated and raw. It was finally removed
under Sulphur in different dilutions.
CAsE 59th.--Acute Bronchial Catarrh.-A lady, aged 44, of stout
frame and florid countenance, subject to chronic coughs, was attacked
with febrile symptoms and acute bronchial catarrh on the 25th May,
1850. She was treated with Aconite and Mere. corr. for three days,
during which the general febrile symptoms got somewhat better, but
the chest symptoms on the 28th were: last night she did not sleep
the whole night on account of violent ringing cough and difficult,
yellowish-white expectoration, with burning, raw pain down the
throat and along the breast-bone; dyspncea and wheezing so that
she must sit partially up in bed; pulse quick and rather small. I
gave K. bich 3, every two hours. The symptomssubsided gradually
and steadily, and on the second night she slept the whole night without cough, except the habitual cough she has long had towards
morning.
I have used this medicine in a number of cases of acute
bronchitis, especially of children, but it has seldom been the
only medicine, and I have not sufficiently accurate notes of
them to relate any complete case. But as far as my experience
goes, I think it is a remedy to be given with confidence in cases
of acute bronchitis, especially the exudative, both idiopathic and
of measles, where the pathogenetic symptoms correspond. Dr.
Black also writes me-" I have found K. b., in the 3rd
dilution, useful in several cases of acute bronchitis in the early
stage with a dry sonorous rMe and scanty expectoration, preceded or alternated with Aconite. In this stage of bronchitis


it promises to rank with Bryonia and Spongia."       After the
experience of last winter Dr. B. subsequently writes that he
has found it so useful in acute bronchial affections that it is
one of the medicines he now carries in his pocket-case,
and which he uses very frequently.
CAsE 60th.-Brondiial Catarrh witlt loud w7ieezing.-E. M., aged 3,
a child of good constitution, was brouglht to our dispensary on the
22nd May, and was reported to have suffered from the following symptoms for two months, during wnich time lie had had allopathic treatment without relief.  He had frequent severe paroxysms of cough,
which had a loose and wheezing sound, but no sputa were got up.
These fits of cough were accompanied by perspiration, and were worst
at night; besides there was a constant loud wheezing and rattling,
audible at a considerable distance. There was also much dyspnmea on
lying down, and he has frequently to be raised up in his sleep; bowels
rather costive and little appetite. In other respects the child does not
look very ill, and it has not much fever and will not remain in bed.
K. bich. 3 was given every four hours. On the 26th there was an
improvement. The fits of cough were not so frequent, though still
present, and there was still auditle wheezing and rattling. K. bich 2,
every four hours. On the 7th of June the child was brought again,
looking quite well, and no wheezing to be heard. The mother reported
that in about a week after last visit the cough was gone, and lie could
lie down well, and even in sleep no wheezing was to be heard, and he
was in all other respects well.
It is in chronic bronchitis as we might expect from the physiological action of the drug, and from the frequency of the
disease in this climate, that we must look for the most frequent
use of this remedy; and accordingly it has become one of the
stock medicines of the Homceopathic Dispensary at Liverpool,
and there is not a day in which it is not frequently prescribed
by all the physicians in such cases, and striking, curative results
are very often obtained. The cases of cure by it alone, or as a
chief remedy, are so numerous, even in cases of long standing
in which the consequences of chronic bronchitis are         far
advanced, that it would occupy too much space to give more
than the heads of a few cases illustrating some of the symptoms
which indicate the choice of this remedy.
CASE 61st.-G. M., a man, aged 67, long subject to winter coughs;
and the present attack had lasted for months. Besides the other usual
symptoms the cough and dyspncea were worst early in the morning,
and the sputa excessively touh. K. bich. 3 effected a complete curo.
CASE 62nd.-Aun B., aged 65. The usual symptoms, and the cough
was attended with stitches in the sides, and the sputa very tough tnd
difficult to detach. K. bich. 6 ter.die. Cured in a fortnight.
CASE 63rd.-A. P., aged 26.   Had chronic bronchitis for many
months; the cough was not great, but there was much very viscid
expectoration, in grey lumps; slight sore throat; pain at the epigastrium; and flatulence.  Cured in about two months with different
dilutions of K. bich. alone.
CASE 64th.-Mary D., aged 17. Caught cold a year ago, and has
since (8th May) suffered from cough, with great oppression,,f tli:e
chest and swelling of the veins of tih  neck; tho snta Care in tough
blackish lumps; the cough is most after eating or dnnking; dyspncea
on exertion. K. bich. 6 and 3, bis die, removed all synmptums by the
12th June.
CASE S6th.--W. W., a man, aged 55, had been treated with much
benefit for chronic bronchitis with Arsenic andl Gralphits, from the
16th Nov. to the llth Dec., at which date all thle symptolmM weore
relieved except rattling in le c/icul and dyspncca on lying diwn. ThusC
were removed in two weeks by K. bich. 6 bis die.
CASE 66th.-IT. R., aged 48, lhad for a long timn chronic bronchitis,
the chief character of which was a violent, tighlt dry couglh, wursu in
tihe day, and always excited by any c.pooura to smoke. Il!'iczr,,t at
night mn bed. Petroleum 3 was first given without any ueffcct; (hen
K. biclhi. 6 and 3 effectced a cure.





THERAPEUTIC USE.


49








On the 7th somewhat better, but the symptom's were exactly the
same. K. bich. 3, ter. die. On tbe 14tbh le was very much better.
On the 19th no symptoms remained but some stiffness of the nape and
between the shoulders, for which Mez. 3 was given with complete
success.
CASE 79tb.-A man aged. 24 had been under treatinent for four or
five months at our dispensary for a variety of gastric and rheumatic
symptoms, which had gradually improved under various medicines,
and the chief symptom left was a violent pain in the hack which had
lasted since the 1st of May, in spite of Bryonia and Nux in different
dilutions. On the 5th of June a more minute examination gave the
following symptoms. A violent aching pain '1like a gathering"1 in a
small sp~ot in the sacrum: it is a steady throbbing pain, and is most
felt at night, when it is so violent that it wakens him in a short time,
and hinders sleep the rest of the night. It is better hin the day, when
he is up and walking about, but he is unable to lift anything for the
pain which strikes in at the sacnnm. on his making the attempt.
K.bich. 3, ter. die.
19th June.-He came to report that soon after beginning the medicine the pain began to diminish, and in three days could scarcely be
felt, and since then it has gradually quite gone.
LOWER EXTREMITIES.
CASE 8Oth.-Sciatica.-A gentleman of tall.and spare frame, who
had suffered about eight years before from sciatica in a severe form,
lasting several years, applied to me in February 1350 with the following symptoms, which he said were exactly the same as he felt at the
commencement of his former attack-, and he dreaded a return of his
former tedious disease. He had had for a week severe pains in the
hip and down the outside of the thigh. The pains were worse in the
afternoon and evening, and better in bed; worse on any chang n  the
weather. In other respects the health was good. I-I got Nux for a
week., and improved somewhat, but the pains were as bad as ever on
the next chiange of weather, and exactly of the same character. He
now got K. bich. 6, twice a day, and nil symptoms completely and
permanently disappeared, and he had remained free from them last
Marc (1351), when I saw him agrain.
CASE Slst.-G. H., aged 62, bad been ill for years with chronic
rheumatism. Came to the dispensary in the latter part of March, and
the disease seemed then to be concentrated in the tibioa, knees and
thighs. He complained of violent pains in the shin-bones and burning,
extending up the legs, and he had aching and shooting in the front of
the thighs and knees, worse at night, without swelling. A variety of
medicines were givedi without effect, till Kal. hyd., gr. j, ter. dlie, was
given on 21st June. This was continued till the 5th July, when the
pain in the shins was entirely gone, but the pain in the thighs and
kaces remained unchanged. K. bich. 8, ter. die, was now given with
speedy benefit, and continued for some weeks, when he reported himself quite well.
CASE 82nd. Acute attack cof pain in the tibia, communicated by Dr.
Blackz.-" Mrs. D., aged 32, of phthisical h abit and lymphatic temperameat, was convalescent from a mild attack of gastric er, when she
had complained on the 4th August 1850, for four days, of tenderness
of the middle third of the left tibia, which gradually increased fill on
this day neither the foot nor leg could be moved. There was great
tenderiiess and slight swelling, but no redness. The pain is described
as boring, as if in the bone, and constant, with frequent paroxysms of
acute pain extending up the anterior part of the thigh and down to
the instep; increased by heat. K. hick. 3, glob. ij in water, a spoonful
every hour to four hours, fill relief is obtained.
On the 5th the tenderness was much better; there were no paroxysmns of pain, and she was able to move the foot; she experienced
relief after every dlose; the first four or five doses were always
followed by a burning feel over both limbs, ' as if the medicine was


In eighlt days the sore was ne.arly- healed, hut still hte had the shootingr
painis up to the kiiee, which hie could not, straighteni. The niedicine
was continued at intervalsz, with steady amendment, for four or five
weeks, when he reported Ihimself well.
CASE 34 th.- Gene-ral Peiias.-J. H., a. manl of 50, had suiffered from
rheamnatisni, chiefly coni~ned to the hip, for two years, and had had miuch
allopatliic tre~atment withocut henefit duriiig that time. WN7hen lie camie to
our dispensary the pain was excessively violent in the hip on motio.n; at
times it is one hip and nt others the other that is affected. Uider the
action of Colocynth:3 and.30 alternated ev.ery- six hoturs the coxalgria
was entirely removed in ahoit three Nveeks, *and on the 28thl October
he complained of no pain iii the hip, but painis flying about to different
parts of the hod)-; a few hours iii the shouitlders, then in the hack,
then in the knees, then in the ankle awl big toe; lie is hetter when
warm in hed.lie had already re-ceived Palsatilla 3 his die for -a
week without benefit. K. bich. 30 his dlie removed all sympltonis
within a fortnight.
This case corresponds remnarkably wvith the characteristic
pains produced by our remedy.T
CASE 85-th.-Geaerai C'ackeximn-Our remnedy effected g~reat amendmeat though not complebte cure in the case of aý man, aged 44, wvlo had
been for years ill. He had jaundiced, puffy countenance., ivith 'pale
lips; toii go broad, cracked and flabby'; had taste iii the maiming;
hIls gUums bleed, at nighit, and be finds clotted hlood iii his mouth in the
morniing; constant thirst; appetite at times cra.-ving, at othier-s no-ne,
with a faint nausea; after meals load at the stomach and dull pain,
and nausea and empty retching; bowels rather loose w~ith yelloiwish
and slim)y motions. lie has a large, flabby ulcer on the leg, and the
skin of the whole leg is thickened,~ard and pasty. Under K. hich. 3,
2 and 6, for several weeks, he iniproved very much; and the howvels
aiid gums and digrestive org-ans and general appeara.,ncethee.-nme
much better, and the leg grew softer. Hc wa,-s inot, however, care
of the ulcer, nor do I think. such a ease could be cured without the
coniforts of an hospital.
CASE 36tb1.-P11stela-r ETh-aptoions.-A boy, aged 14, of lymphatic,
ner'vous temperament, with fair hair and light eyes, had been affected
with an iintpeviginious eruptioni on the fiace. Thle pustules form frequently, discharge a watery pus~ andi leave a. browvnishi sc-ab, and are
acc~ompanied with mucli itching. K. bich. 4 bis (lie. In a fortnight
almost well. Coat. K. bich. 4 his die. Quite well in another wveek.
CASE 87thi.-G. H., a boy, agred 7, of pale complexion and lymphiatic,
sanguine temperament, bad for many weeks an eruption whiich hcgnn~i
on the ear and spread over half the head. It presented, wheni first
seen, the appearance of greenish censts, with oozing of whitish, thick
matter fromi beneath them. It w~as removed under the action of
K. hick. alone in 6th, 3rd and 2nd dilutions within six weeks.
CASE, 88th.-A youing man, aged 28, had had for a fortnight anl
eruption of pustules on the cheecks, forehead and chin, becomning
covered 'with a brownish scab, without oozing (of matter; itching aifter
washing. Two powders were given, one of thec 6th amid the othier the
3rd dil. of K. bicli., to be taken in succession, each in fourteen doses,
one night and mormiing. The eruption was entirely removed bef'ore
the niedicine was finished.
CASE 8S9thi.-R. B., a grirl, aged 6, hind for so~nihemiegth. of time
an eruption of pustules oii the scalp) and the liamuols, whlich had untproved very much under Sa15lplhur given for a fortnight. Then ianl
eruption covered with dlark, thiick yellow crusts brokeouott round the
lips. K. bichi. 3 ter. die removed that and till the remiaininig symptomls
hi a foi-tnight.


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was cured by the 6th, 3rd and 1st dil. It consisted of thick brown
scabs, under which yellow matter was formed, and was attended with
much itching; it was situated on the face, extending from the root of
the nose to the cheek and upper lip.
CASP. 93rd.-I have used it in a case of zona as the sole remedy, and
the case did very well, but as the disease often runs a short course
with or without treatment no deduction can be drawn from a single
case.
CASE. 94th.-It was also successful in the 2nd trituration in removing
an eruption of painful small boils on the back of the head, of a man
aged 40. The disetse had lasted three months.
CAsE 95th.-Pecodiar Pustular Eruption.--A man, aged 46, had had
for seven years an eruption all over the body of the following description: First a small lump comes on in the skin, then it inflames and
gets red; then discharges a bloody fluid, and leaves a small, depressed,
ulcerative surface with an inflamed base, which heals and breaks out
again. Wherever the discharge touches it causes a fresh spot. It
itches violently at night. General health good. K. b. 3, 12, 2, 6, of
each a powder to be dissolved, and taken for a week. In a month lhe
reported he had more discharge and more spots, but somewhat different in character. Re peat. In a month again, there was less itching
and fewer spots, and they are not persistent, but come and go, and the
discharge no longer causes fresh pustules. He now got the 1st trit.
his die for a fortnight, and was then still further improved. The
same was repeated, and when finished lie gave up his paper and
reported himself well. He was seen again ten weeks after and was
then still free from any return. We did not ascertain whether he had
had syphilis.
CARE 96th.-Porrigo.-A boy, aged 2, had for four months an eruption of small yellow round pustules, with a rather depressed seab,
running together and oozing yellow matter; he had also scrofulous
ophthalmia, with a pustule on the cornea and photophobia. The head
and eyes were quite cured in two months with K. bich. 3 and 6 ter. die
with the interposition of Belladonna, 6 ter. die, for several days every
now and then. A remaining moist eruption of the cars was removed
by Hepar.
Dr. Wright of Birkenhead, has communicated the following
case:CASF 96A.-" M. 1B., aged 5 months, strumous constitution; has been
ailing three months and treated allopathically without benefit. Oct.
19th, 1850.-Circumscribed patches of eruption, varying in size from
sixpence to half-a-crown, covering nearly the entire scalp, commencing
at the supra-orbital regions; the eruption consists of a number of
minute vesicles closely crowded together, and filled with a transparent
viscid fluid, which burst and form thick, laminated crusts, of a dirty
grey colour; no inflammation or swelling of the skin in the intervals
between the patches of eruption; much itching; eyelids agglutinated
together, and discharge from the inner canthus a quantity of purulent
matter; patches of eruption on the face, and thick crusts around the
nostrils; the external cars much swollen, red and glazed, and behind
the ears excoriated with profuse discharge of serous fluid; patches of
eruption about an inch and a half in length, deeply fissured, between
the folds of the integuments of the neck, with sero-purtulent discharge;
child very fretful, and rests badly; sucks with difiiculty from stuffing
of the nostrils; emaciation; bowels relaxed; stools green and slimy.
Tie 2nd dilution of K. bich. was given, a dose night and morning, and
at the satnme time the lotion of 1 gr. of the salt to 4 oz. of water, was
used. Under this treatment it steadily improved ad  a was  ell in four
weeks."
CAsK 97th.-Papmlar Eirption.-Mrs. K., aged about 30, had for
some time been delicate and subject to perspirations, when three
months ago a spot formed on the calf of the leg, and spread gradually
all over her. it is now 5th Nov. 18.50, on the trunk, and thigh, and
hack, and, in fact, all over her except the face. It consists of large
papular elevations, red and irregular, like measles but more raised,
with intcnte and excessive itching, especially at night, so that for
om nighlts shOe hIas had to walk about the room most of the night
it is a burning itching-like a fire, as she says. She has also general
debility; for son  weeks a gnawing and pain at epigastrium, and
a sensation of internal itching there, Which is relieved by taking food;
bIowcls optn: urine hot and high coloured, and at times scanty; catamenia regular. K  bich. 1st trit gr. ij in fourteen tablespoonfuls of
water-one night and morning. [She had been five weeks under


allopathic treatment, and had taken mercurial pills to a considerable
extent without benefit.] In a week she was improved, and the itching
less and the spots paler, and some desquamation had set in from the
patches. The medicine was continued in the 1st and at times the 3rd
dilution, and all the symptoms gradually declined till towards the end
of December, when she was quite well
CASE 98th.-Dr. Dudgeon uas communicated the following case.S. A., aged 18 months, was brought to the West London Dispensary
in 1849, for a curious skin affection. The whole of the lower part of
the body, from a little below the navel in front and from the top of the
nates behind, down the thighs and legs, was covered with a smooth,
shining, elevated, bright red eruption, so as to give those parts of her
the appearance of a boiled lobster-shell. This affection had been
coming on gradually for some months, and under the use of all manner
of antipsorics and all the ordinary homoeopathic remedies for skin affections, it had rather increased than otherwise. The child's health was
not disturbed. After some months of fruitless treatment, Kali bich.
6 was prescribed in globules and in less than a month the whole of
the rash had disappeared, leaving only a brownish tinge of the skin,
which also gradually went off.
The disease communicated to the skin an appearance of thickening
and induration, but the rash did not seem to be attended by much irritation or heat.
This child was brought to the Hahnemann Hospital about eighteen
months after the above-mentioned skin disease was removed as above
detailed, with that curious disease molluscum contagiosum, which is
gradually going off under the use principally of Silicea and Lycopodium.
The mode in which this latter disease is removed is worth noticing.
The individual tubercles, or tumours, which vary in size from a large
pin's head to a pea, inflame, suppurate, and drop off as a scab, leaving
bluish-red cicatrices, which gradually die away.
CASE 99th.--Eczema.-A girl, aged 10, had been ill five or six
weeks, and had been treated allopathically the greater part of that
time. There was an eruption covering both ears entirely, and a considerable portion of the surrounding skin. It was hot and itching, and
had a constant oozing watery discharge. The general health was
good. K. bich. 3 bis die, and the lotion of K. b. (4 gr. to oz). In a
week there was great improvement. The medicine was repeated at
intervals, not regular after the first three weeks, as she was so much
better. It was not finally removed for two months, without any other
medicine.
CASE 100th.-In a case of herpes exedens (lupus) of the face, this
medicine was given uninterruptedly (i. e. without other medicines), at
intervals, in different dilutions (from 3 to 30) for nine months, and the
disease was apparently arrested, but we cannot conclude anything
positive from one such observation.
ULCEss.
We have used this medicine to a great extent in the Liverpool Homaeopathic Dispensary, and on the whole obtained as
much success as can be hoped for from any single remedy, and
cured some cases as extensive as we could suppose the cure
attainable, without the comforts of hospital accommodation,
which is indispensable, as is well known, in many cases of
ulcer of the lower extremities. We have used it at the same
time externally in a considerable number of cases, but not by
any means in all.    When used externally it must be much
diluted, as even the strength of the 1st dilution gives rise to
violent pain, as was also found by Dr. Watzke of Vienna. We
have gradually diminished the strength of the common lotion
used at the dispensary, and the strength now recommended is
4 grain of the pure salt to the oz. of water; this is about half
the strength of the 3rd decimal dilution. It would be tedious
to narrate any considerable number of cases. We may shortly
notice, that it seemed most useful in those cases where there
was much pain and irritation, and several small ulcers broke
out simultaneously, or in quick succession; though it was
also useful in many large ulcers when there was inflammation
about them. Among the cases we may shortly notice one of:
CASE 101st-A man of 60 years of age, who had hurt his leg in a
fall sixteen years before; since that time he had been subject to


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THERAPEUTIC USE.


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THERAPEUTIC USE.                       51


frequent ulcers in the leg; it breaks out in small, irregular, deep
ulcers, surrounded with thickened, red cellular tissue. The pain is
violent and twitching; worse at night in bed, and often obliges him
to get up and apply cold wet rags; he has some varicose veins;
general health good. K. bich. 6 bis die, and lotion. The pain was
relieved after the first application of the wash, and the whole symptoms
were removed in a fortnight.
CASE 102nd.-In another case of a female, a large ulcer with a slough
in the centre and hard shining knobby environs, was treated with
K. b. 6 bis die, and yeast poultices. When much better and half
filled up, the lotion was given, but having been of too great strength
and kept too long to the sound skin by mistake, brought out its
characteristic pustular rash, ending in painful superficial ulcerations,
while the original ulcer was nearly healed. Simple ointment was
used, and Sulphur, followed by Arsenicum internally, removed all the
symptoms.
CASE 103rd.-A woman, aged 28, had had a similar ulceration some
years before which had lasted a year. On the 16th May she had
complained for five weeks of a violent burning heat round the ankle
and heel, deep seated, and hindering sleep; there are three small,
irregular, shallow ulcers; costive bowels; fluttering at the heart;
otherwise well. K. bich. 12, bis die, relieved her much in ten
days, but while taking it the burning began to come back again;
K. bich. 6 bis die was then given, and also the lotion, and in a
fortnight more she was cured.
[This case apparently shews that the higher dilution had
exhausted its power, and the disease was again making head
till checked by the lower potency.]
CASE 104th.-A woman, aged 39, of bad general health and feeble
frame, had for ten months a large ulcer on the leg, much inflamed and
painful; under Arsenic 3, and then Sulphur 3, the health iunproved,
and also for a time the ulcer, and then the latter became stationary,
or even worse. K. bich. 6 ter. die, and the lotion were then given,
and it speedily improved, and in about a month was quite cicatrized,
but a small inflamed ulcerated spot had formed in the skin at the side
of the old ulcer; there were some catarrhal and gastric symptoms, for
which Pulsatilla was given for a fortnight; then the little ulcer
remaining the same, K. bich. 6 bis die was again given with the
effect of removing it quite.
CASE 105th. Ulcer after syphilis.-A young man, aged 22, had had
syphilis two years before, and tor a year on the 25th March had suffered
from a number of small irregular ulcers on one leg, which leave a
depressed cicatrix on healing. K. bich. 3 bis die. On the 4th April
he was much better. The same medicine was continued and in a
fortnight he was quite well, and had remained so at the end of May
when last seen.
Among the diseases of the general system we may mention
Rheumatism.-Of its utility in this, various examples will be
found under the individual organs: it seems more suitable to
the chronic form, unaccompanied with much swelling. Whether
it may be useful in rheumatic fever is doubtful, except as an
intercurrent medicine, for idiopathic fever seems not to lie
within its sphere of action.
In Gout we should expect it to prove a useful remedy: we
have the extremely acute pain in the small joints, and also the
rapidly flying of the pains from one limb to another, and also
a variety of the disordered conditions of the digestive organs
which accompany that disease. Experience has to a certain
extent confirmed this hope, and I have used it with good effect
after other homceopathic remedies in several cases of gout, and
also in the interval to ward off the disposition to the disease;
-in one well marked case of a gentleman who has been a
martyr to the disease for many years, and in whom the attacks
were become more frequent and severe: since coming under
treatment he has suffered much fewer attacks, and those milder
and shorter. I attribute a great part of this improvement to
several courses of K. bich. in different dilutions, given at the
end of each attack, which had been, it is true, treated with


homceopathic remedies. I would recommend the trial of it in
this manner. Perhaps as a preventive the oxyde of Chromium
would be more suitable, given in trituration every two or three
days for several weeks, and then omitted for a time.
Fever.-Idiopathic fever seems not to be within the range
of the action of the medicine as far as the provings go; though
sympathetic inflammatory fever of great intensity accompanied
some of the local diseased states. Nevertheless, we know how
difficult it is to obtain in the provings a complete case of
intermittent fever, and it is quite possible that among the
symptoms given may be included some of the elementary
symptoms of intermittent fever, as the analogy of the general
action of the medicine with Arsenic, and some intermittence
among the symptoms, would lead us to suppose.    Clinical
observation must decide that point.
Syphilis.-The resemblance in many respects between the
action of this medicine and that of the syphilitic virus, and also
its analogy to Mercury, would lead us to hope that we may find
in it another remedy for that disease. Though we would not
place any weight on such a merely superficial resemblance, yet
we cannot refrain from noticing the likeness that the chrome
ulcer when healed presents to the indurated chancre. A more
correct way of judging of the resemblance is in the further
development of the constitutional symptoms. We have in
this remedy the rash on the skin; then the sore throat, which
has been mistaken for syphilitic; then the periosteal pains;
then the rheumatism; and lastly, the diseases of the skin,
chiefly of the pustular character, which have the hard dark
scab, and leave the depressed cicatrix. These circumstances
lead us to hope for much success in secondary syphilitic and
mercurio-syphilitic diseases, and the cases above narrated tend
to confirm this expectation. Whether it will be useful in
primary syphilis I am not able to say. It seems pretty well
established among homceopathic practitioners now, that the
lower dilutions are most suitable in syphilitic cases, and many of
our body hardly dilute Kali hydriod. at all. If therefore the
Chrome should prove a useful medicine in these cases, probably the neutral Chromate may be best, as acting less powerfully on the stomach: though this preparation has not been
specially proved, yet it may be recommended on the same
principle that we adopt several different preparations of Mercury ex usu in morbis, in different varieties of syphilitic cases.
Dr. Russell writes, " I have seen unequivocal benefit derived
from it in cases of secondary syphilis where the symptoms
were mild and the disease affected the throat chiefly, without
going the length of extensive ulceration. I should place it
next to Nitric acid in this affection."
General cach/exia.-Though we have no evidence of the
primary action of this medicine in causing a disordered condition of the blood, yet we may expect to find it useful where
such a condition has ensued in consequence of long-standing
disease of the liver and other important organs of the ldigestive
system.
Dropsy.-We have likewise no evidence of any prinmary
tendency of this medicine to produce the dropsical state, yet
from its action on the kidneys we may expect it to prove a
help in the early stage of some renal diseases whichl when
further advanced produce consecutive dropsy.
Nervous system.-Except in neuralgia of some individual
branches of the nerves, we do not expect much utility of this
medicine in disease of the cerebro-spinal system, nor in mental
disorders. In Delirium /remens however, from its anllogy to
Tartar emetic, and from its probable primary depressing influence on the ganglionic nerves, it may perhaps prove a




II





i




52


KALI B3ICHROMIC M1.T~I:


52                     KALI BICHROMICUM.


useful auxiliary in many of the gastric complications of that
disease.
Allopathic wue.-The following is the sum of what has been
collected by Arneth and myself on this head. Dr. Cumin, of
Glasgow, writes (in the Ed. Aed. and Surg. Journ., Oct. 1827,
p. 295), " I began to prescribe a saturated solution of the Bichromate as an application to tubercular elevations, excrescences
and warts. In these cases the new growth has sometimes
been removed by absorption without any slough, but where a
slough has formed it has always served to hasten the cure, and
in no instance have I observed it to be followed by a deep or
unmanageable ulceration. In a case of warts more extensive
and formidable than any I had before met with or seen delineated, which I treated last winter, the Bichromate in solution
was the only remedy which acted effectually, without causing
such intolerable pain as to preclude the continuance of its
application.
According to Hauche (Riecce. N. Arzneimittel., ~ 427,
quoted by Arneth) this medicine is useful in removing syphilitic excrescences without ulceration or the formation of an
eschar. It is said also to have hastened the cicatrization of
ulcers, and to have been useful in scrofulous sores and cancer
of the uterus.
Jacobson reports good effects from the use of the neutral
Chromate in old and callous ulcers, in herpes and tinea, and in
eone inflammations and ophthalmias. Also maculse are removed by it. He holds the neutral salt to be a far more
certain medicine than the acid salt. In ulcers he uses a
solution of one drachm of the neutral chromate in 10 oz. of
water, with which he pencils over the ulcer or the herpes
every second or third day. On the ulcer, after a few applications, there shews itself a slight soft crust, after which good
granulations make their appearance.  A herpes disappears,
according to him, without any marked symptoms, or there
appears a slight scaly efflorescence, after which the herpes
disappears.
Jacobson also reports that he has found it useful as a corrosive in fungosities, excrescences and nmvi, in herpetic eruptions, impure and callous ulcers, and as a discutient in zona
and pustulous ophthalmias. He wishes it should be tried in


ophthalmia neonatorum and 0. Egyptica. As regards the
internal exhibition of it, he would often prefer it to Tartar
emetic as an emetic in doses of 2 to 4 grains, because it does
not act so powerfully on the intestinal canal. He recommends
it also to be used as a nauseant and alterative, as the constitution can bear the use of it for several weeks in the dose of
a quarter to a half-grain four times a day.  He concludes
with the remark, " It might be administered in diseases in
which Antimony, Zinc, Bismuth, Copper, &c., are used, and
therefore may be tried in croup, as well as in cholera."
(Gerson's and Julius's Magazine, xxv, quoted by Arneth.)
Use as a caustic.-Dr. H. Madden has used the Bichromate
as a caustic in ulceration of the neck of the uterus. He
painted the ulcer with a saturated solution, but he does not
think it was very useful. Perhaps on further trial it may be
found more suitable for some forms of disease than others, and
other modes of applying it may be invented.
Preparation and dose.-As this salt acts upon alcohol, the
dilutions below the 2nd centesimal must be prepared with
distilled water or in trituration with milk sugar. The third
dilution and all above may be prepared with the ordinary
rectified spirits.
For external use a lotion may be prepared in the proportion
of 1 gr. of the pure salt to 4 oz. of water. It may also be
used as an ointment in the 1st or 2nd trituration. For the
sake of uniformity I have hitherto used only the bichromate
externally as well as internally, but it is possible the neutral
chromate may be found more convenient and of sufficiently
similar action.
In the foregoing cases it will be seen that it has been used
in various dilutions, from the 1st to the 30th.
Analogous Medicines.-The chief medicines whose general
action is similar to that of the bichromate are: Arsenic, Mercurius corrosivus, Tartar emetic, Pulsatilla, and Aurum.
Antidotes.-There is no antidote to the general action of
this substance known. Nux and Phosphorus proved curative
in the dyspeptic and bronchial symptoms narrated at No. 160.
The best antidotes for individual symptoms are doubtless indicated by the concordance.


APPENDIX.


In addition to the cases contained in Dr. Arneth's treatise, I have
incrpor ated in the foregoing proving the information obtained personally in visiting the chrome works of Manchester again last year,
and also that kindly communicated by Dr. Walker of Manchester,
and Dr. Beilby, of Glasgow.  At Mr. Dentith's works in Manchester
we were again received with great courtesy, and every facility afforded
of making observations. But in another manufactory in Manchester
we were completely baffled in our attempts to obtain information,
apparently from sonme mistaken notion as to our object in making the
enquiries. Among the cases we saw were many confirmatory of the
general remarks formerly made, and which it was unnecessary to
notice in detail. The additional examples we selected were almost all
from nwn exposed to the dust of the pure salt. The most of these
require no remark leyond what is contained in the proving, but one is
particularly interesting, viz., the subject of the symptoms described at
I31. This was W. C., a fair haired slender youth, then under 17 years
of age. He was exposed to the dust in packing the salt. In conscr nirnce of some doubt as to whether he had had syphilis or mercury,
I did not include his case in the proving till the sheets were passing
through the press, when I received from Dr. Walker the results of
enquiries carefillv instituted by him. It appears the infection was
considered to be venereal by the surgeon who first saw him, and who


only prescribed once for him, and he then went to the Infirmary, where
it was called and treated as rheumatic, and no mercury was given as
far as can now be ascertained; at any rate there was no quantity
given sufficient to affect the gums. Dr. Walker is quite satisfied that
the evidence he obtained is sufficient for the conclusion that neither
syphilis nor mercury had any part in the case, and I have therefore
admitted it, and it forms a most interesting case, as there are few
medicinal substances in which the pathogenetic phenomena of that
nature are so distinct.
Dr. Walker has also mentioned a few details of the case of a well
known modeller in wax in Manchester. The wax is coloured with
various metallic poisons, among which chromate of lead is supposed to
be in considerable proportion. Among other symptoms the patient has
had for a long time an obstinate ulceration of the throat, which was
observed by Dr. Walker to be invariably aggravated in a distressing
manner if K. bich. was given medicinally, before the true nature of the
ailment was suspected.
From Glasgow Dr. Beilby has kindly reported seven cases seen by
him at Mr. White's works. Among them he narrates the case of a
gentleman who was at one time manager of the works at St. Rollox.
At that time he had painful swelling of the glands under the armpit,
and severe ulcers in the hands; inflammation and abscess of the


~





THERAPEUTIC USE.


53


_ _ __


uvula; and sickness and general malaise. Now when he occasionally
visits the works he cannot pass through them during the boiling
operations without suffering from the vapour, which causes inflammation of the upper eyelids and pustules on the hands. The workmen,
says Dr. Beilby, on the whole suffer comparatively little after having
been some time at the works, partly because they lose the susceptibility
to some of the effects, and partly because they are more careful. Mr.
White has remarked that now the men are much more careful than
formerly. I have also remarked that the men seemed much more
cereful than at my first visit to the Manchester works, and I could
meet with fewer striking cases.
I may here quote in full that interesting case of poisoning which
forms paragraph 96.
Extract from Mr. Alfred S. Taylor's Cases and Observations in
Medical Jurisprudence, Guy's Hospital Reports. Vol. vii, part 1,
page 214.
" Case of poisoning by the Bichromate of Potash-recovery after four
montlis.-Instances of poisoning by the Bichromate of potash are so
unusual, that the details of any well observed case must be always
acceptable to toxicologists. The following occurred in the practice of
Mr. E. Bishop, of Kirkstall.
On Monday, the llth October, 1847, Mr. Bishop was hastily summoned, about 8 o'clock in the morning, to attend the son of C. B., a
dyer, who was said to have swallowed poison with the intention of
destroying life. Half an hour after the youth had taken the poison he
was found labouring under the following symptoms: face exceedingly
pale, cadaverous, and covered with cold perspiration; the pupils dilated
and fixed; pulse exceedingly feeble; cramp in the calves of the legs;
and almost total insensibility; occasional vomiting, attended with
violent epigastric pain.
Mr. Bishop was informed by the young man's father as to the character of the poison, and he found that vomiting had taken place very
soon after the substance had been swallowed; the vomited matter at
first consisting of the morning's meal (which had been taken recently)
mixed with the poison, but afterwards nothing came up but thin glairy
fluid, of a pinkish colour. Half a drachm of Sulphate of zinc was
immediately administered with some warm milk which was at hand.
This was speedily ejected, tinged of a pinkish hue and having a very
sour smell.  Olive oil and white of eggs were given with copious
draughts of warm water. All the ejected matters were coloured, even
after the administration of the magnesia, hence the stomach-pump was
used until the washings of the stomach became colourless. The patient
now complained of a burning pain at the pit of the stomach, and of a
sense of heat and dryness in the throat, accompanied with excessive
thirst; vomiting and straining still occurred at intervals; he was
allowed occasional draughts of milk and water; in about two hours
and a half the vomiting had subsided, and he began to assume his
natural look; the temperature of the skin rose; and with the exception
of slight epigastric pain and dryness in the fauces he seemed comparatively comfortable; the pulse was 100, and rather full; the pupils
responded to light. The patient was calm and can give a minute
account of the occurrences of the morning. 8 o'clock, r. m., twelve
hours after the poison had been swallowed; very severe gastro-intestinal inflammation has set in, accompanied with severe cramp in various
parts of the body, particularly the calves of the legs and inner parts of
the thighs; the skin was hot and dry; cheeks flushed; countenance
indicative of anxiety; there was pain in the head; pulse 120, hard and
full; respiration rapid; epigastrium and abdomen very painful, not
bearing the slightest pressure; there was constant straining and retching; he was bled; and calomel and opium with other remedies were
administered. October 12th, 6 o'clock, A. M.-Blood buffed and cupped;
vomiting had ceased; the countenance was not so anxious; the pain
had abated; the skin was dry and hot; tongue dry and covered with
a dark brown fur; pulse 100, full and jerking; the pain was still very
much increased on pressure, over the whole abdomen; patient complained bitterly of the taste of 'the chromate in the fauces;' the
respiration was calm; the bowels had not acted; the cramp had
subsided.  Leeches were applied to the abdomen.     12 o'clock.Symptoms subsiding. 8 o'clock, r. M.-the patient was still going on
favourably; the bowels had acted once.
On the 14th at 4 o'clock, A. M., Mr. Bishop was sent for to see the
patient, who was reported "dying;" he found him exceedingly ill.
The skin was cold and clammy; face pale; eyes sunk; feet and hands


cold; pulse scarcely perceptible; abdomen swollen and tender. About
two hours previously violent purging had conummenced, and had been
almost incessant; the bowels were evacuated as lie lay in bed-the
evacuation consisted of mucus and blood. Ordered bottles filled with
hot water to be applied to the feet, hands and thighs, and gave hot
brandy and water; in two hours time the pulse rose and the bowels
were quieter. A starch enema with Tincture of Opium was administered. 12 o'clock.-Enema retained two hours; brought away a
little feculent matter, tinged with blood; pulse 120; great thirst; face
not so pale as in the morning; abdomen tender and swollen; frequent
twitches in the muscles of the calves of the legs. An opiate suppository
was introduced within the anus, and hot bran poultices were applied
to the abdomen. 8 o'clock.-The straining and purging have nearly
ceased; the skin was hot; pulse 100 and firmer; thirst excessive;
abdomen not so large but painful on pressure. 15th.-Purging had
again returned, but not so violent as before; stools contained feculent
matter; tenesmus not severe; skin cool; thirst abated; abdomen
very tender in the region of the sigmoid flexure; distension slight.
16th.-The symptoms were subsiding; the pain was relieved; the
bowels had acted once and the evacuation was natural. Dec. 14th.Convalescence had been exceedingly slow; ulceration of the bowels
having set in, and with difficulty been subdued by means of Nitrate of
silver and Opium, and successive blisters on the abdomen. There was
considerable emaciation with urgent dyspepsia. February 14th, 1848.
-Had no pain in the epigastrium; appetite and digestion good; bowels
habitually costive. To have change of air and regular exercise."
Remarks by Mr. Bishop.-" The cases of poisoning by this substance,
which is now commonly used in the arts, are rare; no antidote is
pointed out in toxicological works. But the first object is evidently to
get rid of the poison; second, to decompose what cannot be thus got
rid of. The first object is to be effected by emetics and the stomachpump: I should be inclined to rely most on the latter. The second,
perhaps, will be best effected by the alkaline earths, although I should
rather suspect the activity of chromate of lime. As near as I can ascertain this young man swallowed two ounces of the salt; he took as
much as a handful out of the tub, and dissolved it in warm water; and
so intent was he on destroying life, that, while dissolving it, he chewed
several small crystals. Vomiting occurred in about five minutes after
he swallowed the solution. From the violence of the symptoms it
seems probable that a far less quantity than what was swallowed
would destroy life, but it must be borne in mind that breakfast had
just been taken-a large mess of pottage, with which the poison had
become mixed and afterwards expelled. Had so large a quantity come
in contact with the walls of an empty stomach, 1 think there can
be little doubt that death would have ensued speedily from the shock
to the nervous system before there could have been time for inflammatory symptoms to have come on."
Bemarks by Mr. Taylor.-t" I shall only add to these remarks that
in my opinion the patient owed his recovery to the very active and
judicious treatment pursued by Mr. Bishop. It will be observed that
the case was under treatment from October 11th to February 14tha period of four months. In the latter stage the urgent symptoms
were undoubtedly due to the local action of the poison on the mucous
membrane of the stomach and bowels.     In the only two cases of
poisoning with the Bichromate of Potash with which I have yet met,
one proved fatal in twelve hours and the other in five hours. In the
first there had been neither vomiting nor diarrhea; and in the second,
vomiting only. The vomited matters, as in Mr. Bishop's case, consisted of mucus mixed with blood. The case hero reported, and which
is now for the first time published, is, I believe, the only instance of
the chronic effects produced by this poison hitherto recorded. It
clearly proves that, as in poisoning by the strong mineral acids,
a practitioner may have formidable after-effects to encounter-honce
he should be guarded in his prognosis.
With respect to the treatment of the acute stage of poisoning, the
removal of the salt from the alimentary canal by emetics or the free
use of the stomach-pump is the principal object. A mixture of ('arbonate of Magnesia or of Lime in linseed tea might be exhibited with
benefit. Brown sugar dissolved in water at 102~ tends to decompose
the chromic acid, and to reduce it to the less irritating state of Oxide
of Chromium. Chemical antidotes can, however, be of little avail
unless administered within a few minutes after the poison has been
Sswallowed."


HT





534
On the 24th of Nov
of the 1st decimal trituri
On the 25th.-Dull I
the evening.
26th.-In the morni
elbows.
27th.-After breakfa
the posterior nares, chi
forenoon dull confusion
in the skin in various pa
28th.-For several d
the legs, especially abo,
pressure. Transitory p
ness and uneasiness in tl
29th.-Bad taste in t
ing pains about the anus
and irritation of the skin
evening.
30th.-In the morni
the apex of the heart,
inclination to vomit in
of water in the mouth
Unusual hunger in the r
Dec. 1st.-Metallic t
ing in the tongue.  I
especially the inner cai
back of the left side of
in the front, with a feeli
the lung could not exj
feet, toes and various
itching in the toes like
2nd.-Vivid dreams.
shifting to various parts
the inferior angles of t
hypochondrium, at the e
of the bladder; pain di
symptoms seem to be g(
Frequent passing o.
aching and shooting pail
the rectum, and diffict
Pains in the knee. 31
left scapula, in the mo
A sort of sudden jerk o
4th.-In the night a
the chest below the axil
motion or respiration, g(
Pains in the knee. Ite
the feet, at the root ol
tround.
5-th.-In the evening:i fine-drawing nervous


KALI BICH


ROMICUM.


PROVING OF THE OXIDE OF CHROMIUM, BY DR. DRYSDALE.
ember (1842) began to take one grain  chest to the shoulder and neck; on lying on the heart, a sort
ation ('/,,th gr.) three times a day.  of clucking painful sensation on deep inspiration. In the evepain at inner angle of left scapula, in  ning violent disagreeable pain like flatulence came on in the
right side from lumbar region round to the ccecum, brought
ng, transitory undefined pains in the  on by any movement of the trunk or by deep inspiration-not
felt in setting or lying still..st and dinner a fetid, musty smell in  6th.-This morning in bed the same pain (in loins, and right
iefly perceived in expiration. In the  side) still felt very troublesome-rather better on getting up.
in the head. In the evening pricking  7th.-Still the pain in the loin; it seems to arise in a spot
irts; smarting in the eyelids,        which is tender to pressure, about an inch to the right of the
ays a dull, bruised, fatigued feeling in  middle lumber spine. Rheumatic pains about the right shoulder
ve the knees, with some pain on firm  and various parts of the back. The flatulence and rumbling
ains in various parts. Feeling of dry-  in the abdomen have continued troublesome for several days;
he right eye and right nostril.       and also almost daily pricking in the tongue at various times.
he morning. Fulness and slight shoot-   7th. -Superficial burning pains about the middle dorsal
s in the morning and forenoon. Itching  spines; sudden jerking pains in the left ear; cold feeling in a
i round the eyes and cheekbones in the  small spot in the meatus of the left ear. In bed a severe
quivering boring deep-seated pain in the inner side of the
ng he had a dream, with pain under    thighs, chiefly the left.
and awoke with that pain. Sudden        8th.-The pain in the loins continues. Occasionally indisthe morning while dressing, with flow  tinct pains like a strain about the feet and ankles. Shooting
i and dull pressure in the stomach,   drawing pains about the balls of the feet. Shooting pains in
middle of the day.                    the left temple. 9th.-Still the lumbar pain, most felt in the
aste in the mouth before dinner. Prick-  morning in bed. Itching in the palm of the right hand in the
tching and smarting round the eyes,   morning. Pricking in the tongue. Several sharp cutting pains
nthi. Deep seated pain again in the   across the left eyeball at night in bed; smarting and heavithe chest and the corresponding place  ness in the eyelids in the evening. 10th.-The lumbar pain
ng on deep inspiration as if the root of  gone. The same symptoms in the tongue and eyes continue.
pand and was painful. Itching in the   12th.-Yesterday morning and this morning heavy muscular
parts, in the evening. Burning and    pains in the neck and shoulders, and various parts of the
chillblains (to which he is not subject).  trunk; soon went off and only slightly felt in the back during
He awoke early with pains suddenly  the day. 13th. - Drawing pains in the left scapula occaof the trunk; dull pain at one time at  sionally throughout the day, but most in the morning. Sharp
he scapulae, then pressive in the right  drawing pains in the bones and ligaments of the right foot.
dge of the false ribs, then in the region  14th.-The dose was now changed to one grain of the first
all pressive over the right eye. The  centesimal trituration (1/10oth), four times a day. In the morenerally most in the morning.         ning uneasiness, stiffness and dull pain in the muscles. Chiefly
f flatus for several days.  Frequent  in the shoulder blades and back of the neck, also between
ns at the epigastrium. Fulness about  shoulders and in the hips. Coming occasionally during the
ilt evacuation of a soft scanty stool.  day till the evening. 15th.-Cutting pain across the left
rd December.-The same pain about       eyeball, with flow of tears in the morning in bed. Pricking
)rning; pinching pain in epigastrium.  itching in various parts. 16th.-Pains in the left scapula.
f both eyeballs for a second.         Quivering of the lower lip. After tea a sudden and pressing
severe boring pain in the left side of  desire to stool, with scanty, thin, lumpy evacuation. 17th.la, about the 4th rib, not increased by  The fixed pressive pain at apex of the heart as before. Flatuoing off on turning to the right side.  lence. Itching in the arm-pits at night.  Frequent dull
hing and drawing pains in the balls of  deep-seated pains in the hands and fingers. Pains in the
f the toes, painful on treading on the  back as before. Finished the proving.
For some days the pains in the back continued, and then
in bed, pain in the region of the heart,  gradually all symptoms disappeared.


pain, at times reaching tlu-ougli the





ACONITrM NAPELLtoS.


[SYMPTOMS 44 TO 76.


Moral Symptoms.


44. Distraction. (Schn.)
45. Prepossession of the mind, the thoughts
he has already conceived and half written
down he is unable to register completely, without an effort to recal them (aft. 3 d. W.)
46. Want of memory, what has just been
done appears like a dream, which can scarcely
be called to remembrance. (St.)


47. Weakness of memory (aft. 5-9 h. It.)
48. Loss of memory for dates.0 (i.)       o Fluor-ac. Lach.
49. Diminution of the intellectual powers
(Sw. W.)
50. Indisposition to exert body or mind.
(Fg.)




ixalted spirits, 1-3, 20, 748.
Jariable humour, 4.
ndifference, 780.
doroseness, 5, 475, 753.
)epressed spirits, 6, 7, 11, 457, 746, 750, 753.
t)       from music, 30.
Inxiety, 8, 10, 466,475, 478, 479, 480, 481,490,
491, 643, 645, 663, 674, 679, 778.
&nxiety with pain in chest, 8.
S with complaints, 9, 10.
with reproaches, 9, 10.
)espair, 10,128, 614, 746.
3olicitude, 11.
)islike to talk, 12.
aaziness, 340, 674.
inthropophobia, 13..rLisanthropy, 14.


INDEX TO MORAL SYMPTOMS.
Love of solitude, 15, 475.
Impatience, 678.
Bad humour, 16-21, 456, 457, 466, 656, 753,
780.
Bad humour, with delirium, 20.
Resolution, 22.
Obstinacy, 23, 751.
Fear, 24, 475, 480, 663.
Sof death, 26, 128, 614, 638, 663, 675.
Sof an accident, 27.
Sof falling, 28.
Feeling as if a misfortune were about to happen, 479.
Intolerance of noise, 29.
is     music, 30.
HurryT, 31, 32, 35.
Hurry in talking, 678.


Restlessness, 32, 33, 478, 479, 663, 678, 679,
764.
Delirium, 34, 35, 128, 130, 679.
Lucid vision, 36.
Increased mental powers, 37-41.
Inability to fix the thoughts, 42-44-, 479, 674.
Want of memory, 46, 47.
Sfor dates, 48.
Weakness of mental powers, 45, 49, 50.
The mental operations appear to go on in the
stomach, 35.
As if madness would ensue, 99, 100.
Disinclination for mental labour, 475, 480.
Lethargy, 671.
Loss of consciousness, 500, 678.
Insensibility, 692.




REMAmrs.-The moral symptoms are partly indicative of the febrile state of the system induced by this medicine, and partly
)f direct action on the brain, from simple irritation to congestion and inflammation.


Head.


Lach-v.
Am-c. Bry. K-bich.
Staph. Zinc.
SRhus-t.
Hep. Spigel.


51, Vertigo; sense of swaying hither and
thither in the brain. (H.)
52. Vertigo whilst stooping.q (Wz.)
53. Vertigo with staggering, chiefly towards
the right side,r on stooping (aft. 36 h. St.)
54. Vertigo whilst standing. (Fg.)
55. Vertigo almost preventing her getting
into bed, whereupon all goes round (aft. 37 h.
St.)
56. Vertigo with commencing staggering,
it seems to him as if he could not stand on his
feet. (WT.)
57. Attacks of vertigo, with confusion in
the head, in the forenoon, daily for 16 days
after leaving off the medicine. (W. St.)
58. Vertigo and dizziness. (St.)
59. Vertigo and stupefaction on entering a
warm room, as if intoxicated. (Z.)
60. Vertigo and headache, not affected by
violent motion (aft. I h. H.)
61. Vertigo and headache in the forehead
and occiput, both worst on bending forwards
(aft. 10 m. H.)
62. Vertigo, much increased by shaking the
head,' whereby complete blackness comes before the eyes. (St.)
63. Giddy heaviness of the head, principally
in the forehead, on stooping, with nausea and
feeling of sinking in the pit of the stomach
(aft. 2 h. St.)


64. Whirling in the head, so that she dare
not move it, with a sensation as if the eyes
would close. (St.)
65. As if intoxicated, all goes round, staggering as if about to fiall, with nausea,t worst
on rising from the sitting posture, less whilst
walking, not at all whilst sitting (aft. - h. St.)
66. Easy stupefaction from tobacco smoke.
67. Confusion in the head, with pressure in
the temples, as if after intoxication. (H-.)
68. Confusion and muddled feeling in the
head, early in the morning after waldking. (A. J.)
69. Confusion with heaviness and fulness of
the head, aggravated by motion. (A. J.)
70. Confusion of the head with pressure in
the forehead, in the evening. (A. J.)
71. Sensation of fulness and heaviness in the
forehead, as if there lay there a weight pressing
outwards, and as if everything would come out
at the forehead" (aft. I h. St.)
72. Sensation of fulness in the head. (A. J.)
73. Muddled sensation in the head. (N.)
74. Muddled and empty sensation in the
head, in the morning, as if after intoxication.
(Rkt.)
75. Heat in the head. (A. J.)
76. Heat in the whole head, followed by
soreness of the whole head, particularly of the
forehead, lasting all the evening (aft. 11 h. St.)


t Mere.
u 10., Magn-.
Meny.









_ ___


SYMLPTO31S 77 TO 1271 ]


ACONITMI~c NA-PELLUS.$


Head.


v Carb-v. Coce. l)p.
K-bich. Krc. Lach.
Lact-v. Lye. Magnet. Mang. Mur-ac.
N itr - ac.  Phos.
Phoa - ac.  Pals.
Rhus - t.   Stan.
Staph. Zinc.
cr Spigel.
w Magn-m. M ur-ac.
Sil.
z Chain. Cocc. Magnet-n. Nux-v. Sep.
bil.
yAlum. Aur. Bov.
Camph. Chin.Cupr.
Euphr.Graph.I Iell.
Ign. Ipcc. Magnet.
Mere. Natr. Nic.
Nux-v. Phos. Ver.
z Bov. Caus. Kal-c.
Stron.
z Alum. Coloc. Ind.
M1 ur-ac. Nltr,.Phow.
a Bcll.Magn-s.M3ny.
h \Anlr.
~ vw.h.


77. Humming in the head.' (N.)
78. Sensation of crepitation (such as is produced by bending gold tinsel backwards and
forwards) in the temples, nose and forehead."
(H1.)
79. Numbed feeling in the head, as if there
were a board before the forehead' (aft.. h.
(St.)
80. Headache increased by speaking. (H.)
81, Headache as if the eyes would fall out
of the head x (aft. A h. IH.)
82. Headache as if the brain were pressing
outwards (aft. I h. II.)
83. Headache as if a part of the brain were
raised up here and there, increased by slight
motion, drinking and speaking (aft.  h. HI.)
84. Headache of a dull character, as if
bruised,' with bruised feeling in all the limbs
(aft. 14 h. H.)
85. Shooting, pulsating headache, as if from
an internal ulcer,' sometimes preventing speaking. (.L)
86, Dragging all over the head, especially
in the temporal muscles. (Z.)
87. Sensation as if some one drew him up
by the hair." (St.)
88. Sensation as if something were drawn
out of the head, causing the upper eyelids to
be drawn upwards (aft. I h. St.)
89. Contractive pain in the forehead. (Ahr.)
900 Tension all over the forehead. (Hbg.)
91, Fulness and heavy feeling in the forehead, as if an outpressing weight lay there, and
as if everything would come out at the forehead  (aft. - h. St.)
92, Fulness in the forehead on stooping, as
if everything would fall out (aft. 25 h. St.)
93, Frontal headache, sometimes shooting,
sometimes pulsating, sometimes pressive, whilst
walking, relieved by sitting. (II.)
94, Very acute pressive pain over the forehead. (7I.)
95, Outpressing pain in the forehead. (W.)
96. Jerking, shooting in the head, especially
in the forehead. (St.)
97. Feeling of contraction of the brain under
the forehead (aft. 20 h. St.)
98 Squeezing, tensive pain close behind the
orbits. (H.)
99. A pinching squeezing in the forehead,
as if in the bone, with a feeling as if madness
were about to ensueb (aft. 12-24 h. H.)
100, A squeezing in the forehead, over the
root of the nose, with a feeling as if the reason
were going, aggravated by walking in the open
air (aft. 4 h. H.)
101. Shooting and somewhat pressive pain
over the orbits, towards the upper jaw, exciting
nausea, like what is produced by vomiting
from an emetic (aft. 2 h. H.)
102. From the 2nd dil. The most furious
headache.  Vision obscured,c the pain was
chiefly in the upper part of the forehead, pres

sing and contractive -head not hot -face
swollen and pale,d light or noise increased the
pain, lying quiet in a dark room removed the
pain. (Z.)
103, Shootings in the forehead, afterwards
in the right temple, and then in the left side of
the occiput. (Wi.)
104. Pain as if a nail were driven into the
forehead, in the warm room.0 (St.)
105, Headache, pulsation in the left side of
the forehead, along with attacks of strong blows
in the right side of the forehead (aft. 3 h. H.)
106, Violent headache, limited to a small
spot above the left supra-orbital ridge. (Z.)
107. Dull pain in the vertex, extending towards the temporal region, increased by stooping (Wz.)
108. Pressure on the vertex, as if a cap
were pressing tightly on the head." (Wz. /8.)
109. Headache in the vertex, as if the head
were compressed equally on all sides by a
pitch cap, removed by motion in the open air.
(Z.)
110. Pressure and acute shootings in the
vertex. ( Wz.)
111. Pressive pain in the temporal region,
followed by jerkings in the occiput, and afterwards confusion of the head and contractive
pain. (Rkt.)
112. Headache as if the head were compressed with screws at both temples.' (Z.)
113. Shooting, throbbing pain in the temples. (St.)
114. Stupifying drawing, inward pressing
pain in the left temple. (St.)
115. Tearing pain in the left temple. (Ahr.)
116. Jerking, shooting pain in the left temple,5 stitches through the temples into the head.
(St.)
117. Tearing pain in the left temple, with
roaring in the ears. (St.)
118, Semilateral drawing in the head. (St.)
119. Jerking, shooting, drawing, tearing
pain in the right side of the head superiorly.
(Ahr.)
120. In the left side of the head, pain as if
the head were compressed. (Ahr.)
121. Creeping in the left side of the head,
as if from a brush. (Ihg.)
122. Pressure in the occiput. (Z.)
123. Jerking, tearing pain in the occiput.h
(Ahr.)
124. A shooting pain in the occipital bone.
(HbM.)
125. Painful jerks in the occiput.' (Z.)
1260 Pressive, shooting pain, at one time in
the occiput, at another in the forehead. (W1i.)
127. After a mouthful of the tincture of the
root.  In 5 minutes she was seized with a
prickling and tingling down the arms and fingers,J and a painful numbness across the wrists,k
the tongue and mouth next felt numb,' then the
legs and feet; m then the face seemed to be


d Ambr.
e Hell. Lye. Mosct
Hhus-t. Sulph-ac.
ee Berb. Paul. Sulpl
f Coc. Coloc. Lye
Plat.
g Anac. Am. Boy
Nux-m.
h Anac. Magn. Rat.


i Rhus-t.
Stram.


Spige


j Natr-m.
k Bov.
I Ambr. Bov. Mag
c.
mAng-v. Kal-c.




I~



____ _~_ __


SYMPTOMS 128 TO 130.]


ACONITUM NAPELLUS.


9


Head.


n Aeth. Alum. Bar-c.
Nice.
o Bell. Caus.  Cic.
Mcz. Lye. Magn-c.
Natr-m. Puls. Sabad. Sulph. Zinc.
p Bell. Galv.
q Fit nearly resembles that caused by
Cocc.
rArs. Dig. Hyos.
Stram.
*(?)
ss (?)
t Ind.
u Bell. Camph. Hyos.
Lauroe. Spigel. Verat.
v Bell. Nux-v. Olean.
Op. Sulph.
to Cina. Con. Op.
x Ars. Chin.
yArs. Bry. Camnph.
Cann. Chin.


swelling," and the throat growing narrow.
On looking at herself in the glass the face
seemed blue p and indistinct. Then she felt
sick but could not vomit. She grew very
weak and almost blind in - an hour, though
still conscious; the legs failed her on attempting to go up stairs. She was conveyed to
bed, where she lay with eyes fixed and protruded, contracted pupils, countenance livid,
jaws and face rigid, arms and hands cold and
pulseless, legs and trunk much the same;
breathing short, imperfect, laborious; heart
feebly fluttering. She gave an occasional sigh,
tossed the arms backwards above the head, and
sought to shift her position by jerks. Rattling
and vibration in the trachea.  After taking
some sulph. of zinc and brandy she had a
violent convulsive fit: the eyes were drawn up
under the lids, the fists clenched across the
throat, and the teeth violently grating against
one another, and a thick ropy saliva was forced
through the lips. Urine and faeces passed involuntarily.' In 2 or 3 minutes the fit went
off, and on tickling the fauces vomiting ensued,
which brought back the pulse feebly to the
wrist. Afterwards bilious vomiting set in, the
pulse again went away from the extremities,
dreadful oppression of the precordia ensued.
The brain appeared much congested, and the
jugular vein was opened with great relief; she
felt as if she was whirled suddenly from a
close, hot, dark room into a spacious light one.
-The symptoms gradually declined, the pulse
becoming fuller. She could not sleep for some
time afterwards, owing to inability to keep the
eyes closed. (Sn.)
128, After taking a drachm of the medicine,
which tasted like pepper, he began to vomit,
in an hour; the substance ejected was green
bile, and he felt like a ball in the scrobiculus
that rising up spread a cool air over vertex
and occiput.'
He then had a paralytic feeling in the left
arm and thigh, the power of moving was gone
in both, only remaining slightly in the hand.
When the left side lost this it came into the
right side in the same way, when he could
raise the right arm he could not the left, and
vice versa."  At length he could raise them
both.
Then he complained that all the bloodvessels
in the body were congealed. I-Ie had vertigo,
burning in the head as if the skull were full of boiling water,t convulsions of the eyes u and mouth,'
and a very violent pain in the jaws, as if they
would fall off, causing him to put his hands to
them; injected eyes, blue face," black lips.x
The abdomen was as if full of water.7 The
pulse and disposition changed with the intensity of the symptoms; at one time he des

paired of life, and then again he was full of
hope, now he was perfectly conscious, and
again he raved; he wept and sang alternately.
He asked for cold water to drink. He was
thrice blind during these attacks, and thrice he
affirmed death to be at hand. In 7 hours all
these symptoms went off. (Mli.)
129. After eating the root, burning and
numbness of lips, mouth, throat and stomach,
and violent vomiting; also numbness in arms,
hands and legs; no power of articulating,
uttered only unintelligible sounds. Great muscular debility, inability to stand. Stiffness and
difficulty of moving limbs. Though the eyes
were wide open the sight was dim; face and
throat almost insensible; sometimes nearly unconscious. Body and extremities cold. Frequently pulled at the throat. Recovered after
5 or 6 hours. (Per. 2.)
130. After a drachm of the plant, tightness of
chest, pain in stomach, vertigo with obscuration of vision. He got very weak and thought
he would die. Vomiting then set in, and he
felt relieved and hopeful, though he still complained of a feeling as if something were still
in his stomach. Pain in occiput and throat;
he commenced to be delirious and played upon
a leaf. The delirium soon went off, and he
then complained of pains in stomach and head,
in his jaws, in his chest, and here and there in
his joints, which in 7 hours became more general; the abdomen swelled as if he had dropsy,"
the flanks were tense, painful, and felt hard,
shoots in the kidneys, suppression of urine,
an arm and a leg paralysed," pulse intermitting
and febrile. After more vomiting and evacuation of the bowels he complained of pressure
and coldness in the stomach as if a stone lay
there.b At last he got a very painful inflammation of the eyes, with flow of tears,' the
pain was so great that he declared he would
sooner die than endure it. All the symptoms
went off in 8 hours. (Rd.)!
I
I


SArs. Bry. Camph.
Cann. Chin.
a Plumb.
b Bov. 01-an. Phlis.
Zinc.
c Bell.. 'c. Camn.
Clewm. Con. l)M.
Graph. Led. lyc.
Phof.


PATHOLOGICAL ANATOrY.
Head.
Ma' cE


The vessels of the brain and araclmoid injected, with serous effusion under the meninges,
and at the base of the brain. (Bd.)
The cerebral vessels distended with blood.
(Ot. Pn. Pll.)
The brain dotted with black points. (Pn.)
ANIMALs.
The brain and its vessels congested. Rabbit.
((Est. Zeilsch. 1. c., p. 136.)
Arachnoid iniected.  Rabbit. (Ibid. p. 138.)


I..............,  -...- \- I I /


1%



I~


LI


77


SYMPTOMS 198 TO 212.]


ACONITUM NAPELLUS.


13




INDEX TO SYMPTOMS OF THE FACE (continued.)


Swollen, 102, 180, 191, 664.
Spots like fleabites, 637.
Vesicles, 630.
Expression, anxious, 179, 678.,     Hippocratic, 663.,     of fnght, 663.
S  of imbecility, 663.
altered, 677, 679.
Features, sunken, 739.
Forehead, hot, 744, 756.
S  cold, 736.,,   pimples on, 181.,,   vesicles on, 630.


Cheeks, creeping pains, 192.
Zygomatic process, ulcerative pain, 190.
Jaws, numbness, 674.,, tingling heat, 500.,   burning, 170.,   pain, 130.,   pain as if they would drop off, 128.,   rigid, (trismus), 127, 197, 664, 679.
Lower jaw, shooting, 195.,,   jerking, 195.,,    pressure, 196, 243.
Maxillary joint, pain, 194.
Chin, digging pain, 781.


Lips, numb, 129, 215, 216, 278.,tingling, 216.,painful, 204.,inflamed, 204.,hot, 780.,burning, 129, 203, 204, 278.,dry, 208. 762, 780.,, distended feeling, 216.,swollen, 217.,black, 128.,blue, 278.
Upper lip, pimples, 182.,    sweat, 189.


REnMARcs.-Besides the facial symptoms indicative of febrile action, cerebral irritation and congestion, we have here (~ 191)
a very well marked neuralgic affection of the fifth pair of nerves.
Teeth.
a Ac-fluor. Ambr.   198. Sensibility of the teeth to the open          200. Pressive toothache in the left upper
Cale-c.Cin.K-carb. a  a(Z)                                         jaw. (V.)
K-nitr. Mgt. Mere.
Natr-m.Petr.Phos.  199. Shooting pain in various teeth. (VW.          201. Shooting pain in the molars of the
ene Sep. Staph. aft. 36 h.)                                        right side.b Sz.)                                a Lye. 0-an. Staph.


Numb sensation, 674.
Sensitiveness to open air, 198.
Shooting, 191, 199, 201.


INDEX TO THE SYMPTOMS OF THE TEETH.
Pressure, 200.                                Grating, 127.
Feel falling out, 500.                        Spasmodically clenched, 500.




II


Mouth.


a Asaf. Bar-c. Carban. Mur-ac.
b Anac. Ant-t. Ars.
Aur-m.Canth.Crot.
Crotal.   Mere - v.
Merc-c. Verat.


202. Burning of the lips, with sensation of
swelling." (Sz.)
203. Burning of the lips and tongue, as if
after eating pepper or smoking. (A. J.)
204. The lips and interior of the mouth
burning, painful and inflamed.b ( ER.)
205. Coolness and dryness of the mouth,
without thirst. (lbg.)
206. Dryness of the interior of the mouth
(immediately. H.)
207. Feeling of dryness in the front of the
mouth. (H.)
208, Dry sensation, first in the lips, then in
the interior of the mouth, with heat mounting
from the chest to the head (without redness of
the cheeks).* (H.)
* " This parenthetical observation," says Hahne

209. Flow of water into the mouth. (A. J.)
210. Increased secretion of clear watery saliva, almost to the extent of ptyalism. (A. J.)
211. Saliva mixed with red streaks,' and
sweet taste in the mouth   (for 16 days after
leaving off the medicine. (Wst.)
212. Soreness of the orifices of the salivary
ducts, as if they were corroded." (H.)
mann, LL refers to an individual who when in health
had generally very red cheeks, which redness was
thus homceopathically removed, as Aconito almost
invariably produces redness of the cheeks."


o Arn. Are. Clem.
Itid.   Kal - hyd.
Magn-c. Nitr-ac.
Nux - v.    Staph.
Sulph. Thiuj.
c d ilyos.
r Bell. More.


INDEX TO THE SYMPTOMS OF THE MOUTH.


Numb, 127, 129, 278.
Cool, 205.
Burning, 129, 204. 278, 287.
Painful, 204.
Inflamed, 204.
Dry, 205, 206, 207, 208, 778.


Convulsions, 128, 501.
Palate, prickling, 242.,,  burning, 242.
p   dry, 482.
Flow of saliva, 35, 197, 209, 210, 220, 221, 242,
480, 481, 674.


Saliva mixed with red streaks, 211.,,  frothy, 480.,,  thick, ropy, 127.
Orifices of salivary ducts, sore, 212.


- --





14


ACONITUM NAPELLUS.


[SYMPTOMS 213 To 243.


Tongue.


a Am-c. Am-m. Arg.
Bry. Calc-c. Carban. Graph. K-hyd.
K -nitr. Magn -.
Martig. Mz. Murac. N atr-m. N i tr-ac.
Phel. Phoa. Plumb.
Sop, Spigel. Spung.
b, Ambr.
c Con. Di:. Hell.
Mere. Strani.
d Bar-c.


213. Burning vesicles on the tongue.a (JWst.)
214. Burning in the tongue. (A. J. Stoe.)
215, Heat and tingling, followed by numbness of the lips and tongue." (Fg.)
216. Numbness, tingling, and sense of distension of the tongue and lips. (Fg.)
217. Tongue" and lips swollen. (Rei.)
218. Smarting sensation in the tongue, towards its apex." (St.)
219, Fine penetrating stitches in the point
of the tongue. (ti.)


220. Momentary flying stitches in the tongue,
with salivation. (Sloe.)
221. Pricking sensation at the back of the
tongue, as if from pepper, with salivation. (H.)
222. Cramp-like sensation at the root of the
tongue. (Sq.)
223. Sense of dryness and rawness in the
middle of the tongue, without thirst. (aft. 1 h.
IL)
224. Yellow furred tongue. (Schn.)
225. Transient paralysis of the tongue./ (H.)


SBell. Dule. Hyos.
Op. Sec. Stram.


INDEX TO THE SYMPTOMS OF THE TONGUE.


Numbness, 127, 215, 216.
"Tingling, 215, 216, 500.
Smarting, 218.
Rawness, 223.
Prickling, 221.
Shl(oting, 219, 220.
Cramplike feeling, 222.


Cold, 678.
Heat, 215, 500.
Burning, 203, 213, 214, 482, 780.
Distended feeling, 216.
Swelling, 217.
Dryness, 223.


Leather-feeling, 482.
Furred, 778.
Furred, yellow, 224.
Vesicles, 213.
Paralysis, 225.
Loss of power of articulating, 129, 679.


Throat.


a Agn.Am-cafn.Argn. Bell. Calc - c.
Crot. K-bich. Mercuritl.
b Am. (1) Crc. (I)
Mere. (!) san. (')
e Chin-.
d Ctar-v.(lin. Natr4. Nux - v. 'aul.
e  ( ilco. silt Sll.
d4 \  1. L.,  r-r
f Ar.n. Alum. lcll.
K -hich.


226. Redness of the soft palate and uvula.a
(i Wk.)
227. Scraping in the throat with difficulty
of swallowing. (St.)
228. Scraping sensation, ceasing on clearing
the throat. (JWm.)
229. Drawing from the side of the throat to
behind the ears. (St.)
230. A shooting, choking sensation in a
small spot on the left side of the throat, worse
when swallowing and speaking, but felt also
when at rest. After - of an hour it passed
into the right side, while the pain in the left
side ceased; it remained there ~ of an hour
and then went away entirely. (St.)
231. Fine darting sensation at the back of
the throat, as from the hair of a dog hipb (aft.
1 h. H.)
232. Creeping in the gullet. (H.)
233. Burning and fine shooting pain in the
fauces. (H.)
2314. Burning in the glottis and   gullet.
(Pll.)
235. Warmth and constriction of the gullet.
(A. J.)
236. Heat in the gullet. (Ikc.)
23'7. Contractive sensation in the back of
the throat, as if from astringent substances. (H.)
238. Transient pressure and tension in the
soft palate and fauces, as if these parts were
swollen. (Z. Wst.)
239. Pressive sore throat, especially during
empty deglutition. ( Jk.)
240. Feeling of dryness, as if something had
stuck in the throat.e (Sz.)
241. Dry feeling in the palate and posterior
nares. ( 7Wm.)
242. Uvula swollen " and elongated,e the
fauces and pharynx injected dark red,r feeling


as if an angular many pointed body were sticking in the throat,5 prickling burning in the
palate, throat and along the Eustachian tube,
increased by swallowing; these symptoms are
accompanied by oppression of the chest, headache, increased flow of saliva. The throat
symptoms were increased by walking in the
open air, and were relieved after eating. (Wz.)
243. After a considerable quantity of the
Tinct. taken for several successive days the
chief symptoms were: Sore throat, which commenced soon after taking the medicine, its
pain was shooting combined with a sensation
of swelling in the throat. It lasted all day.
It felt as if an angular many pointed body
stuck in the throat;  the uvula was swollen,d
elongated,' and together with the palatial arch
and back of the fauces much injected of a dark
red colour.t During the day there were always
occasional attacks of very annoying and painful
pressure in both sides of the head, in the frontal region, on the lower jaw, and most constantly and severely in the right shoulder and
right upper arm; a sensation of fatigue and
heat in the chest; frequent sighing; attacks
of anxiety; sometimes dry cough and contractive shooting pain in the right side of the
chest.
In the open air heaviness and stiffness of the
limbs, especially the lower ones; tired feeling
on moving; painfulness of the loins on stepping
strongly; several times when heated sudden
attacks of constrictive pain in the region of the
gall bladder that took away the breath.h
Every forenoon, some hours after taking the
medicine, there was an increase of the sexual
feeling, which however soon went off.
After eating, feeling of cold,' exhaustion,
sleepiness; increase of heat at night; frequent


g K-bich.
h 7
i Graph. Nux - v.
Sulph.


Ii
II
ii





[K






SY31PToMs 337 To 363.]


ACONITUINI NAPELLUS.~US


19


INDEX TO THE SYMPTOMS OF THE RECTUM AND ANUS.




Rectum, itching, 326, 335.,,   pain, 329.
S heat, 334, 335.
Anus, shootings, 332, 480.,,  pressure, 332.


Anus, feeling as if a warm fluid came away,    IlHmorrhoidal vessels, burning, 330.
334.,,,,    itching, 331.,,  discharge of mucus, 335.,,,,    pressure, 331.,,  paralysis, 336.                          Hemmorrhoids, bleeding, 333.,,  cramp-like contraction, 412, 480.


REMARKS.-The specific action on the haemorrhoidal vessels here evinced cannot fail to remind the practitioner of the utility
of Aconite in acute hoemorrhoidal attacks.
Evacuations.


a Cocc. Plumb-ac.
Staph. Sulph. Zinc.
b Aeth. Alum. Ars.
Bell. Caps. Caus.
Coloc. Gran. Grat.
Gum-g. Lauroc.
Mag-n-c. Magn-m.
Mere-c.  Mur-ac.
Nic. Phos. Scnn.
Sulph. Tab. Tax.
Zinc. Zinc-ox.


337. Very hot flatus (aft. 9 h. H.)
338. Thinking to discharge merely flatus,
there occurs an unexpected evacuation of thin
fieces (aft. 4 h. H.)
339. Looseness of the bowels. (Wst.)
340. After two drops, great sleepiness, spasmodic yawning, and the following day in the
morning a hurried call to stool, when a copious
soft motion was passed with straining.b
On repeating the dose, intense yawning
without sleepiness, great laziness and feeling of
sinking in the stomach, painful rumbling in
the bowels and discharge of flatus with relief.
Call to stool and copious evacuation, followed
by tenesmus. The next day dry cough and
loose motion.


Another experiment only occasioned slight
pressive headache in the right frontal protuberance, spreading towards the orbital border,
with flushes of heat, chiefly felt in the face and
ears. (Hk. d.)
341. Soft, scanty stools, 3 or 4 times daily,
accompanied by straining." (H.)
342. White colour of stool. (H.)
343. White fieces and red urine. (H.)
344. Watery diarrhcea. (H.)
345. Hard evacuation, a few hours earlier
than usual, requiring a great effort. (H.)
346. Hard stool with effort. (Hbg.)
347. Very hard ficces. (Sz.)
348. Constipation for several days. (N.)


c Agar. Am. Asuar.
lill.Di. IIp.lod.
Merc. I'ih..luiosac. Plumb.




INDEX TO THE SYMPTOMS OF THE EVACUATIONS.


Constipation, 348, 494.
Difficult, 345, 346.
Involuntary, 127, 336, 338.
Call to stool, 326.,,     hurried, 340.
Diarrhcea, 306, 340, 344, 478, 677, 782.


Tenesmus, 299, 340.
Stools, hard, 345, 346, 347.,, soft, 339, 341., thin, 338, 478.,, watery, 344, 478, 481., white, 342, 343, 370.


Stools, black, 663.,, green, 677.,, fetid, 478, 663.
Sscanty, 341.
Flatus, 314.,,  hot, 337.


REMAInx.-The evacuations plainly demonstrate the character of the disturbance in the gastro-intestinal system. SS. 342,
343 are evidently connected with S. 625, which seems to have been a case of hepatic disturbance somewhat similar to that of S. 679.


I




11


Urinary Organs.


a (7)
b Nux-v. Pula.
SArnm.
d (?)
a Ign.
f K-bich. Sulph.
g Bell. Canth. Hyos.
Lauroc.


349. A slight sensation of splashing in the
bladder while making water. (St.)
350. Pain in the bladder whilst walking (aft.
4h. H.)
351. Burning in the neck of the bladderb
when not urinating. (H.)
352. Tenesmus of the neck of the bladder
(aft. 4 h. H.)
353, Dull burning in the fossa navicularisd
(S.)
354. Single momentary shootings in the
urethra whilst walking." (Z.)
355, Shooting and pinching pains in the
glans penis whilst urinating.' (H.)
356. Temporary paralysis of the neck of the
bladder, involuntary emission of urine. (H.)
357. Frequent urination. (Z. Tst.)
358. Frequent urination; the urine con

tains many flocksh and strings of mucus.'       1 nhi-t.
(Stoe.)"                                      i',*e.
359. Painful call to urinate, frequent discharge of limpid urine. (St.)
360. Increased discharge of urine, which
deposits blood on standing.) (I.)            j Carb-an,. sillis-uc.
361. Desire to   urinate on touching the
abdomen.k (I.)                                k (I)
362. Anxious desire to make water' (aft. I chan.,. Cirapi.
4 h. 11.)
363. Desire to make water, the urine is uncommonly scanty, is discharged with difficulty,
as if it could not escape well, but without pain,
with slight pinching in the umbilical region
(from the smell of the tincture. St.)
"* From a rheumatic patient.




1
--ze II





SYMPTOMS 384 TO 414.]


ACONITUcM NAPELLUS.


21


Nasal Mucous Membrane.


384. Frequent violent sneezing. (Z.)
385. Frequent violent sneezing, with pain in
the abdomen. (St.)
386. Interrupted sneezing from pain in the
left side of the chest. (St.)
387. Dryness of the nose. (Z.)
38S. Sensation as if coryza were about to
commence. (WVst. ML.)


389. Flow   of clear fluid from  the nose."
(Z. TVst. Sz.)
399. Violent coryza. (S. USt.. TTk.)
391. Attack of catarrh and coryza (between
8 and 12 h. H.)


a Am-rm. Coff. Grat.
G;uii. Mgt-n.Phos.
Siiph.


INDEX TO SYMPTOMS OF THE NASAL MUCOUS MEMBRANE.


Sneezing, 384, 385, 479.
Baulked sneezing, 386.
Dry, 387.


Feeling of coryza, 388, 479.
Coryza, 390, 391, 777, 782.,, fluent, 483.


Coryza, with fever, 777, 7S2.
Discharge of clear fluid, 389.


REMNARKS.-We have here evidence of coryza, and not a few examples of regular catarrhal fever.


Larynx and Trachea.


a (1)
b 01-an. Puls.
c An. Carb-v. Dig.
Kreos.    Lact-v.
Natr-m. Sulph.
d Am-caus. Ant-cr.
Ant-t. Bar-m.Cann.
Crotal. Daph. I-ep.
Lam.
o (1)
f Am-caus.Ars.Phos.
g Pctr.
h (1)


392. Sensitiveness of the larynx to the inspired air, as if its mucous membrane were
divested of its covering.a (Z.)
393. Sensation as if the larynx were compressed on both sides." (Sz.)
394. Tickling in the larynx from smoking
tobacco. (I/7.)
395. Hoarseness in the morninga (aft. 8 h.
H.)
396. Very weak voiced (Fg.)
397. Sensation of numbness in the trachea,
under the sternum." (aft. 8 h. Hr.)
398. Raw feeling in the throat, along the
course of the trachea, provoking frequent short
cough. (Sz.)
399. Short cough. (H.)
400. Cough after drinking.' (I.)
401. (Cough during the heats. H.)
402, Severe cough from tobacco smokes (in
one accustomed to smoke. H.)
403. He (though accustomed to smoke) cannot smoke without constantly hemming and
coughing, either because the epiglottis permits
the entrance of smoke into the larynx, or because the glottis is more sensitive than usual
(aft. 6 h. H.)
404. Cough from   irritation in the larynx,
with expectoration of gelatinous mucus.h (Z.)
405, Short cough from a tickling in the


larynx, after midnight,1 every half hour; the
more it is'attempted to be repressed, the more
frequent and severe it becomes. (H.)
406. Cough bringing tears into the eyes.3
(Jk.)
407. Tussiculation from a tickling at the
top of the larynx k (immediately. II.)
408. Hoarse,' dry loud cough. (11W.)
409. Violent dry cough, whereby a little
fluid is brought into the mouth, of a sweetish m
salt taste like blood. (Z.)
410. Hcemoptysis. (HI.)
411. On coughing, pain in the larynx. o
( rk.)
412, Violent dry cough, with cramplike contraction of the anus.P (Z.)
413. Morbid condition (attacks of paralysis?)
of the epiglottis, food and drink easily pass into
the windpipe on swallowing,2 threatening suffocation and causing cough.' (II.)
414. Easy choking whilst swallowing saliva.
(St.)
PATHOLOOICAL ANATOMY.
Larynx and Trachea.
ANrIALs.
Mucous membrane of the trachea much injected. In a rabbit and guinea-pig. (UE. Zg.
1. c., pp. 138, 139.)


i Ars.
j Cin. Puls.
A Caps. Carb-a.
I Calc-c. Caus. Cinn.
Natr-m. tain.
an Lauroc. Sulplh
n Lyc. Sep. 811. Stan.
o (0)
P (1)
q Kal-c.    Natr-m.
P'hol. lhus.
qr Nitr.


INDEX TO SYMPTOMS OF THE LARYNX AND TRACHEA.


Larynx, sensitive to air, 392.
compressed, 393.
tickling, 394, 405, 407, 476.
irritation, 404, 480, 483.,,  pain on coughing, 411.
scratching, 477.
raw pain, 480, 483.
Trachea, pressive pain, 483, 512.,    numbness, 397.,,   rawness, 398.,,   dry feeling, 483.
burning, 483.,    rattling in trachea, 127.
Epiglottis, paralysis, 413.
Choking, 413, 414.
Weak voice, 396.
Inability to speak aloud, 661.
Hoarseness, 395, 483.


Cougl, 398-409, 413, 454, 403, '176, 479, 180,
482, 071.,,  dry, 213, 3,10, 408, 109, 412, 477, 479,
480, 181, '183.,  short, 398, 399, 105, 407, 176.,,  horse, 108.,,  loud, *108.,,  dull-toned, 483.





(




22
OOw


ACONITUM NAPELLUS.


[SYrPTOMS 415 TO 463.


Chest.


a Amyr. Ar. Erom.
Ni r- c. Nux - v.
Op. P'lumb. Sec.
S ongTSq uiLS tram.
Tab.
c Ath. Am-c. Ant-c.
Arg- n. Ar, C;Jeph. Cap,.Con. Evon.
G ran.  Ilydr-ac.
M ur-ac.Op.Plumb.
lcan-sc. Sec. sil.
d Antt-c.
e C:alc-c.Cin.Ferr-m.
0Ip. Plumb.
f Chin.
9 0)
h Cr)
h Cocm. Iact-v.
i Brom. Bry. Caua,
IpeC.
A Arimr. Am. Ara.
('tap. Carlb-v, Croc.
Diph.Moz. M erc-d.
More -c. Natr- m.
Plurmb. Sars.
I frn.
m Mez.
n Carb-a. Me. Phos.
Ilhe. Tab.
o Seneg. Staph.
p Fluor-ac.
r Sep.
I!r)


415. Slow,a difficult respiration. (Fg.)
416. Short breath in sleep, after midnight.b
(IL)
417, Deep sighing." (A..)'
418, Sighing on account of slow circulation
and distinct feeling of congestion of blood in
the lungs. (Z.)
419. Oppressed breathing. (A. J. Fg.)
420, Inspiration through the nose impeded,
especially in sleep. (HI.)
421. Loud,0 noisy' breathing, with open
mouth. (IH.)
422, Tightness of the chest, with strong,
loud respiration.( (1I.)
423. Sensation as if the chest were contracted. (5t.)
424. Constriction of the chest, to the right
of the sternum," a kind of tightness. (St.)
425. Difficult respiration, anxious gaspings
for air.' (A. J.)
426. Anxiety in the chest and oppression on
the right side, afterwards in the whole chest.
(St.)
427, Anxiety, impeding    respiration, with
warm sweat on the forehead. (H.)
428. Respiration irregular, short and hurried,
or deep and sighing. (Fg.) f
429, Factid breath.k (HI.)
430, Oppression of the chest, relieved by
deep inspiration.' (A. J.)
431, Oppression of the chest, increased by
deep inspiration.? (A. J.)
432, Oppression" and anxiety of the chest
on deep inspiration. (A. J.)
433. Oppression of the chest, with raw pain
under the sternum o on inspiration. (Z.)
434. Pains in the chest, excited by deep inspiration.P (A. J.)
435. Pressive pain in the chest, relieved by
bending the body backwards, but renewed on
resuming a straight position  (aft. 12 h. TI.)
436. Pressure on the chest, first on the right
side, then on the left. (WVm.)
437. Pressive pain on the left side of the
chest superiorly,' the part is sensitive to the
touch. ( lmn.)
43S. Pressive pain in the region of the
second left rib, near the sternum, limited to a
spot the size of the palm of the hand, increased
by deep inspiration. (Z. T. 6/2.)
439, Pressure and burning under the sternumr.' (8:.)
410. Feeling of weight on the chest, as if
the whole chest were compressed from all sides.t
( r.)
441, 'Weight under the sternum, preventing
* In C(ourten's experiments on dogs, he particularly
noticed a kind of crying and sobbing, like broken
sighs. (Pli! Trans. vol. xxvii, p. 488.)
t In Arnold's experiments on frogs the rapidity of
the rspiratin was first increased, then diminished.
(1tmu,',- xxi, 1.)




deep inspiration, painful pressure from the
sternum to the spine." (UIT.)
442, Weight on the chest, with a quick
succession of fine but violent stitches on the
left side from without inwards. (W1L.)
443. Contractive pain in the chest, as if the
ribs of both sides were drawn towards each
other.' (Ahr.)
444. Dull pain behind the sternum." (Wa.)
44.5, Shooting, pressive pain on the right
side of the sternum. (W.)
446. Squeezing pain in the chest." (H.)
447. Pressive, squeezing pain in the chest,
under the sternum.( (H.)
448, Pressive, tight pain in the side of the
chest. (Z.)
449. Stitches in the chest (on breathing).
(St.
450. Violent stitches through the chest.
(W.)
451, Superficial stitches in the chest" and
cardiac region. (Sz.)
452, Stitches in the lower part of the chest
towards the false ribs.a (Z.)
453, Violent stitches in the chest, with suspension of the respiration.b (Tff.)
454. Stitches in the chest, with cough.0
(A. J.)
455. Single large stitches in the side, towards the back ' (aft. 24 h. IH.)
456. Stitches from  the lowest rib on the
right side to the apex of the shoulder blade,
through the centre of the chest, accompanying
every inspiration, with complaining humour.0
(L.)
457. Shooting in the right side of the chest,
with complaining, lacrymose humour. (H.)
458. Painful stitches in the right side of the
chest, about the last rib, going through to the
back (aft. 10 h. TV.)
459. Pinching,9 scraping pain in the right
side of the chest, between the 3rd and 4th
ribs, not affected by anything, it goes away of
itself. (Aahr.)
460. Dull, oppressive stitches in the left
side, near the axilla. (St.)
461. Shooting in the lower half of the left
side of the chest, going off on lying down.
( t./Wx.)
462. Shooting, boring,b scraping pain in the
left side, between the fourth and sixth ribs,
lasting 10 minutes. (Ahr.)
463. After 20 doses of the 2nd dil. On
rising in the morning, acute lancinating stitches
in the cardiac region, as if in the pleura costalis, that prevent him assuming an upright
posture or breathing deeply,' with an inclination to cough; after rubbing the skin   and
making gradual efforts to breathe deeply, this
symptom went off, but that part of the thorax
remained sensitive even to external pressure.
After dinner, heartburn and pain in stomach.
In the evening, flying stitches here and


u0)
v (1)
w(?)
z Cin. Phos. Puls.
Rhod. Scrof. Seneg.
Stau.
y Ver.
a Caps.
a ell.
b Bor. Carb-v.
c Am-c. Ant-c. Am.
Carb - a. Natr - e.
Thuj.
d Amb. Ant-cr. Asaf.
Bov. Camph. Caus.
Cocc. Hep. Lact-v.
Lye. Mere. Nitr.
Ihod.Sulph.Sulphac. Tarax.
e (1)
f Asaf. Lact-v.
g Ran-s.
h Rhus-t.
i cal - c. Mag I-m.
PJct. Puls.
i Mbur-ac.




-1


A


_--------------



SYMPTOMS 464 TO 479.]              ACONITUM    NAPELLUS.                                   23
Chest.


Aeth. Bell. Chin-s.;Cic. Cupr-ac.
"Asaf.Calc-a.Calc-c.
Gran. Mez. Mgt.
Mgt-n. Nux-v.
Plumb - ac. Puls.
Ran - s.   Spirel.
Sulph. Ther. Viol.
n K-bich.
"Bor. Calc-c. Dros.
Mur-ac. Staph.
Mgt-n.
Am-m.
Kreos.
Guai.   Phos - ac.
Seneg.
(1)
Ars. Bar-m. Bell.
Brom. Bry. Cast.
Caus. Chin-s. Cic.
Ferr - ac. Mgt - n.
Nux-v. Op. Rat.
Rhus-t. Rut. Sil.
Sulph.
SMang.
Dulc. Lach.
t Taras.
Galv.
Bov. Rat.
) Alum. Amb. Ars.
Brom.     Calc - c.
Carb-v.Crotal.Kalc. Lact-v. Lauroc.
Nux-v. Prun-s.
Rhod.    Rhus - t.
Sang. Seneg. Stan.
Tab. Tarax.
SCic. Cim. Crotal.
Bug. Hyos. Lach.
Lye. Puls. Rhus-t.
Zinc.
"- Am-c.Cocc.Nux-v.
s Am - c. Bell. Bor.
Chin. Dig. Ferr.
lod. Phos. Sel. Sil.
a Seneg. Staph.
i Berb. Caps. Cic.
Sep.; Ang-v. Asp. Magnm. Natr-c. Petr.
Rhus-t. Sil. Spig.
i Am-c. Calc-c.
Hep. (1)


there in the ribs, the abdominal parietes, the
joints, great swelling of the belly, which is
painful to the touch.k (Z.)
461. Flying stitches in the pectoralis major'
and intercostal muscles of the left side." (Sw.)
465. Pain in the chest like a shooting, interrupting respiration. (H.)
466. Shooting in the side, followed by palpitation and pressive headache with anxiety
and ill-humour. (H.)
467. Fine burning shooting pain in the
chest." (H.)
468. Pain as from a bruise in the lowest rib,
very much increased by the touch,o whereby
the patient is very uneasy and complains. (H.)
469. Pain in the middle of the sternum as
from a bruise," increased by touch. (iH.)
470. Creeping pain in the chest.' (H.)
471. Crawling in the chest as from beetles.P
472. Feeling of heat in the lungs.? (WYl.)
473. Gnawing pain in the right clavicle.'
(Z.)
474. A digging," boringt pain from the right
scapula to the front of the chest, increased by
deep inspiration, but not by expiration, lasting
12 minutes. (Ahr.)
475, During all the proving, sudden and
frequent congestion of the head with anxiety,"
followed by rigor over the back. Easily tired
when walking and especially going up stairs,
had to rest on account of dyspncoa and hot
feeling iii the lungs,' sleepiness, disinclination
for mental labour, moroseness, peevishness,
dislike to company and fearfulness. (IWV.)
476. Five drops caused the following symptoms. Tickling in the larynx causing cough;"
loss of appetite; empty eructations; pressure
in the scrobiculus after eating. Towards evening shoots in the centre of the sternum with
particularly good humour. The sleep was very
light. A few days after, 10 drops were taken,
which caused the same pressure in the stomach,
with dryness in the cesophagus and great
thirst," the water seemed not to moisten the
parts it passed over. Fatigued feeling in the
chest,' tussiculation. The next day expectoration of blood and mucus,' with a raw feeling
behind the sternum.a In the evening heat of
the palms and cheeks. Went to bed very restless and excited, and slept with difficulty. Not
refreshed on rising next morning. This state
with the fever in the evening lasted for 4 days.
(Bm.)
477, After 10 dr. for 3 successive days,
confusion of the head, lasting 6-7 hours every
day, with shuddering all over the body, and
feeling so coldb that he could not get himself
warmed beside the stove.
The next day 15 dr., which was followed
g an hour afterwards by sudden violent palpitation whilst he was sitting quietly,t with a
tight feeling in the chest.d He felt as if hot
water were being poured into the chest;e


immediately afterwards he felt icy cold and
nearly fainted. This attack lasted 5 minutes.
During the day frequent recurrence of the
rigor with violent pain in the right temple;
sleepless night.
After 15 dr., next day palpitation lasting all
day, relieved by quiet, increased by walking.r
In the evening, headache that increased to
violent pressure in both parietal regions, that
kept him awake at night. Constant shuddering. Very weak.
On repeating the dose, thirst, prostration,
heat and rigor, pressive headache in the vertex
in the evening, pulse full, 80-90; restless
night disturbed by fearful dreams: the next
two days shoots through the chest and a disagreeable scratching in the throat provoking
dry cough,' alternation of heat and cold. After
40 drops more, the cough continued for two
days, dry heat all over the body;h at night
thirst, restlessness, rigor and heat till morning, by day bitter taste in the mouth. More
of the medicine occasioned dry heat and exhaustion, violent rigor in the evening and headache lasting till midnight, great oppression of
the chest and feeling as if a hundred-weight
lay on it. Nights restless. (1L.)
478. After a considerable dose, the chief
symptoms for four or five days were: Pressive
headache, chiefly in the vertex and forehead,
great oppression of the chest, making him
breathe deeply,' with flying shoots in it, palpitation of the heart combined with great anxiety
and restlessnessJ and pressive pain in the cardiac region," diarrhoea of thin watery and fetid
faces' with rumbling in the belly and pain,
brownish coloured urine" depositing a dirty
brown sediment," flushing of the face and cold
hands and feet, especially in the evening.
(Ilk. a.)
479. Whilst taking near 500 drops of the
tinct. the chief symptoms that occurred were:
heaviness of the head, sleepiness. The stomach
seemed to rise and sink,0 perceptible to the
hand, along with this great anxiety, the heart
beat quickly, whilst the pulse was slow, apparently intermitting.P  His strength during this
symptom sank.
The sleepiness increased after more medicine; he could not read, write, or speak for it.
His thoughts were distracted, yesterday appeared a long time ago, and he was long before
he could collect his ideas; great vertigo after
dinner?.
After more medicine, painful shocks in the
left chest superiorly,' especially on taking a
deep breath, difficulty of breathing, feeling as
if he would take cold, frequent sneezing with
shootings in the chest,' sleepiness even while
walking,' anxious dreams at night, great weariness on walking.
Next day, after more medicine, feeling of
coryza, difficulty of breathing relieved by cough

f Phoe.
g Ant-c.Graph.Gumg. Krcos.   Pctr.
Jlhod. Sabad.
h Nux-v. Squll.
i Agar. Bry. Cnan.
Ign. Kal-c. Lac-s.
Lact-v. Lob. Petr.
Ran-b. Stan.
j Asp. Bor. Calc-c.
Croc.
k Nanr-m. Spicgel.
I Are. Iod. Lach. Sec.
m Amb. Anr. Campl.
Culcli. Kreos, Lactv. Merc-s. Nitr-ac.
Pctr. Phos. Plumb.
Serp. Val.
n Amb. Aur. Cim.
Cinch-s. Dig. Val.
o (0)
p C)
q ChamnClnnab.KalC. Mngn-s. Mere.
Natr-.   Nux-v.
Pclr. Plio. See.
Sele. Sulphi.
r Carb-a. Kll-hivd.
Nitr.Spigel.Sulplhac. Zinc.
a Croul. Ind.
t Nitr. Lach, Lye.
M1uNse.


- ~I Te
- - --'





I




__


24


ACONITUM NAPELLUS.


[SYMPTOMS 480, TO 482.


Chest




"u (?)
v Cain. Dros. Hell.
Rip. Mere. Nux-v.
1ul.Hhus-t, Ruta,
Sabin. porng. Tab,
Vcrat.
w Hal-c. Natr-c.
x Krcos.
y Carb-v.
z Arg-n. Bov.
a Am-c. Ant-t. Mcz.
Olean.
6 oinv. Bry. Carb-v.
Natr-c. Nitr.
o (I)
d (?)
SCon. Prrn-s.
/ (1)
A Ar-n. Bar-a..Gent.
A   cre-c. slpb.
i far-., Carli-. Natr-l. Rho,. line.
Spjh. Ph


ing, stitches in the left chest, sleepiness, distraction, pain in top of head relieved by washing with cold water, great restlessness, frequent
change of position, distraction of thoughts, forgets what he was going to do the next moment.
Disturbed sleep.
After more medicine, taste of pepper on the
point of the tongue, palpitation, heat of body,
anxiety, relieved by drinking cold water," but
soon returning, he felt as if some dreadful misfortune were going to befall him.' Vertigo.
Cough with shooting in chest, pulse full, rapid.
Next day, after 80 dr., empty eructations,
swelling of stomachic region," which is sensitive to the touch, pain in vertex like a great
weight. Sudden vertigo after eating,q periodical
stitches through chest,x with dry cough. Restlessness at night, alternate heat and cold. (AM.)
480. After 30 dr. of the tincture; during
the  day, painful drawing here and    there,
chiefly in different parts of the thorax, and in
the upper and forearms; 7 weariness of the
arms and legs; confusion of head; continued
pressure in the vertex; scraping and constriction of the throat; oppression of chest,
making him sigh frequently;' sometimes stitches through the chest; occasional eructations;
sexual desire increased.
On going out in the evening from a halfdark room into the street, flickering before the
eyes - the lamp light quivered; " he could
with difficulty see the face of passers-by; he
seemed to see worse at a short than a long
distance.
Passed a restless night; body very hot;
tossed about much, and had excessively vivid
dreams.
Took next morning 30 dr. with the same
results.
Next day 40 dr., which occasioned the same
symptoms; but more oppression of chest, and
on coming into a warm room from the open
air, irritation in the larynx and dry cough';b
increased feeling of prostration.
After 100 dr. more the chest became painful
externally on several places, particularly the
right side; breathing much affected; must often
sigh deeply. Inspiration often prevented by a
feeling of compression in the middle and anterior part of the chest,0 or by pinching, especially
in the right flank," or violent shoots deep in
the region of the liver." Change of temperature
caused dry cough, with raw pain in the chest.r
Feeling of weight in the stomach, accompanied  by  constriction in the throat and
attacks of nausca.A
On walking in the open air an acute pressing pain by fits in the 1. patella,' r. tendo
Achillis, and dorsum of 1. foot.
After another 100 dr. the throat seemed to
swell, with a feeling as if there was a quantity
of mucus' there that he could not get rid of by
Shawking; flow of frothy saliva into the mouth;


eructation of air; frequent dry cough, with
raw pain in the chest and larynx; k shoots in
the forehead, back, sides of the chest, fingers
and back of the hand, like electric sparks.' A
sensation like pinching on some parts of the
left arm, near the elbow. Itching in several
muscular parts, especially the forearms.
Great weariness, as if after walking far;
tensive, pressive pain in the lumbar and sacral
regions.
Violent very painful contraction in the anus,;m
stitches through the anus and urethra.
Constant itching and smarting on several
parts of the skin; miliary vesicles arise here
and there that fill with yellow lymph, and then
dry up.
Pressure and heaviness in the vertex; disinclination for mental work.
Stiffness and heaviness of limbs when walking, preventing him walking quickly. Nights
always restless, and in the morning he felt as
if he had been drunk over night.
Eighty dr. more increased the cough and
raw pain in the chest behind the sternum.
These symptoms increased towards evening,
with oppression of the chest.
The above symptoms continued to shew
themselves on repeating the medicine; the
most constant were the pressure on the vertex,"
restlessness at night, increased temperature of
skin and thirst. The vertex felt hot to the
touch O externally, and the hair bristled up
there.5 The oppression of the chest and the
dry cough were pretty constant, and so were
the drawing, shooting, gnawing pains in the
limbs, especially the forearms.  Along with
these was an anxious, timid disposition.
Wine and coffee only removed the symptoms
for a short time, they returned again. (Tz.)
481. After taking in all 34 drops in 3 days,
during 6 days the chief symptoms were: headache and heaviness in the forehead; liquid
stools with some griping; oppression of the
chest, causing difficult respiration; inclination
to sigh; q palpitation; dry cough, with occasional expectoration of bright red blood;r considerable anxiety; appetite good. (MH-. b.)
482, After 24 drops: burning on the sides
of the tongue;' dryness in palate and constriction in oesophagus, not relieved by drinking
cold water. Constant flow of saliva into the
mouth, frequent rising from the stomach, and
no appetite. Vertigo when walking or driving.
Tongue felt like leather; t great prostration;
increased heat of skin; flying shoots along the
sternum and betwixt the ribs. Sleep restless,
broken, unrefreshing. Though he drank much
during the night he made no water. Next
morning he passed red urine, with burning
along the urethra;" he felt better after breakfast, but soon afterwards, when in the open air,
he had severe attack of rigor over the back and
chest, followed by great heat, (with headache,)


k Nitr. Rhod. Seneg.
I Coloc. Phel.Plumb.
mCarb-a. Nux-m.
Nus-v. Thuj.
no Hep. Natr.
o Daph.     Eupat.
Magn-s.
p Hyp. Kal - bich.
Mang.Spong.Sulph.
q Arg-n. Bov.
r Led. Sil.
* Ang-v.Carb-a.'Kalhyd. Phos.
t (?)
a Mere. Plumb.




]


li



iYMPTOM 483.]                   ACONITUM NAPELLUS.                                    25
Chest,;Nux-v. Op. Rhe.
~ Canth. Seneg.
Brom.Daph.Nux-j.
Natr-c.


which the least movement brought back. There
came on violent cough, with painful shooting
in different parts of the chest, compelling him
always to lie on the back, and preventing him
lying on the side. The night was restless;
perspiration after midnight with relief; urine
as before. The next day at 3 r. n. he had
another attack of fever.  Pulse 96; frequent
cough, with severe pains from   the shock
through the chest; expectoration sometimes
brownish-red, rust-coloured.'  After this he
got better gradually. (Bim.)
483. During 10 days moderate doses of the
tincture were taken with the following result:
Every night great restlessness; he slept a few
hours before midnight tormented with disagreeable dreams, and lay awake the rest of the
night, or rather in a kind of half-waking state,
with fantastic visions." Great heat all over
the body and burning itching, especially on
the inside of the thighs and about the knees.
On the third day there occurred raw feeling
in throat, with frequent secretion of mucus
from the larynx, drawing and paralytic stiffness in the r. upper arm. On the 6th day
dry cough from irritation in the larynx.x
On the 9th day an attack of rigor after midnight, which seemed to arise from the precordia and extend to the limbs. Attacks of this
awoke him frequently during the night, and
were followed by burning, dry heat, with febrile
pulse. In the morning moderate perspiration.
On the 11th day violent stitches in the
region of the 8th, 9th and 10th ribs, but not
affecting deep inspiration. The 12th and 13th
days these stitches still continued, and often
extended to the loins.
The 14th day at night a rigor, followed by
excessively copious perspiration, sleeplessness;
in the morning fluent coryza; rheumatic pains,
chiefly in the knee.'
The 15th day another rigor at night, followed
by dry, hot skin and perspiration; the coryza
went on. The 16th and 17th days dry cough,
very violent in the warm room; weight on
the chest; bruised pain betwixt the shoulders.
The two next days headache in the temples;


hoarseness; dry cough; dry feeling in the
trachea; expectoration of thin white mucus,
mixed with streaks of bright red blood; bruised
pain betwixt shoulder blades.t These symptoms continued to increase; the headache became violent; the cough very severe, with a
peculiar dull tone,b causing a great strain at
the chest, almost dry. Shivering in the evening; constant irritation to cough. The following (21st) day, the trachea was the seat of
pressive and burning pains, extending down to
the scrobiculus. Headache and violent faceache (v. S. 191) came on. The two following
days the cough was severe, and another attack
of rigor came on at night. Thereafter the
symptoms declined; the cough becoming loose
and rare, and in about 5 weeks from the commencement of the symptoms, he was quite
well. (Rl.)


a Caus. Gran. Hell.
Natr-im. Nux -v.
Sulph.
6 Magn-c.




PATHOLOGICAL ANATOMY.


Chest.
MAN.
The lungs, especially their lower lobes, congested with black blood. (Bd.)
The pulmonary parenchyma congested with
blood and scarcely crepitating. (Pn.)
The lungs heavy, bluish, violet posteriorly,
little crepitating and filled with blood. (Pll.)
ANrIALs.
The surface of the lungs marbled with dark
red and vermilion spots, penetrating into their
substance, on cutting into them a quantity of
reddish brown viscid fluid flowed out. A rabbit. ((E. Z. 1. c., p. 136.)
Lungs very red, cedematous, congested, with
many ecchymosed spots on their surface. In
a rabbit. (O. Z. 1. c., p. 138.)
Lungs externally chocolate coloured, internally dark red, their lobes very full of blood.
In a dog. (CE. Z. 1. c., p. 142.)
Lungs firm, brownish, filled with blood, less
crepitating than natural. In a dog. (Orfila,
Toxicol., vol. iii, p. 59.)






)ppression, 242, 426, 430, 431, 432, 433, 477,
478, 480, 481, 494, 677, 717, 778, 780.
Yeight,'440, 442, 477, 483.?ulness, 778.?atigue, 243, 476.
-onstriction, 130, 279, 422, 424, 448, 477, 487,
494.
ontracted feeling, 423, 443.
3queezing, 446.
knxiety, 426, 427, 432.
'ain, 434.?ressive pain, 435, 436, 448.
Shootings, 8, 243, 449, 450, 451, 452, 453, 454,
455, 463, 465, 466, 467, 477, 478, 479, 480,
482, 483.
)rawing, 480.


NDEX TO THE 8YMPTOMS OF THE CHE2
Raw pain, 480.
Bruised pain, 467.
Creeping pain, 470.
Crawling, 471.
Heat, 208, 243, 477, 781.
Burning, 467.
As if hot water were poured in, 477.
Lungs, feeling of congestion, 418.,   heat, 472, 475.
Sternal region, weight, 441.,,      dull pain, 444.,   pressure, 439, 441, 445, 447, 782.
compression, 480.,,  shooting, 445, 476, 482.,   squeezing, 447.
bruised pain, 469.


Sternal region, raw pain, 433, 476, 480.
S   burning, 430.
Right thorax, pain, 778.
S   stitches, 456. 457, 458.,,     pinching, 419.,,  scraping, 459.,,  gnawing, 473.
digging, 474.,,     boring, 474.
Left thorax, pain, 386.,,    pressivo pain, 437, 43H.,,  sensitive to touch, 437.,  stitches, 442, 460, 461, 42, 479,674.
boring, 462.,  scraping, 402.,  drawing, 674.
I)


-
-- --





L



_ _.___




SYMiPTOMS 501 TO 512~.]


AICONITTUTN I APELLUS.


o2




Heart and Circulation,


p (7)
q Aur-m. Dig. Zincox.
r Bell. Hydr-ac. Lye.
Merc-s. Nux-v. Op.
Sec.


though intermitting and irregular, 2 or 3 beats
followed rapidly in succession and then came a
pause of as long a duration.P` Soon afterwards
he experienced cold and rigor, and on being
well covered up he broke out into an agreeable
warmth and perspiration, fell asleep and awoke
quite refreshed. (Ben.)
501. After taking a large quantity of the root,
the following symptoms appeared: Three hours
afterwards he complained of a general ulcerated
tired feeling in the body, great loss of strength
and weight about the heart," and though he
spoke boldly, had an animated look and was perfectly conscious, cold sweat stood on his brow,
the pulse was almost imperceptible. Then his
eyes became distorted, the mouth pulled to one
side, the nape of the neck stiff, and he fainted.


In his faint he had some evacuation of the
bowels. On coming round he complained of
rigor, vomited fetid," black,' bilious mucus (with s Op. Plumb-ac.
relief) and turned as if to sleep. At length t, p. Ver1um.
he grew speechless and died. His face was
blue, like that of a strangled person. (Ji.)


PATHOLOGICAL ANATOMY.
Heart and Blood.
MAN.
Heart collapsed, with very little black fluid
blood, larger vessels almost empty. (Bd.)
Left ventricle empty, right filled by a gelatinous coagulum. (Pn.)
Unusual fluidity of the blood. (3Me.)
ANIMILs.
The auricles and ventricles filled with black
coagulated blood. In a rabbit. ((E. Z. 1. c.,
p. 136.)
In the pericardium much pale turbid serum;
in the right ventricle some fluid and much
coagulated blood; the left ventricle almost
empty. In a wolf. (WVepfer, 1. c.)
Heart collapsed, containing thick clotted
blood. In a dog. (Orfila, 1. c.)




"* Hahnemann has rendered this erroneously, see
S. 415 of his schema of Aconite. From Schroen's
experiments on frogs it appeared that on giving them
Acon. their circulation was much quickened. (Hyg.
xiv, 232.) From Arnold's experiments with Aeon.
and Aconitine on frogs, it appeared that the number
of the heart's beats is first increased, then diminished. An intermitting pulse was frequently observed. Sometimes the contractions of the ventricles
only amounted to half those of the auricles. (Hyg.
xxi, 1.)


INDEX TO SYMPTOMS OF THE HEART AND CIRCULATION.


Oppression of precordia, 127.
Precordial anxiety, 487, 489, 494, 638, 677, 716.
Cardiac region, disagreeable feeling, 781.,   weight, 501.,   pressure, 478.,   compression, 488.
cramped feeling, 781.
stitches, 451, 463, 486.
sensitive to touch, 463.
jerks, 484.
heat, 485.
Palpitation, 8, 466, 477, 478, 479, 481, 490, 491,
492, 493, 494, 650, 778, 781.


Fluttering, 127.
Heart's beats, quick, 479, 489.
S  strong, 489, 781.,,    irregular, 678.
As if all the blood-vessels were frozen, 128.
As if the circulation stopped in the limbs, 500.
Loss of circulation in extremities, 127.
Throbbing of temporals, 779.,,     carotids, 779.
Pulse, intermitting, 130, 479, 497, 500, 782.
Sfebrile, 130, 483, 495.,, quick, 477, 479, 482, 495, 663, 675, 679,
777, 778, 779, 780, 781.


Pulse, slow, 479, 496, 497, 678, 781.
full, 479, 495, 778, 779, 780, 781, 782.,, contracted, 487, 495, 778.,, strong, 495, 778, 780.
Ssmall, 498, 677, 781.,, weak, 498, 501, 675, 677.,, not to be felt, 499, 500, 663, 676, 677.
ir, regular, 500, 678, 679.
hard, 778, 781.,soft, 781.






11


REMARKS.-We have here the most satisfactory evidence of great power over the heart's action, from the slightest increase
in the circulation up to the most tumultuous action of the heart and down to almost complete paralysis, as in S. 501. There is also
evidence of an inflammatory action on the substance of the heart itself or its serous membranes. S. 494 reads almost like a case of
rheumatic endo or pericarditis.




Back.


a (1)
b Graph.
c Bor. Gran. Graph.
Merc. 01.   Puls.
Ran-b. Rhod. Sang.
Staph. Ver.
d Canth.
c Bry. Croc. Gent-cr.


502, Pain as if the flesh were separated in
the nape, with a feeling as if the neck could
not support the head; on moving the head,
shootings in the nape.b (St.)
503. Rheumatic pain in the nape,e felt only
on moving the neck (aft. 5-9 h. IH.)
504. Drawing pain to the left of the nape
and in the scapula on moving the neck.d (Z.)
505. Drawing pain in the neck into the ear0
and shoulder. (UWm.)
506, Single stitches in both sides of the
nape. (Rkt.)
507. Fine shootings in the neck externally.
(H.)


508. Stiff feeling in the nape of the neck in
the evening. (Sz. W1n.)
509. Stiff feeling in the nape, with chilly
hands and feet. (7Wm.)
510. Stiff and bruised feeling in the left side
of the neck, to the left shoulder joint and a
portion of the dorsal muscles, worse on lying,
better on moving. (TVl. 5th d.)
511, Pressive pain in the left side of the
cervical vertebri-. (IV.)
512. Pressive pain in the neck, as if with
the point of a finger inwards towards the trachea.' (Ahr.)                               (1)




- -
- I--



3YMPTOMS 551 TO 579.]                    ACONITUM      NAPELLUS.                                        29
Superior Extremities.


SAlum. Aur. Croc.
Lauroc.   Mgt-n.
Mgt-s.   Phos-ac.
Spgel.      pong.
Sulph. Teuc.
Canth.


down to the wrist, on the outside of the arm,
on flexing the hand upon the wrist joint.
(St.)
551. Sensation of weight in the arms, from
the elbow to the fingers,h they feel as if they
would fall, with sensation in the fingers as
if they were asleep, on grasping anything.
(St.)
552. Drawing tearing pain in the forearm.
(N.)
553. Pain in the forearm, as if from a violent
blow. (St.)
554. Drawing, shooting pain in the bones of
the forearm,' excitable by movement. (H.)
555. Paralytic feeling in the right forearm
and hand (on writing), relieved by violent motion, but returning whilst writing or at rest, but
less severely.J (Ahr.)
556. Drawing, tearing pain on the outside of
the right forearm. (Ahr.)
557. Acute pain in the right forearm along
the flexor tendons of the little finger, increased
by movement. (Z. /2.)
558. Cramp-like pain in the whole of the
left forearm, not relieved by anything. (Ahr.)
550. Undulating tearing pain in the upper
end of the left forearm. (Ahr.)
560. Jerking, drawing pain in the lower end
and internal surface of the left forearm, over the
wrist to the palm of the hand. (Ahr.)
561, Shootings in the wrist joint, as if from
needles. (A. cJ.)


562. Drawing, paralytic pain in the right
wrist joint.k (T.)
563. Tearng pain in the wrist. (H.)
564. Trembling motion in the wrist' on
moving the hand. (Rkt.)
565. Icy coldness of the hands." (A. J.)
566. One hand becomes ice-cold and insensible, as if benumbed (aft. 2 h. H.)
567. Cramp-like pain in the right hand. (T.)
568. Cramp-like pain with fine shootings in
the right hand, relieved by moving it. (Ahr.)
569. Cold sweat on the palms." (H.)
570. A few pulsating shootings in the hollow
of the right hand, as if from a sharp needle.
(Ahr.)
571. Morbid contractive pain in the hollow
of the left hand,0 so that the fingers can scarcely
be extended. (Ahr.)
572. Creeping pain in the fingers. (H.)
573. Creepings in the fingers, felt also whilst
writing. (Hbg.)
574, Numbness in the points of the fingersp
and toes. (Z.)
575. Cutting pressive pain on the side of the
right forefinger next the middle finger, during
motion and when at rest. (Ahr.)
576. Paralytic pain in the thumbs.q (St.)
577. Pain as of dislocation in the right thumbjoint' on moving it. (H.)
578. Jerking pains in the right thumb."
(Ahr.)
579. Painful drawing in the left thumb. (T1.)


k Asar.
I Olean. Op.
m Ambr.     Carb-v.
Chin. Mgt. Phosac. Sep.
n Nux-v. Rhe.
o Stan.
p Ant-t. Are. Cann.
Crotal,.Elcc.Graph.
Lach. M gt-n.Magn.
m. Phos-ac. See.
Spong. Staph.
q Prun-s. Rhod.
r Ipn. iIgt. Mpt-n.
Natr-in.Nltr. Pctr.
Phos. Prun-e. Puls.
Shod.epicgl.Sulph.
Vcrat. Verb.
8 Sulph-ac,




J


INDEX TO SYMPTOMS OF THE UPPER EXTBEMITIES.;eneral, itching, 781.
tingling, 127, 542, 678.,,  creeping, 515, 651.
prickling, 127.
shooting, 651, 678.,,  pinching pain, 545., tearing, 494. 538.
bruised feeling, 84, 543, 650, 781.
coldness, 127, 129, 278, 478, 509, 544,
678, 730.
heaviness, 243, 777, 778.
stiffness, 129, 243., weariness, 480, 490, 656, 659., weakness, 543.
difficulty of moving, 129., paralytic feeling, 128, 650., paralysis, 130.
insensibility, 544., drawn convulsively inwards, 663.
trembling, 678.
Shoulders, pain, 536, 540.
S  pressure, 243.
S  shootings, 541.
S  drawing, 505.
tearing, 538.,   bruised pain, 510, 537, 539, 581.,  stiff, 510.
painful tumour, 539.
Jpper arm, pressure, 243.,     shooting, 546, 547.,    drawing, 480, 547.


Upper arm, paralytic stiffness, 483.
Elbows, shooting, 550.,,  pinching, 480.
S tearing, 494, 549.,,  drawing, 548, 549, 604.
Forearms, pain, 557.
itching, 480.
shooting, 480, 550, 554.
gnawing, 480.
drawing, 480, 552, 554, 556, 560.
tearing, 552, 556, 559.
weight, 551.
cramp pain, 558.
undulating pain, 559.,  jerking pain, 560.,  pain as from a blow, 553.,  paralytic feeling, 555.
Wrists, numbness, 127.,, tearing, 538, 563.,   shooting, 550, 561.,, jerking, 560.,,  drawing pain, 560, 562.
Sparalytic pain, 562.
Hands, shooting, 568.,,  cramp pain, 567, 568.,, coldness, 565, 566, 692, 746.,,  paralytic feeling, 555.
Sinsensible, 566.,,  benumbed, 566., want of circulation, 500.


Hands, blue, 538,728.,   spots like fleabites, 627.,,  trembling, 564.
S convulsively clenched, 663.
Palms, shooting, 570.,,  contractive pain, 571.
drawing, 560.
Sjerking pain, 560.
Shot, 476.,,  cold sweat, 569.
Sinsensible, 663.
Back of hand, shooting, 480.
Fingers, numbness, 574.,    as if asleep, 551.,,   creeping, 572, 573.,,   prickling, 127.,  tingling, 127.,,   shoots, 480.,    heavy, 551.,,   coldness, 736.,    paleness, 736.
S  painful red pimples, 631.
Forefinger, cutting pain, 575.,  prssive pain, 575.
Thumbs, drawing pain, 579.,,   paralytic pains, 576.
S  dislocation pain, 577.,,  jerking pain, 578.
S  convulsively doubled into palms, G63.
Nails, blue, 677.


--I



YMPTOMS 625 TO 638.]             ACONITUM NAPELLUS.                                       31


INDEX TO THE SYMPTOMS OF THE LOWER EXTREMITIES (continued)


atella, acute pressing pain, 480.
alves, drawing, 604.,   heaviness, 612.,   tension, 612.,,  cramp-pain, 613.
Scramp, 675, 677, 736.?endo Achilis, pressing pain, 480.,       paralytic drawing, 609.
S     drawing, 610.,,      shortened feeling, 782.
nkles, pain, 614, 617.,   tearing, 615.


Ankles, as if tied with a ligature, 616.
Feet, pain, 764.,pressing pain, 480.
paralytic drawing, 622.
Sheaviness, 620, 621.,coldness, 618, 619, 741, 746.,, numbness, 127, 611.,, want of circulation, 500.
as if asleep, 611.
Heel, paralytic drawing, 609.,, pain on treading, 623.
Soles, cramps, 736.


Soles, sweat, 618.
Toes, sweat, 618.,  coldness, 619., sleeping, 624.,, numbness, 574.
Tendons, drawings, 594.,,  jerkings, 500.,    shortened feeling, 782.
Joints, drawing pains, 593.
Nails, blue, 677.


REMARxs.-The muscular, tendinous and ligamentous structures of the trunk and extremities, as also the various joints are
11 subject to the action of Aconite, as seen in the above symptoms, and that not merely sympathetically as indicative of febrile disirbance, but also idiopathically.


Skin.


Ars. Bell. Bry.
Cane. Chin. Cop.
Crotal. Cupr - ac.
Dig. Grat. Hep.
Mere.   Nitr - ac.
Nux - v. Plumb.
Plumb -ac. Sulphac. Tab. Tax.
nt-t. Bell. Calccaus. Dulc. Graph.
"Mez. Sec. Stram.
Con.
Ant - c. Cale - a.
Canth. Caus. Con.
Graph. Led. Magnc. Mez. Mur - ac.
Nitr. 01-an. Phos.
Stron.
Cycl. Lye. Mez.
Phos. Plumb-ac.
Arn. Canth. Carbv. Gran. Graph.
Kal - c. Magn - m.
Natr. Nic. Nitr-ac.
Sep.
SAgar. Coloc. Hell.
Mez. Sep. Sulph.


625. Jaundice.a (H.)
626, The skin appears peculiarly elastic and
smooth.b (Z.)
627. Spots like flea-bites" on the hands,
face, &c. (H.)
628. Red pimples, filled with acrid fluid, all
over the body." (Stw.)} *
629. Broad, red, itching pimples all over
the body. (Ste.) f
630. Several days after taking 20 dr. of the
tinct. there appeared chiefly on the face," forehead,' nape, and various parts of the body,
isolated vesicles, the size  of a pin's head,
containing a serous fluid, and attended with
itching; successive eruptions appeared for a
fortnight, which dried up and fell off gradually.
(Glw.)
631. Painful red pimples on the fingersg of
both hands. (St.)
632. Itching all over the body, especially
on the pudenda.h (StC.) t
633, Creeping, itching and desquamation'
of the skin, especially on the affected parts.
(H.)
634. Sensation in the skin as if the epidermis were separated from the cutis by an intervening layer j-a kind of wandering creeping


and running all over the body, with uncomfortable shuddering feeling. (Z.)
635. Sensation as of something running
over the skin and biting,' especially on the
hairy parts of the body, with the exception of
the head, as if from fleas, making him scratch.
(Z.)
636. Fine pricking, as if from needles, here
and there on the body. (St.)
637. Single long-continued dartings here
and there, mixed with a raw sensation, and at
last ending with pain as of a wound. (H.)
638, From a portion of the juice getting
into a wound on the thumb. Immediately
horrible pain throughout the arm, and especially at the wounded spot; cardialgia; anxiety about the heart; fear of suffocation;
fainting; internal heat and thirst; and other
dangerous symptoms, so that he thought he
would die in the night. The arm    became
bright red, much swollen;"m the pain so intolerable that he nearly fainted. The inflammation went on to suppuration, and the patient
was well at the end of a fortnight. (Re.)
PATHOLOGICAL ANATOMY.
Skin.
ANnMAL.
On the inner surface of the skin, great
venous injection. In a rabbit. ((E. Z. 1. c., p.
136.)


k Staph.
I Natr. Phos. Sulph.
m BeU.


* From a patient with sciatica.
SFrom a patient with rheumatism.
From a patient with sciatica.
t


Itching, 243, 480, 632, 633.,   on pudenda, 632.
"Creeping, 633, 634, 635.
Prickling, 243, 636.
Shooting, 637.
Scratchmg, 243.
Smarting, 480.


INDEX TO SYMPTOMS OF THE SKIN.
Raw feeling, 637.
Wound-pain, 638.
Biting, 635.
Burning, 243.
As if epidermis separated from cutis, 634.
Desquamation, 633.
Smooth, 626.


Yellow, 625, 679.
Redness, 638.
Swelling, 638,
Inflammation, 638.
Suppuration, 638.
Spots like flea-bites, on hands, 627.,,        on face, 627.


--- -- *1



_ _


32


ACONITUM NAPELLUS.


[SYMPTOMIS 639 TO 663.


INDEX TO SYMPTOMS OF THE SKIN (continued).


Miliary vesicles, 480.
Vesicles, various parts, 630.,,  on face, 630.,,  on forehead, 630.


Vesicles, on nape, 630.
Pimples, red, all over, 628.,,  broad, red, itching, all over, 629.,   on forehead, 181.


Pimples, painful red, on fingers, 631.
Funmculus, on nose, 174.


RELMLKs.-The action on the skin is not very great, but bears a marked resemblance to some of the milder forms of acute
cxanthematous diseases. S. 638 is not of any great value, as the same effect might follow the application of almost any irritant.


a Bor.Lact-s.Lact-v. I


Glands.
639. (Increase of milk in the mammary glands. H.)


General Symptoms.


a Arar. Am. Ars.
Aur. nBell. Camph.
Chin.K-rarb, Natr.
J',tr. Sop. 811. dpi.
0el. TIhuj.
ab Colch.
o Ant-c. Mgt. Sec.
d Arg-n. Cic. June.
Mang.
* (1)
[


640. The whole body is sensitive to the
touch,' the child will not allow itself to be
moved; it whines." (If.)
641. Impaired sensibility of the surface." (Fg.)
642. Sensation as if she had just recovered
from a severe illness, or risen from a sick-bed
(aft. 6 h. HI.)
643. Most of the symptoms are accompanied
by shivering, shuddering aud anxiety. (A. J.)
644. Sensation of swellingd of many parts of
the body, generally accompanied by shuddering, cold or rigor. (A. J.)
645. Creeping, and as if insects were running here and there, with uncomfortable feeling
of shuddering and anxiety.(Z.)
646. Numbness and tingling over the body.
(Pg.)
647. A peculiar feeling over the whole body,
to be compared with that experienced in a
vapour bath when the steam falls rapidly on
the skin, and drops are felt on it.0 (Z.)
648, Drawing pains wander over the whole
body in rapid succession, no where lasting
longer than two minutes. (Z.)
649. Bruised pain on many parts of the
body. (A. J..)
650. Paralytic and bruised pains in the arms
and legs, with violent trembling all over the
body, especially in the extremities, which prevents walking; with very pale face; dilated
pupils; faintness; palpitation; cold sweat on
the back; and digging headache in the temples. Soon followed by burning heat of the
face, with a sensation of tension and redness of
the face, and sleepiness after dinner (aft. 46
h. St.) (Secondary action?)
631. Trembling and creeping in the limbs,
accompanied by shooting pains. (A. J.)
01.-, Drawing here and there in the joints.
(lt,,. Z.)
063. Weakness and unsteadiness in the ligaments of all the joints (aft. 46 h. HI.)


654. Painless cracking of all the joints,
especially the knees. (H.)
655. General feeling of illness. (Z.)
656. Weariness in the limbs, especially the
legs, with constant sleepiness and ill-humour.
(H.)
657. Great muscular debility. (Fg.)
658. On awaking in the morning, such great
exhaustion he was unwilling to get up, it went
off however on rising. (H.)
659. Weariness and exhaustion of all the
limbs, with stretching and straining. (Z.)
660. Syncope. (H.)
661, Frequent attacks (almost every other
hour) lasting for a - of an hour at a time, of
extreme weakness and insensibility, so that he
can stir neither hand nor foot, and cannot sit up
in bed; he does not feel his former pains;
cannot see nor hear, nor even speak aloud; the
legs are stretched out' (aft. a few h. H.)
662. General muscular tremors. (Fg.)
663. After swallowing by mistake about 40
grammes of the tincture the greatest restlessness ensued, he complained of his throat and
of a burning along the oesophagus. His anxiety and fright rose to a great pitch, and he was
not able to sit still an instant. The lower extremities were in perpetual movement,5 even
when he sat down.   His limbs trembled as he
walked. He had excessive fear of death. (Vomiting followed emetics.) In about 3 hours he was
unable to keep himself upright, and was attacked
by convulsions. The upper and lower extremities were drawn inwards, the fists clenched and
the thumbs doubled into the palms,h so that he
could not open the hand. The face covered
with cold clammy sweat; the eyes turned upwards, so that only the whites could be seen.
The radial and temporal arteries could not be
felt. This attack lasted 3' and was succeeded
by faintness. He felt as if his last hour was
come.'  His consciousness was undisturbed,


f (7)
g Bell. Cham. Sulph.
h Aeth. Are. Cocc.
Hyos. Sulph.
i Bell. Hell. Magn-s.
Phos. Sep.



_ __. ___


SYMPTOMS 706 TO 739.]


ACONITUIM NAPELLUS.


35


Sleep.


J (?)
k (?)


706. Slow breathing when asleep. (HI.)
707. (Inspiration with a double jerk, like the
bleating of a goat, whilst asleep) (IH.)
708. After lying down at night and whilst
sitting during the day, he is in a state of waking
dreaminess and imagines erroneously that he is
far from home. (H.)
709. Sleep full of dreams of a confused and
vivid character. (St.)
710. Long confused dreams. (IFc.)
711. Dreams, in which he spoke much.
(H.)
712. He has a very vivid dream towards
morning, and obtains an accurate explanation of
a circumstance that was a riddle to him whilst
awake k (aft. 20 h. H.)
713. He dreams half the night of a single
subject, which also occupied his attention for
many hours after he awoke, so that this subject alone is in his mind (like the fixed idea of


a monomaniac), which is very troublesome and
disagreeable to him.' (II.)                  (!)
714. Dreams of subjects that for 8 years had
been foreign to his thoughts." (M.)        am Bov. Cic. Graph.
715. At night anxious dreams and occasional
waking with a start. (Rkt.)
716. Long dreams with anxiety in the chest,
taking away the breath and causing him to
awake (night-mare.)" (H.), Magn-m. Tab.
717. Anxious heavy dreams with oppression
of the chest.0 (Sz.)                        o Hep. Lach. Lact-s
718, Vexatious dreams. (H.)                 it. zine.
719. Vexatious, memorable dreams, which
excite his anger, in a half waking state. (Gi.)
720. On awaking in the morning, dizziness
in the head.P (H.)                          p Arg-n.Phos.Rhus
721. On awaking in the morning, it appears t.an. Sulph.
to him as though his breath were fetid. (I.)
722. Shiveringq and frequent yawning on q Kreos. Mcrc-o.
rising in the morning. (St.)


S.


I

Yawning, 681, 682, 683, 722, 780.,,   convulsive. 340.,,   baulked, 680.
Sleepiness, 340, 475, 479, 656, 683, 690.,,   at noon, 686.
S  in the afternoon, 687.,    after eating, 243, 650.
Half waking state, 483, 708, 779.
Stupor, 691, 692.
Coma, 679.
Sleep, disturbed, 243, 477, 479, 480, 482, 483,
704, 782.
Sunrefreshing, 482.
During sleep, breathing like a goat bleating, 707.,,    slow breathing, 706.,,    short breathing, 416, 716.


INDEX TO SYMPTOMS OF SLEEP.
During sleep, precordial anxiety, 716.,,     convulsive movements, 700.
S   starting, 701, 702, 703, 715.
S   talking, 702, 710.
S   as if he lay in the air, 698.
Night-mare, 716.
Dreams, vivid, 243, 480, 709, 712, 719, 782.
S long, 716.
extravagant, 779.,,   fantastic, 483.,  confused, 709.,  disagreeable, 483.,  anxious, 479, 715, 717.,  vexatious, 718, 719.
S  frightful, 477.,  of one subject all night, 713.


Dreams, about events of the day, 782.,    of subjects long past, 714.
Light sleep, 693.
Frequent waking, 695.
Sleeplessness, 127, 477, 480, 483, 674, 694, 695,
779, 782.
Decubitus, dorsal, 482, 697.,,    with hand under head, 697.,,    impossible on back or right side, 705.
On awaking, yawning, 722.,,     shivering, 722.,,     feels as if drunk the night before,
480.,,     vertigo, 720.
fetid breath, 721.






Febrile Symptoms.


a (?)


b Con.Merc-s.Nux-v.


723, She is cold and shivers. (St.)
724, Shivering for several hours, as if between the skin and flesh, especially over the
back and abdomen, felt even when perspiring
from rapid walking." (Z.)
725. Anxious cold feeling (aft 3 h. H.)
726. Shivering on the slightest movementb
(aft. 10 h. IH.)
727. Shuddering from the middle of the
spine to the lumbar muscles of both sides, as
if from a chill. (lWl.)
728, After taking for some days a large
quantity of the tinct.: rigor along the spine,
with goose-skin creeping along the galea aponeurotica; hands" and faced blue, he seeks the
heat of the stove, he loses the feeling of steadiness while standing, the legs seem as if they
would rise up, he falls asleep while standing"
for an instant. He feels while breathing as if
the air passages were very wide, so that the
air passed in and out very readily.r (Z.)
729. Coldness in the belly.Y (St.)


730. Constant coldness through the arms
and legs, and shivering even in the face.
(St.)
731. She shivers from below upwards to
the chest. (St.)
732. Rigor over the back and arms. (St.)
733. Shivering in the evening, especially in
the hands and feet. (iWm.)
734. Shuddering on lying down at night." h' Ar. Mere-s. Nair.
IT )                                          Sabiu. Siara. Staiph.
735. Attack  of faintness with shivering.
(H.)
736. First coldness, rigor and paleness of
the finger ends, then of the fingers, thereafter
cramped sensation in the soles of the feet and
calves, and finally coldness in the forehead
(aft. % h. I.)
737. Cold over the whole body. (f.)
738. Continual diminution of temperature.
(Ws8t.)
739. Shuddering, with paleness and sunken
features. (Z. Ar.)


c Spong.
d Sulph.
c Mercurial. Nitr-ac.
f (?)
g Ambr.Campb.Grat.
Hell.   K - carb.
Lauroc.  Mg-t-n.
Meny. Phel. Phos.
Plumb. Sec. Tercb.





t


I


-----------


36


ACONITUM NAPELLUS.


[SYMPTOMS 740 TO 778.


Febrile Symptoms.


i  (,)!
j Chain. Lye.
k Art. Bcll.Coff.Ipcc.
Tab.
/ Ipec.
m (?)
n Ban-b. Brom.
o Natr. Morph-ac.
Potr. Strom.
p Mosch.
q Bry. Chin-s. Cupr.
Mblgt-n. Nux-v.
r Dros. Led. Staph.
SAmn. Phos. Raph.
D Bry. Ign.
u Calc-caus.
r Krro,.
w Bry. agn.
y Ant.


740. Coldness under the skin,' slight frequently repeated rigor, not followed by heat.
(Sw.)
741. Coldness in the hands and feet, shuddering over the back whilst the head and body
are warm. (Z.)
742. At night, after a short rigor, cpntinued
heat. (lk.)
743. Alternation of coldness and heat. (M.)
744. Fever: coldness of the whole body,
with hot forehead,J hot ears, and inward dry
heat.k (7.)
745. Fever: coldness and stiffness of the
whole body, redness and heat of one and coldness of the other cheek,' with open fixed eyes
and contracted pupils m which only dilate slightly
and slowly in the dark. (IH.L)
746. Towards evening, rigor and coldness
of the hands and feet, then nausea felt about
the middle of the sternum, which continues
even when partaking of food, that tastes well,
although there is neither appetite nor dislike
for food; after eating, the nausea goes off"
and is followed by heat of the face0 accompanied by sad and despairing thoughts. (1H.)
747. Cold shuddering from the crown of
the head down the back to the sacrum, followed
by an agreeable sensation of warmthP in the
skin. (I17.)
748. Alternating attacks (aft. 3, 4, 6 h.):
Either along with redness of the cheeks childish merriment, with sensation of heat all over
the body, and headache on moving the eyesq
upwards and sideways; (HI.)
749. Or, along with redness of the cheeks"
and heat of the head,' shuddering all over the
body, with proper taste in the mouth; (H.)
750. Or, along with redness of the cheeks,'
rigor, with weeping and pressive headache;
(ti.)
751. Or, along with redness of the cheeks,
an obstinate disposition, burning in the region
of the navel, and pressive headache. (H.)
752. After the siesta, which usually makes
him warm, feeling of rigor throughout the body
and cold of the upper arm. The cold feeling
persisted even while walking, and in the evening gave way to a short disagreeable feeling
of warmth, like a catarrhal fever. (Rg.)
753. Extreme redness of the cheeks, with
a discontented, complaining, lacrymose disposition (aft. 3 h. IH.)
"754. Towards evening, burning heat in the
head" and face," with redness of the cheeks"
and out-pressing headache, at the same time
rigor over the whole body and thirst (aft. 14
h. St.)
755. Towards evening, dry heat in the face
with anxiety. (IL.)
756. Heat in the head,0 forehead hot to the
touch,' with rigor over the rest of the body on
the slightest movement. (H.)
757. Sensation of heat, first in the hands,


then all over the body, even in the chest, without perceptible external heat' (aft. 4 h. H.)
758. Attack of heat in the back. (St.)
759. (Heat and throwing off the clothes.
H.)
760. General heat and thirst. (H.)
761. During the heat, moderate desire for
beer.? (H.)
762. (She drinks little during the heat, yet
has dry lips. H.)
763. (During the heat, the cough is troublesome. H.)
764. (Great heat from 10 in the evening till
after midnight, with dyspncea; she would like
to cough, but cannot, and speaking is difficult;
at the same time there is the greatest restlessness, and complaints about pain in the bowels,
feet, abdomen and back; she stamped with
her feet, and would not allow herself to be
touched. H.)
765. Perspiration with febrile rigor (aft. 3
h. H.)
766. Moderate perspiration all over the
body. (H.)
767. Febrile perspiration. (H.)
768. Sour smelling sweatb all over the body.
(H.)
769. Cold sweat. (A. T.)
770. Surface cold and covered with clammy
sweat.0
771. Skin inclined to transpiration. (A. cT.)
772. General warm sweat. (A. J.)
773. General sweat, especially on the forehead and precordia. (Gl.)
774. Nausea, vomiting, thirst, general heat
and copious perspiration, with diuresis. (Gg.) *
775. Exhalation and sweat all over the body.
(Stoe.)
776. Nocturnal transpiration. (A..J.)
777. Internal rigor from back over the legs,
with cold sweat; the face feels ice-cold (in a
sunny day and a warm room.) This lasted
four hours, till evening, when heat and rapid
pulse and symptoms of coryza came on, with
general laziness and heaviness of the limbs.
(Rg.)
778. After 105 drops in 5 days, there occurred the following symptoms within the 24
hours: weight and pressure in the vertex and
forehead, nausea, painful heaviness of the limbs,
pressive pains in the scrobiculus, head confused, giddy, face hot, hands and feet cold,
pulse contracted, hard, moderately frequent;
the face grew redder, turgid, the eyes sparkling, the mouth dry, tongue furred, no appetite, great thirst, oppression of chest, superficial
respiration, sighing, feeling of fulness in the
chest, palpitation and anxiety. Pulse strong,
full and hard, skin warm, urine clear and reddish. The heat and restlessness increased;


a Bism.
Rhus-t.


01- an.


a Nux-v. Puls.Rhust. Spigel. Sulph.
b Arn. Br. Carb-v.
Caus. Colch. Fluorac. Galv. Graph.
Hep. Hyos. Ind.
Ipee. Led. Lye.
Mere-s. Natr-m.
Nitr-ac. Nux-v.
Rhus-t. Sep. Sulph.
Sulph-ae.Ver.Zinc.
c Ant-t. Ars. Dig.
Tab.




* From a patient.


I



SYMPTOMS 779 TO 782.]             ACONITUM NAPELLUS.                                     37


1


Febrile Symptoms.


Ign. Stan.
Am-c. Bar-c.
Am-c. Bor. Lyc.
Am-m. Am. Calcc. Natr-m. Sabad.
Sulph.


pain in the right side of the chest. These
symptoms then gradually declined. (Hk. c.)
779. After 20 drops, increased warmth all
day, with exhausted feeling and loss of appetite. The heat increased towards evening, and
the pulse became full and quick. He felt the
beating of the temporal and carotid arteries
while sitting. Disinclination to go to bed; he
could not sleep when he went to bed; the heat
of the body increased, especially of the extremities: perspiration appeared on the inside of
the thighs and on the scrotum, accompanied
by great itching; he scratches till the blood
comes. He was in a kind of half sleep, tormented by the most extravagant dreams till
morning. The itching of the scrotum continued next day, and the following night he
was hot and sleepless; the next night still
restless, but less so. (PRg.)
780. After a large dose (400 drops): Burning in the tongue, increasing in intensity for
4 hours; the soft palate, tonsils, and fauces
reddened, with feeling of warmth and dryness
of lips. Rigor commencing in the legs, then
going to the arms, with goose-skin;d it seems
to be betwixt skin and muscle, worst when at
rest; great fatigue, indifference, irritability, no
appetite, food creates nausea. The rigor continued to increase in the afternoon, and he became icy cold, no coverings suffice to warm
him.   The hair seemed to bristle,0 and the
scalp was painful to the touch on several spots,
and sensitive to cold air.' Burning in the
eyes, twitching and vision of sparks; roaring in the ears, great sensitiveness to noise.
Breath hot,s breathing quickened; on breathing
deeply, oppression, anxiety, and painful stitches
betwixt shoulders, pulse strong, full, quick;
much yawning and stretching of the limbs. In
the evening, warmth and slight perspiration
came on, with excessive salacity, after which
all the symptoms went off, except that for
3 days there were violent shoots in the glans
penis while making water,h and hot darkcoloured urine was passed. (Sw.)
781. Forty drops caused the following effects:
Headache in the forehead and temples, heat
on and in the chest, eructation of air and
nausea, going off after breakfast, violent palpi



tation, with disagreeable feelings in the cardiac
region, itching on the skin of the left arm, cold
feeling running down from the middle of the
thigh, especially on the knee and leg, digging
pain in the chin. The legs got very cold in
an hour, worse when in a warm room and
when walking. 40 drops more caused an increase of headache, feeling of swelling all over,
especially in the left side, with bruised pain
in the ribs and arms, with crampy feeling
about the heart'; the swollen feeling changes
into a numb feeling. In the afternoon rigor
all over the body in a hot room; glowing heat
of the face and redness of cheeks,J pain in the
throat, itching and soreness of eyelids, pulse
67, small and soft. The pulse after this rose
in an hour to 102, was full and hard, then an
agreeable warmth came over the body, followed
by perspiration, the legs all the time continuing
cool.k  A pain came into the eye as if it was
pressed into the orbit and bruised.' The heat
of the body and face, and the pain in the head
and eyes, lasted all the evening, and the heart's
beats were very strong. The night was good,
and the next day the abnormal symptoms were
gone. (Gl.)
782. After taking a pretty large quantity of
the tincture, the following were the chief symptoms for 3 weeks: At first pressive and shooting pains in the front of the eyeball, then all
the symptoms of having caught cold; coryza,
rigor down the back, especially in the evening,
oppression of breathing, pressure under the
sternum, flying heat, full pulse, restless nights
with vivid dreams about events of the day.
On taking a fresh dose 3 days later, pinching
about the navel, followed by painless diarrhoea,
pressive headachb  over the right eyebrow,
increase of febrile symptoms towards evening.
This febrile state lasted several days, the difficulty of breathing increasing, with intermitting
pulse; 5 beats were hard, full, in rapid succession, the 6th could not be felt, even at the
heart. General sickly appearance. Burning
in the urethra when urinating. The symptoms
then became chiefly confined to the tendinous
or muscular structures, such as shortened feeling of the tendons of the ham and of the tendo
Achillis. (Ar.)


i Eal-c. Phos-ac.
j Bry. Ign.
k Ars. Nux-v. Pwon.
I Ant-t. Ilcp. Lyc.
Nux-r. Sulph.




boose-skin, 728, 780.
ligor, 302, 477, 501, 634, 643, 644, 645, 663,
722-728,731,739,740, 749,750,752,754,781.
ligor, in the morning, 722.
Sat night, 477, 483, 699, 734, 742, 782., as if betwixt skin and flesh, 724, 780.
inward, 674, 777.,, over abdomen, 724., over chest, 482, 731.,  over the back, 475, 482, 674, 724, 727,
728, 732, 735, 741, 747, 777, 782.,, over arms, 732, 780.,, in hands and feet, 733, 746.,, over the legs, 777, 780.


INDEX TO SYMPTOMS OF FEVER.
Rigor, followed by heat, 742, 747, 777.,,  with thirst, 754.
Swith heat of head, 754, 756.
Swith heat of face, 754, 756.
Coldness, 129, 243, 477, 644, 663, 675, 677, 723,
725, 737, 738, 744, 745.
Icy coldness, 780.
Coldness, of forehead, 736.,,   of face, 674, 730, 777.,,   of tongue, 678.,,   of stomach, 130.
S  of abdomen, 729.
S  of arms, 127, 129, 278, 478, 509, 544,
678, 730, 752.


Coldness, of hands, 565, 566, 692, 741, 746, 778.
S  of fingers, 736.
S  of legs, 127, 129, 278, 478, 509, 678,
730, 781.,,    of knees, 606.
S  of feet, 618, 619, 741, 746, 778.,,    of toes, 619.,,    under skin, 740.
not followed by heat, 740.
Hect, 477, 479, 482, 483, 679, 748, 757, 774,
779, 782., at night, 243, 477, 480,483,742, 752,759,
764, 776, 778, 779, 780, 782.


- --~- -~ ~ - --- -- -~





I




40


ACONITUM: NAPELLUS.


40AOITM          AELS


strictum of the ancients), on which subject I cannot
now dwell more fully; its efficacious employment in
such cases is apparent from the symptoms it produces
on the healthy person, and which are in part detailed
below.
"Aconite is also the first and chief remedy, in the
small dose above mentioned, in inflammation of the
windpipe (croup, angina membranacea), in several kinds
of inflammation of the throat and fauces, as also in the
acute local inflammations of all other parts, especially in
those cases where, besides thirst and quick pulse, there
are present an anxious impatience, an uncontrollable
agitation and agonized tossing about.
" It develops morbid states similar to all those that
occur in persons who have had a fright combined with
vexation, and is also the most certain and rapid remedy
for those states.
" In the selection of Aconite as a homoeopathic remedy, we ought to pay especial regard to the moral
symptoms, and see that they in particular resemble
those produced by the medicine.
" Hence it is indispensable after fright or vexation in
women during the catamcnia, which without this excellent sedative are easily suppressed by such mental
shocks, often instantaneously. For this end it suffices
to allow the patient to make a single momentary olfaction in a bottle containing a single globule the size of a
mustard-seed moistened with the decillionth potency of
Aconite (which may be kept in a well stoppered bottle
for years for this object, without the globule losing anything of its curative power).
" Most of those symptoms of Aconite detailed below
which seem opposed to one another are merely alternating states, by means of either of which it can be remedially useful, still it is most so in respect to those that
have a tonic character.
" Vegetable acids and wine remove its effects, and so
do other medicinal substances that correspond palliatively
or homcopathically to the troublesome symptoms it may
give rise to, in consequence of too large a dose or the
administration of it being unhomccopathic."
The above remarks of iHahnemann indicate a portion
only of the morbid conditions for which this valuable
remedial agent is specific.  An examination of the
symptoms in the foregoing schema, and our clinical
experience in the use of the drug, shew that it is applicable in the commencing febrile condition of almost all


exanthematous fevers, and in some, as measles and
miliary fever, as Hahnemann has remarked, it often
suffices of itself to effect a cure. It may be looked upon
as specific in catarrhal fever, and in the catarrhal symptoms occasioned by cold, damp, or the like, which it
will often cut short. In acute rheumatism and rheumatic
fever its virtues have been extensively shewn. It is
indispensable also in traumatic and puerperal fever, and
generally for the fever accompanying all local inflammations.   The inflammations to which it is particularly
suitable are those of the serous membranes of the lungs,
heart, abdomen and brain; it has also decided power
over inflammations of the mucous membranes, the various
tissues of the eye, the joints, the muscular substance,
tendons and ligaments; in fine, acute inflammations of
all structures are more or less within the sphere of its
influence.   Active congestion of the brain       or lungs
indicate its use.    Active hemorrhages of the nose,
lungs, uterus and bowels demand it.           It has been
successfully employed in the first stages of Asiatic cholera. It is, moreover, useful in neuralgias of many
kinds, even such as are unaccompanied by symptoms of
accelerated circulation. Over excitement of the nervous
system frequently demands its use.     Inflammation of all
parts of the respiratory apparatus are especially under
its power, including croup, laryngitis, tracheitis, bronchitis, pneumonia and pleuritis. In fact to enumerate
the diseases for which it is suitable would be to mention
the acute inflammations of every possible organ and
tissue in the body; and if it be not for all of these the
sole remedy, it is almost always useful either previous
to or in alternation with another remedy which has
perhaps a more specific relation to the part affected.
Our clinical records teem with instances of its successful
application in all such affections, and the following
resumd of the cases and affections for which it has been
found serviceable, given by Trinks in his Materia
Medica, to which I have made a few additions, will I
doubt not be acceptable to the practitioner.
Diseases of stout and full-blooded children. (WIDNMANN, A. h. Z.
xxii, p. 107.) Very painful rheumatism of the joints, with violent fever;
stitches in the chest; violent, quick and wide extended heart's beats.
T. Acon. gtt. v, twice a day, cured it in 4 days. (ICRAnExR, Hyg. x, 505.)
Rheumatismus acutus fclrilis. (FRANK, A. iZ.. xxi, 290.) Aconite
is suitable only for that form of febrile rheumatism where the genius
morborum or the individuality tends to the true synochal-inflammatory
diathesis. (KuaRTz, A. h. Z. xxvi, p. 89.) Rheumatismus acutus articulorum; tearing and shooting in the limbs, which were swollen;
moderate inflammatory fever, increasing towards evening; thirst;
anorexia. T. Acon. gtt. iv, in Aq. 3 iij, a tablespoonful every 3 hours.
(WERBER, Hyg. viii, 294.) Chronic rheumatic gout, when the patients


I
I



I










THERAPEUTIC USE.


41






have been made weak and irritable by abuse of medicine, so that they
cannot bear the smallest doses of homceopathic medicines without
aggravation of the sufferings. In some cases the chronic affections
changed into acute, and a true irritation fever was stirred up; in
those cases Aconite moderated the pains and the debilitating perspirations, and procured sleep, by means of which the patients recovered,
and were cured by the employment of other appropriate medicines.
(ARNOLD, Hyg. i, 64.) Acute arthritis, affecting all the joints, with
fever. (HEICHELHEIM, Hyg. v, 206.) Arthritic fever. (KRAMER, Hyg. i,
18.) Frightful pains in the joints that would not allow the slightest
touch, with strong fever.   Acon. 4, gtt.j, twice a day, cured in 7
days. (HEIIELHTEDM, Hyg. v, 206.)
Very violent ebullitions of blood, with great redness of face, anxiety
and restlessness; after which inflammation of important parts used to
occur; cured by a few doses of Aeon. 12. (STArF, Arch. ii, 3, 84.)
Congestions: Rush of blood to the head, with constant vertigo, causing
falling; severe headache; stupifying pains in the forehead; confusion; momentary loss of consciousness; flickering before the eyes:
in two strong plethoric men who used formerly to be bled several
times a year. (KIRAMER, Hyg. i, 24.)
Nervous over-excitement in acute diseases, with attacks of weakness and faintness. (HARTnAN on Aconite.) Attack of illness after
fright, in a delicate, weak-nerved girl of 10 years. (HEICRELHEII,
Hyg. v, p. 207.) Convulsive attack recurring every evening at 8
o'clock, and lasting 3 hours: crying out for help; pale face; loss of
voice soon afterwards; alternate tonic and clonic spasms of all the
limbs, then all at once springing up like lightning (an extatic state),
fearful cries and bellowing; eyes fixed and wide open, eyelids immovable; angry morvements, with inflamed countenance and many
imposing, earnest attitudes, alternating with sardonic laughter and
trismus; motions so strong that 4 men could not hold her; towards
the end, quiet sleep; on awaking, no recollection of what had
happened; before the attack, burning in the heart and severe stitches
in the chest, whereupon loss.of consciousness ensued: in a girl of 18
years of age. After fruitless employment of Cicuta, cured by Aeon. 30,
3 doses. (SCUDEM, Hyg. vi, 473.)
Diminished the severity of the symptoms of scarlet fever, shortened
its duration, and when given as a prophylactic appeared to have the
effect of rendering mild the subsequent disease. (MiULLER, Arch. i, 8.)
Measles in a girl 12 years old: Skin burning hot; pulse hard, very
quick; great anxiety; breath hot, short; very much oppressed respiration; dry, metallic-sounding, barking, very troublesome cough;
painfulness of the throat along the trachea, on being touched; great
thirst, with painful swallowing; extraordinary photophobia, with
excessively red conjunctiva, and constant lacrymation. (WATZKE, G(Et.
Zeitsch. i, 2, p. 236. Acon. 1, every, hour.) Measles: The skin was cool,
covered with sweat; the face and whole body pale; the pulse thread-like,
uncountable; breath short, rapid, hooping; constant groaning and lamenting; automatic motion of the left hand, with which she frequently
hit herself in the face; jerkings with the left leg; frequent grinding of
the teeth, the eyelids fast stuck together; nostrils stopped up with brown
crusts: in a scrofulous girl, 1- year old, in whom the eruption disappeared several times from the skin. Acon. 3 every 5 minutes,
brought the exanthema again upon the skin, and cured the other nervous
symptoms. (WATZKE, 1. c., p. 237.) Measles, with predominant affection of the fauces and bronchi; also, irritation of the intestines;
diarrhaea of fermented-like, greenish, frothy and clayey stools; interstitial erythema between exanthematous patches. (HARTTNmN, Acute
Dis. i, 299.) Epidemic of measles; as chief and in many cases sole
remedy. (OzANNE, B. J. of Horm vi, p. 61.) Measles. (HEICHELHEIEM,
Hyg. iv, p. 423.) Miliaria puerperalis. (HAnTMAN, Aconite, p. 22.)
Intermittent fever; when the quotidian (as frequently happens with
children) approaches synocha in character, or when, independent of
the type, the accompanying symptoms indicate Aconite. (GERSTEL, (E8t.
Ztsch. i.) Intermittent fever in children; in whom the heat was the
predominant symptom of the fit, and the disease was recent: Acon. 24,
repet. (ScHwAD, Hyg. i, 76.) Intermittent fever that resisted all ordinary remedies, even Sulphate of Quinine in large doses, was soon
cured by Acon. 3, given shortly before and during the attack.
(EVERARD, Horn. Viert. i, p. 289.) Indispensable remedy, where to
the primary affection of a single system or organ a general febrile disturbance has associated itself, which is distinguished by a previous
intense rigor, followed by local or general heat, generally lasting long,
by hot, dry, more or less red skin, which feels burning to the
touch, rapid, full pulse, headache, sparkling eyes, violent continued
thirst, anorexia, fiery urine, prostration, delina of more or less severity, with well-marked remissions and paroxysms. (SCulOEN, Hfyg. v,
98.) Ephemera, irritation fever, without local affection, especially in
children. (GourioN, Arch. xix, 2, 8.) Aconite not only supplies the
place of the whole antiphlogistic apparatus, bleedings, neutral salts,
mercurials and fomentations, but is much superior to them in cer



tainty and innocuousness. (SciRO.E, 1. c. 97.)  Synocha in a fullblooded girl of robust constitution: Excessive general heat; glowing
red hot face; febrile rigor; oppression of chest; dyspncea; violent
delirium; hard, full, slow pulse: cured by the 30th dil. in 18 hours.
(TIETZE, A. h. Z. iii, 115.) Synocha, with rheumatic, gastric affections: Fantastic visions; heaviness of head; pressing out at forehead
and temples; painful drawing in the hair; stiffness of the nape;
tense feeling on face, which is red and turgid; painfulness of the
eyes, which are red and inflamed; oppressed breathing, with full feeling in the chest; frequent stitches through the left side of the chest;
inclination to vomit; tension in the hypochondria; distension and
rumbling in the abdomen; pains in the limbs, sacrum and back;
diarrhoeic stools, burning hot skin; rigor over the body in the morning; febrile pulse; anxious, hurried speech: in a man, 46 years old,
after a chill and vexation; cured by 2 doses of Aeon. S1. (MESSERscannMr, Arch. v, 2, 49.) Violent inflammatory fever of children, with
twitchings, starting and connected convulsions. (GOULLON, Arch. xix,
i, 38.) Synochal fever: Constant restlessness; complete sleeplessness;
constant sobbing sighs, interrupted by starts; refusal of the breast,
but drinking of much sugared-water: in a new born infant; cured
with 1 dose of Aeon. 24. (BIGEL, Arch. iv, 3, 42.) Phlegmonous inflammations, where the arterial system is chiefly involved. (IlcmIELHEnI, Hyg. v, p. 203.) Traumatic fever and pains after surgical
operations, especially of the eyes; and when, after forcible delivery
by instruments, there comes on inflammatory fever, with shooting
pains in uterus, and great restlessness. It also prevents traumatic
fever after amputations of the limbs and breast, and takes away the
pain. (WuERZLER, A. h. Z. xxi, 6.) Puerperal fever: Shooting, cutting pain in the swollen abdomen, increased by motion and pressure;
diminution of the lochia and of the milk; sparkling eyes; much
thirst; not very full, rapid pulse; hot skin; excessive restlessness;
anxiety, with fear of death; complete sleeplessness, with deliria.
(SCHROEN, Hyq. v, 100.) Dentition lever of children. (KRAMEitý, iHyg.
i, 19.) Vermicular fever. (MALY, rHyg. xviii, 50.)
Fixed idea of impending death in a pregnant woman, who, on the
9th day after delivery, got violent congestion of blood in the chest and
extraordinary oppression of the chest, so that she was like to be choked,
with intermitting pulse, cold, clammy sweat; she took leave of her
relations, raved about the speedy occurrence of death, and pointed with
an air of great anxiety to her heart. In a woman, aged 20, who had
already had one child; complete cure after one dose of Aeon. 30.
(GRoss, Arch. vii, 3, 43.) In a woman, aged 22, first pregnancy: sadness, laconism, complete joylessness and dejection, every thing affects
her to tears; expectation of certain death during delivery. After delivery: metrorrhagia, of which she fully expected to die; cold sweat;
anxiety; loss of consciousness; convulsions of the arms. One dose of
Aeon. 24, cured her completely. (BETIfMAN, Arch. ix, 1, 115.) In a
girl of 18, fear that she would die on a fixed day, caused by a prophecy.
Alternate laughing and weeping delirium. In the night tossing about
in bed, climbing up the wall, endeavours to run away. By day, as if
deaf and dumb, will not answer. Acon. removed these symptoms.
(ATrromn, Arch. xi, 2, 109.) Mania after delivery: the patients believe they cannot survive delivery, they lie quiet by day, are apathetic,
give no reply to questions and only stare at the questioner, and then
break out into laughter and weeping, refuse food and drink; their lips
are dry, pulse full and frequent; the nurses have a difficulty in preventing their jumping out of bed at night. Starting out of sleep and
repeating the same endeavour to run away. (HAnRTMNN, 1. c., p. 28.)
Typhus, with great heat, inflammatory state of the organs of the
chest and abdomen. Aeon. 8, in repeatec doses. (STRLECKKE, A. h. Z.
xvi, 277.) Typhus, with great excitation in the arterial system and
swelling of the parotid, and in pleurisy. (BAERTL, Arch. xx, 3, 94.)
Typhus, with the symptoms of an inflammatory fever. (Bos.on, llyg.
xxx, 4.) Profuse, unalleviating, debilitating sweats in rheumatic gouty
affections. (ARNOLD, HIig. i, 65.)
Prevention of sanguineous apoplexy. (ScnunBERT, Arch. v, 3, 107.)
Paralysis of particular parts after over-heating followed by a chill, with
great painfulness of the affected parts to the touch, an great excitation of the vascular system. (H-AirrTMAN, 1. c., p. 28.)  CongestionM to
the head, especially in apoplectic constitutions, with vertigo and failing,
roaring in the head and transient unconsciousness. (St'ntnKS, Ilyg.
102.) Congestions to the head. (HAIInTaNNs. 1. c., 25.) State of irritation of the brain and lungs: Aeon. aided by Bell. (DIEv, 11//y. xviii,
253.) Inflammation of the brain in children, aided by Bell. (Iiecv..LIIEIM, 1. C.) A girl of 14: severe rigor, followed by heat and headache,
nausea, vomiting. Next day on sitting up, vertigo and vomiting; constant frontal pain; raving; much torpor; wakiug with cries; opens
the eyes wide and stares at different parts of the room, during which
she talks delirious nonsense; face at one time red, then pale; skin dry,
hot; much thirst; no appetite; no stool for 3 days. Acon. 30, 14 doses
in 3 days, cured the patient. (WEUEU, Arch. xvi, 2, 4.) A boy, aged 5:








II__






42


ACONITUM NAPELLJS.




In the evening, sudden attack of severe xi gor, followed by, heat, headache at both sides, vomiting of food, drink and mucus, slumber with
starting up from it. Next day, red turgid face, sparkling eyes, single
jerkings in the extremities alternating with trembling in them; on
lifting the head, nausea; when he Jays down the head again, vomiting
of mucus arid water; the sparkling eyes are either staring at some
point, or are. clos-ed in restless sleep, from which he often starts up
deliriou~s; skin dry, hot; much thirst; pulse rapid, full and hard.
Aeon. 30, every hour, cured in 3 days. (Id. L c.) A girl, aged 10.
Heat and redness of all the body, especially the head; red eyes, with
contracted pupils9; complete unconsciousness; raving; dry tongue;
verdigri-coloured vomiting; obstinate constipation; jerking of the
tendons; hurried respiration; pulse 120-130, small; grasping at the
head]. Aeon. 18, removed the most of the symptoms, the rest fielded to
Jiry. ((i,%SrrTP EuxnD, A. It.Z. xxiv, 114.) Head affections of children
during dentition: crossness, disinclination to play, laying down the
head as if it were too heavy to be hleld up; unusual warmth of head;
red conjunctiva; dilated pupils; circumscribe-d bright red spots on the
hot cheeks; moderate appetite and tendency to vomit; inactive bowels.
MI I F LOE N, ilfg.v, 102.) Inflammatory affection of head, throat and
cheost; th4robin-g pain in the hack of the head; violent thirst, with
dryness in the throat; redness of the palate and throat; slight swelling
of the tonsils; shooting pain on swat lowing; loss of voice; on breathigdelinclination to cough and shooting in the side and betwixt
th  heu~rs; dry cough; taii   in the wrist; fingers stiff and
swvollen; at niiilit, buirning heat of thie whole body without subsequent
perspiratin;sleplessness, for scveral nights; aggravation of all the
sufferings in the evening. Cured by Acon. 3. (WATZKE, Born. Beke/trunysco., 105.) A kind of tetanus in a boy 6 years old. He woke up
early, asked for something to drink, but could not take it because the
jaws were sipasmodically closed. This was followed by contortions of
the eyes, lie is alternately red and pale, and lies as if dead. Cured by
2 doses of Acon. (I-UDLtuo, A. h. Z. i, 147.) Myelitis: a man, aged
26i, of gouty (liathiesis but well for 2 years, spent 2 nights dancing and
drinking; gocingf home lie fell to the ground and remained 2 hours exposed to the(ol of winter. Birouglit home, hie began to be convulsed
antid delirious. Next day lie complained of weight and stupefaction of
hecad, vertigo, roaring in the ears, general heat, burning and shooting
pains in the spine, lie must always lie on his back. Towards noon,
convulsions of the whole body, with cold extremities, complete apnhonia
and scarcely perceptible pulse. After this, bright red face;-red eyes;
dry tongue; laborious breathing, interrupted by sighing; te whole
body stiff the slightest touch of the spine causes violent convulsions,
lasting 4 or Jt an hour. When he tries to drinik water it returns by the
nose; ineteorism, stools and urine suppressed. Aeon. 3, a drop every
houir, continued for 13 days, caused marked benefit in all respects; the
most dangerous symptoms went off. The remaining symiptomis of
vertigo, lheadache, roaring in the cars, weakness and fits of heat, were
cured by Nux vom. (Howik.NEU, Archiv, xx. 1, 121.)
Ophlitalniia from a foreign body penetrating the eye, (HARTMANN, L1. 0
15,) and other niechanical injuries. (T~iuSs in mnany eases.) Taraxis
and chemnosi-s. (HAaLTMANN, 1. e., 15.) Ophthi. neonatorum in the first
s~tage. (ilAnnIANX, 1. C., 15.) Ophith. neonatorum in its comnmencenient. (Gitoss, Arch. x, 2, 63.) Rhleumatico- traumatic ophith. (GouLLoN,
1. c.)  Inflammation of both eyes; the great swelling of the upper lid
entirely covered the lower; groat. photophobia; burning shooting
pains, much increased at night; copious secretion of thin muco-purnlent matter; cured by Aeon. every 2 hours, and a dose of Ti. Sulph. in
the eveniing. (WArraxa;, (L~t. A. Zeech. i, 2, 116.) Ophithahn-ia: redness
and swelling of the lids, with Pains and lacrymation; cornea dim and
whlitish; in a young mnin with gonorrhmca. Acon. 30, internally, and
Amn. 1, in water, externially, cured; Cannabis cured the clap and dimnne-ss of tho cornea. (Luii.'UeK, Hyg. iv, 411.)  Bturn of the eyes:
tilhs swollen and red; cornea without brilliancy and covered with. a
whitish s4kin; conjunctiva iiiflnnied; photophobia and violent pains in
eve, blisters on several parts of the face. Compresses moistened with
-vasolution of Tr. Aeon. applied to the e-ye, cured in 3 days. (Bnou,
mk.red. JN~qr, Aug. 18410.)  Burn of the eye with a candle, cured by
Aeon. V. (lnrx   riI.. 1. ofi. vi, 214.)  0btalm-benn1rma


Rheumatic face and toothache of throbbing and shooting character;also in pains of other kinds, especially of sensitive persons with a tendency to turgesconce of the blood, when wine and other heating things
increase the pain; also when mental emotions or vexations have
caused them, Aeon. 12 or 24, several drops in repeated doses. (J. W.
AnNOLDHyg.i, 65.) Prosopalgia of inflamnmatory nature with inflammatory swelling, and also of' a purely nervous nature, with creeping
burning pains coming on in jerks, as if dependent on an ulcer. ([Asernuixz, 1L c.) Throbbing toothache, with great rush of blood to the
head; burning heat of the face; quick, hard pulse; great mental and
bodily restlessness; great redness of the cheeks, especially after taking
cold rn sharp, dry east wind. (B36NNINGRAUSENN Arc/i. xv, 2, 5.) Toothachie, throbbing and shooting, with congestion towards the head.
(Uta&nTrANN. 1. c.) Frequently recurring toothache: burrowing in the
teeth, proceeding from the shoulder of the affected side and extending
into the temple and head, most violent at nighit; at the same time,
congestions. to the head, heat and redness of the cheeks. Cured with 3
doses of Aeon. 30. (AsHrs,.H~yg. i, 335.)
Epi staxis of younq plethonec persons, subject to congestions. (WEnan,
Arch. xvi, 2, 13.) Epistaxis, frequently reeurring, extremely exhausting at the period of decre~pitude in women, caused by congestions
towards the head. Aeon. 3. (SeanoEN, Eg. v) 10 1.)
Inflammation of the tongue, with violent inflammatory fever and
affection of the throat in cattle. (SHMioGEa, Egg. ii, 275, cured by Tr.
Aeon. gtt. 60, in 2 chopins of water, i/5Bth every 3 hours.) Rheumatic
sore throat with slight redness of the fauces and pominent muscular
pains. (GoULLoN, 1. C.) Cynanehe tonsillaris. (HA0RT3UN, 1I. C.) In
one ease it averted the impending suppuration *in cynuanche, which
Bell. and Mere. were unable to do, in doses quickly repeated. (SCnaOEii,
Ilyg v, 01.)(Esphagitis: violent pains intn cardiac region extending from the nuddie of the chest to the back, increased by corporeal
exertion and by swallowing, with tile sensation as if the morsel swallowed stuck in the cesophagus or cardiac region; at the same time
fever and complete absence of all abnormal symptoms about the heart:
a few doses of Aeon. 12 cured it in 2 days. (SEcw, hElyg. x.viii, 53.)
Gastritis. (Wonrsorrx, Egg. v, 457.) Nausea and vomniting of all1
food and drink in the first half of pregnancy cured by one drop of Tr.
Aeon. (GAsPRni, Animal. d. h. Hi. i, 150.) Vomiting in cholera asiatica
after the removal of all the other symptoms. (RIuhrEL, Arch. xii*, 2,
123.) He patitis: burning shooting pains in the hepatic region, with
synoehal fever. (HARTMANN, 1. e.) 4i ntei-itis. (WOLrsOHNx, Hkg..v, 456.)
Inflammation of the bowels: acute, burning, tearing pain, with very
great tension, heat, distension and excessive sensitiveness of the whole
abdomen to the slightest touch; violent, synochal fever; obstinate
constipation; anxious restlessness; despahring anxiety, as if in the
death agony; constant thirst; sleeplessness. HmTMX,1 e)Gs
tro-enteritic symptoms dependent on vermicular irritation. (GEaSTEL,
(Est. Ztseh. i.) Inflammatory affection of the peritonaeum and bowels
in a puerperal woman, after suppression of the loehia, from fright, cured
by Aeon. 30. (SarrincaR, Ifyg. ii, 194, and Scanoax, Ilyg. v, 100: in the
latter cae there were also present anxiety with great fear of death,
sleeplessness and deliria.) Violent abdominal pains of a drawing ehiamecter, with clawing, pinching and retraction of the navel; at the
same time frequent white evacuations; shooting and pressure in the
anus; general heat; painful prostration of the whole body; yellow
skin and sclerotic; violent thirst and dry mouth: cured by 6 doses of
Acon. 6. (Turnum, A. h. Z. xxii, 202.) Tearing and shooting pains in
the abdomen, increased by pressure and deep inspiration, with alternate
rigor and heat and sleeplessness: cured by 4 doses of Aeon. 6. (WVoLFsOHN, H1gg. v, 460.) Peritonitis puerperalls, along with Dry. and Puls.
(Riu, JVerth d. H. 202.) Peritonitis puerperalis after a chill, with
watery diarrhex, which latter yielded to Cham.; the inflammation
was cured by Aeon. 4 every 3 hours. (Dncz, 1. e., 102.) Cholera asiatica
with gastro-enteritie symptoms. (B~ARTEL, A. A. Z. vwiii, 165.) Cholera
asiatica. (Hicauza, App. to N. Amer. Horn. Jour. No. 2.) Non-febrile
worm ailments. (MALY, 1L C.) Inflammatory strangulated hernia:
violent burning pain as if red hot coals lay in the hernial sac, that did
not allow of the slightest touch;, constant nausea; bitter, bilious,
"gras0 ts-gen  vomtin;  geanxit;gnrlcl             wa;sal


___





Ll




THERAPEUTIC USE.


43




or not, when given in their incipient stage: a dose every I hour.
(MADDEN, Brit. Jour. of Hom. ix, 497.) Epidemic catarrhs of children
that tend to go into bronchitis catarrhosa. (HARTMANN, A. h. Z. vi, 69,
and GRIESSELICH, Hyg. iv, 312.)  Grippe. (HEMPEL, 1. c.)  Aeon. is
not only often able to check the development of commencing croup,
but it also supports the action of Spong. and Hep. in the stage of plastic exudation when given alternately with those remedies. (SCHaOEN,
Hyg. v, 99.) Rheumnatico-catarrhal and nervous form of croup: at the
commencement of the north-east wind, or on the change of the east
wind into south or west, it begins with slight, short cough, which,
generally towards midnight, turns into hoarse, crowing cries; rare,
crowing, hollow cough; very rough, hoarse or whispering voice, re
sembling the vox cholerica; whistling, booping, loud respiration;
suffocative spasm: Aeon. removes the urgent danger and keeps off the
disease till daybreak. Towards morning perceptible remission with
perspiration, also with bleeding at the nose, rarely with vomiting of
viscid phlegm. The following night the same scene is repeated, which
render necessary the repetition of the Acon. The next aggravation,
on the 3rd day, the wind still continuing in the east, is always slighter
and more easily relieved. Then the disease is permanently relieved
and changes into frequent loose cough. In this laryngitis, caused by
the peculiar atmospheric tension, Aeon. from the 24th to the 2nd diL
in rapidly repeated doses is sufficient; whilst the fully developed true
croup, which never attacks any other but scrofulous children, who are
subject to strumous thyroid gland, ozcena-like coryza or tubercles of
the lungs, requires quite different remedies. (GouLLON, Arch. xix, 2, 1.)
These observations exactly coincide with Dr. Trinks' experience. True
croup requires Spong. or lod., whilst the above-mentioned laryngitis is
cured by Aeon. alone, by the allopaths by Calomel. (TiuNKS, Mat. Med.)
Shaking nocturnal spasmodic cough (in great tobacco smokers) caused
by a tickling irritation in the larynx. (HARTMANN, 1. c.) Hoopingcough in the first stage. (HArTMANN, 1. c.) Commencing hooping-cough
corresponding to the congestive stage in the mucous membrane of the
bronchial tubes in a peculiar condition of atmospheric pressure. (BErHMANN, Annal. d. h. M. iv, 289; HAMUOLD, A. h. Z. i, 146; MALY, Hyg.
xviii, 512.) HEmoptysis caused by tubercles. (HmEICELHEIM, Hyg. v,
206.) Hxemorrhagia pulmonum. (HAnTmAx, 1. c.) Pure inflammatory
affections of the respiratory organs. (SCHmoEN, Hyg. v, 99.) Pneumonia:
during the rigor, oppression, stiches in the chest; fever with the character of synocha or erethism with remitting type; face red, hot, puffed;
eyes sparkling; swelling of the veins of the neck; short respiration;
marked, crepitating respiratory sound; oppressive, compressive, dullshooting pain in the chest, only permitting recumbency on the side,
accompanied by attacks of anxiety; short, dry, irritating cough, or
coughing of blood; raw pain in the region of the last ribs, caused by
the succussions of the diaphragm. (BUCHNEsm  Hyg. xv, 503.) Pneumonia with great dyspncea; brownish-red face; bloody expectoration;
and violent shooting in the left side. (ScHLEIucER, Arch. xv, 2, 328.)
Inflammation of the lungs with shooting pains deep in the chest, and
pulse 100. (SCHUELER, Arch. xiv, 3, 120.) Pneumonia and pleuritis in
all stages [?]. (HEICIELHEDI, Hyg. v, 204.) Inflammation of the lungs
with gastric nervous symptoms. (SCHOLZE, Arch. xx, 3,115.) Peripneumonia. (VEUSEMEYER, Arch. xi, 298.) Pleuropneumonia: Aeon. always
removed the fever and inflammation, so that Bry. had only to be used
for the afebrile, shooting pains. (DIEZ, 1. c. 96, in many cases.) Pleuritis costalis with shooting pains, increased by touching the thorax and
breathing, with dry cough, fever, &c., Aeon. 9 in repeated doses cured.
(DIEZ, 1. e. 94.) Pleuritis and pneumonia. (QUADRm, Arch. viii, 2, 165.)
Pleuritis. (TRINKS, Annal. d. i. Xl. ii, 227, and 1, 21; ROTIIANSEL, IHyg.
xviii, 485; MARTINI, Annal. d. A. Kl. i, 26.) Pleuritis: after severe
rigor, burning heat and shooting in the right side, cough with expectoration streaked with blood, difficult respiration, pulse full, hard, intermitting, not quickened, Aeon. 6 made the chest and breathing freer in
5 hours, cure on the 4th day. (RAU, Werth. d. H. 200.) Pleuritis.


(WoLFsonX, Hyg. v, 452.) Pleuritis of the left side with distinct pericarditis. (GouLLox, Arc/. xix, 1, 44.) Pleuritis with violent febrile
symptoms: it has no action on the effusion. (Wumpin, Hyg. xii, 29, and
B.. of Horn. i, 50.)  Frequently recurring inflammatory states in
consumptive patients, which give evidence of their existence by shooting pains in the affected parts, severe cough with bloody expectoration,
severe violent fever with greater distinctness of the' redness of the
cheeks. (HARTMANN, I. c.) Inflammatory irritations in florid phthisis,
in the tuberculous as well as the pituitous form. (Hl-ImccmELlE.M, IIfjg.
v, 207.)
Inflammation of the heart in the first stage. (HARTMANN, 1. c.) Pericarditis rheumatica: tearing shooting pains in the foot and hands;
violent shoots in the cardiac region; furred tongue; increased thirst;
quickened respiration; pulse full and normal; percussion-sound normal; heart's beats stronger; blowing sound in the left ventricle
durming the systole: in a girl, 24 years old, after a chill. Aeon. 3, every
3 hours, and cold compresses to the joints. (ROTHANSEL, Iyg. xviii,
480.)   A  similar case was cured by Aeon. and Spig. alternately.
(SCrnoEN, Hyg. xv, 490.) Palpitation of the heart from mental emotions. (HARnnANN, 1. c.) Frightfully painful palpitation of the heart,
with peculiar pains in the joints. (STArr, Arch. ii, 3, 32.)  Asthma
humidum, aided by Stan. (HARTMAxx, L c.) Inflammation of tho
diaphragm. (LarTMANN, 1. c.)
Violent tearing and shooting in the right upper arm and the same
side of the chest, with redness and swelling of the upper arm, painful
on every motion; boring shoots in the chest on breathing; pulse quick.
(FLEISCHM3AN, Hyg. viii, p. 467, Aeon. 6, every 3 hours, with compresses of cold water.) Violent shooting pains in the hip joint, extending into the left knee. (EmnRcie, Arch. xiv, 3, 109.) Cutting
shooting pains in the right knee joint, worst at the external side.
Aeon. 30, every 4hours, cured it completely. (WEmhER, Arch. xvi, 2, 11.)
Rheumatic inflammation of the knee joint, with tearing pain. (KNomms,
A. i. Z. v, 21.) Rheumatic inflammation of the hoof in horses. (REuE,
A. h. Z. vi, 205.)
ANTIDOTES.-In cases of poisoning by large doses of Aconite, the
drug should be removed from the stomach, if possible, by large draughts
of warm water and irritation of the fauces, or any of tlhe more ordinary
emetics, or the stomach-pump. When the arternal system is in a state
of great excitement, vegetable acids, such as vinegar or lemon-juice,
mixed with water should be given. For the paralytic symptoms the
remedies are: Cocculus, Agaricus, Rhus, Nux vomica, Arnica, Wino,
Coffee. When there is a state of sopor, exhausting sweats, and dilated
pupils, Opium is the proper remedy. Arnica is indicated when there
are obstinacy, hot face and headache. The extremely peevish and irritable state often induced by it, demands wine. For the other symptoms caused by Aconite, antidotes may be sought among the following:
Belladonna, Bryonia, Chamomilla, China, Digitalis, Ignatia, Hyoseyamus, Nux vomica, Sepia, Veratrum album, Spigelia.
ALLIED REMEDIEs.-Arnica, Belladonna, Bryonia, Digitalis, Hyoscyamus, Ignatia, Ipecacuanha, Mercurius, Nitrum, Nux vomica,
Opium, Phosphorus, Pulsatilla, Rhus, Sepia, Spigolia, Stramonium,
Sulphur, Veratrum.
DosE.-Although Hahnemann recommends the 30th dilution as the
best dose of this and of all other remedies, most homoeopathic practitioners agree that it is unnecessary to give this remedy in such minute
doses, especially in acute diseases, indeed that it acts much miore
promptly and certainly in such cases in the lower dilutions, from the
1st to the 6th dilution, and that it may be advantageously administered
at much shorter intervals than those Hahnemann prescribes, from
every 12 hours to every quarter of an hour, according to the acuteness of the case. For the neuralgic affections in which Aconite is
indicated, the higher dilutions, from the 12th to the 30th, given at
longer intervals, seem to have been often employed with recmarkublo
success.








2


ARSENIC.


2                             ARSENIC.


of the body. In man the specific effects are as evident
when the Arsenic is applied to the skin (case 14 (1)), to
the vagina or rectum (case 11), to the bronchiae (cases
12, 13), as when introduced into the stomach. According to Jaeger's experiments on animals, Arsenic is most
active when injected into a vein, or applied to a fresh
wound, or introduced into the sac of the peritoneum,--
it is less powerful when taken into the stomach; it is
still less energetic when introduced into the rectum, and
it is quite inert when applied to the nerves (quoted by
Dr. Christison on Poisons, edit. iv, p. 292).  That in
man it acts on the nerves is shewn in the marked and
violent toothache, &c., excited when it is applied to an
exposed dental nerve, resulting soon in anaesthesia of
the nerve.
In cases of poisoning it is observed when the dose of
Arsenic is large, when it is in little masses, or when it
is in a state of solution, or inhaled in a gaseous form,
that the effects are shewn powerfully on the cerebrospinal, the ganglionic, and vascular systems. There may
be vomiting and violent abdominal pains, but the striking
feature is the sudden prostration of strength, and collapse,
closely resembling a similar state in malignant cholera;
the features rapidly alter, the skin is pale, sometimes
of a violet hue, and covered with cold sweats; icy
coldness of the body; pulse small, frequent, thready and
often not to be felt; extreme precordial anxiety, great
tendency to syncope, oppressed breathing, gradual sinking, and in a few hours death closes the scene, sometimes preceded by convulsions. In some such cases the
poison proves fatal without exciting any violent and
well marked symptoms, unless it be great feebleness and
tcna -icy to faint (cases 1, 2, 3, also ~ 398, 899). Again
when the dose is smaller there are symptoms of violent
irritation of the alimentary canal, and sometimes of the
mucous membranes, accompanied with great general
depression (cases 4, 5).
Again when the dose is still smaller, or given slowly,
after signs of irritation of the alimentary and other
mucous membranes, a very marked class of symptoms
referable to disorder of the nervous system appears.
It is this class of chronic poisoning which tlhrows the
most light on the physiological action of Arsenic.


When slowly introduced into the system one of the
most marked and constant symptoms is the disorder of
the alimentary canal, presenting various stages from
acute gastro-enteritis to chronic dyspepsia, impaired
appetite, thirst, nausea and vomiting, extreme irritability
of the stomach, the tongue then shews signs of redness
at the tip, excessive burning heat in the epigastrium, a
relaxed condition of the bowels attended with more or
less pain, the motions often watery and abundant; then
the irritation extends to the nervous system, tremors
and twitches are experienced, and frequent violent
cramps of the legs and arms (cases 14, 15); constiphtion
is a less frequent symptom (cases 14, 18). Then appears
irritation of other mucous membranes, there is lachrymation, the conjunctiva inflames (case 16), the face becomes cedematous, also the cellular tissues of other parts,
the sclneiderian    membrane inflames and      ulcerates
(case 5); the irritation extends down to the larynx,
there is hoarseness, sense of heat in the bronchiie, oppressed breathing, dry hacking cough, and this state
may increase to bronchitis, or to dyspncea and asthma
(cases 8, 9). The urine becomes high coloured, some6
times increased in quantity, more or less strangury,
even blood may be passed (cases 8, 12). The genital organs shew signs of congestipn andinflammnation (case 4).
As the system becomes more affected there is feverishness; the pulse is at first quick, hard, and then becomes
weak and irregular. The skin hot; a sense of burning
all over the body; itching, with perspiration; nmiliary
eruptions appear, especially about the upper part of the
chest, sometimes pustules, and at other times small
blisters like those arising from nettle-stings (cases 14,
16, 17). Great anxiety, palpitation of the heart, and
cardialgia with syncope; the derangement even running
into endocarditis (case 13, 17). The countenance becomes sallow   and pale, and then presents a sorrowful
and anxious look.     There is often headache, chiefly
over the eyebrows and lower part of the forehead;
giddiness and want of sleep: and this cerebral disorder
may amount to stupor, insensibility and delirium (cases
14, 15, 16, 17). Again the general derangement becoming more acute, the disorder takes on the appearance
of typhoid fever (case 17 and ~ 882). The whole body
emaciates; the hair falls out; the nails drop off. The
limbs become painful, weak, and trembling; there is
excessive general weakness; more or less loss of power;
and at last complete paralysis: this local palsy attended


(') The cases refer to those reported in the preface; g to the symptoms in the schema.



I              -


10


ARSENIC.




A K. b. BRhs r. Sep.
i Arg.
j   i. Bell. Nux v.
(CCe. I'ug. Puls.Sep.
I gn. Va r.
k K. h. Arg. n. Phos.
Glo. lp. Plat.
/ Salbn. Sep. Puls.
lAch, Bell. Nux v.
mi Sep, Thuja


Head.
Stupifying pressive headache, especially in
the right frontal region directly over the eyebrow, with pain like of ulceration on knitting
the brow.h (Lhr.)
20. Drawing pressive pains in the right temporal, and frontal region.' (Lhr.)
Stupifying pressive pains especially in the
forehead, with fine stitches in the left temporal
region near the outer canthus, when walking
and standing, going off again when sitting. The
stitch-like pain ceases on touching the part.
(Lhr.)
Headache, consisting of tearing and heaviness, with drowsy faintness in the day-time.
Drawing headache under the coronal suture,
a few hours every afternoon.
In the morning on getting up, hemicrania,
pain as if one side of the head were bruised.
Pain as if bruised or sore, over the nose, and
in the forehead, going off for a short time by
rubbing.
25, In the night, about two o'clock, during
a sweat which breaks out, sharp hard beating
as if from blows of an axe on the head, the
head feels as if it would burst.
Violent beating in the whole of the head,
especially the forehead, on moving or when
raising himself in bed, with desire to vomit.)
Pulsating headache in the forehead, immediately above the root of the nose. k (Vid. ~ 61.)
At noon and at midnight, painful hammering
in the temples, lasting half-an-hour, after which
she felt her body as if palsied for two hours.,
Dull beating pain in one half of the head,
extending to beyond the eye. Sensation during
motion as if the brain moved and beat against
the skull.'
30, Superficial pinching pain over the eye,
tearing stitch-like pain in the left temple.m
Sensation of a sort of cracking in the head
above the ear, on walking.
Bruised pain of the scalp, increased by touch;
the hairs are painful when touched."
Creeping on the skin of the occiput, as if the
hairs moved.O ~()
PATHOLOGICAL ANATOMY.
Occasionally slight congestion (vid. Fever);
sometimes the brain is bloodless, but in general
the structure of the brain; and its membranes
are not at all affected in poisoning by arsenic.


Eyes.
pain of the right eye, with violent shooting pain
when turning it, so that she was scarcely able
to do so. a
35. At night pressive pain under the right
eye, lasting for hours, causing so much anxiety
that she was unable to remain in bed.
Jerking in the left eye. b
Burning in the eyes. c
Smarting round the eyes, and the temples,
as if pricked with an innumerable quantity of
red-hot needles.
Sensation in the left eye as if it contained
sand.d
40. Watering, smarting and itching of the
eyes; in the morning there is a little mucus. e
(Fr. 11-n. Lhr.)
Continual trembling of the upper eyelids with
lachrymation.
Lachrymation (Fr. H-n), the tears excoriate the cheekt (Case 16.)
The eyelids stick together, in the morning.
The tarsi are painful, and when moved the
eyelids feel dry and rub against the eyeball.5
Redness,. extravasation and inflammation of
the eyes; inflammation of the conjunctiva. h (2)
(Hahnemann, Christison, Orfila, and many other
sources.)
45. A tendency to frequent attacks of ophthalmia. (Case 16.)
Burning paih in the nose, the mouth and.:the eyes, the eyes were bloodshot, the mucous
membrane of the throat red and excoriated.
(Case 6.)
On reading by artificial light, dryness of the
eyelids, which seem to rub against the eye.
Contraction of the pupil,I (Lhr.) uneasy feeling in the eyes, imperfect vision, pupil of left
eye contracted. (3) (Case 8.)
Spots or blue points float before the eyes.)
50. Vision obscured, he sees objects black,
during the first hour, he does not know those
who are round him. (4) (Richard, loc. cit.; Baylies in Samml. br. Abh. f. p. Arzte, vii, 2.)
Eyes dull, and face haggard.*k
Complains of heaviness and pricking sensations about the eyelids, with flashes of light
before the eyes when they are closed, and after
a time the eyelids become puffed and droop,


a Aeon. Agar. Amt
Bell. Puls. Spig.
b Am. c. Agar. Cale
Croc. Plat. Nit. ac
Ihus. Stam. Sul.
c Bell. Bry. Canth
Lach. Phos.,Ruta
Sulph. Thuja.
d Bel.Dig. Hep.Ign
Puls. Rhus. Spig
Sul. Thuja.
e K. b. Mere. Puls
Stap.
f Bell.Dig.Euph.Iot
IK. hydr. K. c. Lee
Spig. Stap.
g Aeon. Alum. EuplHep. Puls. Rhm
Vet.
h Aeon. Bell. Canti
Euph. Hep. Iot
K. b. K. h. Mere
Pule. Spig. Stapi
Sul.
i Agar. Ac. Phos
Camph. Calc. Cic
Cocc. Nux. ve. r.
j Agar. Dig. Bel
Mere. Phos. Spig
Ruta.
k Phos. Dig.


n Aeon. Bar.
Mere. Spig.


Bell.


o Avg. n. Agar. K. b.
Laeh. Sabad. Bar.c.
Acon.


Eyes.


34. Drawing pain in the eyes, and twitching
in the eyelids. Pressive pain over the left eyelid, and also in the upper half of the eyeball,
increased by looking upwards. Deep internal


(2) The action of Arsenic on the eye is very marked, and is confinec
principally to the conjunctiva: it is indicated in catarrhal ophthalmia
in scrofulous ophthalmia, with photophobia and copious lachrymation.
In ulceration of the cornea it is one of the best remedies. When inflammation affects all the tunics of the eye as in purulent ophthalmia, or the
fibrous as in rheumatic, or the iris as in iritis, Ars. holds an inferior place
to Aeon., Bell., Puals., Hep., and especially to Mere. The conjunctiviti
of Ars. very closely resembles that of Iod. and Kali-hydr. Dr. Dudgeor
recommends Ars. in ophthahnia attending the exanthemata, in ophthalmia hOmmorrhoidalis, and ophthalmia menstrualis: he quotes some ver
characteristic cases in Brit. Jour. of Hom., vol. iv, pp. 248, 249; vol. vi
p. 319.
(3) There is hardly sufficient evidence to determine the action of Ars.
on the iris.
(4) This occurs in the last stage of acute poisoning, and is not therefore
of much value.


(') The symptoms which lHahnemann gives as referable to the scalp
have here been omitted, as they are attributable to the local application
of ArAirnic to the head.





ARSENIC.


11




I Agar. Anac. Ruta,
Spig.
a Anac. Bell. Mere.
Puls. Spig. Thuja.
b Alum. Bell. Coloc.
Mang. sac.
c Agar. Ign. Laur.
Mang. ac. Nus v.
Puls. imhus.
d Acon. Arn. Bell.
Agar. Camph. Plat.
Led. Spig. Sul.
Bar. c.
a Aur. Aeth. Camph.
Coloc. Hoep. K. b.
K. h. Thuja, Zinc.
b Agar.Aur. Arg. nit.
Hiep. K. b. K. h.
Led. Mere. Nitr. a,
Ran. Sab. Thuja.
c Ambr.Agar.Camph.
Ipec. Nux v. Sab.
Ver.
d Asar. Agar. Bry.
Cale. Cic. Eupho.
Mar. ver. Mere.
Rhus. Stap. Ver.
e Arg. Cale. K. h.
Cor. r. Sab. Spong.
Scil.


Ears.
giving the countenance a peculiarly melancholy
and care-worn appearance.1 (Lond..ied. Gaz.,
May 5, 1843.)
PATHOLOGICAL ANATOM3Y.
Frequently vascularity of the conjunctiva,
and spots of extravasated blood.
Ears.
53. Heat in the external ear, in the evening.
Cramp-like pain in the external ear. Shooting tearing pains in the ear and also externally.
Drawing tearing pain behind the ear, down the
neck, extending to the shoulder.a
55. Tearing lancinating pain in the meatus
auditorius, within outwards, especially in the
evening.b
Voluptuous itching in the right meatus auditorius. (LZr.)
Agreeable formication deep in the ears, for
ten days.e (Fr. H-n.)
Dulness of hearing, as if the ears were
stopped.
On swallowing, sensation as if a body stopped
up the ear from without, causing dulness of
hearing.
Humming in the ears with every new paroxysm of pain. l)
60. Buzzing, tinkling, rushing, as if of water
or a noise of bells in the ear. d (Lhr.; Thiomson;
Case 17, where it occurred along with typhoid
symptoms; vid. ~ 17, 18.) (2)
Nose,
61. Shooting in the bones of the nose, pain
at the root of the nose.a (Vid. also ~ 24, 27.)
Inflamed pimples round the lips, and a sense
of burning in the mouth; the nostrils were
similarly affected; the eyes were bloodshot,
and affected with burning pain; the tongue
swollen; the throat red, excoriated, with tormenting sense of burning." (Case 5, five days
after taking arsenic.)
Dryness of the nasal cavity. 0
Frequent sneezing without coryza.d (LZr.)
65. Frequent sneezing with running coryza. O
(Lhr.) (3)
Stuffing in the head with coryza, the watery


Face.
nasal mucus causes a burning, and smarting at
the nostrils.f
Coryza with sneezing, every morning on
waking, going off speedily.g
Great coryza with hoarseness, and sleeplessness.h
Face.
Face red and puffy; swelling of the lips.
(Stf.)  Puffing of the face." (Fr. H-n.)
70. Paleness of the face, with dulness of the
eyes, and distortion of the features." (.Magault
in Samml. br. Abhandl.f. p. Aerzte viii, 1, 2.)
The countenance is commonly collapsed from
an early period, and almost always expressive
of great torture, and extreme anxiety or dispair.b ('ristison on Poisons, p. 303.)
Swelling of the face, particularly round the
eyes, and of the head.c (Siebold, Hufel. Journ.
iv.)
Inflamed pimples round the mouth, ulceration of the lips and nostrils. d (Vid. also ~ 62) '
The facial muscles were from time to time
convulsed, the voice trembling, tongue dry,
and the lips covered with small black spots.
Burning pain in the bowels, unquenchable
thirst, belly very tense, and painfully burning,
involuntary, serous evacuations.0 (Case 16.)
75. Blueness of the lips and tongue.' (Kaiser and Bailies, loc. cit.)
Smarting in the upper lip, as if pricked with
innumerable burning needles, extending as far
as the nose; next day swelling of the upper
lip above the red part.8 (Vid. ~ 38.) ()
A kind of pinching, jerking sensation at one
side of the upper lip, especially when going to
sleep.
Teeth and Gums.
Jerking continuous toothache, extending as
far as the temple, relieved or disappears by
sitting up in bed.
Stitch-like pains in the gums in the morning.
80. Tearing pain in the teeth, and also in


f Hep. K.. h. Mere.
Nux v. Puls. Scil.
g lod. Natr.
h Bry. IIep. Mere.
Spon. Staph.
a Bell. IIep. Mere.
Lach. Sil. Staph.
b CamphCol.Col upr.
Carbo veg. China,
Canth. Lach. Op.
Rhue, Ver.
c Aur. Cina, Eupho.
Colch. Canth. I lil.
lold.K.c. Bry. Rhue,
Laur. Spig. Vcr.
d BlcU. Caps. Carbo v.
K. b. Lach. Sil.
Stram. Nit.   ac.
Mere.
e Camph. Cupr. Op.
Iod. Laur.
f Sabad.
g Staph. Thuja.


(1) Hahnemann remarks that it is a special property of Ars. to excite
other symptoms during the paroxysm of pain.
(2) In tinnitus aurium, a symptom often so troublesome as the sequelm
of fever, or as occurring in old people, it is worthy of trial: compare
with Aeon., Am., Bar. c., Sul.
(3) Ars. is well indicated in coryza, as in, 65, 66, 67, or in severe
cases such as i 62. The coryza is especially characterized by a copious
flow of thin, clear mucus, often lachrymation, and great weakness. It is
useful in the irritated condition of the schneiderian membrane, attendant
on what is called hay-fever.
In ozcena Ars. is useful, especially in strumous habits when other
mucous membranes are affected. When the disease is of a syphilitic
taint, and the bony tissues are involved, then Aur., Mere., K. b. are more
indicated.


(4) In lupus Ars. is one of the best remedies, as also in schirrous ulceration of the lip. (Vid. Skin, note 4.)
(5) Prosopalgia is not distinctly marked in the proving, merely shadowed
out in  38 and 76. In practice it is very useful in this diseause; I havo
found it so especially when the pains were seated in the isulip'.rljital and
infraorbital region, and occurring in connection with influenza.  Dr.
Buchner of Munich reports a very speedy and complete cure: the pimin
was throbbing, confined to a small spot over the supraorbital regiin, it
occuiTed every forenoon and lasted until 3 or,4. a.; thi. 'countenaLncl
expressive of much suffering. (Brit..Joru. of Jlhn. vol. ii, p. f04.)  Dr.
Quin has also reported a vecv interesting case with well nmarked indirations: tho pain was principally above the root of the nhone and rmiii
the orbit, as if hot needles were darting to and fro5, and tearing, &C., a
sensation of red hot needles being thrust upwards into tie pailnto: thloi
general symptoms were also characteristic. (Brit. Journ. of Hum. vol.
iv, p. 39.)
OWJ


I _.~ ---------------- - --~
-- --



.1


I -


14


ARSENIC.




n FPrr.Bry.Vcr.Led.
Alui.rOk-an. taUph.
RS",l. Spig. Canth.
I IIep. Carbo v. Calc.
bu. ac.
p Agar. Ac. sul. Bell.
Bry. Canth. Cic.
('oce. Cul(r. Staph.
EIupho. I1op. Niux
v. Verb. 'cr. Stan.
T. c.
q Ambra, Ign. China,
Chanu.
r limhn, China, Ac.
mil. Annc. Caps.
a Capm. China, Colch.
Chel. Ver. Ign. Grt.
Ac. aul. 8pon.


Stomach.
sons, p. 315, occurring in a lady with cutaneous
disease, after taking from  5 to 15 drops of
liquor arsenicalis, 3 times a day for a month.)
Wraterbrash about 4 P.r., a little before and
after dinner, with desire to vomit."
Frequent eructations, especially after eating
and drinking; acid eructations after dinner.0
140. A quarter of an hour after breakfast
and dinner, sense of pressure for three hours
in the stomach, accompanied with empty eructations, followed by general langour and nausea.
After a meal, frequent hiccough, followed by
eructations'
Convulsive hiccough.P (Vid. ~ 397.)
At night on rising, hiccough with a rough
disagreeable taste in the mouth. P
Long continued hiccough at the hour when
the fever ought to come on.
145. Violent empty eructations with confusion of the lead, in the morning.
While eating, sensation of compression in
the chest: after eating, pressure at the cardiac
orifice and in the esophagus, as if the food
was arrested there, followed by eructations.q
On speaking, pressure on the anterior part
of the stomach; severe pressure above the
epigastrium.
After eating, yawning and weakness, which
obliges him to go to bed and sleep.'
After eating, great distension of the abdomen, without pain, obliged to lean back in
order to get relief.
150. Towards the evening, cold sensation in
the chest and epigastrium, continuing even
after supper; these parts feel warm to the
touch.'
Sensation of heat, pain and pressure at the
epigastrium, with similar feeling in the precordial region. t
After eating anything, insupportable pressure
in the stomach, coming on not immediately,
but some time after eating. u
Disagreeable sensation in the stomach, which
soon becomes a pressive tearing, and continued
spasmodic pain. u
In the evening when sitting, draving pain. I




commencing in the pit of the stomach, and extending round under the left ribs, as if something were violently torn away.
155. Spasmodic pain in the stomach about
2 A.M. w
Anxiety at the epigastrium  during the
night.2
Burning pain all round the epigastrium.
Burning pain in the stomach, often attended
with pressure and gnawing. Heartburn. y
Cardialgia.
PATHOLOGICAL ANATOMY.


v Ang. Colch. Mere
Ruta.
w Ambra, Plum. Nu
v. Cupr.Bell.Thuja
Cocc. Ferr. Carbo v
z Cale. Cann. Cap;
Lach. Bar.c. China
Dig. Mez. Sabac
Thuja.
y Caps. Carbo v. Eu.
pho. Mang. Arg. n
Canth.Camph.Phos
Laur. Sabad. 1. c
Lye. Sep.
s Arg.Ant.Cupr.Dig
Plumb. Ver.


Stomach.


~ Nux v. Dig. Mere.




A. Redness of the inner coat of the stomach; but however severe the inflammation of
the inner membrane of the stomach may be,
inflammatory redness of the peritonceal coat
is seldom  found.  Dr. Christison gives one
case, and   Spurgel found it in    animals.
Turgescence of the external veins, sometimes
so great as to make the stomach look livid,
has been erroneously put down as inflammation
of the peritoneum..B. The inflammation is principally confined
to the mucous membrane, which is unnaturally
soft, as if maccerated, easily torn, and separated
from the muscular coat which preserves its
normal appearance,
C. This same action, by increasing, causes
loss of substance of the villous coat, much more
rarely of the other coats, by producing gelatinization. The breach in the membrane being
surrounded by gelatinized tissue, and not by
an areola of inflammatory redness. ()
2D. In other cases the loss of substance is
owing to ulceration, the little cavities having a
notched irregular shape, and being surrounded
by a red areola, and a margin of fine tissue.
B. Complete perforation of the stomach exceedingly rare.
F. The mucous secretion is increased: sometimes it is thin and viscid, as in its natural
state; but sometimes it is both abundant and
solid, as if coagulated. A sanguinolent fluid,
or even actual blood in the cavity of the stomach. (Christison and Orfila.)




u Astaf.Ac.phoa. Arg.
Alm.l.BDry.Bis.
China, Cocc. Nux v.
Puls. Ferr. Mere.


where recovery takes place from poisoning, the patient is too often a
sufferer through life from dyspepsia: Ars. thus proves one of the most
useful remedies in diseases of the alimentary canal. 0 137 is an excellent
picture of chronic gastroenteritis: the symptoms arose after the administration of Fowler's solution. This is the only symptom I have taken
where such a preparation was used, but here the symptoms are so well
known as that of pure Arsenious Acid, that the mode in which they are
grouped has led me to select this case. The state of the tougue, the great
irritability of the stomach, the vomiting of food, the state of the bowels
and pulse, and. 142, 151, 152, 157, 158, are very useful indications in
adv plpsin. The cachectic condition produced points to its utility in
low gastric fevers. Again, the complication of gastroenteritis with extr.,inr tenderness of the spine, as in. 137, is often met with along with
piAinig of tube-like mucus (rid.. 181 to 188) from the bowels in cases
of spinal irritation, and uterine disorder: in such cases Ars. is one of the
best remedices.
In carses of long standing dyspepsia where ulceration of the stomach
may jlustly hx supposed to exist, Ars. hlas proved very useful. In schirrus
of this organ it has also been usefil as a palliative.




(') This process of destruction by gelatinization and ulceration is a purel3
dynamic, and not a chemical action. If Ars. has any chemical action or
the tissues, it is to harden, and condense, rather than to dissolve, ant
corrode them. Dr. Wurmb remarks, that in reading in Cruveilhier the
pathognomonic signs of softening of the stomach, one can scarcely avoic
thinking that they might have been drawn up from the phenomena o
Arsenical poisoning: Dr. W. therefore thinks it ought to be one o
the chief palliatives in that disease (loc. cit. p. 258). Drs. Arnold ant
86gin report that in an epidemic gastromalacia attacking children, anc
which could not, according to the general opinion, be cured but in the
first stage, they tried Ars. 30. The vomiting, purging, &c., and postmortem examination, strongly indicated this remedy. The vomiting anc
diarrhoea were sensibly diminished, but only for a short time; they soor
returned, except in one case when they did not reappear for eight days
but on the reappearance Ars. was of no avail. Ver., Cham., Bel, Puls.
Sul., Carbo v., were less useful than Ars. They then gave Kreosote 1, ir
doses of 10 drops, morning and evening, and saved two cases, when the
disease was far advanced and well marked. (Beauvais, Clin. Horm t. iv
p. 243.) Might not a lower dilution of Ars. have proved more lasting ir
its effects?


--- --- - -- -





ARSENIC.


15


ARSENIC.                              15


a Spig.
b Carb.v. Cocc.Coloc.
Sul. Plumb. Bell.
Nux v. Alum.
o Zinc. Puls. Arm.
Chin.
d Nux v. Sabad.
e Arg. Zinc. Cycl.
f Ac. mur. Mosch.
Paris,  Euphorb.
Colch. Bry.
g Bry. Bell. Cupr.
Sabad.Verb.Nux v.
Hyos. Lach.
h Acon. Camph. Mez.
Bell. Bry. Sabad.
Stan. Ran. Arg.K.c.
Phos. Canth. Lach.
i Cupr.Cocc.Sec.T.e.
Ver. Camph. Tab.
Jatr.


Abdomen.
In the evening on going to bed, sensation as
of spasms, and pinching in the abdomen, with
sweats, then discharge of flatulence, followed
by a liquid stool. a ()
160. In the evening after going to bed, and
in the morning after getting up, pinching cutting pains in the intestines; the pains dart
through the inguinal ring (as if a hernia would
protrude) into the spermatic cord and perineum,
when the colic ceases borborygmi are heard.'
In the evening shortly after going to bed,
shooting tearing pain in the left side, under
the false ribs. " (Vid. ~ 153.)
A pinching, increasing to a cutting pain,
especially deep in the hypogastrium, preceded,
and followed by loose stools. These pains do
not cease after each stool, nor do they excite
them.
In the morning; loud borborygmi, then a
cutting twisting pain in the intestines, followed
by three loose stools: borborygmi early, on
waking..
Every morning, flatulent distension of the
abdomen; after some time this disappears.
Discharge of much wind of a putrid smell,
preceded by botborygmi. (Lhr.)
165. Frequently spasmodic' jerks from the
epigastrium to the rectum, causing him   to
start.                              i
Sense of restlessness and anxiety in the
hypogastrium, but only during repose. f
Boring pressive pain in the right side of the
abdomen. (Hbg.)
Sensation as if a great stone lay in the lower
belly; with hiccough and excitement.6 ( Vid.
~215.)
On stooping, a stitch-like dislocating pain in
the right inguinal region.
170. The sense of internal heat did not
leave him for a week, and he vomited occasionally the same length of time: h while he
was at times so distressed with the heat of
skin, and overpowering faintness, that he bathed
his head and arms in a small stream.(Case 8.) ()
Swelling, and burning pain throughout the
abdomen." (Case 5.)
Violent colic, frequent vomiting, and collapsed countenance.' (Roux, Medicine Operatoire.) (3)


Abdomen.
Difficulty of breathing, thirst, pains in the
belly, and purging. (Christison, loc. cit. p. 321.)(")
Acute pain in the region of the stomach, and
throughout the abdomen, frequent vomiting of
bilious matter mixed with the food and drink
which they had taken. In addition, lie had
acute pains in all the limbs, vertigo, with impossibility of sitting up; a little later he had
convulsions. (Lachese, Ann. d'Hygiene publique, t. 17, p. 337; vid. ~ 194.)
175. Pain as if the epigastrium were cut off
from the hypogastrium, accompanied with great
anguish, and lamentations about his pain.J (Alberti, loc. cit.)
Violent distension of the abdomen after a
meal, without pain; he had to lean his back
against something, in order to be relieved. k
(Myr.)
Retraction of the upper part of the abdomen.' (Case 7.)
The belly is commonly tense, and tender;
sometimes also swollen, though not frequently;
sometimes even on the contrary, drawn in at
the navel.m (5) (Christison, loc. cit. p. 301.)
Jaundice."   ( Vid. ~ 388; also Majault in
Samml. Abhandl.f. p. Aerzte, viii, 1, 2.)
180. Pains in the abdomen with constipation. (5) (Hartlaub and Trinks.)
Constipation.0 (Hahnemann gives various
authorities.) Obstinate constipation. (7) ( n various cases reported by Lachese, loc. cit. p. 339;
vid also case 14.)


j Aeon. Nux v.Anac.
Aur.
k Con. Asaf. Val.
Alum. Am. Bell.
Grat. Carb. v. Lye.
Zinc. Sul.
I Grat. Zinc.
n Mcz. Cycl. Scill.
Hell.Canth. ihtmb.
Acon. Bcll. Mere.
Lach.
a Mere. Cnpr. Chini
Iod. Dig. Lach.
o Ntix v. Sul. Op.
Plum. Zinc. Paint.
Bry. Lach. Sep.
Graph. Vcr.


ulcer in a girl's breast. The symptoms closely resemble an attack of
cholera, for remarks on which vid. General Symptoms.
(4) This arose from applying Fr1re Cosmo's powder to a fungoid tumour
on the temple; death ensued in four days.
(5) The swelling is the result of tympanitis from the inflamed state of
the intestines, and is not a swelling dependent on ascites. I have been
unable to procure any case shewing that this disease is produced by
Ars., but in practice it proves an admirable remedy, especially when the
ascites is attributable to disease of the heart, or liver, to allomnIal venous
congestion. The proving shews that it excites serous effusion into the
pleurms, pericardium, and cellular tissue. Vid. Notes to "espiratory Organs,
Heart, Skin, and Urinary Organs.
(0) I have been unable to examine the original source from which
Hahnemann quotes Majault, so that I am prevented giving the attendant
symptoms. In the case given at 0 388 there was with the jaundice,
diarrhoea, tenderness of the epigastrium, hiccough, and suppression of
urine. The liver was found of an indigo-blue colour, and the gall-bladder
distended with bile. Jaundice is a very rare symptom in Arsenical
poisoning. It is a remedy which is worthy of trial when Mere., 3China,
Nux, or Dig. fails: or especially if the jaundice is attendant nn disease
of the heart, or inflammation of the duodenum: also in cachectic persons,
and as a sequelh of periodic fevers. Dr. Gross narrates a case whero
Ars. was very useful in removing a jaundice which was dependent on
organic disease of the liver, when other remedies had failed. (Arch. Hlmo.
vol. xv, p. 100, 1835.) IIahncmann recommends it in disease of the
liver: the proving furnishes no marked hepatic symptonms, the thl-apeutic indications must be drawn from tihe general character of Ars. and
the symptoms of deranged digestion, &c.
(7) I am unable to state under what circumstances constipation is
manifested. Ialinemann recommunends it in this disease: I have found it
useful when other remedies had failed. Judging from several such ese.s,
I would point out as indications * 182, 183, 181,185; irritation ior chronic
inflammation of the stomach anti intestines, especially if attended with
vomiting of acid fluids; anxiety; disease of the heart and liver; also tlie
general symptoms of Ars.: these distinguish the cnstipation of Ars.




(1) It is rarely given in ordinary colic, but it is worthy of trial when
such medicines as Coloc., Bell., Carbo or Coce. have failed, and especially
when the colic is attendant on chronic inflammation of the mucous membrane, the pains burning, with great thirst, and such ~ as 166, 170, 172,
174, 175, 177.
(2) This sense of burning, and great thirst are exceedingly characteristic,
and stand in strong contrast to the gastro-intestinal derangement of Puls.,
which is so often marked by chilliness and want of thirst: the somewhat
similar symptoms of Nux are characterized by severe headache and restlessness, but this last symptom is often attended with great mental irritability and extreme impression to external agents, whereas in Ars. there
is with the restlessness a sense of anxiety, depression, and extreme
weakness.
(3) This arose from applying, for a single night, Arsenical paste to an


it





i




--


16


ARSENIC.




p N'nx. v. Laeh. Rata,
bSL Olead. Lye.
q Canth. Mere. Mcz.
Nut v. C:aps. In.
Zinc. Con. Colke.
Alts, bul.
r Mere. Irn. Ant. er.
Rutab,.uL Ltc. Sep.
S Caucit. Cn:. Cale.
Ver.Ign.Plat.Tbuj.
I Lach. Iod. il, Ant,
u Mere. Spig. Canth.
Ithul, I'uI. I'ltumb.
Diwr. Nux v. SiiL
Htan. China, Vcr.
Grat.
v Nux m. Ver. Dig.
i Aeon. nry. Nux v.
Cantl. Conc. Mere.
Sntl.Itbh.t rpc.Carbo v. Phunb.
z Croton, ElatLCanp.
Veratr. Ipcc. Cupr.
Jatr. Chan. Sec.
y Alum. Splg. Plat.
Pultz. Sahad. Carbo
v. Cina, uthus, Sul.
Graph. Zinc. lep.s.
Ign. Lye. Nit. ac.


Abdomen.
During the week little passed from his
bowels, but he had     repeatedly ineffectual
calls. p (Cases 7 and 8.)
Burning, and pain in the rectum, and anus
with continual pressure, tenesmus as in dysentery. q
Straining, and pressing with spasmodic pain,
which causes prolapsus recti.r
185, After having been at stool, burning in
the rectum, with great weakness, palpitation of
the heart, and trembling of the limbs; he is
obliged to lie down.'
The stool is coated with serous blood.
Diarrhoea alternating with constipation; frequent discharge of scanty, watery stools, followed by tenesmus, with severe colic round
umbilicus.' (Stf.) t')
Between the evacuations, discharge of shreds
of mucus, accompanied with tenesmus, and cutting pain in the anus as of blind piles. " 2)
After pains in the abdomen, scanty evacuations with tenesmus, first of deep green matter,
then of mucus of the same colour. U
190. Violent burning pains in the stomach
and bowels, burning in the fundament, excoriation of the anus, vomiting, and bloody diarrhoea,
with a low tremulous pulse and laboured respiration, indescribable anxiety, and anguish about
the heart. (Cases 4 and 5; vid. ~ 170.)
Numbness and pain in the arms and legs;
during the space of a week she had purging,
with great weakness with tendency to faint.
(Case 10.)
After much agitation, and colic, liquid black
stools; the anus feels as if burning. (Richard,
loc. cit.)
Violent colic, dysentery.w (T arious sources.)
Frequent evacuations of viscous yellow stools,
during two days. (Pfann, loc. cit.)
195. Cramps of the legs and arms are often
peculiarly severe and frequent in the diarrhoea
caused by Arsenic. x (Christison, loc. cit. p.
312.)()
Itching, scraping, chapped-like pain at the
anus; the anus when touched causes pain as
if it were raw. ' (4)


Burning at the anus.z (Cases 4, 5; vid. ~
190, 192.)
On going to stool, painful constriction immediately above the anus, which extends to the
sacrum. a
Blind piles, with pain which resembles pricking with a red-hot needle. b
20c.Haemorrhoidal tumours of the anus,
causing a burning pain, especially in the night,
not permitting him to sleep; during the day
the pain becomes more severe, and increases to
violent shooting pains, which are worse when
walking than when seated or when lying down.b
HIemorrhoids with lancinating pains whether
seated or walking, without going to stool.
PATHaoooGcAn. ANATOMY.
A. Great congestion of the abdominal venous
system.
B. Redness of the mucous membrane of the
intestines. The signs of inflammatiofi are seldom distinct much lower down than the extremity of the duodenum, and they do not often
affect the colon, though the rectum is much
inflamed. (Christison, p. 345.) (6)
C. The jejunum, the ilium and the rectum
are affected with inflammation, which hardly
affects the coecum, and the colon. (Orfila, p.
343.) (0)
D. The duodenum inflamed. (Case 11, where
the Arsenic was introduced per vaginam.) In
case 7, the inner coat of the duodenum was
dark-red, puffy, thickened, easily separated, and
one spot as big as a crown-piece; both the
inner, and the muscular coats were wanting.
E. Ulceration of the bowels, met with in lingering cases.
F. Extraordinary contraction of the colon.
(Iloulton, Lon. Med. Gaz. xiv, 712.)
G. The rectum red, excoriated and ulcerated.
H. Inflammation of the peritoneum, rare.


Abdomen.


z Canth. Carb. an.
Led. Natr. m. Nitr.
ac. Nux v. Phos.
Puls.  Sep. Sul.
Euphr.
a Camph.Lach.8tap.
Nux v. Ign.
b Carb.v.Caust.Acon.
Graph. Lach. Lye.
Nit.ac. Aloes,Puls.
Nux v. Sul Sul. ac.
Thuja.




-j


I.


~ ~~-- --~~


from that of Nux, lach., Op. and Sulphur; the constipation of Ver. and
Zinc. resemhles that of Ars.
(1) In such conditi on, generally consequent on chronic inflammation
of the hbowels, Ars. and iul. are very useful.
(1). 187 to 195 indicate the kind of diarrhoea and dysentery in which
Ar" is sn useful: in pnrctice it is also found valuable where there are
copionls watery motions without iain, lbut attended by great prostration.
In asthenic dysenteryn it is one of the Iest remedies; compare with Carb.
Th'' diartrhrc anil dysentery of Ars. closely resemble cholera.
1   VWhen there is mnch frritation of the alimentary canal, and this has
rexi-tril p some tinim, convulsive motions often occur. At first they are
ct,,tined to the trnmk, afterwanns they extend over the whole body: they
are *'lWom violent, and geierally consist of nothing else than tremors
and twitche,*.
(i* In irritatiln of the alimentary canal attended with ascarides or
lnmuriri, Ar. is well indicated: in such diseases, the irritation, as is
ohberred in Ar'., is pirincipally shown at the mouth, nose, and anus,
together with the sympathetic symptoms of grinding of the teeth, wake

fulness and emaciation: compare with Sul., Cina, Spig. and Mere. It
is also useful in chaps and fissures of the anus, given internally and
applied locally: see Dose. The action of Sul., Nux and Ars. on the
hammorrhoidal vessels is very similar; and though Mere. has also a
powerful action on the rectum, as shown by the tenesmus, still it is not
found in practice so useful as these other remedies in haemorrhoidal
affections.
(5) The morbid anatomy, together with ~ 171 to 175, and g 187 to 195,
well indicate the employment of Ars. in inflammation of the intestines,
especially of the mucous coat of the small intestines and the rectum.
In such diseases attending low fevers, it is one of the best remedies.
(6) Though the coecum is less generally affected, I have found Ars.
very useful in a case of chronic inflammation of the coecum, which had
been a month treated homoeopathically, then a month allopathically, but
without benefit. In a very few days Ars. gave speedy and permanent
relief: the indications were tenderness over the coecal region, and burning pain.





ARSENIC.


19


--


Lach. K. b. Iod. K.
h. Hep. Sen. Spig.
Aeon. Chain. Cmna,
Sabad. Mere. Ver.
Sul.Seil.Calc.Am.c.
Am. e. Ipec. Mere.
lod. Nux v. Par.
Ver. Nic. Pule.
Hyos. Sul. Stan.
Mago. m. Verb.
Aeon. Lach. Bell.
T. e.
SAeon. Lach, Phos.
Hep. Dros. Bry.
Bry.
eBry. K. n. Scil.
Aeon. Sul.
Soil. Sen. K.b. T.e.
Ipec.
SAeon. Am. c. Arn.
Ipec. Phos. Ferr.
Puls. Nit. ac. Mere.
Led. Dig. K.h.K.n.
lod. Sec.


Respiratory Organs.
feeling of choking or constriction in the larynx,
as if from sulphur vapours. Desire to cough
from irritation of the larynx, without expectoration; constant tickling in the whole larynx,
which excites cough even when not breathing. (')
Cough after lying down in bed; in bed,
cough which lasts some minutes, attended with
nausea, and desire to vomit.
Deep, dry, continued cough after midnight,
the cough wakens him; violent paroxysms, in
which he fears to choke, with swelling of the
neck. He is obliged to sit up at night when
the cough comes on.J
245. Cough in the evening directly after
lying down, she has to sit up: afterwards
contractive pain in the region of the stomach,
scrobiculus cordis; this pain excited a fatiguing
couigh.J -
Violent cough in the morning, sometimes
coming on after taking tea (as accustomed to
do).  Cough especially after tdrinking.k
Dry coug onr moving the body; the cough
frequently puts himi suddenly out of breath.
'Twisting,  thi:ihip, which seems to excite
a dry cough.
Cough on' goiginto the cold 'air"; '-when
walking in the opden air he experiences a sensation of suffocation, which obliges him to
cough.
250. After severe coughing, much water
flows into the mouth, as in waterbirash.1,
Coughing causes stitching pains in the chest,
and also in various parts of the abdomein.m
Much viscous mucus in the chest, Which is
very difficult to expectorate. n
Streaks of blood in the expectoration; mucous expectoration streaked with blood, afterwards desire to vomit.0 (2)
After having ate, a sweetish taste of blood,
with a cutting scraping pain in the throat, as
if he had swallowed a bone, for a quarter of an
hour; after which haemoptysis, at first coagulated, then nausea, after two hours' anxiety.
(Myr.)
255. Frequent paroxysms of short difficult
respiration, with dry cough, and pain of excoriation in the epigastrium to the middle of the
chest.


Respiratory Organs.
Frequent anxious oppression of the chest,
and short respiration, in all positions. Oppression of the chest on coughing, walking quickly,
or going up stairs. P
During eight days, difficulty of breathing,
and oppression about the region of the sternum,
on drawing a deep breath.q
Pain under the epigastrium, which takes the
breath short, with pains in the hypogastrium,
difficulty of breathing, as if the chest were
constricted.
He immediately loses his breath in the evening, though cautious in entering his bed and
lying down quietly, feels constriction of the
trachea, when a fine wheezing rAle can be
heard.r
260. In the evening, dyspncea and dry
cough.
He long retained tightness of the chest with
dyspepsia. (Case 6.)
Constant tickling cough and constriction in
the chest; his chest felt so constricted that he
could hardly speak, and was almost about to
faint.8 (Hartlaub and Trinks, 10, 11, and 12.)
Oppression at the chest, and difficulty of
breathing. (Cases 8, 9, 12, 13.)t (3)
On walking, sudden asthma and loss of
breath, with weakness and extreme exhaustion. t (Majault, loc. cit.)
265. Suffocating catarrh. (Misc. Nat. Cur.
Dec.' iii, 9, 10, 5, ~ 390.)  At night, catarrh
which threatens sudden suffocation. u (4)
Dyspnoea more or less for a few years, death
arising fromrhydrothorax. ( Vid. ~ 392.) (
PATHOL0OGICAL. ANATOMY.
A The mucous membrane of the windpipe
is sometimes affected with inflammatory redness.
Jaeger has found it so in animals. (De Effectibus Arsenici, p. 40.)
B The trachea, and epiglottis presented marks
of inflammation. (Vid. Path. Anat to ~ 362.)
C The patients had obvious pneumonic symptoms during life; and in the dead body the lungs
were found so gorged, that on being cut into,


p Aeon. Aur. Mere.
Pule. Ipec. T. e.
Ambr. SciL Plat.
Ran. Nux v. Phos.
Sul. er. Stan. Zinc.
Thuja, Br. Bry.
q Cina, Mere.
r Alum.Canth.Camp.
China, Vcr. Lach.
Con. Ipec. Puls.
Mosech.
s Aur. Aeaf. I pc.
Caps.. c. Sod.
Acon.Fer.Lach. Br.
t Am. c. Aur. Ipec.
Bry. Nux. v. Puls.
Sanb. Cann. PIhos.
Sen. Lach. Lob.
Carbo v. Sul. Rlan.
T. c. Sep.
u Cocc. T. c. Cupr.
Ipec. Spon. Sen.
Blar. c.


(1) The cough is generally a short, dry, fatiguing cough, excited by
Iryness, and itching in the trachea, with rawness, sense of heat, and
3ften constriction of the chest. But it is also well indicated in such
loose coughs as ý 265. In senile catarrh it is very useful: compare
with T. e., Sen., and Bar. c. Again; there is a cough of Ars. dependent
on gastric irritation.
(2) Dr. Unhardt relates a case of hemoptysis in a pregnant female
with delicate lungs, where Aeon. had given no relief, and which was
speedily relieved by Ars. The special indications appear to have been
the burning and coldness in the chest; dry, burning heat of the skin;
great anxiety; and palpitation of the heart. We are not aware of its
having been much used in haemoptysis, but its pathogenesis indicates it
strongly in haemoptysis consequent on valvular disease of the heart, and
disease of the right ventricle retarding the pulmonary circulation, producing more or less pulmonary apoplexy. Vui. 263, '255, 273, 276, and
Path Anat. to this section E, F.


(3) There is no medicine which manifests so frequently and so closely
the symptoms of asthma; and in practice it proves an admirable remedy
when this disease is owing to spasm of the bronchim, to turgescence of
the bronchim, or to disease of the heart, but especially in the two latter
kinds. It is difficult to give the special indications; the principal are the
attacks coming on at night, restlessness, and great anxiety.
(4) I cannot agree with Dr. Wurmb when lihe considers Are. as not so
suitable in acute bronchitis as many other remedies. In that occurring
in old people, in that attending influenza, and various exanthemata, I
regard it as holding the first rank.
(8) Dr. Wurmb, in his valuable paper on pleurisy (Brit. Jounr. of Horm.
vol. i, p. 51), considers Ars. the first remedy in serous pleurisy, as contrasted with Sulph. in plastic pleurisy. But in practice these distinctions
are often difficult to make: 1 would therefore say that in the majority of
acute cases, Acon. and Bry., followed by Sul., are generally sufficient;
but when the effusion is great, and not yielding to Sul., when thero'  i
much dyspnoma, disease of the heart, or great weakness and depression,
then Ars. is well indicated. It is also well indicated when the effusicni
is more of a chronic character, or arises under such circumstances as
when it is styled hydrothorax, or subacute hydrothorax.
v 2


- - -- ------ -- -- x



- I


ARSENIC.


21




Rhus, Vr. Bell.
Bry. Puls. Dulc.
Anac. Cocc. I-n.
Bar. c. Lach. Dig.
K. c. Staph.,Rhod.
Sul.
Canth.Carb.v. Hep.
K.c. Bry.Puls. Nux
v.Sul.Lach.Natr.m.
Chin.
Guiac. Arn. Bry.
Phos. Rhus, Nur v.
Nux m. Ver. Agar.
Led. Thuja, Ruta,
Aeon. Puls. Lach.
Alum. Sul.
Ruta.
Ap. Mag. n. p.
Mere. Ruta, Cocc.
Aeon. Bry. Canth.
Alum. K. n. Mere.
Puls. Ambr.
Nux v. Vcr. Cocc.
Rhus, Arg. n. Bell.
Lauro. Alum. Anac.
RutaDi.Sil. Dulc.
Sabad.(?) Cupr,(l)


Neck and Back.
lation. (Christison, loc. cit. p. 348.)  The pericardium generally contains serum. ( Wibmer,
Die Wirkungen der Arzneim. und Gifte, &c.
1831, vol. i, p. 325.)
Neck and Back.S'
277. Tensive stiffness of the neck. (Bhr.)
Stiffness of the nape of the neck, occurring
morning, and evening, as if bruised or sprained,
with a similar pain felt over the hips. a
External swelling of the neck, without pain.
(Stf.)
Drawing pains between the scapula, which
oblige him to lie down. Drawing from    the
sacrum to the shoulders, with stitches-in the
side: flatulence moving about in the abdomen,
and pressing upwards, then eructations which
give relief. b
280. The small of the back is painfully stiff
during the whole day. Loss of power in the
loins. Bruised pain in the sacrum, the back,
and over the shoulderblades, as if from blows.
Drawing pain in the back during the morning.
Pains in the back, with agitation and anxiety.d
(Buttner, Unterricht uber die TodteslicLkeit der
Wunden, p. 197.).
Distinct quivering movements of the muscles
of the left side of the back, only when lying -on
the right side. o (LAr.)
Stitch-like pain in the region of the kidneys,
on inspiring or sneezing.,
285. Standing upright causes great pain, she
experiences great pain in the lower part of the
spine: chronic contraction of the toes, so that
they touch the sole of the foot. (Case 15.)
Pain and tenderness of the spine with frequent muscular tremors, crampy feeling of lower
extremities, with partial loss of sensation and
motion. ' (Vid. ~ 139.)


Upper Extremities.
287. Tearing, lancinating pains in the right
armpit: at night, in bed, tearing in the elbow
and wrist: every evening, drawing pain in the
bones of the wrist.0 (2)
Pain at night in the arm on which one lies.
Tearing shooting pain in the bones of the
hand and the little finger. b
290. Drawing pain in the middle finger;
tearing drawing pain, early in the morning, in
the fourth and fifth metacarpal bones b
Tearing twisting pain extending from the
points of the fingers to the armpits.
Cramp in the fingers when they are extended,
painful cramp in the last articulations of the
fingers: from the morning till noon, cramps in
the ends of the fingers, in the calves, and the
toes.;
He was attacked at night with a violent
cramp in index finger of right hand, successively invading the other fingers, and lastly the
thumb; then attacking the other hand in the
same manner, and finally the feet; the pain in
the hands subsiding as the feet became affected.
The whole duration of the cramp was about 30
minutes, after which he fell into a sound sleep,
which continued until morning. When he awoke
he felt free from pain, but on attempting to rise
was surprised to find that he had lost the use
of the affected parts, and was in fact perfectly
helpless. This paralysis has continued unchanged
to the present time, accompanied with a feeling
of heat, and numbness which invaded the upper
extremities from tips of fingers to a point about
three inches below the elbow, and the legs from
the toes to a point a little below the knee. He
also has lancinating pains in these parts, regularly commencing about 5 p. m., and continuing
until midnight. (New York Jour. of Medicine,
1850.) ()
Great formication in the hands at night. "
295, Coldness of the hands.0 (Stf.)
Shifting pains in his extremities, particularly
the arms, which had not their usual strength.'
(Case 7.)
Uneasiness over his whole body, especially in
his arms and legs. Some days after he complained of little but pain in his arms, particularly the left, of which he had in some measure
lost the power; pulse natural but intermitting.
For days after this he complained of imperfect


a Mere. Rhod. Aur.
Sep. K.b. K.n. Sul.
Plum. Stron. Cycl
led. Rhus, Rhus r.
Ruta. Led. Lach.
Lye. Guiac. Zinc.
b Sab. Rhus, Rhus r.
Bar.Aur.Arg.Ruta.
K.h. K.b. Sep. Lye.
Spig. Zinc. Ouiac.
AmI. c.
c Ambr. Cale. Cupr.
Cham. Mere. Arg.
Arg.n. Ruta, Stron.
Aur.Phos.Spig.Scc.
Vcr.Nux rv. Camph.
Am. c.
d Agar. Phom. Rhod.
a Ac.sul. Coc.Ambr.
Gupr. Nux v. Spig.
T.o. Chin. led. Dig.
K.n.K.c. Phos. Bar.
/ Stron. Pul. Am.
Am. c. Plum. Boll.
Cycl. Zinc, Coco.
Stan.


PATHOLOGICAL ANATOMY.
A The brain and spinal chord are found in
the normal state, except that the latter is sometimes congested, especially the vessels of the
cauda equina. (Wibmer, loc. cit. p. 326.)


(') This section should embrace all the symptoms referrablo to disorder
)f the spine, but following an arbitrary arrangement to which homceopathists who consult the B.. A. M. L. have become familiar, I shall
limit the remarks, and refer for further information to General Symptoms.
The pains which may be referred to the muscular tissue are drawing,
attended with stiffness, and appear periodically morning and evening;
they are also attended with a characteristic symptom of Ars., viz., restlessness and anxiety. I am not aware that Ars. has been much used in
lumbago. I have found it useful in such cases as are described under
the name of spinal irritation, attended by more or less tenderness of the
spine, pain or numbness radiating to the arms or down the lower extremities, or affecting the chest and stomach, especially when there is
dyspncea, great tendency to nausea and vomiting, costiveness, or often
alternately costive and relaxed, and not unfrequently tubes of mucus
passed from the intestines. In such cases, generally so difficult to cure,
this remedy bears comparison with Cocc., Agar., Nux, Bulph., Sil., Bell.


(2) The characteristic pains in the arms aro tcaring, they are worst at
night, occasionally periodical; often attended with general uneasiness
and restlessness, and in severe cases with powcrlessness of the extremity,
and contraction of the flexor tendons of the fingers. Tlhe character of
these pains points more to disorder of the nerves than to rheumatism or
gout; it has been little used in such affections. Dr. Gross reconunends
it in arthritis. (Arch.f. lIm. /I. ix, 144t.) In ncunrlgia, attended with
loss of power and contraction of the tendons, it merits attention.
(3) '1 his patient was a sailor, who had accidentally swallowed Arsenic.
After recovering from the primary effects of the poison he remained quite
well, when the above symptoms appearedc, and continued for nearly seven
months; but even at the end of that time lie liad peculiar sensations in
the fingers on the approach of stonny weather.


"--------`



: --`-e - -- "-----"1-3-----------~----------


22
a Ntx v. pBlL Ver.
Coc. Plumb. bil.
sec. 3Merc.
h Mere. Plum. 8ee.
Lach. (?)
a Cau4t. Ran. K. b.
Miz. Aeon. Am. c.
Nux v. 8tront. Arg.
n. Plumb.
b Chin. Mere. K. e.
Lach. Led, ihod.
c Plumb. Rnta,Anac.
Stron. Ptds. Am. c
bloezAnt.ct.Moemh.
d Rhus.Plum. Nux v.
Bell. Cham. Alum,
Ambr. Slap. Ver.
Spig.


ARSENIC.


Upper Extremities.
vision, and difficulty of breathing; still pain of
arms, and the left more powerless; pulse natural; pupil of left eye contracted. All these
symptoms soon disappeared, excepting the affections of the arms. The motions of the hand
are much less impaired than those of the arm
and forearm, in particular the power of bending
the forearm is almost entirely lost. g (Case 8.) (')
The flexor muscles of the four fingers of each
hand, and of the five toes of each foot, are so
contracted, that the two last phalanges are bent
on the first, the points of the fingers touch the
palm of the hand, and the points of the toes
the soles of the feet. h (Case 15, vid. ~ 285.)
The joints of the fingers are painful when
moved.
Lower Extremities.
300. In the morning after a sleepless night,
violent drawing tearing pain in the hips and
the left foot." (1lartlaub and Trinks.)
Violent tearing pains, here and there, which
force one to cry out; drawing tearing pain,
like of dislocation, extending from the right
calf to the heel. "
Drawing tearing pain in the forepart of the
thigh, extending to the knee and to the ankle,
felt on walking. a
Tearing lancinating pain apparently in the
periosteum, along the whole lower extremity
down to the point of the big toe. b
Tearing pains throughout the whole lower
extremity, from above downwards; he was
unable to sit or lie down, obliged to shape the
limb to and fro day and night, or else to linmp
about, unable to sleep: much worse at night.
Drawing pains in the foot, which he is unable
to keep at rest. ()
305, Pressive pain in the calves: the calf of
the leg is hard, and as if pressed flat, with
excruciating pain, like cramp, but more severe,
forcing her to cry out for an hour and a half:
the foot became cold, insensible and stiff, so
that she was unable to move it; there remained
a sense of tightness in the calf, and a sort of
palsy of the thigh. d
Tearing pains in the calves, relieved by warm




Lower Extremities,
cloths, then swelling of the limb at above the
calf. (3)
Violent tearing in the arms and legs, with
impossibility of lying on the affected side, much
increased by movement of the pained part. (4)
Weight, lassitude and drawing pains in the
limbs, with bending of the knees, especially in
the morning.0
Pain in the left knee as if sprained and
bruised, especially on rising from a chair, excessive weakness of the knees.e
310, Tearing and shooting pains in the articulations of both feet; on walking or standing
up experiences pain as if sprained; the ankles
when touched excite a pain as if raw.'
Tearing, drawing, jerking pain from the
ankles to the knees; the ankles are painful to
the touch.
In the morning cramp-like pain in the foot,
which changes into a tingling sensation.5
Tearing pains in the heels. (Bhr.) The heels
are painful at night, as if they were pressed
against a hard body.h
Frequent lancinating pain in the soles of
the feet; on standing up a pain shoots from
the left heel.up the thigh.1
815. Swelling of the.ankles, without being
red, causing a tearing pain which is relieved
by external heat.?
Shining swelling and heat of the feet, extending above the ankle, with round red spots
which cause a burning pain and itching.'
Nunib pain through the whole left side of
the body; in the right foot there is a similar
pain; when seated the foot cannot be raised
except with the hand. (Bhir.)
Pains and shootings in the knees.m
Tension in the popliteal region, as if the tendons were too short, felt on sitting or standing
up, but not on walking. Sensation around the
knees as if the legs were tightly bandaged."
320. Formication in the limbs, as after being
benumbed.o
Jerking, perceptible to the touch, as if something alive ran in various parts of the muscles
of the thigh and leg, with spasmodic pains in
them, coming in paroxysms.P
Paralytic weakness of the limbs, daily at a
certain hour, like a febrile attack.
Partial loss of sensation and motion of the
lower extremities; () they are swollen, of a livid


e Camph. Colch.V
Phos. Plum. Nux
Anac. Chin. Ru
Led. Puls. Me
Staph. Cupr. Du.
Ign. Sul. K. b.
f Colch. Rhus, Am.
Teucr. Ruta, MeStron.Ver. Sab.V
Puls. Zinc. Caust
"g Sul. Nus v. N"
Camph. Agar. Ca
Eupho. Mere. Sta
A Colch. Led. Pu
K. b. Zinc. Me
Am. c. Euphor.
i K. b. Acon. Sab.
k Led.
I Aeon. Bell. Ar
Rhus,Bry.Led.Sa
Puls. Sabad.
m Aeon. Petr. Sta
Sul. Puls. Mer
Spig. Led. Iod. K.
Calc. Sil. Sul.
n Sul.Spig.Aur.Lac
Am. m. Am.c. Ana
Natr.m.Fer.Ant.e
Cocc. Stan. Chin.
o Thod. Puls. He
Alum. Ant. Nux
Spig. Stron. Ci
Guiac. Stap. Arg.
p Puls. K. c. Nux
Am. c. Olean. Ar
Bell. Ant.cr. hu
Spig. Merc.


(') This lno  of power resembles in some measure that produced by
Mercurius, but wants the marked trembling which accompanies the
latter, and which in a less degree attends, and always precedes the palsy
of l'umbum. Plumb. affects more the extensor muscles, and is not
attended with that extreme contraction of the flexor tendons met with in
Ar'.
(J) The action of Ars is more marked on the lower than the upper
extremities, and, as remarked under upper extremities, the pain may
ho more Justly considered neuralgic than arthritic. The characteristic
pains are tearing and shwoting, relieved generally by motion, and attended
with rcatlceqncs and desire to change the positron; and Hahnemann
states that it is very rarely that the pains of Ars originate on moving,
or are increern-  b, movement, or relieved when at rest. The extreme
restlesne". " the t1dgets" of the lower extremities, often a painful attendant on several diseases, yield to Ars.: in such cases to be compared with
Anac.






(3)  301, taken in connection with the uterine symptoms, indicate i
employment in phlegmasia alba dolens, especially mn weakened cor
stitutions; and from its utility along with Pulsatlla in varices, it ma
he regarded as a remedy acting powerfully on the venous tissues. I
cedema and ulceration Ars. is an excellent remedy. (See Skin.)
(4) The paralytic condition of the lower extremities is so well markei
that this medicine merits a more general trial in paraplegia than it hl
hitherto met with: it is, however, not indicated in hemiplegia.
S() In inflammation, and ulcers taking on a sloughing character, Ar.
is very useful. It is also indicated in dry gangrene, such as gangren
senilis; in one case of this disease I have found Ars. very beneficial: i
this respect it closely resembles Sec.; Am. c., Lach. and Euphor. ar
marked as doubtful, because there is not sufficient physiological evidence


Illlllllll---CI-------L~IC)I~--II
---





ARSENIC.


03
Ow<


ARSENIC.                              23


q Sec. Lach. (?) Am.
c. (1) Eupho. (1)
Mere. Carbo v.(l)
r Nux v. Cocc. Sil.
Rhus, Arg. See.
Plumb.
* 1 298.
t Ruta, Anac.Plumb.
Mez. Stan. Alum.
Ver. Spon. Cham.
Bar. Dig. Croc.
Caust. Plat.
u Lach. Nux v. Cocc.
Agar.Ambr.Camph.
Euphor. Nic. Chel.
Plat. Aeon. Laur.
Plumb.
v Lach. Plumb. Natr.
Iod. Sabad. Ver.
to Plumb. Lach. Sil.
K. c. Con. Graph.
Dig. Rhod. Kreos.
Sep. Mere. Sec.
z Rhod. Lach. Iod.
K. c. Am. c. Ireos.
Bry. Dulc. Mere.
a Graph. Petr. Sep.
Cham. Sul. Amn.
Carbo v. Ant. cr.
b Carbov.Merc.Rhus,
Canth. Caust. Sul,.
Bell. Cic. Sep. Hep.
K.b. K.n. K.c. K.h.
Euphor. Iod. Codeine.
c Flat. Alum. Led.
Sabad.
d Hep. Lye. Vinca,
Calc. Graph. Sep.
Olean. Cic. K. b.
K.. Petr. Mere.
Phos. Sul.


Lower Extremities.
colour in places, and show a tendency to
slough. ( Vid. ~ 137.)
Great difficulty in moving the joints of the
limbs, slight flexion, but quite unable voluntarily to extend the foot or the leg; attended
with pains like shooting of needles in the foot,
and the hands.r (Case 17, vid. also ~ 293.)
325. Great contraction of the flexor muscles
of the toes; she walks with great difficulty,
standing upright causes great pain, and she
experiences great pain in the lower part of the
spine." (Case 15.)
Great restlessness and pains in the feet;t
afterwards he had daily profuse perspirations
and palsy of the legs. Several months elapsed
before he got well. Case 13.)
Swelling, of the feet, difficulty of breathing,
numbness and creeping in the inferior extremities. oSbme weeks after she had still numbnessU," and pain in the arms and legs. (Case 9.)
Feet feel so heavy that they can hardly be
raised.                     -
Feet constantly 'old on remaining any time
quiet t; they can hardly be warmed in bed;
coldness of- the-knees and the feet, with cold
sweat; it is difficult to keep these.parts warim."
330. (CEdematous swellings..
I.,,., "
Shin.
331. Violent itching of the' arms, the lower
part of the abdomen, and the thighs.,
Gnawing itching at the perineum, especially
on walking. Gnawing itching at the forearmand on the hand; gnawing itching at the groin
and the inside of the thighs in the evening on
undressing. (Lhr.)
Smelters of rich arsenical ores generally suffer from rawness of the parts where they perspire much, as in the axilla and between the
thighs, and are troubled with itching.a (Iflinge,
Hufeland's J., vi, p. 903.)
Burning itching; insufferable burning of the
skin." (Case 8, vid. ~ 170.)
335. Pricking of the skin, as if with needles.'
Pustular eruption on the head, the temples,
and between the eyebrows, causing painful
itching as if from a sore; the whole scalp
itches, and is painful to the touch, especially at
the occiput.d (Lhr.) (1


Skin.
Eruptions, principally about the lips and
nose." (produced by exposure to arsenical fumes,
Pereira, /Mat. M3ed. i, 375.) )
Appearance of black pustules, which cause a
burning pain. (Pfann. loc. cit.)
Pustules on various parts of the body, which
cause burning pain and great anxiety.
Pulse 110, white pustules, some isolated,
the greater part confluent, appear on the forehead, round the eyes, the cheeks, the arms
and shoulders, and upper part of chest; they
terminate in thick crusts, and leave well-marked
cicatrices.a (Case 17.)(2)
340. Closely studded eruption, about the
size of millet seed, and smaller, of the natural
colour of the skin, attended with smarting pain
which is worst at night.y (Fr. H-n.)
A copious eruption of miliary vesicles appeared, and continued fifteen days, attended
with perspiration and abatement of the other
symptoms, terminated  at last in bran-like
scales.A (Case 16.)
The body and especially the hands and feet
were covered with a considerable eruption of
small pimples with white heads.; (Case 14.)
A papular eruption on the hands, which
continued five days." (from Arsenic applied to
the hand by mistake it also produced great
swelling of the head and face, followed by erysipelas of the face, neck and belly. (Wibme-,
Wirk. der. Arzneimittel, i, 241.)
The hair drops out, and the cuticle desqua.mates, accompanied occasionally with great
tenderness of the skin.' (Hahnemann, ueber. die
Ars. vergiflung 61.)     -
345. Dropping off of the nails. (Hahntemann
loc. cit.).
Old ulcers previously indolent become sensible, and painful; the edges become raised, and
the sore furnishes black clotted blood; burning
pain in the ulcers, followed sometimes by itching.k (3)
An ulcer with inflamed edges, and covered
with a greyish scab, appears on the limb;
strong fetid smell, secreting very little; burning pain in the neighbouring parts; at the
same time lassitude, and desire to sleep during
the day.k
A painful ulcer on the hand, covered with a
thin scab, discharging a little bloody serum,


e Merc.K.b.K.h.Led.
Cic. Hep. Graph.
Sep. Sul. Bor. Aur.
Alum.
f T. c. iRbus, Mere.
Anm. Sul. Carbo v.
Ant.cr. Graph.K.b.
K.h.
g Aeon. T. e. Ant. cr.
lpee. Dulc. Mere.
Bry. Puls. Sul. Ver.


h


Ant. cr. T. e. K. h.
K. b. K. ch. Sep.
Led. Mere. Zinc.
Mur. ac.


i Mez. Am. c. Bell.
Iod. nihut, Olcan.
Dulo. Mere. bhos.
Plum. Sabad.
k Lnch. Carbo v. Sil.
K. b. IFl. c.Mere.
Sop. Sul. Natr.


(1) From the provings it cannot be concluded that the cutaneous action
of Ars. is shewn in one region more than another, unless it be in the face.
Arsenic has long been considered useful in skin affections, generally when
chronic, especially lepra and psoriaris, also in eczema, but perhaps less so
in pustular eruptions. In ordinary practice, from the dose in which it is
given, even the cautious administration as recommended by Mr. Hunt, it
Is contra-indicated when the lungs or heart are diseased, irritable mucous
membrane, inflammatory tendency, tendency to sudden nervous exhaustion, dyspepsia; but these conditions rather indicate its employment in
the doses used by homoeopathic practitioners. The general indications
are often more useful than those drawn from the skin. It is less useful


when the eruption depends on a syphilitic taint, than when they arc
attributable to or co-exist with disorder of the mucous membrane of lunHg
or digestive system, hence in urticaria it is one of the principal remedies.
Cases of ichthyosis and elephantiasis are said to have been benefited by it.
(2) It is also well indicated in various acute skin diseases, such as
miiary fever with gastric derangement, small-pox with bronchitis, cnapare with Tart. emetic; petechine with cxhaustion of the vital powers,
as in typhoid fevers: compare with Carbo v., Lchl., Ithu and Bry. D)r.
Wurmb and Weber reconunend it in erysipolas nciieotoruim.
(3) It is one of the best medicines in ulcerations, s sccially those of Ule
legs dependent on varices: comparo with Lach.; the ulcers of Are. art
irritable, often phagedenic, thosu of Carbo are imure of an indolent clintracter.


I' ~ ~~~~~~---~~-~ --~-c; - '-- --I
I



ARSENIC.:7


f Ver. Camph. Cupr.
Sec.


General Symptoms.
had freely, and for some time exposed himself
to the steam from a vessel where he was boiling several ounces of orpiment in water, was
attacked at night with sickness, and next
morning with extreme weakness, and some
difficulty of breathing. These symptoms were
greatly relieved by an emetic. But towards
evening the extremities became ice-cold and
very stiff, the breathing much oppressed, the
pulse very hurried, and imperceptible except
in the neck; the mouth and throat dry, and
the tongue rigid; but the mind remained clear,
though anxious, and afraid of impending dissolution. His state of collapse was removed in
twelve hours by fomentations, and in no long
time he recovered entirely, except friom the
dyspncea, which continued more or less till a
few years afterwards, when he died of hydrothorax.' (1) (Journal der Praktischen Heilkuwde,
Lxxii, v, 134.)
400. In the morning in bed sudden tearing
jerking or stitches, which become burning
pains, in the thumb and the big toe.
In the evening in bed a drawing pain in the
index finger, and in the foot.


General Symptoms.
Drawing pains in the joints of the feet and
hands, and in the knees. Arthritic pains in
the limbs without inflammation.
Indefinable pains, and very disagreeable g K.- led. Cror.
"*.1.       i     '   i* i  /      Krcos..M  ere. S:ibait,
pains throughout the limbs; every limb feel s c zinc. p
ill, whether on walking or on lying down. Pulsations in the limbs, and also in the head.j
H-ere and  there pinching pains like of h Spig. gar. Sit.
needles; the skin of the whole body is painful
and tingles.h
405. The symptoms increase, and appear 1 1 Aa'r. Aur>Lt-:ito.
while lying down, or being seated, but diminish  T. c. I.lch. pl,,;.
either in standing up or walking about.      AIun. lMere. Ar-i,.
The nocturnal pains are not supportable
unless he walks; they are unbearable when he
remains seated, and especially if he lies quietly
down.
Very slight symptoms, and otherwise of little
consequence; are attended often with a sudden,
and complete sensation of loss of power.
During a paroxysm of pain other independent symptoms appear.
The pains are described as principally burning.
410. Many of the symptoms appear only in
the evening on going to bed, especially the
starting of the limbs; some appear a few hours
after midnight, many in the morning after i
getting out of bed, and a good number after
dinner.
Pain at the suffering part, as if the bones
were swelled.


()Hahnemann, in a note to epilepsy, as a symptom taken from a case
of Arsenical poisoning related by Cruger, considers this simply a consecutive effect, and precursor of death. He says it was not probably a
true epilepsy, but a state similar to the convulsions of other authors,
@ 399, 397, however, shew that true epilepsy is an effect of Arsenic; and
in ý 397 it assumes a periodic character.


'A.


/


I