MANUAL OF HOMOEOPATHIC THEORY AND PRACTICEO DESIGNED FOR THE USE OF puiimann aw amriicis. l~sirians anh lamlie^ BY ARTHUR LUTZE, M. D. Man cau what he wills, But he must have faith and trust! TRANSLATED FROM THE GERMANA, WITHI ADDITIONS, BY CHARLES J. HEMPEL, M. D. FROM THE SIXTIETII THOUSAND OF THE G.RMAN EDITION. NEW YORK: WILLIAAM RAT)DE,?,00 BROADWAY. PHILADELPHIA: WILLIAM RA.DDE, No. 635 ARCH STREET. 1 8 6 2. t I~~~~~~~~~~~~~~~~~~~~~~~~~~ Entered according to Act of Congress, in the year 1862, by WILLIAM RADDE, JR., In the Clerk's Office of the District Court of the United States, in and for the Eastern District of Pennsylvania. KTIN & BATIRD, PRTINTERS SANSOM STREET, PITLADELPHIA. TABLE OF CONTENTSo Page. Publisher's Announcement................................................... 7 7 Author's Preface.................................................................. 17 Introduction.......o............................................................... 21 Explanation of the efficacy of Homceopathic Potencies by Animal Magnetism..................................................................... 34 A few hints to Physicians at a distance, regarding the manner of taking down the totality of the symptoms of a disease........... 44 Diet mixed to Homceopathic treatment................................. 48 Duty of a Physician.................................................... 63 Characteristic symptoms of the Drugs used in this work............ 67 Special directions for the treatment of all leading diseases.......... 127 Appendix; the human body........................................ 521 List of all the Remedies, their Antidotes, English and German n am es............................................................................ 545 Repertory...............3..........O.............e.OO*O.... *................... 55 Alphabetical list of the Diseases and Physiological Conditions treated of in this work o.. o.......................................... 729 (v) THE P113 SI lIRS AiNOUGENECW TNI DR. LuTZE's work on the Theory and Practice of Homceopathy is the most popular treatise on this science which has yet been published in Europe. No less than sixty thousand copies of this work have been sold at the present moment. No physician in Europe can boast of a larger and more lucrative practice, or of a larger number of patients of the highest social standing and education than Dr. Lutze. He adheres with the utmost rigidity to Hahnemann's original doctrines, and his practice is crowned with undeniable and, in many respects, unparalleled success. In one particular Dr. Lutze deviates in the treatment of inveterate chronic diseases from the established rule of homoeopathic practitioners; we allude to a combination of remedies. This proceeding is, however, applied only to a few remedies, and then only in chronic maladies. The section where the use of combined drugs is explained, does not form an inte'gral part of this work but, in order not to omit any thing of the original text, the publisher has deemed it advisable to insert this section of Lutze's work in this Announcement, together with the letters to and from Hahlnemann where the discovery of a combination of drugs is sanctioned by the author of Homceopathy as a legitimate development of the homceopathic healing art. This innovation, however, 1 (1) 2 MANUAL OF IIO1CEOPATHiY. need not shock the orthodox reader; it is never alluded to in the body of the work; all that need be said in reference to this matter is that in chronic cases, Dr. Lutze, instead of alternating drugs, frequently gives the two remedies, each of which is supposed to be hom.oeopathic to the case, in combination. The reasons which have prompted him to innovate thus far upon the general practice of holnmopathic physicians, are fully stated in Section VII. of his work, which is here transcribed for the benefit of the American reader. SECTION VII. "An important subject is the combination of remedies. As in acute cases we often have to give two remedies in alternation, because the symptoms of the case are not always covered by one, so in chronic cases two remedies may be given not in alternation, buz in co0mbiniatioz, three to four globules of each remedy being dissolved in the same tumbler of water, and a spoonful of this solution being taken morning and night for several days in succession. In a case of tetter, for instance, or debility from loss of blood, Sulphz' and Chcina may be given in combination. Sulphur for the psora, China for the debility, and the result shows that this combination cures much more effectually than either of these drugs, if given singly. In cardialgia the symptoms of which are covered by Nux, I give Nux and Sulphur in combination, if an eruption had existed previously. In tetter which breaks out after suppressed itch or syphilis, I give Merercurius and Sulpmur in combination. In making such a combinlation I have to warn against using drugs each of which is not honmoopathic to the PUBLISHERY S ANiNOUNCEMENT. 3 existing case, This, however, is a matter of course, for no cure can be expected of a remedy which is not homoeopathic to the case. Any two remedies may be combined, if highly potentized, even antidotes. Experience shows that, if two antidotes are indicated in a case, they produce striking effects, if given in cornbinzation. The explanation of this phenomenon is not difficult. I suppose that the process of mixing does not apply to higher potencies, but that the two may assist each other in their mutual effects; but even this fact does not extend to antidotes which repel each other, and each of which pursues its own action to the end of the cure. This important discovery of the combination of drugs was first announced twenty-four years ago, by Doctor Julius Aegidi, at that time physician to the Princess Frederica of Prussia, and now medical counsellor. This discovery was communicated to Ilahnemann in the year 1833, corroborated by two hundred and thirty-three cures with combined remedies, and was joyfully received by Hahnemann, but kept secret from the public by the imbecility of the foes of truth, whereas the worthy discoverer was insulted and derided by those who were unworthy of unloosening his shoe-strings. Read Hahnemann's reply to Aegidi's letter where he announces his discovery, and relates the history of two hundred and thirty-three cures with remedies acdministered in combination. The letter bears date May 15th, 1833. "' DEAR FRIEND ANTD COLLEAGUE: "Do not suppose that I reject any thing good from mere prejudice, or because it might lead to modifica 4 FMANUAL OF HOMCEOPATHYo tions in my doctrine. All I desire is the truth, and I know that this is all you care for. I am rejoiced that you should have had such a happy thought, at the same time confining its execution to proper limits. Two remedies should only be given in combination, in a highly potentized form, provided each is, in its own way, homceopathic to the case. In such a case, this proceeding is an advantage to our art which should not be repudiated. I shall take the first opportunity of making a trial, and I doubt not that it will be successful. I am likewise glad to hear that Bcenning'hasen approves of this plan. I believe that two remedies may be given in combination, which we do even now when Sulphur and Ccdlcarec are given in combination in the form of ffipar sz2ulph7 s; or 3Sulphur and Jlllercurius, rwhen Cinnabaris is administered. Permit me to cornmunicate your discovery to the world, in the fifth edition of the Organon which is soon to appear. Until then please keep this discovery to yourself; and request Dr. Jahr, whom I esteem very highly, to do the same. At the same time I shall protest and earnestly warn against the arbitrary combination of any two drugs indiscriminately. "Truly yours, S. HA IItTEMAIN NN. In another letter to Dr. Aegidi, Hahnemann writes, under date of June 19th, 1833: j " --- I have devoted a special paragraph to your discovery of a combination of drugs, in the fifth edition of my Organon, the manuscript copy of which was sent last night to Arnold, with a request that the work should be printed very speedily and that my likeness PUBLISHER'S ANNOUNCEENT. 5 should be placed in front of the title-page. The rivalry for priority is a most anxious chase. Thirty years ago I, too, had the weakness of wooing it. But for a long time past I have not felt any other desire than that the world should know the best and most useful truth, whether through me or any body else." These are the words of the master, and we now ask, What has become of this paragraph? We search the Organon from the first page to the last, zuithout finding it! Here is the explanation. Halhnemann laid the new discovery which he had kept secret heretofore, before the meeting of homeopathic physicians on the 10th of August, 1833. Their number was as yet small, but instead of meeting with open hearts, he found stubborn minds that were incrusted with old prejudices, and, instead of accepting the blissful truth, assailed it with all sorts of persecutions, comparing it to the mixtures of alloeopathic practitioners, and persuading Hahnemann to abandon the publication of this discovery and even to allow one of his friends, while passing through Dresden, to suppress the paragraph which had already been printed. Thus it is that the world has been robbed of a most important discovery these twenty-one years; for Aegidi's publication of his discovery in the 14th volume of the Archive, 1834, was assailed in such a shameless manner by a number of enemies, that it was soon forgotten by those who only heed the cry of the multitude, and that the worthy discoverer preferred remaining silent to exposing himself to abuse and to the assaults of an imbecile crowd. Bi6 MANUAL OF HOMEOPATHYo I do not know the persons who have perpetrated this robbery against humanity, nor do I care to hear their names mentioned; most of them may be in their graves, and the balance are already judged; therefore we will not condemn them any further, but pray for them: Father, forgive them, for they knew not what they were doing. The time of requital has come; the hitherto suppressed discovery rises' like a phenix from its ashes, and the name of its author, Julius Aegici, shall be snatched from oblivion. I am thankful for the privilege I enjoy of wresting the new truth from its slumber, not like a feeble infant, but grown up to manhood and armed with the sword of intelligence and power, which will enable it to resist the persecutions of darkness. In comparing the use of conbined remedies to the mixtures of alloeopaths, the opponents of this discovery showed most conclusively that they have neither apprehended the essence of homoeopathy nor the meaning of potentization. If a medicine is selected homceopathicaclZy, or in conformity with the law of similarity, every arbitrary proceeding which prevails in allceopathic practice, ceases; an arbitrary compounding of drugs cannot be compared vvith a combination of remedies based upon law. In the next place, the term mixture only applies to coarse materials, but not to high dynamisations which are deprived of their material constituents, and have been converted into purely spiritual powers by means of which the most astonishing effects can be produced, such as the instantaneous cure of a violent toothache, by simply smelling of the appropriately-selected agent; thousands of cases illustrate these marvellous effects. Spiritual forces can be mixed PUBLISHER7S ANNOUNCEMENTo, no more than mental productions received into the storehouse of the mind; a proof of this is our memory in which thousands of objects, whether acquired or invented, are ranged side by side without being mixed; if this should take place, it shows mental disease, derangement, insanity. Mesmerism exhibits a form of comnbinecdmedicines If a person has a headache in both sides of the forehead or in both temples, and I first make a pass over the right side of the forehead, the pain disappears in this region; if, then, I make a similar pass over the left side, the pain there disappears likewise; we know this from experience. In making simultaneous passes with both hands down both sides of the forehead, the pain disappears in both sides at the same time. aWho will assert that this is not in strict accord with the requirements of art? On the contrary, any one who is acquainted with mesmerism, will proceed in this very manner and will obtain striking results. This is the case with combinecd remecies. I do not mention this by way of an explanation, but my intention has only been to illustrate my position by analogous facts; for no fundamental or elementary phenomenon can be explained. Hahnemann commits a slight mistake by ranging Hepar sulphuris and Cinnabaris with combined remedies; the difference is, that the former are mixed in their crude elements, and then potentized and proved as identical units; whereas combined remedies consist of two high dynamizations acting side by side with each other, each in its specfic manner. Three or four years ago the discoverer first acquainted me with the combination of remedies; having had thou 8 Mi ANTUAL OF IHOMBIOPATHY. sands of opportunities of tryTing them in my clinic, it is useless to deny their efficacy. But I must request my colleagues who are anxious to institute similar experiments, to do so with carefully prepared potencies. Our excellent Bcenninghausen has informed me orally, that he has obtained equally fortunate results with the high potencies, and every honest experimenter will be able to achieve a similar success. I made my first experiments in Berlin, on the very day when the discovery of a combination of remedies was first made known to me. It was in the case of a lady who had been operated on for cataract by JuLngken nine months ago, and who had been suffering since then with such a violent ophthalmia and such intense pains in the eyes that she prayed for death, since Julngken was unable to order any thing for her relief except leeches to the temples, a stupid remedy which had the effect of determining the blood to the head more and more. As soon as she heard my steps, she exclaimed: Oh, relieve me of my boundless misery, else I shall prefer death! I at once mixed 3 globules of Aconite and 3 of Beccldonnac in a small tumblerful of water, and ordered a dessertspoonful every hour. Half an hour after the first close she felt relieved; in two hours the pains had left her, and in twenty-four hours pains and inflammation had disappeared. Now she was for the first time able to enjoy the benefit of the operation which had otherwise been performed with perfect success. Homceopathy has converted ophthalmic surgery into a true blessing; I can show numbers of cases where I have operated without the least inflammation supervening; for immediately after the operation I give Aconite 30 in water every two hours, and if the patient complains of PUBLISHER'S ANNOUNCEIENT, 9 pains in or over the eyes, I give Belladonna 30 in alternation or combination with Aconite. I will now relate a few cases which I have treated in my clinic: 2, Antonia D., aged 25 months, was thrown down by a cat jumping against her, with such violence that her head was knocked against a chair, and she trembled with fright. Half an hour after she commenced to stutter, which grew worse from day to day. I gave a solution of Arnica 30, and Opium 30 in combination, a dessertspoonful everymorning and night, for four days in succession (Arnica for the concussion, and Opium for the effects of the fright). After a trifling aggravation the child improved, and, in a fortnight, talked with her usual ease. 3. Mrs K. had pulmonary phthisis for some time past. Cough with expectoration of yellow mucus, having a saltish and sometimes a bitter taste. Hoarseness, faint sound of the voice. Slight fever without thirst, oppression of the chest, palpitation of the heart, whining mood. Complete suppression of the menses for the last three months, they had been scanty and watery for a long time previous. Great debility, constant night-sweats. Every other day all the symptoms were worse. Gave Pulsatillc 30 and Ch/inac 30 in water, in combination, for four days as above. Eight days after commencing the treatment the menses became regular and a general improvement set in. Cough and expectoration likewise disappeared. She was cured in four months. 4. Mrs. K., 40 years old, had been affected for many years with violent pains in the abdomen, especially Avhen the menses happened to be suppressed, which tookl 10 MANUAL OF HOMICEOPATHY. place very irregularly in consequence of severe confinements. The menses had been suppressed for six months. The pain in the abdomen set in with so much chilliness that the limbs trembled, and the pain affected the whole body. In the right side of the abdomen a hardness was sometimes perceived, which disappeared again. Stool generally hard, attended with great pain. In consequence of great weakness the patient had almost always to keep her bed; when she attempted to rise, the pain grew worse. It lasted from three in the morning until evening. When a child, she had. the itch which was removed by means of an ointment. I gave Nzux and SulpAtr 30 in combination. Six weeks after, I received the following report: "After the first dose the pains ceased, the menses returned in a fortnight, and I feel quite well except a little weak." 5. Augusta F., 12 years old, had been afflicted with vomiting of the ingesta since her birth, except bread. She could not even retain her mother's milk, so that she had to be broucght up on bread; afterwards she was unable to keep any thing on her stomach except dry bread. After having employed several physicians, among whom some homoeopaths, she applied to me. I ascertained that she was occasionally troubled with an eruption in the face, and that her fingers were covered with small warts. I gave Sulphur and Ipecac. 30 in combination, dissolved in water, morning and evening, for four days, Sulphur for psora, Ipecac. for the vomiting. Three days after taking this medicine she was seized with such violent vomiting for three days, that even the dry bread was rejected; after this she was able to keep every thing on her stomach, even water, and any kind of nourishment. The vomiting ceased en PUBLISHER'S ANNOUNCEMIENT.o 1 tirely, the warts diminished in size from week to week, disappeared first on the left hand, in eight weeks after likewise on the riglht (because Sulphur first acts upon the left side), so that a single dose of this combined remedy effected a cure. 6. Mr. NV., 29 years old, after every slight cold was attacked with chilliness, followed by pains in the head, chest and back which continued for some time. The pain then extended throughout the whole head and was most violent on the top. During the attack the bowels remained costive for three or four days, he had no appetite, his sleep was restless and disturbed by anxious dreams. In his 17th year he had spitting of blood and pains in the chest; he had occasional attacks of congestion of blood to the chest, so that le had to tear his clothes open. In his youth he had a tetter on the legs which was removed by an ointment. This was followed by swelling of the knee-joints, sour, nauseous taste in the mouth on waking in the morning, frequent itching of the hands. Gave Nux and Sulphur in combination. A fortnight after, he had another attack, and another in four weeks which only lasted one day, after which the attacks ceased entirely, even when he took a violent cold. 7. Mr. F., 32 years old, had a fall six years ago, which caused a contusion of the testicles, in consequence of which hydrocele developed itself which increased continually. He complained of constant pain in the testes, especially in stormy weather. I gave Alrnica and hocd. 30 in combination (Arnica for the contusion, Rhod. on account of the influence of stormy weather). The pains abated after the first dose, and disappeared entirely in four clays, without ever returning. The hydrocele was cured in six weeks. 12 M}ANUAL OF IIOBMOOPATHY. 8: irs. L., 35 years old, was afflicted with spasmodic attacks which recurred several times a day. They were attended with distortion of the mouth, trembling of the hahds and feet, paralysis of the tongue, flow of mucus from the mouth, sweat on the whole body. The paroxysms lasted half an hour, and were worse in the evening than in the morning. Delirium after the paroxysms. Suppression of the menses for the last three months, pains in the small of the back, stinging in the rectum. Gave Bellad. and Pulsct. 30 in combination. On the second day after taking the medicine, the menses reappeared normally, but the spasms grew worse, especially on the third day; they were much less on the fourth and fifth day, ceased on the sixth, and on the seventeenth the patient only complained of a feeling of dullness in the head, which disappeared very speedily. 9. Miss S., 19 years old, took a violent cold, in consequence of which she had almost lost her voice for eight days past. She felt a dryness and heat in the throat, sensation as of a foreign body having lodged in the throat, which cannot be raised. Painful feeling when moving the throat. Menses scanty, but occurring every three rweeks. Gave Cnamzom. and Sepia 30 in combination (Chamomilla for the hoarseness, Sepia for the scanty menses). The patient took her first dose in the evening, slept well, and was able, after taking her second dose in the morning, to answer a question with a clear and ringing voice; every painful feeling in the throat had disappeared, and she was cured. Afterwards the menses appeared every four weeks and a little later. 10. Frederick, aged 18 years, had been troubled with ulcers for two years past, one of which at least broke out on the arms, legs or back, and caused violent pain. CD~~~~~~~~~~~~~~~~~~_ PUBLISIlER'S ANNUOUNCEMENT, 13 The patient was so feeble that he sometimes was scarcely able to stand. This weakness was the result of masturbation which he had practiced for four years. I gave Ilepar and lChina 30 in combination. Eight days after taking the medicine a large ulcer broke out on the thigh; this was the last that ever troubled him; the weakness likewise disappeared, and hL soon felt better than he had ever done. 11. Julius, aged three years, had had several attacks of tertian fever, for which nothing had been taken. The child had not much chilliness or sweat, but a good deal of dry heat, and some breaking out around the mouth. HIe took Aconite and SLl2pur 30 in combination. Hie had another violent attack, which was the last. 12. Mrs. H., 24 years old, was attacked with violent stitches in both breasts after weaning her infant, dry heat and vertigo so that she had to hold on to something to prevent her falling. I gave Aeon. and Beel. in combination. A few minutes after the first dose, pain, stitches, etc,, disappeared completely. 13. Mr. S., 75 years old, had been hard of hearing of the right ear since his infancy. The ear discharged a yellow, fetid pus, as is sometimes the case after scarletfever. For four weeks past he did not hear well of the left ear where I observed a good deal of indurated, darkbrown cerumen. The itch had been suppressed on. him in his youth. I gave Bel. and Sulp2hur 30, in combination. Ony the twelfth day, on waking, he heard the ticking of the watch: he had recovered the hearing of both ears. 14. Mr. W., aged 23 years, had been affected with figwarts for some years past; they were cauterised, cut, tied, but they invariably broke out again. Three weeks ago, syphilis had supervened. He took ILAJac and 14 MIANUAL OF HOtMOETOPATHY, )jfercurius 30, in combination; in a fortnight the figwarts fell off, and the syphilitic symptoms disappeared in a month; several years after, he assured me that he never enjoyed such good health as after my treatment. 15. The most remarkable case is that of the stocking-manufacturer HIarnisch, of Hoheneck in Saxony. This case is so remarkable that the prime-minister von Gossler, examined the patient, and Drs. Moldenlawer and Loewenstein, who attend my clinic, were instructed to relate the case officially. The patient sent me the following report: Is 44 years old, has had caries of the left leg for thirteen years and a-half, which had six suppurating sores. The leg was one and a-half inches shorte: than the other, so that he had been limping for fourteen years. The many physicians whom he had consulted, had never been able to heal the sores which had discharged four pieces of bone. Owing to his exertions in walking, the right thigh had likewise become afiected, so that he frequently complained of tearing pains and stiffness in the hip-joint. Every year he had been bled two or three times for a rush of blood to the head; he hadbeen practising this for twenty-five years past, and had been much weakened by it. I gave him Sulpt7ur and China 30, in combination, the former for the psora, the latter for the weakness from loss of blood. Six weeks after the treatment he sent me the following report: " After the first dose I had ease in my leg, so that I was able to sleep for three nights, which I had not been able to do for the four weeks past in consequence of the tearing pain, and the anxiety. After that, I was again attacked with burning, especially in the right hip, and colicky pains, with distention of the abdomen. On the twelfth day I experienced a stretching in the legs, which, however, PUBLISHER'S ANNOUNCESA ENTo 15 made me feel stronger, so that I desired to stretch all the time. In the night from the 13th to the 14th, this desire was very strong, and when I arose, behold! both leys halcl the same length. Those who didc not see me, would not believe it, nor could the physicians account for this change, for they had seen me limp on a stick for fourteen years, whereas I was now able to walk erect like a soldier. The weakness in the hip-joint has likewise left me, so that I am now able to walk for ten hours on a stretch, whereas, formerly, I was hardly able to walk a mile." This case created quite a sensation in Saxony, and brought daily from fifty to sixty people to my clinic who expected to be cured in the same striking manner. Harnisch who visited me every few weeks, brought me some thirty or forty reports of' cases at each visit, and this case has converted many persons to homncopathy who did not believe in it previously. It is interesting to every friend of homecopathy that a single dose of a combined remedy effected this cure in a fortnight. Every physician will want to know how it happened that the shortened limb acquired its natural length back again. Upon examination I found that the bones of the left leg were not shortened, and that only single splinters had been detached by the ulcerative process; the pus had become healthy, and the pain had disappeared. The inequality could not, therefore, be owing to any defect in the left leg, but must depend upon the right leg being abnormally elongated. The patient indeed recollected that, fourteen years ago, previous to the breaking out of the sores, he experienced a violent pain in the right hip. I infer from this that he was then affected with coxitis or coxarthrocace (hip 16 MIANUAL OF I-IOCEOPAT.HY disease,) which was arrested in the first stage of elongation of the limb, in consequence of the morbid process developing itself in the left limb, and ter-minating in ulceration. Aly deeply-penetrating combined remedy re-excited the former ailment and cured it. I have several cases of inveterate coxarthrocace, where a cure was effected and where both limbs were restored to tlhe normal size and length. The difference is that in some cases it takes years to effect a cure, whereas twelve days were sufficient in llarnisch's case. These cases point out the method I pursue, with sufficient clearness to any one who chooses to understand it. To him who does not choose, a thousand additional cases would afford no light. The following is my formula for prescribing two remedies in combination. I unite them by means of this sign &, and moreover by the sign +- placed underneath the former, and a - thus: Acon. Bell." The reader will see at a glance that this work is an eminently practical treatise, and that both laymren and beginning practitioners may derive great benefit from its use. Dr. Lutze uses throughout the 30th potency of Hahnemann. The publisher has deemed it sufficient to make this general statement in his Announcement, instead of repeating it on every page. The translation has been carefully prepared by competent hands, and all that now remains for the publisher to do is to plead in justification of his undertaking his firm conviction that Lutze's work will prove a most useful and interesting addition to the popular literature of our School. \WM. RADDE, JR. 1861, Philaclfphica. PRE FACE. THERE are still many who have not the remotest idea of -lHahnemann's true greatness and of his doctrine. Some only know him as a great physiciain and discoverer of a new system of cure, others as a medical reformer whom they range side by side with other reformers of the sciences and believe to have sufficiently honored by comparing him to Newton, Galilli, Copernicus, etc. But what have all these discoverers accomplished in comparison with Hahnemann? They have indeed discovered new laws, conquered old prejudices, removed abuses, and announced unknown truths; but they were enabled to continue that which had been begun by their predecessors, and to improve existing knowledge. Hahnemann, on the contrary, had to overthrow the present and was not even able to make use of the ruins of the past; he had to create every thing anew, and, like a phcenix above the ashes, his new doctrine hovers over the ancient chaos of errors, prejudices and fatal abuses 2 p17 ^18 MANUAL OF HOMCEOPATHYo which have tortured poor humanity for nearly two thousand years, and have prepared premature graves for thousands of victims. Finally IHahnemann's doctrine affects the very life of the whole human race. It not only blesses a few, a certain class, the learned, but call men; learned and unlearned, rich and poor, kings and beggars, even animals, enjoy the fruits of Hahnemrnn's discovery. IIahnemann nurses and promotes the belief in God, and in his inscrutable Providence by showing that even the smallest and almost imperceptible quantity of a medicine may produce great and astonishing results. Samuel Hahlnemann has discovered the irrefutable law, which proves true without exception, in every science and in all our relations of life. Likie can only act upon and promote like, in speech, act or medicine, This law pervades all nature like a shining meteor. We see how only animals and plants that are alike, support and fecondate each other, how only like forces and passions combat each other: a teacher can only teach with effect, if he accommodates his instruction to the capacities of his pupils; a preacher can only exercise a powerful effect upon the minds of his hearers, if his discourse is adapted to the nature and comprehension of his hearers.; even the mechanician and the naturalist can only act with forces that are alike; only similar poles can attract each other, only like hearts can realize a happy union. PREFACE. 19 That which is entirely dissimilar, opposite, like the same poles of a magnet, repels its contrary, and may even produce disaster and ruin like the alloeopathic practice of medicine which ignores or denies the universal law of homoeopathy. But what would avail all theory in medicine; of what use would it be to the world and to the human race, if the theory were not confirmed by the brilliant achievements of experience. Our practice and theory go hand in hand, and it is because our accumulated and brilliant cures furnish the most indubitable evidence of the truth of Hahnemann's discovery: that it becomes our sacred duty not to be idle spectators of this new order of things, but to institute active inquiries until we too are favored with a knowledge of the truth which remains hidden from no one who earnestly seeks it. To many minds it is both a problem and a stumblingblock that the infinitesimal, imponderable and imperceptible, but highly refined doses should act more pow-erltlly, more intensely and more penecalting7y than the crude material of these same drugs; but let us consider that the nervous system likewise is refined and enfeebled; that a sound, a blow, even the ticking of a clock may cause one to start, and may excite a feeling of fright and anxiety; how much more powerful are the most refined homoeopathic doses than these vibrations of the air, true nothings to the health7y organism, but 20 MANUAL OF HOMCEOPATHI{Y t7ze causes of considerable caggp'avacions, andc even of cdeacth in severe diseases. By curing a number of otherwise incurable sufferings, homeopathy furnishes the proof that every disease has its main seat and origin in the nervous system; a medicine is to act upon the nerves, this exceedingly subtile fluid vwhich has never yet been perceived by the senses. Should we not, then, operate with the most refined medicinal preparations which are most adapted to the nerves, and has not the discoverer of homoeopathy realized these preparations? It is only such exceedingly minute doses that are assimilable to the affected nerves; a cure can only take place where such an assimilation exists; in the same way nutrition can only take place by the food being assimilated to the digestive organs. The cligestive process is to food what potentization is to drugs. ARTHUR LUTZE. INTRO ODUCTION-, THE law of IHomoeopathy,' sirlZia similibus,' or " lie iy TikZe," has been verified since its discovery by Samuel Iiahnemann in the year 1790, in all the departments of life, as an irrefutable law of nature, one of those laws which enable us to look into the internal economy of nature, and to observe the connection between cause and effect. It is a sad thing that this great law which should not only govern the treatment of diseases but social life, and more particularly the education of children, is still comprehended and acknowledged by such a small number. But since the homoeopathic healing art is spreading so rapidly, it may be supposed that the law of homceopathy will likewise become more and more deeply-rooted in life, although the progress of the law has so far been comparatively slow and is still retarded by imbecility, indolence and arrogance until, like the sun piercing the mist, it shall conquer all obstacles and illumine the horizon like a shining star. Lichtenberg says: "When Pythagoras had discovered his theorem, a hundred oxen were sacrificed to the gods; since then all oxen tremble at every new discovery." 21 22 INTRODUCTION. SECT'ION Ii. Any one who is still unacquainted with the meaning of homceopathy, may read my "]ca.hnemncinz's Tocltenfeie-," (IHahnemann's funeral solemnities,) where the homoeopathic doctrine is explained in a popular manner. After that, Hfcthnzencm n's Orgcamon may be studied, which is instructive to physicians and teaches the science of homocopathy. SECTION III. After having mastered the principle of homeopathy and comprehending the truth that a disease can only be cured by a remedy which is capable of producing a similar disease in healthy organisms, it then becomes a matter of importance to learn the symptoms of the different remedies, The first provings of our drugs are found in llahnemann's "Materia Medica Pura," and in his " Chronic Diseases." But inasmuch as the student of homoeopathy is fairly inundated with symptoms in these works, and the symptoms of the various drugs are so frequently alike, that it is almost impossible to find out the characteristic action of each drug, it has frequently happened that these difficulties have caused physicians to abandon the study of homoeopathy which they had commenced. For this reason I have extracted the characteristic symptoms of every drug, so that they can be studied and remembered without difficulty. Any one who has mastered this knowledge, will find it easy to study further; but it is only in this way that these studies can be continued with success and advantage. ARlANGEMENT. 23 SECTION IV. If I have not arrang'ed the symptoms of the most approved remedies according to the parts of the body, it is because it was my design to premise the most important particulars in the case of each drug; in the case of ACONITE, for instance; "vascular erethism, dry heat, alternate chilliness and heat (fever), rest essness, ainxiety, pcalpitactio of the heart, irritcabe rmood." If these few symptoms were all that we know of Aconite, they would be of the utmost importance, since no remedy has been found more adapted to vascular erethism and inflammation than Aconite. Nux VOMICA commences with " cavrialgica, oppreession of the stomach wit/ sour eructatiois, sour vomitiny, water in the mouth, distension of the abdoeomen, baccachce, costiveness, " etc. For among one hundred cases of cardialgia, eighty are cured with Nux, because this agent acts principally upon the nerves of the stomach, back and abdomen, and this simple knowledge is suficient to cure numbers with Nux. In the case of PULSATILLA we read first: "M1enses retarded and scanty; s2uppression of the menses, especially in consequence of tahking cold; chlorosis; irregular menstruation, pains and cramps in the abdomen, previous to or during the appearance of the menses;" for most uterine derangements are cured with Pulsatilla, and these few symptoms make it one of our most important remedies. SULPI-UR commences with these words: "Priincijpal remedy for psora; /hepes anc eruptions of every kind; itch1; these few statements contain the gist of the remaining 1079 symptoms; for Sulphur is required in all diseases depending upon or connected with psora, and it alone secures tlheir radical and comprehensive cure. __ ____ __ _ —. __ - _ __ ~ - __ — ~ ___ _ _.. — _ _ ___ 24 I TRlODUCTION. These are the reasons of my arrangement, and which could not operate in the case of new drugs, such as mancinella, pyrocarbon, etc., with which I myself am but imperfectly acquainted. The "Characteristlic Sym/9toms"' owe their existence to the fact that a physician who studied homceopathy under my direction, requested me to make him acquainted with the most thoroughly tested effects of drugs, and which I dictated to him in my leisure hours from memory. The polychrests have been marked with an * SECTION V. If the beginner has mastered these particulars, and should desire to have a more detailed knowledge of each drug, he may obtain it by studying Bcenninghausen's "Affinities of Homoeopathic Medicines," and the more comprehensive treatise: Possart's " Characteristics of Homceopathic Medicines." After this work has been studied, "Jahr's Symptomen-cocex"t may then be consulted, and "Boenninghausen's Therapeutic Manual; these works will enable one to get along in the most complicated eases. For the treatment of acute cdiseases the beginner is in need of a treatise like the present one; where the course of every disease is described and the appropriate relme dies are fully indicated, previous to using which the whole image of the disease has to be fully considered. and the most strictly corresponding drug to be chosen with great care. tf Both works may be had in English, with considerable additions, of W. Radde, 635 Arch St., Philadelphia. ACUTE AND CHIRONIC DISEASES, 25 My first resource was Hering's Domestic Physician, first edition, and I am thankful to Providence that such a genuine homceopath has been my first teacher, for to him I am indebted for my first reputation as physician. What I thea missed so keenly, I have endeavored to add in the present work, I mean the size and repetition of doses, concerning which I offer the following general remarks: SECTION VI. We have to distinguish acute and chronic diseases. 1. Acute diseases, violent, breaking out suddenly, and frequently endangering life, running a rapid course, such as inflammations, croup, cholera, acute fevers, etc. In all such cases I give the medicine in water, which has been found advantageous even at Hahne1manan's time. I fill a clean tumbler with one or two cupfuls of well-water, into which I drop from three to five pellets of the appropriate remedy. I stir the mixture with a horny spatula or a silver spoon which should be carefully wiped after being used; the tumbler is covered with a clean saucer or plate. The solution should be kept in a cool place. The repetition of the dose is regulated by the violence of the disease. In acute fevers I give a teaspoonful or a swallow every hour or two hours; in croup every ten or fifteen minutes; in cholera every five minutes; in erysipelas every two to four hours; if an improvement takes place, the repetition is less frequent. In feverand ague I give the remedy morning and evening, during the apyrexia, for four or five days, after which I discontinue the medicine, for, if the remedy is properly 26 TNTtODUCTIONo chosen, the disease will either be arrested at once, or will disappear in the course of eight or twelve days. I may mention that violent pains are sometimes very speedily relieved by simply smelling at a vial containing a few pellets of the appropriate remedy. In this way toothache for instance, is cured in a very speedy manner, also headache, or violent pains caused by contusions or wounds. If smelling should only produce temporary relief, the samle medicine may then be given in water. If it should be inconvenient to take the medicine in water, when traveling, for instance, the pellets may be taken dry on the tongue, placing no more than one pellet on the tongue and allowing it to dissolve. In all diseases beginningi with cidy heat, glowing chee/ks, hurriecd resj2ircttionb, full pulslse, restlessness and anxiety, we first give ACONITE in water, as stated above, one teaspoonful every hour or even more fiequently. If another remedy is indicated whose symptoms are not covered by Aconite, the two may be given in alternation. This alternation of drugs in acute diseases is very convenient, provided both drugs are indicated at the same time; in typhus, for instance, Byronia and Rhus; in pneunmonia, Aconite and Bryouia; in meningitis, Aeon. and Belladonna, or Aeon. and lyoscyamus; in cholera, Cuprum and Veratrum, or Veratrum and Arsen.; in croup, Acon. and Hepar, Hlepar and Spongia, Brom. and Iodine, or Acon., I-epar and Bromine; as the stages of a disease can never be sharply circumscribed, but lap over into each other, so the remedies which are administered in alternation, form the transition fiom one stage into another, even to a cure. ACUTE AND ClHRONIC DISEASESEo 27 2. It is different in the cases of c/hronic xdiseases, or diseases which run a long course, have existed for years, and deeply taint the organism; for instance: deafness, blindness, gout, paralysis, old eruptions, open sores and old ulcers, fistule, herpes, curvatures of the back and bones, caries of bones. In such chronic cffections the mecdicine should never be frequently repected, nor should the scatne medicine be given twice in succession. Each dose should be allowed sufficient time to develop its full cfiect, since it is the subsequent action of the drug that achieves a cure. Formerly I gave a pellet of the indicated remedy and in two or five months thereafter a pellet of some other remedy; but it seemed that also in chronic cases the medicine acted more penetratingly, if given in water. which may be accounted for by the fact that the medicinal water presents a more extensive surface of contact to the absorbent mucous membranes, and the torpid nerves are more frequently alnd hence more permanently touched by the repeated administration of the drug. On this account I have adopted ihe practice of dissolving three to five pellets of the thirlieth potenicy in a cupf'u of fresh water, of which I give a sVwcZlo70z momrnizng acnd evening for four or five days, Ccfte'r whiehl I calow the medicine to act for three or four months, sometbimies cveln for five or six.months, or even longer, if the imprp1ovement continues; if it should cease, and three months should have elapsed, I then give another remedy. The reason why I do not give another remedy under three months (except in case acute symptoms supervene,) is because I have noticed that the priliary action of the drug is sometimes not developed under two or 28 INTRODUCTION. three months, after which a cure takes place, which could not have been accomplished, if I had not waited a sufficient length of time to allow the medicine to manifest its full action, or if I had interfered with it by the untimely repetition of the dose. The curative process should not be viewed as materially as it is very frequently done. The proplerly selected remedy starts the cure, the naturcal curative power finishes it. If the pendulum of a clock is once set in motion, it keeps moving as long as the clock is wound up; if we kept starting the pendulum every now and then, its vibrations would soon become disordered, and would finally be arrested. If I hide an apple-seed in the ground, it will germinate and sprout in due time, will penetrate to the light of day, and slowly but surely will grow up to the tree, according to Nature's behest. If man, becoming impatient, should undertake to lay one seed above the other, the former would become choked, no tree would grow, because Nature had been interfered with by short-sighted man. This remark applies to chronic diseases which gene. rally arise from some acrid matter, from some hereditary or externally inoculated dysccrasi'c. In order to expel this, the natural curative power of the organism only requires to be stcrlecd, after which this power achieves the cure as certainly as earth and sun accomplish the unfolding of the tree from the seed. If we unwisely interfere with these mysterious rulings of Nature, a cure can no more take place than a tree can be developed from the seed. Although Hahnemann has taught these truths most satisfactorily, yet we only become fully conscious of them, if we have experienced them in our own practice. 'ACUTE AND CHRONIC DISEASES, 29Years ago I had adopted the practice of not giving another dose in chronic affections under several months; but the following case taught me a different lesson. Louise B]., of II., 161 years old, of a scrofulous habit, became so distorted after a fall which she had in her seventh year, that the cervical vertebre stood out in an almost horizontal direction, and the sternum had assumed a similar direction in front, the head was twisted backwards. She had continual pain in the spine, sternum, and in both thighs. The latter had become weaker and weaker ever since her eighth year. At first she was only able to drag her lower extremities, but gradually she lost the use of her limbs entirely and had to be carried like a child. In this condition she was brought to my clinique where the treatment was commenced with a pellet of Sl2ph1r 30. The mother returned in two months and a-half, stating that the pains had considerably increased. I gave a pellet of Silica 80. In three montlhs and a-half I was infoirmed that the sufferings of the patient had gone on increasingly. On Dec. 30th, 1847, I gave a pellet of Ccalcceca 30. No change having occurred in three months, I began to suspect that I had given my remedies too soon one after another, thus destroying the primary effect of each. I now gave powders of sugar of milk, and a favorable change took place, and continued from month to month. The pains abated more and more, the spine became straighter, the limbs more vigorous, so that, six months after taking the Cale., she was able to be led a few steps. Eight months after the cure, the father wrote: Last Friday my daughter Louise walked a few steps alone, without being sup 30 INTRODUCTIONI ported." A few months afterwards a tumor formed under the right scapula which telrniniatecd in an abscess and discharged after Ilepfxr 30. The pus being thin and fetid, I gave Ascafeticca 30, after which it soon became yellow and thick. The suppuration weakened the patient so much that she again lost the use of her limbs; but the psoric poison having been removed from her organism, she was enabled to go to church with her parents in the spring of the same year, and to take short walks. At the end of May she took a pellet of Lycopodiuzm 30, after which she improved so rapidly that she was able to walk for miles in the summer, and to do the housework; she considered herself cured. A cure would probably have been effected more rapidly, if I had allowed the former remedies to act more fully. I trust that this case will prove a warning to my colleagues, and that every one who only gives low doses, will ask himself whether he has ever perfbrmed such a cure by means of them, Another case. Mr. H., from Holstein, had been suffering for years. He sought my advice in writing. Age 40 years. Almost constant pains in the left side of the chest; frecluent yawning, sneezing and eructations. Occasional pain and swelling in the pit of the stomach, empty eructations when pressing upon this region. Deaf of the left ear from his infancy. Swelling at times of the left cheek, at other times of the mouth, nose and eye. Stiffness in the nape of the neck. Drawing pains in the left thigh. Weakness of the stomach and nerves. In former years, inflammation of the glands and lungs. lie had the itch when young, which had been removed with an ointment. I sent him four powders, to be taken in eight weeks, No. 1 contain ACUTE AND CHRONIC DISEASES. 81 ing four pellets of Sulphur 30, which were to be dissolved in a cupful of water, a swallow to be taken morning and night for four days. After eight weeks the following report was sent to me: A few weeks after taking the medicine, all the symptoms grew worse, but in three weeks a general improvement set in. The left ear began to discharge again, which had not been the case for years, and the flatulence and pains in the chest have abated, so that the patient feels much better. I sent four powders of sugar of milk, for the effect of Sulphur now first began to show itself. The next report being still more favorable, I continued the non-medicinal powders. Twelve months after the commencement of the treatment I received the following report: The hearing of the left ear which had been deaf these thirty-two years, is restored, and I am cured except a small swelling near the left eye, and some stiffness of the nape of the neck. Another non-medicinal dose completed the cure. One dose of Sulphur 30, did all this in the space of four months. Another case is Lady H., 67 years old. For forty years this patient had attacks of hemicrania which deprived her of her senses for three and more days every two or three weeks. She felt as if her brain were torn and sore. She constantly complained of nausea, rush of blood to the head, throbbing and shooting pain in the temples, towards the ear, worse on one side. Roaring and whizzing in the head and ears, so that she was not able to hear during the attack, and was unable to open her eyes in consequence of the extreme sensitiveness of her eyes. She was, moreover, affected with backache, and pains in the limbs, hiemorrhoidal tumours and such an obstinate constipation that very frequently she had 32 INTRODUCTION. only a hard and painful stool every fortnight in spite of all injections. After a careful examination I considered Salphur 30 the best remedy, and gave her one pellet, informing her at the same time that the medicine would probably excite former ailments, the first of which was an obstinate constipation which lasted a fortnight, and was followed by regular stool. This, however, may have been promoted by the magnetized water which is very apt to remove such difficulties. In the fourth week she had an attack of hemicrania, wvhere every symptom was most intense, but I gave no medicine, confident that I must allow the Sulphur full time to act. Every two or three weeks some former ailment made its appearance. Ten years ago the patient had had violent pains in the left side; these set in for two days, after which they disappeared. Four weeks later the patient was troubled with asthmatic complaints which she had had fifteen years ago; these, too, disappeared again in a few days. Now an inflammation of the liver showed itself which had troubled the patient twenty years ago for eight weeks, and had brought her to the brink of the grave. The inflammation increased to such an extent that I had to give her two pellets of Aconite in water, after which the inflammation disappeared in two days. Two months after this time she was attacked for two clays with coxagra, an-attack of which she had twenty years ago. Soon after she had a pain at the left elbow which had preceded the former complaint during the first attack. In the mean while the attacks of hemicrania became less frequent and violent, until during the sixthmonth, she had an eruption about the head and on other parts of the body, after the removal of which, she was per ACUTE AND CHRONIC DISEASES. 38 fectly cured seven months after the beginning of the cure. What is interesting to know in this case is that this patient had had nothing but homoeopathic treatment for twenty years past; but her physicians had not cured her because they did not allow the medicine to develop its full effect. At a consultation of homoeopathic physicians it had been agreed that Sulphur was the right remedy, and Dr. Rau had ordered her to take one pellet every fourth evening. This had no effect for the simple reason that one dose destroyed the other, and the frequent repetition of the same medicine prevented the natural remedial power of the organism from improving the start imparted by the appropriate remedy for the purpose of achieving the cure. This precaution being duly observed, Sulphur not only developed its full curative power, but likewise excited all her previous ailments which had only been suppressed heretofore, and gradually effected a perfect cure in the space of seven months. It seems as though every physician of intelligence and good-will should feel disposed to follow this example. These cases show that no second dose of a remedy should be given as long as the first dose has not exhausted its action, and in cases where no effect is observed, as in the case of deaf and dumb patients, to allow a dose to act at least for three to five months, since it is impossible to know what is going on in the interior of the organism, and it is so easy to injure the salutary action of a drug by the untimely exhibition of another remedy, of which we have had repeated instances in the case of externally perceptible ailments. 8 34 IINTRODUCTION. SECTION VIII. In answer to the question, how such a small dose can prodace such wonderful effects, I repeat what I wrote in 1849, for I have nothing better or clearer to offer: EXPLANATION Of the efficacy of homoeopathic potencies by means of animal magnetism. Nobody has known heretofore how it happens that homoeopathic potencies act so powerfully, and the most diversified theories have been offered in explanation. Some years ago I made the discovery, and have since verified it by repeated observations, that animal magnetism is the vivifying, efficient power of our potencies. Every one who frequents my clinic, has seen that the most violent pains often yield to a pass with my hand, to a breath, to a mere word, hence to the power of the will; that even ailments which had lasted for years, frequently cease suddenly and even permanently. This is a gift of God which cannot be acquired by study or comprehended by the reason, but which has a real existence although depending upon faith and the will. We have to believe that man is capable of such a power, and that it is bestowed upon him by God's omnipotence. If this faith is accompanied by the firm will of relieving an alflicted brother, I may then either impose my hand or make a pass, or simply extend the hand, or breathe upon him, or only speak a word, and the pain will cease. If relief is not procured, it must be because the magnetiser was deficient in faith or will-power, or he _~ -~~~"ll-pl"" —-— ~~ _ ~ —--— __~~~. —~~ SMALL DOSES. 30 must have felt that he ought not to have afforded any help in this case; powerfully-magnetic individuals are conscious of this, as though it were whispered to therm by an invisible power. The zoo-magnetic power may likewise be transmitted to natural objects, pure water, pulverised sugar, wood, etc. I have the most striking proofs showing that a powder of sugar upon which I had breathed, or a glass of water which I had touched purposely, has produced the most marvelous effects. A most striking example is afforded by Mr. Moses Philipps, of Dessau, aged 72 years. For the last six months he had vomited whatever food he swallowed, first after the lapse of twenty-four, then after twelve, and finally after six hours, and for the last eight days immediately after swallowing food, so that he was unable to walk in consequence of his debility, and the most distinguished physicians gave up the tthought of saving his life. tie was brought to me in this condition, and said: "I am a dead man unless you help me; I know you can help me!" I took a glass of water in my left hand, magnetised it with my right by placing it upon the tumbler, and told him to drink it. To his astonishment he kept the water on his stomach, whereas he had rejected even fluids heretofore; soon after he experienced hunger, and I had him eat a plate of soup with some wheat bread; this, too, was retained, and he was able to eat more solid food and never vomited after this. The violent cardialgia with which he had been constantly afflicted, had likewise disappeared; and in a fortnight he returned to Dessau quite well. A few years after his return he wrote me that he continued in excellent ~36 mTOINTnODUCTION. health, that he was able to digest the heaviest aliments and that he had grown quite stout. This and many other similar cures induced me to draw the following inference: If mere water, by a mere imposition of hands, is rendered so medicinal that it will cure at once a severe affection of years' standing, how much more must this medicinal power be imparted to a properly attenuated agent whose peculiar effects we have become acquainted with by experience and provings upon the healthy, by continued shaking with the hand I This inference seems quite plain, but it would have remained problematical, if daily experience had not demonstrated its correctness. The thing happens in this wise: The noxious constituents of the drug, for instance of poisons, is removed by attenuation; but the peculiarly specific principle which constitutes, so to say, the soul of the drug, remains, and is wonderfully excited during the shaking by the magnetic influence, and by it is rendered capable of curatively affecting the disordered nerves, which would have been overwhelmed by the coarse material. The selection of the appropriate remedy in a given case depends upon the law that the drug must be capable of producing in its coarser form, on healthy individuals, the very symptoms which the potentized agent is expected to cure. This is the law of similarity which Hahnemann has discovered, and which has given rise to the name homceopathy. Even Paracelsus makes mention of this law, and Hippocrates alludes to it in this proposition: Fevers are sometimes most readily cured by remedies which induce fever. SMALL DOSES. 37 This affords an explanation why the improperlyselected remedy has no injurious effect upon the body. By virtue of the law of similarity the remedy can only act upon a condition of the nervous system analogous to the drug; where this analogy is wanting, the highly potentized remedy can hurt no more than a magnetic pass hurts a person in health, which will sometimes cure a diseased individual in an instant. Many persons may have rejected homceopathy because they were unable to comprehend its law. We have furnished an explanation and support it with undeniable facts. Although the phenomena of animal magnetism cannot be accounted for, yet its effects are seen, and are only denied by a small number. Every body possesses it more or less;* for what else is it but the vital power which is extinguished only by death. It is undermined by irregular and licentious living, by excesses of the body or mind. It is preserved and fortified by a careful observance of the laws of health, by self-control, and by an increasing consciousness that the body is only the envelope of an immortal spirit. * Hence any body may prepare homiceopathic niedicines; but their power will depend upon the degree of magnletic power which ihe possesses. This is probably the reason why some who use my preparations, assert that the medicines prepared by me, act more powerfully than those prepared by other persons. This seems to have been verified by a number of experiments. The experiments which I have instituted with Jenichen's high potencies in chronic affections, have satisfied me that they act less intensely than my own preparations, without accomplishing any more; and that in the case of all potencies the main point is to alloco ecch close to act to thie end. I use throughout the 30th potency which I prepare with 60 stroles of the arm. It INTTiODU(TION. It is in us that the divine spark slumbers which enables us to attain by faith and will to whatever is not beyond the boundaries of Nature. He who believes and wills this, and steps to his sick brother's bedside with a loving heart, will behold, not without amazement, the wonder of fulfilnent. SECTION IX. I have shown that in acute diseases the dose may be repeated quite frequently, and in chronic diseases much less frequently; and that a change in the symptoms, in the case of acute diseases, necessitates a change of remedy, or the alternate use of two remedies. In acute cases it is generally more expedient to alternate than to combine remedies, because one may be withdrawn and another substituted in its stead. In meningitis, for instance, with dry and burning heat, I give Aeon. and Bell. 30 in alternation, every hour or half hour; but as soon as the heat is over, and sweat sets in, I discontinue the Aeon., and give Bell. alone, or alternate this remedy with Bryon., in case the patient should move the jaws as when chewing; if the sweat should cease, and the burning heat should return, I have again recourse to Aeon. In this way the dangerous symptoms of a violent disease may be controlled speedily and safely; but care must be had not to give too much of a remedy, and not to continue it after it has removed the symptoms for which it was selected. I have likewise shown that an entirely cifferent method has to be pursued in chronic cases; that the trifling incidental symptoms of an acute character need not be considered, and that the totality of all the symp BEPETITION OF DOSES. 41 consequences of a blow, shock or concussion generally: Arnica or Rhus tox.; for loss of animal fluids, China. If the physician knows the exciting cause, which should always be inquired into, the remedy which is in relation with this cause, should always be given first; or else, if it does not cover the totality of the symptoms, the remedy which is indicated next, or the two in alternation. In the third place, in selecting a remedy the physician should have regard to the patient's constitution. lHe has to observe whether the patient is scrofulous, distorted, in which case Sulphur should never be omitted; likewise, whether the patient is now or has been afflicted with eruptions, tetter, ulcers, itch, caries, in which case Sulphur has always to be given alone, or in alternation with some other remedy. If the patient is bloated, inquiry has to be made whether the bloat is the result of dropsy (OhinaC, Arsen.,) or of an excessive deposit of fat (CIcc. carb.) In a case of emaciation Ars. and China have to be given; heat in the head requires Bell.; pregnancy points to Sepiact, Ipecac., Bell., China. In the fourth place the patient's age has to be considered, and in the case of infants the experienced physician will first think of Acon. and Chazn.; in the case young girls between the ages of 13 and 17, Puts. and Ch/ina are very frequently required; in the critical age, between the years of 46 and 52, Sepiac and Lachesis are required; old age is benefited by Bar. carb. and 02ium. Of course, age is no criterium for the selection of a remedy; in comparing remedies, these remedies should not be overlooked, if they are otherwise indicated by the symptoms. Fifthly, the temperaments and disposition have to be REPErITIIO OF DOSES, 43 cause a symptom is made worse or better; aggravation, for instance: in the evening (Puls.) or in the morning (Nux), at night (Sulph., Merc.), or in the clay-time after a meal (Nux vom.), in the open air (Nux vom.), or in a warm room (Puls.), during rest (Rhus tox.), or during motion (Bry.), in the warmth of the bed (Sulph., Rhus tox., Merc., Lyc.), by dampness and wet (Calc. carb., Rhus tox., Chin.); im7provemer, in the warmth of the bed (Caust., Nux vom., Bry.), in the open air (Puls.), etc.; again, improvement or aggravation by certain kinds of food, work, exertions, mental exertions, (Nux vom.), or bodily (An., lhus tox.), and other similar indications which are of the utmost importance to the genuine homoeopath. Next to the history of the disease and all the accessory symptoms, the ordinary bodily functions have to be considered, such as stool and urine, appetite and thirst, sleep, respiration, cutaneous exhalations, catamenia; the absence or presence of one of these functions frequently determines the selection of the remedy. The catamenia constitute in most cases the characteristic symptom. Deafness or hardness of hearing, for instance, if no other accessory symptoms are known, or the exciting cause cannot be ascertained, can only be cured in the case of females by ascertaining all irregularities in the sexual sphere and selecting the remedies which are indicated by them. In general, this point should never be overlooked in selecting a remedy, otherwise we might be unable to effect any satisfactory result. In order to facilitate the examination of a case, I have established the following seven points which I send to all patients at a distance who have sent me an imperfect report, and who are desirous of obtaining my advice. 441 INTRODUCTION. A FEW HINTS TO PHYSICIANS AT A DISTANCE IEGARDING THE MIANTNER OF TAKING DOWN THE TOTALITY OF THE SYMPTOMS OF A DISEASE. 1. NaCTme, age, condition, residence, street, number of the house; if the patient resides in a village, the mail-station has to be indicated from which letters are sent to the village. 2. Correct cdescription of the disease, duration and probable exciting cause of the same. If pains exist, the seat of the pains should be correctly indicated, indication of the period when the pains are either less or worse, whether in the day-time or at night, in the morning or evening, by cold or warmth, during rest or motion, etc. 3. Temperament and disposition, whether cheerful or gloomy, gentle or vehement, disposed to weep, etc., whether this has always been the case, or has set in with the disease. 4. Fracme of body, whether tall or small, stout or thin, robust or delicate, with red cheeks or pale and sickly. 5. Bodily defects: hernia, prolapsus, defects of hearing or sight, whether distorted, lame, etc. Causes thereof. 6. Stool and Urine, appetite and thirst, sleep, respiration, cutaneous secretions; chilliness, heat, sweat (fever); in a case of fever and ague, whether and when thirst is present; whether the menses appear regularly; duration of the same, color, consistence (pale, red or dark); coagulated, tenacious; profuse or scanty, with or without pain; leucorrhcea, its character 7. Whether can eruption has ever existed, even in infancy, glandular swellings, herpes, ulcers, itch or alny 1. _______________ ____________ METHOD OF RECORDING SYMPTOMS. 45 other acrid humors; whether the patient has been guilty of self-abuse or other excesses. It should be ascertained whether the patient. had been bled frequently, had taken much calomel or china, etc., or had indulged in coffee, wine, brandy, etc. In examining a patient, this order of questions should never be departed from. The patient should first be allowed to relate his case without interruption; cross-questions are very apt to cause patients who have not much power of concentration, to forget various points which may be of great importance to a physician, and which would have to be ascertained at the next visit. Let the patient speak slowly so that every thing can be noted down. After he has said every thing, he may then be questioned more specifically, but in such a manner that the answers are not suggested to him; for instance: he should never be asked, have you headache? but, have you any other painful sensations? If he should say: Yes, I suffer with headache, we should not ask: in the temples or forehead, stinging or boring? but we should say: describe the headache more minutely. After this, we do not ask: is it worse in the evening or morning? but: at what time of the day or night is it worse? Again, we do not ask: is it made worse by cold or heat, by sitting or moving about, by loud talking, etc., but: by what influences or changes in the temperature is the headache made better or worse? We should never omit inquiring into the condition of the sexual sphere; this can be done without any difficulty by a physician who knows how to win his patient's confidence by an earnest and sympathising manner. The physician should know most positively 46 INTRODUCTION whlether the patient had been guilty of masturbation. Every apparently trifling symptom is important to the proper selection of a drug; the statements of hypochondriac and hysteric patients, however, should be subjected to a careful criticism. Every thing bearing upon the case is to be carefully noted in this manner, and to be transferred to the clinical journal which every physician should keep with conscientious care. Any one who applies for it, can obtain such a paper from me, containing seven divisions: 1. The number of the journal; 2. Date; 3. Name, condition, residence, age; 4. Symptoms of the disease; 5. Remedy, potency and prescription; 6. Result; 7. Particular remarks. I have kept such a journal for six to eight years; but my practice increasing so much that I had to employ several assistant physicians and secretaries for my foreign correspondence, I arranged a socalled flying journal. I had sheets, of the size of a third part of a common sheet of letter paper, printed as follows: To be avoided during h7z th reatmzent. Coffee, tea, strong beer, wine, gin, rum, acids, spices, herbs and roots, fat pork, fat meat and vapors of sulphur. All other ordinary aliments are permitted. Dissolve a pow- 5 In dissolving der in a cupful of) Take every day, morning and the powder, stir fresh water, and. evening, a dessertspoonful, so f the mixture with keep it well cov- as to finish the whole in four a horny spatula, eied. days; then wait seven days.: or a goose-quill, First. No. 1. but no metalspoon. This paper has to be preserved, and brought or senlt to me at every consultation. Ccethen. DR. ARTHUR LUTZE. My clinic is open every day, except Sunday, from 8 to 1 o'clock and fromu 4 to 7 in the afternoon. METHOD OF RECORDING SYMPTOMS. 47 In the middle space I write the date, name, condition and residence of the patient. On the reverse blank page are found the symptoms of the patient, his age, the duration of the malady, a general description of the same, and finally the most particular symptoms. The symptoms of the disease of which, if sent in writing, the assistant physicians make an extract, are followed by my prescription, which is inclosed in the paper, after which the whole is sent off by mail, or handed to the patient if present. Example: Mrs. F., 31 years. Cardialgia for seven years past, caused by a cold. A spasmodic pain cornmences in the stomach, extends to the small of the back, and upwards between the shoulder-blades. These symptoms are accompanied by sour eructations, gulping-up of sour water, sometimes vomiting. Worse in the morning and after eating. Violent temperament, irascible; slender and looking well. Stool hard, every two or three days. Little appetite, restless sleep. Menses regular, profuse and dark. Had never any eruption. Nesx vonz. 30., 4 P. This last expression signifies that only the first powder contains five pellets, and that the other powders are non-medicinal. If the two first powders contained medicine, I should express it thus: Nux vom. 4 P. When sending off medicine, I wrap these four powders in the printed envelop, so that they fill exactly the middle space, and in six weeks the report and the envelop are sent back to me; the case is continued in the same paper; as soon as this paper is filled, a second paper is attached to it, and the flying journal is composed of these papers, which every patient takes good care of, for he knows that they are important. I —I —-- -. -~~~Y J 48 INTRODUCTION. This arrangement has enabled me to make in the year 1853 eighty thousand prescriptions by mail, and twenty thousand to thirty thousand in my clinic. This fact has been doubted, until physicians came to my clinic and convinced themselves by ocular demonstration of the truth. Let no beginner neglect to read HIahnemann's Organon, ~~ 84-99, where the investigation and description of the symptoms of a case are more particularly explained. SECTION X. One of the most important chapters is that of diet; for a cure may not only be promoted, but also prevented by it. As a general rule, the followiing articles should be absolutely forbidden, both during and some time after a homceopathic cure: coffee, vinegar, lemon-juice, pungent and aromatic condiments in food or drink, wvinle, spirituous beverages, strong and stupefying perfumes or odors, such as the smell of sulphur and phosphorus in lighting matches. As regards coffee, it is generally known that it excites the nerves, but few are acquainted with the fact that coffee is the cause of most of the ruling ailments, especially among females. All sorts of cardialgia and abdominal complaints, hesmorrhages, headache and toothache, sur-excitation of the senses and nerves, owe their existence to the abuse of coffee. This beverage should never be used by children and women, more particularly if they are affected with rush of blood to the head and chest. Every homoeopathic physician should prohibit coffee DIET. 49 from the following three reasons [ First, because it is more or less hurtful in every case; second, because it antidotes most of our homceopathic preparations; third, because the patient who is anxious to recover his health should be willing to suffer a trifling privation, in order to be placed in possession of this precious gift of God. Such a privation will induce him to be very particular in following the directions of his physician; he ought to be carefully reminded of the fact that he is sick, for an ever-present consciousness of this fact will keep the desire of recovering his health keenly alive in his heart, and will facilitate the operations of the medical adviser. These are the moral reasons, imposed by common sense and duty, why coffee should be avoided. As regards tea, I do not prohibit the absolute use of it, but I allow the so-called black tea, which is not injurious to homoopathic preparations, except C/ina and Pulsatillca. But even black tea should be strictly forbidden, if patients are not accustomed to its use; for it excites the nerves, especially those of females; whence it may be inferred that the use of tea has a deleterious effect upon the nerves of those who experience the least stimulating influence from it; such persons should abstain from the use of tea altogether. Instead of coffee and tea, fresh milk should be used, immediately after it is drawn; this is a most whole. some and natural beverage, more particularly for child.ren. A beverage prepared from roast corn and sweet carrots may likewise prove a good substitute for coffee. Pure chocolate or ground cocoa may likewise be resorted to, but not the so called prepared chocolate with4 50 INTRODUCTION. out the oil, which is recommenced by ignorant traders, but is of difficult digestion. Cocoa-shells likewise afford a wholesome and pleasant beverage, or a plain soup, such as our ancestors were in the habit of eating at breakfast or supper, and is still used in many parts of Germany and France. Vinegar and lemnon-juice are forbidden because they interfere with the action of most homceopathic preparations. If not under treatment, mild acids may now and then be used with the food by persons in health; such acids should be used very sparingly by children, but should be rigorously avoided by chlorotic girls, or by girls of a chlorotic habit of body, who have frequently a strong desire for acids, which should not be gratified, inasmuch as such gratifications may be followed by disastrous results. Sourkrout, without vinegar, may be eaten by chronic patients whose digestive organs are in good condition; curd may likewise be eaten by those who are not incomnmoded by it. S7iamrp and aromatic spices heat the blood, on which account both healthy and sick persons should abstain from them, but especially the latter. The custom of spicing the food so as to cause the mouth to burn for hours has been very generally abandoned; it is a most unwholesome practice. Cinnamon causes a tendency to hemorrhage, and should be prohibited; parsley excites the urinary organs, and celery the sexual organs; for this reason these two articles should be avoided in affections of these organs respectively; on the other hand, in chronic af. fections of other organs, a cure is not interfered with if patients should now and then eat a little parsley or cel DIET. 51 ery, or some other simple helrb, in the soup or vegetables. TWine should be prohibited during homoeopathic treatment; it interferes with the operation of many drugs, stimulates the circulation, and is more especially prejudicial to rheumratic and arthritic individuals. Healthy persons should use wine in moderate quantities, if they do not wish to be injured by it. This is particularly advisable in the case of young persons. The proper way would be to drink wine only on extraordinary occasions of rejoicing, when it may contribute to promote hilarity; it should not be used as a common beverage. It may do good when drank after eating heavy or fat food, on journeys, more particularly when the weather is cold and damp; at such times a little wine is craved by the natural instinct, which should always be obeyed by persons in health. Wine proves true medicine after debilitating diseases, such as typhus. In such cases a teaspoonful of it should be taken at a meal. Wine, taken at dinner, proves invigorating to old people. On the other hand, wine will prove injurious to health if used immoderately, without due regard to hygienic laws.,Spirituous beverages, such as brandy, rum, grog, punch, liquors, etc., should not only be rigorously abstained from by patients, but likewise by persons in health, for such things destroy life and peace. It has been ascertained by recent investigations that all fermented liquors contain alcohol, which does not act as a sudden poison, but slowly and very gradually undermines health and weakens the vital power. Most 52 INTRODUCTION. drunkards die of delirium tremens, and some are even said to have perished by spontaneous combustion. This termination of a drunkard's fate occurs so rarely that its occurrence is doubted by many. The Prince E. Gagarin, of Odessa, has assured me that he has witnessed several such casualties with his own eyes. An examination of the stomachs of recently-deceased drunkards has shown that the inner coat of these organs has a reddish color, arising from the congested condition of the capillaries. The stomach of a drunkard who gets intoxicated several times a week has a blueish appearance, and the blood-vessels are very much distended with blood. The stomach of a drunkard is intensely inflamed, and scarcely able to retain food; the stomach of one who died of delirium tremens, or of schirrus of the stomach induced by drinking, has an offensive look. He who considers these things must be aware that even the moderate use of brandy is not innocuous, as is supposed by many ignorant persons, who fancy that brandy is necessary to those who are exhausted by hard labor. All that brandy accomplishes is to excite the nervous system, and inasmuch as these artificial stimulations lead to excessive waste, every drop of brandy is de structive to health and life. Instead of spending money for the deleterious brandy, even poor people might procure for themselves strength and comfort, if they would buy meat instead of liquor. Sensible people should constantly endeavor to impress these teachings upon the minds of the uneducated masses, who could easily be made to understand such a simple and important matter. Look at a drunkard: not only his physical strength is ruined, but likewise his moral energies. All his finer DIET. 03 feelings are blunted; the sense of honor and shame, the love of that which is great and good, have disappeared the only desire that is not extinguished in his soul is the desire for brandy. Hufeland says: "I do not know anything that is more capable of begetting a character of beastly brutality, and of destroying the divine features in man's nature, than the abuse of brandy. Other vices still leave the hope of improvement, but the vice of drunkenness ruins man throughout, for the reason that it destroys his sensibility. It seems to me that these considerations should engage the attention of the public authorities, and should induce them to devise measures to diminish the consumption of brandy, instead of allowing gin-shops and brandy-distilleries to be multiplied. A country where this vice becomes universal must perish, for industry, virtue, humanity, sobriety, moral sentiment, and all the other qualities without which no country can preserve its existence and growth, are banished by this horrid vice. History shows that the introduction of brandy among savage tribes is the beginning of their physical weakness and degradation, and that this disastrous gift by the white man secures their subjugation much more readily than gunpowder and artillery." The best evidence of the correctness of these statements is furnished by the following words addressed years ago by a delegate of many Indian tribes to the President of the United States: " Ve pray thee to grant us ploughs and other tools, and to send us blacksmiths who can teach us to mend them. But, my father, whatever we undertake will prove without avail, unless the assembled Congress of the sixteen States forbids the sale of brandy and other spirituous bever E5-1 INTRODUCTION. ages to the red man. Father, the sale of this poison has been forbidden in our fields, but not in our cities where many of our hunters not only sell their furs for this poison, but likewise their rifles and blankets, andc return to their families in a state of nudity. Father, thy children are willing to labor, but the introduction of this deleterious poison keeps them poor. Thy children have not yet learnt to govern themselves as thy people have. When our white brethren first came to our country, our ancestors were numerous and happy; but since the arrival of the white man, and since the introduction of this deleterious poison they are less numerous, and less happy." What a joyful message it must be to the unfortunate victims of the vice of drunkenness, that the new healing art offers means of salvation even to them, not by secret remedies, but by enabling man to mend his ways by his own free will; for man's feeble strength can only be supported and his ruin can only be prevented, if he is willing to accept help. I have frequently succeeded in saving a poor unfortunate from the consectuences of drinking; even two years ago I rescued the father of a family whom the vice of drunkenness had well nigh led to the brink of ruin; since then he has not touched a drop of brandy, and the members of this family now form a happy and comfortable group. In regard to ale, I have been in the habit of forbidding it, because it is most generally mixed with a little alcohol, especially when brought from a distance, for a little alcohol is then added by the brewer in order to secure its better preservation; but pure beer made from malt and hop may be drank in moderate quantities without injuring the medicine. DIET. 55 A Bavarian brewer once informed me that he had been in the habit of mixing his beer with quassia, lolium temolentum, centaury, and even nunx vomica; although these poisonous ingredients are only added in small quantity, yet their continued use must necessarily have a deleterious influence upon the human body. In more than one case of insanity, it has been traced to the constant use of this adulterated ale. The public authorities in every country should see to it that such adulterations do not take place. Although fresh water is undoubtedly the most wholesome beverage, yet a glass of pure beer need not be interdicted; more particularly in the case of an industrious laborer who uses beer as a substitute for brandy. Children, however, should abstain from beer, or should drink it only exceptionally. Cider had better be avoided by persons under treatment; if perfectly pure and not acid, it may be drank occasionally by chronic patients whose digestive organs are not affected by it. All strong and stupefying odors should be carefully avoided. Nevertheless it is unnecessary to follow this rule with pedantic anxiety. Nobody, for instance, need be afraid of the perfume of flowers in the open air; fragrant flowers, however, should not be kept in a close room, much less in a bed-room, because the exhalations emitted by such flowers may cause death. The perfuming of rooms and linen, which fashionable persons were formerly in the habit of resorting to, is likewise injurious to the nerves which are weakened by such influences. Fumigations in rooms for the purpose of dispelling bad odors, are likewise condemnable; they only tend to increase the bad air. The only proper -- ~ _. —~ -- — _,,,=t,~=~~- ~ ~ ~~~~ 56 INTRODUCTION. mode of purifying the air in rooms, is to ventilate them, more especially sick-rooms the windows of which should be opened several times a day, if such a thing is feasible, and currents of air should be induced by large fans. In lighting matches, care must be taken to avoid the vapors of sulphur and phosphorus which are even injurious to persons in health. The best place to light matches is in the stove or fire-place, where the vapors can ascend into the chimney without affecting the atmosphere in the rooms. In public rooms, bar-rooms, etc., a little flame should be kept burning with papermatches; the common phosphor-matches are especially to be avoided when lighting cigars or pipes. Tobscco injures the health on account of its narcotic power. Persons with weak nerves are even affected by the smell of tobacco; they, as well as those who are suffering with sore throat, pulmonary and ophthalmic complaints, should avoid the use of tobacco as much as possible. Chewing tobacco is a bad practice which should never be permitted. Smoking not only induces a waste of saliva, but spoils it, and deranges the natural process of digestion. Hence tobacco will prove injurious to persons affected with abdominal and nervous complaints. Nicotine, the active principle of tobacco, when prepared from fresh leaves, destroys life almost as speedily as prussic acid; yet the vapors of such a poison are inhaled by the mouth and nose. The action of homceopathic medicines is impaired by smoking and taking snuff; hence tobacco should be strictly avoided during treatment. Patients whose physician permits them to smoke, DIET. 57 should not smoke cigars, which are always injurious, but should use pipes with long stems, and smoke light tobacco, but never immediately before or after a meal. Smoking is very much abused now-a-days by young persons. Even boys are seen walking about the streets with cigars in their mouths. Parents and guardians should put a stop to this reprehensible practice which enfeebles the rising generation, and gives rise to the diminutive stature, and to the many pulmonary affections of young people, that were never so frequent in former times. Hufeland who was as humane as he was experienced, writes: "Smoking spoils the teeth, dries up and emaciates the body, causes paleness of the face, weakens the sight and the memory, causes determinations of the blood to the head and lungs, predisposes to head and chest-affections, and may cause hmrnoptysis and pulmonary phthisis in those who have a hectic habit of body. Moreover the habit of smoking is an additional want, and the more wants a man has, the more his freedom and happiness are limited. For this reason, I warn every body of the vile practice of smoking, and shall deem myself happy, if my remarks should contribute ever so little to its decrease. Taking snuff is not much better, and much worse in point of uncleanliness. Moreover it irritates the nerves, weakens them in the end, and gives rise to headache and sore eyes. What increases the injury caused by smoking and taking snuff, are the acrid and often poisonous ingredients which are mixed up with the tobacco by the venders of this weed, for the purpose of increasing the desire for it by artificial means. I am unable to com 60 INTRODUCTION. ates the fluids. In the war against Spain, after the vegetables, bread, etc., had all been eaten, and the army had to live on meat alone, the first consequence was that the soldiers were attacked with diarrhcea, after which a most devastating putrid fever set in, which continued until vegetables and bread were procured. Full-grown chickens, and all kinds of flying fowl, if not too old and tough, or too young, are comparatively of easy digestion; young pigeons, for instance, are not advisable. Rabbit and deer-meat, if tender, is very digestible and nourishing. Likewise tender and young beef. Mutton is not quite as digestible, but wholesome, and is especially useful when a disposition to diarrhoea prevails. V/eal should only be used if the calves are large and not too young; but it is neither as digestible nor as nourishing as mutton; if too young, it frequently causes diarrhcea and cardialgia. Pork is more difficult to digest than any other kind of meat; if eaten in too large a quantity, it causes impurities; hence it should be strictly avoided by all those who are affected with phlegm, acridities, eruptions, ulcers, etc. Persons of a nervous temperament, and those who take much active exercise in the open air, such as day-laborers, digest it more readily than others. These remarks likewise apply to goose-flesh, whereas duck is rather more digestible. Eggs contain the nutriment matter in a concentrated form. A fresh and soft-boiled egg is equivalent to onethird of a pound of common boiled beef. Hard-boiled eggs are hard to digest, constipating, and less nourishing; DIET. 61 baked in butter, they are the most indigestible. Bad eggs may cause a good deal of mischief Milk, especially when fresh from the cow, is a most wholesome beverage, and exceedingly nourishing and easily digested. It may be said to occupy a mean rank between meat and vegetables. It is particularly useful to children, enfeebled persons, consumptive individuals, and persons who are inclined to cough and other chest affections. It is less suitable to hypochondriacs and to persons with acid stomachs, unless such individuals take much exercise in the open air. Trifling ailments which may be caused by the use of milk, may be removed by homoeopathic medicines. Cheese is nourishing when fresh, but old cheese is indigestible, and irritates rather than nourishes. If eaten in quantity, it causes much phlegm, constipation, acrid humors, diseases of the skin and kidneys. Old cheese has often caused symptoms of poisoning; in overload ing the stomach, it may act as a medicine; hence it may prove useful after a copious dinner. Fresh butter is the mildest of all kinds of fat, but is easily digested only if a thin layer of it is spread on bread. Old or fried butter is hard to digest, acrid, and should be avoided by all persons under homceopathic treatment. Cold-blooded canimals, such as fish and conchylia, are less nourishing and generally harder to digest than the meat of warm-blooded animals. The most wholesome kind of fish is that which lives in flowing water, with a bottom of sand or gravel; fish from stagnant water is less wholesome. Sea-fish is more nourishing than fresh-water fish. The more easily the flesh of fish is crumbled between 62 INTRODUCTIONE the fingers the more easily it is digested; the fatter and more tallowy the flesh, the harder it is to digest. The most wholesome kinds of fish are trout, young pike, cod-fish, haddock, perch, shad, black-fish, white-fish from Lake Michigan, carp, flounders, etc. Halibut and salmon are not adapted to delicate stomachs. The flesh of fish being easily decomposed, it should always be eaten fresh, and sufficiently salted, especially by persons under homoeopathic treatment. Boiled fish should be eaten with fresh butter and potatoes. Otherwise it might prove very indigestible, and cause fever and ague, especially in those whose stomachs are turned by eating this kind of food. For this reason it is not well to make a meal exclusively of fish. Fresh oysters are easily digested and nourishing, and may be eaten by patients, but without lemon-juice. Fried or baked oysters are hard to digest. Vegetables, being less nourishing and heating than meat, they should be recommended to all robust, plethoric individuals of sanguine temperament and irascible disposition. Vegetable-diet favors a mild disposition, meat-diet a vehement and irascible temper. Vegetable-diet is less favorable to putridity, and should be chiefly resorted to by all who are inclined to scurvy, carcinoma, etc. On the other hand, vegetables are more flatulent, and give rise to acidity more readily than meat and eggs; for this reason vegetable diet has to be used cautiously by hypochondriacs and by persons who are disposed to acidity. In summer, and in hot climates, people should live chiefly on vegetables and fruit, whereas the people of DUTY OF A PHYSICIAN. 63 the North require meat, especially during winter. These facts are even taught by an unsophisticated instinct. SECTION XI. The duty of a physician not only consists in prescribing the necessary medicines, but likewise in regulating the diet adapted to each case. This includes not only the diet, but the whole mode of life, clothing,* distribution of the day's work, rest, etc. But even this does not limit the functions of a true physician; on the contrary, after all this has been attended to, the most important matter still remains to be done-watching the state of the mind. If all these various duties are properly attended to, the physician will be able to fulfill the highest object of his calling, which is to prevent diseases. All truly humane physicians seek to accomplish this noble task. In this respect physicians should go hand in hand with teachers and ministers. Among the ancients the priests were likewise physicians; it was only at a later period when medicine ceased to be limited to a knowledge of a few popular remedies, and became a vast reservoir of nauseous decoctions and health-perverting poisons, that physicians became a distinct class. Homoeopathy, which is destined to upset the whole allceopathic plunder, will likewise restore the union between medicine and theology, for a physician should attend to the welfare of the soul as well as the body, both of which are inseparable. * How often has too tight lacing laid the foundation of incurable diseases, affections of the heart, etc I 64 INTRODUCTION. Even if physicians and ministers still constitute two distinct classes, yet every true physician is anxious to ascertain whether the soul is in any manner involved in the production of the bodily disease; this knowledge may be the first indispensable stepping-stone to a cure. How often do both mental and physical derangements arise from a want of faith and love!* It is the duty of the physician as well as of the minister to kindle these living fires in the patient's soul, the extinction of which may cause diseases and death. To be a true physician, one must understand and do these things. As love is the alpha and omega of Christianity, which induces the apostle Paul to say: "If I had faith, and could remove mountains, and had not love, I should be nothing;" so love should be the main motive of a physician's doings. It is only when the patient knows and feels this that he will follow his physician's instructions with perfect confidence; he will even listen to kindlymeant censure, and the physician will become both the helper and the friend of his patient. Physicians whose hearts are full of love, are honored with a confidence which is alone capable of restoring health. I must not omit to mention an instance which has frequently incited me, at a time when I was not yet accustomed to physical fatigue, to make renewed efforts in behalf of poor sufferers; for the poor are more in need of advice than those who are more fortunately endowed. * Insanity, for instance, is very frequently caused by anxious care, grief, religious scruples, pride, greediness, etc. DUTY OF A PHYSICIAN. 65 One evening when old Dr. TI-eim had retired to rest before his accustomed hour, the bell rang; his wife who was anxious not to disturb the doctor's rest, sought to send the inquiring invalid away; but the old doctor who had heard the sound of the bell, called out: " Who is there?" His wife replied: "Never mind, the old watchman is sick, and his wife may call in some other physician." " No," said Heim, "nobody will visit this poor man at night, he is an old patient of mine, I must get up and see him." He rose from his bed, and visited his poor patient. In return for his many acts of kindness Heaven has blessed him with a long life and a happy age. This example should be an admonition to every physician to go and do likewise. If this truly Christian feeling which is not manifested by turning up the eyes, by praying and fasting, but by deeds of love, and by a firm and unshakeable faith that nothing can happen to us which is not ordained by the Providence of God, shall have penetrated the hearts of men; then these two important offices of the ministry and medicine, will be again filled by the same person, for every pastor should be a physician, canc every physicicay a pastor. 5 CHARACTERISTIC SYMPTOMS. *Aconitum Napellus. (Monk's-hood, wolf's-bane.) A remedy for the blood. Vascular excitement, dry and burning heat, alternate chills and beat (fever). Restlessness, anxiety, palpitation of the heart, excitement; consequences of sudden chagrin and fright, such as: trembling, inflammations of every organ, where the treatment is always commenced with Aconite, such as: pneumonia, pleurisy, etc.; croup; measles, purple-rash, jaundice, stye; violent rheumatic pains in the limbs, with sensations in the whole body as if bruised, after taking cold, with heat and chilliness, or only heat (stiffness of the limbs); gout, with feverish symptoms. Arthritic, rheumatic and nervous toothache, with restlessness and anxiety, vertigo and fainting fits. Short and hurried breathing. Paroxysms of anxiety and suffocation. Asthma; apoplexy; pulmonary hremorrhacge, with frequent pulse, anxiety, expectoration of fluid blood when hawking, the blood comes up with a sensation of scraping or burning in the chest. Short and dry, or hollow and hoarse cough, especially in the case of children after taking cold, also with fever. Vomiting, especially of drinks, cardialgia, constipation, colorless stools. Anxious urging to urinate. Suppression of the urinary secretions. Brown, dark, burning, scanty urine. (67) 68 CHARACTERISTIC SYMPTOIMSo Uterine hxmorrhaage, miscarriage with fever; typhoid fever, with dry skin and burning heat (together with Bell., Bry. and Rhus.); burning swelling of injured parts; unquenchable thirst; intermittent fever with heat and thirst prevailing (in the case of scrofulous individuals give Silicea); sleepl7essness, owing to mental anxiety, also with wandering of the mind. Anxiety and restlessness, even until the patient is beside himself. Apprehensive mood. I fever is present, Aconite should be given in every case, and should invariably initiate the treatment. Agaricus mnuscarius. (Bug-agaric.) Rheumatic tearing pains in the limbs, worse during rest, less during motion (in conjunction with Rhus); ailments which break out cross-wise, for example; in the right arm and left leg; epilepsy; aversion to work; feeling of icy-coldness on top of the head (together with Cale. carb. and Sepia); contraction of the eye-lids which seem less widely apart; twitching of the eyelids; short-sightedness, also with dimness of both eyes, as through a gauze; muscee volitantes; cold urine; many symptoms are worse after singing. Agnus castus. (Chaste-tree.) Deficiency of milk, in the case of lying-in women (in conjunction with Pulsat.); chronic distortions of the joints (after Am. and Rhus); arthritic nodes; sadness, apprehension of near death; swelling and induration of the spleen; chronic gonorrhoea, with suppression of the sexual instinct and deficient erections; swelling ALUMINA.-AMBRA. 69 and induration of the testes, also after suppression of gonorrhoea; sterility. Alumina. (Argilla, oxide of alumen.) Trembling of the extremities; involuntary motions and twitching of the limbs; humid scurfs and spreading herpes; inability to think coherently; falling and dryness of the hair; cold feeling in the eyes; squinting of the eyes; vibrations and sparkling before the eyes; purulent discharge from the right ear; swelling and redness of the nose; sore and scurfy nostrils, with discharge of a thick, yellowish mucus; ulceration of the Schneiderian membrane; tubercular blotches in the face; swelling and cracking of the lips, also with blisters and crusts on the same; painfulness of the teeth when chewing, the teeth feel loose and elongated; swelling and bleeding of the gums; sore throat when swallowing, and pressure under the sternum when swallowing, as if'the cesophagus were contracted; potatoes cause unpleasant symptoms; protrusion and incarceration of existing hernia; constipation of pregnant females and infants; fluent piles; premature, scanty and short-lasting menses; acrid leucorrhoea during and after the menses. The skin on the hands is rough, chapped, bleeds readily. Whitlow. At night the legs go to sleep. Ambra grisea. Ailments of old people (in conjunction with Baryta and Opium); tearing or crampy pains in the muscles, also in the joints, often on one side of the body only. _ _r~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 70 CCHARACTERISTIC SYMPTOMS. In the evening, when lying clown, or in the warmth the pains are worse; they abate during a walk in the open air or by lying on the affected part; talking fatigues. The skin feels numb all over; itching and burzning of the skin, as from the itch; breings the sup2pressed itch acnd tetter out again; burning herpes; disconsolate loathing of life; aversion to talking and laughing; embarrassed manners in company; rush of blood to the head when listening to music; the hair feels sore when touched, it falls out; roaring, whizzing in the ears; drawing pains in the teeth, especially in hollow teeth, worse by eating warm food, abating when touched by cold things, disappearing after eating; fetid breath; sore throat; sour mouth after eating milk, hiccough after smoking; sour or suppressed eructations; tasting of the ingesta; nausea and vomiting; burning pressure and spasm in the stomach; pressure in the region of the liver; pressure, crampy or cutting pains, cold feeling in the bowels; urging to urinate, inability to retain the urine, secretes three times as much urine as the quantity of liquid taken followed by dull pains in the region of the kidneys; sour odor of the urine; premature menses; discharge of blood between the catamenia; lucorrhoea; spasmodic cough, especially in the case of thin persons; nightly trembling in the chest; stiffness of the small of the back, after sitting; the arms incline to go to sleep, especially when lying upon them; tearing and drawing in the arms, trembling of the arms; continual coldness of the hands; tearing in the legs: unpleasant coldness of the legs; cramp in the legs, almost every night; swelling or coldness of the feet burning of the soles, AMMONIUM CARBONICUoM 7? Ammonium carbonicur. (Carbonate of Ammonia.) Stinging and tearing, abating in bed (with Causticum); pains in the joints as if sprained; glandular swellings; chronic rash; the skin is scarlet-red; scarletfever (after Bell.); warts; nightmare when about to fall asleep; dreams of death and dead bodies; anxiety every afternoon as if one had committed a crime; loathing of life; fearful disposition; forgetfulness, inability to collect one's ideas; throbbing headache; falling off of the hair; ophthalmia, nightly agglutination of the lids; diplopia at a distance, shortsightedness, catarrh; hardness of hearing; nosebleed, especially when washing in the morning; chronic dryness of the nose; itching eruption in the face; ulcerated corners of the mouth; chapped lips; dullness or longlasting looseness of the teeth; even sound teeth fall out; blisters on the tongue; swelling of the tonsils, rendering deglutition difficult; aversion to milk; excessive desire for sugar; cardialgia; burning, boring stitches, pressure and soreness in the region of the liver; when stepping, pain in the abdomen as from shaking; excoriating and sore hsemorrhoidal tumors; discharge of blood from the anus during and between stool; flowing piles; wetting the bed at night, especially when occurring towards morning; frequent emissions, almost every night; menses premature and profuse, the discharge taking place principally at night, in lumps; toothache during the menses; acrid leucorrhcea; dry cough, excited by titillation in the windpipe; cough with expectoration of mucus, especially in the morning in bed; shortness of breath, especially when going up stairs; numbness of the arms and finger; the legs go to sleep; swelling of the feet. 72 CHARACTERISTIC SYMPTOMS. Anacardium. (Malacca-bean.) Pressure in various parts of the body, as from a plug; sensitive to cold and to currents of air; the skin is insensible to external stimuli; deep and long sleep, finds it hard to wake in the morning; dreams of fire; apprehensive for the future, dread of men; the moral sense seems blunted; sensation as if mind and body were disconnected; pain in the back part of the head, when making a wrong step; dimness of sight, as from cobwebs and spots before the eyes; hardness of hearing, roaring in the ears; discharge of brown pus from the ears; pale complexion, sickly look; fetid breath; excited sexual instinct; cough, with vomiting of the ingesta; hemoptysis; trembling of the hands; burning of the soles. Antimonium crudum. (Crude antimony.) Lienteria; eructations tasting of the ingesta; nausea, vomiting of bile and mucus (together with Ipec and Puls.,) cardialgia, derangements caused by overloading the stomach; mucous hemorrhoids; fungus articularis; intermittent fever with mucous diarrhcea and gastric ailments, especially in the morning; twitching pain in decayed teeth; indurated, horny skin; adiposis (after Cale.); spongy swelling of the knee. Apis mellifica. (Honey-bee.) Consequences of suppressed, repelled or imperfectly developed acute eruptions, such as measles, scarlatina, urticaria, etc. Consequences of stings of insects espe APIS MELLIFICA. 73 cially of bees; ophthalmia; obscuration acnd cicatrices of the cornea; staphyloma; styes; fistula lachrymalis; oedematous swelling of the face; erysipelas of the face, especially of a pale, livid color; inflammation and swelling of the tongue; ulcers on the tongue; carcinoma of the tongue; inflammation of the palate, mouth, -fauces; inflammation of the abdominal organs; diabetes; gonorrIhea; affections of the ovaries and uterus, especially dropsy of these organs, without thirst; menstrual difficulties, swellings of the labia; miscarriage; metrorrhagia; induration of the mammo; hydrothorax; pericardia; rheumatism, nodous gout; cedema of the extremities; swelling of the knees; furuncles, etc. Vertigo when standing, sitting, lying, closing one's eyes, with obscuration of sight, nausea, headache, sneezing; fullness, heaviness; pressure in the head, especially when rising from a sitting or lying position, worse in a warm room, less when compressing the head; sharp, stinging pains in the temples; headache, with sensitiveness to the light or redness of the eyes; weakness of the eyes, with dread of straining them; twitching of the eye-ball, especially at night; heaviness, fullness and pressure in the eyes and lids; cutting, burning and redness of the eyes. Weeping of the eyes, and sensation as if they were full of mucus; agglutination and swelling of the lids; dropsical, erysipelatous swelling around the eyes; itching, redness and swelling of the nose; burning stinging in the face, with sensation of fullness, heat and redness, desire for cold water; livid, blueish-red color of the face; swelling of the lips; tongue as if scalded, especially along the edges, where it is blistered; the blisters burn and sting; dryness, fiery redness, burning stinging and swellingc of the tongue; ARGENTUM. 75 redness, heat and swelling; itching, burning and, chapping of the hands; the nails seem loose; falling off of the finger and toe nails; lupus; pains in the knee, or swelling of the knee, with burning and stinging; burning of the feet and toes; swelling of the feet; itching blotches in the joints; excessive sensitiveness of the flesh to pressure; the symptoms are made worse by warmth; cold water diminishes the pains in the inflamed parts; this agent chiefly affects the left side. Argentum foliatum. (Silver-foil.) Tearing and drawing in the bones, with pressure; profuse nose-bleed, especially after blowing the nose, or preceded by tickling and creeping in the nose; mercurial sore throat; nocturnal emissions; affections of the larynx, in the case of preachers, teachers, actors, singers; the pains are worse every day at noon. Argentuim nitricun. (Nitrate of silver.) Aching or stinging, semi-lateral pains; epilepsy with dullness of mind; semi-lateral paralysis; dropsy depending upon affections of the liver; itch-like eruptions; catarrhal and syphilitic ophthalmia; fiery bodies and flashes before the eyes; black, carious teeth; the sound teeth are exceedingly sensitive to cold water; loose, readily bleeding gums; colicky pains in the case of hypochondriac or hysteric persons; thin brown stools having a foul smell; bloody and mucous diarrhoea; inflammation and stricture of the urethra; haematuria; deficient sexual desire, with shrinking of the parts; chancrous ulcers on the prepuce; cough induced by 76 CHARACTERISTIC SYMPTOMS. violent titillation in the larynx; nightly palpitation of the heart. *Armca montana. (Leopard's bane.) Hemorrhage and injuries of internal and external organs, by blows, a fall, strain, sprain, contusion; ecchymosis, boils, varices, (in alternation with Puls.,) arnica may be used externally as a lotion; bed-sores, (externally and internally;) nose-bleed; cough after every exertion, after crying; paroxysms of whoopingcough, commencing with crying; violent coughing fit ceasing after eating; sensation of tenesmus in the rectum, after stool; anasarca and ascites (after Aeon.;) cardialgia, pleuritis after a strain or an effort; intermittent fever after abuse of cinchona, with rheumatic pains in the limbs, aggravation by motion, talking or noise; aggravation or supervention of the pains when exposed to the vapor of coalo *Arsenicurn album. (Arsenious acid.) Burning pains in internal and external parts; sucddcen prostration of strength'; watery diarrhoea, painless or else with burning in the bowels and anus; fetid diarrhoea, with. constant coldness; white diarrhceic stools, bloody, also with tenesmus, brown and black; violent vomiting of the ingesta and of liquids, also of brown and black substances; aversion to farinaceous food; Burning painss in the stomach, relieved for a short time by warm drinks; gastritis, carcinoma of the stomach; Asiatic cholera, last stage, with cold breath or pains in the region of the spleen (after Cuprum or Veratrum;) anasarca, ascites, ARSENIUM. —ASAFMTIDA. 77 hydrothorax, especially after abuse of cinchona; constriction of the chest during motion, with dyspnoea; dry titillating cough during a walk in the open air, as if caused by the vapors of sulphur; spasmodic asthma; nocturnal palpitation of the heart, with great anguish; Ichorous ulcers, with burning pains, or with everted margins, having a foul smell, (carcinoma;) warts, surrounded by an ulcerated circle with hard, everted border; anthrax; gray tetter; greenish complexion; spontaneous limping; intermittent fever, with absence of thirst during the chill, great prostration, trembling or also paralysis of the extremities, or dropsical bloat of the body, especially after abuse of cinchona; with intense thirst and burning heat, frequent vdri/ing, though little at a time; typhus; extreme emaciation; atrophy of childdren with large abdomens and glandular swellings; affections of the spleen and liver, after abuse of cinchona; phthisis laryngea (in connection with Carbo veg., Hep., Phosph., Spong;) mucous phthisis (in connection with Stannum;) illusions of smell, as if one smelled pitch; the pains are made worse by smoking, relieved by eating a copious meal; consequences of animal poisons that have been introduced into the stomach or have become absorbed into the blood. *Asafctida. Ulcers and caries, with thin, fetid ichor; hysteric complaints; intermittent, pulsative, stinging, tearing pains, they are felt from within outwards and are changed to other pains by contact; bone-pains after suppression of syphilis, aggravated by the warmth of the bed; cough with expectoration tasting of onion. 78 CHARACTERISTIC SYMPTOMSo Asarum europieum. (Common asarabacca.) Headache with nausea, even unto vomiting, made worse by thinking; hemicrania on the left side, every afternoon at five o'clock; burning in the eyes, in the evening, with continual lachrymation; inflamed, weeping eyes; constant nausea; unsuccessful efforts to vomit, causing all the pains to be worse; vomiting, with great anxiety, or accompanied by diarrhcea, or vomiting of mere water; soreness in the region of the spleen; lienteria, potatoes are passed undigested; discharge of thick, black blood at stool; protrusion of the rectum; ]M!enses premature and long lasting, with black blood; stitches in the lungs, especially when drawing breath; some symptoms abate while washing one's face. *Aurum foliatum. (Leaf-gold.) Hernia, prolapsus of the uterus (after Nux v., in connection with Bell., Kreas., Lye., Plat., Sep., Sil.;) nightly bone-lains; caries; syphilitic and mercurial affections of bones; ulcerated nose, with fetid discharge; swelling and suppuration of the inguinal glands; induration or swelling of the testes; melancholy, longing for death, oppressive anxiety, especially in the proecordia, as if one should die; mania of suicide; jumping of the heart, palpitation during motion; feels better in the open air. Baryta carbonima. (Carbonate of baryta.) Affections of old people (in connection with Ambra and Opium;) scrofulous ailments; atrophy of children, with large bowels and glandular swellings; paralysis BARYTA.-BELLADONNA. 79 after apoplexy; nocturnal twitching of the muscles; swelling and induration of glands; warts; steatoma, sarcoma; tearing, stinging, twitching, throbbing in the head, especially in the forehead, over the eyes (in connection with Bell.;) falling off of the hair; baldness (with Graph. and Lye.;) humid and dry scaldhead; inflammation of the eyes and lids, especially in the case of scrofulous persons, with photophobia; muscae volitantes; eruption on and behind the ears; scurfs under the nose; eruption in the face; inflamed throat, with suppuration of tonsils, especially when frequently recurring after the use of the other remedies; weak digestion; violent singultus; pressure in the stomach as from a stone, even after eating the least quantity of food; weakness of the male orgycns; aversion to sexual intercourse (in females, with Caust.;) painful stiffness of the back and nape of the neck; rheumatic tearing in the limbs; ulcers on the legs; fetid sweat on the feet; the pains are chiefly felt in the left side of the body, when sitting, they pass off during exercise in the open air. *Belladonna. (Deadly night-shade.) A medicine acting chiefly on the brain Vertigo, meningitis, hydrocephalus (after Aeon.;) delirium; screaming of children, without any apparent cause, all the time, when carried or lying; headache, over the eyes, stitches in the temples; headache, with sensation as if the brain were balancing to and fro; hemicrania, especially on the right side; prosopalgia, toothache, with heat and swelling of the check, or gums, the pains are lancinating or tearing, affecting the whole side, 80 CHARACTERISTIC SYMPTOMS. sometimes it is impossible to point out the affected tooth, the pains extend to the temples, cold air, contact, chewing or hot drinks aggravate the pains, the teeth feel elongated; hot, recl, shining swelling, erysipelas, especially of fleshy parts; scarlatina and sequelae, such as hardness of hearing, otorrhoea, difficulty of speech, stuttering; glanduclar swelling, especially with heat and stinging, also stiffness of the neck and nape of neck, glandular indurations; chilblains, with bright-red, erysipelatous appearance; ophthalmia (after Aeon.;) swelling of the eyelids, aversion or bleeding of the lids, thickening of the conjunctiva, spots, obscuration of the cornea; weal sight; dilated pupils; dqIplopia; hemeralopia; amaurosis; rush of blood to the head and chest; apoplexy; paralysis; pazitction of the heart; oppression of the chest, angina peetoris; convulsions, spasms, epilepsy with screams, delirium, laughter, worse by the least contact; tetanus; chorea; mental derangement after a fright or chagrin, illusions of the fancy, insanity; spasmodic cough as if the head would burst; paralysis of single parts; stitches and lameness of the hip-joint (with Caust.;) wetting the bed; intermittent fever, with delirium, headache over the eyes, or setting in in the afternoon, with violent chilliness and thirst, aversion to drink; discharge of blood between the menses; fetid metrorrhagia; prolapsus and induration of the uterus; the pains improve while the patient is lying on a hard couch, or when looking out in a straight line; this remedy is particularly adapted to stout, plethoric individuals. Borax. Ailments in consequence of taking cold during damp BORAX.-BROMIINE. 81 and chilly weather; unhealthy skil; tetter; twisting of the hair as in plica polonica; inflammation of the eyes, and especially of the lids, with inversion of the lids; the eyes are sensitive to the light of lamps or candles; otorrhcea; tearing pains in decayed teeth, in cold and damp weather; the gums are swollen and bleed readily; aphthe, as in stomatitis; hiccough, especially of infants; vomiting of sour phlegm; menses premature and profuse; chronic, corrosive leucorrhoea; sterility; galactirrhoea; cough, with musty expectoration; the pains are worse during a dance or when swinging. Bovista. (Puff-ball) I-umid, scurfy tetter; objects seen nearer than they are; chronic fetid diarrhcea; scurfy nostrils; eruption in the corners of the mouth; scrofulous swelling of the lips; drawing, digging, boring pains in decayed teeth; chronic backache, with stiffness after stooping; the pains are made worse by the vapors of coal. Bromine. Very drowsy in the day-time; starting during sleep; violent chill, with stretching of the arms, as during an attack of fever and ague; sensation of burning in the whole body, as if surrounded by hot vapor; small, accelerated pulse; cool and damp hands; sweaty palms; small, moveable glandular swellings on the neck and nape of the neck; goitre; vertigo when crossing a stream; hemicrania on the left side; headache after drinking milk; lachrymation, also with sensitiveness of the eyes to the light; photophobia, with pressure in 6 82 CHARACTERISTIC SYMPTOMS, the eyes when moving them; stitches in the ears, with heat in the same; soreness and scurfs in the nose; pains in decayed teeth, they are sensitive to cold water; inflammation of the fauces and uvula; sore throat, with swelling of the tonsils, difficult deglutition, pains when swallowing a drink; pains in the stomach, made worse by pressing upon the part; pains in the region of the liver, especially when pressing upon the same, also when riding in a carriage; slimy or papescent, diarrhceic stool; menses premature and too copious, preceded by frontal headache and accompanied by pain in the small of the back; stitching constriction in the larynx; infclamnation of the lcrynx and trachea; hocarseness, feele low voice; roughz hollow, cdry cough, withb weariness, or with paroxysms of sufocation, or with/ whteezing socund and rattling breeathingz; or zwithl crouliy sound; cr'oup, even in the last stage; swelling of the mamme; stitches in the chest, especially on the right side, during a rapid walk, worse during an inspiration; violent palpitation of the heart, especially in the evening, not permitting one to lie on the left side; the pains are worse in the evening until midnight, they abate during a walk in the open air. *Bryonia alba. (White bryony.) Acts chiefly upon the joints. Erysipelas of joints; rheumatic and arthritic pains in the joints, especially with redness of the affected parts, aggravated by motion, relieved by rest; stitches and rigidity of joints; rash, especially of lying-in females and infants, also miliaria alba (with Arsen.;) purpura hcmorrhagica; intermittent fever, especially quotidian and tertian, with chilliness BYRONIA.-CALCAREA. 83 prevailing, thirst during the chilly and hot stage, and dry cough with stitches in the chest; typhus with burning heat and thirst, dryness of the skin (after Acon.;) delirium, especially on waking; throbbing headache, worse during motion; meningitis (after Aeon. and Bell.; cough, with pleuritic stitches, worse when entering a warm room and drawing a long breath; pneunonia, 2plcurisy (after Acon., Ar., Nux. vom.;) cardialgia when walking; ascites (after Aeon.;) difficulty of breathing when walk ing fast, with continual disposition to draw a long breath; obstinate constipation (after Nux vom.;) nosebleed in the place of the menses; toothache, aggravated by warm food, relieved by lying on the affected side, momentarily relieved by cold water, the teeth feel as if loose, worse in a warm room, in the evening and at night, or when walking; the pains are less in gloomy weather. *Calcarea earbonica. (Carbonate of lime.) Acts chiefly Tpon the bones (with Silicea;) tearing and stitching in the limbs, the limbs incline to go to sleep, liability to feeling strained, the pains are worse during a change of weather, by working in the water, washing; caries, curvature of bones; rickets; scrofulous ailments; epilepsy, especially at night, with cries (with Caust.;) carcinomatous indurations in the maumme (after Con; humid and dry tetter; dry warts; polypus; fistul,; ulcers; sarcoma; ganglia; goitre; swelling and hardness of the cervical glands; adiposis; emaciation, with large bowels and good appetite; intermittent fever, after abuse of Cinchona, also of those who work in water; sensation of icy-coldness about the head; eruption on 84 CGHARACTERISTIC SYMPTOMS. the head, on and behind the ears, in the face (mouth, nose, cheeks, after Sulph.;) slow closing of the fontanelles; hard hearing, with buzzing in the ears, cardialgia, vomiting of the ingesta, or sour eructations, nausea, yawning; obstinate constipation: sour-smelling diarrhoea of children; ascarides; menses too early and too copious (with Nux vom.;) milky leucorrhcea, previous to the menses; discharge of blood and mucus, when urinating; cough with copious expectoration, yellow, purulent; phthisis pulmonalis; palpitation of the heart, with feeling of coldness; delirium tremens (after Opium and Nux vom.;) sensitive to cold and damp air; toothache of pregnant females, with rush of blood to the head, from a cold, worse at night, even aggravated by cold and warm applications or food; fistula dentalis; difficulty of first dentition; morbid sensation as if the body were shrinking; softening of the internal organs. Calcarea causticaO Skin. Small vesicles filled with lymph and surrounded by a red areola, also smarting and itching, like scabies. Sleep. Sleepless, tossing about, or restless sleep with dreams. Fever. Violent chills, followed by great heat in the head. Dkisposition. Peevish, slowness of thought, giddiness. HTead. Stitches from the forehead to the occiput; dciu headache in the vertex; the headache is worse when stooping. -Eyes. Pressing weight in the eyelids; tearing and stitches in eyes; burning of the eyes when reading at candlelight; lachrymation in the open air; photophobia. CALCAREA. 85 Ears. Stitching, tearing pains in the ears; ringing in the ears. Nose. Dry nose; coryza, discharge of thick, tenacious mucous. Face. Tearing in the malar bones; violent pains in the articulation of the jaws, with swelling of the cheeks. Teeth. Dull, tearing, stitching pain in the decayed teeth, they feel elongated. Mouth. Tongue thickly coated, greenish-yellow. Throat. Stinging in the throat; difficult deglutition; phlegm in the throat, which it is difficult to hawk up; obstinate sore throat, with swelling of the tonsils; discharge of tenacious saliva; thickly-coated tongue; dull headache; small and hurried pulse. Appetite, taste. Loss of appetite or else violent hunger; bitter taste in the mouth. Gastric symptoms. Empty rising of air; regurgitation of food, with sourish-bitter taste; nausea, vomiting of sour fluid. Stomach. Spasmodic contraction of the stomach. Ilypochondcria. Stinging, tearing pain in both hypochondria. Abdomen. Violent stitches in the small bowels, when stooping forward; pinching, contracting pains in the bowels. Stool, Anus. Diarrhoeic, slimy stools discharge of tamnia; creeping or stinging tearing in the rectum and anus. Trac7hea. Hoarseness, with pain in the throat; violent cough, with stitches in the chest, or expectoration of mucus and blood. Chest. Stinging, tearing, pressing or pressing-tearing 9 ~ ~ ~~:D Z ___ __ 86 CHARACTERISTIC SYMPTOMS. pain in the chest or sides of the chest, worse when drawing breath; irnfuenza. Back. Tension in the back; stiffness of the nape of the neck; tearing in the posterior cervical muscles, in the back, small of the back, os coccygis. UP2perr extremities. Stitching-tearing pains in the upper extremities. Lower extremities. Stitching pains in the hip-joint when stepping; tearing and stitching in the knee. Calcarea phosphorica. (Phosphate of lime.) Arlthritis, with swelling of the joints, curvature of joints, very painful. Calendula officinalis. (Marsh AMarygold.) Applied externally and internally, this agent heals large, deep2, shcaggy, profnseiy —b1eeding woundcs, and favors the process of cicatrization, even if whole pieces of flesh should be wanting. This agent is also indicated if the wounds are painful, with raw feeling and stitches in the wounds, as if suppuration were to take place, with smarting around the wounds. Wound-fever in alternation with Aeon. Inflammation of the eyes, after an operation, also in alternation with Aeon. *Camphora Antidotes most homoeopathic medicines, especially from the vegetable kingdom. Sudden prostration of strength; excessive weakness, convulsions, tetanic spasms. Choleract especially with CAMPIHORA.-CANTHARIDES. 87 violent cramps in the calves, coldness of the body, great anxiety, burning in the fauces and stomach, the pit of the stomach is very painful when touched; ascites, with complete suppression of urine, which may be caused by Cantharides; suppression of sexual desire, complete impotence, (after Nux V.,) sensitive to cold air; liability to taking cold, followed by chilliness, or colic with diarrhea, discharge of brown and blackish stool. Cancer fluviatilis. (Sweet-water Crab.) Red, stitching eruption like measles, over the whole body; fever, with redness and heat in the face, internal chilliness, creeping chills when uncovering the body. Cannabis sativa. (Hemp.) Ailments arising from bodily fatigue; spots and obscuration of the cornea, cataract, epistaxis even unto fainting; long suppression of urine; painful emission of a few drops of bloody urine; inflammation of the bladder and kidneys; gravel, burning in the urethra when urinating; urethritis gonorrhceica; sterility; miscarriage in the third month of pregnancy (with Sabina); stitches in the lungs when drawing breath, talking, moving about; pnteumonia, also with delirium, vomiting of green bile; shocks in the region of the heart; carditiso *Cantharides. (Spanish fly), Acts chiefly u2pon the blZccdcler; detention of urine, with spasmodic pains in the bladder; ineffectual urging to CARBO. 89 Carbo anlimalis. (Animal charcoal.) Arthritic stiffness of the joints; hard painful glandular swellings; burning chilblains; feeling as if abandoned by every body; vertigo with nausea, when rising from a stooping position; scald-head; otorrhcea; discharge of bright-red blood from the nose; burning swelling of the lips; bleeding of the gums; toothache, the teeth feel loose and elongated; weak digestion, nothing agrees with one; cardialgia, burning in the stomach; stool either hard or soft, like albumen; burning hemorrhoidal tumors; premature menses with dark blood; burning-smarting leucorrhcea, tinging the linen yellow; painful nodes in the maminse; cough with greenish expectoration; stitches in the right side; suzppurcttion o the right lung; tetter or hard glands in the axilleO *Carbo vegetabilis. (Vegetable charcoal.) Burning pains in the limbs, bones, ulcers, also in internal organs; eruption and humid tetter in the face; hard hearing, with dryness of the inner ear, especially after measles; cough, with soreness in the larynx and chest; phthisis larynxea; cough, with expectoration of whitish or greenish mucus; mucous phthisis; cardialgia, with sensation of burning pressure, flatulence and sensitiveness in the pit of the stomach (sometimes after Nux.;) ailments caused by fat food, after the unsuccessful use of Puls.; chronic ailments after the use of Mercury, looseness of the teeth, bleeding of the gums, etc.; stomatitis; piles; burning, bleeding tumors after stool; chronic hoarseness or aphonia; spasmodic cough with retching and vomiting of mucus; cold breath and t_ ~. _~ ~ __.....___.._,_.~.___ 90 CHARACTERISTIC SYMPTOMS. collapse of pulse during cholera; swinging makes the pains worse. This remedy sometimes favors the reaction when not sufficiently excited by other remedies, (also Opium.) Causticum. Arthritic and rheumatic tearing in the limbs, less in bed and warmth; contraction and paralysis of the limbs; paralysis after apoplexy, especially on the right side, also with stuttering; hysteric spasms, epilepsy, chorea; bleeding, inflamed warts, especially on the nose; fistula rect.; aversion to sexual intercourse, in the case of females (with Baryt.;) racking cough, with spirting out of the urine; raging toothache; fistula dentalis, with painfulness and bleeding of the gums; chronic hoarseness. Cepao (Common Onion.) Colic after eating salad, especially cucumbers; ailments induced by getting the feet wet, or by exposure to dampness or impure air; contusions and burns; ailments of children, such as, running of the nose, sore eyes, cough, rattling in the bronchia, colic, flatulence? worms, urinary difficulties; ailments of old people, dyspnoea, accompanied by or alternating with affections of the bladder and kidneys; toothache, relieved by cold, worse in the warmth; coryza, lachrymation, sensitiveness of the eyes, alternate heat and chills; the pains in the upper part of the body first appear on the right, then on the left side; in the lower part the reverse, are worse in the evening, less in the open air, worse again when re-entering the warm room. CEPAo.-CINA. 91 *Chamomilla vulgaris. (Common chamomile.) Excessive sensitiveness of the senses, especially when caused by coffee and other narcotics; ailments induced by fits of chagrin; watery, greenish diarrhcea, or like stirred eggs, having a foul smell, during dentition; restlessness and spasms during the diarrhoea, the child draws up its legs; crying of infants without any apparent cause, abating when they are carried; dry cough from taking cold, hacking cough of children in the winter, with titillation in the throat-pit, worse at night; headache, after sudden suppression of sweat; toothache, by exposure to a draught of air, with otalgia, and as if the teeth were loose and elongated; hoarseness from taking cold; sore throat with sensation as if something had lodged in the throat which had to be hawked up; heat in the throat, with thirst; asthma millari; anginza pectoris with suffocative symptoms, after a fit of chagrin; cardialgia, with pressure in the stomach as from a stone, relieved by drinking coffee, caused by a fit of chagrin; labor-like pains previous to or during the menses; uterine haemorrhage, with discharge of fetid coagula; fever, with redness of one, and paleness of the other cheek. *China. (Peruvian bark.) General cdebiity, especially when caused by loss of fluids, onanism, depletions, nursing, suppurations, etc.; impotence; debilitating emissions; emaciation, especially of the limbs, atrophy of children; exhausting sweats, night or morning; pains in the limbs, aggravated by the least contact, with disposition to perspire; intermittent 92 CHARACTERISTIC SYMPTOMS, fever, especially in marshy regions, with absence of thirst during the chill and heat. The thirst generally sets in between the chill and hot stage, and increases during the sweat; chlorosis, frequently with swelling of the feet; anasarca; haemorrhages, metrorrhagia; deficient or suppressed labor-pains; flatulence, fetid; constipation from debility; diarrhcca with feeling of weakness, discharge of undigested food, also after eating fresh fruit; cardialgia from debility; toothache, headache of nursing females or pregnant women; nocturnal enuresis of feeble children; involuntary stool and urine from debility; cough with granular expectoration; some pains are eased by shaking the head, (chief remedies for the china-cachexia, are* Ars., Ipecac., Ferr., Verat.) Chlorum. (Water impregnated with Chlorine.) Herpes; evening-fever; hurried pulse; difficulty of remembering the names of persons; impeded deglu tition; malignant sore-throat; foul ulcers in the throat; nausea, vomiting; weakness of the bowels; colic, diarrhoea; sudden impotence with aversion to sexual intercourse, in the case of persons who had a passion for it; violent cough, hoemoptysis; ulcerative phthisis; nightsweats of phthisicky persons. Cicuta virosa. (Water-hemlock.) Soreness as if bruised; tetanic spasms; convulsions; epilepsy of children; suppurating eruptions in the face; going to sleep while sitting, the head bent forward, during the period of digestion or while listening to a dull sermon; vertigo when sitting up in bed, with CICUTA.-CLEMATIS. 93 obscuration of sight; weak sight, with dilatation of the pupils; photophobia; diplogia; hamorrhage from the ears; vomiting while making an effort to raise the head when lying; worms; colic, with convulsions, in the case of children; involuntary discharge of urine, as from paralysis of the bladder, Cina. (Worm-seed.) Ascarides, lumbrici; pinching colic and irritating pain in the umbilical region, from worms; spasms of children, from worms, during which they dose with their eyes half-closed, and rub at the nose. Epilepsy, especially at night; whooping-cough, with worms; intermittent fever, with vomiting and canine; hunger; bluish color around the mouth. Cistus canadensiso (Rock-rose.) Tearing and drawing in the joints, especially in the toes and fingers; swelling and suppuration of the glands; scrofulous ailments, fetid otorrhoea; vesicular erysipelas in the face. Ccaries of the lower jaw. Swelling and looseness of the gums, they have an unpleasant appearance; the pains are worse towards morning, and after an unpleasant emotion. Clematis erecta. (Virgin's-bower.) Mercurial ailments; articular rheumatism in conse quence of mismanaged gonorrhcea; pustules over the whole body; chronic, red and humid herpes, itching in the warmth of the bed and after washing; scrofulous 94 CHARACTERISTIC SYMPTOM[S. sore eyes; swelling and induration of the inguinal glands; stricture of the urethra; purulent gonorrhoea; swelling and induration of the testes; induration in the mamma, under the nipple. Arthritic nodes in the finger-joints. Cocculus indicus. (Seeds of cocculus.) Nausea when riding in a carriage, sea-sickness; cardialgia during and shortly after a meal; vomiting, worse when raising the head. Paraplegia, with numbness of the limbs, also proceeding from the small of the back; intermittent fever, with cardialgia or lameness of the small of the back; epilepsy, with involuntary discharge of urine during the paroxysms; menstrual abdominal spasms, also with cessation of the menses (after Puls.); angina pectoris of hysteric individuals. The pains are made worse by eating, drinking, sleeping, talking, driving, smoking, Coccus cacti. (Cochineal.) Dull, stinging, spasmodic pressing pain in the kidneys, increased by pressure and motion. Cutting pains in the region of the bladder; paroxysms of titillating, barking cough, especially night and morning. After a few turns of cough, the patient raises a large quantity of albuminous, tenacious, ropy mucus, white or yellowish-white, having a saltish taste, sometimes with gagging, or vomiting of the ingesta; whooping cough. *Coffea cruda. (Raw coffee.) The senses and nerves are very much excited, in the COFFEA.-COLOCYNTHIS. 95 case of lying-in females, especially when this state is caused by abuse of Chamomile-tea. Consequences of a paroxysm of sudden joy; anxious and weeping mood of hysteric females, crowding of ideas, acute thinking, arranging plans for the future, etc. Excessive laborpains; protracted after-pains. Excessive excitability of the sexual parts. Spasms and diarrhcea during dentition, or from the abuse of Chamomile-tea. Colchicum autumnale. (Meadow-saffron.) Arthritic and rheumatic complaints, with tearing pains il warm weather, and stitching pains when the weather is cold; cedema and anasarca; nocturnal heat of the body, thirst; pulse 100; vomiting of bitter mucus or of food, excited or aggravated by motion; the abdomen is very much distended; fall-dysentery, with discharges of white mucus, tenesmus; bloody stools with discharges of patches of mucus. Scanty dark red urine, with burning and tenesmus in the urethra; cough at night, during which the urine spirts out involuntarily; hydrothorax; the pains are worse at night, when they are intense and last until day-time. *Colocynthis. (Wild bitter cucumber.) Heemicrania, with crampy pain, nausea and vomiting, every afternoon; colic, with violent pain in the umbilical region, causing the patient to cry out and bend double, the pain comes every few minutes and leaves the abdominal walls so sensitive that the pain is felt at every step; cardialgia with sensation of hunger which cannot be relieved by eating; yellow diarrhoea, excited __c. ___.__._~~.~___________________ _ __ _____ ____f 96 CHARACTERISTIC SYMPTOMSo by eating or drinking ever so little; vomiting and diarrhoea after a fit of chagrin; spontaneous limping. *Conium maculatum. (Spotted hemlock.) Indurated mammae, with violent pain; swelling and induration of glandular organs; caries of the sternum; cataract caused by injuries; impotence; chronic obstruction of the nose; tetter and spreading ulcers in the face; cancer of the lip, caused by a blow, contusion; swelling of the testicles, caused by a contusion; cough, only at night, especially shortly after lying down at night. *Crocus. (Saffron.) Good for metrorrhagia, with tenacious, coagulated, fetid blood; the movements of the fetus are too violent. *Crotalus horridus. (Rattle-snake poison.) Paralysis after apoplexy, especially of the right side; spasms and convulsions, also with violent cries and delirium; cedema of the whole body; oozing of blood from all the pores; black spots on the skin; blisters surrounded by a red areola. Ulcers arising from blisters; inflammatory fever, with pulse up to 130, first full and strong, afterwards feeble and scarcely perceptible; frequent attacks of erysipelas of the face; trismus. *Cuprum. (Copper.) Dry cough, taking away the breath, like whoopingcough; whooping-cough, the children turn blue in the face, as if suffocating. Spasms preceded by weeping. UPRUMI.-DROSE IA. 97 Asialic cholera, especially if vomiting and diarrhoea are accompanied by convulsions of the extremities and pressure in the pit of the stomach, or preceded by spasmodic constriction of the chest, the liquids roll down in the cesophagus as if by their own weight (in alternation with Veratrunm); o2isthotonos, with discharges of urine; cramps in the calves; the convulsions begin at the toes and fingers; asthma, with difficulty of breathing even unto suffocation, and spasmodic vomiting at the end of the attack. Daphne indica. Rheumatic and arthritic pains in the muscles and bones; bone-2pains, especially at night (in connection with Mere. and Aur.); palpitation, with inability to lie on the left side. Digitalis purpurea. (Fox-glove.) Blueness of the lids, lips, tongue, nails (cyanosis); slow pulse, down to 35; cilataction and diminished sensibility of the pupils; amaurosis; vomiting of bile or mucus; ash-colored stools: hydrocele; cough with expectoration resembling boiled starch; haemoptysis; palpitation with slow pulse; hydrothorax and ascites, from organic disease of the heart. Drosera. (Sun-dew.) TWhooling-cough with vomiting, the child feeling better during motion than during rest. The sweat is not cool, but rather warm (the opposite of Verat.); 7 98 ~ ICHARACTERISTIC SYPYPTOMSo whooping-cough with hemorrhage from nose and mouth, pains in the hypochondria; nose-bleed, especially morning and evening, or when stooping; laryngeal phthisis, with rapid emaciation. The cough is made worse by singing, laughing, crying, smoking, drinking. *Dulcamarao (Bitter-sweet.) Diarrhoea, with colic, after taking cold; swelling and induration of the glands; catarrhal ailments (after Aeon.); small, hard, dry warts (with Cale.); urticaria; humid and suppurating herpes, or dry, scaly tetter; ascites, hydrothorax; cough, with expectoration of tenacious mucus, and stitches in the sides of the chest. wEuphorbiium officinale. (Spurgeo) Burning pains, especially in internal organs; rheumatic pains in the limbs, worse during rest; laming weakness in the joints; chronic eruptions; gangrene; erysipelatous inflammation of the head; chronic sore eyes, with suppuration; dimness of sight, objects seem too large, inducing one to raise the leg much more than the size of the object requires, in order to step over it; vesicular erysipelas of the face; oesophagitis; spasmodic cardialgia, burning in the stomach; papescent stools; urging to urinate, the urine passes off in drops; rigidity and burning pain in the extremities. Euphrasia officinalis. (Eye-bright.) Inflammation of the eyes, especially when caused by injuries (with Conium.) Inflammation and ulceration 100 CHARACTERISTIC SYMPTOMSo weakness in the left arm and legs. Vertigo when walking. *Graphites. (Black-lead.) Humid tetter; scanty or delaying menses, with cutaneous eruptions. Chronic, costiveness, Falling out of the hair (with Baryta and Lycop.) Helleborus niger. (Christmas-rose.) Anasarca, especially after suppression of an exanthem (scarlatina, measles, purple-rash); apathy to emotions; acute and chronic hydrocephalus. Aphthse in the mouth. Swelling of the posterior cervical glands. *Hepar sulphuris calcareum. (Sulphuret of lime.) Arthritic and rheumatic pains, also with inflammation and swelling of the affected parts. Mercurial cachexia. Ulcerations and suppurations (in alternation with M/erc.); panaritia (in alternation with Merc. or Sil.); Ulceration of the mamma; open chilblains; vesicular erysipelatous inflammations with swelling (with Rhus tox.); rhagades. Humid tinea; scrofulous ophthalmia with pimples on the lids; phlyctaene of the cornea; fetid otorrhcea. Soreness in the groin. Group (after Aconite, in alternation with Spongia); chronic hoarseness; chronic laryngitis; laryngeal phthisis; sore throat as if a pointed body were sticking in it; dyspepsia, with pressure in the stomach; sour, green diarrhoea of children; opalescent urine; leucorrhcea with smarting; sensation as if hot water were coursing through the swelling around the chest; ankles. HIYDROCYANI.-HYPERICUM. 101 Hydrocyani acidumo (Prussic acid.) In the last stage of cholera: 1. If the patient continues to spit continually without expectorating much saliva. 2. Heat in the head, with coldness of the limbs, vomiting of a black fluid, involuntary stools. 3. For cholera sicca (dry cholera) without diarrhoea or vomiting, with general cramps, at times in the calves, at other times in the arms and hands or in the masseter muscles, preventing the mouth being opened, with occasional involuntary shrieks, followed by prostration or fainting, 4. After the apparent cessation of all vital functions, with entire collapse of pulse (with Carbo. veg.) in the last stage (paralytic stage;) tetanus. *Heyoscyamus niger. (Black henbane.) Toothache, with flashes of heat towards the head; epileptic paroxysms, terminating in deep sleep; chorea; encephalitis (Bellad. being ineffectual;) grasping at flocks in typhus; consequences of unhapyy love, with jealousy; rage, with shameless manners, the patient goes about naked; spasmodic closing of the eyelids, squinting, diplopia, hemeralopia (in alternation with Bell.) Hypericun perforatum. (St. John's-wort.) Used externally and internally, this agent cures punctured wounds, cuts, bruises, lacerations of the fibre, if the pains are very violent, like toothache, proceeding from the injury along the limb. It is also useful, if children are affiected with spasms after every slight injury. ___ _ ____ ___ _____ _____.,,_.^_ ^.^^_~t,,_-_~,~ __.-. ___.... 102 CHARACTERISTIC SYMPTOMISo *Iatropha cureas. (Barbadoes-nut.) General prostration; coldness of the extremities, with blueness of the nails; vomiting of albuminous substances, with diarrhcea; Asiatic cholera, with frightful vomiting, constrictive or burning pains in the stomach, watery stools, violent cramps in the calves, coldness of the body (in connection with Cupr, and Verat.) Ignatia amara. (St. Ignatius' bean.) Spasmodic laughter and weeping, consequences of yrief su2jpressecd mortfication, unha2ppy love; convulsions after grief, fright, insults. Hysteric spasms, epilepsy (from similar causes;) menses premature and profuse, black and coagulated blood, (after Nux vom.;) cardialgia relieved by eating; uterine spasms, with contractive pressing pains; disposition to prolapsus of the rectum; hemicrania (clavus.) Iodine. Scrofulous ailments; swelling and induration of glands; oedema, anasarca; fever, alternate chills and flashes of heat, with delirium and subsultus tendinmm, grasping at flocks; hectic fever; aphthae, with ptyalism; continual vomiting; induration of the spleen; swelling of the inguinal glands; ovarian dropsy; metrorrhagia at stool; chronic, corrosive leucorrhoea; inflammation of the lacrynx and trachea; ceroup (in alternation with Aeon.;) chronic hoarseness; cough, with white or bloody expectoration; laryng/yeal and trachfeal phthisis; gore e; white-swielliing of the kniee also inflammatory swelling, with violent pains and suppuration,. IPECACUANHA.-KALI, 103 *Ipecacuanha. Prostration, with loathing of food or drink; vomiting; intermittent fever, (especially after alloeopathic remedies had been used;) cinc/h-on-cachexia, slight chills, a good deal of heat, gastric symptoms, oppression on the chest; gastric derangement after eating fat food (also Puls.;) cholerine, vomiting of mucus and bile (with Puls.;) rattling and vomiting of mucus, in the case of children; hemorrhage from every orifice of the body; asthma millari, the pains are less in the open air. Kali bichromicum. (Bichromate of Potash.) Chronic rheumatism; pains shifting from one part to another; violent itching of the skin, followed by the breaking out of small pustules on the arms and thighs forming crusts; secondary syphilitic eruptions. Apathy; irritable mood; vertigo on rising from a seat; stinging pains in the temples; throbbing headache. Inflammation and swelling of the lids; chronic conjunctivitis; ulcers and spots of the cornea; optical illusions; stinging and ringing in the ears; ozsna; sponginess, polypi of the nose; fetor from the nose; loss of smell; plugs of indurated mucus in the nose. Chapping of the lips; ulcers on the inner lips; painful ulcer on the tongue; yellow coating on the tongue; sensation as of a hair on the velum; sensation as if the food remained lodged in the cesophagus; small and excavated ulcer at the root of the uvula, with reddish arcola, and secreting a yellowish matter; secondary syphilitic ulceration of the throat. 104 CHARACTERISTIC SYMPTOMSo Sour or bitter taste in the mouth; heartburn; vomiting of blood or mucus; pains in the stomach aggravated by motion, relieved by eating, which leaves a feeling of oppression; boring pains in the bowels, relieved by pressure; habitual constipation, or occurring every three months; dysentery, with boring pain at the anus; scanty urine, with whitish pellicle and whitish sediment; rawness, soreness, itching and pustules of the pudendum; yellowish leucorrhoea, with weakness in the small of the back. Dryness in the bronchia; painfulness of the larynx, with intolerable titillation, and dry cough day and night; or cough with expectoration of tenacious phlegm, or yellowish-gray phlegm; dyspnoea; tearing-lancinating pains in the whole left side of the chest; stitchingboring pains in the kidneys, with suppression of urine. Tearing pains in the arms and hands; rheumatic pains in the hips, knees, also with trembling of the legs. Kali carbonicum. (Carbonate of Potash.) Bitter, sour, foul or sweetish taste; hoarseness, with sensation as of a plug in the throat; cough, with suffocative anguish, or with vomiting, especially in the morning; whooping cough with cedema of the upper lids; cough with purulent expectoration; dyspnoea, especially when walking fast; goitre. Kreasotume Marasmus of children, with diarrhcea; swelling or induration of the neck of the uterus; incipient carcinoma. LACHESIS.-LYCOPODIUn.y 105 Lachesis. Paralysis, especially on the left side; epilepsy; twitching of the arms and legs, froth at the mouth; ulcers on the legs, secreting a fetid pus; inveterate fever and ague, especially after abuse of cinchona; sore throat; gangrenous ulceration. Lairocerasus. (Cherry-laurelo Tetanic and epileptic spasms; apoplexy, with loss of speech; hepatitis and induration of the liver; constipation, retention of urine, complete paralysis of the bladder; profuse menorrhagia during the critical period, with dark coagula; cough with copious gelatinous expectoration, also streaked with blood; slow, panting breathing; paralysis of the lungs; pains are less in the open air and at night. Ledum palustre. (Marsh-tea.) Nodcous gout. Dry, itching herpes; swelling of the knee, with tension and stinging; inflammatory or cedematous swelling of the feet and legs. Lycopodium clavatum. (Club-moss.) Nodous gout; scrofulous and rickety complaints; curvature and softening of bones; mercurial bonepains; paralysis; humid tetter; humid scald head; fistulous ulcers; chronic conjunctivitis; photophobia; ulceration of the Schneiderian membrane; freckles in the face; chronic hepatitis; irmpotence; cough with saltish expectoration; inveterate ulcers on the legs, with nocturnal tearing. 106 CHARACTERISTIC SYMPTOMS. Magnesia carbonica. (Carbonate of Magnesia.) Obscuration of the cornea; toothache of pregnant females; contracting or oppressive pains in the stomach, with sour eructations, Magnesia muriatica. (Muriate of Magnesia.) Schirrous indurations of the uterus; spasms of the broad ligaments. Manganum. (Manganese.) Nocturnal bone pains; chronic hoarseness and roughness of the throat; cough, with expectoration of green or yellowish mucus in little lumps; laryngeal phthisis. Menyanthes trifoliata. (Buck-bean.) Intermittent fever with feeling of coldness in the abdomen; otorrhoea after measles or scarlatina. Mephitis putorius. (Skunk.) Spasmodic cough, whooping cough. MYIercurius vivus and solubilis. (Quicksilver.) Chancrous ulcers, especially when accompanied by drawing in the limbs; rickets, scrofulous and dropsical complaints; swelling and caries of bones, or inflammatory bone-pains, especially at night, also curvature and excessive brittleness of the bones; rheumatic or arthritic pains in the joints and limbs, becoming intolerable in the warmth of the bed, espQecially at night, with 29ers2piration which does not afford any relief; scabies, MECURIUS. 107 or miliary itch, readily-bleeding small-pox (in alternation with variolin;) sequele of small-pox; tetter, especially syphiiUtic; spreading ulcers, spongy, blueish, readily-bleeding; inflammatory swelling of glands, parotitis; suppurations of various kinds; inflammatory fevers, with greatly hurried pulse and excessive sweat having a sour or foul smell; swelling of the head, erup tion on the head; falling off of the hair; inflammation of the eyes and lids; tearing and stitching pains in the ears; purulent or bloody discharge from the ears; hardness of hearing, with roaring in the ears; inflammation and swelling of the nose, especially of the point; nose-bleed, the blood coagulates very speedily; tearing, stitching, jerking toothache, especially at night, in the roots of the teeth, shooting to the inner ear, aggravated by cold or warm drinks, or by inspiring cold air; also, with ptyalism and swelling of the cheeks; fetor from the mouth; aphthse, ulcers in the mouth; inflammation of the tongue, swelling of the tongue, with thick coating of the same; excessive loathing of meat; desire for cold drinks, especially water; sore throat, with swelling of the tonsils and ptyalism; violent vomiting of bitter mucus; hepatitis, swelling and hardness of the liver; inflammation of the bowels and peritoneum; green diarrhoea, mucous, bloody, purulent, with cutting colic and tenesmus, continuing even after a discharge; sour or excoriating stool; protrusion of the rectum, it looks black and blood is spirted out; urine with white flocks, as if filled with pus and mucus; hwneorrhage from the urethra; greenish gonorrhcea, especally at night, with painful erections; balannorrhcea; hard swelling of the testes; prolapsus of the vagina; purulent, corrosive leucorrhoea; hard swelling or suppuration of the mam 108 CHARACTERISTIC SYMIPTOMSo ma; catarrhal conditions of various kinds, especially when attended with chilliness and aversion to the open air; influenza; dry, racking cough, as if the head and chest should fly to pieces; haemoptysis when lying down; painful stiffiess of the neck; exfoliation of the finger-nails; children refuse the breast; remedies against the excessive action of Mercury, are: Bell., Carb. veg., Hep. sulph., Nitri ac., Sulph., Lach., Lye. Mezereumo Abuse of Mercury, chronic effects thereof, especially caries of bones; swelling of the parotid glands; humid scaldhead; excessive vomiting of green and bitter mucus, or bloody, chocolate-colored vomiting every day burning pains in the stomach; heematuria; discharge of a few drops of blood after urinating; discharge of mucus from the urethra; balannorrhcea; albuminous leucorrhcea. Mfillefolium. (Yarrow.) This remedy is chiefly recommended for haemorrhage from the various orifices of the body. Moschus. (Musk.) 1ysteria and 73hypochondria; convulsions of males or females; tonic spasms; excessive vascular erethism; headache, as from a heavy weight on the head, with a sensation as if cold compresses were applied to the head; tearing in the right half of the head as if the head should be cut through; report in the ears, fol MOSCHUS.-NATRUM. 109 lowed by discharge of a few drops of blood; vomiting every forenoon; pressure in the stomach, increased by drinking; throbbing in the region of the stomach; constipation relieved by coffee; violent sexual desire, with titillation in the sexual organs; spasmodic jerking of the hands and feet, followed by severe pains in these parts. Some of the pains abate in the open air. iMuriatic acid. Foul ulcers on the legs; typhus, the patient settles down in the bed, fetid breath, aphthae in the mouth, compressible and intermittent pulse. Tatrum carbonicum. (Carbonate of soda.) Glandular swellings on the neck and in the groin; swelling of the feet, or coldness of the same. Tatrum muriaticum. (Salt.) Intermittent fever, especially after abuse of Cinchona, quotidian or tertian, with bone-pains, great prostration, bitter taste in the mouth, backache, sallow complexion, ulceration of the corners of the mouth, loss of appetite, pressure in the pit of the stomach, with painful sensitiveness when touched, the paroxysms generally set in in the forenoon with thirst, even during the chill; falling off of the hair; lachrymation, especially in the open air, twitching of the lids, dimness of sight, blurred appearance of the letters, muscge volantes, fiery points or streaks; hardness of hearing, with buzzing in the ears, ringing, otorrhoea. Swelling of the lips and cervical 11O CH-IARACTERISTIC SYMPTOMS glands, scurvy, gumboil; sensation as of a hair on the tongue; vomiting of the ingesta, especially in the case of pregnant females; spasmodic cardialgia, afternoon to evening; chronic constipation or diarrhoea; prolapsus of the rectum, with burning in the anus and discharge of bloody ichor; tetter at the anus; painful haemorhoidal tumors; gleet; scanty and retarded menstruation; acrid leucorrhoea, with sallow complexion; cough, caused by tickling in the throat or pit of the stomach; cough with vomiting of the ingesta; stitch in the chest when drawing a long breath or coughing; palpitation of the heart after the least exercise; irregular, intermittent beats of the heart; trembling of the hands when writing; dry and brittle skin on the hands; burning or coldness of the feet; the sweat of the feet which had been suppressed reappears. *NTitric acid. Chancre, gonorrhAcea, figwarts, especially when complicated with mercurial symptoms; mercurial ulceration of the mouth; loose teeth and bleeding gums; inflammation and swelling of the testicles, the pain extending upwards along the spermatic cords; swelling and suppuration of the inguinal glands; affection of the kidneys, urinary complaints; flowing piles; chilblains; hardness of hearing (followed by Petrol.;) ulcerative phthisis (after Kali carb.); the pains are relieved by riding in a carriage. Nitrum. (Nitre.) Itching blotches on the body, except on the hanzcs andi NITRUM.-NUX VOM: CA. 111 feet; headache after eating veal; nocturnal throbbing toothache, made worse by cold things; stitches in the chest when drawing a long breath; pneumonia; cough with purulent expectoration, after neglected pneumonia, or with expectoration of bloody mucus. The pains mostly appear in the afternoon and evening; those which make their appearance in the day-time, disappear in the evening. Nux muschata. (Nutmeg.) Consequences of exposure to dampness and cold; affections accompanied by drowsiness or disposition to fainting; intermittent fever with drowsiness, whitecoated tongue, rattling breathing, bloody expectoration and but little thirst, even during the hot stage; cdirrhoea after the use of boied mil/k. *lux vomica. (Vomic nut.) Cardialgia, pressure at the stomach with sour eructations and sour vomiting, flow of water in the mouth, b1oated bowels, baclccche; sensation as if a band round the abdomen, as if it would fall off; bilious vomiting (with Puls.;) vomiting of dark, coagulated blood; ailments caused by the excessive use of coffee, wine, brandy, mental labor, talking, watching at night; dullness of the head as after intoxication; heaviness in the occiDut; delirium tremens (with Opium;) nausea, foul taste in the mouth, especially in the morning; the pains are worse in the morning, after eating and during rest; hernia, prolapsus of the vagina and uterus, weakness of the uterine ligaments, pains in the bowels after con 112 CHARACTERISTIC SYMPTOMSo finement; pressing towards the womb; obstinate constipation and loss of appetite; hemorrhoidal complaints, painful tumors, inflammation and induration of the liver; premature and excessive menstruation; yellowish leucorrhcea; desire to urinate; gravel, renal calculi; weakness of the small of the back, lameness of the lower extremities, bruising pain, formication, jerking of the lower extremities, dorsal consumption; excited sexual desire; tetanus after injuries, especially of the spinal marrow; impotence; consequences of onanism (with China.) Cough, with soreness in the epigastrium, pain in the head as if it would split, aggravated by reading, thinking, etc.; restless sleep; intermittent fever, with pains in the stomach, blueness of the skin, excessive chilliness, backache, headache, nausea, constipation, desire for beer. Headache in front and in the back part of the head; rush of blood to the chest; dryness and roughness of the throat, with sensation as of a plug in the throat. Irritable mood, consequences of continued chagrin; disposed to find fault, to entertain thoughts of suicide; hypochondcrica; restless dreams; chiblains. If taken immediately after a cold, Nux may sometimes arrest the symptoms which otherwise require Aconite or Belladonna. This agent is especially suitable to individuals of a vehement temper. Oleander. Painless paralysis, especially of the lower extremities; deficient vital heat; sadness and diffidence in one's self; squamous or humid scaldhead; obscuration of OLEANDER.-PHOSPORIC ACID. 113 sight when looking sideways; throbbing in the pit of the stomach. *Opium. Sopor, also in typhus. Stupefying sleep, unrefreshing, with the eyes half open, stertorous breathing. Dreamy, stupid sleeplessness (in opposition to sleeplessness from excessive wakefulness, which yields to Coffea); consequences of fright, trembling, jerking, convulsions beginning with rigidity of the whole body, loud cries; epilepsy; tetanus; painter's paralysis; expectoration of frothy blood when coughing. Dangerous pulmonary haemorrhage; constipation from torpor of the bowels. Vomiting of faeces in ileus (with Plumbum). Deli-rium tremens. This agent is frequently suitable to drunkards and old people, and to persons upon whom other medicines are slow to act (compare with Carbo. veg.); colic of infants, with constipation; lead-colic. Petroleum. (Rock-oil.) Scrofulous ailments. Glandular swellings and indurations. Scaldhead, soft tumors on the head, painful when touched. Fistula lachrymalis (in alternation with Silic.); hardness of hearing, caused by paralysis of the auditory nerve (especially after using Nitri. ac.); itching and dampness of the scrotum, tetter between the scrotum and thigh (with Graph.); chapped hands; obstinate ulcers on the toes. *Phosphorie acid. Glandular ulcers (especially when burning); pain in the periosteum as if scraped with a knife; affections of I__________________S _8 114 CHARACTERISTIC SYMPTOMS. bones; ulcers. Diarrhcea, not weakening; mucus diarrhoea; diabetes; milky urine; typhus with taciturn mood, optical illusions, confused fancies, even when awake; consequences of silent grief (compare Ignatia), also of loss of animal fluids, onanism (after China); debility, emaciation. Impotence. *Phosphorus. Last stage of croup (in alternation with Bromine); nervous debility, emaciation (with impotence); mucous phthisis. Pneumonia, with stitches in the sides of the chest, rusty sputa, stage of hepatization (after Acon. and Bry.) Loss of blood during pregnancy. Smarting leucorrhcea. Chronic hoarseness, aphonia. Constant disposition to diarrhoea during cholera; glandular abscess and fistula, especially in the mammae; dry, scaly tetter; affections of bones, with nocturnal pains; caries of the lower jaw; glandular swellings; zoomagnetic conditions; amaurosis, cataract, glaucoma; violet-odor of the urine (with turpentine); irresistible desire for sexual intercourse (in the male; aversion to it (in the female). Platinao Painfulness of the pudendum. Nymphomania, unnatural sexual excitement. Profuse and premature menstruation (with Nux and Calc.); induration and prolapsus of the womb. Hysteria. Plumbum. (Lead.) Paralysis of the extremities. Constipation. Hard, lumpy stools. Violent pains in the umbilical region. PLUMBUM.-PULSATILLAo 115 Spasmodic retraction of the abdomen. Colic, relieved by pressure and bending double. Vomiting of fseces, in ileus (with Opium). Sweaty feet, smelling like decayed cheese. Pulsatilla. (Wind-flower.) Scanty and delayed menstruation. Amenorrhoea, especially when caused by a cold. Chlorosis. Irregular menstruation. Pains and cramps in the bowels, before or during the menses. Leucorrhcea; feeble labor-pains (also in alternation with Secale); afterpains; hastens the detachment of the placenta. Stoppage of the lochial discharge. Consequences of weaning, such as distention of themammae; stinging in the breast of young girls, with discharge of thin, acrid milk; fainting fits with deathlike pallor; epileptic spasms (especially when caused by menstrual suppression, or returning at every appearance of the catamenia. Consequences of measles, such as hardness of hearing, otorrhoea, weak eyes, etc. A preventive against measles. (The principal remedy during the measles is Acon.) Fistula lachrryncalis, or fistula generally. (Sulph., I-ep. or Sil. may have to be given for the psoric taint or the affections of the bones); ophtcalmia, also when of a scrofulous character, with pressure, stinging, lachrymation especially in the open air; dryness of the eyes. Stye on the eyelid; cataract; dimness of sight, diplopia, fiery circles; otalgia, jerking, stinging, tearing, humming, ringing in the ears; deafness caused by obstruction of the ears. Otorrhoea, especially after measles; nosebleed. Headache above the root of the nose. Catarrh with loss of taste and smell. Dr'y coryza, with 116 CHARACTERISTIC SYIMPTOMS. ulcerated nostrils, discharge of foul, yellowish or green m ucus. Cough, with dryness of the throat, or cough with expectoration of yellow, bitter, salt or sweetish, bloodstreaked mucus. Cough with desire to vomit. Cough with pain in the chest and stitches in the side; excessive accumulation of mucus. Vomiting of mucus tand bile. Pressure in the pit of the stomach; papescent, slimy, bilious, blood-streaked diarrhcea. Burning in the rectum. Fluent piles. Urging to urinate, with involuntary dribbling of the urine, discharge of mucus from the urethra; diabetes; wetting the bed, especially in the case of little girls; derangement of the stomach or other gastric derangements caused by eating fat, pastry (with Ipec. and Carb. veg.); cardialgia made worse by rapid walking. Flatulent colic and painfulness of the integuments when touched. Inflammation of the bowels (in alternation with Arsenic.); angina pectoris; suffocative paroxysms; constriction across the chest, with pain in the chest, especially when caused by the vapors of Sulphur; bitter taste; varices (in alternation with Arnica, which may likewise be applied externally). Erysipelas, shifting from one part to the other. AVandering gout (with Kali bichrom.); tearing in the limbs, relieved by uncovering the affected part). Chilblains. A characteristic symptom is the absence of thirst in all Pulsatillapains. This agent is especially suitable to females with gentle and timid dispositions, pale complexion, blue eyes, blond hair; in the evening the pains are worse, also during rest and in warmth, especially in the warm room; they abate in the open air, or when the patient is lying on the back or during moderate exercise. 1I _____________________________________ ________ _____________________________ RANUNCULUS.-RHUS TOX. 117 laanunculus bulbosus. (Crow-foot.) Vesicular eruptions, as if scalded; flat, spreading ulcers with sharp edges and stinging-burning itching; ophthalmic affections, with immobility of the pupils; the pains are excited by contact or a change of position. R:anuCnultus seeleratus. (Malignant crowfoot.) Periodically-recurring pains, especially arthritic and rheumatic, without sweat; obstinate ulcers. Rlhododendron chrysanthum. (Siberian rose.) Arthritic and rheumatic pains in the limbs, excited by rough weather, worse during rest and at night in bed, sometimes with swelling and redness of the affected parts (with Rhus tox.); hydc'ocele. Swelling of the knee. *lIhus toxicodendron. (Poison Sumach.) Tearing and drawing, or stitching pains in the limbs during rest, nd at night, worse when entering a room from the open air; rigidity of the limbs; numbness and tingling in the extremities; paralysis; ailments from getting wet; pain in the joints as if sprained; consequences of a strain or sprain (after Arnica;) sensation as if the flesh were detached from the bones; vesicular erysipelas; vesicular eruptions. Nocturnal cdiarrhca preceded by colic; dysenteric diarrhcea; diarrhoea alternating with constipation; panaritia with swelling of the whole arm; (compare IIep. and Sil.;) inguinal hernia; hydrocele (in alterna SANGUINARIA-SILICEA. 119 walking, etc.; inveterate ichorous ulcers; spongy excrescences. Secale cornutum. (Ergot, spurred rye.) Deficient labor-pains (in alternationi with Puls.;) detachnent of the placenta; fetid metrorrhagia; protracted bloody lochial discharge; miscarriage; exhausting diarrhoeic stools in rapid succession; colorless diarrhoea (during the cholera;) paralysis of the lower extremities, depending upon weakness of the spinal marrow; ergotism; sphacelus of the toes, in the case of old people. Senega. (Rattlesnake-root.) Spots on the cornea, or dimness and sponginess of the cornea; dry cough, or cough with difficult expectoration, wheezing breathing, racking pain through the whole chest. *4Sepia. (Cuttle-fish.) Is especially suitable to females (like Puls.;) scanty menstruation. Ailments incidental to the critical age; smarting leucorrhoea, also after the critical cessation of the menses; hysteria, flashes of heat, etc; ailments incidental to pregnancy, nausea and vomiting; humid herpes, with itching and burning; hemicrania with vomiting; boring pains somewhat relieved by rest and external pressure; cough with saltish expectoration (with Lycop). Silicea. Caries of bones; swelling and curvature of bones, 120 CHARACTERISTIC SYMPTOMS. (rickets;) suppurating sores of various kinds, panaritia (in alternation with Hep.;) proud flesh; spongy excrescence in ulcers; gangrenous sores; ganglia; suppuration of the mamma in the case of nursing females (in alternation with Hep. and Mierc.;) inflammation of the nipples; carcinoma of the mamma; phthisis pulmonalis, especially of sculptors and stone-cutters, (with Cale.:) hectic cough with purulent expectoration; pulmonary fistula; fistula of various kinds, especially when bones are involved; glandular swellings, hard, painful, suppurating; tetter and eruptions with abscesses; yellow, brittle, distorted finger-nails (after Sulph.) Ulceration of the big toes; suppression of sweat on the feet; swelling of the knee; deafness; otorrhoea; cataract; inflammation and swelling of the eyes; vomiting after drinking; intermittent fever, with pre dominance of the hot stage, (after Aeon.) Spigelia anthelmia. (Pink-root.) Periodically-recurring headaches and face-ache of the left side, aggravated by motion and noise; carditis enlargement of the heart; hydrothorax caused by organic disease of the heart; worms. *Spongia marina tosta. (Burnt-sponge.) Croup (in alternation with ilep.); goitre, with pressure and tingling in the swelling (with Iodine, also when a sensation of constriction is felt); hoarseness after singing; laryngeal phthisis. Squilla maritima. (Squills.) Fever with internal chilliness and external heat; SQUILLA.-SULPHUR. 121 cough, with stitches in the side at every turn of cough, also with bloody expectoration; pleurisy and pneumonia. Stannum. (Tin.) Spasms during dentition; epilepsy in the evening; mucous phthisis. Staphysagria. (Stave's acre.) Chronic mercurial ailments; lupus; glandular swellings; cuts which refuse to heal; toothache in decayed stumps, with swelling of the cheeks; excrescences on the gums; small boils in the lids or along the edges. *Stramonium. (Thorn-apple.) Dementia, (especially of drunkards;) illusions of the fancy; delirium; lascivious mania; proud mania; alternate ludicrous gesticulations and sad expression of the countenance; rage, with great violence; kicking and howling, crowing voice; catalepsy. *Sulphur. Chief remedy for psora; herpes and eruption of various kinds; itch; rough and chapped skin; warts; sarcoma; acne; hepatic spots; ulcers; pancritia; spongy excrescences in sores; boils, (especially on the nates, with nitric acid;) intolerable itching; continually recurring erysipelas; anasarca; bone-pains, as if the flesh were detached; inflammation and swelling of bones; caries; rickets; arthritic tearing in the limbs, worse at night; paralysis; glandular affections; goYtre; affections VERATRUM. —VIOLA. 125 for fruit and for sour things; unquenchable thirst; sudden prostration of strength. Debility and trembling. Debility after abuse of China (also removed by Ferrum). Coldness, numbness and formication of the extremities. Tearing in the extremities, aggravated by damp and cold weather and by the warmth of the bed. Pains in the lower limbs, ascending to the abdomen, or else in the opposite direction; tetanic spatms, the palms of the hands and the soles of the feet becoming bent inwards. OColera (in alternation with Cuprum). Catalepsy, with flexibility of the limbs; epilepsy; intermittent fever, the coldness being only external, with internal heat, and violent desire for cold water. Delirium. The memory is almost entirely gone. Confusion of mind, dementia, especially religious or amorous mania, with absurd acts; fancies himself a hunter, prince, minister, is proud of it; she boasts of being pregnant, etc. Paroxysms of pain causing delirium and mania for a short period. Bad consequences of fright. Vinca minor. (Wintergreen.) Tangling of the hair, with gnawing itching; plica polonica. Viola tricolor. (PansyO) Crusta lactea with burning itching at night, and discharge of tenacious, yellow pus. The urine smells like cat's urine. 126 CHARACTERISTIC SYMPTOMSo Zincum metallicum. (Zinc.) Chronic eruptions of various kinds, especially tetter, and ulcerated tetter; ganglia; discharge of blood from the urethra, after urinating; pain in the chest when riding in a carriage. Chorea. REMEDIES ACTING MORE ESPECIALLY ON THE RIGHT OR LEFT SIDE. Left. Right. Aconite, Agaricus, Apis, Alumina, Arnica, Belladonna, Asarum, Cantharis, Calcarea carb. Causticum, China, Crotalus, Colchicum, Drosera, Colocynthis, Eepar sulph., Crocus, Ignatia, Iodine, Moschus, Lachesis, Plumbum Mercurius, Rhus tox., Nitric acid, Ruta, Nux vom., Sabadilla, Rhododendron, Sabina, Spigelia, Sanguinaria, Sulphur, Staphysagria. Sulphuric acido SPECIAL DIRECTIONS FOR THE TREATMENT OF ALL LEADING DISEASES. Cholera. (Asiatic cholera.) INTRODUCTORY REMARKS, THE homoeopathic treatment of cholera having produced such brilliant results, it seems very strange indeed, that it should not have been universally adopted. This is not owing to ill will, or to the jealousy of OldSchool physicians, we cannot believe such meanness on the part of our professional opponents possible, when the object of our endeavors is to save human life,-no, it is simply owing to the old want of faith and to the old pride. Physicians cannot comprehend, and therefore refuse to believe, that such small agencies should produce such great effects. They imagine that their own wisdom is superior to nature's laws, and the result of their profound cogitations is the lamentable fact, as corroborated by the published mortality-bills of our city-authorities that fifty and even more of every hundred patients attacked with cholera, die. (127) 128 TREATMENT OF LEADING DISEASES. Under homoeopathic treatment one thousand four hundred and sixty-four patients out of one thousand five hundred and fifty-seven recovered in nineteen different cities, ninety-three only died, or six per cent. (See Dr. Buchner's " Results of alloeopathic and homceopathic treatment according to official statements.") Where the spirits of Camphor and the higher potencies of homceopathic preparations were employed, only one in a hundred died as a general rule. The official lists of cholera-patients in the district of Tischnowitz from November 7th, 1831, to February 5th, 1832, show that, under alloeopathic treatment three hundred and thirty-one patients two hundred and twenty-nine were cured and one hundred and two died; under homeopathic treatment of two hundred and seventy-eight patients, two hundred and fifty-one were cured, twenty-seven died. Dr. Baer of Prague lost under allceopathic treatment of one hundred and nineteen patients forty-seven-and cured seventy-two; under homceopathic treatment of eighty patients, he did not lose any. Of seventy-one patients who were treated with Camphor without any other medicine, sixty were cured, eleven died. Count Nadasdy of Daka in Hungary, in the absence of professional aid, treated his subjects with the spirits of Camphor. Of one hundred and sixty-one who were attacked, he only lost fifteen. Dr. Schulz who had been my assistant in Coethen, treated sixty-eight patients during the epidemic cholera of 1848, in Potsdam, and only lost nine, among whom were several scrofulous children and old men who had been diseased for some time; whereas the allceopathic 130 TREATMENT OF LEADING DISEASES. avoided; otherwise it is well to continue one's regular mode of life, to eat and drink moderately, to avoid violent emotions, to overcome disturbing passions, to observe cleanliness and especially frequent washings with cold water, which strengthen and fortify the body. An attack may be provoked by any violent and sudden change of diet, by the use of spirits of patent cholera-cordials, teas, etc. Travelers should endeavor to be perfectly regular in their meals and to use nourishing and simple food in moderate quantities. Every body should keep the spirits of Camphor on hand (one part of Camphor to be dissolved in twelve parts of alcohol); this will afford the best help at the commencement of an attack, especially if tetanic spasms should be present, as will be more fully shown hereafter; the vial should be kept carefully closed lest the smell should injure the other homceopathic preparations. During cholera, children are sometimes attacked quite suddenly with vomiting and diarrhoea, but without spasms; such an attack is speedily arrested by IpecacuaZnha, five globules, in six tablespoonfuls of water, of which a dessertspoonful may be given every fifteen minutes; the attack will cease in a few hours. The medicine should be given less frequently as soon as an improvement sets in, and should finally be discontinued. If Ipec. should be without effect, Ascarum may be given; this cures vomiting of water with anxiety and diarrhcea without cramps. But if these symptoms should be complicated with cramps in the calves or bowels, Cuprum should be given as stated above; this will prevent the full development of cholera, 132 TREATMiENT OF LEADING DISEASESo asked; burning in the stomach and oesophagus, and cramp-pain in the calves and other muscles; he shrieks when the pit of the stomach is touched; he has no thirst, no nausea, vomiting or diarrhoea. At this stage (camphor may still prove available provided it is employed at once by those present. The patient is placed into a warm bed, and takes a drop of the spirits of Camphor every five minutes, on a lump of sugar or in a small spoonful of water. The arms and legs of the patient are at the same time rubbed with the spirits of Camphor from above downwards, likewise the pit of the stomach and the abdomen. An injection of Camphor may likewise be administered, mixing two dessertspoonfuls of the spirits of Camphor in two tablespoonfuls of tepid water. The spirits of Camphor may likewise be evaporated from time to time upon a heated brasier, especially if the mouth is spasmodically closed, in which case the inhaled vapors may take the place of medicine taken by the mouth. The more attentively these precautions are attended to, the more quickly and certainly the patients will recover. Iis warmth, strength, consciousness, quiet and sleep return: he is saved. If this first favorable period should have been overlooked or neglected, the Second Stage Sets in, where Camphor generally proves unavailing. This stage is characterised by frequent watery discharges mixed with whitish, yellowish or reddish flocks; violent vomiting of quantities of similarlylooking watery substances, unquenchable thirst, loud rumbling in the bowels. increasing anguish, moaning CHOLERA. 1 3 and yawning, icy-coldness of the whole body, even of the tongue, mottled blueness of the arms, decreased action of all the senses, slow pulse, excessively-painful cramps in the calves and arms, and in the bowels. If these symptoms are present, Camphor is of no avail, and it is best to remove the smell of Camphor, in case it should have been used previously, as much as possible by letting in fresh air, and thus preventing the Camphor from interfering with the medicines which will have to be prescribed at this stage. Cuprunr and Veratr-un, six pellets of each, are now to be dissolved in separate tumblers of water, each containing about eight tablespoonfuls, and a small spoonful is to be given alternately every five minutes, or, in bad cases, even more frequently. If the watery solution should be inconvenient, a pellet may be given dry on the tongue, at a dose. As soon as the patient begins to feel better, the dose should be repeated less frequently, and if sweat and sleep should set ii, all medicine is to be discontinued. In some cases, after the disappearance of the dangerous symptoms, the skin becomes hot and the pulse full and bounding; in such a case Aconite should be given, six pellets in eight tablespoonfuls of water, a small spoonful every ten minutes; very soon the skin will be drenched with perspiration, sleep and recovery take place. In cases where the attack seemed more obstinate, and the passages remain perfectly colorless, recovery has been effected by means of Seccae alone, or in alternation with COupru-m or Fertrum. If burning pains in the epigastric region or in tlle region of the spleen (on the left side below the ribs,) CHOLERA. 135 the attack is a de oction of oatmeal or fresh water, which should only be given in spoonful doses. Another characteristic sign of Asiatic cholera is the loss of all tonicity of the skin which, if' pinched up, remains without returning to its former condition. Cases occur where, after the second stage has run its course, and the patient is about to die, tetanic spasms set in and the patient seems quite dead. Here Hydrocyanic acid or the spirits of Camphor may be given; the latter should be rubbed upon the skin with the palm of the hand, from above downward, and upon the pit of the stomach. Patients apparently dead have likewise been restored to consciousness by means of an injection of tepid water and Camphor in the rectum, or by bathing the inner mouth with a mixture of oil and Camphor. Sometimes cholera is transformed into a sort of typhus with delirium, especially under the use of violent and improper medicines. In such a case Biryonia and iR/us tox. should be dissolved in separate tum.blers, six pellets of each in eight tablespoonfuls of water, a small spoonful to be given every thirty minutes alternately, and less frequently if symptoms of improvement should become apparent. If typhoid symptoms should set in under homceopathic treatment, with stupid insensibility, optical illusions, confusion of the senses, Acidum phoos2hor., six pellets in water, a spoonful every fifteen or thirty minutes, may be given. For dry heat, full and bounding pulse, anxiety, give Aconite alone, or in alternation with the former remedies. Nobody should abandon himself to slavish fear, for fear alone brings on sickness and destroys all mental 136 TREATMENT OF LEADING DISEASESo energy, No man should suffer the divine spark in him to be quenched by fear; every body should rely in full confidence upon the ruling Providence who governs the destiny of each of us. The mind, until it is absolutely prostrated by the disease, should sustain the body with vigor and by a strong and living faith. Let the physician, animated by this hope and intense faith, step to the bedside of the patient, and he will be able to effect wonderful changes for the better. Croup. (Angina membranacea.) INTRODUCTORY REMARKS. In an attack of croup, it is of the utmost importance to afford help before the dangerous stage has set in. The mother who has the best opportunity of watching her child, may avert the danger by pursuing the treatment indicated in the following pages. If a homoeopathic physician should be at hand, he may be sent for, but the mother should at once administer the appropriate remedy, for by so doing she may pave the way for the physician's management without ever interfering with it. If no physician should be near, she may undertake the treatment in perfect confidence, being assured that thousands of children have been saved by the means which we here propose. It may be a satisfaction to every mother to know that the treatment which I recommend, has enabled me to save the life of every patient I have had charge of, and that, if, in accordance with the inscrutable designs of Providence, a little patient should die, he will not have been sacrificed by violent -ind destructive agencies. Many of our most experienccd physicians have sanctioned 138 TREATMENT OF LEADING DISEASES~ fuls of water, a small spoonful every two or four hours in alternation. The child should be kept uniformly covered so as to prevent exposure and stoppage of the perspiration. At such times children should never be left alone, nor should they be permitted during the winter to sleep in a very cold room, lest they should kick off the bedcover and be attacked with a croupy cough, in which case the remedies which I have recommended, should at once be given. Persons who have once heard the croup-cough will never forget it; those who have not heard it may know it by the following signs: It is very much like the hoarse barking of a common cur, sometimes shrill, crowing, sometimes deep and hollow, but rough. It is an anxious sound, and the cough occurs in paroxysms. The inspirations are long and labored, the expirations are interrupted and jerking. The little patients frequently toss about the bed in great agony, stretch their necks and bend their heads backwards. This should not be prevented, especially during the last stage, when the patients might suffocate in consequence of their heads being raised too high. The pulse is feverish, the urine deep-red. These symptoms require Aconite, six pellets in a cupful of water, a small spoonful every ten or fifteen minutes, until the patient feels easier, after which the medicine may be repeated after every new paroxysm of cough. Warm and gentle perspiration is a good symptom. If the child falls asleep, let it sleep until morning, when a spoonful of a solution of six pellets of lepar 8J7su7a. in a cupful of water may be given, to be repeated at night. 140 TREATMENT OF LEADING DISEASES. foregoing remedies, Bromine, six pellets in water, a spoonful every ten or fifteen minutes, should at once be administered. This is our chief remedy in the Third Stage. The pulse is small and accelerated. The breathing is exceedingly anxious, frequently wheezing or rattling; at every inspiration the abdominal walls are violently raised and depressed. During a paroxysm of cough, which is almost without any resonnance, the gagging frequently terminates in vomiting. The children look pale, the face is bloated and has a blueish look, the eyes protrude and are expressive of anxiety, the little patients seek to grasp at every thing near them. If the patient had been treated homceopathically from the start, Bromine may then still save the child's life. If the child should be very weak, or if violent alloeopathic treatment should have prostrated the patient, Phosphorus and Bromine may be given in alternation, six pellets of each in separate cupfuls of water, a spoonful every ten or fifteen minutes, until an improvement sets in, after which the medicines should be given less frequently, until they can be discontinued. SUBSEQUENT TREATMENT AND DIET. After the cure, and more particularly, if the child had been under alloeopathic treatment, a feeling of weakness is very apt to remain behind. This will yield to China, six pellets in water, a spoonful morning and evening. If hoarseness remains, Kep. su7ph. or Bromine should be given in a similar manner. CROUP. 141 As a matter of course, all kinds of food or drink which are opposed to homoeopathic medicines, should be avoided during and even for a week after the treatment of croup, more especially coffee, tea, wine, acids, spices, roots, etc. These things should always be kept away from children with strict uniformity; children will never grow up to healthy and happy men, until the use of all unnatural compounds and spices is strictly and absolutely forbidden. Every intelligent mother knows or should know that it is exceedingly improper to feed children on coffee or chamomile-tea; these beverages predispose the nervous system to all sorts of ailments, such as spasms during dentition, colic, etc. An excellent antidote to convulsions produced by chamomile-tea is black coffee, of which a few drops may be administered every few minutes until the spasms cease. The best nourishment for clildren who are brought up by hand, during the first six months is a beverage composed of half milk and water, sweetened with a little sugar. Very weak children should have even less than half the quantity of milk, for the emaciation of children is very often owing to over-feeding or the use of too rich food. Very robust children may have a gradually-increased quantity of milk, and, if this should not satiate them, they may eat a little stale bread soaked in hot water, and slightly sweetened with sugar, and at times some very weak meat-broth without any fat. More solid food should not be given until the incisors are through. Washing with warm water, which is still adhered to by so many mothers, is very weakening to children 142 TREATMENT OF LEADING- DISEASES. and should be abandoned. Children should be washed every day with fresh and cool water; this is truly invigorating. A fortnight or three weeks after the birth of the child, the use of warm water should be discontinued little by little, so that cold water is exclusively used at the age of five or six weeks. In the morning the back should be washed first by pressing water out of the sponge and causing it to flow down the spine; this may be repeated a dozen times, and the sponge may be passed over the back at the same time. After this proceeding the back is carefully dried, and if a mother wishes to strengthen her feeble infant, she may breathe upon its back from the head all the way down the spine; this will prove a pleasant stimulation to the tender nerves. The rest of the body should be washed in the same way by passing the sponge over it from above downward, and afterwards drying it carefully; after washing the back, the face, arms, chest and abdomen, and lastly the lower extremities should be washed in the same way. This mode of washing takes a little more time than bathing, but it is much more invigorating; and should not a mother be willing to make every effort to secure the health and vigor of her children? This natural system of education not only serves as a preventive against diseases, but, if the children should be attacked by illness, it will be found.to be more manageable, because the nervous power had been adequately prepared to resist the inroad of disease. Mothers should likewise be watchful in preventing their children from touching the private parts, or from putting their hands under the cover at night; for this might easily lead them to the dreadful practice of onanism which destroys both body and soul, and frequently TOOTHACE. 14 entails incurable maladies, spasms, paralysis, epilepsy, consumption, upon its unhappy victims. Let every mother keep the remedies which I have recommended for cholera and croup, in her house. How quietly may a mother retire to rest, if she knows that help is near in case her little darling should be attacked by these dangerous diseases! How many children are sacrificed by the use of violent emetics and by venesections t How many chronic ailments are entailed upon children by the use of large doses of Calomel! If croup is apparently cured by such remedies, the disposition to this disease is not removed, as may be inferred from the frequent recurrence of attacks of croup undei alloeopathic treatment. A mother should undertake the treatment with perfect confidence, otherwise she might neglect something. The result is undoubtedly in God's hand; if he has decreed the end of human existence, all human art and science must prove futile, and every true Christian will cheerfully and trustingly submit to the inscrutable, but wise counsels of Providence. It will be a consolation to a mother's heart to know that, if it should have been impossible to avert a fatal result, such remedial agents had been employed in her child's case as would have saved the patient's life, if this had been possible. Toothache. INTRODUCTORY REMARKS. Those who are never afflicted with toothache, may deem it a very small matter, that much should be said on the subject; but persons liable to attacks of toothache will thank me for the trouble I have taken to 144/ TREATMENT OF LEADING DITEASES. show them the means of obtaining speedy relief fromn their sufferings. In my clinic at least twenty patients are treated every day for toothache, and scarcely one in a hundred is not immediately relieved by smelling of the specific remedy. This successful mode of treating toothache requires a careful knowledge of the Materia Medica, for an apparently trifling circumstance sometimes points to the right remedy. If a decayed tooth, for instance, is affected, and the pain is a throbbing and digging pain, involving even the eye, I hold the little vial containing Pulsatillac under the nostril of the affected side, and cause the patient to snuff up the emanations. from the open vial with considerable force. In almost every case the pain yields at at once. If the toothache should be inveterate, and a second attack should set in, two or three pellets may then be dissolved in eight tablespoonfuls of water, of which a dessertspoonful may be taken every two or four hours, and after a while every morning and evening for some days only, lest the curative reaction should be interfered with. If the pain should affect the whole left side as far as the ear, the tooth feeling loose and elongated, and exposure to a draught of air having caused the trouble, Chact)omnilla will relieve it. If the patient is unable to point out the affected tooth; if the pain seems to affect the whole row of teeth, if they feel sensitive and elongated, and the head is hot, Belladonnac will afford relief, either by smelling or in water. The rule is, that if smelling should not be sufficient, a few pellets are to be dissolved in half a turnblerful of itJOOTHACHE. 145 water, of which solution a small spoonful should be taken every two to four hours, and, after a few doses, every morning and evening for a few days only, avoiding all other remedies lest the proper reaction should be disturbed. If more than one remedy seems indicated, the two may be given in alternLtion. The tumbler should be covered, and placed in a dark spot; the spoon should be dried after being used. If the water becomes turbid, the solution should be renewed. All kinds of food or drink which interfere with the operation of homoeopathic agents, should be avoided; meat, except fat pork, all ordinary vegetables, milk, simple farinaceous dishes, eggs, sweet fruit, etc., are permitted. Coffee, tea, strong ale, spirits, acids and spices are forbidden. Perfumes should be avoided. I know 1by experience that the first spoonful of coffee may blrihng back the toothache after it had been appeased by treatment. Persons afflicted with frequent attacks of headache or toothache, should never use coffee which is apt to excite these sufferings. Mlilk, cocoa, simple soups are far preferable. Perfumed toothpovdcars or chemical tinctures for cleaning teeth should never be used; they remove the tartar, but they destroy at the same time the enamel. The best substance to clean the teeth with, is sugar of milk or pulverised charcoal which removes all the impurities without affecting the teeth. Morning and evening and after every meal the mouth should be carefully rinsed with fresh water; this will prevent the decay of animal matter between the teeth, and the formation of tartar. 10 146 TREATMENT OF LEADING DISEASES. The abuse of Kreasote and Opium during an attack of toothache should be guarded against; they may blunt the pain, but they at the same time attack and destroy the teeth. It is very foolish to have a tooth pulled out for no better reason than because it aches or begins to decay. Proper homceopathic treatment may render this operation unnecessary. I once treated a lady who had had all her teeth pulled out and was afterwards affected with the most intolerable pain in her jaws which yielded to treatment. If the patient should not succeed in removing the pain, a good homceopathic physician should be consulted. In opening a vial, it should be closed again as soon as the patient has performed the operation of smelling. The first four of the following remedies are most frequently used: Staphysagria. a. If the pains proceed from decayed teeth or from stumps, even the head and ears are involved, the cheek is swollen but not hot, the pain is caused by inspiring cold air or by cold drinks; worse during or after eating, by touching the affected tooth, or only at night or after midnight. b. Sudden blackness or decay, exfoliation of the teeth. c. Tubercles or painful excrescences on the gums, liability of the gums to bleed (Compare sulphur.) Belladonna. a. If several teeth on one side are affected, so that it is impossible to point out the exact tooth; if the pain shifts about (rheumatic pain,) the teeth feel elongated, as if they would start out of their sockets. PHTHISIS. 151 in the larynx and trachea, in the lungs, stomach, liver, bowels, mesenteric glands, kidneys, bladder and uterus. Whatever organ may be affected, there is always a waste of the tissues and a sinking of the bodily strength. Emaciation may likewise take place in other maladies; hence the necessity of ascertaining the true nature and seat of the malady. This is rather difficult for the laypractitioner who is not acquainted with the structure of the human body. The following hints will enable him to see the danger to which the neglect of certain derangements may expose the sick. 1. Phthisis of the larynx and trachea. (Phthisis laryngea et trachealis.) Consumption of the larynx and trachea generally occurs together, scarcely ever separately, and then only at the commencement of the disease, sometimes even after a simple, but neglected catarrh, especially in consequence of neglected influenza, or of badly-managed syphilis. The patient complains of a prickling, stinging or burning feeling at one spot in the larynx, as from the contact of a burning coal; sometimes the sensation is a feeling of pressure and constriction. If an ulcer has actually formed, deglutition becomes difficult, and the patient experiences a feeling as if an obstacle were in the way of the food. A continual irritation and inclination to cough sets in which is still increased by talking. The voice loses its resonance, becomes husky, and finally the patient loses his voice altogether and is only able to barely utter a sound. As the hoarseness increases, the cough increases likewise, the patient raises puis mixed with much mucus and saliva, which 152 TREATMENT OF LEADING DISEASES. has a saltish or sweetish, bitter or foul taste. The inspirations become anxious and wheezing, with a peculiar rattling sound; the expirations are comparatively easier. Little by little the deglutition becomes still more painful, suffocative fits frequently set in, until finally the food taken into the stomach is ejected again with violent fits of cough. The patient is generally pale, and his looks are expressive of great agony. With the increasing emaciation hectic fever sets in, with a slight chill in the afternoon, violent heat towards evening, night-sweats and great thirst. The pulse is generally accelerated and the sleep restless. Towards the end the hair falls out, the feet swell, exhausting diarrhoea sets in. If the disease is properly treated at the onset, a single dose of the appropriate remedy may frequently arrest it. Phos7hor-us will be found adapted to the following symptoms: Great painfulness and sensitiveness of the larynx, hoarseness which is made worse by talking, complete aphonia; cough excited by titillation and scraping in the throat and chest, most frequently excited by drinking or laughing. Cough with expectoration of a quantity of mucus, of a white or greenish color, purulent in the more advanced stage of the disease, when it has a saltish or sweetish taste. Hepar sulphuris cahc. The larynx is very much affected, the voice is hoarse and faint, feverish chilliness down the back, flushed cheeks, sleeplessness, anguish, nervousness and emaciation. Cough caused by titillation in the throat, or by pain in the larynx, aggravated by talking or stooping, increasing towards evening and then ceasing all at once. There is a pricking sensation in the throat as from a bone. PHTHISIS. 153 In a case of syphilitic phthisis of the larynx, when the original syphilis had first been treated with Mercury, this medicine may be given first, and allowed to have its full effect, after which Nitric acid may be given. Car5bo vegetailis. Toarseness morning or evening, with inability to talk loud, the voice giving out when making the attempt; scraping and tingling in the throat; dry cough with pain in the upper part of the chest, or racking cough, with oppression and burning in the chest; cough with expectoration of purulent mucus having a whitish-yellow or greenish color. It may be given after the abusive treatment with Mercury. Iodine. Pressure in -the region of the larynx as from some swelling; the larynx is painful to external pressure. Hoarseness, especially in the morning after rising. Constant inclination to hawk up tenacious mucus, with creeping and tickling in the larynx. Cough caused by violent tickling in the throat and chest, with anxiety previous to the attack and great emaciation. Mucous rattling in the chest. This remedy will probably be chosen first, if the disease springs from a scrofulous origin, especially if glandular swellings and indurations are present. Causticum. Chronic hoarseness, also with complete loss of voice; cough caused by tickling in the throat or stooping, with soreness, rattling of mucus in the chest, and inability to raise the apparently loose mucus. This remedy may prove useful, if the disease owes it origin to neglected influenza. Calcarea carbonica. Roughness of the throat or hoarseness, especially in the morning; accumulation of mucus in the chest or larynx, dry cough at night, or PHTHISIS. 155 ing is not always easy, and becomes panting and hurried when such persons go up stairs or walk rapidly. They find talking and singing difficult, and a dry cough is frequently present which sometimes increases to violent attacks racking the head and chest and causing great prostration. After such paroxysms a feeling of fullness and oppression on the chest remains; many patients complain of drawing and stinging pains in the chest which suddenly come and go. After eating a flush is seen on the cheeks and ears, and the palms of the hands become hot and red. These symptoms are evanescent, but return frequently and become more and more obstinate. The oppression gradually becomes more perceptible and finally remains permanently, so that the patient complains of it all the time. The mouth and throat are frequently very dry, especially in the afternoon, after which tenacious mucus is hawked up in the morning. The cough is generally worse at night; in the day-time the condition of the patient is more tolerable. The appetite generally continues good and the digestion is undisturbed. Towards the end of this stage the voice becomes husky, and even hoarse. The muscular debility increases. The pulse becomes more frequent. The second stage is ushered in with fever which makes its appearance at noon or towards evening. The skin is dry and hot, the pulse hurried, a cooling perspiration breaks out in the morning. Gradually the cough becomes more violent, worse in a horizontal position of the body, and is frequently accompanied by pain in the chest and vomiting. The expectoration accomnpanying the cough is tenacious, opaque, and gradually assumes a greenish or yellowish tinge. The fever becomes more continuous, and during the paroxysm the PHTHISIS. 157 of these discouraging symptoms the patients still continue to form plans for the future. Finally the feet become dropsical, and gradually the whole body is invaded by this change. Bedsores render the conlition of the patients still more intolerable. Little by little the extremities become cold, the pulse becomes feebler and the patient passes away quietly in the fall possession of his consciousness. Like most other diseases, pulmonary phthisis is often curable if attended to in season, more especially by means of the following remedies: Pulsatilll. If the fever is not yet fully developed, and the patient is not yet troubled with thirst. This remedy is likewise indicated, if the disease was caused by menstrual suppression; the patient is of a quiet, anxious, weeping mood, with pale complexion, oppression of the chest, shortness of breath, palpitation of the heart, cough with expectoration of bitter, sweetish, saltish or foul mucus, worse in the evening, at night or in the morning, less in day-time, sometines, accompanied with an inclination to vomit or actual vomiting. During the cough the patient complains of stitches in the shoulder, side or back. Hoarseness or very faint voice. China, if the disease arose after venesections, or in consequence of excessive nursing or the loss of other animal fluids. Cough with expectoration of bloodstreaked mucus, or of whitish mucus with blackish points; ha'moptysis; pulmonary hemorrhage. This remedy may arrest the diarrhoea in the last stage of the disease when a cure is no longer possible, especially if the food passes off undigested; it is likewise useful, if the bedsores become gangrened. Phosphorus. This agent is useful in the beginning of 158 TREATMENT OF LEADING DISEASES. phthisis as well as when the disease is fully developed, and patients still show a desire for sexual intercourse. Cough with expectoration of saltish and greenish mucus; watery, exhausting diarrhoea; general emaciation. Caicarecl carbonica. Especially indicated if the left lung is attacked, less adapted to the right lung, with stitches in the left side during a deep inspiration or when bending toward the right side; cough with expectoration of sweetish or saltish pus of a yellowish color, foul, worse in the morning; frequent attacks of hsemoptysis. Phthisis of stone-cutters, (see Silicea.) Carbo animctalis. Adapted t tthe right lung. Cough with expectoration of greenish or any other kind of pus; worse when lying on the right side. Kali carbonicum. Suitable to women who have had many miscarriages, or who have nursed many children. (See China.) Racking cough, inducing vomiting, (especially after midnight.) Cough with purulent expectoration. This remedy is well adapted after Nitric acid or Silic. has been given, or in cases where the disease can be traced to neglected pneumonia. Lycopodium. Likewise suitable if the disease can be traced to neglected pneumonia, Cough with expectoration of saltish mucus or pus, having a gray or greenish color, (suitable after Calc., Phosph., Silic.) fillefoizum. The disease commences with, or is accompanied by occasional haemorrhage from the lungs. Chlore may likewise prove adapted to this condition. Silicca. The disease is caused by the inhalation of stone-dust, stone-cutter phthisis, (with Cale.) Stannum. Mucous phthisis, with expectoration of quantities of colorless mucus. 160 TREATMENT OF LEADING DISEASES. surface of the liver, a soft tumor may be felt which fluctuates on pressure. The abscess may discharge in various directions, and thus enlanger the patient's life, If the ptis is discharged into the lungs, it is expelled by cough. The pus is qualitatively distinguished from that of other organs. It is friable like wine-dcregs, and contains an admixture of bile. General symptoms are: Jaundiced color of the skin, rapidly-increasing emaciation of the whole body, and a fever peculiar to hepatic phthisis, setting in every other day and sometimes twice on the same day. If the disease is curable, Sulphur is the main remedy; this is to be followed by Silicea, next by Mllercurius and lastly by Lacchesis. Each medicine is dissolved in water, six pellets in half a tumblerful, of which a small spoonful is taken morning and night for six days in succession, after which no medicine is taken for several months, unless an acute attack should render some intermediate remedy necessary. 5. Intestinal phthisis. (Consumption of the bowels.) This disease is recognized by the following symptoms. The patients complain of periodical paroxysms of colicky pains in the bowels. The pain is generally burning and is mostly felt during the night. The pain is aggravated by pressure upon the abdomen. A characteristic symptom is nocturnal diarrhoea with copious discharges. Afterwards the diarrhoea likewise takes place in the day-time, but the nocturnal attacks are always more violent. The nature of the discharges is characteristic. If received in a tumbler, they deposit flocks of blood-streaked or dark-red or brown-red pus, PHTEISIS. 161 and have a very fetid smell. The other symptoms peculiar to phthisis develop themselves with great rapidity, but especially the emaciation becomes so great that the patient is often reduced to a skeleton in one fortnight. The disease is likewise characterised by a filiform and rapid pulse, and by night-sweats. The main remedy in this disease is Arsenicum. If this remedy has exhausted its action, China or a few doses of Phosphorus may be given. Miercurius, Pulsatilla, Antimzonium crudurn may likewise be given. 6. Mesenteric consumption. (Phthisis meseraica.) Scrofulous children are especially liable to this disease. It is characterised by distention and hardness of the abdomen, increasing emaciation of the whole body, more particularly of the extremities. The skin of such patients is strikingly pale, wrinkled, and scales off in the shape of fine, shining scales. Upon examining the abdomen, moveable tumors are distinctly felt, which are somewhat painful to pressure. At first the patients complain of costiveness, but afterwards diarrhoea sets in, and is particularly troublesome at night. The dis charges are frequently mixed with whitish flocks. The fever is considerable, and the pulse frequently rises to one hundred and twenty beats. The main remedy in this disease is Arsenicum, which removes the danger in most cases. The disease being rooted in a scrofulous disposition, it will be found impossible to effect a cure without the alternate use of Sulphur and Calcarea, provided that each of these remedies is allowed to act for several months, 11 164 TREATMENT OF LEADING DISEASES. seems unconscious, in a state of torpor or bland delirium. The symptoms of local paralysis are sometimes present, as if the patient had been struck with apoplexy. These symptoms often set in at the onset, or else follow the first mentioned symptoms, or alternate with the latter. Meningitis is frequently accompanied by severe gastric symptoms, such as frequent and violent vomiting of acrid mucus, or of green fluid bile, constipation and retention of urine. The last-mentioned symptoms may lead an inexperienced observer to overlook the inflammation of the brain, and to mistake the disease for a severe gastric disorder. This disease may be induced by a variety of causes which should be carefully considered in the treatment. The determination of blood to the brain which is so frequently present during dentition, is one of the causes of meningitis. The symptoms are those above mentioned; the children moreover thrust their fingers into their mouths, or move the jaws as if they were masticating. Aconite, six pellets in a cupful of water, a dessertspoonful every hour, is frequently sufficient to remove the danger in twelve hours. If no change for the better takes place in six to eight hours, Aconite and Belladonnc should be given in alternation every hour, Bellad., to be prepared like Aconite. Children who have worms, frequently manifest symptoms resembling meningitis, with dryness and heat of the skin, hurried and soft pulse, sopor with the eyes half open, spasmodic twitching of the arms and hands, boring with the finger in the nose until it bleeds. China, a few pellets in water, may be prescribed, to be preceded by a few doses of Aconite until the skin has become INFLAMMATION OF THE BRAIN. 165 moist. But if the above symptoms are accompanied by perspiration at the onset, Jllercurius should be given. In hot weather, persons whose bare heads are exposed to the rays of the sun, are frequently attacked with inflammation of the brain. This is termed sunstroke. The disease often terminates fatally in less time than it required to develop it. In such a case the spirits of Camphor should be given, a few drops every five or ten minutes until the danger is over. Each dose is to be given in a spoonful of water or on sugar. After this, Belladonna is often indicated by the modified symptoms. An inflammation of the brain may likewise be caused by the influence of intense cold. In this case Aconite and Bryonia may be given in alternation every fifteen minutes, in water, according to the above described rule. If meningitis is caused by the sudden retrocession of erysipelas, Bellacdonna has to be given in a case of the common, smooth erysipelas, and Cantharides, if the erysipelas was of the vesicular variety.* Meningitis induced by the sudden retrocession of scarlatina, yields to Belcladonna; by the retrocession of measles, to Pulsactilla; the last-mentioned remedy is likewise required, if the disease arises from the suppression of otorrhcea. The medicine should be repeated every hour. Meningitis induced by a blow or fall on the head, * In such a case Rhus tox. is recommended by most practitioners. Cantharicles are far more homceopathic to such a form of meningitis, as may be seen by any one who chooses to consult his Materia Medica. I have not only cured vesicular erysipelas with Cantharides, but likewise with Eup/horbiou, especially if the patient felt rheumatic pains which abated during imotion. INFLAMMATION OF THE BRAIN. 167 discharge of urine, quick and feeble pulse. A characteristic indication for Bryonia is a movement of the jaws simulating mastication, a dangerous symptom when occuring after the period of dentition. Cantharidces. Meningitis after the sudden retroces sion of vesicular erysipelas; violent aching, tearing, pulling, lancinating pains in the head, with sensation as if the head were pressed from behind forward, and if the brain would press out at the forehead; rush of blood to the head, with redness and puffiness of the face; protruded and sparkling eyes, with fixed and staring look; sleeplessness with tossing about, or starting up from sleep; delirium; spasm in the cesophagus with impeded deglutition, especially when attempting to swallow liquids; aversion to iquidcs; vomiting with violent straining; constipation and retention of urine; full and hard pulse. Glonoine. Sunstroke, violent determination of blood to the head, throbbing in the forehead, temples and vertex; soreness of the brain, especially when shaking the head; redness of the face, sweat on the forehead, hurried pulse, eyes protruded, fierce look. Hyoscyamus. Constrictive or stupefying pain in the forehead, or undulating-throbbing sensation in the brain; red eyes, dilated pupils, diplopia; delirium, at times bland, at others violent, the patient talks about his affairs; sopor, starting of the limbs, grasping at flocks; spasmodic constriction of the throat, with inability to swallow; aversion to drinks; vomiting of bile, retention of urine, with constipation; hurried, intermittent pulse. Opiumo Weight in the head, especially in the occiput, causing the head to fall backward; tension in the 1(68 hTREAT'MENT OF LEADING DISEASES. head, or pain as if the brain were torn; pressure in the forehead from within outward; rush of blood to the head, throbbing of the arteries; red, staring and glistening eyes; dark redness and bloating of the face; sopor with the eyes 7hal open; frequent vomiting, retention of stool and urine, quick and hard pulse. Stramonium. Violent throbbing headache, with rush of blood to the head and sparkling eyes; restless sleep, the patient wakes crying and moaning; delirium'z With frightful spectra; redness and puffiness of the face; spasm of the oesophagus, impeding and even preventing deglutition; aversion to liquids; vomiting of bile, with starting of the limbs; constipation, retention of urine, intense heat of the skin, small and quick pulse. Sulphur may be given as an intercurrent remedy every three or four hours, in the case of scrofulous subjects, provided the symptoms justify its use. Asthma, Dyspnoea. This disease manifests itself in various forms, because it may be induced by a variety of causes. It may be caused by a defective structure of the thorax, by curvature of the spine, or it may be symptomatic of some other disease, such as hydrothorax. In such a case the asthma cannot be cured unless the cause is removed. Sometimes the disease exists independently of any other disorder, and its dangerous character is proportionate to the peculiar form or intensity of the paroxysms. Without complicating my remarks by the names and pathological distinctions of Old School physicians, I will content myself with indicating the various symptomatic forms of this disease, and their appropriate treatment. ASTHMA. 169 1. Asthma from determination of blood to the chest is chiefly observed among plethoric young people, among girls whose catamenia have become arrested, or among females in consequence of the suppression of the lochia. The patients complain of difficulty of breathing during exercise, of pressure, fullness and constriction of the chest, of anxiety and palpitation of the heart, and noctural aggravation of all the symptoms. Very fre quently cough with dark-brown or bloody expectoration is present; the patients feel easier after raising mucus. The pulse is generally full, the face red and puffed. Headache is almost always present. Aconite is here the chief remedy, if the attack is induced by the least emotion, characterised by the presence of heat and restlessness, inability to take a long breath; the attack befals children who are suddenly roused from sleep by a paroxysm of suffocative cough, with a barking, hoarse sound of the voice, spasmodic constriction of the throat and chest, and labored breathing. Bellccdonna, suitable for the same symptoms as Aconite, or in case Aconite should not be sufficient, with vertigo when rising from a recumbent position. B2-yonia; the patient is disposed to draw a long breath, but is unable to do so, with stitches in the chest when making the attempt. The symptoms are worse when the patient is lying down, talks or moves about; momentary relief when rising from a recumbent posture. Pulscatilla. Suitable to females, when the asthma is complicated with, or can be traced to, menstrual suppression or scanty and dcelaying menses. This remedy is generally useful, if the symptoms are better in the open air. 170 TREATMENT OF LEADING DISEASES. Nuux vonica, suitable to persons who lead a sedentary life, undergo much mental labor, use much wine, coffee, spirits, or in whom the attack sets in after suppression of the piles. The menses are profuse and too frequent. 2. The spasmodic asthmna of adults is a paroxysmal disease without fever. The paroxysms generally set in at night, but they announce themselves even in the afternoon by a feeling of fullness in the stomach, restlessness, anxiety, headache, and heaviness in the extremities. Towards evening the pulse becomes more frequent, the breathing more labored, and a violent and dry cough frequently supervenes. The anxiety increases until midnight, when it reaches the highest degree. The patient experiences a constrictive sensation across the chest, pants, gasps for air, and is unable to remain in bed. The breathing becomes wheezing, rattling. The pulse becomes small, intermittent, the hearts beats violently and irregularly. The limbs become cold and perspire. Fainting fits, vomiting, cough with frothy and bloody expectoration frequently supervene. At the commencement of the disease, the paroxysms only last a few minutes, but recur for several nights in succession, after which they cease for three or six months; but if the disease continues, the paroxysms become more violent and continuous, until they finally take place every night. They terminate with cough and mucous expectoration, the pulse again becomes regular, the skin warm and moist, and the watery again assumes its normal color. Unless proper remedies are employed very speedily, other disorders may supervene, until hectic fever, apoplexy, suffocative catarrh terminate the patient's sufferings. ASTHMA. 171 The following remedies are suitable for this affection: Arseniculm; cough as from the vapor of Sulphur, with a feeling of suffocation in the bronchial tubes, obliging the patient to sit up. Moreover labored breathing, panting and wheezing, with great anxiety, restlessness, violent palpitation of the heart and cold perspiration, small and intermittent pulse, aggravation in a warm room, or by exercise, such as getting into bed; the attacks are excited by rough weather. Belcladonna; dry and spasmodic cough at night, labored breathing, with stitches under the sternum, constant gasping for air; constriction and painfulness of the larynx when turning the neck, with suffocative sensation, expression of anxiety in the face, and convulsive movements of the limbs. Bryjonia; labored breathing, especially at night and towards morning, with stitches in the chest and urging to stool, frequent coughing and pain in the hypochondria. Cocczulss; the paroxysms intermit for some days, and then recur with renewed violence after midnight, with constrictive sensation in the region of the larynx; anxiety, racking cough, moaning, disposition to start, tremulous weakness (especially suitable to hysteric females.) Cujrum; the paroxysms set in during the menstrual period, with spasmodic constriction of the chest, mucous rattling in the air-tubes; labored, hurried, wheezing breathing, with suffocative paroxysms and short and spasmodic cough; chiefly suitable to hysteric females. Nux vomzica; the paroxysms set in every fortnight, or at every change of moon, with anxiety, heat, palpitation of the heart, racking and dry cough which be comes somewhat loose towards morning; spasmodic ASTHIMA 173 The patient is suddenly roused with a fearful cry and an expression of anxiety in the altered features. The voice is deep, barking, hollow-sounding, husky, very rarely wheezing or crowing. During the convulsive movements of the chest, the labored inspirations are suddenly followed by a noisy expulsion of the air. The face becomes dark-colored, the eye becomes staring and protruded, the veins of the neck and temples swell. If the attack does not destroy life, it ends in a few hours with sneezing, eructations and vomiting. The breathing becomes easier, the peculiar sound disappears, and amid a general subsidence of the symptoms the children fall into a quiet slumber, from which they wake exhausted and desponding. Generally a second attack sets in in the following night, more violent than the former, with increasing fever. The danger of suffocation is greater, the face and lips become blue, mottled, the shoulders are raised, and all the muscles of the thorax are violently worked. The face becomes more and more distorted, the nostrils dilate, the pulse is very rapid and intermits. The patient tosses about, is covered with cold or lukewarm perspiration, feces and urine are passed involuntarily, but the consciousness is undisturbed; finally the patient dies of suffocation amid convulsions. Only a few children survive more than one attack; death almost always sets in during the third or fourth attack. The attacks never terminate with expectoration. Asthma Millari cannot well be confounded with croup, if we remember that in croup the larynx is always sensitive to pressure, and that the patients bore their heads into the pillow, whereas in this disease the children sit erect, and do not complain of pain in the 174 TREATMENT OF LEADING DISEASES. larynx, but of spasmodic constriction of the chest. In croup the breathing is fine and crowing, in asthma Millari it is deep and hollow. If the disease is speedily recognized, subsequent attacks may be averted, and existing attacks may be alleviated by one of the following remedies: I2ecacuanha; sudden paroxysms of suffocation at night, with a sensation of violent constriction in the chest; short and anxious inspirations, and sudden and jerking expirations; pale, bloated face with blue margins around the eyes; peevish mood. Sanmbucus ngrca; sudden starting up from sleep with a shriek, anxiety and trembling; sudden wheezing inspirations which sometimes intermit; deep, hollow, rough or else crowing voice; blueish puffiness of the face and hands; protruded eyeballs with the mouth half open; anxious tossing about, heat without thirst, hurried and tremulous pulse; torpor towards the end of the attack, and copious, mostly cold sweat. On comparing these indications with the symptoms of the disease, it is readily seen that Ipecac. can only be given at the commencement of an attack, and that, if the disease attains to its full development, Sambucus has to be given. If the attack should set in again in the night following, nothing can be expected of this agent, and it will be advisable to give Arsenicum. All these remedies have to be given in the form of a watery solution, every five to ten minutes. Other varieties of asthma can be most frequently controlled by Arsenicum. For asthma caused by the inhalation of the vapors of Sulphur, we give Pulsatilla. Asthma caused by a fit of anger or by a cold, yields SCARLET FEVER. 175 to Chamom. or Nux vom., the latter being more particularly indicated by a vehement disposition. For asthma caused by the inhalation of stone-dust, in the case of stone-cutters, sculptors, etc., we give Cctle. carb., Silic. or Sulph. calc. ccrb. is a main remedy for chronic asthmatic complaints, with disposition to draw a long breath, and sensation as if the breath were arrested between the shoulder-blades. The distress is relieved by raising the shoulders. Mere stooping causes the breath to give out; frequent paroxysms of dry cough, especially at night. In attacks of acute asthma, mesmerism sometimes proves exceedingly useful. A robust and healthy man makes a pass with the extended hand over the chest from above downwards, and likewise over the back of the patient some ten or twelve times, after which the effect should be watched. See mnesmerismz at the close of the work. The medicines should be administered in water, six pellets in a cupful, of which a dessertspoonful is to be taken morning and night for six days. Scarlet-fever. (Scarlatina.) This disease is more especially a disease of childhood. Full-grown persons are only attacked by this disease if they had remained free from it in their childhood. The disease is somewhat similar to the smooth form of erysipelas, and may appear under various modifications which expose the inexperienced practitioner to the danger of confounding scarlatina with some other disease. In whatever form, the scarlet-exanthem may —?lr.-2-~l —~ —- I,7;;3L~;-~= — I ——;-r~~-~-.~ —=- J SCARLET FEVER. 177 Amid a progressive increase of the pains, an exanthem makes its appearance on the third cay (seldom sooner, and still less frequently later,) consisting of bright-red, diffusive spots. These spots are somewhat angular, rounding, not raised, they disappear under pressure, but the redness reappears as soon as the pressure ceases, from the margin to the centre. These spots first break out on the uncovered or slightly covered parts of the body, the face, neck, chest, and thus down to the feet; the skin is dry and hot, and this dryness is characteristic. The peculiar smell is most fully perceived during this period; it lasts from three to six days, during which the redness gradually disappears in the order in which it broke out, from above down. wards. The fever abates in the same proportion, and finally ceases with the other symptoms. As soon as the redness appears, we give Belladconna, six pellets in a cupful of water, a teaspoonful every hour or two hours, and if the fever is intense, we alternate this drug with Aconite. The skin now begins to peel off, and this constitutes the third period of the disease. Soon after the disappearance of the redness, and in some cases even a considerable length of time after this takes place, the skin peels off in large flakes, sometimes several times in succession. The patients seldom complain of any pain during this period, except of a troublesome itching of the skin. The disease does not always run such a regular course as we have described; its development is sometimes arrested by external influences, or the disease is complicated with inflammation or dropsy of the brain, croup, typhoid-fever, etc. These diseases set in at the 12 17S TREATIMENT OF LEADING DISEASES. onset or in the second stage of the disease, and prevent the regular appearance of the exanthem which sometimes remains entirely suppressed. Even after the regular termination of the disease the patient is still in danger, until the desquamation is accomplished. Until then, the patient should not be taken into the open air, or be permitted to sit on the floor. I will now mention the more prominent forms of scarlatina, and their appropriate treatment. 1. Smooth scarlatinao (Scarlet-fever.) The redness is smooth and shining, without any unevenness; arising from small, red spots, which keep increasing in size until they run together; the redness is at first of a rose-color, gradually changes to that of boiled lobster, and finally becomes of a dark scarlet. The chief remedy in this form is.Belcadonnazc, as stated above, to be alternated with Aconite, if the fever is very high. 2. Scarlet Rash. The whole body, or the larger part of it, first becomes red, and soon after rough and uneven. A careful examination shows a very fine vesicular rash, the vesicles being sometimes closely grouped together. The vesicles may likewise spring up on parts of the skin which are not red. In this form, Belladonna is not sufficient, and has to be alternated with Aconite, both in water, every hour or two hours. Dulcamara may likewise prove useful. SCARLET FEVER. 181 Arsenicum calbum; violent vomiting at the onset of the attack, sudden prostration, burning heat and thirst, or else absence of thirst and cold hands; anxiety, altered features; gang renous aogina; foul, burning ulcers; desquamation of the skin in large flakes, with burning itching; also in dropsy after scarlatina (also Apis.) This powerful medicine has sometimes to be given in the first stage, but more frequently in the third, when it will carry the patient through all danger. Bryonia; this remedy is indicated, if only a few spots make their appearance here and there, after which the eruption becomes arrested, and is superseded by pneumonia (see this article;) Bryon. may also be given after the retrocession of the eruption (with Apis). Mercurius; violent angina, with swelling of the glands, ptyalism, ulcers in the mouth; also with swelling of the inguinal glands which sometimes takes place in scarlet-fever (in alternation with Arsei.) Phosphorus; tongue and lips are dry and hard, covered with blackish crusts; loss of speech and hearing difficult deglutition; inability to retain his urine; falling off of the hair. Rhus tox.; small vesicles spring up upon the scarlet spots; they gradually increase in size, become filled.with a yellowish fluid. Sulphur; this remedy may be given whenever a correctly selected remedy is not followed by an improvement, especially in the case of scrofulous persons (it may be repeated every two, four or six hours, in alternation with Aeon., if the fever is high); it is also indicated by obstruction of the nose, by a dry, cracked, red tongue, or a tongue lined with brownish mucus. 182 TREATMENT OF LEADING DISEASES. After-diseases (sequelse) of Scarlet-fever. Chief remedies for these ailments are: Bell., Hep. sulph., Mere. and Apis. One of the most common after-diseases of scarletfever is dropsy, the main remedy for which is Arsen. in water, a spoonful four times a day. Sometimes the disease seems to get worse under the use of this remedy for the first few days, but after this period an improvement begins to set in. This agent is particularly suitable in ascites depending upon enlargement of the liver or spleen. It will also be found serviceable in hydrothorax and anasarca. If Arsen. does not effect a cure, fEelleborus will be found suitable. In dropsy of the brain after scarlatina, Bellacdonma remains the chief remedy; if it has no effect, ffelleb. may be given; some recommend Apis. Dropsical swellings of the scrotum and penis yield to Rhus tox. For otorrhcea and otitis, Bell. is the main remedy if insufficient, MJere. and lepcar sulph. may be given. Inflammation and swelling of the parotid glands require Merc. and Bell., in bad cases Sulph. and Barytla carb. For glandular abscess, Calc. carb. is suitable; for open abscesses, Kali carb. is recommended by Dr. Hering of Philadelphia. Ulceration of the Schneiderian membrane and of the nasal cartilages requires Aurumn. Inflammation of the eyes yields to BelZad., in alterna tion with Aeon.; if the cure is not complete, Apis and Sulphur may be given. In regard to diet and hygiene, I have to observe WH-OOPING- OUGH. 183 that the temperature of the room should be regulated by the intensity of the fever; if this is high, the room should be kept cool, at a temperature of fifty degrees F.; if the fever is moderate, the room may be a little warmer, say sixty degrees. Care must be taken to prevent the patient from uncovering himself. During the period of desquamation, every exposure and washing with cold water should be carefully avoided. For the latter purpose bran-water should be used with great precaution. Fresh linen should not be put on the patient without having been previously aired by the fire. Fresh water may be allowed at all times during the disease, but in moderate quantities at each imbibition; water and milk may likewise be used, or water and strawberry-juice, water and sugar, thin oatmeal-gruel, rice-water, cracker-soups, etc. Sweet apple-sauce or baked apples may be used, but nothing fat. The sick-room should be kept comfortably dark from the commencement of the disease. The room should be ventilated several times a day. During this time the patient's bed may either be carried into an adjoining room having the same temperature, or else the patient may be covered with a cloth as long as the windows are open and even a few minutes after they are closed again, until the former temperature of the room is restored. It is well to favor the movement of atmospheric currents in the room, by agitating the air with a handkerchief. All the natural wants of the patient should be gratified in the bed, by means of appropriate utensils. Whooping-cough. (T-ssis convulsiva, pertussis.) This cough generally lasts eighteen weeks, and under 184 TREATMENT OF LEADING DISEASES. bad treatment with quantities of medicine, still longer; it may even pass into larygnitis, pneumonia, croup, etc., its course may be shortened or its intensity moderated by proper homceopathic treatment. The first or catarrhal stage, which is characterised by peevishness, depression of spirits, irritable temper, catarrhal cough, redness and weeping of the eyes, slight fever, etc., is often arrested by one of the following remedies: Aconite; dry, shrill or wheezing cough, most violent at night, sometimes attended with fever and dry heat, burning pains in the wind-pipe. Dose: three to five pellets in a cupful of water, a spoonful every few hours. Pulzsctilla; loose cough with scanty expectoration, hoarseness, vomiting of the ingesta or of a fluid white mucus; worse towarccls evening; mucous diarrhoea. Dose same as for Aeon., but only twice a day for five days, then stop. Nux voym.; dry, racking cough, worse after midnight and in the morning, with vomiting, anxiety, suffocative symptoms, bleeding from the nose and mouth. (Same close as Puls.) J19ecacctiama; cough with great anxiety, suffocative symptoms, blueish face, vomiting of mucus, the symptoms are the same at all periods of the day. (Same dose). Coccus cacti; cough excited by constant tickling in the windpipe, coming in paroxysms, terminating in the expectoration of quantities ofan albuminous, tenacious, ropy Iucus, sometimes attended with gagging, and vomiting of food after a meal. Urinary difficulties are often present. Arnica; paroxysms of whooping-cough commencing WHOOPING-COUGH. 185 with weeping or crying; this continues often during the attack. Crczbo veget.; suitable when the cough passes into the second stage; frequent paroxysms of spasmodic cough in the day-time, especially in the evening until midnight, also with gagging and vomiting, painful stitches through the head, redness and irritation in the throat, pain on swallowing, soreness and burning in the chest. (Same close.) If this remedy does not arrest the passage into the second stage, and no other remedy is indicatedl, Kali carb. may afford relief. Second or spasmodic stage. (Whooping-cough in a more particular sense.) The cough breaks out in repeated paroxysms in longer or shorter intervals. The inspirations are long and anxious, of a panting and spasmodic character, followed by five or six shrill turns of cough, during which the inspiration of air becomes impossible. Finally, while the rima glottidis is spasmodically contracted, the patient succeeds in performing a long, anxious and wheezing inspiration, after which a second and even a third series of coughing fits may take place, until the whole paroxysms, which sometimes lasts two or three minutes, terminates in vomiting of mucus and food, and blood is sometimes discharged from the nose and mouth. At the onset of the paroxysms the children rise in great anxiety, run to the mother, or hold on to something as if in great distress, in order to support the upper part of the body. The paroxysms are frequently excited by emotions 186 TREATMENT OF LEADING DISEASESo and after meals; hence it is necessary to treat such patients with great kindness, and to overlook many of their derelictions. They should eat light but nourishing food, such as boiled rice, stewed apples, gruel, sago, stewed fruit sweetened with sugar, milk fresh from the cow in any quantity, or milk diluted with tepid water. If the weather is unfavorable, and the children have to be kept in the house, the room should be frequently ventilated, or else they have to be frequently taken from one room into another. When in the open air, they should take moderate exercise, not get heated by running and jumping, lest the paroxysms should return. The following remedies seem to be best adapted to the spasmodic stage of whooping-cough: V/eratrun album; the children are very much exhausted, do not recover entirely after an attack, have to lean the head against something for support. Fever with cool or cold perspiration, especially on the forehead, intense thirst, small and quick pulse; emission of urine during the paroxysms; they return when rising from bed, cease on lying down; vertigo, with pain in the head, chest and abdomen, especially in the inguinal region. Give three to five pellets in water, a small spoonful morning and night for five days, then stop. By this means I have cured children who were near death, and had become reduced to skeletons. J)roserca; after the most violent paroxysm the children recover perfectly, jump about as if nothing were the matter; they feel better when moving about than during rest; no thirst during, but after the chilliness. The perspiration is warm or hot, and breaks out mostly at night. The cough has a shrill sound, the children become red and blue in the face during the paroxysm, WHOOPING COUGH. 187 they are threatenee with suffocation; pain under the ribs as if violently constricted, the children obtain relief by pressing upon these parts, generally the paroxysms terminate in vomiting of blood or nose-bleed. One dose of this remedy, two pellets dry on the tongue, is sufficient. Cuprnum metallicum; the paroxysms are quite frequent, the children become blue in the face, quite rigid, lose their breath, until vomiting of mucus sets in, with trembling of the limbs, and continued mucous rattling in the air-passages. The paroxysms frequently occur at night quite suddenly, amid convulsions. Give the medicine in water, five pellets in a cupful, a spoonful morning and night for five days. Gina; the children become stiff during the paroxysms, gasp for air, turn pale, a gurgling sensation is heard from the throat to the stomach. This remedy is especially indicated when worms are present, as may be inferred from the existence of great paleness, bloated abdomen, frequent colic, itching of the anus and nose, canine hunger, rising of water, vomiting of mucus, flatulence. To be taken like Cuprum. Cina and Bellacc. are said to be efficient, when given in alternation. In this stage the following remedies have sometimes proved useful: Coccus ccati; when a ropy mucus is coughed up. lArnica, if the attacks begin with crying. Conium, in the case of scrofulous children, the attacks are very violent, with flushed face and bloody expectoration. Compare also Hyoscyamz., Bell., Ignat. and Ipec. Of the third stage, that of expectoration, scarcely 188 TREATMENT OF LEADING DISEASES. any thing is known in homceopathy, If much mucus should be expectorated, and the cough should continue an undue length of time in consequence of careless management, we may have recourse to Heacr suilph., if the larynx is very sensitive to cool air; the cough is dry, has a hollow and rough sound, with disposition to vomit after the attack; there is oppressed breathing, chills along the back, hot cheeks and hands, emaciation. Dose: Same as for Verat. Sulphur, when the larynx is sensitive to damp and cold weather; racking cough, with gagging, vomiting, pain in the larynx. The voice is husky, with wheezing breathing and oppression on the chest. The children look pale and haggard; it is especially suitable to scrofulous and rickety children. (Same as Verat.) Compare Sepia, Puls., Carbo veg., Dzlc. Physicians will do well to institute frequent examinations of the chest, especially in obstinate cases, when the cough will be frequently found complicated with pneumonia, pleuritis, pericarditis, tuberculosis, etc. A change of air is particularly beneficial after the cough has ceased; mountain or sea-air, or at least pure country-air is of great use in removing the habitual irritation of the nervous system, and completing the restoration of health. Affections of the Liverl These affections manifest themselves either in an acute form, or else in a chronic form which takes the place of the former. We are most frequently called upon to treat AFFECTIONS OF THE LIVER. 189 1. Inflammation of the Liver. (Hepatitis.) This inflammation is recognized by a continuous, seated, stitching pain in the right side under the short ribs, sometimes ascending to the right shoulder, and causing both in the right arm and right lower extremity a sensation of numbness. The more the inflammation spreads, the more the lungs become involved, and the lancinating pain is not only aggravated by motion, but likewise by deep breathing, sneezing and coughing. The pain is not always a stitching, but sometimes a tensive, lancinating, burning or aching pain. Intense fever is generally present, consisting of dry heat, thirst, accelerated pulse, restlessness, anxiety. When placing the hand upon the region of the liver, a throbbing is perceived. The patient feels somewhat relieved when lying on the back. As a general rule, acute hepatitis is speedily cured by Aeon. in alternation withTux vom., or Sulph., or Mere., but other remedies are sometimes required, a list of which will be found subjoined; six pellets of each remedy may be dissolved in a cupful of water, a dessertspoonful to be given every hour, and, as soon as the symptoms begin to abate, every two or four hours. Aconite; violent heat with thirst, restless tossing about, fear of death, stitches in the region of the liver. Nux vomrica; stinging and throbbing pains in the region of the liver, aggravated by motion and contact; bitter and sour taste, nausea or vomiting, pressure in the hypochondria and stomach, short breathing, thirst, red urine, headache, vertigo, paroxysms of anxiety. Mercurius; pain inr the region of the liver with sensitiveness to contact; stitches in the liver, impeded respi 192 TREATMENT OF LEADING DISEASES. Arnica; if the affection is caused by a fall or blow, and the pains are hard and aching as if a stone were pressing on the liver, the pains are particularly felt when lying on the left side, both during an inspiration and expiration. Arsenicum; induration of the liver after the abuse of cinchona; pressing in the liver when walking in the open air. CaZcarea carb.; swelling and induration of the liver after abuse of cinchona; pressure in the liver when making a step, or stitches in the liver when stooping. China; swelling and induration of the liver after. treating hepatitis with venesections; pressure and stitches, made worse by contact. Nux vomrica; swelling and induration, the patient complains of bitter taste and bitter eructations, oppression of the stomach, constipation, morning-aggravation of the symptoms; also after abuse of cinchona. This remedy is especially adapted to drunkards, and savants who lead a sedentary life. Mercurius; swelling and induration, with jaundice; for these conditions Hifere. affords speedy relief; but if it had been taken in large doses under alloeopathic treatment, it must not be given, but Sulplhur will have to be administered. Sunphur; chronic hepatitis, swelling and induration of the liver. Jaundice; pressure, stitches and tension in the region of the liver; also useful after abuse of cinchona; this medicine may also be given after other remedies, to complete the cure. In all chronic cases the medicine should be given in water, a dessertspoonful morning and evening for five days, then stop. DROPSY OF THE BRAIN. 193 3. For abscess of the liver, the most important remedies are iepar -sulph., jierc., Lcach. and Sil., (Compare Ulcers.) 4. For biliary calculi give Slph,., Calc., 11epar. sulph7., Sil., Lach. Acute Dropsy of the Brain. (Hydrocephalus.) This disease may befall persons of all ages and sexes, but children are especially liable to it, It consists in an effusion of serum and coagulable lymph into the ventricles of the brain, consequent upon a previous determination of blood to the meningeal membranes and blood-vessels, such as occurs in all acute inflammations. Acute hydrocephalus may be induced by a variety of causes, such as: Violent treatment of the head during delivery; the abuse of Opium or Morphine in diseases; too tight bandaging of children; dentition or worms; concussion of the brain; suppression of cutaneous eruptions by external means; abuse of Opium, Hyoscyamus, Belladonna and other narcotic medicines, abuse of spirits. In the course of this disease we observe four stages: 1. The congestive stage. 2. The inflammiatory stage. 3. The stage of exudation; and 4. The stage of paralysis. First stage. —-Children who are habitually cheerful, become irritable, averse to company, even to objects and persons of whom they used to be fond. The healthy color of the face begins to fade, the eye becomes dim, the muscles lose their tone, the body becomes more angular and the motions become awkward and heavy; 13 196 TREATMENT OF LEADING DISEASES, vene, such as pains in the limbs, tension in the nape of the neck, and an internal anxiety which deprives the patient of all rest. The look becomes wandering, the eyeball retreats into its socket, squints upwards, the eye is half closed as if afraid of.the impinging rays of light; it is entirely open only in the dark. The patient's head is hotter than heretofore, especially on the forehead and occiput; the carotids throb violently. The face now looks pale, sunken, in few cases puffed; in either case the features are characteristically altered. The nose and the chapped lips are dry, the latter look pale or pale-red. The tongue has a dirty-whitish or brown coating. The appetite is generally gone, but the thirst is unquenchable in all violent cases. In the course of twenty-four hours the patients vomit four or six times; the vomiting does not continue long, but may be increased by motion and by raising the head. The region of the liver and stomach exhibits signs of pain when strongly pressed upon. The abdomen which was large and distended before the attack, now caves in, which is likewise characteristic of acute hydrocephalus. The bowels are obstinately constipated, and the scanty passages are like glue, tenacious and brown. The urine is voided only in small quantities, is dark-colored, and deposits a whitish, slimy sediment. The breathing is frequently interrupted by moaning. The ear is exceedingly sensitive. During a restless slumber the patients grit their teeth, and cry out. The pulse is slow and intermittent, but sometimes quite regular in patients of only a year oldo The dry skin becomes quite relaxed, and assumes a dingy-white color. As a rule the patients now like to lie on their side, with the ]and of the side upon which they are resting, under the head, the other 198 TREATMENT OF LEADING DISEASES. no longer wake as heretofore, with a cry, now increases to complete stupor and loss of consciousness. Fourth stage —At the close of the third stage the consciousness returns for a moment, after which the patient again relapses into the previous stupor, and the following symptoms likewise supervene: general convulsions which are soon followed by paralysis (most frequently of the right side), violent spasm which draws the head backwards and causes a horrible distortion of the face and limbs; violent fever with irregular, intermittent, but exceedingly hurried pulse. The burning head is drenched with sweat, while the rest of the body is cool. The visual power is extinct, the eyeball in spasmodic motion, the pupil is exceedingly dilated (but sometimes very much contracted), and cornea is generally covered with mucus; the eyeball is no longer as deeply sunken as before. Deglutition is more difficult; the urine is voided involuntarily, and has a deep-yellow color. The pulse becomes smaller and smaller, wiry, at last imperceptible; the inspirations likewise become shorter and more hurried, and the breath becomes cold. The feet now begin to swell, and death puts an end to all these sufferings. Although all ages and sexes are liable to this disease, yet it most frequently attacks children, but often remains unrecognized. In many cases where children are said to have died of convulsions from teething, hydrocephalus was the cause of their destruction, the timely removal of which might perhaps have saved the child's life. It is true, there are diseases with which hydrocephalus might be confounded; but this can never take place, DROPSY OF THE BRAIN. 199 if not single symptoms but the totality thereof are constantly held in view. It is very frecquently confounded with worm-fever, the characteristic differences of which two diseases I will now proceed to describe. Acute hydrocephalus never terminates before the thirteenth and very rarely after the twenty-first day, generally attacks florid, and healthy children, never shows a marked remission of the symptoms, is characterized by a striking alteration of the features, sets in with violent frontal headache, loss of appetite, constipation, scanty discharge of a milky, turbid urine, and is accompanied by sleeplessness or restless sleep. At first the pulse continues regular, then slackens and becomes intermittent, and lastly assumes a febrile type. The patients are very restless, toss about, grasp at their heads. At the commencement of the attack the eyes are sensitive to light, but afterwards lose this sensibility entirely. Almost during the whole course of the disease the hearing remains very acute, but becomes dull towards the end of the disorder. The nose remains dry, the head hot. The patients become visibly thinner, a peculiar eruption makes its appearance around the mouth and on other parts, and in every case the abdomen becomes depressed. The worm-fever, on the contrary, runs an irregular course, sometimes continuing beyond thirty days; it mostly attacks sluggish, over-fed children with large bowels; the features remain unaltered; the pain is strikingly limited to the bowels; the patients eat a good deal, have copious stools; the sleep is sound; the pulse is from the start irregular, feverish, never slower than in healthy days; the children lie quiet; the eyes are not abnormally sensitive to the liglt, nor do they lose this DROPSY OF THE BRAIN. 201 ing up from sleep with a shriek, or sopor; chilly creeping when touched by the least current of air; heat in the head, with throbbing of the carotids and temporal arteries; pulse full and slow, or small and slow; tendency to start, apathetic mood; vertigo when rising from a couch, or when walking about, with tendency to stagger as if drunk; frontal headache, over the eyes; spasmodic bending of the head backwards; photophobia, the eyeballs are distorted or spasmodically rolled about; diplopia; intolerance of noise; excessive dryness of the nose; paleness of the face, with distortion of the features; dry and chapped lips, they look dark-red; vomiting of mucus or bile; colicky pains; constipation, suppressed or retarded secretion of urine; rheumatic pains in the limbs and nape of the neck. Bryonia: Sleeplessness or restless sleep, starting when on the point of falling asleep; heat in the head; frontal headache; vertigo when sitting up in bed, with nausea as if the patient should faint; photophobia, dry nose, pale and bloated face, dry and chapped lips, bilious or watery vomiting, especially directly after drinking; constipation; discharge of urine with colicky pain; moaning breathing. I have found this remedy useful in hydrocephalus only if the face was pale and bloated, and the vomiting, which is peculiar to this disease, set in directly after drinking. Helleborus: Sopor, with the eyes half open and turned upwards; heat of the whole body, especially the head; slow and small pulse; staring at one point; pale face, forehead drawn into wrinkles; scanty discharge of stool and urine. Mer'cumrius: Restless sleep, gritting of teeth; alternate 202 TREATMENT OF LEADING DISEASES. chills and flashes of heat, heat in the head, pressing pain in the occiput and forehead; pulse feeble, slow and tremulous; the eyes are sensitive to the light, pupils dilated; twitching of the lids; pale face, altered features, livid nose, perspiration on and around the nose and lips; the tongue is thickly coated with white mucus; vomiting of bitter mucus; sensitiveness of the region of the stomach and liver to pressure; constipation; white and cloudy urine, as if flour had been stirred in it; rheumatic pressure in the nape of the neck, increased by moving the neck; drawing pain in the thighs and legs; emaciation, prostration. This remedy may not only be indicated in the second and third stage, but sometimes even in the first, especially during the period of dentition, when it may have to be given in alternation with Aconite and Belladonna. Op/iuzn: Stupor, sopor, depression of the lower jaw, moaning, hurried breathing and feeble pulse; sunken and altered features, distortion of the muscles of the face; the eyes are partially closed, pupils dilated and insensible to light, (may palliate the symptoms in the fourth stage.) Sulphur: Indicated if the disease is owing to sup pression of an eruption, whether spontaneous or by external applications; it should be given at once in alternation with Aconite, both in water, giving Sulphur every fourth dose, and a dose of Aconite every hour. All these medicines have to be given internally; but if the disease is caused by external injuries, a fall, blow, etc., Arnica may be given internally and externally. Six drops of the strong tincture may be mixed in a cupful of water, and a cloth soaked with this solution may be applied to the head fresh every two hours; DROPSY. 203 internally the pellets should be given every two hours; in water, in small spoonful doses. Stool may be promoted by daily injections of tepid water, and the urinary discharges may be facilitated by frictions on the lower abdomen with the palm of the hand. If the patient has to be moved, it should be done gently, and the head should always be supported with the hand; all noise must be avoided, and the room is to be kept dark. If these dietetic and therapeutic indications are properly and seasonably attended to, a cure may be expected in almost every case. Dropsy. (Hydrops.) By dropsy we understand an effusion of the water in the tissue or in the interior of organs. Such an effusion is most commonly the result of some other derangement, which has to be carefully ascertained, if a cure is to be expected. Diseases of the brain, lungs, liver, spleen, ovaries, uterus, may terminate in dropsy; acute eruptions may likewise change to this disease. We distinguish the following forms of dropsy: 1. Hydrocephalus. (Chronic Dropsy of the Brain.) By hydrocephalus we understand any morbid accumulation of fluid under the scalp, or in the cavities of the brain; the former is designated as external, and the latter as internal hydrocephalus. In the external form, the water is either in the cellular tissue of the scalp, or else between the pericranium and the bones. L.____..______.__.___~_.____~___~_._ __ ___ __ 204 TREATMENT OF LEADING DISEASES. In internal hydrocephalus the water is either in the cerebral tissue or else in the cavities of the brain. This disease either runs an acute or chronic course. The acute internal form has been described in the preceding chapter, which may therefore be consulted; acute external hydrocephalus is generally the result of external injuries, and appears in the shape of an external swelling, involving the whole head, and sometimes even the forehead and nape of the neck. This form requires Arnica internally and externally, as stated under acute hydrocephalus. Chronic hydrocephalus affects only children, between the ages of one and seven years; it is a symptom of scrofulosis, and may be a congenital disease. The disease is known by the following symptoms: The children become peevish and dull; if they had commenced using their legs, they lose their power, and their speech likewise becomes inarticulate; if they had not yet acquired the faculty of walking and talking, they do not acquire it at all. Such children are unable to hold their heads erect, which fall forwards or sideways; if the head is raised suddenly, vomiting is frequently the result. Striking changes are perceived about the head. The fontanelles do not close, but present fluctuating tumors. Pressure on these tumors may provoke spasms. Proceeding from these localities the size of the head increases uniformly in every direction, until it protrudes beyond the line of the face, which assumes an oldish, sunken appearance. Symptoms of paralysis gradually supervene, and are first noticed in the sensual organs. The eye is turned downwards, the pupils become dilated and vision becomes extinct. Taste and smell likewise vanishl, he sense of smelling remains DROPSY. 205 longest. The extremities likewise lose their motor power. The patients are unable to stand or walk; the feet are turned inwards. At a later period the rectum and bladder become involved in the paralytic weakness. Towards the last the patients are seized with suffocative fits about dusk, during which the breathing becomes short, panting, rattling, the face looks bluish, until the patients are relieved by vomiting tenacious mucus. If this disease, which may last several months, or even years, is not too far advanced, it is curable, provided the right dietetic and therapeutic means are strictly used against it. The first remedy to be given is Sulphur, six pellets in a cupful of water, of which a dessertspoonful is to be given morning and evening for five cays, after which the medicine is discontinued until a change in the symptoms indicates some other remedy. This is generally Ccacarea ccrb., which is given in the same way as Sulphur. Children who are very much emaciated, with afternoon or evening-fever, may take &Si'cea after Calcarea. This treatment will most generally arrest the further accumulation of fluid, and pave the way for a cure. But other medicines may have to be given, in case the disease should assume a more dangerous and acute form. In such a case we may have to resort to Arsenicmn, for excessive swelling of the head, pale and old-looking face; general emaciation and prostration; vomiting is provoked by the least attempt to sit up in bed; retention of stools and urine, or else involuntary discharges. Suffocative fits in the evening or night. Wrinkled skin. Th' vomiting on sitting up in bed, and the suffoca 206 TREATMENT OF LEADING DISEASES. tive paroxysms are characteristic indications for this drug, A spoonful of a watery solution of six pellets may be given every six hours, until an improvement takes place. Belladonna; the disease manifests itself suddenly, and the symptoms resemble those of acute hydrocephalus in the second or third stage. In such a case, this medicine will only afford temporary relief, and should be given in water, every two hours. le Ileborvs; at a later period of the disease, if the following symptoms make their appearance: sopor, with the eyes half closed, pupils turned upwards; tossing about in bed; loss of consciousness; complete suppression of stool and urine; spasmodic movements of the limbs, paralysis; rash. The medicine should be given in water, a dose every two, four, six or twelve hours, according as the symptoms are more or less violent. MercuLrius; the swelling of the head is considerable, and the patients are troubled with profuse sweats which afford them no relief. This remedy is given in the same way as the former, morning and evening, unless the acute character of the symptoms should require a more frequent exhibition of the drug. 2. Hydrothorax. (Dropsy of the chest.) This is an accumulation of water in the chest, either in one part or in the whole chest; it is acute or chronic. In the acute form, violent dyspnoea may set in quite suddenly, sometimes in a few hours. This soon increases to such a degree that the patients can only breathe in a sitting posture and by stretching their HYDROTEORAX. 207 necks forward. The intercostal spaces very frequently swell, and bulge out. A violent cough supervenes which is generally dry, or at most results in the expectoration of a small quantity of albuminous mucus. The lips and cheeks look bluish, and the features are expressive of the great anguish which the patients experience in consequence of the want of air. At first the skin is burning-hot, the pulse full, hard and tense, thirst very great; afterwards the skin of the extremities becomes cold, the pulse small, feeble, compressible. The skin now becomes dry, except on the forehead where it is covered with cold, clammy sweat. The dark-red, fiery urine is secreted in small quantities. Acute hydrothorax may prove fatal in twelve to twenty-four hours, but may last four to seven days. In conducting the treatment we have first to moderate the fever by means of Aconite, six pellets in a cupful of water, of which a dessertspoonful may be given every half hour, until the fever abates; if no such improvement should take place in a few hours, one of the following remedies should be selected at once, and should either be given alone, or in alternation with some other suitable remedy. Arsenicum; excessive anguish, with dread of dying; dullness and heaviness of the head altered features, expressive of anguish; bluish lips; thirst, the patient drinking frequently, but little at a time; suppression of the urinary secretions, or scanty urine; suffocative dyspnoea, with superficial breathing which can only be accomplished by bending the chest forward; palpitation of the heart; small, feeble, intermittent pulse; clammy sweat, This remedy is most useful, when the disease has 208 TREATMENT OF LEADING DISEASES. reached its acme, and then only, if it can be traced to the sudden and violent suppression of a cutaneous eruption; it is scarcely ever applicable at the onset of the attack. WVe give it in the same way as Aconite. Bryonia; generally after Aconite, if the fever is not modified by the latter, or if the disease depends upon previous inflammation of the lungs, or is complicated with it. For the symptomatic indications we refer the reader to "pneumonia." Cahinca; hydrothorax setting in after scarlatina or measles, with hot skin which feels dry and unyielding like parchment, accelerated pulse, unquenchable thirst; scanty urine; shortness of breath when lying down, relieved by sitting up; quick beating of the heart, with suffocative distress when lying down; drawing, pressing and tension in the left breast. This remedy is frequently suitable after Aconite, and should be given in water. Dig2italis; the ordinary symptoms of hydrothorax are accompanied with increased action of the heart and slowness of the pulse. Dose: every hour, in water. Helleeborus; dyspnoea, the patient gasping for air; it may be repeated in water, every fifteen minutes, until the patient feels easier. Spligelict; hydrothorax after inflammation of the heart; the least motion, raising the arm, brings on a suffocative fit. In water, every half hour. Chronic hydrothorax comes on very gradually. At first the patients complain of dyspncea, but only after fatiguing exertions, going upstairs, or talking continually. Other patients are periodically troubled by a severe dyspncea which increases towards evening and disturbs their sleep. This may continue for weeks and HYDROTHORAX. 209 months, it may pass off again with expectoration and profuse perspiration, but returns again worse than before, and finally remains permanently. The patients find it impossible to lie down, have to sit up in bed, and finally are compelled to sit on the edge of the bed with their legs hanging out. Cough supervenes, at first dry, but afterwards with expectoration of large quantities of tenacious, purulent mucus. The patient's face has a bluish cast, especially the cheeks and tongue, sometimes also the hands. These local symptoms finally become complicated with the symptoms of general anasarca. The feet swell, and the swelling speedily spreads to the private parts. The skin remains dry, and is cold, especially on the extremities. The urine is generally secreted in small quantities, is dark-red and deposits a thick sediment. The treatment of hydrothorax is accompanied with many difficulties. The course of the disease cannot always be correctly ascertained, and the perceptible symptoms are so little characteristic that it is very difficult to select the right remedy In all such cases it is of great importance that the prescribing physician should gather all the information concerning the disease which the patient's relatives or friends are able to impart. It may even be necessary to trace the whole history of the patient as far back as his earliest childhood, to find out what diseases he had been attacked with, what impressions they had left upon his body and mind, and to determine the share they may have had in bringing about the present derangement. After these preliminary remarks I subjoin a list of the most appropriate remedies in hydrothorax; they may be given in water six pellets in a cupful, a dessertspoonful morning 14 ASCITES. 213 brown. The tongue exhibits a whitish coating, the thirst is intense. This form of dropsy is frequently met with in connection with other forms of dropsy, and most frequently occurs in consequence of the sudden suppression of some cutaneous eruption. In most cases we commence the treatment with Aconite, or Aconite and Bryonfic alternately. They may be given in water, an alternate dessertspoonful every two hours. If no improvement takes place after a few doses, we may have to resort to Belladonnc, especially if an acute cerebral affection had preceded the disease, and if the extremities become cold, Arsenicum should be given in water, a dessertspoonful every two to four hours. The following medicines may likewise have to be used in the treatment of acute ascites. Arnica, if the disease is caused by a blow or fall upon the abdomen, or by suppression of the cutaneous exhalation. Aconite and Arnica may be given in alternation. I continue these medicines every two to four hours alternately for eight days, then wait eight days, and resume the same treatment unles. another remedy should be indicated; but if the improvement should be very marked, I wait even longer. Cahinca; hot, tense and dry skin, quick pulse, violent thirst; nausea or vomiting with aching pain deep in the right hypochondrium. Painful distention of the region of the liver; drawing and pressing in the kidneys from within outwards; painful distention of the abdomen, with pressure upwards, as if there were not room enough; scanty secretion of urine. If the ascites sets in after suppression of an acute OVARIAN DROPSY. 217 sphere of homoeopathy. Apfs may perhaps prove valuable in this disease. A patient who had been treated by two alloeopathic physicians and was given up to die, was cured by me by taking Apis, five pellets in a small tumblerful of water, a dessertspoonful morning and night for eight days; the improvement which set in progressed uninterruptedly without any further treatment, and the patient has been perfectly well for more than a year. The symptoms were: distinctly perceptible swelling of the right ovary, with sensation of pain and swelling when pressing upon the part; when the patient lies on her back, the right half of the abdomen is perceptibly raised; nausea and frequent disposition to vomit; frequent urging to urinate, scanty discharge of slimy urine; hard stool only every six days; complete dryness of the skin; small, hurried pulse; prostration; menstrual suppression. Dulcamara and Sabina have been recommended by same physicians. Dropsy of the Uterus. This affection manifests itself with the following symptoms: The menses cease, after which the abdomen begins to swell. This swelling does not increase progressively as during pregnancy, but much more rapidly, so that in a few weeks the abdomen is as large as in the seventh month of pregnancy. If the dropsy proceeds more gradually, the increase is nevertheless more irregular than in pregnancy. An exploration shows that the vagina is cold, the womb is pushed out of its place, higher up into the larger, or lower down into the smaller pelvic cavity. On making pressure 218 TREATMENT OF LEADING DISEASES. upon the lower side of the uterus, the fluid contained in its cavity is distinctly felt. Gradually the lower extremities, and finally the lips of the vulva swell, the extremities become cold, the skin is brittle, the urinary secretion is diminished, the pulse small, feeble, filiform and empty. The disease most frequently befals women who have had many children in quick succession, or who have been debilitated by great uterine losses. Hence Chinaf is a main remedy for this disease, especially if the disease is caused by severe uterine haemorrhages, and assumes an acute form. Scbina may be given, if the patients complain of contractive pains in the uterus, with pressing downwards from the small of the back, resulting in discharge of blood, or if the disease sets in after a mi'scarriage. Sepica may prove useful, if the effusion sets in after menstrual suppression at the critical period, or in cases where other medicines had effected relief, but no perfect cure. In one case of five months' standing, where the disease set in after artifical delivery, Sepia effected a cure within six weeks. 4. Anasarca, or general Dropsy. This is an accumulation of watery fluid in the subcutaneous cellular tissue. In proportion as this accumulation increases, the cells become distended and increase in size. The consequence is that the affected part becomes enlarged, having a soft and doughy feel. The skin loses its elasticity, so that it remains pitted on pressure. It becomes pale, transparent, and feels cold and dry. The water transuding into the interior of the sheaths and substance of muscles, diminishes their 220 TREATMENT OF LEADING DISEASES. formable to the general rules laid down for patients under homceopathic treatment. Dropsical patients may drink as much cold water as they please; it is cruel to deprive them of the beverage and liquids generally which they so much crave. Milk fresh from the cow is very beneficial; meat-broth and all kinds of light but nourishing food are perfectly proper and advisable. Typhus. By typhus we understand fevers of a continuous type where the nervous system is chiefly involved. It is sometimes impossible to point out the precise cause of such fevers. WVe distinguish various forms of these fevers, each of which is characterised by peculiar symptoms. A pathognomonic sign of all these fevers is the frequent change and antagonism of the symptoms, such as: dry mouth without thirst, full development of the disease without any distinct consciousness of the same. We distinguish 1. Acute typhus. This form is characterised by symptoms which point to the brain as the chief seat of the disorder. It attacks most frequently plethoric young subjects. After having complained for some days of dullness of the head, vertigo, headache, restless sleep with uneasy dreams, the patient is attacked with creeping chills followed by heat over the whole body, which continues all the time and is accompanied by dryness of the skin. This heat is generally attended with delirium, a disposition to escape, dread of visionary figures, or with sopor. On TYPHUS. 223 down; the patient is sad, seems apathetic or absorbed in reverie. Oppressive headache, especially in the forehead, aggravated by thinking. Several paroxysms of heat and chilliness every day. Blue margins around the eyes. Loss of appetite, aversion to food and drink. Eructations tasting of musty air. Nausea, distention of the abdomen. Drawing and tearing in the bowels, especially low down, from right to left. Frequent small passages having a foul smell. Pains in the limbs as if bruised. As soon as these symptoms show themselves, Cocculus should at once be given, to be accompanied with an occasional dose of Aconite, if dry heat and a full and hard pulse are present. If typhus is epidemic, Cocculus may be taken as a preventive; it should be taken only if the least indisposition is experienced. The presence of the above group of symptoms, under such circumstances, would be an additional indication for Cocculus. The disease commences with a chill which is first felt in the spinal column, whence it spreads over the whole body, alternating with hot flashes for six or twelve hours, after which the heat becomes permanent. The organs of the senses lose their power, the eyes become dim, the pupils fixed and dilated, the voice husky and hollow. The hearing is dull. The features lose their expression, the skin is hot, covered with a clammy, fetid perspiration. The occiput feels heavy, the dizziness of which the patient complains, proceeds from this part of the brain. Sopor and delirium set in, stool and urine are passed involuntarily. Finally the patients begin to grasp at flocks, the senses and respiratory organs become paralysed. 224 TREATMENT OF LEADING DISEASES. Warm weather, humidity of the air and want of cleanliness seem to favor the development of typhus. This is the reason why typhus so frequently breaks out in crowded hospitals, in prisons, on ship-board and in narrow and damp, dirty dwellings. If typhus prevails, the usual mode of life should not be departed from; but no cathartics should be taken which only tend to weaken the body; artificial tonics and stimulants should likewise be avoided, and persons should take a good deal of exercise in the open air. If a violent and destructive epidemic prevails, the rooms should be fumigated every day with vinegar, and ventilated in order to secure an abundance of fresh air. All fear of contagion should be banished, and perfect faith and confidence should be had in the ruling of an all-wise Providence. As regards the treatment of the different forms of typhus, it is of importance to bear in mind that these forms are mere modifications of the general type, and that therefore the same remedies are applicable to all. I shall indicate the chief remedies in the order of their importance, and the others alphabetically. If the cause of the disease is known, it should be carefully considered. If the disease is caused by the continued abuse of spirits, by long watching, by excessive emotions, the most important remedy is perhaps Nux vomica. If care, grief, disappointed love are the determining causes, we give Acidun phosphor. Among the medicines which may be required by the various modifications of this disease, the following may be found sufficient: Acid phosph., Cocc., Laches., Lycop., tNux von. O., Op e., et., Phosphor., Puls., Hyoscyamu., C/hina, Ignat,, Canth., C(ribo veg. 1. ________________________________- --— __ _____.._ TYPHUS. 225 Although it may be well to treat every case of typhus agreeably to its own particular symptoms, yet it will often be possible, in cases where the cause of the disease cannot be fully ascertained, and where the symptoms are as yet indistinctly developed, to arrest the disease by the alternate use of Bryon. and Rhus, which may be given in alternate doses every two to four hours, in water, and less frequently if an improvement takes place.* Before proceeding to enumerate the remedies which are used in this disease, I will allude to the management of bedsores which so frequently occur in this disease, and affect more especially the parts which support the weight of the body, viz.: the back and sacral regions, sometimes also the heels. We gain a good deal by preventing the breaking out of this disorder as long as possible, for we do not always succeed in preventing it entirely. To this end we place a basin of fresh water under the patient's bed, which has to be renewed every day; if it can be had, a deerskin may be laid under him, with the tail downwards. Care should be had to spread the bed-sheets very evenly and to avoid all wrinkles. If bedsores should break out in spite of these precautions, linen compresses should be dipped in a solution of five drops of the tincture of Arnica in a * In prevailing epidemics, one medicine will sometimes be found to contain among its effects the whole series of phenomena which characterise the various modifications of the disease; but it requires an experienced eye in order to ascertain this specific curative agent. In 1853, I succeeded in curing every case of fever and ague which came under my notice in the district of Coethen, by means of lhus tox,, except two cases, one of which yielded to Bryonia, the other to Tartar emetic. 15 226 TREATMENT OF LEADING DISEASES. cupful of water, and should be applied to the sores, taking care to prevent the dripping and to renew them frequently in the course of the day. If this does not heal the sores, on the contrary, if they should become suppurating and offensive, the linen compresses should be moistened with a solution of five pellets of China in a cupful of water. If the sores become gangrenous, a weak decoction of Peruvian bark may be applied. If the patient has made himself unclean by the involuntary passage of faces or urine, his sheets should at once be changed, but no fresh sheets should be used unless they are perfectly dry, well aired and soft. Let us now proceed to study the symptomatic indications of the medicines which may have to be used in this disease: Aconite; at the commencement of the disease, if the symptoms present an inflammatory type, with great heat, burning dryness of the skin, violent thirst, red face, or else alternate redness and paleness of the cheeks, nervousness, restless tossing about, moaning, anxiety, rush of blood to the head, vertigo and fainting fits when sitting up in bed. Nocturnal delirium. Tendency to start, apprehension of dying; obscured vision. dilated pupils; photophobia; painful sensitiveness of the abdominal integuments to pressure. If no improvement takes place in twenty-four hours, or if new symptoms supervene, one of the following remedies will have to be chosen. Beaclaonnc; alternate chills and heat, or else general heat with flushed face. Furious delirium, dread of visionary figures which the patient fancies he sees near him, disposition to escape; sleeplessness, tossing about, or sopor with grasping at flocks; the pulse is either full and strong, or small and hurried; vertigo on raising 230 TREATMENT OF LEADING DISEASES. nary symptoms of typhus are accompanied by spasmodic colic, diarrhoea. China; the disease is caused by loss of animal fluids, diarrhcea, onanism, sexual excesses, etc., with the following symptoms: Alternate chilliness and heat, weakness of the lower limbs; feeble and rather slow pulse; apathy, intolerance of noise, vertigo; headache, humming in the ears, pale and sunken features; parched lips, blackish tongue; loss of appetite; watery or yellowish diarrhoea mixed with blood; may be given in alternation with Acid. lphosph. Carbo vegecabilis; in the last stage of typhus, when the bowels are bloated, and the patient passes foul wind and cadaverous stool; coldness of the tongue, with cold breath. Lycopodium; constipation, peevish mood, or nervousness, with hot head, flushed cheeks, prostration, sweats which do not afford any relief. Mercurius; sleeplessness, starting and moaning during sleep; alternate chilliness and heat; hurried pulse, little or no delirium; listlessness; frontal headache; dim eyes without any lustre; buzzing in the ears; livid complexion, altered features; dry lips, brown-coated tongue; foul taste; aversion to solid food; desire for cold drinks; great sensitiveness of the pit of the stomach, of the region of the liver and abdomen; pressure in the right side of the abdomen, inability to lie on this side, the bowels feel as if pressed upon; diarrhoea, consisting of bloody mucus, green, yellow, also watery, spirting out; dark, red or brown urine; burning dryness of the skin, or copious, clammy, exhausting sweats. Mercurius, if given at the right time, will sometimes prevent the ulcerative process TYPHUS. 231 in the intestines; unfortunately this medicine is seldom indicated at the onset of the disease. Natrumz mur.; prostration, loss of consciousness, unquenchable thirst, dry tongue. Opium; muttering delirium; sopor annd sstupor with stertorous breathing, the mouth being open and the eyes distorted. Phosphorus; restless sleep, from which the patient wakes with a shriek; constant heat, small and hurried pulse; vertigo, stupor, headache; hard hearing, dimness of vision, pale face and sunken eyes, dry and cracked lips and tongue, loss of appetite, copious urine with whitish clouds, dyspnoea, stinging and rattling in the chest, oppressive cough with discharge of blood. Pulsatilca; loss of recollection, delirium, sopor, crying as if in great distress, small pulse. St&ramoniuzm; the whole body feels hot; small, hurried, tremulous, intermittent pulse; violent delirium, frightful spectre, disposition to escape; illusions of sight and hearing; the patient sings and prays with a devout mien, or talks in a foreign language; throbbing headache, especially on the top of the head, dilatation and insensibility of the pupils; altered features, impeded deglutition, dry and rough tongue, it trembles when put out; inarticulate speech; suppression of stool and urine. Sulphur; if previously administered and well chosen remedies have no effect, which may be the case if the disease originates in the suppression of some cutaneous eruption, or is complicated with some other chronic affection. It is indicated by the following symptoms: Dry heat with thirst and hurried pulse, worse in the evening. Sleeplessness; delirium, with the eyes wide open; picking at flocks; pale and haggard face, with 232 TREATMENT OF LEADING )ISEASES, blue margins around the eyes; dry and brownish tongue; hard stool; scanty, dark-red urine, soon becoming turbid. Veratrum aclbum.; last stage of lentescent typhus, with coldness of the skin, and cold sweats covering the skin of the whole body; pulse slow and almost extinct; cold, cadaverous countenance, with pointed nose and sunken cheeks; sopor; almost imperceptible breathing; delirium, the body being cold, the eyes open and the face having a cheerful look; mental alienation, amorous or religious mania, thinks himself a preacher, prince, hunter; feins blindness, a cancerous disease, pregnancy, etc. This remedy is often suitable after or in alternation with Arsenic. The patient's wants have to be attended to with great care, especially during the time of convalescence, when an indiscretion in diet may bring on a relapse. The patient should be restricted to light, readily-digested food, and should avoid all stimulating drinks. If the weakness of the patient should continue obstinate, he may take for four days a dose of China, morning and night. The following cases show that typhus may be cured with a few doses of the specific remedy. Two persons in different parts of our city were taken sick at the same time. I was informed by their friends that they complained of a dry, glowing heat, flushed and bloated face, and that they had had violent delirium over night, and had to be kept in bed by force. They had humming in the ears, weariness, luminous vibratory appearances before the eyes; lips and mouth were dry, the tongue red and burning; they had violent thirst, and the deglutition was impeded; bowels bloated TY PHUS. 283 and the abdominal integuments sensitive to contact. Frequent diarrhoeic stools. I gave Aconite and Belladonna in alternation every hour. Towards evening I visited the patients and found that the delirium had subsided and that a gentle perspiration had broken out. I ascertained that one of these patients, on closing his eyes, saw a confused collection of luminous circles and points, and the other a multitude of forms which came and went. Both took Phosphoric acid in water, a spoonful every two hours, and on the following morning both felt well, and were able to rise and eat something, but had to walk with canes; but after the lapse of three days they paid me a visit and were able to attend to their business. Mrs. B., residing in an adjoining village, was taken ill quite suddenly. She had a violent cough, which became worse at night, with expectoration of yellow, blood-streaked mucus; watery diarrhoea preceded by violent urging and spirting out with violence, dry and glowing heat. I sent her Pulsat., ilier. and Acon., to be taken in alternation. Next morning the diarrhoea had ceased, the cough was much less, not bloodstreaked, but violent delirium had set in; the patient was constantly talking about her business; the tongue cracked and blackish, likewise the lips and nostrils; there was restless tossing about; the eyes looked glassy; the skin was dry as parchment; the lower jaw depressed, the speech heavy and inarticulate, with picking at flocks; hard hearing; stitches in both sides of the chest; the body keeps settling downwards in bed, she lies on her back with her knees bent double and pointed upwards; frequent starting. I gave Arsenicum, Bryonia and Auriatic acid in alternation, every hour. 234 TREATMENT OF LEADING DISEASES. Two days after, the following change was reported: tongue moist and clean, the black color of the lips and nostrils had left; the lips were moist, the eyes bright, speech intelligible, the picking at flocks had ceased, the hearing was better, the lower jaw was no longer depressed, and the body did no longer settle down. She feels stronger, is still slightly delirious morning and evening, and when coughing she complains of stitches in the side. These few symptoms yielded to Bryonia. Yellow Fevero This disease is peculiar to tropical countries, and manifests itself with the following symptoms: Chills, nausea, headache, especially in the forehead, generally precede the breaking out of the disease, the tongue speedily becomes coated with a thick layer of mucus, although it remains comparatively clean in some cases. The bowels at first are constipated, after which the stomach becomes so irritable that any thing the patients eat is expelled again by the mouth or rectum. After these symptoms have lasted three or four days, blood begins to ooze from the gums, nose and other orifices of the body, the face assumes an expression of reverie, the sclerotica has a dingy-red look, the eyes look glassy as in the case of drunkards; the breath is foul, almost cadaverous, the blood becomes brownish and viscid, sometimes almost black, and often has a bad smell. The unacclimated residents of tropical regions are more especially liable to being attacked by this scourge. Among the determining causes we notice more particularly the hot days followed by cool and damp nights; 236 TREATMENT OF LEADING DISEASES. Veratrumz album, for coldness of the extremities and the rest of the body (may be alternated with any of the other medicines, if necessary, every five to ten minutes.) lfercur.ius may be serviceable, when the gums, nose, etc., bleed. Crotalus is recommended by some physicians. A friend has sent me the following notice of an attack of yellow fever, which is very apt to be brought about by exposure to wet, by excessive labor, etc. The commencement of the attack varies: In some it sets in with headache; in others with a feeling of weariness, soreness and lameness in the extremities, sometimes with creeping in the tips of the fingers, blueness of the nails. Excessive prostration. Constipation in many cases, with disposition to vomit. Sopor, delirium, congestion of blood to the brain; hurried pulse (one hundred to one hundred and twenty beats). If vomiting sets in, it is always mixed with bile. After the fever is cured, foreign residents retain a sallow complexion and remain debilitated for a long time; this weakness very frequently terminates in fever and ague. For the premonitory symptoms, such as: tingling in the tips of the fingers, blueness of the nails, etc., JRhs tox. is recommended by this writer, in water, a spoonful every two hours. If the fever breaks out, and the pulse is hurried, with delirium, determination of blood to the head, hard stool, Bryonic may be given every hour. For bilious vomiting Ipecac. or NuxS vomica may prove serviceable, or Pulsat., if there is an absence of thirst. If great weakness remains, China may be administered in water, a spoonful morning and evening, for five days. SEA-SICKNESS, 237 Sea-sickness. This disease is caused by the balancing motion of the ship, and is characterised by nausea, headache, heat in the head, or paleness of the face, vertigo, vomiting or diarrhcea; all these ailments disappear of themselves as soon as the passenger lands on firm ground. This disease may not only be moderated, but some. times prevented by homoeopathic agents. Similar symptoms are sometimes induced by riding in a carriage. These symptoms can be controlled by CoccuiUs, five pellets in a cupful of water, of which a few spoonfuls may be taken some hours previous to the moment of departure, and likewise on the journey as soon as the traveller begins to feel sick at the stomach. A few pellets may be kept dissolved in a well corked vial and a small swallow may be taken whenever the least nausea is experienced. If this should not be sufficient, and a watery diarrhoea should set in, Arsen. may be given in alternation with Cocculus. If nausea sets in without vomiting or diarrhcea, with stinging pains in the occiput, buzzing in the ears, aversion to meat and boiled food, with a feeling of weakness, Petroleum may be given in the place of Cocculus. Sulphur has been recommended for similar symptoms, with trembling of the hands and feet; and for vomiting of water and mucus, if the patient complains of heat and pressing in the forehead, with cold hands and feet, Kreasotum may prove most efficient. Persons should not leave port with empty stomachs; they should take their meals regularly, eat good and nourishing food, remain on deck as much as possible, 2 t TREATMENT OF LEADING DISEASES wise naturally incline by their own weight to press towards the posterior wall of the thorax. The more the cells of a portion of lung become filled with blood instead of air, the more the ordinary respiratory murmur which resembles the crepitation of common gold-foil, will disappear, and will be replaced by the so-called bronchial murmur, a sound which may be aptly compared to the slow enunciation of the German guttural "ch" and which seems to proceed from a greater depth in proportion as the disease increases in intensity and extent. If the presence of these physical signs is announced by an increasing dyspnoea and an increasing desire to draw a long breath, if the stitches become more and more violent and the expectoration accompanying the short and hacking cough, is more and more tinged with blood, the second stage of pneumonia has set in, and we now give Bryonia in alternation with Aconite, both in water, an alternate dose every hour or two hours, until the expectoration ceases to be bloody. Bryon., may already be given before this time, as soon as the fever begins to abate under the use of Aconite. If in the progress of the disease the expectoration assumes the color of rust, we give Phosphorus in water, a spoonful every half hour, and less frequently as the symptoms improve. In case there should be an excessive accumulation of mucus on the chest, with much rattling, dyspncea, dan. ger of suffocation, Tartar emetic may be substituted for Phosphorus. For pneumonia resulting from the suppression of a cutaneous eruption, we give Aconite and Sulphur in alternation, in such a manner that Aeon., is given every INFLAMMABTION OF THE LUNGS. 241 fifteen to thirty minutes, and Salphur every four hours. If the patient is able to resume his business, but still complains of a feeling of weight and weakness on the lungs, we may derive much benefits from the use of Sulphur, Lycopodiumfn or Phosphorus, according to circumstances. If the fever should not yield to Acon. and Bryon., and violent delirium should set in, Bell. is very frequently of great use, and produces even an abatement of the fever. If typhoid symptoms should supervene, Phus tox. must not be lost sight of. If we should be called to a pneumonic patient who had been bled for this disease by an alloeopathic physician, we may give him China, one globule upon the tongue, and afterwards give China and Aconite in alternation, in teaspoonful doses of a watery solution every two hours. Old-school physicians describe two forms of pneumonia which deserve a mention in this place, pneumonia notha and malignant pneumonia. Pneumonia notha or spurious pneumonia is characterised by the following symptoms: soft but hurried and small pulse, slight stinging pain in the side which is only felt when drawing a long breath; great anxiety and feeling of weight in the lungs, bloody expectoration, which increases from day to clay; faint sound of the voice, and interruption of the speech by frequent paroxysms of cough. In this disease our first remedy is Aconite, to be followed at a later period by Mercurius, as soon as an aggravation of the symptoms take place. For a dry and hacking cough, with constrictive sensation in the chest, we give Chamom., and if there is 18 246 TREATMENT OF LEADING DISEASESo a cupful of water, is sometimes sufficient to cure this severe disorder; if it should not yield to Aconite, this remedy may be alternated with Bryonia an alternate dose every two hours; in more protracted cases, a dose of Sulphtur may be interpolated every now and then. If the disease sets in after heavy lifting or other severe labor, Acon. and tlhus may be given in alternation every two hours. There is a spurious pleurisy which sometimes creeps along in a very insidious manner. The disease is sometimes preceded by lassitude and heaviness of the limbs, until the patient complains of aching, stitching and burning pains in the chest, which are considerably aggravated by going up stairs and by other exertions. The cough is generally dry, but frequently very racking as though head and chest should fly to pieces. There is very little if any fever, and the general health of the patient is pretty fair. A leading remedy against this disease is Arnica, to be given in water every four hours. In some cases Bryonia is preferable, if the patient is restless and feels feverish. Infiammation of the Air-passages. (Bronchitis.) The same causes which may bring on an inflammation of the lungs, may likwise result in inflammation of the air-passages. The patients complain of a stinging and burning pain under the sternum, or of a feeling of anxiety and oppression. This is accompanied by cough which is at first dry, but afterwards is attended with expectoration of bloody mucus. The breathing is exceedingly labored, _.2.. 243 TREATMENT OF LEADING DISEASES. clean; the proffered nourishment is very seldom refused by the little patients. In many cases the fever is inconsiderable. A striking symptom is thepcae conmpexion which is observed at the very onset of the disease. In most cases the pulse which is at first hard, becomes soft, but remains hurried. In the course of the disease the breathing sometimes becomes so easy that it seems as though the child was in full tide of recovery; but suddenly the dyspnoea again becomes so violent that the patient seems threatened with suffocation. The attack passes. off; but another similar attack soon takes place, and the whole course of the disease is marked by a continuance of such paroxysms. Between the paroxysms the child generally dozes, and is not much troubled with cough. If the disease increases in intensity, the dyspncea becomes more violent and the remissions are much less frequent. Sopor supervenes; the lips assume a slightly blackish-yellow hue, which is likewise seen to some extent on the cheeks. Not infrequently we observe spasmodic twitchings of the limbs, especially on one side of the body. Even at this stage signs of recovery sometimes deceive the anxious parent; but suddenly the child dies in a fit of suffocation. The disease runs a course of five to seven days; acute cases may end in a few hours. It is difficult, and not always possible to distinguish bronchitis from pneumonia; the following characteristic distinctions may be kept in view. In bronchitis the face is genercally pcae, in pneumonia it is otherwise. In acute bronchitis the dyspncea is much more marked than in pneumonia; hence the anxiety is much greater in the former than in the latter. The panting murmur INFLAMMATION OF THE AIR-PASSAGES, 249 which almost always exists during an inspiration in bronchitis, is seldom heard in pneumonia. The pulse is accelerated, but it is less hard and tense than in pneumonia. A physician will always be able by means of he physical signs to obtain a correct diagnosis. The leading remedy is likewise Aconite which is given mn the same manner as in pneumonia, in water, a spoonful every fifteen minutes. If no improvement sets in in a few hours, we alternate it with Bryonica in water. This remedy is particularly indicated, if the patient has to sit up in order to obtain relief. In the case of scrofulous individuals, and of persons who are subject to chronic affections of the respiratory organs, and to frequent attacks of catarrh of the air-passages, these two remedies are not sufficient; in such cases we may have to give Phos2phorus every hour, until an improvement sets in. Other remedies may likewise be indicated, the symptoms of which I here subjoin. Aconite is given at the commencement of the disease, if the pulse is hard and quick, the skin hot and dry, the cough dry and short, and the breathing hurried, moaning and anxious. Scanty and fiery urine. Bryonia; for the same symptoms as those which have been indicated in pneumonia, especially if the patient has to set up to obtain relief. Phoslphorus; pale face, hard and hurried, or else feeble and quick pulse; loud, panting breathing; dry cough, with expectoration of bloody mucus. Arsenicum; small, hurried pulse; pale face; dry cough, with expectoration of blood-streaked mucus; burning sensation under the sternum; suffocative dysp noea, prostration. i_ ___ _______ SORE THROAT.- QUINSY, 251 hot vapor were rising from the pharynx; violent thirst; painful dryness or else copious ptyalism; stinging pains when swallowing, with constant urging to swallow; stinging in the tonsils and submaxillary glands; sensation as if something were sticking in the throat, which has to be detached. Belladc.; stitches in the throat, shooting as far as the ear, with constant urging to swallow; spasmodic constriction of the fauces, with inability to swallow any thing; liquids return by the nose. Chacmomilla; sore throat with swelling of the parotids, hoarseness, pain on swallowing as if a plug were sticking in the throat; excellent in the catarrhal sore throat of children. Pulsatilla; feeling of swelling and contraction of the throat during deglutition; dryness of the throat after midnight, with tenacious mucus in the morning. fepcar sulph.; stitches in the throat, when drawing breath or turning the neck. Ignatic; feeling as of a lump in the throat between the acts of deglutition, or soreness during deglutition; stitches in the throat, almost always between the acts of swallowing, or passing off by continued swallowing. Bry., ERhus, Cocculus, Lactc7esis, Sulphur, China may have to be used in exceptional cases. An inflammation of the cesophagus scarcely ever occurs except as a consequence of injuries; it is not visible in the throat, the pain is felt lower down and posteriorly near the spine. Arnica may be required together with the above named remedies. A chronic disposition to sore throat may be extirpated by Mercurius and Se2iat, and in scrofulous individuals, Su7J2hur. A dose of the appropriate remedy may 254 TREATAIENT OF LEADING DISEASES. spasmodic twitchings of the facial muscles, contraction of the pupils, obscuration of sight, supor stupor, coldness of the extremities, violent burning in the bowels, rapid prostration, fainting fits, etc. If the inflammation has its seat in the lesser intestines, where it is most frequently located, pains are then most violent in the umbilicac reggion, accompanied with fever, nausea, restlessness, vomiting, dry tongue, intense thirst, singultus. If the pain commences below the umbilicus, invading this relion of the bowels at a later period, we may assume that the larger bowels are primarily attacked by the inflammation. In cases where the symptoms are chiefly located in the hypochondria, assuming the form of pleuritis or hepatitis, the colon or ccecum is the chief seat of the affection. If the pain is felt deep in the groin, the patient experiences frequent urging to stool, passing only some tenacious mucus, the rectum is the locality where the inflammatory process has taken up its abode. If typhoid symptoms are present, the diagnosis of the disease is much obscured. The phenomena of typhoid enteritis are much less marked than those of the simple acute form of this disease; not infrequently the existence of the disease is only fully and satisfactorily revealed by a post-mortem examination. The pulse is very small and quick, sometimes rather soft than hard and contracted, the features sunken and altered, the eyes dim, the abdomen puffed. Soon the extremities become paralyzed, stool and urine are passed involuntarily, the power of speech and deglutition becomes extinct. If the disease is consequent upon the sudden suppression of a flow of blood from the uterus or bowels, the symptoms assume at once a most dangerous 258 TREATMENT OF LEADING DISEASES. recent, without any difficulty, but extirpates even the least trace thereof in inveterate cases. These derangements may result from various causes, immoderate eating and drinking, abuse of coffee ol ardent spirits; emotions, such as anxiety, chagrin, grief, fright; they may also have a catarrhal origin, by getting the feet wet or cold drinking when the body is over-heated. By neglecting these derangements, serious disorders may often result from them, such as cancer of the stomach, consumption. Hence it is advisable to at once employ proper treatment, and institute a careful comparison of the subjoined remedies, six pellets of one of which may be dissolved in a cupful of water, of which solution the patient should take a small spoonful morning and night for four days, after which no medicine need be taken for some weeks or even months, even if a momentary aggravation should take place after first taking the drug. If one remedy does not seem sufficient, two may be given in alternation; if Nux is indicated by local symptoms, and the patient has been afflicted with an eruption for which Sulphur would have been a specific remedy, these two medicines may be given in alternation; or if, in the case of a nursing female, much debility had been caused by nursing, Nux and China may be given. In giving a list of the most important remedies for this disease, I have mentioned the most important ones first. Nux vomica; suitable to drunkards and lovers of coffee; also a remedy for the consequences of an excessive use of Chamomilla. Violent contractive, pressing, crampy, tearing sensations in the stomach, with sensa INFLAMMAI ON OF THE STOIACH. 265 sunken, the features very much altered. Headache, delirium, labored breathing, spasms of the cesophagus, fainting fits and hydrophobic symptoms likewise supervene. The causes which may induce an attack of gastritis, are quite numerous; a successful treatment of this disease renders a knowledge of its causes absolutely necessary An inquiry into the cause of the existing symptoms should never be omitted. The disease may have been caused by poison, and the poison would have to be removed, unless this should have taken place previously; in accordance with the rules laid down under the head "Poisoning." Gastritis may likewise be caused by swallowing ice when the body is over-heated, by the use of acrid spices, spirits, the introduction of pins, glass-splinters, fish-bones and other pointed bodies into the stomach, violent concussion of the region of the stomach by blows, etc., suppression of existing cutaneous diseases by external means, suppression of habitual losses of blood, such as hdemorrhoids, menses, lochia, etc. In investigating the causes of gastritis, we should never suffer ourselves to be misled by a speculative theory; if the cause cannot be ascertained with positive correctness, the symptoms alone can guide us in selecting a proper remedy. If there is much heat, and the pulse is full, hard and bounding, Acofite should be given in water, a small spoonful every fifteen minutes. If violent vomiting is present, which does not afford the patient any relief; if the features are altered and the extremities cold, Arsen. should be administered as the most perfectly corresponding homoeopathic specific. Six pellets may be dissolved in a cupful of water, of which the patient may!^^ -, ICn= —._ ______ ___ _______ ___ ^^____ -~____ ~ —i~m__;_ ____ l;_ _ l _I — _ -l —.r-~.i 266 TREATMENT OF LEADING DISEASES. take a dessertspoonful every thirty minutes. If the patient cannot keep the water on his stomach, a pellet may be placed upon his tongue every half hour. Other medicines may likewise be required, especially if the inflammation: invades neighboring organs. Among these we distinguish: Nux vom., gastritis of drunkards; burning, especially at the pyloric orifice. Belacldonru; burning pains in the stomach, with delirium, dread of liquids. Bryonia; burning in the stomach aggravated by motion, the vomiting sets in after drinking. CcrAntcirides; stinging or burning pains in the stomach, with pains in the bowels, kidneys or bladder. lIyoscyamus; vomliting of blood, dread of liquids; spasms after drinking. Phosphorus; if Arsen. is not sufficient, and the following symptoms are present: burning in the stomach with violent thirst, anxiety, altered features, spasms in the facial muscles, coldness of the extremities, feeble pulse. If gastritis is caused by vegetable poisons, the antidotal treatment recommended in the article on "Poisoning " should first be resorted to, after which a few drops of the spirits of Camphor may be given every five minutes on a lump of sugar, or in a small spoonful of tepid water. Beside the medicinal treatment the patient should pursue the strictest diet. He should only drink small portions of slimy drinks, and never unless he experiences a desire for drink. In order to quench his burning thirst, he may swallow every now and then a spoonful of fresh water. Great relief is likewise afforded by frequently rinsing the mouth with fresh water. The