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THE GREATER 
 DISEASES OF THE LIVER. 
 
THE GREATER 
 
 DISEASES OE THE LIVER: 
 
 JAUNDICE. GALL-STONES 
 
 ENLARGEMENTS TUMOURS. AND 
 
 CANCER : 
 
 AND THEIR TREATMENT. 
 
 / 
 
 J. COMPTON BURNETT, M. D. 
 
 " Das ist eben das wahre Geheitnniss, das 
 Allen vor Augen 
 Liegt, euch ewig umgibt, aber 
 von Keinem gesehen^v 
 
 c oPYr Schiller. 
 
 t 
 
 PHILADELPHIA : 
 HAHNEMANN PUBLISHING HOUSE- 
 1891. 
 
"RX33 3 
 CB8 
 
 Copyright, 1891, 
 
 BY 
 BOERICKE & TAFEL. 
 
Co tt?c 
 5tl e tn o v 3 
 
 OF 
 
 Habemacfyer 
 
 THE RESUSCITATOR OF 
 PARACELSIC ORGAXOPATHY 
 
 THESE PAGES ARE GRATEFULLY DEDICATED 
 
 O)o 2tutf?ot\ 
 
PREFACE 
 
 HpO those accustomed to treat diseases 
 of the liver with remedies having 
 an elective affinity for the organ itself, 
 the contents of this volume must appear 
 more or less self-evident. I refer more 
 particularly to the practitioners of 
 scientific therapeutics usually called 
 homoeopaths. But the practitioners of 
 traditional medicine will find in my 
 pages a great deal to interest them, 
 and not a little that is new ; new at 
 least to them. 
 
 Those of my readers who have 
 a taste for the more strictly doctrinal 
 part of my subject, I would refer to 
 my small work entitled ' ' Diseases of 
 
x Preface. 
 
 the Spleen and their Remedies Clini- 
 cally Illustrated'," to which this is 
 intended to be a companion volume. 
 
 The prevailing ignorance of good 
 organ-remedies is lamentable. Not long 
 since a lady came to me for a chronic 
 liver affection of nine years' standing, 
 and, though her physician is a man of 
 high standing in the profession, and a 
 doctor of medicine of the University 
 of London, his sole treatment had con- 
 sisted in giving the accursed morphia 
 to lull the pains. He had never even 
 tried one single good organ-remedy, 
 and this notwithstanding the fact that 
 patient has long been profoundly 
 jaundiced. And this, too, is I fear, 
 a fair sample of the everyday work of 
 the men of light and leading in the 
 profession. 
 
Preface. xi 
 
 The pain being the outcome of 
 the disease, the treatment should have 
 been directed to the causal complaint, 
 and not to the effect — the pain. Had 
 this been done the lady would, in all 
 probability, have been cured of the 
 fundamental disease ; as it is, her 
 disease has become formidable, and 
 probably incurable, and she herself is 
 a hopeless, helpless, will-less morphia 
 eater. 
 
 It is in the hope of throwing a 
 little light into this dismal darkness 
 that these pages are sent to the Press. 
 
 J. COMPTON BURNETT. 
 
 5, Holies Street, 
 
 Cavendish Square, W. 
 October 22nd, 1890. 
 
The Greater 
 Diseases of the Liver: 
 
 Jaundice, Gall-stones, 
 
 Enlargements, Ticmonrs, and Cancer, 
 
 and their Treatment. 
 
 JAUNDICE. 
 
 [F anyone shall maintain that 
 Jaundice is not a greater dis- 
 ease of the liver, but a minor one, 
 I shall reply, Then such a one has 
 never had the curious complaint. 
 Jaundice was the indirect cause 
 of some of my earliest efforts at 
 independent thought in medicine ; 
 it was in this wise : — A student 
 
 B 
 
2 The Greater Diseases 
 
 was working with Professor H 
 
 with the microscope while he had 
 a bad cold in his head — in the hot 
 trickling dewdrop stage — and find- 
 ing that microscopizing under the 
 circumstances was not an easy 
 matter, he said to his professorial 
 friend, " What's good for a cold 
 in the head ?" 
 
 "Oh," said he, " sniff up cold 
 water into your nostrils — that'll 
 cure it quickly.'' 
 
 Studiosus set his microscope 
 aside ; went home. Once there, 
 forthwith sniffed cold water most 
 diligently into his nostrils, and 
 cured the said coryza there and 
 then. A sweet cure ! as the se- 
 quel shewed. 
 
of the Liver. 3 
 
 The next day he had the 
 beginning symptoms of catarrhal 
 jaundice, and in two days the 
 affection was well-established. 
 
 Professor H. was again con- 
 sulted, and said he must give up 
 hospital work at once, and take 
 a holiday in the hills. 
 
 Being conversant with all the 
 facts of the case, it occurred to me 
 that as catarrhal jaundice was due 
 to a catarrh of the gall-ducts, 
 just as the coryza was a catarrh 
 of the nose, so if we could only 
 get at the gall-ducts as readily 
 as at the nostrils, we might wash 
 them out also, and thus acre the 
 jaundice, as the coryza had been 
 cured. 
 
» 
 
 4 The Greater Diseases 
 
 I have had a certain number 
 of colds in the head to treat 
 during the years that have since 
 elapsed, but I have never recom- 
 mended Professor H.'s plan of 
 sniffing cold water into the nostrils, 
 believing a catarrh of the nose to 
 be less bad than a corresponding 
 state of the gall-ducts. This 
 simple narration really touches 
 at the very foundations of all 
 curing : The young man was not 
 well ; nature sought to rid his 
 organism of something harmful to 
 his organismic self; she set up a 
 watery discharge from a small 
 portion of the mucous lining of the 
 body, near the surface and not 
 otherwise too much functionally 
 occupied. This hot running from 
 
of the Liver. 5 
 
 the nose was really a curative 
 expression of the organism. (The 
 young man had been long living 
 and working in the most foul 
 atmosphere of dissecting rooms 
 and hospital wards.) The cold 
 water stopped it (the flux, not the 
 disease,) and then nature fell back 
 upon the liver, as she so often 
 does. 
 
 Centrifugal fluxes and discharges 
 should not be lightly stopped. 
 
 Why the flux ? Whence the 
 discharge ? Let the questions of 
 the why ? and whence ? be an- 
 swered as we go along, Here I 
 merely insist upon the elementary 
 truth that a morbid process having 
 
6 The Greater Diseases 
 
 a, perhaps, time-honored name, 
 may be nevertheless no disease at 
 all, but merely a means of cure 
 set up by nature herself, and that 
 there are diseases which it is 
 disadvantageous or dangerous to 
 cure, that is to cure in the sense 
 in which the verb to cure is com- 
 monly used in English by the 
 thoughtless. Of course to effect a 
 really radical cure of any primary 
 disease can never be other than a 
 gain to the individual. 
 
of the Liver. 
 
 Case of Catarrhal Jaundice 
 cured by Chelidonium mafus. 
 
 A good many years since 1 was 
 summoned to see a country gentle- 
 man for sudden indisposition. It 
 was a rather tedious railway 
 journey, and a humble friend of the 
 family, anxious to enlighten me, 
 told me that the squire had the 
 " Yeller Janders? Yellow the 
 patient was, indeed, and the colour 
 was from jaundice! There were 
 the usual symptoms — constipation , 
 scanty urine of a dark yellow 
 browny colour, and debility with 
 depression of spirits. Chelidonium 
 majus in small material doses, put 
 
8 The Greater Diseases 
 
 matters right in a few days, leaving 
 the patient, however, weak. 
 
 " What medicine have you 
 been giving my husband ?" 
 
 " A new remedy." 
 
 " What's its name ?■" 
 
 '' Chelidonium majiis." 
 
 " What's the English of that ?" 
 
 " The greater Celandine." 
 
 " Then it is not by any means 
 a new remedy, for it is in my old 
 Herbal y in which it is recommen- 
 ded for jaundice." 
 
 And so it was: the use of the 
 greater Celandine in jaundice has 
 trickled down to us through the 
 ages from the primary source of 
 the doctrine of signatures. 
 
of the Liver. 9 
 
 Of Chelidonium majus, I would 
 say that it is in this country the 
 greatest liver medicine we have, 
 and there is, in all conscience, no 
 lack of hepatics. Some of my 
 early success in practice was due 
 to my use of Chelidonium. 
 
 It came about thus : I went to 
 see an important lady for a well- 
 known physician in the north, he 
 being too busy to attend, but said 
 lady strongly objected to new 
 doctors. She took a look at me — 
 as I subsequently learned — from a 
 position where she herself was 
 invisible to me, and did not like 
 the look of me. So I was sent 
 away with many apologies from 
 the daughter. Her hepatalgia was 
 easier just at the moment: she 
 
io The Greater Diseases 
 
 would wait till her own physician 
 could come. 
 
 A few days later the pain in 
 her right side became unbearable, 
 and said physician again sent me. 
 This time I was admitted and 
 found her in very great pain in the 
 hepatic region : she had had it at 
 intervals for very many years — 
 about thirty years, if I remember 
 rightly. The liver was very much 
 enlarged and the pains very acute ; 
 there was no jaundice, the tongue 
 mapped. 
 
 I mixed some Chelidoniiim 
 majus and had it given pretty 
 frequently : it eased the pain more 
 promptly than ever the pain had 
 been relieved before, and finally 
 
of the Liver. n 
 
 cured it altogether. Her whole 
 life was changed. To make 
 amends for having refused to see 
 me on my first calling upon her 
 she presented me with a piece of 
 plate, and sent me subsequently 
 very many of her suffering friends. 
 
 So einflusserich was this ven- 
 erable dame that I feel her 
 practical influence to this very 
 day. 
 
 This cure, and its gratifying 
 results to a struggling young 
 doctor, fixed my attention a good 
 deal upon Chelidonium, and upon 
 liver affections, which are every- 
 where so common ; and it has been 
 my lot to relieve or cure a very 
 large number of liver diseases — 
 
12 The Greater Diseases 
 
 and from this wide experience I 
 now write. 
 
 My first real acquaintance with 
 Chelidoniitm was from Dr. Richard 
 Hughes's " Pharmacodynamics/' a 
 work to which I owe so much, 
 and which I sincerely commend to 
 all who wish to understand the 
 actions of drugs. 
 
 I would not be too sure of my 
 botanic knowledge, but I have an 
 idea that Chelidoniitm is the only 
 plant, indigenous to this country, 
 which possesses a yellow juice. 
 That the colour of this juice led 
 to its use in liver diseases on the 
 lines of the doctrine of Signatures 
 the historical^ competent will 
 hardly deny. That it has a 
 
of the Liver. 13 
 
 specific affinity for the great gall- 
 organ anyone may verify for 
 himself if he will take a few 
 drachms of the mother tincture in 
 divided doses. It is kindly and 
 gentle in its action, which action is 
 fully set n p with only a very 
 minute dose, but inasmuch as my 
 more intimate knowledge of it 
 comes to me from the Rade- 
 macherians, I have generally used 
 it in small j^et material doses. 
 
 It will be interesting to give 
 Rademacher's experience with 
 ClielidoJiium. 
 
 He used it as an organ remedy, 
 or in other words on the Homoeo- 
 
14 The Greater Diseases 
 
 pathic principle in its elementary 
 form of specificity of seat.* 
 
 Rademacher's Use of 
 Chelidoniiim. 
 
 Radeinacher, with the charm- 
 ing simplicity of really great 
 knowledge, tells us in regard to 
 Chelidonium, that he had long 
 despised it as worthless, and con- 
 fessedly to his shame, for he 
 
 *I have entered so fully into the 
 question of the identity of the organo- 
 pathy of the Hohenheimians and the 
 specificity of seat of the homoepaths, 
 in my work entitled "Diseases of the 
 Spleen and Their Remedies Clinically 
 Illustrated" that I may fairly refer my 
 readers hereto in lieu of going over the 
 same ground again here. 
 
of the Liver, 15 
 
 remarks that it was a celebrated 
 hepatic remedy in olden times. 
 (See his Erfarhrungsheillehre, 
 p. 163.) 
 
 He then enters into a long 
 dissertation upon its action and 
 comes to the conclusion that it 
 affects the " inner liver." He says 
 a physician need have no great 
 experience to know that the 
 disease of the liver, that in its 
 perfected form shews itself as 
 jaundice, has endless gradations 
 that in every -day life and in 
 medical speech are not regarded 
 as jaundice. Still the very 
 slightest degree of the jaundice- 
 affection shews itself in the urine 
 by its pale gold colour, and in the 
 
1 6 The Greater Diseases 
 
 skin, particularly in that of the 
 face, by its more or less dirty look. 
 And where there is but little gall 
 in the motions and no icteric 
 discolouration of the skin, it 
 follows that we have in such 
 cases to deal with not merely an 
 obstruction to the outflow T of the 
 gall into the duodenum, but with 
 that unknown organ by which the 
 gall is prepared from the blood ; 
 this gall-making organ is ill, so 
 that bile is not duly prepared at 
 all, and therefore none can be 
 either poured out or absorbed into 
 the skin, or cast out by the urine. 
 This is what Rademacher calls 
 the " inner liver," not indeed as an 
 anatomical expression, but as a 
 figure of speech to convey to the 
 
of the Liver. 17 
 
 mind a more or less accurate and 
 concrete conception of the sphere 
 of action of the Chelidoniitni 
 majus. 
 
 This conception of the true 
 sphere of action of Chelidonium is, 
 I think, correct. 
 
 The cases cited by Rader- 
 macher are mostly u bilious 
 fevers." 
 
 Where the gall ducts are alone 
 implicated he considers7V^.r vomica 
 the right remedy, Hence Cheli- 
 do7izum would be indicated in 
 acholia as well as in jaundice 
 when the affection is primary to 
 the u inner liver." 
 
 Raderaacher's favorite mode of 
 
 c 
 
1 8 The Greater Diseases 
 
 using it is the simple juice of the 
 
 plant with just as much alcohol as 
 
 will clarify and preserve it. His 
 
 dose was at one time one scruple 
 
 of his tincttire a day, but in 
 
 chronic cases of liver affections he 
 
 subsequently came down to tw r o or 
 
 three drops a dose, given four or 
 
 five times a day. He even came 
 
 down to one-drop doses diluted in 
 
 half-a-cupful of water, till at last 
 
 he thinks he might be accused of 
 
 copying the homoeopathic posology 
 
 of " Mr. Hahnemann !" He tells 
 
 us however ( 4 ^Erfahrungsheillehre" 
 
 p, 176), that he first appreciated 
 
 the curative value of small doses 
 
 from Helmont,* who roused in 
 
 *Opera om7iia, p. 552, in the chapter 
 with the superscription Butler. 
 
of the Liver. 19 
 
 his soul the thought that small 
 doses of drugs might have great 
 curative effects. 
 
 But Rademacher confesses that 
 he at first did not clearly perceive 
 the importance of the small dose 
 until he had got rid of his earlier 
 and more gross views, and came 
 from diligent observation to get 
 concise views of primary organ- 
 diseases as they really exist in 
 nature. In a foot-note (p. 176) 
 he protests that the small dose 
 cannot be correctly spoken of 
 as " homoeopathic/' but as being 
 the property of Paracelsus, and 
 refers to the eleventh chapter 
 of the fifth book of Hohenheim's 
 " Chirurgische Schriften," De 
 
20 The Greater Diseases 
 
 Causis et origine luis Galliccz, 
 which he recommends his readers 
 to peruse t attentively, and con- 
 cludes thus .-■.-..'." wenn sie 
 dieses gethan, werden sie wol 
 nicht mehr von homoopathischen 
 Arzeneigaben sprechen, sondern 
 sie werden begreifen, dass die 
 Wahrheit — unwa% und unmessbare 
 Arzeneigaben kbnnen, wenn das 
 durch Krankheit verdnderte Verhalt- 
 niss desKorpers znr Aussenwelt sich 
 dazn eigene, wundervolle Heilwir 
 knngen aussern — mit der soge- 
 nannten homoopathischen Theorie 
 gar nicht in Beruhrung kommt." 
 
 In other words . . . unweighable 
 and immeasurable doses of re- 
 medies can produce wonderfully 
 
of the Liver. 21 
 
 curative effects when the condition 
 of the body in regard to its 
 environment have been altered hy 
 disease and thus rendered sus- 
 ceptible thereto, and thus have 
 nothing at all to do with the so- 
 called homoeopathic theory. 
 
 But this only b}' the way, I am 
 writing of the Greater Diseases of 
 the Liver; still it is pretty evident 
 that Rademacher in his later days 
 had become conscious that his 
 own practice and teachings were 
 leading him, nilly-willy, homoeo- 
 path-wards. 
 
2 2 The Greater Diseases 
 
 Case of Enlargement of the 
 
 jliver with Jaundice cured 
 
 by CheUdonium. 
 
 A lady of seventy, stout, and 
 given to very little exercise, came 
 under my observation, and on 
 examination I found her severe 
 and frequent right-sided pains 
 were due to a swelled liver, which 
 was tender in pressure. Skin and 
 conjunctivae subicteric, motions 
 containing but very little bile ; 
 urine on the contrary loaded with 
 it. vShe was at the seaside and 
 this it was, she said, that had 
 upset her liver. Tongue coated, 
 giddy, low-spirited, pulse inter- 
 
of the Liver. 23 
 
 mittent, insomnia, lethargic, loss 
 of appetite, fear of death. 
 
 Chelidoniiim ma/us in small 
 material doses resulted in complete 
 recovery in ten days, when she 
 returned home with a regular 
 pulse, clear eyes and skin, and all 
 the functions normal, and very 
 decidedly of opinion that life, even 
 at seventy years of age, is not at 
 all a bad thing. 
 
 Enlarged Liver and Conges- 
 tion of the Right Lung, 
 cured by Ckelidontum. 
 
 A young officer in the Army 
 was invalided home from India for 
 liver and lung disease and came 
 
24 The Greater Diseases 
 
 to me. I found his liver large and 
 tender, the right lung engorged, 
 his skin very muddy , bowels costive, 
 and he was dreadfully depressed 
 and weak. He was quite sure he 
 was in consumption. The lung 
 affection I regarded as consecutive 
 to the engorgement of the liver, 
 there being, in the words of 
 Rademacher, a primary affection 
 of the u inner" liver. Chelidonium 
 in small material doses quite 
 restored him to health in three 
 weeks. In due course he returned 
 to his regiment. 
 
of the Liver. 25 
 
 Case of Pronounced Jaundice 
 Cured by Chelzdonzum. 
 
 A middle-aged gentleman, a 
 merchant, returned from the East 
 Indies with very severe jaundice, 
 which had resulted in considerable 
 emaciation. The voyage home 
 and a stay of some duration in the 
 north had not mended matters. 
 He was very depressed in spirits, 
 almost the colour of mahogany, 
 and the urine was verv scant and 
 brown-yellow. His bowels very 
 constipated. 
 
 How quickly and pleasantly he 
 was cured, he even now never 
 tires of telling his Manchester 
 friends. 
 
26 The Greater Diseases 
 
 I might tell of a lady who had 
 severe and long-lasting jaundice 
 and who was speedily cured by 
 Chelidonium, and of a notable 
 number of other cases of liver 
 affections cured by it, but it is 
 needless. What I have already 
 narrated will suffice. 
 
 I would, however, just dwell 
 upon the fact that Chelzdonzum will 
 very frequently cure engorgements 
 of the right lung even when it is a 
 concomitant of true phthisis, but it 
 has no influence over the general 
 phthisical state, other than what 
 pertains to, and results from, the 
 lower half of the right lung and 
 liver. As an intercurrent remedy 
 in the hepatic complications of 
 
of the Liver. 27 
 
 phthisis it is capable of rendering 
 important service. 
 
 Likewise as an intercurrent 
 remedy in gall-stones it is useful, 
 as is also Myrica cerifera, but both 
 stand far behind Hydrastes in this 
 affection. 
 
 My own conception of its true 
 seat of action is that it affects the 
 liver cells : Rademacher's " inner" 
 liver. 
 
 There are numerous affections 
 of the liver that Chelidonium will 
 not touch curatively at all, and 
 therefore it must not be regarded 
 as a liver cure-all, which it is 
 not. 
 
28 The' Greater Diseases 
 
 For instance, it affects the left 
 lobe of the liver much less than 
 does Carduus Marice, to a con- 
 sideration of which we will proceed 
 after having first given a short 
 account of Rademacher's use of 
 a combination of Chelidonium and 
 Calcarea muriatica. 
 
 Rademacher'S Use of Chelidonium 
 and Liq. Calcarice muriat. 
 
 Our author tells us he is con- 
 vinced that there exists in nature 
 a liver disease that can only be 
 cured by a mixture of Chelidonium 
 and Liq Calcariae Muriat. 
 
of the Liver. 29 
 
 This is his formula 2— 
 
 R Liq. Calcariae muriat., 5 ii. 
 Tinct. Chelidonii, g i. 
 M. 
 
 He administered fifteen drops 
 in half-a-cupful of water five times 
 a day. With this he cured many 
 eases of grave fevers and hepatic 
 affections that did not mend with 
 either remedy by itself, but he tells 
 us he knows of no reliable or 
 characteristic indications for its 
 choice. 
 
 I might add that muriatic acid 
 once had a seemingly well-founded 
 reputation as a liver remedy ; and 
 some still esteem it highly. 
 
30 The Greater Diseases 
 
 The Curative Sphere of Carduus 
 
 MaricB in LivER, Spleen, and 
 
 Abdominal Affections. 
 
 Certain remedies have very 
 limited special spheres of influence 
 and our power to cure diseases is 
 largely conditioned by our know- 
 ledge of such spheres. I am 
 increasingly impressed with the 
 importance of knowing where the 
 remedy acts by special elective 
 affinity. As I have dealt with 
 spleen affections by themselves, 
 without making any special re- 
 ference to Carduus Marice (the 
 seeds are the officinal part), I will 
 at once exemplify its action here. 
 
of the Liver. 31 
 
 Enlargement of Liver and 
 
 Spleen Cured by 
 
 Cardans. 
 
 A young lady, of sixteen sum- 
 mers, was brought to me by her 
 mother on the seventh of Septem- 
 ber, 1887, for severe attacks of 
 vomiting that had lasted for three 
 months. She was often roused 
 rudely from her sleep in the 
 morning with an attack of vomit- 
 ing. Her constitution had been 
 damaged by diphtheria, and 
 eighteen months previously she 
 had had varicella. I treated the 
 case symptomatically with great 
 relief to the vomiting, but the 
 
32 The Greater Diseases 
 
 pains in the abdomen became 
 rather worse than better. 
 
 After I had given her my old 
 favorite Nat. mur. 6 she was still 
 further improved, but there the 
 thing still was : I had relieved the 
 symptoms but I had not cured the 
 real primary seat of the same. I 
 then did what might with advan- 
 tage have been done before the 
 treatment was begun, viz.: I made 
 a careful physical examination of 
 the bare epigastrium and of the 
 two hypochondria, With what 
 result ? The note in my case 
 book taken at the time will 
 enlighten us . . . . " Liver and 
 spleen both very much enlarged so 
 that they seem almost to fill the 
 abdomen." 
 
of the Liver. 33 
 
 Here I had to do with the 
 severe and long-lasting vomiting 
 which yielded partially to close 
 symptomatic treatment but would 
 not get qtiite well .... (Oh, how 
 often are we in this unsatisfactory 
 state) ; and a physical examination 
 revealed the reason of my failure. 
 I had treated the case with 
 remedies that were homcepathic 
 to the superficial symptoms, but 
 NOT homoeopathic to the cause of 
 those symptoms ; the degree of 
 homoeopathicity was not adequate 
 though it went a long way 
 towards it. 
 
 Here I fell back upon my 
 Rademacherian experience with 
 Car dims and gave five drops of the 
 matrix tincture in a. table spoonful 
 
 D 
 
34 The Greater Diseases 
 
 of water, night and morning, and 
 this cnred the enlargement both of 
 Spleen and of Liver, and as this 
 enlargement was the cause of the 
 pains and vomiting, of conrse 
 pains and vomiting likewise dis- 
 appeared. 
 
 The only further abnormality 
 which I conld discover in the 
 young lady after taking the Carduns 
 Marice for about five weeks was an 
 indurated condition of a few of the 
 cervical glands of her left side : 
 the side on which she had been 
 vaccinated ; Thuja occidental-is 30, 
 in infrequent doses, cured these 
 and patient has had no vomiting 
 or any of its concomitants since. 
 She continues well to date. 
 
of the Liver. 35 
 
 Although my own prescription 
 of Cardmis was from pure experi- 
 ence, there can be hardly any 
 doubt that an adequate proving 
 would shew its homoeopathicity to 
 the case, inclusive of the enlarge- 
 ments of liver and spleen. 
 
 Riel's proving of Cardials shews 
 it to produce pathogenetically : 
 " nausea, uneasiness, pain, vom- 
 iting, with inflation of the 
 abdomen, &c" 
 
 The generally improved ap- 
 pearance of the young lady after 
 she had been a month under the 
 Carduus was very striking, and 
 repeatedly remarked upon, by 
 friends who were not acquainted 
 
36 The Greater Diseases 
 
 with the circumstances of her 
 ill-health and its treatment at all. 
 
 The kind of liver enlargement 
 which 'Carduus cures is in the 
 transverse measurement. 
 
 By way of comparison I will 
 now quite shortly exemplify the 
 kind of enlargement of the liver 
 which is cured by Chelidonium ; it 
 will be seen that the comparison 
 is crude and mechanical, yet 
 withal, I submit, not without 
 practical value. 
 
of the Liver. 37 
 
 Enlargement of the Liver in 
 
 the Perpendicular Line 
 
 cured by Cheltdomum. 
 
 An independent gentleman of 
 thirty, usually resident in Paris, 
 came over to London to consult 
 me in the early part of the } T ear 
 1886, and that for his liver and 
 for dyspepsia. He had twice had 
 jaundice in previous times. His 
 symptoms were waterbrash, indi- 
 gestion, constipation, attacks of 
 intra-abdominal chilliness ; he was 
 very dusky, his urine had a strongly 
 urinous smell. His liver reaches 
 almost up to the right nipple. 
 
38 The Greater Diseases 
 
 An ounce of the tincture 
 brought the liver back to the 
 normal ; the dose was five drops 
 in water, two or three times a day, 
 and sometimes once a day. But 
 altogether he consumed nearly an 
 ounce. 
 
 This is the kind of hepatic 
 enlargement which Chelidonium 
 rights in small material doses. 
 But it did not restore the patient 
 to complete health ; why ? For 
 the simple reason that the increase 
 in the perpendicular measurement 
 of the liver was only a part of his 
 complaint, the other bearings of 
 the case being foreign to my 
 present thesis. Suffice it to say 
 that his liver was cured by the 
 
of the Liver. 39 
 
 Chelidonium, and patient continues 
 well in these (and now in the 
 other) respects to the present 
 time. 
 
 It is well to realize that an 
 organ-remedy while capable of 
 curing an organ-disease, and all 
 the concomitant symptoms which 
 arise from the organ-disease, never- 
 theless can in the nature of things 
 not cure the concomitant symptoms 
 in the patient when these symp- 
 toms stand in no nexus with such 
 organ-disease. Thus I treated a 
 young lady for a liver disease and 
 gave her successively Carduus, 
 Chelidoniiim,Natrnm Sulp/mrictim, 
 Taraxacum. 
 
40 The Greater Diseases 
 
 She had a mapped tongue and 
 vomiting, with headaches and 
 squinting. The liver was reduced 
 to its right dimensions and the 
 vomiting was cured, but the map- 
 piness of the tongue remained, 
 and patient did not feel well. But 
 the tongue became normal after a 
 month of Thuja 30. She had 
 headaches which she herself term- 
 ed bilious and the others neuralgic, 
 and there was a third kind of 
 headache called by another name 
 and which seemed distinctly con- 
 nected with the squinting. The 
 bilious headaches ceased after the 
 use of the before-mentioned hepa- 
 tics ; the neuralgic headaches 
 continued till after the Thuja, and 
 disappeared simultaneously with 
 
oj the Liver. 41 
 
 the mapped state of the tongue. 
 The squint-headaches she still 
 gets, and remedies like Glonoin and 
 Gelsemiiim do them good. 
 
 From these considerations it is 
 manifest that there are cases that 
 cannot possibly be cured by one 
 remedy and inasmuch as the 
 symptoms form part respectively 
 of groups of different causations, 
 covering the totality of all the 
 symptoms present in the patient 
 would be a useless and fruitless 
 task. Hence it is that Rade- 
 macherian organ-testing helps me 
 so much in my everyday practical 
 clinical life; for, if I cure an 
 organ with its Appropiatum Para- 
 ce/sz) and certain symptoms go 
 
42 The Greater Diseases 
 
 while others remain I am enabled 
 slowly to unravel the most com- 
 plex groups of symptoms and 
 finally find a simile or even the 
 simillimum of the ground-evil. 
 
 The adage Naturam morborum 
 ostendunt cura hones also comes in 
 here as an auxiliary. With me it 
 is an axiom to relieve uncom- 
 fortable or dangerous organ-states 
 with simple organ-remedies as 
 promptly as possible, leaving the 
 more remote and deeper-going to 
 be afterwards considered, and 
 treated, if possible, with its patho- 
 logical simillimum, or else aetiologi- 
 cally, say according to Hahnemann 
 in his Coethen phase. 
 
of the Liver. 43 
 
 Carduus Maries in its Relation 
 with Liver and the Skin. 
 
 Perhaps it would be more 
 correct to think of the matter as 
 twigs of the same branch. Thus 
 in my small work on the Skin* I 
 mention the seeming connection 
 between the cutaneous surface of 
 the sternum and other internal 
 affections, notably of the left lobe 
 of the liver therewith. 
 
 Subsequent experience has 
 taught me that although the 
 Carduus cures these cases very 
 
 *" Diseases of the Skin from the 
 Organismic Standpoint. "-London, 1886. 
 
44 The Create?- Diseases 
 
 promptly and indeed brilliantly, 
 still the. cutaneous eruption is apt 
 to recur. In support of this con- 
 nection ; or, perhaps, it might be 
 wiser to say concomitancy, I there 
 give some Carduus cases thus : — 
 
 The " Sternal Patch." 
 
 One often meets with liver 
 affections connected with cutane- 
 ous manifestations. 
 
 I would like particularly to refer 
 to a patch of eruption on the skin 
 covering the lower part of the 
 sternum which I have several 
 times found co-exist w r ith heart 
 disease and swelling of the left lobe 
 of the liver. In my case-takings 
 I call it the "sternal patch." 
 
of the Liver. 45 
 
 I have four such cases in ray 
 mind at this moment, the first I 
 will narrate is that of a mayor of a 
 large town in the north : — He had 
 a patch of brownish eruption on 
 the sternal portion of thorax of the 
 size of a woman's palm ; with it 
 were associated an enlarged liver 
 and a cardiac affection evidenced 
 by palpitation, systolic murmur, 
 and general uneasiness. He came 
 to town to see me at odd intervals 
 for about two } r ears, and was then 
 discharged cured. He has passed 
 under my observation since, but 
 though his liver gives no trouble 
 the same cannot be said of his 
 skin, and he has moreover pyor- 
 rlicea alveolaris. 
 
46 The Greater Diseases 
 
 I treated him antipsorically and 
 organopathically, the most notable 
 benefit being derived from Carduus 
 Marzce in five drop doses of the 
 strong tincture given three times a 
 day. 
 
 The second I remember was a 
 Manchester merchant, with the 
 same kind of cntaneons patch on 
 the sternum, and very notable 
 heart trouble with arcus senilis as 
 a concomitant. Here the ease and 
 comfort brought by the Carduus 
 Maries were very striking. Under 
 date of January 31^/, 1883, I find 
 in my case book these words of 
 the enthusiastic patient— " It had 
 a most marvellous effect, soon 
 made me right ; the patch went 
 
of the Liver. 47 
 
 away in a fortnight ; had had it for 
 years/' 
 
 This gentleman has remained 
 under my care, calling upon me at 
 odd times when in town, and 
 during the past two years has had 
 besides the strong tincture of 
 Carduus, Bellis Perennis 1, Aurum 
 Metallicum 4, Vanadium 6, and 
 Acidum Oxalicum 3*, and some 
 other remedies, and I consider him 
 vastly improved, and his life — 
 speaking commercially — worth 40 
 per cent, more than previously. 
 
 The third case was that of a 
 New York merchant, who suffered 
 from liver and had come over to 
 Europe to consult a phj^sician, as 
 he seemed to get no better from 
 the treatment of his New York 
 
48 The Greater Diseases 
 
 advisers. I found his liver very 
 much enlarged, and also the 
 before-mentioned sternal patch of 
 skin-disease. I gave him Carduns 
 in like dose to the foregoing, and 
 he came in a week declaring 
 himself quite well. I advised him 
 to remain awhile under observa- 
 tion, to see if the cure proved 
 permanent, but he hurried out of 
 my room in great glee, and I never 
 saw him again. 
 
 The fourth case in which I 
 found the sternal patch and 
 enlarged liver, giddiness, and pal- 
 pitations of the heart, was that of 
 a London lawyer. Here the liver 
 got well, and the heart too, 
 together with the giddiness, but it 
 
of the Liver. 49 
 
 needed a course of antipsoric 
 treatment to finish the cure of the 
 patch of diseased skin. I might 
 say the same of a fifth case, an 
 officer in the Royal Navy, where 
 this patch co-exists with hyper- 
 trophied liver, and in which the 
 affair has a specific air about it, 
 probably inherited, and it may be 
 that when Sarcognomy is better 
 understood, and when the relations 
 of the various cutaneous regions 
 will be recognized as constituting 
 the very base of medical and medi- 
 cinal diagnosis, this sternal patch 
 will be understood to indicate 
 11 liver and heart." 
 
 But the following Case cured 
 by Cardnus is also instructive in 
 
 E 
 
50 The Greate}' Diseases 
 
 considering its relationship to skin 
 and liver. 
 
 A city merchant, thirty years 
 of age, unmarried, came to me in 
 May, 1888, for windy dyspepsia, 
 the probable ground-work of which 
 proved to be an enlargement both 
 of liver and spleen, and he had 
 amongst other things very numer- 
 ous sebaceous cysts strewn about 
 his body, looking for all the world 
 like the malva seeds (cases), 
 children call cheeses. 
 
 At first I gave Ceanothiis 
 Americanus, believing it to be 
 primarily a spleen affection, and 
 then Pulsatilla, but they did no 
 great good; when Cardans, given 
 
of the Liver. 51 
 
 for a little over a month, brought 
 the liver back to the normal and 
 all the wee wens were gone. 
 
 The enlargement of the liver 
 and the wens disappeared simul- 
 taneously, but the genuinely causal 
 nature of both was neither hepatic 
 nor cutaneous : That was scrofula. 
 But as scrofula can only be treated 
 in its manifestations, he who treats 
 such manifestations successfully 
 cures it. The general improve- 
 ment under Cardiacs was most 
 striking and lasting : patient got 
 quite well and has since happily 
 married. 
 
 E. Stahl speaks in his Disserta- 
 tions most highly of Carduus in 
 those inflammations of the chest 
 
52 The Greater Diseases 
 
 which are accompanied by gall 
 fevers, and it was from him that 
 Rademacher first learned its use 
 and never ceased to prize it, 
 notably in blood spitting from liver 
 and spleen engorgements. No 
 remedy, he declares, in our whole 
 drug store, can compare to Car- 
 duus when there are stitches in 
 the side with bloody expectoration. 
 He recommends his readers to 
 note well where the last trace of 
 pain is felt as it dies away, as that 
 is likely to be the primary seat of 
 the real disease. 
 
of the Liver. 53 
 
 Case of Jaundice in a New- 
 born Babe, cured by 
 My r tea Cerifera. 
 
 An able accoucheur attended a 
 lady who bore a jaundiced babe; 
 said he, " I cannot give that wee 
 thing any medicine, so you had 
 better send for your homoeopath 
 (meaning me), as he can give 
 some of his 'pips'!" This was 
 done and pilules of Myrica Cerifera 
 3 X (crushed into a powder and 
 rubbed on the baby's tongue) 
 rapidly cured him, and he at once 
 began to put on flesh, and has 
 thriven ever since. Before taking 
 the Myrica he was very weedy, 
 thin, and leathery-looking. 
 
 Myrica Cerifera is one of the 
 
54 The Greater Diseases 
 
 very valuable additions to our 
 materia medica that have come to 
 us from America. I have often 
 used it in liver disease, notably in 
 bad cases of jaundice, with striking 
 success; it produces jaundice in 
 the healthy pathogenetically, and 
 is very searching in its action. It 
 was the great American Samuel 
 Thomson, the botanic practitioner, 
 who brought it into notice. A 
 pale green wax is obtained from 
 its berries, and hence it is called 
 ceriferus, or wax-bearing. Its 
 powdered bark was Thomson's 
 u canker powder," and he advised 
 it in all discharges from the 
 mucous surfaces, especially in 
 leucorrhoea, dysentery, and nasal 
 catarrh. 
 
of the Liver. 55 
 
 Dr. Leland Walker's proving, 
 as given in " Hale's New Rem- 
 edies," shews an accnrate pictnre of 
 severe catarrhal jaundice; we are, 
 therefore, on indisputably scientific 
 ground when we prescribe Myrica 
 for catarrhal jaundice. No wonder 
 that the old American botanists 
 practised with so much success. 
 That Thomson was a close and 
 accurate observer may be seen 
 from the fact that he commends it 
 to " disengage the thick viscid 
 secretions of the mucous mem- 
 brane," for we find Walker's patho- 
 genetic Myrica-catarrh was of the 
 same viscid quality ; he says : 
 " throat and nasal organs filled 
 with an offensive tenacious mucus." 
 
56 The Greater Diseases 
 
 Leptandra Virginica 
 Is another valuable contribution 
 from America, affecting the liver, 
 mucous membrane, lungs, and 
 pleura. Roughly, it is the mer- 
 cury of the eclectics. It has never 
 been a favourite of mine, simply 
 because I have not needed it, 
 inasmuch as it closely resembles 
 Chelidonium in its effects. I once 
 saw Dr. Reginald Jones, of 
 Birkenhead, make a brilliant cure 
 of a severe case of right-sided 
 pneumonia with it — its prompt, 
 decisive, curative action was un- 
 mistakeable. 
 
 In the lazy livers of city men, 
 I have used Leptandrin 3 X in six- 
 
of the Liver. 57 
 
 grain doses with great satisfaction 
 to the patients. 
 
 Sanguinaria Canadensis is, in 
 truth, a liver medicine, but not 
 primarily or principally so, and 
 is too great a remedy to be 
 mentioned only in passing. 
 
 Podophyllum Peltatum is a 
 great liver remedy, and has been 
 greatly abused. Its use in " torpid 
 liver " is not good practice, and 
 has done much harm. Its true 
 scientific homoeopathic use is in 
 diarrhoea from overflowing bile, 
 with much irritation, and even 
 inflammation of the gut. It once 
 stood me in good stead in a case 
 of diarrhoea that threatened to end 
 fatally — at any rate the allopathic 
 
58 The Greater Diseases 
 family adviser had informed the 
 lady's husband that he considered 
 the patient would not recover, as 
 nothing would check the diarrhoea, 
 and the lady was seemingly sink- 
 ing. I was telegraphed for, and 
 had to travel nearly 200 miles. 
 On arriving, the family physician, 
 although he had given the patient 
 up as past recovery, declined to 
 meet me because of my homoeo- 
 pathic creed, and this although he 
 professed to be a friend of the 
 family, and only lived two doors 
 off. The stools were foul-smelling, 
 hot, bilious, excoriating, and passed 
 out of the anus in a constant 
 dribble. The patient had become 
 too weak to be raised or even 
 adequately helped, and things had 
 
of the Liver. 59 
 
 to be just left. I studied the case 
 a short time, and finally decided 
 upon Podophyllum 6. The next 
 evening patient was convalescent, 
 and I returned to town. The 
 cure was complete and permanent. 
 When the family physician had 
 heard of my departure, he return- 
 ed and very kindly watched the 
 case for me, still giving my 
 remedy. " Why," said he, " Podo- 
 phyllum is one of our allopathic 
 medicines, it is not a homoeopathic 
 medicine at all ; they have stolen 
 it from us." 
 
 The poor ignoramus still knows 
 not that the use of the remedy, 
 1. e., the principle on which it is 
 used, is the point at issue. 
 
60 The Greater Diseases 
 
 It might be asked, why would 
 this dapper medico not meet the 
 writer over a supposedly dying 
 patient, and would yet accept the 
 more humble position of merely 
 watching the case and giving my 
 remedy after I had departed ? 
 
 It was thus : He and another 
 doctor in the place each consid- 
 ered himself the first man there ; 
 and if his rival had heard that he 
 had met a homoeopathic practi- 
 tioner in proper consultation, he 
 would have been denounced for 
 unprofessional conduct, and his 
 status lowered in the eyes of dear 
 Mrs. and Dr. Grundy. He 
 declared to the family that he 
 personally should have been 
 
of the Liver. 61 
 
 delighted to have met me, but 
 that he had to consider his own 
 position. 
 
 Such is medical life here in 
 England to-day. Still, for all 
 that, Podophyllum 6, humanly 
 speaking, saved the lady's life ; 
 and I, having done my duty, 
 have therein my reward, and I 
 thank God for the privilege. 
 
 In the debility from jaundice 
 I have found Picric Acid very 
 helpful. I have commonly used 
 it in the third dilution. 
 
 I have found the Brassica 
 Murialis, which Dr. Heath tells 
 me should be called Diplotaxis 
 
62 The Greater Diseases 
 
 Temufolza ) of good service in the 
 lazy livers of relaxing climates, 
 when patients feel as if they could 
 scarcely crawl about from sheer 
 goneness. It is homoeopathic to 
 such, as I know from a fragment- 
 ary proving made by myself in 
 1874. 
 
 Gallstones. 
 
 In the treatment of gallstones 
 Ave have to consider the attacks 
 of gall colic and the treatment of 
 the stones themselves when they 
 lie in the gall bladder giving no 
 one any trouble. I have treated 
 gallstones and gallstone colic a 
 good many times with hepatics 
 
of the Liver. 63 
 
 of various kinds, and have found 
 myself best in the painful attacks 
 with Hydrastis Canadensis, origin- 
 ally given from a suggestion of 
 Dr. Henry Thomas. A great 
 many remedies stand in good 
 repute for the treatment of this 
 almost unique complaint. I have 
 used as much as ten-drop doses of 
 the strong tincture of Hydrastis, 
 given every half-hour in very warm 
 water, and known it succeed in a 
 few hours after everything had 
 failed. In one case the patient 
 had lain for 40 hours in terrible 
 agony, unrelieved by any known 
 thing. It is odd that people who 
 have been taking Hydrastis, not 
 infrequently think they have been 
 
64 The Greater Diseases 
 
 taking Opium. After the attack 
 of pain is over, it is best to set 
 about curing the liver itself by a 
 long course of homoeopathically- 
 indicated remedies, whose names 
 are legion ; for it must be manifest 
 that gallstones are a secondary 
 affection, due to a previous con- 
 dition either of the liver or of the 
 gall, or of the gall bladder, or of 
 the linings of the ducts. In some 
 cases I have thought the whole 
 state had started originally in 
 catarrhal jaundice. 
 
 My own procedure I will 
 exemplify by narrating a case in 
 point at some length. 
 
of the Liver. 65 
 
 Case of Gallstones and 
 Organic Disease of Liver. 
 A lady of fifty ' years of age 
 came under my observation early 
 in the year 1888 with a very 
 muddy complexion, subicteric 
 whites of the eyes. She suffered 
 very much from acidity and also 
 from vomiting. 
 
 She told me she had been a 
 sufferer from her liver for many 
 years ; severe bilious headaches 
 and dyspepsia. She had been 
 mercurialized for her liver till all 
 her teeth fell out, and now her 
 digestion had given in almost 
 completely, and she had become 
 so thin that her appearance was 
 
 F 
 
66 The Greater Diseases 
 
 quite cachetic. She had got so 
 frightened of anything bringing on 
 her attacks of gall colic that she 
 avoided almost every article of 
 food. 
 
 Owing to her great emaciation 
 and trim build I was able to make 
 the diagnosis of gallstones from 
 actually feeling them, a thing I 
 am very rarely able to do myself. 
 The region of the gall bladder 
 was, however, so tender that a 
 very little feeling with my hands 
 was as much as she could bear. I 
 treated her for close upon two 
 years, and then she was a plump, 
 bonny woman, enjoying her life 
 and dining out with her friends. 
 Her skin had become compara- 
 
of the Liver. 67 
 
 tively healthy looking, though not 
 as clear as a healthy English 
 lady's generally is. 
 
 I chose the remedies on homoe- 
 opathic indications, and here and 
 there as Rademacher would have 
 done; and, when I the last few 
 times examined the region of the 
 gall bladder, I entirely failed to 
 find any stones. 
 
 She had the following remedies 
 seriatim, Ignatia aviara i x , Cheli- 
 donium i x and </>, Nux vomica i x , 
 Cholesterine 3 X , Hydrastis Can. *, 
 Thuja occ. 30, Sanguinaria Can. *, 
 Car dims Maricz * , and Bilirubin. 5. 
 All these remedies did their por- 
 tion of the good, and were given as 
 they were indicated. 
 
68 The Greater Diseases 
 
 I have rarely seen a more 
 satisfactory cure of a difficult, 
 almost desperate, chronic case, 
 and quite as rarely had a patient, 
 with a worse family history. 
 Which remedy cured the patient ? 
 All of them. 
 
 There is a Carduus case that 
 should have come in earlier on, 
 but I had mislaid the MS., and 
 as it is short I will add it here, 
 and principally because it neatly 
 exemplifies the Carduus action. 
 Five years have elapsed since the 
 patient was cured, and there has 
 been no return of any of the 
 symptoms, and he has continued 
 otherwise in uninterruptedly good 
 health. 
 
of the Liver. 69 
 
 Hypertrophy of left lobe of 
 the Liver ; Slight Hyper- 
 trophy of the Heart ; 
 Sternal Patch. 
 
 On January 27///, 1885, a } r oung 
 gentleman, twenty-one years of 
 age, and who had long been ailing 
 of no one seemed to know what, 
 was sent by his father to me 
 " to be thoroughly overhauled 
 and put right." The overhauling 
 disclosed slight enlargement of 
 the heart, considerable enlarge- 
 ment of the left lobe of the liver, 
 and a very prominent sternal patch. 
 Patient complained of suffering a 
 good deal from giddiness. 
 
70 The Greater Diseases 
 
 Tfy Carduus Maricz </>, five drops 
 
 in water night and morning. 
 
 # 
 
 He was discharged permanently 
 cured in six months. During a 
 considerable portion of the time 
 he was taking the Carduus, which 
 quite set heart and liver right, 
 but the sternal patch I had to 
 cure nosodically, of which . . 
 une autre fois. I often see members 
 of this gentleman's family includ- 
 ing his parents, and know, as I 
 said just now, that he has con- 
 tinued well ever since. 
 
 We will now return to gall- 
 stones. 
 
 An elderly lady came under 
 my observation early in the 
 
 
of the Liver. 71 
 
 summer of 1888, for gallstones, 
 characterised by frequent recur- 
 rent attacks of jaundice, colic, 
 and vomiting, with the usual 
 agonizing pains. She was under 
 me a good many months — about 
 eighteen, if I remember rightly — 
 and then discontinued her treat- 
 ment, and has since continued 
 well. I strongly urged her to go 
 on longer, lest there should still 
 be present the remains of the old 
 colic-causing stones, but to no 
 avail. Why should I continue 
 taking medicines when I am well ? 
 
 She had in succession (and 
 several repeatedly) , Kali Bzchrom- 
 icnm, Carduus Marice, Hydrastis 
 Canadensis, Primus Virginiana, 
 
72 The Greater Diseases 
 
 Cholesterine, lodoformum, and final- 
 ly Ferrum Picriciim 3 X . The last- 
 named medicine does capital 
 service in bilious debility. 
 
 Case of Colic from Gallstones. 
 
 A middle-aged gentleman 
 brought his wife to me three 
 years since to be treated for 
 gallstones, and the usual attacks 
 of colic with vomiting, that came 
 on at odd intervals, from known 
 and unknown causes. Patient had 
 been long under their own doctor 
 in the country, but to no good 
 purpose ; in fact, a chronic pain 
 in the right side had been super- 
 added to the before-mentioned 
 
of the Liver, 73 
 
 colic attacks, and patient had lost 
 flesh a good deal. She paid me 
 visits once a month for many 
 months, until she was quite well 
 and in a thoroughly thriving 
 condition. 
 
 However, I told the husband 
 that I did not think the biliary 
 calculi were really entirely gone, 
 and that I thought it would be 
 wise to continue with the use 
 of gentle gall-medicines till we 
 had sounder ground for believing 
 that there would be no further 
 relapses. 
 
 But patient seemed and looked 
 in such capital health that there 
 really seemed, from their stand- 
 
74 The Greater Diseases 
 
 point, no reason for continuing 
 my treatment, so my warning 
 was not regarded. 
 
 The remedies that helped so 
 brilliantly in this case were 
 Hydrastis, Carduus, Chelidonium 
 and Berberis, and two or three 
 others which I have not noted. 
 
 It must be fully a year since 
 I saw any of the family, but this 
 morning I was prescribing for her 
 brother-in-law, who told me that 
 she is now lying in the country 
 very ill with gallstones, and her 
 attending physicians consider her 
 case hopeless. So all experience 
 goes to show that the after- 
 treatment of gallstones should be 
 
of the Liver. 75 
 
 carried on for a very long time, 
 so as to get rid of the disease 
 altogether. Long delay at the 
 printers' enables me to add that 
 after having been thus given tip, 
 this lady again placed herself under 
 my care, and has at la'st completely 
 recovered her health, Euonymin 
 and Thlaspi Bursa Pastoris 
 * having helped most. 
 
 How the biliary calculi are 
 dissolved I am unable to say ; 
 that they are eventually really 
 and truly got rid of by dissolu- 
 tion I infer from the fact that the 
 sufferers get well and remain so. 
 
 It might be asked : What is 
 your indication for Bursa Pastoris 
 in Gallstones ? 
 
76 The Greater Diseases 
 
 Answer : When the original 
 liver-ailing started primarily from 
 the womb. I will refer to this 
 again. 
 
 Chronic Bilousness and Emacia- 
 tion cured by Chelidonium. 
 
 A strumous gentleman, about 
 thirty years of age, came over 
 from Ireland to consult me with 
 regard to loss of flesh, dyspepsia, 
 and biliousness. He was over 
 six feet in height, and only weighed 
 ten stone. Hair reddish ; thorax 
 flat ; pronounced venous zig-zag ; 
 digestion very weak ; poor appe- 
 tite ; a brownish rash across the 
 epigastrium ; cannot digest vege- 
 tables. 
 
of ihe Liver. 77 
 
 The state of the liver led me 
 to prescribe Chelidonium 1 ; five 
 drops in water night and morning. 
 
 Under this prescription (with 
 the same diet, occupation, and 
 place of abode as previously), he 
 increased five pounds in weight in 
 thirty-two days. In six months he 
 had reached 10-stone 12 lbs. in 
 weight, and he long after re- 
 ported to me that he had " re- 
 mained in very good health, 
 indeed." Besides being for some 
 months under the influence of 
 Chelzdontumfet had inter-currently 
 also Badiaga 3 X and Psorinttm 30, 
 each during one month. 
 
 The state of the skin caused 
 me to interpose Psurinnm, and 
 
j 8 The Greater Diseases 
 
 some symptoms of indigestion led 
 me to give the Badiaga. 
 
 But the strikingly great ame- 
 lioration set in first under the 
 sole influence of the Chelidonium, 
 but this remedy did not extend 
 its influence far enough or wide 
 enough, and hence it had to be 
 supplemented by the other two, 
 but with the spheres of action of 
 them we are here not concerned. 
 
 Enlargement of Liver, 
 
 producing Shortness of Breath 
 
 and Palpitation, cured by 
 
 Chelidonium majus 3 X . 
 
 Some years since a retired 
 merchant, sixty-eight years of age, 
 
of the u Liver. 79 
 
 consulted me for a supposed affec- 
 tion of his heart. He complained 
 of obesity, fulness in the stomach, 
 volent perspirations on moving 
 about — so much so that he was in 
 the habit of changing shirts during 
 the forenoon already; feels puff3 r 
 on going up a hill ; loses his breath 
 from the stomach on the least hurry. 
 Has a fresh healthy look. No ar- 
 cus senilis. Is very active, and 
 takes a good deal of exercise. 
 
 After taking twenty drops of 
 Chelidonitmi maj. 3 X per diem for a 
 few weeks I noted, at his dictation : 
 " The puffiness is much better; 
 I can walk with greater ease ; I 
 feel as if something were gone 
 from me." That is to say, his 
 
So The Greater Diseases 
 
 swelled liver had gone down and 
 there was more playroom for his 
 lungs and heart. 
 
 He weighed 15-stone 9 lbs., 
 and under the action of Chelidon- 
 ium this came down to 15-stone 
 6 lbs. 
 
 He afterwards had Cheltdonium 
 1, and also Euonymin 3 X , and after 
 15 months' treatment he had gone 
 down one stone in weight, and was 
 able to go up hill and upstairs 
 with comfort. 
 
 I saw him a year later for neur- 
 algia, when Silicea 200 was follow- 
 ed by the disappearance of the 
 neuralgia. 
 
of the Liver. 81 
 
 Case of Gall Colic cured by 
 My r tea Cerifera 3 X . 
 
 In the year 1889 a lady of 
 some 30 odd years of age came 
 to consult me for her liver. She 
 seemed healthy and bright, but 
 severe pains in her right side, 
 pyrosis, and certain brown patches 
 on her skin clearly implicated the 
 liver. Patient took for a month 
 Chelidonium <*> with distinct benefit. 
 She afterwards had Ignatia amara 1 
 and subsequently Hydrastis Can. <*>, 
 and both with some considerable 
 benefit. 
 
 She came then to town to see 
 me, when I again failed to find 
 
 G 
 
82 The Greater Diseases 
 
 anything to account for her dys- 
 pepsia, though the pain I could 
 trace clearly to the gall-bladder. 
 
 After taking Myrica cerif. 3 X , 
 five drops in a table-spoonful of 
 water, for some weeks, I received 
 a very grateful letter from her, in 
 which she says : " That medicine 
 has done me a great deal of good ; 
 I have lost all pain in my side, 
 and have had only one headache, 
 and no indigestion, and I walk six 
 miles a day." 
 
 What the exact state of the 
 gall-ducts was of course I could 
 not tell ; I could not feel any 
 calculi; none had ever been 
 passed, she thought. 
 
of the Liver, 83 
 
 Although Chelidonium and 
 Hydrastis both did much good, it 
 was the Myrica that really hit the 
 mark curatively. 
 
 When a patient gets the right 
 organ-remedy it is often really 
 astonishing how their feeling of 
 bien-etre is augmented : they not 
 only become well, they very em- 
 phatically feel it; they are, as it 
 w r ere, aggressively well. 
 
 Of course, a good complexion 
 means health, more or less, but 
 the liver is very specially involved 
 in producing a clean skin and clear 
 complexion ; and I propose by- 
 and-bye to dilate upon this point 
 
84 The Greater Diseases 
 
 somewhat, as I consider it im- 
 portant.* 
 
 Case of Tawniness of Skin, 
 Bronchial Catarrh, and Cough. 
 
 The tawn}^ skin is met with 
 in greatest perfection in those 
 who have lived in hot conntries ; 
 and, where this dirty-looking 
 dinginess of the skin is not 
 from constitutional disease, or 
 inherited from phthisically-dis- 
 posed parents* it is quite amenable 
 to treatment. The tawny dis- 
 coloration can be more or less 
 removed. This tawniness I re- 
 
 *See, on this subject, my " Five 
 Years' Experience in the New Cure of 
 Consumption." 
 
 
of the Liver. 85 
 
 gard as chronic subicterism, and, 
 indeed, the anti-icterics cure such 
 cases beautifully. They general^ 
 take a good deal of time to be 
 really and permanently cured, 
 and a whole series of such 
 remedies have to be brought into 
 play in succession, one after the 
 other, together with here and there 
 an inter-current nosode; but at 
 times the\^ will mend quickl}- from 
 one or two remedies only. 
 
 Thus at the beginning of the 
 current year a cit}^ merchant, 
 fifty-five 3^ears of age, came to 
 consult me for a cough, with a 
 bronchial catarrh. The tawniness 
 of his skin was very marked, and 
 this he attributed to a twenty 
 
86 The Greater Diseases 
 
 years' residence in Africa. The 
 cough was habitual, and worse in 
 the evening. There are a good 
 many crescentic cutaneous efflor- 
 escences on his chest. 
 
 Two months of Hydrastis Cana- 
 densis <t>. 
 
 He took altogether just an 
 ounce, in small material doses. 
 Cured the cough; reduced the 
 catarrh of the bronchial lining to 
 a minimum ; and very materially 
 lessened the tawniness of his skin ; 
 many of his friends remarking 
 upon the very striking improve- 
 ment in his seemingly dirty com- 
 plexion. I should have followed up 
 with some three or four other 
 anti-icterics, but the gentleman 
 
of the Liver. 87 
 
 considered he was well enough, 
 and would not come any more, 
 even u to please his wife." 
 
 The Complexion of the Skin in 
 
 its Relation to Liver 
 
 Affections. 
 
 That the compexion is more 
 or less modified in certain affec- 
 tions of the liver is pretty patent 
 to all the world, and the least 
 observant readily remarks that 
 " So-and-so's liver cannot be 
 right." Nevertheless, when people's 
 skins are in an unhealthy state 
 they commonl}^ treat the skin, 
 or go to a skin doctor, who is 
 pretty sure to regard his specialty 
 as the first, and treats the skin, 
 
88 The Greater Diseases 
 
 generally d^en face, with washes 
 and ointments and the like. 
 
 I have tried to combat this 
 view in my " Diseases of the 
 Skin from the Organismic Stand- 
 point/' but, I am afraid, with 
 too little success. 
 
 The skin gets its life from 
 within ; it is fed from within from 
 the blood, and it is from the 
 within that a good complexion 
 must be obtained. • One cannot 
 make an unhealthy skin healthy 
 by any washes or ointments 
 whatsoever. 
 
 I have preached this doctrine 
 before and oft, but few will listen, 
 and hence I am going to preach 
 
of the Liver. 89 
 
 it again, so that I may at least 
 be able to say dixi et animam 
 meam salvavi. 
 
 Take a person whose skin is 
 jaundiced. Does anyone propose 
 to wash the 3^ellow skin white ? 
 
 And if not, why not ? It were 
 almost as rational as to try to 
 get a good complexion from any 
 powders and washes whatsoever, 
 and yet the deluded apply such 
 things daily in faith believing. 
 
 Large Varicose Vein; Enlarge- 
 ment of Liver. 
 
 It might be wondered at, that 
 I should give a case of varicosis 
 in a work devoted to the main 
 
go The Greater Diseases 
 
 diseases of the liver, but, as a 
 matter of fact, the case is so 
 unique that I add it here lest it 
 be lost, and because I hardly know 
 where it would fit in better. 
 
 At the beginning of 1889, a 
 young lady was brought to me 
 by her mother for a large varicose 
 vein running from her right 
 shoulder, over the right clavicle, 
 and across the upper half of the 
 right side of the chest. It varied 
 in size somewhat, and at its 
 largest was about the size of an 
 ordinary quill. 
 
 Being great society people this 
 vein quite cast a shadow over 
 their lives, it being " quite im- 
 possible, you know, to dress." 
 
of the Liver. 91 
 
 One sees the oddest things in 
 the way of varicose veins in the 
 lower half of the body, but not 
 very often in the upper, as 
 gravitation is enough to empty 
 them when they are higher up. 
 
 All kinds of treatment had 
 been applied, or applied to, and 
 quite lately the vein had been 
 treated by that wonderful cure- 
 nothing — electricity. 
 
 I reasoned thus : Veins that 
 dilate in that manner, steadily, 
 slowly, increasingly, must do so 
 from an obstruction in their pro- 
 gression heartwards, just as the 
 little rivulets higher up the stream 
 must fill up when the stream is 
 dammed up lower down. 
 
92 The Greater Diseases 
 
 From a rather careful physical 
 survey of the parts involved, I 
 found the liver very large — indeed 
 huge, which was probably ac- 
 counted for by the fact that 
 patient had thrice had ague, or 
 else three attacks of the same. 
 Her skin was dirty, dingy-looking, 
 and the portion covering the lower 
 end of the breast bone studded 
 with wee flat warts, and the 
 degree of anaemia was consider- 
 able. Moreover, she had a dis- 
 agreeable cough, and her sleep 
 was not good. 
 
 An ounce of Chelidonium </>, 
 spread over eleven weeks, restored 
 the liver to its normal size, and 
 the varicosis had almost entirely 
 
of the Liver. 93 
 
 diappeared, so that patient had 
 again taken to evening dress — 
 respectively, undress. Her skin at 
 the same time became clearer, and 
 her blood of evidently better quality. 
 
 Case of Gallstones. 
 The wife of a well-known 
 clergyman came under my obser- 
 vation on the \2th of June, 1889, 
 for gallstones. Competent medical 
 men had attended her in these 
 attacks, and had diagnosed gall- 
 stones. Patient had turned fifty, 
 and is the mother of many children. 
 Her attacks began with sharp 
 agonizing pains in the pit of the 
 stomach, extending to the arms, 
 and with them severe vomiting ; her 
 breath is very short; her bow r els 
 
94 The Greater Diseases 
 
 are costive, and she is a martyr 
 to flatulent dyspepsia. 
 
 Being a rich woman, she had 
 sought the best advice in London, 
 but to no avail. Her physicians 
 had stated that nothing more 
 could be done. Her lower ex- 
 tremities had begun to swell, and 
 this, coupled with loss of flesh, 
 dyspnoea, and a very darkly icteric 
 coloration of the skin, seemed to 
 corroborate the given prognosis, 
 and the more so as patient's able 
 physicians had long tried their 
 best with such remedies as are 
 current in the orthodox school of 
 medicine. 
 
 But knowing well their , poverty 
 in remedies, and in knowledge of 
 
of the Liver. 95 
 
 remedies, I set about treating 
 this lady precisely as if she had 
 never had anj^ medical treatment 
 at all. 
 
 Thirteen months later, while I 
 am actually writing these notes, 
 she is plump, healthy looking, and 
 touring with her husband in Scot- 
 land, and she has had no pains at 
 all for just eleven months. Friends 
 who have not seen her for some 
 time are barely able to recognize 
 her because of her changed 
 appearance. 
 
 Her remedies were Hydrastis 
 Canadensis, Bryonia alba, Thuja 
 Occident., Heloninum, Strophanthus, 
 and intercurrently, for far-reaching 
 
96 The Greater Diseases 
 
 constitutional effects, two common 
 nosodes in high dilutions. 
 
 The change in this lady's 
 disposition is rather remarkable, 
 as from being dull, taciturn f 
 unengaging, and almost socially 
 uncivil, she has become bright, 
 affable and chatty. The fact is, 
 our brightness and chatty sunni- 
 ness in our social life do verily 
 depend much upon the liver. 
 
 Cholesterinum in Tumour of 
 Liver. 
 
 This is obtained from gall ; I 
 believe from that of the bullock. 
 I learned its use of the late Dr. 
 Ameke, of Berlin, author of the 
 
of the Liver. 97 
 
 " History of Homoeopathy/' trans- 
 lated into English by (alas, also 
 the late) Dr. Alfred Drysdale, 
 sometime of Cannes. 
 
 Ameke claimed to have de- 
 rived much advantage from its use 
 in cancer of the liver. This is a 
 weighty statement, and is true. I 
 believe I have twice cured cancer 
 of the liver with it; and, in 
 obstinate hepatic engorgements 
 that, by reason of their obstinacy, 
 make one think interrogatively of 
 cancer, the effects of Cholesterine 
 are very satisfactory : at times 
 even striking. 
 
 I commonly use the 3 X trit. 
 in six-grain doses three times a 
 day, but this will here and there 
 
 H 
 
98 The Greater Diseases 
 
 act very violently, and when this 
 happened I have found the third 
 centesimal trituration effective. 
 
 Sometimes one meets with 
 cases in which there appears to 
 be a semi-malignant affection, in- 
 volving the left lobe of the liver, 
 and what lies between it and the 
 pylorus and the pancreas, and 
 here Cholesterine 3 X and Iodofor- 
 miun 3 X , in four-hourly alternation, 
 have several times rendered me 
 sound service. 
 
 I may relate one such. Sum- 
 moned 60 miles into the country 
 late one afternoon, to a supposedly 
 d^dng lady of 60 odd years of age, 
 I found her icteric, vomiting, 
 bathed in cold perspiration, very 
 
of the Liver. 99 
 
 thin, debile ; the pulse small and 
 weak, and patient seemingly almost 
 moribund. Nothing would stay on 
 the stomach. The seat of the 
 affection was the left lobe of the 
 liver, extending to the left and 
 towards the navel. That there 
 were gallstones is probable, but, 
 quite outside of the acute attack, 
 there was a chronic affection of 
 some kind in the region just 
 named, evidenced by swelling and 
 tenderness. 
 
 Kalibich. 5 relieved; CJwlesterine 
 3 X and Iodof 3 X cured in a month, 
 and, the case being of long stand- 
 ing, the cure converted several 
 families to the contemned pathy 
 of Samuel Hahnemann. 
 
ioo The Greater Diseases 
 
 But, allowing for all doubtful- 
 ness and vagueness in what I here 
 relate, Cholesterine is my sheet- 
 anchor in organic liver disease in 
 which the commoner hepatics — 
 Che lid. , Cardials, Myrica, Kali bich. , 
 Merc., and Diplotaxis tenuifolia 
 have failed. 
 
 I do not think that Cholesterine 
 has any influence upon the " dis- 
 position" to cancer, but it acts by 
 reason of its elective affinity for 
 the seat of the disease ; it effects 
 therefore not a cure in the Hun- 
 terian sense, inasmuch as it 
 only gets rid of the product of the 
 disease, but that is something, as 
 there is then a temporary cure, 
 which under favourable circum- 
 
of the Liver. 101 
 
 stances may become permanent, 
 proof of which permanence of cur- 
 ative resnlts I will presently ad- 
 duce. In this case the cure has 
 proved to be permanent, as now 
 (two years since) the lady is in 
 capital health, and on a visit to 
 her daughter in the North of 
 England. 
 
io2 The Greater Diseases 
 
 Curing the Incurable — 
 The Insolence of Ignorance. 
 
 " L,e cancer est incurable parcequ' on 
 ne le guerit pas ordinairement; on ne 
 peut le guerir puisqu 'il est incurable, 
 done quand on le guerit e'est qu'il n' 
 existait pas." — Duparcque. 
 
 The saying of Duparcque which 
 stands at the head of this, pithily 
 puts the whole question; the thing 
 has not changed, dest alors comme 
 alors. 
 
 This I will dwell upon very 
 briefly now, and at the same time 
 bear the very highest testimony 
 
of the Liver. 103 
 
 to the virtues of Cholesterine in 
 cancer of the liver. 
 
 On January 30///, 1889, an 
 American gentleman, confessing 
 to sixty-five years of age, and on 
 a visit to his daughter, married to 
 an English clergyman in the north, 
 was accompanied to mj T rooms by 
 the said daughter, so ill was he 
 that had I thereafter heard of his 
 immediate demise I should have 
 been not in the very least 
 astonished. 
 
 The note taken at the time 
 stands thus in my case book under 
 the above date . . . Thin, 
 weak, debile; yellow conjunctivae ; 
 insomnia ; verj^ nervous and ap- 
 
104 The Greater Diseases 
 
 prehensive. Been treated for en- 
 larged liver and had lots of calomel 
 and chloral. His skin is tawny, 
 cachectic. There is a swelling of 
 the liver or of the pancreas — 
 probably malignant disease of the 
 left lobe of the liver. Always suf- 
 fered from dyspepsia. Been a 
 great ocean traveller. "I am 
 very fond of salt, and eat a great 
 deal." Is a practical teetotaler. 
 Bones of the fingers very knobby. 
 He is a spring-and-fall ailer. Has 
 lost a stone weight since Novem- 
 ber. Never been ill but ailing, 
 and has taken much medicine: 
 bromides and chloral, urethran. 
 Very chilly. He is very ill. Urine 
 normal. Has had ague, and been 
 twice vaccinated. 
 
of the Liver. 105 
 
 I ordered him six grains 
 of the third decimal trituration 
 of Cholestermum every four hours, 
 and requested him to call 
 in a few days. The married 
 daughter demanded my candid 
 opinion, and I said it was, in my 
 judgment, cancer of the liver, 
 when she informed me that that 
 was the unanimous opinion of all 
 their medical advisers, the most 
 trusted of whom were quite sure 
 the lethal end was not far off. 
 
 That would also have been my 
 opinion had I not seen Cholesterine 
 bring back hope in several des- 
 perate cases of cancer of the liver. 
 I therefore felt warranted in stating 
 that I thought our remedies care- 
 
106 The Greater Diseases 
 
 fully and persistently applied might 
 yet cure him. In a few days 
 patient returned to me in com- 
 pany with his daughter, and I 
 hardly like to say what the change 
 was, so great was the amelioration. 
 He looked vastly improved and 
 walked firmly, and indeed already 
 considered himself on the high 
 road to recovery, almost wondering 
 what all the fuss had been about. 
 
 When Mr. D. R. had retired, 
 his daughter very anxiously said, 
 " What do you think, now?" 
 I said I had not altered my 
 opinion; and that the improvement 
 was due to the remedy and not 
 natural recovery, and that the said 
 improvement would have to be 
 
of the Liver. 107 
 
 followed up with close scientific 
 treatment which might, and indeed 
 most likely would, result in a 
 positive and direct art-cure. I 
 also tried to. explain that we had 
 begun successfully and rapidty to 
 deal with the product of the dis- 
 ease, and that done we could pro- 
 ceed to deal with the disposition 
 thereto. I ordered patient to go 
 on another few days with the pre- 
 scription which I had given to 
 him at first (Cholest.,) and then to 
 report himself to me. 
 
 In about half an hour there- 
 after the daughter returned with 
 her husband, and the latter almost 
 flew r at me in very rage. "What," 
 said he, " do you mean to tell me 
 
io8 The Greater Diseases 
 
 that my wife's father has cancer?" 
 " Yes." And that yon are going 
 to cnre him?" " Yes. I think 
 I shall, bnt I am not sure." Here- 
 upon he raised his voice somewhat 
 and repeated his questions so 
 offensively that I turned away 
 from him and he left. I have never 
 seen or heard of any of them 
 since ; nor have I ever since seen 
 
 the wife's sister, Lady , whom 
 
 I cured in 1886 of a Thickening 
 
 of the Cardia, but Lady 's 
 
 cure was a truly Hunterian one, 
 and she has been quite well for 
 long. I have been so often 
 amazed at the insolence of ignor- 
 ance that I not infrequently find 
 it hard to bear with equanimity. 
 Thus here I was positively in- 
 
of the Liver. 109 
 
 suited, essentially because I knew 
 more on a given point than certain 
 others, viz., that Cholesterine will 
 at any rate curatively modify some 
 cases that seem to be hepatic 
 carcinosis. 
 
 Still, I thank God and take 
 comfort . . . they know not 
 what they do. 
 
 People who are sick of some 
 chronic disease and are given over 
 to their fate by those who ought 
 at least to have the courage of 
 hopefulness, find not infrequently 
 their greatest enemies in their 
 nearest relations, who resent 
 efforts at cure. These Job's com- 
 forters seem to regard determined 
 efforts to cure their friends as 
 
no The Greater Diseases 
 
 personal insults. This pheno- 
 menon I have observed so often 
 that I have wondered what the 
 explanation thereof might be : in 
 ultimate analysis it would seem 
 to be human vanity. They have 
 pronounced the case hopeless, and 
 therefore it is so and not otherwise. 
 
 Ubi morbus ibi remedium. 
 
 This idea is very old, and 
 clings to mankind with wonderful 
 tenaciousness. On this is founded 
 Ameke's conception which, had he 
 been spared would, I think, have 
 resulted at least in the discovery 
 of notable remedies for which 
 clinical experience would subse- 
 quently have afforded fixed indi- 
 cations. 
 
of the Liver. in 
 
 Tumour of Liver of great 
 size Cured by Cholesterinnm. 
 
 A country squire Hearing 
 seventy years of age came under 
 my observation in the early part 
 of 1889 f° r a very large tumour 
 clearly connected with the left lobe 
 of the liver. Patient was so ill 
 that he reached town with diffi- 
 culty, and became so weak that 
 it was impossible for him to return. 
 
 Orthodoxy well represented 
 had given him up ; and his pro- 
 found adynamia and cachectic 
 look warranted me in stating that 
 I had but small hope. But he 
 
ii2 The Greater Diseases 
 
 was a plucky fellow — a type of 
 the British aristocrat (born to 
 govern and fit therefor : because 
 living out of doors and not reading 
 books — Beaconsfield) and he was 
 willing to obey to the letter. 
 
 I advised him to go to the 
 Grand Hotel and quarter himself 
 in the sunny front high up out of 
 the dirt and din, and there abide. 
 He did so, and a very pleasant 
 abode that is : the sun streaming 
 in ; the quiet ; and yet the outlook 
 upon the seething mass below, 
 which keeps from stagnation. 
 
 A homoeopath for half a cen- 
 tury he had boundless faith in 
 Nux Vomica, but I told him that 
 
of the Liver. 113 
 
 I was sure Nux would not cure 
 him, and as this visibly depressed 
 him, I said I would give him my 
 medicine, but in alternation with 
 it he should have his Nux. Hence 
 this was given in alternation with 
 Cholesterine. The tumour slowly 
 disappeared, the liver went down 
 to the state it had been in for forty 
 years, i.e. the left lobe somewhat 
 bulging, and patient returned to 
 his country seat in about two 
 months, and ever since he is not, 
 as a rule, conscious of possessing 
 a liver at all, though once in a 
 way he feels a little uneasy in the 
 hepatic region. This I know, as 
 patient has long been worried with 
 vesical catarrh, and for this I am 
 now treating him, keeping all the 
 
ii4 The Greater Diseases 
 
 time a certain amount of attention 
 directed to the hepatic region in 
 case of any fnrther explosion ; for 
 I do not imagine that the cure 
 thus far is a truly Hunterian one. 
 
 True, the tumour is gone and 
 may never recur, and the gentle- 
 man has a very healthful look ; but, 
 after all, the tumour is not itself the 
 disease, but the disease-product. 
 
 I would not be understood to 
 maintain that a tumour which 
 thus goes from drug action on the 
 ubi morbus tin remedhim idea must 
 necessarily recur, but that it may. 
 But I will continue on this same 
 subject in my next chapter. 
 
 At the time of going to press 
 this gentleman continues well. 
 
of the Liver. 115 
 
 Amekean Treatment of Hepatic 
 Tumours ; Hepatic Cancer. 
 
 About five years ago, a gentle- 
 man of 67 or thereabouts came 
 under my observation for a 
 swelling under the right ribs that 
 competent authorities had diag- 
 nosed as of a cancerous nature. 
 It had come a good many months 
 subsequent to an accident : a cab 
 wheel having gone over the body 
 at the part mentioned. He had 
 been under a good West-end 
 homoeopathic physician who had 
 agreed, after close examination, to 
 the diagnosis, and declared posi- 
 tivefy to the gentleman's wife that 
 he had no hope whatever of curing 
 
n6 The Greater Diseases 
 
 the case, and he thought it his 
 duty to say so. 
 
 The whole thing was quite 
 cured with remedies in about a 
 year; the most striking, palpable 
 result being observed after the use 
 of Cholesterinein different dilutions, 
 though numerous remedies were 
 needed as well, notably Carduus 
 MamcE^^ Chelidonium majus$,Myrica 
 cerifera 3 X , Iodium i, Kali bich. 5, 
 and Nat. mur. 6 trit. 
 
 Five years have elapsed and 
 there has been no recurrence of 
 tumour, and during the whole of 
 the five years the gentleman has 
 only been away from his business 
 for three weeks, and that was to 
 go to the seaside last August. 
 
of the Liver. 117 
 
 A few days since I saw his 
 wife on her own account, when 
 she reported him " quite well." 
 
 This certainly looks like a 
 Hunterian cure. I can now report 
 on another and very similar case, 
 as follows : — 
 
 Another Cholesterinum Case. 
 
 Nearly six years ago, indeed a 
 little longer, as it was early in the 
 year 1873, I was required to treat 
 a liver case almost exactly like the 
 foregoing one. But patient was 
 not much over fifty years of age 
 then, and it arose primarily, it was 
 thought, from adhesive peritonitis 
 
u8 The Greater Diseases 
 
 of long before. For years this 
 gentleman, a county man, had 
 felt the jolting in a carriage at 
 first uncomfortable, and latterly so 
 painful that he had got into the 
 habit of holding his hand against 
 the swelled part to support it and 
 prevent its feeling the effects of the 
 shaking. 
 
 With the sole addition of Me- 
 dorrh. C. the treatment was as in 
 the last case, and of about the 
 same duration, viz., about a year, 
 and with an equally satisfactory 
 result: he got well, and has re- 
 mained well to date, working very 
 hard almost all the time. This I 
 know, as he has come about four 
 times a year to be assured that his 
 
of the Liver, 119 
 
 old enemy had been, not merely 
 scotched, but killed. 
 
 In this case I myself originally 
 gave a bad prognosis to the gen- 
 tleman's wife, and it was the 
 Cholesterm that brought life and 
 hope into the matter. It is very 
 difficult to cure a tumid mass of 
 any kind with one remedy : one 
 needs Organ opathy, Homoeopathy, 
 Amekeanism, and empiricism, 
 together with theories no end, if 
 the full extent of the possible -is 
 to be attained. 
 
 In my judgment the full range 
 of the art-cure of disease by rem- 
 edies used on scientific lines starts 
 from the due recognition of the 
 primary seat of the disease, and of 
 
120 The Greater Diseases 
 
 the remedies that electively affect 
 such primary seat. This, I take it, 
 is the homoeopathic specificity of 
 seat. Experience teaches me that 
 if we are to avoid false issues in 
 treatment we must start with diag- 
 nosing, if possible, where the malady 
 is primarily located. At any rate, 
 I find this the shortest 'way to curing. 
 If this be neglected we not infre- 
 quently cover and cure the symp- 
 toms, leaving the malady itself 
 more or less untouched. 
 
 No doubt — and on this I lay 
 some stress — when the symptoms 
 are scientifically {i.e. homceopath- 
 ically) covered and cured, the dis- 
 ease causing the symptoms is at 
 the same time often radically cured 
 also ; but also, and not seldom, the 
 
of the Liver. 121 
 
 symptoms are got rid of, but the 
 disease remains. 
 
 It has been urged that any 
 untrained person can treat hoinceo- 
 pathically by mechanically cover- 
 ing the symptoms ; and no doubt, 
 this is, to some extent, true. But 
 such cures are not worth much ; 
 they do not reach very far, and are 
 only of practical value when the 
 malady and the symptoms are 
 convertible terms. The simil- 
 limum of the symptoms may, or 
 may not be the simillimum of the 
 malady ; if of the latter, we have 
 an ideal therapy beyond which 
 there is nought to be desired; if 
 of the symptoms only, we are apt 
 to keep on curing our patients till 
 they die. 
 
122 The Greater Diseases 
 
 If homoeopathy is to go on 
 advancing we must face the 
 question of getting behind the 
 symptoms, so that we may not 
 only treat the symptoms homoeo- 
 pathically, but also the malady 
 in its essence. In other words, 
 it will not suffice to find the 
 simillimum of the symptoms, but 
 that being found, it will be 
 needful to put this pertinent 
 question : Is this symptomatic 
 simillimum also homoeopathic to 
 the anatomical essence of the 
 malady itself? 
 
 In the simple and well-defined 
 forms of disease affecting an 
 isolated organ, Paracelsic homoeo- 
 pathy or organopathy is a very 
 
of the Liver. 123 
 
 valuable guide to cure, and helps 
 to define the disease and to fix 
 its cure with the pathologic simile. 
 
 This results from a recognition 
 that certain organs of the body 
 are, as it were, organisms within 
 the organism ; minor systems 
 within the general system. They 
 have special individualism, both 
 as to their functions and as to 
 their diseases. Such an organ 
 is the liver. It can be made 
 ill by the organism, but, in its 
 turn, it can make the organism 
 ill. They act and re-act upon 
 one another. Neither can exist 
 without the other. 
 
 Certain drugs have been dis- 
 covered by man, almost in all 
 
124 The Greater Diseases 
 
 places and at all times, that 
 have an elective affinity for these 
 organs, and these drugs have 
 some of them received names 
 indicative of their action, hence 
 we have head medicines, spleen 
 medicines, liver medicines. 
 
 This small volume is intended 
 to shew that the greater or more 
 common Diseases of the Liver 
 can, for the most part, be 
 readily cured by hepatics or 
 liver medicines. 
 
 Inasmuch as a large number 
 of hepatics are well-known to us, 
 our chief difficulty lies in finding 
 out which remedy will cure a given 
 case. How far I have succeeded 
 in overcoming this difficulty is 
 
of the Liver. 125 
 
 shewn in these pages, and where 
 I fail, others, beginning where I 
 leave off, may succeed. 
 
 The cure of organ-diseases by 
 organ-remedies is often called 
 organopathy, and this it was that 
 very largely constituted the prac- 
 tice of Paracelsus, and for which 
 he was hounded to death. His 
 success was so great that envy 
 and hatred arose and fiercel}- 
 attacked him. There can be no 
 doubt that Paracelsus was foully 
 murdered by the hired servants 
 of his fellow-practitioners; and 
 oh ! the number of medical tomtits 
 that have thrown dirt on his 
 memory all through the after- 
 living generations! 
 
126 The Greater Diseases 
 
 For all that, his great genius 
 flames still right above the 
 horizon, lighting up the life-paths 
 of such as have the power to see. 
 It supplies light, but not eyes. 
 
 I would remind those homoeo- 
 pathic practitioners who throw 
 their little handfuls of dirt at 
 Paracelsus that it was he — 
 Paracelsus — who planted the acorn 
 from which the mighty oak of 
 homoeopathy has grown. 
 
 It was just as impossible for 
 Paracelsus to work out a homoeo- 
 pathic equation on the purely 
 scientific ground of drug physiology 
 or provings as did Hahnemann, as 
 it was impossible for the farmers in 
 the time of Hahnemann to use the 
 
of the Liver. 127 
 
 steam plough, i.e. it was not there 
 to be used. 
 
 I have long maintained that 
 organopathy is elementary homoeo- 
 pathy — that in the very nature of 
 things, homoeopathy necessarily 
 includes organopathy. 
 
 Paracelsus was an organopath, 
 being the founder of organopathy. 
 I think it most likely that he 
 picked up its elements and ele- 
 mentary principles on his travels, 
 applied them in practice, and 
 having made cures that have rarely 
 been equalled, he systematized it. 
 Personally I acknowledge my great 
 indebtedness to Paracelsus, (largely 
 through Rademacher) with all 
 gratitude. I am constantly and 
 
128 The Greater Diseases 
 
 increasingly impressed with the 
 importance of ascertaining the 
 exact primary seat of any localised 
 malady, and I have been driven to 
 this by certain of my failures in 
 purely symptomatic treatment. 
 To really and radically heal of 
 disease, one must often dig down 
 and find out where the fans et origo 
 mali is, and to this end Paracelsic 
 organ-testing is of the very greatest 
 service, indeed it often leads to the 
 most important clinical discovery. 
 And what may the most important 
 clinical discovery be ? That which 
 necdextrosum, nee sinistrosum leads 
 straight to the goal of every true 
 physician — mastery over disease, 
 i.e., its direct art-cure. 
 
of the Liver. 129 
 
 Case of Gallstones and 
 Asthma. 
 
 It must be nearly ten years 
 ago that a widow lady from abroad 
 came to consult me for asthma 
 and biliary calculi : and I will 
 relate her case, not only because 
 it is apposite as a cure of a liver 
 affection, but because the lady has 
 been more or less within my pro- 
 fessional ken ever since, and at 
 this present time she is in very 
 good health, and for long has 
 had neither Asthma nor Gallstone 
 attacks. 
 
 Another point of interest for 
 me lies in the fact that four w r ell- 
 
 K 
 
130 The Greater Diseases 
 
 known homoeopathic physicians 
 had treated the case during over 
 three years with only indifferent 
 success. They treated the symp- 
 toms without any physical diag- 
 nosis, and, after having prescribed 
 for the symptoms and temporarily 
 cured many of them, the patient 
 remained pretty much where she 
 was before. Had they gone 
 into the case they would have 
 found that the bronchial asthma, 
 retching, and vomiting had their 
 point de depart in the gall bladder. 
 
 No doubt this had again its 
 origin in the constitutional crasis 
 of the individual, and hence I 
 began the treatment with very 
 infrequent doses of Psoricum 30. 
 
of the Liver. 131 
 
 This much lessened the pain in 
 the right side, and it greatly 
 relieved the cough. Then during 
 about five weeks patient was under 
 the influence of Chelidonium 1, and 
 pain and cough quite disappeared. 
 
 In a fortnight the pain starting 
 from the gall bladder returned, and 
 was accompanied with much retch- 
 ing. Patient was of opinion that 
 the side pain had originally come 
 from taking such quantities of 
 phosphorus for her cough years 
 ago. At any rate, she affirmed 
 that she never felt pain in this 
 region before. 
 
 There is no return of asthma 
 since she left off the Chelidonium. 
 
132 The Greater Diseases 
 
 I next prescribed Terebinthina 
 3 X , four drops in water three times 
 a day. The Tereb. rather upset 
 her at first, and then she got 
 better. 
 
 After this an attack of gall 
 colic came on from exertion. 
 
 The duskiness of the skin, and 
 the big brown patches on the 
 forehead, led me to give Nux. It 
 did much good, and under its 
 influence patient's skin became 
 lighter and cleaner. Then followed 
 Thuja 30, and subsequently at odd 
 intervals, according to the symp- 
 toms, Mercurius vivus, Antimon. 
 tart. 3, Pulsatilla 3 X , Cholesterine 2, 
 /pec, Alnus rub., Nat. SuL 6, and 
 Calc. carb. 30. 
 
of the Liver. 133 
 
 But these were mostly for the 
 gallstones, as there had never been 
 any return of the asthma after the 
 Psoricum followed by the Cheli- 
 donzum, and that is more than nine 
 years ago. 
 
 This I consider the more re- 
 markable, as both her own mother 
 and her own son had asthma ; and 
 an asthmatic lady, daughter and 
 mother of individuals similarly 
 afflicted, would hardly have a tran- 
 sitory or spurious kind of asthma. 
 
134 The Greater Diseases 
 
 Rademacher's Hepatic. 
 
 Rademacher's liver medicines 
 are Quassia, Chelidonium, Liquor 
 calc. mur., Nux vom., Crocus, and 
 Carduus, though he does not reckon 
 the last-named as solely an hepatic. 
 These remedies have been already 
 sufficiently considered, excepting 
 Crocus and Quassia, and of this 
 latter I have myself no experience, 
 and will therefore pass it by. Of 
 the former I will presently speak. 
 
 Rademacher on the Influence 
 of Saffron on the Liver. 
 
 Crollius, in his treatise, De 
 signaturis internis rerum, cites 
 Saffron as a remedy for jaundice. 
 
of the Liver. 135 
 
 Radeinacher had been treating liver 
 diseases with Carduus, and, finding 
 the prevailing genius of disease 
 alter (which he recognised from 
 the fact that Carduus had ceased 
 to cure the then prevailing liver 
 affections), he began to test afresh 
 for the remedy, and believed he 
 had found it in Quassia. 
 
 A man of sixty years of age 
 came under his observation for a 
 painful chest affection, with fever, 
 cough, and bloody expectoration — 
 (we should now call such a case 
 pneumonia, broncho-pneumonia, or 
 pleuro-pneumonia, probably). 
 
 The action of Quassia was fair, 
 but not so pronounced and rapid 
 as Rademacher was accustomed 
 
136 The Greater Diseases 
 
 to, and hence he concluded that 
 he was not dealing with a real 
 Quassia liver disease. 
 
 Patient took the Aqua quassicz 
 for a week with some obvious 
 benefit, when, tiring of its taste, 
 Saffron was added to colour and 
 mask it. Result : rapid and com- 
 plete cure. 
 
 Subsequent observations shewed 
 that the curative virtue lay in the 
 Saffron, and not in the Quassia, 
 
 Dysenteria Hepatica cured by 
 
 Crocus. 
 
 Fever, colic, vomiting, rectal 
 
 tenesmus, slimy, sanguineous, non- 
 
 foecal motions, easily and promptly 
 
of the Liver. 137 
 
 cured with small doses of the tinc- 
 ture of Saffron, because dependent 
 upon a primary affection of the 
 liver curable by Saffron. 
 
 " In former years I should," 
 says Rademacher, " have rushed 
 into print in the medical journals 
 and proclaimed Saffron as the 
 greatest liver medicine extant, 
 but since Paracelsus has broken 
 my spectacles I see nature with 
 my eyes alone, and it is now 
 manifest to me that we cannot 
 ascribe to any organ-remedy what- 
 soever absolute and unconditional 
 curative power, but that the really 
 clear and obvious revelation of the 
 same depends upon the kind of the 
 epidemic genius of disease that 
 
138 The Greater Diseases 
 
 happens for the time-being to 
 be prevailing." 
 
 Those who know their Syden- 
 ham will appreciate this. 
 
 Rademacher's Cure of 
 Gallstones. 
 
 Rademacher's observations are 
 in all cases so reliable that I deem 
 it a useful undertaking to give, in 
 short, the gist of his experience of 
 the medicinal cure of Gallstones. 
 
 Carduus, he maintains, is facile 
 prince ps in the attack ; nothing 
 equals it, he says. He was once 
 enabled to recognise the presence 
 of biliary calculi in the following 
 extraordinary manner: — 
 
of the Liver. 139 
 
 An elderly man, who had 
 formerly complained of heartburn, 
 fulness, and regurgitation after 
 food, was seized with violent colic, 
 and, as all the abdominal remedies 
 were without effect, he concluded 
 that the abdominal affection 
 was symptomatic of some other 
 primarily diseased organ. He 
 was sent for at an unusual hour 
 to hear from the good man's wife 
 that a bandage with a knot in it at 
 once stopped the pain. From this 
 he concluded that only a mechanical 
 affection could be thus mechanically 
 helped. 
 
 A slight and very peculiar feel- 
 ing alone remained in the region 
 of the gall bladder. Patient was 
 
140 The Greater Diseases 
 
 treated during six months with 
 Durand's remedy, and was thereby 
 completely cured of his supposed 
 stomachic affection and of his 
 colic. He remained quite w T ell for 
 twelve years. Then, after this long 
 interval, the stony guest again put 
 in an appearance, though under 
 another guise. He again ad- 
 ministered Durand's remedy 
 whereupon the troubler ceased 
 and came no more, the patient 
 dying long after at a great age 
 of senile marasm. 
 
 Rademacher relates how the 
 symptoms of pleurisy and even 
 of pneumonia may be really those 
 of biliary calculi, and he instances 
 the case of the w r ife, or rather 
 
of the Liver. 141 
 
 widow of an admiral who was 
 cured of an attack of gallstone 
 colic with DurandV remedy by 
 him, and, being seemingly well, 
 travelled to Berlin, but fell ill of 
 the same affection which was mis- 
 taken for pleurisy, and treated as 
 such in the old antiphlogistic 
 fashion with venesection and 
 plasters, and under these the 
 seventy-year old lady died. 
 
 Rademacher cites the case as 
 a warning to the careless or in- 
 experienced. He then remarks 
 that Sulphuric acid has the power 
 of stirring up biliary calculi to 
 activity. 
 
 Of the tincture of Cardutis in 
 the attacks of gallstone colic he 
 
142 The Greater Diseases 
 
 recommends from 15 to 30 drops 
 in a teacupful of water or milk five 
 times a day. 
 
 Mixture of Oil of Turpentine 
 
 and Sulphuric ^Ether, or 
 
 Durand's Remedy. 
 
 Paracelsus says that the oil of 
 turpentine was first discovered by 
 the jatro-chemists, and he strongly 
 recommends physicians to try the 
 curative effects of the oil in 
 diseased human organisms. 
 
 Rademacher remarks, however, 
 that as a rule physicians are more 
 concerned to gain over the patient- 
 world by saying smooth things to 
 them than with the advancement 
 
of the Liver. 143 
 
 of the healing art, and hence the 
 recommendation was not followed 
 and fell into oblivion. 
 
 Paracelsus affirms that turpen- 
 tine with the right appropriate or 
 organ remedies is helpful in all 
 indurations. 
 
 Those who know of turpentine 
 only that it is good for tapeworm, 
 and that it, combined with aether, 
 will dissolve gallstones, know but 
 very little of its virtues. 
 
 He thus summarises : " All we 
 can with certainty maintain is, 
 that the symptoms which we 
 ascribe to the presence of biliary 
 calculi are not merely silenced by 
 
144 The Greater Diseases 
 
 turpentine in aether, but by its 
 long continued use are got rid of 
 so completely that patients remain 
 thereafter free of their troubles for 
 ever, or, at any rate, for many 
 years." 
 
 He finally remained true, after 
 many trials, to a mixture of sixteen 
 parts of Spirit sulph. ceth., and one 
 of OL tereb. 
 
 And as to dose : one must 
 begin gently and cautiously with 
 ten, and, in the very sensitive, with 
 five drops of the mixture in half a 
 cupful of water three times a day, 
 and the dose must be slowly or 
 rapidly increased according to the 
 tolerance of each individual case. 
 
of the Liver. 145 
 
 At first there is often a little 
 pain in the liver soon after the 
 dose, lasting a few minutes. This 
 he declares is desirable, but the 
 dose must not be increased till this 
 pain has not been felt for a few 
 days. Then the urine must be 
 watched, and as soon as the urine 
 begins to get darker in colour (in 
 which case the patient at the same 
 time is apt to complain of an 
 uncomfortable sensation in the 
 epigastrium), the said mixture 
 must be temporarily stopped and 
 Carduns administered till the dis- 
 comfort in the epigastrium has 
 gone, and until the urine has again 
 become clear and of the colour of 
 light straw. And then the mixture 
 is to be resumed, but in a small 
 
146 The Greater Diseases 
 
 dose— smaller than it was when 
 left off, and the dose is not to be 
 too hastily again augmented. 
 
 Chronic Enlargement of the 
 
 Liver cured by 
 
 Podophyllum peltatum 6 X . 
 
 In the month of June of the 
 year 1883, a widow lady came 
 under my observation for diarrhoea. 
 It was clearly of hepatic nature, 
 and patient felt as if she were sink- 
 ing into the earth ; icy cold feet ; 
 pains in the abdomen ; has' piles ; 
 last year nearly had jaundice. 
 A physical examination revealed 
 chronic enlargement of the liver ; 
 
of the Liver. 147 
 
 patient looked ill, and in very 
 ill-health. 
 
 With an enlargement of the 
 liver, tenderness of the hepatic 
 region, pains in the abdomen, 
 piles, diarrhoea, and evident Ange- 
 griffensein of the organism, I think 
 the ordination of Podophyllum pelt. 
 6 X may be fairly called scientific ; 
 in fact, I maintain that the pre- 
 scription was demonstrably and 
 strictly scientific. 
 
 It cured the patient slowly — 
 seven weeks — surely, and perma- 
 nently, and not only subjectively 
 but objectively, for her improved 
 appearance was very pronounced. 
 
148 The Greater Diseases 
 
 I often r wonder in this age of 
 science that its scientific spirit so 
 much neglects the scientific thera- 
 peutics of Samuel Hahnemann, 
 particularly as Hahnemann has 
 been so long dead. It cannot now 
 make any difference to him ! And 
 faith ! it makes no difference to 
 me either. 
 
 Then why do I stand up 
 for homoeopathy so persistently 
 if it makes no difference to me ? 
 
 Why, indeed ? 
 
 Only one reason. 
 
 And what might that one 
 reason be ? Shall I confess, or let 
 the black secret die with me ? 
 
of the Liver. 149 
 
 Just this : Homoeopathy is true, 
 thafs all. 
 
 And if true, why do people 
 sneer at it ? 
 
 Fools always do sneer at what 
 they do not understand. 
 
150 The Greater Diseases 
 
 Practice of Modern French 
 
 Physicians in the Treatment 
 
 of Hepatic Colic. 
 
 M. Germain See, in " La 
 Medecine Moderne," Nr. 6, 1890, 
 treats of this subject, and shews a 
 distinct advance on the common 
 treatment of hepatic colic. 
 
 He notes, that the Salicylate 
 of Sodium is an excellent chola- 
 gogue ; in watery solution the 
 Salicylate of Sodium augments the 
 biliary secretion, and particularly 
 the watery part of the bile. And 
 further, by a singular coincidence, 
 this remedy, besides its action as 
 
of the Liver. 151 
 
 a cholagogue, has a powerful anal- 
 gesic action which, is of prime 
 importance in the attack. 
 
 He insists that in prescribing 
 cholagogues great care should be 
 taken in dissolving them in an 
 ample quantity of fluid. 
 
 Rademacher was clearly of the 
 same view, for he gave each dose 
 of Cardtms in a teacupful of fluid. 
 
 M. See speaks also with much 
 satisfaction of the free use of Olive 
 Oil in biliary attacks. 
 
 He considers purgatives con- 
 tra-indicated. He also condemns 
 all substances that lessen the 
 biliary secretion, such as the 
 
152 The Greater Diseases 
 
 salts of potassium, calomel, iron, 
 copper, morphia, atropine, and 
 strychnine. 
 
 But as M. See ignores the 
 double and opposite actions of 
 large and small doses, we can 
 only regard him, in practical phar- 
 macodynamics, as a half-educated 
 man ; and this, notwithstanding 
 his pre-eminently leading position 
 in the practice of modern medicine 
 in France. But it is something 
 to find anyone's practice addressed 
 to the causes of the colic, rather 
 than to silencing the pains, which 
 are but effects, and which, being 
 silenced, leave the morbid state of 
 the sufferer as bad or even worse 
 than it was before. 
 
of the Liver. 153 
 
 Remarkable Case of Jaundice 
 
 of Nine Years' duration; 
 Gallstones of Large Size. 
 
 I really finished writing this 
 small treatise on Liver Diseases 
 last autumn, and sent the MS. 
 to the printers, on the day the 
 date of which will be found at the 
 foot of my preface. In this same 
 preface mention is made of a 
 case of chronic jaundice of long 
 duration, which I then feared w T as 
 hopelessly incurable. This work 
 has been delayed at the printers 
 until now, owing to w r ant of time 
 on my part, and moreover, I have 
 latterly delayed it somewhat on 
 purpose, and in order that I may 
 
154 The Greater Diseases 
 
 narrate the before-mentioned case 
 referred to in the preface, in which 
 I reflect upon the treatment 
 of the case followed by a dis- 
 tinguished representative of old- 
 school medicine. 
 ■% 
 
 I always hold that adverse 
 criticism of a co-practitioner's work 
 should be in the abstract, because 
 it is not in any sense a question of 
 persons. I also hold that whoso- 
 ever criticises the work of another 
 adversely, the same is morally 
 bound to point out a better, a 
 more excellent way, if he knows 
 one. 
 
 The plan followed by my pre- 
 decessor in the treatment of this 
 case was to lull the pain with 
 
of the Liver. 155 
 
 morphia. Now, quite apart from 
 the deteriorating influence of the 
 drug (a question I do not propose 
 here to discuss), it must be mani- 
 fest that the pain arose from the 
 gallstones; and thelullinginfluence 
 of the morphia not only did not 
 cure, or even tend to cure, but 
 actually tended to prevent nature 
 from helping herself. 
 
 The physician knew perfectly 
 well that he only relieved the pain ; 
 he was quite conscious that it was 
 in no sense a cure. " The thing," 
 said he, "is incurable; the pain 
 is, therefore, the legitimate object 
 of palliative treatment." And I 
 quite agree that a physician 
 may not stand by and see 
 
156 The Greater Diseases 
 
 pain without taking effective 
 measures for its relief. 
 
 But the patient's life comes 
 first, not the pain ; and therefore, 
 here everything hinges upon the 
 question of curability or non- 
 curability. Assuming that the 
 case was really and truly incurable 
 by medical art, then, of course, the 
 lulling of the pain by morphia was 
 right and proper, and moreover 
 imperatively demanded on the 
 ground of humanity alone ; and 
 where a physician cannot cure he 
 is at least bound to relieve pain. 
 I therefore attach no blame to this 
 physician personally, his error lies 
 in his scholastic conceptions of 
 what are the actual possibilities of 
 
of the Liver. 157 
 
 « 
 
 drugs in the direct art-cure of 
 disease ; and in the unqestioning 
 belief that what he and his fellow- 
 believers in school-physic know, 
 covers the entire field of the known 
 and of the knowable, in curative 
 medicine. 
 
 Paracelsus is ridiculed and 
 contemned; Rademacher is almost 
 unknown in the wider sphere of 
 medicine. Homoeopathy is not 
 within earshot at all, i.e mj in the 
 spheres that are deemed orthodox. 
 It seems very odd, but all that is 
 best in medicine, in so far as it 
 relates to the art of healing is . . . 
 outside ! 
 
 Paracelsus is outside ; Rade- 
 macher is outside ; Hahnemnn is 
 
158 The Greater Diseases 
 
 <?zz/side ; the physician who gave 
 morphia for the case tinder study 
 is' ... . z/zside. 
 
 I will now go on to the case in 
 question by narrating that patient, 
 a married lady, mother of a family, 
 was brought to me by her husband 
 with some difficulty, owing to her 
 great weakness and loss of flesh. 
 
 I noted as follows: — Mrs. X., 
 38 years of age, eleven years mar- 
 ried, mother of seven children, 
 came under my observation on 
 September 29, 1890. During the 
 past three months intensely jaun- 
 diced, and is given up as past all 
 hope of recovery. 
 
of the Liver. 159 
 
 During the past nine years her 
 doctor has been giving her morphia 
 to ease the pain in the right side, 
 left side, and in the stomach, ab- 
 domen, and hypogastrium respec- 
 tively. At the present time she 
 takes about a dozen quarter-grain 
 pills of morphia a day ; she is 
 emaciated to a painful degree. 
 The spleen is very much hyper- 
 trophied, and extends across to the 
 mesial line and inferiorl}' down to 
 the crest of the ilium; in fact, it 
 practically fills the left half of the 
 abdomen. It is very tender, and 
 the contours of the big spleen can 
 not only be felt but readily seen, 
 as it rises above the surface. The 
 liver is only very moderately en- 
 larged, about an inch and a half 
 
160 The Greater Diseases 
 
 beyond the ribs, towards the 
 epigastrium. 
 
 While I am examining her, 
 patient appears very weak and 
 faint, and hardly able to bear the 
 undressing. Her eyes are lustrous, 
 her tongue raw red. Urine is 
 scanty ; loaded with bile ; bowels 
 costive. The region of the gall- 
 bladder and ducts very tender, but 
 the greatest pain is in the pit of 
 the stomach. Catamenia always 
 scanty, and at present stopped. 
 The motions are without bile, and 
 moved with the very greatest diffi- 
 culty. No appetite. In almost 
 constant distress from the agoni- 
 sing pains at the pit of the 
 stomach. 
 
of the Liver. 161 
 
 Patient had been twice vacci- 
 nated, and years ago had severe 
 ulceration of the womb, for which 
 she lay in bed for three months, 
 and during that period was six 
 times cauterised. The cauterisa- 
 tions, aided by many introvaginal 
 injections and much lying-up, 
 were followed by the disappearance 
 of said ulcerations. 
 
 I did not really know where to 
 begin at in this formidable case, 
 but in view of the severity of the 
 epigastric pain, jaundice, consti- 
 pation, &c, I ordered % Hydrastis 
 Cci7t. </>, four drops in a table- 
 spoonful of tepid water every four 
 hours. This was the last day of 
 September, 1890. 
 
 M 
 
162 The Greater Diseases 
 
 October 6th. The urine has 
 begun to improve ; it is more 
 watery, and not quite so full of 
 bile ; the motions more natural, 
 but the liver is very distinctly 
 bigger than it was six days ago. 
 I therefore feel justified in going 
 on with the Hydrastis. 
 
 i^t/i. — Patient's jaundiced skin 
 is not quite so intensely black- 
 yellow ; the pain has altered. 
 There is very distinct, though not 
 great, improvement; for the first 
 time for very very long her period 
 is full and free, which has much 
 relieved her. The spleen is a trifle 
 smaller; the tongue dry and glazed. 
 
 I find on reference that a few 
 doses of Thuja 30 were given inter- 
 
of the Liver. 163 
 
 currently on the 6 th instant. Con- 
 tinue with both Hydrastis <A and 
 the Thuja 30. 
 
 20th. — There is no longer any 
 pain in the region of the gall-bladder; 
 patient complains of cold shivers ; 
 liver has gone down in size while 
 the spleen is more swelled and 
 very painful, and patient complains 
 very much of chilliness. 
 
 Ijk 7c. Urticce urentis 0, seven 
 drops in water three times a day. 
 
 27th. — No " spasms" ; pains 
 in the spleen worse ; the spleen is, 
 however, softer to the feel ; liver 
 larger. To alternate Cardiacs 
 Mar. <$> with the Urtica, every 
 three hours. 
 
164 The Greater Diseases 
 
 Nov. 3rd. — Spleen and liver 
 both bigger, which I take to mean 
 that they are being acted upon by 
 the remedies, particularly as patient 
 is not so chilly and is in less pain. 
 Patient has never ceased to take 
 about a dozen morphia pills every 
 day; some days many more. 
 
 To continue with the Carduus 
 and Urtica. 
 
 12th. — The jaundice is much 
 worse ; the pains in the region of 
 the gall-bladder are atrocious. I 
 try to persuade the patient to 
 leave off the morphia, so as to give 
 the remedies a chance, but she 
 appeals to me not to leave her 
 unhelped in her agony ; I could 
 
of the Liver. 165 
 
 not resist, and so consented to the 
 morphia pills being continued. 
 
 We had made a little progress 
 in the case, but not much, and I 
 therefore made a further and very 
 careful survey of the aetiological 
 history of the case, and came 
 to the conclusion that the whole 
 thing was of uterine origin. 
 
 As I have had a good deal 
 of clinical experience of Bursa 
 pastoris, tending to shew that 
 it is a remedy specifically 
 affecting the womb in like 
 manner as Chelidonium does the 
 liver, I at once determined to test 
 for the right appropriatum uteri, as 
 I conceive Paracelsus or Rade- 
 macher might have done. 
 
1 66 The Greater Diseases 
 
 I reasoned from the clinical 
 data taken in historic sequence 
 that the primary affection years 
 ago was uterine, and the hepatic 
 affection consecutive thereto, and 
 starting therefrom. I saw clearly 
 that the old ulcerated condition 
 was at the bottom of it, or rather 
 that was as far back as I could get 
 for the present. For although 
 the cause of the ulcers was presum- 
 ably the fans et origo mali, yet the 
 real disease at present to be grappled 
 with was the jaundice, the gall- 
 stones, and the colic. 
 
 In this case getting rid of the 
 primary constitutional cause would 
 
 not necessarily have mended mat- 
 ters, therefore I started with Bursa 
 
of the Liver. 167 
 
 pastoris </>, five drops in warm 
 water every four hours. 
 
 That was on the 12///, and by 
 the 17 th there was a very extra- 
 ordinary change come over the face 
 of the case ; indeed, it was at first 
 blush almost incredible. There 
 was much less jaundice, the liver 
 had gone down in size almost to 
 normality, and the spleen was fully 
 an inch smaller. Moreover, there 
 was no pain in the liver at all. 
 
 My inkling that the start of the 
 disease of the biliary apparatus was 
 in the womb being thus confirmed, 
 indeed, rendered certain, I con- 
 tinued with the Bursa as before. 
 
1 68 The Greater Diseases 
 
 Nov. z^th. — Although there 
 has been no further spasms, there 
 has not been any further progress ; 
 patient does not sleep so well ; the 
 liver has again begun to enlarge, 
 and there is no further diminution 
 in the size of the spleen. Still, I 
 did not feel justified in leaving off 
 the Bursa, and hence I alternated 
 it with Chelidonium *. 
 
 December. — Patient was very 
 ill, and everybody gave her up, 
 excepting myself. I did not see 
 my way out of the wood, but still 
 I hold that the physician who gives 
 up a case before the patient dies is 
 on a par with the soldier who runs 
 away from the enemy. So here, 
 though I was absolutely alone in 
 
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of the Liver, 169 
 
 my view, I refused to surrender. 
 The bowels had ceased to act ; 
 there was more jaundice again, 
 and patient could no longer rise 
 from her bed. 
 
 I then gave Euonymin 3 X , six 
 grains every two hours, just "as a 
 liver remedy. Under very great 
 agony patient in the course of a 
 week or two passed a handful of 
 gallstones by the bowels, and her 
 jaundice was gone ! 
 
 A number of the largest were 
 obtained from the stools, and on 
 account of the great interest of the 
 case I now present my readers 
 with a photogravure of them, taken 
 by Sprague, of London, and which 
 gives them in their natural size. 
 
170 The Greater Diseases 
 
 I have shewn these biliary 
 calculi to certain medical friends, 
 and amongst them to Dr. Robert 
 T. Cooper, of London, as a 
 curiosity. 
 
 I should explain that these 
 biliary calculi were very much 
 larger than here represented when 
 they were first passed, but their 
 outer layers were friable, and were 
 washed, picked, and rubbed off 
 before the calculi were brought 
 to me ; it is really only the hard 
 kernels of the calculi which are 
 given in this photogravure. 
 
 Notwithstanding the disappear- 
 ance of the jaundice, and the 
 passage of the gallstones as just 
 described, patient had got very 
 
of the Liver. 171 
 
 low, and the spleen did not seem 
 to be any better subjectively, and 
 not much smaller, and there was 
 no period. 
 
 Here I gave Ceanothus Am. i, 
 five drops in water four times a 
 day. 
 
 1 5//?. — Patient has had severe 
 rigors, seemingly caused by the 
 Ceanothus, which is therefore dis- 
 continued. She has no appetite, 
 and the menstruation has not 
 appeared. 
 
 To have Pulsatilla 1, three drops 
 in water every three hours. 
 
 20th. — Liver nearly normal ; 
 has just menstruated; the spleen 
 
172 The Greater Diseases 
 
 has gone down a little; the entire 
 abdomen very tender all over; has 
 again had an awful attack of gall- 
 stone colic, and passed a number 
 of stones, one very large. There 
 is still bile in the nrine. 
 
 To have Bursa pas torts </>, and 
 Nux Vom. 1. 
 
 29th. — Another attack of colic; 
 a further passage of biliary calculi 
 — three large ones ; patient is low 
 and weak, and prefers death to so 
 much pain. It is to be remembered 
 that large numbers of morphia pills 
 are being taken all this time. To 
 relieve the effects of the passage of 
 the calculi, and the almost general 
 feeling of bruisedness and tender- 
 
of the Liver. 173 
 
 ness, I ordered Bellis perennis *, 
 eight drops in water every four 
 hours. 
 
 1891, Jan. 12///. — Great general 
 improvement from the use of the* 
 Bellis perennis, but her liver and 
 spleen are more swelled and great- 
 ly distress her. 
 
 R Trit. 3 X Cholesterin. Six 
 grains dry on the tongue every 
 four hours. 
 
 19 t/i. — Spleen and liver seem 
 larger than ever. No jaundice, 
 however. No menses. 
 
 Five drops of Pulsatilla three 
 times a day. 
 
174 The Greater Diseases 
 
 26th. — Has normally menstru- 
 ated; liver smaller; spleen very 
 tender. 
 
 ]jk Bursa pastoris <*>. Five drops 
 in a tablespoonful of water three 
 times a day. 
 
 Feb. yd. — Has passed some 
 more calculi; region of gall duct 
 very tender; no jaundice; urine 
 normal; is gaining flesh; the 
 spleen is still very large. 
 
 IJ> TV. Ceanothus Americanus 1. 
 Five drops in water every four 
 hours. 
 
 13/72. — There is further improve- 
 ment; she feels better; is begin- 
 ning to go about like other people ; 
 
of the Liver. 175 
 
 has passed one gallstone of small 
 size, and a number of lumps of 
 " sooty stuff." Feels that this 
 medicine has done her much good. 
 Rep. 
 
 23rd. — The spleen has gone 
 down about one inch and three- 
 quarters; has menstruated again 
 normally; is increasing in weight. 
 
 Rep. 
 
 March 16th. — By letter I am 
 informed that the spleen is not so 
 well ; and that there is a good deal 
 of pain in the right side again. 
 
 R> Trit. 3 X Leptandrin. Six 
 grains dry on the tongue, three 
 times a day. 
 
176 The Greater Diseases 
 
 yist. — No improvement from 
 the Leptandrin, and generally not 
 so well, though the jaundice is 
 entirely a thing of the past, and 
 she is now of a very clear white 
 complexion, and getting no longer 
 to appear to be particularly thin. 
 
 Jfy Bellis perennis <J> and Bursa 
 pastor is in alternation. 
 
 April i$tk. — Liver, spleen, and 
 womb are described as " all blown 
 out;" much pain in the region of 
 the gall bladder. 
 
 Ijk Puis, and Bryonia. 
 
 May 4//Z. — Patient is doing 
 well; liver normal, or nearly so; 
 spleen now only reaches halfway 
 down to the crest of the ilium, 
 
of the Liver. 177 
 
 and is well defined. Patient has 
 now the old symptoms of ulceration 
 of the os uteri — the forcible healing 
 up of which started the whole thing 
 years ago ! 
 
 And here I think I may resume, 
 and conclude this already too long 
 narration. 
 
 We see in this case the import- 
 ance of Paracelsic organ-testing to 
 find out the point de depart of the 
 series of morbid phenomena ; he- 
 patics and splenics had no 
 adequately curative action till the 
 uterine medicine {Bursa pastoris) 
 had touched the place of origin of 
 the liver affection, and as soon as 
 
 N 
 
178 The Greater Diseases 
 
 this was done (see Notes under 
 date November ijtA, 1890) imme- 
 diate improvement began ! 
 
 We have now cured the jaun- 
 dice ; the gallstones have been got 
 rid of through the natural ways; 
 the liver is well, and patient is 
 going about her business ; and our 
 interest in the case in this TREA- 
 TISE on "The Greater Diseases of 
 the Liver" is at an end. 
 
 Three Months Later. 
 
 August ioth } 1891. — Having this 
 day seen and carefully examined 
 this patient I am enabled to say 
 that she is in excellent health, 
 plump and pleasing, and equal to 
 
of the Liver. 179 
 
 and performing the usual duties of 
 an English housewife with a large 
 family. 
 
INDEX. 
 
 PAGE. 
 
 Acholia, Chelidonium in 17 
 
 Amekean Treatment of Hepatic Tumours 115 
 
 Analgesic Action of Salicylate of Sodium. .. 151 
 
 Asthma occurring with Gallstones ... 129 
 
 Badiaga in Chronic Biliousness 77 
 
 Bellis perennis in Biliary Calculi 173 
 
 Bilious Debility, Ferrum picricum in ... 72 
 
 Bilious fevers ... ... ... ... ... 17 
 
 Biliousness, Chronic, Chelidonium in ... 76 
 
 Brassica Mur. in Sluggish Liver 62 
 
 Bronchial Catarrh 84 
 
 Bryonia in Gallstones 95 
 
 Bursa pastoris in Uterine Disease 165 
 
 Cancer, Hepatic 115 
 
 lodum in 116 
 
 Carduus Mar. 28, 43, 163 
 
 " in Cancer of Liver 116 
 
 " in Liver & Spleen Affections 30 
 in Enlargement of Liver 
 
 and Spleen ... ... 31 
 
 
 
180 Index. 
 
 page. 
 
 Cardnus Mar., Riel's proving of 35 
 
 " in Transverse Enlarge- 
 ment of Liver ... 36 
 " in Gallstones 67, 71, 138, 141 
 
 " in Dyspepsia 49 
 
 Ceanothns in Enlarged Spleen 174 
 
 Cervical Glands, induration of 34 
 
 Chelidonium in Acholia ... 17 
 
 in Cancer of Liver 116 
 
 a Liver Specific 13 
 
 an old Remedy for Jaundice 8 
 in enlarged Liver with 
 
 Jaundice 22 
 
 in enlarged Liver with Con- 
 gestion of Lung ... 23 
 in Engorgement of Right 
 
 Lung 26 
 
 in Gallstones 67, 131 
 
 " in Hepatic Colic ... 74, 81 
 
 Jaundice cured by 7, 25 
 
 in Perpendicular Enlarge- 
 
 ment of Liver ... 37 
 " Rademacher's experience of 13 
 " in Varicose Veins from En- 
 larged Liver 92 
 
 Cholagogue, Salicylate of Sodium, a ... 150 
 
Index. 181 
 
 PAGE. 
 
 Cholesterine in Cancer of Liver ... 97,116 
 
 in Gallstones 67, 72, 173 
 
 in Tumour of Liver 
 
 96, in, 113, 116, 117 
 
 Colic, Hepatic 72,81 
 
 " Berberis in ... 74 
 
 " Carduus in ... ... ... 74 
 
 " Chelidonium in 74, 81 
 
 " Hydrastis in 74, 81 
 
 Cough and Bronchical Catarrh 84 
 
 Crocus in Dysenteria Hepatica 136 
 
 Cure of Gallstones, Rademacher's ... 138 
 
 Curing the Incurable 102 
 
 Diplotaxis Tenuifolia 61, 100 
 
 Durand's Remedy 140 
 
 Composition of ... 142 
 
 Dysenteria Hepatica cured 136 
 
 Enormous Spleen 159 
 
 Euonymin in Enlarged Liver 80 
 
 in Jaundice ... ... ... 169 
 
 in Gallstones ... ... ... 75 
 
 Ferritin picricum in Bilious Debility ... 72 
 French Physicians, Practice of, in Hepatic 
 
 Colic 150 
 
 Gallstones, Rademacher's cure of... ... 138 
 
 Gallstones 62, 93 
 
1 82 Index. 
 
 PAGE. 
 
 Gallstones, Hydrastis iu 27, 63, 67, 71, 74 
 
 with Organic Disease of Liver 65 
 accompanied by Asthma ... 129 
 
 Bilirubin in 67 
 
 Chelidonium in 8, 67, 131 
 
 Colic 72, 74, 81 
 
 Heloninum in 95 
 
 Ignatia in 67, 81 
 
 lodoformum in 72 
 
 Myrica cerifei a in 27 
 
 Psoricum in ... 130 
 
 Terebinth in ... 132 
 
 Headache, Neuralgic, cured by Thuja ... 40 
 
 Heloninum in Gallstones 95 
 
 Hepatalgia, Chelidonium in 10 
 
 Hepatica, Rademacher's 134 
 
 Hepatic Cancer 115 
 
 " Iodium in 116 
 
 " Tumour, Amekean treatment of 115 
 C hoi ester in e \w ... 96, 113 
 
 Hughes', Dr., Pharmacodynamics 12 
 
 Hydrastis in Gallstones ... 27, 63, 67, 71, 74 
 
 in Tawniness of Skin 86 
 
 in Enlarged Spleen 161 
 
 Icterus Neonatorum, Myrica in 53 
 
Index. 183 
 
 PAGE. 
 
 Ignatia Amara in Gallstones 67 
 
 72 
 
 98 
 
 116 
 
 22, 25 
 
 7, 25 
 
 153 
 
 158 
 
 Iodoformum in Gallstones , 
 
 " in Malignant Diseases of Liver .. 
 
 Iodium in Cancer of Liver , 
 
 Jaundice 1, 7, 
 
 Catarrhal 
 
 n Remarkable case of 
 
 " Intense 
 
 Kali Bichrom. in Cancer of Liver... 99, 116 
 
 in Gallstones 71 
 
 Leptandra Virginica in Liver Disease ... 56 
 Leptandri?i in Spleen and Liver Disease... 175 
 Liver, Enlargement of, with Jaundice ... 22 
 " Hypertrophy of left lobe, with 
 
 Sternal Patch 69 
 
 Lung, Chelidonium in Engorgement of right 26 
 " Congestion of right, with Enlarged 
 
 Liver ... ... ... ... 23 
 
 Medorrh. C. in Hepatic Tumour 118 
 
 Muriatic Acid \ a Liver remedy ... ... 29 
 
 Myrica Cerifera in Cancer of Liver ... 116 
 
 " in Gallstones 27 
 
 " in Icterus neonatorum ... 53 
 " Dr. Leland Walker's prov- 
 ing of. 55 
 
 Natrum Mur 32, 116 
 
184 Index. 
 
 PAGE. 
 
 Natrum Sulphuricum in Liver Disease ... 39 
 
 Neuralgia, Silicea in ... 80 
 
 Neuralgic headaches, cured by Thuja ... 40 
 
 Nux Vomica in Catarrh of Gall Ducts ... 17 
 in Gallstones with Hepatic 
 
 Disease ■ 67 
 
 Olive Oil in biliary attacks 151 
 
 Organopathy of Paracelsus 125 
 
 Palpitation from enlarged liver 78 
 
 Paracelsus' Organopathy 125 
 
 Picric Acid in Debility from Jaundice ... 61 
 
 Picrate of Iron in Bilious Debility 72 
 
 Podophyllum a great Liver Remedy ... 57 
 in chronic Hepatic Enlarge- 
 ment 146 
 
 " in Diarrhoea 57, 147 
 
 Prunus Virginica in Gallstones 71 
 
 Psoricum 77 
 
 in Gallstones 130 
 
 Pulsatilla in Gallstones 173 
 
 Quassia, Action on Liver ... 135 
 
 Rademacher's cure of Gallstones 138 
 
 experience with Chelidonium 13 
 
 Formula ... ... ... 29 
 
 Hepatica 134 
 
 Rademacher on small Doses .., ... 19 
 
Index. 
 
 185 
 
 PAGE. 
 
 Remarkable case of Jaundice 153 
 
 Riel's proving of Carduus ... ... ... 35 
 
 Saffron, its influence on Liver ... ... 134 
 
 Salicylate of Sodium a Cholagogue ... 150 
 
 an Analgesic ... 151 
 
 Sanguinaria Can. a Liver Medicine ... 57 
 
 " in Gallstones 67 
 
 Shortness of Breath from Enlarged Liver 78 
 
 Skin, Complexion of, in Liver Affections... 87 
 
 Skin, Tawniness of, Hydrastis in ... ... 84 
 
 Sluggish Liver, Brassica Mur. in 61 
 
 Small Doses, Rademacher on ... ... 19 
 
 Specificity of Seat 120 
 
 Spleen Affections, Ceanothus in 50 
 
 " Enormous Enlargement of. 159 
 
 Stahl, E., on Carduus 51 
 
 Sternal Patch, the 44, 69 
 
 Taraxacum in Liver Disease 39 
 
 Tawniness of Skin, Hydrastis in ... ... 84 
 
 Terebinth, in Gallstones 143 
 
 in indurations ... ... ... 143 
 
 Thlaspi Bursa Pastoris in Gallstones ... 75 
 
 indications for use 76 
 
 Thuja in Gallstones with Hepatic Disease 67 
 
 " in indurated Cervical Glands ... 34 
 
 " in Neuralgic Headaches ... ... 41 
 
i86 
 
 Index. 
 
 Tumour of Iyiver, Cholesterine in ... 
 
 Turpentine in indurations 
 
 Urtica urens 
 
 Varicose Veins from Enlarged Liver 
 Walker's, Dr. Leland, proving of Myrica 
 
 PAGE. 
 
 96 
 
 143 
 
 163 
 
 89 
 
 55 
 
 Illustrations of Gallstones by the Photo- 
 gravure process ... ...opposite 169 
 
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