acute diseases. - — DAKE. MCFQPATHtC PHARMACY j "c L,i:rar,AM).o y I the abner wellborn calhoun medical library 1923 Book presented by .t-«< -- - V- Vi I £/.«-,( /7Z, . ~t~! If pCpran ACUTE DISEASES, HOMEOPATHIC TREATMENT. DIRECTIONS FOR THE TREATMENT OF INJURIES RECEIVED BY ACCIDENTS AND FROM POISONS. BY J. P. DAKE, A.M., M.D., Formerly Professor of Materia Medica and Therapeutics in the Pennsylvania College of Homoeopathic Medicine, at Philadelphia. Attorn) ifamili] ©bitioit, CAREFULLY REVISED AND ENLARGED. NASHVILLE: WILLIAM GAMBLE & CO., 46 Union Street. AND THEIR ALSO, CE)* ^:tcf so )t*hi- Entered, according to Act of Congress, in the year 1859, by J. P. DAKE, M.D., In the Clerk's office of the District Court of the United States for the Western District of the State of Pennsylvania. SOUTHERN METHODIST PUBLISHING HOUSE, NASHVILLE, TENN. —:—— INDEX. _a_ page Accidents 113 Acids, poisoning from 127 Alcohol, " " 128 Alkalies, " " 128 Arsenic, " " , 128 Apoplexy 86 Asthma 30 Bilious Fever 75 Bites, poisonous 120 Bladder, inflammation 41 Bleeding, nose 103 Bleeding, wounds 124 Blood, spitting 33 Bloody Dysentery 46 Boils 82 Bones, dislocated 123 Bones, fractured 124 Bowels, inflamed 40 Bowels, constipated 100 Brain, concussion 121 Brain, congestion 86 Brain, inflammation 86 Broken Bones 124 Bruises 122 Burns 118 Breasts, engorged 106 Breasts, sore 107 Bronchitis 33 Carbuncle 83 Catarrh in Head 19 Catarrhal Cough 27 Catarrhal Fever 25 Chicken-pox 59 Chilblain 117 Chill from Cold 17 Chill in Confinement... 105 Chill, congestive 75 Chills and Fever 72 Cholera 47 4 INDEX. PAGE Cholera Infantum 44 Cholera Morbus 43 Colic, flatulent 3t} Colic, menstrual 36 Concussions 121 Constipation of Bowels 100 Contusions 122 Convulsions 90 Cough, catarrhal 27 Cough, from Lungs 32 Cough, from Throat 20 Cough, from Stomach 37 Congestion, Head 86 Congestion, Chest 32 Croup 27 Crying of Infants 05 Cuts 125 Crossness of Infants 05 Cold, in Head 19 D Delay of Menses 109 Delirium Tremens 110 Diarrhoea 45 Diphtheria 23 Dislocation of Bones 123 Dyspepsia, (Heartburn) 99 Drowning 116 Dropsy 110 Dog, Rabid 120 Diet 13 Doses 12 Dysentery 46 E Earache 55 Ear, discharge 56 Effects of Heat 113 Envenomed Bites 120 Erysipelas 80 Eyes, inflamed 57 Engorged Breasts 106 F Face, Erysipelas 80 Pace. Neuralgia 52 Fainting Ill Felon 84 INDEX. 5 PAGE Fever, catarrhal 25 Fever, bilious 75 Fever, intermittent, (Chills) 72 Fever, simple 17 Fever, scarlet 64 Fever, yellow 68 Fever, typhoid 77 Flooding 104 Fractures of Bones 124 Frost-bite 117 Falls 121 Flux, (Dysentery) 46 Gr Gases, poisonous 129 Gravel 42 Grippe, or Influenza 19 H Headache 50 Head, neuralgia 52 Head, congestion £6 Head, cold in 19 Heart, affections 8? Heartburn '-'8 Heat, effects of. 113 Heat, eruptive 58 Hemorrhage, uterine 104 Hemorrhage, pulmonary 33 Hemorrhage, nasal 103 Hemorrhoids, (Piles) 101 Hives 58 Hernia, (Rupture) 120 Indigestion 99 Infants, crying 95 Infants, sleepless 95 Infants, teething 9o Inflammation of Bladder 41 " " Bowels 40 " " Eyes 57 " " Liver 39 " " Lungs 3° " " Kidneys 4 " " Stomach 3 " " Throat 2' " " Ear 5 6 INDEX. page Inflammation of Breasts 107 " " Pleura 31 Inflammatory Rheumatism 96 Influenza 19 Insects, stings of 119 Injuries 113 Intermittent Fever 72 Kidneys, inflammation ^5. 41 Kidneys, pain in 42 L Lacerated Wounds 125 Lightning, stroke of : 114 Liver, inflammation 39 Lungs, bleeding, 33 Lungs, inflammation 32 Liquors, poisonous doses 128 M Mania Potu 110 Mad Dog, bite of 120 Measles 62 Menses, delaying 109 Menses, too tree 109 Menses, too early 109 Menses, suppressed 108 Menses, painful, (Colic) 36 Mumps 80 Medicines 11 Nettle Rash 58 Neuralgia in Face 52 Neuralgia in Head 52 Nose, cold in 19 Nose, bleeding 103 Nausea 38 Nipples, sore 107 P Palsy 88 Palpitation 85 Paralysis 88 Piles 101 Pleurisy 31 Poisoning 127 Pneumonia 32 INDEX. 7 Quinsy, (Sore Throat) .T7t. 22 R Rheumatism 96 Remittent Fever 75 Ruptures 120 S Scalds 118 Scarlet Fever 64 Sea-sickness 102 Simple Fever 17 Small-pox 60 Sore Throat 20 Spitting Blood 33 Sore Nipples 107 Spasms 90 Sprains 122 Stings of Insects 119 Stomach, inflammation 37 Strangury 42 Stroke of Lightning 114 Suffocation 115 Sun-stroke 113 Suppression, Blenses 108 T Teething 93 Toothache 54 Throat, inflamed 20 Throat, Diphtheria in 23 Typhoid Fever 77 V Vomiting, (Cholera Morbus) 43 Varioloid 62 w Water-brash 98 Whitlow 84 Whooping-cough 30 Wounds, bleeding 124 Y Yellow Fever 68 INTRODUCTION". I have often been asked to prescribe the reme¬ dies and measures most expedient in cases of illness occurring beyond the circuit of my ride, or that of any other homoeopathic physician, and in which delay of treatment might be very dangerous. I have, from time to time, recommended the best works on Domestic Homoeopathic Practice, and have frequently heard the complaint that, treating of Chronic as well as Acute Diseases, they were too voluminous, or, where abridged, too limited to give readily and clearly the information desired in ur¬ gent cases. I have therefore determined, for my own patrons, and others who may desire it, to pre¬ pare the following little treatise, with especial ref¬ erence to such forms of Acute Disease as need very little description and very few remedies, and they of the most reliable character. I have entered upon this work with the fullest appreciation of the fact that diseases are not stereotyped—not done up in definite shapes, so that each can be labeled, and have its specific remedy attached. As the leaves of the forest, so cases of disease vary; seldom can INTRODUCTION. 9 two be found which are just alike. Iience the ne¬ cessity for the individualization of every case, and a reliance solely upon symptoms, as advocated by Hahnemann ; and hence, also, the necessity of a general law of cure, such as he was permitted to dis¬ cover. Experience, learning, and genius, alike and all, fail in the effort to reach forward, in the treat¬ ment of forms of disease which are new, unless guided by a general principle, and by the particu¬ lar symptoms manifested by those new forms. Em¬ pirical and theoretical practice both, therefore, sig¬ nally fail, and must ultimately be supplanted by the Homoeopathic. What shall I say, then, to you who, withoutmed- ical education, or a knowledge of our therapeutic law, take this little book and attempt to meet the most alarming ailments that flesh is heir to? Be careful; read all the preliminary directions; com¬ pare closely the symptoms of the case with the in¬ dications given for the various remedies prescribed; then be exact in the preparation and administra¬ tion of the doses. Let not your haste lead you into mistakes. And finally, be not too confident, but send for professional aid when within reach ; for often the most fatal maladies begin mildly, and soon pass beyond all control. The medical man will observe that I have en¬ deavored to present, in every case, only those rem- 10 SECOND EDITION. edies which have been often successfully employed. Having the wish to give but few, and thus to adapt the book and case to the capacity and circumstances of all, I have been compelled to omit many reme¬ dies which I frequently employ. Pittsburgh, 1859. SECOND EDITION. The first edition of my little work being entirely exhausted, and to meet an urgent desire for more copies, I am induced to issue a second edition, con¬ siderably enlarged and improved. The chapters which have been added adapt the book to the wants of the people in the South and West, as well as in the North, and give the proper treatment for the latest forms of Acute Disease which may de¬ mand domestic treatment. J. P. D. Nashville, 1871. THE MEDICINES. 11 THE MEDICINES. The design of this work being simply to point out such means as may be required in cases of Acute Disease, and such as may be conveniently carried by the traveler, the number of medicines is neces¬ sarily limited, and will comprise only the most re¬ liable. They must be kept tightly corked in their respec¬ tive bottles, and preserved from the influences of light and heat. They should be kept out of the reach of children; not that they would be poisonous, but that they may be preserved from adulteration. 12 DOSES. DOSES. The object in Homoeopathic medication being to select the least dose that will effect the cure, and there being no guide, save experience, in determin¬ ing how small the dose in a given form of disease should be, such preparations are recommended, and in such quantities as will cure most cases and be safe in all. To economize space for the body of our work, directions so general as to suit the various diseases named, are here given for the administration of medicines. 1. Foe persons above the age of ten years, mix in a tumbler four drops of the tincture, or about twenty pills, in four tablespoonfuls of pure water. 2. For those under ten, use one - half the quantity named above, in the same amount of water. 3. For the first class, one teaspoonful is a sufficient dose; and for the second, one-half a teaspoonful. 4. The intervals between doses, as prescribed hereafter, must be lengthened as the patient improves. DIET. 13 The water used should be such as the patient is daily accustomed to as a beverage; and the vessel, as well as spoon employed, must be perfectly clean. When the drops are put in the water, the mixture should be stirred briskly for five minutes, and then kept closely covered, and away from light and heat. A fresh preparation must be made as often as every twenty-four, or, in cold weather, forty-eight hours. • 5. If the pills are used ley, eight will be a dose for ah adult, ahd four for a child under ten. in taking the pills, always let them dis¬ solve in the mouth. 6. AVhen the medicine is in powder form, a dose for an adult will be as much as eight pills would make if mashed; and for a child, half that amount. DIET. In Acute Diseases the appetite is generally want¬ ing, or if present, it is of that morbid character which will of itself counsel abstinence from food. The run of diseases treated of in this book is generally so short as to allow little or no nourish¬ ment before their termination. 14 DIET. As it is best, however, to indicate some articles that may be found better than others, when nourish¬ ment is required, the following are recommended: Gruel, made with water and oatmeal, rice, farina, barley, or wheat flour, seasoned with a little salt or sugar, or both; and as articles of beverage, pure water, water off from gum arabic, slippery elm, or toasted bread; and weak black or japan tea. But when the violence of acute disease is subdued and the appetite calls for more substantial food, as in most chronic ailments, a wider range may be taken in the choice of aliment. In addition to articles already specified in such cases, use light bread and biscuit, not containing saleratus, soda, or other similar ingredients, and not too fresh; light puddings of wheat, Indian meal, rice, oatmeal, or bread, without spices or rich sauces; Indian or rye meal, cracked wheat, or pearl barley; pears, apples, and peaches, either raw or cooked, except in diarrhoea. Milk, fresh butter-milk, boiled milk, cream, butter, free from any rancid or unusual taste; plain cus¬ tard, soft boiled eggs, beef tea, fresh scale fish, ex¬ cept salmon, chickens, pigeons, turkeys, partridges, pheasants, beef, mutton, venison, soups or broths of the animal or vegetable substances, specified as allowable; potatoes, carrots, green and dried peas, and corn, except in colic or diarrhoea. LIST OF REMEDIES. 15 LIST OF REMEDIES EMPLOYED. Full Names. VAconitum Napellus, Aesculus Hippocastanuin, JCArsenicum Album, ' - Belladonna, Bromine, !' Bryonia Alba, / C Camphor, Cantliarides, C Capsicum Annum, Cliina, Cocculus Indicus, * Colocyntli, Cliamomilla, Croton Tiglium, Cuprum Metallicum, Glonoine, Hepar Sulpliur, Ipecacuanha, Abbreviations. Aeon. Aesulus. Arsen. Bell. Brom. Bry. Camph. Cantli, Caps. Chin. Cocc. Colo. Cham. Croton. Cupr. Crlon. Hepar. Ipecac. 16 LIST OF REMEDIES. Full Names. Abbreviations. Kali Bicliromicum, Kali. ' Mercurius Corrosivus, Merc. C. Mercui ius Iodntus, Merc. I. Mercurius Vivns, Merc. V. Nitric Acid, Nit. Ac. Nui "Vomica, Nux. Vom. (.Opium, Opi. Phosphorus, Phos. ^ Pulsatilla, Puis. Klius Radicans, Rhus. Spongia, Spong. Sulphur, Sulpli. Tartar Emetic, Tart. Em. Veratrum Album, Verat. Crude Tinctures. Arnica Montana, Arn« Calendula, Calend. Phytolacca Dccandra, ^ Phytoac. XJrtica Hrens, Urt. Ilrens. ACUTE DISEASES, AND THEIR TREATMENT. FEVERS. The numerous affections of tlie human system ranked under this title, have been assigned to va¬ rious causes, such as sudden changes in the tem¬ perature, weight, or electrical states of the atmos¬ phere, errors in regimen, over-exertion of mind or body, and malarious influences. They are nearly all characterized by sensations of increased heat, by augmented rapidity of pulse, hurried breathing, headache, dullness of the senses, loss of appetite, etc. SIMPLE FEVER, FROM A COLD. This begins with a chill or general feeling of coldness, which, however, is not always observed, and which soon yields to a general sensation of heat, flushed face, thirst, hot dry skin, headache, and, perhaps, pains in various parts of the body. These symptoms, if not soon removed by appro- 2 (17) 18 ACUTE DISEASES, priate remedies, or by the unaided efforts of nature, give place to those of inflammatory affections, such as pleurisy, lung fever, etc. It becomes, therefore, all- important to check the progress of such fearful af¬ fections while yet in the bud, by breaking the simple fever. This can best be done as follows: At any time during the chilly stage, and before the heat and thirst have set in, keeping away from the fire, make use of Cold Water, by rapidly washing the entire body with cloths dipped in it. After a smart rubbing of the surface with a coarse towel, walk or run till a state of warmth or a free perspiration is effected. In casea where it is preferred, or more convenient, a wet sheet may be used as follows:—Dip a muslin sheet in cold water, wring it dry as possible, and spread it out on a heavy quilt. Upon the sheet thus prepared lie down, so that an attendant may wrap it and the quilt closely about you, leaving only the face uncovered so much that you can get sufficient air for breathing. Remain in this envel¬ ope till reaction takes place, causing you to feel warm and comfortable; then rub the surface well, dress and take exercise, as before directed. During "either of the baths, warm drinks should be freely taken, also two doses of Camphor, at intervals of fifteen minutes. But if the fever has set in, or there already appear symptoms of affections of a AND TIIEIR TREATMENT. 19 secondary and inflammatory character, the cold water must not be used, as it would no longer be homoeopathic, and therefore safe. When the cold stage is once past, and the fever rises, the proper remedy is Aconite, prepared as directed in the introductory rules. Dose every half hour. When a free perspiration is effected, take no more; or, as the fever abates, lengthen the intervals be¬ tween the doses, to one, two, or four hours. If, however, the Aeon, fails, and inflammatory affec¬ tions follow, they must be met as hereafter directed. INFLUENZA, OR COLD IN THE HEAD. This, beginning with the symptoms present in the first stage of the common fever, may often be arrested by the means pointed out for that affec¬ tion. Its characteristics are redness and watering of the eyes, irritation of the nose, with a feeling of obstruction, or a free discharge, dryness and sore¬ ness of the throat, dry cough, some oppression in breathing, headache, white-coated tongue, and a general feeling of languor. Having used the Aeon, without relief, prepare Mercurius Yivus as directed, and take A dose every four hours. 20 ACUTE DISEASES, When it is time for the third dose, and there is no sensible improvement, prepare Bryonia, and take alternately with the Mere. Viv., until relieved. Doses four hours apart. Camplior is best when, with the symptoms al¬ ready given, there is a sense of sudden and great prostration. Dose every half hour. Nux Vomica is best when the cough is dry, as from a titillation down in the throat, there is an in¬ crease of restlessness toward and during the night, and constipation and soreness in the bowels. Dose every four hours. Arsenicum is best when there is great thirst, sneezing, acrid, burning water running from the eyes and nose, which are sore and swollen, sensa¬ tion of heat in the part of the head which is aching, general debility, with general increase of suffering when lying down, and relief when moving about and when in the open air. Dose every four hours. • SORE THROAT. When soreness of the throat is felt, and difficulty in swallowing, it is not easy to anticipate the disease of which these may be the first symptoms; it may AND TIIEIIl TREATMENT. 21 be quinsy, scarlatina, or a malignant sore throat. It is well, therefore, to act both wisely and promptly in the use of remedies. Examine the appearance of the throat, by opening the mouth widely and pressing the tongue down with a spoon. The ap¬ propriate remedies are Capsicum, when the palate, tonsils, and sur¬ rounding parts are very red or purple, swollen, sore and burning, swallowing, and even talking, diffi¬ cult; or when the tongue is sore, red, swollen, and even protruding between the teeth, and there is headache and dizziness. Dose every hour. Belladonna, when the Caps, does not, in three hours,"afford relief, and particularly if the headache is very bad, the face flushed, or there is reason to apprehend scarlet fever. Dose every two hours. Phytolacca, when with much inflammation there is a feeling as of something lodged in the throat, and a considerable collection of mucus. Dose every two hours. Mercurius Yiv., when the tonsils and palate are much swollen, their color a pale red, the palate appearing lengthened and rather translucent, like a Malaga grape with the skin off—the throat filling often with mucus, constant desire to swallow; or 22 ACUTE DISEASES, when there is not much inflammation or swelling, but small, yellow, smarting ulcers on the tonsils or parts near them, with constant flow of saliva in the mouth. Dose every four hours. Capsicum may be taken in alternation with Merc. Doses two hours apart. Hepar Sulphur, when there are stitching pains in the throat: abscess before or after it breaks. Dose every six hours. Arsenicum, when, with ulcers in the throat, there is great burning, a discharge of grayish or greenish matter, a feeling of great prostration, or other symptoms of a gangrenous condition. Dose every eight hours, with a dose of Caps, between. Nux Vomica, for sore, raw feeling in throat, worse when not swallowing, or when swallowing saliva than when swallowing solid food—especially if there is disordered stomach and constipation. Dose every four hours. Croton Tig., for great heat and dryness in the throat and mouth. Dose alternately with Caps., two hours apart. Bryouia, when Nux. Vom. fails, especially if AND THEIR TREATMENT. 23 there are rheumatic pains in the shoulders, neck, or other parts of the body. Dose every four hours. Hot Water, in either of the cases mentioned, should be used as a gargle, just before taking a dose of medicine. The greater the beat in the throat, the warmer should the water be. In all cases of inflamed throat, cold drinks are bad. If none of the remedies named are at hand, Al¬ cohol, Brandy, or Whisky may be taken, say twenty drops in a teaspoonful of hot water, every two hours. DIPHTHERIA. The distinguishing feature of this disease is the formation of white or yellowish patches of mem¬ brane in the throat. These patches may also form in the windpipe, in the nose, or elsewhere upon the mucous membranes. In any case of sore throat, the treatment already detailed (see Sore Throat) should be pursued, unless the diphtheritic patches appearand are unyielding; then resort must be had to some additional remedies. Nitric Acid, when the patches are very distinct, the breath very offensive, great debility, moist skin, etc. Give in alternation with Capsicum, when there is great burning and he?„t in the throat; or in 24 ACUTE DISEASES, alternation with Belladonna, when there is head¬ ache, flushed face, and great nervous excitement. Doses two hours cipart- Merrurius Iodatus, in place of Nit. Acid, when there is considerable swelling of the glands. In alternation (as above) with Caps, or Bell., giving two doses of these to each one of the Merc. Doses two hours apart. Kali Bicltromicum, when there is croupy cough or breathing, indicating an invasion of the larynx or trachea. Doses half hour apart. Bromine, when, after four hours, there is no breaking of the croup, under the use of the Kali. Doses half hour apart. Spongia or Hepar Sulphur may be required. (See Chapter on Croup.) Either of these remedies may be used in alterna¬ tion with Bell, or Caps., when the condition of the throat, as indicated above, seems to call for their employment. In any case of Diphtheria, especially when there are croupy symptoms, put a slice of fat bacon or salt pork on the throat, as directed in the Chapter on Croup. Should there be a reappearance of the patches, after being once cleared away, or should the reme- AND THEIR TREATMENT. 25 dies named fail to remove them in a reasonable time, apply with a fine brush, Sulphur, 1st or 2d trituration, or the flowers, to the parts affected, in alternation with Phytolacca. Doses one hour apart. Phytolacca, in alternation with Aeon., will fre¬ quently cut short an attack of diphtheria, if used upon the first occurrence of chilly and feverish feelings, soreness, and accumulation of mucus in the throat. Doses half an hour apart. Alcohol. In severe cases, at first characterized by high fever, and then by extreme debility, espe¬ cially when there are indications of impoverished blood and deficient nutrition, Alcohol, Brandy, TVhisky, or Wine may be used as a remedy. Of Alcohol 20 drops, or of either of the others a teaspoonful, in a tablespoonful of hot water, may be taken every two hours, by an adult, and half that quantity by a child under twelve. Statistics, I think, bear good testimony in favor of the treatment of diphtheria which I have briefly detailed. In the winter of 1860-61, I kept a record of my cases, their symptoms, remedies, and results. Out of 193 cases, I lost but 7. CATARRHAL FEVER. This affection begins with chilliness, succeeded by 26 ACUTE DISEASES, a fever, which varies, being higher at one time than another, even in the same day. The mucous mem¬ brane, or what is commonly called the "lining" of the inner passages of the body, is the seat of irrita¬ tion. When that portion embraced in the nose and eyes is particularly affected, the disease is termed "cold," or "catarrh" in the head. When the por¬ tion in the throat, and more especially the chest, is affected, it is called "catarrh" in the chest; and if accompanied with some fever, it is known as "ca¬ tarrhal fever." In either case, at the outset, the mucous membrane is very dry and somewhat in¬ flamed; but soon there is watery, irritating dis¬ charge from it, which becomes thicker, more difficult to remove, and even oppressive, if not checked by appropriate remedies. Having already given, under the heads, Influenza and Sore Throat, the means most useful in catarrhal affections of the head and throat, those only will be pointed out here which are concerned in what is commonly called " catarrhal fever." Aconite, at the outset, or as soon as any fever appears, particularly if the skin is dry and hot. Dose every two hours. Belladonna, when the fever continues, there is much headache, flushed face, soreness in the throat, short, dry cough, and nervous startings in sleep. Dose every two hours. AND THEIR TREATMENT. 27 Bryonia, when the troubles are worse in the day-time; worse in moving; cough dry, causing pain and soreness in chest, sides, or pit of stomach. Dose every two hours. Tartar Emetic, when there is much oppression in breathing, palpitation of the heart, loose, rattling cough, with nausea and even vomiting of mucus, with or without a moist skin. Dose every hour ; or in alternation with the Bell, or Bnj., Doses one hour apart. Ipecac., when there is great prostration, difficult breathing, dry, hard cough, nausea, or vomiting. Dose, in alternation with Bell., every hour. M°rcurins Yivus and Nux Yomiea are some¬ times indicated. (See indications given for them under the head "Influenza.") Arsenicum is the chief remedy after Ipecac., in cases of suffocative Catarrh, where there is great oppression of chest and a resulting stupor, cold ex¬ tremities, etc. Dose every half hour. CROUP. This affection, though apparently of sudden oc¬ currence, comes only after the manifestation of many or most of the symptoms excited by a cold, 28 ACUTE DISEASES, and already described under the heads Simple Fever and Catarrhal Fever. It is mostly peculiar to chil¬ dren, and comes on usually at night. It is charac¬ terized by a singular "crowing" cough, extreme dif¬ ficulty in breathing, and hoarseness of voice, such as no one will fail ever to recognize, having once heard them. The treatment of this dreaded disease, to be effi¬ cient, must be promptly and carefully conducted. I have had, during the past twenty years, many cases, probably as many and as severe as any other phy¬ sician in the country, yet, I am happy to say, I have not lost a case except when combined with Scarlet Fever or Diphtheria. This success I believe to be owing to my adherence to old and well-tried homoeopathic remedies. Frequently I have seen new remedies brought out and their success in cer¬ tain cases reported. They may be good, but have yet to cure any thing like the proportion of cases cured by Aeon., Spong., and Hepar Sul. Upon the first appearance of croup symptoms, the remedy is Aconite, prepared as directed, and given Dose even/ fifteen minutes, till four doses are taken; then, if not better, prepare Spongia, and give alternately with the Aeon. Doses twenty minutes apart, AND THEIR TREATMENT. 29 till the patient is better; then one, two, or four hours apart. Hepar Sulphur is the best remedy for the hoarseness and cough remaining after the attack of croup is broken. . Dose every three hours. Bromine, when Aeon, and Spong. fail, especially if there are diphtheritic patches in the throat. Dose every hour. Iodine, during or after Scarlet Fever, when there is great irritation in the nose and throat and swell¬ ing of the glands. Dose every hour. During the day following an attack of croup, the patient must be kept in a warm, dry room, and as free from excitement as possible. In case of any return the following night, the same remedies must be used. If the case proves too unyielding, medical aid must be sought; but in ninety-nine cases out of a hundred the three remedies first prescribed will be all-sufficient. N. B.—In all severe cases of croup, sew a thin slice of salt fat bacon or "pork upon a strip of flan¬ nel and secure it upon the throat, changing it every day till the disease is broken up; then remove the bacon and leave-the flannel on for three or four days. 30 ACUTE DISEASES, ASTHMA. This distressing difficulty in breathing may arise from a variety of causes, and demands, therefore, a variety of remedies, greater than I can here set forth. I will present two or three medicines which give relief oftener than any others. Ipecac, is best in ordinary cases of Asthma, where there is great tightness and dryness in the air-vessels, especially if accompanied with nausea. Dose every half hour. Arsenicum is better in cases where there is pal¬ pitation or great excitement of the heart, and where there is dropsy, or the dregs of chills and fever. Dose every hour. Nux Vomica is better in cases that have arisen from some indigestible food eaten. Dose every hour. Opium, Lobelia, and Pulsatilla are sometimes good. WHOOPING-COUGH. This affection may frequently be shortened and almost always guided safely through its course by homcBopathic remedies. Belladonna and Cuprum Metallicum suit many cases, especially if the paroxysms are violent, AND THEIR TREATMENT. 31 very distinct, or threatening spasms. Give them alternately, A dose every four or six hours. Capsicum and Tartar Emetic are better if there is much rattling of mucus in the chest, vomit¬ ing, fullness and redness of the face. Alternately a dose every four hours. Nux Vomica, when there is indigestion, consti¬ pation, pain in the abdomen; worse in the morning. Dose every four hours. In this disease the patient should be taken daily into the open air and upon the highest hills, when the weather is favorable. PLEURISY. This affection is characterized by a sharp, sticking pain in the side of the chest, is felt most in taking in breath, is preceded by chills and accompanied with more or less fever, thirst, etc. Aconite is the chief remedy. Dose every hour. If the pain is unabated after two doses of Aeon., prepare Bryonia, and give it alternately with Aeon. Doses half an hour apart. If no relief is experienced after four hours, pre¬ pare 32 ACUTE DISEASES, Belladonna, and give in place of the Aeon, and Bry. Dose every hour. At the same time the Bell, is employed, use Hot Water; wring cloths out and apply them to the seat of the pain, at the times for giving the med¬ icine. Cover the hot compress with dry flannel. These three medicines and the hot water are capa¬ ble of curing most, if not all, cases of pleurisy. Bleeding, cupping and blistering are not to be com¬ pared with them. If there is much cough, with flushed face, the lungs may be involved, and the remedies in the next chapter should be considered. PNEUMONIA, OR INFLAMMATION OF THE LUNGS. This affection is characterized by a chill, fever, pains in the chest, cough, difficulty in breathing, bloody expectoration, full pulse, and sometimes nausea and vomiting. Aconite, Dose every hour. After the second dose, if not relieved, prepare Bryonia, and give it alternately with the Aeon. Doses an hour apart. Phosphorus may be substituted for the Bry. if there is no improvement in twenty-four hours. AND THEIR TREATMENT. 33 Tartar Emetic is better in place of the Bry., if there is much rattling of mucus in the chest, op¬ pression in breathing, or nausea. Belladonna may be substituted for the Aeon. where there is flushed face, severe headache, or the fever continues unchecked. Opium, when there is great stupor, heavy, la¬ bored breathing, red face, after Bell. Give two doses, one hour apart, and then go on with the regu¬ lar remedies. Hot Water may be applied as directed in pleu- risy. In the management of this affection, do not be¬ come frightened and led to resort to mustard plas¬ ters, blisters, or bleedings, for such measures have made many a mild case fatal. BRONCHITIS. (See Catarrhal Fever and Pneumonia.) SPITTING BLOOD. This affection is not necessarily dangerous, for very rarely so much blood is lost as to occasion death. Frequently the blood is from the nose, passing down into the throat. When this is the case, the spitting occurs generally at night, early in the morning, or after a sleep. Sometimes the blood is from the throat. When this is the case, it comes 34 ACUTE DISEASES, in small quantities and is dark-colored. Sometimes it comes from the stomach. When this is the case, it is vomited up, and is accompanied with nausea and a burning in the pit of the stomach, and is dark-colored. When the blood is from the lungs, it is usually of a bright red color, and often frothy. It comes after hard coughing, from a blow or strain, or from a sud¬ den suppression of some habitual discharge, as in piles, or at the menstrual period. Arnica is the remedy when the hemorrhage is caused by some mechanical injury. Take muslin, four ply, wet it with the tincture, one part with four parts of water, and spread it on the chest or stom¬ ach, according as one or the other of those parts may be the seat of injury. At the same time pre¬ pare and use Arnica internally. A dose every two hours. Arsenicum is best when the blood comes from the stomach. This may bo given in alternation with Capsicum, Doses an hour apart. Nitric Acid, in alternation with Caps., is one of our best general remedies, especially for persons subject to dyspepsia, or reduced by other diseases. Doses an hour apart. AND THEIR TREATMENT. 35 Pulsatilla and Aconite are the best remedies in case the hemorrhage arises from a sudden suppres¬ sion of the menstrual flow, or of a discharge of blood from piles. Give the two remedies alternately. Doses an hour apart. Belladonna and Ipecac., in alternation, are the best remedies when the hemorrhage is from the lungs. A dose every hour. China, when there is great debilty from loss of blood, flashes of heat, chills, etc. Dose every four hours. Alcoliol, or if that is not at hand, Brandy or Whisky may be used, in the absence of other reme¬ dies, especially if there is headache, flashed face, palpitation, fever, or extreme debility, watery-look¬ ing blood, pale face and cold extremities. Dose of Alcohol 20 drops, or of Brandy or Whisky half a tea- spoonful in a tablcspoonful of Water, repeated every hour in active bleeding, or three hours in passive or slow bleeding. The patient should be kept quiet, in a recumbent posture, and not allowed to talk, or drink cold water, except in moderate quantities. There is no occasion for fright, and every reason for the pa¬ tient's remaining calm. Sudden emotions give the heart an extra impulse and increase the hemorrhage. 36 ACUTE DISEASES, COLIC. This affection may be distinguished, generally, from any inflammatory condition, by an absence of soreness on pressure and an absence of any great, degree of heat. There are various kinds of colic, as will be seen in the indications given for the reme¬ dies below. ]\Tux Yomica is best, in case the pains come and go at intervals, and there is constipation of the bowels, or much flatulency. Dose every hour. Colocyntll is best in case the pains are accompa¬ nied by an urging to stool and looseness of the bowels. A dose every hour. Cliamomilla, in the case of infants, especially when cutting teeth, with looseness of bowels, etc. Dose every hour. Belladonna, in alternation with the Cham., is sometimes very beneficial in the case of an infant, when there is much nervousness, flushed face, etc. Doses an hour apart. Pulsatilla is best in case the pains come during the menstrual period, and especially if there is a sudden check of the flow. A dose every hour. Cocculus in place of the Puis, when the pains AND THEIR TREATMENT. 37 are very severe, there is flushed face, fullness in the head, and dizziness, with a scanty flow. Dose every hour. Cuprum is best when the pains are more like cramps, which cause the patient to cry out when they come. A dose every hour. Camphor, if the extremities are cold, with a dis¬ position to belch and ineffectual efforts to do so. Dose every 20 minutes. In most cases of colic a compress wet in hot water and kept upon the painful part, by a dry flannel bandage, will be of service. Much relief is often afforded by the hands of a strong person, pressing firmly, the one to the back and the other the front of the region of pain. INFLAMMATION OF THE STOMACH. This affection is distinguished by burning or cut¬ ting pains in the pit of the stomach, and to the left side of it, increased by pressure, by taking breath or food. There is'great thirst, nausea, and a dispo¬ sition to vomit after taking food or drink. Aconite should be given first, and then in alter¬ nation with one of the following remedies: Doses half an hour apart. 38 ACUTE DISEASES, Nux Vomica, when the attack has been induced by alcoholic drinks, or by eating of fruits or veget¬ ables, and the bowels are constipated. Arsenicum, when there is great thirst, nausea, burning in the stomach and vomiting; or there is diarrhcea. Capsicum, when there is excessive burning in the stomach. Veratrum, when the vomiting is excessive and not relieved by Arsen.; especially when the ex¬ tremities are cold, or there are cramps in the stomach. Hot Water should be taken at as high a tem¬ perature as can be borne. Take a few spoonfuls before the use of any medi¬ cine, and then enough to satisfy the thirst at times between the doses of medicine. In this affection no cold drinks are allowable. Should there be great external heat in the region of the stomach, occasional sponging with hot water may be practiced; or a compress, wet with hot water, and covered with dry flannel, may be ap¬ plied. Alcohol, or Brandy, or Whisky, in the absence of other remedies, may be used very beneficially. Alcohol 20 drops, or Brandy or Whisky half a tea- spoonful, in a tablespoonful of hot water, may be repeated every hour or half hour. AND THEIR TREATMENT. 39 INFLAMMATION OF THE LIVER This affection has many of the symptoms of in¬ flammation of the stomach, only that its seat and most of the pains are in the right, instead of the left side. Along the edge of the ribs of the right side there is great burning, soreness, and pain. The tongue is generally yellow coated, and the skin has a jaundiced appearance. The symptoms vary ac¬ cording as the upper or lower surface of the liver is affected. Aconite should be the first remedy, especially if there is general fever. Dose every hour. Nlix Yoillica is best when there is great tender¬ ness and fullness of the liver and constipation of the bowels, especially in persons addicted to spirituous drinks. Dose every two hours. Bryonia, when there is constant short cough, pains,shooting up into the chest, extreme soreness, with constipation of the bowels. Dose every two hours. Arsenicum, when there is violent, burning pain, in the right side, fullness, vomiting of dark masses, and looseness of bowels, with cold extremities. Dose every hour. Mercurius Tiv., when there is much enlarge- 40 ACUTE DISEASES, ment of the liver, bitter taste in the mouth, shiver¬ ing and disposition to sweat, with looseness of the bowels; alternately with Bryonia or Bell. Doses two hours apart. Belladonna, when there is excessive pain, oppres¬ sion in breathing, headache, giddiness, and flushed face. Dose every hour. Hot Water. A compress wet in it and covered with dry flannel may be kept applied over the re¬ gion of the liver. Renew it every hour. INFLAMMATION OF THE BOWELS. This affection is distinguished by severe burning or cutting pains, great tenderness, and sometimes fullness in the abdomen, and is made worse by any movement. Aconite. Give, for two hours, Dose every half hour. *. Belladonna, after the Aeon., when there is yet much fever, flushed face, headache, and extreme soreness, with a smooth red tongue. Dose every hour. Alcoliol may be used in place, or in the absence, of Bell., externally by a compress, and internally, 20 drops in a teaspoonful of hot water, every hour. AND THEIR TREATMENT. 41 Brandy or Whisky may be used, if more conve¬ nient than Alcohol, double the quantity being nec¬ essary. Nux Vomica, after the Aeon., if the tongue is yellow coated, with red edges, and there is flatu¬ lency and intermitting pains, with constipation of the bowels. Dose every two hours. Colocynth, if there is great and frequent urging to stool, with small discharges. Dose every two hours. Mercurius Corosivus, after the Colo, has been used without effect; and especially, if there are mucous, bilious, or bloody stools. Dose every two hours. Croton Tiglium, in case of violent purging and severe griping. Dose every hour. Hot Water. A compress wet in it and covered with dry flannel may be applied to the abdomen, if there is constipation and great external heat, but in no other case. INFLAMMATION OF THE KIDNEYS OR BLADDER. When the kidneys alone are affected, there is great pain, heat, and soreness across the small of 42 ACUTE DISEASES, the back. The water is high-colored and hot. When the bladder is also affected, the pains extend | from the back over the hips and down in front, i There is great pain and urging to urinate, and much burning and pain while urinating. Sometimes the water passes only in drops, and sometimes it is bloody. Aconite and Cantliaris, taken alternately, will cure nine cases out of every ten of either form of the affection. Doses an hour apart. Belladonna may be substituted for Aeon, in case there is headache or extreme nervousness. Hot Water. A compress wet in it and covered with dry flannel may be applied over the region of the kidneys or bladder. Renew it every hour. Alcohol or Whisky, twenty drops of the former or a teaspoonful of the latter, in a tablespoonful of water, may be used every two hours, in the absence of the other remedies named. GRAVEL, STRANGURY, ETC. The remedies just named as best for inflammation of the kidneys and bladder, are also our best for pain and difficulty in passing water. If they are not sufficient, use AND THEIR TREATMENT. 43 Nnx "Vomica, or Camphor, or Pulsatilla. Dose every hour. ' CHOLERA MORBUS. This affection is usually brought on by improper eating or drinking, and is characterized by severe pains in the stomach and bowels, vomiting, and often violent purging. If there is reason to suppose the offending material to be yet in the stomach, drink Warm Water, a pint or more, till the stomach is emptied. Ipecac, if there are the usual symptoms of "bil¬ iousness," and bile is vomited. Dose every half hour. Nux Yomica, in alternation with the Ipecac., if the attack has been induced by vegetable food, acid or spirituous dnnks. Doses half an hour apart. Arsenicum, if there is violent vomiting and purging, great thirst and a sense of weight at the pit of the stomach. Dose every half hour. Pulsatilla, in alternation with the Ipecac., if the attack has been induced by eating pastry, meat, or fatty substances. Doses half an hour apart. 44 ACUTE DISEASES, Yeratrum, in place of Arsen., if that fails to check the vomiting and purging, especially if there are cramps in the stomach or bowels. Dose every half hour. Cuprum, in place of Verat., when there are cramps in the legs and arms. Dose every half hour. The hands of a strong person applied firmly, one on the bowels and the other on the back, opposite each other, will afford some relief. CHOLERA INFANTUM. This affection is characterized by much the same symptoms as the preceding, only that it occurs with infants and young children. The remedies are the same, except when the cause has been teething, in which case Belladonna and Ipecac should be given alter¬ nately. Doses half an hour apart. In all cases of diarrhoea, dysentery, or vomiting, either in grown persons or children, a flannel band¬ age should be put tightly around the body, so as to extend from the breasts down to the hips. This should be worn constantly by all persons who are subject To attacks of the kind. Cold drinks are not allowed in such affections. AND THEIR TREATMENT. 45 . DIARREGEA. Of this affection there are many varieties, and for them many and various means have been used. It is my aim here to give two or three only of the many remedies, and such as may meet the demands of most cases of Diarrhoea. Croton Tig., when the discharges are copious, sudden, and accompanied with violent gripings. Dose every one or two hours. Arsenicum, when Croton does not relieve, and especially when there is great thirst, nausea, debility and coldness of the surface of the body. Dose every hour. Pulsatilla, looseness of bowels, from disordered stomach, no thirst, worse at night. Dose every two hours. Chamomilla, diarrhwa in children when teeth¬ ing, nervous, fretful, drawing up their limbs. Dose every hour. Dulcamara is good if Cham, fails. Dose every two hours. Veratrum or Cuprum, in case of cramps or vomiting, as in Cholera Morbus. China, when there is great debility; the move¬ ments are worse at a certain time each night or day, or when there are symptoms of chills and fever. Dose every four hours. 46 ACUTE DISEASES, (xeraneuin mac. is a promising remedy where the diarrhoea is disposed to be chronic. Brandy is good, or Whisky, when there is head¬ ache, flushed face, thirst, and the discharges of a tar color. A tcaspoonful in a tablespoonful of hot water, every hour or two hours. DYSENTERY. This affection differs from diarrhoea in this: the pains and urgings to stool are generally greater, and the discharges smaller and more frequent. There is a constant feeling as of something that should pass, yet unrelieved, except momentarily, by an effort at stool. Bryonia and Aconite, alternately, when there is chilliness, yet flushed face and headache, aching in the back and limbs, with soreness in the abdomen and urging to stool. Doses an hour apart. Colocyntll, when the colicky pains are very se¬ vere, the stools small, bilious, and frequent. Dose every hour. Mercurius Cor., when the stools are mucous or bloody; in alternation with Bell. Doses an hour apart. Cantharis, when there is much pain in the blad- ' AND THEIR TREATMENT. 47 der and difficulty in urinating; alternately with Colo, or Mer. Cor. Doses an hour apart. Arsenicum, when there is extreme thirst, vomit¬ ing, burning pains in abdomen, cold extremities, great anguish. Dose every hour. Brandy or Whisky may be required, in putrid cases, where, after the fever, there is sinking and discharges of thin, non-coagulating blood, with thirst, nervousness, and delirium. A teaspoonful in a tablespoonful of water, every hour, For nourishment and drink, a thin gruel made of oat-meal and water, well boiled, is best. Cold drinks are not admissible. CHOLERA. This affection, so dreadful even in name, is not often beyond the control of homoeopathic remedies. Cases of it occur, nearly every summer, and are owing to individual peculiarities and circumstances. When it is epidemic, prevailing in certain localities and prostrating half a community at once, it gener¬ ally assumes a form called Asiatic. The treatment of the two kinds is much the same, varying only as the symptoms vary. In regard to the comparative success of homoeo¬ pathic remedies, I must submit the following statis- 48 ACUTE DISEASES, tics: During the prevalence of Asiatic Cholera in Europe, the British Islands, and the United States, in 1831, 1849, and 1854, the average rate of mor¬ tality, under the old school treatment, was forty-eight per cent., and under the homoeopathic, but eighteen per cent. PREVENTIVE MEASURES. During epidemic cholera, attention should be paid to diet and habits, exposure to dampness or night air avoided, and a bandage of flannel worn round the stomach and abdomen. The least diarrhoea or dispo¬ sition to vomit should receive attention. Cuprum is undoubtedly the best preventive agent in all our Materia Medica. In my own prac¬ tice, especially in the great epidemic of 1854, which took over twelve hundred people to their graves in two weeks, at Pittsburgh, not a single person had the disease who took this remedy as a preventive. Dose night and morning. I would here warn all to avoid Brandy, Whisky, and-all other inflaming drinks frequently resorted to as preventives; and all nostrums and specifics, put up and sold to prevent or cure Cholera. They are but deceptions, and only tend to increase the sufferings and hazards when the disease comes in earnest. There is no end to the prescriptions for Cholera, for AND THEIR TREATMENT. 49 the reason that empirical and theoretical modes have failed, and failed again, to realize benefits from their most vaunted remedies. From the first appearance of Asiatic Cholera, down to this hour,- the old schools of medicine have failed to agree upon any remedies, and now would tremble at its coming as much as ever before. Croton Tig. should be used when there is simply a profuse diarrhoea, with griping pains. Dose every hour or half hour. Arsenicumj when the diarrhoea is not controlled by two or three doses of Croton, and there is nausea. Dose every hour or half hour. Yeratrum, when there is violent vomiting as well as purging, with cramps in the stomach, or bowels, or limbs. Dose every half hour. Cuprum, when, with the vomiting, the cramps are very severe, especially in the arms or legs; alternately with Verat. Doses half an hour apart. Cuprum is the best remedy, and should be taken alone, when the cramps prevail, especially in the extremities, and there is little or no vomiting or purging. Dose every half hour. 3 50 ACUTE DISEASES, Camphor, at the outset of the disease, when there is great prostration, rapid sinking, and cold¬ ness of the extremities and surface of the body. Dose every ten minutes. Camphor is also the best remedy when the others have failed, and the stage of collapse is set¬ ting in; when the hands are blue and cold, the eyes sunken, and the whole body bathed in a cold, pro¬ fuse perspiration. Dose every ten minutes. In this disease warm drinks alone must be used, and the patient must lie still in bed. Attendants should be particular to show no signs of alarm, for fear and fright have destroyed thousands who, but for them, might have recovered. Ice Water. The surface of the body, especially the extremities, may be sponged quickly with this, and rubbed briskly, passing the hand from the ex¬ tremities toward the trunk, when there is great coldness, particularly when there is threatening collapse. HEADACHE. To come within the limits of this little work, I am compelled to omit a number of our most import- AND THEIR TREATMENT. 51 ant remedies for headache. In obstinate cases, ap¬ plication must be made to a physician. Belladonna, for persons who have full, active brains, and who are subject to a rush of blood to the head; more especially when there is a feeling of fullness in the head, heat and throbbing, and the eyes are very sensitive to the light. Dose every two hours. Grlonoine, when there is a feeling of fullness in the sides of the head, severe pains, which are made worse by any motion, a throbbing, and often a stiff¬ ness in the back and sides of the neck. Dose every hour. Bryonia, when the head feels like bursting; is made worse by every step or jar ; the scalp is sore; better for stout, muscular persons. Dose every hour. Colocyntli, for very severe one-sided headache, which is increased by stooping or lying, especially when it comes in the latter part of the day and in¬ duces nausea. Dose every hour. Nnx Vomica, for headache from indigestion or mental labor, and when there is momentary partial blindness or spots before the eyes, and when the headache begins in the morning. It is best adapted 52 ACUTE DISEASES, to headache in persons of bilious temperament, or who are troubled with piles or constipation. Dose every hour. Ipecac., for violent sick headache, nausea, and vomiting of bile; in alternation witli Nux Vom. Doses an hour apart. Hot "Water, for tendency of blood to the head, great heat, and stupefying pains. Apply a hot compress to the head, covered with dry flannel. Renew it every hour. Brandy. When other remedies are not at hand, Brandy or Whisky may be used, especially when the symptoms are those calling for Bell. Dose, a teaspoonful in three tablespoonfuls of hot water, every hour. Ice Water, for the same symptoms, when there is coldness of the extremities. Apply the cold water to the feet by bathing them for one minute, and then rubbing briskly with a coarse towel till there is warmth. Application once every hour. NEURALGIA IN THE FACE AND HEAD, This affection is one of the most acute and tor¬ menting, and often one of the most incurable, that humanity is subject to. Beyond the application of AND THEIR TREATMENT. 53 some powerful stimulants, or the more fashionable deception of anaesthetics, the old schools now claim no satisfactory measures of relief for it. But Homoeopathy has in this, as in many other affec¬ tions, furnished efficacious remedies where stimu¬ lants, anaesthetics, and other allopathic and palli¬ ative means, have entirely failed to do any good. Belladonna, for neuralgia in the face or head, of any kind. Dose every hour. Rhus Radicans, for the same, when the Bell. fails to relieve, and especially when the pains are worse at night, or when the patient is at rest, or there is- a sensation of heat in the top of the head. Dose every hour. Arsenicum, when the pains come at regular in¬ tervals, and are burning, and there is nausea, or a sense of general prostration; especially in persons who have had chills or been dosed with quinine. Dose every two hours. This remedy may be taken in alternation with Bell, or Rhus. Doses two hours apart. Nux. Vomica may be better than Arsen. in per¬ sons addicted to the use of strong coffee or spirit- 54 ACUTE DISEASES, uous liquors, and for persons of a morose disposition and constipated habit. Dose every hour. Aconite, when the attack has come on after a chill, or from a cold, and especially if there is any fever accompanying. Dose every hour. Coloeyntll is very good in some cases. (See Headache.) External applications, so far as my experience extends, exert little or no beneficial influence upon this affection, except, perhaps, the hot water pack mentioned for headache. TOOTHACHE. This distressing pain may be relieved, often, with¬ out the dental forceps, especially when the nervo of the tooth is not immediately exposed to the air or to contact with food. Belladonna is the first remedy here, as in neu¬ ralgia. Dose every hour. Aconite may be better if the ache is from cold just taken, and the person is just becoming feverish. Dose every hour. AND THEIR TREATMENT. 55 Camphor may relieve, if applied to tlie painful part, when the person is yet chilly. Mercurius Yiv. is best when there is heat and soreness about the root of the tooth, intolerable pains, swelling of the gums or cheek, all worse at night and in damp weather. Dose every two hours. This remedy, in alternation with Bell., will afford relief in eight out of ten cases of toothache. Doses an hour apart.' Cliamomillaj when there is a red, sore swelling of one cheek, soreness of the gum; the pain worse after hot drinks and in bed. Nux Yomica is best when the toothache has been induced by coffee, green tea, or alcoholic drinks, or mental labor, especially in persons of an irritable disposition. Dose every two hours. Pulsatilla, for toothache, when the pain ex¬ tends to the eyes or ears, especially when it occurs in persons of a mild disposition, or in females dur¬ ing the menstrual period or pregnancy. Dose every two hours. EARACHE. When it comes from a cold, and there is much local heat or general fever, 56 ACUTE DISEASES, Aconite is the first remedy. Dose every hour. Pulsatilla should follow Aeon, in case two doses of it have given no relief, and especially if there is hardness of hearing, or any discharge from the ear. Dose every hour. Belladonna, when there are sharp, sudden pains in the ear, extending to face, head, or throat; flushed face and intolerance of noise. Dose every hour. Some relief may be obtained by placing a piece of cotton, wet with Aeon, or Bell, one drop, and three drops of glycerine, into the ear, at the same time those remedies are administered. Mercurius Yiv., in case there is much swelling within or about the ear, or the pain is worse in bed, and especially if the glands of the neck are swol¬ len and sore. Dose every two hours. Hfpar Sul., if the discharge from the ear con¬ tinues after the use of Merc, for a week, and is more purulent than mucous. Dose night and morning. Hot "Water. A compress dipped in it, and cov- AND THEIR TREATMENT. 57 ered with dry flannel, should be kept upon the ear and surrounding parts till the pain is relieved. Renew it every half hour. INFLAMED EYES. In this affection care must be used to shield the eyes from too much light. Reading and sewing must be omitted. Hot Water. When there is great heat, redness or pains in any part of the eye, bathe with water hot as can be borne. Apply it every night and morning. Belladonna, when the lids or ball of the eye are much inflamed, being red, painful, and very sensi¬ tive to the light. Dose every three hours. Pulsatilla, when the lids are much swollen and are stuck together with mucus. This is the best remedy for inflamed eyes after measles. Dose every four hours. Rhus Had. is better than Puis, if there is much inflammation and burning in the lids, with little discharge. Dose every three hours. Mercurius Yiv.> when Puis, and Rhus fail to 58 ACUTE DISEASES, give relief, or -when there is a mattery discharge from the eyes. Dose every four hours. Hepar S«l., if there are styes or ulcers on the margins of the lids. Dose every six hours. Alcohol is very good, in the absence of other remedies, especially where Bell, is indicated—there is flushed face, vertigo, etc. Dose, a teaspoonful, in two tablcspoonfuls of water, morning and night. A solution of the same strength, made with hot water, should be applied to the inflamed eye, when the doses are taken internally. NETTLE RASH. This affection is frequently called "hives" and "prickly heat," and is characterized by great itchi¬ ness, red elevations and white blotches on the skin. The pernicious practice of washing parts affected by this rash, with solutions of saleratus, sugar of lead, glycerine, etc., we cannot condemn in terms too strong. Many a child is thus made sickly for life, and not a few are killed outright. Aconite and Bell, alternately, in case there is high fever, are the first remedies. Doses an hour apart. AND THEIR TREATMENT. 59 Rhus Rati., when there is any predisposition to erysipelas or to rheumatism. Dose every four hours. Pulsatilla, when there is evident derangement of the stomach and looseness of the bowels. Dose every four hours. Nux Yomlca when there is derangement of the stomach and constipation of the bowels. Dose every four hours. Hepar Snl. should be given, two doses a week, to children subject to such attacks. Hot Water. In this affection cold baths are very unsafe; but warm, even hot baths, are very soothing and beneficial, especially when, in half a pint of hot water, is put a tablespoonful of alcohol. A bath night and morning. CEICXEN-PGX. This is a mild eruptive disease, and seldom re¬ quires any medication. The pustules appear rapid¬ ly, and sometimes without any perceptible previous disturbance of health, and disappear about the fifth or sixth day. Should the fever be very high, it will be well to give Acoiiitc for its reduction. Dose every two hours. 60 ACUTE DISEASES, B^ladoana, when there is any disturbance of the head, delirium, or disposition to spasms. Dose every two hours. Mercnrius Yir., when there is redness of the eyes, with running from the nose, or other catar¬ rhal symptoms. Dose every four hours. SMALLPOX. This much dreaded disease is not so unmanage¬ able as is generally supposed. When it is prevail¬ ing, those who are not fully protected by vaccina¬ tion, or by having had it already, should be careful to avoid exposure to it, and careful of their habits of living. Upon the appearance of its first sym- toms, treatment should begin. The first stage seems much like a bad cold. There is chilliness, followed by fever, aching in the back, loins, and limbs, redness of the eyes, running from the nose, etc. Then comes pain, with soreness in the pit of the stomach. On the third day an eruption begins to appear on the face and scalp, at first fine and pointed, then filling up round, with whitish watery matter. This matter gradually thickens and hard¬ ens, till the pustules dry down and pass off in scales. From the time the pustules first appear, from eight to fourteen days pass before they are scaled off. AND THEIR TREATMENT. 61 The diet should be strictly such as prescribed at the beginning of this book. The room should be kept dark and cool, but dry, and the bed fresh and clean. Aconite, in the first stage, where there is much fever, full, bounding pulse, etc. Dose every hour. Rlius Ra