THE IHOM(EOPATHIC POCKET COMPANION; OR, A SIMPLIFIED ABRIDGMENT of THE DESIG.NED EXPRESSLY FOR. THE USE OOF PAMILIE8 ANrD TRA VELLERS. BY DR. M. FRELIGH, &UTIOR OF TIIHE HOM(EOPAT0ICI PRAOTICE OF MEDIOINE," LATE RESIDENT AND VISITING PHIYSICIAN TO THE NEW YORK HOMiEOPATIIIO DISPENSARY AS80OIATION, MEI1IER-OF TIIE IIAIINE5IANN ACADEMY, AND OF-THE HOMI(EPATHIC MEDIOALo SOCIETY OF TIIE STATE OF NEW YORK. TE NTH EDITION. CHARLES T. HURLBURT, 3 EAST 19TH STREET. 1881. Entered according to A ct of Congress in the year 1856, BY M. FRELIaH, (a the Clerk's Oflice of the District Court of the United States ror the Southern District of New Yoa'-. PREFACE. IT is now nearly two years since the publication of the author's " Homeeopathic Practice of Medicine." The flattering reception which that work has had throughout the country affords additional evidenice of the steady increase of popular confidence in the principles and practice of Homceopathy, and has encouraged the author to contribute still further, if possible, to the universal and permanent adoption of the safest and most successful of the healing arts. The former volume was designed both for professional and non-professional use. Its extensive circulation among the laity, however, has suggested the propriety and utility of issuing a simplified abridgement adapted exclusively to domestic use. Homceopathy being, fiom the specific, sure, and systematic nature of its treatment, more readily serviceable, in all cases, for non-professional use, than any other method of practice, it is reasonable to believe that a book convenient in size, and describing in brief and familiar terms, the nature, symptoms, and treatment of all ordinary diseases, would be very useful in numerous cases, as, for example, as a pocket companion for private use during travelling, and when the assistance of the physician is scarcely necessary, or when such assistance could not 4 PREFACE. easily be obtained. It is with the hope of furnishing such a complete, simple, and safe manual for family guidance that the present volume is presented to the public. Although an abridgement of the former work, it yet contains all that is essential for this purpose, and only those portions of the other work are omitted which are exclusively historical or theoretical, and therefore of interest solely to the professional reader, as also those more complicated and dangerous forms of diseases which demand the knowledge and skill of the physician and not unfrequently the surgeon. It has been the author's care to avoid everything that would tend to confuse and embarrass the reader, and to bring the woryk within the comprehension and use of an-average degree of intelligence. To prevent con'fusion and mistake, the administration of the medicines is indicated for every disease, both as to form (whether pillets, powders, or tinctures,) and the dose required. The' alphabetical arrangement is adopted as being the simplest: and more convenient, and all technical terms are avoided. as far as possible. The author offers his little volume to the public as nothing more than its title declares it to be, and claims for it no more appreciation than its merits deserve LIST OF REMEDIES CONTAINED IN THIS VOLUME, WITH THEIR ANTIDOTES. Remedies. Antidotes. ACID-MURIATIC,.. Camphor. ACID-NITRIC,.. Mercurius-sol. ACID-PHOS.,... Camphor. ACONITE,... Vinegar. AGARICUS, f... COfea, ALUMINA,... Bryonia. ANTIMONIUM-CRUD.,. Hepar-sulph. ANTIMO.-TART.,. Ipecac. ARNICA,.. C.amphor. APOCYNUM-CAN.,. Bryonia. APIS-MEL,... China. ARSENICUM,.. China, Pulsatilla. AURUM,... China, BELLADONNA,.. Cofea, Camphor. BORAX,. Ch.. am., Coffea. LIST OF REMEDIES. Remedies. Antidotes. BRYONIA,... Rhus-tox. CALCAREA-CARB.,.. Acid-nit. CAMPHOR,.. Opium. CANTHARIDES,.. Camphor. CARB.-VEG.,.. Camphor. CARBO-ANIMAL,.. Arsen., Lachesis, Camph CAUSTICUM,.. Coffea. CHAMOMILLA,.. C7ofea. CICUTA,... Arnica, Camph. CINA,.... Bry., Chin., Ipecac. CINCHONA or CHINA,. Arsen., Pulsatilla. COCCULUS,... Camphor. COFFEA,.. Nux-vom. COLOCYNTH,.. Coffea. CONIUM,... Cofea. CROCUS,... Acon., Bell., Opii. CGJPRUM,... Ipecac. DIGITALIS,... Opium. D)ROSERA,.. Camphor. DULCAMARA,.Camph., Ipecac., Mere EUPHRASIA,.. Camph., Pulsatilla. FERRUM,... China. GRAPHITES,.. Arsen., Nux-vom, HELLEBORE,... Camph. HEPAR-SULPH.,.. Vinegar. HYosCIAMUS,.. Belladonna. LIST OF REMEDIES. 7 Remedies. Antidotes. fGNATIA,. Camphor. IPECAC.,... Arsen. JALAPPA,... Camphor. KALI-CARB.,... Camphor. LACHESIS,. Arsenicum. LAUROCERASUS,.. Camphor, Cofea, lpecac. LEDUM,... Camphor. LYCOPODIUM,..Camph., Puls. MERCURIUS-SOL., Sulphur. MERC.-CORS.,.. Hepar-sulph., Mezeri. MEZERIUM,.. Camph., Mercurius. NUX-VOMICA,.. Camphor. OPIUM,... Camphor. PETROLEUM,.. Acon., NZux-vom. PHOSPHORUS,.. Camphor. PLATINA,... Pulsatilla. PULSATILLA,.. Nux-vom. RHEUM,... Camphor. RHUS-TOX,.. Bryonia. RUTA,... Camphor. SABADILLA,.. Camphor. SABINA,... Camphor. SAMBUCUS,.. Camphor. SECALE-CORNU,. ~ Solan.-nigr. SEPIA,.. Aconite. SILICEA,... Hepar sulph. 10 DIETETICS. beef, pork, fish, and other meats, salted, or salted and smoked, or pickled in vinegar. Fish not having scales, as catfish, eels, lobsters, crabs, and;clams. Highly seasoned dishes,,with pepper, spices, or aromatics. Cakes or other pastry prepared with soda, cream of tartar or saleratus; spiced, aromatic, or flavored confectionery. Vegetables and fruits celery and spinage, water cresses, lettuce, peppergrass, parsley, radishes and parsnips, pineapples, sour oranges, lemons, bananas, and the ordinary sour fruits and nuts of an oily and aromatic nature. * * * Distilled and malt liquors; mead, soda, and mineral waters; lemon, root, soda, and spruce beers. Avoid also Allopathic drugs of every name and form; and the use of mustard paste, the fumes of vinegars, colognes, camphor, hartshorn, aromatic vinegar, smelling salts and the ordinary pungents; also carefully guard against the inhaling of carbonic acid or sulphurous gas which frequently escapes from grates, furnaces and stoves, in which anthracite coal or the ordinary charcoal is burned. THE HOMiEOPATHIC P CK ET COMPANION, ABSCESS. An abscess is "a collection of pus in the cellular membrane, or in the viscera, or in the bones, preceded by inflammation." TREATMENT.-The remedies usually employed in the treatment of abscesses are Arsenticum, Assafcet., Belladonna, Bryonia, Chamomilla, Hepar-sulph., Led um, Mezerium, Phosphorus, Pulsatilla, and Sulplhur, viz: When the abscess is attended with severe burning pains, and threatens to become gangrenous, or when there is great debility, Arsenicum every four or six hours. When the abscess discharges a colorless, watery 14 ABSCESS. pus; pains severe on contact; and sensitiveness of the adjoining parts, Assafoet., as above. But when attended with a pressing,. burning and stinging in the abscess; and a floculent cheesy pus is discharged, Belladonna three times a day. When the tumor is either red or pale, and attended with a tensive pain, Bryoni(, every three or four hours, until relief is obtained. When the abscess is of the fibrous parts, and of tendons, and ligaments; or when it arises from the abuse of mercury, Mezerium, morning and evening. When the abscess is of a Lymphatic character, with fistulous openings, surrounded with callous edges and discharging a fcetid unhealthy pus, and all the symptoms are worse at night, Phosphorus, morning and evening. When there is a tendency to bleed, with stinging and cutting pains, or an itching and burning in the surrounding parts, Pulsatilla, every four or six hours. When the abscess is located in the axillce (arm pit) or the parotid gland (of the cheek and angle of the jaw); the swelling painful to the touch, and if the discharge is of a bloody serous character, Rhus-tox two or three times a day. 16 ABDOMEN. one third filled with pure cold water; stir well, and give from a tea-spoonful to a table-spoonful at a dose. EXTERNAL APPLICATIONS.-There is no objection to the use of poultices, such as ground flax seed, slippery elm, bread and milk, and such like, during the forming stage of an abscess, but they should never be used in case of a fully matured and discharging abscess. Washing with tepid water and castile soap, and the use of simple dressings, are best. DIET AND REGIMEN.-In many instances a nourishing diet is strictly demanded, together with such other means as will tend to invigorate the system. But when an abscess occurs in a robust subject, with a predisposition to inflammatory diseases, the diet should be restricted to the simplest kind. ABDOMEN. ABDOMEN, (from abdo, to hide, because it hides the viscera,) the belly, "the largest cavity in the body," separated from the chest (1Thorax) by the midriff (diaphragm) and bounded inferiorly by the bones of the pelvis. AETER-PAINS;. 17 ABDOMINAL DROPsY. —(Ascites.) Vide Dr6psy of the Abdomen. ABDOMINAL: PAINS. Vide Pains in the Abdomen. AFTER-PAINS. After-pains appear necessary in the contraction of the womb, and are sometimes quite severe and distressing, when coagulums are formed. They are not so,severe during the first confinement, but seem to increase at every subsequent accouchment. TREATMENT.-Give Arnica immediately after delivery, to soothe and remove the soreness. If the pains continue sevele, of a drawing or tensive character, with a pale face and a degree of coldness, use Pulsatilla every two hours until relieved. If the pains are of a pinching, spasmodic charaoter, in the abdomen, and attended with discharges of coagulated blood, Chamnomilla as above. When the pains are of a contractive character and mostly in the back and hips, N.z.-vomica every two hours until easier. 18 AGUE IN THE BREAST. For after-pains in those who have had several children; when the patient is rather weak, with a disposition to flooding, Secale, as inrthe Icase of the last'remedy..When the pain is attended waith great sensitiveness, weariness of the limbs, and extreme nervousness, Coffea every hour until the patient is better. ADMINISTRATION. —Mix one or two drops, or dissolve six or eight pillets in six tea-spoonfuls of water, and give a tea-spoonful at a dose. Keep the patient perfectly quiet and well bandaged. AGUE IN THE BREAST. This painful condition of the breasts is generally caused by cold or some obstruction, and requires Aconite, Bryonia, Pulsatilla, Chamomilla, Calcarea-,carb., and Phosphorus. When head-ache and fever are present, give Aconite every hour or two until the fever abates. When the breast is swollen and inflamed, and there is a suppression of milk, use Bryonia every three or four hours until relieved. When the breasts are swollen, and attended with APOPLEXY. 1' a painfutil pressure,.or a sticking sensation, and the discharge of milk is thin and acrid, Pulsatilla every three or four hours. When there is a hard, indurated condition of the breast; soreness of the nipples, which' are painful to the touch; give Chamomilla, every four hours, For a bruised, sore pain in the breast, and sore. ness of the nipples, Calcarea-carb. twice a day. When there is hardness, erysepelatous inflammation, swelling and stitches, accompanied with burning and stinging; Phosphorus, morning and evening. When the breasts are swollen and painful and threaten suppuration, give Hepar-suzlph every two or three hours. ADMINISTRATION. -If the medicine is in the form of pillets, take five or six at a dose. But if it is a tincture, mix two or three drops in a tumbler half full of water, stir well and take a dessert-spoonful at a dose. APOPLEXY. Apoplexy is defined as a sudden loss or suspen. sion of the sensorial functions and voluntary motion. It frequently comes on suddenly without any 20 APOPLEXY. warning symptom' or assignable cause.,But it is generally preeeded by dizziness, a dull pain and' degree of weight in the head, throbbing 6f the temporal arteries, ringing in the ears, sparkling before the eyes, confused ideas, drowsiness and heavy sleep. TREATMENT.-When the face is flushed; the eyes injected, and there is a violent beating and throbbing of the temporal arteries, give Aconite and Belladonna in alternation every four hours. When the attack is incomplete and the patient is conscious of suffering, and evinces signs. of sore pain in the head; and if attended with numbness of the limbs, full pulse, and an occasional twitching of the extremities, Aconite and Nux-vomica, as above. When the patient appears as if in a profound sleep, face of a natural appearance, pulse rather slow and not increased in volume, Opium every two hours until the patient rouses from the stupor. When caused by a blow or fall, Arnica. When caused by suppressed menstruation, from cold, Pulsatilla and Sulphur; then, Opium or Belladonna. When caused by repelled eruptions, Sulph. Ipecac. APPETITE. 21 When caused by fright, Iqnatia, Pilsatilla, 4rtemisia. ADMINISTRATION.-Apply three or four pillets to the tongue of the patient every four hours, as there is generally a difficulty of swallowing. EXTERNAL APPLICATIONS.-Cold water to the head and warm or even stimulating applications to the feet and legs. APPETITE. Loss OF APPETITE, (ANOREXIA.)-This condition generally arises from a derangement of the stomach and digestive organs, but sometimes appears as symptomatic to other affections. TREATMENT.-For loss of appetite, indifference to food; fiat, watery, or bitter taste; use Chamomilla an hour before eating. If the loss of appetite. is attended with sickness of the stomach, use Antim-crud. a few minutes before eating. If it is attended with a sweet, insipid taste, and sickness of the stomach, Ipecac., as above. 22 APPETITE. If it is attended with a putrid taste, and a desire for acid drinks, use Bryonia in the same manner. If attended with sickness of the stomach, with great aversion to milk and warm food, Ignatia, two or three times a day. When there is a salt, or metallic taste; pressure in the pit of the stomach, with nausea, and gulping up of sour water after eating, Lachesis, three times a day, from half an hour to an hour before eating. When loss of appetite is associated with a putrid, bitter, or bad taste, sour raisings and frequent hiccough; pressure, tension, and cramp-like pains in the pit of the stomach; and the bowels are constipated, use Nux-vomica, three times a day, until the symptoms are removed. For loss of appetite, with a bad taste in the mouth; when the throat appears narrowed; pres. sure and tension when swallowing, and pressure in the pit cf the stomach, Pulsatilia three times a day, an hour before eating. For complete loss of appetite, with bitter taste, and dryness of the throat, Rhus-tox, as above. For a loss of appetite, attended with a putrid ot sour taste, and constant thirst, Sulphur three times a day before eating. APPEr:ITlTE: VORACIOUS. 21 ADMINISTRATION.-Dissolve ten or twelve pillets, or if the medicines are tinctures, mix two or three drops in a tumbler from half to two thirds full of water, stir well, and give from a tea-spoonful to a table-spoonful at a dose. DIET AND REGIMEN.-The diet should be unirri. tating, easily digestible, and of the most agreeablekind to the patient, but in accordance with homceo. pathic rules. APPETITE VORACIOUS. A voracious appetite or insatiable hunger is fre. quently produced by worms,; particularly the Tape Worm, and it not unfrequently occurs during convalescence from severe diseases, such as Typhoid and other fevers, and sometimes during pregnancy. TREATMENT.-For excessive hunger, particularly at night, a " yearning for dainties;" great thirst, but drinking little at a time, with a desire for wine and sour drinks, China three times a day, an hour before eating. For voracious appetite, attended with nausea 24 APPETITE VORACIOUS. after eating, and colic or colic and diarrhoea, give Colocynthis similarly. For a voracious hunger, from a sickish feeling of emptiness, weakness of digestion, and frequent eructations, Natrum-mzur. and Nux-vom., the former in the morning and the latter at night. For great appetite, with increased thirst, Stra. monium or Sulphur, an hour before meals. For an insatiable hunger when the stomach is full, Staphysagria as above. When there is a great desire for sweet things, Lycopodium every morning. When there is a desire for earthy substances, such as chalk, lime, &c., Nit-acid. once a day. If the hunger is attended with unquenchable thirst for cold drinks; the tongue dry, and dark or yellow-coated, Veratrum before breakfast and dinner. When it is caused by the common intestinal worm, Cina three times a day. When caused by the Tape Worm, Al'ercur., Graph., Stramonium. A;DMINISTRATION.- Gie five or six pillets at a APTHAE. 25 dose;, or if the medicines are in the form of powders, give as much as can be held on the point of a penknife, blade at a dose; if they are tinctures, mix two or three drops in a gill of water,- stir well, and give from a tea-spoonful to a table-spoonful at a dose. DIET AND REGIMEN.-The diet should be nutritious and of easy digestion, and restricted to a moderate quantity. APTHAE, (Thrush or Sprue.) This disease is almost exclusively confined to children. It consists in white flakes, of the appearance of magnesia, chalk, or curdled milk, which appear on the tongue, inside of the mouth, gums, fauces, and frequently extend to the stomach and bowels. TREATMENT. —Sulphur is the best remedy in this affection while the thrush appears white. Mercury.-When it changes to an ash, bluish, or grayish color. Ferrum.-When it changes to a yellowish browni which is frequently the case when the attack.is severe. 2 '26 ASTHMA. ADMINIS'RATI1O. —Dissolve ten or twelve pillets in about a wine-glassful of water, and give a small sized tea-spoonful every four or six hours, or if powders are used, place a small quantity on the tongue once or twice a day. ASTHMA (Phthisic.) Asthma is a paroxysmal affection of the resplra; tory organs, characterized by great difficulty of breathing, tightness and oppression of the chest, and a sense of impending suffocation. TREATMENT.-For oppressed, laborious breathing, gasping for breath, with the mouth open and face flushed, give Aconite every fifteen or twenty minutes, until the patient is relieved. When the breathing is laborious and irregular; short and hurried and then slow; face changing from pale to redness, and bloated, Belladonna every half hour, or hour, until relief is obtained. When the breathing is spasmodic, chest oppressed, and palpitation of the heart, Cocculus every half hour, until relieved; then extend the time to two hours. When the breathing is spasmodic, attended with ASTHMA. 27 spasmodic cough, or the breathing. is short, quick, and attended with wheezing, and the patient is almost suffocated, use CuTprum every half hour until relieved. When the breathing, is short and panting, and the chest feels as if contracted, Ipecac. every half hour,, or hour, until the:patient is better. When the tightness and difficult breathing come on in paroxysms; face hot, with dizziness of the head; use Lobelia every hour until the paroxysms cease. When there is loud breathing, and panting; or with a feeling of suffocation, Phosphorus every half hour. When the difficulty appears more in the throat than the chest, and is attended with a hoarse cough; use Petroleum every hour or two, until it is relieved. ADMINISTRATION.-Dissolve ten or twelve pillets in a tuinbler half full of cold water; or if the medicine is a tincture, mix two or three drops in a like amount of water, stir well, and give to an adult a table-spoonful at a dose, and to a child a tea. spoonful. It will be perceived that the remedies are recommended at short intervals, because the attack is 28 BILIOUSNESS. generally very severe and exceedingly threatening. But in chronic Asthma, once a day, or every second day, is sufficiently often to take the remedies. DIET AND RuEGIMEN.-The diet should be light, unirritating, easy to digest, and such as will not interfere with the medicines employed. Avoid night air and a humid atmosphere. BILIOUSNESS. The term bilious is generally used to express diseases and conditions arising from a derangement of the liver, and is applied to colic, diarrhceas, fevers, etc. But we are frequently called upon to prescribe for a biliary derangement, producing languor, heaviness, headache, loss of appetite, a disinclination to physical and mental exertion, and other associate symptoms, independent of the more formidable diseases above mentioned. TREATMENT.-When there is headache, with a yellow appearance around the nose and mouth, and the bowels are constipated, give N2ux-vomica and Pulsatilia; the latter morning and noon, and the former at night. 30 BILIOUS COLIC. pillets at a dose, to a child two or three. If the medicines are in liquid form, mix two or three drops in about a gill of water, stir it well, and give from a tea-spoonful to a table-spoonful at a dose. DIET.-The diet ought to be light, so as not to tax the digestive organs, for'dyspepsia is prone to set in upon biliary derangement. BILIOUS COLIC. This is a severe and dangerous form of colic, characterized by severe pains in the stomach and bowels, attended with bilious vomiting and obstinate constipation, and is generally caused by an excess of acrid bile. TREATMENT.-In case of severe bilious colic, attended with pain of a twisting or cutting character; sickness of the stomach, and obstinate constipation, give Aconite.and N'ux-vomica in alternation, every fifteen. or twenty minutes. When the pain is writhing and twisting about the navel, give Bryonia every' half hour. When the pain is above the navel, and so severe as almost to arrest breathing, and attended with BILIOUS COLIC. 3. constant sickness of the stomach, give Cocculus, as above. When the pains are severe, with a violent bearing down and straining, with nausea, or vomiting of bile and mucus; give Belladonna every fifteen or twenity minutes until relief is obtained. External applications, such as hot fomentationsby applying cloths wet in hot water, and wrung sufficiently dry to prevent soiling the clothes, will generally afford great relief. Another important feature in the treatment is, to move the bowels as soon as possible, by means of injections. Allopathy invariably prescribes cathartics; never use them, as the stomach is too irritable to retain them; and they always aggravate the difficulty by their irritative effects. ADMINISTRATION.-Give five or six pillets at a dose, or if the medicine is in liquid form, mix two or three drops in a gill of water, stir it well, and give a large-sized tea-spoonful at a dose. 32 BLEEDING FROM THE NOSE. BITES AND STINGS OF INSECTS AND SNAKES. For the pain and inflammation arising from the sting of a bee, apply to the part the ordinary Spir, its of Hartshorn. For the bite of spiders and ants, wash the part with Spirits of Camphor, or diluted Tincture of Arnica; one part of Arnica to three of water. For the'bite or sting of the small fly, cal.led the gnat, or for the bite of mosquitoes, Camphor or Arnica, as above. For the bite of that most poisonous serpent, the Copper-head, the internal administration and the external application to the part bitten, of a decoction of the Broad-leafed Plantain is advised, and I have known it used successfully in two or three instances. BLEEDING FROM THE NOSE. (Epistaxis. ) Bleeding from the nose generally occurs among the young, those of full habit and not yet arrived at maturity; and more frequently in males than females, particularly after menstruation becomes established. BLEEDING FROM THE NOSE. 33 TREATMENT.-When it occurs in persons of full habit, who are subject to-head-ache, dizziness, flushed face, and heating and throbbing of the temporal arteries, give Aconite and Belladonna, in alternation, every fifteen or twenty minutes, until it is arrested. But when it attacks the weak and delicate, with a pale face, and general weakness, China and Ferrum every half hour. When it occurs at night, give Rhus-tox, every fifteen or twenty minutes, until it arrests it. When in the. morning, Bryonia in the same manner. When caused by a blow or an injury, Arnica similarly. When caused by the free use of intoxicating drinks, xauX-voVm. and Lachesis, separately or in alternation, every half hour until it ceases. When caused by a violent exertion in lifting or straining, Rhus-tox, or Carbo-veg. To correct a disposition to bleeding from the nose, give Aconite, Sulphur,'Sepia, and Lycopodium, a dose of each every second day. DIET. —The diet should be in accordance with homceopathic rules during the administration of medicines. 34 JBLEEDING FROM THE LUNGS. BLEEDING FROM THE LUNGS. (Hcmnoptysis.) Bleeding from the lungs is generally preceded by pain, or a degree of fullness in the chest, some heat in the throat, and a sweet, insipid, saltish taste in the mouth; and is characterized by coughing up a florid, frothy blood, which last distinguishes it from h0emorrhage from the stomach, which is dark in appearance.'TREATMENT.-When bleeding of the lungs occurs in a full, plethoric habit, or in a young, vigorous person, give Aconite and Belladonna, in alternation, every fifteen or twenty minutes, until it ceases. When the bleeding is preceded by oppression in the chest; some difficulty in breathing; fetid breath, and bad taste in the mouth; a tickling sensation in the throat, exciting a dry, hacking cough; and the blood raised by coughing is bright red and fiothy, intermixed with small clots, or coagulums, give Arnica every half hour. When the breathing is laborious, with hurried expirations; or oppressed breathing, in consequence of stitches in the chest; dry cough, producing retch. ing, and an expectoration of pure blood, or bloody BLEEDING FROM THE LUNGS. 35 mucus, give Bryonia, every -fifteen or twenty minutes. When there is an asthmatic shortness of breath, and a continuous, uninterrupted cough which occa. sions spitting of blood, give Ipecac. every half hour. When there is a loss of appetite; bitter or sweetish taste; nausea; the heart beats quick and laborious; the pulse small and slow; face pale; lips livid; sore feeling in the. chest; cough, with a bloody expectoration, or florid blood, use. Digitalis as above. When the bleeding occurs in a person of mild temperament, or in one disposed to melancholy, Pulsatilla every half hour or hour. And Pulsatilla more especially if there are asth. matic symptoms, with cough, relieved by sitting up; occasional stitches in the side; alternate chills and flashes of heat; and the attacks occur towards evening, or during the night. When the bleeding from the lungs is caused by the drying up of an old ulcer: the patient is weak and somewhat emaciated; some cough, with con. stant hawking up of pure blood, use RhBus-tox* every fifteen or twenty minutes. I have successfully treated several attacks of this dis 36 BLEEDING- -FROM THE LUNGS. When the bleeding: occurs in a person- addicted to intemperance, Nux-vomica or Lachesis, every half hour or hour. When caused by:a blow, fall, or the inhalation of irritating particles of dust or other substances, Arnica, as above. When caused by metastasis from Gout or Rheumatism; or by the drying up of an old ulcer, Bryozia, or Rhus-lox. When caused by suppressed menstruation, treat for the primary difficulty, establish normal action there, and the bleeding from the lungs will cease. When caused by a violent exertion, use Rhus.-tox. ADMINIsTRATIoN.-Dissolve ten or' twelve pillets of the medicines in a tumbler half full of iced water, or if Tinctures are used, mix three or four drops in a like quantity of water, stir it well, and give a dessert-spoonful as directed above, until a favorable impression is made; then extend the ease in a person whose condition was similar to that expressed in the above paragraph, with Rhus-tox; it was em'ployed after the other drugs which were more strictly in. dicated had failed, and afforded almost immediate relief; subsequent attacks in the same patient were also almost immediately arrested by it. BLEEDING FROM THE URETHRA. 39 BLEEDING FROM THE URETHRA. (Hcemraturia.) Bloody urine is generally the result of an injury, either from a fall or calculous concretions in the kidneys and bladder, or from their lodgement in the urethra. It is sometimes occasioned by the injudicious use of acrid and stimulating diuretics, such as Spanish fly, Turpentine, etc. TREATMENT.-When it is caused by a fall, bruise, or any kind of mechanical injury, Arnica; mix five or ten drops of the tincture in a tumbler half full of cold water, and give a table-spoonful every two or three hours. When it is attended with much pain and burning, and a constant desire to urinate, Arsenicum as above. If that does not arrest it, give Cantharides similarly. When it is attended with stitches in the parts, and the urine deposits a bloody sediment, or is mixed with blood, Calc.-carb. every two or'three hours until relief is obtained. When it is attended with a cutting pain in the bladder, or a bleeding from the urethra, without pain, Lycopodium, as above. When there is a cutting, painful urinating, attend. 40 BLEEDING FROM THE WOMB. ed with bloody discharges, Phosphorus every hour until relief is obtained. ADMINISTRATION.-Give the remedies as above directed, and extend the time according to the improvement. DIET AND REGIMEN as in the other forms of haemorrhages. BLEEDING FROM THE WOMB. (Menorrhagia.) This consists in an immoderate flow, or heemor. rhage from the womb, and is generally attended with pain in the back, loins, hips, and abdomen. TREATMENT.- If an immediate flow of the menses occurs in a person of full plethoric habit, give Aconite every two or three hours. When it is attended with much bearing down pain, the blood discharged appears bright red, and contains clots, Belladonna every hour or two until it is arrested. But when it is attended with cutting pain in the abdomen, pain in the small of the back, and the blood discharged is mostly in clots, use Nux-vomica, as above. BLEEDING FROM THE WOMB. 41 When the discharge is thick and offensive, or corrosive, and attended with a burning and soreness, use Phosphoruts. When the pain is more of a griping, colicky character, and the discharge is in clots, Chamomilla every hour until it brings relief. If haemorrhage takes place during pregnancy, and threatens miscarriage, use Secale-cornu. If the discharge is dark, and appears like partly decomposed blood; with pale face and stupefaction of the senses, Stramonium and Cicuta, in alternation every hour. When it is caused by a violent strain or exertion, Sulph.-acid, Ruta, or Rhus-tox, as above. ADMINISTRATION.-Dissolve ten or twelve pillets, or two or three drops of the medicine;,if itl tincture, in about a gill of water, and give a table spoonful at a dose. Keep the patient in a recumbent posture, allow no warm drinks, and keep the room rather cold than otherwise. 42 BLINDNESS. BLINDNESS. (Amaurosis.) A partial or complete loss of sight is generally the result of a paralysis of the optic nerves, particularly when there is no deformity of the eye from mechanical or acute diseases. It is frequently caused by violent exertions, but generally arises from pressure on some part of the eye from turgescence, or from debilitating losses, and sometimes from uterine irritation. Lawrence, in his work on the eye, cites the case of a Jewess who became completely blind during three successive pregnancies; a very similar case occurred in my own practice. TREATMENT.-For a degree of indistinctness of sight, with a sensation of pressure and weakness in the eyes, Aurutm. When the blindness appears as though a gauze were drawn before the eyes, Ruta. When there is dimness of sight, with inflammation, redness and swelling; the dimness increased by warmth or exercise, and the patient rather of a phlegmatic temperament, Pulsatilla. When it is attended with some swelling of the BLINDNESS 43 lower eyelids; the eyes appear watery; and ob. jects appear green or watery, Digitalis. When the attack comes on suddenly, without any assignable cause, N2ux-vom., Rhus-tox, and Veratum. When it depends upon a turgid state of the blood vessels from plethora or convulsions, Bella. donna, tHyosciamus. When caused by violent exertion, lifting or straining, Rhus-tox. For mere weakness of sight, caused by excessive reading, fine sewing, or embroidery, Ruta. When caused by an injury, Arnica. When it arises from habitual intemperance, N'ux-vom., Ignatia, Lachesis. When it occurs during pregnancy, Bell., Nlux-vom., Pulsatilla. When it is caused by debility, or is the result of debilitating losses, China, Ferrum. When caused by sexual abuses, Phos., Staphy. sagria, Sepia. For night blindness, Belladonna. For blindness during the day, Sulp. and Silicea. 44 BOILS OR BILES. ADMINISTRATION. —f the medicine be in the form of tincture, mix one or two drops, or if in the form of powder, as much as will lie on the point of a penknife blade, in a tumbler half-full of pure cold water; stir it well, and to an adult patient give a dessert-spoonful every six or eight hours; to a child give a tea-spoonful at a dose. When pillets are used place two or three on the tongue; allow them to dissolve, and swallow them with a draught of water. If the case is chronic, and has been of long standing, one dose of the medicine daily is sufficient. DIET AND REGIMEN according to Homeeopathic restriction. BOILS OR BILES. A boil is a circumscribed, prominent, deep red, inflammatory swelling, exceedingly painful, which terminates slowly by suppuration, and frequently produces considerable constitutional disturbance, particularly in irritable persons, and, in children, sometimes causes spasms. TREATMENT.-When it is attended with fever and headache, Aconite. BOILS OR BILES. 45 If the boil is much inflamed, painful, and slow to mature, Belladonna. When the boil is large and threatens to become carbunculous, Arsenicum and Belladonna. W-hen it is small, and there is a rough unhealthy skin generally, give Sulphur and Rhus-tox in alternation. When there is a disposition to boils, give Lyco. pod., Phos., and Sulphur: each twice a week for three or four weeks. ADMINISTRATION.-When the boil is large and produces considerable suffering, give the remedy selected every three or four hours, until relief is obtained; then extend the time to every six or eight hours. EXTERNAL APPLICATIONS.-Simple poultices of bread and milk, or slippery elm, will tend very materially to mitigate the suffering, and favor suppuration. I have seen the greatest advantage result from the external use of the Tinct. of Arnica, by mixing a few drops, say ten or twenty, in a gill of water, and applying it to the part, by means of old fine 46 BRONCHITIS CHRONIC. linen. It is parti6ularly useful when applied during the forming stage. BRONCHITIS. By this term we understand an inflammation of the air passages of the lungs, which is characterized by a slight cough, hoarseness, tightness and op. pression of the chest, and sometimes by a rattling wheezing, as if the air were passing through a small aperture, or were obstructed by mucus. TREATMENT.-For an attack of acute Bronchitis give Aconite every two or three hours, until the symptoms are somewhat subdued, then Bryonia similarly, for at least three or four administrations. If the lungs continue congested, and the face is flushed, give Belladonna similarly until relief ensue. BRONCHITIS CHRONIC. This form is far more frequent than the acute, and is considered by some rather fashionable thali otherwise. There are those, however, who are pre disposed to it by physical conformation; particu. larly asthmatic persons. 48 BUBO. of the chest, or affect the head, give five or six pillets of Arnica every two or three hours. But if fever or inflammation should set in after the use of the above remedy, give Aconife every three or four hours until the fever abates. BUBO. Bubo is an inflarlmation. and enlargement of one or mere of the inguinal, and sometimes, of the ex. ternal iliac, lymplhatic glands. When it arises from mere local irritation or from cold, it is termed sympathetic bubo; when from the absorption of syphilitic virus, syphilitic or pestilential bubo. TREATMENT.-For syphilitic bubo, Merc.-cors., Iodine, Mezeri.; and emollient applications, such as Slippery-Elm and Flaxseed. ADMINISTRATION.-Give Merc.-cors. morning and evening, in from three to five grain doses of the first trituration for one week. The. Iodine and.Mezeri. may be taken in alternation every six or eight hours. Poultice the part with Slippery-Elm or Flaxseed. DIET.-The diet must be very simple, and principally vegetable. BURNS AND SCALDS. 49 BURNS AND SCALDS. The danger to be apprehended from burns and scalds depends of course altogether upon the depth or extent of the injury. -In numerous cases the in. jury has been mqst dreadfully aggravated by the use of one or more of the popular remedies recom. mended by those who ought to know better. The only treatment necessary, and the most reliable under all circumstances, is the application of Urtica-urenrs, by mixing forty or fifty drops of the tincture in a half-pint of water of an ordinary temperature, and keeping it constantly applied'to the part by means of a piece of old fine linen immersed therein. This must be continued until the inflammation is removed, which will be indicated by the departure of pain, and the perfectly white appearance of the injured part. Then keep the part covered with old, fine linen, lightly spread with clean, fresh muttoniTtallow, or simple cerate, in order to lubricate it and protect it from the air. If the burn is an internal one, caused by the in halation of steam, or scalding liquid, give a teaspoonful of the mixture every two or three hours, until tbh suffering is mitigated. 50 CARBUNCLE. CARBUNCLE. (Anltrax.) A carbuncle is a hard circumscribed inflammatory swelling, like a boil, which sometimes forms on the cheek, neck, or back, and in many instances becomes gangrenous or mortifies. The discharge is generally extremely offensive, of a thin, bloody looking matter, which exudes from beneath and around a dark core; in some cases there are two, three, or more openings. TREATMENT.-When there is pain of a beating and throbbing character, fever, pain in the head, and tenderniess of the part, Aconite and Belladonna in alternation every three hours. When the carbuncle discharges a thin, bloody, offensive matter, and the patient complains of a burning pain, Arsenicum every three or four hours until the symptoms subside. When there is an inability to sleep. at night; a degree of pressure and tension about the ulcer, with a peculiar.burning and smarting, and the discharge is a thin, bloody pus, Carbo-veg. every four hours. When the ulcer appears dark, and as if it were mortif~ying; the discharge exceedingly offensive; CATARACT. 51 with a disposition to sloughing, and a want of sensibility in the part, Kreosote three times a day; and apply to the ulcer a wash composed of ten or twelve drops of Kreosote to a gill of water, in order to cleanse and arouse some action in the part. DIET.-The diet should be rather liberal, but compatible with homceopathic treatment. CATARACT Is a species of blindness arising from an opacity of the crystalline lens, or its capsule, which prevents the rays of light passing to the retina. It generally commences with a disturbed sight, as if motes or particles of dust were in the eye, or floating before it, which are termed muscwe volitantes; and, as the opacity increases, the sight becomes less perfect, until it is entirely lost. TREATMENT.-It may be well to observe that cataracts are not always successfully reached by medicines, and in case of failure, can only be remedied by an operation; but I have cured cases by homceopathic remedies, and have two cases now improving finely under similar treatment. 52 CATARACT. When the sight is obscured as if by a gauze web, or mist before the eye; some itching of the nose with dry coryza, Causticum, Silex, Baryta-ca-rb. If the sight is obscured when in the open air, ol dark clouds, motes or specks appear before the eyes, Pulsatilla, Conium.-m(c., Lachesis. When the eyes are prone to be sore, especially in scrofulous persons; the sight weakened and imperfect; black spots appear passing before the eyes, or luminous vibrations, Phosphorus. When there is a weakness of sight; inability to recognise anything with distinctness; black motes appear before the eyes; itching of the lids, or dry. ness of the eye, with a burning sensation, Heparsulph., Sulphur, Calc.-carb. When the cataract is caused by anll injury to the head or eye, 1st. Arnica; 2d. Conium. When it appears secondary to Syphilis, or in a person of syphilitic taint, HMercurius, Nit.-acid. ADMINISTRATION.-The disease under consideration is not one demanding profuse medication, nor the rapid administration of remedies; their use once a day, or every second day, will prove quite sufficient. When two or more remedies are named CATARRH. 53 to the same condition, administer them in order as they are placed, giving the one named first for a reasonable length of time, and continuing it if an improvement is manifest; but should there be no material improvement,' or the improvement from the first not increase, then give the next in order similarly, and so on. DIET AND REGIMEN.-The diet must be compatible with the remedy employed, and every thing tending to strain or weaken the eye, strictly avoided. CATARRH. This is an affection of the mucous membranes of the nostrils and frontal sinuses. The nose appears stopped in many instances, with loss of smell, or a constant disagreeable odor and taste; pain at the root of the nose, or a rattling and cracking sensation, and dull, heavy headache. The secretion sometimes passes down the posterior nostrils to the throat, causing a constant scraping or hawking up of a white, greenish, or yellow and bloody expectoration. TREATMENT.-When the discharge is thin and acrid, and attended with burning in the nose, and 54 CATARRH. frequent sneezing, or a pain at the root of the nose, Arsenzicum once a day. When there is a stoppage of the nose, and the nose is painful and sore to the touch, use Aurum every morning. When it is attended with scaly formations in the nostrils, and loss of smell, Hepar-sulph. once a day. When there is swelling of the entire nose, and irritation of the nostrils, attended with a copious discharge of a thin, watery character, use JMfercuritus morning and evening. But if it is attended with a fetid smell, and a dis. charge of matter, bloody or greenish in appearance, or the nose is swollen, with a loss of smell, Phosphorus every morning or evening until it is better. If the bones of the nose are affected, use Aurum in alternation with the Phosphorus. ADMINISTRATION.-Give from three to five pillets at a dose, or if the medicine is in powder, give as much as will lay on the point of a pen-knife blade. DIET AND REGIMEN.-In accordance with homceopathic restrictions during the administration of redies. CHIANCRES. 55 CHANCRES. Chancres are small, ash-colored ulcerations on the genitals. Sometimes they are no larger than a pin's head, and sometimes they appear as mere abrasions of the skin. They are caused by syphilitie virus. TREATMENT.-Give the first trituration of Mercu. rius-cors. in front five to six grain doses, morning and evening, and touch the part with Caustic (Argentumr-Nit.), which, with proper perseverance and cleanliness, will soon effect a cure. The remedy should be continued as above for at least two or three weeks, so that we may be assured that the disease is entirely eradicated from the system. DIET AND REGIMEN.-The diet must be restricted to a plain, simple, unirritating course, and all kinds of stimulating drinks strictly avoided. CHICKEN-POX. (Varicella.) This disease was supposed by many to be a species of Small-Pox, and described as such, and continues to go under various cognomens. It is 56 CHILBLAINS. undoubtedly one of the same family, but of an exceedingly mild character, and seldbm attended with much fever. The eruption appears very irregular, pustules appearing, forming and scabbing at the same time. TREATMENT.-If there is any fever, give Aconite every three or four hours until it subsides. When it is attended with pain in the back, and drawing pains in the limbs, Bryonia every four hours until these symptoms pass off. When there is pain in the head: oppression of the chest; and a creeping chilly feeling, one or two doses of Pulsatilla. If the patient is a child, and symptoms of difficulty of the head appear, give Belladonna and Pulsatilla every two hours, until relief is obtained. The latter drug will generally mitigate the symptoms very materially if given in the commencement of the attack; and will almost act as a complete specific to the disease. CHILBLAINS. Chilblains are the effect of an inflammation arising from cold. In their mildest form, they are attended with redness of the skin, some swelling. CHILBLAINS. 57 burning and itching. When more violent, the swelling, burning and itching become much worse; the color of the part is a dark red or even blue; sometimes blisters arise upon the tumor, which burst and leave excoriations, which may run into an indolent ulcer. TREATMENT.-When there is burning, biting, stinging and itching, and not much swelling or discoloration, Agaricus. When there is inflammation, with burning and itching, Arsenicum first, every morning and even. ing; should that not have the desired effect in a reasonable time, give China or Nit.-acid similarly. If there is much swelling of a dark red or blueish color, give Arnica and Belladonna in alternation, every four or six hours. When they are large and exceedingly painful, give Hepar-sulphur or Phosphoric acid, or Sepia; a dose two or three times a day. EXTERNAL APPLICATIONS.-Much relief will be found from the application of diluted Tinct. Cantharides, if there is much burning and stinging, and a disposition to form blisters; and diluted Tinct. of Arnica when there is a peculiar burning and stinging, with swelling. 58 CHOLERA. CHOLERA. (Cholera Asiatic.) This is one of the most fearful diseases with which we are called upon to contend. Not because it is beyond the reach of Homceopathic treatment (for it is the only treatment that can be relied on;) but because there are so many popular remedies generally resorted to, such as cholera mixtures, etc., before the physician is called, that it is a hard matter to obtain the specific effect of reme. dies on a dying person nearly drugged to death with opium, camphor, hot drop and calomel. Such drugs can never be employed in a single case, with a rational hope of surviving the attack. An attack of Cholera is sometimes very sudden and extremely prostrating, but it is generally preceded by diarrhoea, sickness of the stomach and spasms of the muscles of the chest, which are soon followed by distressing vomiting and purging of a substance much resembling rice water, with cramps of the muscles of the chest, abdomen' and extremi. ties; rapid prostration and sinking; an anxious expression; livid lips with a blueish tinge of the entire surface, pulse nearly or quite imperceptible; and an icy coldness of the extremities. CHOLERA 59 PREVENTION.-Acting upon the principle that " an ounce of prevention is better than a pound of cure," I suggest the necessity of a strict adherence to the following: during the prevalence of Cholera avoid every thing that may tend to act as a predisposing cause; such as fear; irregularities and excesses of any kind; avoid all food, fruit and drinks that — tend:to — relax or irritate the stomach and bowels; wealr flannel under-clothing, and sleep between flannel' sheets; preserve a cheerfulness of mind, and attend to business as usual; make no great or sudden change fromr the usual mode of living, as the change itself will act' prejudicially, and observe temperance and moderation in all things. TREATMENT.-Irnmediately at the commencement of the disease, place the patient in bed in a recum. bent position, and cover him with warm flannel; pay particuar -attention to the warmth of his extremities, and give drop doses of the ordinary Tinct. of Camphor in a tea-spoonfull of iced water every five or ten minutes until a warm glow is excited. Then extend the time to every fifteen or twenty minutes, until a moderate perspiration is produced and the breathing becomes freer, and keep the patient perfectly quiet for six or eight hours, or until his recovery is beyond all doubt. 60 CHOLERA. But if the disease proceeds to the second stage, give Veratrum every ten or fifteen minutes so long as there are cramps and violent spasmodic action of the stomach and bowels. But if the cramps are more of the chest, with great difficulty of breathing and the lips and face are livid (blueish), give Cupum as above. But if the cramps are more of:the calves of the legs, or the patient is threatened with stupor; and particularly if he is an elderly person, Secale Cornutum is advised; keep the extremities constantly warm by all possible means. If the disease passes to the third or collapse stage, give Arseniculm and Veratrum in alternation, every ten or fifteen minutes. Arsenicun& is indicated in almost every stage in consequence of the burning thirst, vomiting and marked prostration. VWith Camphor alone, I have been signally successful. ADMINISTRATION.-If the pillets or powders of Arsenicum, Veratrum and Cuprum are used, administer them as above, by placing three or four pillets or a small powder on the tongue. The use of Carnphor I have sufficiently directed. DIET AND REGIMEN.-During convalescence great care is requisite. The diet should be very mild, CHOLERA INFANTUM. 61 consisting of simple mucilaginous articles, at first, then of mild broths and simple toast. Avoid every kind of exercise until returning strength warrants an effort. CHOLERA INFANTUM. This is a disease which, as the term implies, is "peculiar to children." It generally commences with sickness of the stomach and vomiting of an acid smelling fluid; diarrhea with thin watery discharges, resembling in many instances soap suds and exceedingly offensive; an anxious expression of countenance; eyes sunken, with a dark streak beneath them, and the skin pale and rather cold. The little sufferer soon becomes exceedingly restless, throwing itself from one side of th% couch to the other, and there is intense thirst for cold drinks which are rejected as soon as swallowed. TREATMENT.-At the commencement, w-hen the vomiting and purging is of a bilious character, give two or three pillets of Ipecac. every half hour or hour. But when the discharges are thin; and the thirst is very great; pale skin and prostration, give Ar. senicum as above. 4 62 CHOLER/A INFANTUM. When in addition to the last condition, the mouth is parched, the tongue dark, the lips black or cracked, Veratrum in alternation with Arsenicum. When the disease has affected the brain., and the child rolls its head on the pillow; and the face is flushed, give Belladonna, every hour or two. But if the'face'is pale and the pupils of the eyes are dilated, give Digitalis. Should symptoms of fever set in upon reaction, moderate them by an occasional pillet or two of Aconite. DIET AND REGIMEN.-During the attack, give nothing but cold water in very small quantities; anything else will excite vomiting; and when the stomach xwill retain anything more do not feed the little creature with brandy and milk punch, as is frequently done by nurses and others who ought to know better; and thereby cause inflammation of'the brain to terminate in effusion. Properly prepared arrow-root, corn starch, and farina is all sufficient. CIHOLERA MORBUS. 63 CHOLERA MORBUS. Cholera Morbus occurs generally during summer. It is a severe vomiting and purging, attended with griping pains in the stomach and bowels. TREATMENT.-At the commencement of the dis. ease there is generally some feverish excitement which Aconite will frequently arrest at once. But if the disease continues, with a vomiting and purging of a bilious character, give Ipecac. every fifteen or twenty minutes. But if the discharge from the stomach and bowels is thin and watery, and the patient is covered with perspiration, give Antim.-tart. When the vomiting is very severe; and the discharges from the bowels are watery, bilious, or dark appearing; the extremities cold and the patient's strength prostrated, give Arsenicurm. If the pains are very severe, sharp, or cutting, and particularly if they are more in the vicinity of the navel; and for cramps of the muscles of the legs, Verat. When the discharges are watery and almost colorless, Colocynth. 64 CHRONIC RHEUMATISM. When the disease is caused by cold drinks, or sudden changes of temperature; and attended with bilious stools and vomiting, Dulcamara. Administer the remedies selected every fifteen or twenty minutes until they produce a decided change for the better, then extend the time as the patient improves. DIET AND REGIMEN.-Plain unirritating articles of food, at first such as thin gruel of oat-meal, toast and barley water, arrow-root, rice, etc. When all the symptoms are subdued, a more liberal diet may be indulged in, such as beef tea, mutton broth and toast. CHRONIC RHEUMATISM. This form of Rheumatism is generally characterized by pain and lameness of a muscle or joint, and although exceedingly annoying at times, is never associated with the general symptoms of excited pulse, fever, etc., as in the acute form. TREATMENT.-When it affects the joints generally, Colchicum. When mostly located in the shoulder and elbow, Pulsatilla and Bryonia in alternation. CHRONIC RHEUMATISM. 65 When the back is mostly affected, Nux-vomica morning and evening, and if that does not cure, give Lycopodium in the same manner. When it affects the knee joints; with stitches, particularly when moving them, Bryonia. every four hours. When it is in the hip joint; particularly the left hip; or if there is a degree of uneasiness or heaviness in the lower limbs, Sulphur. When the pains are principally in the knees, and are of a lancinating or jerking character, or for in. flammatory swelling of the knee, Pulsatilla. When the pains are of an aching bruised feeling, anid especially if they are worse at night, Rhus-tox, every evening. But when the pains are mostly of the muscles, attended with numbness, Plumbum twice a day. And in addition to the above remedies, the application of dry hot cotton batting to the affected part, will be found in many instances very service. able. .COLDS. 67 and unirritating. Avoid all kinds of pepper and spicy seasoning, and also the use of stimulating drinks. Mucilaginous and gummy drinks are best. Take as little exercise as possible. COLDS. Cold is unquestionably the cause of most of our acute inflammatory diseases. But there are so many minor symptoms produced by exposure to cold, and embraced within the common saying of taking cold," that reference to such symptoms appears very necessary in a popular work like this. TREATMENT.-For a Cold affecting the head, if attended with fever, give Aconite every three or four hours until the feverish symptoms subside. If it produces a stoppage of the nose, with irritation, give Niux-vomica and Dulcamara. If it produces a running at the nose, Sulphur. If it produces severe headache give Aconite; if that does not relieve, give Belladonna and Bryonia, in alternation every two or three hours. If it' produces a general chilliness or shivering, with alternate flashes of heat, Pulsatilla every two hours, until these symptoms are removed. 68 COLDS. When it produces severe pain in the back, pains of a drawing character, and extending up to between the shoulders, Dulcamara and Bryonia in alternation, every three or four hours. For severe pains in the back caused by cold; the pains of a lame, aching character, and preventing stooping, Nux-vom., Lycopodium; the latter morning and noon, the former at night. For severe aching and drawing pains in the limbs, caused by cold, Bryonia and RlYus-tox in alternation, every three or four hours; When the pains are worse at night, give Aconite or Rhus-tox; should those remedies not relieve, give Lachesis and' Carbo-veg. For sore throat, from cold, Aconite and Belladonna in alternation every three or four hours. For a suppression of the menses from cold, give Pulsatilla in the morning and Sulphur at night, until they have the desired effect. For the effects of cold from getting wet, at first give Dulcamara, and if that does not entirely relieve, give Belladonna and Pulsatilla in alternation. For great sensitiveness to changes of weather, Carbo-veg., Lachesis and Sulphur. Give the remedy COLIC. 69 first-named on:e-a day for two or three days, then the others in rotation similarly. AbDMINISTRATION.-W- hen pillets are used, simply lay one or two of them on the tongue and allow them to dissolve. The powder may be used as previously directed, and the Tincture, by mixing two or three drops of the medicine selected in a tumbler half full of water, and a dessert-spoonful taken'at a dose, if the patient is an adult; but if a child, a tea-spoonful is sufficient. DIET AND REGIMEN. —DO not be led astray by the old absurd idea of" feeding a cold and starving a fever," but let the diet be light and in strict accordance with honrceopathic treatment. COLIC. The term colic is generally applied to all pains in the abdomen, and particularly when the bowels are constipated. Dr. Cullen defines it as "pain of the abdomen, particularly around the umbilicus, (navel,) attended with vomiting and costiveness." TREATMENT.-Whenl the attack of colic is produced by a congested state of the bowels, which is characterized by a weak pulse, and the extremities CONGESTION OF THIE HEAD. 71 Secale-cornu, for the colic attending menstruation. ADMINISTRATION.-Dissolve eight or ten pillets, or a small powder of the medicine selected, in ten or twelve tea-spoonfuls of cold water; stir it well, and administer as above. If Tinctures are used, mix from one to three drops in a tumbler one-third or- half full of water, and give tea-spoonful dos3es until the patient is relieved. CONGESTION. The term Congestion is usually used when the vessels are over distended, and the motion of the circulating fluid is slow. CONGESTION OF THE HEAD. Congestion of the HIead is generally characterized by beating and throbbing of the temporal arteries; giddiness; a heavy, dull feeling; partial blindness when stooping or suddenly turning around, or a degree of confusion and indistinctness. TREATMENT.-When this condition occurs in a full, plethoric habit, give Aconite and Belladonna in alternation, every three hours until it is relieved. 72 CONGESTION OF THE LUNGS. When it is attended with pain of one side of the head and the bowels are constipated, Nux-vomica three times a day. When attended with stupefaction, and partial loss of consciousness, Opium every hour until the stupefaction passes off. When it is caused by a fall or blow, Arnica every hour or two. If by fright or fear, Opium in the same manner. When it is the result of debility, China and Ferrum, one in the morning and the other at night. ADMINISTRATION. Mix two or three drops of the medicine indicated in a tumbler half full of water, and give from a tea-spoonful to a table-spoonful at a time. If pillets or powders are used, dissolve six or eight pillets, or a small powder, in a similar amount of water and give similarly. CONGESTION OF THE LUNGS. This condition of the lungs is characterized by pain, a degree of fullness, tightness, and oppression of the chest, with difficult breathing, palpitation of the heart, faintness, disturbed sleep, and soinetimnes cough. 74 CONSTIPATION OR COSTIVENESS. of core or thorn, that can be worked out, something in appearance to a barley corn, whence the name. (Hooper.). But I must confess that I have never yet seen anything about them much resem-. bling a barley corn, but have supposed the name was derived from the hard, dense, semi-transparency, like horn. TREATMENT.-When they are inflamed and pain. ful, wash them frequently with diluted Arnica Tincture, and apply some lint, or wrap up the part in a piece of old soft linen, wet in the above tincture; or carefully shave them down until the skin appears of a natural thickness, and apply Arnica plaster, which has certainly proved very efficacious in a.great many instances. CONSTIPATION OR COSTIVENESS. Costiveness is generally a condition which depends upon an inactivity of the liver; but with many it is constitutional. It should, however, be attended to, and the habit corrected if possible. TREATMENT.-Mercurius and Nux-vomica are very good remedies, particularly when there are any prominent symptoms of biliary derangement. CONSTIPATION OR COSTIVENESS. 75 Give the former in the morning and the latter at night. When it occurs in the summer, and there is a feeling of chilliness, some headache, and particularly if the person is subject to Rheumatism, give three or four pillets of Bryonia at a dose, once or twice a day. When it is attended with a sensation of heaviness in the abdomen, dry mouth, loss of appetite, headache, and occasional drowsiness, give Opium morning and evening. For obstinate constipation, attended with a press ing sensation in the stomach, Lachesis once or twice a day. For constipation of infants at the breast, Bryonia, Nux-vom. or Allum. Dissolve five or six pillets of either in a wine-glass full of water, and give a small sized tea-spoonful three times a day, until it is remedied. For constipation of old persons, Opium and Phosphorus; give the former first, a dose once a day for three or four days, and if it is ineffectual, give the latter similarly. For constipation of drunkards, give Lachevis in the morning, and Nux-vom. at night. 76 CONSUMPTION. DIET.-The diet should be of a relaxing character, and calculated to assist the action of the remeo dies. CONSUMPTION., (Phthisis pulmonalis.) The ter'm Consumption is generally applied to a tuberculated disease of the lungs, which has proved more destructive of human life than any in the long catalogue. of ills which frail humanity is heir to. In its treatment too much attention has been paid to the condition of the lungs at an expense of a proper regard to the peculiar condition of the system, upon which these symptoms depend; for most truly is it, (the condition of the lungs), in the language of Williams, in his "Principles of Pathology," " a mere firactional part of a great constitutional derangement." For a full and complete history of the disease, its prevention, pathology, and cure, vide Freligh's "Homoeopathic Practice," page 207. PREVENTION.-The best way to prevent a development. of consumption where a predisposition exists, is to invigorate the system by good. nourishing diet, regular exercise in fresh air and equal temperatures, regular rest, cheerful company, and CONVULSIONS, OR FITS. 77 warm clothing, frequent ablutions with cold water sufficient to invigorate the skin and preserve per. feet cleanliness, and avoid all kinds of excesses. Give. Ferrum, Calcarea-carb., Calcarea-phos., Kali-carb., Silicea and Sulphur. These remedies must be used of the first trituration, and in doses sufficient (say from five to ten grains) to invigorate the system by increasing the solid constituents, extractive matters and salts. Ferrum stands most prominent and should be given first. 1 would advise one dose a day for a week, then the other remedies in succession in the same way. Should the patient be inclined to lose flesh give Arsenicum first, in similar doses every morning, and Ferrum at night; continue thus until there is an evident increase of flesh and strength. CONVULSIONS, OR FITS. The remote causes of Fits in children are some times veiled in obscurity, but they are very frequently caused by the irritation from teething, or worms. TREATMENT. —The best course to pursue is to place the child immediately in a warm bath, or its feet and legs in a warm bath with a little mustard 78 CONVULSIONS, OR FITS. in it; after using the bath a sufficient length of time (say five minutes), wrap the child in warm flannel, and administer Belladonna, by placing two or three pillets, or a small quantity of the powder on the tongue; place the child's head and shoulders in an elevated position, and use gentle friction of the extremities. But should the convulsion continue, with violent motions of the limbs, twitching of the muscles of the face, and foaming at the mouth, give Hyosciamus as above, every fifteen or twenty minutes. Should convulsive jerkings continue, the eyes partly open, with redness of one cheek, give Chamomilla in the same manner. If the convulsions are caused by worms, give two or three pillets of Cina, and should they continue, give either Belladonna or Hyosciamus, according to their indications above. When caused by fright, give two or three pillets of Opium; should that not arrest them, give Stramonium or Hyosciamnus similarly. LOCAL REMEDIES.-Should the above remedies fail, after using them a reasonable length of time, move the bowels by means of a tolerably stimulate ~ing injection. COUGH. 79 COUGH. Cough is most generally a symptom, particularly in diseases of the throat and lungs, but it very frequently appears independent of any marked disease, and simply as the result of cold or-some other irritating cause. TREATMENT.-For a dry, hacking cough, give Aconite, Niux-vomica or Bryonia. For a dry cough at night, disappearing when sitting up in bed, Pulsatilla. For a severe cough, setting in immediately after going to bed at night, Aconite. For a hollow cough at night and early in the morning, C.tausticum. For a loose, rattling cough, Tart.-emetic. For cough, with expectoration of tough mucus, Dulcamara. For cough, with expectoration of pus, Calc.-carb. If the pus is streaked with blood, give Pulsatilla in alternation with the Calcarea. When the cough is attended with quite a bloody expectoration, Rhus-tox. If it is attended with a 80 COUGH. yellow expectoration, give Ignatia. VWhen the e] pectoration is a whitish mucus, C'ina. When the expectoration is muddy, give Phosphorus. When the cough is worse in the morning give Bryonia, but when it is worse at night give Belladonna. Should three or four administrations fail to effect a cure, give Ilyosciamus. For coughs in children, caused by teething, give C'hamomilla every three or four hours. For coughs following measles, Ignatia three times a day. ADMINISTRATION.-Give two or three pillets of the remedy indicated every two, three, or four hours, according to the urgency of the cough; but if the cough is very severe and almost constant, the remedy may be given every fifteen or twenty minutes, until relief is obtained. DIET AND REGIMEN.-Avoid all irritating and indigestible articles of food, and stimulating drinks. Take moderate exercise in pure wholesome air, and do not go out at night, while troubled with a cough. CRAMPS IN THE LIMBS. 8} CRAMPS IN THE LIMBS. The principal remedies for cramps in the limbs are Clolocyntlh, Rhus-tox, Veratrum, Secale-cornu, ITyosciamus, Calcarea-carb., Bryowiia and Lycopo. dium. When the cramps are in the hips, give Colocynth or Rhqus-tox three times a day. For cramps in the calves of the legs, use Vera trum morning and evening. Should that not have the desired effect, use Secale-cornu, or HTyosciamus, similarly. For cramps in the feet and toes, use Calcareaccarb., Bryonia, or Lycopodium, once or twice a day. For cramps during pregnancy, vide Pregnancy. ADMINISTRATION. — iX two or three drops of the medicine in a tumbler one-third full of pure cold water, or if pillet. are used, dissolve ten or twelve of them in a.tie quantity of water and give a dessert-spoonfid at a dose, as directed above, unless the attack s severe and continuous, when the remedy should be given every half hour or hour antil relief is obtained. 82'S CRAMPS IN THE STOMACH. DIET.-Such as will not interfere with the action of the medicines. CRAMPS IN THE STOMACH. Cramp, or spasmodic pain in the stomach, re. quires Aconite, Belladonna, Calcarea-carb., Carbo.veg., China, Lycopodium, Rhus-tox and Veratrum. When it is severe and attended with feverish excitement, give Aconite and Belladonna in alternation every five or ten minutes until it is relieved. When it is more of a pressure or contracting pain, Bryonia three times a day. When it is very violent, attended with gulping up wind and tasting the food, give Calcarea-carb. every hour until it is relieved. For cramp of the stomach, with a sense of pressure, Carbo-veq. every half hour or hour. When it occurs particularly after a meal, Nux vomica every half hour until it is removed. When it is more of an intense pain, Lycopodium in the same manner. For an uneasy pressure in the pit of the stomach. CROUP. 83 As if it were swollen, Rhus-tox. every hour or two until it has the desired effect. When the cramp is attended with violent pressing pain in the pit of the stomach; or a sharp, cutting, piercing pain, Veratrum as above. DIET.-Persons who are subject to cramps or pains in the stomach should carefully avoid all kinds of acid and indigestible fruits, pastry, fresh oread and salt meats. CROUP. Croup is an inflammation of the mucous mem. brane of the trachea or windpipe, and sometimes ascends quite high up in the throat, (larynx.) It is characterized by hoarseness when crying; cuugh of a peculiar hoarse, hollow sound; drawing a long breath, with a stridulous or crowing noise. The cough becomes more troublesome and shrill; the breathing more and more difficult; the face flushed and swollen, and each breath adds to the agitated and anxious expression of the little suf ferer. The severe symptoms generally come in paroxysms which threaten suffocation, when the little patient throws its head back to straighten the 84 CROUP. air passages, in order to relieve the suffocation. It is one of those insidious and flattering diseases, that require the closest watching, and the most energetic treatment. TREATMENT.-During the inflalmmatory stage, give Aconite every half hour; in most instances this will arrest it. But should it continue and pass into the second stage, which is characterized by the peculiar hoarse, hollow, suffocative cough and great difficulty in breathing, give Spongia every fifteen or twenty minutes; or it may be given every fifteen minutes in alternation with Hepar-Sulphur. When the breathing appears obstructed by an accumulation of mucus, Causticumn every half hour. When it appears to be of a spasmodic character, Hyosciam. as above. Kali.bichrom., and Bromine, are very popular remedies with some of our most successful practitioners; the former, when the cough is worse in the morning, or immediately on waking; and for violent wheezing and panting; or wheezing and rat. tling in the chest during sleep. The latter remedy is considered by some a specific and admissible in every stage of croup. I.have thus used it upon the CROUP. 85 suggestion of Dr. Curtis, of this city, with the most decided success. I used it in from two to five drop doses of the tincture, of strength sufficient to retain considerable of its color, (say a yellowish color,) every fifteen minutes at first, then every half hour, and as my little patient improved, every two or three hours. In several instances, two or three administrations removed every symptom. The other remedies should be given in pillets, *two or three placed on the tongue; or in powders similarly, as very frequently a great difficulty in swallowing exists. DIET AND REGIMEN. —When the child can swallow and evince a desire for nourishment, there is nothing better than that which it receives from its mother; in the absence of which, thin toast or cracker-water may be used to allay the thirst. I am decidedly opposed to arrow root, gum arabic, and such mucilaginous articles as are generally used; for they certainly tend to mix to some extent with the secretion of the throat, adhere, and so increase the difficulty both in breathing and swal. lowing. The room should be kept of a moderate warmth; the child by all means secured from all exposure to varying temperatures. -86 CRYING OF INFANTS. CRYING OF INFANTS. Mothers and nurses seem to have such a decided preference for pins instead of tapes, for securing the clothing of infants, that it is always necessary to be sure that the crying is not caused by a stray pin. If not, then resort may be had to the following: Cofea, if there is feverish heat, restlessness, and continual crying. Chamomilla, if the infant draws and bends its body and limbs, as if in pain; and particularly if the stools are greenish. Belladonna, when the abdomen is distended. Rheum, if it is attended with looseness of the bowels, stools rather yellow and of a sour smell. Ipecac. —When there is a colicky uneasiness, diarrhceic stools of a fermented appearance, and especially if attended with sickness of the stomach. Jalap.-When attended with colicky pains and large watery evacuations from the bowels. ADMINISTRATION.-Dissolve five or six pillets of the medicine indicated by the symptoms, in teaspoonfuls of cold water, stir it well, and give a tea. D)ELIRIUM TREMENS. 87 spoonful every half hour or hour until the child is relieved; or give one or two pillets at a dose. DIET.- Care of course should be taken that nothing be given in the form of nourishment which is of a flatulent or griping character. Apply warmth to the bowels, and keep the child quiet and in rather a flexed position, or " curled-up," as the old ladies say. DELIRIUM TREMENS. (Jiania-a-Potu.) This is a variety of mental derangement which.is caused by the excessive use of intoxicating drinks, and is characterized by an uneasy, unquiet state, continued watchfulness, cool skin, loquacious delirium, illusions, and almost a constant tremor. The patient is sometimes very merry, at others feels sad, and sees and hears strange things; or fancies that the devil is lurking about the room, watching an opportunity to seize him; or he is busily engaged in killing rats, mice and snakes; and not unfrequently imagines himself transformed into an inferior animal or some article of furniture. TREATMENT.-The principal indication in the treat. ment of this disease is to produce sleep and quietude, %or which Aconite should be given at short intervals, 88 DELIRIUM TREMENS. if the attack occurs in a person of full habit; Bel. ladonna, when the face is flushed, the patient is wild and furious, and attempts acts of self-violence. Nux-vomica, when he appears in a vexed mood, and is disposed to quarrel. Opium.-For a wild and staring expression, the patient grasps at imaginary things, or has visions; the face pale, and covered with perspiration; the pulse rather slow; inability to sleep and a disposition to commit suicide. Hyosciamus. —When the patient is sleepless and stares suddenly, as if frightened; complains of head-ache; his eyes are red, and there is thirst, with difficulty in swallowing; wishes to fight, kicks, stamps, and strikes violently; trembling of the hands and arms, and coldness of the feet. When there is a constant change of feeling from a vexed mood to laughing, singing, dancing, and praying, Stramonium. ADMINISTRATION.-Give the remedies indicated every half hour or hour until they have the desired effect. I have generally used the Tinctures in this disease, by mixing from three to five drops in a tumbler half full of water and giving a table-spoonful at a dose. DIARRH(EA. 89 DIARRHCEA. Diarrhcea is a purging or mere looseness of the bowels. The discharge varies in character, and may be bilious, mucous, watery, or bloody, de pending to a great extent upon the cause. TREATMENT.-For mere looseness of the bowels, painless diarrhoea, give?Ferrum or China, three times a day; the latter more particularly if the focd passes unchanged. When it is attended with pain, Nlux-vom. and Colocynth; the latter in the morning, and the formar at night. When the discharges are decidedly bilious, give Mfcrcurius in the morning, and Nux-vom. at night. If the diarrhoea is attended with a bearing-down pain and straining, Belladonna every four hours. For mucous diarrhoea, use Pulsatilla morning and noon, and N1ux-vom. at night. If the discharges are thin and watery, and at. tended with sickness of the stomach, Antimony every three or four hours. When caused by cold, Dulcamara in the morn. ing, and Nux-'vom. at night. 90 DIZZINESS. When caused by sour fruit or drinks, Arsenicum or Lachesis, every three or four hours. When diarrhoea follows Measles, Pulsatilla as above. When it is secondary to Scarlet Fever, Belladonna, similarly as above. When caused by teething, Chamomilla two or three times a day. When it occurs during pregnancy, Nzux-vom., Phos., Sepia, or Sulph. For nightly diarrhoea, Phosphorus, morning and evening. ADMINISTRATION.-Wheii more than one remedy is named and not specially directed in alternation with another, give the first one; if that does not cure, give the next, and so on until a cure is effected. DIET.-Avoid everything of a relaxing or loosen. mng nature. DIZZINESS. ( Vertigo.) This unpleasant symptom generally depends upon a deranged state of the stomach, and congestion of the brain; and is almost a constant companion of plethora. DIZZINESS. 91 TREATMENT.-When it attends plethora, (fullness of habit,) give Aconite and Belladonna, in alternation, every six or eight hours, until it is fully relieved. When it depends upon a deranged state of the stomach, Nlux-vom. three times a day until it passes off. When it comes on upon lying down, Rhus-to* every evening, until it is remedied. When it is caused by suppressed eruptions or the drying up of old ulcers, Sulphur and Lachesis in alternation, every three or four hours, until it is relieved. When caused by riding in a carriage, Cocculus or Petroleum, once a day. When it is caused by a night's debauch, Nuxvomica every hour or two until it is relieved. ADMINISTRATION.- Give two or three pillets at a Lime, followed by a draught of water; or dissolve ten or twelve in as many tea-spoonfuls of water, and give a tea-spoonful at a dose. 92 DROPSY. DROPSY. (Hydrops, By the term dropsy, we understand a preternatural collection of serous or watery fluid in the cellular substance, or in different cavities of the body. CAusEs. —The causes of dropsy are various, such as cold, mechanical obstructions, inflammation of particular organs, suppressed perspiration and habitual discharges, repelled eruptions, debility, scirrhus of the liver, the continued use of arsenic in intermittent fevers, the intemperate use of intoxicating liquors; it is also frequently secondary to Measles and Scarlet Fever. TREATMENT. — During the first appearance of dropsical swellings, if there are febrile or inflammatory symptoms, give Aconite every four or six hours until the fever abates. If the swelling is principally confined to the feet, and occurs during pregnancy, Lachesis once a day. When the legs and feet are swollen, the bowels constipated, the urine scanty and high-colored, loss of appetite, metallic taste and thirst, Mercurius three times a day. DROPSY. 93 When there is a very general swelling, the skin sallow, dry cough, difficult breathing, the extremities feel cold, thirst, urine scanty and high-colored, Arsenicum every four or six hours. When the feet swell during the day, and the swelling diminishes at night, Bryonia in the morning and Sulphur at night. TWhen the dropsical swelling succeeds Scarlet Fever, Apocynum-can. Drop from' three to five drops of the Tincture in a tumbler two-thirds full of cold water, stir it well, and give a large sized tea-spoonful every two or three hours until it produces a manifest improvement; then extend the time to two or three hours. It scarcely ever fails. When the dropsical effusion depends upon disease of the heart, use Digitalis three times a day. When there is a general swelling and the abdomen is much distended, the urine is passed in diminished quantities, and the other remedies have failed, give one drop of Apis-mel, two or three times a day; or, if the medicine is in the form of powders, give of the third trituration about as much as will lie on the point of a penknife, as above, and continue it until there is a marked im. provement. 94 DROPSY OF THE ABDOMEN. For dropsy arising fiom debility, give China. When it is caused by mercury, iepcar-sulph. MWhen caused by sulphur, Pulsatilla. When caused by quinine, Pulsatilla, Arsenicum, Canabis. ADMINISTRATION.-Give the drug selected, every four, six, or eight hours, according to the severity of the symptoms. If Tinctures are used, mix from one to three drops in a tumbler half or two thirds full of water, stir it well, and give fronm a tea-spoonful to a table-spoonful at a time. If pillets are used, dissolve from ten to twelve in a similar amount of water, and administer similarly. DIET.-The diet ought to be light, unirritating, and of easy digestion, and the amount of drink re. stricted in quantity. DROPSY OF THE ABDOMEN OR BELLY. (Ascites.) This is a swelling of the abdomen front an accu. mulation of water, and is divided into two varieties, viz.: —First, Ascites Abdominalis, when the water is in the cavity of the lining membrane of 96 DROPSY OF THE ABDOMEN. dornen swollen and painful, as if it were bruised and the urine scanty, Apocynum every three hours. When it is attended with swelling and pain in the region of the liver, the swelling.soft and tender similar to ramollissement (softening) of the liver, the bowels hard, distended and obstinately constipated, the urine high-colored and depositing a sediment, sickness of the stomach and a disposition to vomit, Lachesis every four hours. When the abdomen (belly) is much swollen and painful, pressing sensation in the region of the liver, the bowels constipated, or a tendency to di. arrhcea, with tenesmus (a bearing down), distress and uneasiness in the pit of the stomach, a burning sensation, nausea and vomiting, Arsenicum as above. Arsenicum is also especially indicated by a general swelling, sunken countenance, and great debility. When the abdomen is much distended and there is a general dropsical effusion, the urine is passed in diminished quantities, the skin rather pale, and attended with an occasional biting and stinging sensation, Apis-mel three times a day. When the disease is caused by repelled erup. 9.8 DROPSY OF THE BRAIN, DROPSY OF THE BRAIN. (Hydr ocephalus.) This is a disease principally confined to children, and is characterized by a great variety of symp. toms during its irritative or initiatory stage. But as the disease advances, the stomach frequently becomes very irritable and is occasionally attended with retching and volmiting, the little patient is restless, and there is a constant tossing about and moaning during sleep, rolling of the head on the pillow,. and a tendency to stupidity; the pupils of the eyes become dilated, and drowsiness increases, until a full coma supervenes. At this stage of the disease, palsy of one side frequently occurs, which is manifested by a tremulous motion of the arm and contraction of the fingers. TREATMENT.-During the inflammatory stage of this disease, when the skin is hot and dry, and the pulse quick, give Aconite. When the face is flushed, the eyes red, rolling of the head n the pillow, frequent startings during sleep, or waking with a scream or appearance of fright, Belladonna. When effusion has taken place, the face is flushed, DROPSY OF THE BRAIN. 99 the lips dry, the tongue coated with a dark yellowish fur, the bowels constipated, the abdomen swollen, the breathing hurried, and the skin hot and dry, Bryonia. When there is a haggard and staring ltook, the eyes inclined to squinting, involuntary twitchings of the muscles, the head and body inclining backward, and an occasional groaning and crying, N2uxvomica. When the body appears rigid, or there is an almost constant motion of the limbs, the patient inclines to a stupor, the pulse rather full, the face swollen, profuse involuntary discharges of urine, Stramoinum. When the face is pale and swollen, constant rolling of the head from side to side, the limbs rather rigid, and the pulse small and frequent, Helleborus. When the face is pale, and the eyes are surrounded with a blue margin, the breathing rather difficult, with rattling of mucus in the throat, and occasional retching and vomiting, Tart.-emet. When, in addition to the nausea, the pupils of the eyes are dilated and insensible, the breathing difficult and slow, Digitalis. There are other remedies deserving of -attertion, DROPSY OF THE CHEST. 101 DROPSY OF THE CHEST. (Ilydrothorax.) The symptoms of this disease are not as well de. fined during the incipient stage as those of dropsy of the brain; but as the disease advances they become not only well marked and distressing, but alarming, such as oppression of the chest, difficult breathing, aggravated by the least exertion; when in bed, the patient is obliged to have his head and shoulders well elevated to enable him to breathe, his sleep is interrupted by frequent startings and a sense of impending suffocation; thirst is urgent, the pulse irregular, the urine scanty and high. colored, and there is swelling of the feet and legs. TREATMENT.-When the disease arises from a congested state of the chest, or the effusion is the result of an inflammation, with cough, shortness of breath, and paroxysms of suffocation, Aconite every two or three hours until relief is obtained. When there are stitches in the chest, an inability to take in a full breath, the face bloated, the patient is drowsy during the day and sleepless at night, Bryonia every four hours. When there is oppressed breathing, suffocation. 102 DROPSY OF THE CHEST. or hacking cough, heaviness of the head, the face is sunken, the eyes are dim, coldness of the extremities, the mind sad and desponding, give Lachesis in the same manner. When the difficulty of breathing comes on very suddenly, palpitation of the heart, aggravated by inclining the chest forward, and the symptoms are worse in the afternoon, Spigelia three times a day. When the breathing is short and hurried, the face pale, the eyes dim, hiccough, nausea, pressure in the pit of the stomach, pulse small, feeble, and irregular, uneasy and unrefreshing sleep, give Digitalis every four hours. When the disease is advanced, the patient emaciated, the breathing short and anxious, general coldness, when the patient complains of a burning sensation, the urine scanty and voided with pain,.Arsenicum every four hours. ADMINISTRATION. -The same as in other forms of Dropsy. DROPSY OF THE JOINTS. 103 DROPSY OF THE JOINTS. (Hydrops Articuli.) This term is applied to dropsical affections and effusions within the joints. CAUSEs. —The principal causes of this affection are cold, suppressed perspiration, the abuse of mercury, and improperly treated rheumatism. TREATMENT.-When it is caused by cold, the joints are swollen and painful, and- the pains are aggravated by the least motion, Bryonia three times a day. When the joints are swollen, painful and stiff, the limbs weary and restless, the pains relieved by motion and aggravated at night, and there is a general sensitiveness to cold, give Mercurius morning and evening. When the swellings are principally in the knees and feet, with heat and pains of a rheumatic character, worse at night and attended with shuddering and creeping chills, give Pulsatilla morning and evening. When the swelling extends froin the knees to 104 DROPSY OF THIE JOINTS. the legs and feet, or from the wrist to the hand, and all the symptoms are aggravated in damp weather, Lachesis once a day or every second day. When the swelling is confined to the knee-joint, Sulphur morning and evening. When it is caused by cold from getting wet, Pulsatilla or Dulcamara morning and evening. When caused by mercury, Hepar-sulph. or Sul phur once or twice a day. When caused by sulphur, Pulsatilla once or twice a day. ADMINISTRATION. - Administer the remedies, whether pillets, tinctures, or powders, as previously directed. I have frequently seen the greatest benefit result from sweating the part, by enveloping it in a thin sheet of india rubber, or in oiled silk. When there is much heat, a napkin applied wet in cold water will answer better. DIET AND REGIMEN-Should not conflict with homceopathic treatment. DROPSY OF THE OVARIES. 105 DROPSY OF THE OVARIES. (Hydrops Ovarii.) In this disease the DJffusion takes place in the in. ternal surface of the sack or membrane, enveloping the ovary. The swelling is first observed in the right or left iliac region, unattended with pain or much constitutional disturbance; but it gradually enlarges, until it occupies nearly the entire abdomen, when serious disturbance begins, in consequence of the pressure upon the bladder, intestines and large blood vessels. TREATMENT.-The indications in this disease are very similar to those in dropsy of the abdomen, with the exception of the symptoms which show a derangement of the liver. The principal drugs for its removal are Mercurius, Lachesis, Digitalis, Arsenicum, Sulphur, Apocynwlm-can. and Apis-mel. For their administration, vide Abdominal Dropsy. DIET AND REGIMEN-As. in other forms of dropsical affections. DROPSY OF THE SCROTUM. (Hydrocele.) By this term is understood a dropsical accumu. lation within the membranes of the scrotum: and, 106 DROPSY OF THE SCROTUM. also, in the tunica vaginalis, (the membrane immediately investing the testes.) When it attacks the membranes of the scrotum, the swelling retains the impression made with the finger upon pressure. But when the tunica vaginalis is the seat of the disease, it has an undulating and fluctuating feeling to the touch. This disease is readily distinguished from hernia, by its transparency and fluctuations. TREATMENT.-Pulsatilla, Silicea and SLdpur, are recommended by very respectable authority, " each remedy for eight or twelve days, every fourth day a dose." But I have recently relied almost exclusively upon Arsenicurnm and Hielleborus-niger; give from two to three grains of the former at a dose, three times a day, and continue its use until a burning sensation is produced; then omit it and give the latter remedy, by mixing from three to five drops of the tincture in a tumbler two-thirds filled with pure cold water, well stirred, and give a large sized tea-spoonful at a dose, twice a day until the cure is completed; after which, if there is cold. ness of the extremities, or a want of circulation in the skin, give a few doses of Sulphlur. DIET AND REGIMEN-AS usual in chronic diseases DYSPEPSIA OR [NDIGESTION. 107 DYSPEPSIA OR INDIGESTION. Dyspepsia or indigestion depends mainly upon weakness or want of tone of the stomach, and is characterized by a variety of symptoms: such as pain, or aching in the region of the stomach; uneasy, bloated, or distended state of the stomach after eating; sometimes nausea, flatulency, heartburn and costiveness: palpitation of the heart, depression of spirits, and langour. TREATMENT.-The best remedies for indigestion are Pulsatilla and N'ux-vomica, the former, morning and noon, and the latter at night. In cases occurring during the summer, attended with head-ache, aversion to food, a painful dis. tension in the pit of the stomach, and a vomiting of food; give Bryonia three times a day, an hour before eating. Carbo.-veg., is a good remedy for indigestion when attended with a sour taste; tasting of the food after it has been eaten, sickness of the stomach in the morning, raising of water from the stomach at night, and an offensive diarrhoea. Ipecac. or Antim. when it is attended with nausea 108 DYSENTERY. and vomiting, with a sense of fulness in the stomach. If it is caused by the use of tobacco, Nux-vomica or Cocculus; if caused by excessive study, Nuxvom., Lachesis, Pulsatilla; if caused by drinking cold water, Arsenicurn, Pulsatilla, Veratrumwhen caused by eating lobsters, crabs, muscles or other shell-fish, Rhus-tox. ADMINISTRATION.-It is best to give the remedy about an hour before eating. When more than one remedy is affixed to a condition, give the one named first, for two or three days; and if that does not have the desired effect, give the others in order similarly. DIET.-Let the diet be nutritious, but of the most unirritating character. DYSENTERY. Dysentery is characterized by an almost constant desire to evacuate the bowels, with the voiding at each effort of a small quantity of mucus, containing little or no fecal matter. The discharges vary in appearance, are white, yellow, or green mucus, and frequently mixed with blood,, and attended with the most violent bearing down and colicky pain at each effort at stool. DYSENTERY. 109 TREATMENT.- At the commencement of the disease, where there is some febrile heat, and the dysenteric discharges are attended with violent bearing down pain, give Aconite in alternation with Belladonna every two or three hours. When the discharges are mucus, some fecal matter and streaked with blood, and attended with colicky pains, Nux-vom. every four hours until relief is obtained. When the pains are cutting, before and after going to stool, and the matters evacuated are the *same as above, or watery and bloody, give Merc.cors. every two or three hours. When the discharges are mere white mucus, with or without chills passing over the back, Colchic-autum every three hours until the character of the stools become changed. When the discharges are' perfectly white mucus, and attended with a difficulty in voiding urine, Cantharides every two or three hours until the urinary difficulty ceases. When the discharges are greenish yellow, watery mucus, with blood, accompanied with colicky pains, which disappear after an evacuation, Colocynth every three hours. 7 .1 10 DYSENTERY. When the discharges are green, Chamomilla every three hours. When the discharges are principally mucus, and the patient complains of creeping chills passing over him, Pulsatilla every three or four hours. When the discharges are yellow mucus, and at tended with bearing-down pain, and a general soreness, give Staphysagria in the same manner. ADMINISTRATION. —Mix two or three drops of the medicine in a tumbler half full of pure cold water and give from a tea-spoonful to a table-spoonful at a dose. If pillets are used, dissolve ten or twelve in a like quantity of water and give in similar doses. LOCAL REMEDIES.-Much relief is generally ob. tained from hot fomentations to the bowels, by means of cloths wrung out in hot water. And when the bearing-down is very severe and produces much suffering, make use of an occasional injection of twenty drops of Laudanum to one or two table-spoonfuls of starch or rice water. DIET AND REGIMEN.-The diet should be very light and unirritating, and composed principally:of soft boiled rice, arrowroot or mutton broth made very simple. BAR ACHE.!: 1 EAR-ACHE. (Otalgia.) Ear-ache is generally the pain produced by an inflammation of the internal ear, and in many instances is not relieved until a suppuration takes place, with a discharge from the ear. TREATMENT.-For ordinary ear-ache, pain of a darting or pressing character, Pulsatilla every two hours until it is relieved. When it is attended with some febrile action, and the pain is of a beating, throbbing character, Belladonna every hour or two until the pain is mitigated. If the pain is worse when lying in bed, and there is a disposition to perspiration, Mercurius every three or four hours. If the pain is of a tearing and stinging character, and extend up toward the temple or forehead, and the suffering is greater in the morning, Nux-von. three times a day. When there is a painful aching, or a piercing, oressing pain in the ear, and pain extending to the kheek bones, Spigelia every hour until relieved. If the pain is worse at night and attended with I112 EARS, DISCHARGES. FROM THE. nausea, or if caused by getting wet, Dulcamara every four hours. ADMINISTRATION. -,Mix. two.or three drops, or dissolve teqn or twelve pillets, in a tumbler. about one-tairdd full; of water, stir it well,y and. give a teaspoonful at a dose. EXTERNAL APPLICATIONSi -.The application of warmth by meanso..of dry. heat, or simple.poultices, or fomentations, will generally tend, to relieve the severity of the pain. EARS, DISCHARGES FROM THE. A,running, or discharge from'the ears, is a. very common termination of inflammation of the internal ear, and not unfrequently succeeds. scarlet fever and measles. TREATMENT.-When the discharge is recent, and' simply the termination of an- acute attack of inflammation, (or ear-ache,) Sulphulr two or three times a day will soon arrest it. But if the discharge has continued for ally length of time and'becomes chronic, Pulsatilla, fMerctrius and.'Sulphur should be used;.onedose. a day ofthe EARS, DISCHARGES FROM THE. 113 first remedy for five or six days; then the others similarly if necessary. If the discharge succeeds an attack of scarlet fever, use Belladonna once a day for two or. three days-then alternately every second day with Hepar-sulph. When it follows an attack of measles, use Pulsatillac and Sulphur in alternation, every day a dose. If the discharge is a thick, purulent matter, give Calcarea-carb. or IHepar-sulphur, as above. If it is bloody matter, give Pulsatilla, Mercurius or Lachesis, one dose a day. ADMINISTRATION. Give three or four pillets at a dose, either dry on the tongue, or dissolved in a draught of water. And keep the ears perfectly clean, by frequent washing with warm water. 114 EPILEPSY. EPILEPSY. Epilepsy may be defined as chroiAc convulsions, with stupor, spasmodic twitching of the muscles of the face, and frothing of the mouth. TREATMENT.-When epilepsy occurs in a full plethoric habit, restrict the diet, and give Aconit6 opce a day. When there is violent spasmodic contortion of the limbs, clenched teeth, interrupted breathing, livid face, foaming at the mouth, Cicutce. When the attack is generally during the night, with starting and convulsion of the limbs, face pale, suddenly changing to red, breathing laborious and irregular, Belladonna. When the attack is more prone to return in the evening, with one side more affected than the other, the thumbs are clenched, and the patient foams at the mouth, Hyosciamues. When the attack commences by the patient's crying out, and the head is drawn backwards, features distorted, and the limbs violently con. vulsed, X2ux-vomica. ERUPTIONS. 115 When it is caused by a retention, or suppression of the menses, Sulphur and Pulsatilla in alternation. ADMINISTRATION.-Place two or three pillets on the tongue, every fifteen or twenty minutes, until the convulsion or attack is broken. But to remove a disposition to Epilepsy, give the remedy every'two or- three' days. DIET.-The diet should be light, unirritating and of easy digestion. ERUPTIONS. In prescribing or taking homneopathic remedies for the removal of eruptions, the part affected must be considered as well as the character of the eruption. TREATMENT.-For eruptions on the face, Caus. ticurm, Graphites and Sulphur, given in rotation, each remedy for a week, in daily doses. For an eruption on the lips, Mercurius once a day; if that does not cure in three or four days, give Causticum once a day. For an eruption on the fore-arms, Causticum and Staphysagria, in alternation, every second day a dose. 116 ERUPTIONS. When it is located on the join ts.:DulcamIra, Lycopodium or Sepia and Sulph/ur similarly. When located on the genitals, Mercurius, Rhus tox and Sepia. _lercurius first for three or four administrations, then the other remedies in alternation, every day a dose. When on the scrotum, Petroleum, Sepia, ana Sulphur, in the same manner. When the eruption appears on the scalp, Rhus-toa every day for a week, then Arsenicurnm similarly. If it still continues, use Calc.-carb. and Sulphur, in alternation, every day a dose. CHARACTER OF THE ERUPTION. For a pimply eruption Sulphur first, then RhuLstox every day. For a spreading eruption, Clematis, Graphites, Merc.-sol., Sulphaur. For dry, scaly eruptions, Arsenicum, Rhus-tozx Calc.-carb., Allum. For suppurating eruptions, Dulcamara, Lycopo dium, Mercurius, Staphysagria. For a mercurial eruption, repar-sulph. once or twice a day. For a syphilitic eruption, Mferc., Nit.-acid, Aurum. ERTSIIELAS. r1 1 AD'INm'sTaRATION.-Give two or'three pillets, or a small powder at-a dose. If the medicines are, in Tinctures, mix' two or three drops in a tumbler onethird full of pure cold water, stir well, and give from a tea-spoonful to, a table-spoonfil at a (' When more than. one remedy is named to a condition, give the first one for three or four days, one dose a day.. Should that fail. to produce a material improvement, give the next in order, in the same manner, and, if necessary, the next. DIET AND REGIMEN.-The diet should be light and unirritating,L and everything avoided that tends in the least to add to the grossness of the secretions.. EltX~SIPELAS. (St. Anthony's lire.) irysi-Jelas is a febrile disease, attended with an inflammation of the skin. The'simple variety appears in'the form of an irregular stain, or blotch of a bright red color,'which soon spreads to the adjoining surlface, attended with burning and sting. ing pain, redness and some swelling. TREATMENT. - At the commencement of the attack, and during the'febrile stage, give'Aconite and Belladonna in alternation, every two hours. 118 ERYSIPELAS. When the fever has abated, give Belladonna and Rhus-tox in alternation every two or three hours, until the redness and swelling subside. If it is attended with much biting, burning, sting ing and itching, and the skin has changed from a bright red to a yellowish appearance, give Bryonia every two or three hours. If blisters are formed on the surface, and they appear dark, or contain a dark, dirty appearing serum, give Arsenicum and Lachesis in alternation, every two hours. When the erysipelatous inflammation has sub. sided, and the skin appears rough and scaly, or scurfy, give Sulphur two or three times a day, until the skin begins to assume its natural appearance. ADMINISTRATION.-Dissolve ten or twelve pillets of the medicine, or two or three drops of the tincture, in a tumbler two-thirds full of water, and give a table-spoonful at a dose. to adults, and a tea. spoonful to a child. EXTERNAL APPLICATIONS.-Keep the part covered with powdered starch, or scorched flour, simply ~, shield from the air and light. DInTT.-The diet must be of the simplest kind; 12)0.FALLING OFF OF: THE HAIR. FALLING OFF OF THE HAIR. (Alopecia.) Loss of the hair is in many instances hereditary; it is a common thing to see entire families lose tteir hair and become bald quite early in life. But it is not unfrequently caused by severe fits of sickness, the abuse of mercury, the injudicious use of Quinine, and frequently results from syphilis. TREATMENT. -When it occurs after a severe fit of sickness, give Lycopodium, ITepar-szlph., Silex. When it occurs during confinement from childbirth, Calcarea, Lycopodium, Natrum-muriat., Sulph. When caused by grief, Phos.-acid, Staphysagria, Lachesis, Ignatia. When caused by severe attacks of head-acheHepar-sulph., Nit.-acid, Silex, Sepia, Sulph. When caused by mercury, Hepar-sulph., Nit.acid, Carbo.-veg. When caused by the abuse of quinine, Pulsa. tilla, Belladonna,: flepar-sulph. When caused by excessive sweating, Mercurius, 2Nit.-acid. When caused by syphilis, Jlercurius, Nit.-acid, Aurum. FALLING OF THE WOMB. 121 When the'hair falls off from the back part of the head, Carbo.-veg., Silex. From the temples, Calc., Kali, Lycopodium. When it falls off in spots, Cantharis., Phosphorus, Iodine. From the brows or eye lashes, Agaricus, Belladonna. Causticum. For falling out of the whiskers, Calc.-carb., Graphites, JNatrum-muriat. ADMINISTRATION.-Administer the remedy se. lected once a day, or every second day, and when two or more remedies are named to a condition, give them in the order in which they are arranged, using the first named for three or four administrations; then the next similarly, and so on. FALLING OF THE WOMB. This is a very troublesome and not unfrecquently a very distressing condition. It is characterized by a pressing and bearing down pain in the lower part of the abdomen, and a dragging pain in the small of the back, and is sometimes attended witn some urinlary difficulty. TREATMENT. —-The principal remedies for this 122 FELONS. affection are Belladonna in the morning and Nux vom. at night. ADMINISTRATION.-The same as in other uterine difficulties. FALLING OF THE VAGINA. This is cured by the administration of Mercurius once a day, or once every second day, in doses of two or three pillets at a time, or a small powder of the third trituration. FELONS. Felons arise from irritation between the fascia of the muscles, or the membraneous covering of the bone, producing at first a pricking sensation, similar to that caused by a brier or splinter; then heat, swelling, and the most intense beating and throbbing pain, which, if not arrested, proceeds to suppuration. TREATMENT.-If a felon is attended with much heat and some general fever, give a few doses of Aconite; at intervals of an hour or two; then give Silicea every four or six hours until a cure is effected. FEVER. 123 EXTERNAL APPLICATIONS.-As soon as the heat and swelling commence, keep the part constantlyr enveloped in a bandage wet with cold water containing a few drops of Arnica, (fifteen or twenty drops to a gill of water.) DIET —In accordance with the homceopathic rules. FEVER. (Febris.) Fever is a disease which is, (according to Dr. HIooper,) " characterized by an increase of heat, an accelerated pulse, a foul tongue, and an impaired state of several functions of the body." But it is nothing more or less than the reactive force of the vital powers.against disease. TREATMENT.-The only treatment necessary for the simple form of continued fever is Aconite, given every three or four hours. But if the fever is attended with stitches through the head, lameness of the back, and stiffness of the mulseles of the back and neck, give Dulcamara in alternation with the Aconite, as above. If the face is red and swollen, and the mind seems wandering, give Belladonna, in alternation 1 24 FEVER AND AGUE. with the Aconite, every two or three hours until the violence of the symptoms subsides. ADMINISTRATION.-Mix three or four drops of the medicine, or dissolve ten or twelve pillets, in a tumbler half full of pure cold water, and give from a tea-spoonful to a table-spoonful, as the condition directs. DIET AND REGIMEN.-The diet should be light, such as thin gruel, arrow-root, and the like. Cold water only should be drunk, and the room must-be kept well ventilated. FEVER AND AGUE. This form of fever is characterized by cold, hot, and sweating stages, succeeding each other at regular- paroxysms, which are followed by an intermission. TREATMENT.-When the thirst is equal during the cold, hot, and sweating stages; head-ache, pain in the pit of the stomach, a sudden prostration of strength, and the paroxysms occur every thirty.six hours, Arsenicum. When the chills are slight, and there is a great deal of dry heat, or when the chills come on. in the FEVER AND. AGUE. 125 night, followed by thirst and vertigo, Belladonna. When the cold stage predominates, and there is thirst only during the hot stage, Bryonia. When the thirst is only during the cold stage, Capsicum. When there is nausea and vomiting of bile, a bitter taste, and not much thirst, Antim.-crude. When there is vomiting at the commencement of the cold stage, and mucous diarrhcea during the intermission, and the patient complains of soreness of the entire body, Pulsatilla. When the sweating stage is not very profuse, and there is severe head-ache, or a partial blindness during the hot stage, Natrum-mur. When there is no thirst during either stage, Nitric-acid. When there is a partial numbness at the approach of the hot stage; tenderness and distension of the stomach and bowels, N2ux-vom. When the disease appears in marshy districts,. and is characterized by the cold, hot, and sweating stages, Quinine. ADMINISTRATION. —Mix three or four drops of the medicine in a tumbler half full of pure cold water, 126 FEVER REMITTENT. stir it well, and give from a tea-spoonful to a table. spoonful at a dose. If pillets are used, give five or six at a dose, every three or four hours during the intermission. DIET AND REGIMEN.-There is no occasion for restricting the diet in this fbrm of fever, any more than its non-interference with the medicines de. mands. FEVER REMITTENT. Remittent fever is that form which has a remission, or a very considerable diminution of the fever once or twice a day, or every second day. TREATMENT. —When the fever is high, the skin hot and dry, with head-ache, the pulse tolerable full, give Aconite every three or four hours. If there is prominent derangement of the stomach, weight in the head, with delirious talk at night, uneasiness and apprehension, Ant.-crude, and Bryonia, in alternation, every two or three hours. If the patient complains of pain of a rheumatic character, give Bryonia every three hours until the pain passes off. When there is violent heat, thirst, head-ache, or FISTULA IN ANO. 127 drowsiness, and the pulse is full, give Belladonna, in alternation with Aconite, every three hours until the symptoms are mitigated. If the fever approaches to a typhoid form, the tongue becomes dry and dark in the centre, and a disposition to low delirium ensues, give Rhus-tox and Bryonia, in alternation, every two or three hours until the symptoms become more favorable. ADMINISTRATION —Mix two or three drops of the medicine, or dissolve ten or twelve pillets, in a tumoler half full of pure cold water, and give from a tea-spoonful to a table-spoonful at a dose. DIET AND REGIMEN.-The diet must be very simple, such as plain gruel, arrow-root, rice or barley water, and the patient should not be disturbed by too many questions. FISTULA IN ANO., The term Fistula as used in surgery is applied to a "long and sinuous ulcer that has a narrow opening, and which sometimes leads to a larger cavity, and has no disposition to heal." The points where these abscesses burst, or open, are uncertain; sometimes in the buttock, at others 128?FISTULA IN ANO, near thle ve.rge of the anus,' or in the perineum, and sometimes there is an eixternal and internal opening communicating with a cavity. TREATMENT.-When the fistulous opening is attended with a creepingsensation in the rectum, or an itiching pain in the anus, use Rhus-tox morn. ing and evening. When there is an excessive itching of the anus day and night, give Causticum once a day. When it is attended with an itching of the anus and a discharge of white mucus before and during a stool, or swelling about the anus of a painful character, give Kali-carb. oice a day, or every second day a dose. Wheniiit is attended with a discharge of matter and blood from the anus, and the sphincter muscle appears constricted, give Lachesis every morning or evening. When the fistulous opening is surrounded with ~everted. red and shining edges, use Lycopodium once a day. When attended with pain and burning during the day, oozing of moisture, or a discharge of mucus from the anus, Sepia every evening. If attended with violent stitches; particularly in FIST'ULA IN ANO. 129 the evening, or a creeping sensation in the rectum as if caused by worms, Sulphur once a day. When there is a constant discharge of matter, Silicea once a day. When: the ulcer breaks but again after having been healed, and emits a bloody lymph, instead of pus, use Cdrbo.-veg., morning and evening for three or four days. ADMSNISTRATION. -Use five or six pillets at a dose, or when tinctures are used, mix two or three drops in a tumbler about one-third full of water, stir well, and take from a tea-spoonful to a dessertspoonful at a dose. If powders are used, take as much as will lay on the point of a pen-knife blade at a dose..DIET AND REGIMEN.-If the bowels are constipated (costive,) the diet ought to be rather relaxing than otherwise, but if there is a disposition to diarrhcea and debility, the food should be nutritious and bracing, but in accordance with homceo. pathic rules. 130 FLUOR ALBUS, FLUOR ALBUS. (Whites.) Leucorrhoea, or fluor albus, is a mucous, milky secretion from the vagina, which varies in con. sistency and color, and is sometimes attended with excoriations, smarting pain in the back and loins, debility, and frequently palpitation, and the loss of appetite. TREATMENT.-When the discharge is copious, yellowish, and tenacious, Aconite morning and evening. When it is thick like cream, and there is itching of the parts, Pulsatilla morning and evening. When it is fetid, giving the linen a yellow stain, and attended with costiveness and. pain in the back, Nux-vomica every night. When it occurs before and after the menses; smarting and urging to urinate, Phosphorus night and morning. If the discharge is greenisn, oepza every morning. When it is yellow and attended with itching and soreness, Sulphur once or twice a day. When the discharge is bloody, and appears be. FRACTURES AND DISLOCATIONS. 131 fore and after menstruating, attended with flatulent and colic pains, Cocculus morning and evening. When it is greenish, acrid and corrosive, Afercurius similarly. ADMIN'ISTRATION.-Mix two or three drops of the medicine, or dissolve ten or twelve of the pillets in a tumbler half full of water, and give a table-spoonful at a dose. DIET AND REGIMEN-According to homceopathio rules. FRACTURES AND DISLOCATIONS. I will not lay down any general or special rules for the treatment of fractures and dislocations, for they are not only properly included within the province of the Surgeon, but it would demand a volume to treat of their varieties in detail, as they deserve. It is well to remark, however, that a fracture or dislocation may be known by observing the extent of the injury, the distortion or position of the limb, and the inability to use it. When either has taken place, do not attempt its reduction, but place the limb in the easiest natural i 3;2 FROZEN OR FROST-BITTEN. position, apply cloths wet in diluted Arnica Tinct., (one part' of Arnica and three or four parts of cold water,) and send immediately for a skilful Surgeon. By all means avoid what are called -natural bonesetters, who work by instinct or magic, and leave a crooked limb as a memorial of their skill and your cupidity. FROZEN OR FROST-BITTEN. When any part of the nose, ears, face, hands, or feet, is frozen, rub them with snow or ice for a few seconds; then immerse them in cold water, or apply cold water, gradually'increasing the temperature until some color or a natural sensation returns. If violent reaction sets in, which is frequently the case, give a few doses of Acottite at intervals of an hour or two. Should it produce a red, shining swelling of the part, with itching and burning, give Agaricus every four or six hours. Should there be swelling, redness, burning and blistering of the part, similar in appearance -to vesicular erysipelas, apply Tinct. Cantharides to the part. But. when the part is much swollen, and covered GATHERED BREAST. 133 with a small pustular eruption, apply Spts. Turpentine. When there is not much swelling, but great pain and aching, bathe the parts frequently with Spirits, and give a few doses of Rhus-tox at intervals of two or three hours. ADMINISTRATION.-Give five or six pillets at a dose, or if Tinctures are used, mix two or three drops in a gill of water, stir well, and give to a child a tea-spoonful at a dose; to an adult give a dessert-spoonful. DIET AND REGIMEN.-In accordance with homaeo. pathic restrictions when taking medicines. GATHERED BREAST. Gathered breast is the result of pre-established, local irritation and inflammation, which generally result from cold; and when the condition denominated Ague in the Breast, passes to the suppurative stage, it receives the above term. TREATMENT. - When an inflammation of the breast is upon the point of suppuration, give iepar-sulph. every hour or two. 8 134 GLEET. After suppuration has taken place, use Silicea three times a day. When the discharge of pus has nearly subsided, omit the Silex, and give Sulphur once or twice a day,' until the breast is entirely healed. EXTERNAL APPLICATIONS.-The numerous poultices and drawing applications, which are generally used to favor suppuration, are very prone to involve the adjacentd tissue in the difficulty, and sometimes prove very destructive. If anything is necessary, it must be of the simplest character, and merely serve to protect the part from the clothing and.external iljury. ADMINISTRATION.-Give a small powder at a dose, or if pillets are used, give five or six as above directed. GLEET. Gleet is a mere appendix to frequent attacks of, or.improperly treated gonorrhoea (clap,) and fre. quently continues a long time after the original disease has passed off, or at least the danger of comlnunicatinlg i.t has. ceased. It consists of a thin, semi-transparent mucous discharge, unattended with pain or burning. GOUT. 135 TREATMENT.-If there is any local irritation, or tenderness of the parts during the gleety discharge, take one drop of the Oil of Cubebs on a piece of sugar morning and evening, and bathe the parts frequently with cold water. But if the discharge still continues, and there is considerable weakness of the parts, use the Ferrummuriatis internally, and use moderately a stringent injections. DIET AND REGIMEN.-In accordance with treatment, but more liberal than in gonorrheoa. Take moderate exercise and avoid violent exertion, such as lifting and straining. GOUT. (Arthritis.) Gout sometimes appears suddenly, at other times it is preceded by an unusual coldness, and suppressed perspiration of the feet and legs, diminished appetite, indigestion and flatulency. In some instances the patient is awakened from sleep by a severe pain in the first joint of the great toe. It sometimes attacks other parts of the foot such as the heel, or perhaps the entire foot. TREATMENT.-When the attack commences with GOUT. 137 every half hour or hour, until the sickness of the stomach is removed. But if it is more of an intense pain, use iNux-vom. as above, until it is relieved. When it passes from the feet to the heart, and is attended with fever or symptoms of inflammation, use Aconite every hour until the feverish symptoms subside. Then if pain continues in the region of the heart attended with palpitation and difficult breathing, use Pulsatilla and Spigelia in alternation every hour until the pain ceases. When the kidneys become affected, use Aconite and Belladonna in alternation every hour, until the fever subsides; then use a few doses of Cantharides at intervals of two or three hours. ADMINISTRATION.-Give three or four pillets at a dose, or mix two or three drops of the medicine in a tumbler half full of water, stir it well, and give from a tea-spoonful to a table-spoonful at a dose. DIET,-The diet must be restricted, as high living is in most instances the cause of gout, particularly if assisted by stimulating drinks. HEAD-ACHE. 139 Belladonna and Rhus-tox may be used where there is a violent bearing down and pressing pain. ADMINISTRATIoON-The remedies for the removal of the attending symptoms may be prepared by mixing two or three drops of the tincture. or ten or twelve of the pillets in a tumbler half full of water; stir well and give a dessert-spoonful at a dose every hour or two until the patient is relieved; then continue with the Kali.-carb. as above d.irected. DIET.-In accordance with homceopathic treatment; the drinks should consist of slippery elm, flax seed, or gum arabic tea. HEAD-ACHE. Headache, like cough, is symptomatic of many diseases, but sometimes appears independent of other apparent affections, or at least as a predominating symptom, and as such, directs the remedy in a great measure. TREATMENT.-For a violent head-ache, attended with fever, give Aconite and Belladonna every hour, in alternation, until it is relieved. Use the 140 HEAD-ACHE. latter remedy if it is a dull, heavy, intoxicating head-ache. When the head-ache occurs mostly in the morning, or if it is a head-ache that prevents stooping, in consequence of the pressure in the forehead, give Bryonia every hour or t;wo until it is relieved. When it is more of a lacerating pain in one side of the head, Pulsatilla three times a day. For a head-ache obliging the patient to lie down, Rhus-tox every hour until relief is obtained. For a severe head-ache, with sickness of the stomach; one-sided head-ache; or for a headache when the scalp feels sore to the touch, Nux-vomica every two or three hours. For violent beating in the entire head, and particularly when caused by the heat of the sun, give Lachesis every hour until it is relieved. For aching pain in the forehead; lacerating, throbbing head-ache, as if the eyes would be torn from their sockets, Cocculus. EXTERNAL APPLICATIONS. —There is no objection to the application of cold water to the head, when it feels grateful, nor to warm or even stimulating applications to the feet, particularly when they are cold. IIEARING. 141 HEARING The organs of hearing are delicate and comrn plicated, and subject to many impressions which are calculated either directly or indirectly to disturb their functions and to produce deafness, partialor complete. TREATMENT.-When hardness of hearing is attended with a tickling and roaring in the ears, use Aconite once a day. When attended with humming or roaring in the ears, Belladonna once a day. If attended with singing in the ears, particularly while sitting, give Arsenicum once or twice a day. When the partial deafness is attended with a noise as of rushing waters, or the right ear feels closed, use Coccutlus every second day. For hardness of hearing, attended with a dis. charge from the ears, use, in alternation, one dose a day, Belladonna and Pulsatilla. If attended with a roaring or ringing in the ears in the morning when rising, give Nux-vomica every night. 142 HEARING. For partial deafness, attended with rawness and excoriations of the internal ear, use Mercurius once a day. If the deafness is caused by enlarged tonsils, as is frequently the case, give Nitric.acid and Iodine. Give the former first, one dose a day for a week or two, then the latter similarly. If caused by the suppression of cutaneous eruptions, give Sulphur first, then Antimony, Graphites, or Lachesis, as they are here arranged, one dose a day for five or six days until: they have the desired effect. ADMINISTRATION.-TO an adult: give five or six pillets at a dose; to a child give from two to three. But if the medicines are tinctures, llix two or three drops in a tumbler half full of pure cold water, stir it well, and give from a tea-spoonful to a table-spoonful at a:dose.. DIET AND REGIMEN.-The diet must be in ac. cordance with the condition of the patient and coin. patible with homceopathic treatment. IIEART-BURN. 143 HEART-BURN. (Waterbrash.) Heart-burn is one of those unpleasant symptoms which attend dyspepsia and an acid condition of the stomach; it is also -a very common symptom during pregnancy. TREATMENT. — The principal remedies in this affection are Nux-vom., Pulsatilla, Bryohia, and GCarbo-veg. When it is attended with a bitter or sour taste, sickness of the stomach, sour eructations, raising of an acid water from the stomach, and there is an uneasy sensation in the pit of the stomach, give Nux-vom. morning and evening, and continue its use so long as the bowels remain constipated. But if there is a disposition to diarrhoea, give Pulsatilla, as above. When heart-burn is attended with a painful distension of the stomach, aversion to or vomiting of food, and pains in the extremities or headache, give Bryornia three times a day. When' there is a flatulent condition, sour taste, eructations, and tasting of the food after it has been 144 HIP-JOINT DISEASE. eaten, or when attended with raising acid water from the stomach at night, use C'arbo-veg. morning and evening. ADMINISTRATION. —Give three or four pillets at a dose, or mix two or three drops of the medicine in a tumbler half full of cold water, stir it well, and give from a tea-spoonful to a table-spoonful at a dose. DIET. —Some attention Should be paid to diet. Avoid all kinds of greasy or oily articles of food, and also such as are indigestible. HIP-JOINT DISEASE. This is a scrofulous affection of the hip-joint, and during its early stages is very likely to mislead the inexperienced, in consequence of the principal pain being first experienced in the knee; and when the disease has sufficiently advanced to distort the hip, it'has been mistaken for a dislocation. TREATMENT.-This is one of those diseases which depends upon a scrofulous diathesis and must be treated by a nourishing plan, calculated to in. crease the solid constituents of the system. The HOARSENESS. 145 remedies, and the diet and regimen, must be substantially the same! as in other scrofulous affections of the joints. Vide White Swelling. HOARSENESS. (Raucedo.) Hoarseness is generally symptomatic of other affections. But it sometimes appears as the. promi. tent symptom to be regarded in point of treatment, and frequently is secondary to other affections, especially to eruptive fevers and bronchial difficulties. TREATMENT.-For acute hoarseness, with a rough dry cough, soreness, and tenacious mucus in the throat; alternate chills and flashes of heat; the patient morose and impatient, give Nux-vomica three times a day. For hoarseness, with a rough voice; a burning, tickling sensation in the throat, and disposition to perspiration, Mercury in the same manner. When hoarseness occurs in children, and is attended with a rough, dry cough, soreness and mucus in the throat, and with fever in the evening,:give Chamomilla every four or six hours. (1 146 HOARSENESS. For a hoarseness, with soreness of the throat and chest, aggravated by talking, and pains in the limbs and head, give Bryonia and Rhus-tox in alternation every two or three hours. For hoarseness, increased by talking, or during wet weather, worse in the morning and evening, use Carbo-veg. or Phosphorus every three or four hours. For hoarseness, with roughness and scraping in the throat, dryness of the nostrils, loss of smell or irritation of the nose, give Sulph. two or three times a day. For hoarseness, continuing after measles, use Pulsatilla, Carbo-veg., or Sulphur, two or three times a day. For chronic hoarseness, associated with catarrhai symptoms, give Phosphorus every evening. When the hoarseness is worse in the morning and evening; and for weakness in the organs of speech, give Causticum morning and evening. For hoarseness, with a burning sensation in the throat; when the tonsils are enlarged and inflamed; and there is difficulty in swallowing, give Bella. donna every four or six hours. HOOPING COUGH. 147 Give Belladonna in alternation with Aconite every three hours in all cases of hoarseness, associated with an inflamed condition of the throat and tonsils. For hoarseness, secondary to Scarlatina, give Belladonna and Sulphur. DIET AND REGIMEN. —Light and unirritating food mnd drinks of cold water or mucilaginous liquids, of rice, gum arabic, etc. Use no external application, but pay a proper attention to warmth, and strictly avoid a variable temperature or a humid atmosphere. HOOPING COUGH. (Pertussis.) Hooping cough is a contagious disease, characterized by a convulsive, strangulating cough, at. tended with a peculiar sound, which is termed a hoop. TREATMENT.-During the first stages of the disease, when the child appears feverish, has a dry cough, and some difficulty in breathing, give Aconite two or three times a day. l 48 HOOPING COUGH. If. the cough is severe and suffocative, especially in the evening, or worse after taking nourishment, use Bryonia three times a day. When the cough is dry, and worse after midnight, accompanied with vomiting and bleeding at the nose, give Ipecac. and Nux-vom., in alternation, every four hours. But when the cough is loose from the commencement, with copious expectoration and frequent vomiting of mucus, use Pulsatilla every four hours. When the cough is fully established, and the peculiar hoop attends each paroxysm of coughing, Drosera morning and evening. ADMInISTRATION.-Dissolve six or eight pillets, or mix two or three drops of the medicine in a tumbler about one-third full of water, stir well, and give a tea-spoonful at a dose. DIET AND REGIMEN.-The diet should be light and unirritating, but sustaining; and all exposures to variable and humid atmospheres strictly avoided. HYDROPHOBIA. 149 HYDROPHOBIA. (C anine Madness.) This disease is produced by the bite of a rabid animal, as a dog, cat, or fox, and persons thus bitten dread the s'ight of water: hence its name. There are most generally premonitory symptoms prievious to the full development of madness. The wound assumes a livid appearance, its edges become raised and inflamed, and discharge a thin, watery ichor, and, if the wound has closed, the scar will become slightly elevated, burst open, and discharge a foul, thin, offensive matter, with severe pain extending throughout the entire limb or body. The patient then begins.to be reserved, suspicious, gloomy, and desponding. These symptoms gener. ally continue from two to eight days, and are followed by a perfect aversion to all liquids, especially water. The thirst'is urgent, and an attempt to drink excites the most violent'suffocative spasms. The secretion of saliva becomes so profuse that the patient is almost constantly spitting. As the disease advances, his expression'becomes kvild, furious and agonizing, and he attempts to bite every person within his reach. TREATMENT.-Aconite and Belladonna should be 150 HYDROPHOBIA. given in alternation every hour or two during the commencement of the attack; and when there is more of a trembling of the arms than violent motion; when the eyes are red and staring, with inability to swallow, give Hyosciamus. This remedy is more particularly indicated if the bowels are loose, and if there are involuntary discharges of urine. Stramonium and Lachesis are also good reme. dies; the former every two hours, when the face is swollen and turgid, the eyes sparkling or swollen and protruding; the tongue swollen, with difficulty in articulating; the latter similarly, when the face is pale and sunken, the eyes inflamed; when there is an accumulation of saliva in the mouth, and an inability to swallow. ADMINISTRATION.-In consequence of the horror for liquids, and the great difficulty in swallowing, the medicines ought to be given in the form of pillets or powders. Place five or six. pillets on the' tongue and allow them to dissolve, or a small powder of the medicine may be used in the same way. HYSTERICS. 151 HYSTERICS. Hysterics, according to Hooper, " appears undel such various shapes, imitates so many diseases, and is attended with such a variety of symptoms, that it is difficult to give a just character or definition to it." It appears in paroxysms of laughing, crying, screaming, or in a rapid transit from one to the other, the patient sometimes violently gesticulating, biting, and pulling out the hair, and sometimes is violently convulsed, requiring three or four ablebodied men to keep her on the bed. TREATMENT.-When this disease occurs in a young female, or in one of full, plethoric habit, give Aconite and Belladonna, in alternation, every hour until the patient is relieved. If the patient is delicate, nervous, and subject to palpitation of the heart, give Pulsatilla every half hour or hour until she is relieved. When the attack occurs in a person troubled with painful menstruation, and rather melancholy, use Ignatia similarly. INFLAMMATION. 153 and rigors set in; and Gangrene, or mortification, when the pain abates, the pulse sinks, and cold per. spiration appears. Acute inflammation runs a rapid course; the symptoms are well defined, the pulse full and bounding, and the skin hot and dry. Chronic inflammation is milder, and of longer duration. Local applies to a part or viscous; and General to the entire systemn. Erysipelatousf inflammation is of a dull red color, superficial, and merely of the skin, spreading unequally, with burning and stinging, and generally ends in vesicles or desquamation. Vide Erysipelas. TREATMENT.-The remedies employed for the removal of inflammation are, Aconite, Bell., Bry., Puls., and others; depending upon the part or viscous affected. Aconite is, however, the first grand remedy in the treatment of active inflammation, (the Sthenic of the old school.) DIET AND REGIMEN.-The diet in all cases of inflammation must be very simple, and of a cooling character. 156 INFLAMMATION OF THE BOWELS. Lachesis every two hours, when it is attend d with lacerating and cutting pains, a burning extend ing towards the chest, and constipated bowels. Bryonia every two or three hours, when there is a lacerating and drawing in of the abdomen, from the hips to the stomach, followed by stitches. Opium every hour or two, when the abdomen is distended, the bowels obstinately constipated, and the pain is of a griping character, as if physic had been taken. ADMINISTRATION.-Dissolve ten or twelve pillets, or mix two or three drops of the medicine in a tumbler half full of cold water, stir it well, and give a table-spoonful at a dose to an adult, and a tea-spoonful to a child. EXTERNAL APPLICATIONS.-A pply hot fomenta. tions to the bowels. DIET AND REGIMEN.-The diet must be light, and of a mucilaginous character-such as soft boiled rice, arrow-root, sago, or oat-meal gruel. INFLAMMATION OF THE EAR. 15? INFLAMMATION OF THE EAR. ( Otitis.) Inflammation of the internal ear, is known by a most excruciating, throbbing pain in the ear. which frequently extends through the head, and is accompanied with fever. TREATMENT.-When the fever is high, the pain acute, and extending through the head, give Aconite and Belladonna in alternation, every two hours. But when the pain is of a pressing character, as if something would press out; a stinging, or a discharge of pus from the ear, Pulsatilla every two or three hours,until relief is obtained. When there is pain, or soreness and excoriation of the internal ear, Mercurius every three or four hours. When the acuteness of the symptoms has passed off, and there remains an itching of the outer ears, or sensitiveness to hearing, or a humming and whiz. zing in the ears, Sulphur morning, noon and night, until these symptoms are removed. ADMINISTRATION.-Dissolve ten or twelve pillets, 158 INFLAMMATION OF THE EYES. or mix two or three drops of the medicine in a tumbler half full of cold water, stir it well, and give a tea-spoonful at a dose to a child, and a tablespoonful to an adult. EXTERNAL APPLICATIONS.-Great relief is frequently obtained from the application of warmth to the part, as hot fomentations, or a sitnple poul. tice of bread and milk, applied between cloths. INFLAMMATION OF THE EYES. (Opthalrnia.) TREATMENT.-When the inflammation is of an acute character, attended with severe pain in the head, give Aconite every three hoursl When the eyes are very red and congested, give Belladonna and Aconite in alternation, every three hours. When the inflammation is more of the eye-lids, with swelling, particularly of the lower lid, Euplh-. rasia three times a day. When the inflammation and pain are of a rheu matic character, give Bryonia and Rhus-tox in alternation, every two or three hours. INFLAMMATION OF THE EYES. 159 When the pain is of a stitching, penetrating character, extending into the head, Spigelia. When it occurs in a scrofulous person, Calc.-carb. twice a day. For catarrhal inflammation of the eyes, a profuse discharge of a purulent character, or agglutinating of the lids together in the morning, and swelling of the lids, Sulphur first, then Phosphorus two or three times a day. When there is redness, sensitiveness to light, and a sensation as if a particle of sand were in the eye, Sulphur and Calcarea-carb. in alternation, every three or four hours. ADMINISTRATION.-Dissolve five or six pillets in as many tea-spoonfuls of water, and give a teaspoonful as directed above. The eye should also be shielded from the air and light as much at possible. 160 INFLAMMATION OF THE HEART. INFLAMMATION OF THE HEART. (C orditis.) We may be thankful that this disease is not of frequent occurrence, as it is very dangerous and runs a rapid course. The symptoms are fever, pains in the region of the heart, anxious and oppressive breathing, palpitation of the heart, at times most violent and irregular; the pulse small, tense, irregular, and tremulous; difficulty in swallowing, fainting, and sudden starting in sleep. TREATMENT. —Give Aconite and Bryonia in alternation every half hour, until there is an abatement of the general fever. Then if the pain continues severe in the region of the heart, or there is a tensive dullness of the left half of the chest, palpitation of the heart, and diffi. cult breathing, give Canrnabis every hour, until the patient is relieved, or another medicine is indicated. When the pain is more of a spasmodic character; oppression, with suffocating fits of coughiig, violent palpitation, and the symptoms are aggravated when lying on the side, give Pulsatilla and NLux-vom.; the former morning and noon, and the latter at night, INFLAMMATION OF THE LUNGS. 161 or every three hours during the night if there is no relief. When there is fine stitching pain in the region of the heart, or lacerating, with constriction of the chest, violent beating of the heart, and threatsned suffocation, give Spigelia every two hours, until relief ensues. ADMnlSTRATION.-The same as in other inflammations. DIET AND REGIMEN.-The same as in otler inflammations. INFLAMMATION OF THE LUNGS. (Pneumonia.) Inflammation of the lungs is characterized by fever, difficult breathing, cough, a sense of weight, and pain in the chest. TREATMENT.-The chief remedies in this disease are Aconite and Bryonia given in alternation every two or three hours, until the most prominent symptoms abate. But when the pain is more of a stitching char. 162 INFLAMMATION OF THE LUNGS. acter, particularly if in the left side, and attended with an expectoration of mucus, streaked with blood, give Pulsatilla every two hours, until these symptoms are arrested. When the cough produces much suffering, the expectoration is a bloody mucus, or a dirty muddy sputa, give Bryonia or Phosphorus in alternation with Antimony-tart., every two hours. Strictly avoid all external applications to the -chest, excepting simple fomentations. ADLLNISTRATION.-Prepare the remedies as previously directed, and give them as directed.above. But when the condition demanding the use iof Phosphorus and Antimony exists, give the Phosphorus in drop doses of the third attenuation or dilution. DIET AND REGIMEN.-The diet should be mild and unirritating; the free use of mucilaginous drinks, such as gum arabic water, slippery elm, and flaxseed tea, will be found beneficial. INFLAMMATION OF THE KIDNEYS. 163 INFLAMMATION OF THE KIDNEYS. (Nephritis.) This disease is denoted by fever, pain of a very acute character in the region of the kidneys, shoot. ing along the course of the ureters, numbness of the thighs, frequent voiding of highly-colored urine, and sometimes by vomiting. TREATMENT.-At the commencement of the disease, when the fever is high, give Aconite every hour or two, until the fever subsides. Then if the pain is shooting, tearing and cutting, the emission of urine very painful, scanty, and sometimes mixed with blood, give Cantharides every two hours, until the symptoms are better. But when the pain in the back has become more like a bruised or contracted feeling, and there is a painful ineffectual desire to urinate, give N'ux-vomica every two hours. When it is attended with a stitching, or lacerating pain in the back, and drawing, tensive pain in the spermatic cord to the testes, frequent desire to urinate, and a brick-colored or purulent sediment in the urine, give Pulsatilla every two hours. 164 INFLAMMATION OF THE LIVER. When attended with a smarting and burning, before and after urinating, passing of a small quantity of urine at a time; or a discharge of mucus from the urethra, give daninabis every hour, until relief is obtained. ADMINISTRATION.-Mix two or three drops of the tincture, or dissolve ten or twelve pillets in a tumbler half full of water, stir well, and give a dessertspoonful at a dose; if the patient is a child, give a tea-spoonffil. DIET AND REGIMEN -As in Inflammation of the Bladder. INFLAMMATION OF THE LIVER. (Hepatitis.) Inflammation of the liver is seldom attended with such acute pain as accompanies pleurisy. It is more of a tensive, dull, and obtuse pain in the right side, and is generally attended with an inability to lie on the left. TREATMENT.-At the commencement, if there is much fever, and pain of a stitching character, give Aconite every two hours until the fever abates INFLAMMATION OF THE LIVER. 165 Then, if the pains become of a pressing character, and are aggravated by motion, and the tongue is coated with a yellow fur, give Bryonia every three hours. When the pain is contractive, and the region of ihe liver exceedingly sensitive to the touch, lNuxvom. every three hours. After the general fever has been removed by Aconite, the disease will most commonly yield to the use of Bryonia in the morning, Mercurius at noon, and Nux-vorm. at night. These remedies will be found to cover every indication of the disease. But when it is caused by the continued use of Quinine, the remedy is Pulsatilla; should this fail, give Arsenicum every three or four hours. ADMINISTRATIoN, AND DIET AND REGIMEN-The same as in other inflammatory diseases. INSFLAMMATION OF THE STOMACH. 167 INFLAMMATION OF THE STOMACH. (Gastritris.) Inflammation of the stomach is characterized by fever, anxiety, heat, and pain in. the region of the stomach, and an increase of all the symptoms when anything is taken into the stomach. DIAGNOSIS.-Pain in the stomach, with a burning sensation, loathing of food, retching, vomiting, increased by taking anything warm; hiccough, pulse small and hard, tongue coated in the centre, with the edges and tip red and shining. CAUSES.-Acrid substances, such as arsenicand corrosive sublimate, crude articles of food, unripe, indigestible fiuit, drinking largely of cold water, taking ice cream, or iced fruits, when heated by exercise. TREATMENT.-The first remedy in this disease is Aconite, which is to be administered every two -or three hours, until there is an abatement of the fever. Then if nausea, with occasional retching continues, and the tongue is coated white, give Antim.. crude, every three hours. 168 INFLAMMATION OF THE TONGUE. But if the tongue is clean, and nausea and vom. iting continue, use Ipecac. every hour until the nausea ceases. When the disease is caused by cold articles taken into the stomach, such as ice, iced fruits, creams, etc., use Pulsatilla every two hours, until it is relieved. When it is caused by intoxicating drinks, Nuxvomica similarly. ADMINISTRATION.-Place two or three pillets on the tongue, and allow them to dissolve; and follow them by a tea-spoonful of iced water. DIET AND REGIMEN. —AII food is strictly prohibited until the disease is arrested; the patient may be allowed small quantities of ice water, and even small pieces of ice if it is desired. INFLAMMATION OF THE TONGUE. (Glossitis.) Inflammation of the tongue commences with a throbbing pain in the tongue; burning, attended with febrile symptoms, which soon become highly inflammatory. The tongue becomes hot, dry, red and swollen; the swelling increases, until it fills INFLAMMATION OF THE TONGUE. 169 the entire cavity of the mouth, and frequently pro, trudes between the teeth. TREATMENT. —Give Aconite every hour, until the high grade of inflammation and fever is subdued, or at least materially mitigated. Then the chief reliance is upon Belladonna and Mercurius, to be given in alternation every hour or two, until the swelling begins to abate; then extend the time to every three or four hours. But if the injudicious use of mercury has caused the disease, Hepar-sulph. must be used with the Belladonna. If caused by a mechanical injury, wash the part frequently with diluted tincture of Arnica, fifteen or twenty drops to half a tumbler of water. If caused by the bite or sting of an insect, use Spts. of Camphor or Ammonia instead of Arnica. ADMINISTRATION.-The same as in other inflam mations. 10 170 INFLAMMATION OF THE WOMB. INFLAMMATION OF THE WOMB. (Metritis.) This disease is generally the result of cold, suppressed menstruation, or appears secondary to child-birth, and is then termed child-bed fever. It is characterized by fever and a high grade of in flammatory action, commencing with chills, head ache, thirst, a quick and tense pulse, the abdomen becoming swollen, painful, and extremely tender. TREATMENT. —Give Aconite and Belladonna, in alternation, every two hours until the fever sub. sides. Then give Belladonna and Brydnia similarly until the head-ache and general nervous irritability are removed. If the abdomen still continues distended and tender to the touch; and the bowels are constipated, give N2ux-vomica every three hours. But if the above condition exists, with the exceptiolt of constipation, and there is a disposition to I1 looseness of the bowels, use Pulsatilla instead elf AT..x-vom. INFLAMMATION OF THE BRAIN. 171 Should typhoid symptoms appear, Bryonia and Rhus-tox must be used, in alternation, every two or three hours until the symptoms appear more favorable. iADMINISTRATION.-Mix two or three drops of the medicine, or dissolve ten or twelve pillets, in a tumbler half full of water, and give a table-spoonful at a dose. EXTERNAL APPLICATIONS.-I have always used fomentations to the abdomen, and with much relief to the patient. DIET-Must be light, and of the most unirritat ing character. INFLAMMATION OF THE BRAIN. (Phrenitis.) Inflammation of the brain is characterized by high fever, violent head-ache, redness of the face and eyes, beating and throbbing. of the temporal arteries, intolerance of light and sound, watchfulness and delirium. TREATMENT.-Give Aconite and Belladonna every 172 INFLUEBZA. two hours, in alternation, until there is a materia. mitigation of the symptoms. When the fever has somewhat subsided, and there is great sensitiveness to light and sound, or if there is raving or loss of consciousness, give Belladonna and Hyosciamus, in alternation, every two hours. When the face is red, eyes not much injected, but rather bright; the patient suddenly starting, as if frightened, Stramonium. When the -pains are shooting and aggravated by motion, Bryonia every three or four hours. A,:E'I.s:.rrroN. —Mix two or three drops of the medicine, or dissolve ten or twelve pillets, in a tumbler half full of cold water, stir it well, and give from a tea-spoonful to a table-spoonful at a dose. Apply cold applications to the head, and stilnulat ing ones to the inferior extremities. INFLUENZA. Influenza is a catarrhal inflammation of the mucous membranes of the nose, frontal sinuses, and sometimes of the superior part of the air pas. sages of the throat and lungs, producing coughing. 174 JAUNDICE. TREATMENT.-SSulphur is considered the specific for itch; give it three times a day, either in form of powder, tincture, or pillets. ADMINISTRATION.-Give of the powder, as much as will lie on a three cent piece at a dose; of the pillets, five or six at a time; of the tincture, mix five. or six drops in a tumbler one-third full of water, and give from a tea-spoonful to a tablespoonful at a dose. DIET-According to homceopathic restriction. JAUNDICE. (Icterus.) This disease depends upon a derangement of the liver and biliary organs. It is characterized by yellowness of the skin and eyes, clay-colored stools, highly-colored urine, loss of appetite, general languor, disinclination to physical and mental exertion, inactivity of the bowels, and sometimes by an uneasiness in the region of the liver. TREATMENT.-If jaundice is attended with any febrile heat, give Aconite every three or four hours until the increased heat passes off. LOCK-JAW. 175 For the loss of appetite, aversionl to food, pressure and uneasiness in the region of the stomach or liver, yellow skin, disinclination to mental and physical exertion, give Pulsatilla in the morning, Mercurius at noon, and Ngux-vom. at night; and so continue them until the disease entirely disappears. ADMINISTRATION.-In jaundice, I prepare the first triturations, given in about three grain doses, or the Aconite, Pulsatilla and Nux-vom. in tincture; mix two or three drops in a tumbler from one-third to half full of pure cold water, stir well, and give a dessert-spoonful at a dose. DIET-Must be unirritating and of easy digestion. LOCKJAW. (Trisnus.) Lock-jaw is a spasmodic rigidity of the rmuscles of the jaws. It is generally preceded by the fol. lowing symptoms: an uneasy sensation in the chest; slight spasmodic twitching of. the muscles of the throat; difficulty in swallowing; stiffness of the muscles of the neck and shoulders;: the muscles of the jaws become rigid, but not sufficiently so at first to prevent the patient from 176 LOOK-JAW. opening his mouth to some extent; the contraction, however, increases until the teeth are firmly pressed against each other; severe pain in the pit of the stomach sets. in, returning at intervals of five, ten, or fifteen minutes, with theo most frightful spasmodic contraction of every muscle of the body, producing the most intense agony; the countenance becomes distorted, the pulse irregular and quick, respiration hurried, the voice unnatural, the eyes dim, and the "jaws immovably locked." TREATMENT.-The first step in the treatment of lock jaw should be to inquire into the character of the cause, and to remove, as far as possible, the presence of irritating particles of grit, rust, dirt, spiculae of bone, needles, or whatever foreign substance may be in contact with the nerves, tendons, or fasciae; for, in many instances, the spasms will disappear upon the removal of an irritating foreign body. I have in several instances seen well de veloped symptoms of Tetanus pass tTff by removinE a part of a needle from the hand, wrist, and thumb, and pieces of glass from the foot. When it is caused by a punctured, lacerated, or contused wound, remove (as previously stated) all irritating substances, and give Arnica. I8' MEASLES. Rhu.s-tox is also a very excellent remedy in the Opisthotonos variety, when there is great languor; an inability to remain out of bed, and extreme sensitiveness to the open air. ADMINISTRATION.-Mix three or four drops of the medicine in a tumbler half full of pure cold water, stir it well, and give a dessert-spoonful every half hour until there is a marked improvement; then extend the time to two, three or four hours, as the improvement may indicate. If pillets are used, give five or six at a dose, as directed above. DIET AND REGIMEN-AS in other spasmodic af. fections. MEASLES. (Rubeola.) Measles is characterized by fever, hoarseness, dry cough, sneezing, dullness, and about the third or fourth day, by an eruption of small red points or dots, which after the third day of their appear. ance gradually fade, and "end in a mealy desqui. mation." TREATMENT. —It is seldom necessary to resort to any further treatment than a few doses of Aconite MEASLES. 179 at intervals of three or four hours, until the fever is moderated; then Pulsatilla, every four hours. But should symptoms of congestion of the brain set in, severe head-ache, the eyes injected, the face swollen, and sudden startings, use Belladonna every three or four hours. Should the cough prove troublesome and produce soreness of the chest, Bryonia, every three or four hours. Should the eruption suddenly disappear and sickness of the stomach ensue, give Ipecac. and Bryonia, in alternation, every three or four hours. When the fever and eruption have passed off, give Sulphur once a day for two or three days. ADMINISTRATION.-Dissolve ten or twelve pillets in a tumbler half full of water, or mix two or three drops of the tincture in a like quantity of water, stir it well, and give from a tea-spoonful to a tablespoonful at a dose. DIET.-In accordance with homceopathic treat 180 MENSES, IRREGULAR. MENSES, IRREGULAR. TREATMENT.-When the menses continue toc long, if in one of a full habit and disposed to plethora, give Aconite and Belladonna in alternation. every two or three days. If attended with pain in the small of the back, constipation and soreness of the abdomen, give Nux-vomica every night. If attended with cutting pains in the abdomen and pressure in the womb, Chamomilla every four or six hours. If attended with shuddering, chills, and palpitation, Pulsatilla once or twice a day. For insufficient menstruation, use Allum twice a day. When the menses are scanty and pale, Carbo.veg. three times a day. When attended with itching, or burning soreness in the pudendum, Cocculus every four or six hours. When attended with oppressive abdominal spasms, flatulence, and lameness, Conium every four hours until relieved. -MENSES, RETENTION OF. 181. When it is too profuse, vide Haemorrhage from the Womb. ADMINISTRATION.-Mix two or three drops of the medicine, or dissolve ten or twelve- pillets in about a.gill. of.water, stir it. well,. and give a dessert. spoonful at a dose. MENSES, RETENTION OF. This is more properly a delay of the first appearance of the menses. TREATMENT.-When the patient is rather pale, delicate and slender, and troubled with occasional shooting pain through the head, palpitation of the heart, and coldness of the hands and feet, use Sulphur in the morning and Pulsatilla at night. But when the face is flushed, and the patient complains of' morning head-ache, dizziness, and occasional bleeding at the nose, Bryonia morning and evening. When the retention is attended with:pain, shoot. ing up from the pudendtam' and if this is attended with shuddering,. and the pain -is relieved by' warm ]l 1 HSNSES, SUPPRESSION OF. 183 modic character, and the flow is rather copious, Cocculus every three or four hours, until relief ensues. When attended with very general pains; and cramps of the legs, give Veratrtum, every three or four hours. When the pains are principally in the small of the back, weakness of the limbs, extreme sensitiveness to pain, anguish and restlessness boffea every three or four hours. ADMINISTRATION. — MiX two or three drops, or dissolve ten or twelve pillets in about a gill of water stir it well, and give a dessert-spoonful at a dose. DIET AND REGIMEN.-In accordance with homceopathic rules, during treatment. MENSES, SUPPRESSION OF. (Amenorrhoea.) The term Amenorrhcea, is applied to a temporary suppression of the menses, after they have been regularly established. TREATMENT.-When a suppression of the menses takes place from cold, and is attended with head MENTAL DERANGEMENT. 185 MENTAL DERANGEMENT. Under this head is embraced the different forms and grades of diseases of the mind, such as, "IN SANITY, which'is characterized by a deranged intel lect, erroneous judgment, from imaginary perceptions, or recollections." MANIA, (Madness,) a raving, furious madness, and an entire perversion of the intellectual faculties. MONOMANIA, (Partial Derangement,) a form of derangement in which' the person is insane' upon one particular subject, and perfectly sound upon all others. DEMENTIA, (Without mind,) when There appears to: be an entire absence of mind; which condition may supervene slowly, or suddenly, in a mind already fully developed. AMENTIA, (Idiocy.):This form of derangement is generally congenital, and depends unquestionably upon physical conformation to a great extent, or it may result- from severe' sickness during infarncy, before the mind was even developed. IMBECILITY, (Mental Unsoundness,) or a degree of defective' development,: generally originfting 186 MENTAL DERANGEMENT. after birth, and in most cases less complete than the other forms mentioned; more properly speaking, it is a weakness of intellect. TREATMENT. —When the derangement consists in an inconsolable anguish, when the patient howls in a piteous tone, is apprehensive of death, or is fitful, sad, depressed, irritable and despairing, then gay and filll of hope, give Aconite every four or six hours. When the patient is desponding, and apprehensive of misfortune, has fearful illusions, sees and hears strange things, or appears stupid and childish, give nalccardium once or twice a day. When the patient is in a rage, tries to escape, or evinces a disposition to commit suicide, use Arsenicum once or twice a day. When the patient is disgusted with life, longs for death, and is disposed to commit suicide, is low spirited and dejected, Aurum. When the patient is perfectly insane, raves, and attempts violence upon himself and others, Belladonna every three or four hours. When he is in a despairing mood, is lost in MENTAL DERANGEMENT. 187 melancholy reveries, and suspicious of having com. mitted a crime, and sensitive to noise, Cocculus. For a fearful, superstitious, and hypochondriacal mood, Conium. For a complete loss of sense, when the patient does not know his nearest friends, rages furiously, foams at the mouth, mutters, and screams, is reproachful, and fierce, Hyosciamus. When the derangement is of a melancholic char. acter, the patient is quiet, serious, and avoids talking, Ignatia. When there appears to be a stupefaction of the senses, a state of indifference, or a delirium, with frightful fancies, Opium. When the patient is gloomy, melancholy and sad, anxious and apprehensive of dying, has a disposition to weep, sometimes alternating with a hys. teric laugh, and especially if this occurs during pregnancy, Pulsatilla every four or six hours. When the derangement is caused by a blow, Arnica. When by fright or fear, Aconite, Belladonna, ignatia. When by excessive joy, Cqoffea, Opztum, Pulsatilla. 1838 MILK. When by violent anger; Aconite, Nux-vomica Cham.,'Bryonia. When by intoxicating drinks, Nux-vomn., Opium. Hyoscianm. When by sexual abuses, Staphysagria, Phos phorus. When by debility, China and Ferrum. ADMINISTRATION.-Administer' the remedies as they'appear'indicated; for instance if the paroxysm is severe, give the medicine selected every two or three hours,'until a manifest impression-is madebut in chronic cases, characterized by milder symptoms. once or twice a day, and, in many instances every second day, is sufficiently frequent to repeat the remedies. MILK. For a deficiency of milk, make use of a liberal and generous diet, with plenty of Inilk, and take Calc.-carb., one dose' a day for a week; if that does not have the desired effect, take Causticum in the same manner, 190 EXCESS OF MILK. —MILK ERUPTION. EXCESS OF MILK. To decrease the amount, f milk when the secretion is too great, give Pulsatilla for two or three days, one dose a day; then Bryonia, and lastly Belladonna, in like manner. DIET AND REGIMEN.-The diet should consist of solids principally; milk, soups, cocoa, etc., must be prohibited. MILK ERUPTION. (Crusta Lactea.) This is a disease which mostly attacks some part of the face of infants at the breast. It is characterized by an eruption, of rather broad pustules, filled with a glutinous liquor, which forms yellowishwhite scabs when the pustules are ruptured. It sometimes commences on the forehead or scalp and then spreads to the face; it is seldom attended with any other consequences than the itching, which makes the infant rather restless. But it generally appears among the finest and most healthy children, and thereby removes the supposition of hereditary disease. 192 MUMPS, But, when. there, is not much- pain, but considerable haemorrhage. of bright red blood, give Hyosciamus every hour; this is the remedy also if convulsions are threatened. Should miscarriage take place and hemorrhage continue,i keep the patient perfectly quiet and give Secale-cornu. and Cinnamon, in alternation, every hour until it is arrested, to the extent that it should be. ADMINISTRATION.-Prepare and give the remedies as in the other uterine difficulties. DIET AND'REGrIMEN.-The food must be light and unirritating, and the drinks cold. MUMPS. (Parotidea.) Mumps is an inflammatory swelling of the parotid: gland, characterized by swelling of the cheek, at the angle of the jaw, which sometimes extends to the neck.: TREATMENT.-If there is any head-ache, or fever attending, use Aconite every -:three.hours, until. it subsides. MUMPS. 193 Then kMercurius every three or four hours. But if the patient complains of wandering pains, with occasional chils, use Pulsatilla in alternation, with the Mercurius. Should the swelling suddenly disappear, and the patient become stupid, or comatose, use Opium every two hours, and apply some hot application to the cheek and jaw. But should it affect the brain, and the patient become delirious, use Belladonna and Hiyosciamus in alternation every hour, until he is relieved. Should the swelling suddenly recede, and pass to:the testicles, (which it is very prone to do when the patient has taken cold,) or to the breasts of females,'give in the former case Pulsatilla and Nux`-vomica in alternation, every three hours; in the latter, use Belladonna every two or three hours; and apply moderate warmth to the parts. EXTERNAL APPLICATIONS.-It is desirable to: keep the cheek and angle of the jaws constantly covered with warm flannel, or dry and warmed cotton batting. DIET-In accordance with homceopathic rules. 194 NETTLE RASH OR HIVES. NETTLE RASH; OR, HIVES. This disease is characterized by hard elevations of the skin, irregular in form, white in the centre, and generally surrounded by a diffuse, pale redness, resembling very much in appearance the sting of a nettle; and attended with an intolerable burning, smarting, stinging, and itching. TREATMENT.-I have always succeeded with Urtica and Bryonia, given in alternation, every two or three hours. But, when it occurs at night-for large white blotches, with tormenting itching, and burning; the blotches appear in clusters, and produce considerable swelling of the parts, give Arsenicum every night, until it ceases to return. ADMINISTRATION.-Dissolve eight or ten pillets, or mix two or three drops of the medicine in about a gill of water, and give to a child a tea-spoonful at a dose, to an adult a table-spoonful. NEURALGIA. 195 NEURALGIA. Neuralgia, as the term implies, is a painful affection of the nerves. The pain is very sharp, piercing, and darting. For neuralgia of the face, vide Pain in the Face. For neuralgia of the head, use Coffea every half hour, when the pain is as if a nail were driven into the brain, when the patient is exceedingly restless, weeps, and feels chilly. Igrnatia every half hour, or hour, when the pain is momentarily relieved by motion, or change of position. Pulsatilla every three or four hours, when the pains are worse, towards evening, and during rest and sitting; for a degree of chilliness, and sometimes palpitation of the heart. When the pain is severe, the face flushed, and there is a dizziness, or dimness of vision, use Belladonna or Coccunlus every half hour, until relief is obtained. Colocynth, for most violent, excruciating, tearing, or drawing pains on one side; or severe aching, with sickness of the stomach. I96 NEURALGIA. Platina is also a good remedy, when the pain is on one side; or for a violent cramp-like pain at the root of the nose. Mercurius, when the pain darts down to the teeth, neck, and left ear; when it is worse at night, and partially relieved by pressing the head with the hands. Veratium, for pain of a very severe character, mostly on one side, for great weakness, the patient almost fainting when rising, cold perspiration and chilliness. Arsenicurn is also a good remedy, and should be used, if Veratrum does not relieve. For neuralgia of the stomach, vide Pain in the Stomach For neuralgia of the back, vide Pain in the Back. For neuralgia of the hip joint. For a pain in the hip-joint, as if it were dislocated, or a sharp, stitching pain, give Pulsalilla and Colo. cynth in alternation, every three or four hours. If the pain is lancinating in the hips, thigh, and groin, give Arsenicum two or three times a day. If the pain is of a tensive character, or pressure on the hips, as if it proceeded from the small of the back, use Lycopodium every three or four hours. .NODES. 1'97 ADMINISTRATION.-Mix two or three drops of the medicine in a gill of water, stir it well, and give a dessert-spoonful at a dose; if pillets are used, give three or four at a dose. NODES. Nodes are hard, circumscribed tumors, which are produced by inflammation and swelling of the membrane covering the bone, and generally appear where the integument covering the bone is the thinnest; on the shin, back of the ear, and forehead. TREATMENT.-It is all important that these hardened tumors should be removed as speedily as possible, and everything tending to a termination by suppuration, strictly avoided, that thereby disease of the bone may be prevented. The principal remedies are Mercurius, Nit.-acid, and Aurum. Give the first remedy twice a day for one week; then the second similarly, and at the end of a fortnight, should there be any of the swell ing remaining, use the Aurum similarly. While 198 NURSING SORE MOUTr. using the remedies, paint the swelling morning and evening with the Tincture of Iodine. DIET.-The diet should be perfectly simple, consisting principally of vegetables. NURSING SORE MOUTHIL Sore mouth seems to be constitutional with some females while nursing their infants, and appears to depend upon a peculiar condition of the digestive organs and the secretions of the mouth and throat. Causticum, Mercury, and Sulphur, are the only remedies which I have ever succeeded with. ADMINISTRATION. - Give the remedies above named in order, three times a day, continuing each one a week, until they have the desired effect. DIET AND REGIMEN.-Diet nutritious and of easy digestion; moderate exercise in the open air. PAIN IN THE BACR. 199 PAIN IN THE BAOK. Pain in the back likewise occurs frequently as an isolated symptom. TREATMENT.-For a painful stiffness in the back, give Bryonia every three or four hours. For a burning pain in the left side of the lumbar vertebrae, use Aconite similarly. For a pain in the small of the back, as if it were bruised and lame, use Arnica three times a day. For intense, cramping pain in the small of the back, Belladonna is the remedy. For ordinary pain in the small of the back, give Calcarea-carb. two or three times a day. For a drawing pain in the back, use Clzamomilla. For insufferable pain in the small of the back, aggravated by the least motion, give China every two or three hours. For drawing pain in the small of the back, with stiffness of the neck, IKali-carb. every three or four hours. 202 PAIN IN THE HEAD. For a sore pain through the entire chest, Stan. num. For a contractive oppression of the chest, Staphysagria. For violent, sharp, shooting, laninating pains, or an aching pain in the region of the breast bone, Veratrum. ADMINISTRATION.-Dissolve ten or twelve pillets in a tumbler half full of pure cold water, stir well, and give a tea-spoonful every half hour or hour, if the attack is a recent one, and acute; but if it is an old chronic difficulty, once or twice a day is sufficient. If the medicine is in form of tincture, mix two oi three'drops as above and give it similarly. PAIN IN THE HEAD. (Vide Head-ache.) PAIN IN THE FACE. 203 PAIN IN THE FACE. (Tic Douloureux.) This painful affection of the face very frequently baffles the best skill; particularly in affecting as speedy a removal of pain as is-generally'accom. plished with homceopathic remedies. TREATMENT.-For a tensive and lacerating pain, extending to the ear and head, Colocynth. lWhen the pain is in the cheek-bones, for violent and cutting pain, extending to the eyes, and pro. fuse secretion of tears, Belladonna. When the pains in the face are sharp stitches, with redness of the cheeks, Cocculus. For a severe pain in the face at night, Conlium. When the face is painful, and the bones of the face are sore when touched, Hepar-sulph. For a tearing pain in the face, Mercurius. For a tearing pain in the cheek-bone of one side of the face, and swelling of the cheek, Nux-vomica. When the pains are more in the jaws, and occur during the evening, Phosphorus. 206( PAIN IN THE NOSE. For constriction of the nose, use Hellebore twice a day. For soreness of the nose, and scurfy nostrils, Kali-carb. once a day. For swelling of the entire nose, use fercurius every evening. For soreness and ulceration of the external ring of the nose, Pulsatilla morning and evening. For polypus of the nose, use Staphysag., Phos., Calc.-carb., Silex, and Sepia. ADMINISTRATION.-Give five or six pillets at a dose; or mix two or three drops of the medicine in a tumbler one-third4 full of water, stir it well, and give from a tea-spoonful to a table-spoonful at a dose. For polypus, commence with the remedies in order, as named, and give a dose a day; con. tinuing each remedy three or four days. 208 PALPITATION OF THE HEART. For spasm, or cramp of the stomach, vide Cramp of the Stomach. ADMINISTRATION.-If the attack is recent and acute, give the remedy every ten or fifteen minutes, until relief is obtained; but if the pain is of a chronic character, once or twice a day is sufficient. DIET. —The diet must be light, and easily di gestible; and all kinds of pastry, indigestible fruit, etc., avoided. PALPITATION OF THE HEART. This is not only a very distressing symptom, but, in many instances, somewhat alarming. It does not, however, always denote organic disease, for it is a very common symptom in the young when there is a rapid growth, and also in those of delicate constitutions and nervous excitable temperaments. TREATMENT.-When it occurs in young, robust persons, use Aconite and Pulsatilla every ten or fifteen minutes during the attack, and in alternation PALPITATION OF THE HEART. 209 once a day for a few days, until the disposition is removed. When it occurs during old age, give Arsenicum and Lachesis similarly. When it occurs during pregnancy, give Nux. vomica and Pulsatilla similarly. When the attack comes on while the patient is at rest, or after sleeping, give Lachesis in the same manner. if the attack is attended with stitches in the region of the heart, use Ignatia and Spigelia, in alternation, in the same manner. When it is caused by fright, give Opium; when by sudden joy, Cojfea; when by fear, or anguish, Veratrum; when by intoxicating drinks, N1ux-vom. or Lachesis. ADMINISTRATION.-Dissolve six or eight pillets, or mix two or three drops of the medicine in a gill of water, stir it well, and give about a dessert. spoonful at a dose. 210 PALSY PALSY. Palsy is an entire loss, or a diminution of volun. tary motion, sometimes accompanied with drowsi ness. It usually comes on with a sudden loss of motion and sensibility of the part, but sometimes it is preceded by a degree of numbness, coldness, paleness, and slight convulsive stitches or twitches. TREATMENT.-When this disease occurs in a full, plethoric habit, give Aconite two or three times, at intervals of two hours. Should it continue, and if there is reason to suspect effusion or extravisation, give Arnica every two hours. If the palsy is of one side, or of the lower limbs, with a tingling sensation of the part, give Rhus-tox every three hours. When it is of the legs, and attended with trembling of the legs or sudden jerking or shocks, give Nux-vom. and Cocculus, in alternation, every three or four hours. For paralysis of the left arm, rendering it useless, PILES. 211 or if attended with a numbness, coldness, and a tingling sensation, give Aconite every three hours. For paralysis of the left side, or of one arm; and when the symptoms are aggravated during rest, use Lachesis every three hours. For partial palsy of the arms, with pain and tingling numbness of the hands, give Veratrum every three or four hours. For palsy of the tongue and organs of speech, give Belladonna and Hyosciamus, in alternation, every two or three hours. If there is not a mate. rial improvement in two or three days, use Lachesis instead of the Belladonna. ADMINISTRATION.-The same as in other affections. PILES. (Hemorrhoidk) External piles are small excrescences or tumors arising from a congested state of the inferior portion of the rectum, or they are situated on the verge of the anus, and are excessively painful and tender. When there are no swellings perceptible, but a degree of pain or uneasiness, and blood is passed during stool, it is termed Blind or Bleeding Piles. 212 PILES. TREATMENT.-For blind or bleeding piles, at. tended with pain in the back or colicky pain, give Sulphur in the morning and Nux-vom. at night. When there is a flatalent state of the bowels, loss of appetite, with nausea, and the bowels are very costive, give Antimr.-crud. morning and noon, and Nux-vom. at night. When they are swollen and painful; when there is itching and burning of the anus, and if there is difficulty in urinating, use Arsenicum two or three times a day. When the tumors are small, and the patient is troubled with a falling down of the rectum while at stool, and the bleeding is in fine jets, give Acidmuriatic every four hours. When attended with colicky pain; when the varices are swollen and painful, with itching, and a discharge of pure blood, use Garbo-veg. two or three times a day. When attended with a burning, excoriating pain in the anus and discharges of bloody mucus, give Mercurius three times a day. ADMINISTRATION. Mix two or three drops of the PIMPLES ON THE FACE. 213 medicine, or dissolve ten or twelve pillets bler half full of water, stir well, and give spoonful at a dose. PIMPLES ON THE FACE. (Acne.) This forIm of eruption generally appears on the faces of young persons at or about the age of puberty, or when the body is in full vigor; but they are sometimes caused by dissipation and other abuses. TREATMENT.-When the eruption occurs in youig people of rather delicate structure, use Sulphur once a day. When it appears in the young of rather plethoric habit, fair complexion, and especially if they are disposed to phlegmonous or glandular swellings, give Belladonna once a day or every second day. When it occurs in those of intemperate habits, give Nux-vom., Lachesis, and Ledum, in order, one dose a day. For the large, red Acne, use Carbo-an., Rhus-tox, Carbo-veg.; and for the black Acne (Acne punctata) 214 PLEURISY. use Belladonna, Iepar, and Nit.-acid, in order, one dose a day. When they are caused by mercury, use Hepar sulph. or Nit.-acid. When caused by syphilis, give Mercury first for a week, in daily doses; then Nit.-acid, sirnilarly. If caused by undue sexual indulgence, use Phos. and Staphysagria, in alternation, one dose a day. ADMINISTRATION.-Give five or six pillets at a dose, or if the medicines are tinctures, mix two or three drops in a wine glass full of water, and take a tea-spoonful at a time. PLEURISY. Pleurisy is an inflammation of the lining membrane of the chest, and is characterized by sharp, lancinating pain piercing like a knife, inability to draw a full breath, and fever. TREATMENT.-First give Aconite at intervals of an hour, for two or three times; then alternate it with Bryonia every three hours, until the suffering is mitigated. PLEURISY. 215 After which, Siulphur is a very good remedy; it tends to prevent depositions in the chest, which are'ot uncommon in this disease. Coffea, every night, is a very good remedy when the patient is recovering and is extremely restless at night. When the disease is caused by an injury, give Arnica first, for two or three times, at intervals of an hour; then commence with the other remedies, as above directed. ADMINISTRATION.-Mix two or three drops of the medicine, or dissolve ten or twelve pillets, in a tumbler half full of water, stir well, and give a dessert-spoonful at a dose. EXTERNAL APPLICATIONS.-There is no objection to dry heat or hot fomentations to the side. DIET AND REGIMEN-As in other inflammatory diseases. PREGNANCY, DISEASES DURING. 217 For an inability to retain the urine, give Bella. donna twice a day; if this is inefficient, give Stra. monioum in the same way; if that fails, give 1Iyosciamus and Sepia, in alternation, every four hours. Foi sleeplessness during pregnancy give Cofea or Chamomilla every evening; and if they do not have the desired effect, use NVux-vom. and IEyosciamus, in alternation, every other night For fainting (hysterics), give Ignatia morning and noon; if it still continues, use Pulsatilla and Belladonna, in alternation, every four or six hours. For piles during pregnancy, give Sulphur m the morning and Nux-vom. at night. For cramps in the abdomen, use Nux-vom.. morning and evening; should it not have the desired effect, give Pulsatilla and Chamomilla, in alterna. tion, every four or six hours. For convolsions during pregnancy, give Ignatia,once or twice a day, or give it in alternation with Tyosciamuss; should they not have the desired effect, give Platina once or twice a day. For cramps in the hips, use Colocynth and Rhu* tox, in alternation, every four or six hours. 220 QUINSY. QUINSY. (Ibflammation of the Tonsils.) Inflammation of the tonsils constitutes the ordi. nary inflammatory sore throat, or quinsy; and is characterized by redness and swelling of the tonsils, pain and difficulty in swallowing, and sometimes of breathing. TREATMENT.-In most instances Aconite and Belladonna given in alternation every two or three hours, will remove every symptom. But if the tonsils continue swollen, and of a red or purple color, and attended with sharp stitches through them, or the throat is dry, with a burning sensation, alternate Bryonia with the Belladonna. If the pain is of a stitching character, and extending to the ears when swallowing, the tongue foul and slimy, give )Mercurius every three hours. When small ulcers appear on the tonsils, and the pain while swallowing extends to the ears, and the throat is painful when touched, use Ignatia every two or three hours. RED GUM. 221 Should a disposition to suppuration appear; and a constant ringing, with an entire inability to swallow; and liquids escape through the nostrils, give Lahcesis and Hepar-sulphur in alternation, every two hours. ADMINISTRATION.-Mix two or three drops of the medicine, or ten or twelve pillets in a tumbler about a third full of water, stir well, and give a teaspoonful at a dose. DIET AND REGIMEN —AS in other inflammatory affections. RED GUM. The above term is given to a red, pimply erup. tion, which appears oal the face, neck, and- arms of infants, and sometimes spreads over the entire body. The origin of the term, or the propriety of its application to this eruption, is quite unknown to me. The eruption is generally produced by keeping the infant too warm, and appears rather innocent in its character, requiring no other treatment than oleanliness, proper temperature, and if the infant becomes rather restless, give Chamomilla. 222 RHEUMATISM. If it is exceedingly so, very sensitive, and disposed to cry, give a pillet or two of Coffea. ADMINISTRATION.-Give either of the remedies, if indicated, once or twice a day. RHEUMATISM. Rheumatism is characterized by pains in the joints, increased by motion, swelling, redness and increased heat of the part; the pulse is generally increased in frequency, and some thirst is present during the attack. It is also quite common for the pain to pass from joint to joint, constituting the form usually denominated the Acute Articular. The chronic form is distinguished by pains in the joints, or muscles, without fever. TREATMENT.-When the attack is preceded, or associated with fever, Aconite must be given every three or four hours, until a moderate perspiration sets in. When the joints are red, stiff, and much swollen, attended with burning pains, give Belladonna every three or four hours. RHEUMATISM. 223: WVhen -the pains are tearing, sharp, and stitching, and increased by motion, use Bryoniga, as above. When the pains are of a drawing character, and constant, worse at night, and the patient is very restless, give Chamomnila three times a day. When the pains are jerking like shocks, or tensive, and particularly when they attack the back and loins, with a degree of numbness, and tawitchings of the muscles, give Nux-vomica, every three or four hours. When the pains are worse in a warm room, or when ill bed, give Pulsatilla. When the pains are burning and tensive; worse at night. and the part is swollen, red and shining, give 1Rhus-tox. When the pains are lacerating and jerking, and more of the left side, and shooting from place to place, give Coichicurm. When it attacks a person addicted to the ex. Aessive use of ardent spirits, give Nux-vomnica. If caused by syphilis, give Mercurius. If it is caused by getting wet, use Dulcamara. If it is caused by the injudicious use of mercury, give Hepar-svlph. RICKETS. 225 such as gruel, farina pudding, plain toast, boiled rice, simple broths, and such like; cold or damp atmospheres must be strictly avoided. RICKETS. Rickets is a disease most generally confined to children under four years of age, and is characterized by a large head, prominent forehead, protruding breast bone, ribs flattened on the sides, a large tumid abdomen, thin emaciated limbs, and great debility. The muscles become relaxed, the limbs waste away, the joints enlarge, and the spinal column becomes variously distorted, producing in many instances great and most serious deformity. TREATMENT.-This disease requires two classes of remedies, viz.: medicinal and mechanical. Of the former, the principal are Sulphur, CaZc.-carb., Calc.-phos., and Ferrum. Give these remedies in from three to five grain doses of the first triturations, and as they are here arranged; one dose a day for a week, of the Sulphur, then the next in SALT RHEUM. 227 Should they still continue, and particularly if they are located on the face, use Causticurn once a day for three or four days, and follow it by Graphites and Sulphur, in alternation, every second day a Jose. ADMINISTRATION.-To an adult give two or three pillets at a dose. If the patient is a child, dissolve the pillets in a wine glass full of water and give a tea-spoonful at a dose. DIET-In accordance with homceopathic restrictions. SALT RHEUM Salt Rheum is a popular term applied to the different varieties of Herpetic affections and Tetters, anhd I may say to most of the scaly eruptions unattended with fever. TREATMENT.-For an eruption of small " red pustules, changing to ichorous, crusty, and spreading ulcers," use Arsenicum morning and evening. When the eruption consists in vesicles that burst SALT RHEUM. 229 When the eruption is in the arm-pit, give Carbo. animalis and Sepia, in alternation, one dose a day. When it appears on the face, give Causticuzm, Graphites, and Sulphur, in rotation; one dose a day of the first remedy for a week, then the next similarly, and so on until the desired effect is ob. tained. When the eruption appears on the fore arms, use Grxaphites, Staphysagria, and Sulphur, in like manner. When it appears on the joints, give Dulcamara, one dose a day for a week, then Lycopodium, Sepia, and Sulphur, in the same manner. When it attacks the genitals, give Mercurius, Rhus-tox, and Sepia, as above. When it appears on the scrotum, use Petroleum arnd Sepia, in alternation, every six or eight hours. For a dry and scaly eruption, use Arsenicumn. Allum is also a very good remedy. ADMINISTRATION.-Dissolve ten or twelve pillets in a gill of water, stir well, and take a dessert. SEMINAL WEAKNESS. 23-1 But if there is constant retching and great weakness, give Arsenicum every hour or two. When it is attended with costiveness, give Nuxvomica and Lachesis, in alternation, every three or four hours. ADMINISTRATION. —Mix three or four drops of the medicine, or ten or twelve pillets in a tumbler one. third full of cold water, and give a tea-spoonful at a dose. DIET.-The diet must be rather solid and pretty well salted, as it agrees best with the stomach in such cases. Avoid greasy or fat meats, and make use of iced water as a drink. SEMINAL WEAKNESS. This is a condition of the sexual system which is caused by excessive sexual indulgence, or the secret practice of self-pollution, a vice that the young are extensively addicted to, and often inconsequence of a want of the proper knowledge which should be imparted to them by their parents or guardians. Its effects are hazardous in the extreme, as it lays 232 SEMINAL WEAKNESS. the foundation of much physical and mental suffering. TREATMENT.-When the patient is pale, weak, apprehensive and melancholy; is almost incapable of thinking; has pain in the back part of the head; or pains in the small of the back and weakness of the limbs,: give N2ux-vom. every night before retiring. When in addition to the above symptoms, the patient is dull and heavy during the day and sleep. _ess at night, use Phosphorus morning and evening. If there is heaviness of the head; a desire to weep; sadness, coldness, with shuddering; loss of appetite, with distressing pressure in the pit of the stomach, give Staphysagria three times a day, or it may be given in alternation with Ignatia every six or eight hours. When the patient is harassed at night with frightful, intimidating and raving dreams, give Conium every evening before retiring. When it is attended with a degree of coldness; palpitation of the heart; gloom and melancholy; staggering gait, and trembling of the lower limbs, use Pulsatilla once or twice a day. SCALD HEAD. 233 ADMINISTRATION-AS in other affections. Sponge off the back and hips morning and evening with cold water. DIET-Of a nutritious character, but of easy di. gestion, and in accordance with the remedies em ployed. SCALD HEAD. Scald Head is characterized by an eruption on the scalp, of pustules denominated favi and achores. The latter are small accumunated pustules, containing a straw-colored matter, which has the appearance and consistence of honey. The favus is larger, flatter, and contains a more viscid matter; its base is often irregular and slightly inflamed, and forms yellow scabs and scales. TREATMENT.-Give Sulphur morning and even. ing for three days; then if the eruption is more of the first form (in small pustules,) give Rhus tox twice a day. But if it is attended with much burning, and the eruption spreads and is prone to form scales and crusts, give Arsenicum similarly. 236 SCARLET FEVER. minister it thus for about two days, unless a slight vertigo, or an uneasiness about the throat is felt, or a faint rash should appear about the neck or on the point of the elbow, when it should be discontinued. At the same time observe the homceopathic diet; select your cases, give it to a part of a family, or in schools to a number that are equally subject to taking the disease, and not to the others. By so doing, if scepticism will admit of conviction, the most sceptical and prejudiced must be converted. The medicines required in the simple form, are Aconite, Belladonna, and Sulphur. During the initiatory or forming stage, with headache, and fever, give Aconite every three hours until the fever is moderated. During the eruption, give Belladonna every three or four hours; or if the fever is high, alternate Aconite with it. After the eruption has passed off, and the skin becomes rough and scurfy, give Suilphur morning and evening for two or three days. But if the disease assumes the Anginose variety.; when there is soreness of the throat, swelling of the tonsils, much difficulty in swallowing and breathing, 238 SCROFULA. unirritating, and of a mucilaginous character; drink cold water, black tea, cocoa, crust and cracker water, and keep the apartment well ventilated and of a moderate temperature.* SCROFULA. Scrofula is a disease that depends upon a peculiar, degenerate condition of the system, as is very evident, from the analytical results of Dubois and other writers upon Organic and Physiological Chemistry. The disease appears in every grade of violence, from enlarged glands of the neck, arm. pits, groin, knee, hip-joint, to the mesenteric glands, indurated liver, tuberculated lungs, and the most loathsome ulcers. TREATMENT.-For the removal of a scrofulous diathesis, give Calc.-carb., Kali-carb. and Ferrum; Great relief is obtained by sponging the patient with water tepid, or rather inclining to cold,.when the pulse is contracted and quick, the skin exceedingly hot and dry, and the mind wandering. It will serve asia powerful auxiliary in producing a gentle perspiration, relieve the cerebral oppression, and give freedom to the pulse. I have frequently practiced it, and it has always acted like a charm, producing a perfectly quiescent state, and putting the patient into a tranquil and re ofreshing'sleep. SCROFULA. 239 each remedy morning and evening, for a week, as they are here arranged, using the first triturations only. DIET AND REGIMEN.-The diet must be of a very nutritious character; take exercise in the free open air, and avoid exposure at night, or in humid atmospheres. Scrofulous swellings of the glands of the neck, require Belladonna and Calcarea in alternation, one dose a day for a week; then Sulphur once a day, until they disappear. ADMINISTR ATION.-Give two or three pillets at a dose. For scrofu.lous swellings of the joints, vide Hip Joint Disease and White Swelling. SLEEP. 2 43 When sielkess of the stomach is caused by overloading the stomach, take Ipecac., Bryonia or N2uxvom.; either of them every half hour until the nausea disappears. When it is caused by worms, give Cina every three or four hours. When caused by a fall or blow, give Arnica every fifteen or twenty minutes until it is relieved. ADMINISTRATION.-Mix three or four drops of the medicine, or dissolve ten or twelve pillets in a tumbler half full of water, and give to a child a teaspoonful and to an adult a table-spoonful at a dose. DIET-In accordance with homceopathic restrictions during treatment. SLEEP. VVant of sleep, or a general restlessness in children should be treated with Cofea every evening; or if there appears to be a flatulent condition of the bowels, give Chamomilla. Belladonna is also a good remedy, if there is any feverish excite. ment. SMALL-POX. 245 pains in the back and limbs, slight, creeping chills, flushes of heat, and pain in the forehead; frequently, the eyes are injected; sneezing, and a flowing coryza; thirst; sickness of the stomach, and pain in the epigastrium. These symptoms continue for a few days, when they become deci dedly more inflammatory; the skin is hot and dry, the pulse full and tense, with severe pain in the head, flushed face and urgent thirst; the mind is confused and sometimes wandering, and slight hmmorrhages are apt to occur from the nose; these symptoms continue from a few hours to three orfour days, when the eruption can be felt beneath the skin, like so many shot; it first appears on the forehead and about the nose and mouth, then on the arms, chest, and abdomen, and lastly, on the inferior extremities; so that in about twenty-four hours it is generally spread over the entire body. The eruption at first consists of red, elevated points, with inflamed bases, or slight areolas; toward the latter part of the second day, or the beginning of the third, the pustules begin to present central depressions, which, in a few hours, become a distinguishing mark in all of them. They gradually increase in size, and their depressed centres become more conspicuous, until the fourth day, when they 246 SMALL-POX. appear of a disky, whitish color, surrounded by a pale, red areola; but when the pustules are very numerous or confluent, the areola or redness runs together, and gives a general appearance of redness to the interspaces. From the fifth to the seventh *day, the limpid fluid which first appeared in the pustules, becomes more abundant, extends to the bases of the pustules, and gradually changes from its serous to a purulent character; at which time, the fever accompanying the eruption, becomes much less, which marks the commencement of the stage of suppuration. As this stage advances, the febrile symptoms arise, the face is frequently swollen and the eye-lids tumid, sometimes entirely closing the eyes, which occurs about the eighth day. On the tenth or eleventh day, the swelling of the face begins to recede, the hands and feet frequently swell, and the entire system becomes exceedingly sore; during this stage the patient most generally complains of soreness of the fauces and throat. About the twelfth day comnpletes the pustule; the matter becomes more opaque and yellow, and the centre of the pustule brown, gradually extending and growing harder, until it is cemented into a brown, dry scab. Dissication commences (like the early appear SMALL-POX. 247 ance of the eruption) on the face first; it is corn mon to see the face covered with tolerably dry scabs, when the pustules on the extremities are hardly fully matured. When. the scabs fall off they leave a red disc, which gradually disappears, leaving no traces in mild cases; but if the eruption is severe, the suppuration will frequently destroy not only the skin, but also the sub-cuticular tissue, leaving marks or pits, which disfigure the person for life. Confluent Small Pox, is a more aggravated form; the pain in the head, back and limbs, the fever, and all the attending symptoms are necessarily more severe. I have seen cases of this variety, in which the pustules ran into each other, so as to form a scab covering almost the entire surface; the least motion would tear them apart, producing fissures from which the blood would ooze and mix in with the scabs, producing the most loathsome appearancethe face was enormously swollen, the eyes closed, and the sufferers hardly appeared like human beings. The eruption generally makes its appearance earlier in this variety, and is not marked with the regular course which characterizes the Distinct form; the matter in the pustules is dark, and sometimes 248 SMALL-POX. acquires a corrosive character. About the eighth or ninth day of the eruption, it frequently exudes from the pustules, forming large brown scales, which fall off, fromnvhe seventh to the fifteenth day, leaving cicatrices and fissures running in every direction, and frequently producing the most hideous deformity. It is not uncommon for the fever in this variety to assume a typhoid type, running the patient down into a low state of insensibility and death. The pustules in both varieties are apt to affect the throat and eyes, which demands the closest attention. TREATMENr'.-During the first stage, when the febrile excitement is high, give a few doses of Aconite, at intervals of about two or three hours. If there is severe head-ache, sensitiveness to light, and delirium, give Belladonna every three hours, until these symptoms pass off. Or give Belladonna in alternation with Aconite, particularly if the above symptoms, indicating the former drug, are present in addition to those of the latter, which is most invariably the case. When in addition to either of the above, or after the administration of Aconite and Belladonna, the patient complains of severe back-ache, and a general SMALL-POX. 249 soreness, give Bryonia every three hours, until the pain is somewhat relieved. If the patient is inclined to a stupor, is rather difficult to rouse, and sleeps with heavy breathing or snoring, give Opium every hour, until the patient is roused from the stupor. During the second or eruptive stage, if the eruption does not come out free, and there appears to be a congestive state, the mind wandering, give Stramonium every two or three hours, until relief is obtained. If in this stage the patient is troubled with a loose, rattling cough, and upon inspection, pustules are found forming in the throat, give Tart.-emetic, every three or four hours. During the third or suppurative stage, there is frequently considerable fever, which demands a few doses of Aconite and _fercurius in alternation the latter, more particularly, if the tongue is foul and slimy. But should the eruption appear very dark, in. clining to black, and the skin turn blue or livid; the patient's strength failing, give Arsenicurnm every two or three hours. 250 SMALL-POX. If in the confluent form, typhoid syln'ptonls appear; the tongue is dark brown, sordes on the teeth, the mind wandering, great debility, give Rhus-tox and Arsenicum, in alternation every four hours. The fourth stage (Dissication), requires an occa. sional dose of Sulphutr. The above remedies have all been used very satisfaictorily in this disease. Notwithstanding, I am very much inclined to believe that Small Pox can be treated very satisfactorily with Aconite, Varioliln and Tart.-emetic; for, during either stage, if there is much fever, Aconite must constitute the rhief drug, and the other two are the specifics, the one more as a prophylactic, and the other as a cu rat- ve. Aconite should be given during the initiatory symnptoms, in the first stage. As soon as there is any appearance of the eruption, give the Variolin, two or three doses, at intervals of two or three hours, which will materially diminish the crop of pustules, and prevent a full development of those which have already made their appearance. Then give the Tart.-emetic, every three or four hours, until the eruption begins to scab. SMA LL-POX. 251 In addition to the appropriate drugs in the different stages, it is frequently necessary to use some for collateral symptoms, such as extreme restlessness and inability to sleep. I have always found Chamomilla and Hyosciamnus sufficient to quiet, the former, if there is any tendency to diarrhcea, and the latter in the absence of that symptom. ADMINISTRATION.-Mix two or three drops of the medicine in a tumbler half full of pure cold water, stir it well, and give a dessert-spoonful at a dose to an adult, and a tea-spoonful to a child. If pillets are used, give five or six at a time. The eyes should be frequently washed with cold water; and if they are closed by swelling of the lids, a small piece of linen, wet in cold water, should be kept constantly applied. DIET AND REGIMEN.-The diet should be light such as thin gruel, tapioca, arrow-root, and rice. water, with cooling beverages; the apartments kept clean and well ventilated. SORE THROAT. 253 SORE THROAT. For the ordinary sore throat, produced by expo. sure to cold, use Aconite and Belladonna, in alternation, every two or three hours. If there is much swelling of the tonsils, with stitches in the fauces; dryness of the throat and difficulty in swallowing, use Belladonna and Bryonia in alternation, every two hours until relieved. If there is stitching pain in the tonsils when swallowing; pain and soreness extending to the ears, take Mercurius and Ignatia, in alternation, every two or three hours. If there are sinall vesicles on the palate or ton sils; bitter taste, and complete loss of appetite, take Sulphur every two or three hours. ADMINISTRATION.-Mix two or three drops of the tincture, or dissolve ten or twelve pillets, in a tumbler half full of water, and take a dessert-spoonful at a dose. DIET-In accordance with homceopathic restrictions. For sore throat of a more malignant character, vide Quinsy. 1 D SORE LIPS.-SORE NIPPLES. 255 SORE LIPS. TREATMENT.-When the lips are dry and cracked, use Arsenicum or Veratrum, once or twice a day. When they are covered with small blisters, use Ant.-tart., once or twice; then Sulph. once a day. ADMINISTRATION.-As in Sore Mouth. SORE NIPPLES. It is quite common for young mothers to be severely afflicted with sore nipples. They sometimes crack and bleed, swell, become inflamed, and even threaten ulceration. TREATMENT.-I have always succeeded better by washing the nipples immediately after nursing, with diluted Tinct.-arnica, five or six drops to a wine glass half full of water, (carefully washing it off with tepid water, or milk and water, before allowing the child to nurse again.) I have also found a solution of Borax beneficial in removing the extreme tenderness and hardening the nipple. 256 STRAINS OR SPRAINS. When the nipple is inclined to be dry, and crack, use a little sweet cream, or simple cerate, simply to lubricate and soften the part. If there should be a disposition to scrofula, give Calc.-carb., Silicea, and Sulphur in alternation, one dose a day. ADMINISTRATION.-Give two or three pillets at a dose, or a small powder, about as much as will lie on the point of a pen-knife blade. STRAINS, OR SPRAINS. The first general remedy for the treatment of a sprain, or strain, is Arnica, particularly if it is of a limb, or joint, or the back. Bathe the part with diluted Tinct.-arnica, ofie part of the tinct. to five or six parts' of water. Should the sprain or strain, be caused by lifting a heavy weight, or by a violent exertion, give Ruta or Rhus-tox every two or three hours; or they may be given in alternation. Should it be caused by a sudden jar, or false step, use Bryonzia and Rhus-tox in alternation, every three or four hours. STYES. 257 ADMINISTRATION.-MiXix three or four drops of the medicine in a tumbler half full of water, and give from a tea-spoonful to a table-spoonful at a dose; if pillets are used, dissolve ten or twelve in a like quantity of water, and give in the same manner. STYES. Styes are small tumors situated on the eyelids, generally near the greater angle, and are sometimes extremely painful. TREATMENT.-When they are attended with much inflammation, give Aconite every three or four hours; then Pulsatilla twice a day. If they reappear frequently, use Calcarea-carb. morning and evening for a week. When suppuration has commenced, give -Sile.z every four or six hours. ADMINISTRATION.-MiX two or three drops of the medicine, in a tumbler about one-third full of water, and give from a tea-spoonful to a tablespoonful at a dose. If pillets are used, lay two or threee.on the tongue and allow them to dissolve. SQUINTING. 259 voreica similarly. This remedy is also more particularly indicated when the disease attacks boys. When the disease is produced by too frequent bathing, give Rhus-tox three times a day. ADMINISTRATION.-Give two or three pillets at a dose; or mix two or three drops of the tincture in a tumbler half full of water, stir well, and give trom a tea-spoon to a table-spoonful at a dose. DIET AND REGIMEN-In accordance with homceopathic restrictions. SQUINTING (Strabismus.) Squingng is an affection of the muscles of the eye, whereby the eye is turned obliquely from the axis of vision. TREATMENT.-When squinting exists from birth, give Belladonna, one dose every second or third day. Should it prove ineffectual in two or three weeks, use Hyosciamus in alternation with it; or use the latter drug for a week or two similarly to the first; then give Allm11 every third or fourth day, for a similar length of time. :260 TEETHING. But when squinting depends upon irritation fiorn worms, give Cina two or three times, at intervals of three or four hours; should the squinting continue, give Belladonna and lyosciamus, in alternae tion, every three hours. When it occurs suddenly from palsy of the muscles of the eye, use Rhus-tox or Nux-vonm. every three hours; should these remedies fail after using them two days, give Veratrum or Spigelia in the same manner. ADMINISTRATION.-Dissolve five or six pillets, or mix two or three drops of the tincture in a gill of water, stir well, and give a tea-spoonful at a dose. TEETHING. (Dentition.) The breeding or first cutting of teeth, begins about the sixth or seventh month. The teeth appear in pairs; those of the lower jaw (the fiont teeth, or incisors), appear first; and the corres. ponding ones in the upper jaw next, and so on, until the set is completed, at about the thirteenth month; making twenty in number, and which are called the Deciduous, or Milk Teeth. TOOTH-ACH,. 263 For dull drawing in the upper and right row of,eeth all night; or for rheumatic tooth-ache, give Belladonna. For tooth-ache caused by either hot or cold things, or for gnawing tooth-ache, give Calcareacarb. For tooth-ache aggravated by warm drinks; innietolrable tooth-ache, or tooth-ache worse at night, luse Cham. For throbbing tooth-ache, looseness of the teeth, give China. For jerking tooth-ache, give Hepar-sulph. For tooth-ache only when eating, give Kali-carb. For a lacerating, tearing tooth-ache, give Lachesis. For tooth-ache only at night, when the teeth are very painful when touched, give Lycopodium. For violent tooth-ache in the night, looseness of the teeth, the gums receding from them, give Mercuritus. For tooth-ache occurring after dinner, lacerating tooth-ache, brought on again by cold water. give Nix-vomica. 264 TOOTH-ACHE. For tooth-ache, with swelling of the' cheek, give Phosphorus. For tooth-ache aggravated by taking anything warm into the mouth, or for tooth-ache returning upon eating, give Pulsatilla. For drawing tooth-ache, extending to the ear, particularly if from a hollow tooth, give Sepia. For throbbing, lacerating tooth-ache, aggravated by cold water, give Spigelia. For tooth-ache caused by a draft of air, or when the teeth feel elongated, give Sulphur. For tooth-ache during pregnancy, give Sepia. For tooth-ache relieved by cold drinks, give Bryonia, Pulsatilla. For tooth-ache relieved by warm drinks, give Lycopod., Sulph. For tooth-ache relieved by smoking, give Mer cury. For tooth-ache aggravated by smoking, give Ignatia, Bryonia For tooth-ache relieved by warmth, give Mere., Nux-vom., SULph. TOOTH-ACHE. 265 For tile pain which is sometimes severe after a tooth has been extracted, give Hyosciamus. ADMINISTRATION.-Give two or three pillets at a dose, or if the medicines are in the form of tincture, mix two or three drops in a tumbler about onethird full of pure cold water, stir it well, and give a tea-spoonful every fifteen or twenty minutes, if the attack is very severe, until it is relieved; at the same time in addition to the drug, apply heat or cold, as may be indicated. Most of the above remedies will act like a charm; if they fail, as they sometimes do, Dr. Hempel's plan may be resorted to, viz., carefully fill the hollow of the tooth with a bit of cotton, wet with one or two drops of the Tinct.-aconite; if this affords only temporary relief, apply to a good dentist. DIET AND REGIMEN.-These are not of much consequence, so long as they do not interfere with the medicines. Temperature as may be most agreeable. ULCERS. 269 For deep ulcers, use.Mercurius and Nitric-acid, in alternation, every six hours; should these not heal them in a week or produce a marked improvement, give Cialcarea and Silex in the same way. For yellow mattery-appearing ulcers, give Cale.carb. and Silex, in alternation every four or six hours. For unclean, foul ulcers, use Lachesis once a day; should that fail, use Kreosote once a day. For ulcers disposed to bleed, use Carbo-veg. and Conium in alternation every six hours, or Phosphorus once a day. For ulcers, with burning, stinging pains use Arsenicum and Rhus-tox, in alternation, every six or eight hours, or Carbo-veg. and AMezerium in the same manner. ADMINISTRATION.-Mix two or three drops of the medicine, in a tumbler half. full of water, stir it well, and give from a tea-spoonful to a table-spooniful at a dose. If the medicine is in pillets, take two or three of them at a time; if in powder, take a small powder. EXTERNAL APPLICATIONS - Simply keep the S'T0 URINE, IMMODERATE FLOW OF. part well cleansed by frequent washings with warm water and Castile soap, and dress with simple dressings. DIET AND REGIMEN-In accordance with homceopathic rules. URINE, IMMODERATE FLOW OF. (Diabetes.) TREATMENT.-When the emission of urine is copious and watery, give Aurum three times a day. When the emission is in small quantities, but very frequent, and the urine of a light straw-color, give Asparagus similarly. When there are copious and frequent discharges of watery urine, alternating with a diminished flow, use Digitalis similarly. When the discharges are frequent and copious, attended with a dull pain in the bladder, give Lachesis morning and evening. ADMINISTRATION.-Mix two or three drops of the maedicine in a tumbler half full of water, and give 272' SUPPRESSION OF URINE. When there is a f-equent and almost constant urging, and passing of a very small quantity at a time of high-colored urine, give Arsenicum every three hours. When it is attended with the most violent burn ing and cutting pains, and the urine is voided in drops, and sometimes streaked with blood, give Cantharis every hour, until relieved. When the difficulty is attended with an itching in the urethra, a painful desire to urinate; and especially if it is in consequence of spasmodic stric ture or irritation from piles, N2ux-vomnica every hour or two, until it is relieved. NOTE.-I have never had the Apocynum-cannabinum fail, in partial or complete retention of urine, when administered as follows: mix five or six drops of the tincture in a tumbler half full of water, and to an adult give a table-spoonful at a dose, every hour or two, until relief is obtained. ADMINISTRATION.-Dissolve six or eight pillets in as many tea-spoonfuls of water, and give a teal spoonful at a dose, and repeat as directed above. VACCINATION. 273 VACCINATION. We are indebted to Dr. Jenner for the introduc. tion of this artificial inoculation, as a salutary check or prophylactic to one of the most fatal maladies. In the language of Eberle, "there is now no civilized people on earth, amongst whom its blessings have not been largely experienced, and gratefully acknowledged." DIAGNOSIS AND PRoaREss.-When the human subject becomes inoculated with this vaccine virus, it goes through the following course, in order to be a genuine pock. Generally on the third day after the introduction of the matter, a slight inflammation will appear where the puncture was made; on the fourth day it appears more like a pimple, with a faint areola encircling it. The pimple gradually enlarges, until on the latter part of the fifth day, it has assumed a regular circumscribed form, flattened or depressed in the centre, and containing a semi. transparent, limpid fluid. It continues to enlarge from the fifth to the ninth day, at which time it is matured, and some constitutional symptoms appear, such as head-ache, fever, pain, and lameness of the arm, and sometimes an enlargement of the glands of the axillee. VEGETA'ION. 275 DIANosIs. —There is not that uniformity in the stages of this variety, as there is in Small-Pox. The eruption generally appears earlier, the pustule matures quicker, and is not filled with opaque, purulent-looking matter; and as the scabs are formed by the drying of the pustules, it is neither so dark nor so thick as in Small-Pox, and instead of leaving pits or marks, by the separation of the scabs, (which usually takes place on the eighth or ninth day,) they leave red discs or rather elevations, instead of depressions, unless some of the scabs are very thick, when the depressions are left, but of a different character from the true variolus mark. CAUSES, TREATMENT, DIET, and REGIMEN, the same as in Small-Pox. VEGETATIONS& W. Acton, in his great work on Venerial Dis. eases, considers Vegetations under the general term of non-virulent affections, and designates them as Warts, Cauliflower Excrescences, Coxcombs, etc.% When seated on the glans, at the entrance of the urethra in the male or female, or on the inner WI1TTE SWELLIN(:. 2719 ADMINISTRATION.-Give two or three pillets at a dose; or if the medicine is in powders, give as much as will lie on the point of a pen-knife blade. DIET.-No more attention to diet is necessary, than simply to see that it does not interfere with the treatment. WHITE SWELLING. This term is applied to a scrofulous affection of the knee.joint, and is characterized at first by slight pain in the joint after exercise, which gradually increases; the joint begins to enlarge, and the limb becomes emaciated, and debility, night sweats, and symptoms of hectic ensue. TREATMENT.-Give the first trituration of Calc. ca.rb. and ~Ferrum in two or three grain doses, every four or six hours in alternation. Should the debility increase, and symptoms of hectic appear, such as debility, some afternoon fever, and night-sweats, use Arsenicum 1st in alternation with the Ferrum, and continue its use, until the symptoms become arrested. Then give Kali-carb. 1st, and Ferrum in alternation, every six or eight hours, until the patient is restored to health. 280 LACERATED WOUNDS. EXTEt:tNAL APPLICATIONS.-I have found the wet bandage (wet in cold water,) of very great service in this affection, particularly where there was much' local heat. DIET AND REGIMEN.-The diet ought to be nutritious; such as rare roast beef, rare steak, mutton chop, boiled mutton, etc. The patient should not be allowed to use the limb WOUNDS. Contused wounds are such as are caused by a fall, or blow, or by being pressed between hard bodies. TREATMENT.-Bathe the part frequently with diluted Tinct.-arnica, (one part of Arnica to five or six parts of water,) and keep it applied by means of old fine linen wet in it. LACERATED WOUNDS. These are caused by tearing, from being caught by machinery, etc. TREATMENT.-Bring the parts in as close con. PUNCTURED wOUNhs. 281 tinuity as possible, and keep them so by properly adjusted bandages and compresses, wet in diluted Tinct.-arnica. If fever arises, give Aconite every three or four hours, until it subsides. INCISED WOUNDS. These are produced by a cutting instrument. TREATMENT. —Bring the parts close together, (in as natural a position as possible,) and secure them thus, by means of adhesive-straps, so as to form a unison by the first intention. Should fever, or inflammatory symptoms set in, use Aconite every three or four hours, until they abate. PUNCTURED WOUNDS These are produced by a pointed instrument. They are to be treated by the application of dossils of lint, wet in Tinct.-arnica, (diluted as above,) and secured to the part by means of proper bandages. WORMS. 283 crying, starting, twitching of the muscles, or if the head is hot and the face flushed. If the abdomen is tumid and hard, and the bowels are constipated, give Gina in the morning and Nluxvom. at night. If mucous diarrhcea follows the administration of Cina, give Pulsatilla first, then Mercurius, and lastly Sulphur. Of each remedy give two or three doses, that is if the first or second does not have the desired effect. I prefer the Cina in tincture, and generally mix three or four drops in a tumbler half full of pure cold water, and administer as above. The pillets or powder, however, may be used in the same way, by dissolving a small powder or eight or ten pillets. DIET.-The diet should be restricted to plain, simple food, particularly during treatment. *234 YELLOW FEVER. YELLOW FEVER. A great diversity of opinion exists in regard to the true character of this form of fever. By some it is considered a typhus, with marked biliary derangement; by others as a congestive bilious remittent; and again some consider it a form of fever entirely independent of either, and dependent upon a specific contagion. Facts and statistics sufficiently prove that a judi cious homceopathic treatment furnishes the only hope of recovery from this most dangerous disease. The signal success that attended the practice of the lamented Taft, during the prevalence of the Yellow Fever at New Orleans, is sufficient to convince the most incredulous, and is but one of many similar instances. Facts also warrant the assertion that the chances of recovery from Yellow Fever are far greater when the disease is left to the efforts of nature alone than when subjected to the best allopathic treatment ever employed. For when the Yellow Fever prevailed so virulently among the English re. giments encamped at Uppark Camp, in Kingston, YELLOW FEVER.'28 Jamaica, the physicians considering it a high grade of Bilious Remittent, prescribed an energetic antiphlogistic treatment, and the result was a most fearful fatality. Every case proved fatal and continued to do so, until the surgeons of the regiments and the resident physicians became appalled at their utter want of success, and discontinued their treatment, to consider among themselves what plan, if any, could be adopted to arrest the disease; and as soon as they ceased to prescribe, the fatality began to subside and the patients to recover. This is not only a matter of history, but I have it from the testimony of Dr. McBean, a physician well known, especially in Jamaica, who was cognizant to all the facts. The same conclusion may be obtained from the report of the Medical Deputation from the French Government to Gibraltar, which furnishes a case of complete recovery, in which the only treatment was a simple bath. Such facts suggest that many others might have terminated as favorably, if left to the efforts of nature alone. TREATMENT.-The principal remedies for the suc. cessful treatment of Yellow Fever are Ipecac., Aconite, Belladonna, Bryonia, Lobelia, Rhus tox Arsenicum, and Ver ztrumn. 286 YELLOW FEVER. When the initiatory symptoms are the following i dizziness, slight chills, an uneasy sensation in the pit of the stomach, nausea, faintness, pain in the back and limbs, languor and general weakness, give Ipecac. But if the commencement of the attack is marked by greater arterial excitement, such as severe pain in the head, flushed face, injected eyes, full or tense pulse, painful uneasy feeling in the stomach, nausea, or nausea and vomiting, give Aconite. When the face is flushed and swollen, the eyes red, the pulse small or contracted, vertigo, dullness, confusion, no power of recognition, hiccough and vomiting of bile, or of bile and mucus, give Belladonna. When the skin becomes yellow, the eyes injected, glassy or suffused with tears, severe burning sensation in the stomach, excessive thirst, pain in the back, general uneasiness, the patient apprehensive and inclined to talk deliriously at night, give Bryonia. When the attack commences with sudden prostration, vertigo, dull, heavy headache, the mouth dry, burning sensation in the throat, incessant nausea, pressure in the pit of the stomach, dark YELLOW.FEVER.; 287 bloody stools, urine of a deep red color, pain in the loins, great weakness'and weariness of the limbs, exhaustion and'mental despondency, give Lobelia. When there is violent throbbing below the pit of the stomach, nausea, burning eructations, painful distension of the abdomen, pain in the back and limbs, or the limbs are almost paralysed, parched red or brown tongue, the patient gloomy, stupid, and delirious, give Rhus-tox. When the skin is of a reddish-yellow, inclining to brown; the eyes of a dark red, and the vessels congested; coldness of the limbs, with clammy perspiration; the lips dark, the tongue brown or black, the pulse small and tremulous, vomiting of a brownish or blackish substance, followed by great exhaustion, give Arseniculm or Veratrum, or they may be given in alternation. ADMINISTRATION.-Mix two or three drops of the tincture, or dissolve ten or twelve pillets in a tumbler one-third full of cold water, and give a tea-spoonfil every two or three hours, until the symptoms are mitigated, or another remedy is indicated. INDEX. PAGE PAG! Preface.................... 8 Bronchitis.................. 46 List of Remedies........... 5 Bubo.................4.. 8. 4 Dietetics................... 9 Burns and Scalds........... 49 Thle Dose................... 11 Carbuncle.................. 50 Abdomen.................. 16 Cataract................... 51 Abdominal Dropsy......... 94 Catarrh.................... 58 Abdominal Pains........... 1 Chancres................. 55 Abscesses................. 18 Chicken Pox. 55 Acn (vide Pimples on the 18 Chilblains.................. 56 Fuace).......... Cholera.................... 58 Affections of the Mind..... 185 Cholera Infantum. 61 After-l'ains................ 17 Cholera Morbus............ 6 Ague in the Breast......... 18 Chronic Bronchitis.......... 46 Ague and Fever............ 124 Chlronic Rheumatism...... 64 Ano, Fistula in........... 127 Clap....................... 66 Apoplexy.................. 19 Colds...................... 67 Appetite, loss of........... 21 Colic........................ 69 " Voracious......... 23 Congestion................. 71 Aptllse, or Sprue........... 25 " of the Head...... 71 Astlhma.................... 26 " of the Lungs..... 72 Continued Fever........... 123 Back, Pains in the.......... 199 Corns...................... 73 Biliousness................. 28 Costiveness................ 74 Biflious Colic............ 80 Constipation............... 74 Bites and Stings of Insects.. 32 Consumption.............. 76 Bite ot the Copper-liead.... 82 Contusions........... 280 Bleeding from the Nose..... 32 Convulsions................ 77... " Lungs.... 34 Cough.................. 79 " " " Stomach. 87 Cramps in the Limbs....... 81 " ""U r Uletllra.. 89 " in the Stomach..... 82 " " " Womb... 40 " during Pregnancy.. 217 Bladder, Inflammation of... 154 Croup................. 88 Bleeding Piles.............. 211 Crying of Infants........... 86 Blindness................... 42 Boils, or Biles.............. 44 Deafness.................. 141 Brain, Inflammation of..... 171 Delirium Tremens......... 87 " Dropsy of the...... 98 Derangement of the Mind.. 185 17